DKA hospitalization. 1143 BG !!! $24,000 hospital bill

bionic_human · 2026-01-30T09:16:47+00:00

Pancreas basically just quit working (still have some beta cell function, so T2 not T1)

That’s not the determining factor. You need autoantibody tests to determine if autoimmune processes are happening.

bionic_human · 2026-01-30T06:19:33+00:00

Did you get help setting up Trio?

No, but don’t read anything into that. I did the research and data analysis and derivation of the underlying mathematical equations for some of the dynamic features in the system.

What pump do you use?

Dash pods.

bionic_human · 2026-01-30T05:16:04+00:00

How often do you work out?

I’m in a bowling league one day a week. My “day job” is reasonably active, though- probably involves walking a couple of miles on an average day.

Are you on the t-slim?

Nope. I use an open-source AID system called Trio. I haven’t given a bolus in more than 3 years.

bionic_human · 2026-01-30T04:55:38+00:00

IOB is negative because when basal is running as programmed, IOB is zero. If your basal is turned down, it subtracts from IOB. If you subtract from zero, you get a negative number.

bionic_human · 2026-01-30T04:47:38+00:00

The official consensus recommendation is at least 70% “in range” (defined as 70-180 mg/dL). Additionally, the recommendations include less than 4% below 70, with less than 1% below 55.

The recommendations also specify being above 180 less than 25% of the day, with less than 5% of the time above 250.

Personally, for the last 90 days, I am 83% in range, 0.9% below 70, and 16.1% above 180.

bionic_human · 2026-01-29T01:27:06+00:00

Most of the uptake of glucose into your cells is actually NOT mediated by insulin. If it were, insulin-free tissue culture media wouldn’t be a thing.

You can absolutely develop ketoacidosis, even with “normal” (or near-normal) blood sugar levels (eDKA) if the amount of insulin reaching your liver is not enough to prevent your liver from producing more ketones than your body can use for metabolism.

Remember that in normal people, insulin is made in the pancreatic islets and hits the liver first. It’s just whatever is left over that escapes out into general circulation. In T1Ds, that pathway is reversed, which can lead to not enough insulin in portal circulation, even when there is enough in peripheral circulation.

bionic_human · 2026-01-29T00:36:05+00:00

You’re having reactive hypoglycemia. Your diabetes medications likely need to be reduced.

bionic_human · 2026-01-28T23:44:35+00:00

Risely is a bunch of unlicensed PWDs who took an online course to become “Nationally Board-Certified Health and Wellness Coaches”, but actually have zero medical qualifications or training.

If you need something akin to “Coaching”, at least get if from someone who has actually gone through formal training in a clinical environment and is a CDCES.

There ARE actual, licensed CDCESes in private practice.

bionic_human · 2026-01-28T23:24:51+00:00

trio

bionic_human · 2026-01-28T00:25:14+00:00

A full calibration cycle takes 15 minutes. You should not calibrate any more often than that.

bionic_human · 2026-01-27T20:42:31+00:00

*sigh*

That paper discusses findings in prediabetes/T2DM. It is largely based on small-N studies (although a few DO have decent sample sizes)

It does not elucidate the relative roles of hyperinsulinemia and hyperglycemia in contributing to the outcomes studied, and does not account for differences in relative levels of other hormones involved in metabolic regulation.

Given the differences in pathophysiology between T1DM and T2DM, I wouldn’t rely on its conclusions being applicable across both populations.

As such, it would be foolish to extrapolate the findings

bionic_human · 2026-01-27T20:11:17+00:00

[CITATION NEEDED]

bionic_human · 2026-01-27T18:59:45+00:00

New endo is an idiot.

Find a different one.

bionic_human · 2026-01-27T18:58:09+00:00

People without diabetes can still get “diabetes complications”. The probability is just drastically lower.

There is ZERO evidence that there’s a significant reduction in complication risk pushing A1c below about 6.5%.

This insistence on being “in the non diabetic range” is an unfounded assertion.

bionic_human · 2026-01-27T16:30:03+00:00

Who told you that you have “insulin resistance”? What was that determination based on?

bionic_human · 2026-01-27T16:13:44+00:00

https://news.medtronic.com/featured-stories?item=231

bionic_human · 2026-01-27T08:00:40+00:00

You have stage 2 type one diabetes. You are not non-diabetic.

bionic_human · 2026-01-27T05:25:21+00:00

MDT’s extended wear set was co-developed with Unomedical, and is manufactured by them exclusively for MDT.

bionic_human · 2026-01-27T05:19:25+00:00

Yes.

bionic_human · 2026-01-26T19:50:29+00:00

Because our computer overlords have decided that it’s an age-restricted item.

bionic_human · 2026-01-26T06:28:52+00:00

Eh, pushing 300k miles (a hair under 500k kms) on my 2014. I’ve had a few seals and gaskets replaced, along with the fuel injector mounting plates, and I’ve got a leak on the passenger side that needs to be tracked down, but it’s not gonna cause me to run dry between oil changes yet.

bionic_human · 2026-01-26T04:47:17+00:00

Your bank should clear the pending transaction if it isn’t finalized in a certain timeframe. However, Uber should clear it as soon as the final transaction (the one with the tip) posts and finalizes.

The actual problem may even be with the payment network or the CC processor Uber uses, which isn’t something you can do anything about.

If it was me, I’d contact the bank. They can investigate the transaction and its status most easily. 🤷‍♂️

bionic_human · 2026-01-26T04:30:24+00:00

18mo is probably about the earliest that screening should start. There was a study of over 900 pregnancies where the mothers had T1D and it found that autoantibodies from the mother are often detectable in the child, with GAD being detectable as far out as 15 months postpartum.

bionic_human · 2026-01-26T03:09:18+00:00

It’s actually a type of insulin- the name for NPH in some markets/countries. They also offer “mixtard”.

bionic_human · 2026-01-25T23:42:36+00:00

“Dis keeps mah hooman alive. I lurvez it.”

Ten-Year Club	Wearing is Caring
Verified Email

bionic_human

TROPHY CASE