Hello Dan. I’m Kevin. I read you do not basal insulin and your A1c is below 6. What do your exercise regimen and diet look like in light of this fascinating fact you have established living with T1 Diabetes? Thank you!
NOTE: I will be posting a new article solely dedicated the exercise and T1D later in 2025 that will include a lot of this. But I think what you're asking for can be found in the above article.
I just reread the section I referred you to and decided to make additional edits to clarify what might have been, well... unclear. :-) Refresh the page to see those edits. Follow up with questions if needed.
"The Drive" from Peter Attia. I will be writing about this soon, and highlight key podcasts that are essential listening. My article with expand on what he says in each episode and put it into direct context with T1D management. You can see his top podcasts on metabolic health on his website https://peterattiamd.com/podcast/
Just a quick reference here to a fellow-T1D whose peak achievements make a list of ultimates.
The documentary "Everest Ultimate Survival" records him wearing a NovoLog cap as he attempted to summit Everest in 2004, and shows him twice injecting, into his belly, "insulin aspart" while he is he on the mountain. Information given is that he was taking 4 to 6 shots a day, from NovoLog pen, before meals. Apparently no basal insulin (not surprisingly).
He did not summit in 2004, but did summit Everest in 2006.
I just made a quick online search, but I don't find a recent biographic update for Will Cross.
I find it is informative, as well as inspirational, to study great achievements of other T1Ds, as we endeavor to set new personal bests.
In that spirit, Mr. Heller, whether it's in your substack, or your personal life, I hope you set some personal bests in 2025.
thanks for the 2025 wishes and the reference to the Everest documentary. I'll look for it.
I use humalog with an InPen, and I also don't use basal insulin. I can't find any research on this, but anecdotally, those I've met with A1c's below 6 with very tight range also don't use basal and are on MDI. I know one person who achieves this on a pump, but they don't really do anything we MDI people do--it's just another method of insulin delivery.
You are ALWAYS fascinating! I would be curious if you have an "opinion" about the podcast series known as The Juice Box with Scott Benner interviewing people who have diabetes as well as people from companies...eg., iLet, Dexcom, etc. https://www.juiceboxpodcast.com/episodes
I'm not a huge fan of listening to interviews with T1Ds and others that just share their personal experiences. I get a lot of that all the time--even today, at the gym, someone saw my CGM and we struck up a long conversation.
As for interviews with people from companies, I haven't found those to be very useful because companies are not objective about their own tech, and can't/won't answer the tougher, more nuanced questions that really get into the nuts and bolts.
I'm also wary of podcasts that get their funding from T1D-related companies. Sure, they say their funding has no effect on the questions they ask, but ... well, it's not that simple.
Now, MY personal opinion on this has no bearing on what value OTHERS may find, and I know that many people love these. It depends on what you want. Not everyone is looking for the same things, and what I seek are deep dives into core science and the balanced view of the pros and cons of how/how things "work."
Your answer was exactly the way you write...complete!! Thank you. I appreciate what you are doing with your efforts to make those scientific ideas you are so good at "diving into" and understanding.... make more sense to those of us who aren't into investigating them the way you do.
Hello Dan. I’m Kevin. I read you do not basal insulin and your A1c is below 6. What do your exercise regimen and diet look like in light of this fascinating fact you have established living with T1 Diabetes? Thank you!
I explain it all (and include graphs) in my article, The Paradox of Low-Carb Diets: A1c vs. Metabolic Health.
https://danheller.substack.com/p/the-paradox-of-low-carb-diets-a1c-vs-metabolic-health
NOTE: I will be posting a new article solely dedicated the exercise and T1D later in 2025 that will include a lot of this. But I think what you're asking for can be found in the above article.
Thanks, Dan. Much appreciated!
I just reread the section I referred you to and decided to make additional edits to clarify what might have been, well... unclear. :-) Refresh the page to see those edits. Follow up with questions if needed.
What's a good podcast to listen to for metabolic health?
"The Drive" from Peter Attia. I will be writing about this soon, and highlight key podcasts that are essential listening. My article with expand on what he says in each episode and put it into direct context with T1D management. You can see his top podcasts on metabolic health on his website https://peterattiamd.com/podcast/
Nice! Excited for the future for more T1D posts and content!
Thank you, Mr. Heller, and best wishes for 2025.
Just a quick reference here to a fellow-T1D whose peak achievements make a list of ultimates.
The documentary "Everest Ultimate Survival" records him wearing a NovoLog cap as he attempted to summit Everest in 2004, and shows him twice injecting, into his belly, "insulin aspart" while he is he on the mountain. Information given is that he was taking 4 to 6 shots a day, from NovoLog pen, before meals. Apparently no basal insulin (not surprisingly).
He did not summit in 2004, but did summit Everest in 2006.
I just made a quick online search, but I don't find a recent biographic update for Will Cross.
I find it is informative, as well as inspirational, to study great achievements of other T1Ds, as we endeavor to set new personal bests.
In that spirit, Mr. Heller, whether it's in your substack, or your personal life, I hope you set some personal bests in 2025.
thanks for the 2025 wishes and the reference to the Everest documentary. I'll look for it.
I use humalog with an InPen, and I also don't use basal insulin. I can't find any research on this, but anecdotally, those I've met with A1c's below 6 with very tight range also don't use basal and are on MDI. I know one person who achieves this on a pump, but they don't really do anything we MDI people do--it's just another method of insulin delivery.
You are ALWAYS fascinating! I would be curious if you have an "opinion" about the podcast series known as The Juice Box with Scott Benner interviewing people who have diabetes as well as people from companies...eg., iLet, Dexcom, etc. https://www.juiceboxpodcast.com/episodes
I'm not a huge fan of listening to interviews with T1Ds and others that just share their personal experiences. I get a lot of that all the time--even today, at the gym, someone saw my CGM and we struck up a long conversation.
As for interviews with people from companies, I haven't found those to be very useful because companies are not objective about their own tech, and can't/won't answer the tougher, more nuanced questions that really get into the nuts and bolts.
I'm also wary of podcasts that get their funding from T1D-related companies. Sure, they say their funding has no effect on the questions they ask, but ... well, it's not that simple.
Now, MY personal opinion on this has no bearing on what value OTHERS may find, and I know that many people love these. It depends on what you want. Not everyone is looking for the same things, and what I seek are deep dives into core science and the balanced view of the pros and cons of how/how things "work."
Your answer was exactly the way you write...complete!! Thank you. I appreciate what you are doing with your efforts to make those scientific ideas you are so good at "diving into" and understanding.... make more sense to those of us who aren't into investigating them the way you do.