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    • 13 hours, 29 minutes ago
      Jeanne McMillan-Olson likes your comment at
      If you have been hospitalized for a reason unrelated to T1D and you were alert during your hospital stay, were you allowed to manage your own insulin dosage? (If you have been hospitalized for reasons unrelated to T1D multiple times, please select the option that describes your most recent hospital stay.)
      The hospital made me disengage my pump and promised to monitor my BG. After 10 hours with an incorrect basal my BG was high and going up. No nurse or doctor was available to administer insulin. I finally reinstalled my pump and forced the hospital to acknowledge that they could not monitor my BG. After appealing to the hospital Board, after my stay, they started using CGM's in all the wards for diabetic patients.
    • 13 hours, 30 minutes ago
      Jeanne McMillan-Olson likes your comment at
      If you have been hospitalized for a reason unrelated to T1D and you were alert during your hospital stay, were you allowed to manage your own insulin dosage? (If you have been hospitalized for reasons unrelated to T1D multiple times, please select the option that describes your most recent hospital stay.)
      During my hospitalizations for cardiac issues, my endocrinologist (who does not do hospitals) told the attending endo that I was capable of managing the diabetes. I was allowed to mange pump and CGM without any problems. For one stay, I had a pump-using T1D nurse. This was the premier cardiac hospital in the western part of my state, so their handing of diabetes may be more advanced. There are two rules for handing the type 1 diabetic in a hospital setting. 1) Never separate the Type 1 diabetic from his or her insulin. 2) Let the expert in the room handle the diabetes. And bring your own supplies, because the hospital will not have pump supplies, CGM replacements, or your insulin.
    • 14 hours, 21 minutes ago
      Jan Masty likes your comment at
      Have you (or your loved one with T1D) been diagnosed with retinopathy?
      No retinopathy... But AMD both eyes last 2 years...No treatment available... Unable to wright... bareley able to read only large type... use the talking guy hideing in my computer to read for me... Almost 91 years OLD.... 70 years T1D...
    • 14 hours, 48 minutes ago
      mojoseje likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I didn't have a stopwatch out, but it was about 12 to 15 minutes. There was a lot to go over (new devices, etc.). I probably got everything I needed, but, for some reason, I always feel rushed at this office.
    • 15 hours, 1 minute ago
      KarenM6 likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was so long ago, I don't remember...
    • 15 hours, 53 minutes ago
      Janis Senungetuk likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was over 20 minutes but since my Endo has me so well Regulated (A1c 5.4 - 5.6) even Medicare is allowing a Visit every 4 Months. Dex 6 and Tandem CIQ is my Cure!
    • 16 hours ago
      Judy Hampton likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      My A1C is normally in the 5 to 6 range also, but I am lucky to have an Endo who answers any questions I may have and discourse on new technologies. He also checks my feet and eyes. He spends up to 40 minutes with me. I have been T1D for 59 years and have been through a pregnancy (hellish) also. I still have many questions about this disease and it’s effects on the rest of my body as I am very active.
    • 16 hours, 22 minutes ago
      Patricia Dalrymple likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I believe if you have good control and your A1C's prove it, maybe 10 to 20 minutes is enough. My A1C's are in the high 5's / low 6's so my session is usually complete within minutes tops, but there are probably other patients that should require a little more time from their endo to get them on a 'well managed' A1C path.
    • 16 hours, 24 minutes ago
      cynthia jaworski likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I believe if you have good control and your A1C's prove it, maybe 10 to 20 minutes is enough. My A1C's are in the high 5's / low 6's so my session is usually complete within minutes tops, but there are probably other patients that should require a little more time from their endo to get them on a 'well managed' A1C path.
    • 16 hours, 31 minutes ago
      Anneyun likes your comment at
      If you are an adult with T1D, how much has type 1 diabetes affected your thought-process and decision to have/not have children?
      I was diagnosed at age 12 and I don’t remember anyone talking to me about having or not having children. I married at 23, had an unplanned pregnancy that began when I was 24. I was not seeing an endocrinologist at the time (in 1979), but my OB doctor sent me to one. Both of the doctors made comments to me about maybe ending the pregnancy, but my answer was a definite NO!!! It was a hard pregnancy without the better insulin and technology that is available today. I went into labor approximately 6 weeks before my estimated due date. Since a Caesarian had been planned, no one had explained anything to me about going through labor, so that took longer and was harder on me than it should have been. Anyway I delivered a 7 pound, 11 ounce boy. He had jaundice and a slight heart murmur at first , but that cleared up after a short stay in the hospital. My son is 42 now and bloodwork has indicated he will not become a T1D. Same with his 2 children. That was my only pregnancy. I am now 67.
    • 17 hours, 56 minutes ago
      Joan Fray likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was so long ago, I don't remember...
    • 1 day, 9 hours ago
      TS likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      InsulinPumpers.com does a great job of distributing supplies to those in need.
    • 1 day, 13 hours ago
      jo likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 13 hours ago
      jo likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      InsulinPumpers.com does a great job of distributing supplies to those in need.
    • 1 day, 13 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I tried to donate them to my healthcare system but was told they were not allowed to take them. I tried a couple of other places- same story so I now will have to put them in the garbage
    • 1 day, 13 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I'm still looking for someone to give them to.
    • 1 day, 13 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I would love to learn of places to give/donate supplies!
    • 1 day, 13 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      My other was gave them to the Endocrinologist office to give to people who needed them
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 15 hours ago
      Amanda Barras likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 15 hours ago
      Richard Wiener likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I would love to learn of places to give/donate supplies!
    • 1 day, 16 hours ago
      Janis Senungetuk likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I gave insulin to a friend for her cat who used the same as I did.( she also checked with her vet).
    • 1 day, 16 hours ago
      pru barry likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I gave insulin to a friend for her cat who used the same as I did.( she also checked with her vet).
    • 1 day, 16 hours ago
      pru barry likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have given most to my doctor to give to someone in need. Some I gave to my chiropractor for his son.
    • 1 day, 17 hours ago
      Sue Martin likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      My unused diabetes supplies like meters, that I was given but don’t use, just sit in a drawer. I wish there was someplace to send them. Any ideas, folks?
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    How useful is the time in range measurement to you as a tool for assessing your T1D management and making changes to your routine?

    Home > LC Polls > How useful is the time in range measurement to you as a tool for assessing your T1D management and making changes to your routine?
    Previous

    If you use an automated insulin delivery system (e.g., Tandem with Control-IQ, Omnipod 5, Medtronic pumps with Auto Mode, etc.), how did your A1c change in the first 3 months of use?

    Next

    Do you dispose of used needles, syringes, lancets, and other sharps in a dedicated sharps container? For this question, "sharps container” includes heavy-duty plastic containers such as an empty laundry detergent bottle or plastic coffee container.

    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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    23 Comments

    1. AnitaS

      Time-in-range is important, but since I think many of us want to be in a tighter range than 70-180, time-in-range is only so helpful. Actually looking at our actual numbers in reference to how high or low we go is more important than being “in-range”.

      3
      1 week ago Log in to Reply
    2. Ahh Life

      Time in range is important. Also subtle. It reminds me of the shades and hues of the painter Amy Sherald and her simplified realism. 🤌🏿

      1
      1 week ago Log in to Reply
    3. Bruce Johnson

      Not familiar with how to use it.

      1
      7 days ago Log in to Reply
    4. Bruce Johnson

      I agree that how high and low we are is more important

      1
      7 days ago Log in to Reply
    5. Derek West

      My concern with time in range is that I could be in range 90% but my average could be 170 which to me is way too high. With my previous, Medtronic, pump I was averaging 131 over 90 days, now with control Iq I am averaging 151. Control Iq is not all it is made out to be.

      3
      7 days ago Log in to Reply
    6. Lawrence S.

      I said, “A little important.” As Derek West said, I could be in range 90% of the time, and still be running too high. I look at my Tiime In Range, but give it value when compared to my A1C, and the numbers of high’s, 180+, and low’s, 70-. My Time in Ranges average in the mid 80%’s. I would like to get them a little higher percentage.

      3
      7 days ago Log in to Reply
    7. Kris McDonald

      I put Time in range as extremely important. Since my CGM allows it to be adjusted, I set mine to be 75-150. 180 is just too high.

      3
      7 days ago Log in to Reply
    8. Barbara Bubar

      I personally find the range….70- 180 too expansive. I don’t want to be higher than 130 without an alert going off on my Dexcom.

      3
      7 days ago Log in to Reply
    9. J Mac

      Absolutely essential. I have mine set at 70-150 with a goal of 90%.
      I like the daily results instead of waiting for my A1C results every 6 months.

      1
      7 days ago Log in to Reply
    10. Jim Andrews

      TIR is as important, if not more than, A1C. You can can be all over the map, spending more time high and low than in range and still have an excellent A1C. Before cgm, I was running 35% low, 35% high, and only 30% in range (70-180). A1Cs were always high 5s-low 6s.

      7 days ago Log in to Reply
    11. cynthia jaworski

      I feel that it complements the A1c numbers. I have a friend with great A1c results, but was in range less than half the time. He is on a better path now that he can look at the range and not just the average. Most of us who have the option make changes to the range being measured.
      Libre also has a “daily pattern” view that summarizes the time lines for several days. This makes it easier for me to spot a new trend, which might not have been obvious by scrolling back through lists or readings.

      2
      7 days ago Log in to Reply
    12. TEH

      The benifit ot TIR is you can see daily or 2 day results. I use it to see how I respond to different or new situations. My responses are all over. I document responses so I can fine tune my response. More carbs, less carbs. More activity less activity.

      1
      6 days ago Log in to Reply
    13. Lyn McQuaid

      I never took note of TIR until Tandem introduced the “bolus by phone” feature, which forced me to download the t:connect app, which has the TIR metric on it. However, I find the “range” to be too large to be useful. You could ride at 180 consistently and have “100% TIR”, which is not ideal for me.

      3
      6 days ago Log in to Reply
      1. Trina Blake

        I upload my Tandem X2 with Dexcom integration every month. And I print out the reports. I agree that the range is too broad, so I run reports using the default range (60-180) and then run it again for my personal preference (60-130).

        6 days ago Log in to Reply
    14. Janis Senungetuk

      It’s very important, more than 6 month A1c’s, but other lab results are also considered before making any changes.

      6 days ago Log in to Reply
    15. William Bennett

      As others have pointed out, A1C is an **average**, which means you can have a great number that obscures how much you’ve been roller-coastering to end up there. TIR, with the stats for time above and time below says a lot more about how you’re actually doing. And you can set those parameter values manually in Dexcom if you want to tighten them up.

      Worth noting that TIR stats only **exist** because of CGM tech. A1C average was all there was in the bad old days, though you could kinda-sorta get an idea if you were finger-sticking 8 times a day. It’s definitely something all T1s–and T2s for that matter–using CGMs should be attentive to it.

      1
      6 days ago Log in to Reply
    16. sdimond

      Normal blood glucose for human beings is 83. Standard deviation from that number tells you how consistent your control is. A TIR based on the notion that it is acceptable to get to 180 is hazardous to our health.

      1
      6 days ago Log in to Reply
    17. Bob Durstenfeld

      I prefer time in range as a measure of T1D management over A1C because I can look at it daily or over specific time ranges and set better targets for myself. Without it, variability is hard to assess.

      3
      6 days ago Log in to Reply
    18. Sasha Wooldridge

      Essential in tandem with other metrics. No one metric alone is enough to manage BG well. It would be nice to set my own goals for time-in-range though. I’d like tighter control but I have Control IQ.

      6 days ago Log in to Reply
    19. KSannie

      My A1C has not improved with the TIR available to me. The best way I have found for the last 47 years is by doing a paper chart, with a week’s worth of BG. ‘s on one page. I then see whether the high sugars are consistently right after lunch or right before supper or at night or whatever, and that can determine whether I need to adjust my basal (or, formerly, long acting insulin) or my bolus (or, formerly, short acting insulin). I keep a year’s worth, so I can tell whether the changes are due to the season of the year as well, or whatever. My sugars have gradually gone up with stress for 6 months before the weddings of two of my children, for example. I now know that on wedding day they will plummet precipitously.

      1
      6 days ago Log in to Reply
    20. sweetcharlie

      I do not play that formal game.. So far doing fine without it for 70 years..

      6 days ago Log in to Reply
    21. Carolann Hunt

      It doesn’t help with day to day settings. It only helps with bragging rights, my TIR was 85% oooh wow

      1
      5 days ago Log in to Reply
    22. T1D4LongTime

      TIR is absolutely essential for T1D management. I also use the STDDEV to determine wide swings in BGs. A1C, for me, is inaccurate as I have wide swings in BG (being brittle T1D and Type A personality). The lows distort the A1C. TIR + StdDev shows a more accurate pictures.

      12 hours ago Log in to Reply

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