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Your Best T1D Year

Your Best T1D Year

Neil Greathouse 209 Episodes Aug 21, 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

Is It OK to Dose Insulin After a Meal for Kids? | ISPAD Guidelines, T1D
Is It OK to Dose Insulin After a Meal for Kids? | ISPAD Guidelines, T1D Aug 21, 2026 348 Here's the permission slip every T1D parent needs: with a young child, dosing during or after the meal is not cheating. It's not failing at pre-bolusing. It is, in plain black and white in the international pediatric diabetes guidelines, an okay thing to do. Parents, exhale.The people who write the rules for kids with type 1, ISPAD, carve out a specific exception for infants and toddlers
Pre-Bolusing for a Picky Toddler with Type 1 Diabetes | Combo Bolus
Pre-Bolusing for a Picky Toddler with Type 1 Diabetes | Combo Bolus Aug 19, 2026 372 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: dose for the part you're sure they'll eat, then give
Pre-Bolusing & Why Your Tech Can't Save You Alone // Natalie, Bellini, DNP
Pre-Bolusing & Why Your Tech Can't Save You Alone // Natalie, Bellini, DNP Aug 17, 2026 3252 She stopped counting years with type 1 a long time ago. Natalie Bellini counts days... more than 20,000 of them. This week Neil finally gets his dream guest: Natalie Bellini, DNP, FNP-BC, BC-ADM, CDCES, nurse practitioner, assistant professor of medicine at Case Western Reserve University, and program director for diabetes technology at University Hospitals in Cleveland. She has lived wit
Pre-Bolusing and Still Spiking? Check Your Carb Count | Type 1 Diabetes
Pre-Bolusing and Still Spiking? Check Your Carb Count | Type 1 Diabetes Aug 14, 2026 365 You pre-bolus. You give it the 15 minutes. You watch the arrow. And you're still spiking. Don't throw out the challenge, that spike is a clue. Neil puts on the detective hat, because timing is huge, but it isn't the only dial on the dashboard.If your timing's perfect and you're still climbing, the amount may be the problem, and the most common culprit is the carb count. A study by Brazeau
Fiasp, Lyumjev & Afrezza: Do You Still Need to Pre-Bolus? | T1D
Fiasp, Lyumjev & Afrezza: Do You Still Need to Pre-Bolus? | T1D Aug 12, 2026 452 "Neil, I use Fiasp, or Lyumjev, or Afrezza, do I even have to wait?" Great question, and this episode gets genuinely nerdy about the answer. Fiasp and Lyumjev are ultra-rapid analogs, built with ingredients (niacinamide in Fiasp, citrate and treprostinil in Lyumjev) that speed up subcutaneous absorption. Afrezza is inhaled Technosphere insulin with a Tmax around 12 to 15 minutes that deli
Do You Still Pre-Bolus on a Closed-Loop Pump? | Control-IQ, Omnipod 5
Do You Still Pre-Bolus on a Closed-Loop Pump? | Control-IQ, Omnipod 5 Aug 10, 2026 327 If you're on a closed-loop system, Control-IQ, Omnipod 5, or Loop, you've probably wondered whether the algorithm means you're off the hook for pre-bolusing. Neil has to be the one to tell you: you still do it. These systems are an incredible co-pilot, but they're not a self-driving car you can nap in.Here's the reason, with a real number. In Omnipod 5 data, when people skipped the meal b
Missed and Late Insulin Boluses: What to Do | Type 1 Diabetes
Missed and Late Insulin Boluses: What to Do | Type 1 Diabetes Aug 7, 2026 392 Some nights you do everything right and it still goes sideways. The dinner party, the cookout with the moving-target food, the night you're so fried you only remember to bolus while scraping the plate. This is permission day. Missing doesn't mean you failed the challenge, it means you have a life with other humans in it.Neil gives the real-life moves for the messy nights, and grounds them
Why Pizza Spikes Your Blood Sugar at Midnight | Fat, Protein & T1D
Why Pizza Spikes Your Blood Sugar at Midnight | Fat, Protein & T1D Aug 5, 2026 384 Some meals spike you and move on. Pizza spikes you, waves goodbye, and comes back four hours later like a horror-movie villain. If you've ever been 110 at bedtime and 260 at midnight, this episode explains the ambush, and it's backed by real research.A 2013 study led by Howard Wolpert in Diabetes Care fed people the same carbs, but one meal was high in fat. The high-fat meal required abou
How to Pre-Bolus at Restaurants and Takeout | Type 1 Diabetes
How to Pre-Bolus at Restaurants and Takeout | Type 1 Diabetes Aug 3, 2026 376 "It'll be right out" might be the most cursed sentence in all of type 1 diabetes. August is about making your pre-bolus habit survive the real world, and we start with the hardest place to do it: restaurants and delivery, where you don't control the clock. Neil's move is simple, wait for proof of life. Dose when you can actually see the food heading your way, not a second sooner.And here'
Start Pre-Bolusing With Just 5 Minutes | Type 1 Diabetes Habit
Start Pre-Bolusing With Just 5 Minutes | Type 1 Diabetes Habit Jul 31, 2026 432 You do not have to be a pre-bolus athlete on day one. If "10 to 15 minutes" felt like too much, Neil takes the pressure all the way down: start with five minutes. Even five to seven minutes of head start beats dosing with your first bite, because insulin is a slow sunrise, not a light switch. Then you build, five, then seven, then ten, creeping up to your sweet spot.Neil closes out month
Why Dinner Is the Best Meal to Start Pre-Bolusing | Type 1 Diabetes
Why Dinner Is the Best Meal to Start Pre-Bolusing | Type 1 Diabetes Jul 29, 2026 349 If pre-bolusing were a video game, breakfast would be the level everybody rage-quits on. You're rushed, half asleep, and half of us don't even eat it. So we don't start there. We start on the easy level: dinner. Neil makes the case that dinner is the cheat code for learning to pre-bolus.Three reasons: you see it coming (you've had all day to plan), you're usually home and control the cloc
Pre-Bolusing, Fear of Lows, and What Your Endo Really Sees on Your CGM // Dr. Monica Gomberg from Blue Circle Health
Pre-Bolusing, Fear of Lows, and What Your Endo Really Sees on Your CGM // Dr. Monica Gomberg from Blue Circle Health Jul 27, 2026 3414 We all know we're supposed to pre-bolus. We've known for years. So why do almost none of us actually do it? This week Neil steals an hour with Dr. Monica Gomberg, board certified endocrinologist at Blue Circle Health and, as far as this podcast is concerned, America's Endocrinologist.This is the conversation you wish you could have if your endo appointment lasted longer than 15 minutes. D

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