#1523 Pittsburgh Screwdriver
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Andrea is one of three siblings with type 1, all of whom grew up with subpar medical care. She opens up about mental health and the cultural challenges of living with T1D.
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Scott Benner 0:00
Welcome back, friends. You are listening to the Juicebox Podcast.
Andrea 0:13
My name is Andrea, and I am one of three type ones in my family.
Scott Benner 0:17
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. 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 Juicebox at checkout. That's Juicebox at checkout to save 40% at cozy earth.com AG, one is offering my listeners a free $76 gift. When you sign up, you'll get a welcome kit, a bottle of d3, k2, and five free travel packs in your first box. So make sure you check out drink. AG, one.com/juicebox to get this offer, I created the diabetes variables series because I know that in type one diabetes management, the little things aren't that little, and they really add up. In this series, we'll break down everyday factors like stress, sleep, exercise and those other variables that impact your day more than you might think. Jenny Smith and I are going to get straight to the point with practical advice that you can trust. So check out the diabetes variable series in your podcast player or at Juicebox podcast.com today's podcast is sponsored by us med. US med.com/juicebox you can get your diabetes supplies from the same place that we do, and I'm talking about Dexcom, libre, Omnipod, tandem, and so much more US med.com/juicebox or call 888-721-1514, today's podcast is sponsored by the insulin pump that my daughter has been wearing since she was four years old. Omnipod. Omnipod.com/juicebox, dot com, slash Juicebox, you too can have the same insulin pump that my daughter has been wearing every day for 16 years.
Andrea 2:08
My name is Andrea, and I am one of three type ones in my family. How old were you when you're diagnosed with type one? Officially, I was 14, but I was diagnosed as type two when I was around 1112,
Scott Benner 2:23
ish, who else in your family has diabetes? My
Andrea 2:27
older brother was diagnosed when he was four in 2000 and then my little sister in 2005
Scott Benner 2:33
both with type one. Yeah, type one. I think 1007 I apologize. Oh, okay, but you were first.
Andrea 2:39
That was actually the very last one in 2013
Scott Benner 2:43
Oh, my God. Wait So Andrea, are you telling me that both of your siblings have type one diabetes, and yet they thought you had type two diabetes for three years?
Andrea 2:51
Yeah. And it was crazy, because I lost so much weight, and they're like, Nope, you're chubby. Here's some at foreman, did
Scott Benner 3:00
you go to a doctor's office at the back of a 711 like, what were you who? Who messed this up for you? Well, I am from Florida, so it's totally possible that it might have been the endo will be back. He's out herping right now, but as soon as he collects 11 boas,
Andrea 3:19
anti alligators and tail gators, they'll be back. Oh,
Scott Benner 3:23
gosh. So, wow. So you lived for three years as the type two, yeah,
Andrea 3:27
and they put me on Metformin, but, you know, it makes you go to the bathroom pretty often. You're not to be TMI, so I just, I refuse to take it. Then finally, they did like the g a d test, serum test, my GED was pretty high. I think it was 30. And then they finally put me on insulin. So that was
Scott Benner 3:47
a huge relief. The gat anybody finally pushed them over the edge, yeah,
Andrea 3:52
but I still can't believe they didn't do it prior. You know, since my other two siblings had it, oh,
Scott Benner 3:58
my god, Andre, I can't believe they didn't go, Oh, we've been waiting for this. Her other two siblings have type one. Like, did your parents push back?
Andrea 4:03
Honestly, my mom is also kind of, like, anxious and shy, like, like me, but a little bit less. So she kind of agreed that it was just type two. You know, I was always like, 1015, pounds overweight my whole life. So everyone's like, Oh no, you know, it's type two. Like your dad
Scott Benner 4:21
and your father has type two. Yeah, he has type two.
Andrea 4:25
I don't know what he takes. I think he's taking my foreman, but, yeah, he's had type two and pre diabetes for ever since I can remember. Okay, so I think they just thought I also had it too interesting.
Scott Benner 4:36
Well, what was that time like? I mean, you must have had a slow onset, or you would have gone into DK and died like so because you weren't using insulin, you weren't even using the Metformin.
Andrea 4:47
Yeah. And I actually just went to the my chart this morning, and I was looking at some labs that they did, like, two months before, and they did look at your analysis, yeah. And I only had two COVID. Less ketones. So I wonder if that kind of made them think she kind of has ketones, but not
Scott Benner 5:06
really. I wonder if you had lot, like, like, a lot of presentation. I mean, it has to be, right, I think so, yeah, just such a slow onset that it didn't hurt you too badly, and they weren't able to make that type one diagnosis. But you think the GAD 65 antibodies would push them over? Oh, yeah,
Andrea 5:24
I definitely think so, because I looked on the notes and it said, Yep, she has type one, like her other two siblings, just like that. Aaron will start insulin. Did you
Scott Benner 5:33
start with a pump or injections? How did it
Andrea 5:35
go injections? You know, even though it was mid 2000 10s, like early 2010s they put me on mph, Humalog and Lantus. So it was three different types. Why mph? I think it's because of the school. Like, we never took insulin in school. So we would take like, for example, I would take 15 units of Humalog every morning, 15 of mph, and then the MPH would cover, like, my lunch. So I don't know if it was to save a shot at school, but yeah, I never knew anything different. I thought it was normal. I was kind of shocked when I went to, like, my first, like, adult Endo. He's like, No one uses mph anymore.
Scott Benner 6:19
What are you from Manitoba? What about your your siblings? Were they doing that as well? Yeah,
Andrea 6:24
they were all doing that. We were all, like, taken at the same time, like, at 630 in the morning. My mom's like, okay, come on, everybody. And you know, my brother, my sister, and then me,
Scott Benner 6:34
just like a conga line of of injections. Yeah,
Andrea 6:38
it's like, Come on, everybody, daily meds. But,
Scott Benner 6:41
yeah, right, you just in a line in your underwear, like, waiting. Like,
Andrea 6:45
yeah, we're all like, halfway asleep. You know, we have another younger brother who does not have type one. He would always be like, oh my. He's like, do I have to do this eventually? We're like, we hope not. What's his name? Lucky? Honestly, that's what we should call him. Okay, seems Joel, but honestly, he's the lucky one. Listen,
Scott Benner 7:03
I'm from Philly. I don't want to hear about anybody named Joel. Oh, yeah. Just this, this thing. That's not his name, then, oh, okay, I don't like what the Sixers have done. So when you switch over to a faster acting insulin, it's because you're older, like an adult endocrinologist. But like, Were your siblings going to, like, the same doctor as you, or did your mom, like, look up and go, Hey, maybe we should be doing this for everybody.
Andrea 7:26
I think it was because that's what my big brother is like. Very first endo was doing. This is also like, 2001 22 and then we switched to another doctor, um, and he just kind of, like, stayed following the regimen. But then when I went to go see a an adult Endo, he took me off of the mph. He doubled my Lantus, but my older brother stayed doing that until recently, okay? And then my sister was actually on a T slim at that time, so she was only Nova log. So we're all kind of like managing it differently, but now two of us are in a pump, and then one is still an MDI, okay,
Scott Benner 8:02
does everybody have a CGM, yes, okay. How long ago was this? Now? How old are you? I am 26 oh, this is over a decade ago.
Andrea 8:11
Yeah, I just got my pump. My very first pump that I got was a dash, which was like, in 2022 so I'm still kind of new to the pumping I still feel like an infant,
Scott Benner 8:22
like in the pump stage. Are you still with Dash? No,
Andrea 8:25
I actually switched to Medtronic almost a year ago. I'm pretty happy with it. Yes, 670,
Scott Benner 8:30
g7, 80 G, 70 Yeah. Why am I still stuck in 677,
Andrea 8:35
80 G, yeah. Same numbers like same number, different pattern.
Scott Benner 8:39
Listen, I've said this before, and Medtronic sponsor, but you got to name these things better. Yeah,
Andrea 8:43
something cooler. Alligator, Medtronic alligator for the Floridians.
Scott Benner 8:48
For Floridians, what a long title. It wouldn't fit on the box, but the 780 G, that's a complete system, right? So you're wearing that with their sensor, yep. So
Andrea 8:56
I use their guardian for sensor, which, when it works, it really works, but when it doesn't work, it's kind of annoying. Like, you know, you got to, like, you know, replace the sensor. But I like it so far. Yeah, it's been pretty good to me. And
Scott Benner 9:10
then after the Guardian four, there's another sensor coming from them, though, that's more like, Dexcom, like, and it's build,
Andrea 9:16
yeah, the simplra, which I'm super excited for. But they're not in the US yet, so just waiting, just just waiting,
Scott Benner 9:24
Yeah, but you're happy with it for now, yeah, I think I'll stay with them electronic for now. Yeah, no, that's great. I love, I love when people find what they what they love. You know what I mean, things that work for them, I think are important,
Andrea 9:35
yeah? So the way I got on the Medtronic was, I think it was like 2023 when everyone was freaking out that the Dexcom g6 were no longer going to be they're still available, but they were, like, phasing them out, yeah. And I told my sister, you know, I really want, like, a closed loop system. She's like, Well, why don't you just get the Dexcom and, you know, my insurance didn't cover at the time. I. Was like, Yeah, but I don't want to pay, you know, the higher co pay, and I'm just going to Medtronic, you know, and then g7 comes in. I'm like, Oh, I could have just waited,
Scott Benner 10:11
but you're happy, and that's what's important, you know? Yeah, it's a process. The entire thing's a process. How long have you known about the podcast? Honestly,
Andrea 10:20
my sister and I were joining Facebook groups like anything that had to do with type one. So I joined your group in 2023 a couple of months before I got the Medtronic, I was still in the Omnipod five. At that time, I was like, you know, I'm in the group, but I've never listened to the podcast, so let me listen to the Omnipod five pro tips. So that's how I got introduced to the podcast. I was a group first, and then I went to the podcast. Yeah,
Scott Benner 10:47
how valuable Did you find the online portion of the community? I feel
Andrea 10:50
like I could actually like search things and there were like answers and opinions. Yeah. So I love the group,
Scott Benner 10:56
good, good. I'm glad. Let's break your time up like into like sections your first three years of not having any insulin. Do you have access to what your a one Cs were back then? Oh,
Andrea 11:09
yes, I actually just looked them up this morning. They were around 13.7 and then one was 14.9 and then when I finally got diagnosed. It was 15.1
Scott Benner 11:22
feel like someone should, should yell at the people who you were seeing for your medical care at that point. That's crazy. But okay, so you get on to MDI, right? And you get some insulin. What happens then? Because you're about 14 at that point, today's episode of The Juicebox Podcast is sponsored by Omnipod. And before I tell you about Omnipod, the device, I'd like to tell you about Omnipod the company. I approached Omnipod in 2015 and asked them to buy an ad on a podcast that I hadn't even begun to make yet because the podcast didn't have any listeners, all I could promise them was that I was going to try to help people living with type one diabetes, and that was enough for Omnipod. They bought their first ad, and I used that money to support myself while I was growing the Juicebox Podcast. You might even say that Omnipod is the firm foundation of the Juicebox Podcast, and it's actually the firm foundation of how my daughter manages her type one diabetes every day, omnipod.com/juicebox whether you want the Omnipod five or the Omnipod dash, using my link lets Omnipod know what a good decision they made in 2015 and continue to make to this day, Omnipod is easy to use, easy to fill, easy to wear. And I know that because my daughter has been wearing one every day since she was four years old, and she will be 20 this year, there is not enough time in an ad for me to tell you everything that I know about Omnipod, but please take a look omnipod.com/juicebox I think Omnipod could be a good friend to you, just like it has been to my daughter and my family. I used to hate ordering my daughter's diabetes supplies. I never had a good experience, and it was frustrating. But it hasn't been that way for a while, actually, for about three years now, because that's how long we've been using us med. Us med.com/juicebox, or call 888-721-1514, US med is the number one distributor for FreeStyle Libre systems nationwide. They are the number one specialty distributor for Omnipod, the number one fastest growing tandem distributor nationwide, the number one rated distributor in Dexcom customer satisfaction surveys. They have served over 1 million people with diabetes since 1996 and they always provide 90 days worth of supplies and fast and free shipping us. Med carries everything from insulin pumps and diabetes testing supplies to the latest CGM like the libre three and Dexcom g7 they accept Medicare nationwide and over 800 private insurers find out why. US med has an A plus rating with a better business bureau at usmed.com/juicebox, usmed.com/juicebox, or just call them at 888-721-1514, get started right now, and you'll be getting your supplies the same way we do. Yeah,
Andrea 14:32
I'm about 14. You know, starting high school, I gained 15 pounds over the summer, which I was not happy for. Freshman year, we did mzi, and it was, you know, take, you know, 10 units for lunch. Take this for snacks, take 10 units for dinner. And I just kept on following it like I never carb counted, like, if I was eating a banana, maybe five units, which was way too much. Like, I didn't really know that the. Amount of insulin correlated to carbs, really, like, and how much food that you were eating? Yeah, so I was going low a lot, and then, like, you know, the crazy highs, it was just not the best time. Do
Scott Benner 15:13
you think you were gaining weight at that point from the eating to cover the low blood sugars?
Andrea 15:17
Oh, yeah, I was eating a lot, like, I think I was started on, like, a very high dose of insulin. I was going low a lot. And I just remember I was eating everything and anything. My mom was cooking, like everything. There was no food in the house, thanks to me.
Scott Benner 15:32
Let's just create, I mean, so now you've got bad advice for the first three years, then somebody figures out you have type one, but then they don't give you good advice there, either. So, yeah, how long does that go on for?
Andrea 15:43
Oh, my, I would say up until, like, three years ago I was doing this, I didn't, like, know what to look for, and part of that is on me, like, the not being as educated, but I really didn't start to, like, look into it, until I started listening to the podcast, really, and, you know, my sister was telling me about it, and that's when I was like, oh, oh my, what have I been doing for the last decade? So
Scott Benner 16:11
for a decade, you're just shooting randomly insulin here and there, yeah, getting low eating, but you're going to an endocrinologist. What are your a one CS? Like, why aren't they saying something to you?
Andrea 16:24
Honestly, I think it was because it was always three of us in the room. Like, you know, it was my my brother, my sister and me, really, I feel like it was, you know, with the don't die advice, like, okay, just, you know, maybe don't take as much here and there. My a one Cs were always in, like, the eight to nines,
Scott Benner 16:41
and no one ever said to you. Do you remember saying to them, Hey, listen, I get low a lot. Honestly,
Andrea 16:46
I don't think I said anything. Andrea, why do you think? Honestly, I think it was just because my mom always spoke to the doctor, and my siblings and I were just kind of like, just just sitting in the chairs, just, know, letting her do all the talking. And you know, I would tell my mom, like, you know, I'm getting low. And she's like, well, here's some juice. But I didn't know at the time that it was because I'm taking too much insulin. I was kind of just following, like, the paper, like, hey, like, take, you know, five units for this. And I'm like, okay, just blindly following it.
Scott Benner 17:16
Oh my gosh. You told me that your your boss is gonna listen to this, so you're not going to curse, but I almost cursed just now, just so, you know, it's okay. If you do it, it's okay, but if it's me, I have to watch it. I'm angry for you, you know. And you're so sweet, like, you're just like, it's okay. I didn't know,
Andrea 17:32
yeah. And, you know, listening more to the podcast, and, you know, I switched to, like, another adult Endo. That's when I was like, oh, like fats and, you know, protein can affect it too. I learned so much more in like, the, honestly, like, the first three months of listening than I have from any handout, any like, appointment that I've ever had with the Endo. And, you know, it's, you know, thanks to you and your guests, that you know this information is a lot easier to access because I didn't even know about this. I didn't even know what to look for.
Scott Benner 18:04
No, I'm so happy that you figured it out, and if the podcast helped you, that's just that's a lovely bonus for me. But I'm just happy you're better because you're on a bad path, like, what's your a 1c now, ooh, it is a 6.20 my gosh. And how often do you find yourself so low you have to eat everything in the kitchen rarely.
Andrea 18:22
The only time I really go alone now is if I Bolus too early for my meals. But that rarely really happens now, but I am super happy now with my better a, 1c,
Scott Benner 18:33
Yeah, mine made me so happy. I feel genuinely pleased for you. That's awesome. That's great. Okay, so tell people what you learned, like you said, you learned about, like, fat and protein and bolusing for that. But I mean, you had to start at the beginning. Didn't you? Like, were your settings right? How did you learn to count carbs? Finally, like all that,
Andrea 18:51
the one episode that I really think about a lot, and I hope I get his name right, I believe it was Terry lives on a boat. And I remember, I was leaving work, and I was like, Oh, I really want Wendy's. And you guys are talking about, you know, protein and stuff. I was like, Oh, I'm like, let me try this, which, of course, is not medical advice. But I was like, let me try this real quick, you know, the formula he was using, and it worked. I got like, a giant chicken salad, and I was straight line, 108, at the end of it, I was like, Oh my God. What did that feel like? I felt like I'm not a parent, but I could imagine this is, like, when a parent listens to a kid say their first word,
Scott Benner 19:32
yeah, it's like a ton of pride, yeah. I was like,
Andrea 19:35
Oh my gosh. I'm like, I could have been doing this and I didn't know
Scott Benner 19:38
Terry lives on a boat's a great episode. Yeah, wow. Oh, it's so crazy. It really is genuinely, I don't know, like I'm struck by the fact that you're just going along with these crazy a 1c that nobody's doing anything about it. You don't know to ask about it. And then you think your sister, you remember what happened to her, that she thought. We should learn more about this. So
Andrea 20:02
she is the first one that went on a pump and also a CGM. And, you know, I was, I'm very, I don't wanna say old school, but I'm very, like, I'm scared, you know, to have something on me, yeah? But he was like, no, no. Like, she's like, if you have a CGM, she's like, You don't have to blindly Bolus, which what is what I was doing? If I'm like, Hmm, I think I'm like, 250 let me just Bolus
Scott Benner 20:26
real quick. You weren't testing to see No, but
Andrea 20:30
I was just like, random. I'm like, Oh, I feel like I need, you know, five units. Oh, no, maybe I need 10. Like, I was just random. It was kind of like a plain Dart. It's like, let's see which one I land on.
Scott Benner 20:43
How much of this do you think just goes to your personality, like your mom was taking care of it. The doctors are telling me, you sound you say you're like, a little, maybe, like, reserved, right? So I'm just trying to get through the idea of, like, you know those a one, Cs are not good, right? When you're getting them. Honestly, I'm so
Andrea 21:01
embarrassed to say, but I remember when I had like, an 8.0 and I was so happy. I was like, so proud of it, because I thought it was good. I thought, like, below nine was like, Oh my gosh, yay.
Scott Benner 21:16
Is that because at points, you had thirteens and you're like, oh my gosh, I've knocked it down five points,
Andrea 21:21
yeah, I really was, I was like, Oh, I'm on top of the world. I have an eight, a, 1c, you can't touch me. Like, I was so, uh, you know,
Scott Benner 21:30
wow. So you just thought nine's awesome, because, you know, it's better than 10, eight fantastic. It's way better than 12, like, that kind of stuff, yeah.
Andrea 21:39
And I really did think, and that was, like, all of us, like all my siblings, you know, we were all in, like, the nines the eights because we were only taking insulin three times a day, you know, yeah, in the morning, chemolog and NPH, and then at nighttime, you know, our Lantus and then our lunchtime Novolog. Are
Scott Benner 21:59
all three of you doing something differently now, like, obviously your sister is it sounds like she figured it out maybe before you did what about your the third sibling? Yeah. So
Andrea 22:06
my older brother, he's still doing MDI, and he has a Dexcom g7 Okay, so he's doing that. My sister has the Dexcom g7 and the T slim, and then I have my good omnidronic.
Scott Benner 22:19
Do you guys talk about diabetes between the three of you,
Andrea 22:23
honestly, not really, maybe with my sister. Like, sometimes we'll talk, if we're going out to, like, lunch together, I'll be like, how much did you take? She's like, Oh, I took 10 units. And I'm like, Oh, I'm I'm taking 15. And you know, of course, we have different, like, sensitivity stuff. Sure, that's one of the most that we talk about. Or, like, if I'm really annoyed with, like, my CGM, I'm like, can I borrow Dexcom? Like, I just, I don't want to use my CGM. And she's like, Yeah, here,
Scott Benner 22:48
and you guys do that. Yeah. Okay, so I'm not here to, like, say something bad about your healthcare or your mom or anything like that. Okay, but like, with some distance, you see that you got pretty rough treatment, medically.
Andrea 23:03
Yeah, now looking back, I really do think it could have been better. And, you know, I gave my mom a lot of, I don't know what word leniency, I don't know. I feel like that's kind of a harsh word. But, you know, she didn't really speak English, so she was just trying to navigate it, all, you know, with assistance from like, translators or interpretators, as I should say, yeah, so I kind of don't hold like a grudge against her, because I think she was trying her best.
Scott Benner 23:29
She was at a pretty significant disadvantage as well. You think, yeah,
Andrea 23:33
like looking back, because we did have, like, Medicaid sometimes. And my sister was like, you know, we could have had, you know, CGM and pumps at that time, right? And I was like, Oh, I'm like, I did not know we always had just, you know, our regular, like, ultra touch meters, yeah,
Scott Benner 23:49
you weren't getting good direction. And there were language barriers. And you got, like, you said you were a little quiet. On top of that, your mom's quiet, and, yeah, yeah. And so just all that kind of stacks up, and then your sister gets a pump, and that's what kind of moves everything in the right direction.
Andrea 24:05
Oh yeah, she's very strong, like, she's like, the, I don't know it's like, the tough sibling, but she really is a lot vocal, like, advocating for herself. So when she got her pump, she was like, really telling me, like, hey, the pump is, you know, it changes everything. You know, you don't have to be taking shots all the time, which is also part of why my agencies were so bad. Like, if I didn't feel like taking a Bolus,
Scott Benner 24:30
I'm not gonna do it. Really. You were always bolusing, um, for meals.
Andrea 24:34
But like, if I felt like, uh, I feel kind of like, like, my blood sugar is high, I would just ignore it and hope it goes away. Kind of like, you know, take a Bolus of hope and make it go away.
Scott Benner 24:45
Bolus of hope. Okay. I mean, that all makes sense to me. It really does. You can look at it from like, a long distance and say, I can't believe nobody told them. I can't believe they didn't wonder. But at the same time, like, I can see how these things stack up and lead you to this place. Yeah.
Andrea 24:59
And. Very lucky now that, you know, we have access to, you know, the group, the podcast, all this information, I really do feel like it's helped me tremendously. I went from a 7.7 to a 6.2 in the span of a year. You're in like, two months. Wow, all this information, I feel like really motivated me to do those changes. It's
Scott Benner 25:23
having good tools and understanding what you're talking about. Yes, really is, because before
Andrea 25:26
I'm like, I'm like, Bolus, I'm like, what is that? Had even I never heard of that word until the podcast. Are you serious? Yeah, I never heard of that word. Like, I would just say taking a correction. I didn't know it was like, Bolus, right? I was like, Bolus and like, sounds like a puppy name, okay? So
Scott Benner 25:45
there's context for having just definitions of words that are being used. Yeah,
Andrea 25:49
it took me a while to get used to it. Like, you know, like, basal, Bolus sensitivity factor. At first, I was, like, very intimidated, and that's why I kind of, like, backed off for like, a couple of days, I was like, Oh, this is kind of scary for me, you know, yeah, let me, you know, back off. But then I was like, I'm gonna go blind in 40 years if I continue this path of, you know, 10, A, one,
Scott Benner 26:12
CS. Why did you know that? Oh, because, honestly,
Andrea 26:16
when I was first diagnosed as type two. So this is, like, probably 2011 ish, I had a really bad fall at the school, like the middle school, and I got, like, these really bad, like, I don't want to say burns, but I fell on the concrete pavement, and it really scratched my legs, like, really bad. And, you know, at that time I a one, Cs were like, you know, 1213, and I just remember they were just like, I don't know if this is TMI, but it was like oozing pus, and it was just disgusting. And I was like, I don't want that to happen anywhere else, you know. And that's all due to my bad, you know, I hate to say bad, but to my high numbers. But
Scott Benner 27:01
do you think, like, even that much understanding about what complications might look like? Is that from your father having type two?
Andrea 27:07
Maybe my dad didn't really have like, I don't know if he ever had like complications.
Scott Benner 27:12
Was it spoken about? I mean, oh no, not
Andrea 27:16
really, really. His mom had type two and her last years of life, and she was blind. So that's kind of why I always had that, like that fear, like,
Scott Benner 27:25
diabetes equals blindness, yeah.
Andrea 27:29
So I was like, you know, I got to take care of myself, or else, you know, I don't want to be blind at the age of 70,
Scott Benner 27:35
I see. So there's enough, like, loose knowledge of things that may or may not happen to just get lodged in your head and push you in a direction. Yes, exactly, okay, but that doctors didn't help you understand that your mom was limited. Can I ask you if I took the bold beginning series and AI translated it into Spanish? Do you think that it would make its way around the internet? I think
Andrea 28:01
so, especially with like, you know, like the younger generations, and, you know, phones being more accessible, yeah, we're from a ranch in Mexico, and everybody has a phone, everyone's, you know, on the music apps. I think that it would be more helpful, okay, I think they would have more access to it, you know. I wish my mom had something like that, yeah, because, you know, at that time, it was kind of like old school type one info that was really upset. Is there enough
Scott Benner 28:28
community connection that you think people would pass it around? I'm not really
Andrea 28:32
sure, because I haven't been out there in a while, but I know there are some Spanish speaking type one groups. Okay, I'm actually like two of them. So I think if they got shared there, maybe it would get some rounds.
Scott Benner 28:44
Okay? It's a significant expense, and that's why I'm trying to figure out to do it or not, because it's going to come completely out of my pocket. No one's going to buy an ad on it, yeah, you know, or anything like that. It's pretty costly, but I just feel like it would be really valuable, yeah, and it's great
Andrea 28:59
information, honestly, info that you really can't get anywhere, like at the doctor's office, you know, not saying that they're not, you know, educated, but a staff member wouldn't tell me the info that, you know, I got from the podcast. Yeah,
Scott Benner 29:11
it's crazy. I don't know how to say this exactly, but do you think culturally, like, having diabetes is just a thing that people accept and don't do a lot to try to change?
Andrea 29:23
Yeah, I honestly, I definitely do think so, because, like, in my family, you know, my mom's always cooking, like, high carb, you know, it was always like, you know, Rice was like, half your plate with a tortilla and, you know, maybe a protein like chicken or steak or something. My father just kept on eating the same before he was diagnosed with type two. I definitely think it's accepted, and not really. I don't know what word I'm looking for. Like, done something about
Scott Benner 29:52
right? Yeah, almost like, oh, the BDS got me nothing I can do about it. Yeah, right. I got caught by diabetes. Yeah. Yeah, it
Andrea 30:00
finally got to me, you know, we were expecting him at seven, but he came at nine.
Scott Benner 30:04
Yeah, no, yeah. See, that's what I think. And then if you have the expectation that, like, this is just what it is. So then when you have those problems, you don't think I could change this, you think this is what's supposed to happen. Yeah, I
Andrea 30:18
definitely think that that is very much how I saw it in my family. And I hate to put, like, my dad on the spot, because,
Scott Benner 30:24
you know, how would he know, you know, yeah, like, I always remember,
Andrea 30:28
like, even though he had it, and, you know, we had, you know, type one, we were still eating very much, high carb meals, not doing any exercise, just kind of like, you know, we have it. Oh, well, it's just, you know, just put in the closet real quick. Let's continue with
Scott Benner 30:44
our life. We'll ignore this and have a plate full of beans and rice and, yeah, right. And just like, drive our blood sugar up for a day and a half. Oh, my,
Andrea 30:53
I can't I honestly, looking back, I just, I can't believe that, you know, we all managed to make it to our 20s.
Scott Benner 30:59
I'm gonna say, yeah. Like, right. You must be like, now that you have, like, real perspective on what the impact of that food
Andrea 31:05
is. Oh, yeah. Like, now I like, whenever, like, she makes like, rice. I'm just like, I love you, mom, but I'm gonna pass for right now, just because I don't feel like, you know, battling for the next two hours. Does
Scott Benner 31:18
she know now? Does she understand how impactful that food is.
Andrea 31:21
I think she does, yeah, yeah. I don't really talk to her much about it, but I think she does know now, like, we do try to make different things that aren't so carb heavy, but I can still see it when she makes it like, I can still see, you know, my other siblings and I, like, we kind of avoid it. What
Scott Benner 31:40
stops you guys from talking about it? Like, I'm wondering, like, at some point, have you not thought, Hey, mom, like, why don't we ease up on Dad? Here a little bit, you know what? I mean, yeah.
Andrea 31:49
And he also, like, I don't know if he's on any other medications, but he has been, like, losing a lot more weight. I can see he's trying to work on it, but, yeah, it's like, it's kind of like, I don't want to say you can't teach a dog new tricks, but, you know, it's like, you know, we eat this type of food, you know, I'm gonna, you know, make this food. You know, if you guys want less, that's fine. But, you know, these are, like, staples
Scott Benner 32:11
in our household. Has to be like, this, would your dad do a GLP medication? Do you think?
Andrea 32:16
I think so. I think would be helpful. You know, he's always been, you know, uh, a bigger guy, you know, he would be working outside, like, doing, like, hard manual labor,
Scott Benner 32:25
so that must be difficult with high blood sugars too.
Andrea 32:29
Oh, yeah. And then we're in Florida, yeah, by the Everglades, it'll really, oh geez, the swamp out here taught, I don't know how he does it. No kidding,
Scott Benner 32:37
yeah. I mean, if he's got reasonable insurance, he ought to talk to somebody about that and just see if maybe beneficial. Yeah. I mean, it could definitely, you could knock some weight off of him if he has it to lose. It might help with his blood sugar. Is this? Insulin resistance? A lot of different
Andrea 32:52
things, yeah. And honestly, I was actually thinking about asking my doctor, but I don't know. I'm trying to do it like with my diet and going on walks right now, because my sensitivity is not the best, but I do see it's getting better. Like, as you lose weight, yeah? Like, I lost, like, I want to say, like, three in the last month I've been, like, cutting out, like, everything. Like, sodas, awesome, tortillas, no more rice, which I miss very dearly. Yeah,
Scott Benner 33:18
man, those are some easy cuts, really. Like, when you say so did you, are you saying diet soda or regular soda? More
Andrea 33:23
like juices, like, so I'm like, kind of scared of carbonation, like carbonated drinks now, because why are
Scott Benner 33:30
you scared of carbonation? So I actually
Andrea 33:32
went into DKA in 2019, and at that time, I was obsessed with Dr Pepper. And so I was like, Oh my gosh. I'm like, I drank so much Dr Pepper and I wasn't bolusing for it. I'm in DKA. Wait. So
Scott Benner 33:48
now the bubbles you have bubble fear. No,
Andrea 33:51
have a bubble fear. I did refuse to drink sodas, like ever since 2019 I refuse to drink sodas. I don't
Scott Benner 33:57
think you should drink soda, so I'm okay with that, but you were drinking regular Dr Pepper and not bolusing for it, yeah?
Andrea 34:04
Like, I would, like, you know, if I would be driving, oh, let's take a Dr Pepper. It has to be the cherry one, though. Then I just wouldn't Bolus for it. I'm driving, I would not Bolus. Because,
Scott Benner 34:14
why? Tell me why. Honestly, I didn't really think it
Andrea 34:17
would affect me. Because at that time, I wasn't checking and I was just, you know, doing the random boluses here and there. I was like, oh, I'll just, you know, Bolus for this soda later, Andrew,
Scott Benner 34:28
you're being so honest, and I really appreciate this. But if you were diagnosed at 11 and you were driving and drinking a Dr Pepper and thinking it wasn't going to affect you, how many years with diabetes was it when you were cracking that Dr Pepper?
Andrea 34:39
Oh, my I want to say, okay, so I was 21
Scott Benner 34:44
I was a decade with type one diabetes, and you were like, this, Dr Pepper is not a problem for me. No, it's it doesn't count, you know. And when you look back now being honest, oh, I wanna were you lying to yourself, or did you really not know?
Andrea 34:58
I honestly think it was like, deny. Oil and lack of education, okay? Like, I feel like I was, yeah, like, denying it, like, you know, it's not food, okay?
Scott Benner 35:07
So if I would have pinned you down back then and said, Listen, you gotta be honest. You know this is making your blood sugar go up, you would
Andrea 35:14
have said, Yes, I'm like, I know, but not really, because it's a liquid, because
Scott Benner 35:18
it's a liquid, doesn't count. It's Tuesday after three.
Andrea 35:23
Yeah, I'm like, No, that. I don't even know what you're talking about.
Scott Benner 35:27
My gosh, now you wouldn't do that. Now, is that correct? Oh, no.
Andrea 35:31
Like, so sometimes, like, we go out to, like, eat and stuff, and I love unsweet teas. Like, if I put like, one sugar packet, oh, I'm putting that in my in my palm, I'm putting like, two carbs in, yeah? Like, I am very picky now, like, I really want to get everything in the pump. That's awesome, and I want everything Bolus for everything. How come
Scott Benner 35:50
you don't put a Splenda in that, in that unsweet day? Oh, I don't like Splenda. I
Andrea 35:55
like, I like equal. If they don't
Scott Benner 35:58
have equals, it'll put a sugar, sugar that's fair enough. Is equal the blue one? Yeah,
Andrea 36:03
that's the blue one. We are an equal guys. We
Scott Benner 36:07
we love equal Okay, so generally speaking, you would use a sub, a sugar substitute, and if you didn't have it, then, then you'd go with sugar, but you would Bolus for it. Yeah,
Andrea 36:15
I like to do, like, two carbs per little packet. Nice. That's really rare. Can
Scott Benner 36:20
I take credit for that, for you being a person who's bolusing for your for your sugar packet?
Andrea 36:24
Yes, because before I thought like, only like carbs, like and by carbs, it was like, you know, rice cakes, you know, cereal. I'm like, only those things raised my blood sugar. I wouldn't even think that protein would raise you so if I eat chicken, I'm like, this chicken, I'm doing it. I'm bolusing for the chicken, for the protein.
Scott Benner 36:47
Awesome. Do you know where you got that idea from? Honestly,
Andrea 36:49
from that episode about Terry lives on a boat.
Scott Benner 36:53
No, but I mean, before that, where did you get the idea that, like, only carbs in certain forms had impact on your blood sugar? Oh,
Andrea 37:00
because that's how we were doing it here. Like my mom, she had, like, a hard time understanding that, you know, other things also impact. And I always remember this office visit. I was still not type one, but I always remember this one day that we went in for my brother, my sister and I just, you know, tag along with them, yeah. And, you know, the lady is like, you know, when you give your kids insulin, like, what are you giving them insulin for? She said, Oh, for the sugar. And she's like, Okay, what do you mean by that? She's like, Oh, you know, like, snacks, you know, bread. And then the lady was like, you know, do you do it for other things, like rice, you know, the tortillas you guys have? My mom's like, no, that's not sugar. So in my head, I was like, oh, like, I kind of, like, took my mom's idea and then I was kind of doing it until I was, you know, told otherwise, yeah,
Scott Benner 37:51
and do you remember that conversation enough to know if the nurse was like, hey, well, you're wrong. Honestly,
Andrea 37:57
I think they were being very soft. It definitely felt like a scolding, though, just because, you know, you know, I'm like, 11, I'm like, Oh my God, they're yelling at my mom, like, who are you? But now I kind of wish that you happened to me, honestly, because I feel like I would have definitely taken better care of it. Yeah, sometimes, you know, you just need a good I don't say good scolding, but
Scott Benner 38:22
you know, podcast, that's all, you'll be fine.
Andrea 38:24
Yeah. I'm like, let me put Scott on.
Scott Benner 38:27
We'll talk about it, and I'll feel better. Yes,
Andrea 38:30
honestly, I was listening this morning, um, I believe you just put the episode of Paulie. And I was like, Wow. She was also talking about how she was, like, misdiagnosed as well, or if they were having a hard time believing her. And I was like, Oh my gosh, that's happened to me. You know that happened to me too. Can
Scott Benner 38:46
I tell you that I was contacted privately this morning by a relation? It's, I don't want, it doesn't matter how, and somebody's been diagnosed by being a EMT and checking their blood sugar during teaching other like trainees how to check blood sugars. And as crazy as that sounds, that's maybe the fourth time I've heard that story that is wild of people just who are EMTs and like, though they're on the rig and they're teaching new people, and they're like, well, here, here's how you do it. And they teach, they test themselves, and then go, Hey, what the hell like this has to be wrong. Yeah, right. I think I've quite literally interviewed three people who that's happened to, and now I know a fourth one. Oh my gosh. You know, the stories are so universal. I think a lot of times, you know, I think
Andrea 39:35
it's kind of like same story, different font, the same sentence, just kind of New Roman, Gothic style, a little
Scott Benner 39:43
different, but, but really the same. Yeah, enough for you to see the relevance to yourself in the in the conversation. What was that? Is that episode called floppy duck. Yes,
Andrea 39:52
the floppy duck, I'm, I still have, like, halfway to go, but I was just listening to left heart was like, Oh my gosh. It just, it's the same thing, different character. There's, yeah,
Scott Benner 40:00
yeah, but I know, like, you know, it's funny, I used to make such a big deal of saying all the time, like, I know you want to feel special, and I know your diabetes is not. It's different than everybody else's, but it's not really, it's a lot of similarities, at least enough similarities that we can all look at them together and say, hey, you know what? This person's not exactly like me, obviously, but enough of their story is my story that I can learn from it.
Andrea 40:24
Yes, and I think that's the beauty of the podcast where, you know, we all have a different entrance, but it's still like the same journey. Like you might go this route and I might go this one, and, you know, you and Arden go this one, but like, we're all trying to get to the same end goal of, you know, trying to be as healthy and, you know, happy as possible.
Scott Benner 40:44
That's the whole thing. Is understanding how to use insulin and folding that into your day to day life so that you have nice, healthy, happy outcomes. That's all, yes, that's
Andrea 40:52
the most important one, which is why I'm so happy that you exist, Scott, and that this podcast exists. You're
Scott Benner 40:58
very nice. Can I ask you, you talk a little bit in your note about depression, did you have trouble with that? Oh,
Andrea 41:05
yeah, I think that was also part of why I was kind of like, uh, you know, I feel like my blood sugar is high. I'm just not gonna do it. I'll do it later. It's kind of like, you know, like, just pushing it off. I was actually admitted to a psychiatric hospital for depression, you know, I listened to the episode. I believe it was, I think it was like the prison episode about how, you know, they treat the, you know, I don't want to say inmates. Maybe they're inmates feel something, they don't care. And honestly, I really related to that, because that's how it kind of fell in there, too. How long were you there? I was there for like, five days. I had major depression, and I just, I really needed help. And you know, there was a lot going on at that time in my life, yeah, and you know, things happen, and you know, I went there, and I just felt so I don't wanna say helpless, but I felt so I don't say naked, but I felt so helpless, not being able to control my type one, even though I wasn't controlling it well, I just I did not like that. Somebody else had
Scott Benner 42:07
control over it. Yeah. So how long ago was this? How old were you? I was
Andrea 42:12
22 so this was in 2020
Scott Benner 42:14
okay. And so even though you weren't, like, on top of it, on top of it, having taken away from you was painful. Oh yeah, it
Andrea 42:22
was a huge eye opener. It was like, I'm already not taking care of it well enough. These people are definitely not going to take care of it better, you know, than me, and I'm already at the bottom floor. Yeah.
Scott Benner 42:33
But does it? Does it feel like you've given control of, like, whether or not you breathe in or breathe out to somebody else? I think so. I've had people explain to me that idea of, like, you know, don't touch my pump, you know, don't touch my insulin, like, because it is so, it is so intertwined with who you are as a person, yeah?
Andrea 42:54
Like, I don't go anywhere without at least one vial of, like, my Nova log. Like, it's, it's me, it's
Scott Benner 43:00
like, me in like, mini form, yeah, you don't want anybody messing with that,
Andrea 43:03
yeah. And I just remember they would test your blood sugar. And I don't want to discredit them, because they did a lot of really good, you know, things for my mental health. But I just remember just I felt very restricted, and, you know, I did not like that. They were not letting me Bolus for my meals. They were only giving me like if my blood sugar was 200 only for the 200 go eat, and, you know, not for the food, not the best of a
Scott Benner 43:34
control. What do you think your a 1c was at that time in your life?
Andrea 43:38
So it was the 8.0 because they made me do labs before I went. And that's when I was, like, so proud of the 8.0 a, 1c, yeah.
Scott Benner 43:47
And how do you feel now, like those these years removed, have you experienced any depression since then? It
Andrea 43:52
comes and goes. I'm on a medication right now, which I think has really helped with my management. I definitely think it's an important role. You know? It gives me, like, more motivation, and yeah, so I'm very happy with it, and my a 1c is definitely a lot happier. My blood sugars are happier now, like, I'm more on top. I'm
Scott Benner 44:09
trying to figure out if you just feel lighter in your mind when your a one Cs are lower. Honestly, I
Andrea 44:15
think so, because, you know, it feels like a report card say you failed like, two tests, and then you're like, you finally got like, a better grade. And like, you're just getting a better one and better one. And I hate to even say it like that, because it's so damaging in some ways, but it feels
Scott Benner 44:30
like you're building momentum, though. Yeah, okay, you have a lot going on.
Andrea 44:37
Oh my Scott. If you have five hours, I can tell you everything.
Scott Benner 44:42
Pick something else you want to tell me. Let me see. I think we went over
Andrea 44:47
almost everything. I can't really think of anything else. Not really sure, Scott,
Scott Benner 44:52
look at you. You are so delightful. Why are you so nice? Honestly, I think is the anxiety. Wait a minute, so. So you have anxiety? I think
Andrea 45:01
so, yeah, I've always been a super shy kid, and I feel like that's also for my mom, and I've just always been super shy, like, and I'm a huge people pleaser. I know that's obvious, but I'm a huge people pleaser. And, you know, anxiety and all that, are
Scott Benner 45:18
there things you're thinking that you don't say because you don't want to be too like,
Andrea 45:24
I don't know, aggressive. Oh, yeah, sometimes I do think things like, like, for example, like at the endo when they were telling us, you know, why are you taking this I'm like, I don't know. I don't know. Why are you asking me? Like, why did you take 50 units to say, I don't know. I don't know.
Scott Benner 45:40
How else does anxiety impact you? Honestly?
Andrea 45:42
Like, if I'm very nervous for something like, my blood sugars will skyrocket, like, probably, like, 6070, points, and I just leave it there. Like, I won't Bolus. This is before I had the pump. But I definitely feel like I had a lot of higher blood sugars all the time. Like at school, I was always very shy, like the, like, the really shy kid in your class, that was me, okay, you know, if I had to, like, even speak to the teacher, I'm, like, shaking, almost crying. And I definitely feel like that probably impacted my management earlier. Like, always, always high, like, the adrenaline. I don't really sure, yeah, I definitely think it affects how I managed my type one. And, you know, my sister's a lot more laid back. She's, like, super relaxed, like, she manages it super different. And, you know, she doesn't really have anxiety. So that's how, like, I kind of, like, look at us. We're like, Oh my gosh. Like, we have the same thing, but it's not the same. Does it
Scott Benner 46:43
impact, like, your personal relationships or your like your work or having gone to school? Is there any other places where you feel limited by it?
Andrea 46:52
I think so. Like for school, like, right now, I work at a doctor's office as, like, the front desk, but, you know, I went to a technical college to be a pharmacy tech. I was just dreading going there, like, you know, I definitely did not want to stay there. Plus, I was only a temp higher, so it kind of worked out better that way. But personal relationship wise, I would say so sometimes, like, sometimes, like, I did not want to go out and hang out, just because I don't, I don't, I don't have the energy for it. Just being
Scott Benner 47:20
around people, does it kind of sap your energy, kind
Andrea 47:24
of, well, it really depends. Like, if it's people that I know, not really, but if it's like, Hey, you're beating 20 people today, I'm like, Oh no. How do I how do I get out of this one? Do
Scott Benner 47:35
you think Andrea? I know why. I can't think of the word. Because this is the first episode I've recorded since I had my surgery, and I'm still a little fox, but my brain is like, trust me, if we would have done this two days ago, this is the podcast would have sounded like me going, but I'm just a little like, I'm a half step behind right now. What is it called? When people, oh, God, I can't think of the word. This is so ridiculous. I'm
Andrea 48:01
kind of, like, thinking of, like, you know, like the Thor I'm harvest Thor, or the Infinity rings. Like, once I have enough people, I'm done.
Scott Benner 48:11
Okay, so, like, if you're around people and you don't know them, is it a lot of work
Andrea 48:16
for conversation? Yeah? Like, because it's like, I don't know what, what to talk to you about, and I just get super and that makes you anxious. Yeah, it makes me anxious. I don't know why, honestly, because, like, you know, I'm never gonna see these people again. So like, Why do I get like this? And then, you know, my face turns red, my blush goes up, and it's just a mess. Your face turns red, your butcher, I always call myself a tomato. Like, in your mind, you're like, This is ridiculous. I'm never gonna meet these people again. It doesn't matter what they think of me. And I say even that, I care, like, what they think. It's more like, I have to be here. It's kind of like, like an amusement park. Like, imagine you're the ride, and you just want to, like, I don't know where I'm going.
Scott Benner 48:58
No, keep going, you're the ride and what. And
Andrea 49:01
you just want people to be like, okay, like, Oh my gosh. I love this ride. I think it is the people pleaser in me. You know? It's like, you want people to like
Scott Benner 49:09
you. Has anyone ever called you introverted? Oh,
Andrea 49:12
yes, my fiance all the time. Okay, that's the
Scott Benner 49:15
word, by the way, that I couldn't find earlier. Case you're introverted, yeah. So he says you're very introverted. Yes. And he is a complete opposite. He's got, he's like, got kind of an outward personality. Oh, yes. See, can you feel drained after these social interactions?
Andrea 49:32
Sometimes, yeah, sometimes, like, I just want to go back home. I'm like, you know, I just, I can't I have to leave.
Scott Benner 49:38
Do you think of your life as limited
Andrea 49:40
because of that kind of not really well, I want to say yes, because I do like to, you know, go explore new things, but if there's a lot of people, it kind of drags out, like I have this kind of funny story. So my fiance and I went to one of his cousin's weddings in Pittsburgh, and I do not drink alcohol. Yeah, and they had an open bar. I had like, four screwdrivers, and I ripped my pod off because it was just, you know, it was almost out. I was like, I'm done for the night. Let's go.
Scott Benner 50:11
You got drunk and took off your Omnipod.
Andrea 50:13
I took off my Omnipod. Like, let's go. I'm done. You had enough
Scott Benner 50:16
vodka and orange juice that you're like, I don't have diabetes anymore.
Andrea 50:20
I even know who she is. Okay. Who she is. Go ahead. Then he went back to, you know, the hotel, and I was like, I'm just going straight to sleep. Like, he's like, No, he's like, you put another Omnipod? I'm like, No, I don't, I go straight to sleep. I'm like, for me, one drink is like 10. I was out of it, and so he put a new one on. I'm like, Oh, I'm like, well, I'll never have you another screwdriver in Pittsburgh again.
Scott Benner 50:46
He slapped the pot on you while you were passed out.
Andrea 50:48
Yeah. And I was like, so I was like, Oh, my God. I'm like, how did this pod get on my leg? I was like, did you put this on? He was like,
Scott Benner 50:56
Yeah, because you were gonna wake up and, DK, if you were lucky, yeah. And it
Andrea 51:00
was the first time he's ever done that. And, you know, it just really made me think of how important it is to have, like, a supportive partner, yeah, if you have type one, and, you know, I hope everyone you know finds that, because it's really important, especially when you know you have four screw drivers, you rip off your Omnipod and then you go straight to sleep.
Scott Benner 51:20
All right, do you ever suggest the podcast to other people?
Andrea 51:24
Oh, yes, like so we rarely have type one patients in the doctor's office where I work, but I have recommended it probably twice now to the type ones that do come in. And I recommend it because it gives so much good info. Okay, definitely the Pro Tip series. I've been trying to get my sister to listen but she never listens to, like, anything. I'm like, You have to listen to this. She's like, Oh my gosh, you've already told him, like, 10 times. So I try Scott. I'm trying to help.
Scott Benner 51:55
No, I just wondered, like, when you tell her to try it, what do you think she'll get from it. I definitely
Andrea 52:01
think the like avoiding going low, like in the bolusing for like proteins and like fats, I think that was that would be very beneficial, because we never learned that, and I've tried to bring it up to her, but it's kind of like, you know, we don't really speak about type one, so we kind of like avoid the subject. Sounds
Scott Benner 52:19
like, in your family, you don't really talk about these kinds of things. No, things. No,
Andrea 52:23
not really. Like, we'll probably talk about it, like, twice in a week, like, Hey, what's your blood sugar? Oh, your blood sugar is this? Mine's better, huh?
Scott Benner 52:30
It's kind of it just a little playfulness, yeah, just,
Andrea 52:33
you know, very sister esque, like, she's my little sister. We used to work together, and, you know, there was a subway across the street, and we would have like, little battles, like, whoever's blood sugar is higher has to go get the subway across the street. All right, listen,
Scott Benner 52:49
Andrew, you were terrific. I really appreciate you doing this with me. If you'd hold on for a second. Thank you for having me. Oh no, it's a it's a real pleasure. I'd like to talk to you for just a second after I hit stop. So hold on. Okay. You a huge thanks to Omnipod, not just my longest sponsor, but my first one, omnipod.com/juicebox if you love the podcast and you love tubeless insulin pumps, this link is for you. Omnipod.com/juice omnipod.com/juicebox a huge thanks to us med for sponsoring this episode of The Juicebox Podcast. Don't forget us, med.com/juicebox, this is where we get our diabetes supplies from. You can as well use the link or call 888-721-1514, use the link or call the number get your free benefits check so that you can start getting your diabetes supplies the way we do from us. Med. 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. When I created the defining diabetes series, I pictured a dictionary in my mind to help you understand key terms that shape type one diabetes management. Along with Jenny Smith, who, of course, is an experienced diabetes educator, we break down concepts like basal, time and range, insulin on board and much more. This series must have 70 short episodes in it. We have to take the jargon out of the jargon so that you can focus on what really matters, living confidently and staying healthy. You can't do these things if you don't know what they mean. Go get your diabetes to find Juicebox podcast.com go up in the menu and click on series. The episode you just heard was professionally edited by wrong way recording, wrongway recording.com,
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