Your Best T1D Year
Your Best T1D Year
Neil Greathouse
The Simple Fix for Post-Meal Spikes in Type 1 Diabetes
5 minutes Posted Jul 10, 2026 at 9:00 am.
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Show notes

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.


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Books on Amazon: Type 1 Diabetes – One Day at a Time | Type 1 Diabetes – True Stories