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    • 2 hours, 16 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
    • 8 hours, 34 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.
    • 9 hours, 26 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.
    • 12 hours, 28 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.
    • 12 hours, 28 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.
    • 12 hours, 36 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.
    • 12 hours, 38 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.
    • 12 hours, 50 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.
    • 12 hours, 50 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.
    • 12 hours, 51 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.
    • 12 hours, 51 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.
    • 12 hours, 51 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
    • 12 hours, 51 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.
    • 12 hours, 54 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?"
    • 12 hours, 55 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.
    • 12 hours, 56 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.
    • 12 hours, 58 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.
    • 13 hours, 12 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, 10 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, 11 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, 11 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, 12 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, 12 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, 13 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, 13 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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    In honor of National Siblings Day, if you have T1D, did you also have a sibling growing up who had T1D? Tell us about what that was like in the comments!

    Home > LC Polls > In honor of National Siblings Day, if you have T1D, did you also have a sibling growing up who had T1D? Tell us about what that was like in the comments!
    Previous

    If you have T1D, have any of your siblings been screened for T1D antibodies?

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    If you have transitioned to Medicare from private insurance, did you at first have to go any amount of time without a pump or CGM because you did not meet all of Medicare’s coverage requirements?

    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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    22 Comments

    1. Ahh Life

      No siblings, no aunts, no uncles, no cousins, no parents, no offspring have ever had T1D. And those people number 4 or 5 dozen. I am the sole lucky winner. Sigh! 💪( ͡❛ ‿ ͡❛҂)

      2
      5 years ago Log in to Reply
    2. Bill Williams

      My grandmother had T1D but none of her children, grandchildren or great grandchildren have had it except yours truly. My siblings were, however, the beneficiaries of a diet ruled by “Exchanges”.

      5 years ago Log in to Reply
    3. Verna Holcomb

      I was the only sibling really “growing up”, but my youngest sister was diagnosed in her teens, when I was away at college. That was a long night! My whole family (we’re 2 of 4 kids) was pretty on top of the whole insulin thing, partly because our father was also on insulin as a T2D. I was very lucky to not be alone as a kid – even if I was the only kid in my town with T1D!

      5 years ago Log in to Reply
    4. Bob Durstenfeld

      I had two out of three younger siblings with T1D, my dad also had it. It was the “normal” in our hour. Every one on the diabetes diet. In my house, my eldest of three sons has T1D and his daughter has it as well.

      5 years ago Log in to Reply
    5. Michelle Saunders

      My younger sister has type 1 also. We didn’t know the other existed until 9 years ago.I was 7 and she was 9 at diagnosis. She is 12 years younger than I am. We both share the same sad.

      5 years ago Log in to Reply
    6. connie ker

      I became a T1D at the age of 49 going through menopause (LADA). My brother was diagnosed with type 2 in the same year and is presently on insulin too. So we made it into later years, but we’re on the same insulins with MDI. I wear the Freestyle Libre which is so helpful for me living alone. He does not wear a CGM.

      5 years ago Log in to Reply
    7. Daniel Bestvater

      Three siblings. Each one of us has a different auto immune disease; type 1, rheumatoid arthritis, Crohn’s and celiac disease.

      5 years ago Log in to Reply
    8. Donna Brownley

      I am (was) an identical twin. When my sister and I were 11yrs old, she developed T1D. I was told that because we were identical, I would develop it too. I became T1D when I was 16 yrs old (Nov. 1977). We took different paths in caring for ourselves. She didn’t follow health recommendations and I did. She passed away from complications in 2003, just before our 42nd birthday. To this day, I do not have any complications.

      5 years ago Log in to Reply
    9. Jana Foley

      I am the only one of four children in my family to have T1D, but I have two of four children with it. My youngest two both have it and on their dad’s side of the family it is quite prevalent with one of his sisters, and several of his nieces and nephews also having it. .

      5 years ago Log in to Reply
    10. HMW

      My sister has the auto-antibodies but did not get type 1 diabetes.

      5 years ago Log in to Reply
    11. Amanda Barras

      N/A No sibling.

      5 years ago Log in to Reply
    12. Janis Senungetuk

      N/A , no siblings.

      5 years ago Log in to Reply
    13. George Lovelace

      4 Brothers, all of whom have had some signs but never developed T1. One brother did have a T1 daughter.

      5 years ago Log in to Reply
    14. Christina Trudo

      Other- I have a sibling with T1, he is 6 years younger than I, so when he was diagnosed at 18 it was no longer our “growing up” years. (I had been diagnosed 13 years earlier).

      5 years ago Log in to Reply
    15. Carol Meares

      I was dxd at 39 and my younger sister was dxd around 3 years ago at age 60 I think. I am now 67. We didn’t grow up together with it but are now both on TSlim and Dex. We talk about management quite a bit but live in different States so haven’t seen each other lately because of CoVid.

      5 years ago Log in to Reply
    16. LizB

      I was diagnosed Type 1 at age 19 with zero history of diabetes on either side of my family. I remember the doctor in the hospital being surprised there was no family history and saying, “Well, sometimes it just happens”. 25 years later my sister was diagnosed with Type 1 in her late 40s. So we definitely did not grow up with it together.

      5 years ago Log in to Reply
    17. Ita Shapiro

      Both I and my beloved brother were diagnosed with t1d later in life
      Sadly, he passed away from DKA 20 months ago.

      5 years ago Log in to Reply
    18. Kristine Warmecke

      Yes, my younger brother was diagnosed 10 years before I was. He never wanted anyone to know he had it & is still like that, I on the other hand could careless who know’s I am. It was nice to have someone to share the frustrations with, we still do, and “I guess what I did” who understands.

      5 years ago Log in to Reply
    19. Henry Renn

      I was diagnosed at age 4 yrs, 7 mos. I knew T1 was a pain in the backside but I never realized that it was a terrible disease until one day, at 5:30 AM, eating breakfast with my Dad before school. I was 15+ years old & had T1 for 10 years. He told me that my youngest sister was diabetic & that my mother had been crying all night long. Dawned on me then that diabetes must be a really, really bad thing to have. I did not yet use the word, disease.

      5 years ago Log in to Reply
    20. Sue Herflicker

      Thats a hard one to answer because my brother was diagnosed at 4 years old and i wasn’t diagnosed until I was 57 so, yes I had a brother with diabetes growing up, but I myself wasn’t until 4 years ago. I did however raise 2 T1D boys, both diagnosed very young.

      5 years ago Log in to Reply
    21. Mark Fuller

      My brother was diagnosed at age 32 and I was diagnosed at age 42. Although we didn’t grow up with T1D ourselves, our grandfather and great grandmother on our mother’s side of the family both had T1D. Believe me it was difficult to witness what they had to go through to manage their diabetes back in the 1950’s and 1960’s.

      5 years ago Log in to Reply
    22. Kaylea Bowers

      I’m the oldest of four and was the first person in my family (any generation) to be diagnosed with T1D — just before my 11th birthday and I was probably a day or two from death (DKA + cerebral edema). One of my little sisters was diagnosed almost 8 years later, also around age 11 but didn’t get nearly as sick because we knew what the signs were. My baby brother was diagnosed 9 years after that at age 16 and was totally fine at diagnosis other than drinking/peeing a lot — that was the only warning sign my mom needed to take him in, and we were able to check his blood sugar before going to the hospital and it was in the upper 200s I think. My 29-year-old sister seems to be in the clear, and I pray she stays that way!

      I hate that 3 of us have T1D, but I’m so glad I was the first one to get it so I could be a resource for my younger siblings. And it’s a blessing that we all can understand what each other is going through.

      5 years ago Log in to Reply

    In honor of National Siblings Day, if you have T1D, did you also have a sibling growing up who had T1D? Tell us about what that was like in the comments! Cancel reply

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