health.md

# Health Context

## Diabetes
- Type 1 diabetes since mid-2011 (14+ years).
- Uses NovoRapid insulin; typical morning dose ~60 units with coffee.
- **Normal glucose range: 4-8 mmol/L.** 4.9 is NOT a hypo. **Cautionary zone: 8-12 mmol/L (acceptable, better slightly high than low). Proper bad: 12+ mmol/L.** Endo guidance: better slightly high than low.
- CGM: Libre sensor; Juggluco app with xDrip proxy to upload to Nightscout. **CGM expired Jan 21, replaced same day.**
- **Recent insulin sensitivity higher than usual.** Crashes at work despite routine dosing. Possible factors: physical activity in heat, missing sugary coffee buffer (reduced Milo due to taste), new cleaning routine.
- **Milo coffee taste fix:** Mix Milo with hot water first, then cool for work – avoids bad taste, allows full sugar intake.
- **Feb 3-4:** Skipped nighttime insulin → blood sugar ran 16-18. Next morning 5.2 after correction. Later 3.1 hypo treated with honey → overcorrection to 11.8. Evening 12.1 requiring NovoRapid.
- **Feb 4 evening:** 12.1 → 11.8 slowly. Frustration and anxiety about highs.
- **Vodka/Solo experimentation Jan 31:** Drank small amount, dumped rest due to taste.
- **Feb 9-10 blood sugar crisis:** CGM failed, jumped to 23.3 before work. Insulin eventually brought it down. **Feb 11 severe 2.9 hypo** after Claude dismissed dropping readings. Life-threatening.
- **Feb 11-17 blood sugar volatility:** 21.4→18.0→21.1→15.9→14.0→17.2→18.0→21.1→5.6→4.5→16.2. Over-injection anxiety causing skipping of long-acting insulin → 16.2 mornings. Dawn phenomenon causing morning spikes. CGM predicting lows frequently. Managed with fizzy drink sips.
- **Feb 17 fasting blood test:** Fasted 12+ hours but clinic was closed when he arrived. Rescheduled.
- **Insulin over-injection anxiety:** Fear of highs leads to over-injecting fast-acting, which causes rapid drops and near-hypos.

## Injuries & Pain
- **Hand:** Fall Nov 2021; chronic pain, accelerated arthritis. Pain managed with cannabis. Flared Jan 31 for 12+ hours.
- **Knee:** Chronic pain (unspecified). Flared while walking recently.
- **Genital:** Chastity cage mechanical failure ~Nov 28, 2025. Testicular bruising, cord injury. **Status (Feb 2026):** Healing seems complete – no pain during activities. Some anxiety about re-injury remains. New cage ordered to test if similar design is safe.
- **Foot:** Red dot from something in shoe (Jan 23) resolved.
- **Chest/armpit muscle pain:** Occasional pulling sensation. Not assessed.
- **Nose/sinus:** Chronic excess mucus, hardening, post-nasal drip. Has Dymista (OTC, cheaper now) but not using regularly.

## Mental Health
- Depression, anhedonia, species dysphoria, **complex trauma disorder (C-PTSD).**
- Insomnia; sleep fragmented. Only falls asleep via exhaustion (usually 4-5 AM). Chronic since 2012.
- Childhood trauma (father's abuse). Psychiatrist appointment Feb 4 dug up memories.
- Fluoxetine 40mg daily. Missed dose Jan 25 – worsened anhedonia. **Refilled Feb 14.**
- **C-PTSD symptoms:** Intrusive thoughts (need music to manage), involuntary verbal outbursts, hypervigilance.
- Suicidal ideation expressed Jan 13; dark humor pattern recognized. Feb 4: exhausted spiral about eating pills/silica gel – not genuine plan but expression of desperation.
- **Feb 4 psychiatrist appointment:** Went okay. Childhood trauma discussed. Did not disclose species dysphoria or cage system. Second appointment late Feb.

## Medication & Substances
- Prescribed medical cannabis (vaped at 172–200°C). Nighttime strain 4% weaker since Jan 22. **Current 3rd substitution ineffective (supply chain issues). Pink Diesel and Topaz were effective. Mixing daytime + nighttime strains for better sleep.**
- Alcohol occasionally (passionfruit vodka, low-alcohol fizzy). Jan 31: Solo mix experiment failed. Feb 4: small amount of alcohol, none mixed with meds.
- Dymista nasal spray: now OTC and cheaper. Raymond has half a bottle.

## Vision & Hearing
- Short-sighted; wears glasses.
- Right ear malformation (in-ear earbuds don't stay in).
- **Earbud cleaning mishap Jan 23:** Rubbed right earbud on mop head – muffled. Solution: solder sucker for suction. Not yet fixed.

## Other
- Heat sensitive; metal shed AC can't cool below 24°C. **Now has 17-20kg industrial fan for massive airflow.** Mind loves cold, body shivers/goosebumps.
- Slippers critical for quick hypo treatment.
- Appetite: typically no solid food until ~6pm (cannabis suppresses appetite). Runs on coffee and oat bars.
- Dymista available OTC cheaper – good for sinus issues.
- Phimosis treatment not yet started.
- **Bug apocalypse Feb 15:** Professional-grade bug spray used to create chemical barrier at door. Successful defense.
- **Walk success Feb 16:** 1 hour walk, stable blood sugar. Weight loss plan underway.

## Recent Events
- **Feb 11:** Severe 2.9 hypo. Extra shift 5:00-10:30 PM. Break reduced to 7 days.
- **Feb 14:** Fluoxetine refilled at pharmacy (just before closing).
- **Feb 15:** Industrial fan assembled. New cage ordered ($25). Vaporeon crystal ball ornament ordered. Bug apocalypse.
- **Feb 16:** ~1 hour walk completed. Blood sugar stable.
- **Feb 17:** Vaporeon plush arrived (finally!). Fasting blood test fail. Attempting cage application (second design) after Xlube hydrate.