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    • 1 hour, 7 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 1 hour, 7 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 1 hour, 22 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 1 hour, 24 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 3 hours, 44 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 10 hours, 53 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 10 hours, 53 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 12 hours, 50 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 13 hours, 6 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 7 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
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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

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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.

      12 months 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.

      12 months 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
      12 months 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
        12 months 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
        12 months ago Log in to Reply
      3. Wanacure

        LizB, have you considered injecting long acting glargine (ā€œLantusā€) 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.

        12 months 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 (ā€œgorpā€) 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 ā€œcarry over effectā€ of sustained exercise. If ignored, one can be subject to severe hypoglycemia.

        12 months 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? Ł©(ȏ)Ū¶

      7
      12 months 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
        12 months ago Log in to Reply
      2. Wanacure

        Ahh Life, I am really ignorant. Is a Novopen a ā€œsmartā€ pen? Isn’t it just another way of injecting? My ā€œpenā€ 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 ā€œsmartā€ pen?

        12 months 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.

      12 months 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.

        12 months 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.

        12 months 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
      12 months 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
        12 months 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.

        12 months ago Log in to Reply
    7. Nevin Bowman

      I would prefer not to have to use a delivery method šŸ™‚

      7
      12 months 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.

        12 months 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. šŸ˜‰

      1
      12 months 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.

      12 months ago Log in to Reply
      1. Mick Martin

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

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

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

        12 months 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
      12 months 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
      12 months ago Log in to Reply
      1. connie ker

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

        1
        12 months 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
      12 months 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.

        12 months 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
      12 months 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
        12 months 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
      12 months ago Log in to Reply
      1. Philip Bunsick

        why is the question inane?? It is quite legit

        3
        12 months 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 !!!!!

        12 months 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
        12 months 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
      12 months 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
        12 months 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
        12 months 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
        12 months 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!

        12 months 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
      12 months 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
      12 months ago Log in to Reply
    18. Steve Rumble

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

      12 months 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
      12 months 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 ā€œtheirā€ 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 ā€œtestā€ which version works best for us, as well as being able to afford what we’d choose.

      4
      12 months 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
      12 months 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
      12 months 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

      12 months 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
      12 months 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 ā€œgoodā€ site- those all feel like sacrifices I make to stay optimally healthy.

      3
      12 months 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.

      12 months ago Log in to Reply
    27. Tina Roberts

      Other:Islet Cell or tubeless pump

      12 months 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
      12 months 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
      12 months 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!

      12 months 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
      12 months 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
      12 months 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
      12 months 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
      12 months 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.

      12 months 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.

      12 months 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.

      12 months 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.

      12 months 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.

      12 months 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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