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Smart idea, terrible mentality. I'll try and sum up diabetes as best as possible.. There are two types of diabetes (at least that we care about here); type 1 and type 2. Type 1 is a condition where your pancreas does not produce insulin. Type 2 is an acquired condition where your body has stopped responding to the effects of insulin. This is generally due to continuous levels of extremely high circulating insulin. Insulin is generally created in response to high levels of glucose in the blood, hence why people with poor diets/the obese often develop this condition. 95% of diabetes patients are type 2. He never specifically states it, but it sounds like he has type 1. If he in fact has type 2, this is all kinds of stupid.
Now the potential short-term complications could be easily managed. If the device gives too much insulin that could become quickly deadly-blood sugar drops drastically, causing the brain to not receive enough glucose and kill the patient. Too low of insulin and blood sugar will increase to harmful levels. High blood sugar, while harmful, takes an extremely long amount of time to deal any significant damage. I don't predict either of these problems happening because A. He's using a manufactured insulin pump which release extremely small amounts of insulin over an extended period and tend to be fairly dependable and B. He has CGM (Continuous glucose monitor). CGM's provide instant feedback to blood glucose levels, basically ensuring he would be able to correct the issue before it became a problem.
Basically all this guy did was connect an insulin pump to a glucose monitor and then create an algorithm that changes insulin based off his sugar readings. Oh and he made it bluetooth compatible. Cool.
So the main problem here is insulin resistance and the proper treatment of diabetes. See, the more insulin you give, the more resistant the body will become resistant. His device alters the levels of artificial insulin every 24 hours. He sees this as an easy way to keep his blood sugar consistently low. He's right, it will do that. It is a remarkably good way to maintain his A1C levels (long term sugar marker). However, it will also slowly but surely increase his insulin intake. Insulin resistance is a common problem, most diabetic patients gradually increase their insulin uptake over time. Several problems arise with increased insulin uptake, the main one being increased fat development. This is so common because people see insulin as the cure and not the band-aid that it is. The real cure to type 2 (and management of type 1) is LIFESTYLE MANAGEMENT. General health practices such as exercise, proper diet, and quality sleep can drastically alter your BGL fluctuation. He briefly touches on a low-carbohydrate diet as quackery, which I would almost take as an offense considering how beneficial a ketogenic diet can be for diabetics. That's a whole other topic, this is already going on long enough.
The point I'm trying to make is that he seems to think that this fancy "artificial pancreas" will be the save-all for his diabetes when really he should be using it as a secondary device to lifestyle improvement. He comes so painfully close to self awareness... He states
- the problem is not because you're failing to remember to give insulin - but the type of food you eat creates these volatile swings
- Given the choice between a) changing my lifestyle to be boring and b) hacking my metabolism, I chose the easier option
If you can't tell this is an extremely frustrating subject for me. I've seen countless patients who will try every damn medication under the sun to manage their diabetes BUT WON'T FUCKING EAT HEALTHY FOOD. The answer to diabetes is not a fancy device, it's your goddamn diet.
Hubski is 100% a "third place" for me. I travel and move around so much that it's become difficult to establish any type of comfortable place away. In North Carolina it was a climbing gym, on my last extended work trip it was a cafe. I haven't been quite able to find anything similar in Germany. Hubski is always here with more or less the same cast of characters. KB's description perfectly describes how I participate in this community: I may not directly interact, but I also feel no need to. Reading about the projects, struggles, and successes of complete strangers is comforting.
Sitting in the Frankfurt airport, waiting to return home after six months away. I have three days at home before another work trip. I honestly can’t remember my last day off. I’ll be taking a week off in the mountains of Idaho in August, it really can’t come soon enough
Thank you! The last couple of kms were all cobblestone through the old town. It's a nice area and it was pleasant having people cheer you on but man it certainly didn't feel good. Any current ability to walk I owe directly towards my foam roller.
I ran a marathon on Sunday and it was absolutely brutal. I'm generally a trail runner and this marathon was on a combination of asphalt and cobblestone. No fun. I felt fine up until the 30th km, at which point my legs went up in flames. I ran with the sole goal of finishing under 4 hours, which I honestly thought was going to be simple. I finished at 4:03, so I'm definitely feeling a little humbled on that one. Though due to work reasons, I was really only able to train for about 2-3 weeks, so really just finishing is a win. I ran the first half in 1:45 and the second in 2:15.. Should I ever decide to torture myself like this again, I'd like to be able to stick to a more solid plan.
I found a place for me that will make a bespoke suit for a ridiculously cheap price and I'm seriously considering it even though it's really quite unnecessary at the moment.
I mean based off the actual work being done that is actually a light presence. There are 4 continents that SOF actually deploys to, 16 percent isn’t anything insane.
Holy hell you aren't kidding. I'm extremely casual with watch news and research so I've somewhat just taken those blogs at their word. But the CODEs, goddamn. They look like something I could buy at Macy's... and that one is $70k.
Huh, I didn't know ETA's were that expensive. At the same time, if you're buying a watch over $1k, I feel that a movement of ETA quality should be the bare minimum.
The 2824 is in absolutely goddamn everything. I recently had to dissuade a friend from buying a watch since the "upgraded swiss movement" was a 2824.. It was a $200 option on top of a $1000 watch. I can't for the life of me remember what the brand was, I'll ask him next time I see him.
That's a gorgeous Universal Geneve you linked. I love watching your journey through watchmaking and design.
Update: I was absolutely exhausted yesterday. I felt a bit better after rehydrating but not by much.
Today I felt surprisingly good. Fantastic energy and a clear mind. However, I went to the gym in the evening and was just destroyed by minimal lifting. I figure I need a day or two before my body fully recovers from the cold. I also weighed myself while there.. I lost 3 kgs in 5 days. That's after rehydrating. I'm now the lightest I've been in 6 years.
I've wanted to start eating keto for a while, so I decided to just use this as a jumping point. So far it's going well, though I'm currently having a hard time eating enough fat. Progress will be made.