T1D Clarity Compass

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What is your single biggest T1D frustration right now?* This field is required.

The Numbers: Unpredictable blood sugars are driving me mad.

The Mental Load: I'm just exhausted.

The Limitations: I feel held back, T1D stops me from being spontaneous,

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When do your blood sugars feel the MOST frustrating?

Overnight or early morning

Immediately Post-Meal (0-2 hours)

Delayed Post-Meal (3-5+ hours)

During or After Exercise

Linked to my menstrual cycle

None of the Above / It Feels Random

3

Okay, so what's the most common overnight trend for you?

Higher

Lower

Level overnight, but they spike as soon as my feet hit the floor in the morning

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Got it. And at dinner before that high morning—was it high in fat or protein (e.g., pizza, steak, a rich sauce)?

Standard meal, nothing unusual.

It was high in fat/protein or a large takeaway.

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Overnight, what does your CGM graph look like?

Steadily climbs high over the entire night.

Dips low, then climbs high by morning time.

Flat, then starts to steadily climb around 3-4am

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Do your blood sugars drop below 3.9mmol/l (70mg/dL)?Hypoglycaemia is commonly considered to be below 3.9mmol/l (70mg/dL), but you may have a different level you are more comfortable with.

Yes, below 3.9mmol/l (70mg/dL)

No, but low for me

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Mealtime boluses are built on a solid foundation. Are your overnight blood sugars generally flat and stable?This helps us understand if your basal needs updating

Yes, mostly stable and flat. I usually wake up around where I went to bed.

No, they're often a mess. I'm usually rising, falling, or on a rollercoaster.

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Okay, your foundation is solid. Let's look at meals. How confident are you in your carb counting?

Very confident. I'm accurate, often using food scales, reading nutritional panels, and/or logging meals in a tracking app

Not very confident. It's often a guess, especially when eating out or with complex meals.

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Do you pre-bolus?

No, I bolus as I start eating or after.

Yes, I consistently pre-bolus for a set amount of time (e.g., always 15 minutes before).

Yes, and I vary the timing based on the specific meal or my starting blood sugar.

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Great mealtime boluses are built on a solid foundation. Are your overnight blood sugars generally flat and stable?This gives us insight into how dialed in your basal rate is.

Yes, mostly stable and flat. I usually wake up around where I went to bed.

No, they're often a mess. I'm usually rising, falling, or on a rollercoaster.

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Next, let's focus on the meal. How confident are you in your carb counting?

Very confident. I'm accurate, often using food scales, reading nutritional panels, and/or logging meals in a tracking app

Not very confident. It's often a guess, especially when eating out or with complex meals.

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You've identified the delayed rise as a problem. Just to confirm, are the first 1 - 2 hours after you eat generally stable?

Yes, the first hour or two are usually fine.

No, I tend to spike quickly as well.

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Before we dive into exercise, we need to check your foundations. Are your overnight blood sugars generally flat and stable?This gives us insight into how dialed in your basal rate is.

Yes, mostly stable and flat. I usually wake up around where I went to bed.

No, they're often a mess. I'm usually rising, falling, or on a rollercoaster.

14

What is your main frustration with blood sugars and exercise?

Going Low

Spiking High

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When does the LOW typically happen?

During the activity

After I've finished

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When does the HIGH typically happen?

During the activity

After I've finished

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Hormonal shifts can pull blood sugar in different directions. What is the main pattern you notice with your cycle?

Stubborn, hard-to-manage HIGH blood sugars

Unexpected, hard-to-predict LOW blood sugars

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When do the highs typically appear?

In the week or so leading up to my next period.

Around 10 days after my period finished.

My pattern is different, or it feels inconsistent.

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When do the lows typically appear?

Right as my period starts, or in the first day or two (Menstruation)

In the week or so after my period ends (Follicular phase)

My pattern is different, or it feels inconsistent.

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Are you familiar with how to do a basal test?Random blood sugars can indicate it's time for a basal update

No, I'm not familiar with basal testing or I'm not confident that my basal rate is correct.

Yes, I know the processand or I'm confident my basal is mostly stable

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How do you currently track your diabetes data?Okay, foundations are stable, the next step is to find the hidden pattern.

I look at my CGM or meter, but I don't have a formal system for logging.

I try to write things down, but it's inconsistent.

I'm already a detailed logger, but I struggle to interpret the data.

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What part of the 'mental load' feels heaviest for you right now?

The emotional rollercoaster - fear of lows, frustration with highs, feelings of failure.

The endless, 24/7 calculations and planning - constant math, carb counting, and decision-making.

Honestly, it's a combination of both.

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Which of these emotional cycles feels most familiar?

The 'Fear Spiral'. The constant anxiety and "what if?" worries, especially about going low.

The 'Frustration Loop'. The anger and sense of hopelessness from unexpected high blood sugars.

I experience both equally.

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When is the feeling of overwhelm at its peak?

During day-to-day routines, like managing standard meals and corrections.

When trying to be spontaneous, like during social events, travel, or eating out.

Honestly, both feel equally challenging.

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In which of these areas does T1D impact you the most?

Food & Eating Out: The stress of managing unfamiliar meals, restaurants, alcohol or social dining.

Travel: The mental load of planning and packing for trips, big or small, with T1D

Exercise & Activity: Fear of highs or lows stops me from being as active as I'd like.

Intimacy & Relationships: The anxiety and logistics of managing T1D in relationships and intimate moments.

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Your name here

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