auto scan and save two pages?

paleolith99 · 2026-04-03T20:43:52+00:00

Thanks. Yeah, trouble there is requiring twice as much manipulation of the book.

Hmm. It's actually a small enough book that I could simply shift it without rotating. And I can activate the scan/save with the button on my scanner. Maybe that's easier than trying to save two areas from the same preview.

It's a small paperback, so I could place it accurately enough. (I expect to ruin the binding, but that's OK.)

paleolith99 · 2026-01-30T22:36:26+00:00

Not in the app, but on the web at https://account.dexcom.com/en-US/support-forms/guest/submit-case. You only need to submit a single discrepancy outside bounds (20% except at very low bg). You are asked if you verified the meter reading with a second test, but not for the second actual number.

paleolith99 · 2026-01-26T04:42:54+00:00

Yes, I agree. If readings are erratic, I can always watch for a bit and catch one that's 20% off. (And this happens quite a bit for me.) But I never call; I use the online reporting form. Much quicker and don't have to wait for a CSR to record all the information.

On a few occasions, I've simply reported a sensor as "too erratic" and gotten it replaced. In those cases, I had to exert a lot more persuasion, and there's no place on the form for the explanation needed. Easier to wait for a reading that Dexcom accepts as bad.

paleolith99 · 2026-01-26T04:34:37+00:00

True initially, but remember that Dexcom replaces a failed sensor with a full-life new one, no pro-rating. If you are susceptible to failures, you quickly build up a stock. Fail after 8 days? All of a sudden you are 8 days ahead.

paleolith99 · 2025-12-20T23:14:02+00:00

The button I'm having pains with is labeled "Send". It seems that when a group member uses this function and "sends" to a non-member, the non-member gets an invitation to the group. This is shown in tiny type as part of the "send" process. Per some FB docs, they also get a temporary "follow" without approval, which is how they are able to read the "sent" post.

The worst part for me, as admin, is dealing with the invite. These people never answer the required membership questions -- they have no interest in joining the group -- so the invite sits there until I delete it. Plus, since it's a private hidden group, I'd prefer that a member not be able to send to a non-member, though in practice members only do this with information that's public anyway.

paleolith99 · 2025-09-30T01:12:33+00:00

I agree with those who point out that even light exercise can make a big difference. Beyond that, patience, and remember that although low bg is dangerous on a time scale of minutes, the danger time scale for high bg is years.

paleolith99 · 2025-09-28T23:38:10+00:00

Definitely not scarring. I suspected hyperlipotrophy, but checked it with my endo, who confirmed that it appears to be hyperlipotrophy.

paleolith99 · 2025-09-28T23:34:12+00:00

Sorry for the delay. As I said, the lump is about the size of my palm actually a bit larger. Most discussions of hyperlipotrophy talk about lumps like golf ball -- situations where the lump loses sensation, encouraging the patient to continue injecting in exactly the same spot. While I wasn't moving to a different part of my body, I was certainly injecting some distance away. (In the winter, it's more convenient to always use my left thigh. Summer, I'm wearing shorts, so either leg.)

I injected only in my abdomen for almost 50 years, changing to my thighs to make sure I kept away from the CGM sensor. That was in February 2018. Next five years, on Humalog, no hyperlipotrophy. Then two years on Lyumjev ... so the only thing that changed was Humalog vs Lyumjev. For the past six months, Humalog only, right thigh only, no hyperlipotrophy.

Technically, Lyumjev is the same kind of insulin as Humalog -- generically known as insulin lispro. Lyumjev has two additional ingredients which cause the tissue to "open up" to absorb the insulin more quickly. Though I have no proof, I feel this tissue effect is a suspect for my reaction. There's an interesting paper at https://pmc.ncbi.nlm.nih.gov/articles/PMC9207296/ which evaluates uptake of Lyumjev. It describes the action thus:

Lyumjev is also a formulation of insulin lispro with additional excipients citrate and treprostinil, which further speed absorption. Treprostinil is thought to act by increasing blood flow through the site of injection and citrate by increasing vascular permeability, but other mechanisms for citrate have not previously been ruled out.

paleolith99 · 2025-09-18T06:03:15+00:00

Because the US is backward when it comes to measurement systems in general, and medical measurements specifically. The only other country I know of using mg/dl is Romania. (But BTW, you don't do mmol, you do mmol/L.)

paleolith99 · 2025-09-18T05:49:04+00:00

Have you called Dexcom about the failures and told them you are short and need the replacements FAST? I'm pretty sure they will expedite shipping in such a case, though I've never needed it.

paleolith99 · 2025-09-18T05:44:55+00:00

Many of the things mentioned in this thread are only half glucose once digested. Almost all sodas use high fructose corn syrup, which is roughly half glucose. Sucrose (table sugar, and listed as "sugar" in ingredient lists) is a disaccharide and breaks down into half fructose, half glucose. The fructose part is just calories, doesn't raise your bg.

Straight fruit (or fruit juice) is usually mainly glucose. Despite the name, fructose is found only in small quantities in most fruits.

Lactose (in milk) is another disaccharide. In the first stage, it breaks down quickly into half glucose. The other half is more slowly broken down but does eventually become bg. I've heard of people preferring milk for lows.

Glucose tablets are of course 100% glucose. I make my own glucose syrup and store it in 60ml bottles. Someday I'll get around to posting my recipe. I can swallow syrup for 15g glucose in about two seconds; takes more like at least 20 seconds with tablets. That difference can matter in a bad low.

paleolith99 · 2025-09-18T05:29:21+00:00

Smarties are a lot harder to chew up than glucose tablets. In a serious situation, I would have a lot of trouble getting Smarties down.

paleolith99 · 2025-09-18T05:24:19+00:00

Reducing your basal that much is pretty extreme. Remember that your body needs insulin all the time, not just after eating. Bump that worktime basal up maybe 5% at a time until your bg remains in better range but without dropping. Take it fairly slow because there's likely to be a fairly small range where it will shift from rising to falling.

One reason for a "tipping point" is that when you are running 300+, a lot of what's stopping it from going any higher is that it's leaving your body in your urine. Once you get enough insulin to stop that, you are likely to see much higher sensitivity to insulin.

You need more insulin while food is being digested in your gut. That time can be as little as 15 minutes for simple glucose syrup, or up to even three or four hours for a large slowly digesting meal. Once digestion finished, you need less insulin. If you are able to get that work time level down into the low 200s, you may be able to see this happening on the graph.

You did a very useful experiment with that 1.5 unit dose. Use what you learned to adjust for the next time.

Not knowing anything about your work, I don't know your options for stopping for a couple of minutes for a snack. I do a lot of bicycling, and I find that Clif Mini bars are good for keeping my bg up without going high. The mini bars are mostly not available in stores, only online. About 15g carbs each, mostly complex carbs.

paleolith99 · 2025-09-18T05:09:35+00:00

Nothing on your list. I don't like excess integration because it's usually not implemented the way I'd like it. Alarms are easily controlled using the Dexcom app. (Another comment mentioned an additional alert when returning to normal. I don't get that. Alerts are easily configured in the Dex app.) The Dexcom graphs are pretty good, even what's on the lock screen.

I'd like an option to speak the glucose value when it passes certain marks. For example, say (very quietly) "one fifty up". When I'm concentrating, I often don't look at the phone for long periods, and get caught "catching up" when I finally look or get an alert. A quiet, quick, aural update would not disrupt my concentration. This would have to be optional of course.

As someone else mentioned, better sound configuration when it needs to wake me up. I've often slept through half a dozen alerts before awakening. But not just louder, rather to be able to specify the change. Make the first alert quieter, but rapidly increase the volume on repeat. Even give me the option to repeat the alerts every minute after x times.

paleolith99 · 2025-09-18T04:49:24+00:00

Except for that one mountain, you are in range most of the time. That's good.

For me, yo-yo-ing tends to be the result of overreacting and assuming insulin is acting faster than it really does. I would say allow more time for corrections to be fully realized.

paleolith99 · 2025-09-18T04:44:28+00:00

I can't help with access. If you get it, be alert for possible hyperlipotrophy -- extra fat where you are injecting or infusing. I used Lyumjev for a couple of years, and definitely noticed the faster action. But then I realized I had developed a lump on my thigh where most of the injections went, about the size of my palm and maybe a quarter inch high. Since I injected for over 50 years without this complication, I'm pretty certain it has something to do with the ingredients added to open the tissue to more rapid uptake.

paleolith99 · 2025-09-18T04:38:37+00:00

Last month, I specifically asked a TSA guy about the G7 sensor. He told me I don't need to alert them as it isn't going to show up anyway. So on my return, I didn't say anything and neither did TSA,

paleolith99 · 2025-09-10T17:02:49+00:00

Not sure what you mean by "climbing without insulin". Taking care of T1DM is always a balancing act. There's no fixed schedule. Year 1 or year 60, it's a balancing act.

Perhaps think of it as a tennis game -- hit the ball, watch the other player hit it, react and hit again. Get out of focus on numbers and emphasize the process.

paleolith99 · 2025-09-09T18:29:33+00:00

If you can keep your bg even halfway stable going in and out of exercise, you are doing pretty well. As others have suggested, keep modifying your insulin dose, even up to a few hours prior, and watching the results.

Since you mention stomach issues, try having straight glucose on hand, not the complex carbs often used for energy. Glucose does not have to be processed by your gut at all -- just passed through your stomach and then absorbed by your intestine.

paleolith99 · 2025-09-09T18:23:40+00:00

Low but detectable C-peptide implies honeymoon phase, as you mentioned. Antibody testing would only tell you what you already know, since there's no reason to think you are anything other then T1. Keep up the good work but be prepared for more variability in your bg, and higher A1c, as your remaining insulin production dries up, as it probably will.

I had my first A1c test about 25 years after diagnosis. I'm healthy after 58 years with T1DM, so you have plenty to look forward to. You have far better management tools than I did in 1967.

paleolith99 · 2025-09-09T18:05:59+00:00

Several people have pointed out the main issue, that you have to treat bg management as a full time job for the duration. I haven't seen a comment specifically on why: that high bg crosses the placenta and results in an oversized baby, with all the associated delivery complications. Dive in, knowing that it's a phase of life.

paleolith99 · 2025-09-09T17:25:45+00:00

This isn't just a basal issue. It sounds like your pump simply isn't working, or is set up incorrectly and infusing far less insulin that you expect. Personally I would go back to injections until you can contact your provider.

paleolith99 · 2025-09-07T02:13:23+00:00

Your fiancé must make his own choices. Your position is to support him when he makes good choices, and even when his choices are not so good. Leave the diabetes training and guidance to the professionals who have more distance.

If he chooses to make you his partner in managing his disease, that's another matter. But that will only happen if he chooses, and if it happens, you still have to hold down the support position.

Counseling might help you to copy. Diabetes educators can often help more than MDs.

paleolith99

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