CGM reads glucose every 5 minutes
A Dexcom G7 sensor on my arm streams blood sugar to my phone. 288 readings a day, every day, no finger sticks.
Diagnosed late 2023, two years into building healthcare software. The work I was doing for clinicians got a lot more personal overnight.
November 2023 — present
I was 26. Two years into building Nextvisit, trying to give clinicians more time with patients. Then I was the patient, and the equation I'd been working on from the outside suddenly had me on the inside.
Type 1 Diabetes is autoimmune. The immune system decides the insulin-producing cells in your pancreas are the enemy and takes them out. It isn't caused by anything you did, and there's no cure yet. In my case it was triggered by GAD65 antibodies. Management is 24/7 — math, testing, and tech that a lot of us literally need to stay alive.
Getting diagnosed as an adult is a weird vantage point. I'd spent 15 years building software, including a stint as a network engineer inside hospitals. I was used to reasoning about systems. Now I had to become one.
Loop is open-source software built by people with diabetes for people with diabetes. It hooks a continuous glucose monitor up to an insulin pump and adjusts delivery itself. Three steps, every five minutes, all day.
A Dexcom G7 sensor on my arm streams blood sugar to my phone. 288 readings a day, every day, no finger sticks.
The algorithm projects glucose 30–60 minutes out and chooses how much insulin to deliver. It runs entirely on my phone.
The pod on my body adjusts basal rates and delivers micro-doses every five minutes. No headset, no charger, no thinking.
Running Loop confirmed what I already believed: software should work around the person, not the other way around. That's the same bar I try to hold Nextvisit to.
Breakthrough T1D (formerly JDRF) is the biggest organization funding Type 1 research. They funded the work that got us from finger sticks to CGMs and closed-loop pumps, and they're still chasing a cure.
Every year I walk the Westchester event with a few thousand other people who know what daily life with T1D actually looks like — the math at every meal, the pump alarms at 3 am, the fact that insulin isn't optional.
People die when they can't afford the medication keeping them alive. That isn't hypothetical.
I was already building software to give clinicians more time with patients when I became one. I've now sat on both sides of the desk: the provider buried in notes, and the patient who needs the provider to actually look up from the screen.
The time a doctor spends listening or explaining genuinely changes outcomes. That's why we keep chipping away at the documentation load that steals it.
The biggest organization funding Type 1 Diabetes research. Used to be JDRF.
An open-source closed-loop insulin system built by the DIY diabetes community.
The New York affiliate of the National LGBT Chamber of Commerce, supporting LGBTQ+-owned businesses.
If you're living with T1D, running Loop, or building healthcare software, I'd love to hear from you.
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