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    • 7 hours, 40 minutes ago
      Tracy Jean likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Most people think you wear a pump and it does everything. They have no idea about pre-bolus for food and adjustments, site changes or any of the other issues and decisions and actions we make every day.
    • 16 hours, 24 minutes ago
      Laurie B likes your comment at
      Do you feel T1D has made you more adaptable to change, in general?
      It's a difficult hypothetical to answer. I was very adaptable when I was young. I still am adaptable. However, we have to be adaptable to live with this disease.
    • 16 hours, 37 minutes ago
      Danielle Eastman likes your comment at
      Do you feel T1D has made you more adaptable to change, in general?
      It's a difficult hypothetical to answer. I was very adaptable when I was young. I still am adaptable. However, we have to be adaptable to live with this disease.
    • 16 hours, 38 minutes ago
      Danielle Eastman likes your comment at
      Do you feel T1D has made you more adaptable to change, in general?
      I think it's actually made me go the opposite way - I really don't like change and cling to my routines 😂
    • 19 hours, 12 minutes ago
      lis be likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      A choice that was not available but one that is really needed is: " Aging with Type 1".
    • 19 hours, 51 minutes ago
      Ahh Life likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      A choice that was not available but one that is really needed is: " Aging with Type 1".
    • 19 hours, 51 minutes ago
      Ahh Life likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      For me, a “cruise director” for long-term Type 1 diabetes or chronic illness would be most beneficial — someone who looks at the whole person. General practitioners are increasingly rare, and specialists tend to work in silos, often without coordinating care, considering overlapping conditions, or cross-checking medications and prognoses. What’s needed is a knowledgeable care coordinator who understands long-term Type 1 diabetes, can help interpret conflicting specialist advice, guide patients toward the right specialist for specific symptoms (for example, whether migrating burning pain is diabetes-related or not), and maintain referral lists of providers who already understand how long-term diabetes affects their specialty.
    • 1 day, 7 hours ago
      Ahh Life likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      Funny you should ask, and I'm with Amanda Barras - dealing with the US insurance and networks system. I switched health plans, effective 1/1/26. My old plan stopped processing Rx's two weeks before (Rx's for pump and CGM supplies). With the network system in US healthcare, I can't see a doctor until September. Since I have different coverage for my supplies (including insulin) I need new Rx's. Having to check in often to see if their are open appointments from cancellations, and trying to see if a Zoom care or Urgent care will provide "bridge refills". My old health plan will not issue bridge refills. I 'spose it isn't strictly a T1D issue - but it's one that unites all of us with chronic medical conditions (and chronic poor medical service)
    • 1 day, 8 hours ago
      Ahh Life likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      Dealing with insurance coverage and getting claims approved due to coordination of benefits issues. We should not have to hold the hands of insurance and billing specialists in order for them to do their job so our medical bills get paid. Correctly. I have thought about going to school for medical billing jay to have more inside knowledge of how things work so I can articulate the problems more effectively and get resolution quicker.
    • 1 day, 11 hours ago
      Marty likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      Funny you should ask, and I'm with Amanda Barras - dealing with the US insurance and networks system. I switched health plans, effective 1/1/26. My old plan stopped processing Rx's two weeks before (Rx's for pump and CGM supplies). With the network system in US healthcare, I can't see a doctor until September. Since I have different coverage for my supplies (including insulin) I need new Rx's. Having to check in often to see if their are open appointments from cancellations, and trying to see if a Zoom care or Urgent care will provide "bridge refills". My old health plan will not issue bridge refills. I 'spose it isn't strictly a T1D issue - but it's one that unites all of us with chronic medical conditions (and chronic poor medical service)
    • 1 day, 12 hours ago
      Daniel Bestvater likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      Something better AND less expensive- ideally a cure!
    • 1 day, 13 hours ago
      Tracy Jean likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      Frustration (with insurance, living in Minneapolis, and general stress) that makes me want to eat all the carbs. :)
    • 1 day, 15 hours ago
      Steve Rumble likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      Something better AND less expensive- ideally a cure!
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      I'll take all the support I can get. Good knowledgeable support that you cannot get from reading a book.
    • 2 days, 3 hours ago
      Bruce Schnitzler likes your comment at
      When you plan to be physically active, how much mental effort does T1D usually add before you start?
      Breakfast is my main meal of the day, so aerobics in a warm pool, weight lifting with ten lb hand weights, and taking my over- loved dog for walks follows. I’ve had the same routine for 15 years, the joys of retirement. I’m going to be 80.
    • 2 days, 16 hours ago
      Deborah Wright likes your comment at
      When you plan to be physically active, how much mental effort does T1D usually add before you start?
      All depends on the type of activity and the duration of the activity.
    • 2 days, 16 hours ago
      atr likes your comment at
      When you plan to be physically active, how much mental effort does T1D usually add before you start?
      At 67, my exercise is usually consistently 30 minutes of yoga as soon as I wake up (no thought necessary to T1D - dawn effect makes sure I don’t go low and breakfast right after takes care of any slight high; walking - just take tablets with me if I go low; I used to do some biking but haven’t in a while; YouTube standing exercises for those over 50 - usually go low but eat something after. No real surprises anywhere that tablets won’t handle.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Has diabetes technology increased or decreased your mental load?
      That is hard to say. It is definitely more of a hassle to keep my sugar under control now with technology as I look at my sugar levels more often and make more decisions about how many carbs I am eating and wondering if my pump settings are correct. But I have less stress about having a low blood sugar,
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Has diabetes technology increased or decreased your mental load?
      Control IQ has been a big boon for daily management. CGM too, my fingers had grown tired of being poked.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Has diabetes technology increased or decreased your mental load?
      I don't think pumps fail periodically. I find a pump way more reliable than a CGM. Realistically though, yes they are a big investment if you get the kind where you have it for years under warranty. With other pumps like an Ipod or the new Twiist, you can try them out for a while under pharmacy benefits and discontinue them if you don't like them.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Has diabetes technology increased or decreased your mental load?
      It was working wonderfully for several years, but then in the last six months, my Medtronic 780+ G4 guardian sensors have failed so often that I now have so much trouble that I often wonder if it’s worth it. But then I remember how up and down my blood sugars were when I was taking injections for 50 years and I give my head a shake..
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Has diabetes technology increased or decreased your mental load?
      I went from using two kinds of insulin, taking a BG reading (poking myself) 10-12 times a day, to using one kind of insulin, building a DIY app about monthly, monitoring my watch/phone/app frequently. Is that a time improvement? I think so. Is it a reduced mental load? I'm not sure. Is it more simple or better mentally? Yes, greatly! Is it an improvement in my lifestyle? Definitely! Is it a simple answer? Definitely not! Is it improvement medically? Definitely better control, better #s, but what I've done is trade one mental load for another. Do I still worry, yes, but it's a reduced amount. Do I still wish T1 had never entered by life? Yes. I'd be a fool not to wish it had never entered by life, but that's wishful thinking. It's here; I and my wife still have to deal with it; I have to think about what my plans are for the next couple of hours and respond or risk going low, or high, or staying the same. Does it impact my life, still a definite yes.
    • 3 days, 1 hour ago
      Sandy Norman likes your comment at
      Has diabetes technology increased or decreased your mental load?
      I went from using two kinds of insulin, taking a BG reading (poking myself) 10-12 times a day, to using one kind of insulin, building a DIY app about monthly, monitoring my watch/phone/app frequently. Is that a time improvement? I think so. Is it a reduced mental load? I'm not sure. Is it more simple or better mentally? Yes, greatly! Is it an improvement in my lifestyle? Definitely! Is it a simple answer? Definitely not! Is it improvement medically? Definitely better control, better #s, but what I've done is trade one mental load for another. Do I still worry, yes, but it's a reduced amount. Do I still wish T1 had never entered by life? Yes. I'd be a fool not to wish it had never entered by life, but that's wishful thinking. It's here; I and my wife still have to deal with it; I have to think about what my plans are for the next couple of hours and respond or risk going low, or high, or staying the same. Does it impact my life, still a definite yes.
    • 3 days, 6 hours ago
      KCR likes your comment at
      Has diabetes technology increased or decreased your mental load?
      Having been diagnosed in my 70’s 3 years ago, I have always used a CGM. I now have a Smart Pen and Apple Watch. As a retired nurse, I’m grateful for the relative simplicity of this technology as compared to what I saw during my career. Still wish this disease wasn’t mine, but it’s in good control and I plan to keep it that way. T1 still takes up space in my life, but so would any chronic condition.
    • 3 days, 6 hours ago
      KCR likes your comment at
      Has diabetes technology increased or decreased your mental load?
      My CGM replaced pondering about where it may is bg with knowing where it is. Though I spend considerably more time reviewing and dealing with my bg that is preferable to not knowing and wondering.
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    How helpful do you think it would be to see a mental health professional who specializes in issues related to chronic illness?

    Home > LC Polls > How helpful do you think it would be to see a mental health professional who specializes in issues related to chronic illness?
    Previous

    Experiencing weight fluctuations is a common experience in adulthood. If you're an adult with T1D and you have experienced a weight change (gain or loss of 10lbs/4.5kg and you remained at that new weight for at least 6 months or more as an adult), how did your insulin needs change?

    Next

    In the past week, how many nights was your sleep disrupted by device alerts, checking blood glucose levels, or treating a high or low?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    40 Comments

    1. Molly Jones

      These specialists would have to be very well educated in many chronic illnesses along with neurochemistry and behavior, but it would be helpful to have someone who understands the immediate and long term effects of a condition on behavior and how to help improve any undesired behaviors / moods in ways besides / along with controlling your illness.

      3
      4 years ago Log in to Reply
      1. n6jax@scinternet.net

        very well put!!!

        4 years ago Log in to Reply
    2. ELYSSE HELLER

      I am considering seeing someone simply because of my immunocompromised status and Covid-19. People keep wanting me to go to dinners with 30 plus people crammed into their kitchen, ballparks with people sitting shoulder to shoulder, and the like. The immunocompromised still have to be very careful and people need to respect my condition. I still don’t let people into my house as I don’t have a very large house and these people are going out galivanting everywhere and I just don’t need it or want it.

      7
      4 years ago Log in to Reply
      1. Patricia Dalrymple

        Elysse: I don’t see you as the one needing help here. Just state what you said above and politely but firmly decline any unsuitable invitation. WE understand and get you even if people outside our community do not.

        6
        4 years ago Log in to Reply
      2. Lawrence S.

        I just want to let you know that I am doing the same thing as you. Hang in there. You are not alone.

        2
        4 years ago Log in to Reply
      3. Germaine Sarda

        It’s very frustrating! After Covid came to town, one of my coworkers asked how it would affect me. I told her it’s not unlike the flu season when people come to the office coughing and feverish. They’ll recover but if I get it, it will throw my whole system out of whack and possibly dangerously so. I am very thankful that I can work remotely.

        1
        4 years ago Log in to Reply
    3. James Hoare

      I would say that when is the important question. At 13 It would have been life altering perhaps but 61 years later not so much.

      1
      4 years ago Log in to Reply
    4. Jim Cobbe

      How am I supposed to form an opinion without experience of what it might involve/be? I’d want a lot more context or specification of situation before expressing an opinion.

      1
      4 years ago Log in to Reply
    5. Kim Rehtus

      I would have found it helpful over the years to visit with someone who is part mental health professional and part life coach who specializes in T1D. Implementing the advice of T1D doctors can be quite complex and having a professional who could help address the thoughts/emotions around building the habits related to living with a chronic illness could be so helpful! Having an experienced partner would be a huge asset especially in the first years after diagnosis.

      3
      4 years ago Log in to Reply
    6. Janice Bohn

      I think it would be very helpful however the cost could be prohibitive with all the other T1D expenses

      6
      4 years ago Log in to Reply
    7. Patricia Dalrymple

      I answered other because it was unclear whether this was for me specifically or for anyone generally. I currently do not need anyone. But I can’t see why the right person (very important to anyone needing mental health assistance – one size does NOT fit all) wouldn’t be helpful in someone’s time of need.

      6
      4 years ago Log in to Reply
    8. mojoseje

      Over the decades, I do wish there had been counseling available from someone who understands T1 diabetes.

      4 years ago Log in to Reply
    9. Ahh Life

      Many of us have seen a slew of T1D doctors, perhaps even so much so that we are the ones who hold the doctorate. A doctorate hard earned from the college of hard knocks.

      Mental heath experts, whom I had little need for when younger, may play an increasingly important role as I age and as predicted amnesia and dementia rear their ugly heads. Ugh! Is dementia a mental health issue? Dr. Google is a bit ambiguous on answers.

      4
      4 years ago Log in to Reply
      1. KarenM6

        Dementia is diagnosed by Neuropsychologists… but, it seems to sit in both mental health and body health categories, doesn’t it?! Oy.

        1
        4 years ago Log in to Reply
    10. TEH

      I agree with many comments below. Does such a T1d mental health specialist exist?

      4 years ago Log in to Reply
      1. Lyndsey Escobar

        Yes! 🙂 our pediatric endo referred us to a psychotherapist that specialized in adolescents with chronic illnesses, spherically diabetes. My son met with her a few months after diagnosis and off and on for 2 years. I believe it was helpful for him.

        4 years ago Log in to Reply
      2. KarenM6

        Yes. The BDI (Behavioral Diabetes Institute) has some wonderful mental health doctors. And at least one of them has T1D, too.

        4 years ago Log in to Reply
    11. AnitaS

      I personally don’t feel the need to see a mental health specialist, but I am sure that a specialist could help people struggling with diabetes or any other chronic condition.

      4 years ago Log in to Reply
    12. kristina blake

      I could have used a therapist when my partner was Dx’d bipolar1, with anger mgt issues. I seemed to be the trigger for the manic episodes (my mere existence was all it would take). I tried to get some counseling in order to learn what to expect (as best as possible with BP1), coping mechanisms etc. I failed the screening – I don’t have suicidal nor homicidal ideations so the health plan said “nope”. Meanwhile I am also dealing with T1D (for 40 years). I don’t necessarily think that a therapist has to specialize in chronic conditions, but knowing that people like us not only deal with everyday life – and occasionally need some guidance – we are doing that while dealing with T1D. We are like Ginger Rogers – doing all the same wonderful dances as Fred Astaire – but backwards in high heels.

      9
      4 years ago Log in to Reply
      1. Germaine Sarda

        I’ve heard that Ginger Rogers quote before and it never dawned on me that it’s very much us!

        1
        4 years ago Log in to Reply
    13. Joan McGinnis

      I do know when I need help so that my family and friends do not suffer, after having heart surgery, with teeenage daughters stressing me, when my
      Husband died. I feel I am doing well because I did use a mental health professional

      1
      4 years ago Log in to Reply
    14. lis be

      I’d be satisfied if I could meet an endo that really understood the disease and all its other things!

      3
      4 years ago Log in to Reply
    15. Natalie Daley

      I’ve managed my Type 1 for 30 years, I’m 75, seeing an excellent endocrinologist for most of that time. I’ve come to terms with most of the issues and stayed relatively healthy. Why change that now?

      4 years ago Log in to Reply
    16. Becky Hertz

      At this point in time, I’m not in need of an MHP. Overall, it would be beneficial for those who are struggling with issues related to chronic illness. Everyone handles things differently, and many have more than one chronic condition.

      1
      4 years ago Log in to Reply
    17. StPetie

      I put Other. I’m in a pretty good place and reasonably satisfied with my life. But I do think it would be interesting to get an outsiders point of view in light various medical issues.

      4 years ago Log in to Reply
    18. Janis Senungetuk

      As a pre-teen and teenager it would have made a tremendous , positive difference. At 75, after 67 years living with T1 and complications, peer support is more helpful.

      2
      4 years ago Log in to Reply
      1. n6jax@scinternet.net

        I am 90 now and started at age 21, so I am glad not having to deal with those younger years!!

        4 years ago Log in to Reply
    19. Modee

      This is critically important and should start as soon as you are diagnosed. Diagnosed 52 years ago at 12 I did fine but at various stages of my life I began to suffer severe depression I thought was genetic. It actually was caused by diabetes and I finally found the right doctor that confirmed it is common the longer you have it and the older we get. Sheesh…!

      4
      4 years ago Log in to Reply
    20. Pauline M Reynolds

      Very helpful at time of diagnosis. Also, in later years, it would be helpful in dealing with complications as they come up.

      1
      4 years ago Log in to Reply
    21. M C

      It may have helped when I was first diagnosed, as a kid, wondering “why me?!?” Now, over 45 years later – not sure why or how a mental health professional could be of any help in terms of having a ‘chronic illness’…. Like many on the list, it’s part of our lives and we keep plodding along doing the best we can with what we’ve got.
      In terms of assisting me in dealing with other challenges life presents – with the stresses they can bring (potentially impacting one’s diabetic control), then a MHP could possibly be helpful.

      1
      4 years ago Log in to Reply
    22. Mary Dexter

      In an ideal world, it would be helpful, but the odds of the professional actually understanding my situation are slim, as are the odds that someone employed by my HMO would be able to help me navigate the gaslighting and stigma from the doctors from the same HMO.
      The last shrink my HMO assigned who supposedly specialized in chronic illness told the diabetes support group that she understood what it was like to have diabetes because she often must drive behind other cars on the beltline and wait in line at the grocery. Thankfully, she has moved on to counseling cancer patients, although I pity them.

      2
      4 years ago Log in to Reply
    23. Liz Avery

      I answered a little helpful. I saw a psychologist for part of the 1990’s when my children were 10 or older and I was working full time, tending 5 acres as well. I needed the perspective, and it was helpful.

      4 years ago Log in to Reply
    24. pru barry

      Therapy has certainly helped, along the way. I’ve been learning this disease for almost 70 years, and can almost break it down into stages when another set of eyes and ears might have been crucial to understanding how best to see one’s self as a diabetic. I think it has a lot to do with developing a philosophy with the crayons provided, and that happens over time, with all sorts of twists and turns in the path. Sharing knowledge strengthens some beliefs, and points out others which aren’t helpful. A therapist who helped me most was the one who championed an ability to adjust, swerve, and not give up. She also believed that “everyone has something” makes it easier to do what’s required, knowing that it is NOT a personal failing. It’s sometimes exhausting to be a diabetic, but I love the days when I meet the challenge and come out smiling.

      3
      4 years ago Log in to Reply
    25. Carol Meares

      There were times in my life when it would have been very helpful. I struggled and found my way through other means, a health group I found online, where I also received some individual help with a naturopath. T1D was treated as a whole body and mind experience. Everyone with T1D should have access to some form of mental healthcare related to the chronic challenges of living daily with the disease. How it could be delivered effectively would need to vary to fit individual needs.

      4 years ago Log in to Reply
    26. Joan Fray

      I saw a therapist for about a year when I was having marital issues. (20 years ago.) It helped a lot, mostly just having someone to listen to me without obvious judgement. Didn’t talk much about the diabetes, but she did finally treat what was obviously (to everyone but me) depression. Worked well. We’ll be celebrating our 50 year anniversary next Spring. And happily, I might add.

      2
      4 years ago Log in to Reply
      1. Ahh Life

        Joan–Congratulations and best wishes.

        4 years ago Log in to Reply
    27. Donna Condi

      There was a time when I was so frustrated and feeling lost because everything I tried in order to stay in control did not work. And at point I could have used some counseling to deal with it.

      4 years ago Log in to Reply
    28. mentat

      I have seen 12 mental health professionals in the last 11 years and for the most part their lack of knowledge and understanding has been… detrimental. Only one had a clue regarding T1D; most brushed my T1D aside altogether, and one psychiatrist actually chastised me for causing myself to develop type 1 diabetes. I tried to correct her but she told me she knew what she was talking about because she had a relative with Type 1.

      Generally whenever I wanted to talk about the way diabetes impacted me, they seemed determined to redirect to conversations about my relationships with other people. I’m not sure whether this was simply because they felt more comfortable talking about these topics or if they felt that I was using diabetes as a scapegoat for my relationship problems but things just went around in circles and I didn’t get the help I needed for a long long time.

      So yes I think it’s very important for people with T1D to have access to mental health professionals who specialise in chronic illness-related issues.

      4 years ago Log in to Reply
    29. PamK

      I answered “a little helpful” because for me, I don’t feel a need for mental health counseling related to my diabetes. I have in the past though, and it did help quite a bit. So, for those who need it, it is, in my opinion, very helpful!

      4 years ago Log in to Reply
    30. Cheryl Seibert

      I chose “little helpful”. The problem with chronic illness or caregivers of diabetics, there is little available time to sit with a counselor. Caregivers and those with chronic illness need the access to care that improves their condition or provides low-cost equipment/solutions/caregivers to manage their condition. Cost of medical equipment and the barriers to finding in-home care is sad

      4 years ago Log in to Reply

    How helpful do you think it would be to see a mental health professional who specializes in issues related to chronic illness? Cancel reply

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