+ Click for EPISODE TRANSCRIPT

---

DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

• 00:00:22 Type 2 diabetes pro tip series.
• 00:06:03 Understanding type 2 diabetes medications.
• 00:13:34 Importance of education and technology.
• 00:18:12 Individualized approach to diabetes management.
• 00:22:39 Diabetes podcast helps educate and support.
• 00:29:38 Food can be medicine for anyone.
• 00:33:54 Understanding the impact of diet
• 00:39:59 Guilt and shame in diabetes.
• 00:45:43 Misdiagnosis and stigma in diabetes.
• The timestamp in the podcast where it starts to say "Standard of care for type 2 diabetes needs improvement" is 00:51:32. Standard of care for type 2 diabetes needs improvement.
• 01:00:03 Exercise is often overlooked.
• 01:04:22 Helping people with diabetes.
• 01:08:28 Nothing is impossible with persistence.

Scott Benner 0:00
Hello friends, and welcome to episode 860 of the Juicebox Podcast.

Welcome back, everybody. This episode of the podcast is going to be a little different than you're accustomed to. Jenny Smith and I are going to be talking today about type two diabetes, we've decided to put a type two series together, not dissimilar from the other series within the podcast, but focused on type two. This is the first episode, it's an introduction episode, and it's going to lay out what the series is going to be. While you're listening, 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. If you're a regular listener of the podcast, I hope you check out this series and then really think about who in your life could benefit from it. If you're a person with pre diabetes, or type two diabetes who finds themselves here, welcome. I hope you enjoy this. And I hope it helps you. I really think it will find the Juicebox Podcast and your favorite audio app and hit subscribe or follow to get the next episode of the podcast and to continue to get this series.

These episodes are available, of course in any audio app by going to the Juicebox Podcast and searching type two diabetes pro tip. And of course, they're available at juicebox podcast.com, and diabetes pro tip.com. At the end of this episode, I'll introduce myself and Jenny to you. So you know a little more about us. This episode is being brought to you today ad free because of the generous support of Dexcom on the pod. The Contour Next One blood glucose meter, G fo Capo Penn ag one from athletic greens, US med touched by type one and cozy Earth. If you're interested in learning more about the sponsors, there are links in the show notes of the podcast player that you're listening in right now. And links at juicebox podcast.com. So, Jenny, it's good to see you again. I feel like I haven't seen you in a while.

Jennifer Smith, CDE 2:35
It has been a while. Yeah,

Scott Benner 2:37
I agree. Now, for the people on the podcast, they hear you all the time, but I haven't seen a little bit. So we're gonna undertake something, something it's been in the back of my mind for years. And I know you've talked about it a lot as well. And so I think we're a good match for this. So I'll just share with you that my initial idea around type two diabetes conversations. I thought to myself, like I have this podcast and this outlet, I can find people. But I'm not a doctor. And I don't know anything about diabetes, type two specifically, right? How would I help people with type two diabetes? Like how could I use the thing I have to do that. And what I kind of came up with is like, well, I could be the person. Like I could be the stand in for the person listening because I find that more and more of the people I talked to who have type two diabetes seem to sometimes have a very, I don't know what the way to say it is they they have a small understanding of what it is they're expected to do. And even what is happening to them, right. So while I might not have a lot of answers, I'll be I'm going to be your avatar. Listening, I'll be their avatar, I'll be the guy going I don't understand this. Explain this to me. And you'll be the person who understands that who says, Well, let me explain this. So but we have to figure out some bones for this series, like some structure, right? And because you and I don't work together, like every day, we're not sitting across from each other, something like that. It's not like we can talk at lunch and things. Right. So what we did was

Jennifer Smith, CDE 4:12
we don't have cubicles next to each other,

Scott Benner 4:14
right? So we're going to do the basically we're going to do the the setup part on this episode like we did with the ball beginning series. Yes. All right. So what I did was I went back to my private Facebook group, and I asked people I said, Hey, if you've got to type to list some things that you'd like to see in a type two Pro Tip series, I figured that would be a good place for us to start the conversation. I would

Jennifer Smith, CDE 4:41
expect there was a lot of feedback and I think if it if it reached the broader community of people with type two diabetes that are not listeners currently, but who are searching online for some type of tidbit of information to help i could imagine the Questions number in the hundreds. It was because of the lack of information given

Scott Benner 5:06
it was really something to see how many questions came and you know, my groups a little more. I don't know, sometimes they're a little more dialed in, but it's also a good mix. It's also a lot of people are like, I don't know what I'm doing versus I have some ideas. So I sent you that. Do you have the list? I do. Okay. Yes, yeah. So, thanks to Isabel for putting all these questions together for me,

Jennifer Smith, CDE 5:26
Isabel, in order of like category, which was lovely to see,

Scott Benner 5:32
Jenny saying that because she knows if I was in charge of this list, it's just,

Jennifer Smith, CDE 5:36
well, we can originally for the original pro tips, you know, we collected a list, and then I was like, we need to do these orders. Like, we need to start here and move here and go here. So this is very nicely organized. And

Scott Benner 5:51
I was like, here's a couple of ideas. And Jenny's like, this one would make more sense in front of this one. I was like, whatever. That's good with me. But let's go through and together. Let's mark things as stuff we want to do. Stuff we want to do and stuff maybe we want to do later. Does that make sense? Give it three orders. Alright, so let's go through this list. Of course, the question was, what topics would you like to see covered in a type two Pro Tip series? So the first thing here we're looking at is meds. Meds such as S G, l two Lt. Two GLP. One and they're multifunctional use? Well, there we go. I'm, I'm already the I'm already the avatar for people who don't know what they're talking about what the hell does that mean?

Jennifer Smith, CDE 6:36
Yeah, and I can tell you that this, the meds at least from what I can see in here, the meds list is it will be extensive. And there are different categories of meds, both oral and injectables that are not insulin that are used in the type two world and the list, the list continues to grow. So it becomes even a little bit more confusing for many people, because manufacturers have figured out ways to kind of put some of the meds together in one pill form so that people don't have to take like four pills at one time. Right. So there are multiple combinations and some things get used with other things. And so yes, the meds list, this is a really good starter, but there are there are a lot of meds.

Scott Benner 7:29
Yeah, the list so I'm seeing here GLP one is a is a category of drug right? That could be like trulicity correct by Yeah. ozempic Victoza, like okay, and,

Jennifer Smith, CDE 7:40
and the same for the stLt, twos. All any of these even things like the oldest, you know, being Metformin. There are even combinations that include Metformin, but are not just solely Metformin. Okay, so,

Scott Benner 7:54
alright, I'm seeing STL T to lower blood sugar and adults with type two in combination with that exercise. Okay, so we're this one is a yes, we're keeping that one that one's going to in the medical category. Oh, okay. This person wants to talk about GLP meds, that insurance company is still putting barriers on, we're going to make that a secondary question. So I'm gonna go yes. Why would I not? Why does my brain work like this? Why do I just put Yes, and then secondary? Why did I not put?

Jennifer Smith, CDE 8:28
You just move it underneath?

Scott Benner 8:31
Yeah. Anyway, don't worry, the series will be terrific. Don't Don't worry about how my brain works the conversation with Okay, somebody here just says, I want to talk about all the meds so we don't need to consider

Jennifer Smith, CDE 8:43
that. And I think that's a I think that might even be a good first one in terms of starting the med. list list is all the different categories of meds being used for type two diabetes. And then kind of maybe we can break them down into each of the categories and have an episode on each of the different types potentially, or if there's, if they're easy enough to discuss, we could do multiple in, you know, certain.

Scott Benner 9:15
So I'm going to, I'm going to combine these two thoughts then. Cool. All right. And new medications. Oh, why? To increase protein during weight loss with ozempic? Oh, I might know about Ha, see, this is how this always goes.

Jennifer Smith, CDE 9:32
I saw your light bulb go on.

Scott Benner 9:34
I know something about this. I think there's been some studies that say that when people use some of these drugs for weight loss, you're not just losing fat, but you might be losing muscle and bone density too. Have you heard that?

Jennifer Smith, CDE 9:51
Um, yes, in in some things.

Scott Benner 9:56
It sounds like this person heard that is what I'm saying. Yeah, and

Jennifer Smith, CDE 9:59
I think that goes along with some education, which we will obviously get to I'm sure it's a category within here that was that contained a lot of questions. It's all about food and like the piece that works and why it works and why some meds work a certain way and why you should aim for more protein or leaner quality proteins along with lower glycemic or even lower carb type of meal plans. So yes, okay.

Scott Benner 10:28
And this next one is just about the weight loss drug. Now Metformin, obviously, we're going to talk about Yeah, so that just that that gets up to the top, basically, Metformin is the go to right, like you get type two diabetes, and somebody's handing you Metformin.

Jennifer Smith, CDE 10:47
Metformin is often an initial go to I mean, there is protocol, depending on where glucose levels are wearing a onesie level is at diagnosis may give the doctor some ability to navigate starting medications, many times, yes, Metformin is one of those first starting ones. And it's one of the oldest on the market, it's well studied. It's well accepted by most bodies, meaning it doesn't cause other issues. And the initial side effects of it, they usually go away within about the first two weeks of starting to use it. As you kind of titrate up doses, which is common for some of these other meds as well that are used for type two. So

Scott Benner 11:34
yes, are those things mostly gastrointestinal?

Jennifer Smith, CDE 11:36
Most of them are? Yes, yeah. Okay.

Scott Benner 11:40
wish someone would have I wish someone had acknowledged to me that Metformin made me feel sick, and alternatives, okay. I'm understanding what your blood sugar is supposed to look like, and what the medications precisely are doing and helping with? Oh, see, I think this is every place. But I think we should talk about this too. I think people hand you something like here, take this. And you don't know why. What it's supposed to be doing? What is it you're looking for? Absolutely. So we can, I think,

Jennifer Smith, CDE 12:12
I think the biggest thing that came out of prior to working for integrated, the endocrine that I worked with previously. I ended up working with a lot of the type ones eventually. But I also helped to teach the type two classes. And many of the people that were brought into the classes on that initial class, were often very hesitant whether they had had type two for a long time, or it was a very new diagnosis for them. They came into the class, almost like what am I really here for? Like, is this even going to do anything and by it was a four Class series. And by the end of the fourth class, they were so they were so appreciative to now have the information to go forward with and the unfortunate thing is that, I mean, we had room in the classes for upwards of, you know, 10 to 15 people. And oftentimes, our classes, maybe had eight, right. And I think it's unfortunate, because the classes aren't emphasized enough they are available insurance will cover a certain number of classes upon diagnosis with type two, over a year's time. But many people aren't given the opportunity, or they're just not sent to the right place, or they just aren't given the information that, hey, this is really important. I'm telling you to use this thing and telling you to act get active and telling you to change your diet. But I as a doctor can't tell you exactly the specifics of that. Please go here. So you can get the specifics, right. So

Scott Benner 13:55
well, people are so adaptive. You know, I saw a guy in the grocery store the other day, and his gait was, like bizarre, the way he walked was it was just strange. He was a young guy. And it looked weight related. And what I noticed about him was that it was just his life like he, you don't I mean, he was just doing it. And I think that just happens to people, I think you get some news, hey, you have type two diabetes and a heart. Well, I got type two diabetes, and you just kind of people just keep going. And they You said something earlier, that was interesting, like the idea of like, believing that there's something you can do about it. I, you know, maybe they're not even left with idea, like, Hey, you could impact this.

Jennifer Smith, CDE 14:35
Right? Or they've had a strong enough family history of type two that it wasn't a surprise that they were then diagnosed with it. And they have historically, there's not been grade education for those with type two. I mean, a lot of people with type one complaint about their education, but quite honestly, for the most part, it's better than type two. Yeah, no, I understand. And so they've had this history of Looking at family members, and even maybe friends, and they say, well, they really talk very much about it. They look like they're just going about their life the way that they should or, you know, my brother never did anything. And he's seems to be perfectly fine. He doesn't talk about

Scott Benner 15:16
the other side of everybody. Everyone dies. And it's all mess. And I've been waiting for this my whole life. And here, this is just what's going to happen. Yeah. So I'm going to call that generational apathy. I know, I joke that I'm not helpful, but I'm kind of helpful. And putting that under a list here. I'm making my own while we're talking under Education. Okay, so moving on to technology. Yes. person says how helpful would a libre or Dexcom be just for the knowledge because no matter what type of diabetic you are, knowing what is going on in your body is the greatest benefit. I mean, I have a person close to me who has type two. And I think I bother them about once a month about getting a CGM. So yes, yeah,

Jennifer Smith, CDE 15:58
absolutely. I mean, if there is a teaching piece that is valuable, especially if you've left your doctor's office with very little information, but on asking, you say, you know, I'm going to try to do what the doctor said in the in the littlest amount that I can, but I need information and more than these finger sticks that are cumbersome to add into my day or whatever. If somebody has just given us CGM, the ability to see the impact as we know about what things you're doing in a day, and gosh, I did this today for breakfast and did it tomorrow. And it seems better than what I did three days ago, maybe I should keep doing this kind of thing versus the other. Right? Because that's it can be really motivating, then you're blind to information, you're less likely to make a change.

Scott Benner 16:53
And it's easy to not know any of the impacts of your diet to absolutely just, this is what we've always eaten.

I know people who just grew up a certain way. And some of the foods that they think of as healthy are fascinating. And and it's I don't know, if it gets commingled in your head, the difference between health and oh, this is good. But you know, how people talk about, oh, this is a good dinner. I love this. It could just be something from your childhood that you're like, Oh, I remember this fondly. Right. Yeah. Yeah. And I think that I want to do a blend here with this, right? Because it's my belief, not around type two diabetes, but around everything, that you don't get anywhere telling someone that they're wrong, or the way they feel is invalid. Or you should make some grand change in how you do things. Like no one's doing that. No, you know, and I think that's where type twos get screwed, honestly, is that they go into a room and a doctor says, Hey, listen, it's nothing diet, exercise won't help. And you're like, great, well, I'm 53 years old. I haven't dieted or exercise that my whole life. I'm sure I'm gonna go home and do it right now. Not that that doesn't make a great advice. Like I'm not saying that. It's just not actionable for that person.

Jennifer Smith, CDE 18:29
It's not because it's not been individualized. And that's across the board and diabetes, regardless of the type of diabetes you have. There's a lack of ability. For many caregivers, not all but many practitioners to sit down and really get to know the person. Yeah. Right. You have to get to know what they are doing in their life. And what is what's their why. Why should they do this, like what in their life is so important to them, that will be better that they can continue to enjoy? If they learn how to do some of these things that you're just giving almost like a rip off sheet that's like, do this and do this and you'll all be fine, right? It'll all just magically like, work out it for itself.

Scott Benner 19:16
Here's the list of five things you've never done in your life you have no context for and you don't want to do and you don't have time for just do those and everything will be fine. And then most people are like, Oh, I guess this isn't gonna I mean, listen, you and I are seeing each other over a camera. I don't know that can you see that? I'm losing weight by any chance are probably not right.

Jennifer Smith, CDE 19:32
Probably not you and which is funny because you and I also haven't seen you in a bit of time. So usually people lose weight like facial structure wise first or within their neck. But I've only seen you standing up in person a couple of times.

Scott Benner 19:48
What's going on for me is that my daughter went back to college, and my son got a job and moved out. And you know what I have all of a sudden, more time. And, and I'm using that some of that time to cook better for myself?

Jennifer Smith, CDE 20:01
Yes, that's it and to use the machine that's sitting behind

Scott Benner 20:04
you able to get on my bike more frequently. But that's just the point is that it's just the only thing that really changes that I suddenly had a little more time. Yeah. And you can say, well, there's nothing more important than your health. And you're going to be right when you say that. But people have bills and responsibilities. And if you don't have enough time, you don't have enough time. And so that's why I want to do this, because I want to give everybody everything they need to know. And then they can cherry pick from it, because I find that's how that's how the Juicebox Podcast works. So well. Is it like I used to think, Oh, I'll lay it out here for them. And they'll follow it like a roadmap. That's not what happens. Like, yeah, you give people a ton of options, and let them go through it ala carte. So this isn't an ad, I just wanted to let you know that as of this recording, march 1 2023. The podcast already has three episodes with people living with type two diabetes, these people all listen to the Juicebox Podcast prior to coming on the show. And they shared the really amazing transformation that they went through. Right now you can hear Leanne story at episode 665. John story in Episode 688 and Michael story at 799. And just like this episode, which is called type two pro tip, and then intro, right, there's like a prefix type two pro tip intro. There are type two stories, Michael type two stories, John, type two stories, Lian. And I'm looking for more people with type two diabetes to share their story. You can find the link on the website juicebox podcast.com. To contact me if you'd like to share your type to journey with everyone else. Also, I know it's gonna sound strange, but find our private Facebook group Juicebox Podcast type one diabetes, but there's 35,000 people in there. Each one loves someone with diabetes or has it themselves. And there are so many people in the group who have type two diabetes, this is a private group where you can hang out, watch people talk, ask questions, and it's a private group, private. So you can feel confident sharing your story there as well. Oh, and I didn't mention it's absolutely free. As a matter of fact, nothing about the podcast will ever cost you money. And I don't believe that your health should cost you something. It's not right that you should have to pay a coach or a mentor, or take some sort of a class or pay for some content that's behind a paywall. I don't believe in any of that. Everything you need to know is here in the podcast. If you want to ask somebody a question, you go to the free Facebook group where there are 35,000 people waiting to answer your questions. It's not cool, when people take your money to learn about diabetes, I'm not down with that. It shows that supported, I'll take care of paying for it, you just go ahead and help yourself to whatever information you need.

Jennifer Smith, CDE 23:10
You know, what I've I've kind of seen is that the more newly diagnosed who've joined your group and started listening, they seem to be the ones that are going through it in a in a way that moves from one topic to the next. It's more those who have had diabetes a long time and are no coming. And they're like, Well, I know how to basil test. I'm having a problem with this. Yeah, so they pick that topic, they go through it, they get the answers they want, and then it might drive them to another episode about something that's also relevant. But that's, that's the benefit of being able, you know, to go through a list that's very clearly defined.

Scott Benner 23:49
And I want this to help people who not only are in a situation where they're like, Look, I need to use insulin, right? Or maybe I'll try some of these other injectable meds and see how that goes first. I don't just want to help those people. I want to help people to who might hear something and think, Wait, potatoes, I just don't eat potatoes. Like you don't? You don't know, like you don't know what people don't know. Right? And so laying it all out there for them. And I I'm gonna tell you this right now, like if this is popular, I don't first of all, I don't care if it's popular or not. I'm gonna put it out because I think it's the right thing to do. And I'm going to put it within my within the Juicebox Podcast. But when you and I get done, if we ended up with something that is so just iron clad helpful. I might open a different podcasts up for type twos and just drop the information in there and leave it like a binder for them. Yeah, you know, and maybe I won't put episodes into it very often, but at least they'll be able to get through it easier.

Jennifer Smith, CDE 24:50
And I think that would be beneficial because from a from a one site access point. I think it would be fine to have both groups of information in one place. But I think if there is the potential that another group of interest is going to end up coming out of it, then there are a lot of topics and things that gets discussed, that are not specific, they're not worth the time of someone with type two is not all of them are. They're not as usable for that population. And or, like I said about the medications, there are so many different medications that are not going to be discussed in the type one world, but are very relevant for someone to be able to discuss with other people with type two, in you know, in that category, so

Scott Benner 25:39
am I also I bring this up under the technology banner here of our conversation, because sharing online is also technology. And there are going to be type twos who can get into that type one group. And I've almost stopped thinking of it as type one group, if I'm being perfectly honest, I think of it as a diabetes group. Because I, what I've noticed is that if you're have type two diabetes, and you're using insulin, it's pretty much the same game as having type one. And so it a lot of this stuff translates and as valuable. From both sides,

Jennifer Smith, CDE 26:17
I think to this technology category to what I see there's a lot about CGM. But I think in terms of a gadget, quite honestly, there's a lack of education about glucose meters. Yeah. Right. And that may be something in fact, it it is along with medications, it gets prescribed. But there's no education in the office about what to do, what the proper time of checking your blood sugar is. And even it may be this is further down. Somebody may be asked about it, but like, what do you do with that information? Yeah, great. My blood sugar is 133. Is that right is do I have to do something about this? Should I even take my medicine, it looks like it's it's a number where it's supposed to be. And I think, you know, years ago, when I worked with with more type twos in our endocrine practice, we often used to do around seated around glucose meters, teaching people the right times to check, okay, and what that then means and what they can do about it. So I think that's an important piece to bring in. Because while a CGM would be kind of pie in the sky for anybody who has diabetes.

Scott Benner 27:34
It might be because it might be a cash option when you're type two, right? Unless you're using insulin,

Jennifer Smith, CDE 27:39
depending on insurance coverage, and all of the things that have to get checked off in terms of prescribing it, and then what the coverage would look like. Yes, it may be a question of even being able to get

Scott Benner 27:52
it. So I added BG meter when, how and what do I do with the info? Yes, okay. Yeah, because the rest of it is like you said, people, I mean, it's not wrong, that CGM would be an amazing benefit for you if he had type two diabetes, but your insurance might not cover it as what like right

Jennifer Smith, CDE 28:10
here. Right. And there is, I mean, in terms of technology, and this kind of goes with meds and technology, quite honestly. There, there's something that bridges into both, and that would be the insulin pens, right, that if somebody with type two does use insulin, then there is actually technology that can help them use it better, and to collect the information better and make more even, I guess, evaluate their information to go back to their doctor and discuss. I mean, there are even some insulins that work with a prescribed type of device or app that allows the doctor to discuss back with the person how to titrate their doses, which is quite nice. And again, I would expect that many people don't even know that that's an option. Yeah. Okay.

Scott Benner 29:09
So yeah, alright, so diet, diet discussions, including by the way, diet, to me means what you eat, I'm not saying you're on a diet, like so. I hate the word diet. Yeah. I don't know what to say here. Give me a better word.

Jennifer Smith, CDE 29:25
Well, what are you putting in your body when you eat? You're putting fuel in, right. So I I call it fueling plan.

Scott Benner 29:33
Jenny, I've changed the fueling plan. So yeah, I'm not going to be able to change everybody's I'm not smart enough to read this and change out the word diet for fueling discussions, including Whole Foods, plant based options, intermittent fasting for weight loss and reduction of insulin resistance. Food, if it is good for you can be medicine for type twos. I mean, food can be medicine for anybody, honestly. And so that's a great one. We'll leave that there may be a more targeted how we eat conversation revolving around type two things

Jennifer Smith, CDE 30:07
similar. Yeah, that's

Scott Benner 30:08
I think that's similar. I think I'm going to take that out. So it doesn't get confusing because it's the same as the first one. How to meal prep way foods checking packaging. See, that's a big one. I always ignore that. The people maybe don't know what they're looking at when they look at that information on the package.

Jennifer Smith, CDE 30:25
Right, because it goes along with again, that rip off of eat food, eat better food, or an old one. And I have still heard it as don't eat white food. What does that mean? Right? Right. I mean, the inside of an apple is white. Right? Does that mean I should no longer eat apples? You're saying we're

Scott Benner 30:47
some slight thumbs tight TOS get told don't eat white food? They can't just say potatoes and white bread.

Jennifer Smith, CDE 30:54
Don't eat don't eat white food. Yeah. And really like white food? Come on.

Scott Benner 30:58
Yeah, that doesn't make a ton of sense having the tasty healthy recipes. And info on lower carb alternatives are huge. Well, I'll tell you, I agree and rub up against the idea of great recipes. I agree. Because I think if people had better tasting foods that were healthy, they would eat them. I also think that most people don't cook. I don't think as many people cook, as you imagine, you know, where that cooking, where the cooking is not the thing that I'm watching on chef on Netflix when I'm seeing Jon Favreau and that other guy throw together a thing you don't even like, right? I don't think we all cook like that.

Jennifer Smith, CDE 31:35
So now might be in and of itself. Maybe it's it's a whole kind of discussion is just like what does it mean to prepare a meal? And what does that have to be like, as you just said, it's not like watching Top Chef or whatever, the one where the mean guy talks to people. What's his MC? Gordon, there you go. Yeah, he goes name off the time, like Hell's Kitchen or something like that, right?

Scott Benner 32:07
Like for cooking shows,

Jennifer Smith, CDE 32:09
or whatever. But it's all the same concept of like, I think you're right, people don't think, gotta have to cook up, like cooking becomes this elaborate like, three hour process. And cooking doesn't have to need to be like that. Doesn't have to

Scott Benner 32:25
I also think that that idea stops people and I just I believe, listen, I don't know how, why believe us. I don't believe that many people. I just I think it's time like, I know what it takes to make a meal. The other night, I said to my wife, we're gonna have this in this for dinner. Is that okay? I said it's two or three o'clock in the afternoon. And she goes, Yeah, that's fine. I was like, great. That's dinner time. I'm like, I'm gonna start cooking because I don't want that anymore. And I was like, Okay, what do you want? And she goes, Don't worry about me. I'll figure out what I want you go ahead and make that for you. And I said, Well, you obviously don't cook very well, if you want me to make two meals. I was like, I don't have time for that. We have to go to bed at some point, you know, and I have the luxury of working out of my home. Yeah, and being able to say the days over 15 minutes glass of water, I'll start cooking dinner, right? Like, I don't have to get into a car and drive somewhere. Or go pick up a kid from something or something like that. I just don't think I think there's a way to help people prepare foods that will help them that doesn't leave them thinking I can't accomplish this. Correct, right. That's what I'm so I absolutely want that. Next up next thing here person says low carb makes a big difference. And so I'm just going to say here that because I make a type one podcast, and I have a type one Facebook group. And people who eat low carb and people who don't eat low carb love to argue with each other sometimes. I don't know if I've said this a million different ways. I'm just gonna put it here too. If you want to eat low carb, I think that's fine. I don't have a problem in the world with that. And as a matter of fact, it is. I mean, we can sit here and argue and say, Well, you need this or you need that in your diet. I don't know any of that. You are you have a nutrition background, you'll be able to tell better, but I want to dig into low carb when we're talking.

Jennifer Smith, CDE 34:19
I think it's an excellent topic, especially in diabetes in general. Yes. But I absolutely think type two is a very appropriate place to talk about

Scott Benner 34:31
that for sure. Yeah, absolutely. This next one, what should I be eating? What should I try to avoid? I want to leave that there. My doctor told me to eat lots of fruits and vegetables, but aren't fruit aren't fruits high in sugar. Good question. So I want to put that in with the what should we be eating?

Jennifer Smith, CDE 34:48
I love these are great. They're really they're very thoughtful questions and goes it really goes the distance of the missing information that just telling people to eat better and move their body.

Scott Benner 35:02
Missus Yeah, factors that help a bit I'm gonna reword this, but this person is talking about factors that help manipulate insulin resistance. So we can leave that insulin resistance and carbs sensitivity and how to cope with them. I

Jennifer Smith, CDE 35:18
think those are the kind of the same they are too Yeah, we're

Scott Benner 35:21
gonna lose one of those resistance how diet can affect it? Same thing, explanation of vicious cycles of insulin resistance in the body producing more insulin to manage blood glucose, storing more fat, causing more insulin resistance and on and on, you want to we can can we go over that process and explain it?

Unknown Speaker 35:40
Yes,

Scott Benner 35:41
we can. Can we do it within the the one before that? When we have that conversation? Do you think?

Jennifer Smith, CDE 35:46
I think that this one? I mean, it's not. It's like, it's not really nutrition specific. This is more in like, we don't even have a category of what is type two diabetes?

Scott Benner 36:01
How about if we put it in education? Because I make

Jennifer Smith, CDE 36:03
that would be yes, that would be appropriate. This, this would definitely fit within that. Oh,

Scott Benner 36:10
my God, there's so much here.

Jennifer Smith, CDE 36:12
Yes. That's a good thing. I'm, I'm really glad I'm, yeah, I'm super excited that so many people responded, which were really well thought again.

Scott Benner 36:23
And I'm gonna, I'm gonna say something here. You have type one diabetes, or don't have diabetes at all? I bet you this series ends up being interesting for you one way or the other? Of course, ya know, for sure. Fact.

Jennifer Smith, CDE 36:35
And I, you know why? I think because of the fact that type two diabetes is the most prevalent type of diabetes? Sure. And I guarantee that somebody knows someone, and could refer them or listen and say, hey, you know, I learned this, you've been talking to me about this and complaining about it, or, you know, you're bothered by this, go listen to this. Yeah. Or did you know this tidbit? You know,

Scott Benner 36:59
I'll add this. I hope this won't be controversial. But there are so many influences on us as people from marketing, to food manufacturing, to, you know, whether or not we exercise, whether or not we're supplementing with like things we need to like that kind of stuff. All of those things, impact all of us equally. Some of us get the ill effects of them stronger than others. So just because just because you ended up with type two diabetes, and the person next to you didn't, it doesn't mean that you're both not being impacted by the stuff similarly, and that's why I think it would be helpful for people. Okay, so if you agree with that, then I feel good. Common sense advice, but about not falling for all their net carb marketing propaganda. Ah, all right. That's a great one is that is that like when I go to buy? Shaved ice Italian ice, whatever, you people call it around the country. I call it water ice. And it says fat free. I'm always like, Well, yeah, now. But when I eat all the sugar, well, my body immediately turn it into fat, the story.

Jennifer Smith, CDE 38:14
Now burning it off right away? Yes, no,

Scott Benner 38:17
I got a giant cup of iced tea sugar.

Jennifer Smith, CDE 38:22
In fact, I think that that could be because type two has a metabolic component to it. For many people, I think that besides net carb things like even just label reading, in general in this category, such as its fat free, or the one that came out years and years ago was everything started getting labeled fat free and no cholesterol. Why? Why would oats have cholesterol in them? I mean, from a physiology standpoint, I know why I had the education to understand that. But many people have no idea why a plant wouldn't have.

Scott Benner 39:02
Oh, just marketing. It's just to make you think like, Oh, good. It's the you know, and here's a label that is actually helpful. no high fructose corn syrup. That Oh, yeah, there's one that's not marketing. That one's smart. You know, that one will actually help you. How about this here? Does this belong in education don't get stuck on a sliding scale. It sounds like her father in law got put on a sliding scale? And it just kind of languished there.

Jennifer Smith, CDE 39:28
No, I Well, I don't think it's I think it should be in meds. Okay. Mainly because it discusses that we know more about insulin these days. Now, it also for in this case and for many people who are in insulin who may not have the means to support some of them newer insolence, right. I think it's an important piece to discuss and talk Talk about because we don't know her father in law's story. Maybe he's using sliding scale because it's a monetary or it's a coverage based thing. And or maybe nobody's ever told him that something else is available. Yeah. Yeah, right.

Scott Benner 40:17
Okay, so All right. Next category is labeled guilt and shame. Battling stigma culture is placed upon those with type two. That's obvious now, do I? Do I do that one with Erica? Try to imagine this as a compendium, you and I talking about type two, but then sometimes they're going to be more like, I think they're going to be I think the episodes are going to be a little like a pro tip series. But every once in a while, I think they might be almost like a defining episode. But like, you know, I think I'm gonna package it all together so that people can find it.

Jennifer Smith, CDE 40:56
And then I think if, for a moment, this is a mental health, yeah, it is it and it rolls into how somebody may be managing or maybe seeking additional help or not. Right. So that it might be more of a mental health discussion. Okay. Yeah, because I agree.

Scott Benner 41:18
The second one here is I think a huge factor for type twos is guilt and shame. And it getting in the way of good medical care, I don't know how to compress this down into a snappy little title, she says, or he says, or a buzzword, but it's crippling. So okay, so we're gonna do that. And

Jennifer Smith, CDE 41:37
there are a few we may we may even be able to define a little bit of, of what that might mean. But I think it would be better with a mental health specialist. Yeah,

Scott Benner 41:47
there are so many myths about type two to come down and about shaming people. The only like that only fat people get it or if you eat garbage, you got it. The diet and exercise while he's fix it, and it taking meds but this is an interesting one taking meds is a lazy way out. And that insulin isn't boy, people think of insulin as losing.

Jennifer Smith, CDE 42:10
Absolutely, yeah. Yeah, absolutely they do. And there is, like I said before, type two has a heavy metabolic component to it. And there are some people that do everything necessary. They follow the rules, they do the you know, lean quality foods, and they exercise and maybe they've even lost a large amount of weight. And eventually, they may lose enough data self function, that they may end up needing insulin, and it is from their personal, it's seen as I've clearly not done enough, I failed in this. And now I'm on insulin. And that is it's the place I didn't want to get to or that's what I was working to avoid doing when really as we know, I mean, with type one, we're like, hey, insulin, that's like, like my saving grace, right? Like I take it because I have to take it where I think a big piece that's also not really defined well is prior to diagnosis with type two, how many people have actually had mismanaged glucose levels four years prior to a proper diagnosis. And in that timeframe, what ends up happening is that they are taxing their pancreas, right? They're taxing those beta cells to help Help Help. And in fact, many times those beta cells, they work in overdrive. They try try try to keep up. And so eventually, even with all of those stuff that they may do to get control and keep it for a while. They may have pooped some things out earlier than they realized, where they weren't doing the things that they're now doing. Does that make sense? Yes, yeah.

Scott Benner 43:56
This next one says, I discovered that I was misdiagnosed as a type two when I was actually a type one. And so we're going to talk about that, like just this. But here's the rest of what they said. And I don't think this whole I don't know if it'll call her the conversation you and I have, but it's interesting enough to bring it up here. It was a huge relief for me to be type one, because that meant I wasn't a fat failure. That is that crazy that somebody felt that I mean, it's not crazy. It's horrible. Right? And that is, you know, this person is like, No one deserves to feel like that. No, okay, if I was type two, I didn't deserve to feel like that. If I was type one, I didn't deserve to feel like that. But we do have to. I think we do have to admit that. This is how this is just what happens to most people when they get this diagnosis. Right. They just feel like I blew it, you know, right? Or my genetics blew it or right so I mean, this is I don't know how not to feel terrible about it, you know, like, but I'm gonna I want to keep the first part of it for you and I About being misdiagnosed? Yes, because it's so prevalent, but I'm going to take the rest of what she said and move it up and make sure I talk about it. When I speak with Erica to why their type twos get told insulin is bad for you. We'll go over that. Yeah, I mean, I've I've had three people on the show right now so far that have type two diabetes and have been the whose lives have been changed immensely by using insulin and algorithms by the way people are using like, yeah, like pump algorithms with their insulin everything else this one I don't know that we can figure out why or type two communities foolish shaming.

Actually, for you listening though, I think there'll be an episode of the podcast coming up, where we talk about how people talk to each other online, Eric and I are going to do I think the answer lies a lot less with the topic than you might think. Being rediagnosis lotto or type one is a story we hear more often because it's a because it feels like it's better than being typed to. Oh, so people Oh, I see what they're saying. They're saying people are happy to tell the story. Oh, they thought I was type two. But it turns out no, I have type one or I'm Lada. And that's a badge of honor, almost because you're saying you're not type two. So what this person is really saying is that is how horrible. I think what they're saying is that no one wants to be labeled as a type two type two.

Jennifer Smith, CDE 46:41
Yeah, that's what it sounds like. And I would say that there might be a step behind it that they're reading a surface level of, I'm not type two, thank goodness, I actually have lotto or type one, right? I don't think that that person who was misdiagnosed is actually happy. But what they're what they're actually and I don't even think that they're saying, Gosh, I'm not type two. Thank goodness, I'm not going to be labeled with this like thing that everybody considers is my own fault. I actually think that somebody who is appropriately diagnosed with type one or Lada feels that relief because finally they're they're getting a diagnosis. That's gonna get them the right meds to help. Yeah,

Scott Benner 47:26
relief. That was in my head. I kept thinking, are you gonna say relief? Just yeah,

Jennifer Smith, CDE 47:30
it's relief. It's I somebody's gonna listen to what I've been trying to say. And my blood sugar's aren't coming down. All this medicine you're giving, nothing is helping. I'm eating lettuce leaves, and I'm running 70 miles a week, and nothing is helping and this is the reason. Thank goodness, I have the right answer. Finally,

Scott Benner 47:49
anyone who's ever been sick, knows that. You don't want to hear bad news. But you do want an answer. And yeah, yeah, I think that's what that is as well. Okay, under medical care, how to advocate for yourself. Through misdiagnosis treated, I was treated terribly assumptions that surrounded type two. There's no shame about medication. So I think we're going to keep the AVID I mean, I'm gonna highlight the advocating piece of this. Assumptions I'm going to highlight. And I received the medical field to case owner part of it. I'm sorry, I received from the medical field and the type two online communities I was a part of, Oh, they got shame from that. Okay. Well, we're not going to be any shame in my community. So you can you can go be tight to the Juicebox Podcast, private Facebook group, if we weren't able to control. See, I also think, Jenny, I don't want to get on a tangent here. But I think that some of the things that we just talked about are why I'll give you I'll give the people listening a little inside baseball, I said that I've had this in the back of my head for a long time, and I've wanted to do it. And I plugged away and plug which I have agreed with Thank you, of course you have. And I've plugged away and plugged in by and plugged away and tried to get somebody to sponsor it, so that I couldn't afford to put it up. And finally, it became obvious to me that no one was going to do that. And I was like, Alright, I'm just gonna do it on my own. Right. But here's why. And this is what I think. I think that establishments believe that type twos don't want to be in a community together. I think they think that there's no possibility to build a thing that helps type twos because they don't want to participate in it because they don't want to be labeled. That's what I think the overall feeling is and be I'm saying I have a lot more hope for people than that. And I think that it's a build if they will come situation. I think you can't just To open up a Facebook group and call it type two diabetes support and expect that people are going to flood in because this is the stuff that they think. And then they're going to have horrible social interactions with each other that everybody's going to like everyone's. And that's going to be the end of it. But why does my Facebook group work for type one? I think it's because it began with the core of information that existed in the podcast already that we were able to bring in people who are already thinking, like, this is doable for me, you know, so I'm going to build another place. And dammit, if you all don't come, then Jenny and I just wasted our time, that's fine. But I think I think your

Jennifer Smith, CDE 50:38
wasn't a waste at some point. If you build it, people will.

Scott Benner 50:41
I really think that's what's gonna happen. So okay, I feel medical community judge type twos. Yeah. All right. Well, we'll talk about that, too. I'm sure that is what's happening. A standard,

Jennifer Smith, CDE 50:53
I actually actually think this is a good one.

Scott Benner 50:55
Yeah, I do too. Because I because people are just people. Like, you know, I know a guy who's a doctor, please it just because he goes to his job and puts out a coat, you know,

Jennifer Smith, CDE 51:12
doesn't mean that you are a good person.

Scott Benner 51:15
By the way, it's not my friend who's a doctor, I don't want him here in this and be like, That's not me, is it? It's a person I know, peripherally, who's a physician who's just kind of a jerk. And I could see that person looking at you if you had type two diabetes and being like, okay, you know, like, I really do. So.

Jennifer Smith, CDE 51:32
Right. We're not listening. And I think that's the bigger point that this comment brings up is that this person seems to have been doing everything that was the right thing. And upon entering a medical based, like setting wasn't being listened to. Yeah, right. Which is sad. So

Scott Benner 51:50
we'll we'll dig through that one standard of care for type two globally is terrible. It goes Metformin, long acting. My parents can be oh, gosh, 20 plus millimoles after a meal and they say that's okay. Yeah. Yeah. Okay. We're gonna talk about what goal I think I'm gonna mark this as goals.

Jennifer Smith, CDE 52:11
Yeah, right. Why is that seen as Okay, well, it shouldn't be seen as okay. We all know that. Well, we know that. Yeah.

Scott Benner 52:19
glacial pace of Medicare, Medicare type two seem to get finger wagging and eat better. Boy, you know, who gets hit with that to thyroid patients? Sometimes? Yeah, they just tell him like, oh, just exercise lose weight, you'll feel better. Oh, look at this. As I read down, it reminds me of thyroid issues. Okay, yeah, I'm sorry. I'm just I just like somebody agreed. Hey, hey, I'm type two and I would love to be on the show. Perfect. See that we'll have people who will come on and talk to keep an eye on that. I have. Oh, here you go. I have late stage complications from type two diabetes, and I've only had it for nine years. gastroparesis. I have moderate cognitive impairment, multiple other rare, chronic illnesses. Over the past three years, the Medicare, the medical care I've received has been negligent and appalling. Right, well, we're gonna get this person on the show. And other person. Okay, yeah. So this is, this is a person who has thoughts about how to name it so we can bring people in. When should I get a C peptide test? Oh, all right. We can throw that in somewhere.

Jennifer Smith, CDE 53:37
Yes, it's good under Oh, yeah. This is all test.

Scott Benner 53:39
Testing. Yeah. What other blood panels should be run examples to find out if your iron deficient, vitamin deficient exam, etc? Yeah, we'll do that blood panels. How to know if you have missed I have been misdiagnosed. Is there a way to figure out if you've been misdiagnosed, it's, it's just C peptide.

Jennifer Smith, CDE 54:00
Well, if you've been misdiagnosed as a type two, but you're really type one or ladder, obviously autoimmune diabetes, you are going to have some type of visible difference from that antibody based setting. Right? As many people I mean, there are previous comments in here that I was really happy to be finally diagnosed with latah or type one after having had type two for numbers of years. So there are you have to find the right doctor. And you know, as primary cares could write orders for blood tests to check but really from a, from a treatment standpoint, they really should be going to an endocrinologist. And if you have I guess the answer to this question would really be if you're questioning your diagnosis, ask for an appointment with an endocrinologist. Just because you have type two doesn't mean you can can't see. Right? You don't have to be being treated by your PCP. So

Scott Benner 55:05
yeah, all right. That's a good one. I'm gonna go through the rest of that testing stuff and go down to miscellaneous people are asked about Dawn phenomenon. I guess that happens with type twos as well. How cells you sugar for energy discuss metabolic disorder. This boy, something came up here that I was excited about. I'll tell you in a minute true, some myths about natural supplements. What's the progression of type two with age? Any difference in type two as an adult versus as a child? Is insulin helpful for type twos early on, or only later? What interact, interactions and comorbidities must type choose know about proper education on using a pump? If you're type two, I'd like to see an episode about why does it matter what type I am, I truly don't get that. I'm gonna go this is this is the thing that got I found super interesting. And I think is going to be a big part of what we end up doing. A Mythbusters episode. So the I really started thinking when somebody said that, to me, it well, they just brought it up like this, they said the most hurtful, hurtful myth that you only have tied to because you're overweight. But then I started thinking about all of the inaccurate statements about so many different things. And then I started imagining a Mythbusters series, almost like the defining diabetes series, where we take a list of things that people bullshit things people say, like cinnamon. Yeah. And we break them down about why they're, they're not accurate. Yes, yeah, that's gonna be outside of this, I think. But whoever said that whoever used that word first, you really got my brain moving. So thank you very much. And then there's weird things in here. And I'd look at this Agent Orange exposure as a cause for type two.

Jennifer Smith, CDE 57:00
Well, there are a lot of things with Agent Orange that I mean, that's not it's not a untrue. Yeah. But there are a lot of things that agent orange definitely did.

Scott Benner 57:11
So, yeah, this one says, I think COVID-19 can make type two complications worse. Oh, we can figure that out. And some other stuff here they have listed as maybe it would be interesting. I like so

Jennifer Smith, CDE 57:27
these are laughing about them. Because they're not they're not funny, but like to read them like they they make you like giggle a little bit, because it's amazing. Honestly, what, what is potentially out there in terms of Well, looking for me?

Scott Benner 57:45
Yeah. Are you ready? Is it this one? The there's a second one. There's the secret cure that big pharma doesn't want you to know about? Yes, yes, exactly. Listen, I've I've met a lot of people in my life. And the one thing I'm fairly certain of is they're not very good at keeping secrets. So and what would the cure be?

Jennifer Smith, CDE 58:10
I mean, that's, that's a great question. It really would be because I think I think in terms of the two types of diabetes, there, there a big difference in terms of why you have diabetes, type one or type two, there's even a big difference in terms of why you have gestational diabetes, right? Or any of the Modi, which never gets talked about. Right. So I mean, if there really is a big secret out there, then there are a lot of little secrets within the big secret. Yeah,

Scott Benner 58:46
I listen count on this, some doctor with a big ego would run out and yell, I've figured out the I've done it. But But aside of that, in the 15 years or so that I've been in this space, the amount of times that I've seen somebody say I know for certain that there's a cure for type one diabetes, and they whoever they is, they just don't want us to have it. It's because they're making money. And then I'm like, Look, I don't disagree that diabetes is a big moneymaker it just, I mean, if you look at science, where it is right now, we're just not at that point. You know, like, we don't know how to just turn I I've said this before, but I think we've only actually cured like eight things in the history of mankind.

Jennifer Smith, CDE 59:34
Or stop them from continuing to happen. Things like, you know, immunizations and whatnot. Right. There are things that have been eradicated because of but yeah, it's very, very few.

Scott Benner 59:45
Yeah, yeah. I mean, like, let's not talk about how we fix leprosy. So yeah, that's, I don't think that's the, if you're type one, I don't think you want to. I don't think you want that to happen. So you know, like a lot of different things. So okay, so Alright, let's just wrapped us up. Cool. This is the series we can do this right? Okay, and we're going to break it down into meds. We're going to put it so we're going to do meds education, testing allergy technology, medical care, guilt and shame. Fueling plan. Yes, that sounds right. Oh,

Jennifer Smith, CDE 1:00:21
what about activity?

Scott Benner 1:00:23
Oh, how do we forget that?

Jennifer Smith, CDE 1:00:24
That is something that is not in here? At all?

Scott Benner 1:00:28
Yes. Okay. Go ahead, Jenny. Do you need a soapbox to stand on? Or can you just say this out loud? So what Jenny is gonna about to say is that we asked a lot of people tell me how to help with type one, type two diabetes, and not one person asked about exercise.

Jennifer Smith, CDE 1:00:45
Right? Yeah, I mean, I in any in what? What kind of exercise? How do I get started with exercise? I'm already doing this. Am I supposed to change it and do something different? Or why is it not working this way? I mean, and again, it's sort of an effect of multiple variables. Right, all together. But I do think that it's interesting that there wasn't at least a question of, I've been told to get active. What does that mean?

Scott Benner 1:01:10
I don't think it's that interesting. I think it's pretty, I don't mean, because these because the people have type two diabetes that asked, I mean, just generally people in general, like, there are people who love to exercise, and the rest of us really wish it didn't exist. So I'm one of those people. I am clearly in the other category, right? And he's like, can we get this done? So I can go for a walk right now. And so but, but it is telling, right, it is telling that not one person said hey, is there anything I can do here? Because and I and maybe this is why maybe I'm being flippant? Maybe it's because doctors have so frequently told these poor people? Oh, yeah. Diet and exercise, go home, eat less and go for a walk and you'll be okay. Maybe it's because it's been minimized and marginalized a little bit, you know, same time,

Jennifer Smith, CDE 1:02:00
right. I mean, and rightly so even the information about or the questions about, you know, nutrition are fueling really, they're not, they're not as focused, because I think, again, it's a point that people are told about, but there's been no definition given to it. So many people don't even know what to ask about it. Sure.

Scott Benner 1:02:23
It's similar. It's similar to cooking to like, What do you mean, eat better? Exercise? Okay, well, what does that mean? You know, and I know, listen, other people can listen and go, it's obvious what it means. I don't know how obvious it is to everybody. You know, so, alright, so we'll, we'll put together a reasonable exercise plan for people? Sure. All right. A way to start a

Jennifer Smith, CDE 1:02:48
way to start that would be, especially considering some people might already be doing something, but if not, it's just a place to give you an idea of what to start.

Scott Benner 1:03:00
So I wrote how to start exercising, we'll talk about that. And then maybe it'll like lead from here. Maybe I can have on other people who can talk about, you know, more specific ways of handling things. Sure. But yeah, again, I just think that if you're listening if I'm, if I have type two diabetes, and my blood sugar's aren't great. And, you know, I don't know how I'm like, What am I going to, like, jump up and get on a stair climber, like yummy meals? Like, how, what the hell, you know? Right. So okay.

Jennifer Smith, CDE 1:03:31
I mean, they're, they're simple things. But I think that's a good title for it is how to get started, how to get started.

Scott Benner 1:03:36
And then we'll see what we can get make we can make out of it.

Jennifer Smith, CDE 1:03:40
Cool. Yay. I'm very excited. I

Scott Benner 1:03:43
am to actually I know that just means we're dorks about diabetes. I just think, listen, there were a couple of people in my life, who have type two, and they are just not in any meaningful way impacting it. But if you talk to them about it, they're always worried about it. They are in trying as hard as they can. And I just think that maybe, maybe we could help turn some people. Some people are walking into brick walls, maybe we could help turn them around and let them walk in a better direction. Right. Right. And I think we can definitely do this. Alright, well, we start in three days, Jenny.

Jennifer Smith, CDE 1:04:26
Yes, we do. We've got a couple of days. And then we're

Scott Benner 1:04:29
recording. Alright, we'll break this down into into easier to understand pieces for us, and then we'll get started. Thank you. Awesome. Thank

Jennifer Smith, CDE 1:04:39
you Take care.

Scott Benner 1:04:43
So that's how this is gonna go. And as of this day, when I'm putting this episode online for you, we've already recorded five of the episodes for this series, and there's much more coming. I'm going to put them out every week until the core of the series has been posted. And then we'll be adding to it as needed, Jenny and I are going to talk about the diabetes. I'm going to have a therapist on named Erica, she's lovely. We're going to talk about the psychological side of this, we're going to have more people on to talk about nutrition. I'm even thinking maybe having some chefs on some cooks to talk about cooking. We've talked about intermittent fasting before on the podcast, but I want to bring somebody back on to talk more about that. There's going to be so much here for you. I know you can do this. And we're here to help. If you want to hear about Jenny and I hold on, but if you want to go, this is pretty much the end. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. Okay, it's me, Scott. So if you're finding this show, because someone gave it to you and said, Hey, you have type two diabetes. And I'm assuming they're already listeners of the show, probably because of a type one connection. And they're sharing this with you. And you're thinking, why am I listening to this guy, and that lady talk about type two diabetes? Well, here's how you came to this. I began making this podcast in 2015. This is the ninth year of it. Before that, I wrote a very popular blog about type one diabetes. And I come to this by way of my then two year old daughter's diagnosis with type one, my daughter is 18. Now, she is living a lovely life off a college. The podcast began because I think it really began for the same reason that this this series is here. People don't get good direction about diabetes. It we didn't, we certainly did. I didn't know what I was doing. My daughter was diagnosed, my wife didn't know we were left to our own devices. And it soon became obvious that we were either going to figure it out for ourselves, or our daughter's lot in life was not going to be so rosy. So we figured it out. And then I started writing about a long line. And that became popular. And then I started talking about it in a podcast. And I started seeing how well this podcast was helping people live. And it's just bothered me for so long with people in my, my sphere and in my family who have type two diabetes and aren't being helped. And I thought I need to find a way to help them. So then one day, a couple of years ago, I started realizing that there were people listening to the podcast already who had type two diabetes, but we're figuring out how to help themselves through the type one conversations and I thought, wow, this is helping people, we could give them information more tailored to them, and find even more people and help more people. And that's it for me. I'm doing this for the same reason I started doing it. There are people in my life, they're not getting good direction. They deserve better health. And I think I can help you find it. That's pretty much it. I'm just the guy whose 18 year old daughter got type one diabetes when she was two and I started a blog and a podcast and it just took off. Jenny has had type one diabetes for well over 30 years. She is a registered and licensed dietitian, a certified diabetes educator, she is certified on tons of insulin pumps, and continuous glucose monitors. She works at a place called Integrated diabetes, which classically helps type ones with their management. But Jenny is just a good soul. And this means a lot to her. She just wants to help. So that's why she's here. You know why I'm here? I hope you I hope you feel like you're in the right place. There's going to be more. Honestly, if you're listening to this past like April 2023, the other episodes are probably already up and ready for you. I hope you enjoy them. I hope they help you. And I hope one day you'll be one of those type two stories in those episodes I mentioned earlier, I really think you can be. I really, really do. I know this isn't easy, but it's not impossible. And I know you can do it. I've seen so many people succeed with their health in moments when they just thought it was impossible. But this podcast and the people who listen to it have taught me that nothing's impossible. It can seem difficult. It can seem like your life is ending. But there's a way through. You just need to know the path to take. And I think this podcast can help you see that path and light your journey. I know you can do this. I'm excited that you're here. Please come back and listen to a few more episodes. And if you start having great success, let me know about it. I'd love to tell your story on the podcast. I know you can do this. Thank you very much for listening. I'll be back very soon with another episode of The Juicebox Podcast.