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    • 3 hours, 55 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      There are several conversations about this across social media. Many people chime in and vote for a new, more accurate name for type 1.. some of the popular alternatives- Pancreatic Autoimmune Disease, Beta Cell Destruction Disease, Autoimmune Diabetes, Autoimmune Insulin Failure, Autoimmune Absolute Insulin Deficiency (AAID)
    • 3 hours, 55 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience people have heard of Type 2 Diabetes so if I say Type 1 that makes sense in that if there is a Type 2 there must be a Type 1 also. That is the extent of their understanding. In healthcare there is a bigger failure where "diabetes" or "type 2 diabetes" is used as a shorthand of a set of conditions often seen together. See any research paper by any cardiologist ever. This lack of precision leads to incorrect risk evaluations and incorrect treatment of people with diabetes caused by other factors including autoimmune aka Type 1.
    • 3 hours, 56 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      The most common comment: but you aren’t heavy. That’s when we get into the differences. A relative tried to tell me that insulin makes you lose weight. But when we last discussed this, one of you said it best: if it isn’t in their circle of experience, why would they know or care?
    • 3 hours, 56 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 6 hours, 9 minutes ago
      Kristi Warmecke likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 8 hours, 41 minutes ago
      Lee Tincher likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      If I could get a CGM that is consistent and predictable I'd be very happy with the Twiist or the Tandem. The weak point with pumps used to be infusion sites, but now that we are relying on poor performing technology to support potentially great algorithms itis quite frustrating.
    • 10 hours, 35 minutes ago
      Beckett Nelson likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 12 hours ago
      John Barbuto likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      I have been using a insulin smart pen for the last 2 years; I find that it meets my current needs to ensure good management and results
    • 12 hours, 43 minutes ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 12 hours, 44 minutes ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 13 hours, 18 minutes ago
      Gerald Oefelein likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 1 hour ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 1 hour ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 1 day, 2 hours ago
      Neha Shah likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 5 hours ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience people have heard of Type 2 Diabetes so if I say Type 1 that makes sense in that if there is a Type 2 there must be a Type 1 also. That is the extent of their understanding. In healthcare there is a bigger failure where "diabetes" or "type 2 diabetes" is used as a shorthand of a set of conditions often seen together. See any research paper by any cardiologist ever. This lack of precision leads to incorrect risk evaluations and incorrect treatment of people with diabetes caused by other factors including autoimmune aka Type 1.
    • 1 day, 5 hours ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 9 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      I have, and I do show calcium build up and hardening of the arteries. No action has been taken yet at this time. However, I am taking Repatha for better control of my cholesterol and it has been working great.
    • 1 day, 9 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 9 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Thank you. Your write up is concise, cogent, and convincing. 🎀
    • 1 day, 9 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      After 16 stents and a new aortic valve, I've had every scan imaginable and she just keeps on tickin'.
    • 1 day, 9 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Just googled it and most insurance plans including basic Medicare do not cover it. Said cost ranges $100-400 with out-of-pocket being $100-150 (although I don’t understand that if not covered by insurance).
    • 1 day, 9 hours ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 9 hours ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 1 day, 10 hours ago
      Lynn Smith likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      This is a good question! but it does lead to so many other questions.
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    How often do you disinfect your skin before giving yourself an injection or changing a site?

    Home > LC Polls > How often do you disinfect your skin before giving yourself an injection or changing a site?
    Previous

    If you wake up in the middle of the night to treat a low, do you brush your teeth before going back to bed?

    Next

    If you wear a CGM, do you ever experience “compression lows” – false low blood glucose alerts that happen when there is pressure placed on the sensor, typically while you’re sleeping?

    Sarah Howard

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

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    22 Comments

    1. Britni Steingard

      I said “other.” I disinfect with alcohol before changing a CGM site, but not before taking an injection.

      5
      5 years ago Log in to Reply
    2. Judy Hampton

      I disinfect before putting on a new cgm, but not before an insulin injection.

      2
      5 years ago Log in to Reply
    3. Kathy Hanavan

      I use alcohol before CGM and site changes, but not injections. Have had 2 site infections and don’t want another one!

      2
      5 years ago Log in to Reply
    4. connie ker

      I always use the alcohol wipes provided in the CGM box from Abbott Freestyle Libre. I say ditto to the comments above, I do not use alcohol wipes before injections and never had a problem. I bathe and keep clean under my clothes.

      1
      5 years ago Log in to Reply
    5. Sherolyn Newell

      I always disinfect after removing and before putting on a new CGM sensor or insulin pod. After removing because there’s a hole in my skin and I have the alcohol wipe out anyway to use on the new site.

      1
      5 years ago Log in to Reply
    6. Lawrence Stearns

      I’ve been doing this for many years and have always disinfected with alcohol wipes, and use skin barrier wipes for cannulas so they hold better. I’ve never had an infection.

      5 years ago Log in to Reply
    7. casey shane

      CGM:(dexcom G6) alcohol wipe every change and I use a skin barrier wipe as well.
      Infusion set: (soft set 90 6mm/23) alcohol wipe to clean area. No skin barrier,But 9/10 times I’m changing sites after a shower. Never an issue with either sites. Rotate sides every change. 3/10 days respectively

      1
      5 years ago Log in to Reply
    8. Mark Schweim

      My answer depends on what you consider as “disinfecting.” Since Skin Tac contains rubbing alcohol, I’d say I always disinfect even if I only use the Skin Tac while others have insisted that I’m not disinfecting if I don’t also use an alcohol wipe or pure rubbing alcohol to disinfect the area before applying the rubbing alcohol containing Skin Tac to the surface.

      1
      5 years ago Log in to Reply
    9. Amanda Barras

      All new pump & CGM sites get wiped down with alcohol first. A lot of my manual injections to correct highs when my pump is running low on insulin and I’m out of the house or in a hurry to take injection and move onto next thing I need to do I just grab and inject on the fly without sanitizing.

      2
      5 years ago Log in to Reply
    10. Beckett Nelson

      When I’m camping in the backcountry then I’ll wipe with alcohol. When at home, I’ll just change my site fresh out of the shower. Evidence has shown that it is no longer recommended because it dries out and toughens the skin, while not actually making a difference with infection

      1
      5 years ago Log in to Reply
    11. Patricia Dalrymple

      Always when changing pump site. Never when testing BG and finger sticking.

      5 years ago Log in to Reply
    12. Tod Herman

      Today, I always do. But I put ‘other’ because for years I rarely did before giving myself a shot (unless I was obviously dirty). I’ve never had any issues with an area getting irritated or infected.

      5 years ago Log in to Reply
    13. Jneticdiabetic

      Always use alcohol swab before insulin pump and CGM site changes. I’ve given injections without a pre-alcohol wipes only on a few rare occasions when I needed an emergency backup injection on the go and was out of alcohol swabs in my kit. I almost never use alcohol swabs before BG fingersticks though.

      5 years ago Log in to Reply
    14. Sally Numrich

      Always with pump site changes. I was trained using Hibiclens, have used it for over 30 years and never had an infection! With injections, never, often through clothes. Also never with finger sticks when I use to do them. And alcohol wipes with Dexcom as I use it to clean the transmitter also.

      1
      5 years ago Log in to Reply
      1. Julie Akawie

        I have been T1D for 50+ years. Have not disinfected for injections, finger sticks, pump sites, or CGM sensor in 30. Have not had even one infection. Gonna keep doin’ what I’ve been doin’.

        2
        5 years ago Log in to Reply
    15. Ahh Life

      1) CGMs always
      2) Pump tubing always
      3) Needle injections seldom
      4) Fingersticks never. 👍

      5
      5 years ago Log in to Reply
    16. Mary Coleman

      Rarely for injection (MDI) or finger sticks. Always use alcohol for Dexcom change.

      1
      5 years ago Log in to Reply
    17. JoAnn Pinkowitz

      I use alcohol wipes for Dexcom change. I only started using alcohol wipes before injections since COVID started.

      5 years ago Log in to Reply
    18. Sahran Holiday

      Soap and water or povidone. Povidone for only Dexcom if washing too inconvenient. Fingersticks rarely. Alcohol makes the skin hard. Years ago while still injecting, needles began breaking in my skin. Switched to povidone, the most effective topical disinfectant.

      5 years ago Log in to Reply
    19. Becky Hertz

      Always when putting in a new insertion set, rarely when giving an injection.

      1
      5 years ago Log in to Reply
    20. Leona Hanson

      I use an alcohol wipe every time i change a site, insulin injections and test my blood. I use to not not prep for blood tests and almost lost my thumb not again

      5 years ago Log in to Reply
    21. James Cheairs

      when on MDIs – never but with a pump – always

      5 years ago Log in to Reply

    How often do you disinfect your skin before giving yourself an injection or changing a site? Cancel reply

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