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    • 4 hours, 27 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 4 hours, 27 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 4 hours, 28 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 4 hours, 28 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 4 hours, 28 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 4 hours, 28 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 8 hours, 43 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 15 hours, 1 minute ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 15 hours, 53 minutes ago
      Kathy Hanavan likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 18 hours, 55 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 18 hours, 55 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 19 hours, 3 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 19 hours, 5 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 19 hours, 17 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 19 hours, 18 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 19 hours, 18 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 19 hours, 18 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 19 hours, 18 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 19 hours, 18 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 19 hours, 21 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      Do you realize what you have just said: "Obscurantism, gobbledegook, and pointillism used not as an art form but as a 'Gotcha!' of legal/financial determinism?"
    • 19 hours, 22 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 19 hours, 24 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 19 hours, 25 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 19 hours, 39 minutes ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 16 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
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    If you have ever been pregnant while living with T1D, how much did your insulin needs change throughout your pregnancy?

    Home > LC Polls > If you have ever been pregnant while living with T1D, how much did your insulin needs change throughout your pregnancy?
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    For people diagnosed with T1D in 2000 or after: If you have used a CGM, how long after your diagnosis did you start using a CGM? (For those diagnosed before 2000, stay tuned for tomorrow’s question!)

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    Have the health insurance benefits offered by an employer ever caused you to accept a job or stay at a job that you otherwise would have preferred to leave?

    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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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. 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    25 Comments

    1. PamK

      It’s been so long that I really don’t remember! I do know that I let my blood sugar run lower than normal at the advice of my doctor.

      4 years ago Log in to Reply
    2. Kristen Clifford

      I’ve had T1D for 14 years but haven’t been pregnant yet. I’ve only been married a little less than eight months. I hope to have a baby within the next two years.

      1
      4 years ago Log in to Reply
    3. Cheryl Weaver

      Actually, my last pregnancy was in 1970, and I’m not sure. I don’t remember my Dr’s making changes to my insulin, but I think it didn’t change.

      4 years ago Log in to Reply
    4. GLORIA MILLER

      My doctor told me to get my insulin requirements down as low as I could before getting pregnant. My insulin requirements more than doubled toward the end of the pregnancy. This was in 1971.

      4 years ago Log in to Reply
    5. pru barry

      My three children were born more than fifty years ago when things were much different. I don’t remember changing my NPH doses, but with all three pregnancies, experienced extreme lows which usually occurred at night and resulted in losing consciousness and winding up in the emergency room. Happy ending: three wonderful adults in their fifties, two grandkids, and no sign of diabetes in any of them. My fifteen year old labradoodle does get four shots of insulin a day. Somehow it all evens out.

      2
      4 years ago Log in to Reply
      1. Janis Senungetuk

        Sorry your dog needs insulin 4 X day. Thumbs up for healthy kids & grandchildren! 50+ years ago we were very much in the dark ages of glucose management.

        1
        4 years ago Log in to Reply
    6. Mick Martin

      Not Applicable as I’m male and never been pregnant. 😉

      1
      4 years ago Log in to Reply
    7. Claire Tallman

      Happy and healthy baby boy born in December! My insulin needs more than doubled, and the timing of insulin and food changed too. I had an incredible team and support system, and could not have done it without them. It’s not easy, but it’s manageable, and certainly WORTH IT!

      1
      4 years ago Log in to Reply
    8. cynthia jaworski

      My insulin needs continued to rise throughout the pregnancy, and then, BOOM, dropped all the way back down at birth. All went well.

      4 years ago Log in to Reply
    9. Jneticdiabetic

      I put that I needed a little more insulin. I think it had more to with me being insatiably hungry and eating more. I did have moments where I went low unexpectedly and wondered if my beta cells were recovering or just benefiting from the baby’s pancreas.
      In
      On one occasion I was driving home from work and worried that I had forgotten to dose for a late afternoon snack. I was a little thirsty and thought for sure I was high. I almost have my self a couple unit bolus, but decided to wait until I got home to test. When I did my BG was 20 mg/dl! Thank goodness I didn’t bolus!
      That was another odd of thing about pregnancy, I tolerated much lower lows without significant impairment.

      4 years ago Log in to Reply
      1. Karen Brady

        wow good thing you didn’t give that bolus!
        Re: lows I’m the opposite, I would be in the 40s/50s and had awful low symptoms, where pre-pregnancy I would be fine at 50. So strange how we all react differently!

        4 years ago Log in to Reply
    10. RegMunro

      After a few days of COVID my use of insulin soared!. It hasn’t stopped yet 2 weeks in
      Maybe a question or two?

      4 years ago Log in to Reply
      1. Bruce Schnitzler

        I have had T1D since 1951 and have been insulin dependent since then. I had Covid-19 but was completely asymptomatic and saw no changes in insulin.

        1
        4 years ago Log in to Reply
    11. Merry Woolsey

      Both my girls were born with very low blood sugars though

      4 years ago Log in to Reply
    12. Janis Senungetuk

      In 1970 with urine testing and once a month labs I rarely knew what my glucose level was. The first trimester I had great difficulty keeping any food/drink down. Once I got beyond that my twice a day Regular/NPH increased to the point of doubling by induced delivery 6 weeks early. Our healthy baby daughter is now 52 with three adult kids of her own.

      2
      4 years ago Log in to Reply
    13. Anneyun

      It was 25 years ago so I don’t remember.

      4 years ago Log in to Reply
    14. marge slater

      It was over 50 years ago so I do not remember

      1
      4 years ago Log in to Reply
    15. Julie Nalibov

      I had been T1D for nearly 30 years when I was pregnant with my first child. After 2 decades of taking around 24u/day, it crept up to 74 by 3rd trimester- then plummeted and stayed low while breastfeeding. With second pregnancy, insulin requirements dropped to single digits & NEVER rebounded. 25 years later and 20 lbs heavier later, still take less than 15 u/day. Medical mystery according to my endo. No complaints!!

      1
      4 years ago Log in to Reply
    16. Sherrie Johnson

      It’s been 43 years for me my doctor told me keep the same schedule get exercise every day and watch your insulin because the baby will be making some and you won’t need as much. That’s exactly what I did I was on NPH twice a day and I remember I had to lower the evening dose to almost half and the morning dose by about a third

      4 years ago Log in to Reply
    17. Anita Galliher

      I got pregnant in 1969 while on one shot of long-acting Lente a day. I’d pee in a test tube and compare it with a color chart after 15 seconds every morning, but regardless of what it said, I didn’t do anything else. The next morning I’d repeat the process, take my daily dose and go about my business. Once or twice a year I’d have an A1c done at the hospital, and my doctor (family doctor, not a specialist) might adjust my insulin or not. I didn’t start taking more than one shot a day, have an endocrinologist or test regularly until I was in my 40s. At 73, it’s a wonder I’m alive now, much less with nothing major wrong with me (other than T1D, of course!)

      1
      4 years ago Log in to Reply
    18. Molly Jones

      I chose other as 18yrs ago I didn’t make it past the four months of pregnancy.
      I was having more hypoglycemic events and was prescribed my first Medtronic pump.

      4 years ago Log in to Reply
    19. Melinda Lipe

      Horrible extreme highs and lows.

      1
      4 years ago Log in to Reply
      1. Karen Brady

        same! really frustrating and (mentally & physically) exhausting

        4 years ago Log in to Reply
    20. Amy Jo

      Needs slowly increased so that I:C ratio was about 5x more by the end of pregnancy, until the last couple of weeks before delivery when needs started decreasing (because the placenta was wearing out).

      4 years ago Log in to Reply
    21. marmcs@yahoo.com

      I got pregnant 8 months after diagnosis in 1991. Then had my 2nd 17 months later. Both times I was on 2 shots per day, Reg & NPH in 1 syringe. Was never told to increase insulin. Told to take my blood sugar 1.5-2 hours after eating and important to keep below 180. It never stayed below 180 after a meal but would come crashing very low after my correction. Thankful to God that my babies were both healthy and only 6.5 and 6.6 pounds at 38 weeks.

      4 years ago Log in to Reply

    If you have ever been pregnant while living with T1D, how much did your insulin needs change throughout your pregnancy? Cancel reply

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