What is with restaurants fully removing all sauces when ordering to go. This is the 3rd restaurant to give *no sauce* that comes with the meal (not even on the side), but still tosses ketchup in the bag.

I wouldn't care but then it throws off the fat content requiring significantly more insulin 🫠.

I had considered decreasing my up front dose until today lol.

To throw me for a loop after chronically running a bit on the low end going into work [often dipping to the high 60s walking to the office] after breakfast -- I ran high today. Bonus is that I am working in a space that usually sees a decrease in stress so I typically do not run high. #t1d

Giving 20 g less for a meal knowing if you give the full amount you will go low & atill going low is rude. #T1D

Phone calls are easier 😅. Probably because they aren't documentations of your own mistakes & typically to one person!
It helps that I had to get over phone anxiety or I would basically be dead at this point with all my health issues. Automated & online messaging systems never work for getting meds.

If I didn't screw things up so much in the bigger emails, and they weren't things I unintentionally take on as part of other roles it probably wouldn't be so stressful.

Always work because I literally never email anyone else it seems & I avoid emails because of how they generally stress me out.

Most emails are to large groups and nearly every time there's some sort of mistake or poor timing on my part.

Casual 1 on 1 emails internally aren't bad usually.

leading them to tell me my CGMs were covered & therefore my pump wasn't. Also that Tandem specifically wasn't. 2024 was hell and the icing on the cake was then I had issues with insurance & the provider's office that provided me the documents for accommodations 🫠🤦‍♂️.

& I know I have "good" insurance.

Getting a pump to make returning to office easier also took 3 new endos & 6 months of phone calls with Tandem & Insurance. I got to learn they hid the full plan document, phrased DME with () so it could be searched, and that most people who work on that system think CGMs & Pumps are the same thing

In doing so I basically caused my job to change processes too. Prior they didn't announce when people changed offices, so when they said that they were going to announce for me I said they couldn't. Now they started doing it for everyone who changes offices.

Getting accommodations for my job took 3 endocrinologists saying no [def not entirely legal], changing [GP & Endos] doctors, and having to go through an entirely different provider to give overlap with other health issues. Then many more months to get that in place to get the basics.

Anyone have any tips about getting over email anxiety? I literally hate sending emails so much. I would rather write essays than send emails.

I do not have significant issues overall with Lyumjev except when lower carb determining if I will rise or not. Often I think its stress that keeps me up in the morning not carbs or protein which isn't always present. I am wondering how summer activity levels might change all of this too.

Damn this was 3 months ago. So far I use significantly more basal on Lyumjev, still struggle dosing for lower carb or higher fat meals, but no longer prebolus which has been a significant improvement in my mental load. Suspect my low protein rises are covered by the basal increase.

The person in the video is type 1.

If you are insulin dependent it doesn't matter if you fast you still need insulin. Blood glucose is not impacted exclusively from food. Without insulin most insulin dependent diabetics will be in diabetic ketoacidocis [DKA] within 48 hours.

When I used mail order I donated them to a local thriftstore that supports the homeless shelter. They pick up post date food and give it out, so those kinds of resources were helpful.

Monday morning time to make sure every single update is done on my work device so I am not interrupted working on something important [I will be interrupted regardless].

Think we have a new record. 3 days into the semester & I already had a screaming, crying, raging, blood sugar raising breakdown about work.

Normally I usually make it at least a month.

Fuck re-organizations. I have yet to meet one that benefits staff especially disabled staff.

Its a work in progress for sure. I know both more sleep & an exersize routine would help significantly, but they are both things that I have little time to add into my life at the moment.

[Just an fyi from a type 1 diabetic with multiple type 2 family & friends]

87 isn't super close to low unless dropping fast. Typically diabetics only feel low in the 80s if their blood sugar has been running higher [200-300] for a long time. Most nondiabetics live in the 80-90 range normally. Also dropping from a high blood sugar will feel awful, but not being in the 80s.

[Mostly unrelated to this thread I just like to yap] Lyumjev isn't going as well as I hoped so it might behave even weirder. Lyumjev seems to have 2 peaks for me making things messy. 1 at 30 minutes & 1 at 1.5 hours (like Humalog & Novolog have for me).

I haven't tested this with Lyumjev yet, but Novolog is this way. Otherwise Novolog works great. I have wondered if this is insulin resistance "like" behavior as someone who had IR at diagnosis & took a glp-1 for 12 yrs. I always wonder when it will creep in, but my TDI is still pretty low/"normal."

When I 1st started back in office I had thought that my insulin sensitivity was out of wack because I could be 160 for hours, appear to have no IOB, and then have to go to another department & tank walking there. The insulin just sits.

So when I work my desk job I will chill high for hours if I didn't move post meal. If I move then I crash. So I have had to adapt as nothing is close to my office.

[This kinda got ranty] I have this problem with any period of inactivity as well. The insulin doesn't move/my sensitivity goes down & I sit higher for longer until I crash, but often the corrections do not work until they reach that crash point. I typically do not have overnight hypos otherwise.

Ive seen a few folks in Tandem groups on FB mentioning this & after repeat conversation with Tabdem ended up getting replacement pumps unfortunately as there seems to be a group of Mobi's that have an issue with insulin delivery.

So far it seems okay, seems to work better for basal overall but little iffy on bolus depending on what I am having.

Yup, Dexcom had me at 88 and went to 68 post meal and I was like "oh no" and 2 finger sticks read 100 back to back 🫠🙄.