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    • 1 hour, 50 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 3 hours, 48 minutes ago
      Derek West 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.
    • 8 hours, 23 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.
    • 8 hours, 23 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.
    • 10 hours, 12 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.
    • 10 hours, 18 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.
    • 10 hours, 54 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.
    • 1 day, 4 hours 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, 7 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 9 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, 10 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, 10 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, 10 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, 10 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!
    • 3 days, 1 hour 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, 20 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, 8 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, 9 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, 10 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, 10 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, 11 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, 22 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
    • 5 days, 7 hours 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, 7 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, 7 hours ago
      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
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    If you wear a pump and/or CGM, did you do a free trial of your current device before you officially committed to using it?

    Home > LC Polls > If you wear a pump and/or CGM, did you do a free trial of your current device before you officially committed to using it?
    Previous

    If you wear a T1D device, do you wear your devices in different areas of your body, depending on the season of the year?

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    If you or someone in your immediate family has T1D, has the rest of your family been screened for T1D antibodies? If no, do you think your immediate family would be willing to be screened for T1D antibodies?

    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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    " 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. 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    30 Comments

    1. Jana Wardian

      I don’t think I knew that was an option! My warranty expired on my current pump. I may want to see if I can try the new model before I commit.

      1
      5 years ago Log in to Reply
    2. Lawrence Stearns

      A free trial was not offered. I never thought of it as an option.

      5 years ago Log in to Reply
    3. TomH

      I didn’t do a free trial of CGM; I was newly dx’d, my Endo recommended Dexcom, an my on-line researchonline made Dexcom G6 the obvious leader. Ref pumps, I tried the free (fake) Omnipod for size and wearability, but Omnipod free trial wasn’t allowed due to having government insurance; I truly don’t understand why government coverage is an automatically “not allowed.” To my knowledge, T:Slim and Medtronic don’t have a free trial programs, and I’d only consider T:Slim and Omnipod as Medtronic’s reputation, other than for looping, is not on the same level.

      2
      5 years ago Log in to Reply
    4. TEH

      I wasn’t offered a free trial also. But, I was a Medtronic 670G user and stepping up to the 770G was not a big change. I have been a Medtronic pump user for almost 20 years.

      1
      5 years ago Log in to Reply
      1. Sadie Robinson

        I was not offered a free trial but I researched CGM and Omnipod before getting them

        5 years ago Log in to Reply
    5. Joan McGinnis

      For pump, I was an active CDE and knew everything before I started and did not need to try it out. But every person I trained then I had put saline in the pump to try it out first. Was not offered to try it out when I started but they did offer wearing it for a month without complete commitment. Within 6 days I knew I wanted to keep it. CGM, not offered but I knew I wanted it for sure.

      1
      5 years ago Log in to Reply
    6. Greg Felton

      No, it was not an option when I was searching out pump options a year ago, which is understandable. A free trial period on a pump is risky and could be like handing over car keys to a 14-year old kid. Omnipod advertises a free trial period but there were strings attached. Not literal strings, but Omnipod required a prescription, which my insurance would not fulfill for a trial period. I would have liked to try it out. As for a CGM, my endo allowed me to try out options.

      5 years ago Log in to Reply
      1. Velika Peterson

        We did saline trials for two pumps (while continuing MDI). The idea was to go through the motions of using a pump (pretend bolus, etc.) to get an idea of what wearing a pump an giving yourself insulin would be like.

        1
        5 years ago Log in to Reply
    7. JoAnn

      Omnipod sent a free pod to try
      Dexcom did not

      5 years ago Log in to Reply
    8. Mick Martin

      I did a free trial of the CGM but not the pump.

      1
      5 years ago Log in to Reply
    9. Sherolyn Newell

      No one offered me a free trial period either. Omnipod did give me a couple of pods to stick on just to see how it felt. If anyone is thinking about Omnipod, once you put it on, you rarely even notice it.

      5 years ago Log in to Reply
      1. Britni

        That was not at all true for me. Best case scenario, I could feel it on my back every time I leaned into a chair or while I was driving. Worst case scenario I had a horrible reaction to the insertion site and had to change it a day early because the pain was unbearable. I even have a scar from the corner of a pod pinching my stomach every time I bent or knelt to pick something up at work. I’m not saying it will be like that for everyone. Just saying be prepared. One size does not fit all.

        5 years ago Log in to Reply
    10. Steve Rumble

      Not exactly a free trial, but I am currently participating in a study that involves use of a DexcoG6, that will allow me free use of the G6 for 6 months.

      5 years ago Log in to Reply
    11. Tom Caesar

      Hilarious question, what world are you from?

      4
      5 years ago Log in to Reply
    12. Velika Peterson

      It wasn’t offered to us (Omnipod) as it wasn’t available locally (we were living in Europe at the time). We had tried a couple of tubed pumps in the past and the tube had ripped off the site, so we decided not to go that route.

      5 years ago Log in to Reply
    13. Bob Durstenfeld

      I did not do a free trial of either, but I did wear a clinic CGM first.

      5 years ago Log in to Reply
    14. Janis Senungetuk

      A free trial of the actual pump wasn’t offered. An app for my phone was available that allowed me to briefly play with the buttons. I had to pay “out of pocket” $900 co-insurance before the order was even processed.

      5 years ago Log in to Reply
    15. Christina Trudo

      30 years ago when I first went on the Minimed pump my clinic had a pump loaner that they let me try for a week or two before deciding. Never since have I been offered a loaner or a trial period

      5 years ago Log in to Reply
    16. Patricia Dalrymple

      Pump no. Minimed CGM I tried twice about 5 years apart. I could never get them calibrated but they let me keep them.

      5 years ago Log in to Reply
    17. Gerald Oefelein

      I was not offered a trial period. I had to commit to the new devices hoping they would deliver promised benefits. (They have!)

      1
      5 years ago Log in to Reply
    18. Bill Williams

      Omnipod currently has a free trial available, but you can’t participate if you’re on Medicare. Just another example of how totally out of touch CMS is and how old and increasingly irrelevant their rules are.

      5 years ago Log in to Reply
    19. PamK

      I did do a free trial of Omnipod, but decided to stay with my Tandem pump, which I did not have a trial of. I also use a CGM which I did not have a trial of before purchasing.

      5 years ago Log in to Reply
    20. Marsha Miller

      I did not know this was possible!

      1
      5 years ago Log in to Reply
    21. lis be

      my insurance only offered medtronic

      5 years ago Log in to Reply
    22. Molly Jones

      I don’t remember if I did a free trial with my current Tandem and Dexcom, but I have with one of Medtronics and Dexcom.

      5 years ago Log in to Reply
    23. Britni

      My endocrinologist gave me an Omnipod to wear once (it wasn’t activated) so I could see if I would have any trouble keeping it on or any kind of reaction to the adhesive.

      5 years ago Log in to Reply
    24. Martin Fuhrer

      In order to better monitor fluctuations in my early-morning blood sugars four years ago, my clinic in Muscat recommended running a CGM test. The doctor placed the CGM behind my shoulder, and told me to return a week later to obtain the readings (I did not have access to a reader). When the doctor printed out the charts, I was very impressed (I had only been using test strips up to this point) and inquired further about using this device. This was the start of my journey with FreeStyle Libre, which had just been released for use in Oman. This wasn’t so much a “free” trial in that my insurance paid for the CGM test (and given that the sensor stored a full week of readings, as opposed to eight hours for off-the-shelf Libre sensors, was probably a customized unit), but it certainly convinced me to make the switch to CGM.

      5 years ago Log in to Reply
    25. keith johnson

      I participated in several clinical studies with different pumps. I was able to “test” a few before they were approved and available to the public.

      5 years ago Log in to Reply
    26. Wanacure

      Not offered free trial for Dexcom G6. When I first heard of Omnipod I wanted to try it, but health insurance would not cover it and it was too expensive. I tried asking health provider about a pump once or twice. First time I asked infusion sets seemed too costly out of pocket plus I was advised many problems with insulin pump tubes coming out at night or kinking; why pay for something so risky was my reasoning at the time. Last time I tried for an insulin pump I was interviewed and denied.

      5 years ago Log in to Reply
    27. James Cheairs

      The only pump I have purchased is the Omnipod eros. I did not do a trial. However, I have been in two hybrid closed loop trials since 2018 so have gotten a good market perspective. Since the current trial is ending, I will be going back to DIY loop with the eros.

      5 years ago Log in to Reply

    If you wear a pump and/or CGM, did you do a free trial of your current device before you officially committed to using it? Cancel reply

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