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Scott Benner 0:00
Hello friends, and welcome to episode 858 of the Juicebox Podcast.

On today's show I'm gonna be speaking with Jenna she was diagnosed with type one diabetes as an adult, and has run in a number of marathons with type one. We're going to be talking about that and much more on this episode of The Juicebox Podcast. While you're listening, please remember that nothing you hear on the Juicebox Podcast should be considered advice. I just forgot the words that's crazy. Medical or otherwise. Wow. While you're listening today, what how do I do this? While you're listening today, please remember 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. Or becoming bold with insulin. Wow, I have said that so many times. I don't think I'm thinking about it while I'm doing it. See when the exchange.org forward slash juice box if you're from the US and have type one or are the caregiver of a type one, please take the survey AT T one D exchange.org. Forward slash juicebox. Thank you. I'm just going to leave all that in so you can enjoy my confusion

this episode of The Juicebox Podcast is sponsored by touched by type one visit touched by type one online at touched by type one.org. And also find them on Instagram and Facebook. There are beautiful organization doing wonderful things for people with type one diabetes, and they would love for you to check them out. Touched by type one.org. The podcast is also sponsored today by us med get your diabetes supplies the same way my daughter does from us med us med.com forward slash juice box or call 888-721-1514 Just get your free benefits check. And you're on your way with us med actually us med called here tonight. It was a personal call. They were looking for Arden because they were like hey, hello, this is us men. And I said hello us. How are you? And they're like fine. And then they said would Arden like the Dexcom g7. And I said you know it? And they said all right. And now that's done. Us med.com forward slash juicebox links to all the sponsors are in the shownotes of the audio app you're listening in or at juicebox podcast.com.

Jenna 2:48
Hi, I'm Jenna. And I've had type one diabetes for three years. How old are you? I'm 35. So I was diagnosed when I was 32. Are you married? No,

Scott Benner 3:00
no. Had you when you were 32? No, I asked the question awkwardly. But were you with anybody when you were diagnosed? I guess is what I was trying to

Jenna 3:09
get at. I am now but I was not back then not then

Scott Benner 3:13
am now got it. Okay. Very expected or unexpected.

Jenna 3:20
It was completely unexpected. So I've no family history kind of came out of nowhere. I do work in health care. So I actually did end up recognizing my own symptoms, but I was pretty sick. And it took a little while for me to get there. So I guess I could talk about that a little bit. If you want me to

Scott Benner 3:35
look at your producing Yeah, no, no, I was gonna ask, what did you notice? And why did it take you time to, I guess come to grips with it.

Jenna 3:46
So I'm a really big runner. And I had run 12 marathons in my life up to that point, and I was training really hard to try to qualify for Boston. I live in Oklahoma, it's extremely hot in the summer here. So I've been doing a lot of running in the heat. So I was drinking a ton of water, you know, all the usual symptoms going to the bathroom all the time, losing weight, and I was thinking man, this marathon training is really killing me and it's working really well for weight loss this time. But, you know, eventually I started thinking to myself, this just isn't right. So I checked my blood sugar at work and it was too high for the glucometer to read. And I was in denial. So I said to my friend, I think our glucometer is broken. Can you check your blood sugar and she was drinking a coke and hers was like 102 So I knew at that point,

Scott Benner 4:27
I think your blood sugar is broken. We gotta get a third person over here to try.

Jenna 4:32
I know that's how I felt that's what I was hoping for. You know, denial.

Scott Benner 4:35
Can I ask you about those 60 seconds when you say to your friend, hey, check your blood sugar. This glucometer is not working. Are you? Are you honestly thinking that's the case? Or are you thinking oh wow, this is my last chance to prove I don't have diabetes.

Jenna 4:51
That's exactly what it was because I had been thinking for days that I should check my blood sugar at work. But it was like everyday it was like one more day if I don't if I can put this aside from One more day not think about it. So I had that was a Tuesday, I worked that weekend before. So Saturday, Sunday, Monday, everyday told myself, you're gonna check your blood sugar today. And then finally, and finally on Tuesday decided, You know what, I have to just do this. So yeah, if I lost about 20 pounds, so I knew that you know, something was pretty wrong.

Scott Benner 5:18
What would you do professionally? If somebody did what you did? What would you say to them?

Jenna 5:24
Oh, I mean, I guess I'll say now that I can. So I'm a PA. Like I said, I work in healthcare. And I understand denial is a powerful tool. And I guess I can I'm more empathetic towards patients in that regard now, because, you know, I would think to somebody to one of my co workers, how did you not notice this? You know, but really, I think I had I just didn't want to come to terms with it.

Scott Benner 5:44
Yeah, no, I understand it. I'm glad it gave you some perspective that you can use with other people. So you're a physician's assistant. Yes, I am. That's a cool job. You work in a hospital system or in a just like a physician's office.

Jenna 6:00
I work in a hospital system. So I do a little bit of both. I do hospital side and clinic, which is nice. Nice.

Unknown Speaker 6:06
How long have you been doing that?

Jenna 6:07
10 years now?

Scott Benner 6:09
Wow. You say Oklahoma earlier? Yes. It's really hot there. How come you people can't drive in the snow?

Jenna 6:16
Oh, I have no idea. I used to actually live in Philadelphia and I couldn't drive in the snow there. But you didn't really have to because, you know, they plow the streets and salt. But here, they just don't do anything to the road. So like a half inch of ice shuts us down.

Scott Benner 6:30
I gave a talk in Oklahoma once. And it got about half the turnout as tickets sold. Because there was what I would generally call a dusting of snow on the ground. Three hours before the thing began. And it was cleaned by the time it happened and people were just we don't go out in this and like in white. Just couldn't understand.

Jenna 6:50
Oh, it shuts down our states. That's for sure.

Scott Benner 6:53
Very interesting. Okay. So how did you make it from Philadelphia to Oklahoma?

Jenna 6:57
So because you're Oh, I wish no. So I'm originally from the Philadelphia area. But my dad got transferred to Oklahoma when I was in like second grade that I went to PA school back in Philly. And then I

Scott Benner 7:09
moved back here. So I'm just kind of been back and forth. So military bounced around.

Jenna 7:14
No, my dad actually is not military. But I get asked that a lot.

Scott Benner 7:17
Yeah. Oh, just a job change. Oh, that's interesting. Yeah. upside to Oklahoma over Philadelphia, and vice versa.

Jenna 7:25
I'd say the people in Oklahoma are the friendliest ever. So definitely. That's that wins for Oklahoma. Philadelphia is nice, because it's close, you know, to a lot of places. So you get a weekend off work in our long weekend, you can do a lot of traveling and Oklahoma pretty much up to fly anywhere. So take the worst downside of Oklahoma

Scott Benner 7:44
take the first three days to get out of Oklahoma. Right. Exactly. And all of a sudden, I gotta go back to work. So okay, so you're so this happens at the hospital or at work where you test your blood sugar. You and your friend I imagine look at each other your coworker like oh, wow, you have diabetes. And then what do you do?

Jenna 8:04
So the I broke down. So you know, I was really upset. I also didn't realize how much different management was from what I thought like, I didn't know CGM existed or anything. So I was just like, I was supposed to run this marathon. 11 days later, they had been working super hard for and I was like, There's no way this is going to happen. I was just I started crying at work, basically. So the physician I work with actually called it endocrine department and got me an appointment the next day. So I'm extremely lucky to have had that connection.

Scott Benner 8:33
Yeah. Yeah, no kidding. So the the running was the first feeling of loss. You had it immediately.

Jenna 8:42
Yeah, I guess, you know, managing type one diabetes, like I said, is a lot different than I thought it was. I just immediately was like, thinking of this life, you know, surrounded by finger sticks. And just, you know, I didn't know about the modern technology at that point in time, which is crazy to think about now.

Scott Benner 9:02
Yeah, no, I mean, did you have much connection to diabetes in your practice?

Jenna 9:07
We see a ton of type two, but they're

Scott Benner 9:09
not really wearing CGM. CIAT at this point with any great frequency.

Jenna 9:13
You know, it's interesting that either hadn't been or I wasn't just wasn't as aware of them. Because now I, we raise a very common among my type two patients at this point.

Scott Benner 9:23
That's interesting. It's and it hasn't been that long. So maybe you have a little both maybe maybe it's coming on and at the same time, you weren't really looking for it. That's what I think interesting. Okay. Why do people run the game for any reason whatsoever? I don't understand at all like so. Is it uh, are you other voices in your head? You're trying to keep quiet? Is it about setting a goal and getting to it like what makes you want to just go out there and pound away like that?

Jenna 9:52
I guess I am a pretty goal oriented person, but there's actually a really strong running community in Oklahoma City. So I need a little group to run Before work Tuesday through Friday, so it's kind of nice little social hour before work. And I mean a group to do long runs on Sundays. So it is a pretty social sport.

Scott Benner 10:11
Yeah, you're not answering my question agenda. Are these a group text these people? Or are they people who like to run? What is it? Man, I

Jenna 10:19
guess we just like to run Oh, we want to

Scott Benner 10:21
say I have to just, this person is never going to hear this. So it's fine. I'm tangentially related, not related. I have I've seen a person more than once or twice in my life, let's just say, who runs to the point where their body appears to be a skeleton wrapped in small muscles. And they don't seem like happy people to me.

Jenna 10:46
Oh, well, I don't run that much. I don't think you'd even look at me and probably peg me as a runner. I just look like an average person. Okay.

Scott Benner 10:53
And not to lump everybody into one category, which is what I just did, and not what I mean. But But this specific person I'm thinking of like, in my mind, when I look at them, I think something's wrong. And this is the way they're dealing with it. It doesn't look any different than overeating to me. Is that makes sense?

Jenna 11:12
Yeah, I know the kind of people you're talking about. But I wouldn't put myself in that category. I just, I just like to run I track and cross country as a kid and I just kept going,

Scott Benner 11:22
you get that? Like, what do they call that runner's high?

Jenna 11:26
You know, maybe sometimes I don't, I don't think on a daily basis or anything

Scott Benner 11:31
kidding. It's so so goal oriented. So we're getting through this. My son just explained this to me the other day, he said, I don't care what I'm doing. I just want to set a goal achieve the goal and reset a goal. It's very, you know, is that sort of it then?

Jenna 11:45
I think so. Yeah, I have that goal to qualify for Boston. And I will tell you, I ran that, that marathon 11 days later, and I did. Did you realize, wait a minute. I did.

Scott Benner 11:53
Yeah. You just like, did you know what you were doing it all with your diabetes.

Jenna 11:58
I did a ton of reading and that 11 day period. So they started me, you know, on to Jao and homologue. So I just started doing a bunch of reading cut back my to Jaya the night before. So I was taking nighttime. And I got through that marathon pretty well. Actually, I had a I use a Dexcom now but I believe re sample that the Office gave me to use for it. And so I just scanned it every half mile and carried a bunch of carbs and made it to the end. So did you

Scott Benner 12:25
cheat and fly to Boston as you will run there?

Jenna 12:29
I flew. So I could have run quicker.

Scott Benner 12:35
To quick, it would have been a quick jump from Philly about 45 minutes into Boston. But

Jenna 12:38
that's true. What do you I chose to go from Oklahoma?

Scott Benner 12:41
Do you go in like days prior set yourself up in a hotel? How does that work?

Jenna 12:48
For Boston, I went two days early. So yeah, a lot of times, we'll go two days early. So you can go to the expo and pick up your packet and everything and then you know, then run the marathon and I usually I'll stay a day and check out the town if I go to an out of town marathon don't fly back.

Scott Benner 13:02
Interesting. Okay. And you have and you have energy the next day.

Jenna 13:06
Not Not very much. Sometimes my friend and I ran Chicago a few years ago made all these plans and sightseeing that did not happen at all.

Scott Benner 13:16
I had an extended catch with call the other day and I was like that tomorrow we're gonna need to take a break. So I'm saying get on a plane. Like if I got on a plane and flew from Oklahoma to Boston, and spent a couple of days I might need those days to recoup from maybe this says more about me than it does. So how do you going back to that first runt? Well, let me ask this how many marathons had you run prior to your diabetes? Do

Jenna 13:44
you think I ran 12 prior Wow. Okay, and then

Scott Benner 13:51
I'm assuming there's you know, a way you get ready whether you have diabetes or not, but how does it differ from before diet type one and after type one?

Jenna 14:00
Oh, it's a lot different for now. I think the hardest thing for me with type one has been managing my running schedule because you know, I used to carb load the days before I don't really do that because I find that just makes my blood sugar high and that's more stressful for me so typically most runs I run fasting so I find that I drop much less if I do that so marathon day I don't I changed my plan that day, which they usually say don't change what you do on marathon day but but diabetes I think it works better to do that. And then I can only fuel during the race depending on what my blood sugar's doing like before I diabetes every four miles I'd take like carbs in but now if my blood sugar is high, then I don't I just lie to try to run it down and put it off the more miles

Scott Benner 14:42
I see. So when you Okay, so you're running down do you wear Dexcom? Are you slowly right?

Jenna 14:47
Now I have a Dexcom now,

Scott Benner 14:49
are you looking at it on a watch when you're running? Or how do you do that?

Jenna 14:55
You I have an Apple Watch so I look at my Apple watch. I often just run with my phone One of my hand like, normal days during the week, just because you know, the Apple Watch, you got to tap on the screen sometimes to get the number to come up correctly. So sometimes it's just easier to hold my phone, I have it like a little widget on my phone. So what one of those two ways I love that widget by the way, me too. It makes life so much easier

Scott Benner 15:17
on mine as well. And Arden has it on hers for Dexcom. And I just looked at it now because it's that easy. I'm just imagining you running along like tapping on that watch and then running into a pole or something. I know right? Clunk. At least my blood sugar is good. I like you're

Jenna 15:36
waiting for help. My face might not be.

Scott Benner 15:39
So what kind of supplies do you run with now? Is it like? I mean, you said like carbs. But what does that mean?

Jenna 15:46
So I used to use those like little goos. I don't know if you're familiar with them. Like, run it like runners and triathletes use them a lot, but only. So they're just like basically like a honey consistency. But they have 23 carbs in them in spike my blood sugar like crazy. So during the week, normally I just use fruit snacks, because there's about four carbs per fruit snack. So if I see I'm trending down, I'll just pop a fruit snack or two. Because if you use the use any of the pie when you're done and some type a I like to have tight control, so I don't want to end my runs with high blood sugars.

Scott Benner 16:18
What's that mean? What's your range that you're shooting for?

Jenna 16:22
I pretty much try to keep my blood sugar between 7140 As much as I can.

Scott Benner 16:27
I like that. Do you listen to this podcast? Right?

Jenna 16:29
I do. Yes.

Scott Benner 16:31
That's when did you find it?

Jenna 16:33
I found it probably about three weeks after I was diagnosed. I was just, I was trying to learn as much as I could. And I started like doing Google searches and everything on your podcast. And I've listened to probably almost every episode now.

Scott Benner 16:47
I was just saying I jump around. But I don't care how you get it done. And I was just saying the other day I have to find like a digital award to give people like when they've listened to every episode, they should get something. I don't know how to handle I don't know what you would do with that. Maybe an NF T? Is that what we should do? Should we do an NF T for for people have listened to every episode. Can you imagine if I got involved in that? i Oh my gosh, I'm not doing that. But not even close. Don't even word. But I do when people say like I've listened to pretty much the whole show. I'm like, Wow, it's amazing. So thank you. So when you found it. So I think I want to go back a little bit because I find your age of diagnosis. Interesting. You're also

Jenna 17:30
did I didn't even know you could get diagnosed as an adult until I did now I realize it's a lot more common than I thought.

Scott Benner 17:36
But it's that it's that mid 30s thing, where you're sort of like I did it. Like nothing real bad's gonna happen unless like I get the cancer at the end. Like right, like it's not how you feel a little.

Jenna 17:49
Oh, I know. I mean, I feel fortunate that I got diagnosed in a time with all this technology. But it's so hard, you know,

Unknown Speaker 17:57
yeah, out of nowhere, right? Just out of nowhere.

Scott Benner 17:59
General someone is calling my cell phone incessantly. So we're gonna have to do something about that. Hold on a second. Sure. In the hell is happening here. Am I going to call them?

Let's see what it was. It here's my fear is that I think it's a doctor's office, and I'm going to need to do it right. But instead I'm going to guess that it's just a yeah, it's just a call. Daniel from the mortgage benefits of Polasek. listeners. Isn't Daniel calling from the mortgage benefits department? Sorry, we missed you today. Calls to oh my god, leave me alone. Daniel. I'll need your problems. Daniel. Is that That's alright. Anyway, like my phone never rings ever. Nobody bothers me. And then when Jenny and I are doing like a like a thing. I get the Walgreens call like your prescriptions ready to pick up a Walgreens and I complain I hate it so much. And yet I don't go to the trouble of unsubscribing from the phone call for some reason. I'm sorry. So let me refocus mid 30s. Well, actually 32 Right. Yes. Okay. So it still seems to me that that's a time in your life when you kind of think like, like the the juvenile stuff didn't get to me. I mean, did you have other health issues at all?

Jenna 19:31
I've never had any other health issues. Okay. So it was really out of nowhere.

Scott Benner 19:37
And we kind of we kind of substantiated that you were you were on your own you're not you weren't in a relationship at the time. So my guess is you're not living with your parents. You're living on your own. What's that like trying to find a support system?

Jenna 19:51
I will say it is a little bit difficult just because nobody else has any idea how to manage my diabetes even still, but I feel like at first is trying to lie down I was pretty good about trying to learn everything kind of alongside my parents spend their summers, they live in Oklahoma, but they spend their summers out of state. So they actually weren't here when I was diagnosed. But I don't want to give just my dad to credit my mom to both my family is really close. So both of my parents did do a lot of reading, but still, you know, when I was trying to figure out, I took it to myself to start adjusting all my insulin right away. But you know, trying to figure all that out, I still felt like I was kind of, you know, on my own instead of being like a child that, you know, had parents support system or significant other at the time. So

Scott Benner 20:32
did you apply that feeling you have inside about setting goals to diabetes, then?

Jenna 20:38
Yeah, I think so. Because, you know, right away, I did not like to see those high numbers. So right away, I was trying to figure out what I needed to do to get that down and try to get you know, get tight control.

Scott Benner 20:48
What's it feel like, psychologically when your blood sugar goes up? I don't know why. Oh, I wish I should. I should just ask everyone this. I don't know why I don't but like, I imagine a panic.

Jenna 21:02
Oh my gosh, in your like, for me, my mouth gets so dry. It's like an unquenchable thirst. My, like, when I was especially when I was first diagnosed, my vision was a little bit blurry. Like my head was in a cloud all the time. And I was so tired, which I think is probably from the high blood sugar's I had so much fatigue, but then also, you know, I was like, peeing five times a night so I was getting no sleep at all, you know, is terrible.

Scott Benner 21:25
Because I can't sleep blood sugar's I have to be canceling. and by gosh, and by yourself and then, but then there's, did you have that concern about Lowe's back then, too? Or did you not even know enough about it to think about it?

Jenna 21:39
I really didn't. At first, I did have one episode of a bad blow a few months after I was diagnosed. So that really scared me on track. Be careful and make sure that I'm not trying to force too tight of control that I'll get myself low. So I guess I can talk about that if you want me to.

Scott Benner 21:59
are you stopping yourself from talking? Are you worried? No, no. Yeah, well, like I guess if you want it, I could tell you I mean, listen to me if you don't tell me about it, we're done. You know what I mean? Like I got a I got a plan over here. Like, oh, no, shut up about that. I gotta go to my next thought. I don't know my next thought. So how soon into the diagnosis was the scary lab

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Jenna 24:55
November so I was diagnosed in June. So ya know just like bye months, I was five months into it. So I was it was really fortunate for me that I had been set up with Dexcom at that time and I went, it was in November. So I got to my parents house for dinner like the week before this happened. And I said to my dad, oh, there's this like Dexcom follow up. Do want me to set your phone up. You can follow my blood sugar's it'll alert you I go low. So we did. We got him all set up on that. And then it was a Friday night and I had gone to watch, like a thunder game with some of my friends. I came home and I hadn't eaten dinner yet. So I Bolus for a frozen pizza. And I don't know if I over Bolus if I fell asleep. I actually don't know what happened. But my parents had repeatedly called me and I apparently answered the phone, but don't really remember talking to them. So anyways, they end up having to call EMS to come administer, like IV sugar D 50, I assume is what they gave me. Yeah. So that was obviously extremely scary for them and extremely scary for me. So, you know, I learned my lesson there. But living by yourself, as you know, can be a little bit scary, too. I

Scott Benner 25:59
guess one of the things I think about most of them talking to adults, like the idea that they could be living on their own. Yeah. And you know, if I mean, you know, you don't like to think about it, but if your dad's not following you, which you didn't sound like somebody came down and like handed you a decree and said, Hey, you have a Dexcom now make sure someone's following you. You just thought like, oh, this will be a good idea. And then this happens. And it's just a normal thing, right? You tried to go out, you came home, you were hungry, but you were tired and, and your blood sugar was low. And that's it. It's just, and your dad doesn't call and I hate to say it, but who knows, right?

Jenna 26:35
I know, I'm so fortunate because apparently his phone was in the other room. But my mom picked it up and was like your phone's making a sound I've never heard before. And my dad was like, oh, that's just blood sugar. So I also so fortunate that I was on the Dexcom at that time, because, yeah.

Scott Benner 26:51
For people who don't think you're running with your phone in front of your face, and your dad's phones in a different room, we got to get him on Wordle or something. So he, he feels he feels a deep connection to his cell phone and he won't leave it alone.

Jenna 27:04
I know now my mom follows me too after that event. So she and she's really good about it. Every now and then I'll drop in the mornings when I run. I feel bad because they get alerted, you know, very early in the morning and ever. I've never had any other like major issues with Lowe's except for that one time. So I don't know if I still don't know since I was on MDI at the time. If I could have over bolused I, you know, I'll never really know the answer to that. Right.

Scott Benner 27:25
You might have just looked at the carbs and been like, Oh, this is good. And then turn on the oven and like it takes by the way frozen pizza. Nothing says I live by myself and I'm in my 30s like frozen pizza doesn't Oh,

Jenna 27:35
I know. Good story, right.

Scott Benner 27:39
Alright, so we'll build a phone addiction for your parents. I just speaking about my phone picked mine up a second ago like Pavlov's dog you saw when we were like cell phones. I was like, Let me hold my phone. There's the screen. I see the light. Your dad's is off in the other room. He's like, I don't need that thing. I love that. Thankfully, my mom heard it. Yeah. And your mom's got that? Like, I don't know your dad's name. But it's like that bell your phone still? And I know. He's like, That's the girl. Can you believe she got tired? But can you imagine the first five minutes of that conversation before they realized you were in trouble? They were probably like, I thought we were rid of her.

Jenna 28:19
I know sometimes I feel every now and then, you know, I have a nightmare. I dip down a little bit. And I'm like, I know what number they have their phones up for. I'm like, please don't like make their phone beat. Because it's like, you know, having a newborn child in their adult kid that you know, doesn't even live with them anymore.

Scott Benner 28:34
So you tell me about that a little is that? Is that a concern? Like really? Like you don't want to bother somebody?

Jenna 28:41
No, I my parents are great. So they really don't, you know, they don't care. And it doesn't have actually loop now. So I hardly have Lowe's at night anymore. It's just more while I was getting started with things. And so I really I don't I mean, they don't mind if I bother them. I just you know, I just kind of feel bad if that happens.

Scott Benner 28:58
No, no, I understand. I just I wondered if it was in your head or not. This person you're with now? Is that a is that a person who could make it with you later? Yeah, hopefully we'll see. But hopefully, like you can follow through or hopefully your relationship.

Jenna 29:17
No, we've been dating for seven months, but he's a great guy. So.

Scott Benner 29:22
Okay, how was it introducing the diabetes to a new person.

Jenna 29:27
So he's been really good with it too. I'm very fortunate he I eat lower carb. A lot of the time I wouldn't call myself low carb, but he's completely on board with it like me cook at night, you know, trying to stay away from like the pastas, Rice's potatoes, I mean, I'll do that every now and then. But I tried to make a habit of it every night and he's been great. He's good with the lows. He's Yeah,

Scott Benner 29:48
I'm lucky how much understanding seven months is early. So how much understanding Do you find yourself giving it to him slowly because it could be overwhelming, right? Like, like if I met a person if I'm trying to put myself in your situation shouldn't but we're a few days in. And I'm starting to think I wish he knew this and this, but if I tell him this, it might scare him away. Does those thoughts go through your head?

Jenna 30:07
Yeah, I was a little bit worried about that our second date was sushi. And so sushi is notoriously difficult for me. So I was trying to like, you know, look at my Apple Watch, not try to look like I'm seeing what time it is. And when I can get out of here, you know, that type of thing. So you know, but now he's, you know, now he understands. And he's an engineer. I feel like he's like, the kind of guy that researches things. So I think he's done a lot of reading on the side about it.

Scott Benner 30:32
Yeah, they love that stuff. To people on mine, so get you engineers and runners.

Jenna 30:39
Oh, he's not a runner. But no, I

Scott Benner 30:41
mean, the mixed the mix you hang with is interesting, too. That's true. What is it about your, the way you think that lends yourself to those kinds of people? Do you think?

Jenna 30:52
Well, I come from a family of engineers. Obviously, I broke that track when I went into health care. But my dad, my two brothers are engineers.

Scott Benner 31:00
Oh, I see your so do you find that they're sort of linear thinkers, and, and they like, order and instruction and numbers and things like that?

Jenna 31:14
Yeah, I think so. But I I think I'm also like that.

Scott Benner 31:18
So you make it work in healthcare, or is it something else to fight against?

Jenna 31:22
No, I think I think it works. Well. You know, health care is also a goal oriented field and dealing with numbers and things in a different way, but still doing it.

Scott Benner 31:30
What's your one? Say? Can I guess? Sure. All right. I'm gonna guess even listen to podcasts. Three years you run, you're a little low carb, you're looping and you don't like a blood sugar over 140 Or a one C is 5.4.

Jenna 31:45
is actually 5.1. A few weeks ago, when I saw my endo will get

Scott Benner 31:49
you fancy pants. All right. Well, that's a lot of running.

Jenna 31:53
I do do a lot of running, which I think helps tremendously because I take like a week off running, I have to ramp my Basal up.

Scott Benner 32:00
I was gonna ask what your Basal is normally,

Jenna 32:03
it's point seven during the day and point five at night.

Scott Benner 32:05
Do you know I'm gonna ask you how much you weigh. Now, is that okay? Sure. All right, how much? Like 141 40 And your point seven. Okay. And one unit moves you? How far?

Jenna 32:17
About 40?

Scott Benner 32:19
Okay, insulin sensitivity about one to 40.7. That's the running without the running. What's your Basal go to like, 1.1 in there. So I

Jenna 32:29
just put overrides when I don't run. So I'll do like 110% or something like that.

Scott Benner 32:33
So like, maybe 1.4 More when you're not running?

Jenna 32:37
Oh, so I do 110. So use me. Increase it. 10%. So I'm sorry. Yeah, probably.

Scott Benner 32:46
I apologize. I was like around point eight then. Yeah, probably. You caught me. You're like, Oh, God, the podcast. I like the guy can't do simple math.

Jenna 32:54
No, I was like, I don't use that much.

Scott Benner 32:57
Oh, that's interesting. It would have bothered you to think for people to think that you have we're at 1.70 No,

Jenna 33:03
I was just thinking that that'd be back to that pizza incident again.

Scott Benner 33:07
Oh, seven. Oh, 1.7. We're back to my dad's phone making a funny noise. And we know that funny noise was

Jenna 33:19
awesome. Me. You know, in fact, I was at the grocery store the other day and heard that noise. And I was like, I know it's not my phone. And I'm like, I'm getting you know, PTSD. Here. Somebody is low in this grocery store.

Scott Benner 33:28
Did it? Are you the kind of person did you say it out loud? You're low or did you let it go?

Jenna 33:33
No, I didn't say anything. But I was I was looking around to see where it was coming from

Scott Benner 33:38
looking for who's looking for the candy aisle.

hustling for the gummy bears? Which by the way, May I May I just say something about gummy bears for a second. I want to make sure I get the name right here. Let's see. I'm in because this frickin spam call won't stop coming. What is the name of this company?

Unknown Speaker 34:02
They're so good. Oh, here it is.

Scott Benner 34:09
Albany's gummy bears a LBA en ese.

Jenna 34:14
Oh, I've never had them. I should write them down though. You all want

Scott Benner 34:17
to be a sponsor, let me know. Or even just send me a bag of Baris like I'm there. We started using them. We started eating them because my my son's girlfriend was like you guys should try these. I don't know where that came from. She just had a favorite gummy bear. And I was like, How could gummy bears be different? Like what am I talking about here? Right? Because you know, when you think of gummy bears, think of the other brand, right? The Haribo or whatever I mean, maybe people think of different ones. Anyway, eat this thing and it's a life changing experience as far as gummy bears go. This is amazing. So we started keeping them in a little dish and we started to learn that just a couple of them could really move Arden's blood sugar a little bit when we need it to if she's 7080 kind of thing. And just wanted to bump it back a little bit, but the Problem is Jenna and I'm being honest with you. They're a little too good. So sometimes you eat them when your blood sugar is not low. You know

Jenna 35:08
what I mean? I know. Yeah. Sometimes,

Scott Benner 35:11
or sometimes your dad eats them, you know? So, but anyway, there's my gummy bear referral of the week. They're not they're not a sponsor, but if they were, I would be. I'd be so thrilled. I would do an ad for gummy bears no trouble whatsoever. I like talking about them with a lot of love. What other podcasts Do you listen to?

Jenna 35:37
Actually don't listen to a lot of other podcasts. I do audiobooks. I'm actually not a big podcaster.

Unknown Speaker 35:42
I just got the audible the other day.

Jenna 35:45
Oh, I love Audible. Yeah,

Scott Benner 35:47
I didn't need it for school. And then it was over. We still had it. I thought I'm going to try an audiobook. So I downloaded one and I've been listening and I enjoy it.

Jenna 35:56
Yeah. I'm a big fan. But I like to listen to I listen to your podcasts or audiobooks like to and from work and you know, I'm making dinner doing you know, it's easy to multitask and listen to content. That's why your podcast has been so helpful for me.

Unknown Speaker 36:10
Did I get you to looping?

Jenna 36:13
You know, I would say yes. So I considered it. And then I figured if that's what you were doing, that's probably the tightest management or the best way to go. So I started in January, I guess a year and a half ago. So I'm hoping for a year and a half. Because I thought building it seemed you know, I was nervous about it. It just seemed like a daunting task, I guess. And it turned out it wasn't nearly as hard as I thought. So

Scott Benner 36:36
I just rebuilt Lou, and I was even surprised that they've made it so easy now like he just kind of click a link.

Jenna 36:42
And I know I'm like I could be wiring money to China. I don't know what I'm doing here. But I just follow the steps and it shows up on my phone.

Scott Benner 36:49
I love that that's party you're in your head. You're like someone is probably stealing money from me. But I really need this algorithm click.

Jenna 36:56
No, I'm just like, I don't even know what I'm doing on this computer. But this the loop docs really make it pretty easy

Scott Benner 37:01
to do. Hey, do you really got me with I might be wiring money this

Jenna 37:06
lovely that I asked her credit card number. So I knew that wasn't really the case. But I joke with everybody because people are like you built the app. I mean, I'm not like the most computer savvy. I'm just like average. But really, it's not that hard to do.

Scott Benner 37:18
Like I said, I just did it like a week ago. And I was like, wow, this is so much easier now. And it was just it was I mean, with a good internet connection and reasonably fast computer. It doesn't even take very long. Like yeah, that's

Jenna 37:30
why I thought I set aside like a whole entire day if I was gonna make a 10 hour thing and it's absolutely not. It was pretty easy.

Scott Benner 37:36
Yeah, I have to admit I did that. So Jenna, can we talk about that for a second? Because here's the thing. You and I are recording in June, and no one's gonna hear this till Christmas. But I need you to keep your mouth shut when we get off of this recording. Is that okay? Okay. Okay, because timing. You'll understand that a second. All right. And keep your mouth shut was a little harsh. I didn't mean it like that. I know. I gotcha dummy up. Okay. So dummy up. What is that from? An old TV show? What am I thinking of?

Jenna 38:09
It might be a media reference. I

Scott Benner 38:11
don't know. It's Archie Bunker. It's what you there's that's the show you've never seen. You've got your right. Yeah. What was that all in the family? That's what if he told people to shut up? He told them to dummy up. How do I even remember that? That show came out when I was born? It was literally out for seven months before I was born. And I know that man, you people who have streaming services, you have no idea how lucky you are. I was 15 years old watching a 15 year old TV show like it was first run you guys are out watching episode 67 of season six of something that's amazing right now. Anyway, Arden used on the pod five for a while. And we used it for two reasons. I wanted to understand it that was first and foremost. And I wanted to see if it was something I thought Arden could stick with because I wanted it to be I wanted her to have a retail option. I didn't want there to be a Riley link in between the pod and and the algorithm etc. And we figured it out and I understand it now I understand how it works. It's very real. It's reminiscent to the other retail stuff that's available. Okay, but it for for me. What I guess what it eventually taught me was that Omnipod five control IQ they're not competitors with loop. Like to to hold those two things up against each other is a mistake. On the part five is not trying to be loop control. IQs not trying to be loop. Nothing's trying to be a loop honestly, the Medtronic version is not trying to be it. And so where I found it lacking for us was in Target blood sugar and the ability to address a rising blood sugar more aggressively, those were really the two, the two. And when you call them problems, there's the two sticking points that I had. Now I'm watching people online use it, and they're loving it, it's going exactly the way I expected. Not everybody's gonna listen to this podcast the way you did, right. And those people deserve to have blood sugars that are reasonable to. And so the if these people are seeing rises that are coming back in a couple of hours, and not getting low, this is a significant improvement for them. And so I think, I think it's going to catch on huge, and I think people are really gonna love it. It's only been out for a couple of months now that I'm talking about this. But for us, it was, I don't know, we just wanted to go back to loop. So

Jenna 40:49
yeah, we've got some good features too, like being able to set the overrides, like being able to set a time I do that a lot at night, I'll set an override for I usually run at five till 430 in the morning with a really high target. So essentially, it shuts off my Basal. So I have to actually wake up and do it. It's nice that it just does it on its own. You can program it to do it on its own. Yeah.

Scott Benner 41:08
Yeah, no, I mean, there's little Listen, it's do it yourself. It's there's a lot of little options that are great that, you know, didn't have to go through FDA approval and doesn't have to be printed in a manual. And you don't have to train people on and there's a lot of reasons why retail systems don't do some of that stuff. And they're all very legitimate reasons. Like I'm not telling you differently. I am seeing people online, who are setting their range 70 to 180. And coming in range. 100%. And, you know, for someone who more recently had a 320 blood sugar that then was a 46 hours later, it's an amazing improvement from it's going to be amazing improvement for most people using insulin.

Jenna 41:44
I think so too.

Scott Benner 41:45
Yeah, it's, I'm super excited about all of them. I can't wait to learn more about them. And, you know, I figured out ways to manipulate a little bit. But it was it was almost too smart. Like if you manipulate it in one way would manipulate you back and you'd be like, Oh, no, and you're like, Ah, okay, well, I'm one of those things. I mean, it's like if I made like a really good, what I would consider like a good aggressive Bolus on like a heavy carb meal, something that held Arden in the 80s or 90s. For hours after this meal. It was like for hours, I was like I am killing this except the algorithm was like yo, our targets 110. And so for every minute, it was 90, it was trying to get her to 110 taken basil away. And then when my grave Bolus left, there was a black hole where no basil existed, and then she'd head back up again. Now it would see that but it wouldn't, it wouldn't address it to 110. And then it was addressing it not aggressively enough to stop at 170. Okay, so even if I created a 90, I couldn't avoid the 170 later, I was either having it on one side or the other. If I would have made like, you know, if I would have made a less aggressive Bolus and held her at like 120 after a meal, then I think then the algorithm would have stayed in the game a little bit. But I was just like, I don't know, like, it's I'm so accustomed to doing it the way we do it. But anyway, I wanted to have the experience. I had it. It's amazing. And, and I know how to talk about it now. But we did switch back. So

Jenna 43:15
yeah, I'll be looking forward to that episode. I agree. It's gonna be a game changer for a lot of people. Because I know loop is a lot for a lot of people, you know, to try to even think about doing

Scott Benner 43:25
Yeah, oh, are you kidding? Like, I was in a panic when I you know, artists, like I'm gonna, you know, when are we going to switch back? We had been talking about letting it go for a while and everything. And the other thing too, I should mention here is that we still aren't as having trouble with our hormones. Like we're still speaking with Dr. Spock, and your hormones balanced everything like her insulin needs might be heavier than most people's. Like you don't I mean, so. Who knows if, if we don't figure out this kind of imbalance that she has, and maybe we can put it back on again and give it another try, which I would absolutely do. The system was terrific. It was easy to use and you know, kind of carefree actually. So, anyway. Oh, anyway, what she said was like, when are we going to do this? She got up one morning, she's like, Hey, my paws gonna expire today. Today be a good time, but I have to leave at one o'clock to go to a graduation party. It was like 11 o'clock. And I sent Kenny a message Kenny from Fox, the fox the loose bow loop. Oh, Fox in the loop help. Oh my God, John. Kenny from the fox in the loop hop loop while loop. Holy shit. This is it. I'm gonna start over Kenny from the fox in the loop house episodes. What was happening just anyway, he helped me He's very nice. He sent me a little information that I needed. And I just pushed on in like 90 minutes. We were running again. It was great. Yeah, it was not difficult. And I would tell you probably Probably it was a new pod. Plus, we were switching from one algorithms idea to another probably took about six hours for the new algorithm to kind of find its, you know, its rhythm a little bit. But anyway, there's no losing here. Things are so much better. And an options on the pod five control IQ by tronics do thing I think isn't quite out yet. And you know, if you want to go do it yourself loop, so I'm sorry, I talked so much there. But

Jenna 45:28
oh, no, you're good to see. That's what I mean, when I first got diagnosed three years ago, I didn't even you know, most of these algorithms weren't even out yet. I guess loop was, but you know, the, really the diabetes market has changed significantly in the last few years. So fortunate for that.

Scott Benner 45:41
No kidding. I mean, look at you, you're wandering around with your five, one a one c three years after diagnosis. That's amazing. Thanks. You deserve it. So I'm sure a lot of hard work in there to figuring things out. Like you said, you did a ton of reading in the beginning just to go running. And now you probably have a process you use with your algorithm to run, how do you do that?

Jenna 46:05
I do. So what I do is I basically have a target glucose of 500, which essentially shuts it off. I guess you can also turn the pot off at this just as easier for me to do so I turned to my basil off about 30 minutes before I go run in the morning. And then I turn it back, turn the basil back on about the 10 minutes before I'm done running. Because otherwise, you know, like you always say, you know what you're doing now is for later. So if I don't turn it back on before my run, then I end up going high after I'm done. But that seems to work pretty well. For me. It's different for me if I run after work, running fasting really works so much easier. But if I exercise later in the day, I have to cut my basil out significantly earlier. 30 minutes doesn't work. I think in the morning, I might be more insulin resistant.

Scott Benner 46:50
So two questions. So running without any active insulin is easier. Absolutely. Yes. And do you when you cut your basil off for how long? Are you cutting it off? For like, how long are those runs?

Jenna 47:02
So usually before work I like on work days, I'm usually run about five miles. So less than an hour, okay. 45 minutes or so

Scott Benner 47:11
I was asking because of I mean, if you're running for a long, long time, then having no Basil is not a good answer. Because you could go into DKA easily.

Jenna 47:19
Right? So I use a small amount of basil during long runs. And I also Bolus really tiny bit like a quarter of what I normally would for the amount of carbs I'm consuming. So I do use insulin during those.

Scott Benner 47:31
Yeah, not that listen. Not that I didn't think you were but it just felt important to say here that people out there yes, you could have a what looks like great blood sugar. But if you don't have insulin, you could still go into decay. So you could get a 95 blood sugar be running for three hours without your Bazelon and still have a medical emergency. So you do need Jenna's like I didn't say that. No one said that. Stop it. Now I just wanted to be clear. Okay, well, what if I not asked you? Oh, I started leading into so first of all, it sounds like you'd like this boy, John, which is nice. And but you're thinking of kids like for yourself? Maybe not with him, but your kids or something you want to do?

Jenna 48:14
Yes. Okay, boy. 35. But hopefully,

Scott Benner 48:18
I you starting to feel like this is it?

Jenna 48:22
What do you mean by that?

Scott Benner 48:24
timewise? Yeah, no,

Jenna 48:26
I mean, I don't know. I think I still have some time. But my friend is an OBGYN. I was joking with her. I'm like, they're gonna love me when I'm like, in my late 30s with type one diabetes, saying I want to have a baby. No, but I've tight control. So I think that should be okay.

Scott Benner 48:39
How many children? Do you imagine yourself with?

Jenna 48:43
One or two?

Scott Benner 48:45
There are a lot of trouble.

Jenna 48:49
I know my brother has two little ones. So they're also a lot of fun. Yeah, the little ones are great. They're the ants that being an EN is the fun part. You know, it's not

Scott Benner 48:56
until the it's not until they can think on their own. And they cost a lot that it becomes really troublesome. That's true. That's true. So having their own theories about life, and you're like, oh, no, like, I'm tired. I'm old. Like, you don't know this yet. But 15 years from now, you're gonna be like, I don't want to hear your thoughts on this subject. of my own, although it's great because they bring in, you know, they bring in another generation of ideas. And it is I'm joking, halfway, like, the part I mean is it's great to hear their thoughts. And it's great to even try to learn more about the world through their eyes. But there's moments when they're making decisions, and you're like, I think I'm right here. Like, I don't think they should be doing this, you know, and so you when they were little, you just sort of like turn them like Look over here. And then when they're older, you're like, well, here's my opinion. I hope you consider it and it takes that parenting thing and it turns into something different. That's true. You have to keep adjusting with it. It's a lot like everything else in life. You're not done. If you really want to be involved. You're never done being flexible. That's true. And then the money's terrible. So you have kids hope they're going to be nice blue collar people who go out and get a nice job that doesn't cost the college education because they're really expensive. It's too

Jenna 50:17
high. No.

Scott Benner 50:19
Are you paying me?

Jenna 50:21
So I have a tiny bit left on my student loans from PA school. I was fortunate enough my parents pay for undergrad. But I'm almost done. So next year, I can be debt free.

Scott Benner 50:32
How are you planning on paying? What are you gonna do? Oh, well, they

Jenna 50:36
they were nice. They gifted us our undergrad education. So I so once I finished my student loans for PA school that I won't have any more. I won't owe anybody anything.

Unknown Speaker 50:46
No big plan, though. Jenna. To celebrate paying them off. To help your parents out. Like, kick back. Maybe. Oh, I

Jenna 50:54
see. Okay. Yeah, no. Oh, I give them medical advice all the time. So there you go.

Scott Benner 50:59
Searching for your time. Jenna, that's pretty crappy, but okay.

Jenna 51:05
They call me if they're questions. Hi, mom.

Scott Benner 51:06
Hold on a second. I'm just gonna set the timer. Go ahead. What's your toe doing?

Unknown Speaker 51:15
I know, right? How tough is that? Does everyone do that with you?

Jenna 51:20
I will say get it pretty regularly. But I have to you know, most I do adult cardiology. So my friends call me with, you know, their kids rashes and this and that. I'm like, I gotta remind you guys, I do adult cardiology. I don't know that much about kids. I don't want to give you advice on your kids rash. But now Now my friend's parents are starting to hit the cardiac world. I didn't

Unknown Speaker 51:44
know exactly Mom, tell Jenna, where it hurt.

Jenna 51:48
Chest pain? Can you get him in tomorrow? So I do hear some of that. But that's alright. I try to help when I can.

Unknown Speaker 51:53
Have you ever caught a problem?

Jenna 51:57
You know, I guess I will say I had my mom's friend take her husband to the ER recently. And that ended up being something that needed to go to the ER so glad for that.

Scott Benner 52:10
Just talk to a friend of mine, got a bug bite and swell up. He showed a picture to his daughter who's a nurse like just texted her. She showed it to a doctor who then said your dad needs to go to the ER right now. And went to find out he had been bit by a brown recluse spider in a part of the country in a part of the country where they shouldn't be, which is great news for all of us. And he was like days away from losing his hand. Oh, that's crazy, I think. And I know the guy who's headstrong? I think if his daughter wasn't a nurse, I don't know what would happen to you know, my

Jenna 52:49
story is not as good as that. But I actually did catch one thing on Facebook, which I forgot about. So a girl I went to college with just like peripherally know and was Facebook friends with posted a picture of a quote spider bite, but it was clear cut bullseye rash for Lyme disease. And I did tell her I like sent her a message on Facebook. And I was like, I think you need to go see a doctor that looks like Lyme disease. And sure enough, you know, they ended up treating her and she was fine. But no doubt that's what her rash was. So not as bad as a brown recluse. Yeah,

Scott Benner 53:15
I just had a thing where I wish I knew last week I was in the lawn for a while fixing something. And then next day, I had this little lump between my thumb and my forefinger on the top of my hand, I was like it was hard. And I was like Something bit me and then started to itch really badly. And then another bump popped up like on a different finger, and then a third bump, and then a fourth bump. And then they were all itchy. And then the itching became systemic. And Jenna aged in places we're not going to talk about we don't know that well, where I definitely wasn't bit by anything or didn't touch anything with these bumps. Because once you get a bump on your hand, you know, you reach with the other hand. And so I've been very, very careful about all that. And maybe and I kept being like, oh, Something bit me. There's no way I'm not going to overpower this I'm gonna reasonably healthy person. Well, five or six days later, I started getting tired in the afternoons out of nowhere. And I was like, what is happening? So between the itching and I could tell it was systemic because I was having like a histamine response, like, like there were there were places on my body that if I didn't touch them, they were fine. But if I just brushed by them, they became incredibly itchy. And then if I itch them, there was like swelling no matter where it happened. And my wife's like, will you go to urgent care as like one more day? And I'm like using Flonase and like taking I don't know, I don't know. Stuff medicine, I thought was gonna help. Who knows. But I just woke up one day and one of the lumps from the right hand was on the left hand and I'm like, I'm done. And so I went in and they hit me with a steroid pack and boom that fixed everything. Really

Jenna 54:53
cool. Sounds like me one more day my diabetes diagnosis I was just like put this off till tomorrow, right.

Scott Benner 54:58
I kind of told him Because of that, because I think people feel badly. But it's it's in everyone's head like there was no reason for me to not go three days sooner when my wife's like, what are you doing? Like? What's the point of this? You know, at this at this juncture, I'm like, it'll get better, it'll get better. And like, it wasn't getting better. It was getting worse.

Jenna 55:18
So yeah, clear it cleared up with steroids. That's good.

Scott Benner 55:21
Well, Jenna, can I tell you another part of the story? Sure, the pharmacist mistyped the directions on the steroids. So I took a lot of steroids in the first three days that I wasn't supposed to take, apparently, and really kick the crap out of it. But about two and a half days in, I took a hot shower, and I got a hot shower. And I was like, my chest is tight, and my neck is tight. And I was like, what is happening, and I cooled down, and I was okay. And then that made me think about the medication the next morning, and as I was putting them out on the table, getting ready to take three of these tablets in the morning, which I was supposed to be taking. I supposed to be taking two in the morning and two at night. She had me taking three in the morning and three at night. And and so by the way, a local pharmacy it's it's not it's not anybody who's a sponsor, nobody were and. And so as I'm shaking them out on the table, I think I don't have enough to get through this script. And that's the only thing that stopped me didn't thought like, I'm taking too many of these. Then I went back and we straighten it all out. And it you know, it wasn't terrible, but I think it did. It did explain the tightness in my because I like, like, tightness across my neck and my shoulders. I think want my heart just started beating really quickly. And but I'll tell you what, it really kicked the hell out of those lumps. No problem. They weren't even a rash. It was just bumps. They were weird bumps. And it couldn't even Sam are very strange. Anyway, Jenna, what have we not talked about that we should have so far.

Jenna 56:54
I guess there's only one more thing that I kind of wanted to talk about. And I so I always feel like low carb is polarizing amongst the diabetes community. But I do think in regards to exercise, it works really well. Because I always see people posting like, you know, we can't get through recess can't get through gym class. And I think it's kind of the mentality that I've, you know, taken on, like, if I want to go, you know, not even just running, you know, if I want to go do go for a walk at night, go do other, like, you know, exercise, like if I, for example, if I run after work, and I'll eat low carb lunch, which I think is extremely helpful because I don't have a whole bunch of insulin on board. And I can usually get through a run versus if I eat like, you know, pizza for lunch or something that's gonna take some corrections or like extended Bolus or something like that. But I always feel like you know, I can't put myself in team low carb because I don't eat low carb all the time. And I eat pizza, sushi burgers, I'll go out and do that kind of stuff. But if I know I'm planning to exercise later in the day, I think it's really helpful to do like, I do like charcuterie boards or meat, roll up type thing, salad, those kinds of things. I do think it can be helpful in certain situations.

Scott Benner 57:59
So I think I agree with you. And I think that the, the mistake we're all making is he's talking about like, it's like, you just you just made a great point where like, you can say, well, it's easier to like exercise if you're on a low carb lifestyle if you're using insulin. But what you're really saying is, is that I don't use as much insulin because I'm not battling as many carbs and because that I don't have as much active insulin when I'm outside trying to run. So exactly. You could you could probably, I mean, not that this is a apples to apples, but you could probably accomplish the same thing with more carbs if with carb, heavier food, if it was just fewer of them. If you were just using less. And I'm not saying it would it's not easier with a low carb lifestyle. I mean, obviously is. And I also think that the arguments you see online are seasonal. out true. Yeah. Right. So and I don't mean like winter, spring, summer, fall, I mean, eventually, something I've been in this space a long time, eventually something happens that gins people up. And then people come out of the woodwork and scream and yell for a while and then somebody comes out and tells me Don't tell me how to eat and then they fight and then it's over. And then it lingers. And then it's gone. Like I have on my Facebook page, I have like keywords set up, so I know. So we know where troubles about the pop up. Okay. So, so we can kind of keep keep track a little bit. And you'd be amazed that you can go three, four weeks and the word low carb will come up 800 times a day and then all of a sudden it stops for months.

Jenna 59:44
Oh, that's interesting. And it's it makes sense. I do agree with you. I go through periods of time where you see a ton you know popping up on like my Facebook feed for the group or something like that. And then you don't hear about it for a while.

Scott Benner 59:54
Yeah, and I understand I've said this before, and I steadfastly I stick to this. I think It's just people who have found something that works for them. And they're trying desperately to share it with other people. They feel like they've found a secret, you're struggling for no reason they want to tell you now, I've also seen people listen to this podcast who would do the same thing and said, Look, I eat whatever I want. And my one season the fives. And it's because I learned this thing on this podcast, but how to use insulin. The mistake we end up making is thinking that these things are mutually exclusive. Like you either have to eat a bunch of carbs and really know how to use insulin, or you need to eat no carbs and use a low amount of insulin like why can't they all just be skills in a toolbox?

Jenna 1:00:35
That's I agree, I completely agree. So I just feel like low carb is a tool I use when I know I want to do something later in the day. Like, and also, thanks to your podcasts. I think I'm pretty good at using insulin most the time. I mean, I had a terrible Miss last week and eating far. But in general, I can Bolus for like the same pizza place I get pizza from I do a pretty decent job. Like you know coming to exercise later in the day. I know that is not the right lunch to go for you

Unknown Speaker 1:00:59
know, they make pizza in Oklahoma. There's a lot of pizza in Oklahoma isn't any good job. To be honest.

Jenna 1:01:06
There are some good pizza places. I feel like Oklahoma is like lately. Everything is pizza burgers or tacos. Everything that pops up around here.

Scott Benner 1:01:15
Austin just bleeding all over the south. I see what

Jenna 1:01:17
you're talking about. Probably true. Yeah.

Scott Benner 1:01:18
You know, other things. I'm trying to find the girl's name as an example. So some girl with type one is on American Ninja something last night? Yes.

Jenna 1:01:31
All right. I didn't watch it. But I saw about that, you might

Scott Benner 1:01:34
think that we landed on the moon again. If you're, if you're in the diabetes space, you would think we just found a way to like, I don't know, get water to Mars or something like that. Like it's gonna be super easy. We're all gonna leave the planet. It's going to be terrific. If this girl like competed did well and she had diabetes or CGM was out on her arm. And I've, I'm looking at 100 notes. You have to have this person on the podcast. And I'm like, Oh, I mean, one day, maybe, you know, but I what I ended up telling them what she's gonna get inundated by every diabetes like media outlet. And I'm like, I don't want to be a part of that. Like, because they're all just going to ask her the same silly questions and who cares? It's going to be boring. Right? What's their name? Here? If she's hearing this now, six months later, hey, six months later, congratulations, Katie. Bucha is a bone.

Jenna 1:02:27
Bone, I think is what I saw this morning.

Scott Benner 1:02:29
All right. Well, Katie, great job. Very cool. If you want to come on now, that'd be amazing. But I don't I don't want to hear her. Like, I got diabetes. And it was really more of a blessing that like because she doesn't you know what I mean? Like, I like people to have distance between their story and telling it. Yeah, that makes sense. Yeah. And so anyway, but that's not the point. The point is this happen. And now if you look at the diabetes space, today, tomorrow, the next day, it's all going to be about this girl. Which cool, I'm good with. But it's sort of just like the thing with the low carb like, you, you like the fire and then people are focused on it. And then then they give up a little bit, and then it goes away. And then I you know, I I one time misspoken a celiac episode, and you know, people online for days, we're like, Scott, you said the wrong thing. And I'm like, Okay, well, I'm like, we'll fix it, you know, and, and it becomes the most important thing in the world again, because the celiac example these people, they know something I didn't know. And it was very simple like apparently something like called like quiet celiac or something like that, where you're still you're getting the damage, but you don't have any of the symptoms. And I was talking to this guy who was really stressing out about his kids celiac diagnosis. And I said, it he was talking about he was very fixed on a cupcake talking about a cupcake at a birthday party. And I finally said, like, I made birthday parties just kick go to exactly, you know, and he's like, not many Oh, my God, just let her have a cupcake. And boy, people who understand silent celiac were like, no, like, okay, like, Tell me about it. We'll go back on and we did I had somebody on we had a nice conversation about it, like, whole thing. It's, you know, how people learn, but it's not like, but that episode still gets downloaded all the time, but I don't hear about it anymore. Okay, you know what I mean? It's just the interest rate. It's interesting how things ebb and flow on social media. That is true. But it because I've seen I and I also believe that the low carb wars that I've seen online are not as aggressive as aggressive as I've seen them five years ago. Oh, that's good. Yeah. So hopefully people just live and let live and

Jenna 1:04:45
yeah, we're all in this together. You know,

Scott Benner 1:04:48
share your thing and and let people pick I love the podcast for that reason. I think there's a ton of different information in here. You can take his whatever bit of it you want and use it and make your own thing You know what I mean?

Jenna 1:05:01
Oh, yeah, I've learned so much from it or Pro Tip series, definitely recommend that.

Scott Benner 1:05:06
You want to say something really nice to me and you're just you're embarrassed.

Jenna 1:05:10
No, it just helped me a lot. It's I feel like when I was first diagnosed, I was like, kind of distraught. And I couldn't even absorb what my endo was telling me. So, you know, she's great. And she, I'm fortunate because she, I mean, she loves my Loei. When see, it's not like a lot of the things I read about online with these endos who aren't as supportive, but I just was like, not mentally able to absorb it. I was supposed to do so well with this insulin. So I feel like I learned a ton from the podcasts. I can, you know, listen to it, you know, once I was kind of ready to start trying to learn to manipulate things, and you know,

Unknown Speaker 1:05:42
nice. That's excellent. How long did it take you to run the Boston Marathon?

Jenna 1:05:47
So that was not a good marathon for me. I was poorly trained. So that one took me three, I think 359 or 358, something like that. But the one I my fastest marathon ever is still the one that was 11 days after I got diagnosed diabetes. I did that. 323 I think is what it was.

Scott Benner 1:06:07
Wow. That's it. You know, if you wouldn't have told me I wouldn't have known one way or the other what the number meant or didn't mean you could have just been like 350 I would have been like That's amazing.

Jenna 1:06:17
Oh, it's I mean, it's not a bad marathon time just wasn't was not my best marathon. I was. I had some issues my shoe cracked like it was crazy. Like the heel of my shoe. The foam like really? Like cracked. Yeah, it was like literally my right heel was like flapping around. So that was obviously a distraction.

Scott Benner 1:06:36
Curse by any chance Jenner when

Unknown Speaker 1:06:37
that happened? Oh, I'm

Jenna 1:06:39
sure I did. I was mad. I noticed that a mile 16 is not a long ways to go still.

Scott Benner 1:06:45
I'm stalking you on Facebook now. And you went to my nephew's college is out right now. Oh, did I really? Don't say it out loud. But yeah, you did. Yeah. That's nice. That's really nice. Do you have other marathons in your future?

Jenna 1:07:01
Yeah, honestly, I have nothing scheduled right now. But Philadelphia is the week before Thanksgiving. So I may try to get through that one. That's the first one I ever did back in 2013. So I thought maybe I'll return to it.

Scott Benner 1:07:13
Yeah, that's nice. You go to Chickies. And Pete's while you're here, too.

Jenna 1:07:15
I could. Yeah. I love the Philadelphia marathons. It's pretty cool. The first half goes downtown, the second half like Alamanni on comeback, but it's pretty nice. Well on the water. You do? It's like it's yeah, basically it's on Kelly drive. I think if I remember correctly, that like shut it down. Yeah. Oh, that would be

Scott Benner 1:07:33
nice. Hey, where do your parents flock to when it gets hot in Oklahoma?

Jenna 1:07:37
So they have a beach house in the like very southern tip of Delaware. Like Ocean City, Maryland. Fenwick Island. Okay. Yeah. Right. By Rojava.

Scott Benner 1:07:46
Yeah. So they're running from the heat, right? Or they want to know,

Jenna 1:07:50
lucky them. I'm jealous. I was like, 104 here last weekend. And there. There was time. It was like in the 60s there. So

Scott Benner 1:07:58
is that manageable for like, how does that change your diabetes? Does that impact like your basil and stuff? Where do you see the do you see the algorithm doing more work in the heat?

Jenna 1:08:06
Yeah, it does, actually. So I have I'm, like, need more insulin and when it's hot, and I drop when it's cold, but I don't know if that's the same for everybody. I do find that with Arden.

Scott Benner 1:08:17
So, Jenny, it's funny when I bring this up with Jenny, there's a finding diabetes or variables episode, excuse me about temperature. And Jenny thinks about it. Like, interestingly, like she's like, if you go out in the cold, you shiver, and that burns energy. And I'm like, Really, and and there's some people as they like, you get in the shower and the heat up and my blood sugar drops and people some people say I get in the shower and I heat up my blood sugar goes up. So obviously it's not very scientific. But I did see I do see people having to readjust their Basal during the summertime. Now does that become? Is it about hydration? Like do you get dehydrated and your insulin doesn't work as well? Or?

Unknown Speaker 1:08:59
I don't know. I don't know. I don't

Jenna 1:09:01
know either. It's I joke that like at Christmas, I could just go stand outside in the cold after eat all this junk and my blood sugar would go down, you know, but mine spikes every day if I take a hot shower, which I just consider using as my Pre-Bolus for breakfast because you know my loop will ramp up my basil a little bit. So

Scott Benner 1:09:18
that's interesting. So you jump in the shower your blood sugar goes up the loop gets aggressive and then you're ahead of breakfast a little bit.

Jenna 1:09:25
Yeah, that's so actually breakfast right after that.

Unknown Speaker 1:09:28
How well does the loop do with that?

Scott Benner 1:09:29
That that shower spike, where does it take? Where does it hold you?

Jenna 1:09:33
I mean, it doesn't usually spike me like too high but like, probably 20 points, which I mean loop will react to that. But if I open the loop, that spike comes down on its own. I mean, I don't have time to mess with that every morning. I'm opening the loop, so it's fine. You know, I just basically Pre-Bolus My breakfast or my coffee. But yeah, I do notice that every single day so I think I'm really sensitive to temperature.

Unknown Speaker 1:09:56
What's your blood sugar target and loop

Jenna 1:09:59
100 Oh no on loop. Sorry. It's a like, I think 86 to 98 or something like that.

Scott Benner 1:10:04
has one of those weird like ones to look at you? Like? Yeah,

Jenna 1:10:10
yeah. 8696 actually what is now? I think it was 98. I changed it a few weeks ago.

Scott Benner 1:10:14
Yeah, Origins is right in that range to use an auto Bolus or the other branch. No, I

Unknown Speaker 1:10:21
use auto Bolus Ivens or

Scott Benner 1:10:23
Pete's?

Jenna 1:10:26
Oh, no, I don't know the answer to that. Whenever you APs. Wait, no, not free APs.

Scott Benner 1:10:33
As frequently is free pap s, but I'm even thinking of, there are so many different names of different things.

Jenna 1:10:39
I know. I know. That's why I was so nervous. I had to rebuild in February. And I was like, literally dreading it. And it was so easy. So I don't want to discourage anybody from trying. Whoop, because it really is not that hard. It's just the idea behind it sounds stressful.

Scott Benner 1:10:53
Yeah, no, it's this is very interesting. All right, Jenna, you were great. I can't tell. Did you have a good time?

Jenna 1:11:01
I did hope I wasn't. So hopefully I talked enough for you. Oh, are you kidding?

Unknown Speaker 1:11:04
You're quiet.

Scott Benner 1:11:05
Okay. No, you were terrific. I just thought I'm, like, there were times where I felt like you wanted to say stuff you didn't say. And then I was like, am I running a rover? I couldn't figure it out. But you're in your 30s you can fight for yourself. So?

Jenna 1:11:18
Oh, no, I don't think so. I I think I got out everything I wanted to say.

Scott Benner 1:11:21
Excellent. That's cool. So you're happy with this?

Jenna 1:11:26
I'm very happy. Yeah. Excellent. Thanks for having me on.

Scott Benner 1:11:28
No, are you kidding? It was terrific. I

appreciate you want to do it. I'm flabbergasted that anybody wants to run anywhere. So like I'm looking at, like, there's still a picture up like on a different monitor. I'm still like looking at your stuff. And it's just a photo of people crossing the finish line. I was like, Oh my God, what? What happened to those people to do what to do? And then I think the same thing me like, why don't I want to do this?

Jenna 1:11:52
Oh, you know, you gotta like it. Because running is a time consuming sport, especially marathon training. But it's probably that type A personality and makes first i It was a bucket list item in 2013 when I ran Philly. And then I was like, Well, if I could finish, I could probably get faster than I was going to probably qualify for Boston. And so that's, you know, went down that rabbit hole. So here we are, I've done five marathons with type one diabetes, so

Scott Benner 1:12:16
I do anything else anymore. Do you do anything else falls similarly into that category. Aside from running.

Jenna 1:12:22
I go to like spin class sometimes, but not that often. Because honestly, I run with this group. So it's social. So I don't like to miss out. So I got to show up every morning. You know, my friends are there we run from a Starbucks, we run and get coffee. So maybe I am crazy that I'm sitting there at Starbucks, you know, like, 545 in the morning when I could be in bed. But you know, it's fun.

Scott Benner 1:12:43
No, I listen, I'm mostly joking. I think it's amazing that you have a thing that you like, I love that you're setting goals. And I think everyone should do that. I think physical activity is incredibly important. I think people are happier when they're active. I think that insulin works better when you're active. There are a number of reasons, aside of diabetes, that you'd want to be active like this, and there are a number of reasons with diabetes that you would want to so I think it's great. I just listen, it's just one. It's just one person that sticks in my head that, you know, it's probably hurting more than it is about running. But

Jenna 1:13:16
yeah, I know that I know the type you're talking about. Yeah, definitely don't fall in that category.

Scott Benner 1:13:21
I'm gonna stop for the recording and I'm gonna tell you one more thing. Okay. Okay, thanks so much. Sure. Yep.

A huge thanks to Jennifer for coming on the show today. And I'd also like to thank you, us Med and remind you to go to us med.com forward slash juice box or call 888-721-1514 to get your diabetes supplies the way we do from us med. And don't forget to check out touched by type one.org touched by type one just invited me to come back and speak at their next event. And I said yes, you should check out their website and see when it is touched by type one.org. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast and don't forget to check out the private Facebook group Juicebox Podcast type one diabetes