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    • 13 minutes ago
      Amy Schneider 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." ╰── ──╮
    • 8 hours, 36 minutes ago
      Daniel Bestvater 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.
    • 18 hours, 9 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.
    • 18 hours, 9 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.....
    • 18 hours, 10 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.
    • 18 hours, 10 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.
    • 22 hours, 25 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
    • 1 day, 4 hours 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.
    • 1 day, 8 hours 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.
    • 1 day, 8 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 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.
    • 2 days, 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
    • 2 days, 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.
    • 2 days, 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
    • 2 days, 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.
    • 2 days, 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
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    On a scale of 1-5, how much do you think your blood glucose levels impact your overall mood? (1 = the least impact, 5 = the most impact)

    Home > LC Polls > On a scale of 1-5, how much do you think your blood glucose levels impact your overall mood? (1 = the least impact, 5 = the most impact)
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    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. 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    31 Comments

    1. RegMunro

      Because my sugar is now pretty well controlled I have to refer to the past. Running too low caused me to investigate whether I was demented! It was awful, but CGM has made a massive difference as I now know when I’m running too low

      4 years ago Log in to Reply
    2. Britni

      Most often low or high blood sugars affect my sleep and that’s what affects my overall mood. But I am more likely to be irritable when my blood sugar’s out of range (as I’m sure anyone is when they’re feeling under the weather) and when it’s severely low I’m prone to crying for no apparent reason.

      4
      4 years ago Log in to Reply
      1. Patricia Dalrymple

        The crying happens occasionally to me as well if I am low. Sometimes I get lovey-dovey and my husband just looks at me and says: go eat something ☺️

        6
        4 years ago Log in to Reply
    3. lis be

      is stress a mood?

      2
      4 years ago Log in to Reply
      1. Wanacure

        lis be, it is to me and so is feeling of persistent anxiety.

        4 years ago Log in to Reply
    4. Joan Fray

      I’m not really sure. My bg levels don’t vary a great deal for any length of time. Of course, in the old days with out bg monitors, I remember getting pretty sluggish when i went really high.

      4 years ago Log in to Reply
    5. KCR

      I feel like we’ve all been here: cranky, grumpy, irritable when high; anxious, scared, edgy when low; and just getting on with our lives when in range (hopefully in a mindful and alert way). For me, dealing with lifelong depression, I find blood sugar levels can exacerbate my mood in other ways.

      1
      4 years ago Log in to Reply
    6. Kathy Morison

      The aspect of my blood glucose levels that caused me mood changes is the challenge I have every day in getting my insulin to absorb. It makes me so mad some days when doing all the right preventive measures, I cant control my body’s response.

      3
      4 years ago Log in to Reply
    7. connie ker

      I live alone so my cgm tells me “go eat something” or get take a correction. The day I tried to give up coffee, I couldn’t get along with myself! Life is filled with highs and lows, especially when a T1D. It can be your mood, your sugars, blood pressure, bank account, your family news, but loss of life of loved one or even watching the Ukranian apocalypse makes me SAD with tears. My faith promises better time ahead.

      7
      4 years ago Log in to Reply
    8. Lawrence S.

      I’m not sure how to answer this one. I answered “3”, but it may be higher. It probably would be better to ask my wife. Sometimes, I feel very irritable when my blood glucoses are high or low. I know that my temper also shortens. My irritability leads to frustration. Many years ago, before blood testing, before insulin pumps, and before Continuous Glucose Monitoring, my mood swings were much more severe.

      1
      4 years ago Log in to Reply
    9. Nick Trubov

      Now that I’m brain dead I have no idea!

      3
      4 years ago Log in to Reply
    10. Dave Akers

      I feel my BG levels effect me all the time. Wether I’m range or not, it just becomes exhausting to manage it. When I’m low I get frustrated that I did something wrong to create the low. I say, “ dang it Akers, you’ve been doing this for 18yrs… you should have figured it out by now!”
      But I know that DM has a mind of its own, yet I still become frustrated.

      4
      4 years ago Log in to Reply
    11. cynthia jaworski

      I don’t consider what happens with low blood sugar as a “mood change.” It is an impending train wreck and all my energies are spent on getting back on track. Other than that, I don’t think I am crankier than anybody else around me.

      4
      4 years ago Log in to Reply
    12. Sherrie Johnson

      Blood sugar affects everything and moods get in the mix.

      1
      4 years ago Log in to Reply
    13. Thomas Cline

      I checked “other” because I thought the question was badly worded. There is no question that I’m affected by low glucose — I can’t imagine there being anyone who is not (at the very least everyone will pass out if low enough). I get very grumpy below 60. But any glucose level above 65 has very little effect on my mood — including being above 300 (which rarely happens and never for very long). Although my mood as not affected, physically I feel best around 200, which is unfortunate because I try to stay well below that most of the time. But I think the question should have been restricted to higher levels only. I know there is a large difference among Type I’s with respect to how they react to higher blood glucose levels. I do wish I had had my blood glucose measured before I was Type I (onset at age 56) so that I’d know what my normal baseline was.

      4 years ago Log in to Reply
    14. Twinniepoo74

      I believe it has a major impact cause with my high blood sugars I am a bit more grouchy and more lazy. Low is the same and normal I feel great so more happy and energetic.

      1
      4 years ago Log in to Reply
    15. Anneyun

      Over the last few years I’ve realized that I get anxious and panicky feeling when my bg is high.

      1
      4 years ago Log in to Reply
    16. Greg Felton

      Sometimes I wonder if it is the out of range BG level affecting my mood, or just knowing my BG level is out of range that affects it.

      5
      4 years ago Log in to Reply
    17. Nicholas Argento

      I’m not Mary Poppins when my BG is way off..:/

      3
      4 years ago Log in to Reply
    18. Edward Geary

      After about 2 years of, for me, tight control, A1C less than 7.0, I’ve observed highs trigger malaise more quickly. Conversely, lows are more challenging to treat, so after.48 years I’ve found a happy medium with DexCom 6 and Control IQ i.e.
      120 to 180.

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

      Long before CGMs and personal bg monitors I lived life on a continuous glucose roller coaster. The numerous severe lows did a lot of damage and definitely increased the depression I fought as a teenager/young adult. Now, having access to a Tandem pump/CGM combo with control- IQ, my glucose levels are far more stable, but I’m now left to deal with the earlier damage from the severe lows.

      2
      4 years ago Log in to Reply
    20. Mick Martin

      I selected “1 (least impact)” as I’m a miserable, self-important, self-righteous git at the best of times. This MAY, however, be very different for other INDIVIDUAL diabetics.

      3
      4 years ago Log in to Reply
    21. KSannie

      In the evening a low blood sugar puts me to sleep. But if I go to bed, a BG below 120 keeps me from sleeping. And at all times, anything above 130 puts me to sleep unless I am actually doing something that keeps me awake (not driving or reading!), like shopping or hiking.

      4 years ago Log in to Reply
    22. Jane Cerullo

      Get aggravated getting low readings up without going high.

      2
      4 years ago Log in to Reply
    23. Wanacure

      If bg goes way low, do not all humans feel anxiety and stress due to adrenaline increase? Yet sometimes I just feel sleepy and totally unmotivated when my bg is slowly going low. Cognitive behavioral therapy suggests we can control or program our emotions, or exert at least some emotional control in any situation. If I’m angry at myself for losing something in my home, I can choose to call myself stupid…or I can take a couple of deep belly breaths and say to myself, “It will turn up within a day, It always does.” Certain emotions, like confusion or fear or feeling stressed can be regarded as helpful and welcomed as an alert to check my blood glucose levels and to sit down and maybe eat a couple of sugar cubes.

      4 years ago Log in to Reply
    24. Michelle Saunders

      I chose most impact, as if they are fluctuating or just high it intensifies my emotions.

      4 years ago Log in to Reply
    25. AnitaS

      Since having a cgm prevents most super lows or super highs which would affect my mood, I don’t think the more moderate typical lows or highs affect me much.

      4 years ago Log in to Reply
    26. Anita Galliher

      After 59 years with T1D, I’ve had it up to *here*. Everything about it makes me mad. I hate going high and I hate going low. I’m tired of having to account for every morsel I put in my mouth and then worry about whether the insulin I took was too much or too little. I’m sick of hearing the two buzzes for a high or the three for a low, and especially the four for dangerously low. I would so love to walk out the door and not have to carry a CGM, PDM and candy for whichever way my BG decides to swing. And the older I get, the more illogically it swings. It would help tremendously if the insulin would kick in when I go high or allow the candy (or juice or glucose tabs or whatever) to do it’s job when I go low. It seems nearly every time I am happy or having fun or just sitting and reading a good book, T1D butts in and ruins the mood. It hasn’t always been this bad, but the older I get, the worse it gets. And that makes the future scare me to death.

      1
      4 years ago Log in to Reply
    27. Bonnie Lundblom

      Anxious and frustrated when high, concerned and frightened when low, content and happy when in my range!

      4 years ago Log in to Reply
    28. Sue Herflicker

      I know when I have days that I run high and nothing I do helps I get very aggravated. And days when I run low all day makes me anxious and nervous. I picked 3 but maybe I should have picked 5. It really does affect my mood. My sons and brother have said the same thing.

      4 years ago Log in to Reply
    29. Cheryl Seibert

      I selected “3”. Highs do not affect my mood much, other than frustration if I can’t get it to go down. The lows, however, have a distinct impact on my mood IF THE BG DROPS fast (impatience, short temper). If BG slowly drops, I don’t have much change in mood.

      4 years ago Log in to Reply

    On a scale of 1-5, how much do you think your blood glucose levels impact your overall mood? (1 = the least impact, 5 = the most impact) Cancel reply

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