Blog

Knowledge, logistics, and context

Posts from a physician living with type 1 diabetes for about 30 years. Day-to-day logistics (compression lows, site changes, go-bags), lived travel systems, sourced tech and news explainers, and pattern recognition. Not prescriptions.

AID Mythbusting: What Automated Mode Does (and Does Not)

Which settings actually steer auto mode, basal-program myths, suspend cascades, meal boluses still matter, clinic-report logistics. No settings recipes.

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Pump & CGM Skin Toolkit: Barriers, Overpatches, and When to Call Derm

Skin-prep ladder, red-flag symptoms for clinic or derm, documenting reactions, safer framing for community tips. Education only.

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Flying with a Pump & CGM: TSA Travel Checklist

Carry-on first, tell the officer early, attached-device screening, medically necessary liquids, PreCheck and TSA Cares. Education only. Not legal advice.

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Prior-Auth Playbook: CGM, Pump & Supply Denials

PA anatomy, denial-letter decoding, appeal logistics, pharmacy vs DME friction, and documenting medical necessity. Education only. Not legal advice.

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Overnight Highs: A Clinic-Prep Guide (Dawn vs Everything Else)

Multifactorial overnight and morning highs as questions for clinic: dawn vs delayed meals vs AID suspend vs failed site vs illness. Not dosing advice.

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Compression Lows 101: Why Your CGM Alarms at Night

What overnight false lows look like on graphs, verify-before-treat logistics, and how AID suspend can cascade into morning highs. Education only.

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Site Change Day Survival Guide

Why numbers spike after a change, prep checklist, dead-on-arrival signals, travel timing, and ketone checks as plan timing. Not doses.

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Your T1 Go-Bag: Pump Failure Backups Without the Panic

Kit logistics, written clinician backup plans, urgent-care red flags, and a pointer to continuous ketone monitoring. No MDI math.

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Continuous glucose and ketone monitoring, explained

What dual glucose-ketone wearables change in the conversation, with FDA and company sources. Education only.

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Overnight Highs That Will Not Budge

Stubborn overnight hyperglycemia as a systems problem: what to notice, not what to dose.

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What I Actually Pack for a Trip (Pump User Edition)

One pouch, familiar carbs, pump-failure backups, and a boring hotel station.

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MD Brain vs Patient Brain

Precision vs imperfect hours, and why the two brains are usually aligned.

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