Every Reason You Don't Pre-Bolus (and why they're all valid)

Every Reason You Don't Pre-Bolus (and why they're all valid)

SHOW NOTES: Here’s the quiet part said out loud: the reason you don’t pre-bolus is not that you’re lazy or that you don’t care. It’s that it scares you. Neil names the specific fear at the center of the whole challenge, the fear of going low before the food arrives, and tells you the truth, 34 years in, it still scares him too.


This is the episode nobody put in the pamphlet. The pamphlet says “pre-bolus 15 minutes before your meal” and leaves you alone with the little spike of panic when the arrow turns down and the food isn’t ready. Neil validates that fear completely, because it’s not a character flaw, it’s your survival brain doing its job. And then he promises what’s coming: not pretending the fear away, but out-preparing it.

In this episode:

  • The fear of hypoglycemia and why it stops us from pre-bolusing

  • Why that fear is normal, rational, and not a personal weakness

  • What the pamphlets never tell you about insulin timing

  • How we’re going to face the fear instead of ignoring it

This Week’s Challenge: The next few times you decide NOT to pre-bolus, catch yourself and notice what you’re feeling. Fear? Forgetting? No time? Just get honest about it.


Helpful resources and newsletter

Connect with Neil: TikTok | Instagram | Facebook | LinkedIn | Website

Books on Amazon: Type 1 Diabetes – One Day at a Time | Type 1 Diabetes – True Stories

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(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...

10 Aug 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...

7 Aug 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...

5 Aug 6min

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...

3 Aug 6min

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 Jul 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...

29 Jul 5min

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 Jul 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...

24 Jul 4min

Populært innen Fakta

fastlegen
dine-penger-pengeradet
relasjonspodden-med-dora-thorhallsdottir-kjersti-idem
treningspodden
foreldreradet
jakt-og-fiskepodden
mikkels-paskenotter
rss-strid-de-norske-borgerkrigene
rss-kunsten-a-leve
sinnsyn
hverdagspsyken
gravid-uke-for-uke
babyverden
ryddepodden
fryktlos
rss-var-forste-kaffe
tomprat-med-gunnar-tjomlid
rss-sarbar-med-lotte-erik
dopet
lederskap-nhhs-podkast-om-ledelse