#1740 Bolus 4 - Potato Chips

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Jenny and Scott talk about bolusing for potato chips.

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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 (0:0) Hello, friends, and welcome back to another episode of the Juice Box podcast. (0:15) In every episode of bolus four, Jenny Smith and I are gonna take a few minutes to talk through how to bolus for a single item of food. (0:22) Jenny and I are gonna follow a little bit of a road map called meal bolt. (0:27) Measure the meal. (0:28) Evaluate yourself.

Scott Benner (0:30) Add the base units. (0:31) Layer a correction. (0:33) Build the bolus shape. (0:34) Offset the timing. (0:35) Look at the CGM.

Scott Benner (0:36) Tweak for next time. (0:38) Having said that, these episodes are gonna be very conversational and not incredibly technical. (0:44) 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. (0:52) So while you might not hear us say every letter of Mielboldt in every episode, we will be thinking about it while we're talking. (0:59) If you wanna learn more, go to juiceboxpodcast.com/meal-bolt.

Scott Benner (1:05) But for now, we'll find out how to bowl us for today's subject. (1:14) Nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (1:18) Always consult a physician before making any changes to your health care plan. (1:23) Jenny, I, today, just today, in fact, went to the interwebs and said, what are the most popular junk foods in The United States Of America? (1:34) And it put it into categories for me.

Scott Benner (1:36) Potato chips, chocolate bars, frozen or fast food pizza, soda, candy, fast food burgers, ice cream and frozen treats, cheese snacks, which is interesting, I thought, packaged cookies, snacks, cakes, and pastries.

Jenny Smith (1:56) There's some fancy organization there.

Scott Benner (2:01) I like that this is the way they thought to put it, that AI saw this. (2:05) Like, because this what I use. (2:06) I use AI just to to pull it together real quick. (2:08) I also did a couple of Google searches, put it all together. (2:10) But

Jenny Smith (2:10) And are these, like, the number the first one that was listed is the number one, or are these just the top and they're not ordered by which one's the most popular of these?

Scott Benner (2:20) I asked for them to then be put into popularity by category. (2:25) So potato potato chips gave me, let's see, Lay's, Ruffles, Pringles, Cape Cod, and Kettle brand. (2:33) Oh. (2:33) So we're gonna today, we're gonna do Lay's potato chips.

Jenny Smith (2:37) Lay's potato chips. (2:39) Got it.

Scott Benner (2:40) Got it. (2:41) Alright. (2:42) And I have a thought about all this when we're done. (2:45) So Lay's classic potato chips, yellow bag, thin chip, no ridges. (2:49) You understand?

Jenny Smith (2:50) Mhmm.

Scott Benner (2:51) Total fat, 10 grams. (2:54) Saturated fat, 1.5. (2:55) Cholesterol, none. (2:57) Sodium, a 170. (2:59) Total carbohydrates, 15.

Scott Benner (3:02) There's a gram of dietary fiber. (3:04) They claim there's calcium in it and a couple of other things. (3:08) But this is for a serving size of about 15 chips.

Jenny Smith (3:14) Mhmm.

Scott Benner (3:15) Okay. (3:15) It says there are eight servings per container.

Jenny Smith (3:18) Do you want a little factoid right there with the carbs and the chips?

Scott Benner (3:21) I do.

Jenny Smith (3:22) You said 15 grams of carb. (3:24) Right?

Scott Benner (3:24) Mhmm.

Jenny Smith (3:25) And a serving is approximately 15 chips.

Scott Benner (3:28) Yep.

Jenny Smith (3:29) In general, a good rule of thumb, if you don't have a label, is a potato chip is about a gram a carb per chip.

Scott Benner (3:37) No matter what brand?

Jenny Smith (3:39) Again, this is a it's a generalization, a broad one. (3:41) But in in general, I mean, Lay's chips aren't teeny tiny chips. (3:45) They're all fairly uniform. (3:47) It's like ugly apples. (3:49) They don't put them out in the bag.

Jenny Smith (3:50) Right? (3:50) So all the chips are about the same size. (3:54) But in general, potato chips are about a gram of carbon chip. (3:57) And despite not talking about them, tortilla chips are about two, sometimes three grams of carb per chip.

Scott Benner (4:03) Oh, okay.

Jenny Smith (4:03) It's a little more dense, but just for potato chips purpose.

Scott Benner (4:06) Alright. (4:07) So I went and looked at ruffles just for fun. (4:10) And, yeah, total carbs, 15. (4:14) Mhmm. (4:14) Alright.

Scott Benner (4:15) So we look up and we say to ourselves, we're gonna have chips. (4:18) Now what do you think the biggest problem with chips is is that you don't eat 15 chips. (4:23) Right?

Jenny Smith (4:23) No. (4:24) No. (4:24) What's the what's the what's the Pringles fill kick? (4:27) It's once you pop, you can't stop.

Scott Benner (4:29) Oh, is that what they say? (4:30) That's awesome.

Jenny Smith (4:31) Think that's what they at least that's what they used to say. (4:33) It's like the Band Aid commercial. (4:34) Nobody knows anymore. (4:35) Right? (4:35) But, yes, I think you're correct.

Jenny Smith (4:37) Nobody unless they have the single serve bags, which is a very clear indication of what a single portion is.

Scott Benner (4:45) Mhmm.

Jenny Smith (4:45) Once you open that bag, it's very easy to keep grabbing.

Scott Benner (4:49) Yes. (4:49) I would think that is completely true. (4:51) I noticed this week we were away on vacation this week, and there was we sat at, like, kind of like a a bar and Mhmm. (5:02) Ordered, like, you know, like, fresh made chips from the bar. (5:05) I know for certain I ate 10 more when I was done by the time I was done with them.

Jenny Smith (5:10) I'm sure.

Scott Benner (5:10) Yeah. (5:10) They had, like, Parmesan cheese on top of them and, like, some like, they were

Jenny Smith (5:14) Those are some fancy chips.

Scott Benner (5:15) They were fancy chips.

Jenny Smith (5:16) Did you eat tomatoes with them, Scott?

Scott Benner (5:18) Jenny, I wanna tell you what I did this week. (5:20) You're gonna get me off track real quick. (5:22) Okay? (5:22) But in a previous episode, I what did I say? (5:25) I'd never had a tomato, and I've never had because I said I've never had salsa even.

Scott Benner (5:31) So I did I ate salsa this week. (5:34) And when there was a chunk of a tomato in it, I kept going. (5:39) So, technically, I've had a tomato now.

Jenny Smith (5:42) There you go.

Scott Benner (5:43) Was very, very spicy, and it was on a tortilla chip. (5:47) I just wanna point that out as well. (5:48) What else was there was something else this weekend I did. (5:50) I texted you about both things, didn't I?

Jenny Smith (5:53) You texted me the tortilla chips and the salsa, and I think you actually said salsa, check, or done or something like that.

Scott Benner (6:00) Yes. (6:00) I sent that back. (6:02) I said salsa, check. (6:03) And then Jenny sends back a picture of her salad that just literally has greens and a giant tomato in the middle of it that I know you probably ate like an apple. (6:11) I did that.

Scott Benner (6:11) Well, I also sent you a

Jenny Smith (6:13) Oh, you sent me a funny picture, which I didn't I forgot to respond to.

Scott Benner (6:17) It's a whole shelf of Velveeta cheese that I saw at the grocery store yesterday. (6:21) Just like it genuinely looks like a 100 maybe more boxes of Velveeta cheese covering four different shelves in different sizes. (6:29) I saw that. (6:30) Was like, that's funny. (6:30) I'll send it to Johnny.

Scott Benner (6:31) Okay. (6:31) So sorry about that. (6:33) Are

Jenny Smith (6:33) going Break down the to loaves chips.

Scott Benner (6:34) Yep. (6:35) So we're gonna we broke down the chips. (6:36) Right? (6:36) We know what the carbs are. (6:38) Why don't we say this time I'm gonna do something a little crazier.

Scott Benner (6:41) Let's say today that, you know, your blood sugar is a 150. (6:44) Right? (6:45) So you now you've looked up. (6:47) You're like, oh, I'm a 150. (6:49) I'm about to have 15 grams of chips.

Scott Benner (6:51) Hopefully. (6:52) Probably not. (6:53) So now you need to bolus for the number, the one fifty. (6:57) Right? (6:57) Right?

Scott Benner (6:57) Whatever your target is, you there's an amount of insulin that'll bring your one fifty that target. (7:01) That insulin goes in. (7:03) Insulin for the you know, if you're one to 10, right, 15 carbs is gonna be Right. (7:07) A unit and a half.

Jenny Smith (7:09) Right.

Scott Benner (7:10) And then, you know, we'll, you know, look at all the things. (7:13) Are we gonna be active? (7:14) Are we not? (7:15) I'm guessing if you're eating chips, it's possible you're gonna be inactive. (7:19) Chips are a sitting around thing, aren't they?

Jenny Smith (7:21) Unless they're served at, like, a picnic or a barbecue or, you know, that kind of thing, then maybe you're doing something after.

Scott Benner (7:27) Fair enough. (7:28) Fair enough. (7:28) So are we gonna be but is are chips a thing that you think activity would cut into, or are they gonna be a thing that are gonna be too sticky for activity to break?

Jenny Smith (7:39) They actually hold the activity from dropping you. (7:42) I mean, if you consider this this particular brand

Scott Benner (7:45) Mhmm.

Jenny Smith (7:45) This chip. (7:46) Right? (7:46) We have 10 grams of fat.

Scott Benner (7:49) Mhmm. (7:49) Yeah.

Jenny Smith (7:49) That's not light fat. (7:51) When we look at, you know, what's the total what's the total calories in this?

Scott Benner (7:55) $1.60 for the 15 chips.

Jenny Smith (7:57) One sixty. (7:58) So if you consider how many of the calories are coming from just fat

Scott Benner (8:04) Mhmm.

Jenny Smith (8:05) You're looking at nine calories per gram, which is 90 of these calories. (8:09) 90 of a 160. (8:11) That's more than 50% is coming from fat. (8:14) Mhmm. (8:15) Which means that they're going to be more let's call it stabilizing.

Scott Benner (8:20) Yeah. (8:21) Stabilizing. (8:21) Jenny's like, don't want it to be too positive of a word. (8:23) But yeah.

Jenny Smith (8:24) Yeah. (8:24) Yeah. (8:25) Yeah. (8:25) But more stabilizing. (8:26) So when you ask about activity, you may think, well, I am gonna be active after this, then maybe these will hold me a little bit better.

Jenny Smith (8:34) And I am not encouraging people to eat Lay's chips to be stable in exercise. (8:38) I just wanna make that very clear.

Scott Benner (8:40) Just being we're just trying to talk about the chips for a moment.

Jenny Smith (8:42) Just talking about the chips. (8:43) Yes. (8:43) But it's a good consideration now for those who aren't going to be let's say, you're lounging around and it's, you know, a cookout and you're just the one you like to sit in your lawn chair and talk to whoever's there. (8:54) Mhmm. (8:54) Then you might actually find that bolus thing just for the carbs, especially if you have more than just the 15 chips

Scott Benner (9:01) Mhmm.

Jenny Smith (9:02) You're likely to stay maybe stock Yeah. (9:06) Higher.

Scott Benner (9:07) I mean, this is also could be a situation where the chips are going with beer. (9:10) Right? (9:11) That could be another thing. (9:12) Yeah. (9:13) So anyway burgers

Jenny Smith (9:14) or yes.

Scott Benner (9:15) So but but anyway, let's taking it back to just I grabbed a bag of chips.

Jenny Smith (9:19) Mhmm.

Scott Benner (9:19) Understand what your activity is gonna be afterwards. (9:22) That could impact how much insulin you're gonna use. (9:24) Right. (9:25) Time of day sensitivity, other factors like that that we're gonna look at. (9:29) Now, pre bolus thing.

Scott Benner (9:30) Here's one where I mean, no person in the world I don't have diabetes, and I have so much compassion for pre bolus thing. (9:38) You have no idea, especially as, you know, my daughter gets older and I can see her, you know, becoming more and more, like, of a I don't know. (9:45) An adult, has more things to do. (9:47) Right? (9:47) Yeah.

Scott Benner (9:48) It's hard to remember to pre bolus. (9:49) I understand. (9:50) But you don't pre bolus a potato chip. (9:52) It's gonna grab you pretty quickly, and you're gonna be fighting with it then for hours afterwards.

Jenny Smith (9:57) So And that's frustrating given what we just talked about with the fat.

Scott Benner (10:00) Yeah. (10:01) Yeah.

Jenny Smith (10:01) For sure. (10:02) But if you go back to some of the nutrition episodes that we did Mhmm. (10:07) You'll understand that the more processed something is like, we're not talking about this being a baked potato with a spoonful of butter on top.

Scott Benner (10:16) Right.

Jenny Smith (10:17) We're talking about something that's, like, processed potato flakes.

Scott Benner (10:21) Maybe.

Jenny Smith (10:22) May maybe. (10:23) Yes. (10:25) It started out as a potato at some point in its life, and now we have something that's a chip. (10:31) It's flavorful. (10:32) It's got fat.

Jenny Smith (10:33) It crunches. (10:34) It's got salt. (10:35) They do it the right way. (10:36) That's why you don't just eat 15 of them. (10:38) Yeah.

Jenny Smith (10:38) But in the long run, you have a two sided effect here. (10:43) If you don't pre bolus, you are going to get a rise eating again just the potato chips, but then you may have a lingering effect from the fat. (10:53) There's not a heck of a lot of I mean, I'd almost call these void of protein. (10:57) There's nothing valuable protein wise here.

Scott Benner (10:59) Yeah.

Jenny Smith (10:59) But the fat definitely is gonna linger.

Scott Benner (11:02) Mhmm. (11:02) Yeah. (11:03) I mean, potatoes, vegetable oil, canola, corn, soybean oil, and or sunflower oil, salt. (11:09) Mhmm. (11:09) That's it.

Scott Benner (11:10) So it's more of the processed nature of it that's

Jenny Smith (11:13) It is.

Scott Benner (11:14) Yeah. (11:14) And then you're getting the fat from the

Jenny Smith (11:16) oils. (11:17) Yes.

Scott Benner (11:17) Okay. (11:18) Alright. (11:18) So you process the potato, that makes it more difficult for your body to process. (11:22) You add a bunch of oil, it slows down your digestion, makes it even more difficult again. (11:27) Then you run into the idea that when you get to 15 chips, you're like, that was a nice appetizer.

Scott Benner (11:32) I'm gonna just grab a handful of chips next time. (11:35) And now you're doing the blind, like, 45 carbs. (11:38) What is 45 everyone's number, by the way? (11:41) Yeah.

Jenny Smith (11:42) I kind of funny. (11:43) It's they're round numbers. (11:44) If you look at enough records like I do

Scott Benner (11:47) Mhmm.

Jenny Smith (11:48) You'll definitely be able to see sure. (11:51) Some things are even five, ten, 15. (11:54) Most things are not.

Scott Benner (11:55) Mhmm.

Jenny Smith (11:56) Most things are, like, eighteen, twenty three. (11:59) 28 is a very common carb count on lots of different foods.

Scott Benner (12:04) Yeah.

Jenny Smith (12:04) Right? (12:05) But you can definitely tell

Scott Benner (12:07) Mhmm.

Jenny Smith (12:08) That, this was just an estimate. (12:10) It's like, 45, 45, 45 for each meal. (12:13) No. (12:14) Probably not, but good guess.

Scott Benner (12:16) Arden's give up number is 45. (12:18) So I wonder how many other people's is just like, this is 45. (12:21) I saw her do it yesterday, and I thought, this is not 45. (12:24) This is probably more. (12:26) But moreover, the bigger problem was is that it was a sit down bolus eight, five minutes later.

Scott Benner (12:31) And I was like, this is not gonna go well. (12:34) And in the end, hours later, that bolus missed by four units, I think. (12:40) That's a fairly sick significant amount. (12:43) Yeah.

Jenny Smith (12:43) Yeah. (12:43) Yeah.

Scott Benner (12:43) So, anyway, I'm not telling you to like, I know people are like, look. (12:47) I don't count my carbs, but, like, you gotta guess you gotta guess right. (12:50) So I think Fairly close. (12:52) Yeah. (12:52) Yeah.

Scott Benner (12:52) So pre bolus these chips if you can because if not, you're gonna fight with them and maybe be honest with yourself about how many you're gonna eat so that you can get that insulin in upfront.

Jenny Smith (13:02) Right. (13:03) Yeah. (13:03) Absolutely.

Scott Benner (13:04) Do you have a favorite potato chip?

Jenny Smith (13:06) Like, brand wise, nothing.

Scott Benner (13:07) No?

Jenny Smith (13:08) Well, I can't actually say it was probably two weeks ago we were gonna get some food to have at the pool for an evening dinner and, like, swim.

Scott Benner (13:18) Mhmm.

Jenny Smith (13:20) So I made some sandwiches, and the boys always they they want chips. (13:24) Like, if they could pick, they would have picked chips probably every single day of their life because, you know, who wouldn't? (13:30) So I stopped at the grocery, and I did pick up I think it was the Boulder brand.

Scott Benner (13:35) Boulder?

Jenny Smith (13:36) Because they're made with avocado oil.

Scott Benner (13:39) Oh, okay. (13:41) Does that did you eat any of them?

Jenny Smith (13:43) I did. (13:43) They were they I mean, from a potato chip aspect, I don't like something that's gonna melt in my mouth, and they, like, they tasted

Scott Benner (13:51) They crunched.

Jenny Smith (13:52) They crunched, and they had, like, substance to them.

Scott Benner (13:56) Mhmm.

Jenny Smith (13:57) So, yes, avocado oil or I know there are some brands that use, olive oil as well.

Scott Benner (14:04) Okay.

Jenny Smith (14:05) But I think that was the brand that I got, if I remember correctly.

Scott Benner (14:08) Okay. (14:08) Alright. (14:09) Alright. (14:09) There Jenny's endorsing.

Jenny Smith (14:11) There there you go. (14:12) Jenny ate potato chips. (14:13) That's what you can call this episode. (14:14) Alright.

Scott Benner (14:15) I'll see you later.

Jenny Smith (14:17) Thanks.

Scott Benner (14:26) In each episode of the bolus four series, Jenny, Smith, and I are gonna pick one food and talk through the bolus thing for that food. (14:35) We hope you find it valuable. (14:37) Generally speaking, we're gonna follow a bit of a formula, the meal bolt formula, m e a l b o l t. (14:45) You can learn more about it at juiceboxpodcast.com/meal-bolt. (14:51) But here's what it is.

Scott Benner (14:52) Step one, m, measure the meal. (14:57) E, evaluate yourself. (15:00) A, add the base units. (15:02) L, layer a correction. (15:06) B, build the bolus shape, o, offset the timing, l, look at the CGM, and t, tweak for next time.

Scott Benner (15:15) In a nutshell, we measure our meal, total carbohydrates, protein, fat, consider the glycemic index and the glycemic load. (15:24) And then we evaluate yourself. (15:26) What's your current blood sugar? (15:27) How much insulin's on board? (15:28) And what kind of activity are you gonna be involved in or not involved in?

Scott Benner (15:32) Do have any stress, hormones, illness? (15:35) What's going on with you? (15:37) Then a, we add the base units. (15:39) Your carbs divided by insulin to carb ratio, just a simple bolus. (15:44) L, layer of correction.

Scott Benner (15:45) Right? (15:47) Do you have to add or subtract insulin based on your current blood sugar? (15:50) Build the bolus shape. (15:52) Are we gonna give it all upfront, a 100% for a fast digesting meal, or is there gonna be like a combo or a square wave bolus? (15:59) Does it have to be extended?

Scott Benner (16:01) Offset the timing. (16:02) This is about pre bolusing. (16:04) Does it take a couple of minutes this meal or maybe twenty minutes? (16:08) Are we gonna have to again consider combo square wave boluses and meals? (16:13) Figure out the timing of that meal.

Scott Benner (16:15) And then l, look at the CGM. (16:18) An hour later, was there a fast spike? (16:20) Three hours later, was there a delayed rise? (16:22) Five hours later, is there any lingering effect from fat and protein? (16:26) Tweak.

Scott Benner (16:28) Tweak for next time, t. (16:30) What did you eat? (16:31) How much insulin and when? (16:33) What did your blood sugar curve look like? (16:36) What would you do next time?

Scott Benner (16:38) This is what we're gonna talk about in every episode of bolus four. (16:43) Measure the meal. (16:44) Evaluate yourself. (16:45) Add the base units. (16:46) Layer a correction, build the bolus shape, offset the timing, look at the CGM, tweak for next time.

Scott Benner (16:52) But it's not gonna be that confusing, and we're not gonna ask you to remember all of that stuff. (16:57) But that's the pathway that Jenny and I are gonna use to speak about each bolus. (17:05) Hey. (17:05) Thanks for listening all the way to the end. (17:07) I really appreciate your loyalty and listenership.

Scott Benner (17:10) Thank you so much for listening. (17:12) I'll be back very soon with another episode of the Juice Box podcast. (17:16) The episode you just heard was professionally edited by Wrong Way Recording. (17:21) Wrongwayrecording.com.

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#1739 Smooth Operator - Part 2

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

Claire shares her story of being diagnosed with Type 1 diabetes at age 29 during her lunch break, only to board an international flight to Australia just days later. A long-time listener of the podcast, Claire discusses how she utilized the "Pro Tip" series and Jenny Smith’s book to prepare for a healthy pregnancy.

+ Click for EPISODE TRANSCRIPT

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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.

Claire (0:10) I'm Claire, and I've had type one diabetes for ten years. (0:13) I'm really excited to talk today.

Scott Benner (0:18) Friends, we're all back together for the next episode of the Juice Box podcast. (0:21) Welcome. (0:22) Please don't forget that nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (0:28) Always consult a physician before making any changes to your health care plan or becoming bold with insulin. (0:42) Alright.

Scott Benner (0:42) Let's get down to it. (0:43) You want the management stuff from the podcast. (0:45) You don't care about all this chitting and chatting with other people. (0:48) Juiceboxpodcast.com/lists. (0:52) They are downloadable, easy to read, every series, every episode.

Scott Benner (0:57) They're all numbered. (0:58) Makes it super simple for you to go right into that search feature. (1:01) In your audio app, type juice box one seven nine five to find episode one seven nine five. (1:08) Juiceboxpodcast.com/lists. (1:24) I'm having an on body vibe alert.

Scott Benner (1:27) This episode of the Juice Box podcast is sponsored by Eversense three sixty five, the only one year wear CGM. (1:35) That's one insertion and one CGM a year. (1:38) One CGM, one year. (1:41) Not every ten or fourteen days. (1:43) Ever since cgm.com/juicebox.

Scott Benner (1:46) This episode of the Juice Box podcast is sponsored by US Med. (1:51) Usmed.com/juicebox, or call (888) 721-1514. (1:57) Get your supplies the same way we do from US Med. (2:01) Today's episode is sponsored by the Tandem Mobi system with Control IQ plus technology. (2:06) If you are looking for the only system with auto bolus, multiple wear options, and full control from your personal iPhone, you're looking for Tandem's newest pump and algorithm.

Scott Benner (2:17) Use my link to support the podcast, tandemdiabetes.com/juicebox. (2:22) Check it out.

Claire (2:23) I'd say the first trimester first trimester, I kinda knew I was pregnant before I took the test just based on my CGM. (2:31) I was like, little insulin resistant today. (2:34) Mhmm. (2:35) So that was kinda cool. (2:38) So I immediately had changed my settings and just kinda increased my basal a little bit to compensate for that, reached out to my endo.

Claire (2:47) And I was seeing her the next week anyway, so it's perfect. (2:49) So went in, made some adjustments, and she basically just kinda cranked everything up a little bit

Scott Benner (2:53) Yeah.

Claire (2:53) To help with the resist the little bit of increased resistance I was having and to make sure I'm hitting those tighter goals.

Scott Benner (2:59) Mhmm.

Claire (3:00) And then we were keeping it a secret at first, which, you know, can everybody's probably gonna do it a little differently. (3:07) We kept it a little secret at first. (3:10) We wanna get all that blood work back. (3:12) We wanted to try and tell our family in person. (3:14) It was still very, you know, much COVID times.

Claire (3:18) So we were able to tell our family on Mother's Day. (3:22) And I think I was about ten weeks pregnant at that time. (3:27) And then I just was trying to be very cautious with what I was eating, count my carbs, know what I was eating, all that stuff, using all the tips and tricks I had, you know, previously read about and researched and experimented with. (3:42) Yeah. (3:43) But the first trimester wasn't too crazy.

Claire (3:46) Mhmm. (3:46) But then in that second trimester, it's probably around, like, eighteen weeks, give or take. (3:52) It just it was like Jenny says, you know, that roller coaster cranking up, cranking up, cranking up. (3:58) But I had a great team. (3:59) I had my OB, my high risk doctor, and my endo.

Claire (4:03) And the three of them are familiar with each other because, you know, they all work in the area. (4:08) My high risk doctor and my OB actually went to med school together.

Scott Benner (4:12) Okay.

Claire (4:13) And then my endo kind of led all the blood sugar insulin stuff. (4:18) Because I've heard a couple episodes where, you know, one person's driving. (4:22) One of those three doctors is driving, you know, the the changes insulin needs and, you know, all the changes. (4:29) But for me, it was my endo. (4:30) So every two weeks, we would connect through the messenger app.

Claire (4:36) She would review my log or she would review my CGM, all my pump data, everything, and then send me a message back with adjustments. (4:44) And then once a month, I would meet with her. (4:46) So I was making adjustments at least every two weeks. (4:50) And then anytime I would see a pattern change for two days instead of three or more, I would make adjustments accordingly.

Scott Benner (4:57) Okay.

Claire (4:57) So it just kept going up, up, up, up, up.

Scott Benner (5:01) How were you about I'm sorry. (5:02) How were you guys how were you guys connecting? (5:04) Was it texting? (5:05) Were you doing a portal? (5:07) How does phone

Claire (5:08) Message yeah. (5:08) Messaging through the portal. (5:10) Mhmm. (5:10) And then once a month I think at first, I was going in person and then we were doing virtual appointments where she would again review my data and we would talk in person.

Scott Benner (5:19) Okay.

Claire (5:20) So I was just in very close contact with her. (5:23) And as soon as anything went funky, I would just reach out and immediately get a response. (5:28) I remember I went into work. (5:31) I was 36. (5:33) I was, I think, right at thirty six weeks.

Claire (5:34) Went into work, and I my blood sugar just kept crashing. (5:38) And I was like, I don't think this is a good thing. (5:41) Now Jenny's book, she talks about it. (5:43) Must have missed that part. (5:45) But at thirty six weeks, your insulin needs kind of plateau or even dip.

Claire (5:50) So I reached out to my endocrinologist, and they called me right back. (5:54) And she was like, yep. (5:55) This is typical. (5:56) Just I think I decreased my basal 10%. (5:59) Everything leveled out.

Claire (6:00) It was fine. (6:02) So I was like, man, I didn't take Jenny's book to work today. (6:05) Should've.

Scott Benner (6:06) Why does that happen why does that happen at thirty six weeks? (6:09) Do you know?

Claire (6:10) I think it's I mean, Jenny would know. (6:15) But it's something about, like, everything kinda just settles out. (6:19) Like, I don't think it's and it all kinda goes back to the placenta. (6:22) I think a lot of that insulin resistance is from the placenta. (6:26) But I think everything just kinda, like, starts to settle out, level out, and your needs sometimes almost dip.

Claire (6:31) I don't know. (6:32) But at first, I was, like, worried that something was wrong. (6:35) Like, why why is this dropping?

Scott Benner (6:37) Mhmm.

Claire (6:38) But once I found out that it it was typical, expected, and the change was made and everything leveled out, then I was that was okay. (6:45) And my baby was moving fine too, so I was monitoring that too.

Scott Benner (6:49) Well, ironically, because eventually AI will stop us from needing to make babies, but it seems to know about this. (6:55) Let's check into it for a second. (6:58) Why insulin needs drop around thirty six weeks. (7:01) A shift can occur where insulin requirements plateau or even drop. (7:05) The main reasons would be, one, placental changes.

Scott Benner (7:07) As the placenta begins to age or mature towards the end of pregnancy, production of those insulin resisting driving hormones may decline. (7:15) Less placental hormone equals less insulin resistance equals lower insulin needs. (7:21) Fetal glucose use, the baby is growing rapidly and using more glucose directly from the mother's circulation. (7:27) That extra uptake by the fetus can reduce maternal blood sugar levels, again, lowering insulin demands. (7:33) And this one's listed as a clinical concern, early placental insufficiency.

Scott Benner (7:38) In some cases, a sudden and sharp drop in insulin needs can signal placental insufficiency, which is the placenta not functioning well. (7:45) That's why obstruction, obstetrics teams usually monitor closely if insulin requirements fall rapidly. (7:52) It can be an early red flag. (7:54) Practical takeaways are a modest reduction in insulin around thirty six weeks is common. (7:58) Normal physiological change and a dramatic drop should always be reported to the care team.

Scott Benner (8:03) There you go.

Claire (8:04) There we go.

Scott Benner (8:05) Nice. (8:06) And yeah. (8:06) And then one day, like, you'll we'll grow babies in labs, and AI will take care of all of it for us, and none of this will be important when it takes over and then turns us into the the machines that run the world.

Claire (8:16) But who's gonna name the babies?

Scott Benner (8:18) Well, if I can gain control, they'll all be named Scott.

Claire (8:22) Yeah. (8:23) If

Scott Benner (8:24) if my cult here's the plan. (8:26) I start a cult based around people taking care of their diabetes well. (8:29) Then, eventually, I get some coders in there. (8:31) We develop our own AI, and one day, we're can you imagine? (8:35) By the way, I I I if if any of are worried about AI, I I understand.

Scott Benner (8:39) And if any of you are excited about it, I understand too. (8:41) I'm very much hopeful that we fall somewhere in the middle where we're not slaves to computers, but yet it's helping us in different ways.

Claire (8:48) Yeah. (8:49) Mhmm.

Scott Benner (8:49) I I was listening to somebody talk about, medical research the other day. (8:54) And they said in their lab where they're researching, you know, a thing, that most of the people in that lab prior to AI would be people who were compel you know, compiling data and, you know, just making models so they could try to hopefully figure something out, then they'd end up calling, you know, somebody else that they know and said, hey. (9:14) Have you ever seen this? (9:15) Like, it was a very, like like, that kind of process. (9:18) And now those people, well, here's the downside of it.

Scott Benner (9:22) Those people don't have a job in the lab anymore. (9:24) But Oh, yeah. (9:25) But Yeah. (9:25) The AI is is doing the compilation. (9:29) And then how did he put it?

Scott Benner (9:31) He said, and then it considers things that would take me years of sitting there banging my head against the desk to see the the the the connections between it sees the connections in, like, a couple of hours and, and made it sound very hopeful. (9:46) And so I was like, awesome. (9:47) So, hopefully, that's the way I hope it goes, nevertheless. (9:50) Yeah. (9:50) Yeah.

Scott Benner (9:51) Although, in my mind, I just see that the the, the robot smashing the the skulls at the beginning of the Terminator movie. (9:58) So I'm

Claire (10:01) thinking of Spider Man with great power comes great responsibility. (10:05) Mhmm. (10:05) You can use it for good or for evil.

Scott Benner (10:07) Yeah. (10:08) And someone's gonna do one and someone's gonna do the other for sure. (10:10) Like, for every person who's out there, like, I wonder if it could help us compile data faster so that we could learn about medical advances. (10:16) There's someone else who's thinking, I wonder how I could get it to steal someone's money for me or house or, say, something like that. (10:23) Well Yeah.

Scott Benner (10:24) People. (10:24) What are you gonna do, Claire? (10:26) That that little kid you're raising over there, he could go either way. (10:28) We don't even know yet.

Claire (10:29) No. (10:30) Do you

Scott Benner (10:30) ever think about that? (10:31) Do you ever think about that? (10:32) Like, you could be raising a bank robber or, you know, somebody who's out helping people.

Claire (10:40) I think he'll be a helper. (10:41) Yeah. (10:42) He'll be a helper.

Scott Benner (10:42) Hope so. (10:43) It's nice. (10:43) I wonder if the people know. (10:45) Like, I'd like to get the people whose kids ended up being bank or bank is bank robber or real thing. (10:49) I'm saying something like it's 1965.

Scott Benner (10:52) But I wonder if somebody whose kid, like, grew up to do something like that. (10:56) I wonder if you could get an honest answer from them and say, hey. (10:58) When they were five, did you think this kid's gonna grow up to be a criminal? (11:02) Like, did you know? (11:03) You know what I mean?

Scott Benner (11:04) I'd love to know that.

Claire (11:05) Yeah. (11:06) Alright, Claire. (11:08) We've lost the threat. (11:09) Some there are probably some small signs.

Scott Benner (11:11) Small signs. (11:12) I'm like she's like, do not bum me out about my three year old. (11:14) He's awesome. (11:15) Stop it. (11:17) I'm thinking that.

Scott Benner (11:18) Claire, right now, she's like, oh my god. (11:20) He's gonna use heroin and rob banks? (11:21) That's not what I no. (11:25) Okay. (11:25) So you get that you get that drop at thirty six weeks.

Scott Benner (11:29) You you make your adjustment, and then how does it proceed from there?

Claire (11:33) So listening to the podcast episodes, I was like, okay. (11:36) Do I wanna manage my own blood sugar during labor and delivery or not? (11:40) Mhmm. (11:40) So, the plan was to induce it thirty nine weeks, which is, you know, the recommendation to anyone who's well controlled. (11:47) We're gonna induce you at thirty nine weeks.

Claire (11:49) They didn't wanna let it go on too long and risk placental failure. (11:52) That was, like, their concern about letting me go longer than thirty nine weeks. (11:56) Mhmm. (11:57) So I was like, okay. (11:58) Let's go with the plan.

Claire (11:59) And, you know, when I hit active labor, I was like, you know what? (12:04) I'm gonna I'll turn over the blood sugar control to you guys. (12:07) Because in my mind, was like, IV insulin's gonna work faster than subcutaneous, and I don't wanna be high. (12:14) So I was like, okay. (12:15) I'll turn it over to to you guys and, you know, one less thing for me to worry about.

Claire (12:18) That was my that was my plan. (12:20) Once we get there, I was managing my blood sugars during the early phases of labor all on my own, you know, at my I was wearing a Dexcom. (12:29) I was in manual mode. (12:31) This is before the Omnipod five algorithm existed.

Scott Benner (12:34) Mhmm.

Claire (12:35) I still was on my 10% decrease basal. (12:38) I think once I hit active labor, I actually had to drop it more because just all that energy expenditure of labor was bringing me low. (12:46) Anyway, so I'm, you know, I'm monitoring, managing, doing everything fine. (12:49) And my OB walks in, and she's like, are you you sure you wanna pass control over to us?

Scott Benner (12:55) Your your OB is like, you're doing a great job here. (12:57) Like She she did. (12:58) Yeah. (12:59) Yeah.

Claire (12:59) Actually she empowered me. (13:00) She's like, look. (13:00) You've been doing a great job so far. (13:02) Like, why don't you just keep doing it yourself? (13:04) And, you know, you can always change your mind.

Claire (13:05) You have ID access. (13:06) We can switch you over. (13:08) No big. (13:09) And I was like, really? (13:11) Like, you think I can do it?

Claire (13:12) Well, yeah. (13:13) You're right. (13:13) Like, I've I've been doing all of this myself here, and it's going really well. (13:18) I mean, my blood sugars are great between, like, 70 and a 100. (13:22) Mhmm.

Claire (13:23) And I was like, well, what's my blood sugar now? (13:25) 70. (13:26) I was like, well, what's your what would you do now? (13:29) Like, what's your protocol? (13:29) And I'm like, well, your blood sugar's only 70.

Claire (13:32) So we wouldn't give you any insulin. (13:33) I was like, wait a second. (13:34) You're not gonna give me any insulin? (13:36) I'm not gonna stay at 70. (13:37) I was like, yep.

Claire (13:37) Okay. (13:38) I got it. (13:38) I got it. (13:39) You guys, you do your job. (13:41) I'll do mine.

Claire (13:42) We're cool. (13:42) Got it.

Scott Benner (13:43) Nice. (13:44) Hey. (13:44) And worked out well?

Claire (13:45) It worked out really well. (13:47) There was only one minor problem.

Scott Benner (13:50) Mhmm.

Claire (13:50) But this is a great story. (13:52) So what happened?

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Claire (16:01) Eventually, my labor stalled and my doctor was like, okay. (16:04) I'm gonna give you an hour. (16:06) But if I come back in an hour and things are not ready to go, we're I would highly recommend a c section because I think if we just keep delaying it, we're delaying the inevitable. (16:16) I was like, okay. (16:17) Got an hour.

Claire (16:18) So in that hour, trying to, like, relax, keep it together, Look at my husband. (16:24) I'm like, okay. (16:25) You are gonna have to change my insulin pump settings for me when the time comes because I had my you know, all my prepregnancy settings, like, ready to go on my Omnipod and my PDM. (16:38) I was like, alright. (16:39) So take this in to the OR in your pocket.

Claire (16:41) And, you know, once the baby comes, we're all excited. (16:44) We're all happy. (16:45) Once the placenta's out, so we're gonna assume that happens, like

Scott Benner (16:49) oh. (16:50) Oh, where'd you go?

Claire (16:52) Sorry.

Scott Benner (16:52) No. (16:52) It's okay.

Claire (16:55) Speaking of, speaking of, what is it? (17:00) AI. (17:01) There goes my Amazon Alexa. (17:04) Okay. (17:04) So so my doctor says that, you know, I'm gonna come back in an hour.

Claire (17:10) Probably gonna need a C section. (17:12) If we keep delaying it, you know, an hour at a time, keep checking it every hour, she's like, think we're just delaying the inevitable.

Scott Benner (17:19) So You should have had your husband pinch your nose and blow into your mouth.

Claire (17:23) I I was trying anything. (17:24) Mentally, I was like, try and relax. (17:26) Like, baby, move. (17:28) Like, let's go. (17:31) But to me, c section wasn't the end of the world.

Claire (17:34) My my labor and delivery plan was I want the epidural, and I don't want my kid to get stuck on the way out. (17:39) Mhmm. (17:39) So as long as we accomplish those goals, we're good. (17:43) So I had epidural on board, you know, kind of mentally preparing. (17:47) Okay.

Claire (17:47) This might end in a c section. (17:48) But I had all my pre pregnancy settings and everything, like, ready to go on my Omnipod. (17:54) I just knew I had to switch it, and I knew how to switch it once the placenta was out since that was, like, the main driver of all the insulin resistance. (18:02) So so I turned to my husband, like, okay. (18:06) Here's my PDM.

Claire (18:07) Let me talk you through how to change it. (18:10) Okay. (18:10) You ready? (18:11) You're good? (18:11) Alright.

Claire (18:12) We're all good. (18:13) So I go in the OR first, and then he comes in right after me. (18:16) I'm like, you got the PDM? (18:17) He's like, yep. (18:18) Cool.

Claire (18:19) I actually feel terrible by this point. (18:22) Like, it's just been a long time, a lot of drugs. (18:24) I'm exhausted. (18:26) And I'm laying on the OR table, and I'm like, oh my gosh. (18:29) I'm gonna I'm gonna throw up.

Claire (18:30) I'm laying on my back. (18:31) I I can't throw up right now. (18:32) This is the best moment my life, but I feel like I'm gonna throw up. (18:35) So I was a I was a mess. (18:37) But my husband's there.

Claire (18:38) He had the PDMs. (18:39) We're good to go. (18:40) And then, you know, they're like, he's coming. (18:42) He's coming. (18:43) Baby comes out.

Claire (18:44) He's crying. (18:45) Looks great. (18:46) I can see him. (18:48) My husband goes over to him. (18:51) And then I'm like, hubby, you got you gotta change that.

Claire (18:54) You gotta change the the settings. (18:56) And I can barely talk because I feel like if I open my mouth, I'm just gonna, like, throw up

Scott Benner (18:59) everything. (19:00) Yeah.

Claire (19:01) And he gets if anybody's familiar with Omnipod five in manual mode, I had a temp Bazel running. (19:07) And when you have a temp Bazel running, you get an error message when you try and change your profile settings.

Scott Benner (19:13) Mhmm.

Claire (19:14) So here's my husband getting this error message. (19:16) He's never seen it before. (19:17) I haven't seen it in a long time. (19:19) And when we practiced him switching it over, he didn't actually hit go. (19:23) So neither of us anticipated this error message coming up.

Claire (19:26) And I can't talk because I'm gonna throw up if I open my mouth. (19:29) So I just grab my PDM from him with my left hand. (19:32) I'm right handed. (19:33) So with my nondominant hand, I change my insulin pump settings on the OR table.

Scott Benner (19:39) I would love to clip out this, like, five minutes and make, like, eighteen to 23 year old girls listen to it to hear you go. (19:46) It was the best moment of my life because they're probably like, oh my god. (19:49) What is they'd be like, what is happening to this woman?

Claire (19:52) Yeah.

Scott Benner (19:52) How is she describing this as the best moment of her life? (19:55) Oh my god. (19:56) Did he think you were mad at him?

Claire (19:59) No. (19:59) No. (19:59) He was just like he had this panicked look, like, I don't know what to do, and I literally was afraid if I opened my mouth to say anything

Scott Benner (20:07) Vomit was coming with it.

Claire (20:08) Yeah. (20:08) Yeah. (20:08) And I'm like, I probably shouldn't throw up when I'm flat on my back, and I probably shouldn't move because I'm on an OR table.

Scott Benner (20:14) Plus, I don't wanna dirty the, the memory. (20:17) You know what I mean? (20:18) Yeah.

Claire (20:20) But, anyway, so that was probably the second coolest moment of my entire life. (20:25) Was like, that was pretty badass. (20:26) Like, I just grabbed it, swiped it, and did it. (20:29) No. (20:30) I just think he was just, like he was, oh my gosh.

Claire (20:32) I had one job. (20:33) I don't know what I'm doing. (20:34) Like, what is this error message? (20:36) Yeah. (20:36) Just, like, moment of panic and

Scott Benner (20:38) there was, If like if and I can lend some perspective as a person who's been married longer than you. (20:43) Never mention it. (20:45) It'll just it'll loom large for him. (20:48) And then one day when you see his confidence come back and you realize he's forgotten about it, that's when you bring it up. (20:55) I don't have time.

Scott Benner (20:56) Yeah. (20:56) Yeah. (20:56) You have plenty of time to use this as a psychological manipulation is what I'm saying, if that's what your goal is. (21:02) No. (21:03) No.

Scott Benner (21:03) Because look at how nice you are. (21:04) People are like, god. (21:05) This guy's wife must be terrible. (21:06) She's not. (21:07) She's just Catholic and you know?

Claire (21:11) It was just so it was just so funny because in that moment, it was like, we had just you know, our son's born. (21:17) He's happy. (21:17) He's health well, he was healthy.

Scott Benner (21:20) Yeah. (21:20) You know if he was happy or not.

Claire (21:22) Yeah. (21:22) We don't know. (21:23) He was probably like, what the heck? (21:24) It's cold out here. (21:25) Pull me back.

Scott Benner (21:25) Yeah. (21:25) No clue.

Claire (21:26) But but it was just like this moment of, like, sheer panic on his part. (21:32) What's going on Slash. (21:33) I was like, I don't know what else to do. (21:35) Let me do it myself. (21:36) And I was like, wait.

Claire (21:37) I just changed my insulin pump settings while I'm lying on an OR table. (21:40) Was like, that was pretty cool.

Scott Benner (21:41) Yeah. (21:41) That's that's really awesome. (21:43) It felt empowering.

Claire (21:44) Oh, yeah. (21:45) Yeah. (21:45) I can do anything.

Scott Benner (21:46) I can do anything. (21:47) But then how long was it until you're like, I don't wanna do anything. (21:50) I'm gonna stop. (21:51) Because there's a moment where you're like, I'm exhausted. (21:53) There's a lot going on here.

Scott Benner (21:55) Where does your a one c and your goals change to? (21:58) How long do they stay there before you say to yourself, you know what? (22:01) Screw this. (22:01) I can I can be that healthy, like, forever if I wanna be?

Claire (22:05) Yeah. (22:06) Probably gosh. (22:08) There's just so much going on and so many changes occurring, like, day to day, week to week. (22:13) There was probably once I got back more in, like, a rhythm and a routine, probably, like, back to work. (22:19) And not, like, right back to work because that was that was a rough reentry.

Claire (22:22) But maybe when my son was about, like, six months old, I was like, okay. (22:24) I feel like we've got a little bit of rhythm, a little bit of routine. (22:27) My blood sugars are a little bit more understandable. (22:31) They're not quite so crazy. (22:34) But I was like, okay.

Claire (22:35) Like, I can I think I can do this? (22:38) And then Omnipod five had come out, and I I liked the idea of having that, kinda like that assistant to your blood sugar. (22:47) Right? (22:47) You've got you know, so a lot of adjustments going around in the background that you don't have to, like, mentally think about. (22:52) Mhmm.

Claire (22:53) So I was like, that sounds great. (22:54) Like, if I could get better control with a little more automation, that sounds perfect.

Scott Benner (22:59) Hey. (22:59) I wanna let people know you I think you did misspeak at one point telling the labor story where you said OmniPod five, but you were not using OmniPod five during the delivery. (23:07) Right? (23:07) I have always disliked ordering diabetes supplies. (23:11) I'm guessing you have as well.

Scott Benner (23:13) It hasn't been a problem for us for the last few years, though, because we began using US Med. (23:18) You can too. (23:20) Usmed.com/juicebox or call (888) 721-1514 to get your free benefits check. (23:28) USmed has served over one million people living with diabetes since 1996. (23:32) They carry everything you need from CGMs to insulin pumps and diabetes testing supplies and more.

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Scott Benner (24:04) That's usmed.com/juicebox or call (888) 721-1514.

Claire (24:12) Correct.

Scott Benner (24:13) Right.

Claire (24:13) I might have missed that.

Scott Benner (24:14) Yeah. (24:14) That's all. (24:14) I just wanna make sure because so it doesn't confuse people. (24:16) That's all.

Claire (24:17) Yeah. (24:17) I was on Omnipod, but in the plain old regular

Scott Benner (24:23) Using a dash and manual?

Claire (24:25) Yeah. (24:25) Manual. (24:26) Okay. (24:26) Mhmm. (24:29) So then I did that for a little while, and I still wasn't quite getting the results that I wanted.

Claire (24:37) My a one c has been really good and fine. (24:41) I've been in the sixes ever since my son was born. (24:45) But I think it's, like, it's this very interesting place I'm in now where, like, I kind of come up for air. (24:51) My son's a little older. (24:52) Come up for air.

Claire (24:53) I'm, like, kinda, like, okay. (24:54) I think I can handle a little bit more control. (24:58) I can handle a change. (24:59) I can handle, like, a little bit more interaction Mhmm. (25:04) With my diabetes because I want better control.

Claire (25:08) And even though my a one c is coming out good, fine, passing on, you know, medical standards, I still see these big fluctuations or stubborn highs. (25:19) And I'm, like, getting really frustrated with that. (25:21) Because I'm like, I know I can do better. (25:22) I know I feel better. (25:24) You know, I felt so good when I was pregnant, but I also put in so much effort.

Claire (25:28) Like, can I kind of find something in between here?

Scott Benner (25:31) Yeah.

Claire (25:31) So all the AID systems are, you know, coming out and, you know, everybody's upgrading and leveling up and this and that. (25:39) So I was like, okay. (25:40) Like, let me try. (25:41) I've I had Omnipod, and I really didn't want a tube because I'd never had a tube. (25:46) So I was like, alright.

Claire (25:47) I'm sticking with Omnipod or maybe looping, but just the idea of looping was just so overwhelming. (25:54) I was like, oh my gosh. (25:54) I can't I can't can't build anything. (25:57) I can, like, barely get my Apple products to work. (25:59) So so, actually, I met with Jenny through IDS.

Claire (26:03) I did a one time consultation. (26:06) I met with Jenny, and I was, like, kind of, you know, this Omnipod five algorithm isn't giving me what I want. (26:14) You know, I don't have enough options in there. (26:16) You know, it's doing so many things auto automatically, which is great, but it's, like, not quite enough. (26:21) Like, what else can I do?

Claire (26:22) So she gave me some, like, hacks for the Omnipod five, just some suggestions. (26:28) She was, or you could try another algorithm. (26:32) So she told me and, you know, she mentioned that Omnipod and Loop. (26:37) You know, when you Loop, you can use the Omnipod, so you're still tubeless. (26:43) I was like, Jenny, I I can't I can't build Loop.

Claire (26:47) Like, I no. (26:49) So she told me there's a company that will build it for you, and you pay them a monthly fee. (26:55) And I think you actually interviewed one of the guys who's working there now.

Scott Benner (27:00) Yeah. (27:00) I'm sure. (27:01) There's I think there's a couple, but yeah. (27:04) There's there's a couple. (27:04) So you got somebody to set it up for you.

Claire (27:06) Mhmm.

Scott Benner (27:07) That's awesome. (27:07) Yep. (27:07) Yeah. (27:08) That's Now I'm

Claire (27:09) on the loop algorithm using Omnipod Dash and the loop algorithm that was built for me. (27:15) And it's definitely giving me more options, which now I can you know, my brain can function and I'm using more options and features. (27:24) Whereas, you know, some days I was like, no. (27:26) You just do it all for me. (27:27) Mhmm.

Claire (27:28) Algorithm, you do it all for me. (27:29) I can't mentally deal with this right now. (27:32) But but now I'm in a headspace where I'm like, okay. (27:34) Can mentally deal with it. (27:35) I want more options.

Claire (27:36) I want more control to see the results and to feel to feel better, but without so much of the effort that I was putting in back in the day. (27:46) So I really like the algorithm. (27:47) I think it's helping me more. (27:48) I think I could definitely do more with it if I sat down. (27:54) I probably need to go back through the approach it series.

Claire (27:57) Probably need to learn more about the algorithm. (28:00) Excuse me. (28:02) And I can definitely do more with it. (28:03) But that's where I'm at now, and I definitely feel like I'm putting in less effort and getting better control, which is just such a hard balance to strike. (28:12) And then I think in the future, I'll be able to customize it more, learn about it more, customize it more, and have it serve me even better.

Scott Benner (28:19) Yeah. (28:19) And you went with Loop, not with Trio?

Claire (28:22) I did. (28:23) I think that just came out because I switched to Loop about a year ago.

Scott Benner (28:28) I see. (28:29) So just as you were doing it, it felt a little newer. (28:32) Arden's really, I I think having a lot of success with Trio, by the way. (28:38) Yeah. (28:38) Now that you're you're a professional, you could just jump back and forth.

Claire (28:43) I know. (28:43) Try them all.

Scott Benner (28:44) You know, plenty of people have both of those algorithms on their phone. (28:49) Wow. (28:49) Yeah. (28:50) And they'll just, like, start a pod on one or start a pod on the other one. (28:54) Yeah.

Scott Benner (28:55) You think you'd be that kind of person?

Claire (28:58) I don't know.

Scott Benner (29:01) I just like you. (29:01) You just went, ah. (29:03) That was great.

Claire (29:04) Good. (29:09) But I I do love the the Omnipod's tubeless and the other appeal when I was, like, hesitant to switch from MDI to to pumping. (29:17) Just, you know, change is hard. (29:18) Right? (29:18) And I was like, I don't know.

Claire (29:20) But the appeal was instead of purchasing the pump, you know, and having to wait four years for insurance to pay for another one or whatever. (29:28) Gives you a rough life cycle. (29:30) With the with the pods that you can really kinda do it month to month, I think, because instead of being DME, it's considered a pharmacy something or other. (29:39) Anyway, so I was like, that's appealing too if you're not, like, locked in committed for four years to a pump. (29:44) I definitely didn't wanna do that.

Scott Benner (29:46) Awesome. (29:46) Have you shared everything with me that you were hoping to share today?

Claire (29:52) I I think so.

Scott Benner (29:54) Got it over in your head. (29:55) Take your time.

Claire (29:57) I think so. (30:00) I think the only other tidbits I know you have interviewed ton of other people with type one with interesting stories of diagnosis or crazy things that happened or and, obviously, pregnancy. (30:12) The only other thing I can offer as just something a little different is when when I was pregnant, I was about eleven weeks pregnant, and we had a little bit of a scare where we thought we were we thought we were having a miscarriage. (30:27) We thought we were losing our son.

Scott Benner (30:30) Jeez.

Claire (30:30) So that was a very, very rough couple of days. (30:36) But what was interesting was looking at that CGM. (30:40) My CGM, my blood sugar numbers, my insulin needs were all behaving like I was still pregnant. (30:47) So I was oscillating back and forth between being absolutely devastated and still hopeful because those CGM numbers. (30:56) And then looking back on it, once we found out that, you know, every I went to the doctor.

Claire (31:01) I got checked out. (31:02) Everything's okay. (31:03) But it was just so cool to look back on it and realize that because I had type one, I was wearing a CGM. (31:10) And because I was looking at my CGM, my CGM was showing me, like, you're still pregnant. (31:16) Baby's okay.

Claire (31:17) And that was just, like, very cool to look back on because it's, again, like, very unique experience.

Scott Benner (31:22) Yeah. (31:23) What was, happening that made you think that the pregnancy was not viable?

Claire (31:28) Yeah. (31:28) I started bleeding. (31:30) It was, like, ten or eleven weeks. (31:33) I went to the bathroom and I was like, oh, I'm bleeding.

Scott Benner (31:39) And then what do they say to you? (31:40) Like, what what's the steps to take after that? (31:42) Rest and Yeah. (31:43) Let's see if it stops?

Claire (31:45) Yep. (31:45) Yep. (31:46) So and it was a it was a Friday.

Scott Benner (31:49) It's always a Friday too. (31:50) Been Friday, Claire.

Claire (31:51) Friday. (31:52) It was Friday. (31:53) It was 6PM. (31:55) And I was like, do I go to the emergency department? (31:57) What do I do?

Claire (31:57) Well, I called the OB on call Mhmm. (31:59) Who was great. (32:01) He was like, you know, he's like, okay. (32:04) It might be something or it might be nothing. (32:05) It's nothing you did.

Claire (32:06) You didn't do anything wrong. (32:07) It's nothing you did. (32:08) It's nothing you ate. (32:09) It wasn't the green Jell O. (32:10) He was just, like, you know, trying to, like, calm me down.

Claire (32:13) But I still remember that day. (32:14) It wasn't the green Jell O. (32:15) I was like, okay. (32:16) I didn't eat green Jell O, but just, you know, just trying to, like, relax me, calm me down. (32:20) He's like, look.

Claire (32:21) What you're gonna do is just rest this weekend. (32:23) See us first thing Monday morning, and we'll check and we'll we'll see what's what's happening. (32:29) And so I was like, okay. (32:31) Don't go to emergency department. (32:32) Also, whatever they told me, you know, that's not their area of expertise.

Claire (32:37) So I'm like, I could just go to the emergency department. (32:40) But also, I was like, alright. (32:41) Trust my OB. (32:42) If they say just wait, we'll wait, which is not a fun wait.

Scott Benner (32:45) Yeah. (32:46) Jeez. (32:46) I bet would he just sit in the house, like, staring at each other?

Claire (32:50) No. (32:51) We we thought about, yeah, canceling all plans and, like, just holding up in the house. (32:56) But I was like, okay. (32:57) We're gonna lose our minds. (32:58) We were gonna go to an outdoor concert, and we still went.

Claire (33:04) I just sat the whole time instead of standing.

Scott Benner (33:06) Yeah. (33:06) It wasn't

Claire (33:06) in to rest.

Scott Benner (33:07) It wasn't in Australia, was it?

Claire (33:09) Oh, gosh. (33:09) No. (33:10) It was only, a two hour drive away. (33:12) But, it was, like, out in the country outside, you know, big field music. (33:17) And, I was like, okay.

Claire (33:18) Well, we'll just bring, like, camping chairs to sit on because I was told, like, don't, you know, don't run, try and sit, rest. (33:24) Don't lift anything heavy. (33:25) You know, this stuff like that.

Scott Benner (33:27) Yeah. (33:27) Don't bounce to get around in there.

Claire (33:29) Yeah. (33:29) Yeah. (33:29) Don't make it any worse. (33:31) Stop jostling the baby. (33:33) Like, what did you do?

Claire (33:36) But, yeah, sometimes it just happens. (33:38) And so I went to the doctor Monday, and they're like, oh, yeah. (33:40) Sometimes this just happens. (33:41) But, you know, they're like, baby's fine. (33:43) Baby's fine.

Claire (33:43) Sometimes this stuff happens. (33:45) Just, you know, relatively rest. (33:47) And then eventually, everything was fine.

Scott Benner (33:49) It was just okay. (33:50) And and there's no answer after that? (33:52) There's no, like, great pronouncement about what happened or didn't happen? (33:55) Just like, oh, that's over. (33:56) Cool.

Claire (33:57) It's actually, hopefully, I'm pronouncing it right. (34:00) It's called a subchorionic bleed, and it's just blood fills somewhere in the uterus. (34:06) I forget. (34:07) I think it's between the uterus or placenta or something. (34:10) But it's just this little pocket of blood.

Claire (34:12) And usually, you know, depending on the size and the severity and symptoms, you know, sometimes bad things can happen. (34:19) It puts you at increased risk for other things. (34:22) But in in my case, it was small and it resolved on its own. (34:25) It was fine. (34:25) But that's what I was seeing.

Claire (34:28) And then as I think any woman would assume, you know, you're pregnant. (34:32) There's blood. (34:33) Like, that's it.

Scott Benner (34:34) It's over. (34:34) Yeah. (34:35) Yeah. (34:35) Yeah.

Claire (34:35) But I didn't know that this existed. (34:37) And it actually happened to a friend of mine who was pregnant at same time. (34:39) It happened to her a couple weeks later. (34:41) And we kinda circled back on it later comparing notes. (34:44) I'm like, oh my gosh.

Claire (34:44) That happened to you too. (34:45) So I was like, why doesn't anybody talk about this? (34:48) Probably because they don't want you to assume one thing or another. (34:50) They don't want you to assume that everything's okay or assume everything's the end of the world terrible. (34:55) Yeah.

Claire (34:55) But it was just very interesting, like, later on to compare our experiences. (34:59) And I think she probably didn't wait a whole weekend like I did to get checked out by the doctor. (35:05) But that weekend, I had that CGM information and, you know, my insulin needs were the same. (35:11) And I was like, I was like, I think I'm still pregnant.

Scott Benner (35:14) That's something.

Claire (35:16) So it was just interesting to have that. (35:18) It was kind of a comfort, but I didn't know, you know. (35:22) Yeah. (35:22) It was just different.

Scott Benner (35:23) Two questions. (35:23) If that would have been a Wednesday and not a Friday, do you think they would have had you write in? (35:27) You would have been examined. (35:29) Do you think that that exam would have alleviated all your concern right then and there or not necessarily?

Claire (35:36) Yeah.

Scott Benner (35:37) Maybe.

Claire (35:37) It probably would've given me answers sooner, but it probably would've been the same result. (35:41) Like, hey. (35:42) Hang out. (35:43) Wait. (35:43) Relax.

Claire (35:45) Yeah. (35:46) I don't know.

Scott Benner (35:46) What was the bleed called again?

Claire (35:48) I think it's called a sub chorionic bleed. (35:51) You can probably look it up on AI. (35:55) I know how to spell it and pronounce it. (35:57) But it was just a it was, it was just interesting to go through that as a type one with the CGM information while I was waiting to find out if everything was okay or not. (36:07) Mhmm.

Claire (36:08) Because all of my technology, my insulin needs, my blood sugar needs were all showing that I was still pregnant. (36:14) So I was, like, pretty hopeful that I was still pregnant, but I didn't know.

Scott Benner (36:20) Yeah. (36:20) But did you cling to that a little bit?

Claire (36:23) Yeah. (36:23) I was, like, holding out hope. (36:24) So I was definitely oscillating between, like, oh my gosh. (36:27) We're losing this kid. (36:28) We already know it's a boy and all all of that.

Claire (36:33) But I kept clinging on to that little bit of hope because I had that CGM. (36:38) And

Scott Benner (36:38) And you could see your blood sugar was still being screwed with by by a pregnancy. (36:42) And you thought, oh Yeah. (36:42) A kid must be okay in there. (36:44) Look at my insulin resistance. (36:45) Yeah.

Claire (36:46) Yeah. (36:46) Yeah. (36:46) Not just the CGM, but, yeah, my insulin needs were the same as the day before when I knew I was pregnant.

Scott Benner (36:51) Right.

Claire (36:53) My blood sugar wasn't crashing. (36:54) I wasn't going sky high. (36:55) I was like, oh, okay. (36:57) I was like, I think I'm still pregnant. (36:58) Mhmm.

Claire (36:59) I acted like I was still pregnant.

Scott Benner (37:01) Well, I have here that a pelvic, let's see, like a cervical dilation, whether the cervix is soft or thin, but it doesn't tell them how the baby's doing. (37:11) Fetal heart rate monitoring, Doppler in the office, continuous monitors in the hospital, the main tool to assess distress in the baby. (37:18) Patterns in the baby's heart rate show how well oxygenated they are. (37:22) Non stress tests measure how the baby's heart rate. (37:25) Did you end up doing all this when when the the week finally came around?

Claire (37:29) I think they just did a quick ultrasound. (37:31) I was like

Scott Benner (37:32) That's the next thing. (37:33) Ultrasound, NST to check movement, breathing motions, muscle tone, and amniotic fluid, contractions, stress test, ultrasound, double. (37:40) Okay. (37:40) Alright. (37:40) So Yeah.

Claire (37:40) So it was pretty it was pretty early. (37:42) Was eleven weeks. (37:43) You know, I went into the doctor's office, and they were like, okay. (37:46) Let's just they were like, okay. (37:50) Let's just let's take a look.

Scott Benner (37:51) Yeah. (37:52) Just

Claire (37:52) ultrasound take a look. (37:53) And she was like, oh, that's what it is. (37:54) I see the bleed there and spent a minute, like, listening to his heart rate. (37:58) She's like, oh, baby's fine. (37:59) It's

Scott Benner (38:00) his heart rate. (38:00) Yeah. (38:01) Now does that experience early on in the pregnancy, are you able to give it away, or does it stick to you the entire time the baby's in there? (38:09) Like, do you think about it?

Claire (38:13) It did for a while. (38:15) And then because I was getting so many ultrasounds and that was on my record, they looked, they checked, like, oh, it's gone. (38:21) It's resolved. (38:22) It's a nonissue now. (38:24) I think, you know, I didn't know as much about that.

Claire (38:27) I already knew everything was high risk for everything being type one and, you know, mid thirties. (38:33) And so I was more worried about that.

Scott Benner (38:36) Yeah.

Claire (38:37) I was like, ugh, just another thing. (38:38) But I was just more worried about all the other risks more being associated with type one and

Scott Benner (38:44) Yeah. (38:44) Yeah.

Claire (38:44) Not being 25.

Scott Benner (38:45) Awesome. (38:46) So you would tell people who have type one and are, thinking of getting pregnant, it's very doable, I assume?

Claire (38:54) Yeah. (38:54) I used to think it was impossible. (38:57) Like, there is absolutely no way these goals are insane. (39:00) There's no way I can do that. (39:03) But I did it.

Claire (39:04) So I'm like, okay. (39:05) If I can do it, anybody can do it. (39:07) I would do some research, some planning first, and it's hard to go from zero to 60. (39:13) So I'm really glad I took, like, a year to kind of hone it in, ramp it in, take the information in, do some research, listen to other people's experiences, but it is totally doable. (39:25) And I think we have a little bit of an advantage because we're all in better touch with all of the things, sleep, exercise, nutrition.

Claire (39:34) We're so so much in better touch with our bodies and the way we feel

Scott Benner (39:37) In the world.

Claire (39:37) More in tune, yeah, than somebody without type one or a chronic health condition that needs constant monitoring.

Scott Benner (39:44) Yeah. (39:44) So I

Claire (39:44) think we're already at a bit of an advantage there. (39:46) So, like, if anything funky does happen, I feel like we kinda know know our bodies best and trust our gut really well. (39:56) We've got this I feel like that. (39:57) It also needs and CGM is, like, an extra vital sign when they're doing all this monitoring and testing. (40:02) So

Scott Benner (40:03) That's really awesome. (40:04) I'm I'm very happy that you you took the time to share this with me. (40:07) Thank you very much. (40:08) I want you to know that, when you earlier said like, you sounded, like, embarrassed about how much you like college football, it made me find you on, Facebook. (40:17) And Yeah.

Scott Benner (40:18) Yeah. (40:19) Yeah. (40:19) You might have a problem. (40:20) I just wanna say.

Claire (40:21) I might have a problem. (40:23) I may or may not be wearing football attire right now. (40:29) Like, my second favorite day of the year. (40:32) It's, you know, big kickoff tomorrow. (40:34) It's beginning of the college football season.

Claire (40:36) So

Scott Benner (40:36) But you don't care about pro football?

Claire (40:39) I follow the football players I like in college. (40:43) I follow them to the pros, but then they change teams, like, 20 times and I get very confused.

Scott Benner (40:47) Yeah. (40:49) I like it when you're just forced to play for this one team. (40:51) It's better. (40:53) It's awesome.

Claire (40:53) Can you just stay in one place so that I can buy the jersey and it's still valid a few years from now?

Scott Benner (40:59) Now is this is there an irony here where, like, you know, we finally find a girl who loves football, but the guy you married doesn't care about it? (41:06) Or do you guys have that in common?

Claire (41:09) He knows what he married into.

Scott Benner (41:11) But he doesn't love it like you do?

Claire (41:14) He he will get into it for me. (41:16) He enjoys it, but he he doesn't seek it out in the same way. (41:21) Like

Scott Benner (41:21) He doesn't have an illness like you.

Claire (41:23) Exactly. (41:24) It's, like, I will seek it out. (41:26) I will turn it on. (41:27) I'm ready to go. (41:29) And he's like, wait, what time is it?

Claire (41:30) What channel is it on? (41:31) Okay. (41:31) It's on. (41:31) Yeah. (41:31) Let's watch.

Scott Benner (41:32) That's fine.

Claire (41:33) But, funny story about us is he actually proposed to me in on the 50 yard line of my college football, field, which is not easy to get on.

Scott Benner (41:45) Did you do it legally?

Claire (41:47) Yes. (41:48) Yeah. (41:48) Very nice. (41:49) Yeah. (41:49) We had an employee escort us out there.

Scott Benner (41:53) What does he tell you you're doing? (41:55) Because do you know you're being proposed to?

Claire (41:59) No. (41:59) I didn't know. (42:01) It was definitely a little odd. (42:03) He was like, you've never you've never taken a tour of the stadium? (42:06) I was like, no.

Claire (42:07) I was like, I have been on the field one time.

Scott Benner (42:09) Right.

Claire (42:10) But I was no. (42:11) I wouldn't take a tour. (42:12) I've never been on a tour. (42:13) I've been to many games there. (42:15) Why do I need a tour?

Claire (42:16) He's like, oh, well, I'm gonna take you on a tour. (42:18) I was like, okay. (42:19) We pull up and this employee, he shows up and he's like, oh, are you guys here for the tour? (42:26) So the the employee was totally in on it.

Scott Benner (42:28) The tour?

Claire (42:28) Has in

Scott Benner (42:29) the tour. (42:29) At what point were you like, I am not having sex with you on this football field, you creep. (42:33) Is that where this is leading to?

Claire (42:35) No. (42:36) No. (42:36) Wait. (42:37) My husband and I pulled up and there are these two, employees And they're like, are you guys here for the tour? (42:42) And we're like, I guess so.

Claire (42:45) And my husband's like, oh, yeah. (42:46) Yeah. (42:46) We're here for the tour. (42:47) And then, and at first, it seems like a legit tour. (42:52) Like, you know, here's the locker rooms.

Claire (42:53) Here's that. (42:54) Here's this. (42:54) And then we get to the field, and here I am being, like, the nerd that I am. (42:58) Like, how often do you have to paint the field before a game? (43:01) Well, we paint it, like, twice a week, but crazy lady, like, stop asking me questions.

Claire (43:06) I'm like,

Scott Benner (43:06) it's not really

Claire (43:07) a tour. (43:07) Boyfriend.

Scott Benner (43:08) And I don't I

Claire (43:09) don't know boyfriend.

Scott Benner (43:09) I don't know a lot about this stadium.

Claire (43:13) I mean, I think they they did. (43:15) So they were kind of trying to answer my question, but also facilitate getting me to center, like Yeah. (43:20) To the 50 yard line, like, center of the field. (43:23) And they're like, why don't you go just, you know, walk out there, see what it looks like from the center? (43:27) And that's where my husband proposed, and the employees got photos of the whole thing.

Claire (43:31) It was great. (43:32) And afterwards, I was like, okay. (43:34) That was amazing. (43:34) But was like, you didn't have to go to I would have said yes anywhere. (43:38) You didn't have to do that.

Claire (43:39) And he was like, no. (43:39) But it was cool. (43:40) Right? (43:40) I was like, oh, that was very cool. (43:41) Yeah.

Claire (43:42) The pictures are great.

Scott Benner (43:43) Set the bar too high. (43:44) He's gonna be he's gonna be chasing that dragon the rest of his life now.

Claire (43:47) I know. (43:48) Mhmm. (43:48) I know. (43:48) And then, like, all any any mutual friends were just like, oh, dude. (43:52) Come on.

Claire (43:53) Like Yeah. (43:54) You did that? (43:55) What am I gonna have to do? (43:56) Yeah.

Scott Benner (43:57) I I looked at my wife in the bedroom we were living in, and I said, you know, it should probably be easier if we got married. (44:03) And she's like, what? (44:04) I'm like, well, you know, we could afford the car insurance then. (44:07) My wife and I got married for car insurance. (44:10) Like, I'm not kidding.

Scott Benner (44:11) We were dating for a while, living together because of a bad circumstance in her family. (44:18) And she got a great job, but we couldn't afford to like, like, you couldn't afford anything. (44:25) So we figured out a way to lease her her a car because it was very inexpensive back then to get started. (44:30) Right? (44:31) And but we couldn't figure out how to like, she couldn't afford the insurance.

Scott Benner (44:35) But if we were married, the insurance would have been much cheaper. (44:39) So we got we planned a wedding and got married in a number of weeks, used the money that people gave us as gifts, which if I'm remembering correctly, did not equal more than about $750 to put a down payment on a leased car, and then we could afford the insurance because she was now on my insurance policy.

Claire (45:00) Wow.

Scott Benner (45:00) Not as sexy as your story. (45:02) But, like, that's now keep in mind, that seems like a terrible way to start a a marriage and a life, and we've almost been married for thirty years.

Claire (45:12) Yeah.

Scott Benner (45:12) Yeah. (45:13) Who knows how it works and how it does.

Claire (45:14) Thank you car insurance.

Scott Benner (45:16) Thank you. (45:16) Hey. (45:16) Yeah. (45:17) They they

Claire (45:17) insurance premium.

Scott Benner (45:18) Exactly. (45:18) Yeah.

Claire (45:19) I've heard of I've heard about health insurance, but not car insurance. (45:21) So

Scott Benner (45:22) She had to get it was a great job. (45:23) Like, we couldn't she couldn't not take the job, but it was too far away. (45:28) There was no other way to get there. (45:29) She needed a car. (45:30) It needed to be dedicated to her.

Scott Benner (45:32) We didn't have anybody that could help us with that. (45:34) And so those are the steps we took. (45:35) So if you're if you're sometimes wondering, like, how did Scott figure out diabetes without having any knowledge about it, that's how Scott figured out to get car insurance when he was broke and, you know, like, 20 some years old.

Claire (45:46) Yeah. (45:46) There's a will. (45:47) There's a way.

Scott Benner (45:48) I'm just a practical person. (45:49) That's all. (45:50) Alright. (45:51) Claire, you were great. (45:52) I'm gonna take a little breaky, and then I'm actually interview, I'm actually recording with your your friend Jenny in thirty minutes.

Scott Benner (45:58) So

Claire (45:59) Oh, awesome.

Scott Benner (46:00) I'm gonna go rest my voice and then come back and do it again.

Claire (46:02) Yeah. (46:03) Good.

Scott Benner (46:03) You were terrific, really. (46:04) I I really genuinely appreciate it.

Claire (46:06) Oh, this is really fun. (46:08) It was really fun to be a part of something that I've, you know, been listening to for so long. (46:12) It's influenced me positively for so long. (46:14) So it's it's really cool. (46:16) I've been telling a lot of people.

Claire (46:17) I'm like, oh my gosh. (46:18) Guess what I'm doing? (46:19) I'm so excited. (46:20) And it's really cool to talk to you in person too. (46:23) I just wanna thank you for all this all of this hard work.

Claire (46:27) So many episodes. (46:28) I'll tell people, like, this is, you know, the number one diabetes podcast. (46:32) It's this many episodes and they're just floored. (46:34) They're like, oh my gosh. (46:35) I know.

Scott Benner (46:36) I appreciate that So very

Claire (46:37) much time, energy, and effort.

Scott Benner (46:39) I I'm I would certainly not I am not complaining, and I certainly would not complain. (46:43) But if you were here and watched me every day, you would be like, I think maybe Scott should go outside a little more often. (46:49) Or, you know, like, I'm worried that he's not, like, living a life just making this podcast. (46:54) But I just see it as a, I mean, it's a moment in time. (46:58) It's it's not gonna be here forever.

Scott Benner (47:00) And, you know, the more conversations, the more ideas, you know, the more people get stretched a little bit and and come up with new ideas and come back on and have time to share. (47:13) I I think it's just important, you know, and and I think it's I think it's a time in my life where I'm dedicating more time to a job than I probably should be, for me personally. (47:26) But I think that, hopefully, you know, big picture, it's gonna be something. (47:30) Like, when I leave it, when I put it down at the end, and I go, here it is. (47:33) You guys can do whatever you want with it.

Scott Benner (47:35) I think it might keep helping people. (47:37) So Yeah. (47:38) That that's my my goal, certainly. (47:40) And I appreciate you speaking so nicely about it. (47:42) Thank you.

Claire (47:43) Yeah. (47:43) And it'll keep helping people even if you were to stop tomorrow because it's all out there just sitting and waiting on the Internet.

Scott Benner (47:52) Yeah. (47:52) I can't stop that now though. (47:54) Like, I keep seeing connections to other things. (47:56) Like, I interviewed a guy the other day, and at the end of talking about, you know, this really amazing conversation about how the podcast helped him get his daughter on her feet in just a few years before she was on her way to college. (48:08) Then she had this experience, like, right away at college, and she handled it really well.

Scott Benner (48:13) And he related that all back to the podcast. (48:16) And we're kinda done talking, you know, forty five minutes, an hour later. (48:20) And he just sort of pops up and he's like, oh, also, I listened to your weight loss series and changed my life. (48:26) And I was like, oh, and he's like, I've lost 36 pounds in the last six months and talked about all the good things that happened for him personally. (48:33) And and I was like, my gosh.

Scott Benner (48:34) Like, there are there are days, Claire. (48:36) Like, I just record this stuff. (48:37) I just assume, like, no one's listening to it. (48:40) Like, you really like, it have to be a maniac to just think I'd be insane if I actually believe that the number of people listening to this were the number of people listening it. (48:49) Like, I know functionally that's how many people are listening, but when you sit down and talk, you can't think, I'm about to speak and x number of people are gonna hear the words.

Scott Benner (48:57) Like, it's just not a way to think about it. (48:59) So when Yeah. (49:00) He comes around and he's like, this helped me, I spent, like, a half an hour after I'm recording thinking, like, wow. (49:07) Like, I decided to do a thing and listen to what happened for him. (49:09) Listen to what happened for his daughter.

Scott Benner (49:11) Listen you know, like, that's it's awesome. (49:14) Like, I wanna do more of that. (49:15) And then you start seeing connections with it, and you're like, you know, we gotta keep talking about this. (49:19) Like, I'll I'll tell you right now. (49:21) I was out ahead of talking about injectable GLPs for type ones.

Scott Benner (49:25) And when I started talking about it, I took a lot of from people about it. (49:28) And I've been out ahead on a couple of things, but I think I'm only there because you guys are all coming in, like, having these conversations. (49:37) And I'm seeing, like, like, through lines. (49:39) And I'm like, no. (49:39) That really does feel like something that's that's positive right here, something we should pay more attention to.

Scott Benner (49:45) We have to keep talking about that so we can grow. (49:48) I think that, one of the saddest things about content in general is that it's it's fleeting. (49:57) Like, most content creators that you listen to, they burn out pretty quickly or the the algorithm gets tired of them or whatever happens. (50:04) And before they can really build a compendium, they're here and gone. (50:08) And because there's no financial incentive to keep going, they just stop.

Scott Benner (50:12) And so I I think that's part of why the podcast grows and becomes more and more valuable is because we're able to put this much effort into it for such a long time. (50:22) That's a lot of, like, high minded talking about me making a podcast, but that's sort of how I think about it. (50:26) Yeah. (50:27) Yeah. (50:27) So, anyway, I really appreciate you saying that.

Scott Benner (50:29) It's very kind of you.

Claire (50:30) Yeah. (50:31) Awesome. (50:32) Yeah.

Scott Benner (50:32) Awesome. (50:33) Alright. (50:33) Hold on one second for me. (50:34) K. (50:42) Head now to tandemdiabetes.com/juicebox and check out today's sponsor, Tandem Diabetes Care.

Scott Benner (50:49) I think you're gonna find exactly what you're looking for at that link, including a way to sign up and get started with the Tandem Mobi system. (50:57) Arden has been getting her diabetes supplies from US Med for three years. (51:01) You can as well. (51:02) Usmed.com/juicebox or call (888) 721-1514. (51:09) My thanks to US Med for sponsoring this episode and for being longtime sponsors of the Juice Box Podcast.

Scott Benner (51:15) There are links in the show notes and links at juiceboxpodcast.com to US Med and all of the sponsors. (51:22) Today's episode of the Juice Box podcast is sponsored by the Eversense three sixty five. (51:27) You can experience the Eversense three sixty five CGM system for as low as $199 for a full year. (51:34) Visit evercentcgm.com/juicebox for more details and eligibility. (51:40) 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.

Scott Benner (51:49) 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. (51:59) I'm joined by Jenny Smith, who is a diabetes educator with over thirty five years of personal experience, and we break down complex concepts into simple, actionable tips. (52:09) The diabetes pro tip series runs between episode one thousand and one thousand twenty five in your podcast player, or you can listen to it at juiceboxpodcast.com by going up into the menu. (52:20) If you're looking for community around type one diabetes, check out the Juice Box Podcast private Facebook group, Juice Box Podcast, type one diabetes. (52:29) But everybody is welcome.

Scott Benner (52:30) Type one, type two, gestational, loved ones, it doesn't matter to me. (52:35) If you're impacted by diabetes and you're looking for support, comfort, or community, check out Juice Box podcast, Type one Diabetes on Facebook. (52:44) Hey. (52:45) Thanks for listening all the way to the end. (52:46) I really appreciate your loyalty and listenership.

Scott Benner (52:49) Thank you so much for listening. (52:51) I'll be back very soon with another episode of the Juice Box podcast.

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#1738 Smooth Operator - Part 1

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

Claire shares her story of being diagnosed with Type 1 diabetes at age 29 during her lunch break, only to board an international flight to Australia just days later. A long-time listener of the podcast, Claire discusses how she utilized the "Pro Tip" series and Jenny Smith’s book to prepare for a healthy pregnancy.

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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.

Claire (0:10) I'm Claire, and I've had type one diabetes for ten years. (0:13) I'm really excited to talk today.

Scott Benner (0:18) Friends, we're all back together for the next episode of the Juice Box podcast. (0:21) Welcome. (0:22) Please don't forget that nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (0:28) Always consult a physician before making any changes to your health care plan or becoming bold with insulin. (0:42) Alright.

Scott Benner (0:42) Let's get down to it. (0:43) You want the management stuff from the podcast. (0:45) You don't care about all this chitting and chatting with other people. (0:48) Juiceboxpodcast.com/lists. (0:52) They are downloadable, easy to read, Every series, every episode, they're all numbered.

Scott Benner (0:58) Makes it super simple for you to go right into that search feature. (1:01) In your audio app, type juice box one seven nine five to find episode one seven nine five. (1:08) Juiceboxpodcast.com/lists. (1:25) Cozy Earth is back with a great offer for Juice Box podcast listeners. (1:29) Right now, you can stack my code Juice Box on top of their site wide sale, giving you up to 40% off in savings.

Scott Benner (1:37) These deals will not last, so start your holiday shopping today by going to cozyearth.com and using the offer code juice box at checkout. (1:45) This episode of the Juice Box podcast is sponsored by US Med, usmed.com/juicebox, or call (888) 721-1514. (1:55) Get your supplies the same way we do from US Med. (1:59) This episode of the Juice Box podcast is sponsored by Omnipod five. (2:04) Omnipod five is a tube free automated insulin delivery system that's been shown to significantly improve a one c and time and range for people with type one diabetes when they've switched from daily injections.

Scott Benner (2:15) Learn more and get started today at omnipod.com/juicebox. (2:19) At my link, you can get a free starter kit right now. (2:22) Terms and conditions apply. (2:23) Eligibility may vary. (2:25) Full terms and conditions can be found at omnipod.com/juicebox.

Claire (2:29) I'm Claire, and I've had type one diabetes for ten years. (2:33) I'm really excited to talk today.

Scott Benner (2:36) Awesome, Claire. (2:37) How old are you now?

Claire (2:38) 39.

Scott Benner (2:39) 39. (2:39) Diagnosed when you were 29.

Claire (2:41) Yeah.

Scott Benner (2:42) Yes. (2:42) Yeah. (2:43) Okay. (2:44) Why are you excited to talk?

Claire (2:47) I'm excited to talk because I've listened to several episodes of the Juice Box podcast, and I feel like it's been really influential on my life and my diabetes management. (2:56) So it's just really exciting to kinda pay it forward, and, you know, contribute to the conversation, and I don't know. (3:04) That's nice. (3:04) Sorry to put it into words, but Yeah.

Scott Benner (3:05) You got something you wanna get out. (3:08) Sure.

Claire (3:08) Yeah. (3:08) Wanna share. (3:09) Wanna collaborate.

Scott Benner (3:10) Yeah. (3:10) And, Claire, I don't wanna, make you feel badly, but the person I interviewed yesterday had listened to 1,500 of the episodes. (3:16) So I'd like to suggest that maybe you quit your job or stop taking care of your family or whatever it is that takes up your time and and listen to more of my podcast, please.

Claire (3:26) Yes. (3:26) On five times speed.

Scott Benner (3:27) Thank you. (3:28) I don't care how you do it. (3:29) Just do it. (3:29) So

Claire (3:31) I talked to somebody who listened to all the podcast episodes or claims to. (3:35) So

Scott Benner (3:35) What do mean claims to? (3:36) Of course, they have. (3:38) I haven't heard all the episodes of the podcast. (3:40) I mean, I've I've been involved with them, but I've I've not listened to them back. (3:44) Who the person that you, that you talked to, were they the person who introduced you to the podcast?

Claire (3:52) I'm not sure the exact person, but there's a support group, a type one support group that I joined, and that definitely was how I learned about the podcast. (4:00) Somebody in that group. (4:01) And then there's somebody in the group who says that they listen to all of them.

Scott Benner (4:04) Is that an in person group or online?

Claire (4:07) It was in person, and then once COVID happened, it was online and virtual.

Scott Benner (4:11) Oh, so you've had a a support group prior to 2020?

Claire (4:15) Correct.

Scott Benner (4:15) Oh, what what sent you so wait a minute. (4:17) That's, like, five years ago. (4:20) So you were a few years into your diabetes, and you thought I need to meet more people who have type one. (4:25) What what drove you to to seek those people out?

Claire (4:29) I was kind of peer pressured into joining the group. (4:32) I had run into somebody in person. (4:35) They're like, why are you not in a support group? (4:36) You should join our support group. (4:37) And I was like, what?

Claire (4:39) Okay. (4:39) So joined the support group, and that was about a year into my diagnosis.

Scott Benner (4:42) Okay. (4:43) Cultists? (4:44) Did you find Yeah. (4:45) Yeah. (4:45) They were just they're trying to build a a small army of people with type one?

Claire (4:49) I did feel a little pressured, but, like, in a good way. (4:53) You

Scott Benner (4:53) know? (4:53) Okay.

Claire (4:54) Just like, why are you not in a support group? (4:56) You should join our support group.

Scott Benner (4:57) Did you what did you gain from it?

Claire (5:01) It was definitely nice to have that community. (5:04) You feel less alone. (5:06) Everyone's got their own little pro tips. (5:09) So I showed up there pretty newly diagnosed, and everyone's like, oh, you don't have a CGM? (5:14) Look what it can do.

Claire (5:15) You don't have a pump? (5:15) Look what it can do. (5:16) And I was like, woah. (5:17) Okay. (5:18) I was like, I was just looking to come and meet some people, but now you guys are, like, showing me I don't know.

Claire (5:23) They just kinda showed me the ropes, like and it was different hearing it from somebody living with it than a doctor.

Scott Benner (5:29) Yeah.

Claire (5:30) You know, when your doctor's like, oh, you know, these things are out there. (5:32) I'm like, yeah. (5:33) Yeah. (5:33) Yeah. (5:33) Okay.

Claire (5:33) Cool. (5:33) What do I have to do now? (5:35) Mhmm.

Scott Benner (5:35) So at first, they feel like the people at Costco are trying to get you to drink coconut water, but then it it quickly you decide, like, this is valuable. (5:43) I should maybe hear what these people have to say and look into this stuff.

Claire (5:47) Yeah. (5:48) And more eye opening. (5:50) And it's kinda like drinking from the fire hose at the beginning when you're getting diagnosed. (5:54) You're I'm like, I'm just trying to get day to day, you know, try and figure out what's going on here. (5:58) Just day to day, minute to minute, meal to meal.

Scott Benner (6:00) Yeah.

Claire (6:01) And then so going to the doctor and having them talk about all the technology is just, like, a little overwhelming. (6:06) I was like, alright. (6:07) Let me just take this one bite at a time. (6:09) But it was cool to hear other people's experience with it, spend a little more time learning about it instead of a fifteen minute doctor's appointment. (6:17) It was, like, an hour or two Mhmm.

Claire (6:20) Meeting. (6:21) And then, you know, during the meeting, everything's beeping. (6:23) Everyone's beeping, and, you know, nobody flinches because it's so normal. (6:28) So it was just it was just interesting to be in that environment because I'd never been surrounded by type ones before. (6:34) Yeah.

Claire (6:35) Did That was cool.

Scott Benner (6:36) Did you find it like, obviously, you found it easier to get information from the support group than from the doctor, but why? (6:42) What what about at the doctor's office makes that difficult?

Claire (6:46) I think because it's brief. (6:50) And I love my endo, but they don't have type one. (6:55) And, you know, they have to get their checklist y things done. (6:58) And it's different when you're sitting with somebody with a little more time. (7:01) There's less time constraint.

Claire (7:03) There's less of an agenda. (7:04) It's more just natural flow. (7:06) And then they can also give you their real life experience about why it's helpful for them and why it's meaningful for them.

Scott Benner (7:12) I see.

Claire (7:13) So I think that was different.

Scott Benner (7:15) And then at some point I'm sorry. (7:17) At some point, they say something that just, like, connects with you. (7:20) Right? (7:20) And you go, oh, that is a struggle I have or a concern I have or something I'm trying to get to. (7:25) And then that helps you kinda key in on the thing that they're saying being potentially valuable for you.

Claire (7:31) Yeah. (7:32) Like, real life examples. (7:33) And, I was running a lot of the time, and my friends were explaining, like, oh, well, you could see what your numbers are doing while you're running. (7:42) And I was like, oh, that would be really nice. (7:45) So I did I did get on the CGM quite quickly after hearing their experiences and seeing the value in it.

Scott Benner (7:51) Okay. (7:51) Awesome. (7:52) And what did you learn what did you learn in that because it had been a year. (7:55) Right? (7:56) And you and you slap on a CGM.

Scott Benner (7:57) I'm interested in your your initial takeaway as soon as you could see your blood sugar twenty four seven like that.

Claire (8:03) Yeah. (8:03) I think I kinda label it. (8:05) I had a little bit of, like, a CGM depression almost because when I was doing finger sticks, my numbers were nine times out of 10 really good. (8:13) So I was like, I've got this. (8:14) I've got this.

Claire (8:15) You know, I got this down. (8:16) But then when I could see what was happening between those snapshots, between those finger sticks, I was having these huge swings. (8:22) So great that, you know, five times a day I was in range, but I had no idea what was happening in between. (8:28) And so I kinda had this moment of like, oh, I thought I was doing a great job. (8:31) Oh, no.

Claire (8:31) I'm doing terribly. (8:33) But then it was like motivation to do better, to learn more, to try and fix those spikes. (8:39) Yeah. (8:40) And then again, kinda circled back to, like, information gathering, seeking, using my peer support group to kinda help figure out, like, where else to go. (8:47) And I think at at that point, somebody had either mentioned Juice Box Podcast or at that time had mentioned Juice Box podcast.

Claire (8:54) And I was like, okay. (8:55) Like, I just began to just devour information. (8:58) Mhmm. (8:58) Not not listening to all your podcast,

Scott Benner (9:01) but I was just teasing you. (9:02) If if listen. (9:03) If any of you are listening to all of them, that's awesome. (9:06) I don't expect you all to do that. (9:07) But Yeah.

Scott Benner (9:08) So I I guess I wanna stay for one more second in this idea of, like because it sounds like it's not a linear process. (9:16) You didn't just it wasn't step one to step 10, and now I understand better. (9:20) You got diagnosed. (9:23) You thought you were doing great, met some people, they gave you some suggestions, you filter through them. (9:28) Eventually, end up on a CGM.

Scott Benner (9:30) You go, oh, what what I thought was happening isn't happening. (9:33) You get that moment of, like I mean, the I don't know. (9:36) It makes probably makes you feel like, oh, I've been putting all this effort into this and it's not even working. (9:40) But but instead of feeling that way, you say, well, at least I know now. (9:43) I'll go look for more tools.

Scott Benner (9:45) And so this is sort of I guess the way I think about it is more about how I feel like people find the podcast. (9:53) Because I think what can happen is that people can find it podcast or the or the Facebook group. (10:00) Right? (10:00) They find it either at the right time when they're looking for it or not at the right time. (10:04) But a lot of them can find their way back to it if when they initially intersected, it wasn't the right time for them.

Scott Benner (10:10) And it makes me like, I think of it more from my perspective. (10:15) But to to sit back and listen to you talk about it, it almost feels like you're, what's that game we played when we were kids? (10:21) Like, you had to run over the line and grab something and get back before somebody hit you with something. (10:26) Do you remember that? (10:26) Are you not old enough for that?

Scott Benner (10:28) Or did you grow up when they you weren't allowed to throw things at people?

Claire (10:32) I think we could still throw things

Scott Benner (10:33) at throw

Claire (10:34) things people. (10:36) The can. (10:37) What else? (10:37) Red Rover

Scott Benner (10:38) Yeah.

Claire (10:38) Oh. (10:38) All that kind

Scott Benner (10:39) of stuff. (10:40) I think it's more like that where, like, you sometimes like, you're outside of it for a minute, and then you think, oh, I need a thing. (10:47) I gotta run back in and grab it. (10:48) Hey. (10:48) You go get back and get it.

Scott Benner (10:49) You bring your piece back. (10:50) You build a little more. (10:51) You go back again. (10:52) Like, some people learn that way. (10:55) Yeah.

Scott Benner (10:55) That sounds like where you are.

Claire (10:57) Yeah. (10:57) I was just kinda taking it, like, one kind of thing at a time, one phase at a time. (11:02) And I think I yeah. (11:03) I was initially, like, kinda overwhelmed. (11:06) But then just, you know, kinda took it one one piece, one thing at a time.

Claire (11:10) But, getting diagnosed in my late twenties, like from day one, every time I walked in that office, they're like, okay, pregnancy? (11:17) I was like, woah. (11:19) Not even married. (11:20) We have Jets. (11:22) But it was just so I mean, were doing their job.

Claire (11:25) They're like, woman of childbearing age. (11:28) But every time I walked in there, pregnancy? (11:30) I'm like, no. (11:31) No. (11:31) So in the back of my mind, being, you know, in my late twenties, I was like, okay.

Claire (11:35) This is like a thing. (11:38) So I need to eventually kinda figure this out maybe. (11:41) My endo was always just like, give me your a year notice if you ever wanna get pregnant. (11:46) Like, okay. (11:46) Cool.

Scott Benner (11:47) Fun.

Claire (11:47) I'll call you later.

Scott Benner (11:48) Yeah. (11:48) To pre bolus your baby?

Claire (11:50) Basically. (11:51) I was like, so let me do, like, some reverse calculations here. (11:56) No. (11:56) I'm just kidding. (11:57) But, that was an interesting dynamic going in.

Claire (12:00) Like, I'm 28 year old female or 29 year old female, but, like, no. (12:03) Not yet. (12:04) But in their mind, I'm, you know, late twenties female.

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Claire (14:38) Oh, like a little bit, but also just, you know, they're just looking at me like a number on a paper, and I'm like, okay. (14:44) So just so you know where I am in my life, nowhere near close to that. (14:47) Yeah. (14:49) But also, did give me the sense of, like, that is a thing. (14:53) Because I had no idea when I was diagnosed how tightly controlled your blood sugars need to be for a healthy pregnancy.

Claire (14:59) Mhmm. (14:59) Just wasn't on my radar. (15:00) I was like, how do how do I eat my lunch today? (15:02) Like, let's talk about that. (15:04) I'm still trying to figure out my basal insulin.

Claire (15:06) Like, let's talk about that.

Scott Benner (15:07) I'm staring at my food, and I feel like I'm gonna cry. (15:09) Is there a way we could get past this place? (15:12) Yes. (15:12) Yeah. (15:12) Yeah.

Claire (15:13) Can I eat this? (15:14) Can I not eat this? (15:16) Yeah. (15:17) You know, an initial diagnosis, it could be, like, the sliding scale of I don't know. (15:22) It's just

Scott Benner (15:22) Did they give they started you sliding scale? (15:24) Yeah. (15:25) About where in the country are you?

Claire (15:28) I'm on the East Coast. (15:30) Yeah. (15:31) And I'm outside of a major city.

Scott Benner (15:33) Okay.

Claire (15:33) But I'm not rural. (15:35) But, yeah, I got started. (15:36) This is actually kinda crazy. (15:38) I got diagnosed on my lunch break at work. (15:41) Went to the doctor on my lunch break, and they handed me insulin pens.

Claire (15:44) I'm like, okay. (15:45) Here you go. (15:45) Inject.

Scott Benner (15:46) What what What's talking about? (15:48) What what got you moving to the doctor? (15:50) Like, what how were you feeling?

Claire (15:52) I was feeling pretty bad at that point. (15:56) Long story short, I ended up running a marathon, which was awesome. (16:01) Caught the flu because your immune system is gets a big hit when you do intense exercise like that. (16:08) And then I just, like, never recovered from the flu. (16:10) So I'd lost a lot of weight.

Claire (16:12) I wasn't getting it back. (16:14) Everyone was like, are you okay? (16:16) I was like, oh, yeah. (16:17) I just ran a marathon and got the flu. (16:18) It's a great diet.

Claire (16:19) You should try it. (16:20) Just kidding. (16:22) But I was very underweight, and I started getting thirsty, peeing a lot, yada yada. (16:27) And I had a random it was a cholesterol test. (16:31) And I didn't realize that your they also check your blood sugar with that, or I guess it's you can.

Claire (16:36) And they called me over and sat me down. (16:37) They're like, are you okay? (16:38) I was like, what are you what are you talking about? (16:40) What's my cholesterol? (16:41) And they're like, no.

Claire (16:41) No. (16:41) No. (16:41) Your blood sugar is really high. (16:43) And I was like, what are you talking about? (16:45) So they suggested I see an endo.

Claire (16:48) Probably should've just gone to the emergency department, but I was just following their orders. (16:52) Like, go see an endocrinologist because your blood sugar's over 300. (16:56) I was like, okay.

Scott Benner (16:57) You think they thought you had type two diabetes at that point?

Claire (17:01) I think they were a little confused. (17:03) And I was otherwise, like, besides being underweight and recently ill, probably looking healthy. (17:10) But looking back, I'm like, maybe I should've just gone to the emergency room. (17:12) But I think I was also in denial too. (17:14) It was like, I'm too old for type one and too healthy for type two.

Claire (17:18) Like, I just ran a marathon. (17:19) Also, both of those things are not true. (17:21) Those are just, you know, some assumptions that I had made at the time. (17:24) Right?

Scott Benner (17:24) Stuck in your head. (17:24) How did you even have an assumption about that?

Claire (17:29) Just when they were they when they checked my blood sugar and it was high, I was like, how's that possible? (17:33) Like, I'm in my late twenties, like and not realizing you could get diagnosed as type one as an adult. (17:39) In my head, was like, oh, I'm too old for type one because it's for kids. (17:42) And then I don't think I have type two because I just ran a marathon.

Scott Benner (17:45) Yeah. (17:46) You know? (17:46) Why did It's been. (17:47) Why did you think type one was for kids? (17:49) Like, you know how you had that idea?

Claire (17:51) I think it's just, lack of awareness, lack of information. (17:55) I'd never really knew any type ones growing up. (18:00) So I just didn't know.

Scott Benner (18:01) Yeah. (18:01) Okay. (18:03) That's interesting. (18:04) When so you're on your on your on your lunch break. (18:08) Do you go back to work and go back to work?

Claire (18:10) I did. (18:11) I did. (18:12) I went back to work, and I was like, okay. (18:15) I purposely didn't call my parents. (18:16) I was like, I can't call them right now because I'm gonna, like, lose it.

Claire (18:19) Mhmm. (18:19) So, I called them at the end of the day. (18:22) We all had a little cry on the phone and, like, alright. (18:25) What's next?

Scott Benner (18:27) What's that what's that like when you're when you feel like you're too old to be parented but still would like to talk to your parents? (18:33) Is like, do you think I guess I'm asking, like, why did you reach out to them, and what do you think their response was when they hung up the phone? (18:45) Like, have you ever talked about that in hindsight? (18:47) Like, how it made them feel to know that this had happened to you, but you were older and and not really under their under their roof any longer? (18:55) This episode is brought to you by Omnipod.

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Claire (19:56) Yeah. (19:57) I think they probably felt like a whole spectrum of emotions. (20:01) And we talked about it a little bit, but not recently. (20:03) So I think, you know, part of them felt, like, guilty, like it was their genes that did it. (20:07) Right?

Claire (20:09) But it really doesn't run-in our family. (20:12) They also felt bad that they weren't, like, physically with me. (20:17) They also, I think, felt some component of maybe relief that, like, they didn't have to go through me as a child and them having to manage my blood sugar and, you know, being worried when I was out or worried in the middle of the night and all of that stuff, which I'm sure you can relate to. (20:32) Like, they they didn't have to do that. (20:35) So they were kinda probably kinda like, oh, kinda got lucky with that.

Scott Benner (20:40) I don't know if they felt lucky. (20:41) I bet you they felt like I wish we could have been, like, more involved.

Claire (20:46) Yeah. (20:46) You think? (20:47) There's more they could do.

Scott Benner (20:48) Yeah. (20:48) But Are they that kind of people? (20:50) Maybe I'm just putting my feelings onto them.

Claire (20:52) Yeah. (20:53) No. (20:53) They're great. (20:56) Yeah. (20:56) I think they just kinda felt bad they weren't, like, there.

Claire (20:59) There wasn't anything they could really do in that moment, except for, like, be there for me.

Scott Benner (21:05) Yeah. (21:07) And And what did that look like?

Claire (21:09) I think just lots of lots of phone calls, lots of on the phone. (21:13) And I think they probably would have jumped on a plane to come see me that weekend, but I was going out of town that weekend, which is also crazy.

Scott Benner (21:26) Where did you go? (21:27) They

Claire (21:28) I I was diagnosed on a Wednesday of my lunch break. (21:32) And Sunday, I had already bought and paid for my ticket to go to Sydney, Australia. (21:36) So I got on an international flight on Sunday.

Scott Benner (21:39) Okay. (21:39) Hold on. (21:41) I, you know, I thought you're gonna be like, I I went away for the weekend and that's I was like, oh, that's not crazy. (21:46) So did you have a diagnosis? (21:48) You hadn't seen the endo by then.

Scott Benner (21:49) Right?

Claire (21:50) Oh, I saw the endo Wednesday lunch break, and they were like, look. (21:54) I think it's type one. (21:55) We'll do the blood work. (21:56) If the blood work comes back negative, then we have to do some imaging to make sure it's not pancreatic cancer. (22:01) I was like, okay.

Claire (22:02) Cool. (22:04) And the blood work came back, and I had a voicemail from the doctor. (22:07) It was like, yep. (22:07) You have antibodies. (22:08) It's type one.

Claire (22:08) Keep doing that sliding scale we talked about. (22:12) I think she wanted me to come back, like, as soon as I was back in the country, like, you know, soon, like two weeks later.

Scott Benner (22:17) Mhmm.

Claire (22:18) But, yeah, looking back on it, I'm like, what was I thinking? (22:22) But, yeah, I got on an international plane flight.

Scott Benner (22:25) And and it worked. (22:26) You were okay?

Claire (22:27) I was okay. (22:28) I filled my insulin prescription on the way to the airport.

Scott Benner (22:30) Oh my god.

Claire (22:32) I know. (22:34) It was crazy. (22:35) I tried to get it filled the night before, and the pharmacy I went to was out. (22:40) So in my defense, I did try and go the night before. (22:43) So I had to go to another pharmacy.

Scott Benner (22:44) What if you would've what if you would've not been able to fill that on the way to the airport? (22:48) Do you think something would've stopped you from getting on the plane?

Claire (22:52) Maybe. (22:53) But I did have at least a couple sample pens, but then I didn't know how many pens to bring. (22:59) I brought way too many. (23:01) But I knew when I got to Australia, I would be okay.

Scott Benner (23:05) Why is that?

Claire (23:07) I was with good family friends in Australia.

Scott Benner (23:10) Okay.

Claire (23:11) And, one of them is a nurse, and they they knew they knew what was coming in.

Scott Benner (23:18) See, yeah. (23:18) What was coming in? (23:19) I like how you talk. (23:20) You're you're talking about yourself like you're a package.

Claire (23:22) Yeah. (23:23) At that point, I was I was I was a bit of a bit of a mess, but I came in.

Scott Benner (23:27) I'm gonna jump ahead to jump backwards. (23:28) Yeah. (23:28) Right? (23:29) Do you have kids now?

Claire (23:31) I do.

Scott Benner (23:32) Oh. (23:32) I do. (23:33) Imagine this happened to one of them. (23:36) You know, what would you say to them if they were like, I'm still going to Australia?

Claire (23:40) I'd be like, are you sure I'm coming with?

Scott Benner (23:44) Sure. (23:44) You can come, but I'm going. (23:45) Yeah.

Claire (23:46) I'm coming too. (23:48) And I would be like, you're getting all the technology right now.

Scott Benner (23:51) Right. (23:51) Yeah. (23:52) Yeah. (23:52) I wonder if, I wonder if there's not a ton of value in doing that, not even knowing it was that much of a risk, but taking it, living through it. (24:05) Like, I I imagine there's a ton of value for you, like, long term, but that's only because it went well.

Scott Benner (24:10) Right? (24:10) Like, if something would've got upside down, then, you know, you'd be on here right now saying, like, oh, I've made, you know, biggest mistake. (24:16) I did this thing. (24:16) I shouldn't have done it. (24:17) I didn't know what I was doing enough with diabetes.

Scott Benner (24:19) I had to stay home. (24:20) It's interesting how just maybe a little bit of the randomness of it outlines how it is we're gonna talk about it later. (24:28) But, but that's that's crazy. (24:29) Okay. (24:30) So you get back.

Scott Benner (24:31) Fast forward a year later, you're looking for a support group. (24:35) Well, you're not looking for a support group. (24:36) People force you to go to a support group.

Claire (24:38) Kind of.

Scott Benner (24:39) Yeah. (24:39) You get good stuff out of that. (24:41) You're on your way. (24:42) Eventually, you make it to the podcast. (24:44) And Mhmm.

Scott Benner (24:45) Where would you describe the level of your, I don't know, knowledge base the day before you started listening, and and how did it help you?

Claire (24:54) I think at first, it was it was kinda seeking more community, more stories, you know, because everybody has a diagnosis story, most of them are interesting. (25:07) Some of them are terrifying. (25:08) So part of me is like, oh, you know, you know, I wasn't diagnosed in a coma. (25:14) I would didn't end up in a hospital. (25:15) Like, I'm very grateful for that.

Claire (25:18) And then as the podcast evolved and you guys started doing more of, like, the pro tip stuff, I started listening more of those just to, like, learn more about, you know, how food hits you versus how insulin hits you and Mhmm. (25:34) How the timing is so critical and the amount. (25:38) Eventually, I switched to a pump. (25:40) So when the time came where I wanted to switch to a pump, I definitely listened to some episodes around that just to gather more information, more people's real life experiences. (25:49) I definitely listened to a bunch of the, interviews with the employees of Dexcom, Omnipod.

Claire (25:59) All of those, just found really interesting just to learn more about the products and the technology.

Scott Benner (26:04) Interesting. (26:04) When do you think what year was it when you started listening?

Claire (26:08) It was I think I learned about it. (26:12) It was probably, like, 2016, '17. (26:16) And then I went through phases of listening to episodes and then kinda taking a break. (26:20) But I definitely lean more into the listening more episodes around when Dexcom is going from g five, g six, g seven, when Omnipod came out with the Omnipod five.

Scott Benner (26:33) Wow. (26:33) You've been listening for

Claire (26:34) about that.

Scott Benner (26:35) A long time.

Claire (26:37) Yeah. (26:37) Yeah. (26:38) Because I think I started you know, over the ten year history I've had with diabetes, I think I started pretty early on. (26:44) But it was more just, like, dabbling here and there, and then seeking out the episodes that I thought I would gain more from.

Scott Benner (26:51) Yeah.

Claire (26:52) And I had met my husband. (26:53) Iron ironically, I met my husband one month after I was diagnosed. (26:57) So he has never known me as someone without type one.

Scott Benner (27:00) Okay.

Claire (27:00) Like, that's kind of a fun fact. (27:02) But he and I on some road trips with us into some episodes, because as you can search through the episodes, we would find some more, like, about the support person or yeah. (27:14) There were a couple that had that were more focused on, like, the person with type one and their their partner

Scott Benner (27:19) Mhmm.

Claire (27:20) In that way. (27:20) So we listened to something like that, and, you know, it it was cute because we're like, oh, yeah. (27:24) We can kinda relate to that too. (27:26) And then we wanted to start a family so that we started listening together often to the episodes you did with Jenny, about type one in pregnancy.

Scott Benner (27:34) Oh, okay. (27:35) So you did take them seriously back in the day when they were like, you have to tell us a year before you're ready.

Claire (27:40) Yeah. (27:40) I was like, okay. (27:41) I'm gonna start with these episodes, and then okay. (27:43) So Jenny wrote a book. (27:45) Okay.

Scott Benner (27:46) And you and you you did you use Jenny's book?

Claire (27:49) I did.

Scott Benner (27:50) Good book. (27:50) Yeah.

Claire (27:51) It lived next to my bed at all times.

Scott Benner (27:54) Yeah. (27:54) Yeah. (27:55) This is something can I ask, like I wanna get back into that, but I I'm gonna ask, like, a question that's more for me? (28:01) Yeah. (28:01) It's more for me and no one else listening.

Scott Benner (28:04) I I love that I love it. (28:06) You're not like a you're not like a crazy wait. (28:09) That was the wrong word. (28:10) I love all you that listen every day. (28:12) You're not like somebody who yeah.

Scott Benner (28:13) You're not a rabid fan, but you you have enjoyed the podcast. (28:17) It's done a lot for you. (28:19) You've been in and out of it over, you know, almost a decade, really.

Claire (28:22) Mhmm.

Scott Benner (28:22) Who am I to you? (28:25) Like, am I I don't even wanna put a word in your mouth. (28:28) Like, if if like, describe who I am in your life or though the podcast if it's harder to talk about me while you're talking to me.

Claire (28:35) I feel like a podcast is probably like the first one that comes to mind is coach. (28:42) Right? (28:42) Like somebody who's kinda always always there for you if you need them, but they're not they're there for you if you need them, but they're not gonna be, like, knocking on your door every day.

Scott Benner (28:51) Mhmm.

Claire (28:51) Right? (28:55) Yeah. (28:55) Kinda like coach, a guide, maybe like may maybe not like a grandfather, but like a godfather. (29:03) You know?

Scott Benner (29:04) Thank you. (29:04) That was very nice of you.

Claire (29:05) Yeah. (29:06) Jesus Christ. (29:07) No. (29:07) No. (29:07) But just like you don't have that family tie no.

Claire (29:09) No. (29:09) Not to age you. (29:10) Sorry. (29:11) That that was not my intent with that. (29:12) But more just like, you know, people have godparents, right, that are not their bloodline

Scott Benner (29:17) I

Claire (29:17) see. (29:17) But they're always gonna be there for them. (29:19) So you've got that one degree of separation. (29:20) Like, they're not gonna be at every, you know, Thanksgiving, Christmas. (29:22) They're not knocking on your door, but they're always there if you need them.

Scott Benner (29:25) Yeah. (29:25) But if you showed up at their house, they're they're not gonna lead you wrong or anything like that.

Claire (29:28) Right.

Scott Benner (29:29) Yeah. (29:29) Right. (29:29) And they'll and they'll stop and look at you and and be like, alright. (29:32) What do you need? (29:33) And Yeah.

Scott Benner (29:33) Yeah. (29:34) Yeah. (29:34) Yeah.

Claire (29:35) Like, you're calling me and not your parents. (29:37) What did you do?

Scott Benner (29:38) We've by the way, as you get older, everyone at some point has that experience where someone else's kid shows up to you and you're like, oh, well, I see what's happening now. (29:47) Alright.

Claire (29:47) Yeah.

Scott Benner (29:48) Yeah. (29:48) This is weird, but I'll I'll get in. (29:51) Okay. (29:52) And I'm not don't wanna again, I I don't wanna lead you at all. (29:56) Does this seem like a thing to you, or does it seem like what do I mean by this?

Scott Benner (30:03) You know how if you do you listen to any other podcasts?

Claire (30:09) I dabble with a lot of pod

Scott Benner (30:11) Okay. (30:11) Okay. (30:11) Great. (30:12) So have you heard, like I'm trying to pick one with, like, a lot of famous people. (30:15) Have you heard of Smartlist?

Scott Benner (30:17) No. (30:17) No. (30:18) What are some of the more famous ones you listen to?

Claire (30:23) I have talking about rabid fans, I am a big college football fan, so listen to some college football podcast.

Scott Benner (30:29) Okay.

Claire (30:29) Kinda silly. (30:32) But diabetes wise, there are a couple other diabetes ones that Sure. (30:37) I've listened to, but probably more juice box than anything else.

Scott Benner (30:39) I mean, like, I mean, like see, I I might not be getting to this correctly. (30:43) Like, do you listen to any any podcast that have, like, an actual famous person in it? (30:51) No. (30:51) No. (30:51) Okay.

Scott Benner (30:52) Really? (30:52) So your podcasts are more people with information or conversations that you're interested in hearing. (30:58) They're niche y.

Claire (30:59) Yeah.

Scott Benner (31:00) Yeah. (31:00) Okay. (31:01) And so and I do I seem to fit into that category pretty well for you?

Claire (31:05) Yeah. (31:06) Like, you're definitely famous in the diabetes community.

Scott Benner (31:08) Man, that's that's just there. (31:10) Like, I've But Yeah.

Claire (31:11) But you're not on, like, Taylor Swift, Kelvin.

Scott Benner (31:14) Oh, no. (31:15) Stop. (31:15) Stop. (31:15) Stop. (31:15) No.

Scott Benner (31:16) That's not what it wasn't my point. (31:17) But to go back to your point, like, the if you if you would see it at a diabetes event, it is crazy. (31:24) Like like, I'm still not right with it. (31:28) But if you drop me in a place where everyone has diabetes, I am I am famous. (31:34) It's it's in that spot.

Scott Benner (31:35) And then it's a great relief to be able to walk outside and, like, no one know who you are. (31:40) But I didn't expect, obviously, it's not a thing you expect, but that's not why I was asking. (31:45) What I was asking was is do I or does the podcast seem like this big shiny produced thing that someone's delivering to you, or does it still seem like I'm sitting in a room with a microphone?

Claire (31:58) I kinda feel like you're I don't that's a tricky one. (32:03) I I feel like you're sitting in a room with the microphone. (32:07) Like, it everything's very real. (32:08) It doesn't seem like you have an agenda or you're like you know, it doesn't seem like you're doing anything more than just really trying to help as many people as possible with the this medium

Scott Benner (32:21) of That's what I wanted to know. (32:22) Thank you. (32:23) I'm sorry it took us so long to get to it, I didn't wanna lead you to But I wanted to Claire's like, listen. (32:28) Could you just, like, let's get back to my story? (32:30) But I

Claire (32:31) No. (32:31) No. (32:31) No.

Scott Benner (32:31) I just

Claire (32:32) was like, I wanna answer this truthfully, but also, like and I wanted to answer it truthfully and honestly, but I was also like, oh, I hope I'm not going the wrong way.

Scott Benner (32:41) No. (32:41) You're not there's no right way to go. (32:42) Just whatever you say is what you say. (32:45) I I I was trying to figure out as this thing has grown if I'm successfully keeping it what it was. (32:54) That's what I want.

Scott Benner (32:55) Like, I want it to be me in here sharing things that I've heard, things that I've tried, things that other people have told me about, your story, a little bit of, like, technology from companies where, you know, when we can get a hold of it without turning into, you know, like, some, to you ever use your word, like, rabid YouTuber who's just, like, jamming. (33:16) Like, did you know that dexcom. (33:18) You know, dexcom. (33:18) Dexcom. (33:19) Dexcom.

Scott Benner (33:19) I know that I know that people click on dexcom videos, so I'm gonna make a thousand dexcom videos. (33:23) Or I'm gonna jump out and talk about, like, hey. (33:26) I heard that there's a new pump coming next year. (33:28) Did you know somebody was gonna, I think somebody's working on a a cure, like, all that kind of clickbaity that that Mhmm. (33:34) I just think is I think it's, like, garbage filler.

Scott Benner (33:37) And, like, you know, and sometimes, like, to your point, like, sometimes there's actually something to say, and it's nice to get a little update. (33:44) But this, like, making content every week, it's really just supposed to get people to click on it. (33:49) You know? (33:49) Like, watch me, you know, like, is there a reason to watch somebody put on their device? (33:53) Yeah.

Scott Benner (33:54) I think that can be really helpful. (33:56) Does there need to be a thousand videos of people putting on their devices? (34:00) You know? (34:01) Yeah. (34:02) I don't wanna be involved in that, I get I guess is what I'm saying.

Scott Benner (34:06) So I was just trying to see if from your perspective, because of how you've listened off and on, but still connected over at different times. (34:15) And, you know, also, we're about to talk about you making a baby with diabetes, and I'm gonna guess that that I'm gonna hope it went well, and I'm gonna think that

Claire (34:22) Oh, yeah.

Scott Benner (34:23) A lot of that came from from what you learned from here. (34:25) So, I appreciate you sharing that with me very much. (34:28) Thank you. (34:29) And, so what happened? (34:31) You decided you wanted to have a baby.

Scott Benner (34:33) You went and told your endocrinologist. (34:34) You kept your husband away from you for twelve months, and then you began to have a baby. (34:37) Is that how it worked?

Claire (34:39) Kind of.

Scott Benner (34:40) Really? (34:41) Go ahead. (34:41) Tell me what happened.

Claire (34:42) Kind of. (34:44) Well, my husband and I, we got married. (34:46) We knew we wanna start a family. (34:47) He knew the situation where it's like, okay. (34:49) We gotta tell the endo a year in advance.

Claire (34:53) And then I just started really honing in on, you know, alright. (34:58) What are our goals during pregnancy? (35:00) How do we get there? (35:02) And then trying to connect the dots. (35:04) I definitely listened to several of the episodes that that you made interviewing women with type one and their pregnancies, talking with Jenny, bought Jenny's book.

Claire (35:16) So I started doing my homework. (35:17) Right? (35:18) Mhmm. (35:19) Talking to my doctor, making small little changes. (35:22) And I I know you've interviewed, like, several women with type one pregnancies.

Claire (35:26) And so I think a lot of things that I had heard, I would say same same here, you know, just tightening my CGM time and range, just kinda going from, you know, what kind of the blanket 70 to one eighty that most people have their CGM set at

Scott Benner (35:44) or are

Claire (35:44) told to set their CGMs at. (35:46) Just bumping down that that one eighty gradually over time.

Scott Benner (35:51) What was your a one c goal for pregnancy?

Claire (35:57) My endo, OB, MFM oh, I had a prepregnancy consultation with MFM. (36:02) Yeah. (36:02) I I was doing my homework. (36:04) Their goal for me is to be under six and a half at conception and then preferably under six during the pregnancy. (36:11) And I think I was I definitely met both those goals.

Claire (36:14) I think I was under six the whole the whole pregnancy.

Scott Benner (36:16) Yeah. (36:18) MFM I'm sorry. (36:19) Monday football my my name is?

Claire (36:21) Monday night football. (36:22) Yeah. (36:23) Maternal fetal medicine.

Scott Benner (36:24) Gotcha.

Claire (36:25) High risk pregnancy doctor.

Scott Benner (36:26) I knew. (36:27) I just for other people. (36:28) You you know?

Claire (36:29) Oh, yeah. (36:29) Yeah.

Scott Benner (36:29) Yeah. (36:30) Yeah. (36:30) I know everything, so it's not I I make a podcast. (36:33) How would I not know?

Claire (36:34) Yeah. (36:35) And you've definitely interviewed women with type one.

Scott Benner (36:37) Yeah. (36:37) I actually I did. (36:38) Pregnancy. (36:38) I was not following what MFM was. (36:40) I just want to I I just wanna be clear.

Scott Benner (36:43) No. (36:44) Those episodes are really interesting. (36:46) Like, to because it separates the line between, you know, I don't know, your mental health in diabetes and your physical health in it. (36:56) Because what it what I think what those pregnant women show over and over again, what you showed was that all these health outcomes specific to diabetes are very doable and you can accomplish them. (37:07) They're not impossible.

Scott Benner (37:09) But almost every one of those ladies says, like, the baby came out, I was like, oh, I'm so happy. (37:15) I don't have to do it like that anymore. (37:17) Did that happen to you?

Claire (37:19) At first, yes. (37:20) Because it was just you know, life was crazy at first. (37:22) Mhmm. (37:24) But then I started to wanna switch gears into getting that better control. (37:29) But at this phase of my life, I feel like I don't have as much energy or bandwidth to dedicate to it like I did when I was pregnant.

Claire (37:38) Like, when I was pregnant, there was you know, I didn't have a toddler running around. (37:43) You know, my work schedule is pretty same every day. (37:46) There there was a lot of I had a lot of control and autonomy over my time. (37:52) So I could do those really long pre boluses in the third trimester, and I could count all the macros and all my meals. (37:59) And I could prepare all my food all the time and and stuff like that.

Claire (38:02) Oh, got a little spike there. (38:03) Let me go for a walk. (38:04) So I had all of that going for me too.

Scott Benner (38:07) Right.

Claire (38:07) And I didn't it was fine at the time. (38:10) Everything worked out. (38:11) But I was like, okay. (38:11) Long term, don't know if I wanna do exactly that much effort. (38:16) I don't know if I can.

Claire (38:19) But it was when I was pregnant, it's so funny because people would talk about how tired you are. (38:23) And I was tired, but at the same time, I felt like I had great energy. (38:28) And I think it was because my blood sugar was so tightly controlled. (38:31) Like, I think mentally, I was, like, felt great because my you know, I wasn't getting these big swings. (38:37) My blood sugar control was tight.

Claire (38:39) I had great time in rain. (38:40) I was sleeping pretty well with having good blood sugars overnight, stuff like that. (38:45) So it was just very interesting to look back on. (38:50) And what what I thought the coolest part about being pregnant with type one was having that CGM information was like an extra vital sign. (38:59) Like, I could tell my body was making this baby placenta.

Claire (39:05) Everything was going on because of how my CGM numbers were shaping out, you know, because I was getting a little more insulin resistance. (39:13) So that was just so cool. (39:13) Like, that's something that people with type one don't get to experience during their pregnancy. (39:18) I thought that

Scott Benner (39:19) was cool. (39:19) Yeah. (39:19) That's awesome. (39:20) So that's pretty great. (39:22) How do you did you just make one, or have you made more since then?

Claire (39:26) No. (39:26) Just one for now.

Scott Benner (39:27) Just one for now. (39:28) How old how old is that one right now?

Claire (39:30) He's about three and

Scott Benner (39:32) a half. (39:32) Yeah. (39:32) His name's Scott, by any chance?

Claire (39:35) No. (39:35) But when we were going through the names, once we knew it was a boy, you know, we did throw that in the list. (39:40) We were like, oh, should we name him Scott?

Scott Benner (39:42) Thank you. (39:43) Did it stay for more than a day or no on the list?

Claire (39:46) I don't know if it made the official list.

Scott Benner (39:47) Maybe it made

Claire (39:48) the long list but not the short list.

Scott Benner (39:49) Did you see that somebody got a tattoo yesterday that says bold with insulin on it?

Claire (39:53) No. (39:54) That's great.

Scott Benner (39:55) It's a juice box. (39:56) The microphone's coming out of the top instead of a straw. (39:58) It says bold with insulin. (39:59) I am taking that as almost the same as a, as a baby name. (40:03) Somebody immediately jumped in and said, well, you'll notice he didn't name a baby after you.

Scott Benner (40:08) And I said, no. (40:09) This is this is pretty I think a baby naming would be the pinnacle. (40:13) And then I and then I stopped myself, and I said, well, maybe not the pinnacle. (40:16) The pinnacle would be if you had a baby named it Scott and then got in a bolt with Insulin tattoo. (40:19) But All

Claire (40:21) at the same time.

Scott Benner (40:21) Yeah. (40:21) Yeah.

Claire (40:22) On the same day.

Scott Benner (40:23) Then I would be like, I won. (40:24) It's over. (40:24) I'm I'm done. (40:25) I'm not even gonna make the podcast anymore. (40:27) But, no, being being super serious, it was really lovely and strange to see somebody, like, tattoo something on them that's from this podcast.

Scott Benner (40:42) Like, it's a real leap. (40:44) You know what I mean? (40:45) Like, I I I I and I know the I I know enough about the person's life to know that they, I I don't think I'm speaking for them. (40:52) I think they feel like their vision is intact because of me. (40:55) And that's, you know, a big it's a, obviously, a big deal.

Scott Benner (40:58) But at the same time, like, from my perspective, I was like, wow. (41:02) That's surreal. (41:03) Surreal is the only real world to to put to it. (41:05) That is not a thing. (41:07) That was not on my bingo card as they say.

Scott Benner (41:09) Yeah. (41:10) Yeah. (41:10) That somebody was gonna be like, hey. (41:11) I got a bold with insulin tattoo. (41:13) I'm like, oh my god.

Scott Benner (41:13) That make that I felt pressure. (41:14) I'm like, I don't have a I don't have a tattoo about the podcast. (41:19) Like, do I have to do it now? (41:21) But but, nevertheless, it was it was really lovely. (41:24) And I appreciate you even pretending for a minute to consider naming your child, Scott.

Scott Benner (41:28) Thank you. (41:29) And that, for people who don't know, is just a running joke through the pregnancy episodes where women are always like, oh my god. (41:35) I had such a healthy pregnancy because you, and I was like, but not healthy enough to name your baby after me. (41:41) So

Claire (41:41) yeah. (41:41) Yeah. (41:42) Yeah. (41:42) But it is. (41:43) It's definitely in the in the episode.

Scott Benner (41:45) So Yeah.

Claire (41:45) When the time came, we were, you know, joking around and about what to name our son. (41:51) And we we found out really early what, gender we were having, which I appreciate because then we had extra time to try and think about the name.

Scott Benner (41:58) Yeah. (41:59) How do you find out early? (42:00) Was he like, are you bragging? (42:01) Was he, like did he ever really, like how do you

Claire (42:05) Well, he was never shy on the ultrasound, but, as a high risk pregnancy, you get a bunch of blood tests done at, like, about ten weeks, including the gender. (42:16) They can find out the gender through a blood test when you're ten weeks pregnant.

Scott Benner (42:19) Oh, I thought maybe, like, in every, like, image, the kid was just, like, Spread Eagle, like, jamming his balls towards the camera or something like that. (42:25) He's like, it's me. (42:26) I'm here.

Claire (42:28) I'm here.

Scott Benner (42:30) Take a look at these, my friend. (42:31) You're gonna have a boy. (42:34) You're

Claire (42:34) like, it's definitely a boy, and he's not shy.

Scott Benner (42:37) Then you had a lot of time to think about the name. (42:39) That's awesome.

Claire (42:40) Yeah.

Scott Benner (42:40) Yeah. (42:40) Yeah. (42:40) Yeah. (42:40) I like that idea. (42:41) So you were you felt really now it's how many years later?

Scott Benner (42:44) Three, you just say?

Claire (42:45) Mhmm. (42:45) Yeah.

Scott Benner (42:46) Do do you still love the name or do you are are you like have you had one of those moments? (42:49) Like, oh, we should've went with the other name.

Claire (42:51) No. (42:52) But we did take our time deciding because we're, like, so on the fence and, like, you know, first name, middle name that, the records department. (42:59) Somebody was calling our hospital phone, and they're like, you have to name this kid before you leave the hospital. (43:04) I was like, okay. (43:04) I'm kinda busy right now.

Claire (43:05) Oh. (43:05) Call you back.

Scott Benner (43:06) That happened to us with Cole because my wife and I were still we were horse trading. (43:12) I was I I know I've said this before, and it's probably not appropriate to talk about, but, you know, I have a podcast. (43:18) There's not much I can do. (43:19) She wanted to name him Nicholas, and I wanted to name him Cole. (43:23) And she wanted to get him circumcised, and I was living through that part in time where people are like, don't do that to get boys.

Scott Benner (43:30) And I was like, I don't know if we should, even though in, candor or clear, I am. (43:35) And so, like, we're busy having that conversation and just we're in the hospital, and I said, you can circumcise him if I can call him Cole. (43:43) And she was like, okay. (43:44) That's Like, deal.

Claire (43:46) Strike on it.

Scott Benner (43:47) That's how, yeah, that's how his name ended up being Cole. (43:50) But so you were but we had the same experience where they were, like they came into the room. (43:54) They're like, you gotta name this baby. (43:57) Yeah. (43:57) And we were like, hey.

Scott Benner (43:58) We're in the middle of it. (44:00) Like, it's you know? (44:01) Yeah.

Claire (44:02) Kinda busy here.

Scott Benner (44:02) Yeah. (44:03) I'm busy. (44:03) I'm busy. (44:04) I'm I'm my my wife and I are trading right now. (44:06) Like, we're getting to it.

Scott Benner (44:07) Don't worry about it. (44:08) It's all gonna work out.

Claire (44:10) The negotiations in the process.

Scott Benner (44:12) Also, everything in our relationship is, like, a it's we are so different than each other that everything turns out to be, like, I don't know, like that. (44:20) Know she said something the other day, and I responded back, and Arden looks at me and goes, yo, man, read the room. (44:29) I was like, he's like I'm like, what did she he goes she said to me, whatever you're about to say, just keep it to yourself. (44:36) She's not a she's not into this at all. (44:39) And I was like, your mom can handle a tough conversation.

Scott Benner (44:42) And she goes, not now. (44:43) She's not looking for it right now. (44:46) And I called I called Kelly's name, and she she had headphones on. (44:49) She's working. (44:49) And she's wearing headphones so that, you know, she I don't know what she honestly, I don't know what she does when she's she does a lot of really technical reading and seems to be doing something else in her ears at the same time.

Scott Benner (44:59) And, like, you know, I bothered her enough that she had to take one of the headphones off, and I asked her the question, and she just glared at me and put the headphone back on and turned away. (45:07) And and Arden looks at me, and she's like, I told you.

Claire (45:10) Like, I told you so.

Scott Benner (45:12) It's like I was like, I will not be disrespectful of your mother. (45:15) I was like, she can handle this. (45:17) She's like, she might be able to handle it, but she's not looking for you right now. (45:20) And I was like, no. (45:21) You're making a point.

Scott Benner (45:22) Anyway, that that's all neither here nor there. (45:25) So okay. (45:26) So let's go through it a little bit. (45:28) You, start making that baby.

Claire (45:30) Mhmm.

Scott Benner (45:31) What do you experience during the first trimester? (45:33) When does it pivot? (45:34) How do you pivot with it? (45:36) How many times do things change throughout the process?

Claire (45:39) Yeah. (45:39) A lot.

Scott Benner (45:40) Speaking of a lot, there was a lot of words in this episode, so we had to split it into two parts. (45:45) And part two is coming right away tomorrow. (45:47) I promise you it will be there. (45:49) Go look right now. (45:57) A huge thanks to my longest sponsor, Omnipod.

Scott Benner (46:00) Check out the Omnipod five now with my link, omnipod.com/juicebox. (46:06) You may be eligible for a free starter kit, a free Omnipod five starter kit at my link. (46:13) Go check it out. (46:14) Omnipod.com/juicebox. (46:16) Terms and conditions apply.

Scott Benner (46:18) Full terms and conditions can be found at omnipod.com/juicebox. (46:23) The conversation you just enjoyed was brought to you by US Med. (46:27) Usmed.com/juicebox or call (888) 721-1514. (46:33) Get started today and get your supplies from US Med. (46:37) The music ran out, but I wasn't done talking yet.

Scott Benner (46:40) A huge thanks to Cozy Earth for sponsoring this episode. (46:43) Cozyearth.com. (46:45) Right now, you can stack my code JuiceBox on top of their site wide sale. (46:49) This is gonna give you up to 40% off in savings, and these deals are definitely not gonna last. (46:54) I'm talking about sheets, towels, clothing, everything they have.

Scott Benner (46:58) Get that holiday shopping going right now today. (47:00) Do it. (47:00) Do it. (47:01) Do it. (47:01) Cozyearth.com.

Scott Benner (47:02) Use the off code JuiceBox. (47:04) My grand rounds series was designed by listeners to tell doctors what they need, and it also helps you to understand what to ask for. (47:12) There's a mental wellness series that addresses the emotional side of diabetes and practical ways to stay balanced. (47:18) And when we talk about GLP medications, well, we'll break down what they are, how they may help you, and if they fit into your diabetes management plan. (47:25) What do these three things have in common?

Scott Benner (47:27) They're all available at juiceboxpodcast.com up in the menu. (47:31) I know it can be hard to find these things in a podcast app, so we've collected them all for you at juiceboxpodcast.com. (47:38) Hey, kids. (47:38) Listen up. (47:39) You've made it to the end of the podcast.

Scott Benner (47:40) You must have enjoyed it. (47:41) You know what else you might enjoy? (47:43) The private Facebook group for the Juice Box podcast. (47:47) I know you're thinking, Facebook, Scott, please. (47:49) But no.

Scott Benner (47:50) Beautiful group, wonderful people, a fantastic community. (47:54) Juice Box podcast, type one diabetes on Facebook. (47:57) Of course, if you have type two, are you touched by diabetes in any way? (48:01) You're absolutely welcome. (48:02) It's a private group, so you'll have to answer a couple of questions before you come in.

Scott Benner (48:05) We'll make sure you're not a bot or an evil doer, then you're on your way. (48:09) You'll be part of the family. (48:11) I wanna thank you so much for listening today and for listening all year long. (48:15) I know this is the beginning of 2026. (48:17) 2025 was a banner year for the podcast, but 2026 is starting out with a real bang.

Scott Benner (48:23) Our downloads are up. (48:24) The amount of people listening are up. (48:26) I'm super excited about the show this year. (48:28) I hope you are too. (48:29) Juiceboxpodcast.com if you need anything else.

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