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    • 2 hours, 16 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.
    • 3 hours, 8 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.
    • 6 hours, 10 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.
    • 6 hours, 10 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.
    • 6 hours, 18 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.
    • 6 hours, 20 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.
    • 6 hours, 33 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.
    • 6 hours, 33 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.
    • 6 hours, 33 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.
    • 6 hours, 33 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.
    • 6 hours, 33 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
    • 6 hours, 33 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.
    • 6 hours, 36 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?"
    • 6 hours, 37 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.
    • 6 hours, 39 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.
    • 6 hours, 40 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.
    • 6 hours, 54 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, 4 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, 4 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, 5 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, 6 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, 6 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, 7 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, 7 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?
    • 1 day, 7 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 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.
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    Since your T1D diagnosis, have you ever been without health insurance? Please share any effects this had on your T1D management in the comments.

    Home > LC Polls > Since your T1D diagnosis, have you ever been without health insurance? Please share any effects this had on your T1D management in the comments.
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    In the past week, how many nights was your sleep disrupted by diabetes (device alerts, checking blood glucose levels, or treating a high or low)?

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    If you’re taking a GLP-1 medication, have you noticed that food tastes different? Please share any other side effects you’re having 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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    23 Comments

    1. Steve Rumble

      I was diagnosed T1D while in the USAF, once discharged I had no health insurance but my T1D needs were covered by the Veterans Administration.

      2 years ago Log in to Reply
    2. Mick Martin

      I don’t have personal insurance, in fact, I’ve never had personal insurance, but I live in the UK (United Kingdom of Great Britain and Northern Ireland) where our medical needs are taken care of via our NHS (National Health System) which is financed via direct taxation of all people who earn more than a ‘given amount’. i.e. that would be most working people. This covers treatment costs and prescription costs.

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

        No one should be denied health care. Kudos to the UK for taking care of it’s citizens.

        1
        2 years ago Log in to Reply
      2. Gustavo Avitabile

        Same for me, in Italy.

        1
        2 years ago Log in to Reply
      3. Mick Martin

        @Lawrence S. I ‘hear’ what you say, sir, but SOME people do resent the taxes they pay being put forward to taking care of those that aren’t as fit as themself/ves. 😉

        2 years ago Log in to Reply
      4. Mick Martin

        @Gustavo Avitabile. I’m pleased that Spain also offers coverage for people, sir.

        2 years ago Log in to Reply
    3. Jane Cerullo

      Thankfully have always had insurance. Bit as a nurse have seen how devastating not having insurance does to diabetes care.

      1
      2 years ago Log in to Reply
    4. Daniel Bestvater

      I live in Canada and owned my own business. So I have never had any type of medical/drug coverage. I live in Ontario so once I hit 65 I will have some drug coverage. Ironic that insulin was discovered in Toronto Canada, but many people here struggle to pay for it.

      2 years ago Log in to Reply
    5. GLORIA MILLER

      In late 1980s after a divorce, I had a few years without health insurance. The cost of insulin and syringes at that time was not expensive so I paid it myself. It was not a problem to not have coverage at that point but it would be today.

      1
      2 years ago Log in to Reply
    6. cynthia jaworski

      Paying for insulin and day to day maintenance is not my main reason for wanting insurance. I am more concerned about the increased likelihood we all have of major health complications: kidney disease, cardiovascular issues, retinopathy, etc. Any of these could be impossible to afford in the US.

      1
      2 years ago Log in to Reply
    7. Gary Taylor

      I was diagnosed in 1976 while in college. Insulin, syringes, and urine test strips were inexpensive and could be purchased without a prescription. My first insurance came five years later when I was hired by a school district that provided it.

      1
      2 years ago Log in to Reply
      1. Tom Caesar

        Very similar story, diagnosed in 1969. Sporadic insurance until my early 40’s, then was blessed with a job teaching with benefits. Now retired with medicare.

        2 years ago Log in to Reply
    8. Anneyun

      I only got on a health plan as an adult about 5 years ago. Before that I couldn’t consider getting a pump or CGM because of the costs. My control is so much better now.

      2 years ago Log in to Reply
    9. Sue Martin

      I was without insurance for about 3 years. I didn’t get the annual exams I needed, like eyes, or timely doctor visits. I had to pay for insulin and CGM supplies out of pocket. I rationed other things to afford my insulin. It was about $450 a vial. I was grateful to get a job and have insurance coverage again.

      2 years ago Log in to Reply
    10. Anthony Harder

      A few months before Medicare, insurance botched my coverage and cancelled my insurance. Fortunately, I had a small surplus of supplies and medications to bridge this gap.

      2 years ago Log in to Reply
    11. Bob Durstenfeld

      Yes, both as an adult and as a child with T1D. It was both disruptive and expensive.

      2 years ago Log in to Reply
    12. KSannie

      I was diagnosed in college. I went to the UK about 8 months later, where the national health system covered me. I married an American, but was not covered while home the 3 months before our wedding and the 3 months before my husband’s insurance kicked in from his new job. Insulin, syringes and test strips were not expensive. Later my husband was sent to work abroad and we had coverage, but it was in the UK again, and they did not provide pumps. So when we returned to the U.S. I finally got a pump. Around that time the UK started covering pumps for kids, and later for adults.

      2 years ago Log in to Reply
    13. Jennifer Wilson

      Recently laid off and public insurance is very expensive. I have to ration my medication and might have to go back to syringes and vials… old school.

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

      My answer was NO. I have been employed since I was 1 discharged from the USN at 21 years old, now 79, retired and covered my last employer the Federal Aviation Administration.

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

        I forgot Medicare parts A and B.

        2 years ago Log in to Reply
    15. Steven Gill

      Retired last year, went without insurance until December when I entered the VA health system. From February until December purchased all prescriptions through Amazon, the Libre3 through Wal-Mart and GoodRX. Insulin pens with Glargine and initially Lispro through Amazon, until I found Aspart was so inexpensive in vial form at Wal-Mart (again GoodRX). My a1C dropped from 6.0 to 5.2, more time? able to do what I wanted? (a lot of volunteering, gardening, and yeah worked part-time).

      2 years ago Log in to Reply
    16. Vicki Andersen

      I had to switch to Medicare this year and getting my supplies was very difficult. I was really stressed out for about a month while fighting the battles. It was a very disappointing experience!

      2 years ago Log in to Reply
    17. PamK

      This happened to me once. I called the manufacturers of my supplies. I was able to get some discounts, which really helped!

      2 years ago Log in to Reply

    Since your T1D diagnosis, have you ever been without health insurance? Please share any effects this had on your T1D management in the comments. Cancel reply

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