Your Best T1D Year

Show Notes

Everyone with type 1 diabetes has heard of the Rule of 15. Treat a low with 15 grams of fast-acting carbs, wait 15 minutes, and recheck. Simple. Logical. Universally ignored.

In this episode, we break down why the Rule of 15 sounds great on paper but completely falls apart in real life. We talk about what actually happens to your brain during a low, why waiting feels impossible, and how “just in case” turns into rebound highs, frustration, and guilt.

This isn’t about shaming you for not following the rule. It’s about understanding why it’s har...

Show Notes

If you’ve ever brushed off a low blood sugar because you were busy, embarrassed, or convinced you could “power through,” this episode is for you. In this one, I tell the story of the only time I’ve ever passed out from a low, on the floor of a Bob Evans restaurant, and what it permanently changed about how I treat blood sugars.

We talk about how easy it is to ignore early warning signs, why low-blood-sugar brain convinces you you’re fine when you’re not, and how waiting too long turns a mana...

Show notes
Most of us treat lows with whatever is closest, juice, crackers, cookies, cereal, and then act surprised when we’re 250 an hour later. This episode walks through why glucose tablets beat Oreos, juice boxes, and random pantry snacks when it comes to speed, control, and preventing rebound highs.​

You’ll hear the science behind glucose tabs, including research showing they relieve hypoglycemia symptoms faster and more reliably than food, plus how fat, fiber, and fructose slow everything down and trick your brain into overtreating. We also talk about how using food as low treatment quietl...

Show notes
If it feels like every low blood sugar ends with you stuck at 240 and wondering what just happened, you’re not imagining it. This episode breaks down why over‑treating lows quietly wrecks your graph, your energy, and your long‑term risk, even when you think you’re just “saving your life” with snacks.​

You’ll hear how hypoglycemia followed by big rebounds triggers oxidative stress and blood vessel damage, why that “eat the entire kitchen” instinct is so strong, and what the research actually says about gradual correction versus slingshotting into hyperglycemia. This is the kickoff to a...

The final episode of 2025 is part celebration, part science, all community. Neil reflects on the biggest lessons, wins, stumbles, and connections - and shares what's next for Your Best T1D Year in 2026.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

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Blue Circle Health offers fr...

Want to beat "National Quitters Day" and actually love January? Neil shows why starting your habit plan before the calendar flips is proven to work - early commitment changes outcomes.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits real life...

Feeling pressure to overhaul everything after the holidays? Neil dismantles the "reset" myth, shows how micro-habits change blood sugars and burnout, and gives you permission to ditch perfection for progress.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fi...

It's Christmas Eve and you made it. This episode celebrates doing the little things, real-life T1D holiday stories, and the one decision that matters for finishing strong and starting 2026 right.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching an...

Stacey Simms, host of Diabetes Connections and creator of Mom's Night Out, shares her favorite T1D moments from 2025, what surprised her, what disappointed her, and the unsung habits actually working for families.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

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Blue Circle Health offers free coaching and care that fits real life. Sign...

Breakthroughs happen when you decide, not at your next doctor's visit. This high-energy episode explores how small, intentional decisions outlast resolutions, with real listener wins and zero perfection required.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits re...

Ever wonder why specific habits show up on the roadmap? Neil unpacks the exact science, psychology, seasonal logic, and behavioral research behind each T1D habit-and why stacking them changes everything.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and ca...

Neil breaks down the data-driven, expert-approved 2026 roadmap-six habits timed with the seasons, why they work, when to do them, and how to win all year with community support.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits real life. Sign up free: bluecirclehealth.org

The quiet wins matter most - the ones nobody applauds but change everything. This episode is all about micro wins, why community makes the difference, and how to celebrate yourself this season.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and...

From brick-sized meters to CGMs that talk to pumps, this episode celebrates measurable progress—73% now use CGMs, AID systems boost time-in-range by 11%, and families finally sleep better.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits...

Naomi Garlick, founder of Glow Glucose Gummies, shares her 20+ year T1D journey, the moment she decided "enough," and how she turned frustration into a product the diabetes community actually loves.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and...

Neil shares his 2025 glucose tablet shift—how treating lows consistently with 15g doses reduced rebound highs by 50%, stopped roller coaster spikes, and changed his entire year.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits real life. Si...

Real stories from the T1D community - Whitney's brave restart, a mom who finally slept, and why connection reduces diabetes distress by 30% and changes outcomes for the better.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits real life. Sign up...

This episode reflects on the wins, struggles, and invisible victories of living with T1D in 2025—from glucose tablets to community connections and everything that didn't show up on a CGM but counted anyway.

What You Can Do Today

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Heal...

Happy day after Thanksgiving. This weekend is all naps, leftovers, and “one more plate” without a clock. This episode gives you a tiny move to reset after the big day so you roll into December energized, plus a preview of what’s coming next month.

What You’ll Learn

Tomorrow is Thanksgiving, which means airports, couches and plates large enough to qualify as furniture. Holidays amplify every off track habit at once. This episode offers one tiny lever to survive the chaos so you can enjoy the day without waking up Friday in correction mode.

What You’ll Learn

Neil sits down with Dr. David Ahn, endocrinologist and nationally recognized diabetes educator, to talk about what happens when life gets heavy and you drift off track with type 1 diabetes.

They dig into burnout, shame, small wins, and why most people aren’t failing...they’re overwhelmed. Dr. Ahn breaks down the emotional side of T1D, why community matters more than you think, and how realistic steps (not perfect ones) help you regain momentum.
 It’s a conversation about compassion, clarity, and building daily habits that lighten the load...because perfection isn’t the goal. Traction...

Getting off track loves chaos disguised as productivity. Fifteen alerts, ten graphs you never open ... it feels busy but not better. This episode is about keeping the good noise and ditching the rest, and setting up a weekly look‑back that takes just ten minutes.

What You’ll Learn

Off track loves small surprises ... a meeting that runs long, a ride that takes longer, or a meal that drags on. This episode helps you build backup plans you’ll actually use so surprises don’t become big problems.

What You’ll Learn

Travel and holiday meals pour gasoline on drift. This episode is about shrinking the chaos so you can make one good decision at a time when the calendar gets loud.

What You’ll Learn

Off track loves to hide in foods we think we know. This episode helps you rebuild carb confidence without a spreadsheet so numbers stay calmer and corrections smaller.

What You’ll Learn

Getting off track hides in background noise and tiny skips. This episode is about turning down the static so the important stuff stands out.

What You’ll Learn

Tiny Levers
Choose one lever for the next seven days:

Neil sits down with Nate Checketts, CEO and co-founder of Rhone and former chairman of Beyond Type 1, to talk about what it really means to reset after you drift off track.

They unpack how leadership, fatherhood, and living with type 1 diabetes all intersect...and how small, consistent actions (not massive overhauls) can rebuild momentum when you’ve lost it.

It’s a conversation about grace, discipline, and building systems that make resets easier...because perfection isn’t the goal. Traction is.

What You’ll Learn

• Why even disciplined people drift...and how to...

Comebacks aren’t overnight. This episode talks about honest timelines and the moments that tap you on the shoulder and say “pay attention.”

What You’ll Learn

Course Correction Steps
Notice which shoulder‑tap moment is talking to you right now. Is it numbers, y...

Hydroplaning is what happens when your car slides where it wants ... and it’s how T1D can feel when numbers drift despite “doing everything right.” This episode puts words to that feeling.

What You’ll Learn

Course Correction Steps
Finish the line “If I want my edge back b...

How we drift off track in T1D management and why it happens quietly. It’s less about dramatic crashes and more about the slow blur of basic habits.

What You’ll Learn

Course Correction Steps

Audit your routine by listing the habits you...

How to build clinical, personal, and peer support teams that actually reduce diabetes distress. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• Support team types - Clinical, personal, and peer support networks
• Gap identification - How to spot missing support areas
• Team building - Simple steps to expand your support network
• November preview - 'Mind the Gap' theme for getting back on track

Three Support Teams
Clinical: Endocrinologist, educator, primary care | Personal: Family, friends, people who check in...

How to audit and adjust your CGM and pump alarms to reduce tech-related diabetes distress. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• Alarm fatigue - Why too many alerts increase stress and burnout
• Settings audit - How to review and adjust CGM/pump thresholds
• Alert zones - Different settings for day vs night
• Smart silence - Using snooze strategically to manage mental load

Tech Clean-Up Steps

Neil Greathouse sits down with clinical psychologist Dr. Bill Polonsky, founder of the Behavioral Diabetes Institute and one of the pioneers behind the concept of diabetes distress.
They unpack what diabetes distress really is (and what it isn’t), why it’s so common, and how both people with T1D and their caregivers can navigate the emotional weight of this disease without shame or burnout.
This conversation is equal parts validation and practical encouragement—proof that you’re not broken, you’re just managing something relentlessly difficult.

What You’ll Learn

• The difference bet...

Why connecting with other T1Ds can reduce diabetes distress and where to find real support. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• Support types - Formal groups, online communities, one-on-one connections
• Research benefits - How peer support reduces distress and builds confidence
• Finding community - Where to connect with people who actually get it
• Quality markers - Empathy and 'me too' moments vs judgment

Support Options

Formal Groups: Clinic or nonprofit programs | Online Communit...

Practical mindfulness techniques that actually work for people with type 1 diabetes. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• Practical techniques - CGM pause, 60-second reset, name without judgment
• Research benefits - How mindfulness reduces distress and improves decisions
• Real-life application - No mountaintop meditation required
• Quick practices - 10 minutes daily makes a measurable difference

Three Simple Techniques

Research shows two proven approaches to reducing diabetes distress - skills-based and emotion-focused. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• T1-REDEEM study results - Two proven paths to reduce diabetes distress
• Skills-based approach - Problem-solving, decision-making, management confidence
• Emotion-focused approach - Self-compassion, burnout coping, emotional load
• Path selection - How to identify which approach you need right now

Two Proven Approaches
Skills Path: Better troubleshooting, updated settings, management refreshers

Feelings Path: Self-compassion, emotiona...

How to identify your personal diabetes distress triggers with a simple tracking method. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• Trigger identification - Simple method to spot your diabetes distress patterns
• Tracking technique - What happened, what triggered it, how you felt
• Pattern recognition - How to map recurring stress points
• Actionable data - Using trigger info to address root causes

Simple Tracking Method

The 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 the 28-question version provides specific insights
• Personalized results - Why seeing exact struggle areas matters
• Solution guidance - How detailed scores guide targeted interventions

The 7 Distress Categories

The 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 to the person living with type 1 diabetes, but to the person who loves them, supports them, and sometimes carries the weight right alongside them.

This is the...

Your 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 as information, not self-criticism
• Self-comparison - Why comparing only to yourself matters
• Actionable insights - How to identify which questions hit you hardest

Key Takeaways
Your score isn't a grade. Distress scores a...

When 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 about what each version asks, why shorter isn’t always simpler, and how both can start important conversations about burnout, anxiety, and the weight of T1D management. If you’ve ever wondered how distress is mea...

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 works and what scores mean
• Cut points - Low (below 2.0), moderate (2.0-2.9), and high (3.0+) distress levels
• Assessment versions - Quick 7-question vs detailed 28-question options

The 7 Key Questions
Feeling overwhelmed by diabetes demands | Feeling like you're failing with you...

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 distress differs from clinical depression
• ADA recommendations - Why screening both conditions separately matters
• Different support needs - Why distress and depression require different approaches

Key Takeaways

Distress ≠ depression. While they can overlap, diabetes distress and clinical depression require di...

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
• Research history - From the PAID scale (1990s) to the T1-DDS today
• Key statistics - Why 40% of T1Ds experience moderate to high distress
• Assessment tools - Introduction to the T1-DDS-7 and 28-question versions...

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 anywhere: breath, grounding, and a micro self-compassion reset. We close with how to try Sangha for free and what’s next.

What you’ll learn

Summary

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

Try this today

Pick one micro reset and do it once. “Resets in seconds matter.”

Resources

Reset Bingo card and newslett...

Summary

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

Try this today

Five minutes before lights out… no phone, one stretch, one breath pattern, one line of gratitude.

Resources

Reset Bingo card and newsle...

Summary

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

Try this today

Ease in for five minutes, then wait...

Summary

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

Try this today

When the alarm blares, label it, move, then ask “What’s really happening” and “What’s my next smallest step.”

Resources

Reset Bingo card and newsletter: yourbe...

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

Try this today

Block five minutes after a meeting or before lunch. Treat it like medicine.

Resources

Reset Bingo ca...

Episode 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-fire True or False, and wrap with a vulnerable Confession Booth that’ll make you feel a little less alone.    

What you’ll learn

Summary

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

Try this today

Breathe or doodle for two minutes, then eat. Notice the difference.

Resources

Reset Bingo card and newsletter: yourbestt1dyear.com

Duration: 00:06:12

Summary

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

Try this today

Say “Huh… interesting,” write three possible causes, then act.

Resources

Reset Bingo card and newsletter: yourbestt1dyear.com

Sponso...

Summary

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

Try this today

Pick one tool, use it once, log the result on your Bingo card.

Resources

Reset Bingo card and...

Summary

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

Try this today

Before your next bolus or meeting, take five. Breathe, stretch, step outside.

Resources

Re...

Summary

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

Try this today

Do one short reset and write down what changed in you...

Summary

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 minute reset, mental load.

What you’ll learn

Knowing 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. What gave it away?
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Doing it with a rebellious sensor shouldn’t be.
🎯 Get free support from real...

Understanding 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 “wait… how did it know that?” pump moment
💙 Sponsored by Blue Circle Health:
They get the tech, the math, and the mental load.
🎯 Sign up free at bluecirclehealth.org

📲 Connect with me:
In...

In 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 Justin’s diagnosis and better questions.

• Dual hormone sounds great, but complexity can beat convenience.

• The Mobi bolus button is clutch when your phone isn’t handy.

• Open-source is already doing dynamic learning and u...

Choosing 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.
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get free support from real endos, educators, and coaches at bluecirclehealth.org

📲 Let’s connect:
Instagram: @thebete...

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 me your wildest CGM misread story!
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get free virtual care from real endos, educators, and coaches at bluecirclehe...

Making 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!
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get free virtual care from real endos, educators, and coaches at bluecirclehealth.org

📲 Let’s connect...

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 me or DM your setup!
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get free virtual care from real endos, educators, and coaches at bluecirclehealth.org

📲 Let’s connect...

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 new sensor site and let the old one rest. DM your go-to spot or CGM fail story!
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get fre...

 In 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 the emotional aspects of living with diabetes, the need for patient empowerment, and the innovative solutions offered by Blue Circle Health to bridge gaps in diabetes care.

Takeaways

Dr. Gomberg emphasizes the importance of long-term patient relationships in endocrinology.
Diabetes management is influenced by various life factors a...

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 Challenge: Try a brand new site location this week. DM me your best pump site hacks!
💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get free virtual care from real end...

Taming 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 Challenge: Pick one alert to silence, adjust, or rename. Bonus points for the funniest low-alert title.

💙 Sponsored by Blue Circle Health:
Managing T1D is hard. Getting care shouldn’t be.
🎯 Get free virtual care...

Why 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 actually work like it’s supposed to. Plus, a stat about CGM gaps that’ll make you rethink your setup.

👉 Listener Challenge: Try a full day of “same-side set...

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 the chaos.

👉 Listener Challenge: Pick one tech frustration and make one small adjustment. DM me your story!

💙 Sponsored by Blue Circle Health:

Managing T1D is hard. Getti...

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

📢 Resources & Links:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @th...

Rob 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 together

📢 Resources & Links:

✅ Follow Rob on Instagram: @robhowe21

✅ Listen to Diabetics Doing Things: Podcast Link

✅ Download the T1D Mo...

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 & Links:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @th...

Why 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 week

📢 Resources & Links:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Fol...

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:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅ Read my new book...

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)

📢 Resources & Links:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅ Rea...

Ginger 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 tips for movement with T1D

📢 Resources & Links:

✅ Find Ginger’s book: Exercise with Type 1 Diabetes

✅ Connect with Ginger on Instagram: @gingervieira.t1d...

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

📢 Resources & Links:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes Duration: 00:07:08

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:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @t...

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:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅...

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:

✅ Download the T1D Movement Planning Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

...

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 July challenge on insulin stacking

📢 Resources & Links:
✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
✅ Grab the new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluecirclehealth...

Heard 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 from injected insulin

📢 Resources & Links:
✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
✅ Follow me on Instagram: @thebetes
✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluecirclehealth.org Duration: 00:05:35

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 even small changes can shift your daily experience

📢 Resources & Links:
 ✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
 ✅ Follow me on Instagram: @thebetes
 ✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn mo...

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 the Pre-Bolus Pocket Guide → yourbestt1dyear.com
✅ Follow me on Instagram: @thebetes
✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluecirclehealth.org

🚀 New episodes every Mond...

Pre-bolusing is like flossing. Everyone says they do it. Most people… don’t.

This episode unpacks the real-life tools—from timers to cheese sticks—that make pre-bolusing possible, even on the busiest days.

📌 Today, We’re Covering:
✔️ Physical tools to trigger and time your dose
✔️ Mental and social hacks that actually work
✔️ How to build a system you’ll actually use

📢 Resources & Links:
✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
✅ Follow me on Instagram: @thebetes
✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluec...

So you’ve got an AID system… why are you still spiking like it’s 2007?
This episode explains why tech doesn’t cancel out pre-bolusing—and how to make it work better with automation.

📌 Today, We’re Covering:
 ✔️ What AID systems like Omnipod 5 and Control-IQ do well
 ✔️ Why you still need to pre-bolus (just differently)
 ✔️ Tips for syncing your timing with your tech

📢 Resources & Links:
 ✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
 ✅ Follow me on Instagram: @thebetes
 ✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: blu...

You ever pre-bolus, feel like you nailed it… and then someone says, “We forgot the chicken’s still frozen”? 
Yeah. Same. This episode is about recovering when plans change fast.

📌 Today, We’re Covering:
✔️ Common ways pre-boluses go off-script
✔️ What to do when you’re dropping and dinner’s not ready
✔️ Strategies for recovery (without the shame spiral)

📢 Resources & Links:
✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
✅ Follow me on Instagram: @thebetes
✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluecirclehealth.org

...

Ever feel like insulin and food are running on different clocks?
 This episode breaks down the “magic window” where timing your dose actually lines up with your meal—and how to find it.

📌 Today, We’re Covering:
 ✔️ What the “pre-bolus window” really means
 ✔️ Why 15 minutes isn’t a one-size-fits-all answer
 ✔️ How to find your timing by starting with one meal

📢 Resources & Links:
 ✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
 ✅ Follow me on Instagram: @thebetes
 ✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
 ✅ Learn more or sign up for free care: bluecirclehealth.org

Pre-bolusing can sound simple on paper—but in real life?
It messes with your timing, your confidence, and your entire sense of control. And sometimes, it just feels like too much.

So today, you’re getting something special: Chapter 1 of the new book, Type 1 Diabetes – True Stories—read by the author. 
Because if you’ve ever felt like you’re doing this “wrong,” you’re not alone.

📌 Today, We’re Covering:
 ✔️ Why pre-bolusing feels harder than it looks
 ✔️ The power of real-life T1D stories
 ✔️ A free chapter reading from the new book

📢 Resources & Links...

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, We’re Covering:
✔️ How pre-bolusing impacts A1C and time in range
✔️ What real-life feedback says about the mental load
✔️ Why I wrote “Type 1 Diabetes – True Stories”

📢 Resources & Links:
✅ Grab the Pre-Bolus Pocket Guide → yourbestt1dyear.com
✅ Buy the book on Amazon or Audible: Type 1 Diabetes – True Stories
✅ Follow on Instagram: @t...

There’s a reason pre-bolusing feels risky—it’s not just about timing insulin. 
It’s about the fear of crashing when your food gets delayed.

📌 Today, We’re Covering:
 ✔️ Why the fear of lows is valid (and common)
 ✔️ What helped me start experimenting with pre-bolusing
 ✔️ Practical tips for safer timing

📢 Resources & Links:
 ✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
 ✅ Follow me on Instagram: @thebetes
 ✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluecirclehealth.org

🚀 New episodes every Monday, Wednesday, and F

Carbs are fast. Insulin is… not.
This episode breaks down the biology—and how pre-bolusing flips the script.

📌 Today, We’re Covering:
 ✔️ How food vs. insulin timing actually works
 ✔️ What causes that classic post-meal spike
 ✔️ The first step to better blood sugar curves

📢 Resources & Links:
 ✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com
 ✅ Follow me on Instagram: @thebetes
 ✅ Read my new book: Type 1 Diabetes – True Stories (Amazon & Audible)
✅ Learn more or sign up for free care: bluecirclehealth.org

🚀 New episodes every Monday, Wednesday, and Friday. Hit subscribe!

Let’s Talk Pre-Bolusing (Without the Shame)

Tired of feeling like you’re defusing a bomb every time you try to pre-bolus?

You’re not alone—and this episode sets the tone for the entire month.

📌 Today, We’re Covering:

✔️ Why pre-bolusing feels so hard

✔️ What we’ll tackle together this month

✔️ A zero-shame invitation to experiment

📢 Resources & Links:

✅ Download the Pre-Bolus Pocket Guide → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Read my new book: Type 1 Diab...

You spent a month working on one of the most overlooked parts of T1D management: sleep. Here’s why that matters more than you think — and what’s next.

📌 Today, We’re Covering:

✔️ The real wins you built this month

✔️ Why paying attention to sleep changes everything

✔️ What June’s pre-bolus challenge is all about

📢 Resources & Links:

✅ Get your free One Sheet Journal → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅ Read my book: “Type 1...

CGMs, pumps, closed loops — lifesavers by day, sleep wreckers by night. Here’s how to tune the tech without losing your mind (or your rest).

📌 Today, We’re Covering:

✔️ How diabetes tech affects sleep

✔️ Smart ways to adjust alarm settings

✔️ Why you’re allowed to customize your survival

📢 Resources & Links:

✅ Get your free One Sheet Journal → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅ Read my book: “Type 1 Diabetes – One Day at a Time”

🚀 Ne...

This one’s for the parents, the partners, and the quiet heroes behind the scenes. You’re not crazy — you’re just exhausted. And it matters.

📌 Today, We’re Covering:

✔️ How caregiving wrecks sleep

✔️ The emotional cost of nighttime checks

✔️ Why accepting help isn’t weakness — it’s wisdom

📢 Resources & Links:

✅ Get your free One Sheet Journal → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅ Read my book: “Type 1 Diabetes – One Day at a Time”

We know sleep matters. So why do we stay up scrolling anyway? Let’s talk about the real stuff — and the small moves that fix it.

📌 Today, We’re Covering:

✔️ The sneaky reasons we delay bedtime

✔️ How to build a simple nighttime routine

✔️ Why small changes matter

📢 Resources & Links:

✅ Get your free One Sheet Journal → yourbestt1dyear.com

✅ Follow me on Instagram: @thebetes

✅ Follow me on TikTok: @the.betes

✅ Read my book: “Type 1 Diabetes – One Day at a Time”

🚀 New...