Practical Diabetic
practicaldiabetic.bsky.social
Practical Diabetic
@practicaldiabetic.bsky.social
Diabetes Advocate, Professional Speaker and Writer
Has Type 1 Diabetes (LADA)
Blog: http://practicaldiabetic.com
YouTube: https://www.youtube.com/@ThisWeekinType1

For Microsoft-related Tweets go to @leontribe
Think insulin resistance is a type 2 thing? It isn't. Type 1s are also insulin resistant, relative to non-diabetics. Previous studies suggest the cause is insulin running around the body, compared to non-diabetics where most of it gets cleared by the liver.
November 13, 2025 at 8:17 AM
The multistage chart for type 1 diabetes. Please note that if you only test positive for 1 autoantibody you are unlikely to progress to later stage type 1. There is a lot of misinformation on social media about this aspect.
November 13, 2025 at 7:53 AM
I might have published this before but these are the phases for drug development which goes some of the way of explaining the cost and time it takes to get medications to market, for the sake of safety and efficacy.
November 13, 2025 at 7:47 AM
At the official launch of ACT-T1D, researchers looking at medications beyond insulin (adjunct therapies)
November 13, 2025 at 7:42 AM
The T1D stats for Australia
November 13, 2025 at 7:39 AM
The T1D stats for Australia
November 13, 2025 at 7:38 AM
Just been watching a couple of clinicians talk about their experiences in the US with inhaled insulin. Super quick, no need for meal pre-bolus. Also may be useful on exercise days for T1D as an alternative to AID/MDI to minimise insulin on board (TI = Inhaled Insulin)
November 11, 2025 at 4:16 PM
I've resurrected This Month in Type 1 Research. For the October 2025 edition go to youtu.be/UE51E_9OoEM #ThisMonthInType1DiabetesResearch
This Month in T1D Research (October 2025)
YouTube video by This Month in Type 1 Diabetes Research
youtu.be
November 2, 2025 at 8:22 AM
I'm quite the fan of vaccines and, if you're not, good luck with that.
October 30, 2025 at 10:22 PM
Interesting presentation on allergies. Introducing egg and peanut in the diet of babies, who have a genetic predisposition to allergy, as they start solids, led to a significant reduction in allergy development (cohort 1 = no intro, cohort 2 = intro).
October 29, 2025 at 12:24 AM
An example of cherry-picking correlations to come to an erroneous conclusion.
Since the 80s obesity rates have doubled while heart disease deaths have halved...
October 16, 2025 at 11:54 AM
October 8, 2025 at 12:30 AM
The 4 Big Levers of Diabetes and people pulling different ones for success macintyrehealth.com.au/the-four-big... featuring @bionicwookiee.bsky.social , Michael Fitzpatrick, and the late Dr Bernstein.
The Four Big Levers of Diabetes - Macintyre Health
A guest blog by Leon Tribe, Clinical Affiliate at Baker Heart and Diabetes Institute & T1D Advocate.
macintyrehealth.com.au
October 4, 2025 at 6:23 AM
A new journey begins. See how it goes preserving the few remaining beta cells ;)
September 15, 2025 at 7:16 AM
My HbA1c journey since LADA diagnosis. Initially 9.6% I went super-strict and the HbA1c went down to 5.3% and led to mild EWDR (your eyes don't like big HbA1c drops).
The bump at 2022 was the end of my insulin-free honeymoon.
I'm now at 5.4% i.e. back to the HbA1c post-diagnosis
August 30, 2025 at 4:55 AM
All finished with the endo and couldn't be happier. Access to a literal professor of endocrinology, spending about an hour with him (first consult) including a foot check. Scripts refilled and another appt in 6 months. All for the total price of $0 #MedicareRocks
August 27, 2025 at 4:00 AM
Travelling to my endo by boat.
August 27, 2025 at 12:21 AM
A couple of shots of my shenanigans at #ADATS25 last week :)

www.youtube.com/watch?v=VCrd...
THANK YOU ADATS 2025 VIDEO
YouTube video by NADC Australia
www.youtube.com
August 25, 2025 at 7:38 AM
That is a wrap from #25ADC and #ADATS25 A final debrief with some #dedoc alumni (David Burren, @moodwife.bsky.social , and @t1bionic.bsky.social ) Again thank you NADCaustralia and DiabetesAus for enabling me to attend and being a #DAPeoplesVoice
August 22, 2025 at 4:49 AM
AID is the preferred standard of care. Let's get pumps federally funded so ALL people with type 1 have access to this lifesaving technology. #25ADC #DAPeoplesVoice
August 22, 2025 at 2:31 AM
Health care professionals: Learn from the users. They are often very friendly and keen to share what works for them. #25ADC #DAPeoplesVoice
August 22, 2025 at 2:18 AM
The history of Australian d-tech #25ADC #DAPeoplesVoice
August 22, 2025 at 1:38 AM
An interesting find. Long term intensive insulin therapy may improve glucose control but generally leads to weight gain which counters the long term heart health benefits #25ADC #DAPeoplesVoice
August 20, 2025 at 7:56 AM
Current state of beta cell transplants. We can achieve insulin independence with immune suppression but without it is still elusive. #25ADC #DAPeoplesVoice
August 20, 2025 at 7:53 AM
A vision for a 'cure' (normoglycaemia) in the future #ADC2025 #DAPeoplesVoice
August 20, 2025 at 7:29 AM