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64 changes: 64 additions & 0 deletions docs/edition/2024-11-04.md
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## Welcome to News from&nbsp;_<span translate="no">Loop and Learn</span>_

_Master Your DIY Closed-Loop Insulin Delivery System_

Published on 4 November 2024.

## In this edition:

* [*Zoom* Sessions](#upcoming-zoom-sessions)
* [Diabetes Awareness Month](#diabetes-awareness-month)
* [Real-Time Hack Watch](#real-time-hack-watch)
* [*Apple* Developer Agreement](#apple-developer-agreement)
* [Important *Dexcom* Follow Safety Note](#important-dexcom-follow-safety-note)
* [Helpful Links](#helpful-links)

## Upcoming *Zoom* Sessions

_<span translate="no">Loop and Learn</span>_: Informal Discussion (`Open Mic`) zoom meetings are scheduled on the second Thursday of each month. In November, this falls on World Diabetes Day!

*Zoom* Sessions use this link:

* [https://us06web.zoom.us/j/89085412738?pwd=eXpTN2M5V3M0TEVJQktmVldBTVRYUT09](https://us06web.zoom.us/j/89085412738?pwd=eXpTN2M5V3M0TEVJQktmVldBTVRYUT09){:target="_blank"}

| Topic | Recorded? | Time | Date |
| - | - | - | - |
| _<span translate="no">Loop and Learn</span>_: Informal Discussion<br>`Open Mic` | no | 18:00 UTC | 14 November 2024 |

#### Time Zone Converter

Need help figuring out when an event happens in your time zone? Try the [SavvyTime: UTC Converter](https://savvytime.com/converter/utc){:target="_blank"}.

## Diabetes Awareness Month

Help yourself be more “aware” by making a daily effort to use the resources that the Loop and Learn Team and others in the Open Source community work so hard to make available to you. Check out some of the [Helpful Links](#helpful-links) to get started.

## Real-Time Hack Watch

Hack 2024 is just 2 days away, on November 6th!

We're planning something special - a 30-minute behind-the-scenes opportunity to see the mayhem when 30 developers and volunteers from across the globe brainstorm the future of open source automated insulin delivery systems and associated apps: Loop, Trio, AAPS and Nightscout.

[Join us on Zoom](https://us06web.zoom.us/j/89085412738?pwd=eXpTN2M5V3M0TEVJQktmVldBTVRYUT09){:target="_blank"} at 12 p.m. PT/ 3 p.m. ET/ 9 p.m. CET for a glimpse into what’s happening!

## *Apple* Developer Agreement

Whether you use Browser Build or Mac-Xcode Build, you need to sign your new [*Apple* Developer Program License Agreement](https://developer.apple.com/support/terms/apple-developer-program-license-agreement/){:target="_blank"} as soon as possible. The due date is 5 or 6 November 2024 depending on where you live. If you don't sign by the due date, you can no longer build a new version of your app. Furthermore, if you use remote commands with *Apple* Push Notification, those will stop working as well.

## Important *Dexcom* Follow Safety Note

A *Dexcom* user [reported on Facebook](https://www.facebook.com/groups/anubisg6/posts/for-those-of-you-using-the-dexcom-app-and-who-rely-on-the-follow-feature-check-y/1088102602972114/){:target="_blank"} that their son’s *Dexcom* DID NOT alert any of their family members when it had lost signal/received no data like it usually does. Her son experienced very low glucose while the signal was lost and wound up in the ICU as a result. The hospitalist told them that this is the second kid this week with *Dexcom* communication issues.

The mom looked into her app settings and the “no data notification” alert was turned OFF on both parents’ phones, and the “Signal Loss” notification was turned OFF on her son’s phone. They are certain they had those alerts turned ON and think there might have been an update from *Dexcom* that turned them off. She has checked with friends who have also found alerts to be off and she has contacted *Dexcom* about this concerning and dangerous issue. This may have been associated with an update to iOS 18.

We are glad to hear that all is okay with her T1D son and encourage checking alert settings before bed. We
also recommend [Loop Follow](https://www.loopandlearn.org/loop-follow/){:target="_blank"} for its many wonderful features, including superior alarm capabilities.

## Helpful Links

* [Subscribe](https://www.loopandlearn.org/newsletter-signup/){:target="_blank"} to get the Newsletter delivered to your email weekly.
* Not all articles in the original Newsletter are reproduced in this text only edition; click on [original Newsletter archives](https://www.loopandlearn.org/loop-and-learn-newsletter/){:target="_blank"} for the full version
* In particular, articles about recent posts in Facebook are not transcribed to the text-only version
* [Check for Updates](https://www.loopandlearn.org/version-updates/){:target="_blank"} summarizes details about latest versions for Loop, Trio, Loop Customizations and iOS
* [Find a Health Care Provider who will support your use of&nbsp;<span translate="no">Loop</span>](https://www.loopandlearn.org/hcp-recommendations/){:target="_blank"}
* [_<span translate="no">Loop and Learn</span>_&nbsp;Open-Source Automated Delivery System Links](https://www.loopandlearn.org/resources/#os-aid){:target="_blank"}
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_Master Your DIY Closed-Loop Insulin Delivery System_

Published on 25 October 2024.
Published on 4 November 2024.

## In this edition:

* [*Zoom* Sessions](#upcoming-zoom-sessions)
* [Diabetes Awareness Month](#diabetes-awareness-month)
* [Real-Time Hack Watch](#real-time-hack-watch)
* [*Apple* Developer Agreement](#apple-developer-agreement)
* [Time for a Change](#time-for-a-change)
* [Insights from Hack 2024](#insights-from-hack-2024)
* [Version Updates](#version-updates)
* [Build Tips](#build-tips)
* [Disable Auto-Update in TestFlight](#disable-auto-update-in-testflight)
* [*Trio* Tip: Autosens](#trio-tip-autosens)
* [Halloween Candy Carb Counts](#halloween-candy-carb-counts)
* [Important *Dexcom* Follow Safety Note](#important-dexcom-follow-safety-note)
* [Helpful Links](#helpful-links)


## Upcoming *Zoom* Sessions

_<span translate="no">Loop and Learn</span>_: Informal Discussion (`Open Mic`) zoom meetings are scheduled on the second Thursday of each month. In November, this falls on World Diabetes Day!
Expand All @@ -34,92 +29,30 @@ _<span translate="no">Loop and Learn</span>_: Informal Discussion (`Open Mic`) z

Need help figuring out when an event happens in your time zone? Try the [SavvyTime: UTC Converter](https://savvytime.com/converter/utc){:target="_blank"}.

## *Apple* Developer Agreement

Whether you use Browser Build or Mac-Xcode Build, you need to sign your new [*Apple* Developer Program License Agreement](https://developer.apple.com/support/terms/apple-developer-program-license-agreement/){:target="_blank"} as soon as possible. The due date is 5 or 6 November 2024 depending on where you live. If you don't sign by the due date, you can no longer build a new version of your app. Furthermore, if you use remote commands with *Apple* Push Notification, those will stop working as well.

## Time for a Change

In many places, the clocks will change soon. Be sure to use your app to update the clock on your pump at your convenience. Keep your phone on automatic time.

* Europe, Standard Time resumes 27 October 2024
* US, Standard Time resumes 3 November 2024

## Insights from Hack 2024

Hack 2024 is on 6 November 2024 - less than 2 weeks away! We're planning something special - a behind-the-scenes opportunity to check in at this event, where 30 developers and other volunteers from across the globe brainstorm the future of open-source automated insulin delivery systems like Loop, Trio and AAPS. Of course, we've never tried to host a session like this before, so we're still working out the details. We'll post of FB and here in the newsletter as time gets closer.

If you haven't yet had the opportunity to make a small donation to the [Nightscout Foundation](https://www.nightscoutfoundation.org/new-products/direct-donation-apa26){:target="_blank"} to help with this effort and would like to pay it forward by contributing to the community's future, click on the link above for a quick and easy way to do so

## Version Updates

### *iOS 18*

No change to recommendations: we continue to recommend waiting for iOS 18.1. In-depth recommendations can be found at this [link](edition/2024-10-06.md#ios-update){:target="_blank"}.

### The *Loop* App

The latest *Loop* release is version 3.4.4.
## Diabetes Awareness Month

* You should update (and if a Browser Builder, install from TestFlight) if you are not on 3.4.4
* If you built version 3.4.4 between 9 and 12 October 2024, please update again because an important update was added without a modification to the build number
Help yourself be more “aware” by making a daily effort to use the resources that the Loop and Learn Team and others in the Open Source community work so hard to make available to you. Check out some of the [Helpful Links](#helpful-links) to get started.

### The *Trio* App
## Real-Time Hack Watch

The latest *Trio* release is version 0.2.2.
Hack 2024 is just 2 days away, on November 6th!

Many of the updates listed for [*Loop* 3.4.3](https://loopkit.github.io/loopdocs/version/releases/#loop-v343){:target="_blank"} are found in this *Trio* release.
We're planning something special - a 30-minute behind-the-scenes opportunity to see the mayhem when 30 developers and volunteers from across the globe brainstorm the future of open source automated insulin delivery systems and associated apps: Loop, Trio, AAPS and Nightscout.

## Build Tips
[Join us on Zoom](https://us06web.zoom.us/j/89085412738?pwd=eXpTN2M5V3M0TEVJQktmVldBTVRYUT09){:target="_blank"} at 12 p.m. PT/ 3 p.m. ET/ 9 p.m. CET for a glimpse into what’s happening!

Do our mentors a favor and follow these great tips!

Our Top Two build tips for Browser Build are super easy and helpful:

1. Don’t delete anything without asking on FB first!
2. [Create a GitHub Organization](https://loopkit.github.io/loopdocs/browser/other-apps/#use-a-github-organization-account){:target="_blank"}

Why are these the top two for Browser Build?

* Deleting muddies the waters and makes it harder for mentors to see your status
* GitHub Organizations save a lot of time and potential for errors when building more than one app - you only need to enter your 6 SECRETS one time!
* Refer to [this page for more tips to get Browser Build Help and see the Most Common Errors](https://loopkit.github.io/loopdocs/browser/bb-errors/#help-with-errors){:target="_blank"}

## Disable Auto-Update in TestFlight

Last month, we presented a compelling reason to [disable auto-updates in TestFlight](https://loopkit.github.io/loopdocs/browser/phone-install/#recommendation){:target="_blank"}. (An Apple Glitch stopped the current app from running.)

Another reason is that if an auto-update installs overnight, you could end up in a red loop until you wake up and acknowledge the 'what to test' splash screen. This happened to one of our loopers recently: he experienced a red loop for four hours after aggressively correcting for a high. He woke to a *Dexcom* low alarm but snoozed it for 30 minutes without checking [*LoopFollow*](https://www.loopandlearn.org/loop-follow/){:target="_blank"}, as he assumed it was a slow drop and that *Trio* would manage it with zero temping. Nearly half an hour later, he was awakened by an urgent low alarm. When he checked *LoopFollow*, he found that he wasn’t looping and had been receiving scheduled basal the entire time. As an added result, much more glucose was needed to correct the low than usual.

## *Trio* Tip: Autosens

[AutoSENS](https://docs.diy-trio.org/en/latest/settings/configuration/concepts/autosens-dynamic.html#autosens){:target="_blank"} is a dynamic adjustment mechanism for insulin sensitivity that operates on a moment-to-moment basis within [*Trio*](https://docs.diy-trio.org/en/latest/index.html){:target="_blank"}. It's important to understand its key features:

* Real-time Adjustment: AutoSENS modifies insulin sensitivity based on your current physiological needs, changing with each 5-minute loop cycle
* Variability: The AutoSENS value can fluctuate significantly throughout the day, which is its intended behavior
* Impact on Insulin Dosing: It enables the algorithm to make more effective adjustments to insulin delivery based on current conditions
* Relation to Set Profile: AutoSENS always operates as a variation of your configured profile ISF

**Important Considerations**

* AutoSENS should not be confused with [AutoTUNE](https://docs.diy-trio.org/en/latest/settings/configuration/autotune.html#autotune){:target="_blank"}, which serves a different purpose
* The AutoSENS value is transient and continually adjusts as your blood glucose levels change
* Never manually adjust your profile settings to match AutoSENS values

Only consider modifying your settings if:
## *Apple* Developer Agreement

1. Your glucose levels are responding unexpectedly with the current settings.
2. You have a clear understanding of the impact of the setting you're changing.
Whether you use Browser Build or Mac-Xcode Build, you need to sign your new [*Apple* Developer Program License Agreement](https://developer.apple.com/support/terms/apple-developer-program-license-agreement/){:target="_blank"} as soon as possible. The due date is 5 or 6 November 2024 depending on where you live. If you don't sign by the due date, you can no longer build a new version of your app. Furthermore, if you use remote commands with *Apple* Push Notification, those will stop working as well.

Always approach setting changes with caution and intention, ensuring you comprehend their effects on your diabetes management.
## Important *Dexcom* Follow Safety Note

## Halloween Candy Carb Counts
A *Dexcom* user [reported on Facebook](https://www.facebook.com/groups/anubisg6/posts/for-those-of-you-using-the-dexcom-app-and-who-rely-on-the-follow-feature-check-y/1088102602972114/){:target="_blank"} that their son’s *Dexcom* DID NOT alert any of their family members when it had lost signal/received no data like it usually does. Her son experienced very low glucose while the signal was lost and wound up in the ICU as a result. The hospitalist told them that this is the second kid this week with *Dexcom* communication issues.

The scariest holiday of the year is coming up- and that has special meaning for insulin-dependent folks!
The mom looked into her app settings and the “no data notification” alert was turned OFF on both parents’ phones, and the “Signal Loss” notification was turned OFF on her son’s phone. They are certain they had those alerts turned ON and think there might have been an update from *Dexcom* that turned them off. She has checked with friends who have also found alerts to be off and she has contacted *Dexcom* about this concerning and dangerous issue. This may have been associated with an update to iOS 18.

Fortunately, we have some great tools that will help make enjoying all the candy and party food much less
scary: our looping systems and [this handy chart of carb counts for Halloween candy](https://www.breakthrought1d.org/wp-content/uploads/2020/09/Halloween-candy-carb-counts.pdf){:target="_blank"}, courtesy of Breakthrough
T1D! Wishing you a less scary and more fun holiday!
We are glad to hear that all is okay with her T1D son and encourage checking alert settings before bed. We
also recommend [Loop Follow](https://www.loopandlearn.org/loop-follow/){:target="_blank"} for its many wonderful features, including superior alarm capabilities.

## Helpful Links

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nav:
- Current: 'index.md'
- Edition by Date:
- '2024-11-04': 'edition/2024-11-04.md'
- '2024-10-25': 'edition/2024-10-25.md'
- '2024-10-13': 'edition/2024-10-13.md'
- '2024-10-06': 'edition/2024-10-06.md'
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