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    • 48 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 48 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 48 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 48 minutes ago
      KarenM6 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.
    • 48 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 49 minutes ago
      Lee Tincher 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.
    • 5 hours, 4 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
    • 11 hours, 22 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.
    • 12 hours, 14 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.
    • 15 hours, 15 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.
    • 15 hours, 16 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.
    • 15 hours, 24 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.
    • 15 hours, 26 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.
    • 15 hours, 38 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.
    • 15 hours, 38 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.
    • 15 hours, 38 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.
    • 15 hours, 39 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.
    • 15 hours, 39 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
    • 15 hours, 39 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.
    • 15 hours, 41 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?"
    • 15 hours, 43 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.
    • 15 hours, 44 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.
    • 15 hours, 45 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.
    • 16 hours 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, 13 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
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    On a scale of 1-5, how important is it you that T1D supply companies take steps to be more environmentally friendly? (5 = most important, 1 = least important)

    Home > LC Polls > On a scale of 1-5, how important is it you that T1D supply companies take steps to be more environmentally friendly? (5 = most important, 1 = least important)
    Previous

    If you wear a device, has anyone ever mistaken your device for any of the following? Select all that apply!

    Next

    Do you recycle any of the trash from your T1D supplies? Share your tips for reducing T1D waste in the comments!

    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.

    Related Stories

    " 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. Jonathan Strait

      This is phrased in a very vague way. Of course it’s important but at the cost of what? I put a five because of course it’s important for them to “take steps” as opposed to what they seem to do now (create as much waste as possible)

      3
      5 years ago Log in to Reply
    2. Nevin Bowman

      Dexcom is particularly bad. They have way more waste than usable products.

      2
      5 years ago Log in to Reply
    3. Leona Hanson

      Meditronic is trying to to keep insulin waste and less trash by making a set that last 7 days I excited to start using it thumbs up meditronic

      5 years ago Log in to Reply
    4. connie ker

      I recycle all products that I can, even toliet paper rolls! Today is Earth Day, so we are thinking about how to save this world. Think about how we can reduce, reuse, and recycle. Our St. dept. is giving away paper lawn waste bags today and you can sign up to have these delivered once a month on your trash day. It is better for the environment than plastic or styrofoam. My insulin is delivered in styrofoam which is not recyclable.

      1
      5 years ago Log in to Reply
    5. George Lovelace

      It is very important but more than that is a supply company that follows through and seeks your opinion and Listens to it. I thought the waste from Dexcom was excessive but once I started using a 5 gal. Sharps Container who cares! I need my Control #5

      2
      5 years ago Log in to Reply
      1. Henry Renn

        George, our county waste authority accommodates disposal needs for many things but not sharps. I have used containers from Sharps Assure for many years. I only buy them when they are on sale. I found them to be reasonably priced. What company do you use?

        5 years ago Log in to Reply
    6. ConnieT1D62

      It is important for all things manufactured and used by mankind. Product design development & ingenuity should include packaging and waste concerns.

      4
      5 years ago Log in to Reply
    7. Janis Senungetuk

      It’s exceedingly important, not just to me, but the world.

      3
      5 years ago Log in to Reply
    8. Kim Rehtus

      I am always disturbed by the amount of waste with my Dexcom system. All of the packaging and manual that I receive with each new transmitter is unnecessary! I also feel bad about throwing away the sensor inserter every ten days. I wish there was a way I could simply “load” my sensor each time and reuse the inserter.

      3
      5 years ago Log in to Reply
      1. ConnieT1D62

        I agree with your idea about a reusable sensor inserter. Also the wastefulness of all the paper instructions that come with each box of refills. C’mon, once you learn the ABC steps to insert a cgm who needs it?

        1
        5 years ago Log in to Reply
    9. Ernie Richmann

      I don’t think it is necessary to include directions with every package of supplies. Seems like there could be an option to go paperless.

      1
      5 years ago Log in to Reply
    10. Sally Numrich

      I fortunately live in a community that has curbside recycling that takes just about everything. But so many things you think are, really are not. Food bags that are coated, not. Cardboard boxes stained with food particles, not. So much has to be researched and most don’t bother. But I do feel all companies and all of us need to think about what they buy and how they dispose of it.

      2
      5 years ago Log in to Reply
    11. Christina Trudo

      It is just as important to me as it is with every consumer product company. However, I have by far the most constrained choices in this, so I am least able to make choices that correspond to the importance. So I had to say “other” since I assume that choice is implied in the question.

      5 years ago Log in to Reply
    12. George Hamilton

      My insurance company specifies what supplies I am to use and gives me one source from which to acquire them. I could say that I think recyclable supply waste is important, but I have no control over which suppliers to use. I voted “other.”

      5 years ago Log in to Reply
    13. Bonatay

      The more we can all do, the better.

      5 years ago Log in to Reply
    14. Sahran Holiday

      Dexcom G6 applicator is enormous. Supply companies should supply users with a sharps container to hold them after use.

      5 years ago Log in to Reply
    15. LizB

      I have seen the amount of waste that someone using Dexcom and the Tandem pump creates and it boggles my mind. I use Medtronic and as much as I hate throwing out plastic they do seem to have the least trash. Reusable inserters for some sets, reusable inserter for the CGM sensors. I wish that any set that comes with a built-in inserter could be banned, like the Mio. I reuse the reservoirs several times.

      5 years ago Log in to Reply
    16. Joseph Vaughan

      Medtronic CGM. Incredible how much packing material they use. They once sent me not one, not two, not even three, but four letters in the mail to announce…. wait for it…the subtle design changes they were making in the PACKAGING!!!!! I have so little control over this, it is maddening.

      5 years ago Log in to Reply
    17. Cheryl Seibert

      Medical waste and plastics are causing disastrous pollution across the world and especially in the oceans where much of our food chain begins. T1D Supply companies use far too much non-recyclable plastic and metal materials (or it is not marked as recyclable).

      5 years ago Log in to Reply

    On a scale of 1-5, how important is it you that T1D supply companies take steps to be more environmentally friendly? (5 = most important, 1 = least important) Cancel reply

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