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    • 4 hours, 39 minutes ago
      D-connect 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.
    • 4 hours, 39 minutes ago
      D-connect 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, 41 minutes ago
      D-connect 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." ╰── ──╮
    • 5 hours, 29 minutes ago
      Ahh Life 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.
    • 5 hours, 29 minutes ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 9 hours, 9 minutes ago
      Kathy Hanavan 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.
    • 9 hours, 10 minutes ago
      atr 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." ╰── ──╮
    • 9 hours, 22 minutes ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
    • 9 hours, 22 minutes ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
    • 9 hours, 22 minutes ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
    • 9 hours, 38 minutes ago
      TEH 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." ╰── ──╮
    • 9 hours, 44 minutes ago
      Lawrence S. likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 9 hours, 56 minutes ago
      Lawrence S. 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." ╰── ──╮
    • 1 day, 5 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 1 day, 5 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 5 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’m uncomfortable not knowing when and when it isn’t being used, but I’m not sure why really. A “singer” named Benny Rivers popped up in one of my feeds. I really liked the music, until I found out it was a total AI fabrication. Then I was uncomfortable. Why? I felt “taken”, like someone pulled a fast one on me, pulled the wool over my eyes. I liked the music less then. I didn’t like that I couldn’t find a tour date, things like that. But I was most uncomfortable not truly understanding why it made me uncomfortable. The music was still enjoyable.
    • 1 day, 7 hours ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 1 day, 7 hours ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 1 day, 7 hours ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 7 hours ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 1 day, 8 hours ago
      Kathy Hanavan likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 1 day, 8 hours ago
      Kathy Hanavan likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 8 hours ago
      Kathy Hanavan likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 1 day, 8 hours ago
      John Barbuto likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 8 hours ago
      John Barbuto likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
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    If you use a CGM, at what glucose level is your “high” alert set? If you use multiple alert schedules, select the number that is your “high” alert at midnight in your local time zone.

    Home > LC Polls > If you use a CGM, at what glucose level is your “high” alert set? If you use multiple alert schedules, select the number that is your “high” alert at midnight in your local time zone.
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    While CGM sensors are approved to wear for 7 to 14 days, how many days do you find your CGM sensor gives you the most accurate readings?

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    If you use a CGM, at what glucose level is your “low” alert set? If you use multiple alert schedules, select the number that is your “low” alert at 12 p.m. in your local time zone.

    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    23 Comments

    1. sdimond

      My high alarm is set at 120. any time spent above that level is damaging!

      2
      2 years ago Log in to Reply
    2. Michael Ratrie

      Mine is set for 140-180. I saw some posts from dedoc in 2022 that suggested a better range to more closely mimic the sugar-normals out there is 70-140. I’m trying to stay in that range for at least 70% of the day.

      2 years ago Log in to Reply
    3. Patricia Dalrymple

      I start my CGM next month. This is helpful because my salesperson masquerading as an educator has my test CGM set at 250. I will need to change that for real next month. I have to research how high a non-diabetic’s goes after they eat. I chose a Dexcom G7 and will be getting a TSlim pump next month as well after using Medtronic for 14 years. I read that most Medtronic users are older users and that new pumpers are choosing other pumps. Thank you to everyone on this list for invaluable information. We can read and make our own best decisions. Stay strong!

      4
      2 years ago Log in to Reply
    4. David & Kaleo of Team Nani

      I marked the 180, not b/c that’s where I want to correct, but b/c my wife is a light sleeper and I can’t handle the warning noise or vibrations if I hit 140 at some point between 11:30pm and 6:30am. While awake, I use carbs, exercise and insulin via my pump and occasional syringe doses to try to stay in 100-130 range.

      1
      2 years ago Log in to Reply
    5. Justin

      160. I used to have it set at 180, but found that once I hit 180 I usually will just continue to rise. At 160 I can get in front of a hyper. Of course timing is everything, if it is 160 right after a meal dose then I wait to correct, usually two hours as to not stack doses. MDI.

      2 years ago Log in to Reply
    6. JuJuB

      Glad to see there’s a measurable number of us who set our high alert below 140. Mine is set at 120, which is as low as the FDA allows. Too bad the FDA doesn’t want us to achieve tighter control than that.

      2 years ago Log in to Reply
    7. Gary Rind

      I set it at 140 – 150 during the day. Used to have it at 200 but the TCOYD endos suggested 150 so you can “head trouble off at the pass” with the lower number for the high alarm.

      3
      2 years ago Log in to Reply
    8. Mike S

      It switches from 160 during the day to 210 after midnight. I got so tired (literally) of being woken up by an alarm at 4 in the morning due to dawn phenom. Omni 5 seems to have corrected that issue, but a solid night’s sleep is just as important to my health as lowering blood sugar.

      1
      2 years ago Log in to Reply
    9. cynthia jaworski

      I usually keep my high alert turned off. (With libre you are allowed to do that.) However, when I want to track things closely after a meal, it is set for 130, in order to stay ahead of a rise.

      2 years ago Log in to Reply
    10. george lovelace

      Set to 180 but have Alarm Off as I’m on Tandem X2 and run 24/7 Sleep Mode even though I get 8hrs a Night, the vibration is usually enough to make me aware. A1c consistent Low 6’s and Zero Hypos- No Rebounds

      2 years ago Log in to Reply
    11. Janis Senungetuk

      My high alarm is set at 250. My endo set it there after I mentioned how many times I was awakened by high alerts between 2 and 4 AM. Her comment, at the time was that after 66 years living with T1, I wasn’t going to benefit by loosing sleep because of high glucose levels from dinner.

      3
      2 years ago Log in to Reply
    12. Lozzy E

      I have my low alert set at 6.7 – as low as it can go. When it goes above that, I take 2 units, so long as I don’t have any insulin on board about to take effect. Works very well for me.

      My alarm is silent overnight though, sleep is more important

      2 years ago Log in to Reply
    13. Eva

      During the night 180, but I just started wearing a Freestyle libre yesterday
      and it is not as good as DEXCOM. The readings are much, much
      lower than my reality. And, I’m thinking that is why they got a MARD of 7.9% –
      it just reads lower.
      Given this, I’m gonna have to lower my nightime alert.

      2 years ago Log in to Reply
    14. Steven Gill

      If you set a higher goal you’ll definitely reach it. My high alarm is 130, my last a1C was 5.7 (my average glucose is now 115: possibly 5.6?). I get waken a few times a week but with a pump will correct and roll over (been on insulin 23 years, kind of know how it works).

      I’ve asked but no response: is this new “time-in-range” (70-180) set by manufacturing companies or by the medical communities? is this attempting to replace the a1C as a standard for diabetic care after all the studies and trials?

      2 years ago Log in to Reply
      1. Trina Blake

        Supposedly by the AACE or some other org. To me a target range of 60-180 (!) is settling.

        2 years ago Log in to Reply
    15. sdimond

      Time in range is just the new way to present terrible glucose control as something good. Most doctors have no idea how to teach you to maintain actually normal blood glucose: that is around 83 with few excursions above 125. Read Richard K. Bernstein’s “The Diabetes Solution.”

      1
      2 years ago Log in to Reply
    16. Nevin Bowman

      120 daytime and 14 nighttime. And I get mad when it goes over that either time.

      2 years ago Log in to Reply
      1. Nevin Bowman

        140 nighttime, NOT 14!

        2 years ago Log in to Reply
    17. T1D4LongTime

      I use a Tandem TSlim X2 insulin pump with my Dexcom CGM. I run Sleep Mode 24/7 which means the pump does not do auto-correction boluses when I’ve hit a high (typically over 180). I have my High Alert set at 150 so I can manually correct a rising BG.

      1
      2 years ago Log in to Reply
      1. Anita Stokar

        I use sleep mode 24/7 also

        2 years ago Log in to Reply
    18. Becky Hertz

      Truck answer. My phone is set for 150, my pump is set at 180. This helps avoid alarm fatigue and also gives me more data.

      1
      2 years ago Log in to Reply
    19. Darla Yoder

      200 High
      55 Low

      2 years ago Log in to Reply
    20. Anita Stokar

      I set my high at 135. If I hit that high, I can then decide if I want to bolus or not. If I’m ready to start exercising for example, I won’t correct with a bolus as the exercise will be the correction.

      2 years ago Log in to Reply

    If you use a CGM, at what glucose level is your “high” alert set? If you use multiple alert schedules, select the number that is your “high” alert at midnight in your local time zone. Cancel reply

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