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    • 1 hour, 12 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 1 hour, 12 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 1 hour, 27 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 1 hour, 28 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 3 hours, 49 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 10 hours, 58 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 10 hours, 58 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 12 hours, 55 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 13 hours, 11 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ‘delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 7 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
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    How important is the standard deviation (SD) measurement to you? (SD is a measure of a person’s variation in glucose readings)

    Home > LC Polls > How important is the standard deviation (SD) measurement to you? (SD is a measure of a person’s variation in glucose readings)
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    If you wear an insulin pump, which of the following factors best describe when you will get a new pump (assuming your current pump still works)? Select all that apply!

    Sarah Howard

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    26 Comments

    1. TomH

      SD is a helpful additional measurement in determining how well the TIR reflects BG control. I monitor both on a routine basis.

      2
      1 year ago Log in to Reply
    2. Henry Renn

      Use close guidance of Endo.

      1 year ago Log in to Reply
    3. Lawrence Stearns

      It’s not a measurement that I see that often. But, I know that it’s a good measurement to tell me whether I am staying within my range. If I am going above and below my safe range, my SD will be high. Best to keep the SD low.

      1
      1 year ago Log in to Reply
    4. ConnieT1D62

      Important enough that it let’s me see rise and fall of random overall BG patterns. However, quite frankly I generally don’t pay all that much attention to it because I have learned to trust the Tandem CIQ w/Dexcom G6 integrated system. My TIR is pretty spot on at ~ 88 to 92%.

      3
      1 year ago Log in to Reply
    5. Bill Williams

      It’s very similar to TIR but far more difficult to explain to most people.

      2
      1 year ago Log in to Reply
      1. kristina blake

        Oh yeah…just think back to statistics classes! Fortunately I upload my TSlim/Dexcom every month and get a nice visual of the range between my high’s and low’s.

        1
        1 year ago Log in to Reply
    6. Sahran Holiday

      Thank you for this question. Have often questioned A1cs because I have so many lows. Multiple endocrinologists and ophthalmologists and primary care have all convinced me after 3+ years to lower basal rate and some bolus calculations. Last A1c preadjustment was 5.6, too many lows. Next one coming up. I’ll ask endocrinologist’s assistance in calculation SD.

      1 year ago Log in to Reply
    7. M C

      It’s ‘important’, but I’m already doing the best I can, and as long as it’s reasonable, and I know why things vary, I’m content. Can’t say it’s ‘very important’ because it’s not – I can’t stress over something further that I know I’m already doing my best to keep in control.

      2
      1 year ago Log in to Reply
    8. Linda Murphy

      Never heard of it. Imagine its something I can see just by looking at CGM graph.

      1 year ago Log in to Reply
    9. Abigail Elias

      Time in range is much more important and may be replacing the value of an SD measurement.

      1 year ago Log in to Reply
      1. Bill Marston

        TIR “replacing” SD? – insufficient and not fully accurate, I think the common data will show. They are NOT the same, not mutually exclusive. Like saying tire pressure is so much more important than tire tread or roadway condition or steering stabilization … NONE of which replace another (except drunkenness or inebriation, just as gross operator error is 100% more important in prevention or can be held 99% causative in a crash).

        1 year ago Log in to Reply
    10. Dave Barden

      I don’t like having to scroll past all these articles to get to question I’m trying answer. Please put the question back at the top.

      1
      1 year ago Log in to Reply
    11. Ernie Richmann

      The more information I have, the better chance I have of best possible control.

      1 year ago Log in to Reply
    12. Julie Akawie

      It is conceptually important to me but, in truth, after 50 years of this disease and now hormonal changes, I am struggling most days to keep my bG below 200. 🙁

      2
      1 year ago Log in to Reply
      1. KarenM6

        Me too, Julie!
        This makes me wonder if there have been any studies done to try and help in this area!

        1 year ago Log in to Reply
    13. TEH

      SD woud be important to gauge the response of a true closed loop system. Since current CGM is not true closed loop it’s pretty much irrelevant.
      My SD is lilrly very large because my SG rings like a bell after I get up until I go to bed. Right now, TIR is what I watch. Even that has a large variation 92% to 56% from day to day.

      1 year ago Log in to Reply
      1. Bill Marston

        Even when you refer to a true closed-loop is NOT like internally created insulin which goes directly from Islets in Pancreas **and** glucagon directly from the liver’s stores into bloodstream into cells’ glucose/insulin receptors. But we are stuck with subcutaneous skin vascular nature, accounting for the nominal 15-minute delay in achieving insulin’s effect. Not to mention disruptive barriers to immediate and predictable insulin effect of scar tissue or infusion site near large muscle when I gets exercised! So, everything we do AFTER CLOSE-LOOP is perfect is still a long shot away from true pancreatic endocrine activity.

        1 year ago Log in to Reply
    14. Carol Meares

      SD in the mid 20’s and below indicates I’m doing quite well coupled with TIR in the mid 90’s.

      2
      1 year ago Log in to Reply
    15. Jodi Greenfield

      This measurement is probably important for me to make note of because my glucose readings peak and valley A LOT

      1 year ago Log in to Reply
    16. Ahh Life

      Vitally important. An SD is a measure of the amount of variation or dispersing of a set of values. A low standard deviation indicates that the values tend to be close to the average, while a high standard deviation indicates that the values all over the map.

      The math formula is usually represented by the Greek letter sigma σ . The goal is to have σ < 3. In other words Average Blood Glucose divided by σ should be less than 3.

      Many analyses attempt to contain variation or dispersions to less than 3 SD. If you go beyond 3, you and your data might be called 3 sigma deviants. I may resemble that remark in some respects. ☜(ˆ▿ˆc)

      2
      1 year ago Log in to Reply
    17. Ceolmhor

      I have a strong background in statistics and certainly understand the measure and its importance, in principle, in managing blood glucose. That has not caused me to notice or use it as a metric for assessing my control. My control is limited mainly by my errors. When I don’t make any errors, such as forgetting to bolus until I hear a high alert, or mis-estimating the carb (or fat) content of a meal, my BG is very well controlled. So the source of variation is errors that I’m already working to control, and the actual number seems irrelevant to my decision making.

      3
      1 year ago Log in to Reply
      1. Bill Marston

        Ceolmar (SP??), I commend your thinking and explaining. A tool which doesn’t have immediately percievable cause+effect relationship to our behavior is not as effective on changing it as those that do.
        Interested to see where such discussion might lead, especially in the hands of diabetes educators!
        GOOD WORK.

        1 year ago Log in to Reply
    18. KarenM6

      Up until a few weeks ago, I had no idea what it meant. I read the definition and went, “huh?” Then a lovely CDE explained it to me and I finally “got it.”
      And, while I understand it now, I am still trying to come to terms with how I can use this measure to help me manage my diabetes. Having all this data really doesn’t help if you have no idea what to do with it… I am still in learning mode and will get there, I hope!!!

      1
      1 year ago Log in to Reply
    19. Sandra Norman

      I do think it’s important as swinging from highs to lows makes life difficult – it is easy to see your SD on the Dexcom Clarity reports. I have read less than 50 is a goal for most diabetics.

      1 year ago Log in to Reply
      1. Bill Marston

        If you have read that less than 50 is a good target, I think you should be reading better stuff. As others here have said a target of AROUND HALF OF THAT is the ballpark we should all be playing in. I, too, am disappointed at SD of 38 or 42 etc…. despite good A1c and average SGs, etc.

        1 year ago Log in to Reply
    20. Cheryl Seibert

      Without knowing SD, an average Sensor Glucose or Blood Glucose reading (A1C) is limited in determining good control. I am a brittle diabetic and my sugars abruptly rise and fall. My A1C is great (<7 my entire lifetime) and TIR is 85-90%, but my SD is often runs 30-40. I prefer 20-25 SD which means I'm in better control.

      2
      1 year ago Log in to Reply

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