Subscribe Now

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

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 1 hour, 40 minutes ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      In July, I went on the only Medicare plan in my area that covered Afrezza. For 2024, no one is covering it. Like others, hate these formulary decisions by the Insurance providers.
    • 4 hours, 31 minutes ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 4 hours, 57 minutes ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 4 hours, 59 minutes ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I answered NO for 2023 but in 2024 I will have to switch from Humalog to Novolog.
    • 5 hours, 30 minutes ago
      Bill Williams likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 6 hours, 39 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      With Medicare's change to the cost of insulin, my Part D plan dropped Novolog. $35 "limit" only works if insurers have your medication on their formulary.
    • 6 hours, 51 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 6 hours, 52 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Lispro, aspart, and glulisine are also FDA-approved for pump use (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695255/). These are the generic versions of Humalog, Novolog and Apidra, respectively.
    • 7 hours, 9 minutes ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      This past year my doctor appts were my new social life!
    • 7 hours, 9 minutes ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 7 hours, 33 minutes ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 9 hours, 2 minutes ago
      Bruce Schnitzler likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      @George Lovelace. {{{{{Hugs}}}}} to you, sir. Are you getting support after the loss of your wife? I do hope so.
    • 9 hours, 35 minutes ago
      Mick Martin likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 10 hours, 21 minutes ago
      Marty likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I am required to see my Endo every three months by Medicare. Otherwise, I'd probably go 2 times per year.
    • 10 hours, 21 minutes ago
      Marty likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 1 day, 1 hour ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 1 hour ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 1 hour ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I didn't have to change but I couldn't get a new one from Caremark because it wasn't on the formulary. I used an AARP pharmacy card and got a $44 Rx for $18. Like Bob, I hate formulary!
    • 1 day, 3 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Long-acting insulin changed from basaglar to lantus for the upcoming year. Not a big deal since she moved to a pump this past year.
    • 1 day, 3 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 4 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I have to change my insurance company now for 2024 so that i can continue to afford humalog. (or I have to switch to Lyumjev if I keep my current plan) I was startled to see that on my current plan, humalog would cost 16,000 next year (for the full year). Everyone, check your plans!
    • 1 day, 9 hours ago
      lis be likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 9 hours ago
      lis be likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 10 hours ago
      TEH likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • About
      • Insights
      • T1D Screening
        • T1D Screening How-To
        • T1D Screening Results
        • T1D Screening Resources
      • Donate
      • Join the Community
    • Quality Improvement
      • About
      • Collaborative
        • Leadership
        • Committees
      • Clinics
      • Meet the Experts
      • Learning Sessions
      • Resources
        • Change Packages
        • Sick Day Guide
      • Portal
      • Health Equity
        • Heal Advisors
      • Join Us
    • Registry
      • About
      • Recruit for the Registry
    • Research
      • About
      • Publications
      • COVID-19 Research
      • Our Initiatives
    • Partners
      • About
      • Previous Work
      • Academic Partnerships
      • Industry Partnerships
    • About
      • Team
      • Board of Directors
      • Culture & Careers
      • Annual Report
    • Join / Login
    • Donate

    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 Manager of Marketing 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.

    Related Stories

    Meet the Expert

    Meet the Expert: Improving Quality of Life with Type 1 Diabetes Through Technology 

    Jewels Doskicz, 4 days ago 7 min read  
    Question of the Day

    Living with T1D: What Are You Thankful For? 

    Samantha Walsh, 4 days ago 3 min read  
    Lifestyle

    How to Meet People with Type 1 Diabetes in Your Local Community  

    Sarah Howard, 5 days ago 3 min read  
    Research

    Misdiagnosed with Type 2 Diabetes: Why Adults Should be Screened for Autoantibodies  

    Ginger Vieira, 2 weeks ago 6 min read  
    Research

    Day 2: Improving Diabetes Patient Care — Highlights from T1DX-QI Learning Session 2023  

    Ginger Vieira, 3 weeks ago 6 min read  
    Research

    Day 1: Improving Diabetes Patient Care — Highlights from T1DX-QI Learning Session 2023  

    Ginger Vieira, 3 weeks ago 10 min read  

    24 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
      9 months 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
      9 months ago Log in to Reply
    3. Bruce Johnson

      Not familiar with how to use it.

      1
      9 months ago Log in to Reply
    4. Bruce Johnson

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

      1
      9 months 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
      9 months 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
      9 months 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.

      4
      9 months 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.

      4
      9 months 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
      9 months 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.

      9 months 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
      9 months 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
      9 months 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
      9 months 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).

        9 months 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.

      9 months 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
      9 months 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
      9 months ago Log in to Reply
      1. Jamie

        Agreed.

        9 months 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
      9 months 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.

      9 months 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
      9 months ago Log in to Reply
    20. sweetcharlie

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

      9 months 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
      9 months 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.

      9 months ago Log in to Reply

    How useful is the time in range measurement to you as a tool for assessing your T1D management and making changes to your routine? 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.




    101 Federal Street, Suite 440
    Boston, MA 02110
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin
    • instagram

    © 2023 T1D Exchange.
    All Rights Reserved.

    © 2023 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

    12 Stories Related

    2020 ADCES

    0 Stories Related

    2020 ATTD

    0 Stories Related

    2020 EASD

    0 Stories Related

    2020 ISPAD

    7 Stories Related

    2020 Publications

    0 Stories Related

    2021 ADA

    11 Stories Related

    2021 ADCES

    0 Stories Related

    2021 ATTD

    4 Stories Related

    2021 ISPAD

    9 Stories Related

    2021 Publications

    21 Stories Related

    2022 ADA

    11 Stories Related

    2022 ADCES

    4 Stories Related

    2022 ATTD

    10 Stories Related

    2022 ISPAD

    0 Stories Related

    2023 ADA

    12 Stories Related

    2023 ADCES

    2 Stories Related

    2023 ATTD

    7 Stories Related

    2023 Publications

    16 Stories Related

    ADA

    17 Stories Related

    ADCES

    2 Stories Related

    Advocacy

    23 Stories Related

    ATTD

    10 Stories Related

    Blood Sugar

    5 Stories Related

    Conditions

    8 Stories Related

    COVID-19

    6 Stories Related

    EASD

    0 Stories Related

    General Publications

    21 Stories Related

    Get Involved

    11 Stories Related

    Insulin & Meds

    17 Stories Related

    ISPAD

    1 Stories Related

    Journal of Diabetes

    0 Stories Related

    Lifestyle

    20 Stories Related

    Lifestyles

    1 Stories Related

    Meet the Expert

    31 Stories Related

    Mental Health

    12 Stories Related

    News

    35 Stories Related

    Our team

    23 Stories Related

    Partner Content

    7 Stories Related

    Press Release

    7 Stories Related

    Question of the Day

    31 Stories Related

    Research

    78 Stories Related

    Stories

    20 Stories Related

    T2D

    5 Stories Related

    Technology

    26 Stories Related

    Uncategorized

    0 Stories Related

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    • Clear All
    • Sort By

    • Select Category