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    • 8 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.
    • 15 minutes 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
    • 1 hour, 15 minutes 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.
    • 1 hour, 18 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
    • 2 hours, 21 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
    • 2 hours, 22 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?
    • 2 hours, 22 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.
    • 2 hours, 23 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.
    • 2 hours, 23 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.
    • 2 hours, 23 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
    • 14 hours, 55 minutes 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".
    • 14 hours, 56 minutes 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.
    • 14 hours, 56 minutes 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.
    • 20 hours, 52 minutes 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.
    • 20 hours, 52 minutes 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.
    • 20 hours, 54 minutes ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 21 hours, 42 minutes 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.
    • 21 hours, 42 minutes 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, 1 hour 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, 1 hour ago
      atr likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 1 day, 1 hour 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, 1 hour 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, 1 hour 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, 1 hour ago
      TEH likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 1 day, 1 hour 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.
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    If you were about to eat a medium-sized red apple and were unable to measure the exact size of the apple or look up the carb count, for how many grams of carbs would you realistically bolus?

    Home > LC Polls > If you were about to eat a medium-sized red apple and were unable to measure the exact size of the apple or look up the carb count, for how many grams of carbs would you realistically bolus?
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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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    19 Comments

    1. Molly Jones

      I would rarely eat an apple at a restaurant or someone’s house without my phone to help me with carbs. I chose about half of what the FDA said. Fruit can be hard since it’s ripeness determine’s it’s sugar.

      5 years ago Log in to Reply
      1. Kimberly Green

        actually the ripeness does not affect the amount of sugar in the fruit. The sugar and carbs will be the same no matter how ripe the fruit. Ripeness affects how quickly we are able to breakdown the sugar giving the illusion of more sugar with riper fruit since the sugar is more easily broken down and spikes numbers faster.

        12
        5 years ago Log in to Reply
      2. María Ana Lugo

        Kimberly, is it the same for say, banana?

        5 years ago Log in to Reply
      3. Molly Jones

        You can always reach out to a nutrionist. It says on all websites that sugars increase along with ripeness. A website of www. diabetes.glucose.com/bananas mention that Green or unripe bananas contain less sugar and more resistant starch

        5 years ago Log in to Reply
    2. Henry McNett

      I would not eat the apple to begin with. Too much sugar, can get the micronutrients from vegetables.

      1
      5 years ago Log in to Reply
    3. Daniel Bestvater

      I only eat very small amounts of fruit at a time. If I’m taking my dog for a 15-20 minute walk sometimes 1/4 of an apple or banana.

      5 years ago Log in to Reply
    4. Dennis Dacey

      My response is 14 to 18, BUT…
      I regularly eat an apple every day, and have done so during my 66 years living with diabetes.
      What has become apparent to me, is carb count depends heavily on species of apple and the degree of ripening.

      7
      5 years ago Log in to Reply
    5. Mike S

      I have no idea how many carbs are in an apple, but it doesn’t matter. Granny Smith apple with peanut butter replaced cake/cookies/etc as an acceptable dessert after my diagnosis about a decade ago. I know that (for me) a small/medium apple with a little PB requires 4-6 units of insulin given at least 15 minutes up front and at least 1 unit being delayed over the following hour – depending on how liberal I am with the PB. I usually achieve a straight line with a just a little hump on my Dex with this, though at other times exercise/stress levels/time of day/how long my Omnipod has been on/(the wind, the sun, the stars) can wreak havoc with BS and need to be accounted for after the fact.

      5
      5 years ago Log in to Reply
      1. Rick Martin

        My favorite fruit combination is Granny Smith + PB also!!

        5 years ago Log in to Reply
    6. George Lovelace

      57 years and I can’t estimate carbs so I always weigh on Gram Scale and look up value

      5 years ago Log in to Reply
    7. connie ker

      I usually cut fruit in halves and save the other half for later or another mealtime. I found the little fruit cups of 4, sweetened with stevia and monk fruit extracts made by Dole. One fruit cup is 9 grams of carb with no sugar, no artificial sweetners, no GMO. The fruits are pineapple, peaches, cherries, and pears. Great for a lunch box, snack, or delicious dessert.

      5 years ago Log in to Reply
    8. Becky Hertz

      There is a wide variance of “medium” out there.

      3
      5 years ago Log in to Reply
    9. Marilyn Mandell

      useful discussion. Would like to see more discussion of carbs in real life.

      2
      5 years ago Log in to Reply
    10. Derek West

      I always just use 15grams, although often the apples are bigger than that. When buying apples I look for smaller ones, as close to 4 oz as I can find. Organics, my preference tend to be smaller.

      1
      5 years ago Log in to Reply
    11. Lucia Maya

      I’d probably eat half an apple only, and i find half a small apple needs to be bolused for as ~15 carbs. I mostly eat fruit like this if I’m low, or heading low. Interesting reading all the comments!

      3
      5 years ago Log in to Reply
    12. Carol Meares

      Apples bring my BS up quite a lot. 1 whole medium Apple I need around 3 units boluses early. For me that is around 30g of carbs. I may have to follow up with more if the Apple was extra sweet.

      5 years ago Log in to Reply
    13. Donna Condi

      When I was first diagnosed I was told to use 15 grams for the carb count of a medium apple.

      1
      5 years ago Log in to Reply
    14. keith johnson

      I never bolus for an apple. I have never had blood sugars rise significantly or at all in my 29 Yrs. of being a type 1 diabetic.

      5 years ago Log in to Reply
    15. Beth Franz

      Other – I wouldn’t bother trying to eat an apple or bolus for it since it’s impossible to match insulin to a high carb food like an apple. Haven’t touched sugary fruits since discovering very low carb eating.

      5 years ago Log in to Reply

    If you were about to eat a medium-sized red apple and were unable to measure the exact size of the apple or look up the carb count, for how many grams of carbs would you realistically bolus? Cancel reply

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