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    • 7 hours, 4 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      TCOYD one conference and Breakthrough T1D summits. I really enjoy in person events.
    • 7 hours, 15 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      Many because I am a retired RN, CDE
    • 9 hours, 20 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      BAAAAAAD WORDS. Definitely the next step for sure.... After that more grumbling, cursing and eventually the decision whether or not taking the long acting THIS late is smart idea. If NOT, then a slightly heavier dose the next day of the short acting insulin seems real likely
    • 9 hours, 22 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      OH boy, an impossible question to answer without a lot more specific details......ie name of insulin / miss an injection completely over 24 hrs or by shorter time frame / to list a few.
    • 14 hours ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 14 hours, 1 minute ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      Literal poverty prevents attending such conferences. I must survive, therefore to do so the job(s) require all that I have which remains. I would likely enjoy such conference(s), ALWAYS go for the "small" tables FIRST, their survival depends on it...
    • 15 hours, 26 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      Yes, TCOYD and maybe an ADA conference. The second conference I went to in order to check out tech. Both were in the 90s.
    • 15 hours, 30 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 15 hours, 40 minutes ago
      Kathy Hanavan likes your comment at
      Have you ever attended a diabetes-related conference?
      Before retiring I would go to our local teaching hospital/ADA conferences. They were held yearly and were a great way getting my CE's.
    • 1 day, 2 hours ago
      kilupx likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Other: I was not diagnosed with T1D at a young age.
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      The word "chose" is past tense. In the present tense, "no." In the past tense, the ancient of days 1996, the answer was "yes." They even hospitalized you for 2 days. I was and am very healthy and horrified the medical staff when I walked up and down 9 flights of stairs to get something. C'est la vie 🫠
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I felt my lows when I was younger. Now after 45+ years with type 1 I feel a bit of “blurry brain function” when below 50. Thankful for CGM alerts!
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I was diagnosed at age 29. Is that considered "young"?
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The "target" is set for 100 (the lowest option with Medtronic), my alarms are 70-130. With the algorithm it's interesting with a basal that rises and falls (and the "auto-bolus") according to levels and dosing, thus my alarms (down to 2% lows this way). But... There's another setting offering different target range, I have it set 70-90 for now. Only been a few weeks so interesting to see how it goes.
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      On my Omnipod, both the high and the low are set at 110, the lowest it will allow. My preferred target rang is 70 to 120.
    • 1 day, 15 hours ago
      Janis Senungetuk likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Diagnosed in 1951 when I was 6 years old. I would feel terrible when glucose went low, but did not know what was wrong.
    • 1 day, 17 hours ago
      Kristi Warmecke likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Missing answer is “I felt them early in, but not it can be hard at times to physically see a low.”
    • 1 day, 17 hours ago
      Steven Gill likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      To me... (a1C has been as low as 5.2, now near 6.0 with a lot less lows). Discuss with your doc goals, read the DCCT trials (determined "multiple injections" were more beneficial than 1 or 2 shots a day (mixed). Than up to your own confidence with insulin: -how your body reacts (after dosed I notice in 30-35 minutes) it's different for everyone -confidence with understanding the glycemic scale for food (some reach the blood stream quicker, some slower) -your health-as I grow up may not hear a low alarm as quick, nor be able to react as well -and tools... I'm confident with my CGM, alarms, understanding my insulin pump A tighter or lower target can lower a1C, wasn't worth my lows. But an a1C a little closer to non-diabetic can offer a little more prevention against the damage from diabetes. We're doing this to get as old a we can and be as healthy as we can (not necessarily a brag about numbers)---read a definition of heath is to be as far from death as possible. I think that changes...
    • 1 day, 19 hours ago
      atr likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      110, which is as low as omnipod 5 allows. If I could change it, it would be 90-100.
    • 1 day, 20 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      In 1973 when I was diagnosed the hospital policy was to force a low so you knew what they felt like. Around 2000 I became severely hypo unaware.
    • 1 day, 20 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Initially, I felt lows long before they became problematic. This diminished gradually over time. Now, after 51 years, I feel nothing until BG drops to critical levels -50. Exception is when BG drops dramatically over a very short period of time.
    • 1 day, 20 hours ago
      Edward Geary likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 2 days, 12 hours ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 2 days, 13 hours ago
      Anita Stokar likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The whole "target" question is a mess. I think most of us here (T1D people who are proactive etc) define "target" as where we want to be after a meal or correction bolus has done it's job. Pump mfr's (and many Endo's) define "target" like they define an A1C goal: averaging 110 over time. Lots of "discussions" (notice the quotes) with my Endo about my targets (I don't accept the "standard goal" of 70-180, I prefer aiming for 70-140). So so answer today's question, my alert ranges are 70 and 120 for high (I correct if I have no IOB, but may have food on board). My target bg (post bolus) is 80-90.
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    If you use an insulin pump, does your T1D healthcare provider typically examine your pump sites during your appointments?

    Home > LC Polls > If you use an insulin pump, does your T1D healthcare provider typically examine your pump sites during your appointments?
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    How many times in the past 12 months did you have your A1c measured by a healthcare provider?

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    Over the past 12 months, how many of your appointments with your diabetes health care provider were virtual visits?

    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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    26 Comments

    1. Lawrence S.

      With video appointments, that becomes more difficult. However, I don’t remember my current T1D provider ever looking at my pump sites. I don’t even remember raising my shirt. My feet get looked at about once a year.

      1
      2 years ago Log in to Reply
    2. Beckett Nelson

      I said sometimes because virtual visits they don’t, but in person they do

      2 years ago Log in to Reply
    3. Kim Davis

      50% of my apts are Telehealth ones

      2 years ago Log in to Reply
    4. Janice B

      None of my physicians have ever examined my pump sites.

      1
      2 years ago Log in to Reply
    5. Mig Vascos

      I have not seeing my endocrinologist or nurse practitioner in person since the pandemic began. Everything is telehealth.

      2 years ago Log in to Reply
    6. Katrina Mundinger

      When I first started on the pump, my endo did look at my sites. Then after a couple years he would ask about them. A couple of years after that he stopped asking. I think he trusts me to tell him if anything is unusual. 🙂

      1
      2 years ago Log in to Reply
    7. terrih57@msn.com

      I said no but he could have looked as a general check of abdomen. He did not check my cgm sites. I guess he expects endo to take care of it ….

      2 years ago Log in to Reply
    8. Eva

      I said sometimes. On my visit my endo review my numbers – at before/after meal time, during exercise, rest and sleep. If my blood sugar goes up and my data shows that I changed sites often, then she inspects my sites. Otherwise no – she doesn’t check.

      2 years ago Log in to Reply
    9. Georgina Sokol

      Examine your pump sites?? What’s that.? I’ve had a pump for twenty years and not once has an endo done that and I go every three months. I think overall most endos don’t really know much about pump use or TID. At least that’s been my 58 year experience.

      1
      2 years ago Log in to Reply
    10. Jen Farley

      My endocrinologist knows I have been on a pump for a very long time. He knows I rotate spots so I am guessing that’s why he does not check.

      2 years ago Log in to Reply
    11. cynthia jaworski

      What are they looking for? I imagine the patient would be the first to know if there were a problem. and if there is a problem, what can you do about it? Doesn’t everyone change sites all the time? Or do pump users run out of good spots? (Seriously, I don’t know. I am MDI)

      2 years ago Log in to Reply
      1. AnitaS

        Pump users can run out of good spots, just like MDI users. I am imagining people who use MDI change their locations just as often as pump users. Some people change often and some never change.

        1
        2 years ago Log in to Reply
    12. Henry Renn

      She would if I had anything to show her. I don’t have site issues.

      2 years ago Log in to Reply
    13. Tod Herman

      I selected “no” but thinking back, one of the first times I met with my (then new) Endo she checked the various areas where I have used for MDIs and pump sites, checking for scar tissue buildup. We discussed the topic of moving sites around but after that time she no longer checks them again.

      2 years ago Log in to Reply
    14. LizB

      I’ve been pumping for 18 years and the only time my site was checked was at my first or second appointment with my new endo 2 years ago. That was because I was experiencing so many “insulin flow blocked” alarms on my pump. I was manually inserting angled sets for 16 years exclusively in my abdomen. H ethought my abdomen felt okay but I did switch to a 90 degree set with an inserter so I can now use so many more areas. No “insulin flow blocked alarms” for the past 2 years, and my abdomen is getting a much needed rest.

      2 years ago Log in to Reply
    15. AnitaS

      I had a diabetes educator look at my stomach once because I told him that I had lost some fat at a few infusion sites. He was surprised as he said that most people he has seen get fat accumulation at infusion sites.

      2 years ago Log in to Reply
    16. Marty

      I remember being asked to show my site to my endo once, ~20 years ago. I’m not sure what he was looking for, but he never asked again. My endo’s NP commented that someone should look at my sites during our last telehealth visit. I’ve never actually seen her in person, but she’ll probably want to look if we ever do meet. I don’t have any issues with infections or fat build up although I might have some scarring after all these years.

      2 years ago Log in to Reply
    17. Carol Meares

      Never in all the years.

      1
      2 years ago Log in to Reply
    18. Stephen Woodward

      When I asked my endo to review data he stated he could not. Following up with the “why” I found it was a limit by the Med Group he was a part of, IT.

      As a result of asking him again I received a letter refusing to continue as a patient.

      2 years ago Log in to Reply
    19. Kristine Warmecke

      Only when I have a question about one.

      2
      2 years ago Log in to Reply
    20. KarenM6

      No and I wish they would!!! I have really bad lipoatrophy and I’ve begun to have to really be pushy about getting them to help me with this.

      1
      2 years ago Log in to Reply
    21. Joan McGinnis

      I HAD A NEW ENDO THIS PAST YEAR AND HE ASKED TO SEE MY SITES AND ONE TIME SINCE THEN

      2 years ago Log in to Reply
    22. Jneticdiabetic

      I was in between “Yes, sometimes” and “No,” so selected “Other.” Rarely would be a better fit. I’d guesstimate my endo/RN have asked to see my pump sites maybe 5 times in my 22 years of pump use. I also haven’t complained about my sites. Probably just a don’t ask, don’t bother to look situation.

      1
      2 years ago Log in to Reply
    23. ConnieT1D62

      Sometimes. However she always asks if I am having any insertion site issues. If the answer is “yes” she checks and we have a problem solving discussion.

      2 years ago Log in to Reply
    24. Mike Plante

      Pre-covid I’d have said “always” but I can’t seem to get an in-person appointment since 2019

      2 years ago Log in to Reply
    25. James Cheairs

      They don’t check because I stay on top of it and have a system of about 26 sites that I rotate through.

      2 years ago Log in to Reply

    If you use an insulin pump, does your T1D healthcare provider typically examine your pump sites during your appointments? Cancel reply

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