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    • 11 hours, 29 minutes ago
      TEH likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      People keep sending me articles with headlines that suggest stem cell transplants “cure” diabetes. However, as mentioned above, a lifetime on immunosuppressive drugs carries its own risks that are probably worse than the risks of well-controlled diabetes. They’ll figure out a way to hide these engineered beta cells from our immune systems someday. I might be willing to call it a “cure” when that happens, although I’ll probably to too old to benefit by then.
    • 11 hours, 30 minutes ago
      TEH likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      I am aware that cell therapies are being researched. This may be a panacea in the future. But, for me, red flags are waving. There are many possible dangers with these experiments. I only have this one life. There are no do-overs if something goes wrong, or if there are side effects. So, I tread carefully. Even with all the health issue that I have, I enjoy the one life that I have.
    • 13 hours, 12 minutes ago
      Janis Senungetuk likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 14 hours, 20 minutes ago
      Amanda Barras likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 14 hours, 30 minutes ago
      René Wagner likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      I decided not to have kids when I was young enough to do so. I was too worried I may pass it to them, or their children.
    • 15 hours, 17 minutes ago
      Marty likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 17 hours, 14 minutes ago
      Lawrence S. likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 17 hours, 15 minutes ago
      Lawrence S. likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      I follow diabetic research rather meticulously. Most advancements are top-notch. But please take note of the risks and warnings. My spouse, on an entirely different issue (lower lumbar pain) injected umbilical stem cells one ago and has had intense headaches ever since.
    • 17 hours, 54 minutes ago
      KCR likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 18 hours, 29 minutes ago
      mojoseje likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 18 hours, 43 minutes ago
      Gary R. likes your comment at
      Are you familiar with cell therapies that are being developed to treat T1D?
      Taking immunosuppressive drugs creates a whole other risk factor.
    • 1 day, 12 hours ago
      Amanda Barras likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      I had two healthy pregnancies. The only issues were low blood sugars and my babies being born early other than that they are 38 and 35 years old, healthy children.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I use them all. I use an app when I’m eating out. I use labels when at home. If not on the app I estimate.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I generally do a very rough guess of carbs and correct if needed by adding more insulin for an also rough guess for effect of fat and protein later. My alert is set at 130 to remind me so I don’t get too high. I watch arrows a lot. I have had individual sensors lately that are not accurate. This can throw me off, where the sensor reading will be going up fast at say 180 and I will test my blood and it is 130. Sometimes I will have already corrected for the 180. This can cause a very rough day having to feed the insulin. I am hoping sensors will continue to get more accurate. So much depends on it especially with the algorithm. I usually don’t wait for my algorithm to correct because it will let my bg get too high. I know I’m supposed to let the algorithm do its thing but my goals are more strict. I am on G7 and Omnipod 5. I would like to be able to set my target at 100.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I should have clicked the fourth option. I use the labels if available. If not, I estimate.
    • 1 day, 17 hours ago
      atr likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      We knew the risk was 50%. My wife miscarried 4x. We ended up with three great sons, only 1 has T1D. His eldest daughter (of 2) also has T1D.
    • 1 day, 17 hours ago
      atr likes your comment at
      If you or your spouse live with T1D and are thinking about having a baby, how concerned are you about them carrying T1D autoantibodies?
      47 years ago i had my pregnancies and didnt hear about her carrying T1D antibodies but i did have concerns about my child having diabetes. When she was about 12 there was a study to see her chance of developing diabetes ,this blood test was negative. 2 of my grandchildren have been tested and were negative . At the time of my pregnancies i had diabetes for 10 years
    • 2 days, 6 hours ago
      Watertail likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      oh and this one...... when I see a new doctor they say... "let's get some blood work to see if you have diabetes" and I ask them... did you even read my intake forms that say I have had T1 D for over 40 years? ughhhhhh
    • 2 days, 6 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I use the nutrition labels as a starting point. For home made foods or for restaurant meals, my wife who was a nutritionist, helps come up with a carb estimate. Then there are times that I just have to take a wild ass guess. I have collected a list of over a hundred common foods that I eat and I keep that keep that list in a notes app on my phone right next to my T-slim app. I often check the nutrition labels for things on my list to see if the recommended carb levels for that item have changed. Then I adjust my list as needed. I also check my BG response to listed carbs I eat. I have adjusted some items over time. So, I would call this approach a hybrid. As Daniel Bestvater notes above, we are only controlling one item out of 6. Your mileage may vary.
    • 2 days, 6 hours ago
      Watertail likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      Not really trigger words as much as not understanding or even aware of the difference between Type 1 and Type 2.
    • 2 days, 6 hours ago
      Watertail likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      And it's especially frustrating when HCP's ask about "checking your sugars? Be a professional dammit, ask about my "blood glucose"
    • 2 days, 6 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      I count carbs, acc. To Mabel if I have, look up nutrition for items, and estimate if needed. Used to always cook myself till this yr, now in apt where food is provided, so now looking up a lot to estimate. Going pretty well
    • 2 days, 6 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      Years ago I used to calculate out carbs with a scale & book. Then I realized it didn’t seem to make a huge difference. I had many discussions with an endocrinologist friend about this topic and we both found that highly accurate carb counting didn’t seem to make much difference. As long as you are in the ballpark. I think we need to realize the pancreas produces at least 6 BG regulator hormones and we are only injecting one, insulin. So we need to do our best but not stress over it. This is at least why 2 identical meals can result in two different BG levels.
    • 2 days, 6 hours ago
      Janis Senungetuk likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      It depends on the situation. At home I calculate carbohydrate with my scale. At restaurants it depends on if they have nutritional information available. If they don't have it, I estimate. The same with eating with other people's houses even while using my scale.
    • 2 days, 8 hours ago
      AmyM likes your comment at
      When you bolus for a meal, do you usually estimate carbs, use an app, or the nutrition label? Please share your habits in the comments.
      If I have a label I use it. Mostly I guesstimate then use the info the next time I eat the same meal. I am a big eater with no weight problem. When I go out, usually 2-3 times per week, I have to put in 90 grams of carbs, then add if not enough because I will go low before I go high. The other times, when eating at home, I eat less. Exercise is key. I just got back from 3 trips in 6 weeks. To Sicily, Boothbay Harbor, Maine, and to visit family in Baltimore. Only in Baltimore did I have issues with BG, because I wasn’t walking as much, although I did walk 1.5 miles most days. A1C when got home was 6.3. Time in range about 75%, down from usual 85%. I’ll take that. Not traveling for another year probably and will get back on track.
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    If you use an insulin pump, is it an “automated insulin delivery” system?

    Home > LC Polls > If you use an insulin pump, is it an “automated insulin delivery” system?
    Previous

    When counting your carbs before bolusing, do you factor the amount of protein into your calculation at all? If so, share how in the comments!

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    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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    33 Comments

    1. PamK

      I use a Tandem pump, but I do not use the automated delivery. Why? Because I like tighter glucose control than it allows. If/when the FDA allows for tighter control I’d be willing to try it again.
      I did try it when it first came out, but my A1C went up, not down due to higher blood glucose than I normally ran on MDI. Without the automated delivery, I can get my A1C closer to where I want it. It’s still not perfect, but I’m working on it!

      4
      3 years ago Log in to Reply
    2. Janice Bohn

      I was using the Tandem x2 with Control IQ. In June I started the OmniPod 5.

      3 years ago Log in to Reply
    3. Carolann Hunt

      Loop is a hybrid closed loop system that still needs carb inputs

      2
      3 years ago Log in to Reply
    4. mbulzomi@optonline.net

      First thing you need to learn when using Tandem X2, Control IQ is let it run, don’t preempt it because it’s not correcting as fast as when you (Human) make the corrections. However, the pumps of today are set up for people that have not be persons with T1D for a long time. I almost have to change my Basels because of being a T1D for over 55 years and on a pump for over 39 years, along with using a CGM (Metronic and Dexcom) for over11 years. No Vergin sites left. AND when I do hit a relatively new site all hell breaks loose, dropping like a rock almost all day. Very hard to control, a least for three day make very drastic changes to my Basel settings.

      3
      3 years ago Log in to Reply
    5. GLORIA MILLER

      I got a Omnipod 5 and Dexcom G6 a few weeks ago. I am waiting until I return from international trip to set it up and to also get a supply of pods and sensors before switching. I know how unreliable delivery is too often with our medical supplies so I like to have a stock pile when I switch.

      1
      3 years ago Log in to Reply
    6. Lyn McQuaid

      I said “yes” but I only turn on Control IQ at night. It works best then when there is no food/activity, while I prefer to take care of things during the day. I like to have a lower target BG than it allows.

      2
      3 years ago Log in to Reply
      1. Bonnie Kruger

        I am sorry to hear Tricare doesn’t cover the cost of Omnipod 5 yet. I think of all people who get insurance to cover their insulin costs, former military personnel and their relatives deserve it FIRST. Speak with your congresspeople, particularly those who are constantly boasting about how they support the military. You deserve to have your insurance needs met and the political nitwits who run our government should be called out on this failure. It took old POTUS a little too long to reduce the cost of insulin to $35.00 a month, if you want my opinion…Big Pharma and lobbyists have a little too much power with both of the parties in our country.

        2
        3 years ago Log in to Reply
    7. Sondra Mangan

      Sadly, Tricare (insurance for military families) is not covering Omnipod 5 yet. Hoping to move to the Omnipod 5 as soon as possible—but could never afford paying out of pocket for it.

      3 years ago Log in to Reply
    8. Tod Herman

      Today I am using my old Omnipod. I have the new Omnipod 5 next to me, but I haven’t gone through the training yet to start using it. Plus, I only have the 11 pods that came with it, the new prescription for the 5 pods hasn’t been filled yet. Mildly frustrating.

      3 years ago Log in to Reply
    9. dholl62@gmail.com

      On Medtronic 630G , awaiting training for tslim iq setting and dexcom 6 can hardly wait until I can use them

      3 years ago Log in to Reply
    10. Bonnie Kruger

      I am supposed to get an Omnipod 5 on Sept 2 but I am wondering if I want it. I was very interested in this last person’s comment regarding higher A1Cs. Mine right now is usually between 4.9 and 5.2 and I like it to be there since I feel that I can control my lows by eating when I need to and I just FEEL so much better when my blood sugar is around 80-120 like someone without T1 Diabetes feels. I am a former athlete and dancer and I, therefore, take less insulin and depend on exercise to reduce my need for constant carbs. Some days I rarely need to take much Fiasp at all because I don;t eat a diet super high in Carbs. I can often get away with only taking Tresiba and the tiniest bit of Fiasp (1-3 units when I eat something high in carbs. I am really, really worried about starting the Omnipod and don’t know if I am going to like it…

      2
      3 years ago Log in to Reply
      1. sweet charlie

        sounds like you are doing fine with what you are doing..!!!

        1
        3 years ago Log in to Reply
      2. LizB

        From everything I’ve read about the OmniPod 5, it’s algorithm is much like the one on the Medtronic pump I use (770g). The OmniPod 5 will also do automatic corrections for high BGs which my pump can’t do. But I believe that it aims for a higher target and doesn’t let you correct as aggressively as I’d like. My sister is afraid of lows and her BG runs high all the time. She is finally going to move from the original OmniPod to the 5 and for someone like her, with BGs and an A1c that are too high, the O5 sounds like it will be a huge help. For people like yourself & me, with A1cs in the low 5 range and tight control, it can be a big disappointment.

        1
        3 years ago Log in to Reply
      3. Wanacure

        Bonnie K, Thanks for your info. How many calories/day do you burn nowadays? Or how many minutes/day of exercise? With Covid risk, do you prefer exercise at home or gym or outdoors? Locally I notice one small gym has a HEPA filter system, another small gym just opens the windows and doors, and another very large gym recommends masks and social distancing. This fall I plan to start wearing N-95 mask whenever I’m in an enclosed space of any type for any reason. But for exercise in an even large gym when breathing hard on the elliptical or stationary bike…I’m perplexed.

        3 years ago Log in to Reply
    11. Carlos Gonzalez Perez

      Roche combo + Aaps
      DIY system

      1
      3 years ago Log in to Reply
    12. Nicholas Argento

      Yes. Game changer for nights….

      2
      3 years ago Log in to Reply
    13. Eva

      No. I dont have an automate pump. I am happy with the medtronic pump I have. My last A1c was 5.8 and very few hypos. Nothing less than 62.

      2
      3 years ago Log in to Reply
    14. Steven Gill

      Using the MEDTRONIC770G set-up it has the controlled loop capability but my days are so chaotic. I keep It in the “manual” except with my ranges for the CGM set for 65-130. Meaning I get warnings at 70 and 125 and react as needed. While the basal isn’t generally adjusted it suspends the basal at 60, I’ll be “alerted” if the systems senses I’ll reach 65 in 30 minutes (like yesterday morning woke me up with an alarm at 80 with 2 arrows down.

      My chaos at work? I’ll drive an hour to a job, than literally even setting the system into the “active” mode (allowing levels to rise to 150) 20 minutes early will go severely hypo~. Often I’ll need 1/3 a unit for that drive but 20 minutes before arriving to a job will reduce the basal to 50%, and often completely suspend it it there’s any drop.

      (Historically doctors seemed comfortable with a1C’s in lower 7’s because of my glucose drops, but since I’ve learned to pre-bolus and to decrease my bolus prior, by the equations “mg/dL” to a1C looking at 5.5 with a lot fewer hypo~ reactions. Up to the lab work next month.

      3 years ago Log in to Reply
    15. Pauline M Reynolds

      Not sure what that is, but put “Yes”. My pump does bolus automatically if I’m too high and lower the insulin if too low.

      1
      3 years ago Log in to Reply
    16. William Bennett

      Nope. Tried the 670G Guardian 3 system for 6 months and gave up, went back to my old pager-style Paradigm, and Dexcom. One of the odd things about these systems is that, in the name of doing everything for you they lock away the kinds of controls you need to individualize them. To me it felt very much like a “Doctor knows best!” system that slapped my hands away whenever I tried to make adjustments that would conform to my own body and how I experience and deal with T1.

      4
      3 years ago Log in to Reply
      1. sweet charlie

        I like your sentence !!!!

        3 years ago Log in to Reply
      2. sweet charlie

        Last sentencee,I ment..

        3 years ago Log in to Reply
    17. Lawrence S.

      I’m not sure what you mean by “automated insulin delivery” system. I wish you’d have defined it. But, I said “yes” anyway. I use the Tandem X2 Control IQ, with a Dexcom G6. (oooh, sounds very esoteric) (Allow me a little humor 😉

      1
      3 years ago Log in to Reply
      1. Lawrence S.

        By the way, Yesterday, I updated my Tandem Control IQ system to the 7.6 software. What an exciting jump forward! Now, I can see my glucose levels on my phone, which I could not do with the old app. The details are amazing! And, Tandem finally put the boluses onto the timeline, which is very helpful. I used to get the boluses on the timeline years ago with my Medtronic pump, but Tandem never did it until now. Kudos Tandem! Great job. Oh, by the way, it now allows you to give boluses through your phone. However, I do not have that feature on my phone.

        3 years ago Log in to Reply
    18. Mick Martin

      I answered “Yes”, but that REALLY depends on what YOU mean by “automated insulin delivery” system.

      I still have to ‘tell’ the pump the amount of carbohydrates that I’ve imbibed. It will then work out, based on the information that I’ve already input, such as my insulin sensitivity factor, how many units of insulin are required to bring down my glucose level by a given amount, and the range at which I’m aiming to keep my blood glucose level. i.e. Time in Range.

      Coupled with my CGM, the pump makes micro-adjustments to ensure that Time in Range is adhered to. If my blood glucose level falls outside of that ‘Time in Range’ (TIR), the pump alerts me to check my blood glucose level, recalibrate the reading(s) it gets from my CGM, and to take remedial action.

      1
      3 years ago Log in to Reply
    19. Tim Kirchgessner

      My pump has the ability to automate the delivery but I can’t afford the suppies to use it.

      3 years ago Log in to Reply
      1. AnitaS

        So sorry to hear that. Insurance should have to cover most, if not all of the cost, to use the pump to its full ability. I know that I am assuming you have insurance for your pump

        3 years ago Log in to Reply
    20. LizB

      I said Yes because I have the Medtronic 770g which will automate the basal rates. I don’t use that feature because it keeps my BG in a much higher range than I like.

      3 years ago Log in to Reply
    21. TomH

      Using Loop-Dev with Dash and an AID.

      3 years ago Log in to Reply
    22. JuJuB

      Isn’t “automated insulin delivery” system the same thing as “insulin pump?” I answered Yes, but the question is oddly written (as others have pointed out).

      1
      3 years ago Log in to Reply
    23. Magnus Hiis

      FreeAPS X (Oref1) w G6 and Eros

      3 years ago Log in to Reply
    24. Donna Condi

      Yes I use Tandem X2 with Control IQ.

      3 years ago Log in to Reply
    25. csreineke

      I use Loop – a DIY system with auto-basal and auto-bolus dosing strategies.

      3 years ago Log in to Reply

    If you use an insulin pump, is it an “automated insulin delivery” system? Cancel reply

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