The Chair is Winning
Welcome to Keep It Moving, the new 8-week challenge for people with type 1 diabetes, and meet the villain: the chair. Nobody decides to sit for half a day. The chair decides for you, quietly, like a Netflix autoplay countdown, and your blood sugar...
The Head Start Finale + What's Next: The Steps Challenge | Type 1 Diabetes
Eight weeks ago, you were spiking after dinner and blaming yourself for it. This is the finale of The Head Start, and instead of another recap, Neil reads two listener stories that say what these eight weeks were really about, one from a woman who...
The Pre-Bolus Challenge Recap: All the Science | Type 1 Diabetes
Previously, on The Head Start: a man admitted he's had type 1 for 34 years and still sometimes doses with his mouth full, and an entire audience realized the after-dinner spike was never their fault. This is the greatest-hits recap, and this time it...
How to Make Pre-Bolusing a Lasting Habit | Type 1 Diabetes
The challenge is almost over, so the real question is what happens next week, when Neil isn't in your ears three times a week. This episode is about making the pre-bolus habit last past the finish line, and it's grounded in habit science. A study by...
What a Flat CGM Line Feels Like After Meals | Time in Range, T1D
Remember day one, when the after-dinner spike was just the rent you paid for eating? Now think about last week, when you pre-bolused, ate, and looked down at a flat, boring, beautiful CGM line. This episode is about that feeling, because that...
Is It OK to Dose Insulin After a Meal for Kids? | ISPAD Guidelines, T1D
Here's the permission slip every T1D parent needs: with a young child, dosing during or after the meal is not cheating. It's not failing at pre-bolusing. It is, in plain black and white in the international pediatric diabetes guidelines, an okay...
Pre-Bolusing for a Picky Toddler with Type 1 Diabetes | Combo Bolus
Your toddler asked for the macaroni, then looked at it like you served packing peanuts and demanded the one other food in the house, and you've got insulin on board for a meal that just got canceled. This episode is for the parents dosing...
Pre-Bolusing and Still Spiking? Check Your Carb Count | Type 1 Diabetes
You pre-bolus. You give it the 15 minutes. You watch the arrow. And you're still spiking. Don't throw out the challenge, that spike is a clue. Neil puts on the detective hat, because timing is huge, but it isn't the only dial on the...
Fiasp, Lyumjev & Afrezza: Do You Still Need to Pre-Bolus? | T1D
"Neil, I use Fiasp, or Lyumjev, or Afrezza, do I even have to wait?" Great question, and this episode gets genuinely nerdy about the answer. Fiasp and Lyumjev are ultra-rapid analogs, built with ingredients (niacinamide in Fiasp, citrate...