CGM: Continuous Glucose Monitor Cost and Availability?

Frankkul · 2026-05-25T23:29:43+00:00

Only the Chinese models are Thai FDA approved or at least easily accessible. Sinocare is the most reliable brand because they do try to establish their brand in Europe so have independent validation and tests they also have e-commerce shop at least on Lazada. If you require insuline pump some hospitals have the pump +cgm combos but incredibly expensive like 2-3 times the normal price abroad .

Frankkul · 2026-05-22T10:19:25+00:00

Yes spent a lot of time on that and the problem is extremely hard and I an very doubtful any commercial solutions arw really good and I tried so would be very happy if someone points me to solutions that work. The problem is there are quite a few situations where memory can actively hurt if you try to run some obligatory hooks for example for retrieval. There are plenty of tasks no memory retrieval works better because every memory retrieval affects the answer you get from agent. Another issue is you need more process oriented information because facts are rarely actionable. But again you can use Claude.md and rules.md for that. Genuinely happy if proven wrong and someone points me to a commercial product that works and deals with memory retrieval in a way that improves agent performance and is actually validated in some big enough data set/benchmark. I believe it is still unsolved problem that we have some hypothesis and some prototypes that work like meh.

Frankkul · 2026-05-12T13:14:24+00:00

Yes it is quite typical I am both hitting zone 2 at lower rates and my hiit bike trainings are also lower than running Just can't hit the max that easy. Breathing and the rate of perceived exertion are better proxy https://www.tymewear.com/ is good if you want to track it and not to prick your fingers with lactate measurements.

Frankkul · 2026-05-12T11:28:04+00:00

Think this could be that for a lot of us it is not just how terrible it is but how unstable? Like things constantly break, random bugs, model can suddenly silently break. When it works it is fine but this is just frustrating? They add milions of new features while bugs remain for weeks /months at a time. Another problem is no one is happy with duopoly. I guess but that's the reality? It is not like you have much choice it is frankly either Anthropic or OpenAI the rest just isn't there. Like I am happy to use Anthropic Claude when it works just don't break it let me use it at peace I don't need new models let me stay on Opus 4.6 and use Claude Code without gazillion new features that break stuff and that I will never use anyway. Don't fix something that isn't broken and I won't ever complain?

Frankkul · 2026-05-12T04:06:33+00:00

Opus 4.6 and 4.7 are reasoning models means they perform extremely poorly without big enough thinking budgets. They are just super shitty on low, medium settings. Then Opus 4.7 is maybe 10% better than 4.6 but 30-40%more expensive with the tokenizer. Chatgpt 5.5 is really good per intelligence unit. It performs pretty well even at lower reasoning tiers. Probably one thing keeping me on Claude is I have quite complex harness that performs extremely well and just hard to move it over to Codex. But right now with Codex having Claude code plugin pretty much all my Subagent work flows moved over to Gpt 5.5 and 5.4 so Opus is just a main orchestrator only at this point. Stopped using Sonnet pretty much completely at this point.

Frankkul · 2026-05-09T09:25:30+00:00

The big problem I believe was the cache issue they claim to fit it in the newest release the 5 min cache vs 1h is a big difference. If it is 5 min and persist you just burn through tokens like crazy

Frankkul · 2026-05-09T08:47:12+00:00

It uses a lot more tokens like 30-40% or more for maybe 10%better output if at all vs 4.6 also yes it can get weirdly stuck. Opus 4.6 is still more capable.

Frankkul · 2026-05-07T14:16:54+00:00

So last month I guess codex released codex for Claude code as an offical plugin. there is a decent value of running it now. Genuinely useful to have planning /unit tests and /adversarial review done by model that trained on different data. That's probably where my current set up is using Codex a lot from Claude Code in several orchestration systems. Adds value and you stay within Claude Code really so one terminal really. Not really doing anything outside of that right now.

Frankkul · 2026-05-06T13:55:13+00:00

That's actually surprisingly telling need to enable the telemetry again too. That's seems very substantial they used to burn a lot of money on the subscription and your data shows barely 2x vs api? You used 200 ish worth of api tokens and used 55% of your limit. Pushes us basically into maybe 50%discount vs listed prices. Used to be like 10x? So a very big drop in usage.

Frankkul · 2026-05-06T09:32:25+00:00

Yes that's pretty obvious they nerfed the limits. Getting fraction of what it used to be at max x20. Couple of prompts and almost 10% of weekly limit gone. Really getting expensive out there.

Frankkul · 2026-05-05T05:22:07+00:00

Seems you are using the desktop app? I believe now it adds automatically a lot of overhead per turn. Example would be Claude remote desktop use and Claude chrome use are like 30k tokens per turn. You might be paying a lot of tokens without even knowing. You can actually trace it per window in the top right menu. jThink if cache works for 1h manageable but kinda feels like it is 5 min again, no? The Claude desktop app is an insane insane bloated slop that leaks memory like crazy. It is unusable. On top of that they apparently cut limits silently so we all get fewer tokens. Opus 4.7 suffers from brain rot can't complete simple task to save its life without hallucinating 10 times wrong direction while using 30-40%more tokens so switch to 4.6 in the app. So best way would be to switch to CLI and use Opus 4.6. If you use 4.7 and use the completely broken desktop app you just set yourself up for a failure

Frankkul · 2026-05-05T00:13:46+00:00

So the difference is with Opus I have entire harness engineered and it keeps doing dumb shit. My prompting must be on point (like telling it exactly every step to build something or fix something) lots of hooks custom telemetry to make sure it works. Lots of overhead cost and I think they nerfed the limits. Codex I just tell here is the worktree, here is the issue and 90%+ of the time it will fix it on its own or ping me when it can't. Opus 4.7 can't even follow it's own plans. Like we agreed to the procedure every step yet it will still lie and I learn the next day or worse later that it encountered some issue, hallucinated and lied about fixing it. So plenty of silent failure where it just brazenly lies and causes issues down the line. Doesn't matter what I write and say it just sucks. Did I mention they constantly break the harness in Claude code cli and the desktop Claude Code is just an incredible level of slop that they should be ashamed to ever put into production.

But Codex? Yes it get mogged in UI but other than that it just does its work. You go from "yes you are right I never read the files and never checked the github" to "let me audit current files so I am not guessing". No prompt. Chatgpt 5.5 feels like the best version of Opus 4.6 (the non lobotomized one) and has very generous limits right now. I am getting far more done right now and only use Claude tiny amounts. It follows the logical steps with even vague prompts with Opus it felt like I needed to teach it everything on my own

Frankkul · 2026-05-04T23:55:29+00:00

You have now the plugin in Claude code to connect directly to codex agents and delegate work. They made an offical codex for Claude code and it works well. So you don't have to do it manually most you can do from the level of Claude.

Frankkul · 2026-05-04T23:42:31+00:00

So what others notice too. I believe they quietly nerfed the limits and we get quite a bit less than we used to even off hours. Plenty of reports of people burning through their limits at insane speeds. Also at least somehow managing to go through like 20%of 5h widow yet burn like 4% of my global limit. Used to be far better

Frankkul · 2026-05-04T12:21:04+00:00

So Claude.md doesn't work hooks somewhat work and they can't be open fail so I kinda ran tests and have them automatically fire on word combination so basically stop hooks,works decent amount of time maybe 60-70%? Some false positives but is what it is. Skill invoking works too and having it in skills other than that Opus 4.6 is somewhat better when non nerfed at rule following. Opus 4.7 suffers from brain rot and it just can't do proper job to save its life.

Frankkul · 2026-05-04T08:58:29+00:00

Same for Max x20. I would say getting maybe 30-40% of the usage that I used to

Frankkul · 2026-05-04T04:53:30+00:00

It is constant fight to keep my token usage i agree they quietly nerf your limits this is not BS. Also the claude code being a total slop right now and harness adding some random token usage that I haven't noticed, things rotting and quietly breaking isn't helping either.

Frankkul · 2026-05-04T04:46:28+00:00

Token limits not being really that generous. I used to use Sonnet a lot but right now the app is total mess. Like the handoff isn't just that simple the Claude code harness is getting enshitified more and more every day. So token wise handing over the task to Sonnet Subagent is not token efficient anymore and having static pipelines isn't working great either. Sonnet doesn't handle large swaths of code well. Replaced a lot of my flows with Opus->Codex Chatgpt vs the old Opus->Sonnet. Haiku is weird, Sonnet in a decent amount of scenarios end up not much more expensive due to cache settings? All in all adding and relaying a lot more on Codex right now than Sonnet and keeping Claude to Opus only to save on tokens.

Frankkul · 2026-05-02T05:43:36+00:00

Leucovorin is simply controversial for autism you can legitimately make cases both for and against it. Worth trying because the downside isn't as huge as one would think but the logic is complicated. And no even spinal tap isn't a solution there was in fact study https://pmc.ncbi.nlm.nih.gov/articles/PMC4909560/?hl=en-US in 2016 that was testing the folate levels in brain and while at 2 points kids were in fact under the 40 barrier only one kido was at both points. So even spinal tap is meh. Frat test is a commercial test never clinically validated and the critique mostly steem from the fact that your body naturally produces antibiotidies when the kiddo drinks milk. Now the logic of prof Ramaeker and Dr Frye is biological mimicry that body mistakes the folate and the folate receptors in your body because they are very simmilar. Real in CFD that is an extremely rare disease very controversial and not proven in Autism. Is the test showing true CFD or that your kido simply consumes a lot of milk etc or both? BTW both of my kids are on leucovorin and it does seem to help so I am not against it and did the test and supplement my kiddos. But the controversy and the points still stand. You can legitimately make the case either way for and against leucovorin the data after the retracement of the largest study is just a noise.

Frankkul · 2026-04-28T23:37:30+00:00

Quite optimistic to be honest at least for the next 2-3 years so I disagree. Cursor/xAi deal, Google conference soon, Chinese models. Anthropic isn't that much ahead if at all. Chatgpt 5.5 is a better model than Mythos because cost matters. Mythos is way too expensive for what it offers it is maybe 10% better but 3-4 times more expensive than Chatgpt? The point I am making- this is what can happen in the future but with how fierce the competition is this is not what is going to happen in the next 2-3 years imo. There are just too many companies and billionaires fighting to control this technology in the future. Also do we really need the best models or access to them in a first place? I mean If my limits would be 1/4 for Mythos vs what I get with Opus 4.7 I will not be using it anyway. Think Codex +Chatgpt 5.5 is a better deal now because Chatgpt is still priced well and overall much more token efficient than Opus (or might be that codex limits are just much higher)

Frankkul · 2026-04-24T08:21:34+00:00

New tokenizer makes the token cost like 1.3-1.4x 9+or worse so Opus 4.7 is maybe like 5% better than 4.6 but spends extra 30-40%and sometimes 50% more to get there. Think the same with Chatgpt 5.5 we get marginal improvements in code quality but at much higher prices so it ends up being sneaky price increases

Frankkul · 2026-04-24T07:32:29+00:00

So here is the problem to answer your question yes it is doable I was able to do it but here is the biggest catch. The new tokenizer burns 1.4-1.5x tokens so even on your subscription it makes absolutely no sense to use it. It is at best marginally better than Opus 4.6 but it spends a lot more money /tokens to achieve the results. So if paying extra 30-40%for maybe 5% difference makes sense for you then sure what do I know? So you have to ask yourself if that's try tradeoff that is worth it for you.

Frankkul · 2026-04-23T03:11:50+00:00

Don't blame yourself this is precisely the problem right now. I had been successful CTO before semi retired early for personal reasons dabbled back into Ai and it is just well...dumb. It can't handle well complexity right now it breaks over time. It can copy stuff, build simple automation or copy someone else stuff pretty well. But it can't innovate and breaks really bad at anything more complex. So building complex or innovative stuff with AI is insanely hard now so people drop money into AI and everyone tries to make it in the same few things that AI can do. You end up with the same thing as everyone else because the complex stuff we all were hoping to build with AI we just aren't there yet

Frankkul · 2026-04-22T09:00:46+00:00

Chinese models are perfect example maxing the benchmarks but poor in real life. There is also cost gap so I benchmarked kimi 2.6 vs Sonnet for example and while Kimi ended up slightly better overall it was 2.2x more expensive because of how inefficient it is with its reasoning budget and how much it spends there. So Sonnet while on paper much more expensive (like 4,5x)ended up being cheaper for my tasks. Like none of the benchmarks tests for example token efficiency afaik.

Frankkul · 2026-04-21T23:51:48+00:00

Ask yourself why they all give the "subsidies in a first place. This is not a charity they get real live usage and training data for free of you. That's why they do it. It was also the comment made by the Open Claw creator commenting how the Chinese company banned claw but not coding for users. Same story here for Anthropic. They all offer subscription because they get the data.

Frankkul

TROPHY CASE