#1693 After Dark: Mod Podge

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Stacey shares nearly 30 years with type 1, family addiction, loss, alcohol recovery, weed, mushrooms, gastroparesis, and finding a small, quiet life she actually wants.

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Here we are back together again, friends for another episode of The Juicebox podcast.

Stacey 0:16
Well, I'm Stacey. I've been diabetic for almost 30 years, and I'm from Texas,

Scott Benner 0:24
this episode of The Juicebox podcast is sponsored by skin grip, durable, skin, safe, adhesive that lasts your diabetes. Devices, they can fall off easily, sometimes, especially when you're bathing or very active. When those devices fall off, your life is disrupted and it costs you money, but skin grip patches, they keep your devices secure. Skin grip was founded by a family directly impacted by type one, and it's trusted by hundreds of 1000s of individuals living with diabetes. Juicebox podcast listeners are going to get 20% off of their first order by visiting skin grip.com/juicebox you nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan. This episode of The Juicebox podcast is sponsored by the Dexcom g7 the same CGM that my daughter wears. Check it out now at dexcom.com/juicebox, the episode you're about to listen to is sponsored by tandem Moby, the impressively small insulin pump. Tandem Moby features tandems newest algorithm control, iq plus technology. It's designed for greater discretion, more freedom and improve time and range. Learn more and get started today at tandem diabetes.com/juicebox

Stacey 1:47
Well, I'm Stacey. I've been diabetic for almost 30 years, and I'm from Texas,

Scott Benner 1:53
Texas, 30 years Texas. How old are you? Stacey? I am 39 Okay, so you were nine when you were diagnosed? Yes, the simple math is the easiest math any other sisters, brothers, uncles, aunts, other people with type one diabetes in your family?

Stacey 2:11
Yep, my older sister was type one. She was diagnosed when she was nine as well. And then eight years later, I was diagnosed and type two and pre diabetes like runs rampant in my family, my dad, my grandma and grandpa, two aunts that were died type two. My uncle's type two. I have three cousins that are type two or pre diabetic. Okay, that's that's just the diabetes of my

Scott Benner 2:38
family. That's just the type we'll find out about the rest on my dad's side. I don't know

Unknown Speaker 2:41
about my mom's side. We'll get

Scott Benner 2:43
to whatever else is there that you know about. But I have to say you said your sister was type one. So either somebody came up with a cure and gave it to your sister, your sister's not with us any

Stacey 2:52
longer, which is that she's not with us any longer. She passed away when she was 30.

Scott Benner 2:56
She was 30 after having diabetes for 21 years. Ish, Yes, yep. Was it from type one? Yeah? Really, okay,

Stacey 3:04
yeah, she wasn't in taking great care of herself. Got sick and brought it to the hospital. She was in DKA, and just never got out of DKA,

Scott Benner 3:14
basically, yeah, so if she was 30 at that point, that made you like 21 Do you know each other well? Yeah. I mean, like, friendly. You spoke frequently. Oh yeah, yeah, okay, yeah. And you had had diabetes for a while at that point, yeah. So did you, the two of you, ever speak about your type one, or was that not a thing we talked about?

Stacey 3:38
Oh no, we wouldn't really talk about it. It was just, like, it was just normal for our family to have, like we used to sit down at the dinner table, Benner would be taking our shots, doing our blood sugar, and it's just like, normal. So we never really, like, talked about it. Just, it just existed. I'm not sure we didn't really talk about it, but it was just there. No, I mean,

Scott Benner 3:59
it's a pretty big age difference, too. So I was, you know, like, once you're adults, she's 18, or, you know,

Stacey 4:06
yeah, when I, when I was diabetic, when I, when I became diabetic, she was, what, like, 1718, yeah. And so we only lived together for a year or two before she moved out.

Scott Benner 4:16
After that, that's what I was getting at. Now, yeah, was there something, I mean, I hate to say this, but I'm looking at your notes here. Your mom passed as well. When? When was that?

Stacey 4:27
That was when I was 16. So she was

Scott Benner 4:31
46 she was 46 What did she die from? The

Stacey 4:34
official diagnosis was Moya. Moya, she was having like strokes, and then she went to she was having surgery for it, and then basically had another stroke in surgery and couldn't

Scott Benner 4:47
recover from it. Oh, my God. At first I thought you were like, my brain was like, wait, I think that's a seafood dish. Yeah, that would be wrong to say, because we're seven minutes into a conversation so far, everyone that you love is.

Stacey 5:00
Gone. Yeah, the females in my family, we're not, we don't have good luck.

Unknown Speaker 5:05
Does that scare you? Yes, and no,

Stacey 5:07
I always thought I was gonna die when I was there by the time I was 30. So now that I'm 39 I'm happy for as long that I've survived this long, yeah, and technology and things are just getting better. So

Scott Benner 5:22
what made you think 30? Was it because your sister passed the 30? Or did that number just getting

Stacey 5:27
your No, I since I was like, since I was diagnosed? Oh, you know, they were back in the 90s. It wasn't a good they said, you know, later in life you're going to have complications. You do this that, oh, there's going to be a cure in five years. But you're like, I still knew the complications of

Scott Benner 5:45
everything. Do you think it's possible, Stacey, that the biggest mistake the medical community has made is telling people, don't worry, there'll be a cure soon? Oh, yeah, yeah, tell people what that did to you. I

Stacey 5:57
felt like I could do whatever I wanted because it'll be okay in a couple years. Yeah, was almost I'm invincible, that whatever happens to you is not gonna happen to me. So no

Scott Benner 6:07
different than when people talk about smoking or something, like, I'm not gonna get lung cancer, that happens to other people, like, I'm invincible, nothing's gonna happen to me. Besides every doctor I've spoken to has told me that this is gonna be over soon. They've almost got it all worked out. And so then that gives you the idea that you don't need to take care of yourself, right? Because, oh, yeah, what's the effort for if it's just going to be gone? Do you think your sister, she I know she's gone, and we don't want to speak for it, but do you think she shared that experience,

Stacey 6:34
definitely, and she, at one point, thought she could control her type one by diet and exercise.

Speaker 1 6:43
Oh, how'd that happen? You know, she

Stacey 6:46
just read about it and tried it and didn't work. No kidding, yeah, that was shortly before she passed away, about a year or two before that, but she wasn't ever in the greatest control. Do

Scott Benner 6:59
you have any idea why, what her situation, her story was?

Stacey 7:03
Well, we didn't have the greatest support from our parents. We did, but they didn't help us figure out carb count, or because when we started, we were on mph and regular. So it's like we didn't really count carbs. We take four units at dinner every every day your blood sugar is this, then add two units. And so we didn't know about car penalty and back then. And then she just grew up with it like that. And then, when I got diabetes, I went to diabetic camp, so I learned all the right

Scott Benner 7:36
things. You heard from people other ways. She was not interested in hearing that from you. Oh no. Tell me what it means that your parents were supportive, but not supportive. What does that mean?

Stacey 7:46
Well, like, if I ever had a problem, they were there, but I was hard headed. They'd be like, Oh, how's your sugars? Oh, it's fine. Okay, good. They weren't like, and I would go to the doctor. My a 1c, is 1213, they're not making the connections, like, there's something wrong. If your blush, if your a one season is high, they weren't worried when I wasn't taking care of myself. They were but they weren't on top of me. Like,

Scott Benner 8:10
did they know you weren't though? Like, I'm asking, like, did they see basal at 12, a, 1c, and they thought, that's not

Stacey 8:16
good, but that's not Yeah, but they weren't on my ass about anything, right? And then they asked

Scott Benner 8:21
you how everything and you said, everything's good. And then that was that they

Stacey 8:24
didn't talk to you about it, yeah. And then, you know, I end up in DKA, and it starts all

Scott Benner 8:29
over. How frequently do you think you've been in DKA in your life, in

Stacey 8:33
my life, at least 10. At least 10 times or so, at least Yeah.

Scott Benner 8:39
Do you believe, going back to your parents, what do you think the reasoning is behind their lack of involvement? I mean, were you like harsh to them and it scared them off? Or do you think they didn't understand? They

Stacey 8:52
didn't know any better. Their parenting style was not laid back, but not on your ass about everything, but they just didn't know anybody you know. The doctor said, you do this, this, this, and it'll be fine. They went with that, and you're going to be fine.

Scott Benner 9:08
And even though you weren't fine at the testing phase, that didn't prompt anybody to do anything differently. No, no. So in your notes here, it talks about alcoholism and addiction. Is that for you or for other people in your family, myself and my family so you grew up with addicts or drinkers.

Stacey 9:29
My mom was an alcoholic. It got really bad around my diagnosis, actually, in fourth grade. That's when, like I started affecting our lives. She was an alcoholic. Parents got divorced. She went to rehab multiple times, and then my brother became a heroin addict. Okay, do you remember the Plano heroin epidemic in Texas? No, I don't. Back in the 90s. No, tell me about it. There's a whole heroin epidemic going on back in the 90s. Was in Plano, I was on MTV and stuff like that, in the news, and he was part of that. He would sit there and watch TV be like, Oh, that's my friend. That's my buddy. That's, you know, he was surprised, like he didn't see himself on the TV. So he went to rehab that had to move into my grandparents

Scott Benner 10:17
How old was he when that when he had to move to your grandparents house.

Stacey 10:21
He was a senior. And were you how old? Probably like 1112, Oh, you were. You're

Scott Benner 10:26
younger than him as well. Are you the youngest? I'm the baby. Okay, yeah. So there's an older sister and older brother as that is, or more, and another older sister, older than the one we talked about, who passed No.

Stacey 10:38
So it's me, and then Stephanie, she's six. She's four years older than me. Seth is six years older than me, and Sarah is eight years older than me. And Sarah's one that passed. Got

Scott Benner 10:49
it okay. Well, are you using heroin at that time? Or, oh, no, have you ever, never.

Stacey 10:55
I will never, I will never try it, because I already know if I try it, I like it, and it's not gonna end good.

Scott Benner 11:01
Do you feel like your family has an addictive personality? Definitely, both mom and dad side family. Okay, so drinking daily? Mom,

Stacey 11:10
yeah. Me, eventually, not daily, but it was getting close. Yeah. By the time I was 21 I was going to AA and say, and I had a drinking problem.

Scott Benner 11:23
Wow. Fast forward it. When did you start drinking? How old were you? I was 16. Yeah. Who gave it to you? Do you remember first time I

Stacey 11:31
really remember drinking and getting like drunk was at a New Year's Eve party, just some friends from school, and I had a friend from diabetic camp with me, and that's when I started smoking cigs, even though the day before, and I would always say I would never smoke. I'm never gonna get smoked six because, you know, my parents do that, and that's just, it's not good for you. Get drunk. Try it, and I'm a smoker now. 16 is when I started

Scott Benner 11:57
drinking and smoking. Yeah, did you pick weed up at some point.

Stacey 12:00
Yeah, my probably, like, when I was like, 17,

Scott Benner 12:04
next year, board, 12 months, 12 months of that, and now we're gonna upgrade a little bit. Yeah, lunch

Stacey 12:09
break got kind of boring, so

Scott Benner 12:13
at school, so now it's drinking cigarettes, weed. By this, by 17, you're still in high school. By 21 you're an AA saying, I need help. How did that go? Like, where are you with with drinking?

Stacey 12:25
I haven't drank in almost 16 years.

Scott Benner 12:28
That's awesome. Good for you. Yeah. Do we smoke weed? Yes, on the daily you're a daily weed smoker. Yes, gotcha. I'm all about the psychedelics, mushrooms, Shrooms, yes. What else? Take an

Stacey 12:41
acid a couple times. That's you got to be in the right place at the right time for acid, but definitely shrooms in ayahuasca and stuff like that. That's just that's too much for me. I don't want to be throwing up. You're

Scott Benner 12:54
not looking to poop and throw up. No. Gotcha. No. Would you call the mushrooms recreational or spiritual. How do you think about them both?

Stacey 13:04
It depends on what your intention is when you take them, how frequently I haven't had any in like, a year or so, okay, I just haven't felt the need for them or a certain situation or wanted them. But then other other times, it's, you know, once, twice a month, or

Scott Benner 13:21
what's the feeling that makes them necessary? Those are your words. So what happens to you where you go? It's necessary now for me to do this when

Stacey 13:28
I'm not in a good place, or when I'm trying to figure out something that's going on in my life, or when I'm going to a freaking concert, concerts on streams.

Speaker 1 13:40
I always suggest, what does it do for you? It makes you

Scott Benner 13:44
know that everything's going to be okay. Okay, so now we're getting to it. So, yeah, what wouldn't be okay at a concert? That the mushrooms help you feel like is going to be okay? Well,

Stacey 13:55
at the concert, it makes it just the like the visuals. That's where the recreation part comes. Is when I take them at concerts and stuff. Even though I still have experiences at concerts on them, it's more for recreation. Then I'll take them at home for spiritual and, you know, take them by myself and I'm have a trip on my by myself and learn things. And, yeah,

Scott Benner 14:20
are you anxious? Yes, yeah. Does the weed help with anxiety? Oh, yes, that what you're using it for, mostly, mostly, yeah. Does it stop you from living like you have a job?

Stacey 14:29
I am a professional cat sitter.

Scott Benner 14:33
That's nice. Do you do that at other people's house, or do they bring it to you? I go to other people's houses. Yeah. Are you recording for someone else's house right now?

Stacey 14:41
No, I'm at my dad's Okay.

Scott Benner 14:45
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Stacey 16:59
I was working for my dad. He owned his own restaurant. I was a GM there, and he shut down the restaurant two years ago, and I just haven't really gotten a job since I did like Uber and stuff. I've tried a couple jobs, but I have complications from diabetes. I'm not in the greatest health with my mental health and physical health, it's hard to

Speaker 1 17:24
keep a job. Gotcha, what's the mental health issue? Pretty bad

Stacey 17:28
depression. And then, well, there's ADHD, but anxiety, that's pretty much it. The anxiety is better. Now that I've the anxiety and depression are better now, since I'm on the right medicine combo, okay, they had me take a, like, a DNA test, but something like that, where they figure out what meds work best for you. Given Yeah, you got a good balance. Oh, yeah, it's perfect. I haven't had to change it, like 15 years.

Scott Benner 17:58
Awesome. Yeah. When did you start feeling the anxiety? Do you think your mom had it?

Stacey 18:03
Oh, yeah, she definitely had it. She had borderline personality disorder. Okay, we would describe it as she was like a chameleon. Whoever she was around, she tried to be like them. And I think that her anxiety of wanting to be liked

Scott Benner 18:20
and stuff like that. Your sister, did she have any mental health stuff? Not diagnosed? Did she have issues that lean towards those ideas?

Stacey 18:28
Not depression or anything really, it was more We thought she might have been on the road to be an alcoholic. And you

Scott Benner 18:34
guys are Irish.

Speaker 1 18:36
We are Dutch, Dutch, like

Scott Benner 18:39
pretty like, Mom and Dad are from Dutch background. Not

Stacey 18:42
sure about my mom, but definitely dad were from the Netherlands.

Scott Benner 18:46
Gotcha interesting? Your father still drinks? No,

Stacey 18:50
no. I mean, yeah, he does, but he doesn't have a problem. He doesn't have any problems. He's a good guy.

Scott Benner 18:55
What was your dad's vice in the day? Cigarettes?

Stacey 18:58
Cigarettes. Yeah, he's never really been on. I've never seen him really drunk.

Scott Benner 19:04
Okay, your dad doesn't drink much.

Stacey 19:06
No, yeah, he'll have like, a glass or two of wine when we have family over.

Scott Benner 19:10
Yeah, okay, dad, cigarettes, wine. How about violence in the house? Anybody go to jail? Any abuse, anything like that when you're growing up? Nope, just the addiction,

Stacey 19:22
no abuse or anything. The only violence was, I think it was in sixth grade, and my mom tried to commit suicide and, like, cut herself. Oh, while she was in the garage with my friend's mom, they were smoking cigarettes and stuff, and my friend's mom came into the house. So, you know, help, help, you know, and I had to run over to her house get her dad all this stuff. That's the only violence that we ever had in

Scott Benner 19:49
our that's a lot though. How old were you? How old were you when that happened, sixth

Stacey 19:53
grade? So I was probably like, that's young, 1112, or so. Yeah,

Scott Benner 19:57
that's, that's super young. Okay? Have you ever been married? No, no, don't plan on it. I was gonna say, is that a thing you're interested

Stacey 20:05
in? Nope. I don't want kids. I don't want a relationship with anybody. I want to be able to do whatever I want to do, whatever I want to

Scott Benner 20:13
do it. Okay, well, that'll be the only way to accomplish that. How much do you make the cats hit for a week?

Stacey 20:19
So it's up and down. Like, last month was really slow. This month I've almost made, like, three grand.

Scott Benner 20:25
If I said, You come to my house tomorrow and stay for a week. Like, do you stay? Or do you just bop in and out and take care of the

Stacey 20:31
cat? I don't stay. I do visits. So I can do multiple cats a day. So this morning, I went and saw toots. So that was $25 and then I have the three boy cats right now that I'm taking care of, that is, and I give them medicine, and I come twice a day. So that's like $65

Scott Benner 20:54
a day. For that a day, okay, that's not bad, no.

Stacey 20:58
So, so for one visit, it's $25 for two visits. It's $40 and then like add on for meds or additional tasks that they want and stuff like that. And then they, most of them tip on top of that.

Scott Benner 21:10
And how long do you plan on being at each home when you get there? Pretty quick, it's usually about 30 minutes. Wow, you make 60 bucks in 30 minutes. I'm in the wrong business. This sounds like, this sounds pretty like, awesome. Honestly,

Stacey 21:25
it is like, I every day. I'm like, I'll, I'll be chilling with the cats. And I'm like, I can't believe I do this for a living.

Scott Benner 21:32
Yeah, smoking weed, the cats, hanging out. Made three grand.

Stacey 21:38
I've gone on three cruises in the past year, really, to where the Caribbean to, you know, cause the milk, Costa, Maya and stuff like that.

Speaker 1 21:46
Honduras, nice. Are you gonna come on my cruise next year? I

Stacey 21:51
cannot afford it. Next year, that is, I thought I could afford it. Maybe, if you were back on the, you know, Royal Caribbean Mariner,

Scott Benner 21:57
yeah, for Texas, it would be closer for you too. Yeah, we're gonna go out of Miami instead next year. Yeah, that's my fault. I'm sorry. It's okay. Next time, yeah, next time. Listen. I want to understand about your diabetes. So I think we've, like, got a pretty firm background about your family life and, you know, different struggles that you may had, and other people in your life have had. So now we have a background, but now I want to hear about the diabetes, like growing up with it. You had an older sister with it. Was it difficult? Did you find it easy? Like, what was like school through high school? Like with it.

Stacey 22:31
So when I got diagnosed, they took me in my sister's room, and they tested my blood sugar, and I just said, Hi, I could see, like, the disappointment, and I knew what it meant. And that night, I was told I could eat anything I wanted that night, because it would be the last time I could eat whatever I wanted without any worries. Next morning, I got up and we went to my sister's Endo, which was actually like an adult indo, not even a pediatric Endo. She gave me the syringe with insulin in it, and said, Here, give this to yourself and your stomach. And so from that day on, like I was in charge of giving my shots, testing my blood sugar and everything. So that's how, like, my parents didn't weren't really helpful. It's because from day one, the doctor is like, this is yours. You have an older sister. You know what you're doing.

Scott Benner 23:23
Also, your mom was burdened with a number of things. Oh, yeah, yeah. She wasn't probably looking for other stuff to do. Yeah, was that regular and mph? I mean, it's the 90s. It could have been Landis, and it was still then,

Stacey 23:34
yes, started off with regular mph, with syringes, not even the tiny needles, but like the longer needles, and then went to Humalog and Lantus, probably high school or so, and then use pens for that, but then

Scott Benner 23:50
there's a pretty big shift there, and the need and how insulin works. Does anybody go over that with you?

Stacey 23:54
Yes, and no. I went to diabetic camp, so I knew, but not

Scott Benner 23:58
how I know now. When did you gather the knowledge that you have now

Stacey 24:02
started slowly when my sister passed away, and then just build up on that, and then I found the podcast, and that got even more tips and everything.

Scott Benner 24:14
Yeah, yeah. So you're slowly gathering information, and this is brought on by your sister's passing. Did it make you think, oh my gosh, I'm gonna die too.

Stacey 24:21
Yeah? It was like, Oh, I gotta get my stuff together. Yeah,

Scott Benner 24:25
I got more cats to watch and chill out and smoke weed. I can't die. Yeah, yeah.

Stacey 24:31
So at the time before cat sitting, all I've done is child care in the restaurant business. Okay, so I hadn't who would have thought I would become a cat sitter? I don't know,

Scott Benner 24:41
well, how did that happen the first time? What do you mean the first time? Like, how's the first time you found yourself taking care of someone's cat? Was it just somebody said, like, Hey, you're good with animals. I'm leaving for the weekend. I need help.

Stacey 24:51
It was a friend. They were like, Hey, we're leaving for a week or two. Can you watch our cat? Cool? Because they knew I was crazy cat lady. Yeah, I already loved my own cats. And I was like, they paid me. And I was like, you can get

Unknown Speaker 25:05
paid for this. That's pretty cool. Wait a minute.

Stacey 25:09
And then I posted on Facebook, on one of the neighborhood Facebook groups say, you know, if everybody needs a pet cat sitter, let me know. And this was like, right before covid. And I had one lady that was like, Yeah, I would love for you to watch my three cats, blah, blah. And she would book me every, you know, couple months. And then I had another friend that wanted me to start cat sitting for her as well. And so I was getting all these experiences. And so when I would post again on the Facebook page, I had references now, and I had a business card. I had people commenting on the post saying, you know, Stacey's great, blah, blah, blah. Just grew. So just slowly grew, like last year is when it when it went off, yeah, took off. People just know, yeah. It's just a couple posts that I've done in the Facebook group, and then word

Scott Benner 26:03
of mouth, Stacey does a good job. All the silverware is here. When I get back. Cats are alive, all that stuff. Yeah, yeah. She locks the door. That's awesome. Well, yeah, you built yourself a little Empire there. That's very nice. Will you spread out? Like, is there a way to, like, get more and more of this hire a person like, you know, I mean, can you make it, or do you happy with it, just you and and the vibe that it's got right now?

Stacey 26:27
No, I'm good with just me. I don't want to business or anything like that. My dad was a restaurant owner, and I know the stress of owning your own business. Like, I have, like, Yes, I have my own business, but like, I'm not in charge of other people. And yeah, I understand, you know all that. Yeah,

Scott Benner 26:44
there's a lot of THC in your system. Maybe you wouldn't actually be stressed. You might be okay. Yeah, might be all right. Do you smoke your weed? Vape it, you know what I mean, like, what? How do you take it in day to day? What's your preferred method

Stacey 26:58
when I'm home, I use my bong, mostly I have a vape, like a vaporizer that I use every once in a while. It just takes a lot of bud to use it, and you got to heat it up. And anyways, when I'm out and about, I use my

Scott Benner 27:13
vape pen. Okay, you put the flower in the vape pen. Is that how that works?

Stacey 27:17
No, I use the like, the oils.

Scott Benner 27:21
They're like, pre loaded disposable, yeah. Gotcha. I thought this weed was not legal in Texas. How you getting this? I go

Stacey 27:28
see my brother in Kansas City.

Scott Benner 27:30
Ah, a little road trip, yeah. Gotcha. I hear the stuff in the gas stations in Texas is pretty much weed. Anyway, they went around and tested a bunch of it and found out it

Stacey 27:40
was yes. So that's where I get my vapes from. Is from the ones I get. I go to the one stop shop I get, yeah, and I don't know what, what's in them, honestly, but they work for me. And I don't have to, you know, travel to Kansas City for that. Yeah.

Scott Benner 27:59
How does all this impact your blood sugar. Have you noticed any like, is there any correlation between vaping, smoking, etc, and how much insulin you use or you're eating anything? Can you see any connections between the two? When

Stacey 28:14
I was not smoking bud, after I got sober from alcohol, my blood sugars were good, but I noticed when I started smoking again, the insulin need went down. You

Scott Benner 28:26
think your anxiety goes down, yeah, okay, and then maybe you don't need as much insulin because you don't have as much adrenaline or that kind of thing. Yeah, yeah. Interesting. What happens if you don't smoke for a day or two? Does the or

Stacey 28:38
does that not happen? That only happens if I'm sick. Kansas

Scott Benner 28:43
City closes one or the other. Yeah, by the way, is it Kansas City Missouri or Kansas City? Kansas?

Stacey 28:50
Missouri is legal. Kansas City Kansas is not legal.

Scott Benner 28:55
Interesting. I didn't know that. Yeah, I want to go back to you feeling like you're not going to live very long. So you have this feeling your entire life. Then your sister, well, then your mom passes, and that's tough, I would imagine. So then how do you, like, traverse the loss of your mother?

Stacey 29:13
Honestly, just thought, okay, live how I want to live. Because I want to do this. Do it. Because who knows when you're gonna die? Okay? I already know I'm gonna

Scott Benner 29:22
die early. So got that feeling, enjoy what I do, what I want to do. Yeah, she passes early. And then how many years is it until you lose your your sister? Not that many more, right? Five years or so. Yeah, five years later, your sister's in the hospital. And then gone pretty quickly, right?

Stacey 29:40
Yep, she was actually in the hospital in a coma, and I was in the ER from drinking too much and almost being in BK

Scott Benner 29:52
while your sister was passing away in the hospital, you were also in the hospital for something different,

Stacey 29:56
same hospital in the ER from drinking. Too much and almost wanted.

Scott Benner 30:02
DKA, the drinking too much in that scenario was because, what? Because your sister was sick, you drank more. No, I was already drinking. You were just doing it anyway, yeah. What is it? A regular day of drinking, it just caught up with you. Yeah. Were you not mad? I mean. DK, you were not managing your diabetes while you were drinking excessively.

Stacey 30:22
No, I never really managed my diabetes. Great, from the day of diagnosis till my 20s.

Scott Benner 30:28
What did that mean? How did you I mean, how'd you stay alive that long? What was your system?

Stacey 30:33
I always took my long acting and just luck, luck, I would, you know, take my shots here there, test my blood sugar here, there. It really just luck. I remember when I was first diagnosed at school, I would go to the nurse's office test my blood sugar and figure out how much insulin needed. I would draw it up. She would look at it, and then I would go in the bathroom and take it, and I would just shoot it down the sink. Why? I don't know. I honestly don't know, because

Scott Benner 31:03
you shot your Lantus every day, right? Yeah, so were you trying to hurt yourself? No, I don't think so. You don't think so. I mean, so you're in the room, you're holding the syringe. It's there. The calculations have been done for you. The only thing left to do is to put it in and push the thing and you're like, Screw this shot in the sink, walk back out. Yeah, huh. Have you been to therapy? Yeah, what did they tell you? They don't

Stacey 31:28
really tell you anything. They kind of make you figure out how you've got

Scott Benner 31:33
enough wrong. Somebody should have told you something. But like, what is like, what is the um, they want you to figure it out. Okay, so what did you figure out? Nothing like, why do you drink? Do you think so could feel like something else? Okay, feel differently. Yeah. What is it you're feeling that you don't want to feel like, I want to feel normal, okay? And when you're not drinking, how do you feel like, not just the abnormal, but like, what does that mean? Do you not do well with people? Are you tell me what it is that you're shutting up with the

Stacey 32:05
alcohol just knowing. So when I don't drink, I'm fine with people, but when I drink, I am more friendly, I'm nicer, I'm I'm a different person. You know, everyone be like, You're so quiet. Blah, blah, blah, yeah, give me a couple shots and I'm I'll be completely different. Be plenty, yeah? I just like the altered mind of it. Yeah.

Scott Benner 32:28
I mean, you're doing a lot of different things that alter how you feel. Yeah, my

Stacey 32:32
blood sugars weren't good at the time when I was drinking. So it's like, God knows what was going on, right? While

Scott Benner 32:38
that's going on. Do you ever think about like I could go into DK and die? Or is that not a consideration, not really a consideration? Okay? Because you thought this is never gonna happen to me. I can avoid, I can ignore this if I want to.

Stacey 32:51
Yes and no, I was like, always thought I'm gonna die early. Anyways, I'm gonna, I'm not gonna make it past 30, so might as well

Scott Benner 32:59
you think you were depressed as a kid? Yes, yeah. Okay. So you're depressed already, then you get diagnosed, then your mom dies, and you just think, like, you know that the idea I had that I'll be dead by I'm 30, that's going to come true, so I can just enjoy myself and screw all this stuff. Like, I don't have to be like, a real, like, functioning part of anything, because I'm not going to be here very long to begin with exactly interesting. Have you ever dated or been married? I've dated, never married. How do your relationships normally go? They go fine.

Stacey 33:29
I've had a couple long term couple years with couple people. My last one, I broke up with him because he I knew he would be controlling in the end, because he would be like, You should wear your hair like this. You should wear this outfit. You should do No, dude, I will do what I want to do, and you're going to be okay with it or not. Don't tell me what I should do, like that, you know, trying to mold you

Scott Benner 33:58
into something you weren't. Yeah, you think he was trying to mold you into something that would have been an improvement. For you and you avoided it? Or what is it more of, just like what he thought was right for the world, what he thought, yeah, yeah. Like saying, if you would have done some of those things, do you think you would have been in a better position? No, no. Okay, so he was just being controlling, yeah.

Stacey 34:19
And there are more red flags, like the only person in his family who knew about me was his sister, and we dated from was two years. Yeah, so that's

Scott Benner 34:28
not nice. Okay, so you got away from that. That's good, but you don't want to date anymore. No. Okay. What do you do for like, intimacy out of hand, okay, it's okay to you? Yeah, I've hooked up with bias here and there, but stuff that you know is going to be like, fleeting, yeah, I

Stacey 34:48
can take care of myself. Yeah,

Speaker 1 34:49
I gotcha. Yeah. Interesting. What makes you want to come on the podcast?

Stacey 34:53
So what was it last month you were like, Hey, I have some free time. Who wants to get on a. Call, and I jumped on the call, and there were the two other people, yes, yeah. I was just writing them off, like, why not, you know. And then I started talking. You're like, you sound like you should have your own episode.

Scott Benner 35:14
Yeah, let me tell people about this. Now, my gosh, I can't believe this is what this was. Somebody like, had one of those. I think it was like a time zone cancelation. Sometimes people get confused with the time zones. And I was sitting here, and I was already to work, and I was like, come on. Like, I was revved up to do something, and I popped into Facebook, and I was like, Hey, can somebody jump on who'd want to record? But before I could, like, go take the link down, there were three people in the group. And I was like, All right, well, we'll get you guys all your own episodes. And, yeah, this was yours. Oh, okay, yeah, cuz you started talking in there, and I was like, Oh, don't waste it on this. Let's, let's make a time. Okay, this is making more sense to me. Yeah, all right. Like, if I said to you, if I was your mom, I'd be worried about you. Would you understand that? Okay? And then I want you to tell me why that's not a thing I should be worried about, unless you think it is a thing I should be worried about. Do you have health insurance? Yeah, yeah. Where do you get that from? Obamacare?

Stacey 36:12
Okay, I've been on it since it's been out nice. All right,

Scott Benner 36:16
awesome. So you have health insurance. That's good. You have a, you know, you found a way to make money that so thing you like, that's awesome, too, right now we're smoking weed every day. That's not a thing I should be worried about. If I'm your mom. Like, do you think you're okay? Yeah, yeah. And the things you're trying to get away from, is there a way that you could get away from without altering yourself? Or is that not something you've considered

Stacey 36:38
there's not really much I'm trying to get a way from. I don't I've already gotten away from the stuff that I want to get away from.

Scott Benner 36:46
Okay, can you tell me what that stuff was

Stacey 36:49
like, the whole friends that want to drink, party, that kind of stuff. I had a good friend that she had two kids ended up selling fentanyl. Okay, yes. So I was like, X that, I don't want

Scott Benner 37:06
to hang around with the fentanyl seller. Yeah, gotcha

Stacey 37:09
so stuff like that, you know, I keep my circle small, my my life is small and it's easier. That way.

Scott Benner 37:18
You like it, yeah? Okay. When I said get away from things, although that was an awesome example of something to get away from, I meant like thoughts or feelings that you want to alter, that you used to use alcohol for, maybe now you use weed for. Is it sadness? Is it anxiety? Is it memories? Is it you have to understand states. Let's start over. I don't drink like so I don't understand like from a personal perspective, the desire to stop being me. Whatever is happening to me right now, whatever my thoughts are, my feelings are like, and I've, you know, gone through some stuff in my life, but I've never been to the point where I was like, if you could just give me an elixir that would get me out of this. I would do it. What is the thing you're getting out of.

Stacey 38:02
It wasn't necessarily getting out of something. It was enhancing, making it better, but something's going like this. Add alcohol makes it even better,

Scott Benner 38:13
but now you don't drink anymore, so like the alcohol made the moment better, but it made your life worse. Is that fair? Oh, yeah, okay. And then at some point you realize I'm gonna die, like my sister, I have to, like, pull myself together. Is that the whole thing? Yeah, okay. And so you stopped drinking about that time. Is that right? In 2010

Stacey 38:38
so she passed away. It took a while for me to completely

Scott Benner 38:42
get there. Yeah, I imagine, yeah. And then you used AA, yep.

Stacey 38:45
I actually went to the same aa group that my mom went to when she was an alcoholic. And people remembered her and were like, oh, you know, saw me. I used to go there for Al Anon and a small world moment.

Scott Benner 39:01
What's the difference between being the kid of an alcoholic? And, I mean, you haven't called yourself an alcoholic yet, but are you, I'm an alcoholic addict. Okay, okay, so what's the difference between being the the child, the non drinking child of an alcoholic, and it actually being your reality. Like, is the impact on you? Like, can you remember back that far to like, 1314, year old? You like, how did it feel that your mom was just an alcoholic?

Stacey 39:28
Yes, I was mad at her. I didn't understand, you know, I didn't I thought she didn't want to get her together. She couldn't get her together. I was mad at her. I remember. But then, after going to rehab for the first time and working with people, I realized, wow, I understand the disease part of it. Yeah, I understand what she was going through. I understand what why she made these choices,

Scott Benner 39:52
and was she gone by then, yes. How does that feel, not to be able to tell her

Stacey 39:56
that it sucks, but there's nothing you can do about it. Yeah. I'm not gonna reminisce and, oh, I wish I could have done this. It is what

Scott Benner 40:04
it is. No, I just mean, like, once you realize that you were mad at somebody for something that you now have a different perspective

Stacey 40:09
on, and it was relieving, because I didn't have that anger anymore.

Scott Benner 40:13
Oh, you get to not be angry at her. Yeah, that's interesting. Were you able to lend yourself the same kind of grace that you gave to her, Oh, yeah, yeah. That's really nice. That's, it's awesome. And you think it's a family tradition, huh? The baby genetic, the drinking, definitely. Yeah, everybody your brother drink, yes.

Stacey 40:33
Alcoholic, addict. He was Callie sober, and now he's fully sober for a couple

Scott Benner 40:39
months now. Does everybody know California sober means weed only? Okay? I just, I mean, you and I know, but, like, I wasn't sure.

Stacey 40:46
On my dad's side, I have aunts that drink excessively. I have cousins that drink excessively

Scott Benner 40:53
to Scourge through your family, really?

Stacey 40:56
Yeah, mental and addiction and bad health are both sides of my family, basically.

Scott Benner 41:03
That's in our family crest. Yeah, that's awesome. If you're looking for mental, physical health problems with a splash of doers, you want us, yeah, that's a tough thing to bear, you know, because event, because it's all around you, right? So even if you didn't want to do it. It was going to happen eventually. And then you've got that genetic component of it about how that, how the alcohol grabs a hold of you. And so once you try it, you're in, you're in, right? Because you would, you say, 16, you started, yeah, it have a hold of you pretty quickly. Oh, yeah, yeah. Geez. How is it that you're capable of not going back to it now? Like, what is it you? What is it you do? Doing done that stops that from being a part of your life

Stacey 41:45
nowadays, I just remember going to work on New Year's Day of 2011 or no, 2010 and being in the bathroom, sick on the bathroom, throwing up, being like I'm sick and tired of being sick and tired, and I know what I'm supposed to do. And I went home, told my dad, he said, All right, let's go to AA. You need to go to AA. That worked for a little bit. And then I relapsed and went to the psych ward, and then ended up in rehab a couple times. And it just took a couple times, you know, it took a little bit to stick and for me to figure out how to do it. I have a higher power that I believe in. And I just, I don't have the want to drink anymore because I have the weed. But

Scott Benner 42:32
if you and I were somewhere together and I didn't know you, we were just sitting talking, and I had a drink, come over, and I said to you, hey, you know, hey, I take mine. I'll get another one. Would you have the ability to put your hand out and say, No, I'm good. Thanks,

Stacey 42:47
Yep, yeah. I said, No, I don't know. Think I don't drink if

Scott Benner 42:51
I persisted, if I said, No, come on, don't, don't make me drink alone. Would you say a recovering

Stacey 42:55
alcohol? Say, No, you want me to go to the hospital like it makes me end up in the hospital. So I'm sick and tired of doing that. Gotcha.

Scott Benner 43:01
Yeah, you don't understand where this ends. Has that ever happened to you, or you've had to be like, out in the open about it with somebody, because, I mean, it must come up, right?

Stacey 43:10
Not to the extent. I mean, just, you know, the first time you go out with friends, just kind of tell them, Yes, like, I don't drink. I'm an alcoholic. I've never been ashamed of it, right?

Scott Benner 43:21
Everyone thinks I'm an alcoholic. Because if I, whenever you tell somebody you don't drink, they just assume it's because you can't. Yeah, it's an interesting thing. Anytime somebody says, Oh, how about this? They go, No, I don't drink. They go, Oh, like, it's almost like, Oh, I'm sorry I didn't realize, you know. And I'm like, oh, then you go away. No. It's like, you know, I just, I just don't drink. I couldn't even begin to tell you why we had a birthday dinner for Arden. She turned 21 and we went out to dinner, and it was just my family and a couple of Arden's friends, and, yeah, the the restaurant brought out champagne for everybody. And I was like, Oh, what am I gonna do with this? I toasted with everyone, and I took a sip, and I was like, okay, and then I put I didn't even, like, I wasn't, like, compelled to finish it, or, I don't know, to get a different drink. It's interesting. Like, even Arden that night, I don't think she'd mind anybody knowing this. She got like, a drink at dinner, and then her and her friends went out afterwards, like a Tuesday night, you know what I mean. So not a lot of things to do, places to go. And they left the house at 10 and they were back at Oh 1145 and I was like, Hey, you're back. And like, yeah, it was boring. It sucked. I was like, Do you have a drink? She's like, I had one. And I was like, what'd you think? She goes. It was fine. Like, and that was kind of the end of it. I point that out because it's so crazy that some people have something going on in their body. I don't know what it is, if it's in their mind, or if it's in their wiring, or what it is that alcohol hits them and it's like the beginning of the end. And some people take it and go, I don't want this like in that it's fascinating, you don't? I mean.

Stacey 45:00
My sister Stephanie, she does not understand why someone would want to drink and get drunk. Yeah, I'm with her. I don't get it either. When she drinks, she gets she gets reactions from it, she gets sick. She's like, I don't understand that. And so she's she's never quite gotten the disease.

Scott Benner 45:18
It's funny, because I think there's a difference between not understanding people's motives, like, physically not getting whatever it is someone else is getting out of that alcohol, I would tell you that, like, I just don't whatever it is you get out of that doesn't happen for me. Like, and I wonder, like, is that just dumb luck or bad luck for you, or whatever? Like, you know, I mean, like, if you said to me, Scott, like, honestly, if we sat down to have a drink and you drank a Coca Cola, like a soda, regular soda, I wouldn't judge you, but if you made me stop and talk about it, I'd say I don't understand why people drink soda with sugar in it, like I just it's so much sugar, I don't get why that's a decision that somebody makes that's different. That's me not understanding a decision you made. I'm telling you like, whatever the judge is that comes from that drinking. I can't even describe it to you, because it's never happened. You never been drunk. I mean, a couple of times, but I didn't find it particularly like a thing maybe twice, but it's not a thing that I did. And then I was like, Oh, awesome. Like, I can't wait to do that again. You don't like the feeling of it. I don't like not being me, okay, yeah. But I think some people like not being them or not being in their situation or their circumstance. So if I said to you, finish this sentence, Hi, I'm Stacey, and my life is going, what would you say? My life is going good, yeah, it is right. Like, yeah, that's what I thought you were gonna say. So you've got your diabetes under control, you've got your drinking in check. You've found a way you feel like to manage your anxiety, right? You know who you want around you as people. You've worked through the issues you have with, you know, people passing right? Like, how'd you get all through all this to a point where you feel like you're good

Stacey 47:02
honestly, I think it's the mushrooms. No kidding, yeah, tell me, because you just, you get this feeling that everything's going to be okay. In the end, it's all going to be okay,

Scott Benner 47:13
and that's it. That comfort is right, yeah? And before that, you did not have that comfort.

Stacey 47:19
No, I didn't know, you know, I didn't think everything was gonna be okay. I thought I was gonna die. I thought, you know, with my mom being alcoholic, I did stuff like that, everything didn't look okay in my life.

Scott Benner 47:31
Yeah, you looked around your surroundings and you thought, I'm trapped in a storm. There's no way I'm getting out of this. Yeah, yeah. Is it one of those like, like, if you can't beat them, join them things. Like, you just, like, I guess I'll just dive in, if this is my lot in life. Basically, yeah, yeah. And then it takes a lot of outcomes that are physically harmful to you to get you thinking in a certain direction. But you really don't make the whole leap till your sister passes away and still, then it takes a while afterwards, exactly, wow. But then one day, you just woke up and you're like, Oh, I'm not doing this anymore. I'm drinking, yeah, yeah, the whole thing, like, that way of thinking, it wasn't just overnight, no, no, I'm saying it took you a long time of like, different things had to happen. You had to. You had different health issues. You. DK, you said, I mean, countless times, but your sister passing pushes you the rest of the way, but then it still takes time after that to get through it all and to make decisions, to change. Yeah,

Stacey 48:31
yeah. But I didn't just like, wake up and it was all different. Yeah,

Scott Benner 48:35
it's not a movie. He didn't wake up and be like, Oh well, yesterday was the funeral. Today, I'm good. Like, yeah, no, it wasn't like that. There's probably more struggle before there was resolution. Yeah, you said you gave yourself over to higher power. Was that like from the direction of AA, or is that a thing you thought to do on your

Stacey 48:52
own? So growing up, my family was not religious. We didn't go to church. My dad was forced to go to church as a kid, and he didn't want he didn't like it, so he didn't go to church. I always had Christian beliefs. We didn't really talk about God at home. I did go to church for a little bit with a friend for a couple years when I was like, in high school, middle school. But just religion wasn't like, a big thing within our family. Learning about it in AA helps me realize, like, there is a higher power, whether he's God, whether he's Buddha, whether he's whoever he shows himself to different people in different ways, there's a higher power out there that's in charge of

Scott Benner 49:37
everything. What you need to accept that? Like, yeah, throw in with it. Like,

Stacey 49:42
yeah, he's gonna make everything okay. Whatever happens is meant to happen,

Scott Benner 49:47
yeah, that feeling of everything's not going to be okay is a ruling feeling in your life, yeah? And then you have to find a way to believe that that's not the case if you're going to move on, yeah? Gotcha. What's the point? Right, if not, what's the point of life?

Stacey 50:02
Like, if it's not going to be okay, what's the point of,

Scott Benner 50:05
oh, like, why am I trying so hard, if in the end? Like, but when you think of it not being okay, like, when you think back to when you thought it wasn't going to be okay, what did that mean, early death? Yeah, yeah, that was the thing you were afraid of. It's a rather existential idea. Like, everything's not okay. I mean, what the hell is everything and what is not okay? Like, you know what? I mean? Like, it's a it's a pretty broad statement, but you're talking about just Moreover, of like, a belief that you didn't need to live your life well because it was about to end at any second.

Stacey 50:35
Yeah, so might as well do whatever I want to do.

Scott Benner 50:37
Did a therapist call that depression? I will do you think of it as depression? I do have depression. So, yeah, yeah, that's part of it. That's where that idea mainly comes from, right? When you think about life now and you still know, it's finite, right? Like, there'll be a day, like, you know, let's hope it's, you know, you're like, way old and all that stuff. And, like, it just ends when you think about it going that way, what's the meaning of your life? Then is it? Because I think of life as, like, the things you do, right? Like, who you help and who you're involved with, who you love, like that stuff. Like, what do you think of life as an experience that is for you? Yeah, an experience for me? Yeah? Yeah. You like animals a lot, though, cats, cats, not a dog, person so specific to cats. When you're helping cats like be happy, is that a thing that you're doing for you because you enjoy cats, or is that a thing you're doing for them and you just happen to enjoy it? Yeah, it's both. Yeah, that's good. That's

Stacey 51:34
healthy. Like being in childcare. I love I loved being in childcare, helping the children. I loved being a manager at the restaurant, because the teenagers, you got to help develop them and stuff like that. I love that.

Scott Benner 51:47
You like supporting things and people. Yeah? Okay, you're a people person, even though you keep a small circle. Yeah?

Stacey 51:53
So I'm the person that we're in a group of people. I'm not going to be talking but if I'm at the store and we're both looking at the same thing, I'll be like, oh, yeah, what do you think about this? And I'll talk to strangers. It's the worst thing, but I have, like, a different personality,

Scott Benner 52:09
and people don't know who you are, yeah? So when you have anonymity, you're more outgoing, yeah, yeah. Interesting. Back to mushrooms. Make you feel like everything's gonna be okay. How long does that feeling last for?

Stacey 52:25
I mean, I haven't done them in a year, over a year, and I'm

Scott Benner 52:29
still, you're still good, still, yeah, nice. So there's a world where you might never do them again, yeah?

Stacey 52:35
Gotcha, I only do them when I feel it's the right time? Yeah, when it's needed, yeah, I'm not like a lot, we go shroom right now, right?

Scott Benner 52:46
Is the weed a habit at this point? Or do you find it to be necessary? Both is a bit of a habit. Yeah.

Stacey 52:53
Also, if I didn't have it, I wouldn't be a very nice person, really. What would happen to your personality? I get more irritated and angry. Yeah, have

Scott Benner 53:03
you ever had your blood work done to make sure your iron levels are good and you don't have like, Hashimotos or something like that? So

Stacey 53:10
my had this written down. My TSH has been up and down for the last 15 years. Go ahead,

Scott Benner 53:19
up and down. How? So in 2010

Stacey 53:23
it was point six, five, okay. And then six years later, it was 1.2 okay. Went back down to like, point seven, three, and then in 24 it was 2.660 and now it's 1.25

Scott Benner 53:40
Interesting. Yeah, have you had thyroid symptoms?

Stacey 53:44
Yeah, it's also rampant in my family.

Scott Benner 53:47
Well, then what did the doctor say about that?

Stacey 53:50
Not much. I need to find a new Endo. Okay, so I haven't really talked to my primary care doctor about it. There's other things we've been talking about before

Speaker 1 53:59
that. What else you talking about? My prolactin

Stacey 54:03
is high, and so I haven't had a period in two and a half years or more. Is that awesome or No, a year and a half? Yeah. Is that a thing you're upset about? No, not at all. That's why I'm not like, now I'm pushing too hard. No, they're like, you might have a tumor in your brain. And I'm like, doesn't feel like, it

Scott Benner 54:22
feels like I'm not bleeding every month. But thank you. Listen. I was gonna ask you, like, is there a reason why that's not a good thing? And I mean, I don't see any reason why you can't tackle both things at the same

Stacey 54:33
time. Also, I didn't jump on it, like getting that MRI this and that, I sat on it and thought about it, did research, and a lot of the meds that I'm on can increase your prolactin, I see, and I had started a new med that

Scott Benner 54:51
increases it as well. Oh, okay, well, then there's an answer.

Stacey 54:54
So I got off that Med, and my prolactin is slowly going down.

Scott Benner 54:59
Oh. Then we have an answer. There's no brain no brain tumor. It sounds like that's what I think. Yeah, I think just get that blood work done again and look at that. TSH, if that TSH jumps up over two, 2.1 again. You got to say, look, I have thyroid symptoms, and my numbers are all over the place. Like, maybe I need some help here. Definitely. Yeah, get them thinking about that. You know, your mom had it too. Not sure about my

Stacey 55:22
mom, but my dad is hypo and my his sister and brother, so my aunt and uncle both have hypocrisy.

Scott Benner 55:30
Gotcha lot of autoimmune in the Scandinavian, like Dutch, right? Yep,

Stacey 55:34
my dad has vitiligo. My aunt has Braves.

Scott Benner 55:39
Yeah, no kidding. Wow, that's a hodgepodge. Seriously, have you heard that word? Yeah, but not recently, a little bit of everything. Who would use that word? Such an old, old word, I want to finish with this. So like tell me about how you manage your diabetes.

Stacey 55:55
Nowadays, I'm on Omnipod five, and I fight with it every day to get my blood sugar lower. You know, the target says 110 but it feels like it's at like

Scott Benner 56:08
150 so you Bolus extra, yeah,

Stacey 56:13
but I'm so sensitive that point one units is a lot, won't make me go low if, yeah,

Scott Benner 56:19
oh, okay. So what do you mean? Are you bolusing extra? Yeah, yeah. Do you Pre-Bolus your meals?

Stacey 56:28
So with gastroparesis, that's hard. Oh, I

Scott Benner 56:30
didn't know you got gastroparesis. I'm sorry. Yeah, I got that when I was 22 was that from, like, poor management leading up till then? Definitely. Yeah, and it hasn't gotten any better with your management being better. The

Stacey 56:44
medicine that I take definitely helps, but the management definitely helps as well. I don't have it as bad, as bad as other people have it sometimes, you know, people being on, like the gastric pumps and all that, yeah, but I have my bad days, my good days like this morning, I wasn't feeling good. I had unstuffed peppers last night with brown rice with quinoa in it. This morning did not feel good. I had to take two zofrans. Didn't do anything. And finally, had to take a Promethean and now I feel almost fine. You think that's from the peppers, the peppers and

Scott Benner 57:22
the quinoa. Okay, so it's tougher to Bolus Pre-Bolus for meals, yeah,

Stacey 57:27
because sometimes the same thing will hit me fast. Sometimes they'll hit me slow. It depends on my blood sugar. It depends on how I feel like when I'm stressed, the gastroparesis acts up. Okay? When I was working at the restaurant or going to a job, being stressed out, my gastroparesis was always acting up. More difficult, yeah, but now that really hard to stress about cats. So now I'm not like I stress, and I don't have as many problems with the gastroparesis.

Scott Benner 58:01
Yeah, you don't know. You don't know any stressful cats. Those cats are chills, right?

Stacey 58:05
Well, a medication administration can be stressful.

Scott Benner 58:08
But other than that, they don't love that. Where does that medication go? What do you mean? It goes in their mouth or their butt? Where do you have to put it?

Stacey 58:16
So, yeah, there's the pill. Poppers had to do the mouth, and they had to do subcutaneous fluids for one of my cats. Really,

Scott Benner 58:24
any of them have diabetes? One of them had diabetes. Did you have two shots? No.

Stacey 58:29
Two of them had diabetes. Yeah. I was like, I got that. I know what to do.

Scott Benner 58:32
You fed the cats and gave them insulin.

Unknown Speaker 58:35
Yeah, I gave them their

Scott Benner 58:36
shots. That's nice. Hey, you're doing a nice thing out there in the world, that's lovely. Very cool. So you are g6 g7 What do you use?

Stacey 58:46
Just switched over to g7 can't tell if I love it or not. Okay, still new. Yes, still new. Not having really too many problems that I thought I would based off what you see on the internet.

Scott Benner 59:00
Now, the internet is always gonna tell you what's wrong with everything. So, yeah, go ahead. So it's been better than the internet told you it was gonna be,

Stacey 59:08
yeah, and I just, I don't know how accurate it is. Sometimes. Do you check? Do you have a meter somewhere? Yeah, no, I have one. I just don't compare it that

Scott Benner 59:19
much. You should try if you're not sure, what? Are you busy? Yeah, you can't do it.

Stacey 59:24
No, as far as the ADHD, think about it and then forget about it.

Scott Benner 59:27
Think about it. Forget how old are you again? 39 Wow. You're 40 years old. Wow. It's a big number. Like, are you are you stressing about being 40 or no? Are you just happy you didn't die when you were

Stacey 59:37
30? I'm just happy I didn't die when I was 30. Yeah, every every year.

Scott Benner 59:40
So a nice surprise, yeah, you don't have that feeling anymore, like you haven't, like, reset the age to a different age. You don't think about that anymore. That's

Stacey 59:50
great. That's really great. I used to say I didn't want kids because I thought it was gonna die early, and I didn't want leave somebody. At least someone like that, like, my mom died early, you know, yeah. And so I was like, I don't want kids because of that. And now it's like, no, I don't want kids because I don't want that responsibility a

Scott Benner 1:00:09
lot to pay for. Yeah, there's a lady on recently, older, not but not too old, but she, I was, like, trying to do the math on, like, how old were you when you started having kids? You know, like, pretty young and but she was clearly building like a, like a life on purpose. And it turned out what she said was, like, she was diagnosed a long time ago, and they told her, like, you know, she wasn't gonna live very long. So she, like, got married right away and started, like, churning out kids, because she's like, that's what I wanted. I wanted to have a family. And it's interesting, like, faced with a very similar message, you went the opposite way, like, she's like, Oh, if I'm going to die soon, then let's get going and make some babies. And you were like, well, if I'm going to die soon, then I'm not going to bring kids into

Stacey 1:00:49
this. Yeah, I don't want the kid to be here without a parent. Yeah. Just

Scott Benner 1:00:52
interesting, how different minds conceive those kind of similar things different ways. Yeah, it's awesome. Do you have anything else? Anything you want to ask me? Is there anything I didn't ask you? I want to make sure we covered everything.

Stacey 1:01:04
I wrote down some notes. Funny story that I got diagnosed on winter break in fourth grade. And for Christmas, we got stockings full of sugar free candy last night of Christmas break, me and my sister, Stephanie, all of it, and we were shitting our pants, that's what we learned. Yeah, you gotta sugar free candy is not the

Scott Benner 1:01:30
best. There's a sweetener. What's it called? Gosh, there's something in sugar free, some sugar free candies. That's the last xylitol, right? Xylitol or something like that. Yeah, you want me to tell you a story? Yeah, I once. I don't like to eat on planes too much, so, like, I'll grab a couple of things if I want to be in a long flight. I was on this long flight one time, and I got these sugar free life savers. They even make life savers anymore. Yes, I had a whole roll of them. And I don't know what happened, but in like, the last hour of the flight, I just started popping them, like, I don't know, like they were I was eating the way they weren't meant to be. I had, like, the whole roll of life savers. And I was getting off the plane, and I was like, Oh, get a little bubbly. I don't feel well, and I made it so funny. This is me and Cole and my brother, and we were headed towards, you're taking coal to play baseball somewhere, and we got on the ground. Gotta get me back. Then it was a taxi. Like you didn't even get like, I mean, you couldn't even, there's no Uber or anything. We pull up at the or maybe we rented a car. We rented a car and we pulled up at the hotel, but we were there earlier and like, sorry, you can't check in. I was like, that's okay. Is there a bathroom in the lobby? She's like, right over there. And I was like, awesome. I looked at my brother and my and Cole was like, I'll just be back and just and, oh my God, it was horrifying. And so you ate, like, a lot more than that,

Stacey 1:03:06
a lot, and the chocolates are, like, even worse. Yeah, your

Scott Benner 1:03:11
sister were just in different did you have two bathrooms? I hope,

Stacey 1:03:15
yeah, so I was downstairs with my parents, and she was upstairs in the other one.

Scott Benner 1:03:22
Yeah, did eat that stuff sparingly? That's yeah, that's funny. That's good. What else is on your list there?

Stacey 1:03:28
So do you want to know your top three sayings? What do you think you say

Scott Benner 1:03:33
the most you listen to podcast a lot. Yeah, I'm on episode 1249, I believe you start at the beginning,

Stacey 1:03:42
from the beginning, almost a year ago, yeah, just a little over a year ago, a

Scott Benner 1:03:46
year you've gotten through 1200 episodes. Yeah? All right, let me say to everybody, quit your job, start babysitting cats and get listening, because that's awesome. Very nice. Yeah, there's things I say that I say more frequently, though. Okay, my top three, do you want me to like? You want to play this like a game? How do you want to do this? Yeah, I want you to guess. How am I gonna know you say them? Can I be honest with you? No, can I tell you something? No, I don't know if I said this on the podcast before that's not on there either. No, you got to give me a hint. Fascinating. I say fascinating. I do say fascinating. Do you know why it's fascinating? I am genuinely fascinated by things.

Stacey 1:04:28
Yeah, you used to say delightful a lot. You slow

Scott Benner 1:04:32
down on that. I do not say delightful as much anymore. Yeah, yeah,

Stacey 1:04:35
it's a good word. One that I always notice is in the end, in the end, because I always sing the song in the like,

Scott Benner 1:04:43
yeah, oh, you hear it, because it makes a song go off in your head, yeah? So, like, I'll tell a story, and then to wrap it up, I'll say, well, in the end I learned this,

Stacey 1:04:53
or even in the end of whatever, yeah,

Scott Benner 1:04:58
you know, Rob right now is listening. He's thinking, like, do I have to chop some of those out? Like, what's going on? Is he saying this too much? Leave them in Rob Stacy's Yeah, Stacey, Oh, you like them. They're, they're comfort, they're comfort points for you.

Unknown Speaker 1:05:10
Yeah. Oh, that's

Stacey 1:05:12
the one. And then you say water, like my mom used to say, look, we can try this if you want. You

Scott Benner 1:05:18
say it, W, A, R, T, E R. You think I'm saying water,

Stacey 1:05:24
that's what it sounds like, water, like you water. It's not, yeah, R in it. It's

Scott Benner 1:05:30
not W, A R, D, E R, water. Because around here they say it's, they say like water, like W, O, O, woodr, but I mean, how do I I'm so I hear an R in it. Yeah, I'm so bum puzzled by this. I don't even actually know how I say it. We actually just at that dinner I was telling you about for Arden's birthday, like somebody said myth. And then everyone looked at me and was like, Scott, can't say myths. Then they had me saying it so much I didn't know what was happening anymore. I'm like, myth, myth, myth. And the girl sitting across from me, she's like, no myth, like, I don't know what she how she was saying it, but

Speaker 1 1:06:07
she's, I don't know how you're saying it wrong. I don't either.

Scott Benner 1:06:11
But then I can't say it with, I can't say it with an athlete. Myths, myths. I don't, I can't, yeah, I don't know how to do it so, but water, I think if you told me there was a current a correct pronunciation of it, and tell you right now what that correct pronunciation is, or you're gonna, like, you know, push me off a cliff, I couldn't be confident that I know the correct way to say that word. So is it water? Water, water. Yeah, water definitely sounds wrong.

Stacey 1:06:43
You do the W, A, WA, and then T, E R, water, water, not

Scott Benner 1:06:50
water, water, water that sounds water, that sounds very wrong to me,

Stacey 1:06:54
but you don't say it that slowly, water, when you say

Scott Benner 1:06:58
it, water, water, yeah, oh, my god, is that right? Yeah, that sounds so wrong,

Stacey 1:07:04
but it's normal up north. My My mom was from up north, so that's how she grew up, saying, barter, go wash your hands, Mom, I don't know how to wash my hands. You want me to wash my hands?

Scott Benner 1:07:14
Wash. She would say, wash. Yeah. She put that R in there. Oh, I think of that as more of a southern thing, huh? Yeah, I don't know. I grew up very poorly. Nobody was leaning on, uh, on education very much. I mean, I'm from the northeast, so and I grew up outside of Philly, which is, it's tough, you know, like, they do speak really strange, normal. Yeah, it's normal up there, yeah, yeah. I don't think I do it like, I mean, I think if you went into Philadelphia and found a guy my age, he'd have a much harsher accent than I have. Oh, yeah, yeah, but I'm touched by it a little bit. And now I live between there and New Jersey and New York and like, I'm kind of right there. You get a little bit of everybody's accent to some degree or another, a mod podge. Yeah, hodgepodge. Oh, I think Mod Podge is actually the stuff you put on art. Isn't it that way you put on a on puzzles to hold them together? Yeah, yeah. We should call this episode Mod Podge.

Stacey 1:08:09
Much it was supposed to say. It was supposed to be Oh God. Because when we were talking, you're like, you asked me something. I said, oh god. You're like, is that the name of your episode? I was like, Oh God no, oh

Scott Benner 1:08:20
god no. Well, it's gonna be, I mean, I think it's got to be after dark, yeah, couple of different reasons. Top my head, drugs, alcohol, talked about masturbation, like, I think we're definitely gonna call it like, after dark. But after

Stacey 1:08:35
dark, what modge, podge or hodgepodge would work out? Because it's a little bit of everything,

Scott Benner 1:08:39
yeah, really is maybe I'll go hodgepodge. People are gonna be like, Oh my God, he's running out of titles. But, I mean, listen, otherwise, this is like, after dark, dead mom and sister, and I don't think that's an uplifting thing that's gonna drag people into the into the the arena. No. What's one thing? This is my last question for you. What's one thing that you could imagine happening in your life that would be crazy for you based, think, based on how you're set up right now. Like, I don't want to have kids, I don't want to be married, I don't like, what's one thing that you think could happen like, the thing that creeps into your head once in a

Stacey 1:09:13
while? What do you mean that could have something good or something bad?

Scott Benner 1:09:16
No good. Like, do you think like you maybe you'll end up married, or maybe you'll end up having a baby on purpose, or, like, something like that. I just want to win the lottery. You think that's what's gonna happen? That's what I want. I'm saying of the things that you're sure at the moment aren't gonna happen if, if I had to say one of them might happen. What do you think it might be? Or neither it's fine. But, like, nothing, you couldn't wake up one day be married and think like, oh, okay, I get it. This happened. No, no, okay. Do you feel lonely? No, good, good, yeah, I don't like people a lot. No kidding, just me, you're one of the few. I'm one of the few people you like.

Stacey 1:09:56
You know what? The greatest thing I've learned from this podcast, actually. That I use daily in my life. Tell me when I'm driving and someone's driving like a jackass. I always tell myself they might be in their pants. Yes, I had to tell myself every time I'm

Scott Benner 1:10:14
glad that you got that out of the podcast. I think that's a big takeaway. I think that's a big takeaway for life. Actually, it's just assuming the best of people,

Stacey 1:10:22
and I'll be like, Man, I just want to drive up to them. Be like, I hope you don't your pants. I was like, No, they just then they got to make it to the restroom. Just let

Scott Benner 1:10:29
them go. I would yell, this is water to them. But then they'd be like water, and I'd be like water, and they'd be like water, and I'd be like, never mind. It's a book. And then I'd be like, it's not really a book, it's more it's a commencement speech is bound. Oh, and then by then, they have driven away. So well, I'm, I'm glad that that's a takeaway for you. I think that's a really important takeaway in life, is that maybe the guy passing you 100 miles an hour really just has to take a shit. Maybe he's not asshole who's just driving poorly. The big thing. It does a lot for you when you when you assume better of people like that,

Stacey 1:11:04
it is if you're assuming they're going to be bad, you're bringing that negative energy to you.

Scott Benner 1:11:08
100% true. Look at you. I feel like I've done something. All right, yeah, all right. I'm gonna go on vacation. Also, also Rob for fun. When she says, if there's one thing I learned from this, just cut it off right there. Start playing the ads that play this at the end. No, don't. People won't find it, will they? That'd be hilarious though, wouldn't it? Stacy that would at the very end, because you made like, this very natural pause. And I was like, Oh, I think we should cut this right here. The music should come up and it should be like, thanks to Omnipod for sponsoring this episode of The Juicebox,

Stacey 1:11:42
and you can even play it in into early in the podcast when you're talking about it, she's learned this one thing, the major thing that she's learned, she'll let you know at the end.

Scott Benner 1:11:50
All right, listen, Rob, if you have the energy for that, go ahead and do that. That'd be awesome. All right, hold on one second. Stacy, thank you for doing this with me. I really appreciate it. You're welcome. I Dexcom sponsored this episode of The Juicebox podcast. Learn more about the Dexcom g7 at my link, dexcom.com/juicebox head now to tandem diabetes.com/juicebox and check out today's sponsor tandem diabetes care. I think you're going to find exactly what you're looking for at that link, including a way to sign up and get started with the tandem mobi system. Did you know that skin grip has donated over $100,000 in scholarships to help people with diabetes? The people at skin grip, they know what it's like to live with type one diabetes. They know what it's like when your devices fall off at the absolute worst time. And they're here to help skin grip.com/juicebox save 20% off your first order when you use my link. That's what you get for being a Juicebox podcast listener. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The Juicebox podcast

Unknown Speaker 1:13:08
if you're living with type one

Scott Benner 1:13:09
diabetes, the after dark collection from the Juicebox podcast is the only place to hear the stories that no one else talks about, from drugs to depression, self harm, trauma, addiction and so much more. Go to Juicebox podcast.com. Up in the menu and click on after dark there, you'll see a full list of all of the after dark episodes. If this is your first time listening to the Juicebox podcast and you'd like to hear more, download Apple podcast or Spotify, really, any audio app at all. Look for the Juicebox podcast and follow or subscribe. We put out new content every day that you'll enjoy. Want to learn more about your diabetes management. Go to Juicebox podcast.com up in the menu and look for bold beginnings, the diabetes Pro Tip series and much more. This podcast is full of collections and series of information that will help you to live better with insulin. If you're looking for community around type one diabetes, check out the Juicebox podcast. Private Facebook group Juicebox podcast, type one diabetes, but everybody is welcome type one type two, gestational loved ones. It doesn't matter to me if you're impacted by diabetes and you're looking for support, comfort or community, check out Juicebox podcast. Type one diabetes on Facebook. The episode you just heard was professionally edited by wrong way recording, wrong way recording.com. You.

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#1692 Bolus 4 - Thanksgiving

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Scott and Jenny talk about bolusing for Thanksgiving dinner. 

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Hello friends and welcome to the Juicebox podcast. I hope your Thanksgiving is calm and your boluses were spot on

in every episode of Bolus for Jenny Smith and I are going to take a few minutes to talk through how to Bolus for a single item of food. Jenny and I are going to follow a little bit of a roadmap called meal bolt. Measure the meal, evaluate yourself, add the base units, layer a correction. Build the Bolus shape, offset the timing. Look at the CGM tweak for next time. Having said that these episodes are going to be very conversational and not incredibly technical, we want you to hear how we think about it, but we also would like you to know that this is kind of the pathway we're considering while we're talking about it. So while you might not hear us say every letter of meal bolt in every episode, we will be thinking about it while we're talking. If you want to learn more, go to Juicebox podcast.com. Forward slash, meal, dash, bolt. But for now, we'll find out how to Bolus for today's subject while you're listening, please remember that nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. Today's episode of The Juicebox podcast is sponsored by the contour next gen blood glucose meter. This is the meter that my daughter has on her person right now. It is incredibly accurate and waiting for you at contour next.com/juicebox I drug Jenny onto the podcast when she wasn't supposed to record today. Hi, Jenny. Hi. How are you? I'm good. Thank you. My lack of planning made me two weeks before Thanksgiving say, oh, shouldn't we have done something for Bolus for for Thanksgiving? That would have been smart. That's fun. Yeah. So I went out to the to the peeps, and I said, like, you know, tell me some of the things that you guys are going to eat on Thanksgiving. I got, like, a little comprehensive list. I'm going to roll through it with you just very quickly. Okay, people eat roast turkey or ham. They seem to have stuffing in a couple of different ways, corn bread, stuffing, regular bread, stuffing, sausage and oyster, stuffing, four separate ones. Oh, mashed potatoes. They have gravy. They have sweet potato casserole. Many of them appear to put marshmallows on top of it, yes. Green bean casserole, cranberry sauce, mac and cheese is was a big one. Dinner Rolls, roasted Brussels sprouts, roasted root vegetables, carrots. You know, that's that thing you might know more about. People have salads. Apparently, I would never eat a salad on Thanksgiving, not when all those other food that's fine. I mean, what am I gonna waste time with salad? Them? Pumpkin, Apple, pecan, sweet potato, cherry pie and cheesecake. These are the things that were given to me as as a list. Great. I tried to break them down into context for myself. Like, I basically said, like, what's a what do you think the carbs are in a serving of and I kind of have a list in front of me, and I'm interested to see, I'm interested to see if it matches how you would think of it off the top of your head. And then when I walk them through how to Bolus for the whole day.

Okay, makes sense? Sure. Okay, Turkey does not have carbs in it. You agree?

Jennifer Smith, CDE 3:38
Turkey does not have carbs in it unless it was cooked a specific way to have carbs in it. Okay? Yes, it doesn't have

Scott Benner 3:45
carbs. I roast the turkey, I'm not going to see carbs, a little bit of fat, maybe. It says maybe four grams for a typical serving,

bread stuffing, 40 grams of carbs for a cup. What would you say? You said bread pudding, no

bread stuffing, just regular stuffing. You know what stuffing is. Would you eat stuffing? I

Jennifer Smith, CDE 4:03
hate stuffing. Okay, like you said, all the stuffing options, I was like, nothing there would ever enter, like I wouldn't even pick the spoon up my eyeballs. Bypass that, because wet bread is disgusting.

Scott Benner 4:14
I knew you were gonna say wet bread, by the way.

Jennifer Smith, CDE 4:18
Yeah, I'm so sorry all the people who love stuffing. I mean, my parents like stuffing. My mom still makes stuffing. If I'm eat carbs, I may eat something that I want and I don't like stuffing, but yes, that sounds approximately correct for a serving of stuffing.

Scott Benner 4:33
Okay? And now we do know that, and I'm going to bring this up a couple times today, just make sure if you make stuffing. The way I make stuffing, so, Jenny, the way I make it is, I will bake bread this week. I'll make some wheat, I'll make some white I'll make a number of different loaves of bread, a little rye, and then I will cut it up into little cubes and spread it out into big trays and let it get a little stiff. Right? Yeah. Yeah, then I throw it into the oven to crisp them up. I make stuffing like that. In that stuffing goes turkey stock from the morning of. I make my stuffing on the morning of, I take the neck and the heart and the liver, and I boil it in water with butter and seasoning, and then I use that water to flavor the stuffing. Right? That stuffing will have a different impact on blood sugar than stove top out of a box, right? Because of the process nature of it. Yes, yes. Correct, it will same thing if I make scalped potatoes out of potatoes, or if I make scalped potatoes out of a box, we're going to see the stuff coming out of a box being a little more difficult. Correct, okay, I just want to keep that in people's minds, okay,

Jennifer Smith, CDE 5:41
well, I think also a little bit more little bit more difficult, because the box stuff, again, as we've gone over this before, has a lot more processed or packaging, type of preservatives in that can have an impact in one way or another, whereas Scalloped Potatoes, that you Do all yourself, and you know all the ingredients, because you know all the ingredients. I think there's something to seeing what you put into an item that makes you also understand better how to navigate coverage. When we're talking about something like insulin and managing and timing and all that kind of stuff, there just is, yep. So I

Scott Benner 6:19
just want people to keep that in mind. If you're making these things fresh, it's going to be, you know, maybe one impact. And if you're making them from Box stuff, they might be a little more difficult because of the process nature of the box food. So stuffing, you're okay with about 40 carbs. Now that's for a cup. How about sides? I've got 35 for a cup of mashed potatoes. That sound about right,

Jennifer Smith, CDE 6:39
that's about right. And easy eyeball is, you know, again, nobody gets out unless you're my mother. When I was little and had all the serving spoons that were taken wherever we went for holidays, it is what it is. I'm alive today because of my

Speaker 1 6:54
mother. I'm imagining your mom just like, you know, like when in one of those, one of those movies where someone shows up to, like, shoot somebody from a distance, like, I imagine your mom, like, unfurling her tools in the kitchen. Yeah, entirely, yes.

Jennifer Smith, CDE 7:07
An easier one is a female fist, or a smaller size, like, even, like a teen sized or, you know, a woman's fist is about a one cup portion, so it's a really nice thing that you're carrying around with you. You don't have to get the serving spoons, yeah.

Scott Benner 7:23
So a fist of mashed potatoes. About 35 cars, 35 grams. A fist of corn stuffing, or stuffing, about 40. About 40, okay, sweet potato casserole, I have between 55 and 60 grams for a cup. And an indicator here that there's going to be a big, like, glycemic hit right

away, a lot of sugar,

Jennifer Smith, CDE 7:45
a lot of sugar, both from the way that the sweet potatoes were cooked to begin with, as well as the marshmallows. There's usually extra, whether it's maple syrup or brown sugar that's added to it. I mean, it's like, sugar on top of sugar on

Scott Benner 7:58
sugar. Yeah, and then yeah, green bean casserole, a cup, 12 grams, approximately any,

Jennifer Smith, CDE 8:04
any 12 grams. I mean, again, that differs in making

Scott Benner 8:10
the recipe I had here had, like it was used a soup mix and onion. So there's some hidden carbs in the onions in the soup mix,

Jennifer Smith, CDE 8:15
yeah. But on average, I usually say that's an easy one, a fist again, is like 15, okay, it's probably easiest,

Scott Benner 8:22
okay, cranberry sauce has a quarter of a cup of canned cranberry sauce. Oh, it's 22 grams of carbs, which is of that is 21 grams of sugar. It's all sugar,

Jennifer Smith, CDE 8:32
huh? It's all it's all sugar. I mean, cranberries themselves, they really are nothing. They're really tart, yeah, but it's all the I mean, there's nothing cranberry in it, except for the flavor and the juice that came out. And then you just put sugar in it and make it into like jelly.

Scott Benner 8:48
So before we get to the mac and cheese, which I didn't realize was such a big thing for people, although my son said to me, like, Is there gonna be macaroni and cheese at Thanksgiving this year?

Jennifer Smith, CDE 8:56
We've never had mac and cheese. Never been a Thanksgiving, ever. I didn't think of that

Scott Benner 9:00
either, but it was a big thing that people brought up. But wrote up. But I'm just want to

point out that we've got the turkey

so far. We've got the potatoes. We haven't even said gravy yet. So potatoes, sweet potato casserole, green beans, cranberry sauce, we're not even to the macaroni and cheese yet. If you had a serving of each of these, you're looking at 3590 100 105 my gosh, dead, 120 plus the turkey, like you're already up at like, 130 carbs, right, right for for this stuff on your plate. And I don't think this is crazy to think that people might put a cup of potatoes and this and that, even if it was half like, think about it like, even if you went half a cup of potatoes, half a cup of this, half a cup of that, you're still, you know, 6070, 80 carbs, right? And

Jennifer Smith, CDE 9:51
you didn't even get into, you know, sometimes it's the meal, I know which you said I'd never have salad for Thanksgiving, but you add, maybe that's the beginning of the meal. Before the other major entrees and what often comes with a salad are some type of roll, or cornbread rolls, or something like that, that also adds into, well, now I'm actually sitting down for the meal. Yeah,

Scott Benner 10:12
it's a good point. Cornbread roll, 26 grams for a square down, about right?

Jennifer Smith, CDE 10:17
They're pretty yes, they're, they're, in fact, a little bit more carby than like, those tinier rolls that are more often served at a gathering like this, like just bread rolls, they're more like 20. They're like 20. Yeah.

Scott Benner 10:29
Okay. Now, if you're gonna go crazy and have vegetables on top of that, don't forget something like Brussels sprouts, 12 grams for a cup cream corn, 15 grams for a half a cup. Glazed carrots, 18 grams for a half a cup. Does that sound right? Jenny's not gonna eat cream corn anytime soon. But am I right about that? Yeah, okay.

Unknown Speaker 10:48
No, no cream corn. To

Scott Benner 10:50
take all this stuff together and say, These Bolus four episodes have been great because we've been breaking down like, Hey, here's, you know, one food like, you're at the mall, you have a Cinnabon. Here's how you Bolus for a Cinnabon. But what we're talking about here is between four and eight different foods all mixed up in your gullet at the same time. Do they all have different impacts, or does it just turn into one big impact that we like? Is it really just like are we really thinking about the foods individually, or are we thinking about them together? The contour next gen blood glucose meter is sponsoring this episode of The Juicebox podcast, and it's entirely possible that it is less expensive in cash than you're paying right now for your meter through your insurance company. That's right if you go to my link, contour next.com/juicebox you're going to find links to Walmart, Amazon, Walgreens, CVS, Rite, aid, Kroger and Meijer. You could be paying more right now through your insurance for your test strips in meter than you would pay through my link for the contour next gen and contour next test strips in cash. What am I saying? My link may be cheaper out of your pocket than you're paying right now, even with your insurance, and I don't know what meter you have right now. I can't say that, but what I can say for sure is that the contour next gen meter is accurate. It is reliable, and it is the meter that we've been using for years. Contour next.com/juicebox and if you already have a contour meter and you're buying test strips, doing so through the Juicebox podcast link will help to support the show

Jennifer Smith, CDE 12:35
at a meal like this, you would have to think about their impact together, because I think about the way that one of my uncles, when we had meals together, especially Thanksgiving, he would take, you know, like a roll, and he'd put Turkey in it. Sometimes he'd like, dip it in his mashed potatoes and gravy, and, like, take a bite full of it. And all of the observations of a child, think back to the funny things that you watched happen at a dinner table, right? But if I think about it that way, all of that is going into as you funny, funny said the gullet, right? They're all going down at one time, and they all have a different impact. The bun is high glycemic because it's so just a processed thing. And then you've got turkey, which is all protein, pretty low fat, depending on how you cooked it, or what's on it, right, the gravy, which is depending, again, how you made it a lower impact, and then you throw into it mashed potatoes, and maybe the cranberry sauce went on the roll before the right, you Do. It's a great i It's a great question, because you would want to think about all of them individually, as we often do, but a meal like this that is often also a very drawn out meal. You're eating a little bit of this, a little bit of that, maybe you're forking it all together and putting it in so we really have to consider it as a full effect meal,

Scott Benner 14:01
yeah, so it's gonna hit fast and long, correct, right? Yes, no matter what you do, like, I'm actually while you're talking, and if people are like, it'd be nice if you were prepared before you started, Scott, but I'm putting together. I'm basically putting a plate together right now of this stuff, right? I'm gonna put a dinner roll in there, and I'm going to put some vegetables in there. Watch what I do here. I'm going to do, let's see, let's do glaze carrots. And people love putting sugar on carrots. Okay, so I'm going to say, give me a total for all carbs. So I put in glazed carrots, I put in a roll, I put in mac and cheese in the way we just talked about it. I put in green beans, sweet potatoes, gravy, mashed potatoes, stuffing and Turkey, okay? And I gave it all of its carb and all of its. That and everything else, right? So the total carbs for that plate, the way we broke it down, right? You want to guess. I'll give you a range to guess. Inside of

Jennifer Smith, CDE 15:09
my guess would be somewhere between 150 and 202

Scott Benner 15:14
it says 218, to 236 that is the maximum, okay?

Jennifer Smith, CDE 15:18
And it really missed something that was on that plate?

Scott Benner 15:21
Well, it was roast turkey, three ounces bread, stuffing at 40 carbs, mashed potatoes at 35 I have six grams for the gravy at a quarter a cup of gravy, which, by the way, a quarter a cup of gravy, please. And then I have sweet potato casserole between 55 and 60 for a cup. Green bean casserole, 12, mac and cheese, 32 to 45 dinner roll, 20. Glazed carrots, 18, right? Yeah, I think it was the glazed

Jennifer Smith, CDE 15:47
carrots that I didn't I didn't add in all the other ones I was adding in my head.

Scott Benner 15:52
You're also, you're really awesome at this, by the way, people should know. I don't give Jenny any help while we're making this at all. I don't let her see anything she doesn't know the numbers I'm talking about. I'm turning her into your avatar. It's what I'm trying to do while we're talking Yeah, so I've got that, and then I'm just gonna say to it this, right? Watch this. I'm gonna tell it to go to Juicebox podcast.com/meal,

bolt, meal dash, bolt, and apply that to this meal,

Speaker 1 16:25
because you guys could do this too. Is my point. I'm just gonna let chat G P to do that while i i fill some people in on another thing that chat G P, T and other large language models like, I don't care which one of these algorithms or which one of these, my God, why can't I think of

Scott Benner 16:40
the word all of a sudden? What it's gonna really ruin the world? Jenny, what's going to ruin the world?

All right, so watch this. All right. No matter which one of these models you use, I'm just going to type in algorithm, yes. Sweet potato recipe with Marshmallow, because I don't have one, I'm just going to grab one from the interwebs. I have never made that. I'm going to use the one from candied sweet potatoes from all recipes I'm going to click on, I'm going to click on print so I can just do a drag up on the ingredients. Four pounds of sweet potatoes quartered, three cups of miniature marshmallows divided a cup and a half of butter, a cup and a quarter of brown sugar. Got a cup and a half of butter. I'm just telling you, when I break, hold on a second. I'm gonna put that in here, and I'm gonna say to it this, please give me a nutritional breakdown. Okay, and so it's gonna, it's going to take those, you know, quarter cup of this, cup of that, whatever it is, it's gonna tell you there's this many carbs in this much sugar in it, blah, blah, blah. Because you guys like, I mean, this is pretty I don't know how many people are gonna do this. I think you could probably just go from a cheat sheet that says, which, by the way, I'm gonna put the cheat sheet up. Look for the cheat sheet on the Facebook group and on the on the website today for Thanksgiving, if you're listening to this on Thanksgiving. But I want you to know that you could head out to one of these and have it break it down for you, and it'll give you some pretty, pretty reasonable places to start, right. So the so the Thanksgiving bolt formula that came back, it said, right. If your BG is 90 to 120 when it starts, it'd like to see a Pre-Bolus 20 minutes, dosing about 60 to 70% up front and doing extended or split drag, the remaining 30 to 40% over the next two to three hours. Does that sound reasonable? Too? Sounds reasonable? Okay, it should, because we're the ones that made the meal bowl. Yes. If your BG is rising, you can try before the meal. Pre-Bolus a little longer, 25 to 30 minutes for and maybe add 10 to 20% to the total dose. So if you're Rising before the meal, get ahead of it a little further. Try to stop it from going up before you eat, or

Jennifer Smith, CDE 18:52
within that just a secondary would be at a corrective without any food consideration, so that you actually get that to turn around, especially if you're at a meal where you're not quite sure exactly what you're going to sit down to and what you're going to eat first, then just correct what's going on. Perfect. If your

Scott Benner 19:10
blood sugar is falling before the meal, you could start eating sooner or only give 50% up front, deliver the rest over maybe two hours. Use the natural fall that you're experiencing if you are experiencing one as part of your Pre-Bolus. Now it says, if you're grazing for hours, increase your basal by 10 to 20% you do do a basal increase for Thanksgiving

Jennifer Smith, CDE 19:31
when pre current algorithm that I use, and actually with the algorithm, just called something different, right? My Thanksgiving and we celebrate Christmas. So my Christmas, when we were getting together, family, lots of stuff, my day was coded by 25% okay, so I did a basal increase of 25% and that helped me navigate. Because what we're also i. Kind of hinting around here, while you can do a good job of looking things up with today's technology, thankfully, when I was there, there wasn't as much information to be able to look up, and it was a lot more imprecise estimation. And even today, I think a lot more people end up doing, oh, it looks about like this, right? So I found that that 25% increase not only helped because of the grazing nature and the long duration of intake, but it was because I was absolutely not weighing and measuring things. It was all an estimated guess, and it looks like 30 grams. Looks like 20 grams,

Scott Benner 20:37
a little more, a little I always say, go heavier, but that's me. What about people who say that? Like, I try to give myself more insulin, but I always end up low later. What do you think is happening to them? Like, colloquially, like, I obviously we're not with them, but what are you doing if you're ending up low later in the day?

Jennifer Smith, CDE 20:53
Depends on when later, right? It could be that one, the amount of extra you gave was just too much, or you were more in the category of over over, calculating the amount of insulin, not the amount of insulin, but the number of carbs, and so then you were getting more insulin that you needed. The other consideration in it could be that maybe you are also the one hosting the gathering, and you're on your feet and you're busy and you're moving and you're lifting things and, you know, in and out, and whatever it might be, it could be that what you've experienced in the past, not hosting now you're on your feet, and you didn't need as much, right? So, I mean, it could be a bunch of variables, but in general, if you're getting low, there's too much insulin and there wasn't enough food to cover it. I mean, that's the base.

Scott Benner 21:39
So I'm gonna go back here to this sweet potato breakdown. First of all, the breakdown is extensive. You don't obviously need this much information that it gives back. But if you really wanted to understand nutritionally, what's in that sweet potato thing, my goodness, it like really, it really gave me a return here it tells me the sweet potatoes, the net carbs for the sweet potatoes, glycemic index, glycemic impact for the marshmallows, the brown sugar, the butter, the whole thing tells you the total estimated glycemic load for the whole pan for serving. It's really, really lovely for the whole pan. If you ate the whole pan of sweet potatoes from that recipe, you'd have a glycemic load of 463 Oh, there's 12 servings in the pan per serving. It's 39 glycemic load per serving, which is, you know, so and that is high glycemic load, very high. That is, I mean, the context, low is under 10. Medium is 11 to 19. High is above 20. Now keep in mind, like Jenny knows this because she went to school for it, and she's smart. I don't know any of this. I just typed it into the machine, and it's giving it right back to me, like so it's it's valuable, and I

Jennifer Smith, CDE 22:49
know that we did define glycemic load versus glycemic index, right? This nice little chat thing is giving you a little bit of both. It's a high glycemic index, but when you break it down and you say, Okay, it's high glycemic index. But, Gosh, I really just want to taste it. Maybe I'll have a tablespoon of this. Then the glycemic load is absolutely much lower than over 20.

Scott Benner 23:15
It's also telling me here that, like, if you were going to eat this by yourself, like, just have the sweet potato thing. You'd need a maybe up to a 30 minute Pre-Bolus for this. So now, absolutely right. So now, all of a sudden, if that's mixed in with the rest of your meal, the 10 to 20 minute Pre-Bolus for food isn't really going to help. And by the way, you all know what's about to happen. You're going to be running around putting stuff on the table, and as you're walking towards the table, one of you is going to yell across the room, Billy, did you give yourself insulin too late? It's already too late. Everything's a bum puzzle at that point. Now you're a half an hour late. If you're going to have the sweet potatoes, and then the Spike's going to happen, you're going to go crazy trying to knock the spike back down, or you're going to live with it. It's going to ruin your day. It's going to you're going to be upset. I'm telling you. For me, it's funny, Jenny and I talked about this, we're like, are we going to talk about it with numbers? Or I think of this, I think you get up in the morning, you get ahead, and you stay ahead, right? You use increased temp basal, you make sure to Pre-Bolus the first couple things that you're eating, and then after that, you just cover stuff as you're eating it. And you should have the insulin the way I think of it, like on your side, on the momentum side for you. And then you just got to have the kind of wherewithal to realize when to shut that basal off and not make yourself low afterwards. And if you're going to have a dessert later in the day, it's going to be high glycemic index. You need a nice, long Pre-Bolus for it. That's it, I mean. And then don't go to bed and sleep too sound. Turn all your turn all your alarms

Jennifer Smith, CDE 24:46
up. And it may be a night that you turn your alarms up in terms of the low alert, right? You have your low alert set for 65 or 70, and you're not quite sure exactly what the lingering effects of this meal are going to. Look like. Then set your low alarm much higher, so you can catch it faster, right? Or the high alarms. Set your high alarm a little bit lower so you can catch it and you can again, catching something on a rise, versus waking up with a 200 plus blood sugar. Because your alarm was set for 200 it saves you time to navigate adding more insulin when it's needed sooner than later.

Scott Benner 25:25
Yeah. So I'm gonna point out, before I move on from this, that doing that chat, GPT breakdown of that recipe per serving. It assumes 12 servings, right? But you're getting 433, kcals, calories from it, 64 carbs from a serving, five grams of fiber, 39 grams of sugar, net carbs, 59 protein, three and a half fat, 19.5 saturated fat, 12 mono saturated five, polyunsaturated point seven. Cholesterol, 51 milligrams sodium, 220 milligrams potassium, 750 calcium, 77 iron, 1.2 that is from taking that recipe, dropping it in there, and going, Hey, break this down for me. Nutrition this, right? So when you're find yourself listening to these other Bolus for episodes, and you're like, Oh, this is interesting, because I'm getting a lot of good feedback from them. People are interested in, like, that's chatting through, like, how to Bolus for something. Just realize, like, there's way more impact from this stuff than you think. Now we picked, I picked, you know, something with a ton of sugar the

Jennifer Smith, CDE 26:22
hardest. Yeah, right. And actually, it makes me think of going back even in just a bit ago, you know, like Billy, or whatever his name was, Bolus, and he's already sitting in like the meal is coming, right. Well, what could you do if Billy is so willing to do it? Start with the turkey. Then right start with the so you can give the Bolus. You can let Billy decide what he wants on the table. Start with the turkey, or the proteins, if it's ham, or whatever your protein source might be, because that's going to have a very low glycemic hit. And you then at least build in a little bit of time that the insulin is going to have to get moving before you have your sweet potatoes with marshmallow.

Scott Benner 27:06
Try to put the sugar at the back. If you can put the sugar at the

Unknown Speaker 27:09
back exactly, yes, I tell you

Scott Benner 27:12
that this is, I mean, there's part of me that wants to break each one of them down. I wish you guys could have heard us talking before we started. Like, there is a way to break down. Like mashed potatoes. Like, this is how I Bolus for mashed potatoes. But once you start mixing stuff together, in the end, it's a it's a lot about the impact. It's about how quick it's going to hit you and for how long it's going to hit you. It's about Pre-Bolus things staying ahead of it. And I, you know, for me, again, with the, you know, temp basal, which a lot of your algorithms, it's, it's kind of a catch 22 on Thanksgiving, right? Because everybody's going to be on their automated their automated systems, you can't just tell it to, like, more, yeah, it's not going to want to do that. I don't know, like, what I would do in that situation.

Jennifer Smith, CDE 27:52
Another piece to this too, would be, what do we follow up the main meal with? We follow it up with, you know, if we're going to break anything down, some type of a dessert or a sweet treat ends up coming in at the end of the meal. Now, what precedes this? A load of insulin is already there. You have maybe coated it with whether it's an extended Bolus or a temporary basal increase or some type of override that your system allows you to utilize. And now you may be coming into a dessert time thinking, well, that looked pretty sweet, like look at the great job that I did, but you still have a load of fat that's loading that food down from completely clearing through and having a completed impact before you eat your let's Call it pecan pie. Okay, so I think there's consideration for what do you do with the dessert at the end, right? And it does go back to where. Where are you sitting? What does it look like is happening to your blood sugar? What's the direction you nice and stable? Are you stable, but just starting to kind of edge up? Are you stable but starting to nose down? Are you low already from whatever you know was miscalculated, because it is what it is. So I think it's another place to consider how you distribute that dessert type of a Bolus and the timing around it. Yeah,

Scott Benner 29:14
pies are, I guess, a good example, right? Like, so there's filling, like, pumpkin like, I'm looking at a pumpkin pie here. I guess we could break one down to like to see what's in it, right? Hold on a

Jennifer Smith, CDE 29:25
second. I mean, the most common are what pumpkin and apple pie? Those are the ones that we've always had at mine, pecan pie. We've never had it my Thanksgiving. It's a huge Thanksgiving thing, but I don't even ever think I've ever had pecan pie in my life.

Scott Benner 29:42
My grandmother was Pennsylvania Dutch. They used to eat something called shoe fly pie. Which fly pie molasses, right? Yeah.

Speaker 2 29:49
Again, all sugar, yeah.

Scott Benner 29:52
Also, she had type two diabetes, I would just want to point out, so yeah, I'm looking back, and that might not have been so hard to figure out why that happened. Okay, so I have right now, there's not a lot in pie dough. I hope you're all making your own pie dough. I make mine. It's easy to make. It's not that hard, really. Okay, so I am. I've gotten a breakdown here for Oh, hold on a second. It'd be nice if the if the website didn't launch a video on me. What is that ridiculous? By the way, all these recipe websites are just scams to get you to ads. Oh, of course, that's, that's all it is. Like, it's so hard to find the actual recipe. It's almost insane. You like pick you have to hit the, by the way, you hit the print button. That's what I do. Okay, so here is the pumpkin pie filling. I gave it here. I'll give it to you. The recipe is three quarters of a cup of granulated sugar, a teaspoon of ground cinnamon, quarter teaspoon of salt, quarter teaspoon of ground ginger, half a quarter teaspoon of cloves, two eggs, 15 ounce can of pumpkin or fresh pump and puree, and 12 ounces of evaporated milk. It parsed down the this way, granulated sugar, 150 grams for three quarters a cup, there's negotiable in cinnamon, sodium, of course, ginger, cloves, blah, blah, 100 grams in the eggs. 425 grams in the puree. 354, grams in the evaporated milk. Makes an eight palm piece serving. So let's see whole batch per serving, per slice. 149 calories, 27 carbs, 20 Oh, that's light on the carb. 23 sugar. It doesn't include the crust.

Jennifer Smith, CDE 31:37
Oh, I was gonna say gosh, because that seems awfully light on the car.

Scott Benner 31:41
This is just the filling. Now, I'm gonna let it do the crust for you. Okay, it takes a second. I mean, here it comes. Well, technology is amazing. I don't know why we're all arguing about it. So what if it blows up the earth? I mean, look, quickly it broke this down. All right, so nutritional breakdown for the crust, which, by the way, was two and a half cups of all purpose flour, a half a tablespoon of sugar, salt, half a pound of cold on salted butter, some ice water. The entire concoction is looks like 300 for the flour, six for the sugar. And moving on here, let's see as far as, okay, hold on, total carbs for the entire pie crust, 219 per serving. 27 for the crust, net carbs, 26 protein, four. So yeah, it's basically 27 for the cross 26 for the filling. It's over 50 for a slice of pie?

Jennifer Smith, CDE 32:41
Yeah, I was gonna say the average is about 5050. Grams, if you're just wanting a nice round number, 50 grams for an eighth of a piece of pie.

Scott Benner 32:49
Could do all this, or just ask Jenny, and she would have told you, I want people to be able to go do it for themselves

Jennifer Smith, CDE 32:55
afterwards. Yeah, no, it's a fantastic way to be able to do it and get the direct information. If

Scott Benner 33:02
Jenny can't live in your pocket and jump out and go, that's pi 50.

Jenny in your pocket. Oh, there, there you go. Wait, we could sell that. Break your different pies down this way. Listen, is this exactly how your pie is going to be or how your potato it's not, but it should give you enough right of a jumping in space for the carb total and the sugar understanding should get you close, right, like that. That's my hope for you, is to be close again. Get ahead, stay ahead and be ready for a low later. That's pretty much my whole Thanksgiving theory,

Jennifer Smith, CDE 33:40
and this, as I brought it up, at the end of a long duration meal. That's a really heavy meal. This also brings in the consideration of not only the Bolus, but the timing of the delivery of the Bolus. It may be a time when you actually do despite it being pie, it's sitting on top of butter and gravy and creamy stuff and fat in a heavy meal. So you may actually use 100% extended Bolus for something like this, depending on where you're starting with your CGM value and the trend. Would you normally do this if you just sat down to a piece of pumpkin pie? No, in and of itself, by itself, absolutely, you would need Pre-Bolus, and you would write, but because of the end result of meal on top of this, in your belly,

Scott Benner 34:30
I say make a blanket of insulin over top of the timeline of the meal. That's kind of how I think about it. Like, seriously, like a weighted blanket for, you know, people with, you know, people like weighted blankets. I just put a blanket of like insulin over top of the series, pulling up some other things that people might find interesting. Regular Budweiser has 10 and a half grams.

Jennifer Smith, CDE 34:51
That's a great one to bring up. A lot of people don't cover drinks.

Scott Benner 34:56
And a Bud Light has 6.6 I just randomly picked up beer. I don't drink beer, so I didn't know what to do there. And please, you know, if you want this to be easier, don't drink sugared soda. Don't drink juice cider. I mean, do people do apple cider still I would expect so yes, you know what I mean, apple cider has got to be crazy.

Jennifer Smith, CDE 35:17
It's pretty high carb, usually, depending on the brand, it could for a cup somewhere between 30 to 40 grams of carb just for a cup of apple cider.

Scott Benner 35:27
Yeah? And, I mean, so I don't know, like, good luck, I guess, get out there and start

Speaker 3 35:33
swinging. Yeah. Have a great time. Thankful for all we have.

Scott Benner 35:37
Jenny, let me ask you one question, yeah, I'm sitting here now. It's not me and you. It's me and some newly diagnosed family, right? Sure, and they've never Bolus this much in their entire life. They're gonna sit there. I know what they're gonna do. I've done it, right? They're gonna err on the side of caution. The kid's gonna get high. They're gonna have a whole like, look what happened. We ruined Thanksgiving. How do you find the nerve to make a an 80 gram Bolus when you've never done that before. What do you you know what I mean, it's, it's a ballsy move. It really is. Is there a way to, like, go into it slowly? Can you,

Jennifer Smith, CDE 36:12
well, I think with technology being the way that it is, you add it up, you've done the math, and you look at it six times, and you're like, Gosh, 80 grams. Like, we never Bolus for this much. Like you said you could do a an extended Bolus, because then you're not getting the load of it, despite good counting that you know that this is how much it actually is do an extended Bolus, and when you see that it's been working, but now, gosh, my blood sugar clearly is going up. You can always cancel an extended Bolus and take that as a normal Bolus. So that's one step wise approach. Is it likely that your blood sugar might end up getting low later? It is. But again, with so much food around and so much quick carb this would be the time to drink the apple cider.

Scott Benner 36:59
Yeah, right, right? I mean, the other high side of all this is, if you're too aggressive, there's 1000 ways to fix it, and it's all right there too, right? Yeah.

Jennifer Smith, CDE 37:08
But I think getting up the nerve it does depending on the type of person personality you have, and if it's yourself versus you navigating a child, I think they're very different considerations. Yeah,

Scott Benner 37:21
no, for sure, I'd like to also bring up to people, please, like, put the tiniest bit of effort into making sure that you're not in the last three hours of your CGM on Thanksgiving, or that this isn't the last six hours of your pump site, like, that kind of stuff. Like, I, I would love you not to have a brand new pump site and not an old pump site on Thanksgiving. I think that gives you a lot better chance, you know, just kind of be ahead of your tack a little

Jennifer Smith, CDE 37:43
bit. I would like to add a note as well to try to start your day with some exercise, because it can really help. Okay, Jenny, everybody, come on. Don't watch the parade. I haven't watched the parade in a long let

Scott Benner 38:01
me tell you how my wife ruins the holidays with her. She's got some old family tradition where they eat these. I'm sorry if she hears this, like these, these garbage II, like cinnamon icing, rolls, like Jenny, okay. Yeah. No, no. Hold on. So right away in the like, Do you know what I'm talking

Jennifer Smith, CDE 38:21
about? A can where you pop them open and they Yes, okay, I know you're talking

Scott Benner 38:25
about, you know what I'm talking about? Yeah, I had to learn. But also it helped me because, like, because for my wife, Christmas morning is like these, I'm not gonna say what I almost said, but she it started with these cinnamon rolls that were not, you know, they're not homemade, they're not from a they're not even from a bakery. They're, they're, you know, out of a can, processed, like, blah, blah, blah. And, you know, it's come downstairs make these things. You know, Arden is just awake and they're gonna eat cinnamon rolls. So, like, while everybody else is, like, running down the steps and, like, oh, it's Christmas. I'm like, Bolus, we need insulin. I'm Pre-Bolus, thing for the rolls, right? And so she, and that's a every holiday like that. They would do those in the morning. And I think people have all kinds of stuff like that, like so, you know, it's your other idea too. Is like, if you're getting up on Thanksgiving and you're going to be at your aunt and uncles to watch the melee at two, and you know, that's when lunch starts. I wouldn't start the day with a bowl of Captain Crunch, right? Give yourself a shot. Is what I think, what I'm saying, and just don't get behind. I know that this sounds overly simple, but get ahead. Stay Ahead is such a great idea for days like this. You know, I really find it is No, it's great. Okay, apple cider, yeah, 30 grams of sugar, 32 carbs for a cup hard apple cider. Don't forget that with alcohol in it can be there. Try not to drink your carbs, please. That'll help. Drink water, lots of water. That water is terrible. Get some sparkling water tastes like water. I think is the problem.

Jennifer Smith, CDE 39:56
Tastes like water, yeah, add some, I don't know, add some lemon. Juice to it, or some lime,

Scott Benner 40:01
or nice idea, yeah, some mixed berries in there. Something, right?

Jennifer Smith, CDE 40:06
You know, squeeze and squeeze a couple slices of orange into it. It's not going to add anything you have to Bolus for, but it adds a little flavor.

Scott Benner 40:13
Also, don't forget, when you do your leftovers after Thanksgiving, the cold potatoes will hit differently than the hot potatoes hit. That's

a good point. Yes, thank you. Look at us. We're like little fairies, just dripping,

dripping knowledge, knowledge every which way. Thank you for doing this. Jennifer, Happy Thanksgiving. You too. Thank you.

I'd like to thank the blood glucose meter that my daughter carries, the contour next gen blood glucose meter. Learn more and get started today at contour next.com/juicebox and don't forget, you may be paying more through your insurance right now for the meter you have than you would pay for the contour next gen in cash. There are links in the show notes of the audio app you're listening in right now, and links at Juicebox podcast.com, to contour and

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in each episode of The Bolus four series, Jenny Smith and I are going to pick one food and talk through the Bolus thing for that food. We hope you find it valuable. Generally speaking, we're going to follow a bit of a formula, the meal bolt. Formula, M, E, A, l, B, O, L, T. You can learn more about it at Juicebox podcast.com, forward slash, meal, dash, bolt. But here's what it is. Step 1m. Measure the meal

E, evaluate yourself. A, add the base units, l, layer a, correction.

B, build the Bolus shape, O, offset the timing. L, look at the CGM and T, tweak for next time. In a nutshell, we measure our meal, total carbohydrates, protein, fat, consider the glycemic index and the glycemic load, and then we evaluate yourself. What's your current blood sugar? How much insulin is on board, and what kind of activity are you going to be involved in or not involved in? You have any stress, hormones, illness, what's going on with you? Then a we add the base units your carbs divided by insulin to carb ratio, just a simple Bolus l layer of correction, right? Do you have to add or subtract insulin based on your current blood sugar? Build the Bolus shape. Are we going to give it all up front, 100% for a fast digesting meal, or is there going to be like a combo or a square wave Bolus? Does it have to be extended? I'll set the timing. This is about pre bolusing. Does it take a couple of minutes this meal, or maybe 20 minutes? Are we going to have to, again, consider combo square wave boluses and meals, figure out the timing of that meal, and then l look at the CGM an hour later, was there a fast spike? Three hours later, was there a delayed rise? Five hours later, is there any lingering effect from fat and protein tweak for next time, tea, what did you eat? How much insulin and when? What did your blood sugar curve look like? What would you do next time? This is what we're going to talk about in every episode of Bolus for measure the meal, evaluate yourself, add the base units, layer a correction, build the Bolus shape, offset the timing. Look at the CGM tweak for next time. But it's not going to be that confusing, and we're not going to ask you to remember all of that stuff, but that's the pathway that Jenny and I are going to use to speak about each Bolus. Have a podcast. Want it to sound fantastic. Wrongwayrecording.com.

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#1691 Autumn Needs an Answer - Part 2

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Google Play/Android - iHeart Radio -  Radio Public, Amazon Alexa or wherever they get audio.

Autumn, diagnosed type 1 at 13, discovers after 31 years she’s MODY. We unpack misdiagnosis, GLP-1s, insurance roadblocks, self-advocacy, and how one podcast episode changed her entire life. Part 2 of 2.

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Welcome back, friends to another episode of The Juicebox podcast.

Autumn 0:15
Good morning. My name is Autumn. I am a 44 year old female who was diagnosed with type one diabetes in 1994 at the age of 13.

Scott Benner 0:26
This is part two of a two part episode. Go look at the title if you don't recognize it. You haven't heard part one yet. It's probably the episode right before this in your podcast player, when I created the defining diabetes series, I pictured a dictionary in my mind to help you understand key terms that shape type one diabetes management. Along with Jenny Smith, who, of course, is an experienced diabetes educator, we break down concepts like basal, time and range, insulin on board and much more. This series must have 70 short episodes in it. We have to take the jargon out of the jargon so that you can focus on what really matters, living confidently and staying healthy. You can't do these things if you don't know what they mean. Go get your diabetes to find Juicebox podcast.com, go up in the menu and click on series. Please don't forget that nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. Just in time for the holidays, cozy Earth is back with a great offer for Juicebox podcast listeners. That's right, Black Friday has come early at cozy earth.com and right now you can stack my code Juicebox on top of their site wide sale, giving you up to 40% off in savings. These deals will not last, so start your holiday shopping today by going to cozy earth.com and using the offer code Juicebox at checkout. This episode of The Juicebox podcast is sponsored by us, med, us. Med.com/juicebox, or call 888-721-1514, get your supplies the same way we do from us. Med, the episode you're about to listen to is sponsored by tandem Moby, the impressively small insulin pump. Tandem. Moby features tandems newest algorithm control, iq plus technology, it's designed for greater discretion, more freedom and improved time and range. Learn more and get started today at tandem diabetes.com/juicebox,

Autumn 2:31
I went through a total identity crisis, and when all of this was happening to me, I'm like, well, if I'm not type one, what am I like? What do you mean? Like, I have all of this medical history, and it just fits right here. And you know, he, he was with me through all of it. I honestly didn't start to share my story until this year, until I got the answer. Nobody in my family knew this was happening, other than my husband and a very, very close friend, no kidding, yeah. And part of it was, you know, candidly, that the societal criticisms of, oh, you're using a GLP, Well, no wonder that's why you lost weight, or no wonder that's why you feel better. And it's like I struggled with my identity, and then also with the fear that you you mentioned for people, where it's like, you want me to take my insulin pump off, but what do you mean? You how? But then it was like, I had to listen to that, you know, little inner voice that you have that's like, what do you have to lose? You take the insulin pump off. You get sick. Okay, put the damn thing back on. But if you don't try, how will you know? And I don't ever want to live my life thinking I should have, could have, would have, type thing like, no regrets. So here we are.

Scott Benner 3:42
Well, I mean, the doctor tells you to do it, you easily could have just put it back on again. Like, it's not sure, yeah. I mean, you didn't have to sit there and just slowly die over the next couple of days, right? Right? Like, yeah, you could pay attention to what was going on. I mean, you were doing it with the doctors overseeing it sounds like you did it the right way. And, yeah, for sure. And I think that Moreover, don't be just happy sitting there and withering or being sick all the time like try something. The examples are endless. I interviewed a woman yesterday who clearly has thyroid issues, and her TSH, in my mind, is elevated, and her doctor's mind isn't. And she's 10 years at it, 10 years just suffering along. And when I said to her, why don't you try the medication, she goes, Well, the the numbers, right? I'm like, Yeah, but that shouldn't make any sense. And meanwhile, she's telling a story about how she's advocating for her kid, but not for herself. And like, you know what? I'm just like, this happens constantly with people forever, and you know, at some point, you either get to a doctor who understands the bigger picture, or you get to a doctor who says, Hey, I'm sorry, but the thing in the box says, No, so you don't get it right,

Autumn 4:50
right? Well, and like how I mentioned earlier, thankfully, my mom taught me a long time ago to advocate for myself, because I can remember going to endocrinologist that they would just dismiss me. Or, you know? Well, this is what it was. I'm like, You know what? You're fired. I'm going to go find an endocrinologist that works for me. I'm going to find somebody that listens to what's going on, and they're not just looking at, you know what? The their again, their checklist says, Okay, this is how we treat this symptom. This is how we take care of that ailment. Like no health care has to be personalized to the individual's needs. And I don't give a rat's ass what your book says, or how many years you went to school. Yeah, I know how I feel right now. And I've never felt this good in my entire

Scott Benner 5:28
life. Tell people what your weight was when you started what it is now.

Autumn 5:33
Gosh, it was 238 at that initial appointment back in November of 2022 and right now I weigh 160 Wow. Good for you. And, like, seriously, the last 40 pounds, as soon as I took that insulin pump off, it just came off like water. And I can't even tell you how mind blowing that was for me, you know, like I had said that identity crisis, I also spent a little bit of time, like angry, like, mad. Like, how could I have been? I just felt like it was a disservice by the healthcare system to

Scott Benner 6:08
gone that long. Yeah, tell me more about that please. Yeah,

Autumn 6:10
I just because, you know, I think back to that endocrinologist, and I'm like, hey, something doesn't seem right. I'm using all this insulin, and it's like, you're type one, it's in your head. You need to get over it. Like, really? Like, how, how is that? Or, you know, I had even gone to her before, like, how do you even know I'm a type one diabetic? And it always went back to, well, it's in your head, or it's just because you've been diabetic so long, and all of these things. Like, I feel like I got robbed of the prime of my life, like times when I wouldn't want to play with my son because I didn't feel good, or because I was, you know, just just tired, exhausted, fatigued, because I just wasn't healthy. And, you know, now I look back and like, I could have had more kids, Scott, yeah, and I didn't, because of, you know, the doctor, oh, your diabetes. It's like, okay,

Scott Benner 7:04
then I guess that's not, not what's supposed to happen for me. And now it's and now it's gone. Like, I'm not trying to make you upset, but that it's over, like, that part passed, yeah, yeah, my wife and I went out the other day. It was Friday night, so we worked all day. And I mean, this is kind of boring, but, like she she travels for work a lot, and so she wanted to get Global Entry on her passport so she wouldn't have to stand in line coming back from other countries. But she had to make an appointment at the airport at 8pm on a Friday night to finish the process. And we drove about an hour, and we decided to do some shopping at this place that's near the airport that we don't get to very often. Let me just say what it is, because I think it adds levity. I really love IKEA's dish brushes for this for the kitchen. They're $2.99 They're awesome. Okay, it's black. It has a suction cup on the end. Buy them. They're absolutely awesome. Okay, and I've been using mine way too long, because I don't want to drive an hour towards the airport to buy a brush and but as soon as she said, I have to go to the airport, I was like, Oh my god. Can we go? Like, right? I was like, I need a dish brush and so, so we, we left early. Now this is the end of a day. Do you understand what I'm saying? Like, I like, I've been, I've been I'm old, I've been up, I've been working, I've been thinking, I've been talking, I've been sitting in this room, I've been typing, I've been letting people online yell at me. I've been helping. Like, you know, I've been I had a full day already. I drove an hour in traffic on the New Jersey Turnpike. If you've never been here, you don't know what I'm talking about. It ain't great. Okay, we walked around IKEA for a while. Because you're there, what are you gonna do? You go look at the hernkum burger and stuff like that. You see what else they got. And like we did the whole walk, I bought, I bought seven dish brushes, like

Autumn 9:00
you're not going back to that airport for a while.

Scott Benner 9:02
I was trying to minimize my travel, and so I spent the 14 and and then we went over to the Newark Airport, if you've ever been there, also not awesome. And eight o'clock, she has her meeting. She does her thing. We get done. She's like, are you hungry? I said, Man, I am a little hungry. Ted. I don't think I've eaten much today. I think I should eat. We drove all the way home, another hour through traffic, went to a restaurant, sat and ate, did all this stuff. It's like 1030 at night now, and we're sitting there and we're talking, and I said to her, I don't think we could have done this before the GLP medication. And she's like, what? I'm like, You really think we could have worked a whole week and then a whole Friday and then gone out and walked around for an hour and a half and then run across and then still, gone to dinner and been sitting here and talking to each other as bright eyed as we are right now. And I know people will be like, Well, yeah, you lost weight. Okay, like, I'm not gonna argue with that at all. But. So I'm telling you that without that, whatever the hell is in that stuff, and that really is I whatever GLP is, whatever that I don't even know and I don't care and like, but whatever it is, I think it has fundamentally changed how my body works. Absolutely, yeah, yes. I don't know how to quantify it, really, but I can tell you for sure that I wouldn't have done any of the things on Friday that I did. And then I started thinking about all the times that we'd walk around somewhere because Kelly be like, hey, you know, we need a chair, or we need then she'd take me out, and I'd walk around thinking the whole time like, I hate this, like I can't wait to get home. I'm so tired, I like and I don't realize I never going to be able to honestly quantify how much I was probably lying to myself about what my appearance meant to me in public. Sure, like, because I'll like, I'm you're going to hear me on this recording and in my personal life, I don't care what people think of me. I'm not my body, I'm my thoughts. And I really do believe all that, but I still believe, the farther I go forward, the GLP, that that's not completely accurate, because I saw a photo of myself the other day that somebody took candidly, and I thought, I'm okay if people see that. And before, I would have been like, Hey, can you delete that please? Like, you know what I mean, like, like, it was just at a weird angle and everything, and I didn't even care. And then I started doing the rest of the math. Like, I wonder what I didn't do with my kids or my wife or with my life, because I was belt held back by the amount of energy I had, or you talked about your elimination. I had that problem too, right? Like I didn't eliminate? Well, my iron was low all the time. My iron is not low anymore. That had its own impacts. Blah, blah, blah, blah, blah, and I'm going to go back to what I said earlier. I don't think we know where we're at with this medication yet, or what it's doing for people. And I'm happy to say because you brought it up, the pressure of knowing that if you tell somebody you're doing this, that some person who doesn't have the benefit of all this information and all this perspective and all these experiences is just going to go like, Oh yeah, you cheated and took that medicine. This episode is sponsored by tandem Diabetes Care, and today I'm going to tell you about tandems, newest pumping algorithm, the tandem mobi system with control iq plus technology features auto Bolus, which can cover missed meal boluses and help prevent hyperglycemia. It has a dedicated sleep activity setting and is controlled from your personal iPhone. Tandem will help you to check your benefits today through my link, tandem diabetes.com/juicebox, this is going to help you to get started with tandems, smallest pump yet that's powered by its best algorithm ever control iq plus technology helps to keep blood sugars in range by predicting glucose levels 30 minutes ahead, and it adjusts insulin accordingly. You can wear the tandem mobi in a number of ways. Wear it on body with a patch like adhesive sleeve that is sold separately. Clip it discreetly to your clothing or slip it into your pocket head now to my link, tandem diabetes.com/juicebox, to check out your benefits and get started today, perhaps the best gift that you can give to yourself or to a loved one is that of comfort. And this holiday season, if you use the offer code Juicebox at checkout at cozy earth.com, you won't just be getting something that's comfortable. You'll also be doing it at quite a discount. We can talk about that in just a moment. Right now, I want to tell you that I use cozy Earth towels every day, when I get out of the shower, I sleep on cozy Earth sheets. Every night, when I get into bed, I'm recording right now in a pair of cozy Earth sweatpants. I love their joggers, their hoodies, their shirts, my wife has their pajamas. And I know you're thinking, oh yeah, Scott. Well, because they sent you a bunch of it for free, they did send me some for free, but I've also bought a lot on my own. So like I said earlier, Black Friday has come early at cozy Earth, and right now you can stack my code Juicebox on top of their site wide sale giving you up to 40% off in savings. These deals are definitely not going to last. Get your shopping done now or get yourself something terrific at cozy earth.com Do not forget to use that offer code Juicebox at checkout. You will not be sorry.

Autumn 14:25
Yeah, yeah. And like little do they know how much freaking work it is actually to take that medication, especially it's like you're titrating the dose up. And you don't always feel the greatest when that happens. But then you you have to change so many things about your life, the way that you eat, your relationship with food. I mean, the food noise completely gone after starting that medication was like a complete game changer in my life, like on top of all of the wins and the discoveries with my diabetes like that going away like, holy smokes. Anybody that wants. This medicine that their body can tolerate it, in my opinion, should be given to them freely, just like you could get birth control for free at a health

Scott Benner 15:06
department. Isn't it funny how we've sat around see older people are going to know this, younger people aren't going to know it as well. But I grew up through a time where people just sat back and they ruminated. They're like, one day science is going to find a way to stop this epidemic that we have of people's weight. I grew up through a media that talked about that it's gonna happen. We're gonna figure it out. And then, by the way, this all connects, whether it's the vaccine story I told about the online thing or the person telling me not to do the thing, this all connects. If you're not paying it, got to pay attention, okay? But like, back there the it's gonna happen. We're gonna fix it, we're gonna we're gonna move forward. We're gonna find better ways. And then we did that as a society, and then everyone just moved the goal post when you're a cheater, like, oh my god, you motherfckers. Like, like, it took some dork in a lab 30 years to figure this out, and he figured it out. And your hot take on it was, oh, you're gonna cheat like that. For the last 30 years, you've been saying, no matter how much I diet and exercise, nothing's working for me. The food's not right. Monsanto sprayed something on my corn. You guys have 1000 different reasons why you're being held down by something, and someone figures out your way around it, and then you become the thing holding the person down. Oh, my God, you're all stupid. Sometimes, me too, by the way, we're all stupid sometimes. But like, it's crazy, how it like, it's that goal post moving. Yeah, it's like, not good enough. You didn't do it good enough. But I tell you about before we started recording here, I got two people ranting and rave at me on Instagram. I can't believe you're using Instagram images. Do you know how much electricity that uses? Well, guess what? I didn't know how much electricity it used, so I looked it up, and then you know what else? I looked up how much electricity Instagram uses. Turns out the person who used Instagram to yell at me used way more electricity than I did to make the picture. And I was just like, none of us are perfect. That's all I came down to. Like, there is no perfect way to get through life. Like, so if you think railing about me using an AI image is a good use of your time, then God bless you. Like, go for it, right? And if you think yelling at poor autumn here for cheating is a good use of your time, and go for it, but she's off living a better life while you're busy telling her what she's doing wrong, right? And you

Autumn 17:30
know, what that person can do, they can grade off.

Scott Benner 17:35
But at the same time, like, that's, you know, in my personal life, like I explained to you earlier, like, you know, the way I responded to the person on Instagram, I was like, well, listen, I'm doing my best here, and I'm trying to I really do mean all that, and it's all, it's all sincere, but if it was just me in a room with them, I would 100% say, oh, you should go yourself and like, because I am like, I've said this before on the podcast, so I don't want to belabor it, but like, because it's not an apples to apples comparison. But every time something like this happens, I think of the line from and I can never remember the name of the movie, and you reminded me of it. The name of the movie is, oh, a few good men. Few Good Men. Where, at the end the bad, I mean, he's a bad guy, like, I'm not the, not the bad guy in this, but the way he feels, I understand, where he just says, at one point, like, I appreciate it, if you would just say thank you and move on. And it's the feeling that he has that, like I am out here putting my whole effort into something, I'm doing it for you, and you're over here telling me how I'm doing it wrong. And you know, in that scenario, in the movie, again, my analogy doesn't hold up, because he's actually doing something wrong, but like, but the way he felt, I can seriously dig into this deeper, the way he felt. From his perspective, he doesn't see it that way, and like, and that's the thing that you all need to understand about this, is that let's just for a second, just put ourselves in an alternate universe where Autumn's use of a GLP is wrong. She doesn't feel that way. She's having a different experience than you're having. So yelling at her that she's doing it wrong, even if she is doing it wrong, is not an answer to the bigger issue. Right and and I'm here to tell you I don't think you did anything wrong. I don't think I did anything wrong. I'm telling you that modern medicine came up with a way for me not to have low iron, not go to the bathroom on any particular schedule, be carrying fat in places that I don't understand, being tired all the time, you know, not being able to be myself in my own mind because I'm cloudy and all the other things we all run around all the time, inflammation. We got to get rid of it. We got to get rid of it. Somebody came up a way to get rid of it. And they went, Oh, you can't do that. God damn it. And then, oh, my god, autumn. You know what just happened there? I said, God damn it. Now some people are gonna send me an email and say, Oh, I love this podcast, but then use the Lord's name in vain, and I can't listen anymore. Y'all got to stop setting up guardrails and rules about how we can all. Talk to each other where no one's gonna say anything, and Autumn's not gonna find out that she could have been healthier. I've made my point now, autumn, tell the rest of your story. Thank you. Diabetes comes with a lot of things to remember, so it's nice when someone takes something off of your plate. US med has done that for us. When it's time for Arden supplies to be refreshed. We get an email rolls up and in your inbox says, Hi, Arden. This is your friendly reorder email from us. Med. You open up the email. It's a big button that says, Click here to reorder, and you're done. Finally, somebody taking away a responsibility instead of adding one us. Med has done that for us, an email arrives, we click on a link, and the next thing you know, your products are at the front door. That simple, us, med.com/juicebox, or call, 888-721-1514, I never have to wonder if Arden has enough supplies. I click on one link, I open up a box, I put the stuff in the drawer, and we're done. Us. Med carries everything from insulin pumps and diabetes testing supplies to the latest CGM like the libre three and the Dexcom g7 they accept Medicare nationwide over 800 private insurers, and all you have to do to get started is called 888-721-1514, or go to my link, us, med.com/juicebox, using that number or my link helps to support the production of the Juicebox podcast.

Autumn 21:35
I just, you know I really, really enjoy you, but you're a great, great, great, great guy. There's no doubt about

Scott Benner 21:41
that Autumn, I'm awesome. That's not why we're here.

Autumn 21:45
You did say something there, though about that, that experience with your wife at the airport and like the medication giving you the energy to be able to do that. But it just made me think, especially about the photo piece with I think about from the time I started on my insulin pump. Because that's the other thing I didn't mention before. I started on the insulin pump. Like, I never had a weight problem. I mean, I'm five nine. I've always weighed between, like, 161 70, and it was like, I put that insulin pump on and Damn, did that weight come? And it came for me, and it was, like, 30 pounds within a matter of, I don't know, two, three months and like, What in the hell is going on? Like, I eat healthy. I barely eat carbs. Like, why am I using all of this insulin? There are so few photos of me with my family, with my son, with my husband. And, of course, the ones that we do have, you know, I had to make sure that they they were okay. Like, okay. I don't look like a complete cow in that picture. Like, yep, we can share that one kind of thing. And now I'm over here where people will, oh, my God, you look really great. And I'm almost like, I don't, I don't want you to, I don't want to talk about it, because I want to skirt over the fact that, how did I get here? Because I don't want to deal with their judgments or their their bullshit when it comes to, you know, what they think I should have done with my life, but I do know that that medication led me to one removing the pump, to finding out that I'm a type two diabetic, that it's actually Modi for the 1% of the 1% and I told my husband, we met me like I'm a special unicorn. Not sure if you're aware of that, but

Scott Benner 23:17
this test actually proved it for Yeah, you didn't realize how right you are right.

Autumn 23:21
I know right, right, but it's just like, people are nicer to you when you don't wait when you're not overweight. I didn't realize that before, because I just try to be nice to everybody. Like, I'm a big advocate of, like, human kindness, regardless of what's going on. Like, just be kind to people. I've had more people offer to help me. Like, I'm at the gas station with a flat tire, just a random guy, like, Hey, do you need any help? And I'm like, Are you talking to me? Like, why are you trying to help me? That would have never happened, you know, 80 pounds ago. I'm sorry. It just would not have happened.

Scott Benner 23:51
That's crazy. Yeah, I don't this. I don't, I don't imagine you're wrong. I just it's, it really is insane. I do feel the same like I don't. I wouldn't understand treating somebody differently for how they appear, but also maybe I have a perspective of a person who appeared that way, so at some point, yeah, I wouldn't have judged myself for it. So maybe I wouldn't have judged other people for it.

Autumn 24:13
It's like, that's the thing, like, I guess I just, I don't know, let people be who they are, let them do what they do. And you know, sharing stories helps. I mean, that's part of how we get through society, is by sharing our stories and by learning from each other. And when you want to shut it down because you don't agree with me, like you don't have to agree with me, that's fine, but it's still my reality. I'm still going to share the fact that this is how I got here to this new diagnosis and this new life where, you know, I feel great and I have energy and I want to do things, and, you know, I'm not trying to nap constantly because I'm exhausted all the time. Yeah, I

Scott Benner 24:44
also think it's important to like, you know, another thing that people used to talk about when I was younger, before the world got so complicated, is that, you know, people learn as they go, and you don't judge them on what they thought before, you praise them for what they figured out. Right? And so, you know, because there's a certain, I can hear people in my mind like there's a certain, by the way, that's not because I'm schizophrenic. I just, I know what's gonna happen. I can hear people saying, Oh, sure, well, he used to think this, but now he says this. He's a hypocrite. I'm not a hypocrite. I'm a human being who learns something, and now I'm continuing to share. And by the way, if you would have gone back 10 years ago and heard me say something. I probably say it more clearly now, but if I hadn't said it, then I wouldn't know how to say it more clearly now, you have to let the process. You have to trust the process of being alive and learning and growing and and not not want to hold people accountable for things that they thought or did in the past that they understand are different now, this happens to everybody. Yeah, it's not. It's not a thing that happens to just bad people, or people were dumb and then they weren't. Or like it's it's happening, if you think that it's happening to you right now and you don't know it, because 10 years from now, you'll look back on this moment ago, I shouldn't have judged those people that way, and by then it's too late, because you already ran around telling people they cheated or they're bad, or, you know, blah, blah, blah, blah, blah, like, whatever it is that you thought you were fixing the world with today. That's not how I'm going to say this over and over again. I say it in the Facebook group all the time. Telling people they're wrong is not a good way to get them to know they're wrong. Like, that's not how you do it. They say something. And maybe you have a different perspective. Maybe you're a little older, a little wiser. Maybe you've been through another thing that they haven't been through yet. Maybe you've just seen a part of the path they haven't seen yet. You just share your perspective with them, and one day they'll see it. It's not going to be that day. It's not going to be that moment in my life. I have never disagreed with somebody and talked them out of it, but you could give them ideas and walk away and let them go live their life and see if it doesn't come back around for them in a way that makes them figure it out right? Exactly? Yeah, I told on them before we started today. I think I told you about like the the emails I get emails sometimes from people, and they, they, they tell me how awful I am, and then, and then a lot of them will write back six months a year later. Some of them don't go to the trouble of telling me how awful I am. Some, some of them just write the second email. And I got one of those the other day, and I mentioned it the other day. I won't say the person's name again, but I again, but I thank the person because they started listening and really didn't like me for a number of different reasons. They hated me, but persevered, kept listening, and now are doing really well, and they took the time to write an email to apologize for a thing that I didn't even know they were doing, which I found to be incredibly kind. Yeah, and I'm not saying that. I'm always right, and you'll figure it out one day. I'm saying that some of the things you hear you don't intersect with, well at some points, and then maybe later, when you have more information, you'll intersect with it differently. And that isn't to say that some of you just don't hate me and not and have really good, great reasons for it. I'm sure you do right on like, you know what I mean? Like, I there are people I don't like to I don't know what to tell you, and I don't have the time or the inclination to figure out why, but in the light of what's going on in the world right now, as a person who makes content, I'd like to point out to you that it's incredibly unhealthy. If you keep listening to me and you don't like me, you should really stop. Yeah,

Autumn 28:31
but scroll past, yeah. Keep

Scott Benner 28:34
moving right. Think of me as something you can scroll past and and head off, although, let me say this, you know, again, as a timestamp, I am not an avatar. I'm a real person, okay, like you ranting and raving about me, or, you know, showing up somewhere where I am, which hasn't happened to me gleefully, but is happening to other people. And like you're not down voting me on Reddit, right? I'm not a thing you disagree with that you get to put a check mark on, or a thumbs up or a thumbs down or a sad face on. I'm an actual person, and if you don't know that, I mean, I'm not a person who just randomly says, Go touch grass. But you probably should put your device down for five seconds because, yeah, because I am not a pretend thing on the other side of your screen. And you're not either, by the way. And if we intersect in real in the real world, one day, your misunderstanding of what it is when you think of somebody digitally, but then meet them personally, most people just, you know, say, Hey, what's up? But every once in a while, a person who's too far down a path does something crazy, and it's not man, it's not cool, and all that's going to lead to is people not sharing their perspectives and stories not being told, and people not taking a lifetime to learn and move forward and coming to a better decision. And we're not going to move forward if you stop people from talking absolutely and I think that a part of that is to see that I'm not I'm not an avatar, I'm an actual person. I'm not always right, I'm not always wrong. You're not always going to agree with me. Sometimes I'm going to be doing things you don't understand, and sometimes I'm going to be doing things I don't understand. So, yeah, I don't know what the answer is, other than be nice and keep your hands to yourself. Yeah,

Autumn 30:29
exactly. Just be kind. Yeah, keep your hands to yourself and be kind. That's all we got.

Scott Benner 30:34
You know, all the stuff you tell a five year old, like, just do that. Anyway. What have you not talked about that you wanted to although this episode, I love this episode,

Autumn 30:45
so I'm glad, I'm glad. I am so thankful to be able to share this story. You know, for me personally, next steps, like I mentioned, I'm going to meet with my endocrinologist from the University of Michigan atypical Diabetes Program this coming Monday, and we're going to hash out that sulfur Ariana, probably not saying that 100% correctly, but it's close enough. And essentially, you know, the medication, it allows your pancreas to secrete more insulin. You know that the mixed message, kind of from the two doctors in the same department, one saying you make enough insulin your body doesn't secrete. The other one saying, Hey, I'm concerned, if we, you know, put you on this medication, it's going to push all the B cells that you do have left that are healthy, and you might end up back on insulin. And for me, I'm not scared of that, Scott, because I took insulin for 31 years. We're still taking insulin.

Scott Benner 31:35
You're willing to try it like that's yes, it occurs to me, while you're talking, that you're not likely to find one doctor that has all the answers. You're likely to find a few people that understand certain parts of this, and then you're going to conduct a science experiment on yourself and try to figure it out. And you're telling me that that's better than living the way you did before.

Autumn 31:54
Absolutely, yeah, absolutely. There's no doubt. And you know, the other piece that I'm really excited about is both my parents are still living and they are going to have their genetic testing done so that hopefully we can help more people, you know, with Modi and figuring out, you know, early diagnosis, so that there are children in the world that don't spend the 31 years on an insulin pump when they never really even needed the medication in the first place. So I'm excited. It's kind of like my pay it forward, I guess, like, I want to give back in a way, and lovely, and if that means you throw me in a lab and do all the tests and sign me up because I, again, I have nothing to lose, and helping somebody else is really my goal at the end of

Scott Benner 32:32
the day. That's lovely. That really is great. I will tell you this. I used to make ads for Jibo hypo pen, and I might again in the future, but I don't at the moment, but when I started making them, I had to say, sulfano Uriah, and there you go. I don't know what I was saying, but they would send back the audio and go, you're not saying that correctly. And so I wish I would have recorded it, because I basically sat here. They sent me a clip of it being said correctly, and I would like, sit here with my eyes closed, hit play the clip. Would say, so final urea. I'd go, so final urea. And then it was just, it was just me going, so, final urea. So final urea. So until it felt like it flowed, because I had to say it in a sentence, and I couldn't stop to think about it while I was saying it, because it needed to flow out and sound like it's not the first time I had heard the word right, and I got it all done. I was super excited. I sent it back to him. They're like, you're

Autumn 33:27
not saying it right, okay. But

Scott Benner 33:29
anyway, I don't know if I'm saying it right now or not, but definitely don't judge yourself on it, because Scott spent two hours on it and he's not sure.

Autumn 33:38
Listen, I'll be candid when the doctor first said it to me. I'm like, is sulfur Uranus? What do you what? I have no idea what you're talking about. And then I couldn't pronounce it, so that's what I would refer to. It to my husband, like, you know, the sulfur Uranus medication they want you to me to try. And he's like, is it really what it's called? Like, no butcher the way that it said. And this helps me remember, so

Scott Benner 33:57
you gotta do beating my hand on my thigh. Now, wondering, can we call this episode sulfur Uranus?

Autumn 34:04
I'm totally fine with that. Go for it. That was the piece. Sulfur Uranus. Here we go. Let's see if that's the next thing to change my life, other than everything I've gotten to this far.

Scott Benner 34:17
So I just imagine people listening, hearing your whole story, hearing me rant and rave, and thinking like, when does the part where you put the sulfur on your anus come in and

Autumn 34:30
that that will be, it'll be interesting to see how Monday goes. And then, you know, I'll shoot you an email to let you know the piece that that there is one other thing I wanted to it's, it's not about me. It's actually about my father. I had mentioned to you about him having that heart attack back in May, and he spent 18 days in the hospital, and he's type he's a type two diabetic. Can I tell you how disturbing it is the medical professionals in this hospital that have no clue how to treat diabetes? Days, whether it's type one, type two, they're giving this man insulin, crashing him, bringing him all the way up to 500 crashed him again. I'm like, can you stop? It got to the point where I just simply was like, we refuse the treatment. Like we can't do that. Mike, actually, I can. It's my right. We're refusing the treatment because you keep bringing him up, crashing him down. Just stop. We're telling you what he needs, and you don't want to listen, because it's not what your freaking book says. Take your book, throw it out the window and listen to what I'm telling you. Yeah, it's just, it's a shock to me how uneducated they are and how unwilling they are to listen.

Scott Benner 35:33
Yeah. I mean, I'm shocked by that pretty regularly, and at the same time, I've had enough conversations with people that I don't blame them the same way that I used to. Yeah, there's something about the process that of leading people to into that into that life, that doesn't allow them to, like, fully understand everything that they need to understand and the limits of humans in general. Like, you know, you can't, yeah, you're not. You're not a limitless, I, you know, thought machine, and then the pressure that goes with it, and, you know, the long shifts and so many people, and I'm sure the hospital is telling you to go faster and do this, and blah, blah. And, you know, like, there's just, I think it's like everything else. I think there's just too much to tackle. And, and may I also say autumn that I know that it's probably attractive to just blame something and say, well, it's the reason of this, but I don't think that's the case anymore. Like, I think it's possible that we've just been here so long, and society just has so many nooks and crannies, right? That this is what it looks like at this point. Like it's we can't, I don't know. It's like a bunch of extension cords wrapped around each other, like we're not going to be able to, like, untwist them all sure this is just how it works now. And would it be great if you could go back to simple and start over? Sounds simple, but it would eventually get convoluted again. And I don't know what the answer is going to be like. I'll tell you. Like, there is part of me that thinks that the answer is going to be, I know people will hate this, but like, the computers being able to, like, just sort through things and to take away the stuff that you can't possibly know and make it readily available so that you don't need to be able to access it through your, you know, the meat thing inside of your skull. Like, it'll actually somebody can just say to you, like, look, this is the real answer, because then your dad blood sugar doesn't get jerked around while he's in the hospital, right? Yeah. And

Autumn 37:45
I, I, I would agree with that piece. And I feel like, you know, there's just so many if I put myself in a medical professional shoes, and I went to school, I read this book. It tells me this is what I'm supposed to do. It goes back to that point of healthcare not being personalized, but also they're just doing what they were taught and what they think is right. And I don't think they're willing to take the risk just for the random guy laying in the hospital bed. You know what I mean? Like, they might be more willing to take the risk if it was their loved one, like I was willing to take the risk and advocate for my dad or advocate for myself. They have too much to lose. It's their livelihood. It's their license. I get those things, but it's so freaking frustrating. Of

Scott Benner 38:24
course, yes, terrible, yeah, you're just autumn. Like, like, there might be, like, look, I went to nursing school. I've been doing this for six years. I report to three doctors. This is a hospital I'm in. Like, you know what I mean? And you're telling me, I got to listen to autumn, right? You know, I don't know you. And so I take, I mean, I take their perspective. I understand where they're at, but it doesn't stop that thing is happening to your father, exactly, and it doesn't stop you, by the way, you know how you now have a new perspective, like you've leveled up your perspective, because you talked about wasted time. And I have that perspective from years ago, not through my own life, but through a conversation I've had that I've commented on here a number of times, somebody online just needed help. Like, back before, I had this kind of whole ecosystem really set up where, you know, you could go to the Facebook group somebody might help you. You can go find an episode that'll help you, like, it'll help you, like, it'll lead you to other ideas you can kind of get through it on your own. Like, it's a little more self service now than it used to be, sure, and right? So people used to say, like, Oh, that guy, Scott, could probably help you. And then somebody would message me, and then I'd get on the phone with them, which I know I've said in the past, is probably, like, the part of how the podcast got started. Because I was like, Oh, I talked to this person for an hour, and now they're okay, yeah. What if more people heard that? And so have this, you know, experience with a woman in her 40s, if I'm remembering correctly, she had a lot of kids, if I'm remembering correctly, but you guys have all heard me on here, and I think more than two is a lot, so I don't remember exactly how many she had, but she had a lot of kids and diabetes for over. Very long time, and I basically just chatted her up for 45 minutes or an hour, and didn't do anything different than I'm going to do it to touch by type one event on Saturday, like, I'm just going to stand up on a stage for an hour and be like, Hey, listen, diabetes. Here's how I think about it. Go off see if it helps you. And, you know, and I did that with her, and then she contacted me back a day or so later, and was thanking me, and this was all private. It wasn't on the podcast. And then she starts crying, and really crying, and all she could say was, Why did no one tell me this? I've been living this way for decades? Oh yes, yes. And that that lost, that feeling of Lost Time stuck with me so deeply when she was talking about it, when she was talking about like it's possible that my health has progressed to a place that I can't get it back again, and I have small children, and I lost all this time, and it was so overwhelming to her, she couldn't, almost, in the moment, enjoy the fact that she'd figured out the answer. And so I said to her, I'm like, Look, I don't know what. I don't know what to tell you here, other than to say, you know now, so just move forward, cross your fingers and try to enjoy your life, you know, like, because I don't, yeah, what else am I gonna say, really, but the conversation, I never forget her. I don't know her name, I don't know all of her details. I know that. I know the agony in her voice when she realized that there was an actual answer. She didn't have it, and the days and hours and weeks and months and years of her life had passed by that she won't get back again. That part really hit me, and it hit me just as hard when you said

Autumn 41:38
it too, like, that's the thing Scott like again. January 2022 is when I started listening to your podcast. And I had been diabetic for many, many years. At that point, I learned more from listening to your podcast about bumping and nudging, things I could do, about being bold with insulin, all of the tips and tricks that you put out there and like it was mind blowing to me to think like, why isn't this information more readily available? Why isn't there? You know, you get your little kit to go home with when you leave the hospital because you're diabetic now, but you know, where is the link to the podcast? To say, hey, this can help you. It doesn't mean that it's it's correct or it's going to work for you, but just listen, because there's things that you can apply to your specific situation. And I use those all along until, of course, I got to the point where, hey, let me try this for my insulin resistance. Let me keep pushing. Let me keep advocating. Like I said, I feel like I was done a disservice, you know, from the health care system because I had a problem with insulin resistance. And instead of the doctor saying, hey, there's something that we could try, you know, they said, no, these still fit over here in that box, and I'll always go back to that the healthcare meeting to be personalized and for people to advocate for what they need, because the time is lost and I can't get it back, but I am trying to, like I said, pay it forward. How can I take what I've been through to help somebody else that maybe gets diagnosed? I'm glad that 13, you

Scott Benner 43:00
know, you know, I'm so I'm so happy for you, you know, I'm just thrilled that you found this place. And I hope that you can, you know, hope that in some time, you can, you know, do what I said and to that other person, which is just, you know, kind of draw a line and start over again. Yep, don't think about what was lost, you know. Think about what you've got left and and how much better. Yeah, I really do. I hope that for you. Yeah, and I agree with you about the personalization of healthcare. I also think that, as you were explaining that it made me think of my stupid analogy about the electrical cords and maybe the podcast is just the outlet extender at the end of that whole thing. Like, you know what I mean, like, maybe it's just, it's it fits in that, in that whole mess, because that's what the mess is, and this is what it needs. Like, like, I've said this on the podcast a number of times, and I genuinely, at this moment, believe this, and I don't know where I'll be five years from now on, okay, or what the implications are that I don't understand, but I think someone should develop an app that you just tell your medical problems to and I think it should be run by an AI that can collate everything you've said and give you back suggestions about what you should look into, because I can't figure out, as we're talking, exactly what it is about you, like, what is the stew of you that allows you To make your way through this. And what do other people not have in their stew that won't let them get through your same prompt? Because there are plenty of people we could have dropped in your same situation that

Autumn 44:30
would not have come out the other side of this. Oh, for sure, right? I could not agree more with that. Yep. And that's

Scott Benner 44:34
random, and lucky for you. Yeah, right. And so we can't go finding other people and telling them, like, go do the right thing. You'll get an answer. Like, they might not have that ability or time or research or whatever, like, they just might not be able to get to it. But wouldn't it be awesome? Everyone's got a phone at this point. Like, wouldn't it be awesome if you just sat down with your phone and told it all of your little problems and then at the end, had its. Say to you, like, you know, this is crazy, but sound like you're Modi four, right? Yeah, and that's a real like, unicorn thing, but like, I'd go say this. Go show this to like, let's print out a one page here. Take that to the doctor, see if they maybe wouldn't see our sense on this, and look into it for you, right? I don't think that's crazy at all, by the way, and I and in my mind, it's the only way you're going to accomplish it for the largest group of people, because otherwise you're counting on the doctor knowing you, seeing you, being able to communicate it correctly, them being able to hear it correctly, them having the knowledge and the perspective and having heard enough stories where they'll be able to like, you know, two plus two is four at the whole thing, and I just think that's not gonna work. It hasn't worked so far. You know what I mean, like, so anyway, that's my hope. My hope is that because I've done it here. Have you ever heard me do it on the podcast with somebody?

Autumn 45:52
Yeah, I actually have where they've explained to you what they're thinking and you say, Oh, I think it could be this, yeah, but, or have you checked into

Scott Benner 45:59
that? Well, there's also, well, yeah, you've heard me do it, but that's just me working off my database of what I've heard. Not, you know, I didn't go to college and listen, or anything like that. I'm talking about. There's a couple of episodes where somebody had like, all these things wrong, and we just sat together and put it into, like, chat, G, P, T, and at the end, it was like, I think this. And I'm like, huh, that sounds right. And then they took it to a doctor, and they're doing better now. Like, that's amazing. Yeah, actually did that with somebody very recently. So anyway, but then, yeah, again, you'll say that, and then everybody's gonna be like, it's using a lot of

Autumn 46:33
electricity. You're killing everybody, and we let the AI go. We got to get back into reality over here,

Scott Benner 46:38
ruining the world. And like, I'm okay, all right. Anyway, you're awesome.

Autumn 46:44
Autumn. Thank you. I appreciate that. And like I said, I am a special unicorn. I just didn't really realize that I was the 1% of the 1% out here. And I will say, I feel like my doctors at the University of Michigan and the geneticists and everybody, I feel like they're always really happy when they see me, because I get to just add more to their case studies.

Scott Benner 47:06
I did hear you a number of times say things that made me think, Oh, she did eventually run into some really good doctors. I

Autumn 47:12
did. I am so blessed to have found them. There's no doubt about that. And you know, the genetic specialist, when we were going through the Modi testing, they actually thought I was going to be Modi three, because I do have some renal cysts on my kidneys. And they're like, oh, yeah, this is you. And they told me it would take probably four or six weeks for those results to come back, and it was within maybe five days. And I'm like, Why are they calling me? They were so excited. They were like, you, you're really special. Like, you have Modi four. And I'm like, what does that mean? Like, like, this is just really rare, and you're the 21st case that we have in our registry. And I'm like, holy, 21st Yeah,

Scott Benner 47:48
all right. How does this work for me? Can I get this fixed? Like, I see you're excited, and that's awesome. But like, yeah, yeah. All that means an answer, yeah.

Autumn 47:56
And when do I start taking this all for Uranus? Because

Scott Benner 48:00
I have to tell you, just so you all know how my mind really works. I'm down to wanting to call the episode unicorns anus, but it's probably going to be autumn needs an answer. That is true, yeah, I mean, but if I had my druthers, just no unicorn anus would definitely be the episode title,

Autumn 48:20
you know, Autumn needs an answer. Unicorn, anus, that's it right there.

Scott Benner 48:25
Put a colon in it. No pun intended on the colon thing I meant, I meant, I meant semicolon. Did I mean semicond? I meant colon. Autumn needs colon. Autumn needs an answer. Colon. Yeah. Anyway, sorry, I don't know my punctuation.

Autumn 48:44
That's okay. You'll figure it out. And if not, you have AI, they'll help you, not in this

Scott Benner 48:49
lifetime, not if you not. If you saw my English scores when I was in school, you wouldn't say, go figure it out. You'd say, How come that guy doesn't know where a comma goes?

Autumn 48:57
Well, you know you are from New Jersey, so we have to forgive you. Look at you

Scott Benner 49:01
coming around on me making fun of Michigan an hour and a half ago. Very nice. Oh, you're awesome. All right, autumn, hold on one second for me. Okay.

US, med sponsored this episode of The Juicebox podcast. Check them out at us. Med.com/juicebox, or by calling 888-721-1514, get your free benefits. Check and get started today with us. Med, the podcast you just enjoyed was sponsored by tandem diabetes care. Learn more about tandems, newest automated insulin delivery system, tandem Moby with control iq plus technology at tandem diabetes.com/juicebox there are links in the show notes and links at Juicebox podcast.com a huge thanks to cozy Earth for sponsoring this episode. Don't forget, Black Friday has come early at cozy earth.com right now. You can stack my code Juicebox on top of their site wide sale. This is going to give you up to 40% off in savings. And these deals are definitely not going to last. I'm talking about sheets, towels, clothing, everything they have. Get that holiday shopping going right now today. Do it? Do it. Do it. Cozy earth.com. Use the off code Juicebox. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. If you're not already subscribed or following the podcast in your favorite audio app, like Spotify or Apple podcasts, please do that now. Seriously, just to hit follow or subscribe will really help the show. If you go a little further in Apple podcasts and set it up so that it downloads all new episodes. I'll be your best friend, and if you leave a five star review, ooh, I'll probably send you a Christmas card. Would you like a Christmas card?

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