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Taking my diabetes treatment into my own hands

martin.janiczek.cz

1–10 of 372 posts

Re: Taking my diabetes treatment into my own hands

#2
My dad had a strange case of Type-1 diabetes that manifested later in life, at the same time he also got hit with rheumatoid arthritis.

> injecting insulin ~15min before you start eating would do wonders for neutralizing the BG spike, the issue is, nobody does it,

My dad did. Yeah, it did cause a couple scares. He had very well-controlled numbers but it was all-consuming and I can’t imagine the average person being as thoughtful or on top of it. I’d probably become quite depressed.

Re: Taking my diabetes treatment into my own hands

#3
> https://github.com/SmartCGMS/core/blob/dffdd89a274144d0e9ecb...

> Especially, a diabetic patient is warned that unauthorized use of this software may result into severe injury, including death.

I like the idea of the post - I have actually been thinking about including some biophysical models for medications in my app - but I do think that if you don't understand what a system of differential equations is, maybe trying to use a software library as a black box is a bad idea. For example... genetic algorithms... really? Like use a shooting method or bisection or something. If you have 3 doses you have 3 variables and it is all continuous so searching the space of inputs should be much easier than examining 51^4 discrete possibilities.

Re: Taking my diabetes treatment into my own hands

#4
The fat thing mentioned in the post: fat seems to slow down absorption in my experience, though not to the extreme that some self-described “body hackers” (who don’t have DM) seem to think.

I basically consider my malfunctioning pancreas to have been replaced/augmented by my brain, assisted by a cgm. My diet is rather boring but keeps me alive and keeps the BG in a pretty tight range.

My biggest problems are hypo (usually due to being in “flow” for long periods…bliss) and DKA (when I’m backpacking or on long bike rides, which my doctor recommends I not do, but I do anyway).

Re: Taking my diabetes treatment into my own hands

#6
Hey fellow T1D, this is good stuff. As a tip, I’d recommend taking your daily insulin dose, splitting it in half and doing twice daily. It helped me quite a bit in dealing with the inconsistency of it all. I personally inject around midnight and noon if I can remember.

Also, if you have an android phone (I have a separate android exclusively for CGM use), there are open source apps that can connect to Libre 3 sensors and let you export data in several formats[0]. You can even connect it to home assistant if you’re into that. It would be really great to have these app readings integrated into your simulation.

Can’t wait to see where this project goes!

[0] - https://github.com/j-kaltes/Juggluco

Re: Taking my diabetes treatment into my own hands

#9

> https://github.com/SmartCGMS/core/blob/dffdd89a274144d0e9ecb... > Especially, a diabetic patient is warned that unauthorized use of this software may result into severe injury, including death. I like the idea of the post - I have actually been thinking about including some biophysical models for medications in my app - but I do think that if you don't understand what a system of differential equations is, maybe tr…

> but I do think that if you don't understand what a system of differential equations is, maybe trying to use a software library as a black box is a bad idea.

Seems it's just you and me that think that way...

Re: Taking my diabetes treatment into my own hands

#10
post #8

My uncle died after getting into a hypoglycemic coma at night. I think it is a real shame that technology hasn't been able to solve what looks like a medium-complexity feedback loop system.

There ARE licenced closed loop systems for blood glucose/insulin management out there. As always - $€£
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