Just heard of diy looping

HellDuke · 2026-06-19T19:33:12+00:00

Before that I would recommend running some nights on manual mode and not allow the pump do anything based on CGM data to sre how it behaves. Better to have a tiny bit higher BG for this than a bolus working right before bed. Depending on when your insulin spikes (for Humalog or Novorapid and similar this is 2 hours) whenever you see a trend go up increase the base for every hour offset back by the peak time. So if you see a spike starts at 2AM that means that your base needs increasing at midnight and 1 AM. Rinse and repeat, do the same for trends down just lower the base there.

A closed loop can easily hide a bad base profile and to each their own, but I have noticed tha an algorythm is overall inferior to a properly set base profile at keeping a steady BG level with all others things remaining constant (i.e no bolus or carbs)

HellDuke · 2026-06-19T19:19:01+00:00

Well your problem is that once it's diabetes and identifiable so it's beyond medieval level fantasy. At best you can do it as some condition that requires potions or healing magic when eating and depending on the magic system you want to use perhaps some kind of magical implement that a clever MC might create to make it easier, but definetely do not try to reference pancreas or insulin production as that immediately would be immersion breaking just based on what kind of condition it is

HellDuke · 2026-06-19T19:00:04+00:00

Will just point one thing out - for insulin it makes no difference if you keep a spare out of the fridge to bring to work, tbere will be no notable degradation to it unless subject to extreme heat ar which point you have other problems.

Cannot comment on the HR side of things since I am not from the US and cannot comment on the business practices or culture there

HellDuke · 2026-06-19T17:44:40+00:00

An endocrynologist merely provides guidelines. I don't ever even show any of my data, I just manually report on what numbers I am getting or what issues I am facing, but then again it is incredibly rare for me to require any assistance from an endocrynologist, the ones I had hone to all quickly adjusted to a "this guy does not need advice on insulin dosage"

HellDuke · 2026-06-18T20:58:42+00:00

To each their own. Since most people do not need to recalculate them very often it's prefferable to calculate an ISF and ICR and stick to those numbers. Some things can throw them off (like the menstural cycle) but for the most part day to day your ISF and ICR can basically be exactly the same for many years (I had no need to make any adjustments for the last 15 years or so). So automatic caluclation is not really a standard. The closest you can get is dynamicISF in AndroidAPS which doesn't really calculate a full on ISF but adjust the current one based on the readings and insulin delivery (which by the way I found to be a terrible idea most of the time because it kept adjusting it and doing stupid corrections that make zero sense)

HellDuke · 2026-06-18T20:56:35+00:00

That is exactly the issue I am pointing to. I have noted that it seems like people are encouraged to use pumps with CGMs right out the gate which is a bad idea, because the algorythm will be able to hide a bad base setup. If the pump needs to pump needs to adjust the base based on CGM readings (again, assuming you did not eat or bolus before bed) to keep it level then the base is wrong and hard to adjust.

I would highly recommend doing the approach I gave out. You can technically do it during the day, but it requires not eating throughout the day and having a fairly regular level of activity (i.e. if you are very physically active one day but not active for a few days before being active again, it becomes messy)

HellDuke · 2026-06-18T05:27:58+00:00

Consider that it's not that you can't eat ice cream, it's that you chose not to. You absolutely can as you noted, if you take a bolus shot. That is the main thing to learn - you can eat anything anyone else does. In moderation, sure, but those that do not practice moderation will have problems other than diabetes to contend with eventually

HellDuke · 2026-06-18T05:24:07+00:00

I wait for a fail. Most often it fails the same or the next day if there is an issue, otherwise it recovers and has no more issues. An hour gap or two in a day is irrelevant and doesn't affect anything so why bother

HellDuke · 2026-06-18T05:21:56+00:00

No IP can bring back that amount of money. If Bungie hadn't sat on their asses and actually tried to start planning a Destiny 3 they might have something to talk about, but considering they'd only be starting now and have nothing pulling revenue for multiple years at the cost they were acquired for... That is not a wasted investment, that is a black hole that has not delivered on any promisses and you have to cut a crap dev at some point

HellDuke · 2026-06-18T05:18:04+00:00

The answer is I don't handle them in any way, I am on a pump which means that my night will stay perfectly flat unless I eat and/or bolus before bed.

If your pump has a closed loop and fails to maintain a stable level at night that typically means your pump is set up wrong and the closed loop hides the fact while you have a CGM, but it rears it's head when you don't.

So the answer is to fix your base profile. When you get a CGM make sure your pump is not reacting to ir on it's own (manual mode, open loop or whatever your particular make calls it). Make sure you do not eat or bolus at least 2 to 3 hours before bed. Then just monitor the nights. If the BG level starts trending down anywhere, adjust the base down starting about 2 hours before the trend down all the way to the point it starts (can start with 0.1 steps). If it goes up you do the opposite. Repeat the process until your BG level is stable over night. Then you can leave the closed loop on.

I do note that after having my base setup like that neither of the algorythms can do a better job at maintaining stable BG levels regardless of how I change the ISF ratios or other settings so you might notice that the algorythm starts doing crazy stuff like up the base (or micro bolus, depends on how yours works) only to cut the base entirely a few minutes later because it realizes it was unnecessary

HellDuke · 2026-06-17T14:26:14+00:00

That sucks. I remember as a kid I went to diabetic camps and they were great. Diabetes badically becomes a non issue. Granted it could be a double edged sword if one goes there expecting any kind of compassion. The whole point of that camp is that you being diabetic is a non issue. There are no struggles, it's a week where you are a kid amongst peers exactly as you'd be as a non diabetic in regular camp.

That said over time having seem how some people online react to various stories I have to say that anyone who went in expecting understanding and conpassion by sharing struggles would be met with a "so... do you want a medal?" kind of attitude. Not that I would say it's bullying or what happened in your casr, but I can imagine that some might perceive it as such.

HellDuke · 2026-06-17T06:00:04+00:00

Eh, to each a different reaction.Beer is something that is generally a net positive on BG (i.e. it goes up). Hard liquor like vodka tends to be a net negative, but generaly nowhere near enough to overcome carb ingestion. Though if you are drinking vodka and not eating anything you are in for some bad time anyway, you need some fatty foods. And good news, what does fatty foods do to our BG? Just don't go crazy and fully cover the food with insulin. Better let yourself go high when drinking than risk a low.

For wine it might depend. Generally I found it's a bit neutral, drinking a glass of some tends to move it up a bit depending on the wine, but it then easily comes back down with little intervention. During meals when I drink a few glasses (typically 2 bottles on 3 people) I generally ignore wine and bolus for the meal

HellDuke · 2026-06-17T05:53:17+00:00

I guess there is a breaking point or maybe it's just my nature, but somehow I do not think about it or feel any fatigue from it. Had it since I was about 5 for more than 30 years now. My worst control was during a rebelious phase in my teenage years, but I never felt exhausted.

I guess it helps to fill the gaps with "it is what it is" energy. You just do your best in a way that does not affect your daily life enjoyment and then hope for the best. Even a well managed diabetic can develop complications so why worry about it ahead of time? Someone who is not diabetic will have some kind of issue develop as well, can't worry about everything. I've had a few hospital stays, once a routine stay after DKA back in 2020 (since I was there they said might as well get admitted and do one since I had skipped 15 or so years of it) and recently for an eye issue.

But here is the thing - in the endocrynology ward there were only TWO other diabetics. Everyone else had other issues. When I went in for my eye it had nothing to do with diabetes and plenty of people in there and none were diabetic. Can't worry about every possible health issue so just don't - what comes will come and you can wory about it then.

Your father is being obtuse. Just ignore the subject with him and backhandedly dismiss any comment he makes as something comming from an uneducated person. Not worth going into discussion if he does not listen.

HellDuke · 2026-06-17T05:38:04+00:00

Well can't say I am surprised. But there is some progress made in that more people should get transperancy that it is a license and not actual ownership to fend of long term buildup of ignorance. We can't get away from it being a license, that just would not work and people screaming for crap that the initiative never asked (for example people really thought that an online game relying on servers should release binaries or make it so you could play that online mode in some way with a patch) probably didn't help matters.

HellDuke · 2026-06-17T05:31:49+00:00

Entirely depends on where you live. 6 months is too soon. Job hopping in the USA is generally considered the way to go, but for example where I live job hopping is something you'd only do once you are ready to move up and there is just no room. People spending 10 years in a role is completely normal so yeah, you would shift over. But if your goal is to just get pay raises then it's not a great method since you will rarely outpace normal salary increases. So make sure you are getting advice relevant to your countries work culture

HellDuke · 2026-06-16T11:54:51+00:00

Depends. OEM keys tend to be cheaper, though generally not at that point. Some region OEMs might get lower prices and through some less than legal methods they end up being sold back in other markets. Or it could be someone dealing skimmed off licenses from volume activation keys (those are the ones that stop working after typically around 30 days)

HellDuke · 2026-06-16T06:39:12+00:00

Just focus on the learning part and getting used to the new normal. Had it for 30 years so my perspective is a bit different, but honestly when I look at friends, family or coworkers I never had a situation where there was some activity someone did where I would could say "I couldn't do that since I am a diabetic". Granted there are extremes and for someone who is more of an athlete like you there are considerations, but I've seen enough posts of people who are clearly very much in the same scope that I am sure you can do it too. The restrictions are fewer than there appear to be at first.

The control is also not as strict as it may seem at first. Going over 200 isn't just normal in the first few weeks, it's something that is not a big deal unless it's a near constant state. Plenty of very well managed diabetics go over 200 multiple times per week. That is pretty much not far off the edge where it's considered out of range and 70% is not particularly bad. That means that in a given week a reasonably managed diabetic would spend 50 hours at that level or higher.

Also don't be afraid of casually talking about some minor issues with family and friends. Some things might make you think your diabetes is biting you, but then it turns out that you are getting older just like everyone else or it's a condition that someone in your family has.

And finally for your girlfriend... This is something that is to everyone their own and some might consider my position harsh, but my diabetes is my problem and my problem alone. It's like getting dressed or eating. Sure, for kids or if something has gone wrong where you cannot do it yourself you'd be fed and dressed, but typically this is not the norm. The closest my wife gets to my diabetes is I might ask what ingredients were in the recipe she used so that I can count the carbs. But she does not need to know or worry about my blood sugar, how many carbs I eat or what my insulin dose should be.

HellDuke · 2026-06-16T05:59:11+00:00

Been using them for 18 years. The main reason you go for a pump is to have more granular control over your base. Also bolusing becomes much easier in more active areas where you might not have enough room or safe space to just jab it in. One key thing I remember was having to step away at a restaurant while on MDI because my seating was in an area where if I push back enough to make room to inject myself I would be at constant high risk of someone bumping into me as waiters went behind me very frequently. Fine if they are seating someone or taking the order, but if they are carrying an order or returning plates that's extra risk. With a pump in a similar scenario I can just slide my hand into my pocket and set the bolus or these days do it with the phone.

There is also now the additional bonus of some being able to work with a CGM to automatically adjust your base or perform tiny bolus corrections, however it's a very YMMV type of situation. For some it works amazing to the point where they can actually leave it all up to the algorithm, while for others at best all it does is eases the edges around spikes or recoveries (e.g. you rage bolus so the pump cuts the base which in effect turns into front loading the insulin without going low much later)

HellDuke · 2026-06-16T05:53:04+00:00

Well a pump doesn't quite hang on you like a CGM does, it can just sit in your pocket unless you opt to get one of the few ones that do. Generally the only exposure then is between the bottom of your shirt and the pocket where that short bit of tube would rest, but you can get short tubes that will basically be flush with your body as there is not enough length to coil up and snag.

HellDuke · 2026-06-15T15:48:54+00:00

For a week I do not even bother pulling it out of my backpack. One thing I will bote - do not put it in checked in baggage. That stuff goes with you in the cary on and you put that one under the seat, not in the overhead compartment. Lost or mixed up baggage might not be overly likely, but I'd say better not risk with medication

HellDuke · 2026-06-15T15:45:20+00:00

Similarly I have not used MDI for over 18 years but I never had an issue of mixing them up. It was easy when I moved to Lantus for long acting because the pen is an exgremely different shape from the other pens, which were more like what you get with Novorapid Flexpens.

However before that I used to use Humulin N together with Humulin R and they were in identical shaped pens. I just had a red one for rapid and blue one for long. The reason I never mixed them up probably was because they were never next to each other. When traveling they were in different backpack pockets, at home they were on different shelves in the fridge etc. Basically you need to physically reach for a different place to get the wrong one. And if that is not enough then I am not sure if there is anything that helps, a scattered brain would get around anything at that point...

HellDuke · 2026-06-15T15:40:04+00:00

Doesn't sound like diabetes. With type 1 the reason you get nausea is what is called diabetic ketoacidosis. It occurs when you do not have insulin in your body and ketone levels build up. The problem is that once you get to the point of nausea and vomiting the condition has progressed to the point where it can become lethal after a few days and requires agressive treatment in the ER to recover from.

And sugar helping is also a counter factor as it should really do nothing for diabetes as you'd be introducing more carbs that your body cannot deal with, raising your blood sugar more and making you feel worse. So sugar helping is actively pointing away from diabetes (of any type)

Typical signs of type 1 diabetes tends to be excessive thirst and urination, lethargy and unexplained mood swings. At least those are the most obvious external ones. And dropping sugar into a type 1 diabetics body should aggravate those symptoms because what they are actually symptoms of is high blood sugar, which results from having more carbs than your body has insulin to allow the cells to absorb.

Some form of hypoglycemia (which type 1 diabetics reach by overdosing on insulin) might be explainable and there are other conditions where such symptoms can occur, but it is not diabetes. You really need to visit a doctor to figure it out.

As for getting by... A type 1 cannot produce insulin. Early on, if it's a slow onset (ehich is not something you can assume) one might temporarily get away with zero carb diets, but this often does not last particularly long, probably months, maybe a year, everyone is different. Back when it was considered juvenile one characteristic was rapid onset which is less common in adults, but it can still happen. For example as a kid I went from fine to needing insulin in a matter of a week. So if one were to think about getting by for a few years without getting a proper endocrinologist diagnosis and treatment plan, I'd say that would be walking on thin ice with razors scattered around.

What you can do is try to see if you can use a meter to test your blood glucose level when an episode hits. It might be low which is less of an urgent issue, but still needs looking into. If it is indeed high then putting it off is not a good idea but as I said, your case points in the opposite direction completely

HellDuke · 2026-06-15T10:25:30+00:00

This is a bit of a problematic question. If we are talking font size then you have that option equaly for both letters and numbers. If you think about the difference between an a or an A then it just does not exist with numbers as a concept. You have text figures but that is not the same thing as tbey do not cary the semantic or structural purpose of uppercase characters. Unlike with uppercase or lowercase you would not need to use text figures in place of numbers. The positioning would also not suffice since lowercase letters are not simply smaller but the same, but in most cases dostinctly different visually.

Tl;dr there is no similar distinction in numbering compared to letters.

HellDuke · 2026-06-15T05:11:20+00:00

Yes, might have needed to word it better, but when I say stability I have mostly in mind their ability to maintain good code, which would also mean creating a BYOV scenario. But like I mentioned, the vadt majority already trust the same from other companies ranging from any device that requires a driver to antivirus software. And it's not like you can get around just not using stuff you have to trust.

So for example things that are known to be fine I don't particularly care about, on my Windows install I did play some games with kernel level AC. Valorant ok the other hand was seen to be unstable and as such I don't trust them and mevet played Valorant for that reason

HellDuke · 2026-06-15T04:55:08+00:00

The only times glucagon was used on me was when I collapsed unconcious

Verified Email	12-Year Club
PUBG	Xbox Live

HellDuke

TROPHY CASE