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    • 7 hours, 14 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.
    • 7 hours, 14 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.....
    • 7 hours, 14 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.
    • 7 hours, 14 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.
    • 7 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?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 11 hours, 30 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
    • 17 hours, 48 minutes 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.
    • 18 hours, 40 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.
    • 21 hours, 41 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.
    • 21 hours, 41 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.
    • 21 hours, 50 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.
    • 21 hours, 52 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.
    • 22 hours, 4 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.
    • 22 hours, 4 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.
    • 22 hours, 4 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.
    • 22 hours, 5 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.
    • 22 hours, 5 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
    • 22 hours, 5 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.
    • 22 hours, 8 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.
    • 22 hours, 10 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.
    • 22 hours, 11 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.
    • 22 hours, 26 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, 19 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
    • 1 day, 20 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.
    • 1 day, 20 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
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    If you have T1D, have you been diagnosed with retinopathy?

    Home > LC Polls > If you have T1D, have you been diagnosed with retinopathy?
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    Which of these symptoms of hypoglycemia do you frequently experience? Please select all that apply. (This is part 3 of a 3-day understanding hypoglycemia series)

    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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    43 Comments

    1. Ahh Life

      In 1975, 25 years in. First laser treatment. Still driving, though I do have nyctalopia. (❛‿❛✿̶̥̥)

      2
      4 years ago Log in to Reply
    2. ConnieT1D62

      Yes in 1981 – 19 years in since being diagnosed at age 8 in 1962. It was early prolific, just beyond background stage retinopathy and because I was in a diabetes research study arm of the DCCT and wanted to get pregnant, the endocrine team overseeing my treatment recommended I have both eyes treated. Had laser treatments in both eyes over a period of a year (1981-82) and my eyes have been quiet w/o any new retinopathy developments ever since. I have also managed to keep my A1Cs in the 7.5 to 6.5 range for years.

      3
      4 years ago Log in to Reply
    3. Nevin Bowman

      Yes after 25 years or so of thinking that stuff only happened to those “other people”. Get your sugars under control and keep it under control, or it will most likely happen to you too. An A1c of 7 is not under control!

      2
      4 years ago Log in to Reply
    4. Patricia Dalrymple

      LADA 21 years in and my specialist says no damage from T1D. There are SOME victories we can claim!!

      2
      4 years ago Log in to Reply
    5. Richard Vaughn

      I was diagnosed with neuropathy in 2007, 62 years after my diagnosis. I started using a pump several months after that diagnosis. My retinopathy disappeared after having so much better control with the pump. I have not had retinopathy since that time.

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

      Retinopathy was the first of a number of diabetes-related complications that I’ve developed, and that was more than 30 years ago.

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

        That was my first signs of complications in 1977. Had proliferative retinopathy with numerous laser surgery treatments. That saved my sight for many more years.

        1
        4 years ago Log in to Reply
    7. Lawrence S.

      I don’t remember exactly when, I’m guessing the early 1990’s, an optometrist told me I had retinopathy. In subsequent visits, I was told that it was gone. A few years later another ophthalmologist told me that I had tearing, or weakening on my retina. He did lazer surgery in his office. I never heard anything after that. Otherwise, my ophthalmologists tell me my eyes look good, and I am doing a great job.

      4 years ago Log in to Reply
    8. Sherolyn Newell

      So far, my eye doctor says my eyes don’t know I have diabetes.

      3
      4 years ago Log in to Reply
    9. Jane Cerullo

      Surprisingly since A1c always was under 6. I am a LADA. A few spots. Stable. I am slim and BP on the low side and now they say slight heart failure. Darn diabetes.

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

        So sorry! But don’t blame yourself. Diabetes is wierd that way- you can spend a lifetime working att it and then poof! Something else pops up. I say F***ing diabetes!

        4
        4 years ago Log in to Reply
    10. Angela Naccari

      Only in one eye after being TD1 for 59 years. Total surprise to me and endo.

      2
      4 years ago Log in to Reply
    11. Marina Kurkov

      I have had cataract surgery some years ago — not sure if that protects me from retinopathy.

      4 years ago Log in to Reply
    12. Mark Schweim

      Never diagnosed with retinopathy, but had one Ophthalmologist visit where after the Dilated Eye Exam, he said that I had no detectable retinopathy, but I did have several drops of blood floating in the fluid within my eyes, but he couldn’t see any visible source of the blood drops so he said it was most likely harmless byt he’d check again the following year.

      The following year, he again said my eyes looked good, and despite having seen blood drops floating inside my eyes at last visit, by the next visit he could see nothing in my eyes other than slight cataracts in both eyes, but neither eye had cataracts bad enough to be worth considering more than just being aware that the cataracts are there and watching for worsening.

      1
      4 years ago Log in to Reply
    13. TomH

      Not so far, but cataracts have been dx’d with treatment forecast for my future. Prescriptions have varied with blood sugar levels.

      4 years ago Log in to Reply
    14. Edward Geary

      Diagnosis of retinopathy 22 years post diabetes onset. Multiple laser surgeries and one vitrectomy. Vision is 20/40. Lenses are for reading only. Early diagnosis and timely treatment prevent vision loss. 47 years and counting.

      4 years ago Log in to Reply
    15. Carol Meares

      No, but I have a wrinkle in my right retina and a small wrinkle is forming in the left.

      4 years ago Log in to Reply
    16. Joan Fray

      Dr. Just diagnosed something similar to macular degeneration- can’t remember the exact name. I wrote it down but lost the piece of paper. Seventy two today, 60 years with T1d. Still alive and kicking up a storm! ( can see well enough to read this!) Happy F***ing Birthday to me!!!

      7
      4 years ago Log in to Reply
      1. Richard Wiener

        HAPPY BIRTHDAY 🎈

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

        Happy Birthday!

        1
        4 years ago Log in to Reply
    17. Natalie Daley

      I was diagnosed with Lattice Retinitus over 35 years ago. This is a congenital problem in about 5% of the population. However, I had a retinal tear 12 years ago that was repaired with laser surgery and cataracts that caused both lenses to need replacement ten years ago. My eyes have been ok since then. Glasses fix everything except being a LADA for 35 years.

      4 years ago Log in to Reply
    18. TEH

      No nephropathy, not yet … But I have the onset of Glaucoma. Taking eye drops for 3 mo now. Have an eye Dr visit in a couple of weeks to see if it has progressed.

      4 years ago Log in to Reply
    19. Steve Rumble

      I was diagnosed with mild retinopathy, micro aneurisms, which have remained fairly constant over the past 35 years. No visual impact and no treatment required.

      4 years ago Log in to Reply
    20. Bill Williams

      Diagnosed with T1 in 1960; diagnosed with retinopathy in 1992; lasered in 1992; retinal “peel” in 2019. Vision isn’t perfect but it’s good enough.

      4 years ago Log in to Reply
    21. Denise Carter

      Yes, and because I have retinopathy I also have DME as a side effect. I now have to have injections of Eyela in both eyes every 4 weeks to keep the edema in check.

      4 years ago Log in to Reply
    22. Henry Renn

      Dx at circa yr 35 T1 1989. One vessel lasered. No more until 2002.

      4 years ago Log in to Reply
    23. Kristine Warmecke

      The only good thing about my extreme myopia is that it protect’s me from diabetic retinopathy, which is fine with me. I’ve already had had 2 retinal detachment’s in my right eye and on the follow up for my second had I had another one just starting.
      I’m just thankful for the little vision I have left in my right eye, due to the wonderful Dr. Gilbert Grand.

      4 years ago Log in to Reply
    24. Becky Hertz

      Dx’d with retinopathy in the late 80’s. Found it early because I initially went in for macular edema Had multiple laser in both eyes.

      4 years ago Log in to Reply
    25. Janis Senungetuk

      Yes, in 1982, 27 yrs. after T1D dx. Over the next 5 years had 5 laser surgeries in my left eye=legally blind in that eye. Right eye has been stable without laser treatment.

      4 years ago Log in to Reply
    26. Bob Durstenfeld

      I was diagnosed with retinopathy 25 years ago, I Was treated with more laser bursts than I can remember and it has been stable since. I did lose significant peripheral vision.

      4 years ago Log in to Reply
    27. Randy Mees

      Type one 1961, retinopathy 1978.

      4 years ago Log in to Reply
    28. M C

      It started after 40 years of being a T1D, it started in only 1 eye – After, literally, 1000’s of laser blasts – they finally put up the white flag, and scheduled me for surgery. Since then – no issues. Knock on wood, the other eye continues to remain retinopathy free!

      1
      4 years ago Log in to Reply
    29. Maureen Helinski

      yes, diagnosed T1, 1983, Retinopathy 2012.

      4 years ago Log in to Reply
    30. Dennis Dacey

      YES, diagnosed with retinopathy in 1966 and told, as at that time there wasn’t any treatment other than removal of pituitary gland that I’d be totally blind within two years. I wanted another opinion, and found Dr. Lloyd M. Aiello who confirmed the diagnosis and told me about a theory he wanted to try that MAY provide help.
      I volunteered and had my first, of many, LASER treatments in 1967. The rest is history and still see well. I was blessed by being in the right place at that time.

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

      T1D 1953 at age 21.. Cataract surgery about age 75… started AMD age 85…. NO retinopathy so far …

      1
      4 years ago Log in to Reply
    32. LizB

      No. Type 1 for 34 years. Just had my last eye exam in October and everything looks good.

      1
      4 years ago Log in to Reply
    33. Kathleen Juzenas

      No. Over 46 yrs with T1d with no retinopathy. Facing cataract surgery soon, though.

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

      Diagnosed with mild nonproliferative diabetic retinopathy, no macular edema, last year. This regular exam at the University Hospital. Even if it progresses there are treatments. It’s nice to see how medicine has improved in the last century and hopefully continues to do so.

      1
      4 years ago Log in to Reply
    35. Jan Masty

      Almost 62 years if t1 d and no retinopathy. Did have cataract surgery at age 45 though. Best thing I ever did because till then I was severely nearsighted! I’ve had 20/30 since then!

      1
      4 years ago Log in to Reply
    36. Patricia Maddix

      Diagnosed with diabetes 1961. Diagnosed with retinopathy 1971. I was attending the University of California medical school in San Francisco as a student and was very lucky that they had all the modern laser equipment. Had my eyes treated 4 times over one year and everything stable except for some color blindness, low light blindness and some peripheral vision loss. Eyes appeared to be stable according to my twice a year visits with the ophthalmologist. Doctors could not detect any disease stage in my eyes but vision slowly seem to get worse and when in 2003 they did a visual field test I had less than 10% field of vision remaining. They really could never figure out exactly what happened other than perhaps some undetectable background retinopathy or some other type of disease. I have no other complications from my diabetes and was diagnosed noW for 60 years.

      3
      4 years ago Log in to Reply
    37. Louise Robinson

      I was dx’d as a Type 1 in 1976 while in my late 20’s. Before 1990, I was told by my ophthalmologist that I had the beginning signs of retinopathy but nothing requiring any treatment. That was my wake-up call to learn more about how to better manage my glucose levels. (My family also has a history of macular degeneration and I greatly fear losing my eyesight. I may still go blind but it won’t be because I didn’t do everything I could to prevent it.) After reading Dr Richard Bernstein’s “Diabetes Solution” I immediately undertook to become “carboydrate-aware” and reduce the amount of daily carbs in my diet. By following a lower-carb diet, I have been able to manage my diabetes and prevent my retinopathy from progressing to the point where I need any treatment…..so far. I was also able to prevent the neuropathy in my feet from getting worse and actually saw a reversal of those symptoms. I have been using an insulin pump since 2011 and a CGM since 2019. Prior to that I was on MDI. Lifestyle changes made early enough in my journey with diabetes has given me a good quality of life into my retirement.

      4 years ago Log in to Reply
    38. Cheryl Seibert

      No, Thank God! I only have one good eye (due to birth defect NOT T1D)

      4 years ago Log in to Reply
    39. Kaylea Bowers

      Yes. Diabetic since July 2000, retinopathy treatment started about 5 years ago. Years of mismanagement in my teens, but my retina doctor said even if I had been perfect, some of us are just predisposed to retinopathy. Current A1c 5.9% and ~85% TIR. Proliferative diabetic retinopathy and presented with diabetic macular edema which has since subsided. Injections in both eyes every 4 weeks for years as well as panretinal photocoagulation (laser). Eventually the bleeding into the vitreous got so bad that I had two vitrectomies within the last 6 months because I was having hemorrhages so large that I’d be partially or fully blind (usually one eye at a time) and had to go out on short term disability.

      4 years ago Log in to Reply

    If you have T1D, have you been diagnosed with retinopathy? Cancel reply

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