FlightGlucose – Diabetes Education Game

FlightGlucose

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✓ DONE

🧒BEGINNER

SCENARIO 01

Basic Tutorial

Omar · Guided walkthrough of every control. Basal drift + two meal spikes.

🎯Goal: Learn basal & bolus timing

⏱️Duration: 5 minutes

📚Skills: Basal insulin, meal bolus, trend reading

🎮Special: Floating tips — game keeps running

🎓 Learning Path

📍 Basal drift understanding 📍 Pre-bolus timing 📍 IOB awareness 📍 Trend arrow reading

✓ DONE

👧HARD

SCENARIO 02

Hypoglycemia Crisis

Haya · Triple insulin overdose. Glucose plummeting rapidly.

🚨Emergency: Severe hypoglycemia imminent

📉Drop: -85 mg/dL over 75 seconds

🩺Treatment: Rule of 15 — 15g carbs, recheck

💉Rescue: Glucagon if unconscious

⚡ Crisis Skills

🧊 Recognize hypo symptoms 🧊 Rapid carb response 🧊 Avoid over-treatment 🧊 Glucagon timing

✓ DONE

👨EXPERT

SCENARIO 03

Hyperglycemia / DKA

Adam · Missed basal — glucose climbs toward DKA danger zone.

🔥Danger: DKA pathway activation

📈Rise: +40% basal drift, no coverage

🧪Ketones: Monitor at >250 mg/dL

💊Action: Basal + multiple boluses

🔬 Expert Skills

⚠️ Recognize DKA signs ⚠️ Dual insulin strategy ⚠️ Aggressive correction ⚠️ Ketone monitoring

✓ DONE

🧑MEDIUM

SCENARIO 04

Exercise Timing Trap

Layla · Active insulin + exercise = dangerous hypoglycemia.

🏃Activity: 30-min run with 1U IOB

📉Drop: Exercise accelerates glucose fall

⏰Delayed: Post-exercise hypo risk

🍬Prevent: Pre-exercise carbs

🏃 Exercise Skills

🎯 IOB check before exercise 🎯 Carb timing strategy 🎯 During-exercise monitoring 🎯 Post-exercise watch

✓ DONE

🧑‍💼ADVANCED

SCENARIO 05

Dose Dial Challenge

Khalid · Honeymoon phase precision dosing. Every unit matters.

🎯Precision: Dose dial accuracy required

📐Formula: (BG - 120) ÷ ISF - IOB

✨Phase: Honeymoon = unpredictable

🎚️Range: 0.1U increments

🎚️ Precision Skills

🎯 Accurate bolus calculation 🎯 IOB subtraction 🎯 Conservative honeymoon dosing 🎯 Dial manipulation

✓ DONE

👩HARD

SCENARIO 06

Pizza Effect

Sofia · Fat-delayed biphasic rise. The second wave hits 90 min later.

🍕Challenge: High-fat meal digestion

📊Pattern: First spike → plateau → second spike

⏱️Timing: Second wave at 90-120 min

💉Strategy: Split bolus or extended dose

🍕 Advanced Meal Skills

🧠 Predict delayed spikes 🧠 Split bolus technique 🧠 Fat-glucose timing 🧠 Second dose planning

✓ DONE

🧑EXPERT

SCENARIO 07

Sick Day

Yuki · Fever + vomiting. Illness causes insulin resistance.

🤒Symptoms: Fever, vomiting, resistance

📈Effect: +32% basal drift from stress hormones

🚫Never: Skip insulin — even if not eating

🧪Monitor: Check ketones every 2 hours

🤒 Sick Day Protocol

💪 Maintain insulin coverage 💪 Aggressive correction dosing 💪 Hydration management 💪 Ketone vigilance

✓ DONE

👦EXPERT

SCENARIO 08

Nocturnal Hypo

Rayan · 2am with active IOB. The most dangerous hypoglycemia.

🌙Time: 2am — deepest sleep phase

💤Danger: Cannot self-treat while asleep

📉Risk: 0.8U IOB still active

📈Rebound: Somogyi effect watch

🌙 Night Safety Skills

🔔 CGM alarm reliance 🔔 Pre-bed glucose check 🔔 Overnight trend prediction 🔔 Rebound hyper awareness

✓ DONE

👩‍🎓HARD

SCENARIO 09

Stress Response

Amara · Exam adrenaline spikes glucose. Psychological stress effect.

📚Trigger: Exam stress, adrenaline surge

📈Effect: Cortisol raises glucose without food

⚖️Balance: Conservative correction needed

📉Rebound: Post-stress sensitivity spike

📚 Stress Management

🧘 Recognize stress hyperglycemia 🧘 Conservative dosing strategy 🧘 Post-event sensitivity watch 🧘 Cortisol effect timing

✓ DONE

🧑‍💻ADVANCED

SCENARIO 10

Pump Failure

Jae · Closed-loop pump failed. Manual mode backup required.

🤖Failure: Sensor occlusion, algorithm blind

🔧Mode: Manual insulin delivery

🧠Knowledge: You ARE the algorithm now

⚠️Active: 0.6U IOB still working

🔧 Manual Backup Skills

💡 Algorithm-free thinking 💡 Manual correction calculation 💡 Technology failure backup 💡 Emergency protocol execution

✓ DONE

🤰EXPERT

SCENARIO 11

Pregnancy Targets

Nadia · 28 weeks pregnant. Tightest targets in T1D management.

🤰Trimester: 28 weeks — peak resistance

🎯Target: 63-140 mg/dL (vs 70-180)

📈Resistance: +60% insulin needs

⚠️Risk: Fetal harm >140 mg/dL

🤰 Pregnancy Mastery

🎯 Ultra-tight control precision 🎯 Aggressive pre-bolusing 🎯 Resistance management 🎯 Fetal safety priority

✓ DONE

🧔MEDIUM

SCENARIO 12

Type 2 Lifestyle

Marco · T2D on metformin. No insulin — exercise is your tool.

🏃Tool: Exercise-only management

💊Meds: Metformin (no insulin)

📉Effect: Exercise drops 30-50 mg/dL

🔁Window: 24-48h sensitivity boost

🏃 Lifestyle Management

🌿 Exercise timing strategy 🌿 Non-insulin glucose control 🌿 Residual beta-cell use 🌿 Lifestyle vs medication

✓ DONE

👩‍🦱HARD

SCENARIO 13

Alcohol Effect

Zara · Alcohol blocks glucagon. The most dangerous delayed hypo.

🍺Effect: Blocks hepatic glucose release

⏰Delay: Hypo hits 4-8 hours later

🚫Glucagon: INEFFECTIVE during alcohol

✅Rescue: Only oral carbs/IV dextrose

🍺 Alcohol Safety

⚠️ Glucagon failure awareness ⚠️ Delayed hypo prediction ⚠️ Overnight monitoring ⚠️ Carb snack requirement

🌐 Language

⚡ FG EASY SC·01

3:00 6:00am ✦ 0 pts

DR. GLUCOSE Keep glucose in the green zone!

SCENARIO 01

🧒

Omar

Age 12 · T1D · 8 years diagnosed

Normal morning. Basal drift is active — glucose will slowly rise without background insulin coverage. A meal spike is incoming.

GOAL: Keep glucose in the safe zone (70–180 mg/dL) for at least 90 seconds.

🧪 KETONES

Negative

Glucose 115 mg/dL CGM lag

→

Zone SAFE

TIR 0% 0:00

Bolus IOB 0.0 U

BASAL

🍞 Fast 🍝 Med 🥗 Slow