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The Glucose Never Lies® Podcast
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The Glucose Never Lies® Podcast

Author: John Pemberton

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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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19 Episodes
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Suggest guests or get in contact What’s the difference between physical activity and exercise when you live with type 1 diabetes? And why does it matter? Full show notes & transcript: Episode 18 page In this episode, I’m joined by Prof. Othmar Moser, exercise physiologist, guideline author, and fellow person with type 1, to break down: Why 10 minutes of activity after meals is the easiest, most powerful place to start.The 20/20 and 40/40 rules — how 20 minutes of light m...
Suggest guests or get in contact Episode 17 — GLP-1 in Type 1 Diabetes: Beyond Weight Loss, Towards Metabolic Therapy Go to the Podcast page for all the notes, insights, and further reading & listening. Subscribe to The Glucose Never Lies® and receive the Summary PDF with all the key take-home messages and practical implementation strategies. Support The Glucose Never Lies® Podcast ☕ Buy Me a Coffee 💙 Donate Guest: Professor Viral Shah, MD Professor of Medicine & Directo...
Suggest guests or get in contact Episode 16 — Diabetes & Driving: Why You Need to Be 5 to Drive Show summary PDF and full notes here Support The Glucose Never Lies® Podcast ☕ Buy Me a Coffee 💙 Donate Guest: Professor Pratik Choudhary (University of Leicester, Leicester Diabetes Centre; Chair, DVLA Medical Advisory Panel on Diabetes) Host: John Pemberton (The Glucose Never Lies Podcast) Episode Overview Driving with type 1 diabetes is not just about safety. It comes with clear l...
Suggest guests or get in contact This bonus Episode 8B is a family special — co-created with my daughter Grace. It takes the science of activity lowering glucose and flips it into something fun: a rap we call 99 Problems (But Highs Ain’t One). The key message? When you’re above 10 mmol/L (180 mg/dL), just 20 minutes of activity can drop glucose by 2 mmol/L (≈40 mg/dL). That’s the “20 by 2” (or 20 by 40) rule. But, Grace said 8 years olds don’t want to hear 20 by 2! They want...
Suggest guests or get in contact Hosted by diabetes dietitian John Pemberton, this show blends science and real-life experience to make managing type 1 diabetes easier, clearer, and more human. Smart insights, practical tips, and honest conversations await. It's all about C-Peptide and what it means for people living with T1D! 🕒 [00:09] Think all T1D is the same? Think again. 🕒 [02:14] Some people really do have it harder — and “brittle diabetes” might...
Suggest guests or get in contact In this deep-dive episode, John Pemberton explores the misunderstood world of insulin resistance in people with type 1 diabetes. Drawing on years of personal experience, clinical expertise, and the latest research, he breaks down why insulin resistance matters—even in a condition defined by insulin deficiency. Click here for the detailed 3-part write up The episode walks through the 'Ominous Octet', eight mechanisms that drive insulin resistance, and explains ...
Suggest guests or get in contact In this episode of the Glucose Never Lies podcast, hosts John Pemberton and Louise discuss the intricacies of diabetes management, focusing on continuous glucose monitoring (CGM) systems. They explore various CGM features, including calibration, alarms, and connectivity with automated insulin delivery (AID) systems. The conversation emphasizes the importance of understanding individual needs when selecting a CGM, as well as the role of technology in enhancing ...
Suggest guests or get in contact In this episode of the Glucose Never Lies podcast, hosts John Pemberton and Louise discuss the intricacies of diabetes management, focusing on continuous glucose monitoring (CGM) systems. They explore the importance of CGM accuracy, the standards set by regulatory bodies, and the significance of testing conditions in evaluating these devices. The conversation delves into various metrics used to assess CGM performance, including MARD, 20/20 and 40/40 agreement ...
Suggest guests or get in contact In this episode of the Glucose Never Lies podcast, hosts John Pemberton and Louise delve into the intricacies of diabetes management, focusing on continuous glucose monitoring (CGM) systems. They discuss the importance of understanding CGM accuracy, the significance of study design in evaluating sensor performance, and the key questions to ask when assessing the reliability of these devices. The conversation emphasises the need for robust testing conditions to...
Suggest guests or get in contact In this episode of the Glucose Never Lies podcast, John Pemberton shares insights from the ATTD 2025 conference, discussing advancements in diabetes management technologies, including automated insulin delivery systems and continuous glucose monitoring. He emphasizes the importance of early intervention with AID systems, the role of GLP-1 receptor agonists, and the impact of exercise and nutrition on diabetes control. The conversation also highlights the need ...
Suggest guests or get in contact Welcome to The Glucose Never Lies podcast In today’s episode, we explore a game-changing approach to glucose control—activity snacking. If you’ve ever struggled with post-meal spikes, found insulin too slow to bring down highs, or wondered how movement could help stabilise your blood glucose, this episode is for you. I’ll be sharing the latest research on how small, frequent movements can supercharge insulin, improve time in range, and reduce glucose hig...
Suggest guests or get in contact Welcome to The Glucose Never Lies Podcast! In this episode, we’re laying down the fundamentals of diabetes management—the essential principles you need to understand to make informed decisions about your health. We’ll break down: What happens when you eat carbohydrates and how your body processes glucoseWhy insulin behaves differently in type 1 diabetes, leading to post-meal spikes How physical activity supercharges insulin, making it work more effectivel...
Suggest guests or get in contact 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, ...
Suggest guests or get in contact Welcome to The Glucose Neverlies Podcast. In this episode, we’re focusing on Omnipod 5, the sleek, high-tech Automated Insulin Delivery (AID) system that offers simplicity, automation, and a tubeless design. Much like Iron Man’s suit, Omnipod 5 is built for efficiency and ease, allowing for seamless insulin adjustments without the hassle of tubing. If you’re looking for a system that requires minimal user input and delivers smart automation, this could b...
Suggest guests or get in contact Welcome to The Glucose Neverlies Podcast. In this episode, we are exploring CamAPS FX, an Automated Insulin Delivery (AID) system that, much like Batman, relies on strategy, adaptability, and precise control to outsmart unpredictable glucose levels. If you’re looking for a system that allows multiple glucose targets throughout the day, advanced algorithm learning, and the ability to fine-tune your insulin delivery, then CamAPS FX might be your perfect ma...
Suggest guests or get in contact Welcome to The Glucose Neverlies Podcast. In this episode, we’re taking a deep dive into the Medtronic 780G, a powerful Automated Insulin Delivery (AID) system designed to crush after-meal highs and optimise time in range. Just like the Hulk, the 780G is strong, aggressive, and highly automated, making it one of the most proactive systems available. If you’re considering the 780G or already using it, we’ll walk you through everything you need to know to ...
Suggest guests or get in contact Welcome to The Glucose Neverlies Podcast In today’s episode, we are exploring the Tandem t:slim X2 with Control-IQ, a system that offers great power but also requires great responsibility. If you are considering this system or already using it, this episode will guide you through everything you need to know to make the most of Control-IQ. With its highly customisable algorithm, multiple insulin profiles, and Activity and Sleep modes, Control-IQ provides a hig...
Suggest guests or get in contact Welcome to The Glucose Neverlies Podcast! When it comes to Automated Insulin Delivery (AID) systems, there is no single "best" option, only the right one for each individual. Choosing an AID system can feel overwhelming, but with the help of my good friend, colleague, and Diabetes Nurse Extraordinaire, Louise Collins, we have transformed the decision into something much more fun: selecting a superhero. Each AID system has its own strengths, weaknesses, and uni...
Suggest guests or get in contact Welcome to The Glucose Never Lies® Podcast where science meets real-life experience to empower diabetes management. Coming March 2025 Subscribe here or to your favorite Podcast provider 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 ...
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