[zaroth]

Bi-hormonal was always something I thought they should do but didn't know anyone was actually trying it! Thanks for the link.

Although in theory you've screwed up if you need to bolus glucagon. Also, I can't imagine it feels all that great to be getting exogenous glucagon....

But from a safety perspective, having the device have a reserve tap of glucagon ready to deploy allows the algorithm to deploy full insulin dosages and true corrections boluses, versus just tip-toeing around a HIGH with a temp basal.

[jnsie]

> Although in theory you've screwed up if you need to bolus glucagon.

Not at all. There are myriad reasons why one might go low despite doing everything right. For instance, unanticipated cardiovascular activity. T1D is a 24/7/365 PITA and one cannot anticipate everything, even with the best will in the world.

[pimeys]

Or the classic: have lunch with your colleagues and then walk back to the office. I hope you didn't take all the insulin in the restaurant, just half and half back in the office. It's a nasty drop otherwise...

[jamiek88]

Jesus Christ I’m exhausted just reading these stories.

That’s fucking ridiculous.

My aunty was T1D and that was back in the 30’s until 90’s when she died, I never realized what a hero she was. Never once heard her complain thus assumed it was easily dealt with. She used to just disappear after meals for a while. It was like some dark family secret.

[pimeys]

A loop helps a lot here. You get used to it. It is easier if you're anyhow watching grafana daily...

50% insulin for the lunch. When sitting in front of your computer the carbs are working and just press a button to dose the last 50%. Or let the automation do it.

[zaroth]

Oh I 100% agree. I have two kids with T1D.

I think the words “in theory” are probably doing too much lifting in my original sentence.