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
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
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.
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
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.
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
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.
At the official launch of ACT-T1D, researchers looking at medications beyond insulin (adjunct therapies)
November 13, 2025 at 7:42 AM
At the official launch of ACT-T1D, researchers looking at medications beyond insulin (adjunct therapies)
The T1D stats for Australia
November 13, 2025 at 7:39 AM
The T1D stats for Australia
The T1D stats for Australia
November 13, 2025 at 7:38 AM
The T1D stats for Australia
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
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)
I'm quite the fan of vaccines and, if you're not, good luck with that.
October 30, 2025 at 10:22 PM
I'm quite the fan of vaccines and, if you're not, good luck with that.
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
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).
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...
Since the 80s obesity rates have doubled while heart disease deaths have halved...
October 16, 2025 at 11:54 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...
Since the 80s obesity rates have doubled while heart disease deaths have halved...
A new journey begins. See how it goes preserving the few remaining beta cells ;)
September 15, 2025 at 7:16 AM
A new journey begins. See how it goes preserving the few remaining beta cells ;)
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
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
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
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
Travelling to my endo by boat.
August 27, 2025 at 12:21 AM
Travelling to my endo by boat.
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
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
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
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
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
Health care professionals: Learn from the users. They are often very friendly and keen to share what works for them. #25ADC #DAPeoplesVoice
The history of Australian d-tech #25ADC #DAPeoplesVoice
August 22, 2025 at 1:38 AM
The history of Australian d-tech #25ADC #DAPeoplesVoice
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
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
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
Current state of beta cell transplants. We can achieve insulin independence with immune suppression but without it is still elusive. #25ADC #DAPeoplesVoice
A vision for a 'cure' (normoglycaemia) in the future #ADC2025 #DAPeoplesVoice
August 20, 2025 at 7:29 AM
A vision for a 'cure' (normoglycaemia) in the future #ADC2025 #DAPeoplesVoice
Preliminary research suggests whey protein, 30 minutes before moderate exercise can be useful in T1D exercise. Call out to Dessi Zaharieva who was involved in most of the studies presented on stage #25ADC #DAPeoplesVoice
August 20, 2025 at 5:31 AM
Preliminary research suggests whey protein, 30 minutes before moderate exercise can be useful in T1D exercise. Call out to Dessi Zaharieva who was involved in most of the studies presented on stage #25ADC #DAPeoplesVoice
Protein stimulated the liver's production of glucose and the quicker the protein absorption, the stronger the response. I have now seen a couple of studies using this to counter overnight hypos and for exercise. #25ADC #DAPeoplesVoice
August 20, 2025 at 5:10 AM
Protein stimulated the liver's production of glucose and the quicker the protein absorption, the stronger the response. I have now seen a couple of studies using this to counter overnight hypos and for exercise. #25ADC #DAPeoplesVoice
Tirzepatide (Mounjaro) shown as beneficial for T1Ds including a reduction of insulin need, outside of weight loss, for reasons not yet fully understood. #25ADC #DAPeoplesVoice
August 20, 2025 at 4:47 AM
Tirzepatide (Mounjaro) shown as beneficial for T1Ds including a reduction of insulin need, outside of weight loss, for reasons not yet fully understood. #25ADC #DAPeoplesVoice
Case study of using DPP4i's and SGLT2i's for LADA in an 18 year old. AGP shows strong response in terms of glucose variability #25ADC #DAPeoplesVoice
August 20, 2025 at 4:20 AM
Case study of using DPP4i's and SGLT2i's for LADA in an 18 year old. AGP shows strong response in terms of glucose variability #25ADC #DAPeoplesVoice