Managing Type 1 Diabetes doesn’t have to be overwhelming. Each 5-minute episode of Your Best T1D Year is packed with practical strategies, mindset shifts, and a little humor to help you feel more in control and less frustrated by diabetes. Hosted by Neil Greathouse, this Monday, Wednesday, and Friday podcast delivers quick, relatable episodes that make learning about T1D effortless - so you can build small wins that lead to big changes. 📅 New episodes drop every Monday, Wednesday, and Friday ...
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T1d Strategies Podcasts
As the number of Americans living with diabetes continues to rise, staying up to date on the latest diabetes research is more essential than ever to help patients achieve glucose control. With Diabetes Discourse, you’ll hear from diabetes and endocrinology experts on emerging research, diagnostic and treatment strategies, and various elements that impact a patient’s disease course, including risk factors, vitamin and mineral supplementation, physical activity, and kidney disease. Because whe ...
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What the 28 Diabetes Distress Questions Show Us
6:11
6:11
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6:11The detailed 28-question diabetes distress scale reveals exactly where stress hits hardest. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D. What You'll Learn • Distress categories - Powerlessness, management, hypoglycemia, healthcare, family, eating, social • Detailed assessment - How t…
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Marriage & Diabetes Distress // Special Guest Gina Greathouse
55:57
55:57
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55:57The Other Side of Type 1 Diabetes: My Wife Gina on What It’s Really Like Thirty years, three DKAs, countless alarms - and one marriage that somehow survived it all. In this episode, Neil sits down with his wife Gina Greathouse for the conversation everyone’s been waiting for. Together, they talk about what diabetes distress really does - not just t…
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Diabetes Distress: How to Use Your Score Without Shame
6:06
6:06
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6:06Your diabetes distress score is a tool, not a judgment. Here's how to use it constructively. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D. What You'll Learn • Score interpretation - What low, moderate, and high distress scores actually mean • Tools vs judgments - How to use your score…
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The 7 Questions That Measure Diabetes Distress
7:05
7:05
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7:05When it comes to diabetes distress, not all surveys are created equal. In this episode, we break down the two main ways researchers measure distress in type 1 diabetes: the T1-DDS7 (7 questions) and the T1-DDS (28 questions). Both tools were created to capture the emotional side of living with diabetes, but they go about it differently. We’ll talk …
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The actual 7 questions researchers use to measure diabetes distress, explained in plain English. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D. What You'll Learn • The 7 core questions - Each diabetes distress assessment question explained simply • Scoring system - How the 1-6 scale wo…
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Episode 100 milestone! Neil breaks down the crucial difference between diabetes distress and clinical depression. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D. What You'll Learn • Milestone celebration - Episode 100 of building T1D habits together • Clear distinction - How diabetes di…
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Diabetes distress affects 40% of adults with type 1 diabetes, but what exactly is it and where did the research come from? Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D. What You'll Learn • The definition of diabetes distress - It's not just 'having a bad day' with blood sugars • Resea…
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Episode summary Today’s episode is a practical deep-dive with Diabetes Sangha co-founders Brooke Cassoff and Heather Nielsen on using mindfulness and self-compassion as real tools for life with Type 1. We talk origin story, why “everything belongs,” what a weekly practice actually looks like, and then do three short, on-mic practices you can follow…
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No Time To Reset, 60-Second Stress Tools for Type 1 Diabetes
8:23
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8:23Summary No time is still time. Micro-resets in 30–60 seconds can downshift your nervous system and make insulin work better. Keywords: micro resets, vagus nerve, sympathetic drive, one minute reset, T1D stress. What you’ll learn Four under-a-minute tools… shoulder drop, cold touch, one-line journal, change the room How short pauses lower sympatheti…
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Evening Resets for Type 1 Diabetes, Better Overnight Glucose
6:32
6:32
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6:32Summary Bring less stress to bed, get smoother nights. Short evening routines can lower cortisol, improve sleep quality, and give your basal a fighting chance. Keywords: sleep, overnight glucose, bedtime stress, evening routine, CGM. What you’ll learn Three simple evening resets… phone-free 15, gratitude list, stretch and breathe Why pre-bed stress…
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Exercise and Type 1 Diabetes, Why Workouts Spike You and What Helps
6:42
6:42
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6:42Summary Exercise helps in the long run, but stress hormones can spike you in the short term. We cover warm-ups, patience, timing, and tiny experiments that turn chaos into clarity. Keywords: exercise and T1D, workout spikes, cortisol, HIIT, pre-bolus, five minute reset. What you’ll learn Why high-intensity workouts can raise glucose before they low…
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CGM Alarms and T1D, Reset Fast and Take Control
6:24
6:24
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6:24Summary Alarms don’t ask permission. Label the moment, move a little, ask two quick questions, and stop the spiral before it compounds. Keywords: CGM alarms, stress response, mindful interruption, five minute reset. What you’ll learn “Information, not judgment”… a one-line reframe for alarms Micro-movement and two-question check-in Why a short paus…
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Summary Work and school stack the mental load. Cortisol rises, insulin sensitivity dips, and numbers drift. Here’s how to build five-minute firewalls into hectic days. Keywords: workday stress, office resets, school stress, insulin resistance, CGM. What you’ll learn Three resets that fit real life… bathroom, hallway lap, one song Why midday stress …
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Type 1 Diabetes, Food Joy, and Five Minute Resets with Mila Clarke, @thehangrywoman
59:02
59:02
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59:02Episode summary Today’s episode is a practical deep-dive with creator and NBCHWC coach Mila Clarke (aka @thehangrywoman) on how to keep food joy without the guilt, lower the mental load of T1D, and use a quick five-minute reset when stress (or your CGM) starts shouting. We also do an on-mic, one-minute reset you can follow anywhere, play a rapid-fi…
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Pre-Meal Micro Resets for Type 1 Diabetes, Lower Post-Meal Spikes
6:12
6:12
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6:12Summary Stress right before you eat raises glucose and blunts insulin. Two minutes of calm can change the whole post-meal flight path. Keywords: pre-meal reset, cortisol, insulin sensitivity, carb counting, CGM. What you’ll learn Why the same meal can spike higher under stress Three pre-meal resets in under two minutes A simple way to make the paus…
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T1D Mindset Reset, Choose Curiosity Not Judgment
7:53
7:53
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7:53Summary Swap the hammer for a magnifying glass. Curiosity lowers stress, which lowers cortisol, which helps insulin work better. Keywords: diabetes distress, self-compassion, mindset, CGM alarms, five minute reset. What you’ll learn A quick mindset flip when an alarm hits A 3-question script to replace self-blame with curiosity How judgment raises …
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T1D Reset Toolkit, Small Tools That Change Your Day
6:57
6:57
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6:57Summary When life gets loud, you need a tiny, reliable toolkit. Breathing, movement, micro-distractions… we build a reset toolbar you will actually use. Keywords: T1D stress, reset toolkit, mindful breathing, movement, CGM spikes. What you’ll learn A 3-category toolkit: breathing, movement, micro-distractions Why five minutes of calm is metabolic s…
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5 Minutes That Help T1D, The Science and the How
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6:57Summary Five minutes isn’t random. Short, intentional resets can lower stress chemistry and protect insulin sensitivity. We explain why and show you how to use the five-minute window. Keywords: five minute reset, breathwork, anxiety, insulin resistance, T1D tools. What you’ll learn The science behind short breathwork and stress reduction A browser-…
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Type 1 Diabetes, Why Stress Spikes Blood Sugar and What To Do
6:11
6:11
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6:11Summary Stress hormones push glucose up and make insulin do less. We unpack the research and give you quick strategies to blunt stress before it bulldozes your time in range. Keywords: T1D, stress spikes, CGM, cortisol, adrenaline, insulin sensitivity. What you’ll learn The “same meal, same insulin, different outcome” effect under stress How to bui…
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T1D Stress and Blood Sugar, Five Minute Reset
8:28
8:28
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8:28Summary Stress and T1D go hand in hand. One email, one alarm, and cortisol spikes, insulin sensitivity drops, and your CGM graph climbs. In this kickoff, we walk through a five-minute reset you can actually use today to lower the stress load and help your insulin land. Keywords: type 1 diabetes, stress, cortisol, insulin resistance, CGM, five minut…
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When to Call It: Replace Tech Before Frustration Wins
6:58
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6:58Knowing when to say, “Nope, I’m done with this CGM/site/pump part,” and switch it out before it messes with your blood sugar or your brain We’re not here to waste supplies—we’re here to protect peace. Learn the real signs your tech is on its way out and how to make a smooth swap without spiraling. 👉 Listener Challenge: Tell me your early-swap story…
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Your Pump Is Better at Math Than You (And That’s a Good Thing)
7:55
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7:55Understanding how your pump calculates boluses—and why it often knows more than your brain mid-meal From IOB to carb ratios and correction factors, your pump is solving equations you shouldn’t have to do while hungry. Learn what goes into those numbers, when to trust it, and when to override with intention. 👉 Listener Challenge: DM me your best “wa…
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Special Guest // Justin Eastzer @diabe_tech
1:01:56
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1:01:56In this conversation, Justin (diabetech) breaks down where diabetes tech is actually headed. We talk dual-hormone hype vs reality, why Tandem Mobi’s bolus button matters, open-source + AI for unannounced meals, why FDA timelines feel slow, and why the future likely looks tubeless with one device doing more. Takeaways • Community and content led to …
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Track Smarter, Not Harder: Food & Management Apps for T1D
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7:30
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7:30Choosing apps and systems that help you log meals, insulin, and BG—without burning out Track smarter with tools like SNAQ, mySugr, Undermyfork, and Glooko. Learn which apps are backed by research on improving A1c and time-in-range—and how to avoid tracking fatigue. 👉 Listener Challenge: Try one app this week. DM me what clicked—or what clashed. 💙 S…
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What your CGM is really telling you—and when it’s wrong CGMs are incredible—but they aren’t mind readers. This episode unpacks how CGMs actually work, why there’s always a 5–15 min lag, and when to trust your gut over your graph. Bonus: how to calibrate without confusing your device. 👉 Listener Challenge: Check in with your symptoms this week. DM m…
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Low-Tech Wins: Tracking Without a CGM or Pump
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6:41Making progress with the tools you actually have You don’t need a CGM or pump to understand your blood sugars. This episode is a love letter to low-tech T1Ds—offering real strategies to track patterns, simplify logging, and get the wins without the overwhelm. 👉 Listener Challenge: Choose one thing to track this week—and DM me what you learned! 💙 Sp…
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How to keep your devices from quitting on you this summer From sunscreen sabotage to sweat-soaked adhesives, summer can be brutal on your T1D tech. This episode unpacks what really causes sensor dropout, plus tips to keep your gear stuck, synced, and stress-free all season long. 👉 Listener Challenge: Try a summer-proofing upgrade for your tech. Tag…
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Avoiding sensor burnout, skin drama, and accuracy fails CGMs don’t lie—but they do get confused if you reuse the same tired skin. This episode breaks down how to rotate your sensor like a pro, avoid “pressure lows,” and keep your skin and your data in sync. Bonus: the science behind sensor accuracy and why rest matters. 👉 Listener Challenge: Try a …
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Special Guest // Endocrinologist Dr. Monica Gomberg
1:00:06
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1:00:06In this conversation, Dr. Monica Gomberg discusses her journey into endocrinology, emphasizing the importance of building long-term relationships with patients. She highlights the complexities of diabetes management, the challenges of accessing endocrinology care, and the role of technology in improving patient outcomes. Dr. Gomberg also addresses …
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Avoiding clogs, scar tissue, and mystery highs with smarter site rotation Your insulin might be fine. Your carb count might be perfect. But if your pump site is tired? That’s where the chaos begins. This episode explains why site rotation matters, what scar tissue does, and how to actually make rotation easy enough to stick with. 👉 Listener Challen…
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Alarm Fatigue, App Overload & Notification Chaos
6:23
6:23
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6:23Taming your diabetes tech before it drives you bananas Is your CGM acting like a toddler with a megaphone? Between alarms, app updates, and data overload, tech can go from helpful to hectic real fast. This episode shares the science behind alarm fatigue—and how to simplify your setup so it actually supports you (not stress you out). 👉 Listener Chal…
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Bluetooth 101: Keep Your Tech on the Same Side
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6:22
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6:22Why your CGM and pump need to be on the same side of your body Your CGM says “No Signal” and suddenly you’re sweating—not from the walk, but from wondering if your blood sugar is tanking. Today’s episode breaks down how Bluetooth really works (hint: your body is a giant meat sponge) and why keeping your devices on the same side can make your tech a…
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Mastering your T1D tech without losing your mind Your CGM beeps in the middle of a meeting—again. Is it a low… or just a Bluetooth tantrum? This episode kicks off our August series: Tech Troubles & Triumphs. We’re talking CGMs, pumps, alarms, and why “just wear the tech” isn’t the full story. Plus, one tiny tweak you can make this week to reduce th…
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Can You Exercise Without a CGM? Not everyone has a CGM – and even if you do, sometimes it fails. This episode teaches you old-school strategies that still work. 📌 Today, We’re Covering: ✔️ How to check BG before, during, and after workouts ✔️ Pre-CGM era strategies for safety and confidence ✔️ Why patterns matter more than single data points 📢 Reso…
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Special Guest // Rob Howe - Diabetics Doing Things
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54:35Rob Howe on Strength, Resilience, and Doing Hard Things From D2 basketball to fatherhood to hosting Diabetics Doing Things, Rob Howe shows what it means to thrive with T1D. Today, we go deep. 📌 Today, We’re Covering: ✔️ Rob’s workouts, cold plunges, and daily mental game ✔️ Strength training hacks for T1Ds ✔️ Why discipline and grace must go togeth…
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How to Plan for the Race (or the Random Dog Walk) Whether it’s a marathon or an unplanned walk with a friend, T1Ds need a strategy. This episode builds your checklist. 📌 Today, We’re Covering: ✔️ Why planned vs spontaneous movement need different prep ✔️ My 5-point pre-movement checklist ✔️ How to feel confident leaving the house 📢 Resources & Link…
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Why Lifting Isn’t Just for Dudes in Tank Tops
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6:33Why Lifting Isn’t Just for Dudes in Tank Tops Think strength training isn’t for you? Think again. This episode unpacks why muscle is your metabolic secret weapon. 📌 Today, We’re Covering: ✔️ How lifting affects insulin sensitivity and BG stability ✔️ Why gyms can feel intimidating—and how to overcome that ✔️ One simple strength move to try this wee…
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Let’s Talk About Basal Insulin Basal insulin affects every workout. This episode unpacks how small tweaks can prevent mid-exercise chaos. 📌 Today, We’re Covering: ✔️ Why aerobic and anaerobic workouts need different basal plans ✔️ My early mistakes and what finally worked ✔️ An elite ultra runner’s basal strategy for endurance 📢 Resources & Links: …
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Stacking Habits (Without Burning Out) Think adding exercise means overhauling your life? Nope. This episode shows how tiny habit stacks can build lasting health. 📌 Today, We’re Covering: ✔️ James Clear’s “habit stacking” secret for movement ✔️ How to add a 3-minute walk without burnout ✔️ Why real change is never dramatic (and that’s good) 📢 Resour…
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By Neil Greathouse
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Special Guest // Ginger Vieira - Movement, Mindset, Blood Sugars
52:46
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52:46Ginger Vieira on Movement, Mindset, and Blood Sugars Powerlifter, coach, author, and T1D powerhouse...today, Ginger Vieira joins the podcast to share what movement taught her about life, diabetes, and trust. 📌 Today, We’re Covering: ✔️ Her 14 powerlifting records and T1D journey ✔️ Why adrenaline spikes your BG—and how to prep ✔️ Real, practical ti…
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Zone 2 Isn’t Just for Triathletes Zone 2 cardio isn’t just for elite athletes - it’s the secret sauce for blood sugar stability, and today we’re breaking it down. 📌 Today, We’re Covering: ✔️ What Zone 2 training actually is (without the jargon) ✔️ Why it’s the most BG-friendly movement for T1Ds ✔️ How to try your first Zone 2 workout this week 📢 Re…
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The Blood Sugar Dip Before the Spike Ever finish a workout only to spike like crazy an hour later? Here’s why it happens—and how to plan for it. 📌 Today, We’re Covering: ✔️ The science behind anaerobic exercise and BG spikes ✔️ My CrossFit spike failures (and learnings) ✔️ A strategy to prep for your next high-intensity workout 📢 Resources & Links:…
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Episode 61 – You Don’t Have to ‘Earn’ Your Movement What if exercise wasn’t punishment for what you ate… but an act of partnership with your body? 📌 Today, We’re Covering: ✔️ Why fitness culture often fails people with T1D ✔️ How to shift from “earning it” to “enjoying it” ✔️ A mindset experiment you can try this week 📢 Resources & Links: ✅ Downloa…
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By Neil Greathouse
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Episode 60 – What If I Crash at the Gym? Fear of lows stopping you from moving? This episode unpacks why it happens and how to finally move forward… one snack at a time. 📌 Today, We’re Covering: ✔️ Why exercise lows are so common with T1D ✔️ How to build trust with movement again ✔️ A simple experiment to get started this week 📢 Resources & Links: …
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You showed up. You pre-bolused. You experimented. And the results? They speak for themselves. This episode is a celebration of the real-life wins we saw in June—and a look ahead to what’s coming in July. 📌 Today, We’re Covering: ✔️ Community wins from the pre-bolus challenge ✔️ Why timing your insulin really is a game changer ✔️ What’s next: our Ju…
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Pre-Bolusing with Inhaled Insulin: Timing, Benefits, and Considerations
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5:35Heard about Afrezza but not sure how it fits into pre-bolusing? This episode breaks down what makes inhaled insulin different—and how it could change your timing game. 📌 Today, We’re Covering: ✔️ How inhaled insulin like Afrezza actually works ✔️ Why its faster action may change when (and if) you pre-bolus ✔️ Key considerations before switching fro…
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You’ve probably heard that pre-bolusing is “a good idea,” but what does the research actually say? This episode walks through the real data—from A1C to mental health—and why those extra minutes matter more than you think. 📌 Today, We’re Covering: ✔️ A1C and TIR benefits from consistent pre-bolusing ✔️ Survey insights on diabetes distress ✔️ How eve…
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Not every victory in T1D is visible on your CGM. Sometimes, the real success is feeling less wrecked after dinner—and more like yourself again. 📌 Today, We’re Covering: ✔️ The emotional aftermath of post-meal spikes ✔️ What invisible progress looks like with T1D ✔️ How pre-bolusing helps you win the mental game too 📢 Resources & Links: ✅ Download t…
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