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    • 2 hours ago
      Phyllis Biederman likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Its a Tandem. The main issue I have with the phone is the inability to do an extended bolus.
    • 2 hours, 1 minute ago
      Phyllis Biederman 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 hours, 29 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." ╰── ──╮
    • 10 hours, 52 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.
    • 20 hours, 25 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.
    • 20 hours, 26 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.....
    • 20 hours, 26 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.
    • 20 hours, 26 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.
    • 1 day 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, 6 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, 10 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, 11 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, 11 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, 11 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, 11 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, 11 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, 11 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, 11 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, 11 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, 11 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, 11 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, 11 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, 8 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, 9 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, 9 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
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    On average, how long do you have to travel to see your diabetes care provider? Please answer for the time it takes to get to the clinic from whichever location you most often leave for your appointments, whether that be your home, your workplace, or another location.

    Home > LC Polls > On average, how long do you have to travel to see your diabetes care provider? Please answer for the time it takes to get to the clinic from whichever location you most often leave for your appointments, whether that be your home, your workplace, or another location.
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    On a scale of 1-5, how satisfied are you with your current overall T1D care routine? (5 = the most satisfied, 1 = the least satisfied)

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    If you use an insulin pump, how often do you use adhesive wipes to help your pump sites stick?

    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. 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. 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    32 Comments

    1. Molly Jones

      If my husband is available, it takes around thirty minutes. This is the usual.
      Sometimes when not, it takes around two hours by bus.
      I am grateful for the job he has and his involvement in my health care.

      2
      4 years ago Log in to Reply
    2. Robert L Nelson

      It takes me 3 hours every 3 months which is required by Medicare because I’m wearing a pump.

      4 years ago Log in to Reply
      1. Karen DeVeaux

        I don’t think you have to see an endocrinologist every 3 months, I’m on Medicare and a Primary Care Provider works

        4 years ago Log in to Reply
    3. mbulzomi@optonline.net

      I live in walking distance from my home to my ENDO’S OFFICE. No Clinic, that’s the advantage of living in a large Metropolitan area. There are at least ten Large Hospitals and countless walk-in offices with-in 15 miles of my house.

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

      For the past 10 years, I have driven about 40 to 45 minutes to the hospital where my Endo office is located.
      However, From 1985 until 2012, I drove 5 hours, each way to see my Endo. I lived in very rural area in the mountains of Northern New York State at that time. I do miss my NY State Endo (Syracuse Joslin Clinic).

      1
      4 years ago Log in to Reply
    5. Pam Taylor

      My Endocrinologist is across the state from where I live. Some 250+ miles and 4-5 hrs away.

      4 years ago Log in to Reply
    6. Lori Lehnen

      0 minutes – I do virtual appointments. The longest I ever had to wait in the “waiting room” was less than 5 minutes.

      1
      4 years ago Log in to Reply
    7. Drina Nicole Jewell

      She is 2.5-3 hours away. We mostly do video or telehealth appts. And she is absolutely worth it when I have to drive.

      4 years ago Log in to Reply
    8. Steve Rumble

      I see my primary care MD at Kaiser in the office 15-30 minutes away. However I also see care providers at the VA, primarily via telemed appointments, as they are located 60 – 90 minutes away.

      4 years ago Log in to Reply
    9. Karen DeVeaux

      I just moved and don’t have an endocrinologist yet. I’ve made an appointment with a PCP and when I do see an endocrinologist I think it will be a long drive. I’m on Medicare and a PCP works for the 3 month rule.

      4 years ago Log in to Reply
    10. LizB

      My old endo was very close. For my new endo I have to take the subway or bus (I prefer bus) and that takes close to an hour when I include the time spent walking to the stop, waiting for the bus and the ride itself. Then I have to do the return trip which usually takes longer.

      4 years ago Log in to Reply
    11. Barbara Bubar

      I intersperse visits to my internist with my endocrinologist’s NP every three months….the internist is close…not the 45 plus for the NP.

      4 years ago Log in to Reply
    12. Christine Gran

      My son’s endo is 1 1/2 hrs from us, but he comes up every 3 months at another doctor’s office. He goes to the endo’s clinic for his annual checkup 90 miles south of us.

      4 years ago Log in to Reply
    13. dave hedeen

      In addition to 45 minute time, hav $4 toll and $6 parking fee

      4 years ago Log in to Reply
    14. Marty

      It takes about 15 min to get to my endo’s office from my house, but I’ve only seen her in person once, years ago. I’ve had telehealth visits every three months since then with her or with her CDE to comply with Medicare requirements.

      4 years ago Log in to Reply
    15. Ms Cris

      Takes me 30-45 min for the 12 miles only because of big city traffic and parking, sometimes an hour. She’s worth it, though.

      4 years ago Log in to Reply
    16. CindyGoddard

      3-1/2 hours. There is no Endo that works here.

      4 years ago Log in to Reply
    17. Becky Hertz

      Really depends on traffic. I’m not that far but live in the Seattle area. I always allow at least 30 minutes to get there.

      1
      4 years ago Log in to Reply
      1. Sue Martin

        I live in the Puget Sound too. It’s about 25 miles but could take anywhere from 30 -90 minutes.

        4 years ago Log in to Reply
    18. Scott Doerner

      Only takes so long because I ride the bus. The doctor is about 7 miles away.

      4 years ago Log in to Reply
    19. Janis Senungetuk

      When I was driving it took about a half hour depending on traffic and weather conditions. Now that I use the paratransit service the latest I can arrange for pick-up is 45 minutes before my appointment, usually an hour before.

      4 years ago Log in to Reply
    20. Kris Sykes-David

      When I was dx’d in 2013, my GP suggested I go to an Endo an hour away as the local one was really, really busy. I am happy with my Endo, however now there are two new ones in my town I could try to see! What a dilemma. I’ll be 65 in February and keeping existing federal health insurance and adding Medicare. I think I will stay put for now! That’s too many changes for the insurance companies to catch up.😬

      4 years ago Log in to Reply
    21. Lyn McQuaid

      My endo’s office is only 8 minutes away but he lives right up the street from me, which is handy as I run into him frequently while outside mowing or walking or riding my bike.

      4 years ago Log in to Reply
    22. William Bennett

      I moved from Boston down to CT about 2 yrs ago, but really loved my endo at Brigham & Women’s, so I didn’t look for a local person. It’s about 2:15 to Boston. Now Medicare insists I see someone every 3 months to cover my pump supplies (which is absurd, my control is excellent–5.9 A1C at last test a week ago). So I guess I have to find someone local now. Sigh.

      4 years ago Log in to Reply
      1. Marthaeg

        I don’t know where in CT you are but I have a wonderful endocrinologist in Katonah NY. It was about a half hour from Wilton. Her name is Dr. Rita Landman

        4 years ago Log in to Reply
      2. Kristine Warmecke

        Does your endocrinologist offer Telehealth appointment’s? I do two a year, so I don’t have to go into the city, and have my every 3 months lab work done when I go for my every 28 day’s oncology treatment. It save me time to have it done at that site, since Ill be there anyway and it’s only 35 miles away, instead of 58.

        4 years ago Log in to Reply
    23. Marthaeg

      Used to be about half hour but I moved to TX. She’s in NY and I don’t want to switch.

      4 years ago Log in to Reply
    24. Ahh Life

      I am the real 3-sigma deviant here with 1.5 hours. I live 42 miles away (41.6 technically). But between poor road traffic, urban congestion, poor planning, and poor public transport . . . I need to allow at least 1.5 hours.

      And that is not including because of hurricane Ian flooding an extra 10 miles, an extra 10 stoplights, and an extra 10 minutes driving. How do you people travel further distance in less times? Super Sonic Transports, I guess.😒

      4 years ago Log in to Reply
    25. Daniel Bestvater

      2&1/2-3 hours

      4 years ago Log in to Reply
    26. Kristine Warmecke

      I said 1 to 1.5 hours, but it depends on traffic, road work, etc. It’s always 1.5 hours, has taken as long as 4 hours.

      4 years ago Log in to Reply
    27. Mary Thomson

      Two hours and fifteen minutes. Worth the drive.

      4 years ago Log in to Reply
    28. Jim Cobbe

      The frustrating part is waiting for the provider after arriving and.or waiting for call backs after leaving phone messages etc. And if this includes suppliers of strips, insulin, etc, dealing with irritating phone/chat delays ,,,,

      4 years ago Log in to Reply

    On average, how long do you have to travel to see your diabetes care provider? Please answer for the time it takes to get to the clinic from whichever location you most often leave for your appointments, whether that be your home, your workplace, or another location. Cancel reply

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