Your Best T1D Year

Neil Greathouse
  • 4.9 (30)
  • Health & Fitness
  • Updated Daily

Managing Type 1 Diabetes doesn’t have to be overwhelming. Each 5-minute episode of Your Best T1D Year is packed with practical strategies, mindset shifts, and a little humor to help you feel more in control and less frustrated by diabetes. Hosted by Neil Greathouse, this Monday, Wednesday, and Friday podcast delivers quick, relatable episodes that make learning about T1D effortless - so you can build small wins that lead to big changes. 📅 New episodes drop every Monday, Wednesday, and Friday. 🎧 Subscribe now and start making diabetes management feel easier - one small habit at a time.

  1. 1d ago

    Your Muscles Have a Side Door

    The coolest piece of machinery you own, and nobody ever handed you the manual. Normally, sugar leaves your blood through a door that only insulin can unlock. That's type 1 diabetes in one sentence. But your muscles have a second door, a side door, and it opens when you move. No insulin required. It's the Home Alone house: the front door is booby-trapped and complicated, and the side door is just... open.Neil breaks down GLUT4 (the worst-named best friend in diabetes), why a walk can pull a number down all by itself, and why this mechanism works identically in every human body, which is exactly why the movement research applies to those of us with T1D. This is the episode that explains everything that follows in the Keep It Moving challenge.In this episode: * How muscle contraction pulls glucose out of your blood without insulin* GLUT4 explained in plain English, with appropriate mockery of the name* Why a 10-minute walk can visibly bend your CGM line* The great equalizer: why this science applies to every body, T1D included Your challenge: use the door on purpose once. Walk easy for ten minutes after any meal, then peek at your CGM at the two-hour mark.Helpful resources and newsletter: https://yourbestt1dyear.comConnect 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.comBooks 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

  2. 3d ago

    The 3 Hour Sit

    It's Labor Day, college football is back, and Neil just sat through a noon kickoff and surfaced at midnight. Perfect timing to explain what a three-hour sit actually does inside a body with type 1 diabetes: your leg muscles clock out, sugar hangs around in your blood, insulin works alone, and that stubborn afternoon high parks itself on your CGM. You might not have eaten your way into it. You might have sat your way into it.The hope: a 2012 Diabetes Care study found just two minutes of easy walking every 20 minutes meaningfully lowered blood sugar and insulin levels compared to sitting straight through. And the American Diabetes Association's 2025 Standards of Care now officially recommend breaking up sitting at least every 30 minutes. It's in the rulebook your endo reads.In this episode: * What happens to glucose and insulin during a long unbroken sit* The 2012 study: two minutes of strolling every 20 minutes moved real numbers* The ADA's new every-30-minutes guideline, explained in plain English* Why football Saturdays are a blood sugar event of their own Your challenge: one time this week, catch yourself mid-long-sit and just get up for two minutes. Consider it a test drive.Helpful resources and newsletter: https://yourbestt1dyear.comConnect 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.comBooks 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

  3. 6d ago

    This Number Will Surprise You

    How many steps do you actually take on a normal day? Not your best day, a regular Tuesday. Check your phone, and prepare to appeal the ruling. In this episode Neil breaks down the gap between how active we feel and what the step count says, and why being busy and actually moving are two different things for blood sugar.Then two stats that change the whole conversation. Most adults with type 1 diabetes do not hit the recommended 150 minutes of weekly activity, and the number one reason in the research is fear of going low, not laziness. And that famous 10,000 steps goal? A 1960s Japanese pedometer slogan, not science. A 2022 Lancet Public Health study of about 47,000 adults found the big health benefits show up way before 10K.In this episode: * The real reason people with T1D move less, straight from the research* Where 10,000 steps actually came from, and what the science says instead* 47,000 adults, 40 to 50 percent lower mortality risk, no gym required* How to find your true step baseline this weekend Your challenge: two numbers at bedtime for a few days, your steps from your phone and your longest sit. That baseline is the only number you'll ever compete against here.Helpful resources and newsletter: https://yourbestt1dyear.comConnect 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.comBooks 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

  4. Sep 2

    The Chair is Winning

    Welcome to Keep It Moving, the new 8-week challenge for people with type 1 diabetes, and meet the villain: the chair. Nobody decides to sit for half a day. The chair decides for you, quietly, like a Netflix autoplay countdown, and your blood sugar pays the tax. Neil opens with his own confession: eight back-to-back Zoom meetings, a 4am run that turned into a fully sedentary day, and the insulin sensitivity drop he can feel by every afternoon. This is not a fitness challenge. No gym, no gear, no 10,000 steps. The problem is long, unbroken sitting, and the fix is smaller than anyone has told you. Starting now, right before the fall slump steals everyone's movement, about 2,000 people with T1D are getting ahead of it together. In this episode: Why sitting, not exercise, is the real blood sugar problem for most of usHow long unbroken sitting quietly raises insulin needs through the dayWhat the fall slump does to activity and A1C, and why we start in SeptemberThe before picture: the one number to notice this week without changing anythingYour challenge this week: change nothing. Just notice your longest unbroken sit each day. No guilt, no fixing. We're taking the before picture. 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

  5. Sep 1

    The Head Start Finale + What's Next: The Steps Challenge | Type 1 Diabetes

    Eight weeks ago, you were spiking after dinner and blaming yourself for it. This is the finale of The Head Start, and instead of another recap, Neil reads two listener stories that say what these eight weeks were really about, one from a woman who cried at her kitchen sink the first time she saw a flat 140, and one from a 31-year veteran whose time in range jumped from the low 60s to 81%. Then Neil looks ahead. Starting in September, the next challenge is steps, just walking, and it's the perfect sequel to pre-bolusing. One walk can improve insulin sensitivity for 24 to 48 hours, a 10-minute walk after a meal lowers the spike, and breaking up sitting can cut the after-meal glucose rise by about 28%. We start in September and October, before the cold-weather slump, because A1C is at its lowest then and climbs through winter as we move less. In this episode: Two real listener stories on what pre-bolusing changed for themWhy time in range is protecting your health for years to comeA first look at the next challenge: steps and walking for T1DThe science of walking, insulin sensitivity, and post-meal blood sugarFinal Challenge: Keep pre-bolusing your dinner, it's yours now. And if you're feeling good tonight, take a short walk after dinner, a little sneak preview of September. 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

  6. Aug 31

    Pre-Bolusing at the Kids Table // Raising Kids with Type 1 Diabetes (Raquel Baron, Type One Together)

    Raquel Baron was diagnosed with type 1 diabetes at five years old and left the hospital late to her own birthday party. Twenty-four years later, she's the founder and CEO of Type One Together, home of the T1D Babysitter List, now over 4,000 sitters nationwide who either live with type 1 or love someone who does. It started as one college student in Austin with 14 names written on a piece of paper. This week, Neil pulls up a chair at the kids table. This one is for the T1D parents. Pre-bolusing is hard enough as an adult. Try doing it for a picky toddler who might eat all the mashed potatoes, none of them, or hit the trampoline right after dinner. Raquel breaks down why chasing one perfect dose is the trap, how to dose for the carbs you KNOW they'll eat, and why splitting the dose into little swings beats swinging for the fences. Then she gets honest about the part nobody says out loud: why telling kids to hope for a cure can quietly backfire, and what she wants every worried parent to hear from the kid who grew up on the other side of it. In this episode: Why kids miss so many doses... research Neil shares shows more than 1 in 4 meals gets a late or missed bolus, and about half of snack boluses in kids never happenThe stat that stops you cold: kids who get their boluses on time are about 24 times more likely to be in excellent controlRaquel's "safe number" method: dose for the food you know they'll eat, keep an emergency treat in the pantry, and add insulin as the meal unfoldsThe pediatric guidelines that give parents permission to dose during or after meals for little ones... you are not failing if the 15-minute head start doesn't happenHanding off T1D responsibility in stages, from "press the button for me" at toddler age to the high schooler who wants the freedomCGM anxiety is real: why parents can't put the phone down, and the ten-minute timer trick from the Better Together communityDiabuddies, the babysitter question every parent forgets to answer, "hope isn't a strategy," and a NEW Fastest Five Minutes world record (30 answers, sorry Natalie)This Week's Challenge: Parents, pre-bolus for the safe number. Look at the plate, find the carbs your kid will absolutely eat, and get that insulin going. No bullseye required. Little swings win. Learn more about Type One Together, the T1D Babysitter List, and the Better Together community: https://www.typeonetogether.com 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

  7. Aug 28

    The Pre-Bolus Challenge Recap: All the Science | Type 1 Diabetes

    Previously, on The Head Start: a man admitted he's had type 1 for 34 years and still sometimes doses with his mouth full, and an entire audience realized the after-dinner spike was never their fault. This is the greatest-hits recap, and this time it comes with the receipts. Neil runs the whole arc, the fear, the junk drawer of reasons, why food beats insulin to the finish line, and then the science: 15 minutes early can cut your peak by about 50 points, the sweet spot is 15 to 20 minutes, and pre-bolusing did not raise lows. Plus the August numbers, 27% of meals get a late or missed bolus, a high-fat meal can need 42% more insulin, and even 20-year veterans miss carb counts by about 15 grams. Eight weeks, one real skill. In this episode: The full eight-week arc, from fear to flat linesThe headline studies and numbers behind pre-bolusingThe August real-life lessons: restaurants, pizza, tech, and the kids' tableProof of how far you've come since Episode 216This Week's Challenge: Pull up your two-hour numbers from week one next to now. Compare them side by side. That difference is your receipt. Keep it. 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

  8. Aug 26

    How to Make Pre-Bolusing a Lasting Habit | Type 1 Diabetes

    The challenge is almost over, so the real question is what happens next week, when Neil isn't in your ears three times a week. This episode is about making the pre-bolus habit last past the finish line, and it's grounded in habit science. A study by Phillippa Lally found it takes about 66 days on average for a behavior to become automatic, but the range is huge, 18 to 254 days. So if pre-bolusing still takes effort, you're not failing, you're on a normal curve. The best finding: missing a single day did not break the habit. Neil also makes the timely case for locking it in now, heading into back-to-school season, so the new routine gets built while everything's already being rearranged. In this episode: Why habits that last are the ones that got easy, not white-knuckledThe Lally study: about 66 days to automatic, and one missed day is fineHow to habit-stack your pre-bolus so it survives busy seasonsWhy back-to-school is the perfect time to lock it inThis Week's Challenge: Write down, somewhere you'll see it, the one reason YOU want to keep pre-bolusing. When motivation dips in a few weeks, that note is what carries you. 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

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4.9
out of 5
30 Ratings

About

Managing Type 1 Diabetes doesn’t have to be overwhelming. Each 5-minute episode of Your Best T1D Year is packed with practical strategies, mindset shifts, and a little humor to help you feel more in control and less frustrated by diabetes. Hosted by Neil Greathouse, this Monday, Wednesday, and Friday podcast delivers quick, relatable episodes that make learning about T1D effortless - so you can build small wins that lead to big changes. 📅 New episodes drop every Monday, Wednesday, and Friday. 🎧 Subscribe now and start making diabetes management feel easier - one small habit at a time.

Information

  • Creator
    Neil Greathouse
  • Years Active
    2025 - 2026
  • Episodes
    242
  • Rating
    Clean
  • Copyright
    © 2026 Neil Greathouse
  • Show Website
    Your Best T1D Year

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