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    • 2 minutes ago
      TEH likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      Maybe not a physical restriction, but decades ago I was told I was ineligible to get a pilot’s license.
    • 3 minutes ago
      Lawrence S. likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      Maybe not a physical restriction, but decades ago I was told I was ineligible to get a pilot’s license.
    • 3 minutes ago
      Lawrence S. likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      Yes. It had to do with a job that required me to drive delivery vans to clean and park them on the company's lot.
    • 4 minutes ago
      Lawrence S. likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      Long time ago - told there were certain occupations I would not be allowed to do because if T1D. Pilot, air traffic controller, military, etc.
    • 13 hours, 15 minutes ago
      Patricia Dalrymple likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Being at high risk for dementia (both genetic and behavioral) and at an advanced age while still making very complex decisions about pump, CGM, and data issues Phew! What a premise! Is the optimal strategy for T1D management most likely to be MDI by caregivers in assisted living?
    • 14 hours, 29 minutes ago
      lis be likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Being at high risk for dementia (both genetic and behavioral) and at an advanced age while still making very complex decisions about pump, CGM, and data issues Phew! What a premise! Is the optimal strategy for T1D management most likely to be MDI by caregivers in assisted living?
    • 21 hours, 2 minutes ago
      Deborah Wright likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      It's rare I have questions, but if I do, I send a message to my Endocrinologist, and she responds quickly.
    • 21 hours, 5 minutes ago
      Deborah Wright likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      I use the patient portal to ask my doctor.
    • 21 hours, 5 minutes ago
      Deborah Wright likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      I seldom have any questions other than RX refill request which I submit through the patient portal. If I do have treatment questions, I typically do my own research, and if not satisfied with what I find out, I submit a question in the portal.
    • 21 hours, 6 minutes ago
      Deborah Wright likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      When I come up with a question between visits, I usually just do some research.
    • 22 hours, 39 minutes ago
      Mike S likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      I use the patient portal to ask my doctor.
    • 22 hours, 39 minutes ago
      Mike S likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Being at high risk for dementia (both genetic and behavioral) and at an advanced age while still making very complex decisions about pump, CGM, and data issues Phew! What a premise! Is the optimal strategy for T1D management most likely to be MDI by caregivers in assisted living?
    • 22 hours, 55 minutes ago
      Lawrence S. likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      How to avoid the rebounding effects of a low blood sugar.
    • 22 hours, 56 minutes ago
      Lawrence S. likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      After making pump setting changes due to new Mounjaro, why are my post meal glucose levels so high and how do we fix it?
    • 22 hours, 56 minutes ago
      Lawrence S. likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Will I be okay during pregnancy, especially now that I'm over 40?
    • 22 hours, 59 minutes ago
      Lawrence S. likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Being at high risk for dementia (both genetic and behavioral) and at an advanced age while still making very complex decisions about pump, CGM, and data issues Phew! What a premise! Is the optimal strategy for T1D management most likely to be MDI by caregivers in assisted living?
    • 23 hours, 29 minutes ago
      Carrolyn Barloco likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Being at high risk for dementia (both genetic and behavioral) and at an advanced age while still making very complex decisions about pump, CGM, and data issues Phew! What a premise! Is the optimal strategy for T1D management most likely to be MDI by caregivers in assisted living?
    • 23 hours, 30 minutes ago
      Carrolyn Barloco likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      Will I be okay during pregnancy, especially now that I'm over 40?
    • 1 day, 10 hours ago
      kilupx likes your comment at
      Do you currently take metformin?
      Before I was correctly diagnosed the primary care physician said I must be type 2 due to my age of 36, even though I was always very thin and had rapidly lost even more weight. He prescribed metformin- I proceeded to get sicker and sicker. Finally got to an endocrinologist who tested and said I was T1D, and I was put immediately on insulin. What a game changer.
    • 1 day, 10 hours ago
      kilupx likes your comment at
      Do you currently take metformin?
      Other I took Metformim for 3 months when I was first incorrectly diagnosed with T2. I am very sensitive to insulin and don’t need it yet.
    • 1 day, 20 hours ago
      Kristi Warmecke likes your comment at
      Do you currently take metformin?
      Wow!
    • 1 day, 20 hours ago
      Kristi Warmecke likes your comment at
      Do you currently take metformin?
      I've had T1D for 50 years. I started taking Metformin 9 months ago. I take full dose at bedtime to manage my morning glucose rise. It keeps the liver from releasing glucose. It has helped.
    • 1 day, 23 hours ago
      Lawrence S. likes your comment at
      Do you currently take metformin?
      I took it for four years when I was diagnosed with T2. After four years of not being able to control my bs I asked my endocrinologist if I could go on insulin and he said yes and the T2 drugs stopped.
    • 1 day, 23 hours ago
      Gerald Oefelein likes your comment at
      Do you currently take metformin?
      Other I took Metformim for 3 months when I was first incorrectly diagnosed with T2. I am very sensitive to insulin and don’t need it yet.
    • 1 day, 23 hours ago
      Gerald Oefelein likes your comment at
      Do you currently take metformin?
      I took it for four years when I was diagnosed with T2. After four years of not being able to control my bs I asked my endocrinologist if I could go on insulin and he said yes and the T2 drugs stopped.
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    How important is a strong knowledge of nutrition for T1D management?

    Home > LC Polls > How important is a strong knowledge of nutrition for T1D management?
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    Has your insurance company ever denied your T1D medications or supplies? Share more in the comments about how you navigated this process.

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    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    23 Comments

    1. Molly Jones

      I consider basic digestion of carbohydrates regulated by activity and fats to be the most important understandable aspect of nutrition for T1D management.
      Most other aspects of nutrition/ biochemistry affect my health and T1D but I would leave up to my doctor to understand/ diagnose.

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

      Mom lived to 98. Dad lived to 102.

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

        May have been due to healthy diabetic exchange diet started in 1951 with my diagnosis of T1D.

        4
        2 years ago Log in to Reply
    3. fletchina

      I actually chose a career in nutrition and am a Registered Dietitian Nutritionist.

      3
      2 years ago Log in to Reply
    4. Jian

      for person with Type 1or 2 as well as providers -essential for both

      2
      2 years ago Log in to Reply
    5. Janice B

      As important as it is for anyone who wants to be sure to eat in a balanced nutritional way. No matter your choice of diet you need to make sure to have all the vitamins covered.

      1
      2 years ago Log in to Reply
    6. Lawrence S.

      This question is like asking if the sky is blue, or the grass is green. Managing T1D is all about knowing and using nutrition. I learned the nutritional values of fruits, and vegetables and read the labels on all packaged foods, so I know what is going into my body. Not just the carbohydrates, but the fats and proteins as well. Also, I need to know what minerals and vitamins I am getting. Yes, it is Very important to have a strong understanding of nutrition in the management of T1D.

      3
      2 years ago Log in to Reply
    7. TomH

      I put “somewhat” because I interpret it as meaning “more so than a non-T1D” and I think it’s important for all of us.

      2
      2 years ago Log in to Reply
    8. Lynn Smith

      This is a very dumb question.

      2 years ago Log in to Reply
    9. cynthia jaworski

      A clear consensus agrees that understanding nutrition is important.

      Another question here might be: how much detail does one need?

      2 years ago Log in to Reply
      1. George Lovelace

        Every Detail including Timing and what response you achieve

        2 years ago Log in to Reply
    10. George Lovelace

      I answered “Very” because there wasn’t an “Extreme” Answer offered. One you know about nuntrition and Carbs and Protien and Fat you have the Basis of what your insulin dosage should be, then just factor in the Timing issues and you can get an A1c of 5.4 like me! Until I changed to Dex G7 and Tandem and I think I need to come off 24/7 Sleep mode with CIQ

      2 years ago Log in to Reply
    11. Ernie Richmann

      A strong knowledge of nutrition is important for all individuals. But only if you don’t want to be obese, have fatty liver, heart disease, a weak immune system.

      2 years ago Log in to Reply
    12. Jeanne McMillan-Olson

      I was a Registered Dietitian and CDE for 30 plus years. Well worth it.

      2 years ago Log in to Reply
    13. Janis Senungetuk

      It’s essential information .

      1
      2 years ago Log in to Reply
    14. Nevin Bowman

      Important, but I was also fed a lot of very bad information from a dietician that I will pay for the rest of my life. Carb counting is one of the biggest fallacies in the diabetes field they way it is usually presented.

      2 years ago Log in to Reply
    15. Eva

      How your body uses nutrients is vital. For example, when you go low, your cells suck up potassium, salt, calcium etc. Super Important to know. Knowing how fat, protein and carbs interact with each other is vital. More important everyone can be different with regards to iron absorption.

      2
      2 years ago Log in to Reply
    16. Becky Hertz

      Very important, but as I’m finding out, you need to be the one with the strong knowledge. Physicians, etc don’t get enough education themselves. A good nutritionist helps, but it’s really up to the individual.

      3
      2 years ago Log in to Reply
    17. Phyllis Biederman

      It is absolutely essential!

      2
      2 years ago Log in to Reply
    18. Steven Gill

      Diabetes is an endocrine disorder (failed pancreas?), everything effects it. Stress, activity, and food.

      2 years ago Log in to Reply
    19. Jeff Balbirnie

      There is a BASIC fundamental knowledge all D’s MUST possess period. What food group is X food in? What is a single portion of X food? What happens to that portion size, if/when you cook X food? It is not hard once truly learned… Getting the insulin dosages “correct” in order to cover whatever food(s) we eat, that can be @#*(@ challenging math!!! Lacking foundational information about food, basic nutrition that can increase our suffering severely, and with no real need to do so…just saying

      2 years ago Log in to Reply
    20. ConnieT1D62

      I answered Very Important because a T1 PWD has to learn and master basic knowledge about selecting healthy food choices in appropriate amounts to feed oneself. As a kid with T1 diabetes in the 1960s we had to learn to eat portion sizes from the ADA exchange plan. We followed a little booklet published by the ADA as a guideline. (I bet some of you long timers remember those booklets grey/white illustrations and black.print). No color pictures of healthy plate portion sizes – it was 3 oz meat, 1/2 c veg from list A and B, 1 free food, 1/2 pc of fruit. And graham crackers and milk as after school and bedtime snack. BORING!

      Later on, as diabetes science progressed, in the early 1980s I attended a diabetes self-care program in NYC as part of the DDCT and learned to select a variety of nutritious foods by reading food content labels to determine appropriate portion sizes for carb, protein, and fat content and to choose foods with wholesome healthy ingredients. It was then I learned about the CHO/insulin ratio factor … made a world of difference in my understanding of “we are what we eat” and how to manage my diabetes.

      2 years ago Log in to Reply
    21. T1D4LongTime

      VERY important! If a diabetic is not aware of proper nutrition, they would be eating foods high in carbs or foods that would have a negative impact on their long-term health. A reasonably-sized, balanced diet is the key

      2 years ago Log in to Reply

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