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    • 7 hours, 22 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 7 hours, 25 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I had ketones thrn I am sick. If mid to large I wd call my endo or if also vomiting or dehydrated from diarrhea. I wd go to the ER
    • 8 hours, 39 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 8 hours, 39 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 8 hours, 47 minutes ago
      KSannie likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 8 hours, 49 minutes ago
      Patricia Dalrymple likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 9 hours, 2 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I increase my basal and insulin ratios if I eat until I show no longer test positive. I do only test if I have been high for a longer than usual time.
    • 9 hours, 3 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 9 hours, 24 minutes ago
      Judith Halterman likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 9 hours, 27 minutes ago
      Derek West likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 1 day ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 1 day, 7 hours ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 1 day, 8 hours ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 9 hours ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 2 days, 3 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 3 days, 6 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days, 7 hours ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 3 days, 9 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 3 days, 9 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 3 days, 9 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 3 days, 9 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 4 days ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 4 days, 19 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 7 hours ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 8 hours ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
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    How would you characterize your experiences with connectivity with your current Bluetooth-enabled diabetes devices?

    Home > LC Polls > How would you characterize your experiences with connectivity with your current Bluetooth-enabled diabetes devices?
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    Which of the following options best describes your primary insulin delivery method (the one you use most) and your most recent A1c? (Note: 7% is equivalent to 53 mmol/mol)

    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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    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    23 Comments

    1. Chris Albright

      Ordinarily, I never had an issue with BT connectivity. But when Tandem Mobile Bolus came out for Android phones, the pump and android would randomly drop connection between them. There is a hack that gets around the issue, but uses more battery on the android phone. I am sure T-Connect will resolve the issue so the hack is not necessary. So far still using it. If I download a new T-Connect app from play store, I will remove the ‘fix’ and see if is resolved

      3 years ago Log in to Reply
    2. Scott Rudolph

      When my Android device went from Android 12 to Android 13 around October 2022, my G6 would almost never connect. I had to buy a cheap phone running Android 8 just to use for CGM. The problems were resolved with the December 2022 Android update. Since then, I’ve had no issues.

      3 years ago Log in to Reply
    3. Jane Cerullo

      Started the G7 last month. Have connectivity problems frequently. Not for long. My new device last night, I tried to avoid waiting the half hour warmup, it worked but had false low readings all night. Finally turned off phone. Won’t do that again. Didn’t have a problem when I waited for the warm up period.

      3 years ago Log in to Reply
    4. Mike S

      Interesting timing. up to a month ago I would’ve said infrequently, but ever since I switched to the Omni 5, my Dexcom has been giving me the “wait 3 hours” error way more often than before. I’m wondering if it’s something to do with multiple devices connecting via bluetooth? Or maybe I just need to dump the existing transmitter? It expires this month and I have had transmitters get wonky as they near the end of the three months. Hoping that’s it and it’ll all resolve.

      3 years ago Log in to Reply
      1. Lawrence S.

        I had the same problem a few years ago with my Samsung A71 phone and my Dexcom bluetooth device. It went on for months. I never was able to resolve it, and just dumped the Dexcom program. Later on, I downloaded the T:connect program, and have not had that problem.

        3 years ago Log in to Reply
    5. Lawrence S.

      I have frequent connectivity issues between my T:Connect program on my Samsung A71, 5G phone, and my Dexcom G6 sensor (along with my Tandem X2, Control IQ pump. Now, a lot of the problems is me, because I am not “connected at the hip” with my telephone. I purposely keep my phone a distance from me, but near enough so I can hear it ring. That causes many connectivity issues. I found that if I turn off the app, then re-open it, it resolves the connectivity issue, 90% of the time. There are occasions when it just won’t connect. I have to try at a later time. When I don’t have a connection, I just look at my pump for my information.

      3 years ago Log in to Reply
    6. Robin Melen

      My Tconnect app regularly disconnects from my pump. Thisis the message:
      A bluetooth error occurred when your phone tried to communicate with your pump. To resolve it, you need to unpair your pump form the app and pair your pump again.
      I’ve done the unpair/repair thing, and it works for a time, but I don’t bother anymore since I get the info I need.
      Anyone know why it does this so frequently?

      3 years ago Log in to Reply
      1. Robin Melen

        PS I have a Samsung Galaxy S20 FE 5g

        3 years ago Log in to Reply
    7. cynthia jaworski

      My cell phone messes up a great deal of the time. I would never rely on device connectivity for my t1d’s important issues.

      3 years ago Log in to Reply
    8. Patricia Kilwein

      I have a Samsung Galaxy S22. Everyday I have go through the process of reconnecting the bluetooth on medtronic app. Sometimes twice a day. Hopefully Medtronic will fix this.

      3 years ago Log in to Reply
    9. TEH

      I had a few times wherenthe T:slim and my phone loose paring. I had to watch the video about 3 times to get the repairing to work. I kept pushing the okay button on the pump which cancels the pairing. So no to a few seconds, more like a few minutes!

      3 years ago Log in to Reply
    10. William Bennett

      Short of re-pairing, I find I can often get the signal back by switching BT off and back on on my phone (IOS). That usually causes it to reconnect at the next data-send from the transmitter (every 5 minutes).

      1
      3 years ago Log in to Reply
      1. ELYSSE HELLER

        Insulet and Dexcom gave me the same advice. Turn BT on and off, reboot the iphone, and step outside (stepping outside was new advice). This will suck in the winter time. I have also found that Turning the PDM on and off helps. I was wishing the slogan “simply life” would be applicable to me but I am finding the AIDS system quite a lot of work.

        3 years ago Log in to Reply
    11. Daniel Bestvater

      Ipone 11 and Tandem X2 CIQ
      No problems since last Tandem update or maybe a phone update.

      3 years ago Log in to Reply
    12. Scott Wilhelm

      I don’t have many connectivity issues, but that’s because I’ve had to change how I go about sensor and Omnipod placement. Before I got Omnipod 5, I Looped and connectivity was great. I could move my Dexcom & Pod in whatever order I wanted.
      Now with O5, I have to be very careful with placement. Opposite sides of the body are guaranteed to be spotty at very best.
      So yes, I don’t really have connectivity issues, but I’m also now more limited in where I can place pods depending on where my CGM is.

      1
      3 years ago Log in to Reply
    13. Janis Senungetuk

      Up until yesterday it was rarely a problem, BUT yesterday I was ready to trash every single piece! I replaced my G6 sensor an hour before it was to expire. Within the first 10 minutes of the warmup period the t:connect app on my phone (Samsung A51) lost connection with Dexcom. My phone showed that it was still connected, so I closed the app. Then my pump sent an alert that the transmitter ID was invalid. I checked the transmitter box (yes, I’ve learned to keep them while in use) and the ID was correct. I turned the phone app back on and it appeared that all was okay. Then I got another alert from my pump that it lost connection again. I keep everything, pump & CGM, on the same side of my body…so I called Dexcom tech. While waiting on hold, both the pump and phone miraculously connected and the transmitted ID was no longer invalid. I didn’t want a repeat performance, so I waited another moment and spoke with Dexcom tech. As soon as he heard “Tandem” it was no longer a Dexcom problem and I was told to call Tandem tech. I didn’t.

      1
      3 years ago Log in to Reply
    14. Danny Shamdasani

      Omnipod 5 PDM has constant issues staying connected to the pod via Bluetooth, thus the CGM. This is a big disappointment with Omnipod 5.

      1
      3 years ago Log in to Reply
    15. Steven Gill

      No idea what could be expected “normal” Bluetooth concerns. Only had the Medtronic app a short time, no problems. With just the libre app had a disconnection or two, recently downloaded the “juggluco” in hopes to use with my fitbit. A few more disconnections and once rebooted the phone and it connected.

      3 years ago Log in to Reply
    16. sweetcharlie

      My daughter recently connected my G6 reciever with my wifes, hers, her husbands, my sons, Cel phones… So they all drove me NUTS every time an alarm went off !!! I got the G6 2 years ago at age 89, T1D 69, and did something stupid that my Wife had to call 911 [ first time ever ] …..

      3 years ago Log in to Reply
    17. ELYSSE HELLER

      I find that the Dexcom G6 sensors do NOT last or work well the full 10 days. The sensors (I find) start having issues on day 5 or 6. It is very disruptive and annoying. When the transmitter is getting close to its expiration point everything gets chaotic!

      3 years ago Log in to Reply
    18. Wanacure

      Bluetooth? I just use Dexcom 6 and multiple daily injections, but have some receptivity problems with FM radio when cgm is plugged into same electrical circuit. Does this qualify as a Bluetooth problem? Like Elysse I know I’m approaching last day of sensor when readings fluctuate wildly.

      3 years ago Log in to Reply
    19. Steve Gold

      They work however I would not characterize them as reliable. Sometime they don’t work and I have a very hard time finding and resolving the issue.

      3 years ago Log in to Reply
    20. Melissa Childers

      I marked that diruptive bluetooth caused me to disconnect device. This is only true of my pump, my CGM has been fairly consistent with bluetooth.

      3 years ago Log in to Reply

    How would you characterize your experiences with connectivity with your current Bluetooth-enabled diabetes devices? Cancel reply

    You must be logged in to post a comment.




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