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    • 6 hours, 47 minutes ago
      KarenM6 likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 7 hours, 37 minutes ago
      Mick Martin likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 8 hours, 33 minutes ago
      Katie Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 9 hours, 16 minutes ago
      Kate Kuhn likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 9 hours, 36 minutes ago
      Karen DeVeaux likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 10 hours, 7 minutes ago
      Kelly-Dayne likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 10 hours, 12 minutes ago
      KCR likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 11 hours, 6 minutes ago
      William Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 11 hours, 8 minutes ago
      Chrisanda likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 11 hours, 37 minutes ago
      Gary Rind likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 11 hours, 45 minutes ago
      Jneticdiabetic likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 11 hours, 50 minutes ago
      Lawrence S. likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      my siblings & parents are older (like me) and they've never expressed any interest in getting tested. my nieces and nephews have never said anything either
    • 23 hours, 6 minutes ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I participated in several ADA walks not long after being Dx with T1D. As Ahh Life points out large $ are rased, but where do they go? I stopped supporting ADA for that reason. I think JDF is much more open on where the funding goes.
    • 23 hours, 6 minutes ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      JDRF only. I like knowing that my contributions are going specifically to T1D.
    • 23 hours, 6 minutes ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 1 day, 3 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      Switched a long time ago to Tandem/Dexcom from Minimed because of improved and more automated control, and haven't looked back. Still wishing for a cure, but know it's not going to happen for dinosaurs like me. I'll just be glad when young people will will one day experience that magic word: cure. It's too easy to sit around and complain, but it's high time for a cure, and way past time having us depend on treatment that is pretty much a money maker for big Pharma when it seems as if there's a cure waiting in the wings. Filling up landfills with used pump supplies, etc., makes our society look nothing but incompetent and greedy. Sorry to rant.......
    • 1 day, 3 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      They do too often. Why I ask? Well because it will help long term.... oh how do you know that it will help? It's a brand new medication, never been used by the D community, except for the shortest term study mandated in order to get it to market, and sell. Long term has never been achieved... its NEW. Let's revisit/wait a couple years... if its MAGIC medicine, sure I'll try it. But unless it's got magic properties, guarantees magic results why would I want it, until it's been used for a decent while??? Oh well... yeah, guess that does makes sense....
    • 1 day, 20 hours ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      Yes and for the last year and a half that is exclusively what I have been offered so I am not getting all the usual checks an in person endo visit requires. ADA and others spent 10-20 years convincing endos they needed to check patients feet and that progress has evaporated.
    • 1 day, 20 hours ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      I would rather see in person. He checks my feet, BP etc. we have a chance to catch up and for me to ask questions. To me so much better face to face. We did virtual during pandemic.
    • 2 days, 4 hours ago
      Phyllis Biederman likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I’ll occasionally use the holster with clip that came with my pump or a protective case of my own when I’m wearing something without pockets. However I find these quite bulky thus usually just slip my pump in a pocket.
    • 2 days, 4 hours ago
      KarenM6 likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Hmmm... I'd almost welcome it, another challenge to enjoy?
    • 2 days, 4 hours ago
      KarenM6 likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I am rough on insulin pumps and cracked 2 minimed pump cases. I found the bare T:slim pump too slippery. I use the MEDmax silicone case. I put that in a AGOZ case with a belp clip. But I don't like the clip. It's too sharp and too stif. Looking for a belt for night time use.
    • 2 days, 4 hours ago
      KarenM6 likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I use the Tandem provided case and added a gorilla glass screen protector. I wear it on my belt in an pouch.
    • 2 days, 6 hours ago
      lis be likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Insulin, meters, diabetic tech are not magic wands. Its usage does not guarantee only "positive" results. Negative events can and do occur, period. Non -D- typically (incorrectly) equate negative events as being total user failure, severe user errors. As diabetics we get blamed, despite having made zero mistakes on our part. We make seriously educated best guesses, despite that truth, we can and do fail anyway sometimes! Outsiders falsely need to believe inulin, our tech are complete-total cures, rather than tiny bandages at best. When confronted for using (sic. my) "drugs" in public, no matter how invisibly done... it is their self righteousness , poor assessment which is the issue. I gladly squash such insects...
    • 2 days, 7 hours ago
      Karen Tay likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      No. I hate the clip on the case that came with my Tandem pump. I bought a couple of other cases, including Type 1 Tactical, and hate the bulk and the awful clips. I just stick the pump in my pocket and it's fine. At night I do use one of the other cases, from Type 1 Secura, because I can keep it clipped to my undies and easily slide the pump in/out if I have to look at it during the night.
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    If you wear a pump or CGM, when in your daily routine do you prefer to change your sites/sensors?

    Home > LC Polls > If you wear a pump or CGM, when in your daily routine do you prefer to change your sites/sensors?
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    If you wear a pump or CGM, do you usually change your site or sensor around the same time of day?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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 Manager of Marketing at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    24 Comments

    1. Molly Jones

      I wish I could check my accuracy of CGM while sleeping or that eating did not interfere with setting up my CGM. I am grateful for it’s existence though.

      3 years ago Log in to Reply
    2. Greg Felton

      The good advice is to never change a pump site before bedtime, and if you change a CGM at the same time, never before a meal. Do I always follow this? No. I will swap out a pump site and CGM at 8 pm now and then. I have a BG meter and syringe available in case.

      3 years ago Log in to Reply
    3. Dennis Pataniczek

      I change when the device calls for it—when the insulin runs out in the case of the pump, and in the case of the CGM, when the sensor time period is up.

      3 years ago Log in to Reply
    4. Sherolyn Newell

      When I first started on pump and Dexcom, I picked a time when I am usually at home and not busy and started the first one then. That way the Omnipod/Dexcom always expires when it’s usually a good time to start another one. Doesn’t always work perfectly, but it’s been close.

      3 years ago Log in to Reply
    5. Jose Almodovar

      After a shower, Early, Mid morning, afternoon after work under the current COVID-19 environment.

      3 years ago Log in to Reply
    6. Gene Maggard

      A better question would have been “when is the worst time to change . . .” I don’t like changing an infusion set at bedtime in case the site isn’t a good one. I’ve had occasions where the cannula hits a piece of scar tissue or other impediment and the insulin doesn’t flow correctly. However, any other time of the day is fine. For the CGM, I like to change it when my blood sugar is least prone to jumps. So I don’t do the changeover right after a meal, for example.

      3 years ago Log in to Reply
    7. Tod Herman

      My CGM is changed in the morning every 10 days. The insulin pump is changed when it runs out which varies depending on a variety of circumstances.

      3 years ago Log in to Reply
    8. Alexandra Johnson

      Pump site= when insulin runs out CGM= Anytime during the day

      3 years ago Log in to Reply
    9. Diana Kasbaum

      I change both my pump reservoir and CGM whenever they run out or expire. Because the CGM is specifically timed, it’s in the evening, so that the 2 hr start is done before going to bed.

      3 years ago Log in to Reply
    10. Lynn Green

      This is a second question where you’re lumping CGM and pump sites changes together (10 days vs. 2-3 days?). The timing and preference of each type of site change is different to me. I rarely do both at the same time.

      3 years ago Log in to Reply
    11. Thomas Hatton

      I agree with others here. I change my pump infusion site when the insulin runs out usually. I will reload the resivor and reinstall the new infusion set before the resivor runs out if insulin would run out overnight or during a time when I can’t reset the pump, like driving. Insulin is too expensive to throw away if I can avoid it. And with my CGM sensor, i like to do it in the morning so I can get the “warmup” complete. Sensors are also too expensive to throw away.

      3 years ago Log in to Reply
    12. Maureen Helinski

      Sensor in the evening so I don’t have to worry about eating and bolusing. Site in the morning because then I can watch the effects, maybe go a little low.

      3 years ago Log in to Reply
    13. Dave Barden

      No CGM, pump only. I used to always change the canula and reservoir at the same time. When the insulin ran out. That meant the canula sometimes stayed in place a day or so longer than recommended. Lately I’ve been changing the canula site when the pump tells me to, but not the res, that I change only when empty and will refill it even, in order not to waste the 20-30 units of insulin in the tube n res, or if it will run out in the middle of the night.

      3 years ago Log in to Reply
    14. Eve Rabbiner

      Insulin site: change whenever it’s close to out. Rarely have a problem. CGM: change it in the morning since after warming up it often goes nuts and sends out non-stop alerts that would make sleeping impossible. By dinner time it straightens itself out. Dexcom support reassured my not to be concerned, this is not unusual.

      3 years ago Log in to Reply
    15. Nicholas Argento

      I agree with at least one other that grouping CGM and pump sites is not a good idea because they are on differnt schedules and serve different functions. I prefer Dexcom CGM early evening so the countdown warnings don’t awaken me. I wish I could shut those off entirely, or make them silent. For pump, I change in the AM so I can see that it is working well in the day, not at night. Bad site would escape detection longer. I see many people commenting that they change the site when the pump runs out of insulin. I am not crazy about this approach for several reasons- 1) some who do this leave them in longer than the site is still absorbing well, leaving a period of high blood sugars- I see this in downloads all the time; 2) it might run out at night, then there is a risk of delayed change and high BG levels; 3) Insulin in a reservoir can be removed if you don’t want to lose insulin, or figure out how much you need for the period you find good function (number units per day x days + number needed for priming + some extra), understanding that 20 + units is not counted in T-Slim.

      3 years ago Log in to Reply
    16. AIMEE MCGUIRE

      I change them when they expire or if close to expiration and I am not going to be home when they do expire.

      3 years ago Log in to Reply
    17. connie ker

      This question is very similar to yesterdays question. I change the 14 day Freestyle Libre when it times out, or when it becomes loose, or when it stops reading accurately, or when it quits reading and tells me to change. It is never the same time, same day, or same reason. Sometimes it goes for 14 days and I change when it prompts me to change sensors.

      3 years ago Log in to Reply
    18. Carol Meares

      I change infusion sets when I have the time, or if they pull out every 2-3 days. I change CGM when it expires or shortly thereafter, sometimes before when it is too late in the evening because I like to be receiving readings before I go to sleep.

      3 years ago Log in to Reply
    19. Ceolmhor

      I didn’t notice, when I answered this, that you seem to be asking about both sensors and infusion sets. My answers to those are very different. I tend to change sensors in late morning. I like it to be as far as possible away from bedtime, so the sensor will stabilize a bit and let me sleep. But I also want the old sensor still working while I exercise, so on sensor days I have breakfast, then exercise, then change sensors. On the other hand, I change infusion sets just before I go to bed. No special reason for that, though.

      3 years ago Log in to Reply
    20. Donald Cragun

      I change sensors two to three hours after dinner (so it is stable before I go to bed and so I can still see any changes in levels after dinner). When possible, I change infusion sets just before a meal bolus.

      3 years ago Log in to Reply
    21. Steven Gill

      Although I indicated “it doesn’t matter,” I wait until l have less than 5-6 units in my cartridge. If it’s in the morning I’ll change it than, in the evening than. If l start the day with less than 20 units will carry a prefilled cartridge, switch it out appropriately. Generally at lunch although there’s been times I’ve just taken a break and switched cartridges as needed (follow all the steps except inserting another insert). But I’m using 38 units a day, this may not work for others.

      3 years ago Log in to Reply
    22. Janis Senungetuk

      I don’t change them at the same time. My CGM expires every 10 days at approximately 10:30 am. I try to apply a new sensor at that time. I change the pump when the cartridge has less than 16 units of insulin left, but aim for early afternoon because I want time before dinner to make sure it’s working correctly. I don’t keep a riding schedule because my activities change during the week and I want it to be a convenient time for me.

      3 years ago Log in to Reply
    23. Ahh Life

      No preference. You can advise and advise and advise, but, as one person said, “When the devil calls for it . . .” Oops, sorry. When the device calls for it, you do it 😘😘

      3 years ago Log in to Reply
    24. Megan L

      Pump- whenever it either tells me it’s out of insulin (I know that’s bad; sometimes I just forget it told me there’s only 10 units left). CGM – usually in the morning so it’s done calibrating completely by the time I go to bed.

      3 years ago Log in to Reply

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