Living it, building for it, fighting for it.

Diagnosed late 2023, two years into building healthcare software. The work I was doing for clinicians got a lot more personal overnight.

loop / today · 24h trace LOOP
110 mg/dL
Time in range 96%
Avg 132
180 70 250 180 120 70 12a 6a 12p 6p
Target 70–180 CGM trace Sample day · Loop on Omnipod
Age at diagnosis
26
Glucose readings
288 /day
Math, every day
24 /7
Days off
0

One night the equation flipped.

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.

The DIY closed loop my pancreas can't run.

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.

01 Sense

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.

Dexcom G7
110 mg/dL
02 Decide

Loop predicts and adjusts

The algorithm projects glucose 30–60 minutes out and chooses how much insulin to deliver. It runs entirely on my phone.

Predicting +30m
Suggest +0.15U
03 Deliver

Omnipod gets the dose

The pod on my body adjusts basal rates and delivers micro-doses every five minutes. No headset, no charger, no thinking.

POD L-7421 Day 2
  • Basal0.65 U/h
  • IOB2.1 U
  • Reservoir142 U

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.

Walking with the people who get it.

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.

Annual · Westchester, NY

People die when they can't afford the medication keeping them alive. That isn't hypothetical.

Funded research $2B+
Years of progress 50+
Cure status In progress
Join Team Yannelli

Both sides of the chart.

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.

Groups worth supporting.

  • 01

    Breakthrough T1D

    The biggest organization funding Type 1 Diabetes research. Used to be JDRF.

    Donate or join a walk
  • 02

    Loop

    An open-source closed-loop insulin system built by the DIY diabetes community.

    Learn more
  • 03

    NGLCC NY

    The New York affiliate of the National LGBT Chamber of Commerce, supporting LGBTQ+-owned businesses.

    Learn more

Let's connect.

If you're living with T1D, running Loop, or building healthcare software, I'd love to hear from you.

Get in touch