About
Mark E. Paull
Independent researcher and decision systems architect, living with type 1 diabetes since 1967 — now in his 60th year with the disease.

From notebook to architecture
The intellectual lineage begins with a notebook in 1967: numbers, then annotations, then an internal pattern library, then the recognition that the reasoning behind clinical actions was itself a missing data layer. ESP360° is the formal attempt to represent that layer.
Diagnosed at eleven, before home glucose meters existed, the available instrument was a colour in a test tube reporting a value already two hours old. Deciding from that required holding an inference about where the number was heading, how the insulin was behaving, and how much to trust either. That is hidden-state reasoning, done daily since — across 100,000+ insulin doses and millions of micro-decisions — long before there was a name for it.
Research
Peer reviewer and published author, Diabetes Care (American Diabetes Association). Published in Diabetes Technology & Therapeutics and STAT News. Three abstracts accepted through competitive review at the Breakthrough T1D Clinical & Research Congress 2026, with an outstanding-abstract travel grant. ORCID 0009-0002-7658-0737.
Two U.S. provisional patent applications — NOVA and MIRRA — covering the ESP360° decision-provenance architecture.
CME accreditation in type 1 diabetes.
Writing
The New York Times, The Globe and Mail, The Missouri Review (Top Ten, Editors' Prize), Minyan Magazine (Pushcart nominee), Intima at Columbia University, and Chicken Soup for the Soul.
Come On, Marky
The memoir tells the same argument from inside the life that produced it: the margins were data all along. The book and ESP360° are related, but this website stays focused on the research architecture and CRC 2026.
Academic CV
The July 2026 academic CV summarizes the research profile, peer-reviewed and narrative publications, conference work, intellectual-property record and professional history.
Contact
markpaull56@gmail.com · WhatsApp · Montréal, Québec, Canada