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    • 8 hours, 13 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 8 hours, 13 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 8 hours, 13 minutes ago
      KarenM6 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.
    • 8 hours, 13 minutes ago
      KarenM6 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.
    • 8 hours, 14 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 12 hours, 29 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 18 hours, 47 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 19 hours, 39 minutes ago
      Kathy Hanavan likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 22 hours, 41 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 22 hours, 41 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 22 hours, 49 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 22 hours, 51 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 23 hours, 3 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 23 hours, 3 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 23 hours, 4 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 23 hours, 4 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 23 hours, 4 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 23 hours, 4 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 23 hours, 8 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 23 hours, 9 minutes ago
      Lawrence S. 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.
    • 23 hours, 10 minutes ago
      Lawrence S. 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.
    • 23 hours, 25 minutes ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 20 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 1 day, 21 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 1 day, 21 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
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    If you use an insulin pump or CGM, do you use additional overlay patches to help your device(s) stick?

    Home > LC Polls > If you use an insulin pump or CGM, do you use additional overlay patches to help your device(s) stick?
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    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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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. 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    51 Comments

    1. Jneticdiabetic

      I put sometimes because I used to use them large overlay (tacaderm?) adhesive tape sheets over the Medtronic CGM as a substitute for their terrible tape and to prevent catching on my waistband. Since switching back to the Dexcom last Nov I haven’t needed to use anything.

      4 years ago Log in to Reply
    2. LizB

      I put sometimes because I use Medtronic and to keep their sensor/transmitter attached you pretty much have to use an overlay tape. They do provide tape with the sensors but I hate it so I use Hypafix instead. I don’t use anything over my infusion sets but do often use SkinTac underneath them.

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

      Yes, I must always use the overpatch that I have to order separately in packs of 10 from Dexcom. Otherwise my sensor and transmitter either come off during the 10 day period, or it stops working early.
      I wish the overpatches would come with the sensors. Otherwise, I am ordering overpatches every three months. Just one more thing I have to do for maintenance.

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

        I forgot to mention that I usually/often tape my cannula on with the IV Hand 3000 or tape provided by my source, Edgepark.

        4 years ago Log in to Reply
      2. Lawrence S.

        An addendum from a few days after this question appeared.
        Yesterday, I was wearing shorts, with my cannula on my thigh. I had it taped on with CardinalHealth Transparent Thin Film Dressing.While working in the yard the shorts rubbed the tape and my cannula right off. I put on a new cannula and the tape rubbed off again. Also the cannula was barely hanging on. I retaped with numerous dressing tapes.
        I would say that I went through 7 or 8 dressing tapes yesterday.

        4 years ago Log in to Reply
    4. Larry Martin

      Yes and I use a Medtronic pump and I toss the useless and very poorly designed Medtronic tape. Fortunately, Medicare fully pays for replacement tapes like IV3000 and others. I buy 4X4 sizes that cover the entire thing.

      1
      4 years ago Log in to Reply
    5. TEH

      I use Tegaderm Film because i get a rash from the Minimed oval tape.

      4 years ago Log in to Reply
    6. Hieromonk Alexis

      I don’t use them for my Dexcom G6, but always for the MiniMed Sure-T infusion set, since it can come off at times.

      4 years ago Log in to Reply
    7. Joan Fray

      Only on the insertion site – but so that I can still unclip it for showering or charging.

      4 years ago Log in to Reply
    8. Kelly Wilhelm

      I use tegaderm tape on the infusion site bc I often grab the tubing and yank it out. The adhesive rarely comes off unless it’s super hot and I’m workout outside. My Dexcom never needs adhesive.

      4 years ago Log in to Reply
      1. AnitaS

        Wow, most people it seems use it more often on the cgm but not on the infusion site. You are the opposite.

        4 years ago Log in to Reply
    9. Sondra Mangan

      Always for Dexcom. Rarely for Omnipod—usually decorative for some event when pod is visible.

      4 years ago Log in to Reply
    10. George Lovelace

      Always for my Dexcom, Never for my Varisoft Infusion Set

      1
      4 years ago Log in to Reply
    11. KCR

      I use overlay patches more often in the summer to ensure devices stay on when I am outdoors.

      1
      4 years ago Log in to Reply
    12. Andrew Aronoff

      I use the FreeStyle Libre 2. To keep the sensor on for 14 days, I cover it with a Smith&Nephew IV3000 2 3/8 in x 2 3/8 in dressing. I rarely, if ever, lose a sensor early. One IV3000 dressing usually lasts the full 14 days. Prior to using the IV3000, I did have a sensor detach early. Once was enough.

      4 years ago Log in to Reply
    13. Amy Jo

      Only for my Dexcom sensors and only when needed – Simpatch

      4 years ago Log in to Reply
    14. Jaime Busquets

      Not with my pump but I did with CGM

      4 years ago Log in to Reply
    15. AimmcG

      I use for both.

      4 years ago Log in to Reply
    16. Nicholas Argento

      I don’t use overpatch for either pump or CGM, but I use Skin Tac for the CGM, which I put on before the placement. It rarely falls off as a result.

      4 years ago Log in to Reply
    17. Annie Wall

      I use the Dexcom overpatch if I have forgotten to put skintac on the sensor. I also put skintac on the TruSteel’s additional adhesive pad.

      1
      4 years ago Log in to Reply
    18. Maureen Helinski

      Always for the Dexcom. The overpatch feels good and works well.

      4 years ago Log in to Reply
    19. Ken Raiche

      I always use a layering tape between the Dexcom G6 due to the yet to be resolved skin issues I get from the adhesive. It’s a fairly involved process from my end but it works extremely well without fail or skin irritations. As for the infusion sites I do use overlays every so often especially if I have to relocate my infusion site due to discomfort. The other reason would be due to potential snagging when using the trusteel infusion kits.

      4 years ago Log in to Reply
    20. Janice Bohn

      I use Opsite flex tape on my pump set when I use my thighs.

      4 years ago Log in to Reply
    21. Eve Rabbiner

      I use Skin Prep for Medtronic G670 and Skin Tac for Dexcom CGM. Tried an overly from Dexcom, just to see, and it peeled off.

      4 years ago Log in to Reply
    22. Steve Richardson

      Libre sensors used to constantly fall off due to sweat during exercise and/or during sleep while rolling over. I now use a “sleeve”, which I trimmed from the upper part of a thin sock. I’ve never had one fall off while wearing the sleeve.

      1
      4 years ago Log in to Reply
    23. Mark Schweim

      ALL the “Yes” answer options, as worded, imply that I use the over-patches for BOTH pump infusion sites AND CGM sensor sites. There needs to be an ADDITIONAL answer option for those like me who ALWAYS use the patches for the CGM sensor sites but have never used or needed to use any such patches for the Insulin pump infusion sites.

      2
      4 years ago Log in to Reply
    24. Scott Doerner

      I always do for my cgm, and never do for my pump.

      1
      4 years ago Log in to Reply
    25. Mig Vascos

      Always used Dexcom patches with the sensor. Dexcom provides them for free, you just have to request them.
      I’ve been taping the back of my infusion set and a put small piece of tape on the tubing with 3M micropore tape. This way my infusion set stays in place disregard of my activities, even if I accidentally drop my pump.

      4 years ago Log in to Reply
    26. cynthia jaworski

      Not necessary for my libre.

      4 years ago Log in to Reply
    27. Natalie Daley

      I use Skin Tac every time I replace the sensor, or it will be easily knocked off. I have also used a clear covering specially made for this but Skin Tac has proved adequate.

      4 years ago Log in to Reply
    28. Amanda Barras

      On my CGM always. On my pump, never.

      2
      4 years ago Log in to Reply
    29. pru barry

      A piece of 1 and a half inchNexcare by 3M tape works well to keep the TruSteel infusion patch in place. Without the tape, though, it never remains stuck in place.
      My Labradoodle was always losing his Libre’s before the two weeks were up, but the vet techs must have found an adhesive that works, because now they almost never fall off, even when the spot hasn’t been recently shaved.
      Each to his own, but it’s fascinating and reassuring to see so many individual remedies for what is a common problem. Ingenuity is the name of this game :^)!

      1
      4 years ago Log in to Reply
      1. KarenM6

        I’m absolutely fascinated (and happy) that your labradoodle has a Libre!
        I’ve had two cats who were diabetic and I always wished they had CGMs because testing blood sugars on both of them was quite difficult. (Both former ferals and not exactly mellow for medical procedures.)
        But, your labradoodle experiences give me such hope and I am SO glad you have this technology to help you treat your beloved pet. 😀

        4 years ago Log in to Reply
      2. AnitaS

        Wow. You are the first person I have heard who uses a cgm on a pet. Awesome. Did you vet have to prescribe it for your dog? It must give you peace of mind since a pet can’t say it is “feeling low” and needs some sugar.

        4 years ago Log in to Reply
    30. Janis Senungetuk

      I use the overlay patches provided by Dexcom on my CGM. I’ve tried others but haven’t found them to work as well. I’d definitely like to find a tolerable solution to keeping my infusion site from ripping out when the pump falls from my waistband. I don’t want the mess and added cost of the liquid adhesive. I use the 23″ tubing because I can only manage to insert the infusion set on my abdomen and I’m under 5′ tall. Arthritis has greatly limited hands and shoulder dexterity so pump placement is confined.

      1
      4 years ago Log in to Reply
      1. mbulzomi@optonline.net

        If you are using a Tandem X2, you can purchase a new and improved Pump clip. Its available at the Tandem web site. Cost about $ 30+ dollars, but it also allows you to swivel the pump on you hip. It’s similar to the Old Medtronic clips system. The pump stays where you put it.

        4 years ago Log in to Reply
    31. Kristine Warmecke

      I use the free ones from Dexcom.

      4 years ago Log in to Reply
    32. Bill Williams

      No need on either my Libre or my Omnipod

      4 years ago Log in to Reply
    33. Becky Hertz

      I put skin tac on the adhesive off the Dex so now don’t need to use an overlay. I use an overlay on the insertion part of the TruSteel when it’s on my arm, legs, and upper abdomen. If on lower abdomen or buttocks, no overlay (unless I have to move the insertion site)

      4 years ago Log in to Reply
    34. Gerald Oefelein

      Only for the G6 CGM sensor.

      4 years ago Log in to Reply
    35. Jodi Greenfield

      I don’t use overlays, but I use “Skin Tac” before I put my FreeStyle Libre sensor on. This keeps them on for the entire 14 days!

      1
      4 years ago Log in to Reply
    36. Donald Cragun

      I don’t use any overlays, but I do use Skin-Tac adhesive when attaching CGM sensors. I don’t use anything on infusion sets.

      1
      4 years ago Log in to Reply
    37. connie ker

      I receive complimentarty overlay patches from US Med who sends my Abbott Freestyle Libre Supplies. Before I found out about this tape, the sensor was falling off; coming off with clothes changes;
      coming off from the bath or bed; or knocking off if bumped. The patches are large but the sensor stays in place with them on. Thank You US Med.

      4 years ago Log in to Reply
    38. Charlene Land

      I use overlays on my Dexcom6 . I use a clear tape over my Tandem infusion site to prevent accidental disconnecting. Love my pump and Dexcom.

      4 years ago Log in to Reply
    39. M C

      I periodically have to use medical tape over the device with my Freestyle Libre if it gets accidentally knocked, and also use it more frequently in the heat of summer as I find it also loosens easily with any amount of perspiration, so I use the tape to ensure it stays put for the full 14 days.
      For the Medtronic attachment, I always use the “Infusion Set IV 3000” to hold it in place – Otherwise, if given the slightest tug, it’ll either loosen or pop out. With this wrap around patch, the device stays for the length of time I need it to.

      1
      4 years ago Log in to Reply
    40. Liz Avery

      I use IV 3000 tape on my Sure-T infusion sets and the tape provided on the CGM. Medtronic for both. I use two tapes for the sensors. I too have a tendency to pull the infusion set out without tape.

      4 years ago Log in to Reply
    41. kj.mercer

      I don’t typically need one an overlay for my Omnipod but I do need them for sensors often.

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

      I use the Free G6 Sensor Overlay patches from Dex.

      4 years ago Log in to Reply
    43. Kim Davis

      I always use 100% with Grif-Grips. They are precut for my Dexcom G6 & I use another GG on my pump site by cutting it in half & then applying it. They never come off & don’t irate my skin. Fri-Grips are simple to order by going to http://www.Grifgrips. The owner developed this small company. And best of all made in USA.

      4 years ago Log in to Reply
    44. Nevin Bowman

      Always, not because they don’t stick, but because I need an under patch in order to not get skin burns from the adhesive.

      4 years ago Log in to Reply
    45. Emily Meister

      Only because it is recommended by Dexcom

      4 years ago Log in to Reply

    If you use an insulin pump or CGM, do you use additional overlay patches to help your device(s) stick? Cancel reply

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