Or, the morning’s “I wasn't getting anywhere on MainFicThing and needed something to do with my hands so why not maim and mangle expensive journal covers” project:

Assembled from the pieces of notebook covers abandoned and discarded over the years, Frankenjournal’s Monster came alive from a leather travel journal cover (that was great for when I used cheaper pens and didn't worry about them falling to the ground) and added the pen holder from my Coal Creek mini notebook / wallet (thanks to leather screws from a broken leather leash my grandfather had made for one of our earlier and departed dogchildren) plus the elastic from my previous journal to make a cover tie. Notebooks are, as ever, Baron Fig Confidant.

Use my CW&T Pen Type C for quick notes (the Lamy 2000 is, fortunately, quite snug in its perch; the leather has yet to expand enough to allow for that balance between quick jot and security), blood sugar readings, etc. Binder clip for loose index cards and thinks/things I want to keep loose and on my person.