The Simple Fix for Post-Meal Spikes in Type 1 Diabetes

The Simple Fix for Post-Meal Spikes in Type 1 Diabetes

SHOW NOTES: We’ve spent a week and a half in the problem, the spike, the loop, the fear. Today the sun comes out. Neil turns the corner to the fix, and it’s almost annoyingly simple: your food is fast and your insulin is slow, and when they start at the same time, the food wins the first hour. The fix isn’t more insulin or better carb counting. It’s timing.

You give the insulin a small head start so it’s awake by the time the food arrives. Same dose, same dinner, different clock. That’s the whole name of the challenge, The Head Start. Neil keeps the science for next week and instead leaves you with hope: the early low you’ve been afraid of is a timing-and-preparation problem, and those can be solved.


In this episode:

  • The one-sentence reason you spike after meals

  • Why the fix is timing, not more insulin or new gear

  • What “The Head Start” actually means for your dinner

  • Why the fear of the early low is a solvable problem

This Week’s Challenge: Notice the GAP. How long between when you dose and your first actual bite at dinner? For a lot of us, it’s zero. Just clock 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

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

Avsnitt(229)

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

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 Juli 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 Juli 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 Juli 56min

Populärt inom Utbildning

historiepodden-se
rss-bara-en-till-om-missbruk-medberoende-2
det-skaver
nu-blir-det-historia
harrisons-dramatiska-historia
not-fanny-anymore
roda-vita-rosen
johannes-hansen-podcast
rss-viktmedicinpodden
allt-du-velat-veta
sa-in-i-sjalen
rss-autismandan
rikatillsammans-om-privatekonomi-rikedom-i-livet
i-vantan-pa-katastrofen
sektledare
rss-max-tant-med-max-villman
rss-basta-livet
rss-traningsklubben
psykologsnack
rss-okrystat