Captain Novolin in the Land of the Lounge Lizards

A sequel to the widely acclaimed Captain Novolin, this mod (concept) attempts to teach players about Type I diabetes management. However, where the original game focused on the youth market, CNitLotLL targets the adult-onset demographic, addressing such themes as regular exercise, workplace stress, excessive alcohol consumption, and vigorous sexual intercourse. It also features a more up to date diabetes management protocol, including digital meters, carb counting, pumps, fast-acting human insulin analogs, and continuous glucose monitoring sensors.

Diagnosis mechanics
All players spawn as undiagnosed Type I diabetics. The game secretly tracks their blood glucose based on food consumption and basal glucose rates. This is done in as realistic a fashion as possible, such that the player drifts towards hyperglycemia and ketoacidosis.

Players sufficiently advanced along this stage experience:
 * Frequent urination (since vanilla Minecraft has no urination mechanic at all, it won't be easy to convey that it's frequent)
 * Extreme thirst (players must drink water buckets to sustain their health bars)
 * Dizziness (players randomly slow down when jumping or climbing)
 * Irritability (whenever the player takes damage, an additional sound effect of them muttering "dammit" is played)
 * Weight loss and weakness (iron armor may fall off)

Whenever the player begins to suspect something is wrong, he or she may craft a blood glucose meter (glass pane, redstone dust, iron bar). When wielded, right clicking this item reveals the player's blood glucose (possibly with a time-delayed random factor). Once the player observes a fasting number above the diagnostic trigger of 125 mg/dL, the more specialized diabetic treatment recipes and mechanics are unlocked.

Visual effects
The player's vision becomes blurry when he or she experiences large, rapid changes in blood glucose, such as at the outset of insulin therapy.

New items

 * Blood glucose meter
 * Syringe
 * Vial of fast-acting insulin
 * Vial of long-acting insulin
 * HbA1C test
 * Glucose tablets


 * Insulin pump
 * Infusion set
 * Subcutaneous glucose sensor
 * Glucose sensor transmitter


 * Bottle of beer

HUD
A player with a continuous glucose monitoring system has access to a heads-up display of a graph of their interstitial fluid glucose content, a random number within 20-100 mg/dL of their actual blood glucose (accuracy decreases with higher glucose levels), in a style similar to Thaumcraft's aura display.

Treatment regime
Minecraft's day/night cycle is 72 times faster than the real world, which means that a fully "realistic" endocrine simulation would be extremely fast if indexed to the rising and setting sun, or appear to be extremely slow in-game if indexed to real world time. There are risks at both extremes; if the simulation is too slow, players would have to wait too long to observe the effects of meals and insulin, and if too fast, they may not have enough time to observe and treat hypoglycemic episodes.

Thus, a configurable metabolic time factor is introduced to control the speed of the simulation, defaulting to 10 times real world speed.

Insulin bolus
The player's secret blood glucose is lowered by insulin action in the bloodstream, via either injections or pump infusion.

Once injected or infused, an insulin bolus increases the player's "active insulin" number, as tracked by a typical real-world pump. This number decreases over time as it is absorbed, which causes the blood glucose to decrease according to the player's insulin sensitivity ratio. This ratio may be either random (for non-diabetics or for game balance) or configured manually in a menu (for diabetic pedagogical purposes).

Basal insulin
The player also has a basal glucose release rate. Similar to the insulin sensitivity rate, this may be either random or configured.

Consuming beer suppresses basal glucose release moderately for a few hours.

Carb counting
The player's secret blood glucose is raised by eating, with a primary focus on carbohydrate intake. Each food's carbohydrate content is stored in a configuration file for customization by CDE, with these defaults:

Exercise
Blood glucose is affected similarly to the secret hunger bar when the player walks, sprints, jumps, or breaks blocks. These activities all consume some small amount of glucose, and increase insulin sensitivity temporarily.

If the player has established a relationship with a TESTIFICATE, he or she may seduce or be seduced by it, leading to graphic sexual activity. Any sexual encounter with a TESTIFICATE counts as a form of exercise, with the usual impacts on insulin absorption and glucose expenditure. However, if a player with an insulin pump forgets to suspend and remove it, their infusion set or the pump itself may be damaged and need to be replaced.

Stress
A Minecraft player's workplace is, naturally, a cave or mine. Whenever a hostile mob is rendered on-screen, the player experiences stress similar to being scolded or threatened by a boss or supervisor, leading to a small boost in basal glucose rates.