#1447 Diabetes Pro Tip: Insulin Resistance

Jenny and Scott break down what insulin resistance and diabetes.

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

Scott Benner 00:00 Here we are back together again, friends for another episode of The Juicebox Podcast. Today I'm adding to the Pro Tip series. The rest of the series runs from episode 1000 to Episode 1025 it's also available at Juicebox podcast.com, up top in the menu, look for diabetes. Pro tip, please don't forget 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. When you place your first order for ag one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink. Ag one.com/juicebox, don't forget to save 40% off of your entire order at cozy earth.com. All you have to do is use the offer code juice box at checkout. That's Juicebox at checkout to save 40% at cozy earth.com. Are you an adult living with type one or the caregiver of someone who is and a US resident? If you are, I'd love it if you would go to T 1d, exchange.org/juice box. And take the survey. So if you'd like to help with type one research, but don't have time to go to a doctor or an investigation and you want to do something right there from your sofa. This is the way this episode of The Juicebox Podcast is sponsored by Medtronic diabetes and their mini med 780 G system designed to help ease the burden of diabetes management. Imagine fewer worries about mis Bolus is or miscalculated carbs thanks to meal detection technology and automatic correction doses. Learn more and get started today at Medtronic diabetes.com/juicebox the episode you're listening to is sponsored by us. Med, us. Med.com/juice, box, or call 888-721-1514, you can get your diabetes testing supplies the same way we do from us. Med, Jenny, we're going to do something that we don't do that often. We are going to add to the Pro Tip series today. Yay. Right? We are gonna talk about insulin resistance.

Jennifer Smith, CDE 02:23 Oh, the fun of insulin resistance. Did you hear all

Scott Benner 02:27 the clicking? Everyone's like, reaching for their phone. They're like, Oh, I don't notice this.

Jennifer Smith, CDE 02:32 Turn this off. Let's fast forward and see if they talk about something. Guys

Scott Benner 02:34 say, insulin resistance. Did she pretend to be excited about it? What's happening right now? But we think this is very important and very important to add to the Pro Tip series. So we're just going to jump in with, you know, starting at one, what is insulin resistance in type one and what drives it? Let's talk about that first, make sure we understand awesome.

Jennifer Smith, CDE 02:54 So I think it's important to again, define kind of insulin resistance as what's happening in the body? Like, why are you using a ton of insulin? That's what I think most people on a very like, just low statement level, I use a lot of insulin. I must have insulin resistance. That's not necessarily true, and I think that begs definition as well. Overall, the definition of insulin resistance is the body is impaired in response by some specific tissues in the body to actually using insulin, well, which then decreases glucose uptake or movement of glucose out of your bloodstream into those cells, right? And the main sort of tissue receptors for insulin that become resistant are your liver cells, your skeletal cells, and then your fat cells. You might also see them called adipose tissue, but it's just fat cells, essentially, and it really means that your body just isn't it's not allowing the insulin to open the doors on those cells and allow the glucose to come in so our body doesn't essentially dispose of glucose the right way. I mean, it's the defining piece of type two diabetes. And while we really want to talk about type one, I think that's the piece that is misunderstood, because it's happening in type one and type two in a in the same way, but potentially and potentially for some of the similar reasons, right? But type two, we may eventually get to insulin resistance by not really seeing blood sugar changes, right? Because the body is actually trying to compensate for those cells not using insulin. Well, the beta cells just put out more and put out more and put out more insulin, and eventually they kind of get pooped out, right? So in type one, I think it's important to then define we can have insulin resistance in type one, but there might also be times where insulin. Needs are very high. And that doesn't mean you have insulin resistance that is long term a problem, right? So to defining those time periods really insulin resistance for time specific could be puberty, your child or teenager may use an excessive amount of insulin because there is a lot of growth and a lot of stuff happening. But unless your child is also obese, has elevated blood pressure issues, has issues which with low HDL levels, kind of the metabolic pieces that we're looking for that coincide with insulin resistance or metabolic syndrome, right? You may just need more insulin steroid use. You need a lot of insulin for using steroids and some other medications or other medical treatments. You may have excessive use of insulin, but there's the resistance in the picture, then, because of something that will not be long term, okay? Does that make sense? And you type, you know, pregnancy with diabetes as well, gestational diabetes, those are all instances of insulin resistance that they can be managed. And once those hormonal shifts are out of the picture, the resistance typically isn't as excessive or and, or just goes away, right? It

Scott Benner 06:19 could be language with type ones too, because, like you said, insulin resistance is a very specific thing, but you could be at times resistant to insulin. That's the feeling right, like it doesn't matter how much insulin I give myself, it's not moving. I'm resistant to the insulin. I'm insulin resistance. And then those two things just get blended right together, correct? That's just Yeah. And now it all means the same thing, but it doesn't mean the same thing. Does not again, weight gain, sedentary lifestyle, hormonal changes, medications, illness or stress, lack of sleep. These are all reasons why you might find yourself requiring more insulin than you normally do, right? Doesn't necessarily mean well, the weight gain does, though, right now weight gain is that would be insulin resistance.

Jennifer Smith, CDE 07:04 It would be especially if it's weight gain that goes well outside of a growth parameter, or expected growth, right? Kids, teenagers, we expect them to grow, and usually growth happens in weight and then height, and then weight and then height, right? It doesn't typically all happen at the same time, give or take the kid, right? But we wouldn't expect a child to grow really, really slow or not much in height, but continue to pack on the pounds. That's not what we would want to be happening. That's not normal growth. And so then if other parameters are in the picture, especially, you know, more sedentary lifestyle. I there is, you know, one of the potential risk factors when we talk about type one with insulin resistance is a family history of type two. So there's the potential, then, that the body is more from a genetic predisposition to have the potential for problems with weight management and whatever. And again, there are people that would beg to differ with that, but there's enough research out there. I've

Scott Benner 08:07 had a doctor on from Joslyn. He's also on staff at Harvard, and he said that, you know, the term double diabetes is just, you know, going to take on more and more prevalence, maybe in the zeitgeist coming up, probably because of how glps are working. For some people with type one, which then, you know, you ever see somebody with type one, go, I tried a GLP. It didn't do anything for me. And I thought, oh, yeah, you don't have any insulin resistance, you know what I mean?

Jennifer Smith, CDE 08:33 And or the other factors that the GLP ones, I mean, they're, they've been used for a long time. The newer versions now are definitely like the steroid version of what we had years ago that really didn't do what the new ones are doing.

Scott Benner 08:46 Glps on steroids, right? I mean that inflammation, weight loss, it tamps down hormonal issues for some people, also just constantly high blood glucose, just chronic hyperglycemia, can increase your insulin sensitivity. You've probably heard me talk about us Med and how simple it is to reorder with us med using their email system. But did you know that if you don't see the email and you're set up for this, you have to set it up. They don't just randomly call you, but I'm set up to be called if I don't respond to the email, because I don't trust myself 100% so one time I didn't respond to the email, and the phone rings the house. It's like, ring. You know how it works. And I picked it up. I was like, hello, and it was just the recording was like, us. Med doesn't actually sound like that, but you know what I'm saying. It said, Hey, you're I don't remember exactly what it says, but it's basically like, Hey, your order's ready. You want us to send it? Push this button if you want us to send it, or if you'd like to wait, I think it lets you put it off, like a couple of weeks, or push this button for that, that's pretty much it. I push the button to send it, and a few days later, box right at my door. That's it. Us, med.com/juice, box, or call 888-721-1514, get your free benefits check now and get. Started with us, med, Dexcom, Omnipod, tandem freestyle, they've got all your favorites, even that new eyelet pump. Check them out now at us, med.com/juice, box, or by calling 888-721-1514, there are links in the show notes of your podcast player and links at Juicebox podcast.com to us Med and to all the sponsors. Today's episode is sponsored by Medtronic diabetes, who is making life with diabetes easier with the mini med 780 G system. The mini med 780 G automated insulin delivery system anticipates, adjusts and corrects every five minutes. Real world results show people achieving up to 80% time and range with recommended settings, without increasing lows. But of course, Individual results may vary. The 780 G works around the clock, so you can focus on what matters. Have you heard about Medtronic extended infusion set? It's the first and only infusion set labeled for up to a seven day wear. This feature is repeatedly asked for, and Medtronic has delivered. 97% of people using the 780 G reported that they could manage their diabetes without major disruptions of sleep. They felt more free to eat what they wanted, and they felt less stress with fewer alarms and alerts you can't beat that. Learn more about how you can spend less time and effort managing your diabetes by visiting Medtronic diabetes.com/juicebox

Jennifer Smith, CDE 11:31 it can actually, yeah, it can increase high blood sugars. Can increase your insulin needs, not your sensitivity, but yeah, exactly, it can

Scott Benner 11:39 give you increased insulin resistance, is what I meant,

Jennifer Smith, CDE 11:41 right? Absolutely. And what, what does that boil down to? It boils down to an inflammatory, you know, nature. I mean, we've talked before when we've talked about the different things that high blood sugars do in the body, right? And it is. It's kind of like, I think you've said, like a sand blaster to the outside of a painted building, right? The more sugar you have circulating, the more damage it creates inside your vessels and your tissues, thus all of the complications that we know about and have been told about, but if we leave that high, it's just chronic inflammation, and that's really hard for the body to get over. I think it's interesting that the doctor you talked to actually commented on what we kind of call now we're really aiming for the ability to have a dual diagnosis. And there is now in the ADAs, I think I brought this up before too, like an 88 standard changeover, the 2025 standards of care in diabetes does have a specific kind of statement within their document that notes that although type one is the diagnosis, some people with type mate one may have features that are associated with type two, things like insulin resistance, the obesity factor, metabolic abnormalities, inclusive of things like PCOS and all of those, and in terms of managing their life the best that we can, we're going to need to create a category for those people who have features of both type one and type two, almost a new diagnostic code or a new not just type one or type two or Lata or type 3c, or, You know, any of those things, but it translates then into the ability to access medications that can be an advantage. And as of yet, we still don't have any. We don't really have anything that's type one outside of insulin. And maybe, you know,

Scott Benner 13:36 my daughter's endocrinologist gave her a double diagnosis, and it was accepted by our insurance the first time. She didn't have to argue about it.

Jennifer Smith, CDE 13:44 And there are some specific parameters, like, if you're looking at that dual diagnosis, because you've gone through it with your doctor, it's not just your, you know, Google searching, or whatever it's you've gone through it with your doctor, and you've got at least, I think it, think it requires at least three specific areas to be check off points of determining insulin resistance. It it's based on how many units of insulin per kilogram of body weight you're using in a total daily amount of insulin. If it's over that amount, check box, right? Obesity is another indicator, right? So if you're looking at BMI from that indication, the threshold for the GLP ones is at least a BMI of 27 and above, right? So if you've got those factors, blood pressure that's elevated more than 130 over 80, I think it's a HDL that's low, especially for for men and for women, you've got high triglycerides higher than 150 all of these are their check offs to proving that there's a metabolic condition or a metabolic piece despite the initial diagnosis of type one, that dual diagnosis can be really beneficial.

Scott Benner 14:55 I know for sure, after talking to Dr Hamdy, I'm gonna have to be digging more into what a cytokine is, because. Because he kept bringing it up a lot. He also talked about a oral GLP medication that's in the pipeline that will not only help you with weight loss, but minimize muscle loss. So very he was very excited about that, I will say, he seemed very sure that injectable glps are a flash in the pan, and that the oral ones will be the way it happens much sooner than you expect. So I have my fingers crossed for that. I wonder,

Jennifer Smith, CDE 15:27 did he comment anything about the reasoning? I know a lot of people have asked for a long time about, why can't we just take an insulin pill? Right? And it has relevance to what the digestive system does to that it just breaks it down, and it digests it, and you really get nothing out of it. Then, right? So either it's an injectable or it's an inhalable and then the body doesn't break it down too quickly, and you get nothing out of it, right? He

Scott Benner 15:53 didn't mention how it's getting accomplished at this point, but if people are interested, it's episode 1411 it's called GLP essentials, with Dr Hamdy is very thoughtful on the subject. I'll have to listen to that too. Yeah, very involved for a long time. Hey, I just want to say that if you have type one and you're not experiencing what seems like actual insulin resistance, some reasons might be genetics. You may have, like Jenny said, not be in one of those hormonal impact signs. You could be younger because, for reasons, you know, younger people don't experience it always as as frequently as older people, and you might just be more active, like, you know, we talk about that all the time the Pro Tip series and other places. Why do people struggle with a ID systems? Sometimes, because I'm super active on the weekend, but not during the week or vice versa. And you're like, oh, this thing can't keep up with me. But the truth is, is that your lifestyle is greatly impacting your insulin needs, correct? Yeah. So that's another way to think about it,

Jennifer Smith, CDE 16:50 and therein lies a you then don't really, you're not really classifying that as insulin resistance. That's a lifestyle impact or unlike chronic inflammation, which can also come from other health conditions, they could be impacting your body's ability to use insulin the right way or efficiently. And so then inflammation is more of a long duration, and you are likely to then have true insulin resistance, whereas high blood sugar is from a really stressful job. I have so many you know now working with a lot of women who are kind of moving past menopause, moving into sort of retirement stages, right? What we see is really high stress, high energy jobs. They retire, and come January, they're like, I don't know, I'm low all the time, like, well, let's take a look.

Scott Benner 17:41 I would curse right now and tell you that Arden's been off of school for a number of weeks. Might be six, eight weeks, she takes a GLP medication that helps with her insulin. You know, resistance, because she probably has PCOS. And you know, her settings are much lower right now than they were back in college. And today, she went back for just a day, like, to go back for a day to do this thing. And since she woke up, and now three hours later, her blood sugar is 175 like the algorithm, can't it. Can't get her down, like, because now our settings are for Arden at home, not stressed out. Arden, not Arden's at school, thinking about all the things she has to do art. And knowing

Jennifer Smith, CDE 18:21 the algorithm you're using, I know that it takes a little bit of adapting to actually, yeah, nudge it back, yeah.

Scott Benner 18:27 It'll keep up a little bit eventually. But the truth is, is that the person she was on her graph yesterday and for eight weeks prior to that is not the person she is today. So, and I'm telling you, that's exactly what it's from anxiety life, you know, foot on the floor, that doesn't go away. Basically,

Jennifer Smith, CDE 18:45 kind of going back to the doctor's comments about the cytokines you're like, I have to look that up. There's a lot of really good cellular investigation as to insulin resistance and what's not happening right in the body, and what are some of the lifestyle things that we can get to beyond adding extra medications that could, you know, again, help. So I don't

Scott Benner 19:15 want to get into it now, because we'll get off track. But he had an interesting take that I'll share with you privately, and people can go check on it, the livers role in insulin resistance. So how could the liver be impacting people? Yeah, I mean,

Jennifer Smith, CDE 19:31 you know, your liver is a really interesting organ, right? What the liver does a lot of things. It's a detoxifier. It helps with management, not only of blood sugar, but a lot of other systems in the body. And so if your body isn't using insulin the right way, there's a disconnect to the liver. For you know, ease of explanation, there's a disconnect to the liver, then about what it's supposed to do for. You and it gets off balance. That's the best way to really, you know, simplify it overall.

Scott Benner 20:04 So I have a little bit of language here. I want to know how you feel about this. Under normal circumstances, insulin suppresses the liver release of glucose. When there's insulin resistance, the liver doesn't always receive the stop message, effectively Correct. That's what I said. It gets what you said, Okay? Because I was like, Oh God, I'm not sure if I'm understanding, nope. So I just wanted to make sure. Okay, awesome. Moving on. Because these are also, I should point out, these are questions that were sent in by listeners specifically about insulin resistance. Oh,

Jennifer Smith, CDE 20:33 awesome. Well, they were very well thought questions, honestly, very well worded and well put together. If you really wanted to get into the science of the liver and all the things we could use big, fancy words, you know that talk all about glucose uptake and fatty acid oxidation and like all of these. But right? People are gonna be like, I don't know what that word means. Like, what does that have? I don't understand. Just tell me why my liver isn't doing the right thing,

Scott Benner 21:00 doing the right thing. How does insulin resistance impact long term diabetes management beyond just needing more insulin? Are there complications that are associated with it? That was the question that we got from a person. What do you think? I think

Jennifer Smith, CDE 21:15 the deeper question is, with insulin resistance, it creates a problem with overall glucose management, that's the bottom line. And so really the question there is, if I don't get on top of the resistance, meaning really, I'm not managing my blood sugars because I'm not able to get my insulin to work, well, down the road, you have all of those long term complications that we're really trying to prevent, right? And the biggest ones really being heart conditions and those micro vascular things like in your eyes and the nerve cells and all of those things are relative to the bottom line being your blood sugar management. But if you're doing the best that you can, and you're using a lot of insulin, it's not quite controlling everything yet, then the real issues with resistance are the downline of what does that mean with blood sugar?

Scott Benner 22:12 It's funny, as I thought about this one, what popped into my head was a well maintained classic car. It's gonna sound strange for a second. But I have a friend who drove a Camaro, you know, built in the 60s. Not just beautiful car, but like original three speed transmission, 326 motor. It was convertible, had the headlights that uncovered and like the covers, came off and slid into the car, all run by air. And 4050, years later, the car looked brand new and worked brand new, and it made me think about people who say, I'm fine. Like, look at me. I have type one diabetes. But, like, I know you're saying my a 1c should be this, or my variability should be more like this, or maybe I should eat like this or that, but I'm okay. And to them, I would say that in 1965 that car looked brand new, and the reason it still looks brand new is because of the meticulous way he took care of all the little parts and features of it that you don't recognize are even happening day to day. Like, yeah, I know this is an old timey idea, but there's a big piece of plastic that like, flipped out and slid into the car, all off of air pressure that still worked. 50 years later, you have little functions inside of your body like that, and they're just really important to keep up. And so if you're wondering why, sometimes you buy a car, and 15 years later, it's garbage and you basically throw it away, it's because you ignored some of the little things that day to day seemed like they were okay, but could have used a little tender, loving care. So

Jennifer Smith, CDE 23:40 you made me think of my dad. He and honestly, I It's like you were talking about him truly, because he had a 68 Camaro. Oh, no kidding, dad. I should say it's actually my brothers now. I mean, my dad's been passed away for a number of years already, but he willed it to my brother, so my brother now is the one who maintains it. And you're right. I mean, my dad, if anything I learned from him beyond just exercise, it was you take meticulous care of the things that you really want to last. That was his bottom line. I mean, he waxed our bicycles. Scott, so it sounds like the same guy you're talking about, like all the care that you give, but you have to think about yourself. It's like the advice that's often given to parents. If you have a child you're taking care of you have to take care of yourself too, or you're not going to be there to take care of those who need you, right?

Scott Benner 24:31 My friend eventually sold his car. Oh, that he bought from the first owner, which was an old lady who literally, just like the story goes, like, put it in the paper. And he got there, and she's like, I can't handle this thing anymore. And he bought it for $2,000 and sold it many decades later for $60,000 and I think if you want to still be valuable many decades from now, you gotta polish the chrome a little bit. You know what I mean. And that's not a euphemism. Yeah. But no, not

Jennifer Smith, CDE 25:00 at all. If you want yourselves to be as healthy and lovely and at 90, you want to grocery shop and carry your bags in the house and all of the things there's maintenance to your body, you have to do, right?

Scott Benner 25:11 Yeah. I mean, it's the difference between whether you go to the junkyard at the end or you gracefully, you know, drift off. Here's another question for people, many type one struggle with unexplained high blood sugars despite pre bolusing and adjusting insulin. How can someone tell if this is insulin resistance playing a role? I think this gets into management. I think this is more about settings, right?

Jennifer Smith, CDE 25:34 I do and because I think the question just begs more discussion, really, it does, because it's not defining all the time. I sit high. No matter how much insulin I dump in, I sit high. It's specifically around meals and going high. And so with the idea that this person feels like their Pre Bolus has been worked on, and that that's potentially not the issue, then maybe there are there some some other components within the meal time and or maybe the ratio has changed, right? Maybe they've grown. Maybe they've gone through a life change of some kind, and so maybe the ratio has changed, but they haven't changed that. They've just been playing with the Pre Bolus.

Scott Benner 26:13 I tell people all the time, because people all the time say, I don't know what's going on. My Pre Bolus time is 30 minutes. I have to Pre Bolus an hour before I eat. I'm like, well, that's not a Pre Bolus issue. Like, that's something else. So I always tell them to go back to the beginning make sure the basal is okay. Yep. You know, has anything huge changed in your life about your activity? You know, the things you're eating, right? That kind of stuff, you're sleeping, etc, essentially,

Jennifer Smith, CDE 26:36 the variables, that's what you're you know, I mean, looking at at those variables. Maybe the person was used to walking their dog three miles in the morning before they actually got to breakfast, and that was a benefit, and now all of a sudden, they're not doing that. Or you know what I mean? So absolutely. So

Scott Benner 26:54 I'm going to read now five questions in a row that are all part of a bigger conversation. Okay, there seems to be two schools of thought, one focusing on low fat, high carb diets, like the mastering diabetes diet, and another one, low carb approach. What does the research say about the best dietary approaches to improve insulin sensitivity in type ones? The next question is, are there specific foods or micronutrient ratios that have been shown to improve insulin sensitivity. The next one is for someone who's insulin resistant. Should they be focusing on cutting carbs, reducing fats, or prioritizing protein? And there are mixed opinions on intermittent fasting. Can fasting improve insulin sensitivity type one diabetes, or does it pose a risk? I'm going to throw in this one as well. Some people say that processed foods contribute to insulin resistance, what specifically in processed foods makes them problematic for blood sugar control. So we'll go through them one at a time, but I think they're all part of this conversation. They are,

Jennifer Smith, CDE 27:54 and I think we'll, we'll kind of mush them together, even though trying to kind of go through them separately, it's probably going to answer

Scott Benner 28:02 a lap, yeah, they're gonna go for a lap, yeah, yeah. The first one is the tough one, because, you know, people who are very strictly low carb, that have a lot of success with it are just going to tell you, you know, love, like, what do they say? Low numbers, right? You know, little bit of

Jennifer Smith, CDE 28:18 car, the rule of the rule of small numbers, right? A little bit of carb, a tiny amount of insulin, you've got an easier, kind of a little easier control mechanism, because there's not as much overage there from an insulin, but you also don't have a heavy hitting macro nutrient being carbohydrate that you're really trying to step on top of and keep managed. Right? The big thing behind this main question of the two schools of thought from a dietary standpoint, or like my background, it really boils down to looking at what each of these fueling plans provides. Has science that does suggest it can work. They both do the vegan, low fat diet, plant based absolutely has research that suggests you can reduce insulin resistance, you can bring your medications down, you can help to control the heart issues, even things like PCOS end up being better managed and navigated. Weight loss is something that happens in the picture. Those are 100% the same thing that the low carb approach also is able to prove that they can achieve, you know. But the bottom line is, you decide on it, and you don't falter from the plan. That is it in a bottom line picture. If you're going to do something like all plant based, low fat, then do it. Figure out. But you have to stick with it. It doesn't mean every week you will go out for your 16 ounce steak, because you can't 100% give that up. This is a plan, right? You choose it, you follow it, and 100% Your metabolic things, they clear up. They do the cholesterol levels, the blood pressure issues, again, even the metabolic things, the way that your body cells use food, they are changed. Yeah,

Scott Benner 30:12 I think it's, it's such an important thing to say, because I think that's probably where people go wrong. They're like, they dive in, like, you know, I'll eat super low carb. But then on Saturday, you have a slice of pizza with a bag of Cheetos, and forget, right? Two steps forward, one step back. It was probably two steps forward, 10 steps back, right? It's about whether or not you can really commit to it. You think I

Jennifer Smith, CDE 30:33 really do? Because there is when I look at the data, and people ask me the questions all the time, well, should I should I go this way? Should I go that way? I have to say. But what? What do you know about both of those plans? They're almost like opposite ends of the spectrum. Yeah, which one are you most likely to be able to stick with long term? Because if you can, here are the 10 different research articles I can give you. They're not even based in, like, the big ones that a lot of people have problems, like believing in, right? These are really good, defined references that suggest it can work. And we've got communities that are centered on both of them with discussion about why they work, and all the people that that they definitely help. Right?

Scott Benner 31:19 Is there any scenario where following any of these ideas strictly won't work for somebody? Is there somebody who's just genetically it doesn't work for is that not a thing? Because it's part of the little questions? Question, yeah, like, I mean, is there someone out there just eating low carb exactly the right way? And they're like, how come this isn't working for me or vice because I've heard it for the more the vegetable, like fat one. I've heard people say I've done it specifically well, and it hasn't worked for me, but I'm watching other people do it, and there's got to be something there that's, I'm

Jennifer Smith, CDE 31:49 sure that there is. And so that also suggests that maybe either you're not following it to a T so really, get the reference materials. Get the books. I mean, there's, there are books on, you know, the mastering diabetes and also on the low carb end of every their books that definitely give you very well defined this is your plan of action. Yeah, you haven't quite done and you've really only been following with some online person who tells you what they're doing. Maybe there's a little piece in there that's not quite what your body is working with. The best way

Scott Benner 32:19 that takes me to the micronutrient idea. Like, how would an average person who's like, I'm going to make sure I'm giving my body exactly what my body needs? Like, how do they figure that out and put that into play? Yeah? I mean,

Jennifer Smith, CDE 32:30 it also goes into lifestyle, right? If you are somebody who has a really excessive amount of movement in your life compared to somebody who is more sedentary, we would look at what is your overall need to be able to break down macronutrients. And then the lovely thing about the macronutrients is that if you are getting a fair variety of foods, you're going to take in all the micronutrients that you need, both the fat soluble and the water soluble vitamins, the antioxidants, all those things that help on a cellular level, change things like inflammation. It's not as simple as people often think, cleaning up the diet, yeah, just

Scott Benner 33:11 pouring in the right stuff, yeah. I mean,

Jennifer Smith, CDE 33:13 it really does behoove people to sit down with somebody knowledgeable, and I'm not going to say that, you know, find the right person right away. It might take, just like looking for the right endocrinologist. It might take a little bit of navigating through some people to find somebody who kind of fits with you and that you can work really well with, but they should be evaluating your life, what type of stressors you have, what kind of energy level or exercise plan do you have, and then building into that well to meet your need as well as address this insulin resistance and overall help with insulin sensitivity. Let's play with adding this, taking this away, cutting back here, adding this in. You know, somebody who is an endurance athlete is going to have a different macronutrient need profile than somebody who is in the lifting gym three hours every single day and they're bench pressing. I don't know a large amount of weight that I can't even probably live. Does that make sense, though it

Scott Benner 34:19 does. I want to go to intermittent fasting and then go back to processed foods. So the intermittent fasting, what I have here says that, you know, for some people, it might improve insulin sensitivity, but then it warns against hypoglycemia. But what I would say is, from my own personal experience with Arden, is Arden can fast almost for freaking ever, but she's also on an algorithm that's taking away your insulin at times. So if you're using, like, jacked up, heavy settings, and then all of a sudden, like, I'm gonna start intermittent fasting. I mean, you're probably gonna get low. But if your settings are there, and your system can bob and weave with the fact that there's nothing in there, I've seen art at night eat for 1824, hours. To not get low, like, as a matter of fact, like, I would tell you, if you can get all that straight, and you're a person who's like, oh, I can't exercise without getting low. Wake up in the morning, don't eat with great settings and single move workout in the morning. Yeah, so

Jennifer Smith, CDE 35:13 no, it's a, I think it's a quality question. Whoever asked about intermittent fasting, the risks, as you just said, can be minimized, especially with the type of technology that we have today. At it at our disposal, right? Not everybody, but a lot of, a lot of people have access to at least a CGM, great, right? If you have access to an A I D pump system, fantastic. That moves you up the mark to avoid risks if you're trying to do some fasting, but even those who do multiple daily injections, you can strategize your insulin and your dosing in order to be able to do intermittent fasting. And there are, you know, by definition, there are a lot of different kind of ways you can intermittently fast. Some people do fasting two days in a row, then they eat for two days and they fast for two days, right? Then there are people who do what's more common, and I think in terms of navigating the real metabolic reason, which I would encourage people to really look up, because it's quite fascinating the cellular level and the reasoning behind intermittent fasting and how it really benefits insulin sensitivity and weight management and everything. Is the idea of time periods of the day where you will designate, this is my eating time, yeah, and then time periods of the day where you will be done eating, let's say by 7pm and then you don't eat again until 10am the next day, right? Or noon the next day, and there are a lot, especially from a women's health perspective, there are a lot of good referenced research in what that does from a hormonal level in women's health. Not enough of it. I think that goes into real type one diabetes. But if you can read into the research, you can understand how it could impact your diabetes management, because most women complain about the fluctuations around their monthly cycle or moving into perimenopause or even menopause, right? And if we can harness that energy burning piece of our cells in the right way, and also clean up our intake with the food that we are eating. It makes an enormous difference on our overall ability to use insulin the way that we're supposed to. I'm going

Scott Benner 37:33 to jump to this last piece here, processed foods. You know, can processed foods really blah, blah, blah, like, I think, I think in the information age, we're very used to people saying things, and we just accept them, right? We don't really dig deeper into them. And so some people can also hear that in just this recording, like, oh, processed foods are bad for you. Like, ah, I've been eating it all my life. I'm fine. Like, it's great. Yeah, you're because your car is not 50 years old. Yeah, your body's still able to make it through a ho ho without you dying. But one day, you'll put the wrong gas in and it's just gonna shut off. But I'm gonna keep a lot of this for the nutrition series that you and I are gonna do, because I think we should do an entire episode on why exactly processed foods are doing what they're doing to you.

Jennifer Smith, CDE 38:14 Yes, it's on my list, and I have not organized for us yet, sorry. Give

Scott Benner 38:19 me a high level overview of processed foods and how they can, you know, make insulin resistance their car make it worse.

Jennifer Smith, CDE 38:26 Yeah, and actually, it ties into that first question in this little kind of segment that we're talking about is the focusing on either the really low fat high carb intake or the more low carb or ketogenic type of plan. One thing that's missing from both of those plans, for the most part, if you're doing the plans the right way, you are eating food that looks like food, what has that done then, behind the scenes, whether you're low carb, high carb, whatever you've cleaned out. I mean, the question here, what specifically in processed foods makes them problematic. Have you ever read the back of most of the packaged things that you buy? I mean, outside of maybe you bribe brown rice. It's brown rice, right? There's nothing problematic in that unless you're low carb, then you won't eat it. When you look at the back of many packaged items, they are full of things that I guarantee you can't pronounce, nor do you know where they came from. Why are they in there? Outside of things that have parentheses after them, since this anti caking agent or you're like, great, but why does it have to be in my food? Then, yes,

Scott Benner 39:35 it went your mouth and came out your butt. But it does. You don't know what it was doing. What was in there. Maybe you could swallow stuck. You could swallow a nickel and it can come back out again. It doesn't mean you want it there. I'm just high level, rapid breakdown of refined carbohydrates, added sugars and metabolic overload, inflammation, oxidative stress, unhealthy fats interfering with insulin signaling, nutrient deficiencies and lack of fiber, chronic overeating and weight gain. Because of calorie density and hormonal dysregulation, on and on and on. Like, yes, processed foods are bad for you, but we'll dig in later about why. And yes, they can listen, if you just ate food that you, like, Jenny just said, like, you lift it up and go, this is broccoli. I see chicken like, you know, and yeah, then eat it right. Don't take the chicken and dump some sauce on it that you bought from somewhere and go look. It's orange chicken now. Now it's chicken with nickels all over it. Think of it that way.

Jennifer Smith, CDE 40:29 It's a good brain, like you're eating

Scott Benner 40:32 aluminum foil or whatever. Like, maybe it'll make it out. Maybe it won't. Right? Can we jump to how are you on time? You good? I have about five minutes. Okay, let's go to medication, supplements, options. What can people take? Type one to help with insulin resistance, if they've changed their diet, if they change their exercise, and it's just not working,

Jennifer Smith, CDE 40:54 sure? I mean, there are prescription meds, and again, early on, I talked about how you can potentially get that dual diagnosis to improve the ability to get these covered with really good, well written letters from your doctor, things like the GLP ones. GLP one gi P is things even like old school Metformin is another potential one that you do not need a prescription for, and I can definitely say is visibly beneficial, not to the impact of things like a GLP one, but definitely beneficial in the here and now, because it gets used up pretty quick, is the Berberine that is definitely one that is beneficial. It helps attack kind of around that meal, but not necessarily long term, okay, right? Thank

Scott Benner 41:38 you for doing this with me. That's a great topic. Now it's awesome. I'm going to send all the information over to you, and we'll you know, so we have everything for next time. But before we go, how does hydration impact insulin sensitivity?

Jennifer Smith, CDE 41:52 That's a really simple one, right? Because if you are not well hydrated, all the things that are circulating in your system that are supposed to get to the cells to allow them to work the right way, one of them being hydration. If you are dehydrated, it's like moving mud or molasses through your system instead of like water out of a faucet, right? It's supposed to fluidly flow at your cells are supposed to have access float around in your body, kind of like, you know, really low leveling biology explanation. But hydration is huge, and hydration, along with which, I think often gets missed, people say, okay, they told me to drink more water. I'm drinking more water. I'm drinking like, two gallons of water a day, great, but now you're probably flushing out a lot of good electrolytes. So there is a fine balance, I say, you know, easy, simple electrolytes on a day to day basis with your water intake, are also very valuable from a balance of things in your body, you know, and the eight cups a day, give or take the person, it's probably more. If you're an athlete, it's probably more. If you're sitting in sauna for three hours a day, right? Based on size person athletics, you can kind of go up and down from there, but if you're going to try a baseline, great, stick with the eight.

Scott Benner 43:13 And what about anybody who's going to say, I'm incredibly well hydrated. I had two liters of Diet Coke today, same thing as two liters. No, okay, not at all. No, not, not at all. There is drink juice boxes all day. No, no,

Jennifer Smith, CDE 43:28 not. Hydration. Okay, are you sure? Let's look at let's look at water. Water is hydrating. There's nothing wrong with it. Just

Scott Benner 43:38 drink some water. Okay, what if I take water and I put something in it back in the day when I was a kid, but Crystal Light, I don't even that exists anymore. Now I put Crystal Light in it. Am I still drinking water? Or am I am I negating the benefits you're still

Jennifer Smith, CDE 43:50 definitely drinking water? Again, that goes back to processed foods, and what is in the thing that you're adding to your water to make it taste like you want to be able to actually drink the two gallons of water a day,

Scott Benner 44:02 Crystal Light Water with three nickels, yes, at least you're getting water. Hopefully they won't grab onto an artery on their way through, or whatever. I know arteries are not in your digestive system. I'm just saying no. Okay. What are your thoughts on supplements like Berberine, Metformin or a GLP like ozempic or Manjaro for addressing insulin resistance in type ones. That's a question right from a listener.

Jennifer Smith, CDE 44:24 No, I think it's great. I also think it needs to be differentiated, right? Because a supplement is something that isn't technically regulated, at least not most of the time, versus a medication that has approval, is on the market, is available through prescription. Like, you can't get it otherwise, right? So when you talk about things like Metformin or the GLP ones, GLP one Gi, P, the Metformin is a little bit different, but all of those are prescription you talk about Berberine or some of the other ones. Like, I mean, there are a whole list. Of things that help, from the standpoint of even optimizing your own GLP one system output, right? Your gut output which isn't working, which is why the GLP one meds do work in people with diabetes. So there are a whole host of those. I once

Scott Benner 45:16 got listeners to send me all the supplements that they take. And I thought just like, tell every like, let them just tell me everything that they take, and I'll weed through it. Maybe I'll find some like thing, and I can't figure out a way to be certain about any of it. And so like, you know, it's hard to just jump on here and start saying, like, you should try this or that, or this lady said this helped her. And part of me wants to put it out there so people can decide for themselves. And part of me is like, God, stuff could be expensive and maybe not do anything. And, you know, and many

Jennifer Smith, CDE 45:44 of them are, many of the supplements are, but you also with anything, I think, even with the prescription meds, you should be doing a little bit of your own research. Yeah, you should be doing information searching, because many of the supplements do have good research backing to them, but the information is important to look at, what was the population that was tested most often for some of the supplements we're looking at tests being done mostly in type two diabetes. Does that mean it's not relevant to type one? Not at all, but they're really only doing most of this stuff in type two, and then what's the concentration that's being used? What's the healthy concentration to use that you can get on the market? You already said, what's the cost of using that? What impact should I see? And a lot of people, I think, with supplements, to go down that kind of road, first is you end up getting a list of six things. And you think, Well, great. All of these are supposed to be wonderful for my weight and for my blood sugar and for my my gut health. I'm just going to throw them all together and see what works. Well, if it does, fantastic. But some of them may not be doing much at all, purple, right?

Scott Benner 46:59 Five at once, if they all so then I think the problem becomes then, because I've gone through this myself or with people in my family, you say to somebody like, look, we're just going to take one of these a day for three months and like, and people are just like, What are you kidding me? And if you don't see a pretty instantaneous like, change or value, it's hard to remember to even do it. It's hard to Shell out the money. And then people tell you what's got to be a quality, you know. And then you look and quality means $40 for a jug of them, and you're like, oh, you know. And so I don't know how to talk about, I wish there was, like, an easier way now what I can tell you about, what I've learned about glps Over the last couple of years, taking them for myself, using them for my daughter with type one. Listen, I'm not obviously a doctor or researcher anything like that, but I know a few things to be true after the last couple of years, if you're using a GLP medication, as Dr Hamdy said in Episode 1411 and you are not doing muscle training and taking in enough protein, he says you should not even be using them. It's just too dangerous to lose muscle, especially as you get older, and it's just something you don't get back. So you have to maintain and build muscle while you're using a GLP. It's very important. The other thing I've learned is some type ones are like, Oh my god, I jumped on a GLP and it changed my life. Like, I use significantly less insulin. I like, you know, my spikes are lower. Like, oh, all these good things are coming. Then another type one will say, I tried it, and honestly, I tolerated it well, but nothing happened to my insulin needs. And I guess I've come to believe that some people can have, you know, what I've heard called, like, double diabetes, like they have type one diabetes, but they also have insulin resistance. Correct the dual diagnosis, yeah, without type one, they'd still have insulin resistance. And I don't know if I'm right about that or not, but just watching people, it's the only like explanation I can come up with why some type ones would take it and have such a reduction in someone, and some type ones don't have any So, right? Yeah. I

Jennifer Smith, CDE 48:56 mean, this actually gets into, I think, another, another question somebody had asked within the same line of questions, it's about like lab values and testing for insulin resistance. So again, if you're looking at supplementation or pharmaceutical type of prescription, it would behoove you to know is what I'm seeing growth in my teenager and they just need more insulin? Or is this truly insulin resistance? Because there are some markers that you could look at that could move you to a diagnosis and again, now with ADA standards, suggesting that people with type one could have these other pieces that are more type two, and so you could have a dual diagnosis, making it quote, unquote easier to potentially get the prescription option

Scott Benner 49:48 right, right. I'll mention too in that episode that Dr Hamdy, who is, I think, on the the arrows tip on this stuff, says that he thinks double diagnoses will be actually common. And acceptable very soon. So I it sounds like behind the scenes, the people who push for this stuff are pushing for that.

Jennifer Smith, CDE 50:06 And it sounds correct, given all of the information that we have and some of the newer, like real research that we are looking at coming from use in type one specifically. And hopefully that's a turnaround for prescribing and not having to sit to get six letters of approval from your doctor stating this, this and this are the issues. Why won't you approve this? But

Scott Benner 50:31 if you saw a type one like you see type ones who use glps, right?

Jennifer Smith, CDE 50:36 100% yes, not 100% of them. But yes,

Scott Benner 50:39 absolutely so. If people are interested in learning more, they should talk to doctors. And if you can't, I'll tell you this, if you can find a doctor great that understands it, but if you find one that doesn't seem to understand it at all, like look around a little more, because they're just going to throw their hands up and go, I don't think you should do that, which I think is code for, I don't know what I'm talking about, and I don't want to get involved. So right, yeah. Speaking, yeah. Many people say that losing weight improves insulin resistance. Is this true even in a person with type one diabetes is not overweight, even if the person is not overweight. So if we have a person with type one who doesn't I don't know score as overweight, could losing some weight help their insulin resistance? It could. I want to say that I think there are a number of things happening. I'm going to go back to glps for a second, even though we're not talking about them when they first came out. And I had a bunch of conversations with a bunch of different doctors, they would all just harp on the idea that people are using less insulin because they've lost body weight. And they would just keep saying that, keep saying that. And I mean, after having enough conversations, even like with Arden who did not have like, you would never have looked at Arden and thought like, Oh, that girl should lose weight, but she did lose weight, and that's part of why her insulin needs went down. I believe they just are

Jennifer Smith, CDE 51:52 besides the true effect outside of weight loss, the true effect of GLP ones is it goes beyond just loss, and that's the reason that somebody who doesn't have a weight based issue but has high insulin needs, if something else hasn't been identified, such as a normal weight person, lifestyle doesn't suggest that they should be using as much insulin as they actually are. It's very difficult for them to control their blood sugars in the after meal time period, then we're looking for things like PCOS. Is there an undiagnosed thyroid disorder in the picture? Right? I mean, there are, there are pieces that I see over and over. They stand out to me. As soon as I talk to somebody, I'm like, have you had this checked? Did somebody ask you about this? Did you get No, nobody's what is that? Nobody's ever mentioned that. I'm like, let's get these checked first. So

Scott Benner 52:42 if you lost a lot of body fat and your insulin resistance didn't change, then look for other impactors. But in a lot of cases, losing that body fat should change your insulin resistance. It should. What about other body composition ideas like, what about adding muscle? Would that help? It should. Is that because you added muscle, or because adding muscle reduced fat? Well,

Jennifer Smith, CDE 53:04 you can add muscle and still retain fat, right? I mean, fat is stored energy, right? I mean, we have a lot of stored energy in our body.

Scott Benner 53:11 So if I'm like one of those guys that, like lifts tires and throws them over walls, like, for example, I was just that size, but not that strong, had insulin resistance, and added that muscle, I could see a reduced impact.

Jennifer Smith, CDE 53:23 You could see exactly because, again, muscle is it's harder for your body to keep healthy to maintain. So the more muscle you have on your body, the more revved up your metabolism is. And that's kind of the like the baseline explanation to that, right? But that's essentially what happens. And we know that when we move our body, even people with insulin resistance, can say, I can take a walk, and I can see the impact of that. I can move my body, and I can see that my insulin does start to work better, probably not as good as if they were a lower weight, brought their, you know, brought their body weight down, or somebody of the same height, but a leaner body type with more muscle on it, but they're still going to see impact. So if you now lose weight, add muscle, and you maintain a movement, you're definitely going to see an improved a lower amount of insulin that you need. So

Scott Benner 54:16 I'm looking at all of the questions that led us to this bigger idea, and I moved to say there's a person here asking, How much does walking after a meal impact insulin sensitivity? He's had this long conversation privately with somebody I've known for a long time who has type one, and he's in his 20s, and has recently put on a bunch of muscles, started doing like jiu jitsu and stuff like that, and and went to a little more of a lower carb lifestyle, but everything's a mess because his job is very active, right? And he's on Omnipod five, and he's like, I am getting low every day at work. Like, I'm low constantly, like, blah, blah, blah, like, on and on. And I we just kept talking and talking and talking and the the first two things I. Said to him, I ended up going, No, no, no, not that. And then eventually I said, here's what we're gonna do. And I figured out that he was getting low after meals, and that seemed to be the biggest problem, but he was so sure about his insulin to carb ratio, he said it was one to 10. And I said, Listen, let's just make it one to 20. And, like, see what happens. And I got a text the next day. I didn't go under 100 and my spike was only, like, 160 I said, Okay, make it one to 18 tomorrow. Like, keep changing that until we get there. I think that was your problem. But what he was seeing was, is that he was eating and then he was going to work and walking, walking, walking and tanking every time if he didn't walk after he ate, it wasn't nearly the same. So, right? What's the functionality there?

Jennifer Smith, CDE 55:46 Right? Any activity Walking is one of the best. In fact, years ago, during diabetes month, I can't remember what organization they used to have, something called the Big Blue Test, Manny. Would say, who was Manny? Yeah, it was Manny. It was essentially check your blood sugar. Go do 15 minutes of movement, come back and check your blood sugar. And 99.9% of the time, you're going to see movement down in your blood sugar. I don't care what body size or type you are, you're going to see why, because muscles require energy to move, and we know that exercise is, I call it free insulin, right? Your body needs the energy it's moving faster than it normally is. Your muscles are now primed. The doors on those muscles are now they're more free to open at will, and they don't need as much insulin to unlock the doors and let the glucose flow in.

Scott Benner 56:39 We know that works. You and I know that works. Is that actually impacting your insulin resistance, or is it just changing the function of the insulin that's inside of you over and

Jennifer Smith, CDE 56:49 over exercise is going to at some level, it's going to impact your resistance, right? It is okay, but in some people that exercise every day, it's basically holding you at a level. If you stop doing that, you're going to climb in insulin resistance. It's holding you out of stability. The insulin resistance is still there. And if you are the type who needs the GLP, one type, or the Metformin or something to assist further, then all you're doing is holding things where they are with your exercise. Don't stop doing it. Keep doing it. But if you're not finding you're not reaching your goals of weight loss or post meal blood sugars or as much as you really want to, then you're looking at needing to add something to help the lifestyle stuff that you're trying so hard to do. Follow

Scott Benner 57:39 up questions from people is, how does muscle mass influence insulin resistance, which I feel like we just talked about. But can lifting weights really make a difference? Yes, right,

Jennifer Smith, CDE 57:47 it can. And weight lifting is interesting. It actually many people who lift weights find no change immediately in their blood sugar. In fact, those who really go to some of the more the boxes, right, the gyms that are just all lifting, you have your workout of the day. It's very resistance based. You might actually see a rise in

Scott Benner 58:07 your blood sugar right during the lifting itself. During the

Jennifer Smith, CDE 58:10 lifting itself, right? It's an adrenaline based kind of thing, sort of like a sprint runner. You might see from the adrenaline of a sprint or hill repeats going up and down. You're going to see a rise in your blood sugar. But in the aftermath, just like weight training, you're going to see that your muscles are now recouping. And in weight training, you're building the muscle that you broke down during the workout right to build that back up, your body needs to use energy so you become more insulin sensitive in the aftermath, if you do enough weight training or resistance training, lightweight to high weight, whatever is good for your body, what kind of muscle you want, you're going to see that retained long term. Okay, that's the benefit of daily exercise.

Scott Benner 58:55 Okay, all right, let's move to like beyond diet and exercise, hormones, stress, sleep, steroids, that kind of stuff. When people see a greater insulin need because they haven't slept enough, they're under stress, the doctor gave them a steroid for an infection or they have a hormonal impact. Are they seeing an actual change in their insulin resistance?

Jennifer Smith, CDE 59:16 It's momentary. I think, yeah. I think it's momentary. I think it's more right, right now, this is what's impacting my insulin. Need hormones in females, obviously, that's more in the moment, or depending on where they are in a monthly cycle can go up and down, right? Somebody who has a big business presentation to do, they may be stressed for a couple of days while they prep for it, and they plan it, and they work with their team, and then they get to it, and as soon as it's done, if you've changed your insulin doses to accommodate and keep your blood sugar managed, you're likely to need to remember what your doses were before the stress, right? Because it should come back down. That's momentary insulin resistance, which isn't, I wouldn't even. Call it resistance. It's just the effect of a variable here and now.

Scott Benner 1:00:04 Do thyroid issues impact insulin resistance? Yes, they do. Okay, absolutely. Hyper, hypo doesn't matter. They both

Jennifer Smith, CDE 1:00:11 have impact on your overall insulin need. Yes, both to the extreme of needing a lot more, as well as a they're both a little bit opposite. We actually see in hyper that because your metabolic rate and the turnover of all different types of medications is a lot faster, you're ending up needing you're clearing that, and you're needing to use a lot more insulin, right? Whereas in hypo, you've got metabolic slowdown until it's regulated. And so you might actually find that while your weight isn't being managed well, and that you feel like you need more insulin, sometimes there is dysregulation in dosing, because you feel like you're taking more but you end up with a lot more lows because of the lagging effect of the amount of insulin that you're taking. So there is, I mean, thyroid is, it's huge to get optimized if you're having issues with your insulin.

Scott Benner 1:01:06 Okay. Do you know how sleep impacts insulin resistance, like lack of sleep? You know the function of it, or just that it does. It's

Jennifer Smith, CDE 1:01:14 just, I mean, baseline is, it's, it's a stress, right? Especially quality sleep. You might have something that tells you you're sleeping seven or eight hours a night, but we have enough watches and Rings and Things now to take care of. Looking at what was our sleep quality light, how many times did we roll over in bed? Even some of these devices measure what would be like sleep apnea, kind of dysregulation of oxygen intake during the overnight times. You might think you're sleeping, but you're really not getting quality sleep through all of the different cycles of sleep, deep sleep, REM sleep, all of those things, right? And in the end, it again, is just baseline. It's stress on the body.

Scott Benner 1:01:57 Since you mentioned stress at the end, there's these like sub questions under our headings here, how do I manage stress to improve blood sugar control? I'm going to assume that me telling you to calm down is not going to help. I mean, is it just one of those things, like, you got to figure out how to manage your stress, really? What are you going to

Jennifer Smith, CDE 1:02:12 That's right? I mean, it's like a it's like a blanket statement, because I think everybody needs something that's going to be a little bit different to manage stress. I manage stress by working out. I run. I do yoga several times a week. There are different types of yoga, some as meditative. Some is more active yoga. I use weights. So exercise is really my like stress reducer. I also like to cook. So, you know, find your thing, and if that helps you, and you have time to build it in. It might be enough to keep your stress levels at bay. Some people stress, though, is not only their own life stress, but it includes their family's stresses, right? So then you have to navigate it all. Yeah,

Scott Benner 1:02:54 I noticed a hot shower makes hardness, blood sugar go down, and I know that it's, it's like, people are like, Oh, hot or cold or this. I'm like, I honestly just think she gets in there and she chills out, she sings and she relaxes. The water hits her head, and I think she just relaxes a little bit. So, okay, identifying, let's see IR insulin resistance on lab work and early warning signs. What labs or markers should someone ask their doctor about if they suspect that they have insulin resistance, and for those who don't realize they have it, what are the early warning signs to look out for? Are there lab value? Can I get there

Jennifer Smith, CDE 1:03:32 are like somebody, and this goes the route of really talking about maybe somebody who has some of the physical identifying markers like you're overweight, you have a more sedentary lifestyle, you may not have the cleanest food intake, maybe you don't work out those kinds of things. Are there markers that someone could be looking at with not knowing that you have diabetes? There are, I mean, obviously one test would be an A, 1c right? It's going to give an overall evaluation of is your body not regulating your glucose like it should in people who don't have type one, something like an overnight fasting insulin level, can also be a method of managing your body's output, and it's a way To sometimes also identify pre diabetes, before type two diabetes, because, again, early stages of type two, your body is over producing insulin to make up for that insulin resistance that's there. So that is another piece that could be managed. Obviously, somebody with type one doesn't need a fasting insulin.

Scott Benner 1:04:38 I went to our friend online to ask this one so fasting insulin, Homa IR, homeostatic model assessment of insulin resistance, a fasting blood glucose, hemoglobin, a 1c triglycerides to HDL ratio, a ratio higher than 2.5 to one is linked to insulin resistance. Your C peptide, of course, postprandial blood glucose. Insulin, checking glucose and insulin one to two hours after a meal could let you know if you have form of glucose metabolism and liver enzymes. Elevated levels may indicate fatty liver disease, commonly associated with insulin resistance. It says uric acid. High levels correlate with insulin resistance and metabolic dysfunction. Some early warning signs could be frequent, fatigue, increased hunger and cravings, difficulty losing weight, dark patches on the skin, skin tags, high blood pressure, brain fog, PCOS, dizziness or shakiness between meals, increased waist circumference. There you go. That's from

Jennifer Smith, CDE 1:05:36 our most of what's on my list. So you you got to all of that. Jenny's

Scott Benner 1:05:40 like, am I going to get supplanted by a prompt? I hope,

Jennifer Smith, CDE 1:05:46 I think it was a valuable question, honestly, because while some of these may not necessarily be in the realm of type one looking, some of them are even things like your cholesterol levels. I mean, the LDL especially, is one that we end up looking at your triglyceride levels, the relevance of the liver enzymes. All of those, whether or not you have diabetes, can be Hallmark identifiers for yes. It's

Scott Benner 1:06:13 funny, because I just had this thing I wanted to say, and then I looked down at the next question, and the next question encompasses the thing I wanted to say. So I was like, Wow, this must be building to the right place. I, honest to God, didn't know that this was about to happen. So this next bit is misconceptions, reframing frustrations, vetting information, and the questions that came in from people are, what are some common misconceptions that you hear from people with type one regarding insulin resistance? And I'm going to tell you that my question was, do you think we talk about insulin resistance correctly? Or do you think it's a catch all phrase that we use in a bunch of different places?

Jennifer Smith, CDE 1:06:47 I'm going to say that that this about insulin resistance, what we're putting together. I think it's really valuable, because I think we're defining the difference. But I do feel like it can be a catch all. It can be a place where, my goodness, this is a lot of insulin. Like I see a lot of questions often, like, my child, is this this age and uses this much insulin? How old is your child? Who's this age? How much insulin do they use? Right? And again, our insulin needs are our own insulin needs. They are how to know if it's resistance, I think we've defined quite well here. And when it's not, is it a time in life that there's a variable happening that's not resistance? It is the hit of what's happening right now? Yeah,

Scott Benner 1:07:35 I feel like there are sometimes where there's variables at play. There's sometimes where it's, you know, a steroid, or sometimes it's you just became sedentary, like your kid used to play soccer, and now they don't anymore, or you've got a job, or you're walking around all the time. Then on the weekends, you sit and watch football like whatever that thing is, no matter what, when someone needs more insulin, they're gonna say, I have insulin resistance, right? And I think the GLP conversation has shown me that some people just need more insulin. They're not necessarily insulin resistant, but at the same time, is that just a heady conversation between you and I That's meaningless to the end user who just either needs it or doesn't need it, right?

Jennifer Smith, CDE 1:08:12 Well, and I think to clarify, you need more insulin, what that says to me is without all of the other pieces that you think that you have insulin resistance. It really isn't. It boils down to have you looked at your setting, right if you're needing more around meals, but your overnight is sitting flat at 83 and you haven't really adjusted anything there, and there aren't any big pieces in the picture, and your hits are around meal times, probably not insulin resistant. You probably just need to navigate meal coverage. You

Scott Benner 1:08:43 might not be covering your carbs. Well, your ratio could be off, even if you are counting them correctly, or something like that. Yeah. In the end, I just want people to cover what they need, but I don't want them to ignore the other things that may be happening. Right? If it's as simple as taking an acetal to help with your PCOS and lowering your insulin needs. I don't want you just feeding the PCOS with a ton of insulin when this other thing could be valuable to you correct or something like that, or going for a walk or eating better, or that kind of thing, right? How does someone separate helpful advice from misinformation when it comes to insulin resistance? What do you think the misinformation is that they're getting like, maybe it's just the misunderstanding of the implications like we've been talking about. It's a vague question. It

Jennifer Smith, CDE 1:09:25 is a big question. Well, I think it boils down to you have to look at what your experiences are that's leading you to consider, is this resistance, or have I not considered what could be going on right now as a point in time adjustment that needs to be made, okay? Is it some of the things that we've already gone into? Are there lab values? Are there symptoms? Are there other things you know that you're looking at that are an issue that are leading you to consider some of the helpful advice? This is actually pointing you to think this is insulin resistance. I should get further checks or talk to somebody about this, or does none of the information that someone's bringing in fit what you're seeing? Does that right? Does that make sense?

Scott Benner 1:10:17 Yeah, yeah, it does. But I'm gonna ask another vague question though. I'm sorry, no, you ready for the last one? Yeah. Where should people start if they feel overwhelmed by trying to lower their resistance? Is there a simple first step that someone can take to put them on a path to figuring this out? Do you start with food? You start with your weight. Because you hear people talk all the time, like I can't lose weight. Type ones are going to say to you, all the time, I can't lose weight, because every time I try to exercise, my blood sugar falls and I end up eating to bring it back up again, and it feels like I'm just losing weight on one hand and eating it on the other hand. And I would tell you, if weight is your issue, then getting your your settings right so that you can work out would be step one. It wouldn't just be, hurry up and start working out, correct, you know? But also, if you don't start working out, you won't see that your needs are lesser. So it's, it's a chicken or egg thing, a little bit like, do you start working out and adjust your insulin as you go? Do you adjust your insulin? Get it really rock solid, and then start working out and keep adjusting I think maybe that's it, right? Yes, yeah, yeah. And

Jennifer Smith, CDE 1:11:24 I think in terms of resistance, let's say you've you've taken all of the advice, right, especially like from the podcast, let's say all the pro tips, you've applied them, you've tested and you've done the best that you possibly can, and with all the adjustments, you've actually found, gosh, my insulin needs are a lot higher than I actually thought they were, and it is, no matter what lifestyle piece I put into place, it is really hard to keep my blood sugar at the target that I'm aiming for. Great. Now you've got all this information to go to your physician, to your nurse practitioner, to your educator with and say, Look, I've done all this work, and I still feel like I'm using a lot of insulin to actually navigate despite all the things I'm trying to do. Yeah, great,

Scott Benner 1:12:13 Jenny, I get worried that the the actionable items all fight with each other. For example, we learned in this episode, that a sign of insulin resistance might be hunger. And then you're gonna go to your doctor, and they're gonna say, Well, if you lost some weight, your insulin resistance would get better. You should lose some weight. And you go, but I'm hungry all the time. And then they say, Don't be. And you go, but I can't not be because I got insulin like, you don't mean like, you get caught where? Like, hey, go work out. You're like, I work out. My blood sugar gets low. Everything seems to have it's like a bad cartoon, like superhero movie, like there's a bad guy for every moment that you have. And I can see how it would stop people from it gets frustrating. Yeah, right. I mean, listen, between I don't have type one diabetes, I don't have type two diabetes. I've never been I don't think I've ever been pre diabetic, but I have lost like 60 pounds on a GLP medication, and the hunger going away was a huge help. It just was like, you know, like it was such a big deal that helped me get over the hump. I will tell you,

Jennifer Smith, CDE 1:13:16 that's the biggest thing that I hear from most people who start using it, is the food fog. People call it the constant draw of I even have some people who have said, you know, I work from home. I leave my office and I have to walk through the kitchen. And since using the GLP one, I can walk through in the refrigerator or the cabinet the cupboard, I can pass it without even a thought of opening it at this point. You

Scott Benner 1:13:44 have no idea how well it works to the point where you have to remind yourself to eat. I had to remind myself to eat. Like I would get up and be like one two in the afternoon, but God, I feel lightheaded. And then I'd go over and I go, Oh, I didn't eat. I did no hunger whatsoever, like none I forgot to eat today. Easily. I could have gone 24 hours not eaten, and never would my brain have said you're hungry, or my stomach have grumbled. That's the crazy part, but it's also a huge boost. Now, I'm not saying run out and use a medication. I'm saying listen to this. Hear the ideas about what'll make it better, but then identify what's stopping you, because you may have to conquer that before doing the other thing that's all right. They're

Jennifer Smith, CDE 1:14:23 all really like valuable things to keep in mind. Because, as you said, people may go to the doctor and say, but I can't he says, stop eating, or don't eat many snacks. Or I can see how much you're in taking cut it back. And for those who really struggle with some mental stuff around food to begin with, that can be a road to nowhere to just tell them something that the doctor doesn't know. What they feel like, yeah, and it stinks.

Scott Benner 1:14:51 Well, the and the other side of it is too. And I have personal experience with this, with what happened to my wife is she went to an endocrinologist and said, like, Look, I'm just gaining weight. Eat for like, no reason, and lose weight, lose weight, lose weight. And they tested her thyroid, and her TSH was high, but in range, so they didn't give her medication. So for seven years, they yelled at her to lose weight as she gained weight. And then one day, it just took one of us to, like, you know, I guess you people call it advocating for yourself, but I basically just, like, said to the guy, like, just give her the medicine for God's sakes. Like, if it doesn't work, like, take her off of it. But like, what's the harm at this point, right? She starts taking Synthroid, and, boom, oh, what do you know? Look at that. Yeah. And so, like, even when you figure the problem out, sometimes there's another roadblock. And I see that with people all the time. They go through this horrible thing to figure out their problem. And they get to the person, they're like, hey, gatekeeper, give me the thing. And they go, No, you can't have the thing. And it's tough. You know, finding a doctor who understands what you figured out is a big deal, and I it's a whole other process to talk about how to explain that to a doctor. But, you know, I just don't give up. Is my is my message? I guess, yeah, yeah, no. All right, Jenny, this was awesome. Thank you very much. Of course, yes. Thanks for tuning in today, and thanks to Medtronic diabetes for sponsoring this episode. We've been talking about Medtronic mini med 780 G system today, an automated insulin delivery system that helps make diabetes management easier day and night, whether it's their meal detection technology or the Medtronic extended infusion set, it all comes together to simplify life with diabetes. Go find out more at my link, Medtronic diabetes.com/juice box. This episode of the juice box podcast was sponsored by us med. Us, med.com/juice box, or call 888-721-1514, get started today with us. Med, links in the show notes. Links at Juicebox Podcast com, if you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective. The bowl beginning series from the Juicebox Podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698, in your podcast player, or you can go to Juicebox podcast.com and click on bold beginnings in the menu. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. The episode you just heard was professionally edited by wrong way recording, wrongway recording.com, you.

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#1398 IDU: Why Laughter And Yawning Are Contagious

Are laughter and yawning contagious, exploring empathy and mirror neurons.

Discussion on comedic preferences and stand-up comedy styles.

John Mulaney's humorous GQ interview and its impact on live audiences.

Behavioral mimicry: coughing, smiling, and other shared human behaviors.

Parasites on parasites: the endless layers of life.

Existential musings on the origins of life, space, and the universe.

Personal anecdotes and the quirks of public interactions.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Google Play/Android - iHeart Radio -  Radio Public, Amazon Alexa or wherever they get audio.

+ Click for EPISODE TRANSCRIPT

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

Scott Benner 0:00
Welcome back, friends to the Juicebox Podcast.

Arden's back today, and we're going to discuss why laughter and yawning is contagious. But you know, we'll end up talking about more than 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 living with type one diabetes, the after dark collection from the Juicebox Podcast is the only place to hear the stories that no one else talks about, from drugs to depression, self harm, trauma, addiction and so much more. Go to Juicebox podcast.com up in the menu and click on after dark there you'll see a full list of all of the after dark episodes. If you find yourself enjoying today's show. Please share it with someone else who you think might also enjoy it, and don't forget to subscribe or follow the podcast in your favorite audio app. It really helps the show. Don't forget to save 40% off of your entire order at cozy earth.com All you have to do is use the offer code Juicebox at checkout. That's Juicebox at checkout to save 40% at cozy earth.com

Today's episode of The Juicebox Podcast is sponsored by the Dexcom g7 and the Dexcom g7 warms up in just 30 minutes. Check it out now at dexcom.com/juice, box. US med is sponsoring this episode of the juice box podcast, and we've been getting our diabetes supplies from us med for years. You can as well us med.com/juice box, or call 888-721-1514, use the link or the number, get your free benefits. Check and get started today with us. Med, should we do today? Can dogs love homing pigeons? Not even know what that means. How do homing pigeons know where they're going and how do they get back? What is a homing pigeon? A pigeon? They used to take pigeons and put little messages on their tie them on their legs, and then send them all Oh, but then, how does, how do? Why wouldn't you just call it the pigeon with the message? Because they're called homing pigeons. No, no one knows. Okay, okay, all right. Hold on. A second. That's on there. We could do time. Well, it's too much. I can't do that right now. Why is laughter and yawning contagious? Is Taylor Swift evil? Yes, yeah, we don't want to do how life insurance works. How do they dig tunnels? Sign Language,

Arden Benner 3:02
the yawning thing, I think we were actually talking about in my class, and there is no evidence of why that's contagious at all.

Scott Benner 3:11
Why is laughter and yawning contagious? That's what we're talking about today. You're saying that there's no evidence

Arden Benner 3:16
of it at all. Well, laughter is not contagious. It's just like someone laughs, like it makes you laugh, like you think it's like funny, or like you have a reaction to it, but yawning is like, there's no evidence that, like anything is happening now, because you said yawning, I know I feel like I'm gonna yawn too. That's why I think this is a bad idea to do that one we're already

Scott Benner 3:37
a minute ago. We're sticking with it. Let's start with laughter. So the the phrase laughter is contagious. I don't think it's meant like, you laugh and then I uncontrollably laugh.

Arden Benner 3:48
Well, then that's just a stupid thing to talk about. Like, yeah, like, obviously, if someone laughs and like, you're gonna have a reaction to it, and it's gonna be laughter.

Scott Benner 3:56
But maybe not, though, because remember, tell everyone you don't enjoy stand up comedy, not your thing. I don't think, I don't think it's a real skill. Okay, so Arden's not a stand up comedian loving person. I just don't

Arden Benner 4:11
like stand up comedy where they have to write their script out in advance, because then you're not really a comedian. You're just a writer. We also performing it, yeah, but I don't think those are funny. But

Scott Benner 4:22
this is not the point. The point is, if we put stand up comedy on television, which is very popular nowadays, right, you stare right through it. It doesn't grab your attention, you don't laugh. And then was it last summer, two summers ago, for my birthday, we saw John Mulaney live,

Arden Benner 4:37
oh, I was laughing when he told his serial story. You

Scott Benner 4:42
were the person we took that we were like, Oh, this is just a waste of a seat. She's not gonna like this, but you laughed throughout his performance.

Arden Benner 4:48
I giggled, for sure, but like I didn't. There are some stand up comedians that I just don't think are funny at all. I think John mulini has a funny essence about. Him so, like He's just funny to look at, and that makes him funny. And he's literally voices a pig and Spider Man, like He's just funny. Wait, why is he funny to look at? He's a funny looking guy. Is he? You don't think he's funny looking He is literally a cartoon character. I've never

Scott Benner 5:21
really thought about it. Now I have to look also, he's married to a very pretty lady. Yeah,

Arden Benner 5:26
exactly. It makes it even funnier. What makes that funnier? Like? How did that like? What you just feel like? What he looks like a cartoon character? Yeah.

Scott Benner 5:37
Well, I was gonna say he looks like a puffier. Jason Bateman, he looks like, if you like,

Arden Benner 5:44
if like a board game character could walk

Scott Benner 5:48
in his face. Yeah, he kind

Arden Benner 5:49
of reminds me of, like, fix it. Felix, from wreck it. Ralph, you know who that? I gotta

Scott Benner 5:53
look this up. I don't know, fix it. Fix it. Felix, yeah, oh yeah. How about that, Bobby, damn. Yeah, that's pretty good call. Yes,

Arden Benner 6:05
he just has a cartoony vibe about him, so that that automatically just makes you funny. Like, some people have that, like comedian essence, and he has that. There's some people you listen to who are comedians who I literally, I just, I don't find them funny at all, like, I just don't find them funny. But when he told that serial story, I was crying out, but also like he didn't. It's not like he wrote the joke like he was reading an article,

Scott Benner 6:33
I know, but we've now seen him do it like. So this was interesting, because you felt like, Oh, he's not really performing this. But then a friend of yours,

Arden Benner 6:43
oh, I didn't, I didn't say he wasn't performing it. I just there's something about the fact that comedians will write their scripts in advance and then, like, try to perform it for you and try to be funny about it that I don't find to be funny. Yeah, I know you have a very strong feeling about this. I think, like comedians who do like audience work or whatever, whatever it's called, like he's the audience. I think they're naturally funny because they're coming up with stuff on the spot. And I think it like his delivery of reading that article was funny, and also a lot of what he told was stories that had happened to him. I think storytelling can be funny, but I don't think like comedians who like make up literal jokes are funny. Like every time I watch America Scott talent and a comedian goes on automatically, I want someone to press the red buzzer.

Scott Benner 7:32
I think they're just bad comedians generally, though. Yeah, they are. So are there stand up comics that you can think of who you enjoy their and you laugh at their storytelling.

Arden Benner 7:42
Oh, who's that guy on tick tock? He know it. He doesn't really make me laugh, but he also has one of the he's a little funny looking, and sometimes he'll do stuff that makes me laugh, and I'm like,

Scott Benner 7:55
Haha, you're not talking reminds you're not talking about you're

Arden Benner 7:59
gonna speak over. Okay, cool, because we can see each other talking. He reminds me of, like a geeky version of, um Seth Cohen, like a geekier version. You know who Seth Cohen is? No, from the OC.

Scott Benner 8:13
I thought you're gonna say Matt rife, that handsome boy that does the tick tock. Oh, I don't, I don't think he's funny. I have to tell you what his tick tocks are funny, but I tried to stand up, and no offense to him, but it was bad. So

Arden Benner 8:24
what is this guy's name? I'll find it.

Scott Benner 8:27
I just want to say too that John mulaney's ex wife has like an edge to her, which you wouldn't expect, and she's writing a memoir, but not mentioning him in it. Why am I reading an Anne Marie? Oh, go ahead. His name is Jeff Arcuri. Okay, I think, yeah, this guy you think is funny? No,

Arden Benner 8:50
I don't think that he is funny. I think that when the crowd interacts with him, it's funny. He's good at

Scott Benner 8:56
what they call crowd work. What's that podcast? You love that I and he's funny looking, oh, the basement yard. Is that it?

Arden Benner 9:05
I love the basement yard. They also, like, aren't even funny. They're just really dumb. They're just really dumb. And I think, like, if you met them and told them, like, I don't know if you guys are even super funny, you're just you really don't know a lot about life, they would like, be like, yeah, and then agree with you. You don't think

Scott Benner 9:25
they're putting that dumb thing on. No, I don't think. What do I call it? Every time I ask you about it, I'm like, What's that? I call it? Like dumpster podcast. Why do I think that? Yeah, let's go backwards for a second. Anne Marie Tendler, married to John Mulaney for years before. I believe he maybe went, what they call off the wagon and she left him, or something like that. But who is she? Like? Why does she get to write a book that doesn't Oh, she's already a writer. I

Arden Benner 9:51
remember watching comedians and Cars Getting Coffee, and John Mulaney being on an episode, and. In having to go rug shopping for her, and that's it. That's the only time I've ever heard of her. She's

Scott Benner 10:04
written three books, the daily face pin it, 20 fabulous somethings, and men have called her crazy. So she's a writer, and now they're letting her write a, I guess, a more personal book, but I don't understand why. I mean, if you're not going to mention John millennium, do I care? Known professionally is Anne Marie tenler is an American multimedia artist known for her work in photography, makeup, hairstyle, textile crafts, and notably, and notable specialty is make handmade lampshades. You can be famous for making lampshades. Oh, my God, that's upsetting. But then he married Olivia mun who's out of his league, right? Yeah, like, visually. I know we're not supposed to talk about people that way, but Right? Well, yeah, I don't know how you guys order your diabetes supplies, like CGM pumps and testing equipment, but at our house, we use us Med, and I'm gonna walk you through the entire process right now. I'm looking at the email from us Med, it says it's time to refill your prescription, dear Arden, please click the button below to place your next order. Then you click the button that was it. Two days later, I got this email, thank you for your order from us. Med, we wanted to let you know that your order and it gives you an order number was shipped via UPS ground. You can track your package at any time using the link below, and then there was a link, and then it showed up at our house. Now I'm going to walk you through the entire chain of events. On the 29th which was the Saturday I clicked on the email. On that Monday, the first I got an email that said the order had been sent. Four days later on the fifth the package arrived. If you can do it easier than that, you go get it. But if you can't us, med.com/juice, box or call 888-721-1514, get started today with us. Med, get your diabetes supplies the same way we do the Dexcom g7 is sponsoring this episode of The Juicebox Podcast, and it features a lightning fast 30 minute warm up time that's right from the time you put on the Dexcom g7 till the time you're getting readings. 30 minutes. That's pretty great. It also has a 12 hour grace period so you can swap your sensor when it's convenient for you, all that, on top of it being small, accurate, incredibly wearable and light, these things, in my opinion, make the Dexcom g7 a no brainer. The Dexcom g7 comes with way more than just this, up to 10 people can follow you. You can use it with type one, type two, or gestational diabetes. It's covered by all sorts of insurances. And this might be the best part. It might be the best part alerts and alarms that are customizable, so that you can be alerted at the levels that make sense to you. Dexcom.com/juice, box, links in the show notes, links at Juicebox podcast.com, to Dexcom and all the sponsors. When you use my links, you're supporting the production of the podcast and helping to keep it free and plentiful. Yeah. I mean, like, she's,

Arden Benner 13:09
she's, she's pretty, yeah, she has a sort of pretty that's like, she's

Scott Benner 13:15
both pretty

Arden Benner 13:17
on a screen. But also, if she was walking down the street, like, I would be like, she's pretty too. Yeah, she's got that vibe. And it's not, it's not like, overwhelming at all. It's just like, Oh, she's very pretty. He

Scott Benner 13:28
out kicked his coverage. Why did they use that as a saying? I don't even know what that means.

Arden Benner 13:33
It's like, I really think that you should explain the serial portion of what I'm talking about so that people understand what I mean. Well,

Scott Benner 13:40
how am I gonna explain that? Fine, I'll do it. You can remember it.

Arden Benner 13:46
I do remember it because I was seeing my pants. Also, for some reason, we had seats, and I was the only one who wasn't sitting with our family. I was sitting behind all of you guys, and then I was sitting next to a random family, and I was, like, trying to stay quiet, but like, I just physically, like, I couldn't, like,

Scott Benner 14:05
I was crying, yeah, you were cracking up. And honestly, yes, at that certain part, did you not remember? Yeah, but we think we all thought you were, well, first, can I read you this? And then what? And you tell me why it's funny. Laughter is actually contagious. It's not just the saying. When people hear someone laugh, their brains can automatically respond, creating a desire to laugh along, even without fully understanding the reason behind the laughter. It happens because of mirror neurons, specialized brain Oh, I

Arden Benner 14:33
just learned about mirror neurons. It's what it's when you do what the opposite person is doing, yeah, like your neurons act like they're neurons.

Scott Benner 14:40
That really happens, specialized brain cells that activate when we see or hear others perform in action, is why I cry when people cry,

Arden Benner 14:46
yeah, probably, yeah. I just had a whole test on I had an exam on this a couple of weeks ago. Oh,

Scott Benner 14:50
here. These neurons play a big role in empathy and mimicry. Laughter is also a social bonding tool in group settings. Laughter can help create a. Sense of connection. I mean, these are things we know, but that's

Arden Benner 15:01
why I think that this like connects to, like, you know, like, when you people go to, like a zoo and they like talk to, like, apes and gorillas and stuff, and they'll like, do what you're doing, it's because they whatsoever, they have, like, a they have a conscious like, their consciousness is there, yeah, like, they pass the mirror test, or something called the mirror test. So, like, there's certain animals that can, like, they look in a mirror and they know that they're there. They don't think it's another animal. You brought up the mirror test in another episode. Yeah, exactly. So the commuter neurons so that they're, like, doing what we're doing.

Scott Benner 15:34
Gorillas are intelligent animals whose cognitive abilities are often compared to those of young human children.

Arden Benner 15:42
Like toddler, toddlers, or something like that. I

Scott Benner 15:44
mean, I've met some kids that were older. I would be like, That kid's not as smart as a monkey like so maybe, yeah, okay. So

Arden Benner 15:52
I sent mom a video of a monkey doing, wait, a monkey's doing. What? A setup, okay? And I thought it was so funny, and she did not respond to it. I just got left onto the window. You want to see it. She's

Scott Benner 16:06
just never I would like to see the thing, and I have the full GQ article that John reads from in the bit that you wait. Ready? Are you ready? Yes.

Arden Benner 16:20
I said it to her, and she didn't respond to me. Oh, listen

Scott Benner 16:23
to me tell people how much you love little monkeys and

Arden Benner 16:28
that you would definitely I love. Yeah, I want to pet monkeys so bad. I know they say that they attack people, but part of me thinks that me and monkeys think very similarly, and that those who I want to attack the monkey would want to attack so I am not a danger. You

Scott Benner 16:41
think you and the monkey would vibe, and therefore it would be okay.

Arden Benner 16:46
Oh, completely Wait, a monkey. The

Scott Benner 16:49
ones people keep the little capuchin monkeys. Capuchin

Arden Benner 16:52
like, who doesn't want something called a Capuchin monkey? Well, let's see. The

Scott Benner 16:56
pros are. They're intelligent, known for their problem solving skills. Maybe they could help you with your coding test. And the cons are they can be aggressive, if not properly trained and socialized. They also live the 40 years old requiring a long term commitment that's gonna live longer than me. What's your longest relationship so far? Like, romantic? Yeah, 11 months, because you got to make it. I'm only 20. If we get you a monkey right now, you'll be 60 when it passes away. It's crazy. They're also marmosets. People keep but they're like wild animals. The care is very specific. Tamarinds specialized diet care requirements. Can live 15 to 20 years. Squirrel monkeys, they require social interaction.

Arden Benner 17:39
Squirrel Why would you name something a different animal, squirrel, monkey. It's like, it's like, spider monkey. Isn't that a thing? It's the next one on

Scott Benner 17:46
the list. Spider Monkeys. They're intelligent. Yeah. Their intelligence means they can be quite destructive, if bored. They can live 30 plus years. So me, there's so many, hi, many places keeping monkeys as a pet is illegal. That one lady had that Chimp, that chimpanzee in it, like that, oh, attack that woman, yeah, like her friend, like, I think really hurt her. Okay, so I have here, John Mulaney, GQ, article, what Article? Yeah, that does she send it to me? No, hold on. I'll send it to you, and then you're gonna tell people why it was so funny. All right, it's so funny.

Arden Benner 18:18
It's important to say, Well, some people have probably seen this, but it's on Netflix, but it's important to say that the whole what were we at, the whole stand up act, right? Is about how he had just gotten out of rehab. Yes, correct, yes. Okay, right. So it's like, kind of serious, because he just got out of rehab, but it's also comedy, and this is his ending. This is, this was his closing thing. I remember it because I thought, Oh, my God, I'm gonna pee my pants. I gotta get out of here. We're just looking at it out and thank you. Laugh. I'm just reading it again. So wait, what happened? He someone called him to do a GQ, cause him to do an interview,

Scott Benner 18:59
an interview, but he's whacked out of his mind. Oh yeah, he is on heavy drugs.

Arden Benner 19:08
I feel like we have to read the whole interview. Who do you want to be? I don't even know. What

Scott Benner 19:13
do you want? Do you want to be John, or do you want to be the interviewer? How am I gonna get through it? By the way, John Mulaney has spoken about being, uh, addicted to alcohol, cocaine. I love that he can joke about that, and Vicodin, are some things that he's talked about. And this, this whole like, good. Do you see the first question? Hold on a second. The original story is below. It's like bolt bolded the first questions, bold Did you see any ghosts today? Um,

Arden Benner 19:45
already asked. I don't I'm confused why she asked him that I'm trying to figure it out. Who do you want me to be? John? Sure.

I'll ask the questions. You be John Mulaney, okay, okay, okay, all right, go ahead. Did you see any ghosts today? I haven't, but I walked out. What is supposedly the most haunted building in New York City. Oh, where is that? It's a vacuum on

14th, between Fifth and Sixth, and it used to be a boarding house. My, oh, my, apparently, just incredibly haunted, like alter guys taunted.

Scott Benner 20:17
What about vacuum cleaner? Store made you laugh immediately,

Arden Benner 20:20
because what the hell is he talking about? Oh, get

Scott Benner 20:24
up on that microphone when you're reading. Did you get a chill or a bad vibe? It doesn't

Arden Benner 20:29
give me a bad vibe anymore. I think when I first walked past it, I knew what it was, so maybe I faked the bad vibes. Although I walked by a house that was haunted in Los Angeles, and I didn't know it was haunted. It was just kind of like, Oh, what's this house? And then slowly I was like, I don't like this place. I'm going to walk away from here with my dog. And it was called The Murder House of Las Felice, and it had a terrible history. That's the only time I've really had a creeping sense of ghouls and ghosts out of nowhere, and then,

Scott Benner 21:04
what is he talking about? Why don't you ask the next question? I'll do that answer. I

Arden Benner 21:09
feel like there's a horror comedy in your head begging to come out at some point.

Scott Benner 21:13
Well, I'm trying to think I'm not good with hard devices like twists and things like that, but I could write a comedy about someone who's just haunted and scary. I do have an idea. I used to watch this show, ghost kids, children of the paranormal, and it was about real life, six sense kids. And it was very compelling. And I believed these kids, and I always thought that would be fun, like Bad News Bears type movie, where either one of the players sees ghosts, or maybe it's kind of like a dawn, like a down and out team, because they all see ghosts, and that's their thing, as opposed to being like the team without much money, they're the team, but this is like a co grant, if I've ever heard one, they're the team that sees ghosts, so that's why they're last in the league. And if you think I'm not just making that up. I'm not just making that movie up on my feet. You're absolutely wrong. I'm coming up with it as we speak. All right, hold on. Would you watch? But I don't want to add to your plate, which is already pretty full. Look at that. Look at the interview. Trying to be nice to him. Maybe like bringing them back a little bit, you have this Marvel Contest of Champions thing you're doing, which is a continuation of your spider ham roll. Actually, we're coincidentally talking on the anniversary of spider verse. It turns to today.

Arden Benner 22:32
It does turn to, yeah, I remember two years ago going, Oh, into the spider verses out. I'm not just kidding. I do recall it. You know why? It was the first movie I was ever in, so it was a big deal. Then it

Scott Benner 22:45
went on to critical and popular acclaim. That's always good. Yes,

Arden Benner 22:49
which Peter Ramsey and borrow proschetti. Proschetti and Rodney Rothman, they made such an incredible film that I definitely felt a part of it. It felt like watching a perfect meal being served, and I knew I chopped the garlic, I felt in all of it. And then people go, congratulations. I'd be like, on what? And then they'd be like, the movie. And I was like, Oh yeah, that's other people. And they're like, No, you're in it. And I'm like, Okay, fine, if you want to give me credit, I'll take it.

Scott Benner 23:15
You got his cadence there a little bit, I

Arden Benner 23:17
know, because that's how he was saying. I'll ask the next Okay, good. Well, how does it feel to be reprising the character again? Now for this campaign that you're doing, it's so

Scott Benner 23:26
natural. It's crazy. The thing that was fun about doing this character was that I spoke in my voice the way I talk with slight volume raises. But it took until someone offered me a spider man, pig character before I could say, like, oh, they just want me to be me. I feel like Cary Grant got a I feel like Carrie grant got a lot of those offers where he's like, where he's like, I see they just want the Cary Grant shoot in my first wreck, in my first records. I was like, What are you looking for? And they were like, talk the way you would.

Arden Benner 24:05
This also coincides with the new season of big math. It seems like you gravitate towards voiceover work a lot more often than some of your peers. What is that you like about it? Oh, I

Scott Benner 24:15
really like it. First off, it's something about the acting. It's performative. Fully. If you watch someone do an animated voiceover, you're throwing the action into it. You're trying as much as possible to recreate the loss of breath or the fact that they're struggling to get over something, and other than breathing on the mic too harshly, you're able to kind of act in that space can't breathe. I find it really fun. Also, it's an easier way to do, like, five takes in a row. You can be like, actually, let me do five blammos. And there's no, there's not camera rolling and 100 grips and lighting guys. So you can just go, let me do five blammos. It says here in the article, he proceeds to read, blame, oh, five different ways. Blammo. Blammo. Oh, blamo, blamo, blamo. And that's acting, what I just did. So you can really play around. So you can really play around, even more so than you can on set. What's interesting is when you first get into the voiceover booth, normally, I'm coming off the subway, and I haven't been in talking and yelling. So everyone comes into voiceover. It's not that they're rusty, it's just more like they're just used to speaking in an inside voice. So the first takes of any animated thing be at big mouth, or this new Chip and Dale project or spider like how he throws in his Chip and Dale project or spider verse, the first takes are always like, Hi. This is Peter porker. I'm here. I'm a reporter. I want to help too. And they're like, Okay, great. Now do it with energy and as if you were definitely Peter porker and not someone who was just on the subway. Hold on. I'll reach you the next one. Awesome. He's awesome. He must have been about to get to the best part. Okay, well, the whole thing's the best part. I don't care what people think you have. The Chip and Dale thing with Sandberg, I'm sensing a theme of voiceover characters here. I love

Arden Benner 26:07
how you said that I chose them. I must admit, I, for a very long time, much, very much wanted voiceover work. And then big mouth, then spider verse came along, and I was like, yes, yes. So I don't want to say I just accepted these films, because I would take anything, but more, like I was really open to it, and then they offered it, so I took it.

Scott Benner 26:26
What about the spider ham roll specifically? Do you enjoy tapping into especially now that you're getting to do more of this time around? I like

Arden Benner 26:34
that. He takes his day job seriously. He has an air of he's always pushing the reporter thing first, I like that he, I don't know if he maybe compared to some of the other spider verse spider creatures. He might have the highest EQ seems very sensitive about himself and others. But I mainly like that he talks in an old timey voice and says stuff like blam Oh. And I think also can't help himself with hand puns. Anyone who goes for jokes constantly, even though they know that they're completely hack and stupid, is always a hero. All right, let's take a breath. Wait, Dad, this is the best one. I want to be here.

Scott Benner 27:12
I want to talk about how this year has been for you creatively, because around this time last year, you were coming off sack Lunch Bunch, which was arguably one of your biggest creative risks, and it really paid off. How has your creative process been impacted by this year? If

Arden Benner 27:28
you heard that spoon, it's because I'm eating a bowl of fruit loops working in this new reality. At first, I thought, okay, now's your chance. Literally, you'll be alone without any collaborators. You create anything you want. There's no clock. And what I realized was I really like working with other people, which was not hard. Once people really dove into working over zoom at first, when I heard about that, I was like, There's no way people are going to work this way. I don't know why I was so skeptical, but I was and I definitely was thrilled once I started being in touch with friends again and collaborating on the new sack lunch bunches and did the oh hello podcast, the life and death of Princess Diana. Once I was back, even virtually, with the people I love collaborating with, like Nick roller, Marika Sawyer, I felt much more at home the idea of sitting alone waiting maybe someday I'll have my ADHD under control and we'll be able to do it. I'm probably on stage with an audience or with other people writing documentary now, or recording big mouth or those movies. I'm not Philip Roth. And I know you'll think I'm Phillip Roth Frazier, but I'm not.

Scott Benner 28:25
Oh, man, you just popped the bubble. I know I'll

Arden Benner 28:29
ask the next question, wait, has working on late night, Late Night with Seth Meyers giving you that structure you were seeking

Scott Benner 28:37
laughs. So I guess he laughs. It's really fun, and it's really fun to go into an office and work with friends. It's not simply a case of structure, but yes, it is nice to have an office, where office to go to, where it's super safe after doing Saturday Night Live, I thought I really miss going into a workplace when I realized I had very lucky opportunity to go into Seth's show, I was stoked, because I realized not a lot of people get to recreate that or have that interaction right now, so I'm extremely lucky to be able to watching

Arden Benner 29:07
your segments. Made me wonder, would you ever build up to having your own talk show just John Mulaney and guests? Well,

Scott Benner 29:14
it's interesting you say that from my segments. I don't know if the persona I'm playing in those segments would get his own talk show, but I always wanted to do a talk show where the guest is always someone from a job that I don't understand. I'd love to interview a dog catcher and be like, what's that like? How do you feel about yourself? I'm not judging, but I am a little How do you feel? Rounding up dogs and taking them to the pound. I had two ideas for a talk show ones. And by ideas, I mean I thought about them in the privacy of my own room. One would be just interviewing people who do anything that interests me, and I don't mean like on the ground and I'm watching them do their job. It would be like a talk show set, and they'd come out, and there'd be a band and so forth. In case you were confused. City. He meant go to work with them. The other thing was just to have only elderly people on which I obviously would not do to the risks. But I just thought it would what are the risks of

Arden Benner 30:12
having elderly I think this was during COVID. Oh, okay, all right.

Scott Benner 30:16
But I just thought it would be great to talk to old people, especially if they were comfortable talking about being at the end of their lives and just go, did you like it? Did you not ideally? Maybe like a four year old and an 84 year old, or a 40 year old and a 94 year old, that would be our ideal lineup.

Arden Benner 30:34
Okay, I think we should skip to the bottom, okay, where she says to him, this goes on forever. Everyone should read this, by the way, where she says to him, I think what we've established in this conversation is that there are a ton of different ideas rattling around in your head that you should definitely make happen.

Scott Benner 30:49
If that's what people took away from this, I'd be thrilled.

Arden Benner 30:54
She says, I don't want to take too much of your time away from the Fruit Loops. They're

Scott Benner 30:59
done. They're long gone. Frasier was he eating the fruit lips the whole time? I believe so, because he she heard this at one point, and

Arden Benner 31:07
it ends and she says, we're a year away from sack lunch now. One of the key segments, and that was talking about fears after the year that we've all had. I wanted to know if your fears change with 2020

Scott Benner 31:17
Well, I think a lot of people have noticed what isolation is actually like it's not good for you. I think people have adopted a great deal more compassion in some regards for their fellow man. Isolation certainly is, I don't know if it's a fear so much as now appreciate how scary it is that other people pretty much make life worth living, but my major fear remains the same, which is the Russian mafia. So now in the stand up, what his what does he end up? By the way, Frazier Tharp is the editor at GQ specialized in dictating entertainment coverage. I believe Frazier is the writer of this, this piece. They are. I mean, kudos, Frazier. It's wonderful. But what does he say then in the stand up afterwards? Like did? He was just, no, it ends the stand up. He just reads that at the end of it, yeah, okay.

Arden Benner 32:10
He's like, Thank you for having me, whatever. But it was, it's the way that he does the fruit lifts part. And I just, I can't take it. I think he might have had like a spoon with him that he dropped on stage. No, yeah, I don't think so. Something happened. I feel like he makes the sound or something. You

Scott Benner 32:31
were just so into it at that point, though, and he

Arden Benner 32:34
was and he says the whole like, if you heard that noise,

Scott Benner 32:40
I dropped my spoon. You should watch this. Do you know what it's called, that up at the John Malini, but do you think you were laughing because you were in a big group of people like do you think if you would have seen that at home, you wouldn't have laughed like that?

Arden Benner 32:58
Maybe, I don't know it's possible, but God, the Fruit Loops killed me. I was long gone after that one. Is it? Baby? J,

Scott Benner 33:06
no, I don't think so. It is. Is it? It is because that's his latest one from 2023 it's called Baby. J, I'm sorry I couldn't hear that great because Netflix was playing in my ears when I was looking so when you're around your friends, oh, it is okay. When you're around your friends, you guys giggle like crazy.

Arden Benner 33:24
Yeah, they they have a lot to say. But do you think? Well, I've also, I've also known them their whole lives. So you know, I know every detail about them. What makes things funny? What makes what's not funny? Okay, I don't know the whole yawning thing, though. I can't, I can't help you with that. What do you can't help me with that. There's no evidence to

Scott Benner 33:43
that. Why do you mean there's no that happens to everybody, doesn't it? Yep,

Arden Benner 33:47
there's no evidence to why that happens. Is what I'm trying to tell you. It

Scott Benner 33:50
says there is Hold on a second. No, there isn't. It brings up mirror neurons again. In fact, it is so contagious that you don't ever have to see another person yawn, to yawn yourself. Sometimes all it takes is hearing a yawn or thinking about one. You may be yawning right now, talking about this,

Arden Benner 34:07
trying so hard not to do it.

Scott Benner 34:09
Well, it's like, Oh, I did it right away. You

Arden Benner 34:14
wouldn't know this because you never went to college. But like when I go to, like, my big lecture classes, as soon as one person coughs for the first time, it doesn't stop. The whole class. Okay,

Scott Benner 34:30
so this is really interesting to me.

Arden Benner 34:32
The whole class, it does not stop. And I know they don't have to cough

Scott Benner 34:37
the first time it happened to me. I'm gonna sound I don't know what I'm gonna sound like right now, but I'm a big fan of classical music, so mom and I saw Yo Yo Ma in New York when we were younger.

Arden Benner 34:48
And it was like, it was like five years ago,

Scott Benner 34:53
Mom and I have seen Yo Yo Ma number of times live, not just once. What?

Arden Benner 34:56
Yeah, was I alive? Probably. You don't even know.

Scott Benner 35:00
I mean, the last time we saw him was 2018 God is it 2024 so six years ago, saw him in Washington, DC. But the time before that, I don't remember, we were in New York, and he'd play for a while. And throughout the playing, there's just, there's this smattering of like, like throughout the crowd, right? He'd stop playing, and then it was silent, like during the intermission, silent in the place. Then the little bell would ding. Gives you the idea, like, you know, in a couple of minutes, gonna start playing again. And as soon as the pressure hit some people that they had to be quiet, they started like, they start coughing, coughing, yeah, yeah. It's ridiculous. I know it's so annoying that pressure it's annoying, is what it is, okay. Why, in a moment when quiet is required, do some people cough? This the thing I'm noticing and no one else is noticing, or is it going to heightened awareness of silence? This is what I think it is nervousness or anxiety intense situations, such as during exams, important meetings or performances. It can make people anxious or nervous, and anxiety can lead to physical responses like dry mouth throat, which triggers a cough. It's a kind of nervous tic that releases some of their tension, tension to respiratory sensations, psychological influence. There's an also an element of suggestion. When one person coughs in a quiet room, they might become more aware of their own throats and then feel compelled to cough. Yeah. It's really annoying. It's fascinating. Like, as soon as you need to be quiet, someone's like,

Arden Benner 36:43
that's why. Like, you know that movie a quiet place? Yes, everybody did. No one would survive that. Everybody be done in 10 minutes. That's right. Who wrote that? John Krasinski from the office. I love him. You didn't get that part right. How do you feel about him? And Emily Blunt, hmm,

Scott Benner 36:59
she seems fancier than him,

Arden Benner 37:02
right? But also, I find him to be more attractive than her.

Scott Benner 37:07
What say you? Why is this? I don't know. He's a man who's gotten much more attractive as he's gotten older. Am I

Arden Benner 37:13
right? She's gotten more manly. I would say, really, I thought

Scott Benner 37:16
it was weird that he was gonna play like it's fantastic. Four No, no, no, no. He's in an Amazon series. It was pretty good. Jack Ryan, oh, yeah, I never watched that, yeah, and he was believable in it. But, like, see how his face is, like, build up and gotten no, I can't see what you're looking at his face. You think about his face, he looks more rugged. Oh, I thought you meant in the show, he looks rugged now, like he filled in. Yeah,

Arden Benner 37:40
more manly. He seems more manly now. And he's very strong. I'm pretty sure,

Scott Benner 37:44
yeah, that's from being rich and being able to, like, lift all that stuff all the time. But I don't know, like you think he's the better looking person in their relationship. I

Arden Benner 37:55
think so. I also think that Emily Blunt looked much better with her red hair than her blonde hair. Really, I think the blonde hair makes her look older. And I also think that she's one of those people that's like, she was cast in like, a couple good movies, and now she can, she's just casting, like, some terrible stuff. But people would just be like, Oh, it's

Scott Benner 38:13
definitely blunt. You think she had such an opportunity after, um, your favorite movie? Yeah,

Arden Benner 38:20
is that your favorite also, wait, is that your favorite movie? It's one of my favorites. Devil Wears Prada. Yeah, it's a great movie. I can watch it. But I took my, um, when I was in like, sophomore year high school, junior yeah, I forgot. And I took like, those college classes for film. I put that down as one of my favorite movies. And I remember the professor being like, that's one of the best choices that, like I've seen so far. And I was like, Do

Scott Benner 38:44
you know what year that movie came out? Yeah, 2006 How do you know that? Because I love that. You just know that? My god, that was awesome. Yeah, she's very famous, but she hasn't been in a lot of good movies. Am I wrong? I mean, yeah, she has Yeah, Gulliver's Travels, The Wolf Man, this is stuff nobody's seen. Arthur Newman, Edge of Tomorrow was awesome with Tom Foos. That was great. Were they like, it's Groundhog Day. Do you know the movie I've never seen, I've never seen Edge of Tomorrow is really good. You should watch. Oh, I finished that movie I was telling you about yesterday. Oh, let me say she was in looper. I enjoyed looper. Oh, and Sicario. You ever see Sicario? No, that's a good movie. But

Arden Benner 39:31
I'm talking about, like, now, like, she was in Oppenheimer. I know that, yeah,

Scott Benner 39:35
but, but right before that, the movie she did before that, was Jungle Cruise with, like,

Arden Benner 39:39
Judge, I was gonna say it's with the rocker, yeah? Like, what is that? And that

Scott Benner 39:44
last thing, fall guy, I put it on on the cable, but let me just tell you, it's not good. You know what I mean? So, all right, go ahead. I'm sorry. We're gonna also, you

Arden Benner 39:53
know what? I feel terrible about that the woman who plays Pam is not close to as famous as Jon, Christopher. Ski. You think she should be more famous? Uh, I don't know that she should be more famous, but, I mean, he really leveled up compared to

Scott Benner 40:07
her. Pam Beasley, what's her name? Pam Beasley, no, her the actress, Jenna something, oh, played by Jenna Fisher. I'm sorry. Yeah, yeah. God, sorry, sorry, jeez, I'm sorry. I don't know her name. You're coming at me today. I'm sorry I didn't know her name. Yeah, I mean, she's making a podcast. I mean, can you imagine, yeah,

Arden Benner 40:27
with what's the Angela woman? Right? What a lovely profession. Yeah,

Scott Benner 40:31
no, I see he really did, like, let's, let's go through them, right? Most of them didn't do much rain. Wilson's just, like, professionally rain. They must be also wealthy. That's what I keep thinking. Like rain will especially

Arden Benner 40:44
because what it's still on all those platforms, it's still like, you go to a hotel, the office is playing

Scott Benner 40:51
always, Steve Carl's gotta be always. Steve Carl's gotta have, like, amount of money, right? Yeah.

Arden Benner 40:56
He's also been in so many movies. He's in one of the best rom coms of all time. Crazy Rich love, everyone should watch that. What is it? Crazy Rich, love, Dad, you've seen it. Come on, have I really

Scott Benner 41:07
crazy? That's great movie. Whoa. I know we shouldn't believe this stuff online, because whatever, but his estimated worth is $80 million so yeah, maybe that's why she's making a a podcast. Maybe she's just doing it because she's what's, what's her estimated worth? Hold on, a second. What's her name? Again, Jenna Fisher. She was in

Arden Benner 41:28
a she was in a sitcom for like, five minutes, and then that ended too, being divorced or something.

Scott Benner 41:33
I mean, the inner web has her at 12 million bucks. You can make it with that. That'll get you through. Don't you think, yeah, I'll take 12 million. I read somewhere that Jenna Fisher made 30 to 40,000 an episode for the first three seasons of the office. And after that, this is like Reddit. And after that, what I don't know but these pot I'll tell you what the podcast skip her. You know, they just sold that smart list podcast for a big pile of money. Again, like they sold it once, like three years ago, and then they sold it again to Sirius XM. So that

Arden Benner 42:06
would be 800 around $840,000 a season for the first three seasons, so times three. So she makes 2.5 million for the first three seasons. Then she's got to get a raise from there, right? Yeah, because that's a lot of money. But think about it. It's not that much money. It's not

Scott Benner 42:22
live the rest of your life money. It'll especially if you're spending it living like in California and stuff like that, it's gonna go away, right? Yeah, they don't even pay people like this anymore. I don't think at one point she was raised to $100,000 an episode. Is that back when they were doing 24 episodes a year?

Arden Benner 42:39
Yeah. So that's what, 2.4 million a year. Give that, like, four seasons, that's 9.6 million. She's got, hopefully still, but still it ends. And then what? Well,

Scott Benner 42:51
yeah. I mean, you could make it through your whole life with 10 million but, I mean, really have to try,

Arden Benner 42:56
yeah, but not if she's not, if she started spending, like, Oh, I'm making money now I'm saying, like,

Scott Benner 43:01
she'd have to try meetings. She'd have to live like a regular person. Yeah, maybe she does. It's

Arden Benner 43:07
not, it's not like, so interesting. How quickly money goes. Yeah.

Scott Benner 43:11
It's horrifying, actually. Yeah. So the coughing thing. So how many other things are we doing because the people around us laughing, yawning, coughing. So hold on laughing, yawning. I'm gonna yawn again, by the way. I wonder if we blink when other people blink. I just yawned again. I seriously, all right. So I asked, what else do we do? Because other people have done it.

Arden Benner 43:38
Let's see, maybe, like, touch our face a certain way, move our hair. Phenomenon

Scott Benner 43:42
is often referred to as social contagion, or behavioral mimicry. Smiling, well, that's nice to know clapping. Think you smiled when I said it was nice to know that about smiling, I laughed at you, oh, oh, because you were like, because I was being like, Oh, I really think that's nice to know because you could smile and other people would smile too. I smiled at a lady in the parking lot today at the grocery store, and she smiled back at me. Well, that's

Arden Benner 44:05
great. It was really nice. No, it was. But I have a thought in my head right now. Go ahead. I remember hearing watching a show or something, and they were talking about, like, oh, like, how do you know if it's like a young girl, she's in high school, and she was like, I want to know if my crush is looking at me, but I, like, can't tell, and they did, like, a yawning test. Oh, so she started to, like fake yawn every time that she looked away from him, or something like that, to like fake, you know, because if he saw her doing it, because it's all about if you have to see the person doing it, right? So,

Scott Benner 44:38
yeah, it's every time you say it, I yawn, go ahead. So she

Arden Benner 44:43
like, turned away, and she was like, every time I felt like he was looking I would yawn, and then I would kind of like, turn my head back to that area. And she was like, and finally, like, I saw him starting to yawn whenever I did, that's a good tip. That's

Scott Benner 44:54
a pro tip, a flirting pro tip. So do you want to know what else we do around each other? Smiling? Clapping, a standing ovation. If you stand up and start clapping, is that why we have to stand up at like, sporting events and concerts? Because once somebody stands up, everybody does it. No, I thought that was just kind of respect standing I never understand standing ovation. I'm at a baseball game. I can't sit and watch it. One guy stands up. Everybody stands up now. We're all standing for nine eggs, which I don't mind, because I'm used to standing at your games. But like also, here's one crossing your arms or crossing your legs. Oh,

Arden Benner 45:30
I saw I was I walk. I was walking like that yesterday because I was cold, because it's getting cold here now, and someone walking towards me, I saw them look at me and do the same thing. Their arms, cross their arms, yeah, almost like, oh yeah, it is cold out. I'm gonna cross my arms. Now. You've reminded me that it is cold and yeah,

Scott Benner 45:51
in a modern phenomenon, if one person in a group checks their phone often, other people's will very reflexively, yeah. Well, that makes sense. That makes perfect sense. Giggling, similar to laughing, giggling can be contagious, especially in awkward or quiet situations. Looking in a certain direction, you can look off and get other people to look off in that direction as well. Eating.

Arden Benner 46:12
Well, yeah, but that makes sense, because people will be like, What are you

Scott Benner 46:15
looking at? Yeah, I know. But also you could just not look that way. Eating, nodding. Start nodding. People nod along with you, right, uh, scratching or touching your face. That's what I said, touching your face probably. And in group settings, like a meeting, if one person stands up to leave, others may start to stand up too, almost like the like they think, like, oh, it's winding down or on board, and it's now okay to leave because someone else has thought it,

Arden Benner 46:43
yeah, it's like, one person closes their laptop in class, and suddenly the class is over. Yeah, very interesting. And I always sit there, like, do we not have like, 10 minutes left? Like, what are we doing? Like, what one person? That's like, one person gets out to go, and there's like, seven minutes left to class, the professor will be like, Okay, guess that's it for you guys. Goodbye. Like you can't control them anymore. It's insane. It's crazy,

Scott Benner 47:07
wild. Heard of like people leaving, yeah, and

Arden Benner 47:10
I always sit there and I'm like, no respect. That's crazy. I

Scott Benner 47:15
think you and I have done a public service here today with us. You agree it'd

Arden Benner 47:20
be a public service if any of these people could take my exam for me. So

Scott Benner 47:24
far, we've done inner monolog, money, fingernails. What blind people see? Why don't people get what about

Arden Benner 47:29
being itchy? Like, like lice? Like, when you say lice and people think their heads are itchy, okay,

Scott Benner 47:35
when or when you think a bug is falling on you? I said, What about when someone talks about having lice? When someone talks about having lice, many people immediately start to feel itchy and may begin to scratch their heads. This is a psychosomatic reaction where just hearing or thinking about something triggers physical sensations in the body, even though there's no real cause, like actually having lice, your awareness is heightened. You have you can get a sympathy itch, or even the like hypnosis, like the power of suggestion causes your brain and triggered a physical reaction. Does your head feel that? You know that we're talking about it? Yeah, on the left side, I have one in there. I feel like in the middle for a second, just I also kind of need to take a shower. So I'm not really sure what's going on. What was I just gonna say? Have you ever seen the a close up look at the bugs that live on your skin? Yeah, I don't. I'm good. You don't wanna do that. No, I'm fine. I'll be good without that, I think. But just personally, you know what I mean. So how's school going?

Arden Benner 48:35
It's fine. I have a lot of work to get done this week before I come home, so I'm not doing it all at home. But other than that, what do you

Scott Benner 48:42
ever What are you and I? You and I doing together when you come home? We have any plans? You should not tell the internet about that. Why? Because I need to get my Oh, the other thing, what were you talking Well, you've been gone for a while. So my eyebrows are a wreck.

Arden Benner 48:57
My eyebrows are too. I plucked a little bit right in here and right here, but it's just, it's never the same. I to get my nails done too.

Scott Benner 49:03
Mine are struggling. No, I had to. I had to, like, do some, like, weed whacking up there on my own. But my eyebrows suck, right? Yeah, mine are great. You do have great eyebrows. Mine are terrible. I don't like them at all. But, oh, we're gonna tan together, Dad, don't tell the internet that. Why don't do that. Don't tell them, you know, don't tell them about UV

Arden Benner 49:26
No, just as a man, don't tell them that you're getting

Scott Benner 49:29
I just came, we came back from vacation, and I know I understand. I completely get it feel like I looked better with a little bit of a tan, and now it's starting to fade, and I kind of want to punch it back. Everyone looks better with a little bit of a tan. I'm gonna punch it back up a little bit. Is there anything wrong with that? No, I'm just, am I the crazy one? What was that? It's an impression, something from a thing. Yeah, that you wouldn't know about one second. Sending you a picture, I think you need to see. Okay? I mean, sure, let me know when you say it stop. Don't send me that just a little bug that's on your skin, that's Is there a bug in the bug? Is there a bug in the bug? No, that's a picture of the bug. That's its mouth, all the little feelers and the pinchers and everything on it. It's crazy that that thing exists. You don't know it's there, and it's probably right now, like, in your butt hole, or between your teeth or on your toes or something like that. You picked probably the three worst places. And it's, well, yeah, I'm thinking of where, like, Where would I if I was a bug? Or would I really want to be in the dirty spots? You know, so like, but that you don't feel it moving,

Arden Benner 50:34
yeah, I don't understand. It's like, where their own little universe? That's

Scott Benner 50:38
right, you're, you're the universe, one of those little bugs. It's like, when does it end again? The are there bugs living on those bugs? Because I'm, I'm the earth version of this. Yeah, you're a little bug living on the Earth. Yeah, crazy. There can't be bugs living on the bugs, right? Because we'd see it with the microscope, wouldn't

Arden Benner 50:58
we? No, it's probably not strong enough. There probably is bugs living on the bugs. Wait, are there bugs? It just, it's just, literally, it never stops. But if you got reincarnated as this bug,

Scott Benner 51:10
I mean, it might be relaxing. Oh no. I was listening to an interview today about somebody making French fries, and I was like, That, sounds like a nice, relaxing job. Okay, so can I said, Are there bugs living on the little bugs that live on humans? Yes, there can be bugs that live on the bugs that live on humans. This is part of the concept known as hyper para Wait, hyper parasitism, where parasites themselves have parasites, in the context of

Arden Benner 51:40
Yeah, and so on and so forth. And this never ends well, this is why it's like, what like, we know about our universe, but what about other universe? Like, it's not crazy to think that there's like, other stuff, viruses

Scott Benner 51:53
are alive, right? Yeah. Or what about like, how, like, the coral reef is alive, or whatever. It feels like a apartment complex of people who just needed a place to stay to me, and they just jump on like, right? Because the corporal reef is just living things that live on a rock, and then they die and leave their ex ex, those skeletons. Is that what it is? Man, I don't know. Okay, some people, by the way, argue that viruses are alive, but some people say they're not. They don't have cellular structure. They can't reproduce on their own. They have no metabolism. But the the argument for them is they can reproduce with help. There seems to be evolution, and they interact. Sounds like me, what sounds like you? They can reproduce with a little health, with a little help, no metabolism. Your metabolism is pretty good, don't you think, yeah, it's average. A coral reef is primarily made up of living corals and calcium carbonate, which is like limestone structures that they produce. But where do they start from? Like, where do they start

Arden Benner 52:52
from? Where does anything start from? That has been my question since I can remember, there's living organisms, like coral. That's why like, even like, I'll hear about other people is like, like, all these different religions or whatever that people believe. And I'm like, This is great. This might be true, I don't know. But where does your thing start from? How did that come about? And then we just kind of look at each other, and we don't have the answer, yeah, because I know it didn't just pop out of thin air. That's not how that works.

Scott Benner 53:23
Well, there's, I mean, what are the I

Arden Benner 53:27
just don't understand how anything was made. Anything at all. I don't get it.

Scott Benner 53:32
So what are we looking for common thoughts about, like, how the planet began?

Arden Benner 53:36
No, don't even look that up. It's so deep. It's just because, like, think about it like this, like, we're made, okay? Our parents make us. We're all these different cells put together. But before humans existed, or whatever, there's like plants, but then plants are made from something. Something's made from something else. Everything's made from something, right? Everything's made up of something. But how does the first thing get made? How does anything exist? Yeah, how is how does space exist? Because space is made up of things too. What come first the chicken or the egg? Yeah. So how does space exist? But then, if there is no space, what is there? Because even when there is nothing, nothing is something. Because I was

Scott Benner 54:18
going to say, maybe it's even like the way the coral reef started, right? Like, stuff just congregates in one place, then keeps building. But where did that come that stuff get there, right? Yeah, you should see the extensive, like, amount of information that's coming back from my question, yeah, because

Arden Benner 54:33
it's probably, like, the greatest question in the world. Like, how, how do

Scott Benner 54:38
we? There are several widely accepted scientific theories and concepts about the beginning of planet Earth and the formation of the solar system, the solar nebula hypothesis, the formation of Earth, the cooling and solidification of Earth, the Haden effect. Hayden eon, the first few 100 million years of Earth's existence are known as the Hayden eon. On a period marked by extreme heat, widespread volcanic activity, frequent collisions with other space debris. It was chaotic. It's fine, but where did all that come from? Well, then I, at the very end of all this, I asked the other the follow up question, where did the material for that come from? It says, And it said, Man, I don't know. The material that formed Earth and the rest of the solar system came from the remnants of earlier cosmic events, particularly from the death of pre previous generations of stars. But

Arden Benner 55:26
where do the stars come from? But where did that come from? Like we could just keep going forever, right? Doesn't make any sense. Well,

Scott Benner 55:33
I mean, it does make sense. It just you don't know where it came from. Don't you want to know? So bad. I mean, I'd like to know. Oh, that is my biggest question. So the big bang theory is the beginning of the observable universe 13 point 8, billion years ago. So I think the idea is that what we're able to know is how far back we're able to look, and that's based on how strong our telescopes are. Yeah, because, what's happening to us right now is the end of some reaction or action that happened at the beginning. So wherever the beginning was, there was a beginning that it all just kind of moved out in 360 degrees. When

Arden Benner 56:14
you look into space, you can, you can see like in the past, or you can see, like, what's going to happen in the future, or something, right?

Scott Benner 56:20
You can see what's coming. Yeah, so crazy. That makes no sense at all. Singularity. That's

Arden Benner 56:26
why, when people ask the question, if you could have they're like, Oh, you can have dinner with one person, dead or alive. I always say, like, whoever it is that, like, knows where everything started. Whoever that person is, that's the person you're looking for. That is the person I want to talk to. So there are obviously limits to our current knowledge about this, but this is pretty awesome. You should go to chat GPT and ask this question. Do you know in second grade, we had to write, we're supposed to write an essay on anything we wanted. And I asked my teacher if I could write it on like that. I was like, I don't understand where we come from. And she's like, let's take a new topic.

Scott Benner 56:59
How about cats? Do you like kittens? They're very Yeah,

Arden Benner 57:03
actually, I ended up, I ended up writing a story about how a dog got hit by a car. Did you that's

Scott Benner 57:07
what you went to? Yeah, you are now, think we're getting the answer to this one. I know it's so annoying. It's my it's my biggest mystery, interesting. I think some people are just gonna say, like, like, I think that if

Arden Benner 57:19
you were in a situation where you were murdered, and I didn't know who murdered you, and I was someone said, I can either tell you who murdered your father, or I can tell you how everything was created. I I'm sorry, but

Scott Benner 57:30
you're already dead. So yeah, so you know, whatever, even if you were to say, I think God made all of this, that's cool. Where did he? Where did he come or she? Where did they come from? Then? Yeah, exactly. I see your point. You can't just like God, like no God, have little bugs living on his skin.

Arden Benner 57:52
If I was God, I would make sure no bugs lives on my skin. All right, let's stop there. Be like, you know what? Let's not, let's not have that.

Scott Benner 58:01
All right, well, let's stop there. I think we've done a great job today. I hope people stuck the John Mulaney reading, because it was definitely worth it. I appreciate doing this with you. I like getting together once a week while you're away at school. I think this is pretty awesome. I'm getting nice feedback about the podcast from

Arden Benner 58:16
people. Whoever gives you the bad feedback, give me their number. I'll talk to Yeah. What are you gonna say to them recently, it was, it's for when I have to talk to them. Oh, I just logged wait. Recently there was bad feedback. No, recently

Scott Benner 58:27
there was great feedback about the money episode.

Arden Benner 58:31
A money episode, yeah, we talked honestly. I can't lie. I don't know what you're talking

Scott Benner 58:35
about. Oh, that's awesome. Do you know when Isabelle and I just talked about this last night? She's like, do you think you'll ever I literally do

Arden Benner 58:42
so much stuff here, like, I don't know what we've talked about. I know we talked about Bridget Mendler, and I know that's where my knowledge ends.

Scott Benner 58:49
We've talked about internal monolog, money, fingernails, what blind people see? Why don't people get sarcasm? Bridget Mendler, and today we did. Why is laughter, yawning, coughing, etc, contagious? I remember

Arden Benner 59:03
the what blind people see thing pretty well. I remember a little bit of the fingernails, because I just, like, wished you would stop using big words, but that's about

Scott Benner 59:11
it. I just logged online to see where I don't see it here, but what popped up in front of me is there's a person in the private Facebook group that's celebrating their five, five, a, 1c, they're super excited. So that's awesome. But there were people who were who liked the money episode a lot that you and I talked

Arden Benner 59:28
about, I wish I remembered it. I couldn't. I can't tell you you didn't listen. What was

I don't listen to those

anyway, that brought supposed to listen to myself. Yeah, I had the conversation, I know.

Scott Benner 59:40
But people come to me and they ask me about what happened on episodes, and I'm like, I say the same thing. I'm like, I don't know. Like, I talk about it, and then I ship this off to an editor. So I don't I used to at least do the editing myself, so I would get to hear the conversation again six months later. And then when it went up, when it went up, then people. Asked me a question. I'm like, Oh, I just heard this last week, because I was you

Arden Benner 1:00:03
asked me what I learned in class today, and it took me a while to, like, I only retrieved like, one thing of what I learned. Like, I don't know. Yeah, that's a lot to ask. You. Think

Scott Benner 1:00:11
people learn while they're sleeping? Like, is that possible? We'll figure that out a later date. Nevermind. All right, and we and that's, I have to pee so bad. Go P we're done. Okay, bye. Anyway,

the conversation you just heard was sponsored by Dexcom and the Dexcom g7 learn more and get started today at dexcom.com/juice. Box. This episode of the juice box podcast was sponsored by us med. Us, med.com/juice, box, or call 888-721-1514, get started today with us. Med, links in the show notes. Links at Juicebox podcast.com the diabetes variables series from the Juicebox Podcast goes over all the little things that affect your diabetes that you might not think about, travel and exercise to hydration and even trampolines. Juicebox podcast.com go up in the menu and click on diabetes variables. If you enjoyed today's episode, please share it with someone else who you think might also enjoy it, and don't forget to subscribe or follow in your audio app. And make sure you have that setting that says, download new episodes, make sure that's checked off. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. Hey, what's up, everybody? If you've noticed that the podcast sounds better and you're thinking like, how does that happen? What you're hearing is Rob at wrong way. Recording, doing his magic to these files. So if you want him to do his magic to you, wrong way. Recording.com, you got a podcast. You want somebody to edit it? You want rob you?

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#1397 Caregiver Burnout: Navigating Social Experiences Post-Diagnosis

Navigating social experiences post-diagnosis 

Navigating Social Life Post-Diagnosis: Erica Forsyth discusses the emotional and logistical challenges caregivers face in social situations.

Practical Tools for Caregivers: Discover strategies to manage social interactions, from finding trusted care to handling well-meaning but tough questions.

Breaking Isolation: Explore how to balance caregiving with maintaining personal and social connections.

Shared Experiences: Real stories and advice from caregivers to help lighten the load and find a supportive path forward.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Google Play/Android - iHeart Radio -  Radio Public, Amazon Alexa or wherever they get audio.

+ Click for EPISODE TRANSCRIPT

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

Scott Benner 0:00
Here we are back together again, friends for another episode of The Juicebox Podcast.

Erica Forsyth is back today for our fifth installment of the caregiver burnout series. If you've missed episodes, 123, and four of this series, go back and get them. If you're interested in learning more about Erica, you can find her at Erica forsyth.com if you're enjoying the podcast, please follow or subscribe on your favorite podcast app, and don't forget to share this with a friend who you think might also enjoy it. Nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. Don't forget to save 40% off of your entire order at cozy earth.com All you have to do is use the offer code Juicebox at checkout. That's Juicebox at checkout to save 40% at cozy earth.com if you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective. The bold beginning series from the Juicebox Podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. Today's episode of The Juicebox Podcast is sponsored by the contour next gen blood glucose meter. This is the meter that my daughter has on her person right now it is incredibly accurate, and waiting for you at contour next.com/juice. Box. This episode of The Juicebox Podcast is sponsored by Medtronic diabetes, and later in this episode, we're going to be speaking with Heather, who will talk about the importance of education and understanding the impacts of hyperglycemia. Medtronic diabetes.com/hyper, Erica. Here we are for episode five of our caregiver burden series. What's today's topic? Right?

Erika Forsyth, MFT, LMFT 2:11
Today's topic is navigating social experiences. Post diagnosis

Scott Benner 2:18
is the part. This is your part. There's just so much to do for our infant, the management consumes our lives. There is no time to socialize, no time even for each other.

Erika Forsyth, MFT, LMFT 2:33
That's sad, yes. So obviously, you know, navigating social experiences post diagnosis is going to look and feel different depending on the age and stage of your child's diagnosis, but for the most part, you're in a season of shock and grieving and adjustment. So there is this natural struggle and concern of, okay, how do we navigate social gatherings, and that whether it's parties, whether it's office, talk, community events, whatever, when we're so we're talking about social gatherings, really, any kind of social interaction. The research says, you know that many parents struggle with attending these gatherings being social due to the disruptiveness and seriousness, seriousness of type one. A lot of the The research also said in the beginning it's really hard. You if you're at a party, for example, and you're trying to talk with friends, but then you're worried about, like you're you're looking at the CGM, or you're worried about, Is my child going low? We have to go treat the tension. Is kind of a two fold situation. Obviously, you're concerned for your child's health, but also you're kind of holding this like, what is, what is this other person going to think about? Or how are they going to think of me when I'm kind of half here, I'm kind of half listening, but I'm like, Aha, aha, and I'm looking at my phone or, you know, or like, or excuse me, and so you're that is another burden to carry. How to manage those interactions and the conversations? Yeah? Like

Scott Benner 4:04
when you're driving the car, the passenger doesn't judge you for not turning and looking at them while you're talking, right? They know you're focusing on another thing, and they can tell it's important. But around the diabetes, especially in a world where a lot of people hear from people like, Well, yeah, but you've got it under control. Now, she looks good, you know, like they don't understand what it is you're burdened with and thinking about, and then you get judged for not being present. Yes, right? Yes. So not only do you have to feel shame for not being present during a birthday party or a gathering or something like that, but you've got to sit there and wonder when you're going to get shamed in return for not acting the way you're supposed to act in that situation. The

Erika Forsyth, MFT, LMFT 4:47
car example is really good one, because in that there's the expectation and there's norms, right? But part of this burden of navigating these social interactions is the other meaning, the other. Person you're talking to doesn't know, doesn't have those, you know, those norms set in place, and we're going to kind of flush that out well, especially

Scott Benner 5:07
because when you start explaining it, you sound kooky. I've always found that through my life, like, whenever you start telling people about diabetes, they look at you like, Are you out of your mind? And then when you stop and think about it, later, you go, Oh, I do sound like I'm out of my own and by the way, I might be a little bit like, I'm panicked that this is gonna go wrong, or that they're gonna grab a cupcake and I'm not gonna know about it. Where he's gonna go, the kids are all gonna go run down the street, and she's gonna get low while she's like, Oh my god, yeah,

Erika Forsyth, MFT, LMFT 5:33
yes. And you're so you're setting us up really well for when we get to the tools conversation. How do we respond to those moments? And then let's say you kind of get past that point of, I don't, I don't know how to do these social interactions. And you get to the point of, well, maybe we want to, maybe we I want to go out with my partner, or maybe I want to go take a yoga class, or whatever it is, even if, when you have that longing to to have that social connection. You might also experience the challenge of either finding reliable care, whether it's family or or professional, finding it and then trusting that care, right? So that's like the second hurdle to get through, which we're going to talk about, also

Scott Benner 6:19
because it's gonna feel like nobody can do it, right? Yeah, mostly you're gonna be like, well, I'll look for and, you know, maybe you get lucky and find, like, a type one kid, and, you know what? I mean, you're like, Okay, well, you have it, so that's good. Or another parent, I've seen that before. I've seen parents, you know, buddy, this is gonna be in the Tools part, isn't it? I'm sorry it is. No, you're good. You're good. But I always get worried about hitting the wall and giving up, actually, in all of this, like, as you go through, like, you know, at what point do you just say, I don't want to stand there and be judged, I'm not going to go, or I don't want to I don't want to deal with the food. I'm not going to go. I'm never going to find a babysitter. We'll just stay here. And then, before you know it, you haven't left your house in five years. You know, yes,

Erika Forsyth, MFT, LMFT 7:01
that is exactly what happened. So all of this leads you to staying at home.

Scott Benner 7:06
Yeah, I've lived through this, Eric. I'm aware of how it's gonna go.

Erika Forsyth, MFT, LMFT 7:11
Oh gosh. And I know, you know, we giggle, but this is, this is so painful and challenging, right? That's why we're we're highlighting this. It changes

Scott Benner 7:20
the course of your life? Yes, it really does. There's a big difference between getting married and sitting around having sex and eating frozen pizza and not being able to leave the house because of all these things. You know what I mean? Like everyone goes through a moment a season in their life. Erica, to quote you, from another episode, where, like, hanging out kind of alone and at home, like you're building your you're building your family. Yeah. I don't know if people realize that happens or not, but you hunker down at some point, right? But then you go back out again. But this is one of those where you could hunker down for the wrong reasons and just become isolated.

Erika Forsyth, MFT, LMFT 7:53
Yes, yes. So because it, it becomes so painful to have to deal with those conversations or the questions like, oh, it looks like things are well, like, your it looks, how is your child adjusted? How have you adjusted? Like, look, you guys are, he's on the soccer team. Good for you. And people obviously don't know, because they don't know, yeah, how hard you're working to make it look so easy. Yeah, I'm thinking

Scott Benner 8:14
of shooting up a bank. Becky, thanks for asking. Yeah,

Erika Forsyth, MFT, LMFT 8:18
yes, right. Yes. Uh. So, okay, so what? What can we do? So these, these next, these tools, are going to kind of be a random mixture of, kind of filling your toolbox with actual tangible tools and some kind of cognitive tools. So again, we're leading with, you know, noticing the why, noticing the chatter that's going on in your mind. I know a lot of parents, when they start to go out, whether it's on a trip or to the beach, they might think must be nice when you when you're looking at other families, like, must be nice to go to the beach and not have 50, you know, fruit snacks and 20 juice boxes and a bag full of device changes, like, It must be nice, or it must be nice to go on a trip but not have to worry about going through the X ray, etc, etc, right? I

Scott Benner 9:04
haven't driven away from my house more than an hour without ice with me in quite some time. And you know what I mean? Just that little thing, like, I don't want to drive too far away, because we'll take we'll take insulin with us, and we keep our insulin refrigerator, so we'll throw on some ice, and the next thing you know, you have a little cooler, and you're like, I don't think about it anymore, to be perfectly honest. But for many years, as you're doing it, you're just, you just under your breath, you're like, and believe this is what I got to do, to go to the mall, you know what I mean? So I hear you. I'm sorry,

Erika Forsyth, MFT, LMFT 9:31
yeah, so that must be nice, so and so in the beginning that obviously, or in, you know, again, periods or seasons of change, that is either, you know, resentment or bitterness, but underneath that is the grief, right? Of like, I can't like this is, this is hard, this is sad. Why do I have to do this for my child? Why can't we just go off as a family without thinking about all these things? Why can't we go camping again? You know, whatever it is that your your family used to do, and you're noticing that. Must be nice, and so to honor that like it's hard offer yourself that that compassion that you are on that journey of acceptance, it's okay to have those thoughts, and it's normal, and being kind to yourself is so important in that space.

Scott Benner 10:12
This episode is sponsored by Medtronic diabetes. Learn more about hyperglycemia at Medtronic diabetes.com/hyper.

Speaker 1 10:22
Well, Hi, I'm Heather lackey. I am a wife and mom. I have two children that are seniors in high school, and I've had type one diabetes for 34 years. And I'm a dietitian and a diabetes educator. You know, I'm the Director of Global Medical Education. I lead a team of clinicians that are developing content.

Scott Benner 10:44
How do you feel when your blood sugar is high,

Speaker 1 10:47
irritable, thirsty, hungry.

Scott Benner 10:51
What do you enjoy most about your job?

Speaker 1 10:53
See education working. See people thriving. That's kind of the fuel that feeds, you know, my fire,

Scott Benner 11:01
what would you like to see community members talk about more

Speaker 1 11:05
hyperglycemia is the critical thing, right? That leads to short term and long term complications. Hyperglycemia is the greatest unmet need in the treatment of diabetes currently, and I think that that's where technology can help if

Scott Benner 11:20
you're having trouble with hyperglycemia and would like to talk to other people in the diabetes community. Check out the Medtronic champions hashtag, or go to Medtronic diabetes.com/hyper far too often we accept the blood glucose meter that someone hands to us, the doctor reaches into a drawer and goes, Here, take this one. That is that, is that the one you want? Is it accurate? You have no way of knowing. But if you want accuracy, and you want to be confident in the blood glucose readings that you're getting from your meter, you want the contour next gen. It's incredibly easy to get the same meter that Arden uses. Just go to contour next.com/juicebox that's all you have to do. The contour next gen is easy to use and highly accurate. It features a smart light that provides a simple understanding of your blood glucose levels, and, of course, Second Chance sampling technology that can help you to save money with fewer wasted strips. Contour next.com/juice box. And I do think you can get through it. Yes, yeah. I mean, genuinely, I I've had those thoughts, but I don't have them anymore. Like, I don't even think twice about it. I could just, I mean, I could probably do it with my eyes closed. Grab the insulin, grab the ice, to the thing that I have, a little cup I use, like, you know, like, I just, it takes 30 seconds now, and you don't think about even just, like, pump changes used to feel like that, you know what? I mean, like, you just like, oh, it's gonna happen. And then it happens, and I gotta get the thing and I gotta open it up. And you just, the whole time, you just just grind in your gears that you have to do it. And then one day you just, I mean, for me, I just didn't think about it ever again. I was like, Oh, I guess it's just what happens. It's like, brushing your teeth kind of feeling, you know,

Erika Forsyth, MFT, LMFT 13:01
sometimes, so that's, that's, that's a nice moment when it feels like brushing our teeth. But, yeah, some, I mean, even, you know, 34 years in, I still like, Ah, dang, I gotta change my pump today. No,

Scott Benner 13:11
no, I imagine you were, you actually were very helpful for me, because I mentioned how hard and Arden will take a pump down to, like, the last unit, you know what I mean? Like, it'll be 11 o'clock, and I'll be like, Arden, listen, if you just change your pump before you went to bed, you know, you'd be great, but if you go to bed with this pump, like, at 8am it's gonna need to be changed one way or the other. And so, you know whether you're gonna, like, sleep in or not. And I don't know, it's just the way you put it to me, like, and just sitting there looking at you, like, at your age, having had diabetes for so long, you're like, Oh, I ride those pumps right to the bitter end. And I was like, oh, okay, well, then that's a thing I won't talk to her about anymore, because that, to me, felt like a piece of this I can't understand anymore, didn't

Erika Forsyth, MFT, LMFT 13:59
I mean, yes, and I think that's, would it be wise to change it for the before the last 10 units? Because, you know, although, like, Oh, let me be clearly agree, yeah, I'm

Scott Benner 14:09
100% right, yeah, but, like, but I'm not, but I'm not factoring in the other part of it, which is, she lives with it. Actually, I used your experience as a proxy to fill in a gap in my thinking about Arden, and that helped me a lot. I don't know. I

Erika Forsyth, MFT, LMFT 14:25
never told you. Oh yes, well, I'm glad I normalized my procrastination behavior. I don't know, but there's something about like you don't want to. It's not even about wasting the insulin, although that might be a little bit. It's just about wait. Well, why do it now when there, I still have got time, and I can do it tomorrow morning. I don't know. It's a weird

Scott Benner 14:45
I have come to think of it cool thing as her trying to create as much time between touching diabetes as possible. That's kind of how I I've come to think of it when I'm I'm trying to, like, help

Erika Forsyth, MFT, LMFT 14:56
her. So, yes, yeah, that's good. That's good. So. We went off tangent. But that's okay. Hopefully that normalized. Yeah, some of that very well, yeah. I hope so. So in the in the kind of noticing this chatter around trying to face social interactions, if you're also feeling like, gosh, I can't, as you already said, Scott, you know, I can't, I can't trust anyone. And maybe that is the actual reality that you have, there's no family, there's no real, reliable source of caregiving other than yourself. And so I want to honor that. And is there something beneath that? Of you know, what if I'll never forgive myself? If something happens like they they go high for while I'm gone, or they go too low or and again, those are real fears. I'm not. I don't want to minimize those, but is shame preventing you from taking some opportunity to take care of yourself?

Scott Benner 15:51
Yeah, like, they there's like, a middle ground, you know, because, you know the there's i, we all have friends who are just like, whatever. It's fine. They go on vacation, they don't take their kids with them, and you're like, Oh, my God. Like, they're like, No, it's nice for us to get a lot, you know, we get away on our own. I'm like, Oh, I would never do that. But you guys seem fine. You know what I mean, like, so you have this, like, held belief about, like, no one's gonna, you know, in this example, no one's gonna be able to do this. They're gonna mess it up. I'm just not gonna go out. I'll stay here. And then you know, the family across the street with diabetes is, you know, I don't know, on a three day Benner and the kid's fine, I wish everybody could come to the middle a little bit. And I do think that happened, because every there are people who just have a freedom about them that are just, it's just, like, everything's going to be all right. And I'm like, Okay, I said to the Arden the other day, I think I have that, but my wife doesn't, so we blend ourselves to the middle, which is kind of nice, actually. Yes, the Arden was saying something the other day, and I texted her Three Little Birds, and she's like, what? And I was like, you don't know that song. And she's like, what? I'm like, every little thing is going to be all right. And she was like, she's like, whatever, so, but I think that. I think everything's going to be all right. I wouldn't drift a three day Benner, but I would drift a little far to that side. My wife pulls me back a little bit, and I anchor her from being too you know, oh God, let's never go out again, because this isn't going to be okay. Uh huh, I don't know, yeah, but what if? What if everybody's thinking one way or the other, and nobody's there to pull you back to the center, I guess. No, I'm sorry. I'm talking a lot. No, it's good.

Erika Forsyth, MFT, LMFT 17:23
It's Friday. It's good. Okay. So as we talk about going into social experiences, we talk about the burden of explanation. What you already referenced in the beginning, you know this, what do you do when people either they think they're, you know, asking compassionate questions, but they might land as more, you know, ignorant, or even though they're really trying not to be God

Scott Benner 17:45
only gave it to them because they knew you could handle it. Yeah, no one's ever said that to me, where the little voice in my head hasn't gone you just so you all know, and I know you meant well by it, and I never said it out loud, but it never feels good. Yes,

Erika Forsyth, MFT, LMFT 17:57
and those are people like, right? They're trying to offer encouragement, and they're trying to affirm your strength, but, gosh, it just land, doesn't land, right? So having something prepared, it feels maybe inauthentic, but in that moment when you're feeling extra fragile and vulnerable and you're you want, but you also need to be out in the world, or need to interact with your child's teacher or other parent in the classroom to have something practiced like, Thanks for checking in. It turns out type one is way more. Is way scarier. It's way more complicated than I ever knew. And then usually people might say, or you could even say, you know, if they're saying, like, how are you doing? Like, it's not looks like Teddy's doing great. And if you aren't quite ready to say anything, so you know what he's doing, okay, I'm not really ready to process or share. And then oftentimes people say, How can I help? And then we're going to get into some tools, right? Because then we feel stuck. What do we what do we want to say there?

Scott Benner 18:56
I'm glad you bring that up, because that sounds healthier than what I do. So I'm Madagascar penguin. The whole thing. I don't know if your kids are old enough to have watched the movie Madagascar probably no. There's three penguins, and they're constantly up to mischief. And when they get caught, the one that's in charge goes, just smile and wave. Boys, just smile and wave. And that's what I do. I do it to end those I do it to everybody. I'm like, oh, yeah, everything's great. Oh, we'll change that right now. Don't worry. When people how's it going? I go away in my head, yeah, I don't want to think about the last 20 years of diabetes when you ask me the question. So I go, she's doing great. Thanks for asking. And that's and generally speaking, by the way, that's true. But the nuance around it, I think the nuance isn't worth sharing in that moment. But I liked the way you were talking about it, like, hey, it turns out this is harder than I thought it was. Like, like, maybe be honest. Anyway, keep going. I thought that was wonderful. I don't like, no, yeah, and

Erika Forsyth, MFT, LMFT 19:49
that's good, because it matters who the audience is, right? We don't have to, I think this burden of feeling like, do I need to educate? Do I need to explain to them how. Hard it is, even though you're inside, you might be just like, barely hanging on. And then when someone says looks like you're doing okay, or he's back in class, or he's playing sports, way to go, and you're inside just feeling like, oh my gosh, this woman has no idea how hard this is. Yeah, you get to then make that choice, right? And you'd be like, Oh, everything's great. Or we're Yeah, we're doing okay. Or to say you can do a little it does it feel like you want to do a little bit of education, right? To say, Gosh, type one, it turns out, I had no idea what it was before he was diagnosed, but it's, it's way more complicated and way more serious than I ever knew. But I'm not really ready to like share everything quite yet. But thanks for asking. And as human beings, typically, they want to help, right? And so I often hear, when I'm like, role playing with caregivers in this, people then say, well, how can I help? And it's hard to say, well, you know, you can't drop off a casserole, right? Or maybe you could, I don't know, but that's that's complicated, you know? How

Scott Benner 20:57
can I help? Can I have your pancreas? I So

Erika Forsyth, MFT, LMFT 21:03
this like having these resources and mantras planned and prepared, just as we did, like I remember in the the team session at the conference that we just were at at the touch by type one, I asked them, What do you say when people ask you, what's on your arm? Because in the beginning, you might not be prepared. And they, a lot of them, had prepared things like, Oh, I'm part robot, or, Oh, it's my CGM. What's a CGM? Oh, ask, ask your parent. It's complicated. Yeah, you know all these prepared things to protect you, to not have to go as deep as you want to, right? In those moments, right?

Scott Benner 21:38
Arden was asked once if she had cancer because insulin makes Omnipod for insulin delivery. But they also make a medication. They make a pod that delivers medication that you get after chemotherapy that helps.

Erika Forsyth, MFT, LMFT 21:50
I've been, I have been asked that. I was asked, are you on, are you either post chemo or something, along with cancer? Yes, actually, I forgot about that, so you just brought that up.

Scott Benner 21:59
I can't forget because my mom called me one day and she goes, I'm wearing Arden's pump today. And she was like, like, I think she felt like a kinship. It was nice. I think she felt excited by it. Yeah, you're gonna get asked any number of crazy things, is that a nicotine patch? Is it this? Is it that, like, you know,

Erika Forsyth, MFT, LMFT 22:16
yes. Or with the pump I used to get, are you on call?

Scott Benner 22:20
Oh, really? Because it was like, on your waist, like a

Erika Forsyth, MFT, LMFT 22:22
pager. Yeah, look like, I mean, it still kind of looks like a pager, but I don't think. Don't forget anymore.

Scott Benner 22:26
You look young because I'm here and I'm old, but don't say stuff like that, because, yeah, I'm old. It's

Erika Forsyth, MFT, LMFT 22:33
okay. So okay. So what do you do when they say, How can I help you? May you've got, you've navigated that awkward either, you know, ignorant question, and you've shared what feels appropriate to you, given the audience, and then to have some things ready. And a lot of you guys probably know some of these resources already, but I think it's good to hold them here. I actually share this episode with a lot of my clients. The Best of Juicebox explaining type one, number 836, it's you and Jenny, kind of it's just a one hour explanation of what it is, and it's good for coaches, teachers, family. So I think you might have other specific

Scott Benner 23:08
episodes. It might actually be part of the Pro Tip series too. Oh, it's not a best of Juicebox. It might be pro tip. I think, what? Well, no, I think it. I mean, you've, you've caught me. I put it out. Yeah, I put it out as an episode. I think I'm, Wait, isn't that interesting? Let me take a look. I think it's part of the EXPLAIN type one, yeah, so you can find it as part of the Pro Tip series. At 1019 it ran as a best of episode at at 836, and I think it initially ran and that came from the community. Yeah, the community asked for, like, what do I I'm so tired. Actually, you're reminding me about this. I'm so tired of explaining this to people. I wish I had something to hand them. And Jenny and I were like, well, we could make something that you could hand them, and then that's what we did. So, oh, yeah.

Erika Forsyth, MFT, LMFT 23:53
And it's a great, easy, you know, you email it out to friends. I email it to clients a lot, to have them share it because it is. It is a real part of this transition, this burden of interacting with people, family, friends, a lot of you guys already have, whether it's five, oh, fours, A, T, 1d, you know, one sheet. There are great resources, you know, touch by type one has already, you know, a PDF letter to the teacher. They also have the type one at school. American Diabetes Association has great safe at school resources. So these are things you probably already know, but if not, there's a lot of things out there already created for you, for the coaches, teachers, family caregivers, another great resource from behavioral diabetes.org are these etiquette cards. I don't know if you've seen these before. Scott, you can print them out as a PDF, or you can buy them from their website, and they fold up to like, the size of a business card. Now, ironically, they have, they have two different types of cards. One. Is for, you know, people who don't have diabetes, and the other one is for for parents, like, what your teen would like you to know, okay, but it would be great, right? If there was one for caregivers to be able to hand out, but they highlight things that are are challenging, and to talk about with your with your teens, and then also with with family members. And so I just wanted to share that from behavioral diabetes.org I'm

Scott Benner 25:27
happy to steal that idea. What your teens would like to know would be good, good podcast episode, actually. Oh yeah, yeah. And I just looked while you were going over that, that episode in the last month, the explaining type one has been downloaded 1000 times in the last month. So people really must share it more than I didn't realize how much it was being downloaded, I mean, and I say that because it's been out for years and in the last 30 days, 1000 times is a lot.

Erika Forsyth, MFT, LMFT 25:50
Wow, yeah, that is a lot. Yes, no, that's a good idea. Yeah, we could just even go through those, those topics, because there's often, like, we have a lot of these feelings and tensions, but then when they're put to words, it feels just so, so validating and Yes, can I ask

Scott Benner 26:08
you a question to Can I ask you to suppose a little bit but for the people who are are burdened by these burdens, obviously, this is completely real. Do you think there's anyone that listens to just goes, Huh? This never happened to me. I don't feel this way at all. Like, do you think that's possible, like, just personality wise, or do you think they're lying to themselves to some degree? Or do you think there could be a mix of that? I think

Erika Forsyth, MFT, LMFT 26:30
there probably is a mix. So supposing a caregiver, their child's diagnosed, and they are able to go out into the world and interact and don't feel that burden of who, how do I explain? How do I manage my own emotions as I'm explaining what it is possibly, and maybe that's someone who's who's highly self aware, who's who's grieved, and feels like their grieving, their grief is contained. Maybe they've gone through a lot. Perhaps they're highly resilient, and they feel like, you know, we've gone through x, y and z, we can manage this. Maybe there's an over sharing, but like we've talked about before, like maybe you're grieving and emotions are coming out to anyone and everyone who will listen. Oh, we've

Scott Benner 27:10
all had a friend get broken up with and then it just all comes and you're like, oh, please stop sharing all this with me. It's too much. Yes, please stop. Listen. I said it because I think I was probably a mix, like I was handling it, but I also think there were impacts that I was pretending didn't exist as well. And now getting to make the podcast, I can look backwards and see them more easily.

Erika Forsyth, MFT, LMFT 27:33
Yes, like in the moment, perhaps it might feel like you're you're processing and interacting with the world in a really healthy way. And that might be true, and hopefully that is true, but maybe upon reflection, looking back and thinking, well, maybe I was holding everything in and pretending, doing the as you were saying, like, everything's great, thanks, and then you're going home and just into a puddle, just

Scott Benner 27:55
smile and wave, boys, just smile and wave. That's the line from the movie. Yes, I also find it's valuable to just assume I'm always making mistakes, and that way I just don't know what they are at the moment, because sometimes you are and sometimes you're not, but if you always think you're right, you're never going to be able to look back and and self adjust. And, you know, maybe I don't know, learn from it, move on. So I try my artist. You know,

Erika Forsyth, MFT, LMFT 28:21
that is the complication, or the the duality and pain of that burden of smiling and waving. Does that feel easier on the moment? But then do you end up feeling isolated and alone and feeling like people don't get it? Yeah, but then it also feels exhausting, right? I have to say, Gosh, this is really hard. Listen to how hard it is. It could feel

Scott Benner 28:43
easier in the moment, but I definitely think it does damage. Like, the only time you're gonna get away with that is when you get so old, like, I'm so looking forward to this part in my life, when you're just like, there's nothing left. I did. This is who I am. Let's just ride it out. Like, I can't wait to get to that one, but until then, you're growing hopefully so. But I am excited to get to that point where I could just be like, Listen, I want to let you all know this is as good as it's gonna get, and I'm gonna stop worrying about it now. But that day's not today, Erica, so gotta keep going a little longer. I guess. Did I cut you off before you got to the babysitter list? I apologize. Yeah.

Erika Forsyth, MFT, LMFT 29:17
So the last thing a lot of you guys might know this too, from type one together, there's a babysitter list that they've created that you can go look and type in your zip code and see if there are any type ones who have registered as babysitters in your area. So I think that's just a nice resource to have from them, from type one together. That definitely eases the burden of explaining what type one is, right? Because they have, they're living it. But then there still is, you know, the conversation around, how much do you want them to to treat, not treat? You know, all those things like, how personal you have to have, the personal type one management conversation, but not the, this is type one diabetes conversation, and

Scott Benner 29:57
that's Raquel, by the way, she's been on the show. Yes, yes. And she started

Erika Forsyth, MFT, LMFT 30:01
as a babysitter and then created this whole thing.

Scott Benner 30:05
And once drove me to an airport, which is a a piece of I don't think anybody knew that, but I gave a talk somewhere. When it was it was at the beginning of Uber, and I was like, I'm not getting in someone else's car. Like, that's not happening. And Brock was like, I'll take you. And I was like, okay, that I'll accept you. You look like somebody I can hold accountable. So nice. Yeah, anyway, yeah, she's lovely. Before

Erika Forsyth, MFT, LMFT 30:28
that was the beginning of Uber that's just that you just dated yourself. Now, listen,

Scott Benner 30:33
I'm very old. That's neither here nor that I'm getting, I'm getting by Erica and having dark hair, really, it's the only thing saving me at this point. But no, I mean, it was ride shares were new, and I was like, I'm not calling a stranger who couldn't get a job with a taxi company to come pick me up in their Corolla. I'm not doing it. And I was really adamant about it. Just in case you're wondering. I was like,

Erika Forsyth, MFT, LMFT 30:52
Do you do you take Ubers now, now, or lifts?

Scott Benner 30:56
I care less about my life now, so no, I mean, I do now, but it's a little more of a sanctioned, you know, yes, you know, it has been normalized. Yeah, in the end, I'm an adult. I would like to be in my own car, but if I can't be, then I will do this. Is that an old person thing? Like, I want to be in my own car? I

Erika Forsyth, MFT, LMFT 31:16
don't know if that's an old person thing. That might just be a human being thing, I don't know. Young people don't seem

Scott Benner 31:21
to care about anything Erica. They're just like, whatever. It's fine. We did good. We're good.

Erika Forsyth, MFT, LMFT 31:26
Yes, I think, I think we are good. And that also that it, you know, with the Navigating the social experiences and gatherings, it will, you will grow and evolve. And that those pain points that we discussed, you know, hopefully will lighten. Yeah,

Scott Benner 31:44
now i Listen, I I spoke with a person today. I record sometimes more than once a day, and she's in her 70s. She has type one diabetes, and she was making this point, and she just said, you know, it's not like when you break your arm and you just forget about it. And I thought, Oh, she's been alive so long that she broke her arm at some point and doesn't think about it anymore. Like, if you're eight, you're like, I broke my arm last summer, you know? And that idea that eventually just keep going and you don't remember, I'll tell my kids if they're arguing or something, and I'll say, listen to me. A year from now, you won't remember this. And that's an indicator of how maybe unimportant this moment is like again, not that in this moment you're not having a real disagreement or something's not happening, but you don't have to judge it as if it's going to be with you every day for the rest of your life, because sometimes you make that a self fulfilling prophecy. You

Erika Forsyth, MFT, LMFT 32:37
know, yes, to give it perspective is so important anyway.

Scott Benner 32:41
All right, I'm out of gum store wisdom for today, Erica, we have to go gum store candy. What is the what it Wait? What's the saying? Dime store wisdom, right? Who's gonna find it first? I mean, I'm using the internet. What are you doing? Is that the saying, dime store wisdom like a little kernel of truth you pick at in the unluckiest places, I don't know. Oh and then in Oh Brother, Where Art that was that this episode or no, that was this episode. Okay, hold on a second. Erica and I, we sometimes record more than one episode. In this sitting he's trying to tell his wife that he has value, but he uses a word, and now I can't think of what it is. Let's see. George Clooney tries to convince his estranged wife Penny of his worth. She has doubts, especially with his slick talk and past mistakes. So he defends himself by saying, I'm the damn patter families, basically declaring that he has value because he's the man of the family, even if he's flawed. And she replies with a dead pan that he's not bona fide. That's what I was thinking about. I don't know why, like, I I'm sorry. It's the end of the day anyway. See it in context, you'll love it. Uh Oh, brother. Where art thou? I don't know what year it was made, but you should be able to find it all right. Now we're gonna go, okay, okay, see you.

I'd like to thank the blood glucose meter that my daughter carries, the contour next gen blood glucose meter. Learn more and get started today at contour. Next.com/juicebox prolonged hyperglycemia can lead to serious health problems and long term complications. Learn more at Medtronic diabetes.com/hyper. This episode of the podcast was sponsored by Medtronic diabetes. Are you starting to see patterns, but you can't quite make sense of them. You're like, Oh, if I Bolus here, this happens, but I don't know what to do. Should I put in a little less, a little more? If you're starting to have those thoughts, if you're starting to think this isn't going the way the doctor said it would, I think I see something here, but I can't be sure. Once you're having those thoughts. Products you're ready for the diabetes Pro Tip series from the Juicebox Podcast. It begins at Episode 1000 you can also find it at Juicebox podcast.com up in the menu, and you can find a list in the private Facebook group. Just check right under the featured tab at the top, it'll show you lists of a ton of stuff, including the Pro Tip series, which runs from episode 1000 to 1025 I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The Juicebox Podcast. The episode you just heard was professionally edited by wrong way, recording, wrong way, recording.com and one more time. If you're enjoying the podcast, please make sure that you're subscribed or following in the audio app that you're listening in right now. If you're listening online, go find one of those free audio apps and subscribe. And if you're enjoying the show, please share it with someone else who you think might also enjoy it. You.

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