health – Life on the Wicked Stage: Act 3

Blood Glucose Monitoring on the Apple Watch Is Probably A Long Way Off

The annual hope and hype cycle

Every year as we near Apple’s iPhone and Apple Watch announcements rumors circulate and recirculate about Apple including a blood glucose monitor for the Apple Watch. It would be great if that happens someday. In my view it’s probably a lot further off than most of those hoping it happens want it to be. Here’s why I think that.

I’m a Type 2 diabetic. Checking my blood sugars has been a part of my life for 14 years or so. I’m painfully familiar with the prick your finger method and relied on it until a new endocrinologist prescribed a Dexcom G6 sensor. I’m now using a Dexcom G7 sensor. I don’t use an automatic insulin pump, just the sensors for monitoring via my iPhone and Apple Watch. I treat my condition with injected medication, both insulin and GLP-1.

The Dexcom sensors (both generations) were indeed a plus in my life as they provided a better way of monitoring, allowing me to better gauge diet and exercise, which will always be the biggest part of any diabetic’s regime.

But neither Dexcom model was a fire and forget it solution. There are times when I have to check my blood sugar with a finger prick because there are so many variables that can affect your glucose levels. The Dexcom system does provide a method to calibrate and recalibrate based on actual readings from a finger prick. I experience periods when I don’t need to recalibrate often and periods when I do.

If I’m traveling for a more than a day or so I have to pack my kit for finger pricks, because travel can be one of those variables. An inadvertent bump of the sensor on my arm can throw readings off for the remaining life of that sensor. (You have to change to a new sensor every 10 days.) AND to be frank, the tech is still far from perfect. Sensors fail occasionally and, as is the case with all tech that fails, it happens at the most inappropriate time.

Dexcom’s sensors are classified as a minimally invasive medical device. The device inserts a small filament under the skin, and yes it feels like a small needle insertion. That filament takes its reading from the interstitial fluid between cells. It does not read directly from the bloodstream. The device is held on by an adhesive patch.

When Dexcom introduced its Apple Watch app it was a decided monitoring improvement over the iPhone App which I viewed via a widget on my iPhone Home Screen. The iPhone widget far too frequently needed a touch of the screen which opened the app to update the reading.

The Apple Watch app offers a complication that displays data more consistently, needing less frequent touches to refresh the readings. (The complication is visible in the photo above showing a reading of 157.) That said, the Apple Watch tends to disconnect too easily from the sensor, defaulting back to displaying readings from the iPhone when that occurs.

I also find that the Apple Watch app reading is more current than what the iPhone is showing, but you do still need the iPhone app to communicate readings with your endocrinologist.

In some instances I’ll need to reboot both devices to reconnect things up on both my iPhone and Apple Watch. Dexcom technicians have told me these disconnections have to do with Bluetooth connection issues and are subject to the same vagaries and variables that exist with many other Bluetooth connections. I also need to be aware of which arm I have the sensor attached. I wear my Apple Watch on my left arm and if the sensor is on my right arm there will be more frequent disconnections. I don’t sleep with my Apple Watch on, so waking in the morning requires a waiting period for the watch app to reconnect.

The goal behind the push to include blood glucose monitoring on an Apple Watch (or any other smart device) is obviously to cut down on the need for finger pricks and possibly the use of minimal invasive medical devices. But also, in theory an on device sensor communicating directly with watchOS should show readings more consistently and be much less subject to the vagaries of Bluetooth connectivity.

I certainly can’t prejudge any new system or technology that hasn’t surfaced yet. Certainly I’m one who hopes Apple or some other company can eventually tackle this issue and provide a workable solution. That said, convenient as this annual rumor always seems to be, I believe blood glucose monitoring on the Apple Watch is a lot further off than most hope or think it might be. I’m also reasonably sure that finger pricks will still be needed if for no other reason than to calibrate sensor readings with actual blood glucose levels.

You can also find more of my writings on a variety of topics on Medium at this link, including in the publications Ellemeno and Rome. I can also be found on social media under my name as above.

Sunday Morning Reading

A bit of this, a bit of that. All good bits.

It’s the Dog Days of Summer and it’s been a hot one so far. We’re traveling again, but there’s still some interesting Sunday Morning Reading to share. Some of it hopeful, some elegiac. Some just geeky and fun. Enjoy.

Kicking things off is a piece in The Atlantic from Anna Deavere Smith called When You Don’t Look Like Anything. She’s a singular artist always worth paying attention to. Her story of her 50-year search for the American character is certainly more than worth your time. Damn good stuff.

A.R. Moxon popped up on my radar this week with a piece called Total Eclipses. It’s part 2 of a series, the first being Be Bolder, Not a Boulder. If you’re like me and looking for any light at the end of any tunnel these days, do give both pieces a read.

NatashaMH offers up An Ode To The Poetic Detours. It’s about writing and where she finds inspiration, but more broadly, it’s about observing, noticing, listening, seeing, and feeling between the lines we sometimes get trapped within.

Will Dunn asks Are Emoji’s Killing Language? I’ve been saying they are for quite some time. For the life of me I don’t understand why we seem intent on regressing back to an age of hieroglyphics instead using the complex beauty of words and language.

Mathew Ingram says The Google Link Economy Is Dying and It’s Not Coming Back. He’s not wrong. Actually, he’s very right.

Health is a big deal in tech these days, especially when it comes to adding features to improve monitoring what’s going on in our bodies. Frankly, as someone who uses medical devices for monitoring my diabetes, the promises to add that kind of monitoring to smart devices, along with blood pressure and other conditions, sound hollow, seeming as realistic to me as self-driving cars. We may get there one day, but for now it’s mostly a clever way to market something new to increase the bottom line. Victoria Song takes a look at Samsung’s recent effort to check out our level of antioxidants with their smartwatch in I ‘Fooled’ Samsung’s New Antioxidant Feature With a Cheez-It.

Much has been made of Paramount’s caving to Donald Trump, leading to the firing of late not comedian Stephen Colbert. That was quickly followed up by the Trey Parker and Matt Stone’s skewering new season opener of South Park. Paramount paid up, got its merger, and in an Aristotelian, if not Mel Brooksian sense there’s some grand comedy in the entire thing. I’m a fan of Alexandra Petri’s piece examining the moment pre-South Park titled Are You Laughing Yet?

Sometimes we just need to laugh at what feels like no laughing matter.

(Image from Milen Kolev on Unsplash)

If you’re interested in just what the heck Sunday Morning Reading is all about you can read more about the origins of Sunday Morning Reading here. If you’d like more click on the Sunday Morning Reading link in the category column to check out what’s been shared on Sunday’s past. You can also find more of my writings on Medium at this link, including in the publications Ellemeno and Rome.

Sunday Morning Reading

With aging comes awareness. Or at least it should.

We’re on Lake Time this weekend, but there’s still time to share some Sunday Morning Reading.

Two weeks ago I shared a piece from youngster David Todd McCarty titled When I Was Old. I’m resharing it this week since I celebrated a birthday on Friday, getting one year closer to marking seven decades on this rock. Also sharing another great piece from David, called I Was Told There’d Be More.

“Scented memories.” I like those two words put together by NatashaMH in her piece, The Fragile Geometry of Becoming.

I’ve been an Elmore Leonard fan for as long as I can remember. Anthony Lane’s Elmore Leonard’s Perfect Pitch may not be perfect, but it is damned close enough.

David Struett delivers a terrific ode to Chicago bike messengers, their culture and their jobs in Meet Chicago’s Last Bike Messengers. Here’s How They Survive.

You might notice a touch of sentimentality and reminiscing in the pieces above. Comes with the thoughts during a birthday weekend. Fair warning though that most of the links shared below are a bit darker, and yes, more political than those above. With aging comes awareness. Or at least it should.

Mathew Ingram wonders What Do We Do When The Facts Don’t Matter? I think we’re not liking what we’re finding out.

Mike Masnick’s piece Facism for First Time Founders offers the next generation a clue or two, assuming the current generation doesn’t crash it all before they get a chance to discover them.

I’ve written about the concept of enshittification in tech quite a bit. Mostly as regards the Internet. Henry Farrell and Abraham L. Newman take a look at The Enshittifcation of American Power.

Another big contributor to enshittification is the media who increasingly seem more and more clueless and devoid of any self awareness. Charlotte Kim takes a look Inside The Media’s Traffic Apocalypse.

Speaking of things toxic and shitty, Adam Aleksic explores How Incel Language Infected The Mainstream Internet — and Brought It’s Toxicity With It. I’ve spent almost 70 years on this planet. I have no idea why guys turned into such misanthropic, self-loathing idiots.

In a world seemingly more and more intent on criminality, there are very few surprises, but there are legacies. Jessica Winter’s What I Inherited From My Criminal Great-Grandparents. Great story.

To conclude this week I’m sharing a film review by Sonny Bunch. This one of the new film Eddington. I haven’t seen the film. I plan to. Rarely does a review encourage or discourage me from seeing a film. If it’s anything like Bunch describes one way or the other I’m sure it will be worth it as it sounds like a fun, yet conflicted, summary of lots of things we’ve all been living through since 2020, and continue to do so. I’ll leave it with this quote:

The feed never stops, the algorithm never tires. There’s always more. It never ends. Just a few more videos. You can sleep later. You can never sleep, if that’s what you’d prefer. Who knows what you’ll miss when you’re asleep?

And we wonder why everyone has gone a little nuts.

Sunday Morning Reading

Happy Mother’s Day reading.

Time for some Sunday Morning Reading on this Mother’s Day, with a short stack of culture, some tech, some politics, and the Ziegfeld Follies tossed in for good measure.

First up is a good long read from Spencer Kornhaber wondering if we’ve entered a cultural dark age. Provocative in parts, predictable in others, it’s worth your time for the journey it takes. Check out Is This The Worst-Ever Era of American Pop Culture?

Kaitlyn Tiffany says We’re Back to the Actually Internet. It’s about fact checking, the need for fact checking, and actually about how fact checking doesn’t really matter.

We may have beat the term fascism to death long before the real beating actually begins, and it’s the Bible thumpers who seem far too eager for the end times with their wishes for some sort of Armageddon beat down. Naomi Klein and Astra Taylor take a look at The Rise of End Times Fascism.

The Apple enthusiast world is still going through some things and will continue to for the foreseeable future. Denny Henke at Beardy Guy Musings is chronicling his thoughts about his move away from using Apple products. His latest, Are Apple Enthusiasts Miserable? takes a look at some of the angst and tensions he sees.

Indie app Developer Thomas Ricourad, the developer of the app Ice Cubes for Mastodon, among other apps, is searching. He’s not alone. Check out Having A Clear Vision In A Blurred World.

Matthew Gurewitsch takes a quick look The Story of a Rose, an upcoming look at an almost forgotten era in A Ziegfeld Girl Recalls The Forgotten War.

Happy Mother’s Day to all.

(image from Aga Putra on Unsplash)

If you’re interested in just what the heck Sunday Morning Reading is all about you can read more about the origins of Sunday Morning Reading here. You can also find more of my writings on Medium at this link, including in the publications Ellemeno and Rome.

Sunday Morning Reading

Looking back, while heading forward, with a nod to Beckett wandering through a lot of good questions.

This is the first edition of Sunday Morning Reading in the New Year, 2025. A new year certainly has meaning astronomically. From a human perspective it is a way of looking back in remembrance, even as we continue to evolve and move forward. Often these days, the evolving part seems more and more in question, even as humans make strides and advances in their various fields of endeavors. Some improve our lives, even as it appears so many of us remain stuck in the habits of the past and feel good about celebrating that choice to turn the clock back.

This week’s edition, in a way, marks that always thin dividing line between one year and the next, when what was old carries over into the new.

Natasha MH kicks things off with a lovely remembrance of her grandfather, It Begins With A Grain Of Salt. There’s a lovely quote:

Human intuition is not always reliable. Our perceptions can be distorted by biases and the limitations of our senses, which capture only a small fraction of the world’s phenomena.”

Christopher Luu offers a terrific look at one who made choices in ‘She Believed You Have To Take Sides’: How Audrey Hepburn Became A Secret Spy During World War Two.

Om Malik has a lovely piece about his “re-birthday” after surviving a heart attack in The Story of The Stent.

James Thomson, the developer of PCalc and other Apple software, looks back on the last 25 years in I Live My Life A Quarter Century At A Time.

The Next Big Idea Club shares some insights from Greg Epstein’s new book Tech Agnostic: How Technology Became the World’s Most Powerful Religion, and Why It Desperately Needs a Reformation, in The Weird Worship of Tech That Demands Serious Questioning. Epstein is the Humanist Chaplin at Harvard and at MIT, where he advises students, faculty and staff on ethical and existential concerns from a humanist perspective.

One thing is certain as we head into the new year, Artificial Intelligence will continue to dominate discourse. Jennifer Ouellette examines what happened at the Journal of Human Evolution when all but one member of the editorial board resigned. Some of the issues predate the current AI moment, but that seems to have been a breaking point as she explains in Evolution Journal Editors Resign En Masse.

Simon Willison takes a look at Things We Learned About LLMs in 2024. It’s an excellent look back and worth hanging onto as we plunge ahead, willingly or no.

Edward Zitron believes that generative AI has no killer apps, nor can it justify its valuations. Here’s him quoting himself from March 2024:

What if what we’re seeing today isn’t a glimpse of the future, but the new terms of the present? What if artificial intelligence isn’t actually capable of doing much more than what we’re seeing today, and what if there’s no clear timeline when it’ll be able to do more? What if this entire hype cycle has been built, goosed by a compliant media ready and willing to take career-embellishers at their word?

Strip out the reference to AI and apply it anywhere along the timeline of human evolution and innovation and the questions resonant in a very Beckett-like way. Check out his piece Godot Isn’t Making It.

Judges in the U.S. Sixth Circuit drove a stake through the heart of Net Neutrality as the new year dawned. Brian Barrett says it’s crushing blow not just for how we live our lives on the Internet but consumer protections in general in The Death Of Net Neutrality Is A Bad Omen. He’s correct.

And finally this week, an incredible piece of reporting from Joshua Kaplan at ProPublica. The Militia And The Mole is at once terrifying and also confirming when it comes to the fears those paying attention harbor heading into whatever this next year is going to bring.

Something Cooking In My Prostate

I wrote a little something about the twists and turns of time after my recent and ongoing adventures in the American medical system.

“I’ve got cancer.” That was the first terrible, all consuming, soul crushing, time stopping thought coursing through my brain after the doctor in his roly-poly good old boy manner said, “there’s something cooking in your prostate.”

Spoiler alert: I don’t have cancer.

You can read the rest here in the publication Ellemeno on Medium.

You can find more of my writings on a variety of topics on Medium at this link, including in the publications Ellemeno and Rome.