Fear of Hypoglycemia: The T1D Sleep Problem That Doesn't Show Up in Your CGM Data

SHOW NOTES:

Your CGM says 115. Flat arrow. No active insulin. You've checked it twice. The number is completely fine. And you're still awake at 2:48am.

This is not you being dramatic. This has a name: Fear of Hypoglycemia (FOH). It's a documented, peer-reviewed phenomenon in T1D populations -- a specific pattern of nighttime hypervigilance that persists even when blood sugar is stable. The anxiety is the disruptor, independent of the actual glucose level. And it's one of the most undernamed contributors to T1D sleep disruption.

In this episode, Neil explains where Fear of Hypoglycemia comes from, why it makes complete sense that it developed, and why having the name for it changes how you relate to the 2am wake-up. Nobody told most T1D people this name. That's the problem this episode is here to fix.

We're in Week 6 of the While You Were Sleeping Challenge.

In this episode:

What Fear of Hypoglycemia actually is and what peer-reviewed research says about it
Why the overnight hypervigilance response is a rational system with an irrational trigger
The difference between "I'm being irrational" and "I have a documented T1D sleep phenomenon"
Why naming FOH changes how you relate to being awake at 2am with a perfect number
What comes next: what you can actually do about it

This Week's Challenge: Have you ever been awake at 2am with a completely stable blood sugar and still couldn't sleep? Just acknowledge that it happened. That's the whole challenge.

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

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(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 Aug 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 Aug 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 Aug 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 Aug 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 Juli 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 Juli 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 Juli 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 Juli 4min