RandomUser4976's comments

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?