When it rains in Little Rock, Cora won't leave the back porch. She walks to the edge, looks at the rain, and turns right back around. 5.9 pounds of pure refusal, and nothing Neil does changes it. That feeling has a name.

Diabetes distress comes in 7 flavors. Neil reads all 7 from the 2015 Fisher and Polonsky research (powerlessness, the daily grind, fear of lows, being judged, eating, your care team, and the people who love you getting it wrong), then the follow-up that tracked 224 adults for 9 months and found powerlessness was the most common one and the one that stuck around longest. It's the Thanos of the list. Plus the plain-English difference between distress, burnout, and depression, and why a good A1C and feeling like a failure are allowed to show up at the same time.

In this episode:

• The 7 sources of diabetes distress, read fast so you can listen for yours
• Why powerlessness outlasts the other 6
• 400 decisions a day with about a 60 percent hit rate
• Distress, burnout, and depression: 3 different things, and which one gets a professional
• Why distress doesn't track your A1C
• The porch, the rain, and what standing there with the door open has to do with community

This week's challenge: Same as Monday. One real comment on one person's post, one sentence a human typed. Already did it? Do a second one, you overachiever.

Helpful resources and newsletter: https://yourbestt1dyear.com

Connect with Neil:
TikTok: https://tiktok.com/@the.betes
Instagram: https://instagram.com/thebetes
Facebook: https://facebook.com/neilgreathouse
LinkedIn: https://linkedin.com/in/neil-greathouse-a607b912
Website: https://yourbestt1dyear.com

Books on Amazon:
Type 1 Diabetes // One Day at a Time: https://a.co/d/6UHooWJ
Type 1 Diabetes // True Stories: https://a.co/d/dfIlyI1

A few months after Neil was diagnosed in 1992, his dad dragged him to a JDRF event. Neil was 20, arms crossed, doing the math on how fast they could leave. Somewhere in the middle of a keynote, his dad leaned over and whispered, "You can do this one day." It took Neil about 10 years to understand what he meant.

This kicks off the November series, and this month is about people instead of a habit. When you got diagnosed, somebody handed you insulin and a meter, and nobody handed you a person. Neil shares the decade he spent hiding every injection in a bathroom, the 2015 research from Larry Fisher and Bill Polonsky showing about 4 in 10 adults with type 1 carry at least moderate diabetes distress, and the 2016 ADA statement that says your care team should screen for it at diagnosis. (Raise your hand if anybody asked you.)

In this episode:

• The JDRF event, "5 years away from a cure," and his dad's whisper
• 10 years of hiding type 1, Mission: Impossible style, in other people's guest bathrooms
• What diabetes distress is, and how it's different from depression
• The 2016 ADA recommendation most of us never got
• How one blog comment, and a 2008 video for his coworkers, ended the hiding
• The Real Ones: a list of people Neil would actually send you to, starting Tuesday

This week's challenge: Leave one real comment on one person's post. Not a heart, not the fire emoji. A sentence. If you love somebody with type 1, comment as the mom, the husband, the roommate.

Want to do this with us all month? Sign up for the newsletter and the weekly check-in at the link below.

Helpful resources and newsletter: https://yourbestt1dyear.com

Connect with Neil:
TikTok: https://tiktok.com/@the.betes
Instagram: https://instagram.com/thebetes
Facebook: https://facebook.com/neilgreathouse
LinkedIn: https://linkedin.com/in/neil-greathouse-a607b912
Website: https://yourbestt1dyear.com

Books on Amazon:
Type 1 Diabetes // One Day at a Time: https://a.co/d/6UHooWJ
Type 1 Diabetes // True Stories: https://a.co/d/dfIlyI1

The Keep It Moving finale. Eight weeks ago you took a before picture; today the wall goes up: real before-and-afters from the community, from the desk worker who cut a 4.5-hour sit to 90 minutes, to the trucker walking laps around his rig at every fuel stop, to the anonymous listener whose numbers haven't moved yet but whose walk became the only part of the day they're not mad at their body. Still going.

Then the whole education in one breath: the chair villain, the side door, the two-day bonus proven across 428,058 real T1D workouts, three walks beating one, movement snacks with the ADA's stamp, no walk required, the safety checklist, and the ketone rule. And a word about Sunday's New York City Marathon: it was never the point. The marathon takes one morning. What you built takes showing up every day, forever. You did the harder thing.

In this episode:

• The community wall: honest before-and-afters from eight weeks of the challenge
• Every core lesson of the series, recapped in one place
• Why daily unglamorous consistency beats one heroic morning
• The one habit to keep if winter takes everything else

Your final challenge: keep the anchor. Whatever else winter takes, keep the after-dinner ten. It's yours now.

Helpful resources and newsletter: https://yourbestt1dyear.com

Connect with Neil: TikTok: https://tiktok.com/@the.betes Instagram: https://instagram.com/thebetes Facebook: https://facebook.com/neilgreathouse LinkedIn: https://linkedin.com/in/neil-greathouse-a607b912 Website: https://yourbestt1dyear.com

Books on Amazon: Type 1 Diabetes – One Day at a Time: https://a.co/d/6UHooWJ Type 1 Diabetes – True Stories: https://a.co/d/dfIlyI1