Author | Lightnews

Mx Future Cyborg Librarian @mxmak.bsky.social · 42m

I swear I check mute every time & then randomly returning from groups I am unmuted on zoom after 100% being muted prior.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 2h

Good news is after updating like 5 times [even though I had updated last week lol] and shutting it down overnight it was fine the next day. Hoping that it was just a fluke.

Mx Future Cyborg Librarian @mxmak.bsky.social · 2d

Works laptop trackpad has stopped working but I can use a mouse. All I ask of this laptop is to make it through December & its giving me grief 🫠. If I have to transition to a Dell while trying to complete this internship I am going to scream as none of my devices are compatible.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 2d

To December* not even through it. Hoping to troubleshoot later today.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 2d

Works laptop trackpad has stopped working but I can use a mouse. All I ask of this laptop is to make it through December & its giving me grief 🫠. If I have to transition to a Dell while trying to complete this internship I am going to scream as none of my devices are compatible.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 4d

And then ofc I treated, didn't go up for ages & now whatever delayed breakfast + treatment hit my BG together for a stubborn rise. Bonus points for almost pulling my infusion set out which probably sent my adrenaline up lololol.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 4d

ADHD moment, I got distracted & paced which made my blood sugar tank which was the opposite of an hour ago ☠️.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 4d

I've also had a 1% increase in lows which is unusual. I am hoping it's potentially the weather here changing & my G7s just struggling with that. I do know I am having to force myself to keep more hydrated & I know that can influence accuracy, but I have never had readings so far off at random.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 4d

Huh. I have noticed a shift in that & how my pump keeps me higher than usual w/my current settings that typically keeps me in the 100-115 range too. Wondering if there's been some algorithm adjustments on the newer G7s [these are revision 15 & 16 that I have now]. Before this 1, my # were spot on.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 4d

Ironically I accounted for more carbs here too 🫠 like I didn't count 7 g of carbs I missed last time & that's a whole unit for me at breakfast.

However, this G7 seems very aggressive in reading my numbers rising higher than blood ever gets, so that doesn't help lol. Seems slow to show lows too.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 4d

Me: I keep going low with this breakfast if I prebolus more than 23 minutes or use extended bolus, what if I did a split bolus with a temp basal to stop the lows?

My blood sugar: hahaha so now we are gonna go up fast even though the temp basal is more insulin than the extended bolus would be.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

This also means unless you separately apply the coupon without insurance you often pay more. Some pharmacies also will refuse to do coupons if you have insurance because it might cost the pharmacy more to do so.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

As I said I use Novo's coupon for Novolog as my insurance covers Humalog & Lyumjev but not Novo Nordisk's insulin outside of Tresiba. Insurances [in negotiation with HR if through an employer typically] dictate the cost we pay unless legislation forces them otherwise.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

Is cheaper than $180 per vial, however Eli Lilly also announced they would make their insulin more affordable for those on insurance next year, whether your insurance willingly complies is a different story.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

Novo Nordisk has a savings card that insured (& uninsured) people can use, but it is *better* to get it covered via insurance if it is covered at a more affordable rate because it contributes to your deductible + OPM depending on how your plan is written. Eli Lilly also has a card for Humalog that

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

Many still use vials & injections, but often it is not a *choice* because technology costs are prohibitive & often priced separately in insurance plans from everyone else's pharmacy-based care [Durable Medical Equipment]. Further access to endocrinologists willing to prescribe modern technology.

Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

It is quite exhausting how much misinformation is out there about Type 2 diabetes & even more so how common it is that Type 1s promote that misinformation. The fatphobia & ableism against other diabetics isn't going to benefit you in the long run.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

You do realize diabetes [both types] are genetic & progressive. Even if 100% of Type 2 diabetics didn't need insulin [which is not true], Type 1 diabetics would die without it, even if eating zero carb a Type 1 diabetic needs insulin after stage 3/beta cell destruction. The "plan" is survival.

Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

No, people on Medicare & Medicaid do not qualify & the coupons only cover up to a certain amount, so contacting the manufacturer about specific instances might be necessary. I know some are able to "stack" coupons, but do not know the circumstances other than they used more than 3 vials per month.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

I'm a big fan of Quest chips (5g of carbs for a bag) with low-carb chopped veg [I prep a bunch at the beginning of the week-cabbage, cucumber, tomato, onion, radish, etc.], and/or blended cottage cheese (removes the texture, keeps the protein) +spices. Pickles, Kimchi, low-carb yogurt w/chia seeds.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

And not just carbs! Thats the part they don't tell you. With more than 42 factors impacting blood sugar, carbs are just the "easy" things to dose for, but many have to cover protein, stress, lack of sleep, certain types of activity, caffeine, you name it someone sees a BG impact from it.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

Like if a patient has to wait 6 months to a year for their endos required pump training & the office won't fill the script, but their out-of-pocket resets & suddenly they owe 5k instead of $200 like that's more of a deterrent compared to the pump company providing the information themselves.

Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

Idk man I feel like I get why the FDA limits manufacturers from providing CDCES level quality of diabetes education on their own devices (CGMs & Pumps) but they have way more funding & access than most Endo offices, & often it's the patients who end up losing out because of that.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

I personally use one of these coupons as my insurance doesn't cover Novolog or any of its generics or biosimilars only Humalog & its generics+ biosimilars, but so far I react badly [will be attempting Lyumjev in hopes it works for me & saves me about $200-300 a year.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

Also, each name brand has a manufacturer's coupon for a set amount which can be used in place of insurance or if you do not have insurance. However, this will not contribute to deductibles or out-of-pocket maximums which can math out to cost more.

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Mx Future Cyborg Librarian @mxmak.bsky.social · 6d

So there are generics & biosimilars for Novolog-- insulin aspart, Relion Novolog (different from Novolin), recently insulin-aspart-szjj [biosimilar] was approved, Humalog-- insulin lispro, Ademalog [biosimilar] & Lyumjev has insulin-lispro-aabc. Of course not produced by California, but available

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