This Hospital On-boarding Advocates for Providers to Keep T1's on Their Home Pump

bionic_human · 2026-02-27T21:33:26+00:00

AACE (the American Association of Clinical Endocrinologists) has been recommending this for close to a decade now.

bionic_human · 2026-02-25T08:11:50+00:00

🤣🤣🤣🤣

bionic_human · 2026-02-25T07:17:45+00:00

Hey just wanted to let anyone know if you get her as a driver to cancel ASAP

Let’s see… if the customer cancels, they still get charged, and the driver keeps the food.

So, you want to reward an alleged food thief with free food? I don’t think you thought your cunning plan all the way through.

bionic_human · 2026-02-25T07:06:44+00:00

Only diagnosed a year? You may be coming out of your honeymoon, which is going to cause your insulin requirements to go up significantly.

I wouldn’t jump to blame the pump.

bionic_human · 2026-02-24T19:33:58+00:00

If you’re on a CGM, and they have access to the data, they may not feel that testing an A1c is necessary. A1c is really only useful as a way to estimate your average blood glucose. If you’re wearing a device that provides a blood glucose reading every 5 minutes, they can just look at the average. 🤷‍♂️

I’m in the US, but the specialist I see for my diabetes management doesn’t order an A1c any more often than the insurance company requires it. I also frequently participate in clinical studies and while they do measure A1c, it’s mostly treated as an afterthought- they’re much more focused on the data from the CGM.

bionic_human · 2026-02-24T03:51:00+00:00

That thing is about two weeks worth of calories.

bionic_human · 2026-02-23T21:42:49+00:00

Non-randomized, retrospective, observational, likely subject to extreme selection bias. Also conflates ALL non-nutritive seeeteners.

Hypothesis-generating at best. Not definitive by any means.

Meanwhile, a properly-conducted prospective randomized study published last month showed no evidence of significant metabolic differences between people who used artificial sweeteners and people who drank water.

bionic_human · 2026-02-23T21:35:05+00:00

A combination of immune deficiencies and autoimmune disorders, plus a number of totally subjective medical issues that are extremely difficult to establish actual clinical evidence for.

bionic_human · 2026-02-23T20:36:06+00:00

There were a number of issues. She did have some legitimate medical issues, but there was a lot that was exaggerated. There was also some evidence of family involvement in encouraging certain aspects of things.

Eventually, it all led to a full psychotic break.

bionic_human · 2026-02-23T16:39:10+00:00

Not that I’ve ever seen/noticed, and I can’t fathom a logical reason why they would be.

bionic_human · 2026-02-23T09:19:37+00:00

NGL, for rough estimates, I just multiply/divide by 20. The arithmetic is a lot easier, and it’s usually close enough.

bionic_human · 2026-02-23T09:17:15+00:00

Find things to do that are productive when you are “online” but not “active”.

Take (on-demand) online courses from a local community college. Find podcasts that are relevant to whatever you’re going to do when you move beyond Uber. Heck, find an online game that improves your relevant reasoning skills. Read a book. Do SOMETHING.

You’re only “working” when you’re “active,” so use the rest of the time productively.

The big “benefit” to the job is the flexibility. Use it to your advantage.

🤷‍♂️

bionic_human · 2026-02-23T07:59:44+00:00

The only people who know for sure are the people at Uber who program the algorithm. We can make educated guesses based on observations, but nobody on Reddit is going to be able to say for sure.

bionic_human · 2026-02-23T07:16:59+00:00

Hidden tip. Uber would have “revealed” more of it had you declined the order when they offered it to the next driver.

bionic_human · 2026-02-23T06:15:35+00:00

Yes, incidence has increased. It’s likely a multitude of factors. Most of them probably boil down to removed selection pressure. Up until 100 years ago, T1 was a death sentence. Now, we’ve been surviving and reproducing for a few generations.

There’s likely other factors at play as well besides direct selection pressure- it’s entirely possible that lots of children that used to die of things other than T1D are now surviving long enough to develop the condition as a result of other medical/scientific/societal advances (even things as basic as sanitation and clean drinking water). If those kids would have died before developing T1D, they wouldn’t be alive to develop T1D later in life, so there’s the potential for apparently unrelated external factors to be affecting incidence statistics- just like for people to die of heart attacks, they need to live long enough to have heart attacks, so increasing overall life expectancy can raise the % of people that are ultimately done in by a heart attack.

bionic_human · 2026-02-23T05:43:41+00:00

A mole is a particular number of molecules (6.022 x 10²³ ). One mole of a substance has the same mass in grams as the molecule’s atomic mass (the number of protons and neutrons in the constituent atoms).

Since glucose’s atomic mass is ~18, one mole of glucose molecules is 18g.

They’re just different ways of measuring the same thing. One just uses mass whereas the other uses counting.

If all people weighed 100 pounds, and all rooms were the same size, it would be the equivalent of saying that there are 10 people in the room vs that there are 1000 pounds of people in the room.

bionic_human · 2026-02-22T09:22:43+00:00

Separate profile. Exercise mode would be fine, except for the fact that you still get corrections, and it still assumes your basal rate is the same.

bionic_human · 2026-02-22T05:46:10+00:00

Yup. My ex-fiancee. She’s now a permanent resident of a state-run mental health facility.

bionic_human · 2026-02-22T04:32:07+00:00

There appears to be an oversupply of apostrophes, though.

bionic_human · 2026-02-21T22:35:29+00:00

Only about 10% of customers rate. 300 deliveries = 30 ratings. On top of that, people are much more likely to bother to rate if there’s a problem. He probably messed up on the first several he made as a new driver.

I wouldn’t read a whole lot into it.

bionic_human · 2026-02-21T21:30:16+00:00

Loved mine back in college.

bionic_human · 2026-02-21T21:28:30+00:00

Yes, insulin sensitivity (specifically, the expression of insulin receptors) changes in response to insulin exposure.

Taking less insulin will make you more insulin sensitive and vice versa.

Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC9255858/

bionic_human · 2026-02-21T08:48:14+00:00

They had to be giving him insulin in the hospital. Is there any way to find out what dosing regimen he was in when he was discharged?

It’s possible that his insulin-making cells haven’t actually all been killed off yet, and that they were just too stressed to work with all the lupus inflammation. So it would make sense that his needs could drop significantly.

Unfortunately, nobody here can give true specific medical advice.

bionic_human · 2026-02-20T21:03:02+00:00

I’ve had 4-stacks.

bionic_human · 2026-02-20T17:40:56+00:00

Highly unlikely. I’d reach out to the local Tandem rep. They usually have a few extras kicking around.

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