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    • 58 minutes ago
      Kris Sykes-David likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 1 hour, 18 minutes ago
      beth nelson likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 2 hours, 5 minutes ago
      Mick Martin likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      Echo Mick Martin. Gastroparesis? Try ondonestron (sp?) one of the 10 best medicines ever invented. Also, "a forever learning curve" and "If in doubt, pull it out."
    • 18 hours, 2 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 18 hours, 9 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 18 hours, 34 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 11 minutes ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 11 minutes ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 31 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 23 hours, 31 minutes ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 51 minutes ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 16 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 16 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
    • 1 day, 18 hours ago
      Antsy likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?
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    How much do you use the standard deviation measurement (the measure of how variable your blood glucose readings are) when reviewing your glucose reports?

    Home > LC Polls > How much do you use the standard deviation measurement (the measure of how variable your blood glucose readings are) when reviewing your glucose reports?
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    For caregivers of children with T1D, do you have any accommodations at your child’s school for managing T1D? For adults with T1D, did you have accommodations when you were in school? Please share more about your experiences managing T1D with caregivers and school staff in the comments.

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    Have you ever used expired glucose strips in your meter?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    25 Comments

    1. Amanda Barras

      I’m not a numbers person and I’m not going to be OCD about all the data like that. Just respond to highs and lows, try to stay in control, and live my best life. Won’t let data bog me down.

      10
      6 months ago Log in to Reply
    2. Ahh Life

      Often. Good control should be a sigma (standard deviation) of less than 3 times the average BG reading.

      6 months ago Log in to Reply
    3. TEH

      My morning variability causes ridiculous variation. This is because of my high morning oscillations. I havent seen any way to bring that down. So, what’s the use? Afternoon, evening, over night are better, however.

      6 months ago Log in to Reply
    4. Lori Lehnen

      I look at the graph throughout the day so I know the general variability and address it in real time. For me, knowing the standard deviation, afterwards, doesn’t change my course of action. For my doctor, it would be beneficial. She can look at one number and understand how I’m doing instead of reviewing individual, daily charts.

      6 months ago Log in to Reply
    5. Thomas Brady

      I use the stddev but I prefer time in range function on my pump. My endo looks at this and if it is off in relation to my history we go to the stddev as to the variance then make changes to my pump settings and dosages. H1ac has never been better nor more stable in 50 hrs on insulin.

      6 months ago Log in to Reply
    6. TomH

      I monitor it via Sugarmate regularly using a 14 day period, to insure it’s relatively low per standard guidance and note it to my Endo. But it isn’t a primary measurement.

      6 months ago Log in to Reply
    7. RegMunro

      Is there are norm for this? Time in range can be managed using the alarms, but stddev for non-diabetics might be useful as a standard. Are there statistics? Surely ups and downs are standard? We eat bg goes up, we exercise it comes down, as it should?

      1
      6 months ago Log in to Reply
      1. cynthia jaworski

        Yes, it would be interesting to see what the std dev for normal is.

        1
        6 months ago Log in to Reply
    8. KCR

      I find the SD is helpful in reminding myself that a few highs or lows don’t compromise my overall TIR that much. It is so easy to overgeneralize from a few challenging BG events.

      2
      6 months ago Log in to Reply
    9. Patricia Kilwein

      For the life of me! I’m going to have my coffee before trying to answer some of these questions! I go over all of my readings with my Dr. Don’t know how my next appointment is going to go as Medtronic has still not fixed the app that sends all my info to my doc!

      1
      6 months ago Log in to Reply
    10. Bob Durstenfeld

      How do you get tight control without looking at the average value and spread or standard deviation ?
      My favorite report is the Dexcom Clarity two-week comparison that includes all the numbers so you can see hoe you are trending, up or down.

      6 months ago Log in to Reply
    11. Greg Felton

      Only with my endocrinologist at regular appointments. I don’t review standard dev myself, just time in range.

      6 months ago Log in to Reply
    12. Mary Ann Sayers

      Haven’t used standard deviation in years, but I might try it again.

      6 months ago Log in to Reply
    13. KarenM6

      I was told a number that is good, but I don’t actually remember precisely what that number is… I _think_ I was told that a standard deviation 50 and under was good. So, I always hope to hit that number.
      I’ve looked at how to calculate standard deviation, but it’s a math doozy that I haven’t enough brain cells for! :p
      So, I look at the number but it doesn’t really change my treatment of me… I can use the TIR and graphs to see where the deviations are greater to help me out.

      6 months ago Log in to Reply
    14. Lawrence S.

      I know and understand standard deviations, but honestly, it’s just too much information for me. I know that I go too high and too low sometimes, but I don’t need to be reminded. Occasionally, or more likely, rarely to I look at it.
      There was a time years ago, when I was looking at my standard deviation. They were running in the 30’s-40’s range. Then I was reading online, people reporting standard deviations of 5, 10, 15, 20. Which, by the way I don’t believe. So, I just stopped looking at mine.

      6 months ago Log in to Reply
    15. kristina blake

      Used to pre-pump and CGM days. I upload every month, and I self-devised range (60-120) and mostly flat-lines tell me what i need to know. I do have those unwelcome numbers, but I nip them in the bud.

      6 months ago Log in to Reply
    16. Jane Cerullo

      Try to keep under 25

      6 months ago Log in to Reply
    17. Ceolmhor

      I said “sometimes”, but I don’t actually look at the numeric value. I do pay attention to the range of values graphically displayed when I create reports, however.

      6 months ago Log in to Reply
    18. Steven Gill

      On my CGM I look at it, compared to my “average” glucose reading. Knowing that my average seems to be higher than the doctor’s a1C (my 30 day average of 113 could be an a1C of 5.6, historically it’s closer to 6.0) that standard deviation knowing my average is closer to 125, meaning my deviation of 37 makes me 80-ish to 162-ish… I think? My time in range for 30 days is 79%, I feel good about that.

      My scale is how I feel day-to-day. Which although a sore back and knees (age and work?) I feel good. That’s the most important.

      6 months ago Log in to Reply
      1. Steven Gill

        (my “range” for my alarms are 70-125)

        6 months ago Log in to Reply
    19. Sandra Norman

      I do review the SD and mine used to run 45-55 range but since being on automated insulin delivery system I am now averaging low 30’s.

      6 months ago Log in to Reply
    20. PamK

      I only recently started doing this. I read that it is the new go to for having good control of blood glucose, so I started following it on my own. I started with a new endo within the past year. He commented that he’d like to make some adjustments to my insulin. I wondered why, as my A1C was good. Having just read an article about variables, I looked and saw my standard deviation is over 30 mg/dl. So, I went with his recommendation. – – I should point out that I am guessing that the standard deviation is what is meant by variable here.

      6 months ago Log in to Reply
    21. Tom Webb

      I visit every 3 months with my encrinologist. My dexcom has a scale on it but the chart is not correct. My blood sugar on the screen on my pump will say that my blood sugar is 41. My actual blood sugar with a needle stick will show 78. My endocrinologist attempts to adjust my insulin using the information from my pump.

      6 months ago Log in to Reply
    22. Patty Harris

      I have read that a standard deviation of less than 40 was considered good. Today, after a rough night, mine is 40. I do glance at it every week, but not sure where to go to get help on how to use this information to improve my readings.

      6 months ago Log in to Reply
    23. T1D4LongTime

      I use the Dexcom Clarity reports at least once per day to review my sensor glucose average and standard deviation. Average glucose means nothing if you have a huge Standard Deviation (how far above and below are the average do the glucose readings). I strive for a STDev less than 25, but 30 isn’t too bad either.

      6 months ago Log in to Reply

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