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Your Best T1D Year

Your Best T1D Year

Neil Greathouse 209 Episodes Jul 3, 2026

Your Best T1D Year is a podcast dedicated to helping people manage Type 1 Diabetes with practical strategies, mindset shifts, and humor. Each episode is about 5 minutes long and airs on Mondays, Wednesdays, and Fridays. Hosted by Neil Greathouse, the show aims to make diabetes management feel easier through small, actionable habits.

Episodes

The After-Dinner Blood Sugar Spike, Explained | T1D Pre-Bolus Challenge Jul 3, 2026 322 SHOW NOTES: You counted the carbs. You took the right dose. Two hours later you’re 240, and you have no idea why. If that number breaks your heart a little, this episode is for you. Neil sits in the problem of the post-meal spike, the one that feels like a personal failing but almost never is.This is the roller coaster every person with type 1 diabetes knows: spike, correct, drift low, sn
Why You Don't Pre-Bolus (you know you should) Jul 1, 2026 366 SHOW NOTES: You already know you should pre-bolus. Your endocrinologist has told you. Every diabetes educator has told you. And you still dose with your first bite, same as the rest of us. Neil Greathouse, who has lived with type 1 diabetes since 1992, kicks off The Head Start, an eight-week challenge all about pre-bolusing your insulin, by admitting he doesn't do it perfectly either.Here
While You Were Sleeping Challenge Finale Jun 29, 2026 377 SHOW NOTES:Eight weeks ago, Neil asked you to do one thing: write down how many hours you slept last night. That was the whole challenge. That was where it started. One number. And here we are.This is the finale of the While You Were Sleeping Challenge -- 24 episodes, 8 weeks, and the most thorough look at sleep and type 1 diabetes that Your Best T1D Year has ever done. Neil closes with t
The One Sleep Habit That Improves T1D Time in Range Jun 22, 2026 371 SHOW NOTES: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 at the same time every night.This is not a joke, and it's not oversimplified. It's the finding from the 2023 T1D sleep study with 76 parti
What "Good Enough" Sleep Actually Looks Like When You Have Type 1 Diabetes Jun 19, 2026 357 SHOW NOTES: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 benchmarks (the 8-hour standard, the 90% sleep efficiency score, the deeply uninterrupted ideal), Neil is here to tell you, with genuine care, that
How to Use Your Overnight CGM Data to Improve Sleep and Blood Sugar Jun 17, 2026 349 SHOW NOTES: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 overnight pattern. It has been very patient about all of this.Most T1D people use their CGM reactively at night. The alarm fires, you check, y
T1D Sleep Hygiene: The One Pre-Sleep Habit That Actually Makes a Difference Jun 15, 2026 360 SHOW NOTES:"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 when life gets in the way.It's about one thing. Just one. Because T1D brains are very good at building complicated systems -- we've been doi
Late-Night Exercise and Blood Sugar: What Your Evening Workout Does to Your T1D Overnight Jun 12, 2026 426 SHOW NOTES: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 sleep quality and overnight glucose in type 1 diabetes. Afternoon and evening exercise produce very different results -- not because exercise
T1D Sleep Stages Explained: Why You're Exhausted After 7 Hours of Sleep Jun 10, 2026 411 SHOW NOTES: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 type 1 diabetes disrupts the sequence. The most important stage, slow-wave sleep (NREM Stage 3), is where your body does its deepest repair w
Fear of Hypoglycemia: The T1D Sleep Problem That Doesn't Show Up in Your CGM Data Jun 8, 2026 431 SHOW NOTES: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, peer-reviewed phenomenon in T1D populations -- a specific pattern of nighttime hypervigilance that persists even when blood sugar is stable. The
Cortisol and Blood Sugar: The T1D Overnight Connection You're Probably Missing Jun 5, 2026 422 SHOW NOTES: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 looks like.This episode is about cortisol: what it's designed to do, what it's actually responding to in modern life ("quick question" emai
How Bedroom Temperature and Blue Light Affect Blood Sugar in Type 1 Diabetes Jun 3, 2026 463 SHOW NOTES: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 all of it, it specifically applies to T1D glucose management, and he read most of it at midnight on his phone in bed with the screen at full b

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