Subscribe Now

[hb-subscribe]

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 2 hours, 47 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. 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.
    • 2 hours, 47 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.
    • 4 hours, 36 minutes 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.
    • 4 hours, 42 minutes ago
      atr likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. 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.
    • 5 hours, 18 minutes 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.
    • 23 hours, 12 minutes 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, 2 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 3 hours 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.
    • 2 days, 5 hours 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.
    • 2 days, 5 hours 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.
    • 2 days, 5 hours 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.
    • 2 days, 5 hours 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!
    • 2 days, 19 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.
    • 3 days, 14 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.
    • 4 days, 3 hours 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.
    • 4 days, 4 hours 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.
    • 4 days, 5 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 4 days, 5 hours 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.
    • 4 days, 5 hours ago
      Gary Taylor 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.
    • 4 days, 16 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
    • 5 days, 1 hour ago
      ChrisW likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 5 days, 2 hours ago
      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      TCOYD Diabetes Nerd Your Best T1D Year Think Like a Pancreas
    • 5 days, 2 hours ago
      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      Take Control of Your Diabetes
    • 5 days, 3 hours ago
      Marty likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      Take Control of Your Diabetes
    • 5 days, 20 hours ago
      Kathy Hanavan likes your comment at
      Which T1D influencers do you enjoy following?
      And TCOYD
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • About
      • Insights
      • T1D Screening
        • T1D Screening How-To
        • T1D Screening Results
        • T1D Screening Resources
      • Donate
      • Join the Community
    • Quality Improvement
      • About
      • Collaborative
        • Leadership
        • Committees
      • Centers
      • Meet the Experts
      • Learning Sessions
      • Resources
        • Change Packages
        • Sick Day Guide
        • FOH Screener
        • T1D Care Plans
      • Portal
      • Health Equity
        • Heal Advisors
    • Registry
      • About
      • Recruit for the Registry
    • Research
      • About
      • Publications
      • COVID-19 Research
      • Our Initiatives
    • Partnerships
      • About
      • Industry Partnerships
      • Academic Partnerships
      • Previous Work
    • About
      • Team
      • Board of Directors
      • Culture & Careers
      • Annual Report
    • Join / Login
    • Search
    • Donate

    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?
    Previous

    Which of these symptoms of hypoglycemia do you frequently experience during a low? Please select all that apply.

    Next

    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 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.

    Related Stories

    " 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.   "

    5 hours ago  
    Meet the Expert

    Meet the Expert: Improving Diabetes Care Through Precision Medicine 

    Jewels Doskicz, 6 days ago 8 min read  
    Meet the Expert

    Meet the Expert: Bridging Research, Technology, and Real-World Care 

    Jewels Doskicz, 1 week ago 9 min read  
    Insulin & Meds

    Ask the Expert: Diana Isaacs on Benefits, Risks, and Real-World Use of GLP-1s in T1D 

    Jewels Doskicz, 2 weeks ago 6 min read  
    Meet the Expert

    Meet the Expert: Advancing Equity, Improving Outcomes, and Reducing the Burden of T1D 

    Jewels Doskicz, 4 weeks ago 8 min read  
    Our team

    Spotlight on T1DX-QI: Clinical Leadership Committee 

    Jewels Doskicz, 1 month ago 6 min read  

    22 Comments

    1. Ahh Life

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

      5
      3 years 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
      3 years 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
      3 years 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.

      3 years ago Log in to Reply
      1. TEH

        Started T:slim and dexcom 6

        3 years 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.

      3 years 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.

      3 years 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.

      3 years 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.

      3 years 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
      3 years 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
      3 years 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
        3 years 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
      3 years 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.

      3 years 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!

      3 years 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.

      3 years ago Log in to Reply
    15. Rex Franklin

      My A1c went from 7.3 t o 5.8

      2
      3 years 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.

      3 years 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
      3 years 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).

      3 years 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.

      3 years 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.

      3 years 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

    You must be logged in to post a comment.




    101 Federal Street, Suite 440
    Boston, MA 02110
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin
    • instagram

    © 2024 T1D Exchange.
    All Rights Reserved.

    © 2023 T1D Exchange. All Rights Reserved.
    • Login
    • Register

    Forgot Password

    Registration confirmation will be emailed to you.

    Skip Next Finish

    Account successfully created.

    Please check your inbox and verify your email in the next 24 hours.

    Your Account Type

    Please select all that apply.

    I have type 1 diabetes

    I'm a parent/guardian of a person with type 1 diabetes

    I'm interested in the diabetes community or industry

    Select Topics

    We will customize your stories feed based on what you select here.

    [userselectcat]

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    [searchandfilter slug="sort-filter-post"]