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Which of the following options best describes your primary insulin delivery method (the one you use most) and your most recent A1c? (Note: 7% is equivalent to 53 mmol/mol)
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not automated equates to SO MUCH WORK. I have good A1cs around 6, and sometimes stress drives me up to 7. Not the best for maintaining the long haul
Tandem X2 pump, Control IQ, with Dexcom G6 sensor. A1c, last week, 5.4 🙂
Cequr – 2 unit – manually operated insulin patch. It’s not high-tech (no looping or automation), but it is still attached to me, and that alone helps with much more timely injections and easier corrections. I’m in sales, and I travel 50%-60% of the year (by plane and car); when I’m not traveling, I have 5 girls (currently) under the age of 7, so while using a pen isn’t difficult, it’s much easier having a low profile patch loaded with 200 units of insulin with a super easy delivery method (replacement is every 3-4 days). Just one click gives me 2 units. It’s also very lightweight with no bulk, so it’s great when I run, which I do a few times a week, and when I play with the kids or hold one or both of the babies.
Tandem X2 A1C 5.0
MDI and my A1C was 5.2
Started on the T:slim X2 with Dec G6 in early February. Just had blood drawn for Endo visit next. Waiting to see what my A1c will be. Dont expect much improvement over previous A1c of 7.2 with the Algorithm getting use to my needs. April TIR has been much better 88 to 92%. I do hope next quarter’s A1c will be below 6.
I answered insulin pump = without automated delivery, A1C below 7. My A1C’s have been consistently in the mid-5 range. I use the Tandem X2 with BIQ (not the CIQ ergo I said I didn’t have automated delivery).
Tandem X2 with CIQ
A1c’s range from 5.8 to 6.3
Time in range ~85 – 95%
I have had lower A1c’s without CIQ, but too many lows!
Since January I’ve been using MDI and Inhalable insulin, sometimes together and someyomes not.
A1c under 6 going on three yrs
jUST DOING WHAT i DID 70 YEARS AGO… EXCEPT USING PLASTIC INSTEAD OF GLASS.. RECENTLY SWITCHED TO pEN [AS I USED FOR MANY YEARS AGO AND BECAUSE OF AMD AND MAX COST NOW $35/ MONTH… A1C 6.3..
Wow! I’m impressed with the high percentage of folks on this poll achieving an A1C <7%!!
I'm in the minority as a automated pump user (Tandem with CIQ) & last A1c 7.2%. CIQ did decrease my A1C a bit (previously 7.4-7.8%), but more importantly reduced my time spent in hypo range. I'll take that as a win!
Interesting, this paper from 2022 found less than 25% of T1D adults had an A1C of 7 or less. Being older, white, having private insurance and
having access to technology were associated with lower A1Cs.
Are the poll responders here a miraculous bunch of overachievers, or is the high rate of A1C success a reflection of this group's demographics?
Link to paper I referred to above:
https://diabetesjournals.org/clinical/article/41/1/76/147772/Factors-Associated-With-Improved-A1C-Among-Adults
Jneticdiabetic:
I just reviewed that study. I am astounded to see those numbers. I would have thought the A1c numbers would by much, much lower.
My A1c was below 7% while I was on MDI as well! If anything my A1c has been higher since starting on a pump, not lower!!
I use a Tandem TSlim pump (using Control-IQ hybrid closed loop) with Dexcom G6 CGM. My A1C was 6.0, down from 6.4%. This was a couple of weeks ago. I’m not celebrating though. I have tired of the constant high BGs (stress-related), so I’m aggressively bolusing. Avg SG is 130-135, StdDev=35-40. Lots of work to go!
Insulin pump (not automated) – A1c below 7% . I have pump that automates, but don’t use it. A1c 5.9