Type 1 Telehealth

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Type 1 Telehealth

Virtual direct care by providers who live with T1D themselves—because we get it.

10/30/2026

Three pregnancies with type 1 diabetes. Three very different experiences. And a whole lot of growth, both personally and in diabetes technology.

I’ve been pregnant with T1D three times: 2016–2017, 2021–2022, and most of 2026. I’ve had a front-row seat to the evolution of diabetes technology, including the FDA approvals for automated insulin delivery systems in pregnancy in 2026.

But technology is only one piece of the puzzle.

I have an incredible care team now, but my first pregnancy didn’t start that way. Despite excellent glucose control, I repeatedly heard that I was having a “big diabetic baby.” The negativity, assumptions, and lack of meaningful education left a lasting impression on me.

And honestly? It shaped the provider I am today.

After three healthy pregnancies with T1D, I’ve become incredibly passionate about advocating for my pregnant patients. This year, I’ve taken a deep dive into the literature, glucose metabolism, and the complexities of diabetes management in pregnancy.

My approach comes down to three things:
1. Education. What does the evidence actually tell us? Let’s separate outdated assumptions from evidence-based care.
2. Glucose goals. What are our targets, why do they matter, and how do we individualize them?
3. Action without burnout. How can we work toward those goals while still enjoying the miracle of pregnancy?

I’ve been in their shoes. I understand the mental load, constant decision-making, unexpected highs and lows, and pressure that comes with managing diabetes while growing a human.

I never want shame or guilt to be part of anyone’s treatment plan.

Katie and I built Type 1 Telehealth to bridge gaps in diabetes care, and pregnancy is one we’re especially passionate about addressing.

Whether you’re planning pregnancy, currently pregnant, or navigating postpartum with T1D, we’d love to support you. Even if you need us just for this particular season of life, we’d be honored to take you under our wing.

And don’t worry! Type 1 Telehealth will remain wide open for established and new patients while we welcome our littlest team member in just a few short weeks.

10/27/2026

What if the night before your endocrinology appointment didn’t come with a pit in your stomach?

No scrolling through your CGM data trying to figure out what you’ll have to explain.

No making a spreadsheet of your blood sugars.

No downloading pump data onto a computer because it’s already in the cloud.

No wondering if your provider is going to focus on the one high from three weeks ago.

No rushing through traffic to sit in a waiting room.

Just a conversation with someone who knows that T1D is more than a collection of numbers.

Someone who understands that sometimes the blood sugar you’re most frustrated about is the one you have absolutely no explanation for.

Someone who wants to look at the data with you, not judge you for it.

That’s the kind of care we wanted when we created Type 1 Telehealth.

Care from a PA + NP who live with T1D, too.

Because your appointment should be a place where you can talk about what’s actually hard, not a place where you feel like you have to defend yourself.

Now accepting patients in Texas. Free diabetes strategy session through the link in our bio.

10/21/2026

Part 2: So which number do I trust?

This is where CGM education gets really important.

Because no, the answer isn’t “your CGM is always right.”

And it’s also not “you should fingerstick every time your CGM and meter don’t match.”

Modern factory-calibrated CGMs are designed for treatment decisions without routine confirmatory fingersticks in most situations.

But there are times when you should probably have that meter available.

1. You just started a new sensor.

The first day can be a little different while the sensor settles into the tissue. Some devices specifically warn users about using a meter during their initial period or when readings aren’t behaving as expected.

2. Your symptoms don’t match your CGM.

This is probably the biggest one.

If your CGM says 105 but you’re shaky, sweaty, confused or otherwise feeling like you’re low, don’t ignore your body because your phone says you’re fine.

Check.

Both Dexcom and FreeStyle Libre specifically instruct users to use a blood glucose meter when symptoms or expectations don’t match the CGM reading.

3. Your glucose is changing rapidly.

Remember Part 1?

Your CGM measures interstitial glucose, so there can be a lag between what is happening in your blood and what the sensor is reporting. That difference becomes more important during rapid rises and falls.

4. Your device specifically tells you to check.

This one sounds obvious, but follow the instructions for YOUR CGM. Different systems have different labeling and specific circumstances where they recommend a fingerstick.

You may not see identical numbers.

The goal is knowing when the number is trustworthy, when the trend matters, and when you need another data point.

Save this one for your next sensor change.

10/20/2026

Part 1: Why can my CGM and fingerstick be so different?

If you have type 1 diabetes, you have probably experienced this:

CGM: 72
Fingerstick: 104

Or maybe the opposite.

And your first thought is, “Which one is wrong?”

The answer is that they are measuring glucose in two different places.

A fingerstick measures glucose directly from your blood.

A CGM measures glucose in the interstitial fluid underneath your skin. Glucose has to move from the bloodstream into that fluid before the sensor can detect the change.

That creates a physiologic delay.

Think of your blood like a river and the interstitial fluid like a pond next to it. When the river changes quickly, the pond takes a little time to catch up.

That means the difference can become much more noticeable when glucose is changing rapidly.

Going up quickly? Your CGM may temporarily read lower than your fingerstick.

Going down quickly? Your CGM may temporarily read higher than your fingerstick.

And then there are other factors that can contribute to discrepancies, including pressure on the sensor, sensor site and local tissue factors.

This is also why I don’t want patients thinking, “My CGM is inaccurate because it doesn’t exactly match my meter.”

They aren’t supposed to be identical numbers.

When glucose is relatively stable, they generally track much more closely. When glucose is changing quickly, the difference can be much larger.

And remember: one of the biggest advantages of your CGM isn’t just the number. It’s the trend.

The number tells you where you are.

The arrow tells you where you’re going.

Part 2 is coming because there are also situations where I want you to grab that meter before making a treatment decision.

10/16/2026

This practice is for the T1D community, so we want the community to have a voice in what we talk about.

From the content we share here to the topics we cover during visits, we want to make sure we’re talking about the things that actually matter to people living with type 1.

So we’re asking you directly:

What topic should we explain next?

What do you wish your providers covered during your visits?

What questions do you wish someone would answer?

Tell us in the comments. We’re listening 💙

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Dallas, TX

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http://Www.type1telehealth.com/

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