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Brittle Diabetes?

Have you ever heard of brittle diabetes?

What is it? What are the signs? How can you get out iof it?

Brittle Diabetes – Type 1 Thursday – Hanna Boëthius

Although the term “brittle diabetes” is wildly discussed and can come across as very negative and blaming, it’s a concept many people with diabetes (unfortunately) are familiar with. Perhaps you’ve been labeled “brittle” in your medical file, just lika I have in the past?

What can you do about it, then? Is it just to accept it and trry to live as peacefully as possible with it?

Au contraire!

Brittle diabetes can very well be dealt with, and removed from your life, too. It all depends on what the cause if for you. A few common causes of brittle diabetes are medication troubles, stress (blood glucose killer number 1!) , eating disorder, gastrointestinal issues, gastroparesis or insulin sensitivity, to mention a few.

Once you know this, try to look at what lifestyle changes would apply to you – nutrition, medication, movement, mindset, stress management… are a few points to keep in mind.

Share your experiences with me! What’s your number one trick for brittle diabetes?

The only purpose of this website is to educate and to inform. It is no substitute for professional care by a doctor or other qualified medical professional. This website is provided on the understanding that it does not constitute medical or other professional advice or services. Instead, we encourage you to discuss your options with a health care provider who specializes in treating Type 1 Diabetes.

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Tuna Meatzza

I’m making one of my favorite low carb pizzas – tuna meatzza 🍕 (yes, that means the base is made out of canned tuna!)

Don’t knock it until you’ve tried it! 😋 It’s full of delicious protein, fat and some carbs. And – it’s delicious. It’s also the first time I ever cook in front of the camera. 🐒 This week’s #type1thursday is something else…

Let’s go!

Ps. If you want to watch the whole Cook & Chat (not just the recipe), click here to watch it on my Facebook page!

Tuna Meatzza – Type 1 Thursday – Hanna Boëthius

Tuna Meatzza Recipe

Tuna Meatzza base

2 cans of tuna in brine/natural
1 egg 2 tbsp cream cheese
ca 0.5 dl grana padano cheese

Mix all of it until it becomes a smooth mix. Flatten out between two parchment papers, pre-cook in the oven at 180 Celcius (355 Fahrenheit) for 10-15 minutes.

Meatzza Sauce

1,5 dl Ajvar (turkish vegetable sauce)
1 tbsp tomato puree
1 tsp concentrated bone broth
italian herbs
garlic powder
onion powder
a splash of water

Let simmer until it forms a nice pizza sauce

Tuna Meatzza Toppings

Mozzarella cheese (shredded, without starches!) You can use fresh, too, but it gets waterier.
1 red onion
black olives 😋

After pre-cooking the pizza base, spread on the sauce, followed by the toppings and put it back in the oven for about 10 mins.

Enjoy a low carb, nutritious and delicious meatzza! 🍕 🤤


The only purpose of this video and website is to educate and to inform. It is no substitute for professional care by a doctor or other qualified medical professional. This video and website is provided on the understanding that it does not constitute medical or other professional advice or services. Instead, we encourage you to discuss your options with a health care provider who specializes in treating Type 1 Diabetes.


Digital Patient Engagement?

I was interviewed by Novo Nordisk regarding how I see the future of patient engagement, as part of their DEEP network.

Check out my views in this short video. What are your views on digital patient engagement – friend or foe? 🤔


(This is a sponsored activity by Novo Nordisk. Views are my own)

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Pinch me…!

I’ve been nominated for not one, but THREE #WEGOHealthAwards!🎉 : “Best Kept Secret”, “Patient Leader Hero” and “Best In Show: Instagram” 💖

Aaaand, endorsements are now open for the 9th annual WEGO Health Awards!

I’d be over the moon if you would want to endorse me for either (or both!) of these awards.

You can do so by:

☝️ clicking this link: https://www.wegohealth.com/HannaBoethius

✌🏼 click “Awards” in the upper right hand corner

🤟🏼 Endorse!

Thank you from the bottom of my heart to those who nominated me, as well as to YOU for endorsing. 🙏✨

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Self Love in Difficult Times

…and no, this is not Gabriel Garcia Marquez latest novel! 😝

I’m happy this topic was requested, because frankly I needed a reminder of it myself – bubble baths and face masks simply aren’t cutting it as sufficient self love anymore. Nor is making healthy food, moving my body and daily meditation and yoga (although those are GREAT, too!).

At this point of time, we need to go deeper into self love, so that we can re-join the world outside as our very best selves. But how on EARTH do we do that?

Self Love in Difficult Times – Hanna Boëthius – Type 1 Thursday

Well, here are some pointers:

🌟 You. Are. Enough.
Whether you’ve spent time reinventing yourself, or had a 7 week long Netflix marathon, you are enough. You’ve done enough, you’ve achieved enough. Your feelings are enough, and they are all OK to feel. Be honest about how you’re feeling, and do, for the love of all things holy, turn off the news blasts and take breaks from social media! Let go of perfectionism. 💖 Check in on your self talk. 💐 Don’t shut down in this crisis. 💪

🌟 Positivity is a choice
Your outlook on life is a mindset matter. Shift it and shift your view of your life and our world.

🌟 Get creative
Take time away from your screen and do something creative, challenge your mind to switch off and go with it. Whatever you want to do, you can. And should.

🌟 What can you learn from this?
Think about it. Every hardship has something to teach you. Exercise that growth mindset!

🌟 Make gratitude your attitude
Notice what’s good in your life and be thankful for it/them/that being there.

🌟 What CAN you control?
You’re not just stuck in some uncontrollable, parallel universe. You can still control your reaction, taking care of yourself and nourishing your body, for example.

🌟 How far have you come?
Imagine yourself two months ago – where are you now? What has changed? Make a list!

🌟 Reach out to your community for support.

🌟 Be kind to yourself. You are a priority.

🌟 Forgive yourself. And others. 🙏

Which one of these is your favourite way to show yourself some love? 💓

This graphic puts it all together for you nicely. Share it with someone you think needs to hear this message today:

Self Love in Difficult Times - Type 1 Thursday by Hanna Boëthius


If you prefer to read the information in the video posted above about self love, here is a full text version:

Today, we will be talking about something as elusive actually as self love in a difficult time, like we are in now. And this is not a new novel by Gabriel Garcia MArquez, it’s not like “Love in the Time of Cholera” although sounds like it.

If you’re anything like me, you have grown a little bit tired of self love in the form of bubble baths and face masks right now. It’s not really cutting it in a self love-way anymore. And things like nourishing your body, moving your body… All of that stuff is great. It’s great to have there, but it’s not maybe all that we need? We might need to start digging a little bit deeper when it comes to self love right now. After all, we’ve been at this game for quite a while and none of us really knows how to keep going. So let’s dig a little deeper when it comes to self love!

This was a great reminder, I’m so happy that you guys voted for this topic because I really needed a reminder of this right no. I’ve been slipping on my own self love routine, so the research for this week’s episode was great for me to kick start some thought processes so that I can maybe get back on track. How do we sink a little bit deeper into self love? Well, it is actually a lot of it is a mindset shift. And if you know me, and if you followed me for a while, you know that I have a whole presentation on mindset shift, but this is specific to self love, which is not so much talked about in that presentation. So let’s go!

You. Are. Enough.

Point number one is really: You. Are. Enough. Let that sink in; You are enough. Whether you’ve been reinventing yourself in these past couple of weeks during lock downs and isolations or you’ve had a seven, eight week long Netflix marathon, it doesn’t matter, you’re still enough.

It doesn’t matter how you feel all feelings are okay, you’re still enough. And it is completely okay to feel whatever it is that you are feeling. We have to get to a point where we can see the world out of enoughness (I love that word, enoughness) That also means things like limiting your media consumption, for example, all these news flashes everywhere about spreading and this and that and politics and law and economics, blah, blah, blah, all this stuff! Turn that shit off! Check it maybe once a day if you’re really interested, but don’t have it flashing in your face the whole time. The same with social media, make sure that you take social media breaks, because otherwise you may go a little bit loopier than you have to during this time.

At the same time, be honest with how you are feeling, don’t sweep anything under the rug. It takes courage to face your own feelings, absolutely. But that is a part of self love, facing what you’re actually feeling. It also gives you a chance to show that authenticity that so many of us are willing to show. I think it’s probably very good for us to come a little bit more down to earth, a little more home to us, both in terms of self love, but also in terms of authenticity. So I really encourage you to feel what you’re feeling. If you want to talk about this with anyone, reach out to someone that you trust, that you love, that will hold your space for you. If you don’t really have anyone like that in your life, seek professional help because that is also very beneficial.

Let go of perfectionism

And other point is definitely let go of that darn perfectionism! Perfectionism is nothing apart from “what will people think?” Nothing has to be perfect. You show up as you (Hello! 👋) You show up authentically, courageously talk about your feelings, talk about what’s happening in your life right now. Perfectionism is just a fake shield against some kind of perceived criticism. It’s not worth your time or your effort to try to be perfect. Just be you. You are enough. Remember, you are enough!

Check in on your self talk. Are you talking to yourself like you’re an idiot? Or are you talking to yourself, like you’re talking to someone you love? That is where we have to get to. It is the ultimate ultimate showing of self love is to be able to talk to yourself in a positive and kind way. And I’m telling you, yes, it’s not some kind of easy fix. It’s not easy to do this. This is a daily routine that you have to get going with (or you don’t have to, but I invite you), to be kinder to yourself. It’s also important, I think, not to shut down in a crisis like this. Dare to feel these feelings, don’t bottle them up like I said before. If you’re anything like me, you know, they’re gonna explode somewhere else!

Positivity is a choice

Remember that positivity is a choice. Try to stay positive throughout this. Not just in terms of this, to sound like a cliche, not at all, but this is your entire outlook on life. And this is really a mindset shift from sort of, “oh, blah, blah, blah, why me I can’t do anything” to, you know, seeing the positive sides of life. This is called a growth mindset. Positivity is a choice, and it is also the greatest lesson you can learn for life. Try to see things a little bit more positively. If you can’t see the whole situation positively, try to see bits of it a little bit more positively.

Get creative, whether that’s painting, whether that’s journaling, whether that’s doodling, recording yourself singing (or actually just singing and then recording yourself singing), whether that’s making funny videos online. Or whether that is dancing to your favourite song – get creative. Get out of that, you know, very intentional, very thoughtful mindset. Let let go a little bit and I will promise you that you will feel better about yourself very soon.

You can also ask yourself what can I learn from this? Every crisis comes with a little bit of a lesson or learning or something that we can improve and I think there’s a whole lot of things we can improve in life right now, if we want to, or that life will improve for us a little bit later. This is also part of the growth mindset! This is where your mindset can grow so that you can interpret things in a different way. This, in turn, can lead you to create a purpose for yourself, if you haven’t find found your why yet. Your progress is still progress, even if it’s very, very slow. You can slow down as slow as you want, or you can speed up as fast as you want. It’s only your own race, you’re not competing against anyone. Don’t compare with anyone, just what can you learn from this crisis.

Gratitude is Self Love

I think something that it’s very important to acknowledge in these times is gratitude. And that goes together with the point of staying positive. as well as being enough. There are always, always, always things to be grateful for and to show gratitude for. That’s why I find it very, very important to, for example, meditate regularly. You can do that with apps, you can do that on YouTube, you can do that just in silence or with some soundscape. Meditation can really help you organise your gratitude a bit better.

Then another question to ask yourself is what can you control in the situation? It doesn’t matter if you can’t control the whole situation (because no one can no one knows what we’re handling, no one knows how this is gonna play out, and no one knows what’s happening next.) But what can you control in the situation? Perhaps it is your reactions? Perhaps it is to nourish your body properly? Perhaps it is to hydrate your body properly? Start from small things like that. They all add up so that you feel more in control of yourself and your own situation. How about today, you think about all the things you are, instead of what you are not. Think of all the beautiful, wonderful things that you are, stay positive, you are enough and what can you control and look after it.

Then, look how far you’ve come. Look at the person that got into this, well not chosen, but this forced mess about two months ago. Who was that person? Worried, perhaps stressed out, running between meetings, crazily stressing around everywhere? And now we’ve had the time to breathe and relax, and perhaps even make a few plans for the future? It depends. But ask yourself how far have you come just through these past few weeks?

Make sure that you build up your community, or a community at least, join a community. If you have the right people around you and surround yourself with the right people, you can also get the right support for you. That’s really important, I find, because we’re not alone in this. We’re all in the same boat, so to speak, and we can really help each other. So find a community that supports you.

And then almost the most important one, after you’re enough is; be kind to yourself. Make sure that you know that you are a priority. This connects connects the mind and the body to engage in something else instead of news flashes everywhere. And especially if you haven’t turned them off yet (which you really should)!

Make sure that you celebrate the smallest of things. And it’s not easy to find them sometimes, but if you really look, as I said, there’s always something to be thankful for. So celebrate the smallest of successes.

And then another super, super, super duper important one is forgiveness. Forgive both yourself for whatever perceived shit that you think you’ve caused, whether it is in this crisis, or in the past, or currently or whatever, forgive yourself and others. We’re all going through a really difficult time. This was the thing that made me realise that I needed to revisit self love on a deeper level. I realised that I have a lot of my past self to give a little bit more credit for than I have so far. So this is my version of self love right now; I give myself credit for past achievements and things that I’ve done before. I also found this quote that was fantastic:

“You got to learn to love yourself. It’s the realest love you can get.”

And how true is that? No one can love you as fiercely and as fantastically as you can, yourself. And if you keep on dwelling on and badgering yourself for past mistakes, it won’t help you grow at all it. It will diminish you and your personality. So make sure that you are able to give yourself some well deserved credit for stuff that you’ve achieved in the past!

If you want to get deeper into this, I have three books and one documentary and that I suggest that you check out. The first one is a book called “The Art of Extreme Self Care” by Cheryl Richardson, it’s fantastic. You can learn a little bit more about different ways of showing yourself self love, and setting boundaries and all these things that are so important for us.

The second one, and I really love this book. It is my favourite fictional book, it’s “The Alchemist” by Paulo Coelho. It is a fantastic little look into what magic is out there and it switches your brain off from “fact fact fact fact fact” to something else.

My third recommendation is actually a book by Marie Forleo, “Everything is Figureoutable” , because, well, it is. So also during difficult times, and self love during difficult times is also figureoutable. It’s not hopeless. I promise. You can definitely definitely do it.

And if you anyways are surfing Netflix these days, how about you check out “The Call to Courage” with Brené Brown. It’s fantastic and also goes along with these sort of notes that I’ve been giving you today.

What is your favourite tip of going a little bit deeper in terms of self love? Share with me below and I’ll be happy to chat with you there!


The only purpose of this website and video is to educate and to inform. It is no substitute for professional care by a doctor or other qualified medical professional. This website and video is provided on the understanding that it does not constitute medical or other professional advice or services. Instead, we encourage you to discuss your options with a health care provider who specializes in treating Type 1 Diabetes.

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10 Diabetes Things To Do – Lockdown Edition

10 Diabetes things to do – #lockdown edition!

Type 1 Thursday is here, with a special edition of some diabetes things you can do if you find yourself a little restless at home these days.

Of course, if you are feeling too overwhelmed by everything right now, it’s not a requirement to accomplish anything at all during the lockdown. But, if you’re looking for some inspiration, maybe this could help?

Come along and share your diabetes thing to do, that you may not have the chance to do otherwise, during lockdown?

10 Diabetes Things During Lockdown – Type 1 Thursday – Hanna Boëthius

Do you want help with adding these to your life? Or discuss something completely different with me? Book a PowerHour with me and we’ll hash out all the diabetes issues we have time for: https://hannadiabetesexpert.youcanbook.me

I’ve created a graphic overview of the things I mention in this week’s Type 1 Thursday. Feel free to share it with someone who needs it (and make sure to tag me @hannadiabetesexpert so I can cheer on from afar!)

10 Diabetes Things To Do – Lockdown Edition


Today we are talking about 10 diabetes things that you can and you might want to do during a lockdown, that you might not have the chance to do otherwise. This is basically because we are all spending more time at home right now so we have a little bit more of a chance to experiment and stuff, but I’ll get to that.

First of all, I did want to say that I know this is a very uncertain time. This is a very scary and messy time and you don’t need to accomplish anything at all  during this lockdown, during your time at home, you don’t have to as it’s not at all a must or a requirement. But for the ones that might want to start exploring a little bit more about what is possible, you can, for example, do one of these 10 things that I’m going to share with you today.

As I mentioned already, this is because we are spending more time at home and we have a little bit more time, space, maybe opportunities and chances to experiment a little bit, as we are in the safety of our own homes. We are not stuck in an office somewhere, we are not stuck in public transportation where something could go wrong blood sugar wise, or you don’t feel well doing this thing or whatever. And so that’s why I suggest this is a good time, even though as I said, you don’t have to.

Basal Test

The big one. The number one diabetes thing that you can do if you are stuck at home in a lockdown and that is, of course basal testing. I did a whole whole Type 1 Thursday episode on this. So I don’t feel it’s necessary to explain too much. You can just scroll back, go to my blog or my YouTube to find that episode to learn how you can basal test properly. Basal testing, something that usually requires quite a bit of effort and a bit of time and a bit of patience. So this might be a great thing to do now that you are at home a little bit more than otherwise. That means that you can still basal test and fast without having the extra stress of getting to the office. For example, you have time to correct either highs or lows if they happen, all of this in the comfort of your own home. How awesome is that? How often do we get to do that, and who wants to basal test during an actual holiday? That’s not the point, the point is to keep the rest of your life as semi normal as possible and just do the basal testing, to find out if this fits you at this point of your life and in your insulin management.

Organize Supplies

Another thing you can do is organise your supplies. I like when things are organised and I do enjoy organising things, even though it takes a lot of effort. But this is very good to do right now to throw away those half eaten glucotabs or low things that are somehow crumbled between your CGM sensors and your insulin pump cartridges… Just really clean everything out, make sure everything is nice and clean and take stock of what you actually have now so that there are no strange surprises of “oh crap I don’t have that or that” and you can order things in time. As we know, some companies (definitely not all of them) but I am sure some of them will experience a shortage at some point. So don’t be, you know, caught short. 

Clean Gear

Next tip is to clean your gear with an alcohol swab or one of those disinfectant things that you have before you have an injection or insert a new pump site, for example. Use one of those and clean your pump, your CGM, your CGM receiver, your pen, you know all that lint and dust and stuff that gets stuck in the little corners, nooks and crannies. Get all of that out. Clean your gear to make it all feel a lot fresher. It feels a lot nicer when everything is nice and clean. And you’re not going to do that when you sit at the office so do it now while you’re at home.

Lancet Swap

Number four is a little favourite, which I do every Monday. I have to say I’m a good diabetic that way! Change. Your. Lancet. Lancets get really disgusting really fast so make sure you do change it at least regularly and not just once a year. Try to have it on a day, but if you haven’t gotten there, at least do it now that you have the time to actually find the lancets in your newly cleaned out a desk or drawer of diabetes supplies. 

New Meal

How about trying a new dish, for example, so that you know already how your blood sugar reacts to it and how you can manage it insulin wise? I have some great recipe resources. Some of them are for example Ketogenic Girl, there’s Maria Emmerich fantastic recipes or dietdoctor.com. They all have gantastic real food recipes that you can’t really go wrong with. Most of them also have carb counts. So don’t be afraid to try them because it’s really nice to widen your repertoire when it comes to food a little bit. Otherwise things get so boring if you eat the same thing all the time. 

New Movement

How about trying a new form of movement or a new workout? I may or may not have just completed a 20 minutes of dance party in my living room to the best of the noughties R&B – it’s so much fun. It is something that makes you smile. It can be an online movement, apps that are widely available right now. There are so many yoga apps,  so many high intensity things if you want. How about trying Darryl Edwards primal play with his Animal Moves cards for example, they’re fantastic. There are so many resources that you don’t need to go to the gym for. If you are allowed to go out for a walk, I highly recommend doing that daily to get some fresh air and some sun on your nose, hopefully. Just try something new. And this is also the time that you can experience and experiment how your blood sugar reacts to that kind of movement so that you can incorporate it into your normal life whatever it is going to look like after the lockdown. 


De stress, my sweet friend, take a deep breath, unclench that jaw, roll your shoulders back. Lay your hands flat on your lap. Relax. Relaxing is so so important and especially right now when everything is so uncertain and there’s a lot of anxiety in the air and in the world. I did a whole anxiety video last week that you can also find either on my blog or on YouTube. There I shared some tips on how to handle that, but de-stress, whatever de-stressing means for you. If it is meditation practice, fantastic. If it is EFT tapping (Emotional Freedom Technique), awesome. If it is yoga, go for it. If it’s taking a long bath, yes, if it’s a good cry, do it! Anything that makes your stress levels go down makes you a happier, calmer and a nicer person really. Stressed people are never really nice, so be a nice person and de-stress for yourself and for the sake of your diabetes management. Because as we know, stress is really the blood sugar killer number one, as I say all the time. So find your way of de-stressing and enjoy it. It could also be something like a beauty day like face masks. hair masks, paint your nails if you want to do that,  these are just ideas, you have to find your way of doing it properly for you.


Have you tried to hydrate really properly? As in really drinking a lot and enough water and not just take a sip and then forget about the fancy water bottle that you purchased for yourself to have available at all times? Can you actually make that commitment for yourself to hydrate? Also, if you need them, add some electrolytes so that your body feels better and it works better and it’s happier. Do it because there’s a huge difference. I saw that Ketogenic Girl posted about hydration and a comparison picture of her face when she was dehydrated to hydrated and it was such a huge difference. So if nothing else, if making your body feel good is not a convincing argument for you, how about looking a little bit better, then maybe that’s an argument that will convince you. I don’t know. Let’s see.

Find a Routine For YOU

In preparation for whatever life looks like when we get out of this lockdown, how about finding a routine that works for YOU? Not for me, not for your neighbour, not for the person you live with, not for your mom, your sister or your pet, but for YOU. How do you feel the very best throughout your day? Is it starting your morning with meditation perhaps, or is it starting with a really energising chat with a friend? Or is it with a cup of coffee or is it to dance to your favourite song for a couple of minutes? Really find the routine for the whole day and in the way that it works best for you. What follows that first thing you do in the morning. What’s the next thing? Okay, and what’s the next thing? And when do you want to do X? When are you actually hungry? Rather than eating just according to conventional 12 o’clock as lunchtime, and you know, whatever 6,7,8, to 9pm, depending on where you live, it’s dinnertime and between there you know, blah, blah, blah, when are YOU hungry? When do you want food and what works for you so that you can apply this even when you go back to the office. When you reevaluate a little of your current routine and maybe swap some things out, that could work better for you. It doesn’t have to be harder than that. 

Foot Care

Another tip which I actually do enjoy when I have the time and energy is actually foot care. We all know that people with diabetes are prone to problems with their feet, maybe not everyone of course, but all feet love a little bit of extra TLC. So get a good foot bath and get a Pumice stone to take away the not so pretty areas and the hard skin, the dry skin, all that stuff and then moisturise and give yourself a really well deserved foot massage. You are going to thank yourself, your feet are going to thank you and yes, it will be time well spent. This is again the time that we normally don’t have available to us because we are stuck in offices or with other commitments and socially or whatever else. But now that we are at home more there is more time to get this done.

If you are interested in hearing more or learning more on how to incorporate this kind of stuff into your life from me, I have opened up a few coaching spots and you can book those via my Instagram profile right now and I’ll put the link here to my Facebook as well as YouTube. I have opened up a few spots so you can book your time with me and we will hash out all your diabetes problems that we have and time during our power hour together. And I would be so happy to help you: Just click here to book!

But first, I do want to hear from you: what are some of the diabetes things that you are looking to do or accomplish? Or maybe it’s none of it at all and you just think this video is complete bullshit, and that’s fine too.

Let me know and leave a comment below and I’ll be happy to chat with you there.


The only purpose of this video is to educate and to inform. It is no substitute for professional care by a doctor or other qualified medical professional. This video is provided on the understanding that it does not constitute medical or other professional advice or services. Instead, we encourage you to discuss your options with a health care provider who specializes in treating Type 1 Diabetes.

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Basal Insulin Testing – Why, How & When?

Do you have frequent low blood sugars? Or high? And they all seem to come out of nowhere?

It could be something wrong with your basal insulin, dose or timing! Learn all about basal insulin testing in today’s Type 1 Thursday!

When was the last time you checked you basal insulin settings?

Type 1 Thursday – Basal Insulin Testing – Hanna Boëthius


If you prefer to read all about basal insulin testing, you can do so below. Enjoy!

Basal Insulin Testing

‘I want to ask you this first, do you perhaps experience frequent hypos or frequent highs that seem to come out of nowhere? They are not really connected to when you’re eating and your bolus insulin, and it’s not really connected to anything else either. So maybe it is something else, could it be? (As we all know, with diabetes, chances are it could be…)

Butt first, hypos, or low blood sugars, never, ever happen because you’re not eating enough food! Hypos always, always, always happen because you’re taking too much insulin for that particular circumstance. That actually leads us back to today’s topic, basal insulin settings and how to check that your basal insulin settings, like your long acting insulin, or basal settings on your pump, are correct for you. Not for anyone else, never ever compare insulin dosages with anyone else. It is what it is for you and if it is correct.

Basal insulin is really key, either is dose or the timing. If you are on MDI, timing of the basal insulin could be a problem. So let’s figure out what it is, how we do it and all this stuff when it comes to basal insulin testing. It’s not necessarily fun, but hey, you know, it needs to be done if you want as good of a control as you can have on your Type 1 Diabetes. Having your basal set properly also helps you bolus correctly for your food or it makes it a lot easier to calculate.

What is a basal insulin test?

The point of basal insulin is to keep your blood sugar stable when you’re not eating, when you’re exercising when you’re not doing anything. It works the same in healthy people, the ones that don’t need to add insulin from the outside. Basal insulin is there to keep your blood sugar very stable during the whole day when you’re not eating, not exercising, not doing anything of the few things that actually help lowering your blood sugar, or any of the 42 or 45, or whatever things that can increase your blood sugar.

What is a basal test? Well, it’s basically to determine what your proper basal setting is, whether you are on a pump or taking long acting insulin. Without the influence of food and without bolus insulin, without exercise.

How to basal insulin test?

How do you do it? Well, trick number 1 is to start at a normal blood sugar level. Don’t start if you’re too high, don’t start if you’re too low, start at a normal that is the baseline of basal insulin testing.

You can either do it in two ways. Either you fast the full 24 hours and get it all out of your system and you have done in one go or you divide it up on 4 days and divide the 24 hours into 6 hour increments, where you fast for 6 hours and then check your blood sugar’s hourly to see what happens to them.

This is also where a CGM is very helpful, although I would not trust it to be exact for all of that, I would also prick my finger a couple of times in those 6 hours or those 24 hours, just so you can actually see what is doing what. If you choose to do it in four days, then you do overnight in one go and then you do a morning session, followed by a day session and then an evening session, so that you get those 24 hours all checked.A suggestion is that you basal insulin test one week and then the next week you do the same, to just double check and fine tune and really tweak your basal insulin (because this is really key for good blood sugar management)

Do & Don’t when Basal Insulin Testing

Don’t eat or take insulin (bolus) 4 hours before you start the test.

You can have water and herbal tea during your fasting hours, anything that’s not caffeinated and nothing that will do a number on your blood sugar. Anything that is neutral is fine.

Don’t eat unless you go too low, if you’re having a hypo. Also, don’t correct unless you go too high. (If you go too low during your your basal insulin testing, it means that you’re taking you’re taking too much basal insulin, whether it isn’t a pump or injections. If you go too high, your basal insulin is sett too low.)

Make sure you’re not sick or on your period or have something going on that you know influences your blood sugars.

It is completely okay to break the test if you have to! If you have a hypo, you have to correct it. It’s fine to break the basal insulin test, you just do it another day instead. And the same if you go too high, it’s fine to break the test, you have a bolus and get on with your day. The main point is that you take care of yourself! The basal insulin test can be done another day instead.

Also, one, one very important tip, is to write down the results, so you have them on paper. It makes it a lot more easy to overview instead of having it in some app and you have go back and forth between resources. Good old pen and paper works the best in this case, I would say.

What are the results of basal insulin testing?

If your blood sugar drops too much, you’re taking too much insulin. You’re taking too much basal for your needs. If your blood sugar goes up too high during the basal insulin test, you’re taking too little basal insulin, and you need to increase it.

If you are an MDI and notice something could be better during these 24 hours, perhaps you need to split to your dose? This is something you can discuss with your doctor. And if you’re on a pump, remember that it’s usually the basal setting that is about an hour to 2 hours before that impacts your blood sugar’s right now, so you have to be a little bit flexible in adjusting this, if you need to.

That was my very short run through on how to basal test your insulin properly.

I want to know from you, when was the last time you basal tested your settings or your dose or timing for that matter?

Let me know in a comment below. I’ll be so happy to chat with you there.

Ps. Want to learn more about basal insulin testing? Check out Dr. Richard Bernstein’s video here!


Inspire – don’t judge!

“You give other people with diabetes bad conscience!”

The words of my Sweet Friend surprised me. I was gobsmacked, then I was amazed, then everything suddenly made sense.

“That’s soooo not my point”, I said, laughingly. “I know, I know it’s not, but if everyone knew how to take care of themselves like you do, then everyone would feel better. Not everyone has that motivation,” she continued.

My goal is always to inspire others, not to make anyone feel less worthy. I don’t want to be the one who makes you feel bad about your diabetes management, or yourself. I‘m not ever ”better than you!”

I want to inspire you, because higher powers know I would have needed it myself. When I was at my absolute worst, with double digit A1C’s and didn’t know my ass from my elbow in terms of diabetes management, I was trying everything out, one thing after the other and it all lead to the same shit… I wish, I wish social media would’ve existed, and I could’ve found some sort of motivation and inspiration in people who have walked the same path. And even when I had A1C’s of 7-8% I would’ve needed someone who I could look up to.

That’s who I aspire to be – I want to be your cheerleader, the one that cheers you on when the going gets tough! Me sharing my values and numbers, me sharing my lifestyle and tips, me sharing everything that I do on social media is NEVER about bragging. It’s about me being on the diabetes journey / just as much as you are. And I want you to see it as inspiration.

If I could get myself from double digit A1C’s to a healthy, healing, happy range of blood sugars, so can you. I promise And I’ll be there for you, to guide, inspire and motivate you. If you want me to, that is. Always rooting for you. 🙌🏼💗🌟

Post originally published on my Instagram account, @hannadiabetesexpert



Reflecting on all the things we have to feel gratitude for is sometimes overwhelming, even if they’re all little individual sparks of joy in our lives.

Sitting here, being so overwhelmingly grateful that I have the chance to start yet another year. A year that I can choose to shape and form in exactly the way that I want to. A year where I’m more determined than ever to inspire those around me to become healthier, happier and feel more joy (not unlike my own goals!)

Throughout my life with T1D as my constant companion, starting a new year of life hasn’t always been a given. Yet, for many years I took it completely for granted. No more.

I found this great quote, which I think is very fitting today:

“I know as a woman I’m supposed to be afraid of getting older but I love this shit so much. Every year I sink deeper into this bath of unapologetic realness and it’s amazing.”

Bunmi Laditan

No matter how bad the world may look today, there’s always, always, always something to be grateful for. So much gratitude in the world!

What are you grateful for today? 🌟

(Post originally posted on my Instagram account – @hannadiabetesexpert

Don’t eat less… Eat right!



…and if you are having trouble finding out what the right things to eat are – contact me and I’ll help you figure it out!