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: 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's why it matters, with real numbers. Researchers found that 27% of meals get a bolus that's either late or skipped, and eating out is one of the biggest reasons, because you can't time what you can't predict. A 2024 study found that later dosing meant lower time in range all evening. So "I'll bolus whenever the food shows up" isn't harmless, it's a measurable hit to your numbers.

In this episode:

  • The one rule for pre-bolusing when you don't control the clock
  • Why 27% of meals get a late or missed bolus (ADA data)
  • How eating out quietly tanks your time in range
  • The "wait until you see the food" strategy for restaurants and delivery

This Week's Challenge: One restaurant or takeout meal. Practice the "wait until you see it" move, dose when the food is in front of you or clearly on its way.

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

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...

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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...

7 Elo 6min

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

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

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...

27 Heinä 56min

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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