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    • 15 hours, 5 minutes ago
      Jeanne McMillan-Olson likes your comment at
      If you have been hospitalized for a reason unrelated to T1D and you were alert during your hospital stay, were you allowed to manage your own insulin dosage? (If you have been hospitalized for reasons unrelated to T1D multiple times, please select the option that describes your most recent hospital stay.)
      The hospital made me disengage my pump and promised to monitor my BG. After 10 hours with an incorrect basal my BG was high and going up. No nurse or doctor was available to administer insulin. I finally reinstalled my pump and forced the hospital to acknowledge that they could not monitor my BG. After appealing to the hospital Board, after my stay, they started using CGM's in all the wards for diabetic patients.
    • 15 hours, 6 minutes ago
      Jeanne McMillan-Olson likes your comment at
      If you have been hospitalized for a reason unrelated to T1D and you were alert during your hospital stay, were you allowed to manage your own insulin dosage? (If you have been hospitalized for reasons unrelated to T1D multiple times, please select the option that describes your most recent hospital stay.)
      During my hospitalizations for cardiac issues, my endocrinologist (who does not do hospitals) told the attending endo that I was capable of managing the diabetes. I was allowed to mange pump and CGM without any problems. For one stay, I had a pump-using T1D nurse. This was the premier cardiac hospital in the western part of my state, so their handing of diabetes may be more advanced. There are two rules for handing the type 1 diabetic in a hospital setting. 1) Never separate the Type 1 diabetic from his or her insulin. 2) Let the expert in the room handle the diabetes. And bring your own supplies, because the hospital will not have pump supplies, CGM replacements, or your insulin.
    • 15 hours, 57 minutes ago
      Jan Masty likes your comment at
      Have you (or your loved one with T1D) been diagnosed with retinopathy?
      No retinopathy... But AMD both eyes last 2 years...No treatment available... Unable to wright... bareley able to read only large type... use the talking guy hideing in my computer to read for me... Almost 91 years OLD.... 70 years T1D...
    • 16 hours, 25 minutes ago
      mojoseje likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I didn't have a stopwatch out, but it was about 12 to 15 minutes. There was a lot to go over (new devices, etc.). I probably got everything I needed, but, for some reason, I always feel rushed at this office.
    • 16 hours, 37 minutes ago
      KarenM6 likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was so long ago, I don't remember...
    • 17 hours, 30 minutes ago
      Janis Senungetuk likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was over 20 minutes but since my Endo has me so well Regulated (A1c 5.4 - 5.6) even Medicare is allowing a Visit every 4 Months. Dex 6 and Tandem CIQ is my Cure!
    • 17 hours, 37 minutes ago
      Judy Hampton likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      My A1C is normally in the 5 to 6 range also, but I am lucky to have an Endo who answers any questions I may have and discourse on new technologies. He also checks my feet and eyes. He spends up to 40 minutes with me. I have been T1D for 59 years and have been through a pregnancy (hellish) also. I still have many questions about this disease and it’s effects on the rest of my body as I am very active.
    • 17 hours, 58 minutes ago
      Patricia Dalrymple likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I believe if you have good control and your A1C's prove it, maybe 10 to 20 minutes is enough. My A1C's are in the high 5's / low 6's so my session is usually complete within minutes tops, but there are probably other patients that should require a little more time from their endo to get them on a 'well managed' A1C path.
    • 18 hours, 1 minute ago
      cynthia jaworski likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I believe if you have good control and your A1C's prove it, maybe 10 to 20 minutes is enough. My A1C's are in the high 5's / low 6's so my session is usually complete within minutes tops, but there are probably other patients that should require a little more time from their endo to get them on a 'well managed' A1C path.
    • 18 hours, 8 minutes ago
      Anneyun likes your comment at
      If you are an adult with T1D, how much has type 1 diabetes affected your thought-process and decision to have/not have children?
      I was diagnosed at age 12 and I don’t remember anyone talking to me about having or not having children. I married at 23, had an unplanned pregnancy that began when I was 24. I was not seeing an endocrinologist at the time (in 1979), but my OB doctor sent me to one. Both of the doctors made comments to me about maybe ending the pregnancy, but my answer was a definite NO!!! It was a hard pregnancy without the better insulin and technology that is available today. I went into labor approximately 6 weeks before my estimated due date. Since a Caesarian had been planned, no one had explained anything to me about going through labor, so that took longer and was harder on me than it should have been. Anyway I delivered a 7 pound, 11 ounce boy. He had jaundice and a slight heart murmur at first , but that cleared up after a short stay in the hospital. My son is 42 now and bloodwork has indicated he will not become a T1D. Same with his 2 children. That was my only pregnancy. I am now 67.
    • 19 hours, 32 minutes ago
      Joan Fray likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was so long ago, I don't remember...
    • 1 day, 10 hours ago
      TS likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      InsulinPumpers.com does a great job of distributing supplies to those in need.
    • 1 day, 15 hours ago
      jo likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 15 hours ago
      jo likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      InsulinPumpers.com does a great job of distributing supplies to those in need.
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I tried to donate them to my healthcare system but was told they were not allowed to take them. I tried a couple of other places- same story so I now will have to put them in the garbage
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I'm still looking for someone to give them to.
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I would love to learn of places to give/donate supplies!
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      My other was gave them to the Endocrinologist office to give to people who needed them
    • 1 day, 16 hours ago
      Trina Blake likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 17 hours ago
      Amanda Barras likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 17 hours ago
      Richard Wiener likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I would love to learn of places to give/donate supplies!
    • 1 day, 18 hours ago
      Janis Senungetuk likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I gave insulin to a friend for her cat who used the same as I did.( she also checked with her vet).
    • 1 day, 18 hours ago
      pru barry likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I gave insulin to a friend for her cat who used the same as I did.( she also checked with her vet).
    • 1 day, 18 hours ago
      pru barry likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have given most to my doctor to give to someone in need. Some I gave to my chiropractor for his son.
    • 1 day, 18 hours ago
      Sue Martin likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      My unused diabetes supplies like meters, that I was given but don’t use, just sit in a drawer. I wish there was someplace to send them. Any ideas, folks?
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    If you use an automated insulin delivery system (e.g., Tandem with Control-IQ, Omnipod 5, Medtronic pumps with Auto Mode, etc.), how did your A1c change in the first 3 months of use?

    Home > LC Polls > If you use an automated insulin delivery system (e.g., Tandem with Control-IQ, Omnipod 5, Medtronic pumps with Auto Mode, etc.), how did your A1c change in the first 3 months of use?
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    Which of these symptoms of hypoglycemia do you frequently experience during a low? Please select all that apply.

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    How useful is the time in range measurement to you as a tool for assessing your T1D management and making changes to your routine?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    22 Comments

    1. Ahh Life

      A1c changed not a whit. But the white-knuckle rides seem to have lessened.

      5
      6 days ago Log in to Reply
    2. George Lovelace

      Control IQ Sleep Mode 24/7, A1c down from 6.5 to 5.4, Hypos almost non-existent

      2
      6 days ago Log in to Reply
    3. Ken Raiche

      My main reason for going automated insulin delivery route was twofold. Preventing my lows and flexibility of basal rates. That said haven’t had any severe reactions in over 7 years……

      1
      6 days ago Log in to Reply
    4. TEH

      I checked IDK. I only started the first week in Feb. First 3 weeks were rocky, bit the last few weeks have been better.

      6 days ago Log in to Reply
      1. TEH

        Started T:slim and dexcom 6

        6 days ago Log in to Reply
    5. Eve Rabbiner

      Not using automated system now. Used Medtronic’s a while ago and had much higher a1c’s than before or after.

      6 days ago Log in to Reply
    6. MARIE

      Checked “N/A Do not use…” Having been warned by endo that A1C would rise – and that if you try it, you can’t change your mind and go back – stuck with Basel IQ to control lows and did not ‘upgrade’ to Control IQ.

      6 days ago Log in to Reply
    7. Debra Nance

      I have not had a recent a1c tan. Will be next month to see the difference, if any.

      6 days ago Log in to Reply
    8. Lynn Smith

      I answered wrong. I selected didn’t change, but I should have selected NA. I am on the Omnipod 5, but I’m using the manual mode. Too many problems with the automated mode.

      6 days ago Log in to Reply
    9. Becky Hertz

      I currently do not use an aid system, but wouldn’t a better question be about TIR with them? Granted, people can dictate their high and low limits but isn’t T1D Management moving away from A1c and toward TIR?

      1
      6 days ago Log in to Reply
    10. Janis Senungetuk

      My A1c increased, but I it wasn’t a significant increase and I don’t think using the Control-IQ app was the only reason. Over the past five years, on MDI and two years of Animas pump use, my endo consistently stressed that my A1c at 6 or slightly under was too low and my glucose management was too stringent. She set my A1c target at 7 and when I started using the Tandem pump, changed my basal rates. I’m no longer comfortable doing the math and just let Control IQ do it’s thing. My TIR is 90%.

      1
      6 days ago Log in to Reply
      1. William Bennett

        > my endo consistently stressed that my A1c at 6 or slightly under was too low and my glucose management was too stringent. She set my A1c target at 7

        Yeah, that’s old-school. I used to get yelled at for it too, but it’s based on pre-CGM concerns. A1C is an ***average*** and they used to figure an A1C in the 6.0 range meant lots of hypos. It was just a surmise because you had no data for what was going on between finger-sticks, particularly overnight, so that was just the protocol. “Time in Range” is only a thing at all because of CGMs, and it’s not only more useful information but also the allows A1C to be ground-tested against realtime, 24/7 data. So your endo should be able to look at your CGM history, see you’re not crashing low all the time, you’re fine at 5.8 or whatever, so keep up the good work. If you don’t actually have a CGM (not everybody does) that’s one thing, but if you do, saying “we don’t like to see you below 7.0” is really just a hangover from the pre-CGM days.

        1
        5 days ago Log in to Reply
    11. PamK

      I answered that I do not use automated delivery, which is true now. Here is why: when I tried Control IQ, my A1C increased a lot – – “more than 2%.” I stopped using it because it is also set to keep my blood sugar higher than I want it. Hence, the higher A1C.

      1
      5 days ago Log in to Reply
    12. Karen Newe

      Just to be clear, percent and “percentage point” are different measures. When you say 1% you mean 1 percentage point (1% point). I am sure the answers were read as percentage-point.

      5 days ago Log in to Reply
    13. Dave Akers

      Ive actually done better w/o one of these systems. We need to come to accept the Achilles heal in theses systems is the liquid hexameric Insulin you have preplan before all meals.
      Inhaled insulin (monomeric) and new gen basals are amazing!!! Anyone in this group can do it.
      I did well on. My pump and Loved it! Buts that’s only because there were no better options 10yrs ago.
      New insulins Are SOOO awesome! I DO NOT miss wearing a pump!

      5 days ago Log in to Reply
    14. Sue Herflicker

      I wasn’t on shots too long before I started on my pump. So I had nothing to compare it to.

      5 days ago Log in to Reply
    15. Rex Franklin

      My A1c went from 7.3 t o 5.8

      2
      5 days ago Log in to Reply
    16. Mark Schweim

      I don’t remember that my A1c changed at all, but I was maintaining my A1c in the 6.5 to 5.2% range for the previous decade. I think maintaining my A1c range became slightly easier after switching to Tandem CIQ, but my actual A1c readings didn’t change at all.

      5 days ago Log in to Reply
    17. Lawrence S.

      My A1C’s went up slightly for about the first six months, then, went back down. For years, I had run A1C’s between 5.5 and 5.9. When I started Control IQ, my A1C’s were 6.1, then 6.0. Finally, after a few more months, I got below 6.0 and have stayed 5.8-5.9. The best result has been far less nighttime lows.

      1
      5 days ago Log in to Reply
    18. Steven Gill

      Clicked didn’t change but due to stress of work (beating up fire damaged or flooded houses) would drop seriously low and the CGM charted it. Rather than instructing how to correctly use the “active mode,” (go to that setting 25 minutes early so the effect of the lower basal is already acting rather than reacting) the doc just changed settings (sensitivity). My a1C went up consistently because things I had to do to recover.

      The last year “planned” and went into the active mode earlier, my a1C dropped from the doc’s comfortable a1C of 7.2-7.3 to 6.0. Too bad too many docs want to make medical corrections rather than educational.

      Sooo… without the physician’s help dropped from the original 6.7 to 6.0 (and the last pumping was 5.9, on pens looking lower by other sensible steps not taught).

      5 days ago Log in to Reply
    19. Jneticdiabetic

      After starting Tandem Control -IQ my A1c went down a smidge (0.3-0.5%). Biggest benefit was less time on the hypo range and the blessed sleep mode keeping me in range overnight.

      4 days ago Log in to Reply
    20. T1D4LongTime

      A1C increased from Medtronic to Tandem because of ControliQ. I didn’t have as many lows, so the A1C (which isn’t an accurate measure of control anyway) rose from 6.3 to 6.5. On Medtronic, I was going low, correction eating. I went on a pump so long ago (23 yrs ago), so I don’t recall if going on a pump made a big difference in the A1C. My BGs vary a lot since I’m a brittle diabetic so my A1C lookedc great, but control was not great.

      14 hours ago Log in to Reply

    If you use an automated insulin delivery system (e.g., Tandem with Control-IQ, Omnipod 5, Medtronic pumps with Auto Mode, etc.), how did your A1c change in the first 3 months of use? Cancel reply

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