What a Flat CGM Line Feels Like After Meals | Time in Range, T1D

What a Flat CGM Line Feels Like After Meals | Time in Range, T1D

Remember day one, when the after-dinner spike was just the rent you paid for eating? Now think about last week, when you pre-bolused, ate, and looked down at a flat, boring, beautiful CGM line. This episode is about that feeling, because that feeling is the whole point.

Neil shares what people describe when it clicks, not the number, but "I didn't have to correct," "I wasn't cranky all evening," "I forgot I had diabetes for a couple hours." And he grounds it in the science: a 2019 study by Beck found that every 10% you add to your time in range is roughly a 0.6% drop in your A1C, and a re-analysis of the DCCT linked higher time in range to lower rates of microvascular complications, your eyes and kidneys. That flat line isn't just a calmer evening, it's years.

In this episode:

  • Why the first flat post-meal line feels so good
  • What time in range actually buys you, day to day
  • The Beck study: every 10% more time in range ~ 0.6% lower A1C
  • How better time in range protects against long-term complications

This Week's Challenge: Catch one flat line and actually notice it. Don't scroll past your own CGM, look at it, and say, "I made that happen." Credit the win.

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(234)

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

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 interna...

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Pre-Bolusing for a Picky Toddler with Type 1 Diabetes | Combo Bolus

Pre-Bolusing for a Picky Toddler with Type 1 Diabetes | Combo Bolus

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. ...

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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

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17 Elo 54min

Pre-Bolusing and Still Spiking? Check Your Carb Count | Type 1 Diabetes

Pre-Bolusing and Still Spiking? Check Your Carb Count | Type 1 Diabetes

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, b...

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Fiasp, Lyumjev & Afrezza: Do You Still Need to Pre-Bolus? | T1D

Fiasp, Lyumjev & Afrezza: Do You Still Need to Pre-Bolus? | T1D

"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 ingre...

12 Elo 7min

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...

10 Elo 5min

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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