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Scott Benner 0:11
Hello, everybody, and welcome to Episode 491 of the Juicebox Podcast. On today's show, we're gonna try something a little different. Jenny's here to start a new series with me called variables. When the episode begins, ah explain to you how we kind of came up with this and where we got the variables from. But today's variable, the very first one in the series is trampolines. Please remember, while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. We're becoming bold with insulin. If you're looking for ways to support the podcast, it's simple, easy and free to do. Just subscribe in the podcast app that you're listening in right now, if you're listening online, check it out in the podcast app and hit subscribe or follow. And of course, tell someone else about the show. Subscribe and Share. That's all I need you to do.

While there are no ads on this episode, I do want to remind you of the sponsors that support the podcast, the Dexcom g six continuous glucose monitor, please learn more@dexcom.com forward slash juicebox the Contour Next One blood glucose meter Contour Next one.com forward slash juicebox the Omni pod tubeless insulin pump on the pod comm forward slash juice box find out about g vo glucagon at G folk glucagon.com forward slash juice box learn more about touched by type one at touched by type one.org. And please consider supporting the T one D exchange T one d exchange.org Ford slash juice box. You added a variable pro tip episode I didn't like there's a there's a pro tip episode about variables talking to people about how things that you might not expect can impact your blood sugar. And I was not on my radar when I made the first pro tip list. That was all Jenny putting that in. But more recently, I went to the Facebook page and I just asked people tell me everything that impacts your blood sugar. Right? Just everything. And I am looking at a list here, Jenny that is 159 things long. Some of them might be duplicates, and we'll find out as we go. But I thought it would be important for people and I know you agree for them to understand these. These impact things. Yes, yeah. Because they're like, you know, say again, what you just said before we started talking about this, like you were talking about doctors give directions, but don't take stuff into consideration.

Jennifer Smith, CDE 3:10
Yeah, many doctors have their sort of cut and dry very black and white. If this than that, right? It's sort of if you're going to go and exercise just stop your pump, take the insulin away and it will work right. Well, that's, that's given everybody's exercises that they're going to go out and walk their dog for 35 minutes. That's not in any means, especially with exercise that we have today. You could be doing anything for God's sake I two weeks ago I took what do you know what a pound classes like you have these like drumsticks? And you like

Scott Benner 3:49
right sounded dirty to me. So no, I guess I don't know.

Jennifer Smith, CDE 3:53
weighted drumsticks and it's actually it's a good cardio workout actually made my kids do it with me because a friend was doing it. But anyway, I I had no I knew it was going to be a variable. Right? But what kind of variable? Was it going to be more aerobic? Was it going to be aerobic and anaerobic? Was it going to be like sitting and pounding Fiddlesticks have any idea? So how do you plan for a variable like that I you know, planned for it to be like cardio. So from the sense of what a doctor would tell me to do as a cut and dry black and white each time I go and exercise do do this. That's not true. It isn't. And so there are many variables to consider,

Scott Benner 4:36
right? Well, since you went that way with your description, here's number 157 on trampolines. So I said test people tell me some things that make managing blood sugar's difficult and so many people said trampolines that it wasn't funny. So there is something about that specific exercise that crashes blood triggers, right?

Jennifer Smith, CDE 5:02
It's it? Well, if you think about, it's kind of an all over body workout, right? You're using your arms, you're using your legs, you're using your core muscles to stabilize your body. Depending on how much flipping and acrobatic, maybe you've got a basketball hoop inside of your trampoline, like I've seen seen many kids have. So maybe you're doing that along. I mean, it is. And for the most part, it is an aerobic exercise, it will drop blood sugar. In fact, a lot of the kids that I work with who have them, their parents send them out when they've got a high blood sugar to get it to come down. Quick. And it works. Yeah. And it works. So you know, in the case of that, typically, it's insulin adjustment, if you know what's coming. And with kids, oftentimes, in you know, exercise is so sporadic that you can't so then you just have to use extra carbs or sort of ahead of time coverage carbs, as they're heading out to accommodate for the expected drop.

Scott Benner 5:59
Yeah, I guess, even like knowing ahead of time it is. So it's such a violent drop that you see for a lot of people that even taking basil away and doing a really proper job of having that basil create a deficit over top of the trampoline. I don't even know if it would work, right?

Jennifer Smith, CDE 6:15
No, no. And I think a lot of times too, for kiddos because they're eating so frequently, you know, a meal, maybe a snack, maybe another meal, maybe a snack, and then another snack. And then oh, my friends want me to go over to the trampoline and play with them. And parents are like, Oh my gosh, there's three units, then

Scott Benner 6:37
you learn eventually how to handle it. I've seen people say that their kids take like spoonfuls of like peanut butter, like, you know, there's they'll drink a juice before they get on like stuff like that. But that's just one of those examples of the it just it's way more impactful than even somebody who's willing, who understands that activity impacts blood sugars, like it's just out of magnitude that is crazy.

Jennifer Smith, CDE 7:01
It is it really and I think in all the variables, I think the other really big thing that's kind of a consistent across the board is now that we have trending on glucose monitors. It's where are you? Where are you sitting? Right? Because coming into any variable city setting, whether it's exercise or whatnot, you have to know where you are or where it looks like you're heading, because that's also going to impact how much or how little you adjust right

Scott Benner 7:32
here. Like if you just messed up a meal spot and it's starting to spike, you might be able to bounce in there for free because you don't have enough insulin to begin with. But if you're super stable at 140, and you haven't eaten in a couple of hours, even if you don't have insulin on board, you are going to drop from this exercise. Yes,

Jennifer Smith, CDE 7:48
Basal. Yep,

Scott Benner 7:49
this is why gymnast looks so strong. Because that whole and for some reason, the adrenaline doesn't even help it.

Jennifer Smith, CDE 8:00
For the most part, I don't think there's enough adrenaline unless it was like you just said like maybe accom a competition, you know, that like adrenaline competitive kind of component. And then it's not really an all it's like a performance. It might be a two minute four minute sort of like routine. And then they go sit on the bench. Yeah. And so there was like this buildup of adrenaline to perform to do their best. And then they sit there until their next event be one hour later. Maybe I realized

Unknown Speaker 8:29
from your answer that I'm just a big baby because I just met the adrenaline bouncing up and

Jennifer Smith, CDE 8:35
well, there could be two. I mean, if you're really the kind of person who's like, I don't know, where my feet actually gonna hit the net, or am I gonna crash through the ground? I could there could be adrenaline.

Scott Benner 8:44
I was genuinely embarrassed. When you answer that way. I thought, Oh, that's what that's a good answer. But that's not what I was worried about. I'm such a baby. I would never get on skis or do anything like that. So

Unknown Speaker 8:55
Oh, that's funny. Yeah, I'm

Scott Benner 8:55
not up for that. Okay. Thank you. Cool.

First, I'd like to thank Jenny, as always. And I'd like to thank everyone in the private Facebook group for compiling the list of variables that impact diabetes, that you're going to hear moving forward. Was that English? the variables that you're going to hear moving forward were given to me by the peep. Yeah, I think I said that, right. Anyway, oh, you should check out the Facebook page. It's really cool. I think 12,000 people in there now really active people helping each other with their type one. It's called Juicebox Podcast type one diabetes. It's a private group. So nothing you say in there gets outside of it. It's very cool. Anyway, well, now I use the polka music dammit.

I want to tell you more about Jenny. But before I do, I want to tell you that this is the first in the variable series. There are going to be as You heard it a lot more Jenny and I do in short descriptions of the variables that were brought up by listeners. And of course, if you're interested in learning more about what Jenny does for a living, you can check her out at integrated diabetes Comm. I am incredibly excited about this series. In my mind, it's sort of like the defining diabetes episodes, but instead of terms, these are going to be the pitfalls that kind of impact diabetes that you might not know to look for. trampolines was just an obvious place to start. There's so much more coming. I'll talk to you soon.