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    • 5 hours, 49 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      It is not often that I get into discussions with people about Type 1 and type 2 diabetes. But, when I do, most people don't know that there is a difference. Those that are aware that there is a difference between type 1 and type 2 diabetes, don't know what the differences are. Generally, unless the person has the disease, is a close family member, or works in the medical profession, there is no understanding of the disease.
    • 5 hours, 49 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 5 hours, 49 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 7 hours, 4 minutes ago
      Neha Shah likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 10 hours, 37 minutes ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience people have heard of Type 2 Diabetes so if I say Type 1 that makes sense in that if there is a Type 2 there must be a Type 1 also. That is the extent of their understanding. In healthcare there is a bigger failure where "diabetes" or "type 2 diabetes" is used as a shorthand of a set of conditions often seen together. See any research paper by any cardiologist ever. This lack of precision leads to incorrect risk evaluations and incorrect treatment of people with diabetes caused by other factors including autoimmune aka Type 1.
    • 10 hours, 38 minutes ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 14 hours, 2 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      I have, and I do show calcium build up and hardening of the arteries. No action has been taken yet at this time. However, I am taking Repatha for better control of my cholesterol and it has been working great.
    • 14 hours, 2 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 14 hours, 2 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Thank you. Your write up is concise, cogent, and convincing. 🎀
    • 14 hours, 3 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      After 16 stents and a new aortic valve, I've had every scan imaginable and she just keeps on tickin'.
    • 14 hours, 4 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Just googled it and most insurance plans including basic Medicare do not cover it. Said cost ranges $100-400 with out-of-pocket being $100-150 (although I don’t understand that if not covered by insurance).
    • 14 hours, 27 minutes ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 14 hours, 28 minutes ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 15 hours, 17 minutes ago
      Lynn Smith likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 18 hours, 13 minutes ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      This is a good question! but it does lead to so many other questions.
    • 18 hours, 13 minutes ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      If the mystery train is your favorite form of conveyance, then you’re gonna love T1D. You may choose to be in a universe that is spiritually arid. Or you may choose to live in the harsh realities of reality. Up & down arrows and double arrows? I Love ‘em. Can and do take action immediately. 🙇‍♀️ 🙇‍♀️
    • 18 hours, 20 minutes ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      T1D & T2D are meaningless acronyms for most, nearly all, nondiabetics. Juvenile diabetes vs diabetes is the closest known pairing and that's still few.
    • 18 hours, 21 minutes ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 18 hours, 24 minutes ago
      Mike S likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 18 hours, 26 minutes ago
      Lauren T likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 18 hours, 27 minutes ago
      Meerkat likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 13 hours ago
      lis be likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 13 hours ago
      lis be likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, and even with low cholesterol levels all my life, CT Scan show extensive calcified coronary artery disease.
    • 1 day, 15 hours ago
      Carrolyn likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      If the mystery train is your favorite form of conveyance, then you’re gonna love T1D. You may choose to be in a universe that is spiritually arid. Or you may choose to live in the harsh realities of reality. Up & down arrows and double arrows? I Love ‘em. Can and do take action immediately. 🙇‍♀️ 🙇‍♀️
    • 1 day, 15 hours ago
      Marty likes your comment at
      If you could reimagine your diabetes technology, what’s the one thing you would change?
      The technology is remarkable — and I’m thankful for it. Having managed T1D for a very long time, it's improved my A1C. But as we age with T1D, usability becomes critical. Larger fonts, easier interfaces, simpler navigation, and design for arthritic hands will matter more and more. We also urgently need better training in hospitals and care facilities. Too often staff are unfamiliar with pumps and CGMs, and patients are forced to disconnect from the very tools that keep them safe. With the nationwide shortage of endocrinologists, we cannot rely on specialists to fix these gaps — frontline medical staff need better training and support. Tech innovation must include accessibility and real-world medical training.
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    If you’re a person with T1D, after having a rollercoaster day with multiple highs and lows, how affected do you most often feel – physically and emotionally – once your blood glucose levels are stable?

    Home > LC Polls > If you’re a person with T1D, after having a rollercoaster day with multiple highs and lows, how affected do you most often feel - physically and emotionally - once your blood glucose levels are stable?
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    Has your career path been influenced by living with T1D or having a loved one with T1D?

    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    34 Comments

    1. Juha Kankaanpaa

      I feel pretty bad and tired if my bg goes above 160. Luckily this doesn’t happen too often. Once I get back to my normal 85-95 range, it doesn’t take too long to feel “normal”.

      4 years ago Log in to Reply
    2. LizB

      I’m hypo unaware so my lows are easy to treat and I don’t really feel any different. I don’t go high often but recently I had a faulty pump reservoir that leaked and my BG went over 350 and I felt horrible. It took me a little while to recover even after I was back in range.

      4 years ago Log in to Reply
    3. Ahh Life

      Not at all. I’ve been on this roller coaster or merry go round — pick your ride — all my life. Control IQ tried its best ot get the ride slowed down. Then gastroparesis shows up and says, “I’ll show you!”, throws in a monkey wrench, and we’re all back on the ride. Just for the fun of it. Do we ever stop having fun? ( ̄个 ̄)

      5
      4 years ago Log in to Reply
    4. Jane Cerullo

      Physically fine. Just pissed at myself because usually my fault. Although FSL has been giving me false lows for a couple of days. Going back to Dexcom G6 and am happy. Don’t remember this problem when was on before. FSL likes to say I am always 57.

      4 years ago Log in to Reply
    5. Melinda Lipe

      Since when does having T1 not give you rollercoaster days? It’s something I’ve learned to live with over 55 years with this disease.
      Seriously, as the years have passed, it’s taking me longer to recover from lows. I have to sit and wait even after my bg has returned to normal to resume activities.

      4
      4 years ago Log in to Reply
    6. Anthony Angel

      I feel very very tired. I don’t always have the luxury of stopping and taking a break so I try to keep going especially at work. I usually manage okay but feel horrible for about a day.

      4 years ago Log in to Reply
    7. Patricia Dalrymple

      I feel awful with unexpected highs. Lows I usually handle fine. I feel a little shameful, like I shouldn’t have had that ice cream or extra helping. I absolutely hate it when I forget to bolus! HOW can I forget when I have to take insulin every time I eat? SMH! Fall off the wagon. Get back on.

      4 years ago Log in to Reply
    8. Ken Raiche

      Doesn’t happen that often but when it does the lows make me feel tired and depressed. The highs make me feel quite upset, so a real swing of emotions to say the least.

      1
      4 years ago Log in to Reply
    9. Lawrence S.

      I sometimes feel awful while I’m having a low, and sometimes a high. But, I’m usually fine after I’ve stabilized. There are many reason for my highs and lows, but I don’t beat myself up about it.

      2
      4 years ago Log in to Reply
    10. AnitaS

      I don’t think it affects me physically too much unless I have had a very low number which is not really a problem with a CGM, but mentally I just am aggravated as I like to be in range as much as possible. I feel relieved once my sugars seem to be on an even keel.

      4 years ago Log in to Reply
    11. Mary Dexter

      Wiped, physically and emotionally. I soldier on, but inside, I want to sit on the floor and cry.

      5
      4 years ago Log in to Reply
      1. Quadgirl

        Amen, Mary. Same here.

        4 years ago Log in to Reply
    12. Natalie Daley

      How I feel depends on how high or how BG was. Really low, 40s, is hard to recover from and can take the rest of the day; 42 is my crash point. Otherwise roller coaster days are annoying, but I’ve handled them by necessity.

      2
      4 years ago Log in to Reply
    13. Tod Herman

      Sometimes I end up feeling very tired and need a nap. Of course other times, without the rollercoaster ride, I just feel like taking a nap.

      1
      4 years ago Log in to Reply
    14. Lynn Smith

      To me, this is more than one question. After a roller coaster day, sometimes more than one day in a row, I feel wiped out. But, taking a break is rarely an option and even if it is an option, I don’t.

      2
      4 years ago Log in to Reply
      1. Janis Senungetuk

        I agree with you. I don’t physically recover as quickly as I have in the past. Lows below 50 are exhausting and may take the rest of the day to recover, but taking a break is not an option.

        1
        4 years ago Log in to Reply
    15. TomH

      There’s both physical and mental components. Physically, recovery from a low is fairly quick, highs for me take longer, though I feel a low recovery well before it shows up on CGM. Mentally, its just tiring to go through. Moving to Loop and getting accurate Basal Rate(s), Carb Ratio(s), Correction Factor(s), greatly reduces both the number of lows, highs, and roller-coastering plus the levels of them. Experience helps you realize how much of either insulin or carb is needed so as not to overtreat either one.

      3
      4 years ago Log in to Reply
      1. karolinamalecki7@gmail.com

        I couldn’t have said it better myself. 100% agree with Tom’s feelings.

        1
        4 years ago Log in to Reply
    16. Lenora Ventura

      There is no formula or pattern. You get what you get and learn to not throw a fit. Roll with the punches & take it as it comes. Tomorrow is always a new day – thank the Lord!!!!

      2
      4 years ago Log in to Reply
    17. sdimond

      I have been low carb for 22 years and I don’t have rollercoaster days. It is unusual for me to get as high as 125 and not swinging high means no lows from overcompensating.

      1
      4 years ago Log in to Reply
      1. Quadgirl

        Hi. Could you share exactly the number of carbs you aim for each meal or in a day? I have rollercoasters and eat a max of 40-45 per meal, no snacks. I also exercise every day at least an hour, but may need to lower carbs. Thanks if you can help. Woke up to 140 this am and not happy about it. Ugh.

        4 years ago Log in to Reply
    18. Gustavo Avitabile

      I physically recover fast, but I cannot fully revert to my routine activities, because I am overwhelmed by analyzing the causes and my faults, and planning how to prevent it next time.

      2
      4 years ago Log in to Reply
    19. Cheryl Seibert

      Roller-coaster BG days affect me a lot more now than they have in 56 yrs of T1D. Stress now has a huge effect on my BGs. I am caregiving a very elderly relative and dealing with increasing health issues with my husband. I’m needing cataract surgery too, so the ups and downs drive me nuts and I feel exhausted. It’s harder to bounce back now with everyone else’s health issues taking priority.

      2
      4 years ago Log in to Reply
      1. James Hoare

        Hey Cheryl ! That is an amazing reality you have shared: managing your own T1D of such long duration and being a caregiver for TWO others. Best wishes for your stout heart and iron will, also for upcoming cataract surgery. I am scheduled for that in July and with vision in only that eye I am worried for sure.

        1
        4 years ago Log in to Reply
    20. Chris Albright

      A day in the life of a T1 diabetic….. Do your best snd move on, can’t change the past……

      1
      4 years ago Log in to Reply
    21. Molly Jones

      I chose very little. Who knows, if I had a clone, I could test it and see for real!
      It depends on the severity and length of the rollercoaster ride.
      I can end up feeling emotionally irritated once more that I haven’t found the causes for theses ups and downs.
      Rarely I feel physically affected, usually tired.

      1
      4 years ago Log in to Reply
    22. Becky Hertz

      I answered somewhat as I rarely spend a day on the glucoaster. As with everything else T1D related, how I feel just depends on the day. Sometimes it’s no big deal and sometimes it takes me out for the rest of the day.

      1
      4 years ago Log in to Reply
    23. Sasha Wooldridge

      I said somewhat, but it really depends on the day – each rollercoaster event is different. Sometimes I can get back to normal like nothing happened, other times I’m nursing a headache or feel completely drained (physically), other times I’m so irritated that it happened that I can’t focus on anything else (this usually goes hand-in-hand with feeling physical symptoms though).

      2
      4 years ago Log in to Reply
    24. Mary Ann Sayers

      I feel very tired. Probably it’s more of “I’m tired of trying to understand what my body is doing with the insulin I’m giving it and WHY CHANGE WHAT IT NEEDS!!!” I’m tired of the rollercoaster that I/we live with.
      Some time ago I read something about “smart” insulin? Is there anything that?

      2
      4 years ago Log in to Reply
    25. ConnieT1D62

      Ach, the emotional stress of roller coaster BG levels is more distressing for me than the physical aspects by themselves. Although the physical body reactions & results are quite a pain in the ass when and after I have a series of BG lows and subsequent rollercoaster highs, it is just plain frustrating and emotionally draining to be going through roller coaster swings especially with smart pump algorithms set to regulate and prevent the swings from happening in the first place. Diabetes self-care vigilance never lets you let your guard down.

      1
      4 years ago Log in to Reply
    26. Cheryl Weaver

      I get frustrated

      4 years ago Log in to Reply
    27. Cheryl Weaver

      Low BG makes me feel wiped out, and so does high BG. I’m on the Tandem tx2 slim pump now, as well as Dexcom G6, so it’s nice to have them communicating. It makes it a little easier to stabilize my blood sugars now. I have to watch where I place the insulin cannula though. I’ve had Type 1 for 62 years, and have given myself many, many injections. I think I have developed some scar tissue, because in some areas my insulin just doesn’t seem to absorb as well.

      4 years ago Log in to Reply
    28. Jneticdiabetic

      I chose ” Very little – I feel a little affected but I can easily get back to what I need to do.” I usually am able to push through and do what I need to do, but “very little” and “easily” are not adjectives I would have chosen. Truth is the rollercoasters are exhausting, but I get back to what I need to do anyway.

      4 years ago Log in to Reply
    29. Velika Peterson

      Our T1D tween daughter is somewhat affected by a rollercoaster day. But I – as the primary caretaker – am very strongly affected by rollercoaster days or even high events (especially “sticky” highs). It is extremely stressful and overwhelming to be dealing with it and significantly affects all other areas of my day and wellbeing.

      4 years ago Log in to Reply

    If you’re a person with T1D, after having a rollercoaster day with multiple highs and lows, how affected do you most often feel - physically and emotionally - once your blood glucose levels are stable? Cancel reply

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