// The Podcast

The five-minute Type 1 diabetes podcast.

Monday, Wednesday, Friday. One relentless piece of life with T1D per episode, broken down small enough to actually do something with. Hosted by Neil Greathouse, who has been doing this since 1992.

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232 episodes and counting. Free, always.

// Latest Episode

Pre-Bolusing for a Picky Toddler with Type 1 Diabetes | Combo Bolus

Episode 237 · Aug 19, 2026 · 6 min

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 into pure chaos. Neil pulls the playbook straight from the pediatric diabetes guidelines. The split...

// Start Here

New around here? Try these six.

One from each corner of the show. If you like these, there are 226 more waiting.

Episode 223

The Study That Proves Pre-Bolusing Works | 15 Minutes, 50 Points | T1D

Fifteen minutes before you eat moved the peak from about 221 to about 167. That is the whole argument, in one trial.

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Episode 142

The Rule of 15 (And Why We Ignore It)

Everybody knows it. Almost nobody follows it. Here is what happens in the fifteen minutes we refuse to wait.

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Episode 198

The Dawn Phenomenon in Type 1 Diabetes: Why Your Blood Sugar Rises While You Sleep

You went to bed at 110 and woke up at 182 with nothing in between. Your liver has some explaining to do.

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Episode 100

Diabetes Distress Isn’t Depression

Two different things that feel identical at 2am. Knowing which one you are sitting in changes what actually helps.

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Episode 030

Is 10,000 Steps a Magic Number? (Spoiler: Nope)

Spoiler, no. Where that number came from, and the four activity levels the research actually supports.

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Episode 001

Welcome to Your Best T1D Year Ever

The first one. Why this show exists, and what five minutes three times a week is supposed to do for you.

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// Browse by Challenge

Every month is one challenge, start to finish.

The show runs in arcs. Pick the thing you are wrestling with right now and start at the top of that stack.

Pre-Bolus ChallengeJul 2026 to now · 22 episodesInsulin is slow. Food is fast. This one is about closing that gap by a few minutes and watching your post-meal graph stop looking like a ski jump.
While You Were SleepingMay to Jun 2026 · 24 episodesFour weeks on the thing nobody puts in a diabetes plan. Dawn phenomenon, alarm fatigue, and why seven hours can still leave you wrecked.
The Hydration ChallengeMar to Apr 2026 · 25 episodesWater sounds like the most boring intervention on earth. Then you find out what dehydration does to your insulin, your kidneys, and how your numbers read.
The Low Blood Sugar ChallengeJan to Feb 2026 · 23 episodesTreating lows, over-treating lows, and the rebound nobody warns you about. Plus the mental weight of it, which is the part most people skip.
The Year That Changed UsDec 2025 · 14 episodesWhat the first year taught us, a pile of your wins, and the habit roadmap for the year ahead.
Getting Back On TrackNov 2025 · 12 episodesEverybody drifts. This one is about the getting-back part, including travel, buffets, holidays, and a carb counting reset.
Diabetes DistressOct 2025 · 14 episodesDistress is its own thing, separate from depression. Where it comes from, how it gets measured, and what actually moves it. Featuring Dr. Bill Polonsky, who built the scale.
Five-Minute ResetsSep 2025 · 13 episodesStress spikes blood sugar. These are the small resets that fit inside a normal workday, no meditation cushion required.
Tech Troubles & TriumphsAug 2025 · 13 episodesPumps, CGMs, alarms, site rotation, and sunscreen. Everything that makes the tech work better, or quietly makes it worse.
Movement & ExerciseJul 2025 · 13 episodesLifting, Zone 2, gym lows, and the dip before the spike. You don't have to earn your movement.
Pre-Bolusing, Round OneJun 2025 · 13 episodesThe first pass at pre-bolusing. The window, the fear of going low, and what to do when it goes sideways.
Sleep, Round OneMay 2025 · 13 episodesThe most ignored T1D hack, and it happens while you are unconscious. Basal needs, carb cravings, and the 10PM alarm.
One Step CloserApr 2025 · 13 episodesWalking. Timing it, doing it with insulin on board, using it on a stubborn high, and why 10,000 steps was never a magic number.
The Tracking ChallengeMar 2025 · 13 episodesFor people who hate tracking. How to log just enough to find your patterns, then stop.
Glucose TabsFeb 2025 · 7 episodesWhere it all started. Why glucose tabs beat juice, and how over-treating lows sneaks in about 20,000 extra calories a year.
// Guest Episodes

The people worth handing the mic to.

Endocrinologists, researchers, therapists, athletes, and a few folks who just live this well.

// One More Thing

Get the episode that matters, in your inbox.

No daily blast. Just the one thing worth doing this week, plus whatever I learned the hard way.

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