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    • 1 hour ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 1 hour, 1 minute ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 1 hour, 8 minutes ago
      KSannie likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 1 hour, 10 minutes ago
      Patricia Dalrymple likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 1 hour, 24 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I increase my basal and insulin ratios if I eat until I show no longer test positive. I do only test if I have been high for a longer than usual time.
    • 1 hour, 24 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 1 hour, 46 minutes ago
      Judith Halterman likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 1 hour, 49 minutes ago
      Derek West likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 16 hours, 58 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 23 hours, 31 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 1 day, 1 hour ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 2 hours ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 19 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 2 days, 22 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 3 days, 1 hour ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 3 days, 1 hour ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 3 days, 1 hour ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 3 days, 1 hour ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 3 days, 16 hours ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 4 days, 11 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 1 hour ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 5 days, 1 hour ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
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    If you live in the United States, how would you best describe your primary insurance plan type and its annual medical deductible?

    Home > LC Polls > If you live in the United States, how would you best describe your primary insurance plan type and its annual medical deductible?
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    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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    38 Comments

    1. Missy Kirchem

      Medicare and medicare supplement deductible is $228?

      1
      3 years ago Log in to Reply
    2. TomH

      Medicare primary, Tricare for Life secondary (military retiree, TFL covers almost all drug needs

      3 years ago Log in to Reply
    3. CindyGoddard

      Medicare and Medicare supplement $228 a year

      3 years ago Log in to Reply
    4. Janice Bohn

      For the last 3 years I am in a very good place with insurance.
      Previous to this my the company I worked for changed insurance every year and deductibles changed over the years from 3,000 – 7,000 for me as an individual. No copay’s until deductible was reached.
      My husband had separate insurance with his own deductible.

      3 years ago Log in to Reply
    5. Lindsey Whitnell

      $4,000 deductible with an $8,000 out of pocket maximum

      3 years ago Log in to Reply
      1. KarenM6

        I think we need a new category for SUPER high deductible!!

        1
        3 years ago Log in to Reply
    6. Patricia Kilwein

      I marked other because I am now on medicare.

      3 years ago Log in to Reply
    7. Brent Perris

      Thankfully I live in a state that has public health insurance if you are financially eligible. Masshealth takes care of everything so I don’t even have to think about the cost

      3 years ago Log in to Reply
    8. Marty

      I have Medicare Parts A (hospital), B (doctor visits, equipment like my pump, insulin and supplies), and Part D (other drugs) with a supplement that covers Parts A and B deductibles and copays. My deductible for drugs is $505.

      1
      3 years ago Log in to Reply
    9. Troy Bruce

      This is a large manufacturing company that uses BCBS of Michigan. Horrible coverage. My self and 2 sons. High deductible 8k $360 premiums…. 🙏 GoodRX

      3 years ago Log in to Reply
    10. T1diabetic

      Medicare

      3 years ago Log in to Reply
    11. Eve Rabbiner

      Medicare advantage plan.

      3 years ago Log in to Reply
    12. Shelly Smith

      I have no yearly deductible because I’m insured under the disability program.

      3 years ago Log in to Reply
    13. Bruce Schnitzler

      Medicare plus a supplemental health policy, medium deductible.

      3 years ago Log in to Reply
    14. Jane Cerullo

      Medicare advantage. Pay the part B premium but no other deductible. Do have small co-pay for specialists and some tests. On MDI. Pay $35/mo per type of insulin.

      3 years ago Log in to Reply
    15. Ja'fr Yirka

      We’re on Medicare, with an Advantage plan

      3 years ago Log in to Reply
    16. PamK

      We chose the high deductible plan because I take a biologic. The cost of it covers most, if not all, of my deductible on the first fill. Since this plan comes with an HSA, we contribute to it with each paycheck and are building the account for retirement.

      3 years ago Log in to Reply
    17. Sherrie Johnson

      Medicare primary. Anthem plan F covers everything Medicare doesn’t no co pays or deductible. Greatest for diabetic on pump it all goes on plan B. I don’t pay for any diabetic supplies but the premium is high.

      3 years ago Log in to Reply
    18. Becky Hertz

      Medicare Advantage plan, no deductible.

      3 years ago Log in to Reply
    19. BARRY HUNSINGER

      medicare, $200 deductible.

      3 years ago Log in to Reply
    20. Gerald Oefelein

      Traditional Medicare. Medicare part B pays all of my pump and cgm supplies (as well as APAP supplies) after my modest deductible is met. Usually first doctor’s visit take care of that!

      3 years ago Log in to Reply
    21. ConnieT1D62

      Other. Medicare Advantage plan. Great coverage, no deductible. However, dealing with the donut hole is confusing and a royal pain in the ___ but other than that I have no complaints.

      3 years ago Log in to Reply
    22. Mary Thomson

      I am on Medicare and B/C. What Medicare does not pay my Anthem Blue Cross pays even my Medicare deductible.

      3 years ago Log in to Reply
      1. LZ

        Same for me

        3 years ago Log in to Reply
    23. Chrisanda

      Medicare and TriCare for Life (military benefit).

      1
      3 years ago Log in to Reply
    24. LuckyPineapple

      Sheesh, the “high deductible” option is about a quarter of my family plan. We have Obamacare and have a $10,000 deductible for my husband and me.

      3 years ago Log in to Reply
    25. KarenM6

      Family insurance with a super high deductible:
      $6000 individual deductible with $12000 out of pocket max… then, once I meet the deductible (which I did very quickly this year and put my family in debt (went over the CC limit significantly)), my insurance covers 70% of their approved charges. This was the best plan we could get while also having decent doctors.

      3 years ago Log in to Reply
    26. Molly Jones

      I have medicare part A and am covered by my husband’s plan with a family deductible of $3,000. All of my diabetic costs are covered 100% year long.

      3 years ago Log in to Reply
    27. Bob Jackson

      I have VA benefits and no deduction.

      3 years ago Log in to Reply
    28. rhea joyce rubin

      Medicare

      3 years ago Log in to Reply
    29. Jen Farley

      The insurance is through my husband’s employer and my deductible just per doctor visit is $70.00+ depending on if bloodwork was done. So, I am pretty sure it is a family plan and best described as whatever is cheapest for the employer.

      3 years ago Log in to Reply
    30. Steven Gill

      Before I retired my copay/deductible I believe was $2500, never reached it.

      3 years ago Log in to Reply
    31. Wanacure

      According to the most recent Explanation of Benefits that I can find (Feb 2023) for Medicare prescription drug (Part D) I am in Stage 2 of 4 Stages. Stage 2 began when I filled my first prescription of the year. I will stay in this stage till the amount of my year to date “total drug costs” is $4660. After that I move to stage three. I will stay in stage three until my year to date “out of pocket” prescription costs reach $7400. When that happens I move to stage four where the plan will pay most of my cost for covered drugs. But I mistakenly checked No deductible, which is Stage 1 which “does not apply” to me. So do I have a variable deductible plan? Please include that option next time you ask.

      3 years ago Log in to Reply
    32. Wanacure

      This is my Kaiser Permanente Medicare Advantage Plan. I may apply for Original Medicare for freedom of doctor selection. I am now restricted to only KP doctors, usually overworked. In person I am usually seen by a physician assistant and the assistant to the assistant. Overall care is adequate to good, but not excellent. I want better care.

      3 years ago Log in to Reply
    33. qachemist

      I have Medicare and a supplemental plan.

      3 years ago Log in to Reply
    34. Michael Andrews

      Family deductible is $3,000, and we’ll hit it this month (April).

      3 years ago Log in to Reply
    35. Britni

      Other: Individual insurance, no deductible (my employer doesn’t pay well but offers incredible benefits)

      3 years ago Log in to Reply
    36. Steve Rumble

      Medicare is my primary and my private insurance has co-pays, but no deductible.

      3 years ago Log in to Reply

    If you live in the United States, how would you best describe your primary insurance plan type and its annual medical deductible? Cancel reply

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