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    • 13 hours, 23 minutes ago
      Greg Felton likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 13 hours, 54 minutes ago
      ConnieT1D62 likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      One time I was explaining that a new pump would be too expensive at the time because my deductible had just started over.. and she asked if I had insurance and I said yes….. then she said “then it should be free with insurance.” 🤦‍♀️ She may know a little about the challenges of living with diabetes, but she knows nothing about how insurance works or how costly T1D supplies are.
    • 14 hours, 13 minutes ago
      Steve Rumble likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 14 hours, 44 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I am an RN. Been going to same doctor for about ten years. Took me six years to train him. I am very well read when it comes to my LADA. He trusts my judgement and gives me excellent parameters to make decisions. Recently had a bad case of Covid. Insulin needs changed dramatically. Getting back to normal but he made sure I had scripts to cover my ups and downs with insulin needs.
    • 14 hours, 44 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Mine acknowledges the struggles and challenges that go along with managing T1D in my daily life. She gives suggestions as to what may or may not help and has often asked me I how I handle situations so she can give suggestions to other T1D patient's.
    • 14 hours, 45 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 15 hours, 10 minutes ago
      Jubin Veera likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      The hard spots are fairly frequent with the pump infusion sets. Especially if I go past 3 days which I try to avoid! I don’t think I ever got one from injections. I try heat and massaging to treat them and they normally go away after a day or so. Once I had a large area that I had to treat with antibiotics.
    • 15 hours, 13 minutes ago
      Magnus Hiis likes your comment at
      Have you experienced any symptoms of physical sexual dysfunction as a result of having diabetes, or having diabetes-related complications?
      I’m 79. My last orgasm was springtime about 3 or 4 years ago. When I complained of ED, my PCP Rxd 3 to 5 (60-100 mg) sildenafil tablets by mouth about one hour prior to sexual activity. This alone hasn’t worked to bring me up to former sexual capacity that I had 10 years years ago. I’m still considering consulting finding a doctor who’ll prescribe a safe but effective way of administering testosterone or an anabolic steroid in a dose low enough to avoid causing cardiovascular problems but high enough to restore normal ability that I had up to my sixties. My present doctors say it can’t be done, but there are doctors who advertise otherwise. Analogs of the hormone insulin can be delivered in small safe doses, why not testosterone?
    • 1 day, 7 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      We are all so very different, and trying to say that all of us with T1 understand what it's like for another who has the same hill to climb is unproductive. Having a health care provider with T1 may often be helpful just because there's apt to be more knowledge about the specifics. How we respond to the disease is such a personal matter, that I really don't think there are any guaranteed benefits beyond the grasp of the factual. Finding a doc with the same general attitude about the disease does feel good, and sometimes that's all I hope for after working hard to make peace with the disease for 70 years. Asking my doc to "get it" used to be almost my mantra, but I've come to realize that the ones who don't just see us as unruly childrenchildren
    • 1 day, 7 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Both my endocrinologist and my nurse practitioner are great. They compliment me on the way I take care of my life and health and make aure I get all the supplies I need managing all the paperwork Medicare and insurance requires. My nurse practitioner who works with me on managing the pump has her own opinion about the pump settings based on her technical knowledge which is different than what I do with my settings based on living with them. She has thru the years learned to respect what I do and is surprised with how my settings work. So we are now at peace. Both very supportive.
    • 1 day, 10 hours ago
      pru barry likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 10 hours ago
      mojoseje likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I said yes but that refers to my nurse practitioner who sees me every other visit, if not more often. The doctor may know how hard I try but perhaps takes my efforts for granted.
    • 1 day, 12 hours ago
      Anneyun likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      How can someone without the disease really understand what it is to live with it? I have never had a doctor with T1D in 60 years.
    • 1 day, 13 hours ago
      Bruce Schnitzler likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 13 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My endo is young, very empathetic, thorough, always asks for my input, and does research. I am blessed too. have him, and the one before for over 25 yrs.
    • 1 day, 13 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 13 hours ago
      lis be likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 1 day, 14 hours ago
      Daniel Bestvater likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 14 hours ago
      TEH likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I have no clue what my T1D health care provider understands about my daily challenges and I don’t know about his daily challenges either. Not sure why I should care as long as I have access to information how to best take care of myself.
    • 1 day, 15 hours ago
      Jeff Marvel likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      Richard Wiener likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Hi Connie, I still have my glass syringe and show it off occasionally. We boiled the needle and syringe every morning and sharpened the needle with a file. I was diagnosed at age 6 in 1963. Life is so different now! Then, my diet was extremely limited as was my exercise. Now, I am very active and eat pretty much as I please. I maintain an A1C in the low 6s (6.2 was my last).
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Connie and Beth, I was diagnosed in Nov 1962, age 10. During the early years I developed lumps and indentations on my upper thighs from my injections. In fact, I was able t o spot other t1 kids in my junior high school based upon the lumps in their upper arms.. (I eventually met up with them and learned that I was correct.) By the time I reached my twenties, these indentations had more or less disappeared, but I still have remnants of the lumps. I wish I could say that the layers of tissue now deposited on my legs disguises them, but they don't. I think the changes in insulin have been responsible for this improvement: the isolation and purification of animal insulins were refined, and then the various human clones were game changers in many ways.
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Yes in my upper arms when I was a petite and skinny child in the 1960s with T1D. In those days we used glass syringes with stainless steel 1/2 inch long heavy gauge needles. My mother would jab me in the upper arms, it hurt like the dickens, and I developed several hard nodules. I was diagnosed at age 8 in December 1962 and after the initial two months of her jabbing me in the upper arms, I took over giving my own "shots" and started self injecting via site rotation in my thighs for several years. Eventually the lipohypertrophy in my upper arms resolved and I never injected there again until many years later as an adult on MDI using disposable syringes with very short and fine gauge needle tips. Periodically I would give my tired pin cushion thighs a rest and take a break for a few months or a couple of years and rotate injections in my abdomen or upper arms. Have been using a pump for over 20 years now and rarely use MDI unless I am taking a pump break for a short period of time. Happily, I no longer have lumpy sites.
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    On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied

    Home > LC Polls > On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
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    On average, how many grams of carbohydrates do you consume per day?

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    If you have never used a hybrid closed loop system, which of the below potential benefits of these systems would be most important to you?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    48 Comments

    1. Ahh Life

      Of all the technological trinkets and tchotchkes available for the diabetic condition, I am incandescently happy. However, um . . . . . . I think I’d really like to have a pancreas. ( ◔ ʖ̯ ◔ )

      19
      1 year ago Log in to Reply
      1. Joan McGinnis

        Agree wd love to have a pancreas

        1 year ago Log in to Reply
      2. TEH

        I agree, but with out anti rejection shots.

        2
        1 year ago Log in to Reply
      3. Beverly Crosby

        Me too

        1 year ago Log in to Reply
      4. ConnieT1D62

        A healthy undamaged biologic pancreas that works! Maybe in my next life???

        1
        1 year ago Log in to Reply
    2. Kaylea Bowers

      Too many leaky pods to rate it a 5, but overall pretty happy!

      1
      1 year ago Log in to Reply
    3. connie ker

      I am a senior type 1 and like “Sameness” in my diabetic treatment. As a result, I still use syringes and clicked #4 with satisfaction. Interesting that the highest percent clicked #4 too. Nothing is perfect with T1D, but we do the best we can.

      4
      1 year ago Log in to Reply
    4. George O Hamilton

      My Tandem pump and Dexcom sensor gives me the best control I have ever had since diagnosis in 1963, so I gave it a 5. Still, there is room for improvement. Some have commented that a real pancreas that works would be light years better.

      2
      1 year ago Log in to Reply
    5. Mary Dexter

      I prefer using pens, rather than a pump. I wish the Levemir came in cartridges which would fit in a pen like the Echo, and I wish I could replace the battery in my Echo pen. But I like knowing that when I inject insulin, that the specified amount is in me. My pens don’t lie, unlike the pump.

      1 year ago Log in to Reply
      1. Judith Marged

        Levemir does come in cartridges, at least it did several years ago when I purchased it that way.

        1 year ago Log in to Reply
    6. Jane Cerullo

      Just changed from
      Pump to MDI. Thing o love most is not being tied to a device. Especially ones with tubing. Even the pod was annoying and had a lot of delivery failures. Took me awhile to get my basal (Tresiba) to correct dose so didn’t wake up with lows. Use Lyumjev for bolus and love how fast it works. But this took awhile to adjust. At first used less than usual but now use more. Not sure why but I don’t mind the shots so it’s ok if I need to give myself another. I try to practice law
      Of low numbers. Rather not go low. So that’s my story. Will not go back to a pump in foreseeable future. FYI on Medicare insulin pens cost way more than pump. $205 for 3 months compared to $0.

      1
      1 year ago Log in to Reply
    7. Mig Vascos

      Tándem and Dexcom g6. Without them I couldn’t have the control I’m able to achieve now a day. It’s also great to sleep through the night.
      Yes there are things I’d like to be different but so far they don’t exist in the diabetic world.

      1 year ago Log in to Reply
    8. Patricia Kilwein

      I put 4 because there’s always room for improvement, especially when it comes to diabetes. I always felt beat up over getting diabetes. You know the argument of eating better and so on. We all know that being diagnosed is a huge life adjustment that never stops. Battling T1D is huge. Would like to see more developments for care. I’m very blessed to have a great team helping me.

      3
      1 year ago Log in to Reply
    9. Louise Robinson

      Although I am delighted with the closed-loop aspect of my Tandem T:slim X2 with Control IQ there are areas where it could be improved. For those of us fortunate enough to be highly sensitive to insulin (e.g. total daily dose around 20u per day for me), the waste of insulin at each site change interval (3 days for me) is disturbing. In order for the pump to accept a new cartridge, it must register that there are 50 u, after filling the tubing. The manual states that we should add 45 MORE units than we think we will need for delivery when loading the cartridge. (That is more than 2 days use for me!) I MUST load each new cartridge with 90u in order for my pump to register after tube fill that I have at least 50 u in it. Even when I’ve used my pump until there are zero u left and it stops delivery, I can still withdraw via syringe about 25u to 30u from the cartridge….more than one day’s use for me. The cartridge fill process is also cumbersome. I dislike the inability to see exactly how much insulin I’ve loaded. If I see +40u, it means that more than 40u but less than 60u have been detected in the cartridge. It isn’t until less than 40u remain that it will begin decreasing 1 unit at a time and display that number. I chose Tandem over Medtronic because I am on Medicare and Medicare was not covering the Medtronic CGM at the time of my pump warranty expiration. Unless I wanted to pay OOP for the Medtronic CGM, The Tandem/Dexcom option was my only pump choice. I will hit 46 years as a Type 1 this summer. I rated 4 on this question because I LOVE the closed-loop aspect of this pump…but it has a way to go to rate a 5 from me.

      2
      1 year ago Log in to Reply
      1. Maureen Helinski

        With my Tandem pump I change the site every 3 days but the cartridge every 6 days. It works for me.

        3
        1 year ago Log in to Reply
      2. ConnieT1D62

        You don’t have to add an extra 45 units of insulin to a Tandem cartridge – there is no reason for it. The recommendation is to add a few extra units in case you need extra insulin, so with your infusion being ~ 20 units a day, add an extra 10 to 20 units to your 60 units in a new cartridge. That should cover you and won’t waste so much extra insulin. Maybe you will only need 10 or 15 extra units. Remember whatever insulin in the tubing for your prime eventually gets infused/absorbed into your body.

        1
        1 year ago Log in to Reply
    10. TomH

      My Omnipod Dash, after getting it dialed in to my needed basal rates/periods and ICRs/periods is definitely an improvement over MDI. I really like being tubeless and able to discreetly administer my doses. Site selection is a test of endurance, right along with T1 itself. The Insulet/Omnipod PDM, however, seems like ancient and slow tech with questionable programming/layout decisions. Functions I commonly use take too many steps and messages presented get in the way or cause more “swipes” to get rid of so I can get done what I’m doing. Of import, the IOB indication on the flash screen is inaccurate for a few to several seconds on bringing the screen to life, often I have to swipe/open the device to get it to update. It seems to be the norm from what I hear from others; its a wonder the FDA approve it this way. The iPhone “Display” and “View” apps are equally inaccurate as to IOB, slow to update, as well as to sync. I learned this the hardware by applying a totally unnecessary correction when it wasn’t needed. Also, having to have the iPhone and PDM within 30′ makes them just about useless. I’m in hopes the Omnipod 5 release will correct these issues and make the PDM a thing of the past! As with many things tech and the slow FDA process of approval, by the time a device gets released and in our hands, is seems slow and outdated, even though it’s far superior to what was.

      1
      1 year ago Log in to Reply
    11. cynthia jaworski

      I use MDI with pens. The only improvement I can think of would be to have a cure. No tubes, no blockages, no infusion site issues. I always know what is going in because I put it there.

      3
      1 year ago Log in to Reply
      1. Kris Sykes-David

        Same with me!

        1
        1 year ago Log in to Reply
      2. Stang777

        Ditto

        1
        1 year ago Log in to Reply
    12. Henry Renn

      Using Tandem t:slim x2, C-IQ. Too many issues with cannulas to give a 5. In previous 15 years of pumping never had so many issues. Wasn’t using a Medtronic pump but was using their quick-set infusion sets.

      1 year ago Log in to Reply
      1. Miriam Gordon

        I’ve been pumping for 22 years. At first pump worked spectacularly well. More and more I’m having issues with insulin absorption at infusion set site (I believe) even though I rotate sites. So your problems may just have to do with the length of time that you are pumping.

        1
        1 year ago Log in to Reply
      2. AnitaS

        Are you by any chance using a flexible type cannulas? I had so many issues when I first started pumping as the infusion cannula would always bend, giving me high blood sugars. I switched to the steel infusion set a few months after I started pumping and haven’t had that kind of problem since the cannula can’t bend.

        1 year ago Log in to Reply
      3. Jneticdiabetic

        Have you tried the Vari-soft cannulas? They insert at an angle. I find they don’t kink/bend and get blocked like the cannulas that insert at a 90 degrees always do on me. If those also don’t work, I have also heard people having success with steel cannulas Anita suggested. Good luck!

        1 year ago Log in to Reply
    13. Ernie Richmann

      I am grateful to have the Tandem pump and Dexcom G6 cgm. I sometimes have infusion site issues and the Tandem app often loses connection with pump even though my phone and the pump are close. I could have been born before insulin or pumps, cgms and other advancements. In addition, I am a work in progress and trying to improve my knowledge and life style choices.

      1 year ago Log in to Reply
    14. Joan Fray

      Tandem CIQ and Dexcom working well for me. 87% TIR. But I travel a lot and taking all that equipment on a long trip is difficult to “ carry on”. Thinking of trying mdi for my month long trip to Greece in September. But first, I have to recover from my broken ankle. ( caused by me not thinking about possible risks…… dumb dumb!) 👍🤪

      2
      1 year ago Log in to Reply
    15. Sherrie Johnson

      I will be most satisfied when I can get the tandem slim with its insulin adjusting fearure .I have to wait till November. I was one of the very first with MiniMed 33 years ago it served me well all these years.

      1
      1 year ago Log in to Reply
    16. Karen Maffucci

      I would like to switch from my omnipod to a closed loop system. Right now I use Dexcom with the omnipod. I agree with the comments about having to use and throw away quite a bit of insulin after every 3 days. On average I use 19 units a day. I haven’t decided what to do since I’ve had so many challenges switching from private insurance to Medicare. Not to mention moving out of state and having a new endocrinologist. 🙄

      1
      1 year ago Log in to Reply
      1. Karen Brady

        I’ve never tried this personally, but I read that if you want to use less than the minimum amount of insulin required by omnipod you can simply depress the plunger very slowly. Worth a shot! (no pun intended) 🙂
        What I have done is pull unused insulin out of a used pod and put it in a new pod.

        1 year ago Log in to Reply
      2. PamK

        Omnipod 5 was just approved by the FDA. It is a closed loop Omnipod/Dexcom G6.

        1
        1 year ago Log in to Reply
    17. Yaffa Steubinger

      I’m happy with my Novolog pens but wish it had 1/2 unit scales.

      2
      1 year ago Log in to Reply
      1. Elizabeth Lessard

        novopen echo; change rx to cartridges instead of pens after you receiver; or have provider do a prior auth for humalog jr pen due to needing 1/2 units to avoid hypoglycemia.

        2
        1 year ago Log in to Reply
    18. Lawrence S.

      I answered #5, most satisfied. But, there is always room for improvement. I’m happy with my Tandem Control IQ and Dexcom G6 combo.

      4
      1 year ago Log in to Reply
    19. StPetie

      I put 4 because overall I’m pretty happy with my Tandem & G6 combo. My only issue is that I consistantly get readings that are 40 to 100 points off for the first 2 to 3 days of a new sensor. Sometimes they’ll be high, other times low.

      1 year ago Log in to Reply
    20. Nancy Burgess

      I’m using Tresiba as a basal rate instead of my PDM. I love Insulet products, but would appreciate a closed loop system. Know they are working on it, but I operate with an iPhone & it will take longer to be released

      1 year ago Log in to Reply
    21. Ken Raiche

      I love my Tandem X2 but I’m feed up with the tubing. Hopefully when the day comes and I switch to the Omnipod they have adapted the same closed loop algorithms.

      1 year ago Log in to Reply
    22. Janis Senungetuk

      Posted a 5 for Tandem t:slim X2/Dexcom G6 combo with Control-IQ app. Vast improvement over anything else I’ve used in the past 66+ years. Of course, there can always be improvements…just doubt I have another “5 years” left to wait.

      2
      1 year ago Log in to Reply
    23. ConnieT1D62

      5 – I currently use a Tandem CIQ pump and Dexcom G6 GGM and I have been very comfortable, happy and satisfied using this smart technology for insulin delivery and BG monitoring – for now. Having lived with T1D for almost 60 years, I have survived dinosaur diabetes self-care & treatment technology, have embraced the tech and insulin upgrade changes over the years, and I look forward to the innovations of the future. Living with T1 diabetes gets better and better and the best is yet to come!

      2
      1 year ago Log in to Reply
    24. Carol Meares

      3, because the pump sets my target higher than I have ever set it. I have to micromanage in order to keep my bs in the range that I want. I do get less hypos which is good and my rollercoaster days are less. I look forward to the day that I can set my target at 100 which I have done for almost all my years with diabetes. I keep my A1c between 5.1 and 5.7 most the time but it still takes a lot of work with Tandem because the pump shuts my basal off when I am at 80 and sometimes higher which sends my BG up higher later, so I am always having to adjust small amounts. 3 is a positive score in my mind and I don’t want to complain. I am extremely grateful for the improvements. I am also looking forward to having a waterproof and perhaps tubeless pump so that I can swim again without disconnecting. I am thinking about trying the new insulet omnipod but worry about learning a whole new algorithm which also sets the target at 110. Again, very grateful for the amazing improvements as I have had this long enough to remember lots more difficulties in staying in range with little variability. Ha! I didn’t even know my variability and trends because I only went on a pump and CGM around 7 years ago. Even from then the improvements have been a lot. TY to all the companies working on this. I know it is is about the money but to me it is about living as normal of a life as I can with as little stress as possible over operations and management, money, and access to the supplies my doctor and I want to use for appropriate management for my particular needs. I get really tired of the insurance company trying to manage my diabetes through access or lack of access when they have never met me, nor know my particular needs.

      1
      1 year ago Log in to Reply
      1. PamK

        I have the same problem! Pumps just aren’t designed for those of us who want to keep our blood sugars in the true “normal” range of 80 – 100!

        1 year ago Log in to Reply
    25. M C

      For the pump’s reliability and how well it works for my BG control, I’d love to give it a ‘5’, but after 10 years using one, I find I’m running out of reliable ‘body real estate’ – Scar tissue under the surface is increasing, and it would be nice if another delivery method could be figured out at some point in the future! For this reason alone, I gave it a ‘4’.

      1
      1 year ago Log in to Reply
    26. n6jax@scinternet.net

      sweet Charlie says #4 because I am doing the same basic thing with slight changes for 69 years.. and will soon be 90 years old…”maybe”

      1
      1 year ago Log in to Reply
    27. PamK

      I was much happier on MDI than on pump/CGM. I never minded the “decision making” of MDI. I know my body and I know how much insulin I need for the foods I eat, and even found it easy to figure out how much I needed for new foods. With the pump, I never know if I’m getting the right amount of insulin, and quite often find that it is wrong. Please don’t tell me it’s my settings! I have been trying for 6 years or more now to adjust them (with my endo), with no luck. I just can’t get it to work without needing to make adjustments every few days. We’ve tried adjusting the basals, the I:C ratio, and even the correction factor. Nothing helps!

      1
      1 year ago Log in to Reply
    28. AnitaS

      I put 4. Using Tslim x2 with my dexcom gives me very good control, but there will always be room for improvement (like glucagon in the system to totally prevent low blood sugars) . However, I think much of the improvement will come from better insulins compared to better delivery devices. If insulins started working as quickly as insulin does in a non-diabetic, that would help with post-prandial blood sugars. Also, if the smart insulins come about (the insulins that start working when your blood sugar rise), that would greatly improve sugar levels too.

      1 year ago Log in to Reply
    29. mbulzomi@optonline.net

      I’m on a Tandem X2, Control IQ pump. Not really pleased with the slowness of the Control IQ system. Buit all else said the Insertion of the Quick Set is absolutely painless. Needed to really concentrate inserting the Insulin into the Cartridge. However, the process can be started and completed in less than 15. minutes.

      1 year ago Log in to Reply
    30. Molly Jones

      3 Is my answer. I prefer my tandem x2 and Dexcom over the past delivery methods, but I still deal with unexplained highs and lows, probably because of digestion. Timing of insulin cannot be perfected unless my body spoke to me.
      My sincere wish is that Dr. Denise Faustman speeds through all her next two phases of clinical trials of reversing long standing type 1 diabetes and this website becomes archaic. Please oh Please.

      1 year ago Log in to Reply
    31. Cheryl Seibert

      All technology has it’s pros and cons. Overall, I rated my Tandem TSlimX2 as a ‘4’ for delivery. It is an excellent device overall. The ‘4’ is due to 1) my dislike of the design of the cartridge requiring removal of air from the ‘sac’. 2) No ‘slow’ delivery setting for insulin delivery to minimize pain, stress on the tissue and absorption problems. 3) The inability to totally silence alarms for medical procedures, events requiring minimal noises (church, plays, etc.)

      1 year ago Log in to Reply
      1. Jneticdiabetic

        Switched to Tandem last November. Overall very happy with it. Much fewer lows and waking up at target every morning is such a huge plus.
        I do agree with you wish list items for improvement though. I feel uncertain if I’m getting all the air out of the reservoir sac during loading.
        I also miss the more in depth history summaries I used to be able to pull up on directly on my Medtronic pump. I like to be able to review my daily insulin totals and percent time in, above and below range over the past several days. The mobile app gives me the last 24hrs.

        1 year ago Log in to Reply

    On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied Cancel reply

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