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    • 4 hours, 52 minutes ago
      KarenM6 likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      There are many concerns, one being if I'll still be alive if it's ever offered :)
    • 4 hours, 52 minutes ago
      KarenM6 likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      At 78 I don't think islet transplantation will affect my life course. Big pharma sees biological treatments as the path to ever higher profits, not constrained by patent terms the way drugs are. Most diabetics would be better served by an improved standard of care from the ADA and the medical community.
    • 6 hours, 8 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Very, but more worried about it even making to the FDA and approved there first.
    • 6 hours, 8 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      There are many concerns, one being if I'll still be alive if it's ever offered :)
    • 6 hours, 8 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      At 78 I don't think islet transplantation will affect my life course. Big pharma sees biological treatments as the path to ever higher profits, not constrained by patent terms the way drugs are. Most diabetics would be better served by an improved standard of care from the ADA and the medical community.
    • 6 hours, 9 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Severe case of hardening of the “oughteries” here. Ought we be concerned with cost, insurance, coverage, hail storms, earthquakes? ▄█▀█● Why are we not homeschooled to enjoy the progress being made?
    • 6 hours, 10 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      While those items are very much a concern, there are other factors that are more concerning ie immunosuppressant.
    • 6 hours, 11 minutes ago
      Amanda Barras likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      If they can transplant them such that we do not need immunosuppresants, we'd be fine. Otherwise, those meds are just one more thing that could become in short supply. But at least we could go through scanners at the airports and travel without huge bags of supplies.
    • 6 hours, 11 minutes ago
      Amanda Barras likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      General access to islet transplants is still years away. FDA has to deem it safe. Though, I am excited about the possibility.
    • 6 hours, 11 minutes ago
      Amanda Barras likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      At 78 I don't think islet transplantation will affect my life course. Big pharma sees biological treatments as the path to ever higher profits, not constrained by patent terms the way drugs are. Most diabetics would be better served by an improved standard of care from the ADA and the medical community.
    • 8 hours, 13 minutes ago
      Patricia Dalrymple likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      If they can transplant them such that we do not need immunosuppresants, we'd be fine. Otherwise, those meds are just one more thing that could become in short supply. But at least we could go through scanners at the airports and travel without huge bags of supplies.
    • 8 hours, 51 minutes ago
      Gerald Oefelein likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      If they can transplant them such that we do not need immunosuppresants, we'd be fine. Otherwise, those meds are just one more thing that could become in short supply. But at least we could go through scanners at the airports and travel without huge bags of supplies.
    • 8 hours, 51 minutes ago
      Gerald Oefelein likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      While those items are very much a concern, there are other factors that are more concerning ie immunosuppressant.
    • 9 hours, 34 minutes ago
      Marty likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      much more concerned about my age (65) than anything else. 😉
    • 9 hours, 56 minutes ago
      dholl62@gmail.com likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      much more concerned about my age (65) than anything else. 😉
    • 10 hours, 20 minutes ago
      Steve Rumble likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Severe case of hardening of the “oughteries” here. Ought we be concerned with cost, insurance, coverage, hail storms, earthquakes? ▄█▀█● Why are we not homeschooled to enjoy the progress being made?
    • 10 hours, 20 minutes ago
      Steve Rumble likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      While those items are very much a concern, there are other factors that are more concerning ie immunosuppressant.
    • 10 hours, 21 minutes ago
      atr likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Severe case of hardening of the “oughteries” here. Ought we be concerned with cost, insurance, coverage, hail storms, earthquakes? ▄█▀█● Why are we not homeschooled to enjoy the progress being made?
    • 10 hours, 36 minutes ago
      Sarah Berry likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      much more concerned about my age (65) than anything else. 😉
    • 11 hours, 36 minutes ago
      Steve Rumble likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      Age 73 here. I'm in the same boat. I ogten am considered too old for consideration for "smaller" research projects. But - best of luck to them. I'll be rooting on the sidelines.
    • 11 hours, 37 minutes ago
      Steve Rumble likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      no immunosuppression needed - 👍 immunosuppression needed - 👎
    • 1 day, 2 hours ago
      Gerald Oefelein likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      I've tried twice and was rejected both times because I control my diabetes as best I can. As others have already stated, if immunosuppressing drugs are involved, count me out. I'm not interested in something worse than what I already have.
    • 1 day, 2 hours ago
      Gerald Oefelein likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      Not if it requires immunosuppressant drugs. Been there done that time to move on to something much better.
    • 1 day, 2 hours ago
      Gerald Oefelein likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      no immunosuppression needed - 👍 immunosuppression needed - 👎
    • 1 day, 8 hours ago
      Natalie Daley likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      I answered “Very Unlikely” not because I woud not want to participate but because, at age 75, I think it very unlikely that any researcher would want me in their patient panel.
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    If you wake up in the middle of the night to treat a low, do you brush your teeth before going back to bed?

    Home > LC Polls > If you wake up in the middle of the night to treat a low, do you brush your teeth before going back to bed?
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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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    26 Comments

    1. Molly Jones

      I have used sugar and water to make glucose pills that are just the right size to be able to swallow with water during the night, so I don’t have to worry about brushing my teeth.

      2
      2 years ago Log in to Reply
      1. MT

        How did you make these?

        2
        2 years ago Log in to Reply
      2. George Rich

        Sugar is what is used by bacteria to make acid that eats away at your enamel which by definition results in tooth decay.

        2 years ago Log in to Reply
      3. Molly Jones

        Mixing as much sugar as possible to a small amount of water then flattening the mixture and using a small straw for sizing the tablets.
        Afterwards let the tablets dry for at least six hours or more, then store them in a plastic bag or container.
        It’s good to measure the sugar, divide it by the number of tablets and know how many carbs each tablet contains.

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

      I brush my teeth before I go to bed each night. Once I am in bed I only get up to use the toilet.
      I treat my night-time lows exclusively with honey. It does not require brushing my teeth.

      2 years ago Log in to Reply
      1. George Rich

        Lawrence, honey is a sticky carbohydrate that will contribute to tooth decay if you don’t brush.

        2 years ago Log in to Reply
    3. mojoseje

      I have peppermint gum in my bedside table. When I have lows in the night, I have no energy to get up and go brush my teeth.

      1
      2 years ago Log in to Reply
    4. George Rich

      I am a dentist with T1DM and I actually was the one that submitted this question. Unfortunately, tooth decay is also a complication of Diabetes that is often never mentioned. Always brush after reversing low BG in the middle of the night!!!

      3
      2 years ago Log in to Reply
      1. JeremyW

        I wonder how much the odd-hours sugar contributes to this statistical higher tooth decay

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

      I always lay there and know I should get up and do it. But…..

      2 years ago Log in to Reply
    6. Jane Cerullo

      I roll over take a glucose gummie turn off alarm and go back to sleep. Can’t even imaging brushing teeth. Would wake me up and probably would have trouble going back to sleep. Have my own teeth with no problems lol.

      2 years ago Log in to Reply
    7. Lynn Smith

      No, but I do use a flosser that’s sitting right beside me.

      2 years ago Log in to Reply
    8. Linda Rumbelow

      If I have a low in the middle of the night I will have juice, so I just rinse my mouth with water.

      1
      2 years ago Log in to Reply
    9. Dave Akers

      I have perfect solution… keep skittles and water by your bedside… use the water to swallow skittles whole! Never touch the teeth and they dissolve and absorb quickly!

      2
      2 years ago Log in to Reply
    10. Kris Sykes-David

      Having a low is nuisance enough, getting up to brush my teeth would having me laying awake for a while. I eat the tabs then drink some water.

      4
      2 years ago Log in to Reply
    11. Yaffa Steubinger

      I keep a water bottle on my end table. Treat the low, swish the water around my mouth, and go back to sleep…hopefully.

      4
      2 years ago Log in to Reply
    12. Sue Herflicker

      A lot depends on what I eat. Most of the time I just drink water after to cleanse my mouth!

      1
      2 years ago Log in to Reply
    13. Janice B

      It is bad enough to be woken and have to treat wait for sugar to rise and then try to get back to sleep. If I also brushed my teeth there would be no getting back to sleep

      6
      2 years ago Log in to Reply
    14. Eva

      Usually i treat a d over night low with oj and i drink it with a straw. I usually use a straw to drink everything but water and wine. And i use a stainless steel straw.

      2 years ago Log in to Reply
    15. Alan Segal

      I just want to get back to sleep!

      6
      2 years ago Log in to Reply
    16. Janis Senungetuk

      No. I have glucose tabs and a small capped bottle of water within reach on the bedside table. I’ll eat a glucose tab (4g), drink a sip of water and go back to sleep. If the low alarm wakes me again I get up, go to the kitchen, test my bg with a meter and respond to the meter results either by recalibrating the CGM or drinking 4 oz (approx) of apple cider. Then I’ll brush my teeth.

      2 years ago Log in to Reply
    17. Joan Benedetto

      We use only juice for our son at night which he sips through a straw. Per dentist’s recommendation, we then have him sip some water.

      1
      2 years ago Log in to Reply
    18. Carol Meares

      Not always but quite often I will rinse with mouthwash.

      2 years ago Log in to Reply
    19. Jeanne McMillan-Olson

      Drink water!

      2
      2 years ago Log in to Reply
    20. Jeff Balbirnie

      An interesting question, I wonder what they are truly curious about? Blind habits? Rituals? The tooth decay all our low treatments surely must cause ie its concentrated sugar after all. Or simply they do “this”, wondered if anybody else did too

      2 years ago Log in to Reply
    21. T1D4LongTime

      Never…. that would be enough activity to awaken me for the next day. Once my feet are on the floor, I begin FOTF rise in BG and cannot go back to sleep. I take my Welch’s fruit gummies from the bedside and only get up to meter if I feel the SG does not match my BG after looking at the SG Trend line on the app.

      2 years ago Log in to Reply

    If you wake up in the middle of the night to treat a low, do you brush your teeth before going back to bed? Cancel reply

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