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    • 42 minutes ago
      kilupx 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, 50 minutes ago
      Phyllis Biederman likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Its a Tandem. The main issue I have with the phone is the inability to do an extended bolus.
    • 4 hours, 51 minutes ago
      Phyllis Biederman likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 5 hours, 19 minutes ago
      Amy Schneider 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." ╰── ──╮
    • 13 hours, 42 minutes ago
      Daniel Bestvater 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.
    • 23 hours, 15 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.
    • 23 hours, 16 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.....
    • 23 hours, 16 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.
    • 23 hours, 16 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.
    • 1 day, 3 hours 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
    • 1 day, 9 hours 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.
    • 1 day, 13 hours 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.
    • 1 day, 13 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 1 day, 14 hours 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.
    • 2 days, 11 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
    • 2 days, 12 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
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    If you have experienced pregnancy with T1D, did you make a plan for managing T1D and pregnancy with your healthcare provider before getting pregnant?

    Home > LC Polls > If you have experienced pregnancy with T1D, did you make a plan for managing T1D and pregnancy with your healthcare provider before getting pregnant?
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    If you have been hospitalized while living with T1D, how satisfied were you with the staff’s knowledge and care for your T1D during your most recent hospital stay?

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    Have you ever used a smart insulin pen?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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

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    20 Comments

    1. Chris Deutsch

      I had 2 pregnancies in the 1980’s, but due to living in a small town in NM, there were few specialists available. Both pregnancies were surprises, but I was in the care of obstetricians both deliveries. I was managing my T1D myself, but we were fortunate to have no complications except for the predictable neonatal hyperglycemia. I realize that I was dependent on the skill of the OB’s. God blessed us with 2 healthy children, now adults.

      2
      4 years ago Log in to Reply
    2. AimmcG

      Other than her stressing keeping my sugars under control we didn’t make any changes. I stayed pretty normal. I craved healthier things which was good. I had a terrible low during my pregnancy but all was well. I suppose the plan was that should my sugars trend high or are low we would adjust my insulin but that never happened.

      4 years ago Log in to Reply
    3. Gary Taylor

      I am male, so obviously no. However, my daughter, who is also T1D did plan for managing her two successful pregnancies.

      1
      4 years ago Log in to Reply
    4. Joan Fray

      I got pregnant while on a mountain climbing trip to the Andes in 1975. I hadn’t planned it, bit it was a happy surprise. I was 25 and had had Td for 13 years already. Once I knew, I went to Kaiser every week for labwork and was really strict about my care. (First time in my life, really. Responsability for another life and all. Against all odds, we got a perfect 9 pound baby boy. The most amazing thing I’ve ever done.

      1
      4 years ago Log in to Reply
    5. GLORIA MILLER

      My pregnancy was in 1971. I lived in a small town and had a heck of a time even finding a doctor in the only larger town nearby who would be willing to take me when I got pregnant due to the high risk they thought I faced. I found one that told me to get my insulin requirements down as low as I could before getting pregnant since it would go way up with the latter stage of pregnancy. He was correct in that assumption. No problems whatsoever with the pregnancy.

      4 years ago Log in to Reply
    6. RegMunro

      I am male

      4 years ago Log in to Reply
    7. Mick Martin

      Personally, I haven’t experienced pregnancy with T1D as I’m male, but my wife carried two beautiful sons for us since I was diagnosed with Type 1.

      4 years ago Log in to Reply
    8. Trena harrow

      No plan. It was 51 years and 56 years ago. No technology then. Had 2 healthy babies by the grace of God.

      1
      4 years ago Log in to Reply
    9. Sue Martin

      I talked to my doctor when we were thinking about it and she indicated it would be a high-risk pregnancy but manageable. I got a little spooked by the movie Steele Magnolia’s so we determined not to have a baby. My husband said he’d rather keep me healthy then gamble with it for a child.

      4 years ago Log in to Reply
    10. Modee

      T1D since 1970 at age 12 and was always encouraged to not get pregnant. As every thing else I wasn’t supposed to do, I did it! 1982 and 1985 I had successful pregnancies and healthy beautiful babies. But the nine months were stress filled. I had lab work twice monthly that included 24 hour urine collections to track for protein. My daughter and my son were both delivered by C-section a week prior to my due date following an amniocentesis to confirm proper lung development. Our plan to not have baby experience harmful weight gain in last couple of weeks proved successful with my daughter weighing 5’15” and my son 7’14”. Neither have ever experienced any signs of T1D. I am so thankful for our plan!

      4 years ago Log in to Reply
    11. cynthia jaworski

      When I first asked my endo about birth control, I was advised to get my tubes tied. I didn’t bring the subject up again. A few years later,I was delighted to find myself pregnant. Both my (new) endo and obgyn asked if I were happy about this turn of events. When I said emphatically yes, each said something along the lines of “well, we know what to do!). So, I had a healthy baby boy in 1988. I had enjoyed a tremendous sense of well-being throughout the experience.

      4 years ago Log in to Reply
    12. Janis Senungetuk

      There weren’t that many plans available in 1969 when we met with my doctor, an Internist, to discuss the possibility of a successful pregnancy. He suggested we not delay since I was was in fairly good health and in my early twenties. Several months later it was confirmed that I was pregnant. I started seeing an OB who had an interest in high-risk pregnancies. All he asked of me was to keep a logbook of my urine test results and continue to eat fresh food. I started experiencing blood pressure issues by the end of the sixth month ending in a c-section delivery 6 weeks early. Our 6 lbs 15.5oz preemie daughter came home with us three days later.

      2
      4 years ago Log in to Reply
    13. Claire Tallman

      I spent the year prior to getting pregnant tightening my control to pregnancy target/time in range goals. My baby and I stayed healthy throughout 🙂 it wasn’t always easy, but it was totally worth it! And, I had an excellent healthcare team – could not have done it without them!

      1
      4 years ago Log in to Reply
    14. Anneyun

      I had three healthy daughters in the 1990’s. I was followed by a good team of doctors. They were all large babies at birth. Knock on wood, none have shown signs of developing diabetes themselves.

      4 years ago Log in to Reply
    15. Amy Jo

      Had a pre-conception consult with an MFM to discuss what steps I needed to take before getting pregnant. She recommended A1c <6% and extra folic acid supplementation. Once I became pregnant, I sent my BG every week for adjustments, in addition to more frequent appointments, US, and NST twice weekly for the last 10 weeks of pregnancy. I was really lucky to have an MFM who did not induce early "just because" I have T1 – she was comfortable letting my body go into labor naturally since my A1c was well-controlled (<5.5%) and NST looked good. I could not have done it without my excellent care team, but I also acknowledge it was super challenging! I am proud of my two children and myself, and look forward to more babies in the future. So grateful for modern medicine, I can't even imagine what you ladies went through decades ago!!

      4 years ago Log in to Reply
    16. KarenM6

      I was basically told I was not allowed to get pregnant because it was too dangerous for me and any potential children. I took the doctors at their word. After the “you can’t have children” came, “how are you going to avoid pregnancy?”
      So, no children for me.

      4 years ago Log in to Reply
    17. JuJuB

      I *made* a plan – get my A1C under 7%. Didn’t stick to it though. Turned up pregnant two months later. My endo asked, “How did THAT happen?” I nearly fell of the table laughing. “Well, doc, when a man and a woman love each other VERY much…”

      She took my A1C that day and it was 7.1%. Since then I have gone on a pump and am using a CGM. My most recent A1C (about six months ago) was 5.4%. I’m gonna stick with that.

      1
      4 years ago Log in to Reply
    18. John McHenery

      It would be unusual for a man

      4 years ago Log in to Reply
    19. Wanacure

      I’m happy to read about so many successful pregnancies. Back in the 1950’s a doctor angrily told a T1D cousin her pregnancy would “blow her blood sugars to hell.” Back then urine tests were the norm. Sure enough, she miscarried. So she and her partner adopted. 🙂 It’s really encouraging to read how far we’ve come…at least in the high income countries.

      1
      4 years ago Log in to Reply
    20. Cheryl Seibert

      I never make major life decisions affecting my health without thoroughly discussing it with my endo.

      4 years ago Log in to Reply

    If you have experienced pregnancy with T1D, did you make a plan for managing T1D and pregnancy with your healthcare provider before getting pregnant? Cancel reply

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