True Stories, Real Stats, and a Book Launch!
Somehow, this is Episode 50. Which means you’ve either been listening since January, or your podcast app betrayed you. Either way, glad you’re here. Today’s all about the data behind pre-bolusing and the story behind my new book. Today...
The episode, word for word
[Somehow, this is Episode 50. Which is wild, because that means you've either been listening since January, or you accidentally subscribed and forgot to unsubscribe. Either way... I'm glad you're here.]
[Also, one time, I pre-bolused for dinner. Nailed the timing. Felt like a blood sugar ninja.]
[Then the entire meal got burned on the grill. Like, smoke detector, windows open, emergency pizza level burned.]
[I ended up eating an entire pack of Nutter Butters and whispering "I tried" to my CGM.]
[Hey, I'm Neil, and this is Your Best T1D Year podcast. I have stories like this one in my new book - Type 1 Diabetes: Short Stories.]
And since the book launches this week, I want to talk about the real reason I wrote it: because living with T1D is full of moments like that. And because pre-bolusing, while amazing, is not some easy, polished routine. It's a work in progress for almost all of us.
Okay, let's talk about the hard data. If you've been wondering whether pre-bolusing actually makes a difference, here's what recent studies show:
People who pre-bolus regularly tend to have A1Cs about 0.4% to 0.8% lower than those who don't. That's a huge shift over time.
Time in range? One study found that pre-bolusing improved it by 15 to 20 percentage points. That's hours per day where you're not riding the high-low rollercoaster.
Missed boluses are linked to A1C increases of up to 0.8%, and when you pre-bolus consistently, you're more likely to avoid that catch-up game later.
And get this, people who pre-bolus report less mental burden around meals. It's not just about numbers. It's about peace of mind.
These aren't just statistics, they're potential game changers. Even if you just start with one meal a day.
The book? It's called Type 1 Diabetes, True Stories. And it's not a "how-to" book. It's an "Oh, you too?" book.
Each chapter is a real moment, awkward, hilarious, frustrating, sometimes heavy, but always real. And each one ends with a short takeaway. Not advice. Just perspective. Something you can tuck in your pocket.
I wrote it for people who've ever felt like no one really gets it.
If that's been you? I promise this book will make you feel seen.
Look, pre-bolusing isn't easy. It messes with your schedule, your people, your peace.
But the stats don't lie, it works. And when we try, even imperfectly, things start to shift.
So here's what I want you to take away today:
You don't have to do it perfectly. You don't have to do it every time.
But when you can give your insulin that head start, your body will thank you.
The book drops June 11. That's this week. Paperback, Kindle, Audible, whatever format works for you.
And hey, if this podcast has helped you? That book's for you.
You hear the word 'disruption' all the time, but Blue Circle Health is actually making it mean something. Free T1D care. Quick access. Tech and emotional support that's personal. Their care includes help with insurance navigation, diabetes technology, and mental health resources, no charge, no red tape. I've sat with their team, they're the real deal. Learn more for free at [ ](http://bluecirclehealth.org).
New episodes land every Monday, Wednesday, and Friday.
You're not doing a bad job. You're doing a difficult job.
And I'm really proud of what you're building.
51 - June 11
Wednesday, June 11
This is the script as read on the mic, lightly tidied for reading. Education, not medical advice. Talk to your care team before you change anything about your insulin.