Ryan Yannelli
mg/dL18070250
150mg/dL7% low84% in range9% highavg 1244 min ago

Continuous glucose monitor reading: 150 milligrams per decilitre, 4 min ago. Over the last 24 hours, 84 percent of readings were inside the target range of 70 to 180, with an average of 124.

I write software that ships.

Fast to production, then I keep the tolerances tight. 17 years: networks and telecom first, then products. I am Founding AI Engineer at Lighthouse Legal, with founder Ravi Jayanthi. I co-founded Nextvisit AI. Most of my open-source time goes to Laravel and PHP packages, LLM tooling, and datasets.

Behind this is my blood glucose, live from my own Nightscout server. Type 1 since 2023. The loop that doses my insulin is open source, and I read its output the way I read any other production system. Insulin and carbs still on board sitjust below.

Local time
—
Latest post
2026-08-27
Open source
8 projects
Type 1 since
2023-11

On board

IOB · COB · 24 h

Glucose is the output. These two numbers are what Loop is actually holding: insulin still acting, and carbohydrate still absorbing. The gauges are now. The plot under them is the last day. Insulin sits below the midline; carbs sit above it, with the glucose they move traced underneath. Most hours there is nothing above the line.

8.59U

insulin

28g

carbs

carbs · ginsulin · U70 g014 Uovernight
IOB 8.59 UCOB 28 gSG 150 mg/dL4 min ago

Loop on-board: 8.59 units of insulin still acting, 28 grams of carbohydrate still absorbing, sensor glucose 150 milligrams per decilitre, 4 min ago. The plot under the gauges is twenty-four hours of those remaining quantities. Insulin is below the midline; carbs are above it; the glucose they move is traced underneath.

Writing

All writing →
You can see my body stats while I sleepThe homepage plots my live glucose, a new reading every five minutes, including while I sleep. This is how I put that chart on the site.personalNobody fell in love with AI. They fell in love with AI below cost.The flat-rate AI era was a subsidy, and the bill is now landing in public. A look at the receipts from Cursor, GitHub Copilot, OpenAI, and Anthropic.personalWhen Will OpenClaw Go Mainstream?Ryan Yannelli joins Matthew Berman and Jason Grad on This Week in Startups to discuss whether there's room for a giant OpenClaw consumer app.podcast ↗We Built OpenClaw Ultron to Replace 20 People at Our Company | E2246Ryan Yannelli of Nextvisit joins Alex Cheema of ExoLabs on This Week in Startups to discuss the age of Ultron and how OpenClaw digital Replicants are changing their work.podcast ↗Nextvisit Co-Founder Ryan Yannelli Identifies Six Critical Factors for Behavioral Health Providers Evaluating AI Scribes in 2026Health technology engineer Ryan Yannelli is urging behavioral health practices to scrutinize AI scribe vendors more carefully.USA Today ↗

Tools

All work →
Attempt for LaravelmaintainedA fluent, composable attempt/retry/fallback system for Laravel. Exponential backoff, fallback chains, and Pipeline integration.LaravelPHPError HandlingSchematicmaintainedA Laravel templating engine that builds JSON Schema from your templates. Made for LLM structured-output APIs like OpenAI and Anthropic.LaravelPHPJSON SchemaClaim.MD PHP SDKmaintainedOpen-source PHP SDK for the CLAIM.MD API. Handles claims, eligibility checks, and electronic remittance.Healthcare APIMedical BillingPHPLive Markdown VuemaintainedA Vue 3 markdown editor that drops in where a textarea would go. Live preview, a customizable toolbar, dark mode, and TypeScript types.Open SourceVue.jsTypeScriptPlaud API LaravelmaintainedUnofficial Laravel package for the Plaud API. Manages recordings, transcriptions, and summaries.Open SourceLaravelPHPPocket Laravel SDKmaintainedOpen-source Laravel SDK for the Pocket API. Fluent interface, with auth, pagination, and retries.Open SourceLaravelPHP

Now

Lighthouse Legal

Founding AI Engineer at Lighthouse Legal, with founder Ravi Jayanthi. AI voice agents for law-firm intake: they answer the line, screen callers against the firm's criteria, and escalate the ones that qualify.

Read the write-up

Nextvisit AI

I co-founded Nextvisit in 2021 with Dr. Faisal Rafiq. The product write-up is on its own page. Open-source time still goes to Laravel and PHP packages, LLM tooling, and datasets.

See the work ·Type 1 diabetes

Get in touch

Email is the fastest way in; replies usually take under 48 hours. There is a form on the contact page if you prefer one.

ryanyannelli@gmail.com