Your Best T1D Year
Neil Greathouse
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Recent Episodes
Late-Night Exercise and Blood Sugar: What Your Evening Workout Does to Your T1D Overnight
SHOW NOTES:Your Tuesday 8pm HIIT class has opinions about your 3am blood sugar. The data is pretty clear on this. Neil is giving you fair warning before the episode starts.This episode covers the…
T1D Sleep Stages Explained: Why You're Exhausted After 7 Hours of Sleep
SHOW NOTES:You slept seven hours. By any reasonable measure, that should be enough. You woke up feeling like you slept four. You weren't imagining it.This episode breaks down sleep stages -- light…
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:…
Cortisol and Blood Sugar: The T1D Overnight Connection You're Probably Missing
SHOW NOTES:Cortisol isn't trying to ruin your blood sugar. It's trying to help. It has never once, in your entire life, acted with malice. It is a useful, important hormone that is -- in the modern…
How Bedroom Temperature and Blue Light Affect Blood Sugar in Type 1 Diabetes
SHOW NOTES:Neil wants to be upfront: this episode is going to sound like wellness content delivered by someone standing in a field in linen pants. He knows. He can't control how it sounds. What he…
Your Pre-Sleep Blood Sugar Check Is a Sleep Decision, Not Just a Safety Check
SHOW NOTES:You already do this. You check your blood sugar before bed, glance at your CGM, maybe set a temp basal. You've been doing it for as long as you've had T1D. Here's the reframe: you've been…
T1D Sleep Challenge: Four Weeks In, What We've Learned
SHOW NOTES:Four weeks ago, Neil asked you to do one thing: write down how many hours you slept. That was it. Just a number. And now here we are.This is the halftime checkpoint of the While You Were…
How to Adjust CGM Alarm Thresholds for Better Sleep with Type 1 Diabetes
SHOW NOTES:When did you last actually look at your CGM alarm threshold settings? Not to silence an alarm. Not to check a number. To actually look at the thresholds -- the settings, the specific…
CGM Alarm Fatigue in Type 1 Diabetes: How Your Alerts Are Wrecking Your Sleep
SHOW NOTES:How many times did your CGM alarm last night? If you have to guess -- or if you're honestly not sure because your arm is doing the silence-and-go-back-to-sleep thing on autopilot -- that's…
What Type 1 Diabetes Actually Does to Your Sleep Architecture | Episode 200
SHOW NOTES:200 episodes. Neil didn't plan on this. He definitely didn't plan on spending episode 200 explaining what your liver does at 3am without your permission. And yet here we are.This is the…
Bedtime Consistency and T1D: Why Timing Beats Total Hours for Blood Sugar Control
SHOW NOTES:You've been told to get eight hours. Here's what the research actually found.A 2023 study of 76 adults with type 1 diabetes tracked both CGM and sleep data for one week. The finding: sleep…
The T1D Sleep-Blood Sugar Feedback Loop
SHOW NOTES:Bad sleep makes your blood sugar harder to manage. Worse blood sugar disrupts your sleep. Worse sleep makes your blood sugar worse. You've been running a feedback loop -- without knowing…
The Dawn Phenomenon in Type 1 Diabetes: Why Your Blood Sugar Rises While You Sleep
SHOW NOTES:You went to bed at a perfect 110. No active insulin. Flat arrow. You did everything right. You wake up at 182. Nothing happened -- no low, no alarm. You just slept. Except something did…
Why Sleep Deprivation Hits Harder When You Have T1D
SHOW NOTES:Sleep deprivation reduces insulin sensitivity in everyone. That's not a T1D-specific finding. Here's what is.In people without diabetes, the system has a feedback loop. Insulin sensitivity…
One Night of Poor Sleep Reduces Insulin Sensitivity
SHOW NOTES:Here's the number: 21%.One study. People with type 1 diabetes. Sleep-deprived condition (4 hours) versus adequate sleep (8.5 hours). Same food, same insulin, same activities. The…
What's Really Causing Your Unexplained Blood Sugars
SHOW NOTES:The pump site. The insulin. The food from six hours ago. The stress. The general vibe. Neil has blamed every single one of these for blood sugars that made no sense -- and for 34 years, he…
Sleep and Blood Sugar in Type 1 Diabetes
SHOW NOTES:You went to bed at 112. Flat arrow. No active insulin. Textbook. You should be proud. You wake up at 218. So you run the checklist -- check the site, question the insulin, replay every…
Why People with T1D Can't Sleep Through the Night
SHOW NOTES:When's the last time you actually slept through the night? No CGM alarms. No blood sugar math at 3am. No lying awake wondering if your number was stable. If you can't remember, that's…
Why Your Mystery Blood Sugars Might Be a Sleep Problem
SHOW NOTES:If you've ever woken up to a blood sugar that makes no sense -- went to bed at a perfect number, did everything right, and still saw a confusing morning high -- this episode is for…
So Many Of Your Community Wins // Part 2
Helpful resources and newsletter:https://yourbestt1dyear.comSponsor ConnectBlue Circle Health offers free coaching and care that fits real life for adults with type 1 diabetes. They help with insulin…
Frequently Asked Questions
Your Best T1D Year has published 205 episodes since February 2025, covering topics in Education, Health & Fitness.
Your Best T1D Year is currently highly active with new episodes every few days. Average episode length is 6m.
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