Scott Benner 9/5/25 Scott Benner 9/5/25

#1620 Thick Thighs Save Lives - Part 1

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Laura, 55, was diagnosed with type 1 in March 2024 after months of missed signs, DKA, septic shock, and necrotizing fasciitis. Now on a GLP, she’s honeymooning without insulin. Part 1 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
Friends, we're all back together for the next episode of The Juicebox podcast. Welcome.

Speaker 1 0:15
Hi, Scott. My name is Laura, and I was diagnosed with type one diabetes at the age of 54 in March of 24 which I didn't even know was a thing Adelaide said type one until I was diagnosed with it. Who knew

Scott Benner 0:33
if you're living with type one 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. 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. Summertime is right around the corner, and Omnipod five is the only tube free automated insulin delivery system in the United States because it's tube free, it's also waterproof, and it goes wherever you go. Learn more at my link, omnipod.com/juicebox, that's right. Omnipod is sponsoring this episode of the podcast, and at my link, you can get a free starter kit. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox, the episode you're about to listen to was sponsored by touched by type one. Go check them out right now on Facebook, Instagram and of course, at touched by type one.org, check out that Programs tab when you get to the website to see all the great things that they're doing for people living with type one diabetes touched by type one.org I'm having an on body vibe alert. This episode of The Juicebox podcast is sponsored by ever since 365 the only one year where CGM that's one insertion and one CGM a year, one CGM one year, not every 10 or 14 days ever since cgm.com/juicebox

Speaker 1 2:30
Hi Scott. My name is Laura, and I was diagnosed with type one diabetes at the age of 54 in March of 24 which I didn't even know was a thing, adult onset type one, until I was diagnosed with it. Wow, who knew?

Scott Benner 2:46
Yeah, this was just a year ago. And prior to that, not even a year, little over a year, little over a year. And never, once in your entire life, did somebody say diabetes.

Speaker 1 2:58
I did have gestational diabetes with both of my pregnancies, but I didn't know there was such thing as an adult onset type one

Scott Benner 3:04
I see, I see, and you didn't know anybody else with type one in your family? None, none. How about other autoimmune issues?

Speaker 1 3:12
My grandmother had myasthenia gravis. What is that? It's an autoimmune that attacks the smooth muscles of the body,

Scott Benner 3:21
okay, how did that affect her through her life? I

Speaker 1 3:25
don't know, because we didn't talk about it, and I didn't realize that was autoimmune. I just knew she was a very loving old lady that I looked like a lot like, and she took a lot of medicine, but she lived into her early 80s, and ultimately, it was strokes that took her

Scott Benner 3:43
out. Okay, early 80s, I could deal with that, I think, you know, unless they change something like awesome in the next 10 or 15 years, where like being older isn't like being older is now. You know what I mean, right? Yeah, it's not a bad run at all. Well, I guess. Are you married? Do you have kids like? What's your family structure look like?

Speaker 1 4:04
So I'm married. Just had my seventh anniversary two days ago, and I have two grown children. They're both in their 30s, and one grandson.

Scott Benner 4:14
Okay? This your second marriage. It is, it is, okay. Well, congratulations on your anniversary. Very nice. Thank you. And your your lovely family, tell me a little bit about being diagnosed as an adult out of nowhere. You know how it showed up, and how did you figure your way through it?

Speaker 1 4:33
Well, the story Scott is, I worked myself to the edge of death, and when my husband took me to the ER I was in DKA, I had necrotizing fasciitis, and I was in septic shock.

Scott Benner 4:47
Wow. So how long do you feel like looking back, how long were you ill before you did something?

Speaker 1 4:53
I was very symptomatic for probably about three weeks. And. Yeah, in the ER, my blood sugar was somewhere around 500 and my a 1c was 12 or 13. I had gone to the doctor a week prior to the ER visit because I had a cough, a long cough that I just couldn't shake. So I went to the doctor, and I told him during that visit that I had lost 30 pounds without trying, and I was concerned about that, but he wasn't concerned

Scott Benner 5:32
30 pounds that you were happy to lose, or that were concerning

Speaker 1 5:37
I was happy to lose. However, it was very concerning. For years, I had tried losing weight and couldn't lose more than three to five pounds at a time, and suddenly 30 pounds just melted off over the course of about two

Scott Benner 5:49
months when it was happening. How did you think about it?

Speaker 1 5:53
I did have diabetes in mind, but I didn't have any concept of how dangerous out of control blood sugar could be.

Scott Benner 6:03
So were you doing? Because other people have said this to me, and it's okay if that's not what you were thinking, but were you doing the like, oh, I might be getting diabetes, but I have needed to lose this weight, so I'll just ride this a little while before I look into it. Or was it not occurring to you like that?

Speaker 1 6:18
Honestly, it crossed my mind a couple of times, but I did seek medical help. I just wasn't I was blown off.

Scott Benner 6:27
Oh, so when you went to that doctor and you said, I've lost 30 pounds, did you say I've lost 30 pounds? I'm wondering if I have diabetes. I didn't say diabetes, okay, but they didn't think it through to that degree,

Speaker 1 6:39
correct? And that's part of my with self reflection. What could I have done differently, or what could I have done better? Because I actually did have a glucose meter, because I worked with a dietitian about a year and a half prior, and she prescribed me one, but my thought processes, they just weren't clear during that time. It didn't, it didn't occur to me that I had a tool that I could check on myself. I see I was relying on a medical professional to say, to take my hand and say, Oh, that is concerning, right? What? Let's do something about

Scott Benner 7:13
it. So when he's he or she's not concerned, does that shut off your concern, or does it just make you think? Like maybe the thing I was thinking, isn't

Speaker 1 7:22
it? It Back burner, the concern, okay, okay, because my mother was diabetic, and one of my sisters too, I see,

Scott Benner 7:29
well, you know, to tell the doctor I tried, I've tried to lose weight throughout my life. It's never worked. That wasn't part of the conversation. Wasn't part of the conversation, okay? So you think the doctor just got fixed on the idea that losing 30 pounds was probably good for you. So we're not going to think not going to think about

Speaker 1 7:43
it any deeper than that, right? And my chief complaint going in was a cough, and he prescribed a very strong dose of prednisone, which apparently will make even a healthy person's blood sugar spike.

Scott Benner 7:57
Yes, actually, it very well could about that. That's all I did. That's interesting. Didn't look to see if you had, like, an illness that caused the cough or anything like that. No, is it just a GP? Nurse Practitioner. Nurse Practitioner. Gotcha. Okay, so that happens, how long before you end up in the hospital? Like, how? Like, when's that doctor's appointment timeline wise,

Speaker 1 8:23
that was on a Tuesday, and the next week, on Wednesday was when I was in

Scott Benner 8:28
the ER, wow, that quickly. And I'm sorry, I feel like I heard you mention that flesh eating disease, yes, when did that? Okay, hold on, because this came on so quickly now that I understand the lay of the land, and it came on so quickly. In less than a week from like, Hey, Doc, something's wrong, I've lost 30 pounds to I'm in the hospital. What does that week look like? Like, walk me through that week. At first, I noticed this on top of this, on top of this. I kept ignoring like, show me the timeline there.

Speaker 1 8:57
So the doctor's visit was on a Tuesday, on Thursday, I noticed some discomfort on the back of my leg, and frankly, I had I had new undergarments, and I thought it was causing just a little friction rub. So Thursday, I started noticing the discomfort. Friday, I noticed that there was a bit of a growth and protrusion at that spot,

Scott Benner 9:26
skin tag. You were thinking something like that, maybe something like that. Yeah,

Speaker 1 9:30
I knew I had a dermatologist appointment the next Wednesday, so I wasn't concerned about it. Oh, just another thing for that doctor to look at. Yeah, Saturday, it looked like a small potato oozing just a little bit, and again. Well, I already have an appointment to see the dermatologist so they can look at it on Wednesday,

Scott Benner 9:52
russet or yellow potato. I'm just kidding. So that thing's growing exponentially.

Speaker 1 9:58
It's growing quickly. Yeah. Okay. Okay, and during this time, I am so exhausted that I can't go for more than an hour without laying down or taking a couple of naps during the day, but, but I had work to do. Scott so as as a career, I'm a corporate trainer, and I was the head of a sales enablement team, and sales kick off, which is the largest internal event of the year for any company that does it for most companies, okay? And I had a team that my predecessor hired really amazing people. Most of them, however, had never done sales enablement or sales training before they were hired. So there was a lot of burden on me to deliver this event. So I was working as hard as I could, non stop, hours on end and and that's, that's the part where I said I worked myself to the edge of death, including doing executive readouts that I didn't have any of money on my team that could do them, so I was pushing myself to get the job done. As I've said for years, pain may slow me down, but it never stops me. So I am working and napping and working and napping and working in napping, had to do an executive readout on Tuesday, Tuesday night, my husband is so concerned. We were out of town for his work. We were driving back, and it's about a two and a half hour drive between where we were for his work. Excuse me, yeah, and our home. I was so tired on the way home that I actually asked my husband to park his truck at a one of his work locations and drive my vehicle home. Scott, I don't let him drive my vehicles.

Scott Benner 11:55
Why not? What? What bothers you about how he drives your cars? What is it? Is it just that it's

Speaker 1 12:01
yours? It's not that it's because it's mine. We have very, very different driving styles, and it makes and I get uncomfortable when you don't

Scott Benner 12:11
like it when he's driving, right? Is it that he stops late, accelerates too quickly? Stuff like that

Speaker 1 12:17
doesn't necessarily stop late, but the way he uses distance and lane usage and speed, yeah, he's an excellent driver, by the way. He has a CDL, makes you janky, makes you feel weird, yeah, just be, just be a little more respectful with my baby, please.

Scott Benner 12:35
I understand you love that car I got you. So point being is, you guys are trying to make this ride. You can't do it, you can't stay awake. You're exhausted. I mean, listen, you're in fairness, you're giving birth to a potato, and that can't be easy, right? Listen, if everybody feels like, I'm now talking to my wife, but not to you, I'm sorry. But, like, what is it about you people that you can't just, like, admit like you're tired, or that, you know, I heard you say something so corporate. It just made me upset. Like you owned it, like, I know you mean you own the process, or you own the thing, like, it's your responsibility. I see my wife, you know, saying stuff like that all the time. Like, why does everybody think that they can just live forever through anything? And nobody ever stops to say, like, I'm exhausted or I can't do this. What do you think stops you? Like, from that business side, what is it that stops you from saying, Hey, I'm in trouble. I

Speaker 1 13:21
go until I can't, and that's that's what I do, not just in corporate life, but good example is, I live in the mountains, in the woods, and our primary heat source is firewood, and so chopping, stacking firewood is a huge task, especially at my age, and I work myself to the point of exhaustion. I go until I can't go anymore. And where did that come from? I really don't know, but it's just it's part of my MO

Scott Benner 13:54
one of your parents real demanding, or never give praise. Are you Catholic, anything like that?

Unknown Speaker 14:01
Neither of them were demanding. They were mostly absent.

Scott Benner 14:03
Oh, okay. You felt like everything was on you. Yes. Ah, we found it okay. All right, okay, so you're gonna kill yourself by ignoring flesh eating disease, type one diabetes and a few other things. So he pulls over. I mean, you act us. Let him drive the car. Where does it go from there. Today's episode is sponsored by a long term CGM that's going to help you to stay on top of your glucose readings, the ever sense 365, I'm talking, of course, about the world's first and only CGM that lasts for one year, one year, one CGM. Are you tired of those other CGM the ones that give you all those problems that you didn't expect, knocking them off, false alerts not lasting as long as they're supposed to. If you're tired of those constant frustrations, use my link ever since cgm.com/juicebox to learn more about the ever since 365 Five, some of you may be able to experience the ever since 365 for as low as $199 for a full year. At my link, you'll find those details and can learn about eligibility ever since cgm.com/juicebox, check it out. Today's episode is brought to you by Omnipod. It might sound crazy to say, but Summertime is right around the corner. That means more swimming, sports activities, vacations. And you know what's a great feeling, being able to stay connected to automated insulin delivery while doing it all. Omnipod five is the only tube free automated insulin delivery system in the US, and because it's tube free and waterproof, it goes everywhere you do, in the pool, in the ocean or on the soccer field, unlike traditional insulin pumps, you never have to disconnect from Omnipod five for daily activities, which means you never have to take a break from automated insulin delivery ready to go tube free. Request your free Omnipod five Starter Kit today at omnipod.com/juicebox Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox type that link into your browser or go to Juicebox podcast.com and click on the image of Omnipod right at the bottom. There's also a link right in the show notes of your podcast player.

Speaker 1 16:20
So we get home and I'm having trouble with my motor functions. So my husband actually I've had two back surgeries, Scott, I have four rods and 12 screws in my back. And from my back surgeries, I still have a walker from my recovery time. So my husband pulled the walker out of the closet and made me use the walker in the house because he was so afraid I was going to fall Wow. Yeah, yeah, but I had a doctor's appointment the next day, Scott,

Scott Benner 16:51
so we don't need to go to the hospital. This will be fine, even though I'm now a fully mobile person using a walker and can't stay awake. Yes, you hear it when you were talking about it,

Speaker 1 17:00
yes, yeah, okay. At the at the time, not only were my motor functions failing, I couldn't think straight. I didn't know that I was not being smart.

Scott Benner 17:10
I see you thought you were just managing the situation.

Unknown Speaker 17:14
Yes, I got that. There was a plan, that's all I knew. Got it

Scott Benner 17:18
okay? And your husband, is he pushing you, or even retrospectively telling you, like, you know, I thought we should have gone. Or where was he in that moment,

Speaker 1 17:26
he was respectfully expressing his concerns, but not pushing

Scott Benner 17:32
second marriage. In his first marriage, he would have drugged your straight to the hospital. Probably, the first marriage teaches you to be more respectful of people. Yeah, I got you Okay, so he's worried, but he's he's leaving it to you, but he doesn't know that you're not exactly making great decisions, and you don't either exactly scary, right? A scary thinking back on that it

Speaker 1 17:55
is, I am really fortunate to to be alive, Yeah, no kidding. But that's, that's kind of a, it's kind of a weird super power, power. And the women in my family,

Scott Benner 18:05
they don't die. It takes a lot. Yeah, hey, did you end up baking the potato? Did you mash it? Okay, so you go to bed, and then what happens? Sorry,

Speaker 1 18:18
yeah. So in the morning, I'm getting ready to go to the doctor's appointment, but I'm so exhausted, I can't do five minutes of standing just to do my skincare, yeah, brush my hair, get myself dressed. So I had to rest so many times because I was I was out of breath, and I'm very concerned at this point. But again, I had a doctor's appointment. It took me so long to get ready that we were late and the doctor couldn't see me. So my husband just said, that's it. We're going to the ER, your

Scott Benner 18:51
doctor blew you off because you were late, because you were so sick you couldn't get there in time. They didn't know that. Oh, okay, you live in the mountains. Are you telling me? Yes. Also, we're gonna have to get back to that at the end, because that sounds attractive to me, but I wanna make sure that I'm understanding all the downsides. So okay, so you right off the er, sorry, go

Speaker 1 19:09
ahead. Couple of other things that, again, not thinking straight, my vision was really blurred, and parts of my vision were dropping out. I don't know if you've ever had a migraine, but when I get migraines, my vision drops out, but it's replaced by more like white, but this time it was replaced with black. I had frequent urination, which I just thought because I'd had a hysterectomy a few months before. I thought, Oh, I'm having bladder dysfunction because of my hysterectomy. That's what happens when you're an old lady. I was having a lot of digestive distress. I was having a lot of heartburn. Well, Scott, turns out that wasn't heartburn. I was vomiting while I was sleeping.

Scott Benner 19:55
Oh, my God, yes. Digestive distress, constant. Patient or diarrhea, mostly upper digestive upper okay. So you thought, oh, I have heartburn, but you're vomiting into your into your mouth.

Speaker 1 20:08
Oh, my gosh. I just thought it was really bad acid reflux,

Scott Benner 20:13
yeah. So technically, speaking, you were dying.

Speaker 1 20:16
Yes, yes, got it. I even coded on the table.

Scott Benner 20:20
Wait, okay, hold on, so you get into the ER and how did they I mean, you remember how you presented yourself and what they started doing.

Speaker 1 20:29
I told my husband, as we're getting just out of the out of the vehicle, but I couldn't walk in. I needed him to get me a wheelchair. I took a few steps, and it just wasn't working. So he gets me in. I'm in and out of consciousness. I remember answering some of the questions, and they seemed a little accusatory, and saying her blood sugar must have been like this for a very long time. No, it hasn't.

Scott Benner 20:56
Why not that, you know, but you know, they have you pegged as DKA. Is that right? Yeah, okay, so,

Speaker 1 21:05
and then my husband tells them about the the growth, the infection on my leg. Immediately get into surgery, and I remember thinking they're moving too fast. They're going to kill me. Every line, everything that they hooked up to me.

Scott Benner 21:22
I ripped off. You were worried they were doing it wrong.

Speaker 1 21:25
Yeah, that was one of my last thoughts before I went under. You

Scott Benner 21:29
were backseat driving. The was, do you do that while your husband's driving your car

Speaker 1 21:36
too? I stay politely respectful. Look at you. Okay,

Scott Benner 21:40
all right? So you're freaking out in that hospital, feeling like something's wrong. They feel like they're moving too quickly, they're doing wrong things. So you look combative. Then, yeah, yeah, got

Speaker 1 21:50
it, but that's, you know, the fight or flight. That's what I felt in the moment, right? Right? Yeah, wow. And so I had two surgeries. What was the surgery for? It was to cut the infection out of me. Okay,

Scott Benner 22:05
back of your leg, thigh, back of your knee, back your calf, upper thigh, upper thigh. Okay, yeah, you said you thought your underwear was dropping it. By the way, when you said that, it made me super excited that I ordered new underwear and it's arriving today. Oh, yay. I don't know why. Like, I think it's because I grew up so broke like when I replaced my underwear, I feel like I'm really winning. I know that's probably ridiculous, but I love that. I have two packs coming today, nevertheless. So they cut out. How much of your thigh did they have to take away?

Speaker 1 22:31
Oh, goodness, I don't have a number for you, but I can tell you that it was kind of spider shaped because the infection tunneled and it took an entire roll of gauze. So what is that? Four yards that's three inches wide to pack the wound? Oh, gosh, okay, the only time in my life, Scott, that I have been happy that I had a thicker thigh, because it only got into the infection, only got into the fatty tissue, and not into any any muscle or any connective tissue.

Scott Benner 23:12
Wow, that's so you were lucky enough it didn't make it to a place where it could run more deeply. It was in, it was in the fatty tissue at that point. Exactly, exactly. All right, how do you end up with that? Did they tell you later, like, how did you get the flesh eating

Speaker 1 23:25
disease? That's something that we haven't been able to figure out. Okay, well,

Scott Benner 23:29
you do live in the woods. I do. And then you said you had a second surgery. What was the second surgery

Speaker 1 23:34
for the second surgery was to go back in and make sure that they got all of the infection. I see was that days later? That was the next day, the next day,

Scott Benner 23:44
okay? So they did what they thought was like saving, life saving and then get somebody else to come back and be more meticulous about it. Yes, okay, yes. And they're getting you out of DK at the same time. How do they put you into surgery when you're coming out of DK? Is that not dangerous? I have no idea. So you're pretty out of it during this time. Yes, okay, when's the first time in the hospital stay that you start like coming out of it, realizing what's going on?

Speaker 1 24:12
Oh, they had me so heavily medicated. So heavily medicated. Scott, I was, I was hallucinating in anime.

Scott Benner 24:20
Oh, well, that's kind of fun. Yeah, do you watch anime? I don't. Oh, that's awesome,

Speaker 1 24:28
yeah. And then at one point, somebody had come into the room to empty the trash and and whatnots, and I had a conversation and said, You know, I can tell things are getting better now because my hallucinations are more

Scott Benner 24:43
realistic. Geez, did anybody ever tell them back to you? No, no, that's

Speaker 1 24:50
and my husband doubts that I actually had that conversation. Oh, it was probably a hallucination too. That

Scott Benner 24:56
might have been a hallucination also. You were really, you really were close to death, huh? Yeah, yes, wow. I coded. Oh, yeah, oh, I'm sorry. During which one of the surgeries, the first of the second, the first one? Wow. They have to, like, do the thing, like in the TV show where they yell clear, and then they shock your heart, perhaps, oh, you're not sure, oh, I would have definitely asked about that one. Wow. No kidding. When did they tell you that? They didn't tell me. I heard it when they were doing the rounds. Oh, oh, yeah. So somebody said she coded during the surgery, and you heard them, but you don't. But is that possible that that didn't happen to like, how hallucination heavy were

Speaker 1 25:34
you? No, I heard that every day that I was in ICU six days. It's

Scott Benner 25:39
a part of the thing that they were passing from nurse to nurse to make sure that they knew, because they wondered if it was going to happen to you again, probably, and they wanted to use a teaching hospital. Oh, I see, I see, wow. So how long you're in the hospital for? How long after all this, nine days total? Well, nine days. And then does one of the problems supersede the other? Like, does somebody ignore talking to you about your diabetes because they're so worried about the other thing, or vice versa.

Speaker 1 26:02
In ICU, they were heavily focused on the wound and the infection. Then once I got to out of that onto the trauma floor, that's when they very closely. They were ready to release me after the surgery, but not until my diabetes was under control, so that's where I had two extra days in on the trauma

Scott Benner 26:24
floor. Gotcha, wow. So what's your expectations for how to manage diabetes leaving on day one? What do you what do they tell you like? What do you I mean, because you said it was out of nowhere, it's later in life. It's not a thing you were expecting. So you know, when you left, what did you think management looked like compared to what you feel like it is now

Speaker 1 26:42
when I left so I had prescriptions for a long acting and a fast acting, and I had instructions of once a day to take the long acting, but not when they gave me instructions on how to prepare for The injection, how to store the insulin using the glucose monitor, which I had done previously, they sent a nutritionist to talk to me about what my plate should look like. And that was, that was pretty much it, yeah, okay,

Scott Benner 27:16
so start looking into it on your own. Like, I imagine you're exhausted after this experience. So like, you're not like, or did you go right back to corporate, Laura mode as soon as you got home? Like, or did you, I mean, had to have taken you time to recuperate, right?

Speaker 1 27:30
I was in corporate mode before I left the hospital.

Scott Benner 27:33
Okay, Laura, I see so you're already looking into like, how to take care of your diabetes on your own,

Speaker 1 27:39
right? What'd you figure out early on, because I had gestational diabetes 30 plus years ago, I had a bit of a baseline. And then, because I had worked with a dietitian a year and a half prior and already confirmed that I understood nutrition and understood carbs and proteins and all of that, I felt like I was in a pretty good place there. It was more about understanding is, is the insulin, the right insulin and the right amount of insulin and when to take it? So I was just told take it before you eat. So I'd sit down to eat jab and then eat, not waiting the 15 minutes beforehand you

Scott Benner 28:21
have a CGM on at that point, not at that point, not at that point. So what do you how far after the meal? Did they tell you to test again? They usually say three hours, but two hours, two hours. Okay. So what were you seeing at the two hour test? Usually 150 or less. Okay. Do you think you were honeymooning at all? Oh,

Unknown Speaker 28:41
I'm completely honey. Many you are, okay, yeah,

Scott Benner 28:43
all right. So that doesn't seem, I would imagine that doesn't seem bad, right? Like, I gave myself insulin, my blood sugar's 150 a couple hours after, I probably felt like you were doing well, yeah, I wasn't concerned. What happens that makes you feel like I need to understand more and more. Like, how do you start digging into it to get to where? I mean, you are now

Speaker 1 29:01
going back to sales kick off. And by the way, I was in the hospital for 11 days. I only missed, or excuse me, nine days. I only missed 11 days of work. Oh, geez, I had sales kick off to deliver. Yeah. And so in January, flew to headquarters to do sales kick off. And one of the executives, she was one of my keynotes, and when she walked into the room where I was producing the event, I saw that she had a CGM on, and I asked her about it, and told her that I was recently diagnosed. And she just she looked horrified, and she said, You know what? I was 35 when I was diagnosed. It was was scary. It came out of nowhere. And she recommended a Facebook group for me to join and a book

Scott Benner 29:48
to read. Okay, when I was I do audio books.

Speaker 1 29:53
And so after I finished that first one, which was bright spots and land mines, something like that, Adams book. Yeah. Right, yeah, yeah. I was searching through audible for other resources so I could really educate myself. And that's when I found your podcast. Oh, your podcast is, is what gave me the, the complete confidence that, okay, this is, this is the best resource. This is real world, and it's, it's consumable in a way that feels personal.

Scott Benner 30:27
Oh, I'm glad that's awesome. Also, how crazy is it that somebody wrote a book that's inaudible, and that's how you found the podcast? That's, I feel so random. I've been surrounded by random things this week, so I'm paying a little closer attention to them. Oh, that's awesome. Can you help me for a second? Because you're a very clear person. Very clear person. You find the podcast. There's a lot of episodes, I realize that. But how do you figure out what to go listen to? Or do you just start and then eventually hear about like the Pro Tip series and go find it? I'm interested in the process of picking through and getting settled with the show.

Speaker 1 30:59
I started with most recent episodes, and just started working backwards. Okay?

Scott Benner 31:05
And then, did you get to like management series somehow? Yes. Did you find that through the Facebook group, or just by listening through the Facebook group? Okay, because we have them up in the feature tab, and there's like, all those lists up there. Is that how you found out it or because people share them in the group? You don't recall. I'm not recalling at the moment. That's fine. Also, I'd like to tell everybody Juicebox podcast.com/lists, with an S. I've taken all those lists that exist in the Facebook group and I put them online for you so you can find them on a web page too. So if you want to go look at them there, that's where they are, and they're shareable and usable from there,

Speaker 1 31:44
right on. Yeah, by the way, I think that your snippets, your smaller ones, oh, the

Scott Benner 31:50
small sips, they're brilliant, awesome. I'm glad, brilliant. I'm glad, yeah, we're gonna work on how to make more of those. But they were, they were more difficult to make than you might imagine, like, you know, like, take, like a big idea and jam it down into 10 minutes somehow, but it seemed important to do. So glad you like those basically, you found the podcast, you figured out what to do, and you're doing well. Where are you at now? What's your A, 1c how's your variability?

Speaker 1 32:12
My a, 1c is 5.8 and I don't know what my variability is, other than when I received steroid injections for my back in December. I haven't needed insulin since October.

Scott Benner 32:24
Oh, so you're on, like, a honeymoon that where you don't need insulin. I'm also on Manjaro. Okay, hold on, let's pick through that you're using insulin. Then you go to a GLP, and then you don't need insulin again,

Speaker 1 32:39
correct? So when I started, I was on 32 units of long acting and five units of fast acting. And then every time we titrated up for the mangero, my insulin needs reduced. And then once I was on 12.5 that's when I was controlled without insulin.

Scott Benner 33:02
Okay, so for all the people who are gonna say you don't have type one diabetes, now, did you do C peptide? Do you have markers for type one I do. Okay, so you're honey mooning pretty hard. And you know that if you listen to the podcast, just other people have come on and talked about this, you know, in the middle of probably some sort of a latent, like a lot of diagnosis that they jump on a GLP for weight, usually. And then, I've only heard the story a few times, but it's a few people who've come on and told it, and you start to your insulin needs go down and down, and some of them end up on almost almost none or none. But your expectation is, I imagine that one day that's the GLP is not going to be enough, and it's going to it's going to come back the need for the insulin. Is that how you're thinking about it precisely? Yeah, okay, wow. I wonder how long that well, how long has it been going for?

Speaker 1 33:52
Already? We started the bonjoro last year in March,

Scott Benner 33:56
April. Oh, like 16 months now, yes, that's incredible.

Speaker 1 34:04
Wow. We've also reduced my thyroid meds twice,

Scott Benner 34:08
really, after the GLP correct. So inflammation, you think, what do you think? I mean? Is there anybody guessing why that is weight? Has your weight gone down?

Speaker 1 34:18
My weights gone down. So I'm down about 45 pounds.

Scott Benner 34:23
I mean, that's why you less body mass. You need less medication for the thyroid. I would end plus, wait, 45 plus the 30 or 45 total, plus, Oh, so you've lost 75 pounds since the day you started growing a potato, or the couple days before you started growing the potato, a couple months. Yeah, wow. Do you have more to go? Are you interested in losing more you like where you're at? Where does that sit? Probably about 15. Okay. Oh, okay. Can you talk about if, if there have been any other benefits from the GLP that you're that you see

Speaker 1 34:53
massive reduction in inflammation. So the benefits, so, number one benefit. To fit glucose control. So my blood sugars have been improving from the very first shot. I didn't start losing weight, substantial weight, until I got on to 10, the 10 dose, but I lost so many inches because of all of that inflammation.

Scott Benner 35:20
Wow, that's crazy. So you weren't exactly dropping a lot of weight, but your body was, like, tightening, you feel like, like, visually tightening up.

Unknown Speaker 35:29
Yes, okay,

Scott Benner 35:32
that's a good way to say, yeah, yeah, you were shrinking, but not losing weight, correct? Okay, that's interesting. Did you ever, in the past, have any like, GERD or any other digestive issues, or is that just during the diagnosis, part

Speaker 1 35:46
years of acid reflux and a history of peptic ulcers,

Scott Benner 35:50
and how about the reflux? Is it gone? It flares up.

Speaker 1 35:55
And here's one of the things that I want to share as a tip for anybody on a GLP one, if you notice you have anything digestive before the medication, it's probably going to be magnified when you're using the medication. Interesting. So I love barbecue sauce, and especially a tangy one, not a sweet one. But I get heartburn when I have it that's going gone on for years. Okay? Now, if I have anything that I know that previously would have caused a little bloat, a little discomfort, a little acid reflux, it's guaranteed to do

Scott Benner 36:30
it. I had acid reflux and it's gone now.

Speaker 1 36:35
Oh, good, yeah. But food triggers, very specific food triggers. You

Scott Benner 36:40
had specific food triggers. You do. I don't know what mine was, if it was weight or if it was just my poor digestion, like my digestion was terrible. It's so much better for the GOP. I'm not sure exactly what it was. I can still get it minorly. If I eat too late at night, then I might overnight. Notice it, but very mildly. But I used to, like, I used to be it was constant for a while, like I was taking something to try to, like, you know, quell it for quite some time. So that's interesting. Okay, anything else? Sorry,

Speaker 1 37:13
I'm also much more sensitive to sodium. Now, how so extra water retention. I've heard you talk about this when you're doing your your segments on how's it going with your GLP, one and extra sodium. Scale goes up for a couple of days.

Scott Benner 37:31
Okay, yeah. I tried, yeah, chicken wings. I tried chicken every time I tried to eat chicken wings. My I gained, like, water weight. It's crazy. That was pretty common for me to begin with. So that's just one of the things that hasn't gone away. Going away, I'll tell you my the GLP, where it's helped me recently is that I've been traveling more. So I did a cruise with a bunch of listeners, and I was on, you know, it's on the ship for six days, five, six days. I was very busy, like, super, super busy. I just didn't have a ton of time. It's gonna sound crazy if you're not in my situation, but like, you know, when you're just on the cruise, you live your life. You eat, you go to the bathroom and you go to the bathroom, but etc, when you have no free time during the day, you actually do eat. So that you won't be in a situation where a bathroom visit is a surprise. Does that make sense? Like, so, 100% Yeah. So you, like, you probably know, you go on work trips and stuff like that. Like, you get up in the morning, it's more like, Oh, I'll have some fruit, I'll have an egg, I'll have this. Like, you kind of like I was eating, like, hard boiled eggs for my protein, chicken for my protein. More lettuce, like, than I normally have, little more fruit than I usually have, like I was simplifying my diet so that I could decide when to use the restroom. Like Simple, right? But what made it easy was that I was never hungry the entire time I was on that ship. Now, what made it difficult was is that part of me being on the ship was that I had two dinners tonight, because it was my goal to have dinner with everybody that was there. So I would have like, a 5pm dinner with 10 people and a 715 dinner with 10 people, and I was already exhausted, like, so there's so much talking, and I was already beat and everything, but the menu would come and I eventually got like, a rhythm, like this young server, which basically turned into my mom. Like, she'd be like, just get this right now and we'll get you this the second meal. And I was like, that's a good idea. Like, so we were, like, spreading the food out and everything, but that, GLP, like, I would have been voraciously hungry without it that entire time, and I still would have had to have done what I did. It's interesting how it shuts off. I don't. It's not probably the same for everybody, but like, I don't get head or stomach hungry, usually ever. It's very interesting, although on day six and seven, I can eat a lot more than I can on days one through five. With the injection. I don't know if that happens to you. It does. Yeah, exactly the same. I think it's novo. I might. Nova and Lily, but like they're both trying to come up with a daily pill that replaces the injection, but still has the impact that the injection has been having for people. So I'm wondering if that will spread out the impact a little a little better for people in the future. I don't know how long it'll you know, if they actually work it out and get it to work and get it to market, on how long that something like that would take, but would take, but I'm interested in that too. I don't mind the injection, but I want the coverage to be more even, is

Speaker 1 40:30
my goal. I'd also see the benefit for a pill would be shelf stable without

Scott Benner 40:35
refrigeration. Yeah. Oh, is do you have too much GLP in your refrigerator?

Unknown Speaker 40:39
I wouldn't say too much.

Scott Benner 40:42
I mean, my wife and I are using it for weight. We have it here for Arden, for, you know, you know, for, you know what you're talking about, inflammation and blood glucose control and stuff like that. So, like, there's, like, a, he feels like there's a GLP section in the refrigerator. A little weird, actually, but Okay, so the GLP has been really valuable for you. I'm looking at your notes here. Can you tell people a little bit the difference between managing with and without a CGM? How does it change?

Speaker 1 41:10
Oh, it is. It is a complete game changer. A good example is for a quick breakfast. Just had a frozen breakfast sandwich, and I thought I was doing well with that sandwich, because two hours after eating, I'd be under 180 so that okay, I'm golden. Well, once I got a CGM, I had that same breakfast sandwich. Didn't realize I was going up over 200 Yeah, so then I started taking off one piece of bread to make sure I wasn't going over 180 and is it, you know what? I can't do this. This is not healthy enough for me, yeah. So just having that awareness of how how I respond to different foods, yeah, but also knowing I better get up and take a walk, or I better start pedaling on my little elliptical peddler. Yeah, yeah, to bring the numbers

Scott Benner 42:07
down, the CGM is more about you understanding how the food's hitting you and how the insulin and but also how the insulin is working. But what you saw first was, this is not a thing I should be eating. Is that right? Correct? Yeah, yep. How did you change? What did you do to you didn't just keep modifying the sandwich. You changed what you eat for breakfast.

Speaker 1 42:28
I changed so a Greek yogurt with some low carb granola. Or what I did especially early on, the Manjaro with the constipation, chia seeds in a protein drink. Oh, and make a pudding out

Scott Benner 42:44
of it. Yeah, that's a lot of fiber, right? And, boom, yes, yeah, I just went to the magnesium oxide. It's like, I also have gone through, like, seasons on the GLP, my wife and I were talking about this the other day that, like, I think there's a difference between tolerating it but having side effects that are expected and having something serious happen. Like, I want to say there's, I think there's a difference there, but, you know, I've gone through GLP, constipation. I've gone through GLP, like, I wouldn't call it diarrhea, but I would call it like, like, very like, loose stool, and it's not a day or two, like, it's a season, like your body is clearly adjusting to something as it goes along, at least was for me. And now I'm two years into it all that's like, straight now, like, I don't have what you would call like distress, like in the bathroom, unless I go eat something that, like, I know I shouldn't eat to begin with. And for me, that's a lot of, like, any anything fried, like crappy restaurant food, stuff like that is gonna send. It's gonna make my stomach go, oh, I don't know what this is, but I want it gone. And other than that, like, if I go through my normal day on that even on the ship, like people, I know this is crazy, but like, I lost five pounds on that ship. And I know people like, oh, you go on a cruise, you'll gain so much weight. Like, I had to be more careful about it, and it was a little more difficult. But there was good food there. You just had to, like, you had to pick through it, like, you know, everything's not chicken fingers and french fries if you're, if you're careful enough. And then this week, at children with diabetes, I was in a hotel all week long, and I came back, I think I lost a couple pounds that week too. So, like, I you can do it, you can find that food in the world. But like I say, if I, if I just, like, I mean, I think it was a few weeks ago, my wife and I were out one day, and we were both hungry. And, you know, it was Saturday, so we were both at the end of our injections and everything, and we were like, oh, there's this diner we used to like to go to. We went to that diner. I'm gonna tell you like we left that diner, went home, and an hour later, I was like, Excuse me, I gotta go. That food did not jive with me at all. If I eat purposefully, I don't have that problem at all anymore. But there were months at a time where I was. Are struggling with some of the side effects, but I don't know I the way I explain it to people is, I don't know if I'm right about this, but I figured it took me a lot of years to get in this situation. It wasn't just going to change on a dime, and then there was going to be some adjustments, like, literally, like on a cellular level, that have been happening. But in the end, I just, I count myself as somebody who probably just does not have enough GLP in my system without it being added as a replacement with this injection. That's, in the end, what I think is happening to me. Sounds like a fair assessment, good awareness. Best I can do. I've been trying to pay attention. All right. So listen here, I have two things left on your list here, I feel like we've covered we covered judgy providers, CGM, glps, your DKA experience, you just say here, integrative medicine experience, which I want to hear about, but then it feels like you want to interview me at the end, so we'll save that for the End. Tell me about your integrative medicine experience, though you

this episode was too good to cut anything out of but too long to make just one episode. So this is part one. Make sure you go find part two. Right now it's going to be the next episode in your feed. This episode was sponsored by touched by type one. I want you to go find them on Facebook, Instagram, and give them a follow, and then head to touched by type one.org where you're going to learn all about their programs and resources for people with type one diabetes. I'd like to thank the ever since 365 for sponsoring this episode of The Juicebox podcast, and remind you that if you want the only sensor that gets inserted once a year and not every 14 days you want the ever since CGM, ever since cgm.com/juicebox one year, one CGM. Summertime is right around the corner, and Omnipod five is the only tube free automated insulin delivery system in the United States because it's tube free, it's also waterproof, and it goes wherever you go. Learn more at my link, omnipod.com/juicebox, that's right. Omnipod is sponsoring this episode of the podcast, and at my link, you can get a free starter kit. Terms and Conditions apply. Eligibility may vary. Full Terms and Conditions. Can be found at omnipod.com/juicebox, hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. You

my diabetes Pro Tip series is about cutting through the clutter of diabetes management to give you the straightforward, practical insights that truly make a difference, this series is all about mastering the fundamentals, whether it's the basics of insulin dosing adjustments or everyday management strategies that will empower you to take control. I'm joined by Jenny Smith, who is a diabetes educator with over 35 years of personal experience, and we break down complex concepts into simple, actionable tips. The Diabetes Pro Tip series runs between Episode 1001 1025 in your podcast player, where you can listen to it at Juicebox podcast.com, by going up into the menu. Hey kids, listen up. You've made it to the end of the podcast. You must have enjoyed it. You know what else you might enjoy? The private Facebook group for the Juicebox podcast. I know you're thinking, uh, Facebook, Scott, please. But no. Beautiful group, wonderful people, a fantastic community. Juicebox podcast, type one diabetes on Facebook, of course, if you have type two, are you touched by diabetes in any way? You're absolutely welcome. It's a private group, so you'll have to answer a couple of questions before you come in, but make sure you're not a bot or an evildoer. Then you're on your way. You'll be part of the family. Hey, what's up everybody? If you've noticed that the podcast sounds better, and you're thinking like, how does that happen? What you're hearing is Rob at wrong way, recording doing his magic to these files. So if you want him to do his magic to you, wrong way. Recording.com, you got a podcast. You want somebody to edit it. You want Rob.

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Scott Benner 9/4/25 Scott Benner 9/4/25

#1619 Bolus 4 Oatmeal

Jenny and Scott talk about bolusing for Oatmeal

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Hello friends and welcome back to another episode of The Juicebox podcast.

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 road map 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, 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.

This episode of The Juicebox podcast is sponsored by Medtronic diabetes and their mini med 780 G system designed to help ease the burden of diabetes management, imagine fewer worries about Miss boluses or miscalculated carbs thanks to meal detection technology and automatic correction doses. Learn more and get started today at Medtronic diabetes.com/juicebox All right, guys, listen to Jenny and I fumble through figuring out how to tell you to Bolus for a specific item. And you'll know, this was the first one we recorded, because it's probably going to sound like it. But Jenny, my idea is, is to create, like a food library of basic, simple foods. And then once we feel like we have that library, kind of like completed, I want to go to menu items like, I want to start like, oh, I want to go online and be like, I have like, examples from people, they've already sent, like, one, you have no idea how many people want to know how to Bolus for the roles at Texas Roadhouse, like, something simple like that. So, like, we're going to start, and you won't know. So we're gonna, it's gonna

Unknown Speaker 2:34
be very like, I should ever been to Texas

Scott Benner 2:37
Roadhouse, Roadhouse, but I think that'll be interesting, because what we can do is just pull up the menu, pull up the nutritional information, and just take, try to apply as much science to the random known information, yeah, and then, like, release people out into the world and see what they do. So

Jennifer Smith, CDE 2:55
no, it's kind of a progressive build. Then really the idea of taking single items like an orange, and then saying, Okay, now that you've got all the simple single food and the potential way to work them, now let's build in something that's more of a complete meal. Is the idea, right?

Scott Benner 3:16
I somehow oddly believe that these small episodes will teach people to swag better in the end? Great, yeah, I think, because, I think that's the most reasonable way, long term, to have type one and have to manage food, right? You can't. I mean, in the beginning, you know that you see the people like, I got a scale. I got this is there an app that you can take a picture of something, it'll tell you how much it weighs. Like, you know, like that. Mania hits you in the beginning, but at some point years into it, you're like, ah, it looks like 45 grams. So I'm interested to see if this helps people. Okay, all right, so let's start with something simple. How about oatmeal?

Unknown Speaker 3:53
Oatmeal? Yeah, okay, never have an oatmeal.

Unknown Speaker 3:57
Yes, okay,

Jennifer Smith, CDE 3:58
and I think we need to define oatmeal. I know. Are we defining quick oats, like the little bags of Apple Cinnamon, not real apple, and probably lots of sugar and not much cinnamon? Or are we defining old fashioned, thick, rolled oats? Or what are we defining here? Because there's a difference.

Scott Benner 4:18
Let's go with what people probably eat and Yeah, how about Quaker? Like, instant oatmeal, Chinese. Like, I don't know what it is, but I got it here. Okay, you ready? So there's a box you can buy on Amazon. It has four different flavors. It has maple and brown sugar, cinnamon and spice, apples and cinnamon, peaches and cream. So let's just like, let's say we chose the maple and brown sugar. Serving size is one packet. Okay? There is half a gram of saturated fat, no trans fat, half a gram of polyunsaturated fat. There's 260 milligrams of sodium, 33 grams of carbs

Unknown Speaker 4:58
in a single. Packet, right? Packet, 33.

Scott Benner 5:01
Grams of fiber, one soluble fiber, sugar. You want to guess, fiber, fiber, dietary fiber, three grams. Oh, it's pretty good. Three, look at that. He's like, Finally, but total sugars, 12, there's protein in it. That's interesting. Four grams

Jennifer Smith, CDE 5:20
grains have protein, and the more unprocessed they are, the more fiber as well as the more protein they retain.

Scott Benner 5:26
Okay, so, so this one's interesting. I've never wait. We're gonna really find out that the foods I've never seen in my life, I've never had oatmeal in my life. Are you kidding me? No, I've no idea like it really you've never had oatmeal. Oatmeal looks like small pieces of cardboard in mush. To me. Is that not what it

Unknown Speaker 5:49
is? Sorry, that that's what you think they look like.

Scott Benner 5:52
But you would turn me onto like, what like steel cut oats or something like that. If you were telling

Jennifer Smith, CDE 5:58
me dislike steel cut oats, I know that there is a world of people out there who love their steel cut oats. I do not like, I don't like the consistency of steel cut oats. And I'm not really a texture person, honestly, but steel cut oats just are gross to me. I much prefer old fashioned, thick, rolled and then do kind of I do like an overnight Oat. So it's where you put the fluid in of whatever kind you're going to use. You let them sit overnight with the liquid in them so that they get it gets absorbed, they get soft. And then you could technically cook them a little bit to heat them, but, but they're soft enough that you could eat them cold, which changes the glycemic nature of them.

Scott Benner 6:43
What taste was it? What I almost said, What tastes like? What does it taste like like? Describe it to me. Today's episode is sponsored by Medtronic diabetes, who is making life with diabetes easier with the mini med 780 G system, the mini med 780 G automated insulin delivery system anticipates, adjusts and corrects every five minutes. Real world results show people achieving up to 80% time and range with recommended settings, without increasing lows. But of course, Individual results may vary. The 780 G works around the clock, so you can focus on what matters. Have you heard about Medtronic, extended infusion set? It's the first and only infusion set labeled for up to a seven day wear. This feature is repeatedly asked for, and Medtronic has delivered. 97% of people using the 780 G reported that they could manage their diabetes without major disruptions of sleep. They felt more free to eat what they wanted, and they felt less stress with fewer alarms and alerts you can't beat that. Learn more about how you can spend less time and effort managing your diabetes by visiting Medtronic diabetes.com/juicebox

Jennifer Smith, CDE 7:56
oats are pretty, they're pretty, I don't know. They're a little bits. They're a little bit not sweeter, but I don't know. They're more breakfast foodie tasting than something like plain rice that has not been flavored with anything as well. And if you have cooked them or soaked them the right way, they're pretty soft, so they're not like the cardboard that you're envisioning. I just realized

Scott Benner 8:20
I'm gonna sound like an alien while we're talking about this. So why do I eat them? It's not for flavor. Is it for Well,

Jennifer Smith, CDE 8:27
if you eat again, that's the difference. That's why I asked, What are we talking about? Quick cook versus old fashioned, and especially the old fashioned thick roll. The difference being that the quick cook are really they're processed like they're they're broken down, they're more ground up. It's the reason that they cook really, really quickly, and they are like you're talking about, they're more like mush,

Scott Benner 8:48
but with enough sugar on them that I'm like, okay, I can do this. You could do it, yes, exactly, different flavors in one package, correct? All right. Well, let's assume that some people must throw these together, like in the morning, because it's quick and right? And so we're going to do for all these, we're going to keep it one unit covers 10 carbs. One unit moves you 100 points. Okay, that way, like, we can kind of keep the math simple. So if there's 18 carbs here, then what? It's one 1.8 units. And then there's,

Jennifer Smith, CDE 9:26
there are only 18 carbs in that little packet, really. Oh,

Scott Benner 9:29
no, 33 what was I saying? Sorry, 3.3 3.3 units. I saw the I was looking at the wrong number. And then and 12 of that is sugar. Like, how does that sugar impact that Bolus in your mind, because you know what I mean, like the oats themselves are probably a very slow breakdown. Is that not right?

Jennifer Smith, CDE 9:47
Yeah, correct. And with the sugar added now you've added in, what is that? If you do the math, it's about a third of the grams of total carb actually come from sugar, and that's. Added sugar. And so what we're looking at is a much heavier glycemic impact. And for definition, as I mentioned to begin with, we look at quick cook versus old fashioned, and they're both in the moderate glycemic index kind of number line. I think one is somewhere in the 50s, and that's probably that's the older old fashioned oats, and then the more quick cook flavored tend to be somewhere in the 60s. So they're not terribly different, but it's what you end up doing to them that can make the difference. And as we're talking about, Bolus strategizing, along with now adding in sugars, flavors, that kind of thing to it. You're adding in a third of the weight of this product is

Scott Benner 10:47
sugar. Doesn't seem like a good idea,

Unknown Speaker 10:50
right? Well, right? And, but it

Scott Benner 10:53
feels like, in my mind, it feels like you're getting a slow digestion material with a quick spike. So I'm gonna and when are we usually eating morning, when I'm already having trouble bolusing for things because for a number of different reasons, feet on the floor, maybe adrenaline about the day. Maybe you have a lower basal rate overnight that helps you not to get low. Overnights, you wake up, you have more resistance less insulin. Then you throw in something that's gonna take forever to digest, and hit it hard with sugar right away. So that's where you get a 320 blood sugar that lasts for three hours. Right? Okay, right, exactly.

Jennifer Smith, CDE 11:30
So you know, when you think through the strategy as you've defined a one to 10 ratio, a one to 100 correction factor. So we're giving some points of reference, and if we also say, okay, you've come into this meal, this breakfast at a stable in Target blood sugar. To just simplify the whole piece, right? You're not rising already. You're not low or having dropped or treated a low blah, blah, blah, or coming in nice and stable, let's say a blood sugar of 100 making it even easier. What would you anticipate, knowing what we've just talked about, in terms of the glycemic nature of this particular food,

Scott Benner 12:08
I'm anticipating a quick rise. I'd want a long, pretty aggressive Pre-Bolus, right? I would be, yeah, I used to talk about this more, but I'd be looking for like, an 80 diagonal down on my on a CGM before the oatmeal hit, because I'm thinking the oatmeal is going to hit you really quickly, like, the sugar that's going to hit you really quickly. Yeah, so, and

Jennifer Smith, CDE 12:34
we're also placing in we're not placing anything else addition to it. We're not saying, eat eggs first. We're not saying eat a add a load of butter to the dish, or whatever this is. You're just cooking these quick oats, and you're going to eat

Scott Benner 12:47
them. That's working these down, and you're leaving the house. And so, right, exactly.

Jennifer Smith, CDE 12:52
So the goal would be, if you know you're eating this, you're getting up in the morning, you've got this amount of time frame to leave the house, or get your kids out of the house, etc, that Bolus goes in almost as soon as you are getting out of bed, if you are the quick eat person in the morning, Bolus do your morning get ready thing. My previous experience in college with quick oats, because that was what they served in the cafeteria, until I started doing my own thing was like a 30 minute to get ahead of that, to get ahead of what was going

Scott Benner 13:27
to happen. I'm gonna I'm making notes for myself about other things to talk about, because I don't want to derail these but you're making me think of other stories that people have told me. Oh, great. So in case people aren't like following along yet, we did measure the meal. Evaluate yourself, add the base units, calculate the food, Bolus, carbs, etc, and now we're to the l layer a correction. So if we, you know, Jenny said, like you know, if you were, let's assume you're at 100 but if you weren't, if you were at 120 or 150 or whatever, that Pre-Bolus would include a correction to move that number to your target number, right? And now we got to decide, like, is this like, you know, we've talked, I think a big, long Pre-Bolus. Do you think it needs any extension, or extended Bolus, or a follow up? Bolus afterwards, or not, if you hit it hard enough up

Jennifer Smith, CDE 14:15
front, right? Not, if you do not, if you're really on top of the Pre-Bolus and that timing upfront. There's nothing sticky that doesn't have a lot of fiber in it. There's really nothing that's going to hold this food for a long time. It truly is a more carbohydrate type of food, which has an in and out clearance that mimic or goes along with, why we use rapid acting insulin, right? Rapid insulins have an in and out, and if there's nothing else in the picture to linger well beyond that three hours, like fats and proteins, your timing of that meal should coincide with the way that the insulin is supposed to

Scott Benner 14:52
work. If this didn't have sugar on it, you would Bolus differently for it. If this didn't have

Jennifer Smith, CDE 14:58
the added sugar. Factors too, if it was just truly plain, quick cook, quick cook. Oh, it's definitely less time, especially starting with all the factors that we defined already right, blood sugar, stable in Target, et cetera. But still at least a 15 minute, probably even 20 minute Pre-Bolus time.

Scott Benner 15:18
Yeah, so shorter Pre-Bolus, still not just five minutes, right? And because this stuff is gonna get in there and start hitting hard, it's just gonna hit a lot harder if there's sugar on top, okay? And then we wanted to look at the CGM maybe an hour later, see where we're at, and then just kind of spot check an hour, you know, three hours later, whatever you're comfortable with, and then take some notes for yourself and tweak it for next time. See, see if you got the outcome you wanted. Adjust your ratios, you know, adjust your Pre-Bolus time, maybe a little longer, a little shorter, and give it another whirl. I somebody said something online the other day that I love they somebody was trying to figure out how to eat ice cream. Oh, and this person said, My strategy for ice cream is I keep going back and eating ice cream until I figure it out.

Jennifer Smith, CDE 16:06
That's exactly what we're talking about here. Yes,

Scott Benner 16:10
try your oatmeal again. All right. Awesome. This was great. Thank you. Cool.

Thanks for tuning in today, and thanks to Medtronic diabetes for sponsoring this episode. We've been talking about Medtronic mini med 780 G system today, an automated insulin delivery system that helps make diabetes management easier day and night, whether it's their meal detection technology or the Medtronic extended infusion set, it all comes together to simplify life with diabetes. Go find out more at my link, Medtronic diabetes.com/juicebox. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. You foreign.

In each episode of The Bolus four series, Jenny Smith and I are going to pick one food and talk through the bolusing 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, a 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, tweak for next time? T 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 four. 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 the episode you just heard was professionally edited by wrong way recording, wrongway recording.com,

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Scott Benner 9/3/25 Scott Benner 9/3/25

#1618 T1Daredevil

Crew, 13, diagnosed with type 1 at 7, is a fearless mountain biker. He's joined by his mom Marsha (at the end of the hour).

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Welcome back, friends. You are listening to the Juicebox podcast.

Crew 0:14
Hi, my name is crew. I'm 13 years old. I got diagnosed for diabetes at seven years old,

Scott Benner 0:24
I created the diabetes variables series because I know that in type one diabetes management, the little things aren't that little, and they really add up. In this series, we'll break down everyday factors like stress, sleep, exercise and those other variables that impact your day more than you might think Jenny Smith and I are going to get straight to the point with practical advice that you can trust. So check out the diabetes variable series in your podcast player or at Juicebox podcast.com 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.

This episode is sponsored by the tandem Moby system, which is powered by tandems, newest algorithm control, iq plus technology. Tandem Moby has a predictive algorithm that helps prevent highs and lows, and is now available for ages two and up. Learn more and get started today at tandem diabetes.com/juicebox this episode of The Juicebox podcast is sponsored by us Med, US med.com/juice box, or call 888-721-1514, get your supplies the same way we do from us. Med, the episode you're about to enjoy was brought to you by Dexcom, the Dexcom g7 the same CGM that my daughter wears. You can learn more and get started today at my link, dexcom.com/juicebox,

Crew 2:04
hi. My name is crew. I'm 13 years old. I live in Lawrence, Kansas. I got diagnosed for diabetes at seven years old. Okay, and it's just, it's been fun, hard and kind of confusing, but,

Scott Benner 2:19
yeah, why don't we figure out what fun, hard and kind of confusing means?

Crew 2:23
So the fun part is, we figured out how to do all of our stuff so far, I think, and it's been fun. I can do the stuff I want to do. I play baseball, one thinking about doing track or football. So that's fun. And the confusing part was, sometimes it's kind of like, I don't really want to do this. It's kind of annoying. I don't really know how so. But other than that, it's been it's been

Scott Benner 2:57
fun. Let's figure out what that means. So how old were you again, when you were diagnosed? I was seven years old. You remember anything about it? I remember

Crew 3:09
I could not feel like any part of my body. I just kind of felt I was there. That's it. And so I couldn't, couldn't really walk, or we had to. We rushed me to, I think, the urgent care, and I think five, three minutes, they said, Yep, yes, type one diabetes that quick. So, yeah, it was fast. It was extremely fast. Three minutes. I'm pretty sure it was the lady came in, smelled my breath, took a look at me and said, Yeah, he has diabetes type one. Your guys are gonna have to take him to children's per seat or right now. Wow. So I

Scott Benner 3:50
want to go back and ask a question. Yeah, you said you couldn't feel your body. Can you be more descriptive about what that means?

Crew 3:57
So what happened was I was like, really? I lost so much weight. I couldn't, like, my legs are kind of numb. My arms are kind of numb. I could barely walk. So my dad was asking to carry me, but I said, No. I mean, I didn't really want him to. So I just, I barely walked to the car, got in the back, just laid down, okay,

Scott Benner 4:19
sat on the back and just, do you know what your blood sugar was when they diagnosed you?

Crew 4:24
I think it was, what was my blood sugar? 485

Scott Benner 4:28
485 okay, yeah, did they say that you were in DKA? Or did you never hear them say that I

Crew 4:35
was in DKA? We went to Children's Mercy Hospital. I was in d k for, I think, 48

Scott Benner 4:42
hours. Wow. So that's how long it took them to kind of bring you back from that. Yep. And how long were you in the hospital? Do you recall?

Crew 4:49
Yes, I was in the hospital for, I think, three days, two days in DKA. And last day I got to actually eat food, and at three. Up because I ate too many oranges and drink orange Gatorade. So that was it. Yeah. And then you're on

Scott Benner 5:07
your way home, and all of a sudden you had diabetes. Now, do you have any brothers or sisters? Nope, only child. Only child. How about your parents? They have diabetes?

Crew 5:16
Nope. None of us. No one in my

Scott Benner 5:19
family. Do you know about other autoimmune issues, like, do you have anything you take medicine for?

Crew 5:23
I have ADHD, so I do take medicine for that.

Scott Benner 5:27
Nothing. With your thyroid, for example, you're able to eat gluten, stuff like that. Yep. Okay, so tell me, how long have you had ADHD? I've

Crew 5:37
had it for a long time, except we just didn't really notice, but I could tell that I've had it for a long time. But we started giving me, um, medicine for medica, yeah, medication for it. I think what, uh, two ish years ago, three issues ago. Yeah,

Scott Benner 5:54
what did you mean? You You could tell you've had it for a long time, like,

Crew 5:58
not focused and stuff in school, when I was in like, second to third grade, first grade, I mean, I don't remember anything about first grade. I remember second third and coming all the way to fourth grade. I was like, could have focused in school, didn't I messed around a lot. And,

Scott Benner 6:15
I mean, yeah, does that not happen anymore?

Crew 6:20
No, ever since I started taking medication for it, it's been really good. I have I've on the principles Honor Roll last year for the whole entire year. Wow, I've had all A's the whole year. It's been a

Scott Benner 6:33
lot better, a lot better. Good for you. And does that make you happy?

Crew 6:38
Yeah, it makes me really happy, because just knowing the fact that it's been working ever since the medication and stuff, it's been working so well. And I'm just happy that I can kind of live my life without having to worry about me just going haywire. Yeah, I

Scott Benner 6:54
get that. So when you get home from that hospital after your diagnosis, there's a way you're taking care of yourself. I imagine your parents were helping you with it, right? A lot. Yeah, okay, yeah. Do you remember how they were doing? It was it with a pump or needles or a pen.

Crew 7:09
It was with pen and needles, and then to take my blood sugar. It was with the poker. We just poked myself, got the blood out, and that was really it, until, I think I was on insulin and the poker for, I think, couple weeks, I think not, not a full month, I don't think, but a couple weeks, and then I went under the My to my pump, yeah, and my Dexcom

Scott Benner 7:37
insulin In the poker sounds like a country music album. Yeah. So you got a Dexcom pretty soon afterwards, yeah, it was, it was pretty soon. Okay, so you've been using it for a long time, yeah, yeah, okay, so let's figure out what you mean by it's fun. So are you telling me that you were presented with a challenge like diabetes, and you find it interesting or engaging to try to figure it out. Yes, okay, are you like that with other things? Yes, a lot. Yeah. Give me an example of something that has nothing to do with diabetes that you find fun just on the idea of you like trying to figure it out.

Crew 8:18
So one thing I like to do a lot is I build speakers. I listen to music and stuff. And so I found this speaker set. It was on Amazon, $13 and so I got one of them. I liked it a lot, and I wired it all together. So I put four speakers and one Bluetooth board, right? And so there was only two spaces to put two speakers in, so I had to cut the wires off, rewire them to the speakers. So I had two speakers on one cord, and I put four speakers and a speaker, so I have a double decker speaker right now. And then I got another one, because I like doing that a lot, yeah. And so I just I figured out how to do it, and so I did it again and put it in my car. So now I have a speaker system in my RC car,

Scott Benner 9:10
in your remote control car, yeah. So when it drives around, it plays Bluetooth music.

Crew 9:15
I can control it all from

Scott Benner 9:17
my phone. Wow.

Crew 9:17
How did you learn to do that? So it was really cool. It did it come with instructions or anything, right? I don't quite understand. I guess I just figured it

Scott Benner 9:27
out. You didn't use a YouTube video or go online. Nope, no, you just looked at it and made sense of it. Yeah, huh? Are you good at math?

Crew 9:35
Yes, I love math. Math is my favorite subject in school.

Scott Benner 9:41
That's nice. That's really awesome. What level of math you in at this point?

Crew 9:44
I was just in regular math, and just I got it done in like, a minute, right? Me and my friend, we were done before anyone in the class. We just got it done. And when we get our math done in school, we get to go on our iPads and, like, go. Listen to music. We get to play, like, educational games. So not just video games, but educational games, like math games and stuff, yeah, or typing games and so I thought that was really easy. It was just so easy the math. I want to do harder math. I want to do pre algebra this year. So I think I'm going to go into pre

Scott Benner 10:19
algebra. Awesome. I hope. What kind of music do you enjoy?

Crew 10:23
I listen to country music. My lesson does some rap music. But other than that, I mean, there's kind of those two things,

Scott Benner 10:31
country and rap. Yeah, tell me a country group that you like.

Crew 10:36
Morgan Wallen. I like Morgan Wallen a lot. George straight. Let's see here, George straight, more than

Scott Benner 10:45
one see George straight, that's got to be your parents music, right? Jelly Roll. Jelly Roll. I like jelly roll too. Let's see here.

Crew 10:54
I There's a really, really old country singer that I like a lot.

Scott Benner 10:57
Do you like rock or guitars or anything like that. Yeah, I do, yeah, yeah. Have you ever heard Gary Clark Jr? Think so. Actually, yes. And what kind of rap Do you like?

Crew 11:08
Some rap I listen to, I Tyler. Tyler the Creator. He's kind he does some rap, but also, I think he's also kind of into pop too. So I listened to Tyler, The Creator. The last song of him I listened to was, see you again. I like, I like that song a lot. Okay, in his playlist, I Gore, awesome. Awesome. That's also the last, I guess, not really song, but that's what I listened to. See you again. On the playlist, I gore. I'll try that out. Okay, yeah, it's, I'm gonna give it a shot. It's fun. It's cool. He's, he's awesome, all right, his music is fun. I'll try.

Scott Benner 11:45
Would you say Morgan Wallen? Morgan Wallen and Tyler the Creator, yeah, I'll give it a shot. Thank you. I need something to listen to in the car today. Yeah, I've been listening to the same stuff over and over again, a little too much, so I gotta branch out. Yeah, you ever do that where you start listening to the same thing? Just way too much?

Crew 12:03
Yes, I just need to find something different. Yeah, I

Scott Benner 12:07
feel like I'm gonna ruin the song sometimes. Yeah, yeah.

Crew 12:10
It's just like, too much. No, give me something else, please. I hear you

Scott Benner 12:14
so you liked music and thought to yourself, I'd like to string together some speakers. Do you go to your parents for that information, or do you just head to Amazon and figure it out? So

Crew 12:25
I went to Amazon and searched up speakers, or I searched speaker systems. And so what popped up was a speaker kit for $13 which is a really good deal, because they it is loud. It is so easy to it was easy to make. All you have to do is just plug it in and then turn it on, and it connects to your phone and it's loud. I mean, it was a good deal for $13 Yeah,

Scott Benner 12:49
it was awesome. I'm looking at some speakers here on my setup, and I paid more than $13 for them. So would have been a good

Crew 12:55
deal for me. Yeah, I don't know. You

Scott Benner 12:58
take that level of interest and do you apply it to your diabetes? Like, why is diabetes fun? Like, I talked to you about the speakers, because, like, I wanted to see like, like, how your mind works, and what you enjoyed about doing that. Are you applying some of that to the diabetes? Yes, how you can manage diabetes confidently with the powerfully simple Dexcom g7 dexcom.com/juicebox the Dexcom g7 is the CGM that my daughter is wearing. The g7 is a simple CGM system that delivers real time glucose numbers to your smartphone or smart watch. The g7 is made for all types of diabetes, type one and type two, but also people experiencing gestational diabetes, the Dexcom g7 can help you spend more time in range, which is proven to lower a 1c The more time you spend in range, the better and healthier you feel. And with the Dexcom clarity app, you can track your glucose trends, and the app will also provide you with a projected a 1c in as little as two weeks. If you're looking for clarity around your diabetes, you're looking for Dexcom, dexcom.com/juicebox when you use my link, you're supporting the podcast dexcom.com/juicebox head over there. Now, I used to hate ordering my daughter's diabetes supplies, I never had a good experience, and it was frustrating. But it hasn't been that way for a while, actually, for about three years now, because that's how long we've been using us. Med, us, med.com/juicebox, or call 888-721-1514, us, med is the number one distributor for FreeStyle Libre systems nationwide. They are the number one specialty distributor for Omnipod, the number one fastest growing tandem distributor nationwide, the number one rated distributor in Dexcom customer satisfaction surveys they have served. Over 1 million people with diabetes since 1996 and they always provide 90 days worth of supplies and fast and free shipping us med carries everything from insulin pumps and diabetes testing supplies to the latest CGM like the libre three and Dexcom g7 they accept Medicare nationwide and over 800 private insurers find out why us med has an A plus rating with a better business bureau at us med.com/juicebox, or just call them at 888-721-1514, get started right now, and you'll be getting your supplies the same way we do.

Crew 15:42
So some of the thing is, like, when I'm dosing, I have to do a little bit of the math to figure out what I have to do, and also figuring out what my blood sugar is. I mean, sometimes, like, my phone dies a lot, and so sometimes I have to poke myself with the original

Scott Benner 16:01
finger poker that I had insulin in the poker. Remember we thought, yeah,

Crew 16:04
sometimes I do have to use those. Why does your phone die a lot? Well, I charge it, it's, I mean, it's an old phone. I have an old phone. So

Scott Benner 16:14
is your mom? Can she hear you saying that? Yes, yeah, act sad. Be like, Oh, I just, I wish my phone was

Crew 16:20
a little, yeah, I wish, mom. I wish my phone just a little nicer

Scott Benner 16:23
phone. Yes, I'd like that iPhone 16. Is that? Are we up to 16 now?

Crew 16:27
I think so. I really, Mom, I really would like the iPhone 16. I mean, is your birthday coming up? Yes, yeah. Wait, no, I just had my birthday a little while ago. I think it was,

Scott Benner 16:38
what'd you get? What'd you get for your birthday? Um, I'll tell you what? Oh, let me tell you something. Crew, if you got a new iPhone, you'd remember,

Crew 16:51
oh yeah, that's that's true, and

Scott Benner 16:54
it is about your health, right? Yes, yeah, it's important that that phone doesn't die. Oh yeah, yeah, that's your argument. That's your argument. That's what you want to do the next time you're talking about it. Okay, okay, I'm worried about my blood sugar, and I really, you know, my phone dies a lot. It's not me. I don't want the phone. I just, I need it. It's a just look cute, and you're an only child, right? Yep, yeah, you must get everything you want. Don't you think?

Crew 17:19
Yeah? I mean, I guess, yeah. Do you wish you had a brother or sister? Yes, I get bored sometimes, and it's kind of like, it's a little bit annoying.

Scott Benner 17:27
But so tell your mom, listen, you can either make a baby or get me an iPhone. Okay? I mean, you see my mind, like, say, Mom, listen, you see what I did with the speakers, right? Like, I'm an intelligent young man. I've got a lot of thoughts. I'm all by myself here. I'm bored. If I can't get a little brother a little sister, I at least need a nice new iPhone that's not gonna die all the time. Yeah, that's how I'm gonna tell her that good job, and don't do it right after this, because she'll know it was like, wait a couple weeks, then drop it in. You know what? I mean? Yeah, yeah. You understand. Okay, so you get bored.

Crew 17:59
Yes, tell me about how so I like to bike a lot, and so, like, sometimes, whenever my friends aren't able to bike around and stuff, I just, I sometimes watch TV if they can. But, like I said, sometimes watching the same old videos, same old music kind of gets a little bit annoying and boring. Yeah. So it's just,

Scott Benner 18:21
yeah, you know, after you and I record this, it'll go off to a man named Rob, and he bikes all the time. Oh, we'll jump on his butt. He'll, like, put his laptop, oh yeah, like with him, and he'll ride somewhere and then edit the podcast when he gets to the place where he's gone. That cool, yeah, that's very cool. That's the kind of job you need. Oh, yeah, I like biking a lot. It's like, it's my thing. How come What is it about riding that makes you enjoy it so much?

Crew 18:49
So I got into biking a couple years ago. I was kind of scared to start get on the bike and everything. So what happened was my dad literally just pushed me on the bike, who is running right behind me, holding me on the bike, and then just let go. I didn't even realize it for a little while, yeah. And I just I started pedaling around, and then I hit a curb, like there was a little the curbs have says, have that little like, jump angle, yeah, in your driveway. I hit one of those and jumped by and jumped my bike. And my dad was like, Oh, my God, oh my God. He was scared. He thought I was gonna crash my bike, but you didn't. Nope, no. Ever since that, I started liking mountain biking, oh,

Scott Benner 19:33
oh, cause you like the riding over things and on the uneven ground. Yeah. No kidding. Hey, listen. Do you want to hear something embarrassing? Sure. Don't worry, Rob, the guy I was just telling you about, like he loves riding a bike, but he still doesn't know how to get started, so his wife has to run next to him and get him going. Oh, isn't that terrible? He's like, 50. Oh, no, yeah, it's embarrassing. You're way ahead of him, really, I guess. But I mean, do you think he's laughing right now when he's editing this? Or do you think. He's like, Hey, don't say that about me. I think he'll laugh. Yeah, do you think I'm being honest, or do you think I'm lying about that? Oh, no, I Oh, interesting career.

Crew 20:09
I like to say you're lying because I because

Scott Benner 20:14
it would be insane for a 50 year old man not to be able to ride a bicycle, right? I guess. Yeah, I don't know, though he's a musician, oh yeah, he plays guitar and all kinds of stuff. He was in a

Crew 20:26
band. He's famous. What band is he in? I don't want to

Scott Benner 20:33
say, oh, oh, my God, I'm sorry I did that, just to mess with him. Maybe we'll say the name of his band, okay, but sorry. Now I'm laughing crew because I'm literally just laughing. I'm just laughing because I'm imagining Rob listening to this, and that's making me laugh. But he's in a metal band called Witch Mountain. Oh, that's cool. Yeah, wow, yeah. No kidding, right? Yeah. What do you want to do when you grow up? I thought

Crew 21:01
about it a little bit, but I don't know if I thought about it enough. I like to be a professional mountain biker for Red Bull, because, I mean, I like it a lot. Yeah, maybe an entrepreneur make my own business Nice. That'd be really cool

Scott Benner 21:14
crew. Wait, let's go back for a second. Like, when you talk about that, like, you know those videos where those guys are, like, riding those bikes on like the ledges of mountains and then jumping. That's what you want to do. Let's talk about the tandem Moby insulin pump from today's sponsor tandem diabetes care. Their newest algorithm control, iq plus technology and the new tandem Moby pump offer you unique opportunities to have better control. It's the only system with auto Bolus that helps with missed meals and preventing hyperglycemia, the only system with a dedicated sleep setting, and the only system with off or on body wear options. Tandemobi gives you more discretion, freedom and options for how to manage your diabetes. This is their best algorithm ever, and they'd like you to check it out at tandem diabetes.com/juicebox when you get to my link, you're going to see integrations with Dexcom sensors and a ton of other information that's going to help you learn about tandems. Tiny pump that's big on control tandem diabetes.com/juicebox the tandem Moby system is available for people ages two and up who want an automated delivery system to help them sleep better, wake up in range and address high blood sugars with auto Bolus,

Crew 22:34
yes. Do you think you could do that? My parents kind of say I'm a little Daredevil, like a daredevil. So I like jumping off of big things. One time I had, I have this um table in my basement. It's one of those tables they pull out the legs and stuff. I put it on the curb, so it was a really big ramp, and I jumped it, and I think I went like four feet in the air, and my mom told me to stop right there. Just, yeah, nope. Don't do that

Scott Benner 23:03
again. I want to tell you that I've watched those videos, and I think those people are patently insane. There's no way that that doesn't end with you dying at some point you understand what

Crew 23:12
I'm saying. Yeah, some people, I mean, if you don't do it correctly, it's really challenging, because you have to get the right angle. Well, yeah, every you had to get everything right, or else, have

Scott Benner 23:23
you heard of gravity? Yes, yeah. Because, you know, they're on a mountain, you know I'm saying yeah, and there's no snow or anything soft, and they don't appear to have a parachute or anything like that.

Crew 23:36
The only thing they have that will that helps with the landing is the suspension. They have the best suspension.

Scott Benner 23:43
Yeah, I don't know about that. That's going to help you grow when you're falling, like, 3040, feet. You know what? I mean? Yeah, that's all. What kind of an entrepreneur would you like to be like? What kind of a business do you think

Crew 23:54
you'd like? I'd like to build speakers, like I said, I think I might make my own speaker, not speaker, but like, my own speaker brand and my own, like something with music, like my own speaker business,

Scott Benner 24:06
I hear what you're saying, like, sell speakers to, like, people who love them too, but don't know how to build them. Yeah, that'd be cool. You know, when I was a young man crew, this a long time ago, the speakers in my bedroom were, I don't want to lie to lie to you, like I'm being I'm being honest, like they were probably four, four feet tall. They were probably like, I'm gonna guess, 18 inches wide, 18 inches deep. They were these big boxes that had all these speakers in them. Yeah, I don't think they sounded as good as the headphones I have right now, which is amazing, because the technology's gotten like, so much better as time's gone. Yeah, yeah. Really cool. Your speakers used to take up a big part of your bedroom.

Crew 24:45
Oh, yeah, not anymore. Yeah. It's crazy. Yeah. Google, old

Scott Benner 24:49
people speakers, when, when you get down, hold on. I'll do it with you real quick. Let's make sure nothing weird is going to come up. Google. I know Google, T, O, O, old people. Speakers. Oh, they don't even go back far enough. Dang, yeah, there's some type in vintage speakers, and you'll see what I'm talking about. Vince is just gonna get you there. That's what, that's what speakers used to look like in our house. And now, what do you do? You all your music comes through your phone, right? Yep, you even have, like, a record player or radio or anything like that.

Crew 25:23
No, my mom has a speaker in her alarm clock. She has an alarm clock speaker.

Scott Benner 25:30
That's an old person thing. Don't do that. Okay, don't. Don't say it to her, because we're trying to keep her in a good mood for the new iPhone. You know what I mean? Oh, oh yeah, yeah.

Crew 25:38
I do want to say really something funny, so she thought it was broken. It's kind of old, it's kind of new, it's kind of in between. She thought it was broken, so she made my dad go and buy a new one, a brand new alarm clock speaker, and he made him go out and buy one. So he bought one. Came home surprised her. One wasn't broken. It was just unplugged, unplugged. Oh how embarrassing it was, just unplugged. So my dad had to go all the way back to Walmart and get find the receipt and get his money back. He didn't make your mom do it. Nope. All because, all because it was just unplugged,

Scott Benner 26:21
unplug. So all right, does she do stuff like this often? How is she with your diabetes?

Crew 26:27
Oh no, she's really good about my diabetes. She's smart. She's like, she does a lot of it. She puts the insulin of the pump and does all that it. She's really fast too. She does it really, really, really quickly. So how about you? Are you good with it? Yeah, I mean, I can manage it. I put my own pump in. Sometimes she'll have me come upstairs and do it and show me how to do it. But I'm like, she does most of it. So which pump are you using? I'm using the new tea, slim, tandem. Moby, oh, how do you like that? It's really good. It's there's one thing I don't like about it. Go ahead, it's the charging time. It's really fast at charging, but it only holds its charge for three days, and that's actually worse than the old pump I had. The old pump I had held a charger for like, four or four and a half days before I had to charge it. So,

Scott Benner 27:26
really complex, tandem. What are you doing, right? Yeah, right. Is that a problem? Having to try it sounds like it might be a problem, but I don't

Crew 27:35
know. Is it? Yeah, like thing I was out on that dinner yesterday where I was somewhere with my dad, I forgot, and my realized my pump was at 5% and so we had to, we were, I think we were at quick trip or something. And so we had to wait for my pump to charge. And then it was, it was annoying. Hey, I

Scott Benner 27:57
just want to say tandem diabetes.com/juicebox. If you want to learn more about the tandem Moby, use my link. I'm not talking to you. I'm talking to the people listening. You know, people are going to be listening to this, right? Oh yeah, yeah, you're right with that. Oh yeah, cool. How many people do you think will listen? I'm not going to tell you, but I just want to hear your guess. I hope a lot. It'll be a lot. Yeah, what do you hope that they hear when they listen to you? Like, what is it you want to pass on to people?

Crew 28:25
So one thing I want to say is you don't have to be scared. Only part you might have to be scared about is just the fact that, I mean going into the hospital and everything. But other than that, once, once it's over with me, it's okay, it's it's good, yeah, as long as you take care of yourself and take care of your blood sugar and your insulin, especially, make sure you dose for your food, because if you don't, you'll go high, and that's not good.

Scott Benner 28:55
Yeah, then what happens? Does it kind of ruin your day? Or how do you think about

Crew 28:59
it? So when I think about going high. I mean, it's just my mom, and she says it's worse than kind of going low for a certain period of time. It's like a sand blaster on the inside of your body. Just imagine that. Yeah, a sand blaster on the inside of your body. You

Scott Benner 29:15
want the level of glucose in your blood to be where it's supposed to be. Yeah, this is interesting. Like, what are you trying to avoid by keeping your blood sugar down? Like, health wise?

Crew 29:24
So I, I haven't had my blood sugar up for a long, long time or, or, like, low for a long time to know, like, how bad it is. So I'm not really sure. I don't, I don't know how bad it is. But, like, whenever I go low. It's weird. It feels like I'm gonna faint. I don't feel tired, just kind of like you get low, like that. It's actually pretty often. It's whenever I get to, like, 70 or 6070. Is not too low. Like I mean, it's low, low, but not. Lot. It's not really low. I can feel it at 70, but when it gets down to like 60 and 50s, which don't happen too, too often, I can feel them way more than 70. But it's, yeah, I don't like it. It's weird.

Scott Benner 30:14
60 and 50, like once a week, once a month. How often,

Crew 30:18
maybe once or twice a week. Does it

Scott Benner 30:22
come around activity, like, when you're playing sports? Whenever I'm

Crew 30:25
playing sports, I do take off my bump and stuff. So I don't, I don't really know what blood sugar is during like baseball, but I have had my blood sugar go down that low one time. I know when I was playing baseball. Yeah, it wasn't fun. Were you out on the field when it happened? Yeah, I was, I was, did you get dizzy out on the field? Yeah, I did not feel good. I I was just, I was waiting for that inning to get over so I could just go and get some, get some sugar.

Scott Benner 30:54
Yeah, did you think about telling somebody, like, Hey, I gotta, like, time out here?

Crew 30:58
No, I mean, I kind of did, but I didn't make, I didn't want to, like, interrupt anything or any, anyone. So

Scott Benner 31:07
it's a hard decision to make, yeah, yeah, especially when you're low, right? It's harder to think about it, yeah, yeah. That only happened one time while you're playing baseball. Yeah? Well, we don't want you to get low twice a week, though. What do you think is happening? Maybe we could figure it out and stop it from happening.

Crew 31:21
I'm not really sure. I mean, it's sometimes when I overdose for something, or sometimes it's just because the heat outside and stuff, and yeah, me. I mean, riding my bike, especially riding my bike, it goes low a lot, especially on the heat in the summer. Yeah. So is it

Scott Benner 31:38
hard to plan ahead for activity like, you know, to put, put yourself in activity mode, or maybe take away a little just sit talk to your mom about making adjustments. Yeah,

Crew 31:48
I try that sometimes, and just sometimes it kind of doesn't

Scott Benner 31:51
even work. Yeah? So, like, pre bolusing, it's hard to remember to do, right? I pre bullish sometimes something you do, yeah, well, all that stuff that you told people not to be scared about, like, is that something you figured out by yourself? Or did your parents tell you not to be scared and you believe them and you're

Crew 32:07
not scared? Kind of figured out myself. My parents told me that it was going to be okay and stuff. But, I mean, they didn't really say not to be scared or anything. But after I just got used to it, it just kind of came to my sense that everything's fine. I just have to take care of myself and it'll be

Scott Benner 32:24
okay. So after you live with diabetes for a while, you came to the conclusion that as long as you do the things you're supposed to do, it works out pretty well. Yep, no kidding. You just came to that conclusion on your own. Yes. Nice. Yep. Do you have friends who know about your diabetes? A lot of people, yes. Like, did they try to help you with it? Do you guys not talk talk about a lot, not talk about it much. Like, how does it, um, intertwine, I guess, in your relationships?

Crew 32:53
So my friend, who he said, I didn't talk about him. So my friend, his name's Emmett. He's very nice kid. He's very smart. Yeah, he helps me out with it. Sometimes, whenever he hears my beeper, he'll say, are you okay? You need? Do you need any sugar or anything? We were out biking one time he heard my beeper go off, and I did not hear it, and he said, Your beeper is going off. Are you okay? I have snacks in my bag. Do you need any snacks? So I checked my blood sugar, and I was, I was high. So I said, I don't, I don't eat any sugar. I just need to give myself some insulin. So he's, he's really nice. He's, he's a cool kid. How long have you known emit or I've known Emmett ever since second grade. No kidding, you guys, good friends. Yes, we, we bike all the time, all the time. Where do

Scott Benner 33:40
you go through the woods? Or like town, how do you where do you go? Not

Crew 33:44
really in the woods. I mean, necessarily, we go to the park a lot. We ride around the park. There's a little skateboard place. We I jump my bike on the skateboard place on the big ramps over there. So we bike around there a lot. Sometimes we go to the grocery store. Sometimes you go to his house and bike around his neighborhood. Yeah, sometimes you pick around my neighborhood, yeah. Does his phone ever die? No, sometimes he says it's low, but

Scott Benner 34:13
never dies like yours does. No, is yours dying because of your diabetes supplies that you're running off it or because you're listening to music all the time. Do you think I don't

Crew 34:22
really listen to too much the music? Yeah, I listen to music whenever I'm, like, biking and stuff. But other than that, I don't think it's because of the music.

Scott Benner 34:30
I just don't hold her phone, and you've got a lot of, like, Bluetooth stuff hooked up. Yeah,

Crew 34:34
yeah, I do have a lot of Bluetooth stuff, like, I do have the speakers, but I also have my pump, my Dexcom, I have a lot of stuff, so I think it might be because of my diabetes, like, all the stuff doing that, yeah, because I'm, I'm on my diabetes stuff a lot, like, a lot, a lot,

Scott Benner 34:54
right, right? When you're on a lot, is it because you're nervous or just you're trying to do a good job? Do you think you look at it too much? What's your level of involvement with it during the day, and how does it affect you?

Crew 35:03
I think I look at it because I want to keep my blood sugar where it is supposed to be. Sometimes it's because I'm a little bit nervous, like when I'm biking. I check it a lot because I don't want to accidentally go low, yeah, and not realize it. So do you

Scott Benner 35:19
know what to do if you get too low? What is your plan if you get too low?

Crew 35:23
If I get too low, I will just immediately stop biking and tow emit that. We need to take a break right now, and I will get some sugar. And if it does not come up, I haven't really, I haven't actually got crazy low yet, biking like, not low enough to use. My there's a spray thing that you spray in your nose if you go too low. It like, saves your life.

Scott Benner 35:48
It's called back. Semi, right, yeah, yeah. Have you ever heard people call it back? Squeamy, yeah, my parents call it that. Yeah. I think it's back. Semi, yeah. You know, they're old. They don't know how old are your parents, by the way, she's over there right now. It's hard to say her age out loud. But do you know how old she is? Oh yeah, she like, really old, kinda, yeah, kind of really old. How old? Like, in her 40s, more than that. Oh, my God. 50s, a little bit more than that. 60s, Yeah, no kidding. Are you adopted? Nope, no. How long have they been married? Just pretend she's not there. Look away. How long have they been married? You don't know.

Crew 36:28
I think about 1520, years. Really

Scott Benner 36:33
interesting. What kind of work does your mom do? Does she you don't have to say where she works. But like, does she do a thing? Yeah, she works still, what kind of work? Not really sure. I don't know. I hear you. I don't think my kids know what I do either. Yeah, how about your dad? Do you know what he does? He's retired. Nice, wow. Your parents are in there. You're 13. Your parents are in your 60s. That's cool. Yeah, so are your friends parents all like much younger than your parents, yeah, how is that? Is that? Is that any sort of way, or does it not bother you or not come up?

Crew 37:07
It doesn't bother me. It doesn't bother their parents at all. It doesn't no

Scott Benner 37:12
big deal. Yeah, no kidding, wow. Well, that's interesting. You might have to interview your mom in a minute when we're done. I might have to talk to her, ask her say when, when I'm done recording. Would you talk to Scott for five minutes?

Crew 37:24
Mom, when I'm done recording, do you want to talk to him for five minutes?

Scott Benner 37:27
He she said, Sure, cool. Tell her. I got questions. He got some questions. Okay, she's okay with that. Yep, awesome. Okay, we'll keep talking now. Okay, all right. So have you seen any movies this summer?

Crew 37:41
Yes, I've seen a couple. You see Superman? No, I did want to, though, but kind of sad I missed, missed it. Do

Scott Benner 37:49
you see Fantastic Four?

Crew 37:52
No, what did you see? I know I saw the new fashion, furious, um, I think it was like up early, early summer, when I started, I think I went to the movies. I did. I did see the Minecraft movie. I didn't watch it at the movies, but I watched it on YouTube, actually. And I watched Happy Gilmore too,

Scott Benner 38:14
and that's what the ones I watched. Yeah, listen, you definitely play Minecraft, right? No, no with your math mind, have you ever tried it?

Crew 38:22
Oh yeah, I used to play it a lot. I mean, okay, like, a lot, a lot. Just don't play enough, yeah, yeah, outgrew it, yeah, I think so. Just Yeah. What'd you think of the movie? The movie was pretty fun. I mean, it was, it was cool, yeah, it was funny, definitely funny. Nice. I wonder if you would like Superman. Oh yeah, I like Superman. I watched a lot, a lot of

Scott Benner 38:46
Superman. Yeah, actually. So interestingly, isn't Superman from Kansas? I think so, I believe so. Yeah, maybe you'll recognize some of the stuff that they some of the places they're at in the movie. Who knows that'd be crazy if you did? Oh, yeah, you grew up in Kansas. That's where you were born. Yes, yes, I was when you think about going to college? Do you think about leaving home and going to college, or do you think about staying local?

Crew 39:12
Staying kind of local? I might. I haven't thought about a lot yet. Yeah, yeah. We live in Lawrence. So the main College in Lawrence is obviously KU, so I don't really know when I go there, or my parents are K State fans, so it's kind of KU, K State we

Scott Benner 39:35
don't KU, that's the Jayhawks, right? Yeah, yeah. You like basketball.

Crew 39:39
I watch basketball. You watch some of it, yeah. What's your favorite

Scott Benner 39:43
sport to watch? My favorite Oh Baseball. Baseball is your favorite sport to watch? Yes. Bobby Witt Jr, you love

Crew 39:50
him. Oh yeah. Bobby Witt Jr, although he's not my favorite

Scott Benner 39:54
baseball player, he's not your favorite royal or not your favorite baseball player. Actually,

Crew 39:58
no, he's not my favorite Royal. Naturally, who is my favorite royal he's the catcher. I have his baseball card, actually, yeah, Salvador

Scott Benner 40:07
pres Oh, no kidding, yeah, he's old, huh? Yeah, he's been around for a

Crew 40:11
long time. Yeah, Emmy, he's old, but he's still doing

Scott Benner 40:17
it. So I'm kidding. Did you see that? Mason? I don't know how much you follow baseball. Mason Miller was traded from the A's. No, I did not. He's a reliever. He has type one, huh? Did you know that? No, where'd he go? All right, hold on, a second crew. Let me figure out. Let me figure out where he went. He was with the A's. He escaped the A's. Oh, he went through the Padres. Oh, yeah, I'd like him to be on the podcast, but he does not answer my DMs. If anyone knows him, I would like to get a message to him, but yeah, he has type one. He throws, like, like, 100 miles an hour. He's a closer. Geez. Yeah, right. Anyway, he's got type one. Who else has type one? There's another pitcher, you know, any, any type one ball players? I don't think so. Actually, no, there's um, guy used to pitch for the Cardinals has type one. Can't think of his name. I've had Brandon Morrow on the podcast. He's got type one. Adam Duvall has type one. I think Jordan Hicks is the guy's name? Is it Jordan Hicks? Yeah, I am right. Haha, I'm sorry, just, I'm just happy to be right. He's maybe with the Giants at this point. Anyway, there's a couple of play so baseball is your favorite sport to watch and to play, yes, what position

Crew 41:42
do you play? I play second base, right field. Let's see pitcher. I am a pitcher. I'm starting to do pitching. I went to a pitching clinic on Saturday, and they were they were surprised, because I haven't pitched a lot, and so my fastest pitch was 57 and that was on a day that I wasn't ready. We were actually in Branson. Okay, so, but how fast were you throwing? We went to this place in Branson called wonder works, and they had a simulator where you could pick which sport you did. So I picked baseball. Obviously, I pitched 57 and that was when my arm was sore and I was I wasn't ready. It was just a little thing. So I picked, I pitched 57 that day. That's

Scott Benner 42:34
pretty great, man for your age. Yeah, really great. Do you think you'll do more of it?

Crew 42:38
Yes, I do. I really want to pitch for my team. Nice. How tall are you? Almost five foot. I'm 411

Scott Benner 42:46
I think getting there, you starting to grow about now, yes, yeah, a little bit. Are your parents taller or shorter? They're

Crew 42:53
not really short, and they're not really tall. I guess they're, they're

Scott Benner 42:57
in the middle, yeah, gotcha. That's all right. I think pitching is great. Just be careful with your arm, you know, make sure you warm up first. You know about using the bands to warm up your arm? Yeah, yes, good. Oh, man, they're teaching you guys that. Yep, awesome. I

Crew 43:13
actually learned some pitches from a kid who is 13 but plays for 14 team. So he's a really high level baseball player. And so he showed me a two seam, not a fastball, but a two seam slider, and he showed me a curve ball. And so I've mastered the two seam slider and curve ball, and my trustiest pitch I have in my arsenal is my change up, nice.

Scott Benner 43:45
So are you right handed or left handed?

Crew 43:49
I'm right handed in almost everything. Okay,

Scott Benner 43:52
does that two seam? Does that run to the right?

Crew 43:55
It kind of does. So whenever I put spin on it, kind of, it goes down a little bit, and then it kind of goes to the right Somewhat, yeah, it goes to the left or to the right, depending on how you put spin on the ball and how you throw so

Scott Benner 44:12
nice, like, I, I'm excited for you. My son played baseball since he was four years old, all the way through college, dang, yeah. It was a lot of fun. He's older now. He's 25 so he doesn't play anymore, yeah, but yeah, he played all through college. By the time he was done College, his fastball, he played center field and he pitched, and his fastball was up to 93 by the time he graduated. Geez. Crazy that could happen to you. Your body could get bigger and stronger, and you could be like, doing all kinds of crazy stuff. I hope, yeah, that'll be fun. I love that. You love baseball. That's really cool. Anyway, Bobby got a triple yesterday. He was or two days ago. I think he's flying around the bases. He is really fast. Oh yeah,

Crew 44:53
actually, speaking of flying around the bases, my favorite baseball player is led la cruz. And he is the best base stealer in the world right now. I'm pretty sure he the pirate Ellie de la Cruz. I think plays for Cardinals. Cardinals,

Scott Benner 45:08
really, what am I thinking of on the pirates? Then let's see. Hold on, Scott,

Crew 45:14
there's a couple baseball players with the last name Cruz. So, yeah,

Scott Benner 45:19
oh, de la Cruz, red, Cincinnati. Yep, nice. Why did I think he was the pirates? Who's with the pirates that I'm thinking of? There's so many people. My son, like, knows them all. When we talk about it, I'm always like, I don't know what you're saying. I can't remember everybody, but he's got that kind of head. He could play in a baseball game and then sit down afterwards and talk through every pitch of like, four of his at bats. Yeah, he'll be, like, on my first at bat, like, he started me with this, and then the second pitch was this, I fouled it off. The third pitch was this, it missed outside. I'm, like, always stunned by that. Like he re, he can remember all of them, or he'll talk about a guy he threw, like, you know, he's like, in the sixth inning, I pitched to this guy, and he will, he can walk you through all the pitches. It's really an interesting way his brain works, but nevertheless, I don't have that ability. Is what I'm saying. Like, he tells me about it, and I'm just like, okay, yeah, all right, I don't remember, but yeah, do you have anything in common with your parents? Like you said you like math. Is that something your parents like have in common with you?

Crew 46:17
My mom is really good at math, so I'm gonna ask that my dad is also really good at it. I mean, he doesn't like it, but he's good at he's good at it, yeah, my mom likes it. She's good at it. I like it. I'm good at it. So Kinda, yeah.

Scott Benner 46:33
So now I know you're too young for this like, to really have an answer, but you're 13, so college is five years away, which is a long time, right? But at the same time, it's not that long of a time. And I'm wondering, if you've thought about not being home with diabetes, like, what is it you're gonna have to figure out over the next five years to be comfortable going away to college.

Crew 46:55
I'm comfortable with it now, I will have to learn how to put all my insulin and everything in my pump, and I do all of my Dexcom stuff. So I put on my Dexcom. Sometimes I put the little patch on it, so I do all the stuff for my Dexcom for my pump. So I will have to learn that.

Scott Benner 47:15
So yeah, do you think that'll be any

Crew 47:19
trouble to learn? I don't think so. Um, it's way easier, way easier with the new Moby. Yeah. So it should be, I hope it should be good. Do you

Scott Benner 47:29
think your mom's waiting for you to ask about like, Hey, can I learn more about this? Where do you think she's like, happy for you not to have to worry about it right now? I think she's waiting. Yeah? What will make you go to her and say, Hey, I'd like to know more about this.

Crew 47:45
I'd like to so I think I might ask whenever I change my pump out.

Scott Benner 47:50
So yeah, to learn a little more about it. Yeah, yeah. You're not trying to avoid it, right? Oh, no, no, no, but it is nice that somebody helps you. Or no,

Crew 47:59
no, it is. It is nice, yeah, sometimes, but whenever I'm playing my video game, she'll just ask me to give me my phone and my pump. Just take it off real quick. I don't have to wait a wait or anything. She'll just do it, and then she'll come back and I'll put it on. I can go back to play my video game. So it's, it's nice, yeah, it's really nice. Nice

Scott Benner 48:17
to have a little help. That's very cool. I think your mom's gonna probably help you for a while, which you know, especially even when you get to college, like you're gonna need some assistance sometimes, you know what I mean, yeah, yeah. It's gonna be a thing that I think you'll probably like, slowly get more and more control of for yourself. But it's nice to know that somebody's got your back. Yeah, it is. Who is more involved with your diabetes, your mom or your dad, or is it equal? My mom,

Crew 48:43
she does all the stuff. She's the smart one in the house. I guess she's the

Scott Benner 48:49
smart one. Yes. No, she did not know her clock was unplugged. Her clock speaker was unplugged. It is you remember that when she needed a new

Crew 48:57
speaker? Yeah? Oh yeah, that's one thing

Scott Benner 49:01
that's okay, cool. What kind of a branch on that one? Yeah. What kind of food do you like

Crew 49:05
to eat? Let's see, I like to eat vegetables. I eat a lot of carrots and hummus. Okay, I do like to eat peppers. So I eat a lot of banana peppers. Might think that's kind of weird, but I eat banana peppers with my fried chicken, so

Scott Benner 49:21
that's not weird. You think it's weird?

Crew 49:25
I mean, I think some people might think it's weird, but, I mean, I like eating my banana peppers with fried chicken. I mean, I

Scott Benner 49:33
think that's okay. So does your mom make the fried chicken? Or do you guys get it

Crew 49:36
somewhere? We get it at Dylan's. They have the best fried chicken. The best

Scott Benner 49:41
Dylan's is the best fried chicken. Yes. So if I get, if I ever come to KU I should go to Dylan's. Yes, okay, I thought one time I was going to speak there, and then it didn't work out. I forget. Why do you listen to the podcast ever? No, just your mom does, right? Yeah. Yeah. Yeah. Did she come to you and ask you if you want to do this, or was it a thing you asked about

Crew 50:04
I asked about it. I asked, Has there been any kids on the podcast? So I asked if I could. So she asked you, and yeah,

Scott Benner 50:13
and you got to tell people that you don't think they should be afraid. Nope, that's good. They should be what else do you want them to know?

Crew 50:21
Anything else I would like them to know that, if anything like, if you do, go really, really low, I would say, be calm, be relaxed. Because if you, if you like, get really, really scared. I know sometimes, one time I was riding my bike and I was low and it crashed. And both of those combined the low and the fact that I crashed. I got the sprocket from my bike, went into my calf and cut holes out about maybe a little a half an inch deep. So I probably should have got stitches, but I did not get stitches. We cleaned it out and everything that was not fun. Adrenaline. I did not know what to think about at all. So if something does happen that's really, really bad, like going low, I'd say, if you're calm and relaxed, just be calm. Just try to be sugar. If it's really, really bad, use your back spoony. So

Scott Benner 51:20
yeah, something I want to say, well, that's awesome. I will say that you just gave me the chills when you talked about the sprocket, like, putting holes in your legs that. Yeah, how long ago was that?

Crew 51:29
Oh, um, it's all killed. I don't you. I can't really even see it. I don't know exactly where it's at. I think it was about maybe a year. No, it was two years ago. It was about two ish, okay, wow. Actually, I just had, I had a recent crash in Arkansas. I was riding mountain bikes again in Arkansas, and so my bike wasn't biking. I was going about 20 on a turn. The brakes weren't breaking, and so I tried to brake. And it was rainy that day, I tried to turn my bike. It was not turning at all, so I kind of break. Did not do nothing. I skidded, went into a tree, almost broke the tree in half, took all the bark off the tree, tangled up in my bike and the tree, and so I had a big gash, like it's it's scarred up so I could see it, it's in the middle of my calf on my other leg that I got, not the leg that I had the other incident on. Yeah, so this is a different leg, and it's about an inch long, and I think it was about also half an inch deep, so it was bleeding bad. This guy, luckily, there is a doctor who is writing saw us and saw me in the tree, and so he came over and gave us a med kit. And so we put all the stuff on my leg and everything. And so that was not fun, but also fun, because I got back up and started writing again. Wow,

Scott Benner 52:59
you are Daredevil, huh? I really appreciate you taking the time to talk to me like this. This was awesome. Thank you.

Crew 53:05
Well, thank you. Thank you for letting me come on the show. No,

Scott Benner 53:08
it's my pleasure. It really was. You were terrific. Your mom said you would be, and she was 100% right. I want to wish you a ton of luck. It sounds like you're doing great. I think you should just keep doing what you're doing with your diabetes. Keep learning and keeping that attitude you have, you're gonna, you're gonna do really well.

Crew 53:22
Thank you. You're welcome. So, yeah, man,

Scott Benner 53:25
I don't see any reason why to think you wouldn't like, you know what I mean, like you, yeah, yeah. You're thinking about it, right? You're learning as you go, you have a great attitude, and you're working on it, and you're happy to push through the tough times. I don't want to see you get low as much. I think you guys should work on that, you know, trying not to get so low well during activities. But other than that, man, like you're you really are doing a great job. I hope you're proud of yourself. I am. Thank you so much. You're welcome. Thank you. Let me talk to your mom before you go. Okay. Okay. What's her name? Marcia. Okay. Thank you. Good morning. Hey, Marsha. He was awesome. Oh, good. Yeah, it's hard to tell when it's a one sided conversation, right? Yeah, he,

Marsha 54:04
well, he was a little nervous. I could tell that he was much better towards the end. I could tell

Scott Benner 54:09
yeah, that's, by the way, that's everybody, not just, yeah, not just 13 year olds. Everybody starts out nervous. So I just have to ask you, how old are you? How old am I? Yeah, I'm 60, and He's your only kid. Yes, was he right that you got married about 15 years ago, 17? Oh, he was pretty close. Okay, yeah, yeah, I just popped you on to ask you, like, is it a second marriage, a late in life baby? Like, how did so,

Marsha 54:36
it's really a long story, but yes, I am my husband's fourth wife, and he is my first husband. Wow. And crew does have a brother. He calls him an uncle, but it's a brother. And Adam is like

Scott Benner 54:49
47 No, this is the half brother, obviously, yeah, yeah, yeah, yeah, wow, yeah, yeah. Now I want to I have so many questions. How will. Your husband? He is 70. Did he outlive some of those ladies, or did they not care for him anymore?

Marsha 55:08
Well, like it's funny. I I laugh. I said I met him after his first wife, dated him after his second wife, and married him after his third wife. So I've known him for a long time, and we just kind of kept reconnecting. And so yeah,

Scott Benner 55:23
and you weren't married through that time at all. No, did you ever think you were gonna have a kid? No,

Marsha 55:27
no. Well, because, like, by the time we got married, I was like 40 some

Scott Benner 55:31
Yeah. So yeah, was crew not on purpose? He was on purpose. Okay, yeah. Are we winking at each other? What's going on right

Marsha 55:41
now? No, okay, wow, that's

Scott Benner 55:43
awesome. It sounds like you have your own little story that I would really enjoy hearing.

Marsha 55:46
Yes, yes. It's it's an interesting it's an interesting one, that's for sure. It's a story.

Scott Benner 55:51
I bet you it is all in Kansas. These, these, yeah, really,

Marsha 55:55
yeah, yeah. I met him in his hometown. I was there on a conference and went out with some friends and ended up like dancing with him. And then he showed up at the hotel the next day, said, Hey. So we dated a little while, that was after his first wife, and then he could, kind of always kept track of me and hunted me down. That's gonna say he's not shy. I know that. Oh no, he is not. He is not. And his son takes after him, like when crew was like, I remember this vividly. We went to the swimming pool, and crew was probably, like, two years old, and this man holding another little girl comes up and he goes, Hi, I'm coo white, what's your name to this guy? And the guy tells him, and he's like, and what's her name, pointing to the daughter. So Cruz, kind of a lazy ladies man like his dad is.

Scott Benner 56:45
He also doesn't seem to have any fear of dying, as far as I can tell. No, yeah, no. He's like, I'm like, What do you wanna do for a living? He's like, I'd like to be one of those Red Bull mountain bikers. I was like, I don't think that's safe.

Marsha 56:58
It's not. He's really good on a bike. He is very good on a bike. And we've gone down to Bentonville, Arkansas a couple of times and rode mountain bikes through there. And so, yes, a 70 year old man and 60 year old woman trying to keep up with a 13 year old on mountain bikes. Picture that

Scott Benner 57:13
I've been picturing it since because, like, I just, I was teasing him a little bit. I was like, because your mom old? And he's like, Well, and I'm like, What's she like, 40? He goes no, and I'm like, 50, and she goes No. And I'm like, 60, goes Yeah. And I was like, Oh, I also told him that he needs a new iPhone and that he should work you for it, so that should be coming soon, just so

Marsha 57:35
that's been going on for a month now, and every time it's brought up because his cameras doesn't work on it, and so when he tries when he tries to take a picture of his Dexcom and go see I need a new phone, he

Scott Benner 57:45
told me, he's like, the battery dies too quickly. And I said, tell your mom, this is a matter of health. It's got nothing to do with your enjoyment. And then he's like, and I said, Do you ever get bored being an only child? And he said, Yeah. And I said, Do you think you're going to get a brother or sister? I think this was before I realized you were 60, sorry? And he's like, No, I don't think so. And I was like, well, then you need a phone for that. And I was like, I was like, he had to tell your mom that. Be like, Listen, I'm I'm very bored, and I just, I need any if you're not going to make me a brother or sister, I need a better phone. I'm interested to see how he comes back to you with it, if he, like, actually follows through and does that or not? Oh,

Marsha 58:21
he's tried with a brother and sister angle too. I need one, Mom, let's just go get

Scott Benner 58:25
one. Yeah, you tell him, Listen, you're gonna be raising that kid if I make another baby, so just be careful.

Marsha 58:32
No, I know that's not that's no joke. No joke.

Scott Benner 58:35
Mommy can't pick the baby up when you're 20, you're gonna be, you're gonna be on the hook. I just want you to know, yeah, that's really sad. That's for sure, you have an interesting life, yeah. How did you find the podcast? Actually, I

Marsha 58:49
have been on your podcast. Oh, what are we like? Episode 1194,

Scott Benner 58:55
I think maybe. Okay, all right, just before that, like, just, how did

Marsha 58:59
I find it? Yeah, we were at a pumpkin patch shortly after he was diagnosed, and he went low. And I gave him a bunch of stuff, like, three different times, and he kept going lower and lower. And we were newly diagnosed. I mean, like, he, he got diagnosed in February, and so, like, this was October, right? And it's the first time I'd ever been out in public with him going so dramatically low. So I pumped him full of everything, glucose tabs, Skittles, another pack of Skittles, a caramel apple, and then he shot high. And I'm like on we just kept listening to him buzz, and it was before I knew anything about being bold with insulin or any of that kind of stuff. So he was sitting at like 250 or something, and we were waiting on this little train, and this he went off, and this woman whips her head around and says, Dexcom. And I said, Yeah. And she goes, there's mine. It was the first time we met someone out in public. And she goes, You should listen to the Juicebox podcast. And so then I started listening. I i. I go to the gym every morning, like around five, and so I get on the exercise bike and put on the podcast, and started listening from there, which has been amazingly helpful. I'm glad when he says, my mom's the smartest about diabetes, that is I am, because I listen to the Juicebox. And so we do a lot of his management that way, and he's maintained low six a one sees his whole diagnosis.

Scott Benner 1:00:26
It's awesome. He told me he gets low a little bit while he's, like, active,

Marsha 1:00:30
if it's hot outside and he is active 100% guaranteed. Yeah. So when he rides his bike, he has to make sure that he has things with him. And then sometimes, when he's playing baseball, if it's hot out, we pass a lot of skittles through the fence, or Gatorade or, you know, whatever, whatever it takes to get him.

Scott Benner 1:00:50
Has he tried eating a little something that's really tough to digest, like, you know, like a kind bar or something like that, little something that sits in your stomach a little longer to hold him up during those activities.

Marsha 1:01:00
You know it's really interesting, because there are times, most of the time, he doesn't have any problem. If he goes in pretty stable to whatever activity, he'll stay stable throughout it. But if he's eaten beforehand and has some insulin on board for whatever he's eaten, it kind of seems to exacerbate that, yep,

Scott Benner 1:01:19
for sure, active insulin during activities is a quicker way to being low. Well, yeah, it sounds like you guys are doing really, really well. And I'm happy for

Marsha 1:01:29
we've just kind of taken the attitude, like, you have this and you'll have it the rest of your life. And so we catch people out in the wild, and we're like, they've got a Dexcom. Let's go talk to them or, you know, so we've done a lot of that we've never made it so it's something to be embarrassed about, or something, you know,

Scott Benner 1:01:44
he seems very clear minded about the whole thing, yeah, yeah, he is. He really great kid. Yeah, he definitely seems. And it makes sense too that you guys are older too, because I think my kids would be better if I was older when I raised them. Yeah, not that they're bad kids, but like I would have given I'm sure I should clarify that. I think that I would have had a different perspective. And I imagine you do too raising some like, because, yeah, what were you 40, like, seven when you had him? Yeah? Wow, yeah, you were probably thrilled when he came out and he had, like, his fingers in

Marsha 1:02:17
his toes, yeah, yeah. He's been good for us. Everybody's like, Oh, he's gonna keep you young. And we're like, Hell, no, he keeps us

Scott Benner 1:02:23
tired. No, I don't see that sounds like something a person would say, who doesn't know? No, that's really something, all right. I don't want to take up your time. This was really wonderful. Tell him again that I said, Thank you, and I'm sorry if you have to end up buying him an iPhone. That's

Marsha 1:02:36
my fault. Oh, I'm sure it's gonna happen before school starts.

Scott Benner 1:02:39
Yeah. Oh, what a lovely back to school idea. Yeah. Oh yeah, thanks, yeah. Just go out there and put it. I don't even know what they cost anymore. They're insanely expensive. Oh yeah,

Marsha 1:02:49
they're crazy. But he's had it. I mean, his schools, interestingly enough, took away all their cell phones last year. And I'm like, on dude, here's one perk. You get to have yours all day long. Yeah, yeah. But yeah, Mama has the share time plan, and so I locked down his phone. So yeah, he's,

Scott Benner 1:03:05
I tell you what, he didn't say one like every kid I've ever interviewed will be snarky a little bit about their parents. He was never once about you guys. That's because He loves us. Well, I hope so, but it's not because he's scared out of his mind, right? You don't have him scared to death. No, no, no, I'm just kidding. He didn't. He just, he, really, he's, he was lovely. I really appreciate you putting him on with me. Thank you so

Marsha 1:03:28
much. Yeah, well, thank you for doing it. He was kind of excited about it so

Scott Benner 1:03:32
well, I can't wait for him, him and Emmett to be able to listen to it. Okay, all right, great. Thanks so much. Hold on one second for me. Okay, I had so much fun. Oh, that's cool, man. I'm glad

the conversation you just enjoyed was brought to you by us, med, us, med.com/juicebox, or call 888-721-1514, get started today and get your supplies from us. Med, today's episode of The Juicebox podcast is sponsored by the Dexcom g7 and the Dexcom g7 warms up in just 30 minutes. Check it out now at dexcom.com/juicebox 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. Okay, well, here we are at the end of the episode. You're still with me. Thank you. I really do appreciate that. What else could you do for me? Why don't you tell a friend about the show or leave a five star review? Maybe you could make sure you're following or subscribe in your podcast app, go to YouTube and follow me, or Instagram, Tiktok. Oh gosh, here's one. Make sure you're following the podcast in the. Private Facebook group as well as the public Facebook page you don't want to miss. Please. Do you not know about the private group? You have to join the private group as of this recording, it has 51,000 members in it. They're active, talking about diabetes, whatever you need to know. There's a conversation happening in there right now, and I'm there all the time tag me. I'll say hi. If you're looking to meet other people living with type one diabetes, head over to Juicebox podcast.com/juice, cruise, because next June, that's right, 2026, June, 21 the second juice Cruise is happening on the celebrity beyond cruise ship, it's a seven night trip, going to the Caribbean. We're going to be visiting Miami, Coco K, st, Thomas and St Kitts, yeah, the Virgin Islands. You're gonna love the Virgin Islands. Sail with Scott the Juicebox community on a week long voyage built for people and families living with type one diabetes. Enjoy tropical luxury, practical education and judgment, free atmosphere, perfect day at Coco Bay St, Kitts st, Thomas, five interactive workshops with me and surprise guests on type one, hacks and tech, mental health, mindfulness, nutrition, exercise, personal growth and professional development, support groups and wellness discussions tailored for life with type one and celebrities, world class amenities, dining and entertainment. This is open from every age you know, newborn to 99 I don't care how old you are. Come out. Check us out. You can view state rooms and prices at Juicebox podcast.com/juice cruise. The last juice cruise just happened a couple weeks ago. 100 of you came. It was awesome. We're looking to make it even bigger this year, I hope you can check it out. The episode you just heard was professionally edited by wrong way recording, wrong wayrecording.com. You.

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