The Glucose Never Lies® Podcast
Host John Pemberton — diabetes educator, researcher, and dad living with type 1 since 2008 — explores how to think clearly about type 1 diabetes in the real world.
EACH episode translates current evidence and expert practice into decisions you can use: CGM accuracy and interpretation, getting more from pumps and automated insulin delivery, movement as a glucose tool, nutrition that protects performance and enjoyment, sleep, travel, parties, and sport.
Guests include leading clinicians, researchers, and people with lived experience. Expect respectful challenge, plain language, and practical take-aways.
Note: Educational only. No therapeutic relationship or personal medical advice.
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The Glucose Never Lies® Podcast
6 - Ten Tips to Optimise Time in Range with AID Systems
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Welcome to The Glucose Neverlies Podcast.
In this episode, we’re diving into practical strategies to optimise time in range (TIR) when using Automated Insulin Delivery (AID) systems for type 1 diabetes. Managing blood glucose levels can be unpredictable, but AID systems have transformed diabetes care by automating insulin delivery in smarter, more responsive ways. However, achieving the best possible outcomes still requires understanding key strategies, fine-tuning your approach, and making small adjustments that have a big impact.
In this episode, we’ll explore ten essential tips that can help improve your time in range, covering everything from pre-bolus strategies and exercise adjustments to high-fat meal management, CGM optimisation, and insulin site rotation. Whether you’re new to AID or looking to refine your approach, these evidence-based tips will help you navigate everyday challenges and make the most of your system’s capabilities.
We’ll break down the importance of balanced meals combined with post-meal activity, how to adjust insulin for high-fat and protein meals, and ways to prevent post-meal spikes by fine-tuning the timing and location of insulin administration. We’ll also cover exercise adjustments using the 50/50/20 and T25/T25 methods, ensuring you can keep glucose stable before, during, and after physical activity. Plus, we’ll discuss site management for insulin absorption, CGM accuracy tricks, and how to handle alcohol safely with an AID system.
As always, every person’s diabetes management is unique, so these strategies should be discussed with your healthcare team before making any changes. If you’re ready to take your AID experience to the next level, let’s get started.
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