Why You Don't Pre-Bolus (you know you should)

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 is the reframe that changes everything: pre-bolusing is not a knowledge problem. Almost nobody with type 1 needs it explained. It's a fear problem, a forgetting problem, and a "the food came late one time" problem. Over the next eight weeks, we fix it gently, using dinner as our meal, with about 1,500 people doing this challenge worldwide.

In this episode:

Why pre-bolusing is the most-ignored advice in type 1 diabetes
The real reason we don't do it, and why it isn't discipline
The one stat that proves you're not the only one (more than 1 in 4 meals gets a late or missed bolus)
Why we're building the whole challenge around dinner

This Week's Challenge: Change nothing. Just notice your blood sugar two hours after dinner. We're taking a "before" picture before we change a thing.

Helpful resources and newsletter: https://yourbestt1dyear.com Connect with Neil: TikTok: https://tiktok.com/@the.betes Instagram: https://instagram.com/thebetes Facebook: https://facebook.com/neilgreathouse LinkedIn: https://linkedin.com/in/neil-greathouse-a607b912 Website: https://yourbestt1dyear.com Books on Amazon: Type 1 Diabetes – One Day at a Time: https://a.co/d/6UHooWJ Type 1 Diabetes – True Stories: https://a.co/d/dfIlyI1

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(228)

Do You Still Pre-Bolus on a Closed-Loop Pump? | Control-IQ, Omnipod 5

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 st...

10 Elo 5min

Missed and Late Insulin Boluses: What to Do | Type 1 Diabetes

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...

7 Elo 6min

Why Pizza Spikes Your Blood Sugar at Midnight | Fat, Protein & T1D

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 exp...

5 Elo 6min

How to Pre-Bolus at Restaurants and Takeout | Type 1 Diabetes

"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: rest...

3 Elo 6min

Start Pre-Bolusing With Just 5 Minutes | Type 1 Diabetes Habit

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 st...

31 Heinä 7min

Why Dinner Is the Best Meal to Start Pre-Bolusing | Type 1 Diabetes

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 lev...

29 Heinä 5min

Pre-Bolusing, Fear of Lows, and What Your Endo Really Sees on Your CGM // Dr. Monica Gomberg from Blue Circle Health

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 Bl...

27 Heinä 56min

You're Closer to Pre-Bolusing Than You Think | Type 1 Diabetes

A short, warm one before the start line. Neil reminds you how far you've already come. Three weeks ago, pre-bolusing was a scary thing you knew you should do and didn't. Now you've named the fear, you...

24 Heinä 4min