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    • 4 hours, 42 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.
    • 5 hours, 34 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.
    • 8 hours, 36 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.
    • 8 hours, 36 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.
    • 8 hours, 44 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.
    • 8 hours, 46 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.
    • 8 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?
      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.
    • 8 hours, 59 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.
    • 8 hours, 59 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.
    • 8 hours, 59 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.
    • 8 hours, 59 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
    • 8 hours, 59 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.
    • 9 hours, 2 minutes 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?"
    • 9 hours, 3 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.
    • 9 hours, 5 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.
    • 9 hours, 6 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.
    • 9 hours, 20 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, 6 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, 7 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, 7 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, 8 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, 8 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, 9 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, 9 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?
    • 1 day, 9 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 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.
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    If you were misdiagnosed with something else before being diagnosed with T1D, did you end up in DKA due to the misdiagnosis?

    Home > LC Polls > If you were misdiagnosed with something else before being diagnosed with T1D, did you end up in DKA due to the misdiagnosis?
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    If you drink coffee, do you bolus for the coffee itself (not any of the additional cream/sugar)? Share your tips for how to bolus for coffee in the comments!

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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.

    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. 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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    19 Comments

    1. Sally Numrich

      I was not misdiagnosed but due to lab mix up, I went a weekend with no treatment & ended up in a coma. The doctor knew what was happening from phone call with my Mom. He asked for a fasting and if it was normal to bring me in Monday morning. Worst weekend of my life. The call never came in and I went downhill fast.

      5 years ago Log in to Reply
    2. Rebecca Lambert

      I went to urgent care with an infected bug bite that would not heal. Was feeling and looking terrible. Was sent home with antibiotics and 48 hours later Was in ICU.

      5 years ago Log in to Reply
    3. connie ker

      I had ketones when I was put on insulin over the telephone, however the endo Dr. called me a 1 and 1/2. Then my hometown Dr. treated me as a 2 which didn’t work at all on glucophage. Finally the term LADA came out in the diabetic realm and that is what I obviously am dealing with for the rest of my life. Without insulin, I would have wasted away because I kept losing weight and strength at the age of 49. Happy Birthday Insulin!!!!!

      2
      5 years ago Log in to Reply
    4. Beth Franz

      I said ‘yes’, however, I was in DKA and then misdiagnosed, and waited days days for the antibodies test results. Then almost went back into DKA after going home and put on wrong insulin/metformin that did nothing except bounce me back up into the 400s. Was taught nothing helpful on insulin, carbs and figured it out all on my own. It was a scary couple months until I got it relatively under control.

      5 years ago Log in to Reply
    5. Kristen Clifford

      I’m pretty sure I was already on the verge of DKA in the days leading up to my official diagnosis. Being correctly diagnosed sooner more than likely wouldn’t have made much difference.

      5 years ago Log in to Reply
    6. Megan L

      They told my parents I had the flu. I was really in DKA (I was only 3).

      5 years ago Log in to Reply
    7. Richard Vaughn

      I was diagnosed in 1945. Was DKA a known thing back then? My doctors never mentioned it. They still don’t. They are only concerned about lows. I never heard of DKA until 2006 when I joined an online support group.

      1
      5 years ago Log in to Reply
    8. Karington Johnston

      I was not misdiagnosed, but I was in DKA at diagnosis. I was diagnosed when I was 20, and I had studied abroad the semester before I was diagnosed. I had always been thin, and when I started losing weight, we all thought that it was just because of how much I walked studying abroad. When I came home for spring break in March, I was 90 pounds, eating a ton, peeing a ton, and barely able to stay awake or walk.

      5 years ago Log in to Reply
      1. Karington Johnston

        I ended up in the hospital for nearly a week.

        5 years ago Log in to Reply
    9. Kaylea Bowers

      I wasn’t misdiagnosed but presented DKA at diagnosis. Before finally going to the hospital, my parents thought I had an eating disorder because I wasn’t eating, and anything I did eat came right back up (but not “formally” misdiagnosed).

      5 years ago Log in to Reply
    10. ConnieT1D62

      In the fall of 1962 I was 8 years old and my brother and I had the mumps. He recovered and I kept getting sicker and sicker – losing weight, unquenchable thirst, peeing all the time, listless fatigue, and eventually dry heaves with rapid, shallow Kussmaul breathing. Among other things hey tested me for leukemia. On December 26, 1962 I went into the hospital for 3 weeks and began my life long journey with “brittle juvenile diabetes”. There was no T1 or T2 distinction back then. It was also called “sugar diabetes”.

      5 years ago Log in to Reply
      1. Germaine Sarda

        I was a brittle, too. We all must have been since we were flying blind back then. Glad you made it.

        5 years ago Log in to Reply
    11. Germaine Sarda

      I was 8 years old and already in DKA. My doctor thought it was my appendix and sent me to the hospital. He asked for a second opinion and the doctor told him he thought it was diabetes. My doctor then did a glucose tolerance test that sent me into a coma for several days. This was 1974.

      5 years ago Log in to Reply
    12. Amy Nance

      1981, I was misdiagnosed by our family doctor, as having the flu, although he did have a urine sample that showed I had very high sugar. The last thing I remember was leaving the dr. Appointment. My parents kept me home for two more days and finally took me to the ER. They diagnosed me correctly with DKA, and I woke from the coma after about 24 hours. Sadly, a boy that had labs only slightly worse than I, was admitted the same night, but did die. The doctors warned my parents I may not make it either. When I did regain consciousness the doctor came in to assess for brain damage, but I was ok. DKA is life or death, and sadly is still not widely discussed by all pediatricians or the medical community in general for adults.

      1
      5 years ago Log in to Reply
    13. Anneyun

      I was already in DKA when I was taken to the hospital, barely able to stand and down to the weight of 78lbs at 14 years old. I was drifting in and out of consciousness. They told my mother that I had leukaemia.

      5 years ago Log in to Reply
    14. Kimberly Starkey

      I was diagnosed as a Type II. Twelve years later I experience DKA and nearly died. In retrospect, I believe I actually had LADA but have never had it confirmed by lab results. I never “fit” the usual characteristics of a Type II, and after discussing with another insulin-dependent friend (who became so around age 40), talking to a retired doctor, and doing some of my own research, I do think I was actually LADA. I also believe I postponed the DKA by living mostly low carb for those 12 years.

      5 years ago Log in to Reply
    15. Maria T

      I was diagnosed 35 years ago, so T1D was fairly unheard of. Initially I was diagnosed with the flu, then after 3 days I lost 15 pounds and peaked of acetone.

      5 years ago Log in to Reply
      1. Maria T

        REAKED, not peaked, not reached! My personal showdown with spell check….

        5 years ago Log in to Reply
    16. Avasupplies

      I was misdiagnosed in 1992. The doctor told my mom told my mom that I probably had a summer cold that was going around. About 4 days later after sucking down oranges and Gatorade because I was so sick to my stomach… my dad carried my lifeless body into the emergency room. The doctor asked about my insulin and dad didn’t have any answers. I was transported my ambulance to a larger hospital and my blood sugar was over 800. I don’t remember much about it, I was 11.

      5 years ago Log in to Reply

    If you were misdiagnosed with something else before being diagnosed with T1D, did you end up in DKA due to the misdiagnosis? Cancel reply

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