The Glucose Never Lies®
Welcome to The Glucose Never Lies® Podcast where science meets real-life experience to empower diabetes management.
I’m John Pemberton. I’ve lived with type 1 diabetes since 2008 and have spent nearly 20 years mastering both the science and art of managing it. Through personal experimentation, published research, and my work as a diabetes specialist dietitian, I’ve gained deep insights into what truly makes a difference.
When my son Jude tested positive for type 1 antibodies, I realised that all the knowledge in my head is wasted if I couldn’t communicate it in a way that was clear, actionable, and easy to come back to. So I built The Glucose Never Lies® Education Programme—a free resource designed to teach diabetes management exactly as I’d want people to understand it if they were looking after my son.
After battling a functional motor disorder for many years and recently experiencing a major depressive episode, I was eventually pulled out of that hole by friends, family, and professionals who helped me get back to being me. That experience taught me the power of giving—and this podcast is my way of giving back.
My cohost, Louise Collins, is a highly experienced diabetes nurse with over 20 years in the field. She brings a wealth of knowledge and her superpower is making complex diabetes science accessible and practical for everyday life. She is the best diabetes nurse I have ever worked with, and there have been some good ones! Most importantly, she keeps me in check and on point!
So, if you’re living with diabetes or supporting someone who is, we want to make things easier, clearer, and—importantly—more enjoyable.
We hope you enjoy the content. If you do, please share it with those who may like it too.
Disclaimer: The information shared on The Glucose Never Lies® Podcast is for informational and educational purposes only. While we discuss strategies and insights for diabetes management, this podcast is not a substitute for professional medical advice. Always consult your healthcare team before making any changes to your diabetes care plan.
The Glucose Never Lies®
6 - Ten Tips to Optimise Time in Range with AID Systems
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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