HN user
If this happens, it will break medical devices and cause physical harm. Specifically CGM’s (Continuous Glucose Monitors) not compatible with iOS 26 where this data is ingested into insulin pumps every minute and automatically inject insulin every five minutes for Type 1 diabetics.
Plans for blood glucose?
Wholesale prices for fresh and dry vegetables rose a whopping 38.9% month over month. Source: 5th row in the following table. https://www.bls.gov/news.release/ppi.t02.htm
Brilliant! This a huge move in the right direction. I will do the same.
I want off this train. I’m voting, protesting and only spending my money at places I know are not actively supporting Trump and. It rolling back DEI, (looking at you Target). Still feeling pretty helpless that it’s only going to get worse for us and for my children’s future.
That’s very kind of you. Really appreciate it. Cheers!
Adding one more for a total of two.
How do I add multiple end points? I purchased and added one. I don’t see how to add a second endpoint. Thanks!
My young child has Type 1 diabetes. I need to know when the server that receives glucose readings from his CGM on his body goes down. It’s a huge help to prevent emergencies and death when I know when his blood glucose is low AND when there’s no new blood glucose readings. I’m going to try this service. Thank you for sharing!
This is what needs to be investigated by DOGE and the DOJ! To be clear, I think DOGE is complete nonsense and causing real harm. But if Trump, Musk (DOGE) really wanted to find fraud, waste and abuse it would investigate private insurance fraud that the insurance companies regularly commit and defense contractors. The executive branch has an opportunity to do actual good if they investigated and punished private insurance companies like the CFPB investigated and punishes financial companies for fraud. I’m
In what way is immigration causing shrinking salaries and less job safety?
Nonsense. Tell this to humans that die when their blood glucose is insanely high (500mg/dl), go into DKA and they are SKINNY!!! You’re suggesting 20 calories can make you obese because it raises blood glucose lol! 3-5 grams (12-20 calories) of a mild-glycemic index carbohydrate can send your blood glucose well above 120mg/dl and you would not gain weight because of an extra 12-20 calories. Additionally, 1,200 calories from fat (133 grams of fat) will not spike your blood glucose until 5-12 hours later and you you can gain weight, but that signal is lost because the rise in blood glucose happens 1-3 meals, or even the next day after eating the high fat meal. Blood glucose is VERY important but not predictive of weight. Diet, (the amount and macro composition of calories) is predictive of weight and exercise is predictive of weight. The are other factors, but those are the main predictors.
Easier to deny claims with less employees since claims review can be auto-magically programmed to deny by default. No human intervention needed. Profits continue to increase, USA GDP increases… everyone wins, right? Right?!?!?
This! Agreed! I wish more people understood this reality before they shout, “but you have to wait in Canada and the UK… socialism evil”, “higher taxes”, and “no other country has the same freedoms America has”.
This is so much fun! I’m going to play this with my kids ages 6, 8, 10, and 12. Thank you for your efforts!
Agreed! Many complain of a inefficient government and that’s silly because the US gov provides very little compared to others. Most of what is provided to us in America is private; health insurance, pharmacies, doctors, education, retirement, lack of corporate social safety net, (PTO, sick, vacation, parental leave, etc.), utilities/energy, and most of these private services are inflated, inefficient and unresponsive to US citizens needs because these private industries have bribed their way into crafting laws that protect them and keep their foot on our necks. US Corporations profit the most and we get the least for the maximum cost. This is by design. It’s a feature not a bug.
Tariffs as a negotiation tactic shows you can’t actually negotiate so instead you tax your own voters, you tax your own country and then act like you’re a big dog and a brilliant negotiator. It’s a joke. Any idiot can shoot their own foot. Trump is not playing 3D chess. Trump and many of his supporters don’t understand basic logic, economics, fiscal or monetary policy so they support Trump’s tariffs. Trump and many of his supporters think a trade deficit is bank account with a negative amount or is like running up a credit card. Morons. I have a trade deficit with my grocery store because I buy products from them and they buy nothing from me in return. Using Trump’s logic I should tax myself and pay more the the groceries because a trade deficit exists lol
T1D parent here. My 11yr old has T1D. We use SugarPixel and this watch you’ve built would be amazing to have. Great job! We need more people like you
Excited to read this article. I clicked. It loaded. White background. I closed immediately because it isn’t on a dark mode and hurt my eyes. Maybe I’m to old (30’s) with poor eyes or maybe I’m cranky.
See sources below. The answer is… No! All food requires insulin. This is true for type-1-diabetics and non-diabetics. Fat and protein require insulin, but via a “post-bolus” instead of a “pre-bolus”. Another issue is fat and protein cause insulin resistance.
Here’s a link to an insulin calculator for fat and protein: https://drlogy.com/calculator/warsaw-method
Sources: “The effect of fat and protein was additive, with blood glucose concentrations increasing by 5.4 mmol/L (97.2 mg/dl) at 5 h, the sum of the individual incremental increases for protein and fat” https://diabetesjournals.org/care/article/38/6/1008/37384/Im...
“Meal composition impacts postprandial glucose excursions. Education on the impact of high-fat and high-protein meals and the adjustment of insulin dosing is necessary.” Source: ADA Standards of Care in Diabetes—2024 https://diabetesjournals.org/care/article/47/Supplement_1/S2...
“Match mealtime insulin doses to carbohydrate intake and, additionally, to fat and protein intake.” Source: ADA Standards of Care in Diabetes—2024 https://diabetesjournals.org/care/article/47/Supplement_1/S1...
“Insulin dosing based on carbohydrate plus fat/protein counting reduces the postprandial glucose levels” Source: Pediatric Diabetes Volume 13, Issue 7 p. 540-544 https://pubmed.ncbi.nlm.nih.gov/22765260/
“research and the use of continuous glucose monitoring have shown that other nutritional properties of food, including fat, protein, and glycemic index significantly affect postprandial glucose excursions” https://diabetesjournals.org/care/article/38/6/1008/37384/Im...
Type 1 here. I also agree. With comment above. I have two thoughts that may be valuable for you.
1) You can do an extended pre-bolus before you eat. This gives you a chance the cancel the remaining insulin dose if you learn your meal will change for any reason n-minutes before or during your meal. Maybe the meal unexpectedly tastes bad, you can cancel the remaining insulin. Maybe the restaurant tells you they are out of the dish you order n-minutes ago. This is called different names in various insulin pumps; Extended bolus, temp basal, etc.
2) Pre-bolus and eat AFTER you see your blood glucose decrease for 3-4 readings. Pre-bolusing for static time like 15 minutes before eating does not work consistently because there are lots of variables at play before you eat that directly affect (a) insulin sensitivity and (b) blood glucose. (Environmental temperature, insulin temperature, injection site, adrenaline, stress, pain, previous meals, lipid levels, exercise, medications, illness, to name a few).
Eating after I see my BG decrease for at least three consecutive readings has helped me stay in range (70-140) for 95-100% of the time and maintain a healthy A1C (less than 5).
Cheers!
Fantastic post. Great job Martin Janiczek! Fellow T1D here. Please keep posting because it is useful and interesting! I am a programmer and more glad to help you in any way with databases, SQL, Python, R, C#.
Resources that helped me achieve excellent control of my type 1 diabetes. My TIR is 95-100% and lowered my A1C from 11.9 to 4.1 (not low carb, I’m high carb in fact):
Fat and protein in meals require insulin 1-2 hours after eating via extend bolus (aka temp basal). Learn how to post-bolus (give yourself insulin AFTER meals) “Fat-Protein Units” (FPU).
Fat x .09 x 8 ÷ I:C = units of insulin Protein x .04 x 8 ÷ I:C = units of insulin
Sum both. Then dose insulin as a temp basal (extended bolus) over n-hours per the Warsaw Method time schedule linked below.
And continue to pre-bolus for carbs like usual 15-30 minutes before you eat (data driven approach is pre-bolus and eat meal AFTER blood glucose values on CGM trend down for 3-4 consecutive readings)
https://waltzingthedragon.ca/diabetes/nutrition-excercise/re...
https://drlogy.com/calculator/warsaw-method
Starting point to determine your insulin-to-carbohydrate ratio: 300 ÷ Total Daily Insulin Dose = 1 unit insulin covers n-grams of carbohydrate
https://diabetesjournals.org/diabetes/article/68/Supplement_...
Two books: https://www.amazon.com/Think-Like-Pancreas-Practical-Insulin...
https://www.amazon.com/gp/aw/d/0593542045/ref=tmm_pap_swatch...
One podcast: https://www.juiceboxpodcast.com/diabetesprotip
Not a dumb question. You are damn near guaranteed to get type 1 diabetes if you test positive for two or more T1D autoantibodies and/or your A1C is 5.7 or higher. Both can happen before you show any symptoms of T1D.
Get blood test for all five Type 1 Diabetes Autoantibodies: (this can be done for free) GADA IA-2A IAA ZnT8A ICA
Get blood test for pancreatic C-peptide.
Get blood test for A1C.
Check out tzield if you test positive.
I can share sources if you’re interested. I’m. T1D.
Please share more
Please share more
Amazing job! This is really useful. I like that you didn’t hide code and start them with a real example. Great job!
I will not return to office. I would quit before I’d ever go back to the office. Covid proved we can be effective remotely.
Fantastic idea and excellent execution! I look forward to using what you’ve created. Is there a way to support you with $$$?
Any plans to get this on windows?