Dr. David Ahn on Diabetes Burnout, Getting Off Track, and the Psychology of T1D

Dr. David Ahn on Diabetes Burnout, Getting Off Track, and the Psychology of T1D

Neil sits down with Dr. David Ahn, endocrinologist and nationally recognized diabetes educator, to talk about what happens when life gets heavy and you drift off track with type 1 diabetes.

They dig into burnout, shame, small wins, and why most people aren’t failing...they’re overwhelmed. Dr. Ahn breaks down the emotional side of T1D, why community matters more than you think, and how realistic steps (not perfect ones) help you regain momentum.
It’s a conversation about compassion, clarity, and building daily habits that lighten the load...because perfection isn’t the goal. Traction is.


What You’ll Learn

• Why people living with T1D drift, even with the best intentions
• The mindset shift from guilt to curiosity
• How Dr. Ahn separates numbers from emotional well-being
• Why time-in-range helps more day-to-day than A1C
• How small, predictable habits rebuild confidence
• Why tech can help, but overwhelm is real...and normal
• The power of community when T1D feels isolating


Take Action

Identify one small thing you can do today that makes your T1D routine feel lighter.
Try the “get on base” rule: don’t chase a home run...just take the next small step.
Share your reflections or reset story at https://yourbestt1dyear.com

Resources

• Follow Dr. David Ahn: Instagram/X → @ahncall
• Diabetes Doc (TikTok + YouTube)
• Your Best T1D Year newsletter + tools: https://yourbestt1dyear.com
• Bright Spots & Landmines (Adam Brown): https://diatribe.org/bright-spots-and-landmines
• Time-in-Range basics (Breakthrough T1D): https://breakthrought1d.org

Sponsor

💙 Blue Circle Health offers free coaching and care that fits real life.
Learn more → https://bluecirclehealth.org

Connect

Instagram → @thebetes
TikTok → @the.betes
Website → https://yourbestt1dyear.com

Books by Neil Greathouse

📚 Type 1 Diabetes – One Day at a Time
📚 Type 1 Diabetes – True Stories
Available on Amazon, Kindle, and Audible

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Episoder(232)

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. ...

19 Aug 6min

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

She stopped counting years with type 1 a long time ago. Natalie Bellini counts days... more than 20,000 of them. This week Neil finally gets his dream guest: Natalie Bellini, DNP, FNP-BC, BC-ADM, CDCE...

17 Aug 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...

14 Aug 6min

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 Aug 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 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

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