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    • 23 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 6 hours, 41 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 7 hours, 33 minutes ago
      Kathy Hanavan likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 10 hours, 34 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 10 hours, 35 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 10 hours, 43 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 10 hours, 45 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 10 hours, 57 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 10 hours, 57 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 10 hours, 57 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 10 hours, 58 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 10 hours, 58 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 10 hours, 58 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 11 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      Do you realize what you have just said: "Obscurantism, gobbledegook, and pointillism used not as an art form but as a 'Gotcha!' of legal/financial determinism?"
    • 11 hours, 2 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 11 hours, 3 minutes ago
      Lawrence S. 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.
    • 11 hours, 4 minutes ago
      Lawrence S. 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.
    • 11 hours, 19 minutes ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 8 hours 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
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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 day, 10 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.
    • 1 day, 10 hours 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
    • 1 day, 11 hours 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
    • 1 day, 11 hours 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?
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    If you were diagnosed with T1D as an adult, were you first misdiagnosed before you got the correct diagnosis? If yes, with what were you misdiagnosed? Select all that apply to you.

    Home > LC Polls > If you were diagnosed with T1D as an adult, were you first misdiagnosed before you got the correct diagnosis? If yes, with what were you misdiagnosed? Select all that apply to you.
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    If you were diagnosed with T1D as a child or have a child with T1D, were you first misdiagnosed at the initial doctor visit? If yes, with what were you misdiagnosed? Select all that apply.

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    If you wear any devices, how many times in the past month have you accidentally ripped out a sensor or pump site?

    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. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    19 Comments

    1. LizB

      I chose that I was diagnosed as an adult but NOT misdiagnosed because I was technically an adult – 19 years old. My sister was in her late 40s when she was diagnosed and she was also diagnosed correctly.

      5 years ago Log in to Reply
    2. Beth Franz

      Misdiagnosed as T2 while in DKA at age 40… put on wrong medication and almost pushed back into DKA with 350 blood sugars for almost a week while waiting on the antibodies test results. It was a frightening and unnecessary situation.

      1
      5 years ago Log in to Reply
    3. Kristen Hamilton

      I was misdiagnosed at 15 and before, but I don’t consider that an adult. My husband was diagnosed at 62, but was misdiagnosed as a type 2.

      5 years ago Log in to Reply
    4. Kathy Hanavan

      I was misdiagnosed as type 2 by a PCP at age 38 despite classic T1D symptoms and put on a sulfonulurea. On my own, I sought out an endocrinologist and was immediately put on insulin. The rest is history.

      5 years ago Log in to Reply
    5. Grey Gray

      Diagnosed at 17 I thought I was an adult. But DKA in the 80’s caused my diagnosis. I never heard of these other things before 20 years ago. Except gestational which I would be precluded from.

      5 years ago Log in to Reply
    6. connie ker

      I was 49 years of age as my husband called his endo Dr. who put me on insulin over the telephone from the reading of HIgh on my husband’s meter. When I saw this specialist 3 hours away, he said I am puzzled because you don’t look like a type 2 diabetic. I was going through menopause and was put on birth control which seemed to trigger the high numbers. But nonetheless, I needed insulin to eat food and keep the numbers down. So the specialist called me a 1 and 1/2 – inbetween a 1 and a 2. Then the term LADA came into being, and from being a 1 and 1/2, I am now a type 1 with LADA. I am not overweight and it seemed to be an autoimmune attack at menopause. My local GP tried glucophage which made me sick to my stomach.

      5 years ago Log in to Reply
    7. Alyne Branson

      I was 21 in college and the student health services diagnosed me with a bladder infection. I got sicker and they switched me to a different antibiotic. I got sicker and went to my boyfriends family doctor who diagnosed me with ulcers. I got sicker and sicker and finally went to emergency room where they did a blood test and diagnosed me as Type 1. It was a tough week and all right before finals.

      5 years ago Log in to Reply
      1. William Bennett

        Sounds a bit like my story. I was 28, in grad school, exams and essays were bearing down, and I thought it was just some weird kind of stress reaction. Kept getting worse. And what did ravenous thirst and peeing have to do with anything??? Fortunately my M-I-L was a medical professional and told my wife it might be diabetes. Dr said I was maybe 24 hrs from aka (“you probably wouldn’t have been able to wake your husband up tomorrow morning”). I was correctly dx’d, but it was 1983, before the T1 nomenclature was introduced, so it says “Juvenile type” on my record.

        5 years ago Log in to Reply
    8. Rebecca Lambert

      I was diagnosed at the ER in DKA. I believe that’s why I got the correct diagnosis. Had it been through regular doctor appointments, I’m not sure I would have been diagnosed correctly due to my age 45 at the time).

      5 years ago Log in to Reply
    9. Trina Blake

      1982, I was 30 years old, so the Dx was T2. No risk factors (especially in the family tree), classic T1D symptoms. After a feww months of scolding, I was put on 15U of Nph once a day and sent on my way. Of course, I figured that was it, did the injections and then DKA. Found by a neighbor. Got the correct Dx in the ER

      5 years ago Log in to Reply
    10. Jana Foley

      I was 40 when I was first diagnosed as a T2. Seeing no reason to question that, I went on oral meds for treatment, but could never get my BG below 300. It averaged between.400 – 600 most of the time. I just thought I was a bad diabetic. My youngest two children were diagnosed 6 years later, so started the fight with their T1D and didn’t worry about mine. When sitting in on a training with my son, I said something that made his CDE question my diagnosis. I chose to start seeing his endo who changed my diagnosis and treatment to that of a T1. I now have an A1C of 5.5 with 93-4% time in range. It’s been nice, but the retinopathy I now deal with makes me wonder if all those years of being so high all the time could have been prevented with a proper diagnosis to begin with. That’s a question I will never know the answer to now.

      5 years ago Log in to Reply
    11. Annie Wall

      It’s so interesting to read what happened to others. I was 32 in May 1980 and had unexplained weight loss so I decided to schedule a physical. They said they would schedule it in September so I said, let me tell you why I think I need a physical and told them about the weight loss. They said, we’ll see you tomorrow. My GP did a quick blood test and told me I had juvenile diabetes. He wanted me to have a glucose tolerance test at the hospital the next day. As he was leaving the exam room, he said, “By the way, have you been thirsty?” I just about fell off the table. I had been constantly thirsty for months and peeing every 5 minutes. Had all the classic symptoms and had thought they were just weird, except for the weight loss.

      When I went for the glucose tolerance test, they did my fasting blood sugar and came back to say that the glucose tolerance test would make me sick and that my doctor had all he needed for my diagnosis.

      I walked in a haze, as there was no diabetes whatsoever on either side of my family going back generations. 40+ years later, I’m still the one and only.

      5 years ago Log in to Reply
    12. Tracy Jean

      I was 32 and developed blisters on my hands, feet and face. After many different diagnosis, including a dermatologist who accused me of putting acid on myself, my mother asked them to do a blood sugar test. I was over 500, and diagnosed as Type 1.

      5 years ago Log in to Reply
    13. Sasha Wooldridge

      Electrolyte imbalance. Because I was thirsty. 🙄

      Then they eventually diagnosed me correctly with T1 but treated it as T2 insulin-dependent. I got long-acting insulin only for the first year until I got in to see a specialist and it was awful.

      5 years ago Log in to Reply
    14. Marie Cardinell-Daldry

      I was pregnant when my glucoses were found to be elevated. After delivery it was then decided I was Type2. However My elevated glucoses persisted even though I was normal weight and oral medications had no effect. Furthur testing was done by another endocrinologist and it was decided I was a Type 1. I have a younger brother who was diagnosed at Age 7.

      5 years ago Log in to Reply
    15. John Dowd

      Diagnosis didn’t pertain to me, as I had passed gall stones that damaged my pancreas which ultimately abscessed and was removed, making me an instant type 1 diabetic.

      5 years ago Log in to Reply
    16. Jneticdiabetic

      I was diagnosed correctly by my family and then family doctor at 18 y/o (adult-ish). Was a week before my first set of finals in college. I had lost 10lbs in a couple months that I couldn’t afford to lose, increased thirst, falling asleep in class after lunch, leg cramps at night (due to dehydration). My mom suspected diabetes so I got urine glucose test strips at the drug store and the whole family tested. Mine was the only one that changed colors. Made an appt with with doctor, who did official lab work. Fasting BG was mid-300s, no ketones. My fasting BG at my physical exam just 2 months earlier had been 121. I feel fortunate that we caught it before DKA set in.
      My mom was diagnosed later with T1D at age 57, but only be after being misdiagnosed as a T2D. She presented with fasting BG in 300s like me at her annual physical. Due to her age doctor assumed she had type 2 and put her on multiple oral medications for the next few months that did not improve her sugars. I finally convinced her primary doctor to test her autoantibodies (double positive) and c-peptide (barely detectable). That finally convinced her endo to start insulin. Thankfully, it seems there is growing awareness that T1D is not just juvenile diabetes anymore.

      5 years ago Log in to Reply
    17. Tom Caesar

      At 17 I lost focus with my eyes for a brief time. Eye Dr said I was tired. Two years later happened again and eye Dr accused me of using marijuana. Six months later went to family GP who recognized diabetes. Marking 51 years now T1

      5 years ago Log in to Reply
    18. kilupx

      I was 66 and my internist found elevated glucose in a routine blood test. He told me I was type 2 and prescribed Metformin, which made me feel like I was walking through a tunnel made of Jello while half asleep. My brother had been type 1 from the age of 9 and growing up I was very familiar with his symptoms and his care. It never occurred to me that someone old enough for Medicare was a type 1. But I didn’t like my treatment. When I asked internist for a recommendation for an endocrinologist, he told me type 2 was his “bread and butter” and he dealt with it all day long and a specialist wasn’t necessary. On my own I found the Mount Sinai Diabetes Center and a great doctor there told me, before even testing, that he guessed I was type 1. And I was LADA–was able to manage at first on low carb diet and didn’t go on insulin for 2 years.

      5 years ago Log in to Reply

    If you were diagnosed with T1D as an adult, were you first misdiagnosed before you got the correct diagnosis? If yes, with what were you misdiagnosed? Select all that apply to you. Cancel reply

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