Your Fear of Lows Is Costing You Time in Range | Type 1 Diabetes

Your Fear of Lows Is Costing You Time in Range | Type 1 Diabetes

The fear of going low is real, and Neil would never talk you out of it. But it's also quietly running a tab, and the bill comes due in time in range. A 2024 study found that people with more fear of hypoglycemia dosed their meals later, and those later doses tracked with lower time in range and more time running high.

Here's the part that should shrink the fear: in the studies that tested pre-bolusing, the lows did not go up. Not in the big pediatric review, not in the 15-minute study. Pre-bolusing isn't more insulin, it's the same insulin at a smarter time. And in a survey of over 1,400 people with type 1, 52% said their fear of lows dropped once they felt more confident dosing. We don't bulldoze the fear. We out-confidence it.

In this episode:

  • How dosing late quietly lowers your time in range
  • The research showing pre-bolusing did NOT increase lows
  • Why confidence, not willpower, is what shrinks the fear
  • Building the safety net before you start

This Week's Challenge: Before you sit down to dinner, put fast carbs on the table, within reach. You don't have to pre-bolus yet. Just get used to the net being there.

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

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Jaksot(228)

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

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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...

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

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...

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

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...

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

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...

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

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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...

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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

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...

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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

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...

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

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...

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