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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.

Dakota 0:00
Hi. My name is Dakota. I was on Episode 1198 and today I'm here to talk about my switch from Omnipod five to the islet bionic pancreas. You

Scott Benner 0:23
you, Hello friends and welcome back to another episode of The Juicebox Podcast. Nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. If you are the caregiver of someone with type one diabetes, or have type one yourself, please go to T 1d exchange.org/juice, box and complete the survey. This should take you about 10 minutes, and will really help type one diabetes research. You can help right from your house at T 1d exchange.org/juice, box. Don't forget to save 40% off of your entire order at cozy earth.com All you have to do is use the offer code juice box at checkout. That's Juicebox at checkout to save 40% at cozy earth.com when you place your first order for AG, one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink. AG, one.com/juice box. Hey everybody. I know there's so many episodes you might be like, I don't know where anything is, but if you go to Juicebox Podcast com, or go to the private Facebook group and look in the feature tab, you'll see a complete list of all the series that exists within the podcast. Today's episode of the juice box podcast is sponsored by the Dexcom g7 and the Dexcom g7 warms up in just 30 minutes. Check it out now at dexcom.com/juice box. This episode of the juice box podcast is sponsored by us Med, us, med.com/juice box, or call 888-721-1514, 887211514, get your supplies the same way we do from us. Med, hi.

Dakota 2:07
My name is Dakota. I was on Episode 1198 and today I'm here to talk about my switch from Omnipod five to the islet bionic pancreas. Awesome.

Scott Benner 2:18
Welcome back. Thank you, of course. What'd you say? 1198, Yep, let's see what we call that one hitting cows, one of my favorite titles. Do you remember like when you look back on that? I mean, that went up. Would you say May 1620, 2322 I don't even know 24 excuse me, just this past year, I've now lost track of everything. When you think back on that episode, it's been year and a half since you since it's been up. So it's been two years since you recorded about Wow, is it 2025 Dakota, how about that? Yeah, you heard me get confused there, huh? Like I said two years ago, and put myself into 2022 when you think back on that conversation, like, what do you think the overall message is like, if I if you didn't know you and you listened to it, what would you say? Like, this is what the code is talking about.

Dakota 3:13
Probably along the lines of, this is a young guy who's just starting his journey throughout diabetes and just learning everything you can, yeah, and

Scott Benner 3:23
then what's changed for you since you recorded that two years ago? Like, what did you learn? What did you try? What did you decide?

Dakota 3:33
Uh, perfection is very hard to achieve,

Scott Benner 3:37
for sure. Were you trying at first?

Dakota 3:39
Yeah, I was trying my hardest. I got burnt out very quickly.

Scott Benner 3:44
So what was like, functionally? What did that look like? What did trying look like? Counting all my carbs, dosing as often I could, pre policing, corrections and it all just, it got to it got to be too much,

Dakota 4:00
yep, thinking about what I'm gonna eat constantly,

Scott Benner 4:03
when it felt like too much. Did it stop you from doing it, or did it just make the whole thing drudgery? A little bit of both? Okay, yeah, I dreaded diabetes, and

Dakota 4:17
at the same time I wanted to do my best, but to a point I just

Scott Benner 4:23
couldn't. Is what it felt like. So did it turn into like, no matter what I do, this is how this is gonna go. So why bother?

Dakota 4:31
Yeah, and I was seeing like, 40 to 400 in the same day, multiple days

Scott Benner 4:37
in a row. And did you think you didn't understand what you were doing? Or do you think that, how do you get to 400

Dakota 4:45
so I think I was honeymooning in the beginning, okay, and then my insulin needs just started increasing, and I didn't know the first place to kind of begin,

Scott Benner 4:57
I see. So you're now using incor. Settings, but making the same steps, and then you're not getting the outcomes you were accustomed to exactly, all right? And then can I ask why you didn't adjust the settings? I was

Dakota 5:11
adjusting the settings the best I could by myself. I think at the time, I was not seeing an endocrinologist, so I was between endos and waiting for a new one to come into the office. So I was just with my primary care, and she was doing the best she could, but didn't know the Omnipod five system.

Scott Benner 5:29
Yeah, remind people the reason your episode is called hitting cows is because you live in the middle of a field the middle of the country. Is that correct? Pretty much, yeah, you're pretty much seemed defeated. Would you like to come out here and see the city Dakota? Is that your

Dakota 5:46
as long as it's not snowing, the

Scott Benner 5:48
snow horrifying the weather is. So I don't want to talk about this, but the weather has become so strange over my lifetime. I don't know if it's just changing, and I'm locked into what I remember as a child. But I mean, it's January 2 here, and two days ago, I walked outside in a T shirt. It was like 56 degrees, and now the wind is blowing and it's freezing. I don't understand what's happening. I don't know what there used to I feel like there used to be a smooth transition in and out of seasons, but I don't think that's gonna happen anymore anyway. All right. Well, you know, you can always come out and visit come out and visit, can't stay with me, but you know what I'm saying? It's yeah, I just want space. So okay, so you get this feeling you're not getting reasonable help with making the adjustments you're trying. But what's happening are you just not making them quickly enough, and then days turn into weeks, and then you make another small adjustment, but it's not enough again, yeah? Or I'd adjust too much, and oh, it would Yeah, so then I'd dial it back a little bit. Oh, man, I just couldn't find the right place to be at, yeah, but I'm sorry. And so even on an automated system like Omnipod five, you didn't have your settings right, and it just wasn't

Dakota 7:01
working exactly. Yeah, the settings are very important on that system. They

Scott Benner 7:05
certainly are so in a normal world, a world before your new pump, you would have probably continued on, figured it out, reached out, helped people, or maybe just tumbled further into despair. Like, I don't know. I've seen it go both ways for people, but instead, what did you do? You can manage diabetes confidently with the powerfully simple Dexcom g7 dexcom.com/juicebox, the Dexcom g7 is the CGM that my daughter is wearing. The g7 is a simple CGM system that delivers real time glucose numbers to your smartphone or smart watch. The g7 is made for all types of diabetes, type one and type two, but also people experiencing gestational diabetes. The Dexcom g7 can help you spend more time in range, which is proven to lower a 1c The more time you spend in range, the better and healthier you feel and with the Dexcom clarity app, you can track your glucose trends, and the app will also provide you with a projected a 1c in as little as two weeks. If you're looking for clarity around your diabetes, you're looking for Dexcom, dexcom.com/juice box. When you use my link, you're supporting the podcast dexcom.com/juice box. Juicebox head over there. Now, eventually,

Dakota 8:24
I got in with my new endocrinologist, and he looked at my like my clarity report from Dexcom, my ANC kept rising over like six to nine months, and he had suggested that I should try the islet or the Medtronic 780, G, and I was apprehensive about Medtronic. And I had heard good things about the islet and what it can do and what the technology is and where it's headed.

Scott Benner 8:53
Tell me what made you apprehensive about Medtronic, just the things I hear or read about online. Okay, so some you heard something somewhere, and it was not a positive thing. And so you thought, okay, that's not a good option. But then you heard something positive about eyelet. Is that what happened? The more

Dakota 9:09
I looked into it, the more it seemed like this is what I wanted. This is what I needed. It was a lot for, like, mental health reasons,

Scott Benner 9:18
more of the promise of what eyelet is. That was what was attracted to you. Yep. Got you tell people how old you are? 2727 Well, used to go to we're all getting old. Are we gonna be 54 this summer? That's why, that's why it's hard to get the young people to listen. You know what? I mean, I don't have any hip things to say. I don't know any of the new phrasing for anything like,

Dakota 9:40
like you. I mean, I know of it, but I don't know what any of it means. You

Scott Benner 9:44
don't you don't use it. No. So funny, when an older person tries to throw in a word, you're like, Oh, Mom, stop. It's over. Mom, don't do it again. Okay, so the doctor is the one that says eyelet to you. I was hoping you heard about it from me or. From I had already known about it at that point. Well, that's important to say, just in case they want to be a sponsor, one day, they'd be like, Oh, Dakota. Heard about eyelet from Scott, and that's why, when his doctor suggested it, he was like, Okay, I'll try that. Is that about right? Yeah, pretty much. Excellent. Good job, Dakota. Now. Okay, so how long have you been using it nine months around there. That's how long it takes to make a baby. Yeah. Oh, wow. Your Isla could be giving birth right now. Let's take steps through it. The doctor suggested to you, do they hook you up with a company? Does they come to the house like, how do they do it? Isla

Dakota 10:37
gave me a cold or bionics? I guess it would be. They gave me a call, got me scheduled. Well, first they ran my insurance and seen if I was covered, found a place to send it to me from sent it to me, and then I had to wait, I think, two weeks before I could do a training session through zoom. Okay, because I didn't have anyone local.

Scott Benner 10:58
How was it training? Virtually? Did you have a problem with it, or was it pretty good?

Dakota 11:02
So when I was like, putting on my set, my insulin set, my infusion site, they couldn't see it in the camera, so they were like, I think you're doing it right.

Scott Benner 11:13
The sounds you're making sound right? Yeah. Okay. So not perfect, not being in person, but it worked out. Yep. Okay. Walk people through it. How do you set up an eyelet so you're

Dakota 11:22
gonna take it out of the box, and to turn it on, you have to set it on the charger, because there's no power button. And then when it turns on, it asks you how much you weigh, and that's the only setting that it needs. Did you tell

Scott Benner 11:35
it? Did you lie to it? Were you like, Well, I'm just kidding. I

Dakota 11:39
wanted to, no, I wanted to. Oh no, I'm,

Scott Benner 11:41
you know, I'm more, like, 20 pounds less than that, exactly. That's interesting. There's no power button, so you have to, you set it on the on the charger, that brings it to life, charges it up, and then on a screen, it asks you how much you weigh, or on an app on the screen, on the screen, and you like, I weigh this much? Islet go. And that's it,

Dakota 12:01
yep. And then there was something with, I think my Omnipod had ended earlier that day, so I was off insulin for a few hours, and my blood sugar was, I think, in the three hundreds when I started training, okay, but it quickly came down, and it was like 225 by the time we ended. How long was

Unknown Speaker 12:21
the training? About an hour.

Scott Benner 12:22
Okay, you pop that thing on, it makes a Bolus, and an hour later, you're falling already, yep. Now take me back to that moment right before you know if you're gonna like eyelet or not. And we don't even know if you like it yet, because we haven't gotten that far. But do you have that like, uh, there's a piece of tubing. Now I'm connected to a thing. Did you have that feeling? I did.

Dakota 12:44
Yeah, I wondered how I was gonna sleep with it, or I was gonna hook it up to if I was gonna snag it on doorknobs.

Scott Benner 12:53
Did it end up being an issue for you? A couple

Dakota 12:55
times it's fallen and ripped out, maybe twice. There was one time I was holding it in my mouth and I cracked the screen with my teeth and I had to get a replacement.

Scott Benner 13:09
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Dakota 14:32
you tell them? That's what happened? I told them the screen was broken. Hello,

Scott Benner 14:35
beta, bionics, I was chewing on my pump. Would you please right now? They're listening. They're like a kid snooker at us. So you're saying couple things that can happen. This is not specific to eyelet, but like, you have the pump in your hand, you drop it, the tubing tenses up, it yanks out your infusion set. Yep, okay. And one time you ran out of hands, put it in your mouth, bit down too hard and broke the screen. Yeah. Yep. Do you have a unusually powerful bite

Dakota 15:03
I am known for clenching and grinding

Scott Benner 15:09
my teeth. Are you here to ask the people of beta Onyx to please make the screen a little thicker so you can chew on it some more, right? And I have to admit the sleeping part. You know, you guys know if you guys know, if you listen like, Arden has been wearing an omnipot Since she was wearing a pump, so since she's four, which means she's coming up on 17 years with it. Is that right? Jeez, yeah. My God, I am old. The sleeping thing hits me right away. I'm like, How do you like sleep with a thing attached to you by a cape, like you wake up and it's like, I almost said something ridiculous, Dakota, that would have been funny between you and I, but not while we're making a podcast. But does the tubing get wrapped around things?

Dakota 15:50
Not necessarily. It'll get wrapped around, like the clip on the pump, if it falls off my waistband, and then it'll get tangled up in itself. Yeah.

Scott Benner 15:59
Is it cumbersome when you're I don't want to dig into your life too far, but like with the ladies or anything like that, you just disconnect. You disconnect to people, yeah, to do that part. Okay? You find that all okay, yeah, all right. Nine months later, you look back on how you felt that day. Has it been a like would you characterize it as a problem or just an adjustment. Just an adjustment. Okay, all right. So day one, it's on. Blood sugar starts coming down. What do they explain to you? Is happening? Is it figure like, you know what I mean? Is it figuring things out? Is it, you know, what's the explanation you got? So

Dakota 16:37
the first week you're supposed to eat like you regularly would, which I mean that in itself, is a loaded statement, so it can learn you and learn like you're eating, styles and how much insulin you need for each meal. Because when you dose, you choose if it's breakfast, lunch or dinner, and then if it's a usual amount of carbs, less or more,

Scott Benner 17:00
when it asks breakfast, lunch or dinner, is it asking about time of day or type of meal?

Dakota 17:05
That is a good question, and I ran into that when I was eating dinner for breakfast within the first week of having it. So I had messaged my trainer, and she said to choose breakfast, because it's a breakfast meal, but it's a different type of day. I'm recording an

Scott Benner 17:22
episode, you know this. I'm now talking to the people who are listening. I'm recording an episode tomorrow with someone from beta bionics. I'm going to write that down as a question for me is, how did I just put that? Is it the time or type for meals? It's good question. Scott, thank you. Okay, so it must have felt like a week long. Pass about eating, right? Because your goal wasn't good blood sugars. Your goal was just eat, be normal and let the thing figure things out. Yep, yeah. What'd you do? Would you eat?

Dakota 17:53
That was the same week I was going on vacation. Oh, jeez. So it wasn't really a good week to start the eyelet,

Scott Benner 18:01
because your eating was not common for you,

Dakota 18:04
right? Yeah. But at the same time, I wasn't eating three meals a day, and I knew when I was on vacation, I would be eating more consistently because I was going to be with friends and family. Okay,

Scott Benner 18:16
all right, so you go through that process, it learns how you eat. I guess that's the phrasing, right? And then that's it. Like you get up in the morning, you go, This is breakfast. It's what are the three questions, again, is

Dakota 18:29
size of its uh, usual, less or more? Usual? Less

Scott Benner 18:33
or more than normal? Is that right? Is that the phrasing? Okay? So you get up in the morning, you're like, I'm having breakfast. This is usual. Do

Dakota 18:41
you Pre Bolus? I don't Okay. And I thought I read somewhere that it's not recommended that you do with the pump, because your blood sugar starts going down and then it backs

Scott Benner 18:53
off. Because it backs off. So do you get too high after you eat? But it brings it back. How does it end up working? Occasionally,

Dakota 19:00
that does happen. It's kind of a task in itself to think about. Is this my usual amount of carbs, or is it more Okay? Something that I struggle with still is deciding the amount of carbs

Scott Benner 19:13
to choose. When you're faced with that question, you think I don't know. Sometimes,

Dakota 19:18
sometimes I'll just press a button and go on, because I know it'll correct me back down, or do whatever it needs to do, I see. But if I am thinking about it, and I say actively trying, I usually don't go high after meals, it'll keep me within range. What's the range? 70 to 180

Scott Benner 19:38
Okay, so after a meal, if you don't go over 180 you feel like this has been successful. Yeah. Okay. How long does it take for it to bring it back to 80? Like, where, actually? Where does it hold you, generally speaking, away from food and insulin. So

Dakota 19:52
there's a higher target and a lower target. I believe there might be three targets. There might be a usual two. Yeah, I'm pretty sure the number is 120 is where it's supposed to target you back down to

Scott Benner 20:06
and do you stay at 120 or how do you where do you sit? Stable?

Dakota 20:09
My average is like, 141 50.

Scott Benner 20:14
Okay, where is it? What was it on Omnipod five, when you had your settings all messed up? Oh,

Dakota 20:19
I know I was in range for like 40% of the day,

Scott Benner 20:23
between 70 and 180 Yeah, and now, now,

Dakota 20:27
on a good day, I'll hit like 90% and I'd say I'm about 70 to 80% four days out of the week.

Scott Benner 20:38
How often do you get low where you have to save yourself throughout the day. Sometimes I'll get a couple lows. They're usually nothing like intense. Are they after meals? Like couple hours after a meal?

Dakota 20:52
Yeah, and usually I'm working at the same time, so there's some activity involved.

Scott Benner 20:57
I see when you were using Omnipod five your goal. What were your goals that you couldn't get to?

Dakota 21:04
I had it set for 70 to 150 and every time it would go over 150 I would like put in a small correction, if it would let me through the basal calculator. Yeah,

Scott Benner 21:16
that. That was the game, by the way. I think Bolus calculator, I tell you. I just told that to Arden yesterday, so, like, you know, she's getting older now, obviously. And I said, you know, we had your goal, like, your your alarm was lower. And I said, but I think as you get older, I think it makes more sense to bring it up a little bit. And I said, I think maybe we should start at 150 like, we don't want your blood sugar going sugar going like, like, what I told her was, I think if she assumes a miss at 150 after a meal and makes an adjustment as she's approaching that that'll be like, a good place to begin for her to, like, find her own rhythm with it. You know what I mean? Yep. So that's what you were doing. You were at 150 you're like, oh, it's, I'm getting too high. Give myself insulin. How often do you have to inter Well, it's not just intervene. You can't intervene, right? So, like, I was gonna say, like, how often does islet put you over 180 after a meal? And you're like, oh, I need more insulin, but you can't Bolus with it. Is that correct?

Dakota 22:16
That's correct. And if you try to, like, announce another meal afterwards, and that'll just confuse the algorithm. You

Scott Benner 22:23
can't lie to it about carbs. Yep, exactly. Okay, so how frequently do you find yourself thinking, I wish there was a button on here that gave me more insulin. Maybe once a day. You get stuck, too high, too long, ever?

Dakota 22:38
Yeah, every once in a while, if I, like, Miss real big. So like, this morning, well, while I was sleeping, I ran out of insulin in it, so it holds 160 units, and I think I ran out like, four hours before I woke up.

Scott Benner 22:57
Dakota, that Mm, hmm. Was very parental. I don't know if you heard it. Yeah, I could tell Yeah. Thank you. I don't I please, please change your pump before you go to bed. Is it a cartridge or do you fill the pump?

Dakota 23:08
It's a empty cartridge that you have to fill.

Scott Benner 23:10
It's a coda. How long does that even take? So and

Dakota 23:14
I got this little container where I can do multiple ones at a time and stick them in the fridge. So you're telling

Scott Benner 23:19
me that you neglected to walk to the refrigerator before you went to bed last night and risk DKA over that.

Unknown Speaker 23:24
Yeah, yeah.

Dakota 23:29
Dakota, listen, I didn't, I didn't know that I was even getting low on my insulin before I went to bed. That's not something I checked regularly. I

Scott Benner 23:37
would like you to check it regularly. I know. Okay, so, yeah, no, it was recently. We were, where are we going? I think we were going to see wicked. Have you seen wicked? No, no, I didn't imagine you had we were going. I was going with the girls to see wicked. And we're like, you know, like sitting in the kitchen. People are like, pulling on shoes and coats and stuff like that. And Arden goes, oh yeah, this pumps almost out of insulin. Good thing I looked like, yeah, good thing while we're sitting in the movie that cost $50 for three people to watch. And like, beep, beep, beep, beep. And like, Wait, we're not near our house. Like, so we changed pump, or she changed her pump, obviously, but then we brought insulin with us, which I think is a thing I would have I think I would have done that. I don't like going to places where, if something happens to a pod, it ruins the experience, if we don't have one with us. Does that make sense? Yeah, yep. Okay, so I have questions, I guess. What are they? Is it worth it?

Dakota 24:35
Like I think, I think so for me, a big part of it, again, was for my mental health. So when I was starting to feel defeated with the Omnipod five, I would like rage Bolus, and sometimes it would be before I'd go to bed, which is not a good idea to do. No,

Scott Benner 24:52
you're making a list of things I don't want you to do here. It's okay. I like your honesty. Dakota. I appreciate you. Yeah. Okay. So it's worth it, because you were having other challenges, and they don't exist anymore. I feel like they don't. That's awesome. Yeah, did you exchange one problem for another? Like, what, I think my wife, the only reason my wife doesn't leave me. She's like, you know, the devil you know. But have you exchanged one problem for another. Like, did you fix it one set of issues, but you have a different set now.

Dakota 25:24
It feels like when my when I need to work on my mental health, my diabetes, takes a back burner. So yeah, in a way, trading out one problem for another, and it kind of goes back and forth between those two,

Scott Benner 25:37
like a slow game of tennis, yeah, yeah. The ball's on that side of the court for a while, then it comes back over here. Yep, I don't remember from our last conversation, and I'm going to apologize for that, but do you have any anxiety or any stuff like that going on?

Dakota 25:52
I did anxiety, depression. I've recently been diagnosed with ADHD, so I'm starting to deal with that too. Sounds fun, yeah, but the medication for that has helped with my anxiety a lot. And I think just like the constant mind running

Scott Benner 26:11
ADHD medication helped you with your anxiety, yeah. What's the medication?

Dakota 26:16
I'm on the lowest dose of Adderall, okay, just

Scott Benner 26:19
a little. What is that? That's actually, you live in the Midwest, you must know, what is it? Yeah, what?

Dakota 26:27
It's a D, it's a D amphetamine, salt combo.

Scott Benner 26:29
Okay, all right. Have you had any, um, it's the word I'm looking for, like, adverse events from it. Or do you, do you like the impact

Dakota 26:36
of it? No, I like the impact of it. Yeah. Is that a daily pill? It is, yep, and it's an extended release. So I just take it once in the morning just

Scott Benner 26:44
to avoid other medication with it. Or can you take it with other stuff, like vitamins and things? You know, you're 27 you don't take vitamins, but I would take vitamins. Dakota, thank you. See now look at that. See now you get the now the parental like, Happiness comes back. Awesome. Thank you. Just the vitamin. I just want you all taking a vitamin. By the way, if you buy a vitamin, it says that the serving size is two a day. Don't just take one and tell me you're taking vitamins. That doesn't count. Awesome. Oh, that's excellent. So are you able to take them together?

Dakota 27:13
Yeah, I haven't had any issues, and they didn't tell me to avoid anything while taking it.

Scott Benner 27:18
Well, I think we all know that they Dakota don't always tell you the things you need to know, so we'll find out to be sure. Excellent. Okay, so you announce the meal, and you never think about it again, or you do you think like, also, what CGM are you wearing with

Dakota 27:35
it? I'm on the g7 now. Okay,

Scott Benner 27:38
so you announce a meal, but it's pancakes, and now it's Beep, beep, beep, beep, beep, beep, that like, are you not? Is there no like, anxiety of like, oh my god, there's something happening that needs attention, but I don't have any power. It

Dakota 27:53
was very difficult at first. So at first I did. I would announce, like, a smaller meal afterwards, and then later, like, the next time I'd announced that meal, it would think I would need less

Scott Benner 28:05
insulin, okay? And so that's what you're not

Dakota 28:10
supposed to trick it, and then it would just get worse.

Scott Benner 28:13
Okay, yeah, so you felt the pressure. You're like, I just had five carbs and or a small you can't do that. You'd be like, I just had a small lunch, and then it just messes things up worse. Yep, okay, so then that doesn't fix the problem. Then, right? Like, how do you manage that feeling of, I know I need more insulin

Dakota 28:33
first. It was really hard. Now I just wait for the pump to do its thing. I've been on it long enough I've gotten used to giving that,

Scott Benner 28:42
did you you've done with that? The girl in that Frozen movie said, you just let it go. Let it go. Yeah? I like how you started laughing. You're like, Oh, I know what he's talking about. So you just, you were able to let it go, yeah? What's your a 1c, today, I was supposed

Dakota 28:56
to have an appointment at the beginning of last month that I missed. I slept through it. Dakota.

Scott Benner 29:01
What's going on there? Uncle's got the visit what's going on? Okay, it's

Dakota 29:07
rescheduled for like, in a week or two, okay, but my GMI is right at seven, and before that, my a, 1c was 6.8 before I started islet, it was 7.6

Scott Benner 29:22
Well, all right. I mean, that's a win. Yeah, right. No way around it. I mean, I'm listening to other people online talk about it, and then some of the things they're concerned about is, like, could you make the target lower? Like, have you had that thought

Dakota 29:35
I have? And then at the same time, the algorithm can be pretty aggressive at times. Okay, there's times like you don't really see insulin on board, but if you go into the settings, you can see how much it's dosed you. And there's been times when I'll look and there'll be, like, 18 units, and I'm like, oh, geez, that's a lot of insulin. So. For me, I would never do something much myself, but it's usually when I have candy after a meal, okay? And I spike, and it catches it real quick.

Scott Benner 30:09
So do you if you had a meal, like a regular meal, you're like, This is a normal dinner, and then an hour later, you're like, candy canes, Christmas. I love Santa. And you started, do you like say there's no snack button? Is there?

Dakota 30:24
No there's not. You're supposed to select the last meal you had and choose less than

Scott Benner 30:30
so if you said dinner normal, but then you're like, I'm gonna have two candy canes. That's dinner less than, right?

Dakota 30:37
And then the way the algorithm works is it gives you 75% of what it wants to

Scott Benner 30:44
upfront. So do you end up not telling it about the candy cane every once in a while? Yeah. Does that seem I should say often? Yeah. I was gonna say that seems sketchy to me. Yeah. Is that even a word the young people use anymore? No, right? That's over now. It's sketchy over, I think so? Yeah. Do you find yourself thinking I have a lot of questions about this? Or do you find yourself thinking I'm in a rhythm This is working. I'm done thinking about how eyelet works, a

Dakota 31:13
little bit of being done and thinking about how eyelet works. But there's still, like questions I do have, yeah, yeah.

Scott Benner 31:21
I mean, I've seen people online, like, because I'm gathering up questions for them, and they do feel a little like, hey, it would be great if it did this. It would be great if it the target was lower. It would be great. Like, so I think people are having the same experience you're having, right? Like, if they were struggling, if they were burned out. If they were like, You know what, this is just gonna keep getting worse on my mental health. Not here for this. There's a ton of win in islet, right? And, yeah, also, you were a person who was, like, actively trying, even though you weren't having a ton of success. And, you know, your settings were wonky. You were actively trying. I think they're also thinking about this not, you know, I don't think it's just for people who are just like, I don't know, I shoot my basal so I don't die and I don't do anything else, right? But like, that's going to be, I imagine, a huge benefit for people that are in that boat, because look at you, 781 say, boom, you know, right? Also, you got to imagine, I don't know if this is true, but ADA says seven, right? That's what they're saying right now. So it sounds like they probably set the pump up to shoot for seven, and it's giving you a seven, yep, which I'm happy with. Yeah. So the expectation here for me is like, if they could shoot for seven and hit it, maybe they could shoot for six and a half and hit or whatever else, like, maybe they'll and that's one of the questions I'm gonna have for them. Like, is there gonna be a time in i Let's life where you can turn it on and say, I weigh this much and I want an A, 1c, that's 6.3 like, Do you know what I mean? Like, why? Why not? Right? Yeah. Okay. Who wouldn't you suggest uses it? Like, if I said to you, should Arden do this? What would you say?

Dakota 33:03
I don't think Arden should do it. You guys seem like you adjust your settings quite frequently, yeah, or just, you know, like little tweaks at a time, right, right? You can't do that on the islet at

Scott Benner 33:14
all, yeah. So you have to really give away all your control. And you hear people talk about how you had to give away a little bit of control with Omnipod five, because it really doesn't tell you what it's doing, right, right? So was this more so or different? Definitely more more. Okay, yeah, so control freaks are not going to love this. I don't think so. Okay, gotcha all you Type A's out there. Hmm, how you gonna do it? Oh, we're not mocking people for being type A and being all like involved. It seems like a leap to me, like, for a person like I interviewed a guy yesterday. He is, first of all, by his own admission, way too involved with his kids diabetes. But like, if I just said to that guy, Hey, we're gonna slap this thing on now, I don't know if he'd have a moment of Zen where he's just like, Thank God, I needed this, or if it would make him pull his hair out. I can't figure that part out. Be interesting to see with the the meal announcing. Is there a chance, or has it happened? Are you concerned? Could you get burned out on this? Like, could this new normal at some point become burdensome to you? Do?

Dakota 34:25
I think the most burdensome part is changing out the infusion set. There's a lot of parts and steps. So as it mean, it's, it seems quick, but it's just you got to think about it, and the rest of it, you don't really have to think about an

Scott Benner 34:41
omnipot is so automatic, like, it's so easy, yeah,

Dakota 34:43
yeah, yeah, omnipot is a lot more user friendly in that aspect. Somebody,

Scott Benner 34:47
the person who designed that, like, I've interviewed him already, I was gonna be but, like, she's genius. You know what I mean? Like, peel, stick, button, done. Get out of here. You know? I mean, like, awesome. And two, it's funny, too, 200 units, everybody, and not everybody, but a lot of people, like, they'll bitch up a store about omnipotent you know, only holds 200 units, but you went from 200 to 160 Are you changing your site with eyelet more frequently than you were changing Omnipod? No,

Dakota 35:16
I wasn't filling up my Omnipod. Oh, all the way completely. And I had my prescription to change out every two days if you needed to, so I was changing it every two days. And now with Isla, I make it to the third day, but I don't make it through the third

Scott Benner 35:32
day. Okay. Is that a problem for you? No, no, because you're accustomed to changing every two days to begin with. Yeah. Why'd you, like, every two days with Omnipod? Was it for, like, having a nice site that was working? Yeah, yeah, I see that Arden does really well riding pods till the end, like, as far as, like, absorption goes. But if she didn't, she would, I mean, I would definitely ask her to change more frequently. There's no way she would do that. Yeah, I could see that being a problem. Sorry, I'm drifting off in my own head. It's now a podcast between me and my brain. Sorry, what don't I know about it that I should be asking you, what don't I know? Because I'm not using it like what? What are the things that you love about it? What are the things that you hate about it that we haven't spoken about,

Dakota 36:22
right? So there's no activity feature or exercise it's recommended that you either disconnect or take in carbs before

Scott Benner 36:33
you exercise. So

Dakota 36:36
I don't like exercise regularly, but when I am being more active, yeah, I get low pretty quick.

Scott Benner 36:44
Okay? Because it doesn't know and there's no way to tell it, right? I'm gonna run around now. Yeah, that is one of the concerns I've heard, especially people with like, little running around kids get what I mean, those little, like, whirlwind kids, yeah, that they're like, Well, how do I like this thing's out there doing what it's doing. I mean, I've heard people say the same thing about Omnipod five. Actually, any of the, I guess, the algorithms that are kind of built on this idea of, you know, like, this is how we do it. Like, you're not going to get a ton of, like, user control, and then if your situation changes greatly, sedentary to active, active to sedentary, then there's problems and so, so you would like them to put some sort of an Activity button on there. Yeah, just pause.

Dakota 37:32
There's a pause button, but there's no Activity button.

Scott Benner 37:35
Does it feel unfinished? A little bit like it's still a work in progress. Yeah, they feel like you bought a beta sometimes.

Dakota 37:45
Yeah, from beta bionics. Oh, I didn't mean

Scott Benner 37:48
that, but awesome. Look at you making dad jokes. Good job. I'd like to see you put that effort into changing your pod before you go to bed or you're pumping. I mean, like, Listen, I'm not digging at them. Like, I think they're great. It's possible they might come on as an advertiser at some point, like, but I'm just saying, like, does it feel like, like, it's an early product where they're just like, hey, you know, it would also be cool. Like, and do you know, as a user, are they thinking about that stuff? Is there any communication from them or stuff online that makes you feel like they're moving in a direction

Dakota 38:21
I'm not sure. As a user, I don't, I haven't heard anything from them about it. Yeah, it's not but since I've got so the one I have has a black and white, a black and white screen, and they've since come out with a smaller one that has a colored screen,

Scott Benner 38:36
colored screen, saved tandem. Oh, did it? Oh, it absolutely did tandems, a rags, the richest kind of insulin pump story. They were on their way. Like, I've heard like, this is years and years and years ago, I want to be clear, but I heard that they were starting to make internal decisions about maybe not selling the pump in America anymore, and like it was getting dicey, like it didn't look like it was going to take a foothold. They came out with that color screen, and people were like, Whoa, color. And that was it. Now they're here. It's like, it's interesting. What changes the experience for people? Yeah, yeah. So do you prefer the color screen? So

Dakota 39:14
I don't, I don't have it. The replacement one that they sent me was another

Scott Benner 39:18
black and white one. You should have written a strongly worded email. He should

Dakota 39:21
have. I asked for the new style of clip, though, so it wouldn't, so I wouldn't have to hold it in my mouth,

Scott Benner 39:27
Dear Sir or Madam. I am tired of putting this pump in my mouth. I need a new clip, and don't make me bite this thing again. I want a color screen right size wise, not, not bothers them to carry you're happy with that.

Dakota 39:42
I'm happy with that. I don't like rolling over on it in the middle of the night. Sometimes that wakes me up a

Scott Benner 39:48
little clunky, like square, too square, too pointy. What is it? It just feels,

Dakota 39:53
yeah, it kind of feels like a brick on your hip. I mean, it's not that big at all, like this. It's a little bit, it's about the size of a deck with. Charge. Somebody

Scott Benner 40:00
from beta bionics is listening to this right now, and they're like, awesome. We'll put that in the brochure. Thanks. Did you feel Omnipod when you rolled over on it? No, it's that curvature. Maybe what was helping? Yeah, interesting. All very interesting. Well, listen, let's be fair, like we're talking about things very specifically, Omnipod five and eyelet right now, none of these pumps are perfect. They all have things, you know. And at the same time, I think it's incumbent upon you and everybody else to find the one that works best for them. Exactly. Yeah. I think that's important. Like, like, if people are listening to this and thinking like concrete things, like, he said this, so no, or he said that, so yes, I don't think it works that way. Like you're a specific person, you have diabetes, you have other issues going on, like you're trying to balance a lot of different things you're saying for this moment. You think this fits best with who you are, not that this is perfect, correct, all right? And exactly. And if Omnipod five would have worked the way you expected it to, if you would have got your settings together sooner. Do you think you'd still be on it? I think so. Yeah, okay. It's interesting, because, you know, we have those Omnipod five pro tip episodes, and I still know, like, not everyone's gonna intersect with it. Like, maybe you listen to them and you're like, I don't understand. Or maybe you just were like, I didn't even know about those. Or you were like, I know about them, but I don't feel like listening whatever. Like, I don't know how you did or didn't intersect with that information. You you specifically Dakota, but like, it's important that it's there, because these algorithms, if your settings aren't right, it's just as random as, you know, a needle in a meter, and you know, it being 20 years ago, yeah, you know it's everything is settings. Listen, I'm excited about eyelet. I'm going to tell you right now. I don't think Arden would ever leave a tubeless pump, but if she did, it would have to be for a reason, like the one you're explaining, like the promise of being less involved, yep, right. But that promise would have to come with a six, A, 1c, in my opinion. Like, that's that for me and and maybe the difference between a SEVEN and a SIX is manually making adjustments. And maybe the way islet works, I'm not I'm gonna ask, like, maybe the way I look works, like, if they let you get in there and start monkeying with things that algorithm can't respond. Like, maybe it can't rebound fast enough from you making a mistake. Like, I don't know, I don't know what the the engineering ideas were behind not giving you any autonomy beyond, this is the size and this is the type of meal, right, you know? But it's, I think it's an interesting idea, and I can't tell you that, you know, if they don't keep going the 10 years from now, I won't say like, wow, like, out of sight, out of mind, six, A, 1c, let's go, you know, yeah. And

Dakota 42:49
I'm especially excited if they get, like, the glucagon part working

Scott Benner 42:53
the dual chamber, the dual chamber, yeah, well, I mean, then listen, anybody who figures that out, if that really works for you, trying to imagine a scenario where the pump is like, Hey, you're 90. I think you're going to be 50. Here's, you know, drip, drip of glucagon, and it stops the 90, like, and holds it at 70 or whatever. Like, you know what I mean, like, something like that. You never get under 70. You never get dizzy. You never have to intervene with food. Man, I'd like to see that. Yeah, you know, that'd be pretty awesome. I know there's a, you know, a handful of days of my life. I think it would have been awesome if something like that existed. So I'm just here, Listen, man, I want everybody to keep pushing. That's what I want. Like, people are probably like, oh, Scott, Omnipod. You're said to think it's not about that, like it's, I love Omnipod. I think it's awesome. I think if you got an Omnipod you'd be thrilled with it. I think if you got an Omnipod five, and you've got yourself set up, well I think you'd be thrilled with it. You know, I also think it's possible that Dakota is thrilled with eyelet, and I think that's awesome too. And I know people who use that new Medtronic device, right? The 780 G, yep. They love it. Love it. You know what else they love? Hand them. They love control like you. Some people love the movie like, you know what I mean? Like, and that's only good for you. It's only good for you. It's only good for the people listening. It's good for me. It's good for my daughter. If we have a number of people in different companies, and they are all motivated by success and money to do better for you. That's what we want. You don't want just one company making a thing, right? Just doesn't work out. Go, get out there and kill each other. Go, try to make a good thing. You know what I mean? Like, try to make it better. Don't. Don't sit back all the time and go, Oh, this is good enough. You should be doing R D on this stuff. Listen. Let's be honest. Dakota, when there's loop and trio and Android APs and that kind of stuff that you know between you and me and anybody listening works really well, really. Really well, and they all know it works well, like, and I know they're fighting with the FDA, and, you know, the person making, you know, an adjustment, the loop is not but, I mean, those are goals. I think those should be everybody's goals. I'm not on the board of directors at these companies, and I don't make any decisions, but I don't see how you're not shooting for that. All of you, right? Yeah, Jesus, this is I yelled at you. I yelled at them. Who else am I gonna yell? What else is going on? Dakota, how's your life? Pretty good, yeah, yeah, good place right now. I don't really have any complaints. That's a good place to be. No complaints. You still doing the same kind of work,

Dakota 45:37
yeah, still doing the same kind of work. I think I should be getting a promotion here in a little bit. Good for you. Yeah,

Scott Benner 45:43
very nice. What about people in your life? You got any relationships brewing? How do you kids date nowadays? Hinge, what is it? How does it

Dakota 45:50
work? It's a lot of apps. Definitely.

Scott Benner 45:55
Do you respond when someone swipes? You go, okay, yeah. Or I, because I see, I see Arden and her friends, and they sit around, they go, Oh, I wish something like this would happen. Blah, blah. And then somebody swipes up and they look like that person. They're like, nah. I'm like, Wait, how do you expect to meet people ever?

Dakota 46:10
Yeah, I don't like the apps. I feel like everybody's just judging on there.

Scott Benner 46:16
Yeah, right. It's not like for dating. It's for like, fun. Yeah, you blaming girls for this, or guys too? Uh, both of us. Okay, all right. So where do you meet people?

Dakota 46:26
I don't go out much, but the people I do meet usually are customers at my store.

Scott Benner 46:33
That's how you generate

Dakota 46:35
friends of friends.

Scott Benner 46:36
You guys confuse the hell out of me. DECO, I'm gonna, I'm gonna share something with you from this is one of the places where, like, I'll get an email later, I'll be like, Oh, why does he have to be creepy? I'm just telling you how the world worked. Okay, I was born in the 70s. I was a teenager in the 80s. And from the time Dakota, and I don't want to make you uncomfortable, but from the time of my sexual awakening till a half an hour ago, 78% of my day is spent trying to make a lady like me, like, I don't get how you guys aren't like, I don't know, like, how are you guys not all driven by sex? Like, I don't understand what's happening. Do I sound like a, like, a, like, like a caveman to you when I say that? No, no, I don't think so. My whole life, Dakota, as a teenager and young men in his 20s, was trying to figure out how to make a girl think I was a reasonable person to be naked with. Like, I don't know. You guys are just like, I don't go out much.

Dakota 47:36
There's too much going on right now. Oh

Scott Benner 47:39
yeah, I don't know, man, like, go find a go find a pretty girl. Change your attitude. You know what I mean, she'll at least make you want to buy your she'll at least tell you you have to buy her a house, and we'll give you something to do. No? Yeah, yeah. Trust me, my wife has got a to do list for me that she started writing the day that she decided to date me. And I believe I saw her put three things on it. Actually, I don't have to guess. She told me this morning, my car needs an oil change, and I think there's something wrong with my driver's side rear tire, which meant to me, you got to get my tire replaced and get my car an oil change. Yep. I said to her, and I want to say, this is a very capable lady. Okay, I said to her, how about later, when I check on that tire, I bring you out to the car, and I'll show you how to do it like, you know, in case I die or something one day. You know what she said in response, she left not even that total silence. She acted like she didn't hear me. Oh, what? No, I'm okay. Thanks. Here's what you should do, buddy, go fix my tire and don't die so you can fix the next one. That's what I heard. Anyway. That stuff gives you, um, motivation. Is that what you're calling it? Dakota, I grew up in a very transactional world, but I know that you guys all want to say, like, if I do enough nice things, somebody shows me a boop. That's how my life has been run for like, 35 years, and you guys are like, I meet I met somebody on apps, but the apps really don't work, and I don't go out like, I don't get you guys, the ladies would love you. Dakota, you're full of personality. Why are you not answering me? What are you doing? I don't

Dakota 49:17
know. I was taking a drink of my coffee.

Scott Benner 49:21
COMM, I want you out. In the world. I want you changing your pump before you go to bed, if it's gonna run out. I do not want you sleep. Listen to me. This is for everybody. I do not want you sleeping in a situation where you could be running out of insulin. Please don't do that. Okay, and don't change your pump eight seconds before you go to bed, because if there's an occlusion or a problem or something like that, you're going to be asleep and not have any insulin. Yeah, Jesus Christ. And now, you know what just happened there, Dakota. Now all the people who like me, but wish I wouldn't say Jesus Christ are passed so, and that's your fault. I

Dakota 49:54
just want to you write down the time and have your editor take it up. No, because I'm not going

Scott Benner 49:59
to. End to their will, God damn it. And I added god damn it, because that's the other thing they don't like. And I know because they sent me a lot of notes about

Dakota 50:10
you're gonna get a one star review, dude, my

Scott Benner 50:12
emails just sound like this. Don't be creepy, which means we don't talk about sex anymore. But screw you guys. You should and my end, please stop saying Jesus Christ and God damn, those are pretty much my emails. Anyway, I apologize to everybody who I've offended. All right, what have we not talked about that we should have? Dakota? Where should this conversation end? A few more things about the Iowa. Go ahead, roll it out to me, from what I understand, the way the meals adapt, they'll only adapt if they're spaced four hours apart. What do you mean? Explain that to me. So

Dakota 50:50
say you dose for breakfast, and then three hours later you dose for lunch, and you choose those two separate options, breakfast and lunch, the pump isn't gonna know which one to adjust for the next time you choose the option, the

Scott Benner 51:08
second choice or the third time. Like you're saying, If I said, Hey, I had a normal meal, a normal breakfast, excuse me. And then three hours later, you're like, I'm having a normal lunch. It's not gonna know what, what? Won't understand.

Dakota 51:21
It won't know which, if it's breakfast or if it's lunch, that the insulin needs adapted for. Ah,

Scott Benner 51:27
because so it can't hold those two meals independently in its thinking, right? Ah, it's just, it's just attacking carbs and highs at that point. Yeah, is that problematic for you? Do you find yourself not eating inside of that four hour window on purpose?

Dakota 51:45
I find myself eating more in the four hour window. You're like,

Scott Benner 51:49
I'm like, No, you.

Dakota 51:53
And then, and then nothing in my settings change.

Scott Benner 51:55
What do you mean? So, like, it'll

Dakota 51:59
decide for a normal lunch. Say it wants to give me 14 units, and I think that's too much. My normal lunch should be a little bit less than that. Okay, I have to eat that lunch, choose the normal or the usual, and then I have to wait four hours before I can eat anything again to get that insulin dose to decrease. Okay, I feel

Scott Benner 52:24
like I'm talking about a fresn now, so like, a four and an eight to 12. And I'm like, Oh, yeah.

Dakota 52:28
So I think that's something that you should ask. Okay,

Scott Benner 52:32
well, hold on a second. Let me get my marker on my whiteboard and ask you to, like, put that into words for me. Like, simplify that question, how do the meal doses adapt? How do meal dosing doses adapt when they're less than four hours apart? Yeah, okay, I'm gonna go blank when they're explaining that to me, because that's how I feel when, when the guy was like, so I took a four, and then another four, and then I'm like, can you just please easily explain to me how to dose of friends? It's an eight, the 12. And I'm like, oh, in the end, the answer ends up being like, it's kind of an art and you figure it out. And I'm like, that I accept. I'm like, okay, I get it. Okay, so I'm gonna ask, How do meal doses adapt when they're less than four hours apart? Okay, that's good. Thank you. I'll add it to my list and what else. And then

Dakota 53:32
I have heard that. So you can change the cartridge and the tubing at the same time, or you can just click an option that says fill tubing, and that's when you just change out your your infusion site, and not the tubing or the cartridge. So so you get an occlusion or it rips off, and you just need to change the part that's in your skin. You put that on, and then you click a button on the eyelet that says, Fill tubing. From what I understand is it forgets the last six hours of data that it's learned.

Scott Benner 54:02
Wait, when you change, look at everybody here Dakota, he's got a he's got a direct line to bite of bionics right now, through me, somehow, when you change the tubing or the site, the site, the site, and what then Phil, Phil canula and fill canula. Does the system what forget the

Dakota 54:28
last six hours of data that it's learned? All right, I got it

Scott Benner 54:33
cool. We're gonna make a nice episode with them. We'll learn a bunch of stuff. How does it adapt when the meals are less than four hours. They're gonna get this email. They're gonna be like, Oh, he was talking to people. He knows stuff. That's good, though. That's what they want. They want good questions so we can get good answers out there for people also, I'm gonna hit them up about dual chamber. Yeah, they've been on talking about that already. They were very excited when they made the agreement with the gluteagon company. Was the G, VO was, I think so, yeah, was it right now, the people at, uh, at zeros who are like, Oh, good job, buddy. Way to, way to remember things we buy ads, you know? No, I have that there. So, so I'm actually going to find out, because this is a good episode if you've heard this one and you want to hear something that is potentially exciting about islet, I'm going to type in here islet, and then glucagon at Juicebox podcast.com and let you know that I have a couple of great eyelet episodes, actually, 1217, islet from beta bionics with Dr Stephen Russell. He was a great conversation. I've spoken with Ed Damiano. It's Damiano right in episode 934 when they first released. But how come I'm not seeing my episode with them and the look at me, I'm like pimping the Juicebox Podcast. Calm. Search button, and we're not getting what we want. Let's try this again.

Dakota 56:04
You didn't even talk about how the site was recently redesigned. Oh, I

Scott Benner 56:08
did redesign this. I do like it. Is it better? Yeah, I like it. Awesome. Good. Thank you. Five days of my life sitting here, not moving, terrible, staring at the screen. Oh, my God, my elbow hurt. I just, like, people are like, I dug a ditch today, but I make a podcast. And, like, I still had to make the podcast. And then in the like time, I was like, Oh, I'm gonna take off a little bit of time for the holidays. Instead, I sat here for a week like a lunatic redoing the website. Because I was like, I've been wanting to do this for like, two years, and I just, there's never time I'm just gonna do it. You know, I got it 1209,

Dakota 56:46
glucagon in an insulin pump. You

Scott Benner 56:48
found it. Paul and Sean are CEOs of their respective companies, beta bionics and zeros. Today we talk about their new relationship and their desire to create a BI hormonal insulin pump like that's an interesting conversation, too. Anything else?

Dakota 57:01
I am working with a dietitian through a company called nourish, okay? And I meet with her every two weeks and we review my report that my eyelet pump puts out. Kind

Scott Benner 57:14
of report does it put out? Like, how is that valuable with the nutritionist, is my question.

Dakota 57:18
So she'll look at like, how often I'm dosing like when I'm announcing meals, and I'll make a meal log in a separate app, and we'll go back and see like if I went high afterwards, what did I eat? And we will decide if I chose like the wrong

Scott Benner 57:40
meal announcement, like the size,

Dakota 57:44
yeah, that's so then the next time I have that meal, I can

Scott Benner 57:47
choose the correct option. Does your insurance cover that? Yep, my insurance covers it, and I have a $0 copay. That's wicked. Excellent. You finding it valuable? Definitely awesome. Yeah. Is that online as well? Yep, through zoom nice, do it on your phone or at a computer.

Dakota 58:05
I do it on my computer. Important stuff you got to do on my computer. My

Scott Benner 58:08
kids are like, Do you want a laptop? Like, I'm not a child. Like they don't they don't understand. And I generally, I don't understand either. I like sitting at a desk with a computer in front of me. I think it's just because it's how I interacted with the computer. Computers when I was younger. I hate laptops. I hate that how small the screen is. I'm the same way. Oh, good. That makes me feel good. Yeah. Like, I like my phone because it's interesting. It's like, the pumps the phone presents a ton of convenience, but like, there are certain things you go to do on a phone, and I'm like, I would rather this not happen than me have this experience on this tiny screen. So, all right, Dakota, this was awesome. Thank you. I appreciate you reaching

Unknown Speaker 58:50
back out about this. Yeah, no problem. Thanks for having me back on. No,

Scott Benner 58:53
is my pleasure. Listen, I'm not your dad, but you know what you're gonna do this weekend, right?

Dakota 58:59
Change my insulin cartridge before I go to bed.

Scott Benner 59:03
All right, how about if you change your insulin cartridge and then go out in the world and try to find a cute girl who seems like she might like you, and then be nice to her and really be nice to her. Don't pretend to be nice to her, really be nice to her. And see if you guys get along. And maybe you'll get along and talk and have things in common. And then one day a baby will come, oh, a baby, yeah, like a baby. Or, if you don't want a baby, a puppy, but there's a girl in your house while you have it. I think this would be good for all of you listening, and vice versa. Girls like, go. I know boys are icky. I'm one. I get it. Like, there's got to be one out there that you would like, you should go look for him and see if you can find him. Now also, let me speak to the gays. Same thing, girls that like girls, boys that like Boys, boys that used to be girls that like girls that like boys. I don't give a shit. Like go out there and find somebody. You don't want to be alone. It's not good. And then when you find them, and I can't. Stress this enough, Dakota, when they're in the room with you, don't look at your phone. Please. Just don't look at it. Just pretend it doesn't exist. And then look at them, and you'll be like, Oh, she's pretty. Maybe, if I'm nice, she'll touch my hand, like, this is the stuff you should be working on. Well,

Dakota 1:00:22
maybe someone listening can go find me on the Facebook group and, yeah,

Scott Benner 1:00:28
that's fine. That's what you want me to do. I gotta hook you up. I need you out in the world, my friend,

Dakota 1:00:34
you gotta go turning into a dating podcast. Yeah,

Scott Benner 1:00:37
oh my god. Can I do that? By the way, I've done two life coaching episodes so far, they've been awesome. I definitely need more people to do that. I coached a 12 year old kid about his Pre Bolus thing that was fun. A woman in her 50s about her desire to get divorced. I did see you post that I'm super excited because Dakota, I'm completely unqualified to have these conversations with people. But at the same time, who else you gonna talk to? You know what I mean?

Dakota 1:01:06
Yeah, yeah, no one better than Scott. Have

Scott Benner 1:01:09
either of your parents told you to go out there and try to make a person with boobies like you? Nope, no. Well, they should have. Your mom is like, how long she gonna stare at you? You know what I mean? Right? All right. Maybe you got to talk a little bit man, but like, yeah. Like, we got to get out there. Like, this should not make you uncomfortable. This should make you be like, Yeah, I do want to see a boob. That's how it should make you feel. And then, and I don't just mean see and for all you girls out there, like, I'm not being like, not just like, somebody like just has to show you one, but somebody like is like, super excited to show it to you. Like, like, you don't need to like this, Dakota, he could be. I love him. He's awesome. I'm gonna let him see my boobs. Yeah, now you're getting it. Get out there, Dakota. Listen to me. If you all don't start fcking you're gonna us all. Do you understand what I'm saying? I'm gonna get old. I need one of your kids to work in the nursing home I'm gonna live in. You gotta get moving to go. No, I'm not making this up. I'm serious. I am one day gonna need a 21 year old with not great job prospects to carry me to the bathroom, and one of you has got to get out there and make that baby we're gonna cease to exist. You understand what I'm saying? Yep, I need you out there. I don't understand. Sex is so wonderful. How is it you're not like, just like, all day long thinking about, like, how do I get to have sex? That is not in your head constantly. I'm working 14 hours a day. I don't care. I work in a sheet metal shop with a bunch of dirty guys. And in any spare moment I had, I thought to myself, I wonder how I could have sex I once had a brief relationship with the of age. I just want to be clear daughter of the guy that drove the lunch truck to the shop I worked at like I want you to imagine that a truck would roll up at the filthy pit that I worked at, okay, and it just had sandwiches in it and drinks, and we'd walk out and it's just owned by a guy, you know, or a girl, I forget who owned it. But one day that person started bringing their teen I was young still, I want to be very clear, but one day that person started bringing their teenage daughter with them, like I think the girl was being punished. Do you know what I mean? And she was my age, and I successfully at a sheet metal shop, hit on this girl, started a conversation with her, got her phone number, went out with her, and eventually, through the goodness in her heart, she gave herself to me, and I'm telling you right now, I also gave myself to her. I just want to say it was a very loving exchange. And I want to tell you right now that I don't think someone your age in 2024 could pull that shit off if their life depended on it. We're all too awkward in personal interactions that are online. I feel bad for you. The

Dakota 1:03:56
internet's ruined everything

Scott Benner 1:03:58
it has. It made boobies too available. They have to be a thing. I would just want to say that for people who are understanding this, like, we're probably bleeping out boobies or we're not, I haven't decided yet

Dakota 1:04:08
that could be the name of the episode.

Scott Benner 1:04:12
I don't understand. It motivates most of my existence, like, just a girl being kind to me, like, I don't mean like, I don't actually mean them exposing their price being intimate with a girl like, or having them want to do that with me, that like, motivates my life. Like, I think if that didn't exist, I wouldn't, like, I don't even know if I'd have a job. But what motivates you guys? Like, what do you get up in the morning and go to work for pay my bills? Yeah, but I had bills too. I didn't give a about the bills. What I cared about was girls. Like it's not girls. I'm so confused by this I

Dakota 1:04:50
don't know what does motivate me, not a whole lot. How to take a

Scott Benner 1:04:54
phrase that seems more reasonable to me than how you guys treat like dating and interaction. Options. So weird. I don't know how to fix this. I think we've gone in a direction at this point. We went from free love in the 60s to this. 60s, 70s, 80s, 90s, 2000 to 1061. Years. 6070 years. We went from like, get high have sex with anybody you bumped into to I don't know. I'm awkward, and I need to pay my bills. They

Dakota 1:05:27
looked at me weird. Yeah, they looked

Scott Benner 1:05:29
at me weird. I don't know what to say. I was very upsetting. All right, listen, good luck. God bless and we're all, we all need help. I don't know who's carrying you to the bathroom. You guys are really screwed. Like, I might still get you to carry me to the bathroom when I'm like, 80, but, like, I don't know who you're getting. You have a plan, Dakota, you've had sex, right? Yeah. And is it awesome?

Dakota 1:05:57
Yeah.

Scott Benner 1:05:58
Okay, go. Wash your hair, clip your fingernails, put a little file on them so they're not sharp, you know what I mean? And then, and then, like smile, stand up straight, make eye contact and engage with people. You'll it'll happen again, and then again and again. And then eventually, get married, and it'll stop.

Dakota 1:06:20
That's what I hear. What happens, 100%

Scott Benner 1:06:23
true, Dakota, I just want to say like they're not lying to you about that at all. I

Dakota 1:06:28
read your book over the summer. Did you really? Yeah? I mean, three of my friends, we had a little book club. Three

Scott Benner 1:06:34
of your friends read my book. Yeah, that's why you're not getting laid. I mean, was it any good? It was, yeah, I liked it. Oh, good. It was funny, I'm glad. But that was about making a family, right? I thought it was gonna be a little bit more about diabetes. No, it's got nothing to do with diabetes. Yeah, I realized. But when you read it, were you like, oh, I should make a family. I thought about it first was second, and then somebody looked at you weird, and you walked away. Yeah, a lunch truck. I'm not even attractive. Do you understand me? You have to try, because there are other people out there who are also uncomfortable, and they they don't know how to try. And if someone tries, they'll go, who me? Oh, yeah. Like, you know what he means, like, because if a girl came up to you and you're like, hey, Dakota, he'd be like, huh, Dakota? Me, okay, do you see how you would get immediately? Like, they're waiting for that too. But if you don't talk to each other, neither of you are gonna know you won't know that. Yeah, everyone's awkward. That's why you can turn the lights off in the lights off in the beginning. When you're figuring it out, you don't do it with the curtains open till you're like, you know, really good at it. We're super comfortable, I guess is the way to put all right. I don't know how this got down this this road, but for everybody listening, in your 20s, please, would you start having sex with each other? I really am worried about who's gonna fix the roads, but I'm older, I'm worried about who's going to be at the grocery store. I'm worried about who's going to make the food at the restaurants. I'm worried about who's going to work at IBM. I need you out there. Again. It's not going to happen like this. What about those Tesla bots? Jesus Christ, Dakota, that's what you're hoping for. So first of all, I want to be clear, I would buy a robot and have it in my house if it was safe and affordable. I do think that sounds awesome at the same time, like in my house with my children and my wife, not by myself, in my domicile. You understand? Yeah, life is for the living, my friend, it's a saying. Have you ever heard it? No, you know what it means. Um, don't it means get out there and live your life. Oh, okay, did you not know that? Yeah, no, that makes sense now. Yeah, you sure you understood the book?

Dakota 1:08:56
I read it in sections.

Scott Benner 1:08:57
I broke it down into bits. See, you have good sarcasm.

Dakota 1:09:01
I'm full of sarcasm. Yeah, I get in I get in trouble for it, yeah, but there's

Scott Benner 1:09:05
some girl will like that. And then eventually, when she decides that you're okay to marry, she'll make you stop. But like, you know, she'll like it in the beginning. It'll be fun watching her change you.

Dakota 1:09:18
Well, I'll get right on that, and then I can bring her on to talk about me on the next time.

Scott Benner 1:09:25
All right, the phrase life is for the living suggests that life is meant to be actively experienced, enjoyed and embraced. It emphasizes the idea of seizing opportunities, being present and making the most out of the time we have, rather than merely existing or being being consumed by fear, regrets or excessive caution, it's a call to action.

Arden has been getting her diabetes supplies from us med for three years. You can as well us med.com/juice, box or call eight, eight. 87211514, my thanks to us, med for sponsoring this episode and for being long time sponsors of the Juicebox Podcast. There are links in the show notes and links at Juicebox Podcast com to us, med and all of the sponsors. The conversation you just heard was sponsored by Dexcom and the Dexcom g7 learn more and get started today at dexcom.com/juicebox,

if you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective. The bowl beginning series from the Juicebox Podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698, in your podcast player, or you can go to Juicebox podcast.com and click on bold beginnings in the menu. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The Juicebox Podcast. Hey, what's up, everybody? If you've noticed that the podcast sounds better and you're thinking like, how does that happen? What you're hearing is Rob at wrong way, recording, doing his magic to these files. So if you want him to do his magic to you, wrong way. Recording.com, you got a podcast. You want somebody to edit it you want rob you?