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    • 2 hours, 13 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, 31 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, 24 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, 25 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, 25 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, 34 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, 35 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, 48 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, 48 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, 48 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, 48 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, 48 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, 49 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, 51 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, 52 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, 54 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, 55 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, 9 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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    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
    Previous

    If you’re on a CGM, have you checked your blood glucose this week using a testing strip?

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    How many people in your family — grandparents, aunts, uncles, cousins, parents, siblings, spouse, etc. — live with type 2 diabetes? Share who in the comments!

    Samantha Walsh

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

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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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    37 Comments

    1. Trina Blake

      I am very pleased with my Tandem X2 with CGM integration and using BIQ software. Sadly I just learned today that the BIQ function is gonna be discontnued. I’m gonna call Tandem to see if they will be making changes to CIQ (e.g. setting my own target, having the temp basal function etc). CIQ doesn’t allow me to have the tight and aggressive T1D mgt that I prefer (and thrive with).

      3
      2 years ago Log in to Reply
      1. Louise Robinson

        I’ve created additional personal profiles to handle some of these limitations. For example, on Day 3 of my site I noticed that my insulin wasn’t working as efficiently but my endo had difficulty getting Medicare approval for more frequent site changes. I created a Day 3 profile that increased my insulin delivery (both basal and bolus) to accommodate the higher Day 3 glucose levels and keep me better in range. I also created and Exercise profile because the “exercise” activity did not reduce my insulin needs enough to prevent my going low. I did this by lowering my basal and bolus needs tailored to the time I exercised each morning. It took some trial and error but I feel in control. I’ve achieved my lowest A1c ever of 5.8 using this pump.

        3
        2 years ago Log in to Reply
    2. Amanda Barras

      I wish Fiasp didn’t clog Tandem pumps and I also wish I used less insulin. Otherwise happy.

      1
      2 years ago Log in to Reply
    3. KIMBERELY SMITH

      When I used be on g6 in the Summer now g7 very

      2 years ago Log in to Reply
    4. cynthia jaworski

      MDI is so easy with modern needles and pens. I may look into the pen device that keeps track of dosage administered.

      2 years ago Log in to Reply
    5. Patrick Burner

      Had it my way I would go back syringes and vials. Humulin L and Humulin R.

      2 years ago Log in to Reply
    6. Conniekaycox

      My omnipod great at preventing lows not so effective at preventing highs always have to fake bolus

      2 years ago Log in to Reply
    7. Daniel Bestvater

      I use the Tandem X2 with CIQ. This seems to be about the best we have right now. I think the problem is we will never achieve near normal glycemic control by mechanical means. We need to be moving more aggressively towards restoring cellular function of the islets within the body. For near “normal” control we need to restore the islets and all of their 5-6 hormones that are produced. Delivery of pancreatic hormones subcutaneously is too slow. It’s time to put the pieces together and move towards more biological approaches.

      3
      2 years ago Log in to Reply
      1. Tina Roberts

        They are building a new huge facility in the northeast for mass production of islet cells. I think it may be closer than we think. I hope so any way.

        5
        2 years ago Log in to Reply
    8. Tina Roberts

      FIVE!! My new OmniPod 5 with Dexcom is the best thing ever!! I feel free. Its memory of my bs is right on. I’ve gone from an A1c of 10 to 6.7 in two months.

      1
      2 years ago Log in to Reply
    9. Louise Robinson

      Although I LOVE by Tandem X2 with Control IQ and have achieved my tightest control in 47 years as a Type 1 (last A1c was 5.8), I selected 4 because I do not like the minimum insulin fill requirement of this pump. Tandem advises us to load 45u more than we anticipate using in 3 days time AND also, the new cartridge MUST have 50 units in it to be accepted. My total daily dosage varies from 17 to 20 units on most days unless I am having some infusion site issues. IF I choose to change my cartridge at the same time I change my infusion site, I am wasting WAY TOO MUCH insulin that is left in the old cartridge. I also do not like that I cannot see exactly how many units are actually in the cartridge at any given time until I get to the 45u mark which is into my Day 2 of use. I’ve learned to fill my cartridge with about 100u of insulin which gives me between 50 and 60 units after tube-fill in order for it to be accepted.

      2
      2 years ago Log in to Reply
      1. Bonnie Lundblom

        I’m also using the Tandem Tslimx2 pump and if I have any issues, like you described, I remove all of the leftover insulin from the set that’s not working and inject that insulin into the new cartridge.

        2 years ago Log in to Reply
    10. Gerald Oefelein

      I said “4”. My Tandem/Dexcom G6 combo works well EXCEPT I don’t understand why the x2 will only do a correction bolus once per hour. There are other devices that claim to autocorrect every 5 minutes!

      1
      2 years ago Log in to Reply
    11. Janice B

      Love being tubeless on OmniPod 5. Not satisfied either the algorithm or that it does not connect with iPhone or Dexcom 7.

      2 years ago Log in to Reply
    12. Jane Cerullo

      I went back to MDI about three years ago. Use an InPen. Unfortunately the cost is getting prohibitive. Even at $35 it is still $70 a month. Then the co pay for the InPen. Don’t understand why insulin if covered under Part B when on a pump. Going to look into the Tandem Mobi. Small and can be controlled via phone app.

      2 years ago Log in to Reply
    13. Judy Sabol

      I was diagnosed with late life T1 last year. I am managing very well with MDI’s and pens, but still amazed at the amount of thinking and endless calculations and decision points…

      1
      2 years ago Log in to Reply
    14. Lawrence S.

      I gave a score of 5, but maybe should have gone with a 4. I am very happy with my Tandem X2 pump with control IQ. My A1C’s have been between 5.4 and 5.8. I still have my share of highs and lows daily. Time time in range varies between the 80’s and 90’s percentages. My Novolog insulin works well. There is always room for improvement. And, of course, the cure would be the ultimate score of 5. But, considering where we came from 47 years ago, and now, I’m giving my pump and CGM a “5”. Now, I’m waiting to get my Dexcom G7. I just got an order of G6’s, so it’ll be another 90 days. 🙂

      1
      2 years ago Log in to Reply
    15. Tom Muldowney

      I put a 4 in the comment’s, always looking for continued improvement in treatment and technology. Started w beef and pork insulin and the improvements are amazing. Remember no CGM and the NPH second peak, how things have improved for all of us, much appreciated!

      5
      2 years ago Log in to Reply
    16. Lisa Sierra

      I have the 630 Medtronic and it’s been on recall since I got it. If it quits they just replace it with a refurbished 630. It does not loop and is constantly breaking down.

      2 years ago Log in to Reply
      1. David Hedeen

        If you are ok with current, recommend upping to 780 after FDA approval for new Simplera sensor

        2 years ago Log in to Reply
      2. Lawrence S.

        I got myself out of the Medtronic system years ago and went to Tandem. I’ve never looked back.

        2 years ago Log in to Reply
    17. JOAN ULMER

      Like my Tandem X2 pump. I do wish it was cordless like the OmniPod. Several times a month, I rip out the insulin set because of the infusion tube on the Tandem pump. OmniPod is not affordable at this time or I would consider switching.

      1
      2 years ago Log in to Reply
    18. T1diabetic

      Have been T1D 51+ years now.
      Quit the Medtronic after using it for years.
      Using Tandem t:slim now which is a Great improvement but I have to bolus way too many times even with ControlIQ.
      Am looking into the iLet as I won’t have to do so many calculations!
      Always looking forward to More improvements though!

      2
      2 years ago Log in to Reply
      1. Sherrie Johnson

        Adjust your basals
        at the time you go high you can see a pattern slight increments make a big difference

        1
        2 years ago Log in to Reply
    19. Joan Benedetto

      It’s really too soon to tell, but I marked “3”. My son started on the ILet one week ago. The first few days were quite wonky, but things appear to be evening out as it “learns” him. We are having fewer lows, and it takes about half the carbs to bring BG up as with previous pump.

      2 years ago Log in to Reply
    20. mlettinga

      After years of syringes, multiple shots a day my life was revolutionized when I switched to pump and then CGM.

      1
      2 years ago Log in to Reply
    21. Bob Durstenfeld

      I like the Tandem pump with ControlIQ, it give the best overnight results I have ever had.
      I look forward to switching to the G7 sensor and seeing better control.

      1
      2 years ago Log in to Reply
    22. William Bennett

      Kinda has to be a 4, doesn’t it? I’m vastly happier with the Tandem CIQ pump I started on last April after years with Medtronic, but T1 is complex, no two metabolisms respond to it in the same way, and no system is ever going to fit everyone perfectly. The Tandem is way more flexible and customizable than I experienced the Medtronic system to be, but there are still plenty of things to annoy me. I don’t like the old-school insets, vs the Mio Advance ones Medt has had for a few years. Why can’t all the connectors be interchangeable/standardized? Because $$. So that’s part of why it’s a 4 not a 5 for me. Heck, the whole treatment of T1 is vastly better than it was 40 yrs ago when I was dx’d, but none of those improvements make up for not actually having a functioning pancreas. I like my pump, but any system is going to be at best a 4 compared with the 5 that is a functioning pancreas.

      6
      2 years ago Log in to Reply
    23. James Cheairs

      Have been running DIY Loop with Omnipod/Dexcom/Nightscout since 2019 and am very happy with both the supportive community of bright people and the results I am getting. We are not waiting……

      1
      2 years ago Log in to Reply
    24. Jeanne McMillan-Olson

      I am on yhe Tandem tslim X2 pump and Dexcom G6 and really like it. Medicare has not yet approved the G7 with the Tandem pump. Hopefully soon. I also would like it if Medicare would pay for inhaled insulin to be used along with the pump to bring down stubborn higher blood glucoses.

      3
      2 years ago Log in to Reply
    25. David Hedeen

      Pump 5, CGM 4

      2 years ago Log in to Reply
    26. Costro

      Still no on the pump, doing long term insulin once a day then meal time insulin as well

      2 years ago Log in to Reply
    27. George Lovelace

      On Tandem & G6, soon on G7 – 24hr Sleep Mode and loving it. T1 60 yrs in March, A1c 5.4 to 6.1 Zero Hypos

      1
      2 years ago Log in to Reply
    28. Bonnie Lundblom

      I’ve been using the Tandem Tslimx2 pump for 4 years and when I asked my endocrinologist last week what pump he recommends he said to stay with Tandem. I’ll be able to switch it in June since Medicare allows that after 5 years. I don’t have the Control IQ but would love it if they will let me set more appropriate blood sugar ranges.

      2 years ago Log in to Reply
    29. Jeff Balbirnie

      Give me the ability to be able use tenths (or even quarter) of a unit by injection, and I will put the pump companies entirely out of business rapidly!

      2 years ago Log in to Reply
    30. Steven Gill

      After several months on multiple injections (syringes with generic insulin from Wal-Mart) upgraded to the Medtronic 780G system. Definitely a more aggressive algorithm compared to previous generations with the same protections against hypoglycemia. While on shots my a1Cs were 5.3 and 5.2 with the general risks of lows, last a1C was 5.7 with for all practical purposes zero lows. With the new target capability to be set at 100, and separate alarms much closer to normal glucose levels are possible with a lot less effort (std deviation looks like 32?).

      Each system will leap frog the other technologically, right now as the newest system this seems the premier.

      2 years ago Log in to Reply
    31. mbulzomi@optonline.net

      I selected “5”. I have been on a pump for over 40 years and on a CGM for over 12 years, Medtronic and Dexcom. Of course, had troubles with the Medtronic “Enlite Sensor”. So far all’s well. Have to finish my G6 Sensors, then on to the G7 adventure!

      2 years 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

    You must be logged in to post a comment.




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