Last Updated: 2026-08-15

Subjective History

• Male, born in November 1985.
• Tall and slim since kid with high myopia; currently 187 cm tall and 79 kg in weight with 700-degree myopia for both eyes.
• Having serious social impairment, response latency and poor concentration since 14 years old in third year of junior high.
• Serious weight loss, polyuria, and not able to get up in the morning when 18 years old, and being diagnosed with T1D a year later; given Amaryl right away and switched to Novolog and Lantus after several months.
• Doing ADA's high-carb and low-fat diet, which taught by medical institutions, with ultra-short-term and long-term insulins for more than one-and-half decades.
• Having serious hypo and syncope per 1-2 years and strong negative thoughts when 35 years old.
• Turning to ketogenic diet and intermittent fasting after the year 2019-2020 and resulting in almost normal blood-sugar (5.3%-4.6%, but SD still unstable); mental state being improved, and no serious hypo and syncope at all.
• Still having mental, urination and sleep issues, but getting ameliorated gradually.

Treatment Guidelines

• Bernstein, Richard K. Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars (Hardcover 4th ed.), Little, Brown & Company, 2011.
• Bad diet results in metabolic dysregulation, and metabolic dysregulation results in mental problems.
• No/low carb, ketogenic diet (eat fat and electrolytes every drink and meal) and no carb&protein in the evening (at least more than 6 hours before bed) when not fasting.
• Reduce phone and screen usage time, especially avoid using phone at night unless absolutely necessary.
• Go to bed no later than 24:00; default sleep schedule is 21:30~04:00.
• Enough Salt and electrolytes intake.
• Blood sugar test stripes from finger-rotation in FreeStyle Optium Neo (main device), Contour plus (most accurate) and Accu-chek Guide(seldom used)
• 4T single site < 8h effective coverage
• Insulin timing and its qualities are far more crucial and decisive in mentality and f.u. preventing.
• BG correction rule:
  • Final BG goal is 70-90 mg/dL.
  • Never dose for current BG — dose for projected BG at insulin peak
  • Formula: Projected BG = Current BG + (rising rate × time to insulin peak)
    • H (Humalog): peak at ~0.5–1.5h (from 2 units to more than 5 units)
    • R (Regular): peak at ~1–3h (from 3 units to more than 6 units)
  • Rising trajectory → dose more aggressively than number suggests
  • Falling trajectory → dose more conservatively
• (not applied in fasting day) Pre-bed R (or H for serious hyper) essential for sleep quality and mental clarity — independent of BG control — likely via brain insulin pulsatility mechanism.
• Multi-day gluconeogenesis carryover (all needed-units are guessing; the point is the trend): eating day needs ~20u, day 2 fasting ~12u, day 3 ~6u, days 4–8 ~4u, day 9+ ~2u. When fasting, the first day would still require sufficient dosages and might be lower after then.
• 2h maximum gap between R injections in an eating evening for maintaining brain insulin pulsatility.
• Avoid hypoglycemia, especially at night; correct blood sugar upon waking rather than dosing too much before bed.
• Agitation/not able focusing/violent imagery = brain insulin pulsatility gap signal → inject necessary units of R/H/N immediately if needed.
• - f.u. might results from the gap in which there is no insulin in body, thus filling the gap would be critical; in fasting-day, the insulin-timing and gap-adjusting need more attention in small-fasting dosages. The midnight's f.u. must be avoided completely and carefully.
• Treatment for unrefreshing waking: inject H or N immediately upon waking in the morning, then wait for the dosage to take effect and try to tell the mental difference.

Photo-check Protocol for eating-out and suspicious meals

• Check the file photo-check_protocol.md.

Notation Decipherment

• BG=blood-sugar, f.u.=frequent urination.
• Finger-rotation for BG:

83mg/dLᵐ		83mg/dLₙ
mg/dL¹	right thumb	mg/dL₁	right thumb on nail-side
mg/dL²	right forefinger	mg/dL₂	right forefinger on nail-side
mg/dL³	right middle-finger	mg/dL₃	right middle-finger on nail-side
mg/dL⁴	right ring-finger	mg/dL₄	right ring-finger on nail-side
mg/dL⁵	right little-finger	mg/dL₅	right little-finger on nail-side
mg/dL⁶	left little-finger	mg/dL₆	left little-finger on nail-side
mg/dL⁷	left ring-finger	mg/dL₇	left ring-finger on nail-side
mg/dL⁸	left middle-finger	mg/dL₈	left middle-finger on nail-side
mg/dL⁹	left forefinger	mg/dL₉	left forefinger on nail-side
mg/dL⁰	left thumb	mg/dL₀	left thumb on nail-side

• Insulin:

R	H	N	I‡	T
Regular†	Humalog	Novorapid	NPH⹋	Tresiba

†:regular human insulin. ‡:Insulatard. ⹋:Neutral Protamine Hagedorn.

• mg/dLᵐ/ₙ(2³⁰,1⁴⁰,0⁵⁰): The durations from previous insulin dosages; 2h30m for long-term insulin (Tresiba), 1h40m for intermediate-acting (I), and 50m for short-term (R/H/N).
• Insulin injection-rotation site:

>	<	B	T	内	A	<B
right	left	belly	buttock	inner-thigh	arm	left belly

• [food] and 〘event〙:

[food]		〘event〙
[cf.]	coffee powder	〘W₂〙	walk for 2h
[egg₃]	3 eggs	〘W₂〙¹	The day 1 after walking for 2H
[ml₃]	3 spoons of milk powder	〘睡〙	go-back sleep
[ct.]	Carmién Tea	[rc.]	riced cauliflower
[BC/BT]	bulletproof coffee/tea	[ps.]	pumpkin seed

• Examples:

  • 07:44 101mg/dL₈(5⁵⁴/0⁵⁰,3³⁶,0⁵⁰): BG 101mg/dL from left middle-finger on nail-side at 7:44 AM, and the durations from last insulin dosages are 5h54m and 50m for Tresiba, 3h36m for NPH, and 50m for R/H/N.
  • {3⁻N6⁺R>B}: little-less-than 3 units novorapid and little-more-than 6 units regular-human insulin at right belly in one shot.
  • {06:54 5R2½I<A}[BC+egg₁+cf.]: 5 units of regular mixed with 2 and half units of NPH at left arm at 6:54 AM, then having bulletproof coffee, 1 egg and adding some coffee powder.
  • {08:36 1H2R>B}[10:04 egg₁,酸菜]: 1 unit of H and 2 of R combined in right belly at 8:36 AM, and having 1 egg and some Sauerkraut at 10:04.

• Personal practical ISF† estimate:

Condition	R	H/N
Fasted, clean	~35–42 mg/dL/u	~40–45 mg/dL/u
Post-meal	~10–15 mg/dL/u	~12–18 mg/dL/u
HAAF active	~50–60 mg/dL/u	~55–65 mg/dL/u

†:Insulin Sensitivity Factor

• Personal calibration — fasting, minimal active insulin:

Glucose	Rise
10g	~30–33 mg/dL
20g	~60–65 mg/dL
30g	~90–98 mg/dL

The devices and softwares used

1. Two sets of 3-Groups-Timer for elapsed time of insulin dosage. These are the most critical devices.
2. Hisense A5pro E-ink phone running android 10: it makes my digital BG-recording job possible because I cannot stare at luminant phone screen for more than 5 mins. I've been using Dr. Bernstein's BG-record chart for almost five years, and many notations and ciphers in my phone right now are derived from my Dr. Bernstein's GlucograF DATA SHEET recording.
3. Softwares used on my phone:
   • Markor, which is omnipotent in my BG recoding.
   • Multiling O Keyboard, which provides highy personalized diy keyboard in my notation-writing.
   • Termux, for insulin-duration counting and md-file modifying.
4. Softwares used on antiX of debian:
   • Zettlr.
   • Opencode/OMP for data analysis
   • Cheap/free models.

Insulin Duration counted

#for insulin injection only
bash bloodsugar_duration_termux.bash

#for insulin injection and details on the log
bash bloodsugar_duration_termux_log.bash

Photo of Meal inserting

#the newest image in the phone to be processed and copied to ./image, then appending an image-insertion code to the bloodsugar.md
perl bloodsugar_meal-photo.pl