The One Sleep Habit That Improves T1D Time in Range
Eight weeks. Twenty-four episodes. The dawn phenomenon, cortisol, alarm fatigue, sleep stages, Fear of Hypoglycemia, CGM as a proactive tool. If Neil had to give you one thing to keep from all of it, just one habit, here it is: go to bed...
What "Good Enough" Sleep Actually Looks Like When You Have Type 1 Diabetes
Perfect is not the goal. This episode takes a stand on something that doesn't get said enough in health content of any kind, and especially not in T1D content. If you've been measuring your sleep quality against general population...
How to Use Your Overnight CGM Data to Improve Sleep and Blood Sugar
You've been sleeping next to one of the most detailed health monitoring devices that exists. Every single night. For however many years you've had your CGM. It has been logging everything, every rise, every drop, every 3am event, every...
T1D Sleep Hygiene: The One Pre-Sleep Habit That Actually Makes a Difference
"Sleep hygiene" sounds like you're brushing your sleep's teeth. Nobody has ever said that phrase in a natural conversation. And this episode is not about a 12-step pre-sleep protocol that you'll implement on Monday and abandon by Wednesday...
Late-Night Exercise and Blood Sugar: What Your Evening Workout Does to Your T1D Overnight
Your Tuesday 8pm HIIT class has opinions about your 3am blood sugar. The data is pretty clear on this. Neil is giving you fair warning before the episode starts. This episode covers the timing of exercise and its downstream effects on both...
T1D Sleep Stages Explained: Why You're Exhausted After 7 Hours of Sleep
You slept seven hours. By any reasonable measure, that should be enough. You woke up feeling like you slept four. You weren't imagining it. This episode breaks down sleep stages, light sleep, deep sleep, REM, and explains exactly where...
Fear of Hypoglycemia: The T1D Sleep Problem That Doesn't Show Up in Your CGM Data
Your CGM says 115. Flat arrow. No active insulin. You've checked it twice. The number is completely fine. And you're still awake at 2:48am. This is not you being dramatic. This has a name: Fear of Hypoglycemia (FOH). It's a documented...
Cortisol and Blood Sugar: The T1D Overnight Connection You're Probably Missing
Cortisol isn't trying to ruin your blood sugar. It's trying to help. It has never once, in your entire life, acted with malice. It is a useful, important hormone that is, in the modern world, very confused about what an actual emergency...
How Bedroom Temperature and Blue Light Affect Blood Sugar in Type 1 Diabetes
Neil wants to be upfront: this episode is going to sound like wellness content delivered by someone standing in a field in linen pants. He knows. He can't control how it sounds. What he can tell you is that there's actual research behind...
Your Pre-Sleep Blood Sugar Check Is a Sleep Decision, Not Just a Safety Check
You already do this. You check your blood sugar before bed, glance at your CGM, maybe set a temp basal. You've been doing it for as long as you've had T1D. Here's the reframe: you've been doing it as a safety check. "Am I okay to go to...
T1D Sleep Challenge: Four Weeks In, What We've Learned
Four weeks ago, Neil asked you to do one thing: write down how many hours you slept. That was it. Just a number. And now here we are. This is the halftime checkpoint of the While You Were Sleeping Challenge. Neil does what any good coach...
How to Adjust CGM Alarm Thresholds for Better Sleep with Type 1 Diabetes
When did you last actually look at your CGM alarm threshold settings? Not to silence an alarm. Not to check a number. To actually look at the thresholds, the settings, the specific values, when they were last changed. If your answer is...
CGM Alarm Fatigue in Type 1 Diabetes: How Your Alerts Are Wrecking Your Sleep
How many times did your CGM alarm last night? If you have to guess, or if you're honestly not sure because your arm is doing the silence-and-go-back-to-sleep thing on autopilot, that's alarm fatigue. And it's a documented, peer-reviewed...
What Type 1 Diabetes Actually Does to Your Sleep Architecture | Episode 200
200 episodes. Neil didn't plan on this. He definitely didn't plan on spending episode 200 explaining what your liver does at 3am without your permission. And yet here we are. This is the episode that contains the most important thing Neil...
Bedtime Consistency and T1D: Why Timing Beats Total Hours for Blood Sugar Control
You've been told to get eight hours. Here's what the research actually found. A 2023 study of 76 adults with type 1 diabetes tracked both CGM and sleep data for one week. The finding: sleep duration alone was not independently associated...
The T1D Sleep-Blood Sugar Feedback Loop
Bad sleep makes your blood sugar harder to manage. Worse blood sugar disrupts your sleep. Worse sleep makes your blood sugar worse. You've been running a feedback loop, without knowing it. This is the episode where things click. Neil...
The Dawn Phenomenon in Type 1 Diabetes: Why Your Blood Sugar Rises While You Sleep
You went to bed at a perfect 110. No active insulin. Flat arrow. You did everything right. You wake up at 182. Nothing happened, no low, no alarm. You just slept. Except something did happen. You just weren't awake for it. This episode...
Why Sleep Deprivation Hits Harder When You Have T1D
Sleep deprivation reduces insulin sensitivity in everyone. That's not a T1D-specific finding. Here's what is. In people without diabetes, the system has a feedback loop. Insulin sensitivity drops, blood sugar ticks up slightly, the...
One Night of Poor Sleep Reduces Insulin Sensitivity
Here's the number: 21%. One study. People with type 1 diabetes. Sleep-deprived condition (4 hours) versus adequate sleep (8.5 hours). Same food, same insulin, same activities. The sleep-deprived group showed a 21% reduction in insulin...
What's Really Causing Your Unexplained Blood Sugars
The pump site. The insulin. The food from six hours ago. The stress. The general vibe. Neil has blamed every single one of these for blood sugars that made no sense, and for 34 years, he kept leaving one variable off the list entirely...