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  • Activity
    • 14 hours, 3 minutes ago
      ConnieT1D62 likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      I usually bolus for breakfast right at the time I start eating. But I prefer to bolus 15 minutes before. Better results. But I always forget.
    • 15 hours, 59 minutes ago
      KarenM6 likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      I said 15-30, but it may have been more than 30. I wasn't watching the clock this morning. I just checked my pump bolus history. It was about 30 minutes. I need to bolus early in the morning because my blood sugars shoot up high after breakfast. Bolusing sooner seems to help keep my BG from going off the charts. But, if I bolus too soon, I have serious low BG's. It's all an art ... and luck.
    • 16 hours, 1 minute ago
      KarenM6 likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      I am able to pr bolus for Breakfast and dinner as I am at home. I never know when I am going to eat at work so bolus is at start of meal.
    • 18 hours, 53 minutes ago
      Mick Martin likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      Question is misleading until type of insulin is understood. I said 15 because I use Fiasp insulin.
    • 19 hours, 9 minutes ago
      Kris Sykes-David likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      I said 15-30, but it may have been more than 30. I wasn't watching the clock this morning. I just checked my pump bolus history. It was about 30 minutes. I need to bolus early in the morning because my blood sugars shoot up high after breakfast. Bolusing sooner seems to help keep my BG from going off the charts. But, if I bolus too soon, I have serious low BG's. It's all an art ... and luck.
    • 20 hours, 6 minutes ago
      Ernie Richmann likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      I said 15-30, but it may have been more than 30. I wasn't watching the clock this morning. I just checked my pump bolus history. It was about 30 minutes. I need to bolus early in the morning because my blood sugars shoot up high after breakfast. Bolusing sooner seems to help keep my BG from going off the charts. But, if I bolus too soon, I have serious low BG's. It's all an art ... and luck.
    • 20 hours, 27 minutes ago
      Robin Melen likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      My most recent meal was breakfast and, during the work week, I am far better at bolusing ahead of time. The rest of my meals in the day though end up receiving the bolus as I start eating or part at the start and more later on (depending on what I am eating and whether I know how much I'll eat.)
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Insulin, meters, diabetic tech are not magic wands. Its usage does not guarantee only "positive" results. Negative events can and do occur, period. Non -D- typically (incorrectly) equate negative events as being total user failure, severe user errors. As diabetics we get blamed, despite having made zero mistakes on our part. We make seriously educated best guesses, despite that truth, we can and do fail anyway sometimes! Outsiders falsely need to believe inulin, our tech are complete-total cures, rather than tiny bandages at best. When confronted for using (sic. my) "drugs" in public, no matter how invisibly done... it is their self righteousness , poor assessment which is the issue. I gladly squash such insects...
    • 1 day, 20 hours ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      The more important question is 'how well does the clip work'. For me, the Medtronic clip worked very well, but the Tandem clip is quite ineffective and the pump falls off my belt during things like yard work or other bending movements.
    • 1 day, 20 hours ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      I answered never. I always use a clip -- I wear my t:slim x2 on my belt -- but not the Tandem clip. I use the black t:Holster Rotating Belt Clip. Very pleased.
    • 1 day, 20 hours ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      I am rough on pumps and use a Tandem X2 but dont use the Tandem clip/holster. I use a neoprene case and a pouch with a metal clip. Thenmetal clip is uncomfortable while I sleep. Looking for a different solution for wearing my pump at night.
    • 2 days, 16 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I answered that nobody wants to be screened, but I was answering based on my immediate family. I did let my deceased type-1 diabetic cousin's 35 year old son know he can be tested for his likelihood of becoming type-1 diabetic. He said he may be tested as he was always curious if he had a chance.
    • 2 days, 16 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I have T1, and when my oldest grandson got T1, the other 3 grandkids got screened. The grandson who's the brother of the one with T1, showed a strong possibility of being a future T1 diabetic. It sadly came true about a year later.
    • 2 days, 17 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I have LADA, and the idea of screening has not come up, either by me or my adult children. I guess I need to present the opportunity to them so they can make the decision.
    • 2 days, 17 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 20 hours ago
      Samantha Walsh likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 3 days, 15 hours ago
      KarenM6 likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 3 days, 17 hours ago
      Katie Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 3 days, 18 hours ago
      Kate Kuhn likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 3 days, 18 hours ago
      Karen DeVeaux likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 3 days, 18 hours ago
      Kelly-Dayne likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 3 days, 19 hours ago
      William Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 3 days, 20 hours ago
      Jneticdiabetic likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 3 days, 20 hours ago
      Lawrence S. likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      my siblings & parents are older (like me) and they've never expressed any interest in getting tested. my nieces and nephews have never said anything either
    • 4 days, 7 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I participated in several ADA walks not long after being Dx with T1D. As Ahh Life points out large $ are rased, but where do they go? I stopped supporting ADA for that reason. I think JDF is much more open on where the funding goes.
    Clear All
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    If you could reach your health goals (e.g., A1c, time in range) equally well with any of these insulin delivery methods, which would you prefer to use?

    Home > LC Polls > If you could reach your health goals (e.g., A1c, time in range) equally well with any of these insulin delivery methods, which would you prefer to use?
    Previous

    For current or past insulin pump users: Have you ever changed your insulin delivery routine because of insulin absorption issues?

    Next

    How often do you bolus before you start eating?

    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.

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    62 Comments

    1. pru barry

      I’d love to pare away as much of my pump as possible, while still keeping all of it functionality. But I don’t foresee life without a pump at my age, and I’m happy to have it.

      2 years ago Log in to Reply
    2. Steven Gill

      I wear an insulin pump “looped” with a CGM. It does well but with my job I’ve damaged it. Likewise I’ve like the tubing loose in tight situations. With an insulin pen there’s less chance of damage or pulled tubing.

      2 years ago Log in to Reply
    3. LizB

      I honestly don’t believe I could have the same TIR I get with my pump/CGM with any MDI routine. While I would love not being attached to a pump I chose tubed pump. MDI with pens would not work for me, even though I know the questions states “If”. Can’t adjust basal hour by hour or do extended bolus with pens.

      2
      2 years ago Log in to Reply
      1. Philip Bunsick

        I just cannot understand who would WANT to be connected to a pump or even an OmniPOd if you don’t have to. I use syringes and my TIR is 80%+ and A1C is 6.1. I am sure I can improve both using a pod at night when TIR is not as good, but that is the tradeoff. Total freedom and convenience with very good results. I would LOVE to hear WHY people prefer pumps and PODs so much if they can get similar results with something less intrusive.

        1
        2 years ago Log in to Reply
      2. LizB

        Philip,
        I would love to not be connected to a pump but I have not been able to have success with MDI. My basal requirements are very different at different times of day. No amount of timing, splitting doses etc allowed me to have good overnight numbers on injections. “If” there was a basal insulin that worked perfectly I would love to try it!

        1
        2 years ago Log in to Reply
      3. Wanacure

        LizB, have you considered injecting long acting glargine (“Lantus”) in split dose as basal? I take equal injections at 6 AM and 6 PM. (Perfectionists inject 3 doses per day eight hours apart.) Then bolus injections with fast acting lispro (Novolog) as needed guided by continuous monitor and net grams carbo consumed and exercise, or lack of exercise.

        2 years ago Log in to Reply
      4. Wanacure

        LizB, with what I know now, I would handle an overnight hike in Cascades this way: lower glargine before hike, take regular bolus fast acting before breakfast driving to trailhead. Every 30-60’ check continuous monitor and eat a handful of crunchy granola (“gorp”) as needed. Be prepared to drastically reduce fast acting insulin. After hike, do not immediately return to usual long acting insulin (basal) dose. Wait a day. There is a “carry over effect” of sustained exercise. If ignored, one can be subject to severe hypoglycemia.

        2 years ago Log in to Reply
    4. Ahh Life

      In the Panglossian best of all possible worlds, I would choose the smart pens. Needles are so much thinner than in the past. They don’t rip out. And if the end results are identical, who needs all the complications of full factory added equipment I’ve worn since 1996? ٩(ȏ)۶

      7
      2 years ago Log in to Reply
      1. n6jax@scinternet.net

        I feel the same ..I have been on syringe or Pen for 68 years.. from sweet charlie..

        1
        2 years ago Log in to Reply
      2. Wanacure

        Ahh Life, I am really ignorant. Is a Novopen a “smart” pen? Isn’t it just another way of injecting? My “pen” was bigger than a syringe and could only deliver in whole units. Using syringes (and vials) I can try to deliver half or third of a unit. AND THERE ARE SYRINGES MARKED IN HALF UNITS. My pharmacist said these are only available to children! Sh*t!
        What is a “smart” pen?

        2 years ago Log in to Reply
    5. Joan McGinnis

      I dont know if I would be happier with a tubeless pump or not, looks like they have problems from what I read. I have had no problems with my tubed pump in over 20 yrs so happy to have it and be in pretty good TIR So great compared to 40 yrs ago.

      2 years ago Log in to Reply
      1. GLORIA MILLER

        I had a tubed pump for about 15 years and switched to Omnipod in 2009. I would never want to go back to the tubed pump. I had no problems whatsoever with either pump.

        2 years ago Log in to Reply
      2. Sherolyn Newell

        Me too. A pod fails maybe once a year. My only problem is rare and self-induced and coincidentally happened yesterday. Pod was on my leg and I caught it on the edge of one of those tall chairs at a restaurant and pulled the cannula out.

        2 years ago Log in to Reply
    6. Ken Raiche

      I think the best is option would be the Omnipod closed loop with a dexcom G6 so to be G7. I love my current pump just can’t stand the finagling with the tubing.

      4
      2 years ago Log in to Reply
      1. Sherolyn Newell

        I’ve had Omnipod for quite a few years now. I am anxiously awaiting the release of the closed loop system that uses Dexcom CGM.

        2
        2 years ago Log in to Reply
      2. Wanacure

        Ken, hey, me too, IF covered by Medicare AND approved by my endocrinologist and her diabetes tech team.

        2 years ago Log in to Reply
    7. Nevin Bowman

      I would prefer not to have to use a delivery method 🙂

      7
      2 years ago Log in to Reply
      1. Wanacure

        Nevin, what happened to stem cell cures? What happened to genetic CRISPR technology to correct our immune systems? You can transplant beta cells, but 9 years later your immune system will have destroyed them…and you’ll be in medical debt and still injecting. If I were a bizillionaire, yeah, I’d just have transplant after transplant.

        2 years ago Log in to Reply
    8. Lawrence S.

      This is a very hypothetical question, not based in reality. Given that, I would select the least restrictive option. I believe that would be the insulin pen. I’ve never seen an insulin pen. But, I’m guessing that they are prefilled and can be carried around like a pen? Then I’m not attached to anything and only need to think about it occasionally throughout the day. Hypothetically speaking. 😉

      1
      2 years ago Log in to Reply
    9. connie ker

      I am a senior with type 1 LADA for the past 24 years. Seniors like sameness without big changes, so I am still using syringes and vials which work for me. My A1Cs are excellent but time in range fluctuates. I wear the Abbott Freestyle Libre and learning how to inject the sensors and learn the system was overwhelming when it first arrived. The Walgreens pharmacist had just taken a class about the Libre and told me to bring the entire box into the store. She was great and I learned everything at Walgreens.

      2 years ago Log in to Reply
      1. Mick Martin

        I believe you mean that SOME Seniors like sameness without big changes, ma’am. 😉

        4
        2 years ago Log in to Reply
      2. n6jax@scinternet.net

        Mick and connie, I am one of Connies seniors [for] 68 years !!!

        2 years ago Log in to Reply
    10. Joan Fray

      I’ve never tried pens. Im going to Greece for a month in September and may take pens instead of my Tandem pump. With cgm. I get tired of tubing. And having to change sites every 2 1/2 days.

      2
      2 years ago Log in to Reply
    11. gary rind

      chose other. have always been MDI and added a Libre2 a little over a year ago. A1C and TIR have been great but IF IF IF you could reach your goals equally, I’d go with inhaled insulin. No pumps, no shots at all?

      1
      2 years ago Log in to Reply
      1. connie ker

        The inhaled insulin is a big change and the effect on the lungs is unclear.

        1
        2 years ago Log in to Reply
    12. Jane Cerullo

      At this point I feel I will never go back to a pump. Either tubed or tubeless. Pens give me more freedom. Easily portable for travel. Do not mind injections. More expensive on Medicare for some reason that I do not understand. My TIR is 95-100%. Set at 70-150. My A1c is 5.6. Happy with my choice.

      2
      2 years ago Log in to Reply
      1. Wanacure

        Jane, will you PUH-LEASE explain how pens are different from syringes? I just don’t get it.

        2 years ago Log in to Reply
    13. Karen Maffucci

      If I could be in range I would much rather just have a needle once a day

      2
      2 years ago Log in to Reply
      1. Randi Niemer

        How many can have great control with just one shot? Some, definitely. The majority, however, cannot.

        2
        2 years ago Log in to Reply
    14. Mick Martin

      I’m refusing to respond with ANY of options you’ve provided for such an inane question!

      2
      2 years ago Log in to Reply
      1. Philip Bunsick

        why is the question inane?? It is quite legit

        3
        2 years ago Log in to Reply
      2. n6jax@scinternet.net

        I agree with Mick… I would say Pen or syringe if it would be once a day shot and normal BS all day.. But 68 years of D tells me that is not going to happen !!!!!

        2 years ago Log in to Reply
      3. mentat

        I don’t think the question is inane. It might help inform whether research should focus on better pumps and sensors, or better insulins, smart pens, etc.

        1
        2 years ago Log in to Reply
    15. Philip Bunsick

      Philip Bunsick
      I just cannot understand who would WANT to be connected to a pump or even an OmniPOd if you don’t have to. I use syringes and my TIR is 80%+ and A1C is 6.1. I am sure I can improve both using a pod at night when TIR is not as good, but that is the tradeoff. Total freedom and convenience with very good results. I would LOVE to hear WHY people prefer pumps and PODs so much if they can get similar results with something less intrusive.

      2
      2 years ago Log in to Reply
      1. ellencherry

        I don’t think Omnipod is more intrusive at all. I only have to mess with it once every three days. And the ability to adjust basal on the fly is amazing. I’d I overestimated carbs I can reduce basal instead of eating something. If I had a couple glasses of wine, I can turn basal down overnight. So many advantages.

        2
        2 years ago Log in to Reply
      2. Randi Niemer

        I’ll tell you why. A tubeless Omnipod, which is so much easier to apply than the 670 tubed pump, can tell me exactly how much insulin I have on board in case I want to know. Or the exact time I took that bolus, not to mention the plethora of data provided so both my clinic and I can see it. Along with all of my Dexcom info. I do think about it every three days when I put it on. The other times are when I’m going to bolus or when I need to REDUCE the amount of insulin by using a temporary basal if everyday living plans or food amount is less than bolused for. I’m also looking forward to when the Dex and Omnipod will communicate and work together, sometime later this year.
        That’s why.

        1
        2 years ago Log in to Reply
      3. AnitaS

        I never minded MDI, but I love not having to carry syringes, insulin and alcohol pads with me when I go places. I generally am reasonably close to home, so back-up insulin and syringes are not things I worry about having to carry with me. I just go about my day and if I happen to meet a friend, I can say “Let’s go grab a bite to eat” without having to go home and grab my diabetes supplies. My pump is always on.

        1
        2 years ago Log in to Reply
      4. Jneticdiabetic

        Philip, congratulations on achieving 80%+ TIR and an A1C of 6.1 on multiple daily injections. That’s great!
        I was on MDI for five years before starting a pump. I had an AIC on the 5% range, BUT struggled with severe hypos.
        Based on my insulin sensitivity and my unpredictable work /life schedule a pump has proven to be a much safer and better fit for me.
        We’re all T1Ds, but the challenges we each face vary. Good to have options. May we all find out best fit!

        2 years ago Log in to Reply
    16. Bill Williams

      I’m surprised that Omnipod is the most popular choice when, for a Medicare recipient, it’s so much more expensive to use than a tubed pump.

      2
      2 years ago Log in to Reply
    17. Andrew Stewart

      My choice is Other, I would prefer to have a fully functioning pancreas and not be dependent upon devices. Don’t get me wrong, I love my pump but I’d prefer not to have to use any insulin delivery device. #BeWell

      13
      2 years ago Log in to Reply
    18. Steve Rumble

      I have always used MDI but the concept of tubeless pumps is very appealing!

      2 years ago Log in to Reply
    19. Mig Vascos

      A hypothetical answer to a hypothetical question. I picked tubeless pump even though I’ve never used one of those.
      I’m using a tandem t:slim2x with a Dexcom g6 and never in my life I thought I could go to sleep through the entire night without having to worried about not waking up in the morning because a low took my life.
      Im 82 years old and would not do injections even if you pay me. With all the inconvenience of being tethered to the pump it works a lot better than injections.

      2
      2 years ago Log in to Reply
    20. TomH

      The question, while not invalid, is likely to be highly controversial and highly biased. People tend to respond that “their” current selection is the best unless they just can’t afford or get their method of choice. I’m fortunate that I can get whichever system I want, but I use a tubeless pump because I can’t imagine being tied to a tubed version. But, I’ve never tried a tubed version, though I think the T:Slim has more/better controls and better algorithm, with better resulting BG control. I’m over 80% TIR, 6.4 GMI, and an A1c to match; how much better would I need to be to make tubed version desirable and worthy of what I perceive as inconvenience?

      We’re fortunate to have the different versions available, we’re unfortunate not to have a system that supports being able to easily “test” which version works best for us, as well as being able to afford what we’d choose.

      4
      2 years ago Log in to Reply
    21. Donna Young

      If required to have 24 hour basal insulin and multiple injections, I would prefer a tubeless pump as long as it can be used as part of a closed-loop system. My preference, however, would be to use Glucose Responsive insulin via injection (daily or less frequently). If developed, this would be a less intrusive/time consuming option plus a safer/more reliable way to manage T1D.

      4
      2 years ago Log in to Reply
    22. Kevin McCue

      The least invasive for me would be syringes however I was unable to achieve the control I want and had to resort to tubed pump with linked cgm.

      3
      2 years ago Log in to Reply
    23. Karen Maffucci

      I answered too quickly. lol
      Definitely pens after reading other responses.
      I use Dexcom and OmniPod. My control is still only so so. Last A1C 7.1

      2 years ago Log in to Reply
    24. Janis Senungetuk

      I would return to the least expensive method using a syringe. The tremendous expense of DME in addition to the constant stress of dealing with a third-party medical supply company is getting close to overwhelming.

      5
      2 years ago Log in to Reply
    25. Lucia Maya

      While I love a lot about the CIQ feature and the tslim with Dexcom, if I could get such tight control using an insulin pen, I’d jump at it! Wearing the pump 24/7, changing sites, worry about whether it’s a “good” site- those all feel like sacrifices I make to stay optimally healthy.

      3
      2 years ago Log in to Reply
    26. Bob Durstenfeld

      I like my Tandem pump with it’s tubing, I can’t wear sensors or infusion sites on my arms as all the fat was burned away by early insulin 50-60 years ago. I do use my thighs, abdomen and the small of my back and these sites work great. Control IQ takes over some of the management too.

      2 years ago Log in to Reply
    27. Tina Roberts

      Other:Islet Cell or tubeless pump

      2 years ago Log in to Reply
    28. Carol Meares

      I have never used a tubeless insulin pump. Advantages to me include, waterproof, and yes, no tubes. Disadvantage might be lack of real estate on my body to insert easily as I have some scarring in the best places due to my early years (20) of mdi.

      1
      2 years ago Log in to Reply
    29. Juha Kankaanpaa

      I picked insulin pens. I feel I’m in more control and having less chance of problems. Also, not keen on having yet another device attached.

      3
      2 years ago Log in to Reply
    30. KarenM6

      All outcomes being equal, I’d take pens because of the thinner needles available. I have lipoatrophy and it is getting quite difficult to find spots for a pump.
      I am making an assumption that “reach health goals equally well” would mean I would miraculously be better at math… I’d need the pen that does the “insulin on board” calculation!

      2 years ago Log in to Reply
    31. M C

      I would love to not have things attached to my body, yet still be able to achieve all health goals as they pertain to T1D! Although I am succeeding with this, currently, by using the insulin pump – I’d love not to have it attached 24/7.

      3
      2 years ago Log in to Reply
    32. Sasha Wooldridge

      Currently on T:slim and Dexcom, but would switch to MDI if I could have the same control in a heartbeat.

      I can’t stand having things attached to me and it would be so much easier to shop without having to worry about where the hell I’d clip the pump.

      As it is, I haven’t bought anything without pockets in years. Would rather just not have the hassle of worrying about securing it some other way.

      3
      2 years ago Log in to Reply
    33. AnitaS

      I put that I would prefer a tubeless pump, but to tell you the truth, I don’t know if having a pod on me would be comfortable in many places on the body. If it is sticking out of my arm, it could get bumped into by doorways. If it is on my stomach, it may cause the waistband to be too tight. If on my hip, that could make it difficult to pull pants up. When I think about the problems the tubeless version of a pump can cause, I just may prefer my regular tube pump as I can put the pump where ever is most comfortable or convenient. I don’t have problems getting my tubing caught on anything so the only real problem with tubing for me is that there is a waste of insulin that is left in the tube when it is time to change my infusion set.

      2
      2 years ago Log in to Reply
    34. Russell Buckbee

      My other is to swallow a pill. I know not available in my area(Earth) LOL

      2
      2 years ago Log in to Reply
    35. Wanacure

      Using 6 units long acting glargine at 6 AM and at 6 PM plus sliding scale for fast acting lispro before 3 meals and Dexcom 6 high alerts at 130 and low alerts at 70: over 14 days I had 121 mg/dL average glucose, 30 mg/dL Standard Deviation, 6.2% GMI (what is
      GMI?), 94% In Range, 2% High, <1% Very High, 3% Low, <1% Very Low. That’s using multiple daily injections and low carb diet, only light exercise, no aerobics, no weight lifting or Nautilus machines, just walking a at least one mile 3 times a week. And preparing my own meals at home.

      2 years ago Log in to Reply
    36. John McHenery

      While I would prefer to use a tubeless pump the one I used, Medtrum, was disappointing. Particularly the associated sensor. Back on a tubed pump.

      2 years ago Log in to Reply
    37. Cheryl Seibert

      I chose Tubed pumps. I have no experience with tubeless pumps. Pumps are sooooo much better control than injections for me.

      2 years ago Log in to Reply
    38. Molly Jones

      My choice would be a vaccine that cures type 1 diabetes. If they find a way to do it for newly diagnosed patients but not long standing, maybe I can receive a new pancreas that my body won’t reject.

      2 years ago Log in to Reply
    39. Savanna Vance

      I had the omnipod (tubeless) for a year and was miserable. I switched to injections for about a month while waiting on my tandem tslim. The pods were uncomfortable, I was allergic to the adhesive omnipod uses, and I never made it the full 72 hours with one pod.

      2 years ago Log in to Reply

    If you could reach your health goals (e.g., A1c, time in range) equally well with any of these insulin delivery methods, which would you prefer to use? Cancel reply

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