Subscribe Now

* You will receive the latest news and updates on your favorite celebrities!

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 9 hours, 1 minute ago
      Cecilia Yamamoto likes your comment at
      At T1D Exchange, we work to improve the lives of people with T1D through research. If you could ask a T1D scientist anything about research, what questions would you want answered? Share in the comments, and your question may be featured in an upcoming article!
      Why aren't there more studies on heart disease risk with only T1Ds? I have read peer reviewed medical articles that confirm that T1Ds were not studied exclusively in statin research. We were advised to be treated with statins even if our cholesterol was excellent and there were no other risk factors. I suffered from elevated A1c, weight gain, insulin resistance, extremely low cholesterol which led to vitamin D deficiency which caused respiratory problems and inability to exercise or enjoy leisure activities due to breathlessness and muscle pain. Doctors believed that any symptoms reported by patients were due to the "Nocebo effect" despite my improvement when I didn't take statins for six months when I forgot to refill my prescription! I suffered these side effects from 2002-2016 when I finally found a doctor who took me seriously. We need to be treated as individuals with T1D, not treated based on studies on the majority of T2 studies.
    • 10 hours, 8 minutes ago
      Lenora Ventura likes your comment at
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes, my dad had T1. My diagnosi made him and my mom so sad. I tried hard to make it no big deal so they wouldn’t worry.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 10 hours, 9 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • Insights
      • Submit a Question
      • Donate
    • Quality Improvement
      • Collaborative
      • Leadership
      • Committees
      • Clinics
      • Portal
      • HEAL
        • Heal Advisors
      • Join Us
    • Registry
      • Recruit for the Registry
    • Research
      • Publications
      • COVID-19 Research
      • Work with us
    • Partners
      • Previous Work
      • Academic Partnerships
      • Industry Partnerships
    • About
      • Team
      • Board of Directors
      • Culture & Careers
    • Join / Login
    • Donate

    How important is the time-in-range measurement to you when assessing your T1D management?

    Home > LC Polls > How important is the time-in-range measurement to you when assessing your T1D management?
    Previous

    For this question, we're re-asking a recent question. Even if you answered before, please answer again. If you use both an insulin pump and CGM, do you currently use any of the following automated insulin delivery (also known as ā€œpredictive low glucose suspendā€ or ā€œhybrid closed loopā€) algorithms?

    Next

    Do you usually change the time on your glucose meter and/or insulin pump for Daylight Savings Time?

    Sarah Howard

    Related Stories

    Insulin

    Mark Cuban’s Cost Plus Drugs Tests New Insulin Program 

    Ginger Vieira, 1 week ago 4 min read  
    Devices & Technology

    Connected Insulin Delivery Devices 

    admin, 2 weeks ago 7 min read  
    Devices & Technology

    Automated Insulin Delivery Systems 

    admin, 2 weeks ago 11 min read  
    Inspiration & Advocacy

    7 Things People Say About Type 1 Diabetes That Drive Us CrazyĀ  

    Ginger Vieira, 2 weeks ago 4 min read  
    Blood sugar management

    Your T1D Goals for 2023! 

    Samantha Robinson, 2 weeks ago 2 min read  
    Blood sugar management

    The Six Dysfunctional Hormones of Type 1 DiabetesĀ  

    Cristina Jorge Schwarz, 3 weeks ago 6 min read  

    22 Comments

    1. RegMunro

      CGM has made time in range 95+% achievable, but not east. It has enabled me to move focus to variability of blood glucose level. I’m not sure what to aim for in this area! Any practical tips?

      11 months ago Log in to Reply
    2. Larry Martin

      It is the only thing I really care about. A1C is a myth because you can have a very wide range of glucose readings from way too high to way too low and still show a good A1C.

      5
      11 months ago Log in to Reply
    3. Lisa Anderson

      I have long-term gastroparesis treated with propulsid I get through a compassionate need/IND program and dietary restrictions. I frequently go in and out of Auto Mode to use the split/square wave boluses. The only way I can be in range all the time is by eating the same things ate the same times everyday. That’s not a fun or healthy way to live, so I try not to get hung up too much on numbers.

      1
      11 months ago Log in to Reply
    4. connie ker

      My endo apts. always include an A1C either in the lab orders or on the office machine. I understand it is an average but perhaps both TIR and A1C are both informative to the patient and Dr. I feel better without the swings, but that is the nature of this T1D.

      1
      11 months ago Log in to Reply
    5. Lawrence S.

      I answered “Other” because I don’t know where the Time In Range number is to be found. I tried to figure mine out by going onto my TConnect program and crunching the numbers. Between 70 and 180 I am at approximately 85%. Seems that it would be a useful measurement, if I knew how to quickly find it. My numbers go high frequently because I purposely raise my blood sugars so I can run and workout. Also, my gastroparesis doesn’t help my numbers much either.

      1
      11 months ago Log in to Reply
      1. Miriam Gordon

        If you are using Dexccom together with your t:Slim, then download the Dexcom Clarity app and it shows Time in Range right on the home page.

        1
        11 months ago Log in to Reply
      2. TomH

        T:connect includes the TIR if you’re using the current software. Check https://support.tandemdiabetes.com/hc/en-us/articles/1500004088582-How-do-I-get-the-time-in-range-feature-on-the-t-connect-mobile-app-

        11 months ago Log in to Reply
      3. Gerald Oefelein

        In my t:connect app, the Time In Range shows up in large numbers on the bottom of the opening screen – just under the graphs.

        11 months ago Log in to Reply
      4. Lawrence S.

        Thank you all for your responses. I’ll check these out.

        11 months ago Log in to Reply
    6. Emily Meister

      It does not take much ( 1 or 2 highs or lows) to drop the percentage of time in range.

      1
      11 months ago Log in to Reply
    7. Edward Geary

      Good, but not perfect metric. IMO, more discussion vis a vis patient/provider needed relative to agreement on a realistic and therapeutic ā€œrange ā€œ planning. Excellent comparative variant but not a substitute for A1C.

      11 months ago Log in to Reply
    8. TomH

      I consider A1c, GMI, and TIR the three legs of the T1D stool. While A1c has the tag of ā€œgold standard,ā€ I don’t believe it’s deserved, as most T1s only get a test every 3-6 months. A1c is backwards focused, so while useful in determining corrective action is needed, its doesn’t provide a what, when, or how factor to consider. Additionally, it can be misleading; you can have a great A1c, but a chart of daily/more often BGs may show constant hypo/hyper swings which may hurt you in the long run. For those with CGMs, GMI and TIR are continuous and relatively current, so of more practical use in treatment decisions. GMI is the replacement name for eA1c and is based on CGM data in an updated algorithm attributed to eA1c (see https://diabetesjournals.org/care/article/41/11/2275/36593/Glucose-Management-Indicator-GMI-A-New-Term-for). It can be based on a different # of days readings to get a feel for improvement or detriment. TIR, takes it step further and reduces or eliminates the negative factors mentioned above by letting you know TIR, TAR, and TBR. Reviewing a chart of these along with a reasonable food/insulin intake chart, you can determine when your TARs/TBRs occur, probable causes (food types, insulin prebolus timing, etc.), and take action to correct them.

      If I had only one of three as choices, I’d choose TIR because it subsumes most of the good features of the others plus some; but I’d prefer being able to set my own range. Vice the often touted 70-180. I’d up the 70 to 80 (when I’m that low, I tend to continue the drop) and drop the 180 to 160 (if not a bit lower), to improve my potential control, while negating significant hypos and hyper.

      5
      11 months ago Log in to Reply
    9. Mark Schweim

      Time in range is significantly more important than the A1c reading since an “ideal” A1c reading can be reached even with a mix of way too high and way too low BG readings intermixed within the time period the A1c test supposedly shows for.

      6
      11 months ago Log in to Reply
      1. n6jax@scinternet.net

        I agree !!

        11 months ago Log in to Reply
    10. Carol Meares

      I watch in on clarity every day which gives me the summary of the previous 2 days. It keeps me informed of any significant changes and I can easily remember what might have caused those changes. Do I need to adjust insulin, behaviors, food, exercise, stress management, sleep…?

      11 months ago Log in to Reply
    11. Janis Senungetuk

      A higher TIR = a more consistent Quality Of Life for me, so I find it very important.

      3
      11 months ago Log in to Reply
    12. mbulzomi@optonline.net

      Weather you know it or not, A1C is not that accurate for people that have been on Insulin for some period of time (Great for people just diagnosed.). An A1C is only an average that supposed to take the last three (3) months of glucose flowing through your body, however, it uses heavily on the last month and as we all learned in school you could have an average blood glucose number in the two hundreds, just slip a couple of lows in the mix and it makes you look great. In range is far more accurate in predicting your Diabetes Management. The Tandem X2 pump, Control IQ program range spread is quite broad, 70-180mg/dl.

      2
      11 months ago Log in to Reply
    13. Marcie Dutton

      Interestingly TIR if very important to me when I am assessing whether my management is good or not–but– not very important at all to my endocrinologist. He has told me not to worry much about it because I have Control IQ on my pump. Doesn’t make sense to me to give myself an excuse to not TRY to stay in range. But…

      11 months ago Log in to Reply
    14. Kelly Wilhelm

      The reason I said “Important” and not “very important” is that TIR can be different. So I have alarms set at 70-130 but, for me, being 100% in range of 70-180 wouldn’t let me know if I’m doing a good job (for me). I want tight range and if I can be a higher percentage with a lower threshold then that’s a fantastic measurement but a higher percentage of a higher range wouldn’t be relevant/important to me. Hoping that makes sense.

      2
      11 months ago Log in to Reply
    15. lis be

      time in range is even more important to me then my A1C. Ive been diabetic for 40 years and was only told this year (for the irst time) that time in range is the best way to protect the eyes.

      11 months ago Log in to Reply
    16. T1D5/1971

      I care far more about TIR than A1c. I had amazing A1cs preCGM while battling multiple extreme hypoglycemic events. Not healthy. Not “good” control.
      Now if only I can find an endo who isn’t stuck in the 1980s…

      10 months ago Log in to Reply
    17. Cheryl Seibert

      T1D for 55 years. Time in Range (TIR) is the most important measurement. Standard Deviation is the other measurement I use to determine how much my highs and lows vary. I’ve always had A1Cs below 6.5, however I previously had rapidly changing BGs that swung very low to very high. It makes the A1C look great, but TIR is terrible. I still have widely swinging BGs, but TIR is 85-95% with a 30-40 SD. I would like to get to 95-100 TIR and no more than 20 SD

      10 months ago Log in to Reply

    How important is the time-in-range measurement to you when assessing your T1D management? Cancel reply

    You must be logged in to post a comment.

    This site uses Akismet to reduce spam. Learn how your comment data is processed.




    11 Avenue de Lafayette
    Boston, MA 02111
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin
    • instagram

    Ā© 2022 T1D Exchange.
    All Rights Reserved.

    Ā© 2022 T1D Exchange. All Rights Reserved.
    • Login
    • Register

    Forgot Password

    Registration confirmation will be emailed to you.

    Skip Next Finish

    Account successfully created.

    Please check your inbox and verify your email in the next 24 hours.

    Your Account Type

    Please select all that apply.

    I have type 1 diabetes

    I'm a parent/guardian of a person with type 1 diabetes

    I'm interested in the diabetes community or industry

    Select Topics

    We will customize your stories feed based on what you select here.

    2019 Publications

    0 Stories Related

    2020 ADA

    9 Stories Related

    2020 ADCES

    0 Stories Related

    2020 ATTD

    0 Stories Related

    2020 EASD

    0 Stories Related

    2020 ISPAD

    6 Stories Related

    2020 Publications

    0 Stories Related

    2021 ADA

    11 Stories Related

    2021 ADCES

    0 Stories Related

    2021 ATTD

    4 Stories Related

    2021 ISPAD

    8 Stories Related

    2021 Publications

    22 Stories Related

    2022 ADA

    11 Stories Related

    2022 ADCES

    4 Stories Related

    2022 ATTD

    10 Stories Related

    2022 ISPAD

    0 Stories Related

    ADA

    5 Stories Related

    ADCES

    0 Stories Related

    Adult

    0 Stories Related

    Adults & T1D

    38 Stories Related

    Advocacy

    11 Stories Related

    ATTD

    10 Stories Related

    Blood Sugar

    2 Stories Related

    Blood sugar management

    29 Stories Related

    Challenges & Complications

    30 Stories Related

    Continuous Glucose Monitor

    6 Stories Related

    COVID-19

    18 Stories Related

    Devices & Technology

    28 Stories Related

    DiabeteSpeaks

    20 Stories Related

    EASD

    0 Stories Related

    En EspaƱol

    0 Stories Related

    Exercise

    3 Stories Related

    General Publications

    74 Stories Related

    Get Involved

    39 Stories Related

    Glu Guide

    9 Stories Related

    Glu Insights

    16 Stories Related

    Health Equity

    0 Stories Related

    Healthcare & Insurance

    11 Stories Related

    Hypoglycemia

    4 Stories Related

    In Depth

    1 Stories Related

    Inspiration & Advocacy

    24 Stories Related

    Insulin

    6 Stories Related

    Insulin & Meds

    0 Stories Related

    Insulins & Non-insulins

    11 Stories Related

    ISPAD

    0 Stories Related

    Journal of Diabetes

    21 Stories Related

    Learning Session

    0 Stories Related

    Medications

    0 Stories Related

    Medicine

    1 Stories Related

    Meet the Expert

    9 Stories Related

    Mental Health

    9 Stories Related

    New & Newsworthy

    52 Stories Related

    News

    26 Stories Related

    Nutrition & Exercise

    4 Stories Related

    Other

    0 Stories Related

    Our team

    32 Stories Related

    Parenting & Families

    3 Stories Related

    Partner Content

    10 Stories Related

    Pediatric

    0 Stories Related

    Personal Stories

    16 Stories Related

    Press Release

    6 Stories Related

    Prevention

    11 Stories Related

    Questions of the Day

    17 Stories Related

    Research & Studies

    54 Stories Related

    Review

    0 Stories Related

    T1D Exchange & Glu

    16 Stories Related

    T1D Exchange News

    5 Stories Related

    Tech

    25 Stories Related

    Test Category

    0 Stories Related

    Therapies & Management

    0 Stories Related

    Type 1 Diabetes

    0 Stories Related

    Type 2 Diabetes

    0 Stories Related

    Uncategorized

    43 Stories Related

    You Told Glu

    1 Stories Related

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    • Clear All
    • Sort By

    • Select Category