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    • 11 hours, 56 minutes 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
    • 12 hours, 54 minutes 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.
    • 13 hours, 1 minute 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
    • 14 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 14 hours, 4 minutes ago
      John Barbuto 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
    • 15 hours, 7 minutes ago
      Gerald Oefelein 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
    • 15 hours, 8 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 15 hours, 8 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 15 hours, 9 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      For Minimed, the dedicated reader is the pump.
    • 15 hours, 9 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
    • 15 hours, 9 minutes ago
      Marthaeg 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
    • 1 day, 3 hours ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 3 hours ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 3 hours ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Here's my concern. I've used AI when meeting new clients to take notes of my meetings while I'm talking with the client. Ostensibly, this frees me up from having to jot down notes while talking - allowing me to give my full attention to the conversation. (Very good benefit of AI) Then, when reviewing the notes, AI literally fabricated scenarios that weren't discussed (AI Hallucinations are a very bad side effect). Not knowing when AI will fabricate a fact pattern gives me great concern that AI will fabricate a glucose reading and then act on that hallucination. AI has great potential, but it's not ready yet.
    • 1 day, 9 hours ago
      D-connect 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.
    • 1 day, 9 hours ago
      D-connect 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.
    • 1 day, 10 hours ago
      Ahh Life 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.
    • 1 day, 10 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 1 day, 14 hours ago
      Kathy Hanavan 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.
    • 1 day, 14 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
    • 1 day, 14 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
    • 1 day, 14 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 2 days, 10 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 2 days, 10 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
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    If you wear a T1D device, does swimming in salt water cause your device to fall off more, less, or equally as often as when you swim in fresh water?

    Home > LC Polls > If you wear a T1D device, does swimming in salt water cause your device to fall off more, less, or equally as often as when you swim in fresh water?
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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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    21 Comments

    1. Lawrence Stearns

      I’ve never felt comfortable going in the water, salt water or chlorinated, with my pump or CGM. I’ve always thought it would destroy my pump. I also don’t feel comfortable going in publically used water with holes in my skin from canulla’s etc. for fear of infections. I just don’t go in the water.

      3
      5 years ago Log in to Reply
    2. Amanda Barras

      My Medtronic pump didn’t have issues with the infusion set in either case, but the CGM tape was terrible for water sports regardless of water type. I just started a Talim and Dex and haven’t had a chance to swim with either yet to test that out, but I find the Dex stays sooo much better already under normal daily use than the Medtronic CGM did.

      5 years ago Log in to Reply
    3. Greg Felton

      I don’t know; I don’t swim or get in the water much because of these devices. If I swim or get in the ocean it is on vacation, when I normally go on a ‘device vacation’ at the same time.

      5 years ago Log in to Reply
    4. Derek West

      I do not swim much, but when I did I disconnected my pump and covered the infusion site with an IV3000 from Smith and Nephew. Probably would work for the CGM also.

      1
      5 years ago Log in to Reply
    5. connie ker

      I am a senior who doesn’t swim anymore. However, I still like to bathe and soak in a bath tub. Sometimes the Abbott Freestyle Libre won’t record for 10 minutes or longer after I get out of the water. Then it resumes recording numbers.

      5 years ago Log in to Reply
    6. Gerald Oefelein

      I disconnect / remove my pump and install a plug to keep sand and salt water out of the port.

      1
      5 years ago Log in to Reply
    7. Gary Taylor

      I answered “Other”. I do not swim or bathe now that I use a pump and CGM. Showering causes no problems.

      1
      5 years ago Log in to Reply
    8. Retired and glad

      I haven’t been in salt water for decades because I just don’t like it. Much rather be in a pool or even a lake. When I had my Medtronic 5 series pump, I forgot to take it off before jumping in a lake, and that was that. However, Medtronic was very good about forgiveness and replaced it, no questions asked. I now am on a 630G and even though it says it’s waterproof (or resistant) I don’t trust it. I take it off and put a plug on the cannula port. Unfortunately that limits my time in the water before I have to plug myself back in. As far as the adhesive tape goes, never had a problem with it being in the water.either at the infusion site or on the CGM.

      5 years ago Log in to Reply
    9. Donna Condi

      I swim in pool with no issues but have not been in salt water.

      1
      5 years ago Log in to Reply
    10. Martin Fuhrer

      On a couple occasions I’ve lost my FreeStyle Libre sensors during extensive deep water soloing sessions in the Sea of Oman. These are two to three hour sessions of swimming, treading water, and climbing and falling off sea cliffs, so those occasions the sensor remains attached (majority of cases) are actually quite impressive. I’ve used the sensor while scuba diving (50 to 60 minutes up to 30m depth), tucked under a wet suit, and never experienced loss of adhesion (plus the sensor continues to work fine afterward). No problems on the few occasions I’ve swam with the FreeStyle Libre in fresh water.

      5 years ago Log in to Reply
    11. Tom Caesar

      Haven’t had any problems with either types of water, infusion port and sensors stay on fine. I swim in the pool, swim and surf in the ocean, no troubles. Of course I remove the pump during these times, but keep my sessions under 90 minutes and check BS when out. Tried a hot tub once and water temp dissolved adhesive so I keep away from them!

      1
      5 years ago Log in to Reply
    12. ConnieT1D62

      The only swimming I do is in a chlorinated pool. I don’t swim in salt water and it has been years since I swam in Lake Erie. When I swim in a pool I take off my pump and cap the infusion portal with the little cap thingy so water doesn’t seep in. My infusion site gear is covered with an IV3000 patch which usually stays intact in the pool because it remains secure against my skin under the lower end my bathing suit. When out of the water if the IV3000 tape comes undone I just dry off and reapply a new one.

      5 years ago Log in to Reply
    13. Patricia Dalrymple

      I have a pump and Medtronic says no salt water with the pump. Have never had water issues with the site. I cap it off before going in the Gulf. Sweating in the hot Florida sun and humidity sometimes is an issue but rarely. The tubing sometimes causes me to break out around where it is laying against my skin in the heat.

      1
      5 years ago Log in to Reply
    14. Tracy Jean

      I wear a Tslim. Sand at the beach seems to be the problem for me. Little grains get in and I have problems reconnecting.

      5 years ago Log in to Reply
    15. 102162

      I have not used my Omnipod in saltwater.

      1
      5 years ago Log in to Reply
    16. kylekk@gmail.com

      I don’t swim in salt water hardly ever, but don’t have any issues in fresh water.

      5 years ago Log in to Reply
    17. Maggie Morgan

      The type of water does not matter. However, I usually do not wear my CGM in the ocean as the force of the waves can knock the sensor from my body and wear it down much more quickly.

      5 years ago Log in to Reply
    18. cynthia jaworski

      I haven’t
      tried in salt water. No problems bathing, though.

      5 years ago Log in to Reply
    19. Lynn Green

      I can’t compare, I haven’t been in salt water with my cgm. And fresh water has not caused my cgm to fall off.

      5 years ago Log in to Reply
    20. Leona Hanson

      The only water I get in is fresh water and that’s a shower and nothing has fallen off yet

      5 years ago Log in to Reply
    21. TEH

      I don’t swim very often.

      5 years ago Log in to Reply

    If you wear a T1D device, does swimming in salt water cause your device to fall off more, less, or equally as often as when you swim in fresh water? Cancel reply

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