Manual Quick Answers to the Top 10 Frequently Asked Questions about Diabetes (I Have Diabetes, What Now?)

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Even then, I instruct youth, as they become adults, to remain in regular contact with me or with diabetes educators so that we can assess their self-management practices. Anne Peters, M. Peters has 25 years of experience treating adults and adolescents with diabetes. Her research interests include technologies and devices for improving treatment of T1D, and transitioning the care of youth with diabetes to adult medicine. Peters : We estimate that about 30 percent of all people with T1D developed the disease as adults.

In fact, even people over 90 years old can develop new-onset T1D. Often, people are relieved when they are referred to me and find out that they have T1D and not type 2 diabetes T2D , because many times, adults who develop T1D are misdiagnosed initially. In children, T1D onset is usually very sudden due to nearly complete loss of the pancreatic beta cells, and these children are treated with insulin immediately.

In adult-onset T1D, it may take much longer before the pancreatic beta cells are completely destroyed by the immune system. Adults rarely present with diabetic ketoacidosis.

So many doctors initially diagnose adults with T2D and prescribe oral diabetes drugs and lifestyle changes rather than insulin therapy. It can be a relief for people who have been taking pill after pill and not getting better to finally discover that they have T1D, rather than T2D, and begin appropriate treatment with insulin.

An adult with diabetes who is lean, has no family history of T2D, or whose diabetes does not seem to respond to oral medications should ask his or her physician for a referral to an endocrinologist or diabetologist.

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Peters : As with most issues involving T1D in adulthood, not a lot is known about the transmission to children. Whether you were diagnosed with T1D as a child and are now having your own children or you developed T1D as an adult, resources are available for family screening. For example, Type 1 Diabetes TrialNet can screen your family members, including children, to assess their risk of developing T1D in the future. Some people who are found to be at high risk for developing T1D may be eligible to participate in clinical trials to monitor the natural history of the disease or to test potential treatments that might delay or prevent T1D.

Is insulin the only treatment I need for T1D, or do I need something else? Some people do well with this type of hybrid therapy, and each individual should explore these options with his or her physician. Although little research has been done on this issue, and it is not currently approved for use in T1D, we do see clinical benefits from continuing with T2D drugs for some selected individuals with adult-onset T1D.

In addition, adults who have been newly diagnosed and who have positive autoantibody tests might qualify for clinical trials of new treatment approaches. How does technology help? Should I use an insulin pump? A continuous glucose monitor?

Peters : I am an advocate of technology, and I think it can really help based on what a person wants. Some of those people eventually choose to move on to insulin-pump therapy. However, both tools can be effectively utilized if the individual is interested in using them. By and large, I can help people achieve a reasonable hemoglobin A1c A1c level on a pump or on multiple daily insulin injections. Peters : Good blood-sugar control is essential. In general, I want people to maintain an A1c level of less than 7.

The most immediate benefit of good blood-sugar control is a lowering of the risk of eye, kidney, and nerve damage. Longer-term benefits include a lowering of the risk of heart attack and stroke. However, as people get older, they tend to have more complications some because they have T1D and others just because of advancing age , and many may need to take additional medications, such as a statin, an ACE inhibitor, an angiotensin receptor blocker, or aspirin, in addition to undergoing regular screenings for complications. The ADA provides clinical guidelines for risk modification related to diabetic complications.

What resources are available to help me learn how to better manage T1D? Peters : Finding a healthcare team in your community that is familiar with managing T1D is vital. I have also found many resources on the internet, but part of the task is to figure out what is helpful in a scientific way and what information is applicable to people with T1D. I encourage people to seek out information from nonprofit organizations, including JDRF, and to explore the internet world of communicators and bloggers, many of whom have interesting things to say about managing T1D.

We value your privacy. When you visit JDRF. I Agree I Decline. No one in our family has diabetes, how did our child get T1D? I got it from another g user and to be honest, it has a sense of lets-give-this-a-try instead of a known solution. Is there anything wrong with this approach? Thanks for checking in, Joe.

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The Guardian Sensor 3 has built in diagnostic technology that continuously monitors sensor health. This could last anywhere between 15 minutes to 3 hours. I do recommend speaking with our Hour HelpLine at They are our experts and can give you the best direction. In the meantime, I will share your feedback about adding this to the user guide with our team. Send me your contact information to dhelp medtronic. My son wears a pump and does not bolus hardly ever. His roommate has had to call the EMTs to revive him from low blood sugar several times. The last time his reading was Would proper bolusing prevent this?

Marlyn, I am very sorry to hear this. If approved by insurance and all, what is the wait time looking like? And what is the wait time for receiving the Guardian Sensor? Hi Val. We are currently experiencing a rolling back order on our MiniMed G pumps, but they are generally shipping within 2 weeks of their eligible ship date and Guardian Sensor 3s within a week.

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She will be able to wear the pump as a standalone device. They will be able to walk you through the process, including insurance coverage. I was originally on the and got the new upgrade. It is absolutely horrible. How would I go about keeping my old pump and return ing this useless innacurate ? I am sorry to hear about your experience with the MiniMed G system, Justin. Our Customer Support Center would like to help with your concerns and can be reached at While I am in auto mode my blood sugars are very high frequently.

High, above , sometimes above Before using the G I never had highs like this. My blood sugars were very good.


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How do these setting effect the insulin delivery in auto mode? Can you please explain these settings to me and how auto mode uses these settings? Thank you, Theresa. This is a good conversation to have with our Hour HelpLine as they can go over your settings and answer any specific questions you have. You can reach our team at I have tried to speak to them about it and they tell me this is something I should speak to my doctor about, which I will, next time I see her, But in the meantime, I would like to know what they have to say about the settings. Since this is their line of work, they would have more knowledge about it possibly and maybe my doctor.

Theresa, depending on your question, there are times that we do need to refer you back to your healthcare provider. Send me an email at dhelp medtronic. Theresa, I has similar problems. My doctor had me change the Max Basil settings. The default was too low.

Mine is currently set at 3.

Nicky Answers YOUR Questions about the MiniMed 670G System

Discuss with your Doctor about what that setting should be for you. What about the CGM? Should I leave it on as I do when I shower? Which is better? Patricia, when the transmitter and sensor are connected, they form a water-tight seal to a depth of 8 feet for up to 30 minutes. If you will be underwater for longer than 30 minutes, remove your transmitter and keep it in a safe location.

Enjoy your trip!

Intermittent fasting – different variants

They can also discuss the features of the pump and your settings to help with any high BGs you may be experiencing. Please know, any changes to your settings will need to be discussed with your healthcare team, but we are happy to help in any way we can. Both the fingerstick and the sensor seem to be confirming that. However, I keep getting kicked out of Auto Mode. How on earth am I supposed to troubleshoot something like this? Can I get the non OCD software? Pump: Could you maybe test a couple times just to make sure, this uneasiness is keeping me up at night.