health.md

# Health Context

## Diabetes
- Type 1 diabetes since mid-2011 (14+ years).
- Uses NovoRapid insulin; typical morning dose ~60 units with coffee. Large corrections sometimes used.
- CGM: Libre sensor; Juggluco app with xDrip proxy to upload to Nightscout.
- Hypoglycemic episodes: Jan 2026 had four hypos in 48 hours (2.9, 2.9, 2.9, 3.4). Hypoglycemic euphoria at 2.9 – brain shutdown, incoherent typing, inappropriate happiness. Dangerous.
- Nocturnal hypos: Jan 12-13 overnight ignored alarm; self-corrected to 16.2 later due to missing long-acting.
- Heat and physical work increase insulin sensitivity.
- Once forgot long-acting insulin (Jan 13 night); corrected with fast-acting.
- CGM sensor error occurred Jan 14 – resolved by restart.
- Projected lifespan ~59 years.

## Injuries & Pain
- **Hand:** Fall Nov 2021; chronic pain, accelerated arthritis. Pain managed with cannabis.
- **Knee:** Chronic pain (unspecified).
- **Genital**: Chastity cage mechanical failure ~Nov 29, 2025. Testicular bruising, cord injury. **Current status (Jan 20):** No pain during upright activity, can go hours without noticing. **Position-dependent pain when lying down** – especially right testicle aches. Objective test for recovery: able to lie 30+ minutes without any aching. Estimated **1-2 more weeks** before cage-ready. Must avoid masturbation to not set back healing. Arousal without cage feels torturous; pillow-between-legs trick helps manage discomfort.
- Brief testicular pain during heat exhaustion on Jan 13 – resolved with rest.
- Chronic hand pain.
- Vagus nerve pinged once (Jan 9, 2026).

## Mental Health
- Depression, anhedonia, species dysphoria.
- Insomnia; sleep fragmented. Summer heat worsens.
- Childhood trauma (father's abuse).
- Fluoxetine 40mg daily. **Missed dose on Jan 19, 2026** – caused significantly worse anhedonia. Did not take late dose due to fear of anxiety from excess. Resumed normal schedule Jan 20.
- Suicidal ideation expressed on Jan 13, 2026 (crash into truck, crossbow). Followed by trolling with emojis. Soon stabilized.
- Hypoglycemic euphoria felt better than baseline anhedonia – noted as dangerous but tempting.

## Medication & Substances
- Prescribed medical cannabis (vaped at 172–200°C). Cannabis can increase sexual arousal.
- Alcohol occasionally (passionfruit vodka; also low-alcohol fizzy drink on Jan 17 evening).
- Previously used psilocybin microdosing (misses it).

## Vision & Hearing
- Short-sighted; wears glasses.
- Right ear malformation (in-ear earbuds don't stay in).

## General
- Heat sensitive; inadequate AC worsens health.
- Slippers were critical for quick hypo treatment (avoid fumbling with socks/boots).
- Morning routine: 60 units insulin + coffee is normal.
- Catastrophizing by others about his diabetes is not helpful; he manages it well.
- **Missed antidepressants**: Skipping dose is safer than doubling; missing one day causes noticeable worsening of anhedonia but resolves with next dose.