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Podcast Episodes

The Juicebox Podcast is from the writer of the popular diabetes parenting blog Arden's Day and the award winning parenting memoir, 'Life Is Short, Laundry Is Eternal: Confessions of a Stay-At-Home Dad'. Hosted by Scott Benner, the show features intimate conversations of living and parenting with type I diabetes.

Filtering by Category: Type 1 Diabetes

#1312 Defining Diabetes: PCOS

Scott Benner

Scott and Jenny Smith define diabetes terms In this Defining Diabetes episode we PCOS.

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

+ Click for EPISODE TRANSCRIPT


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

Scott Benner 0:00
Hello friends, and welcome back to another episode of The juicebox podcast.

Jenny's back, and we're going to do another defining diabetes episode today. So buckle up and we'll define PCOS. Nothing you hear on the juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan. A diabetes diagnosis comes with a lot of new terms, and you're not going to understand most of them. That's why we made defining diabetes. Go to juicebox podcast.com up into the menu and click on defining diabetes to find the series that will tell you what all of those words mean, short, fun and informative that's defining diabetes. 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 percent@cozyearth.com if you're a US resident who has type one, or is the caregiver of someone with type one, you can write from your right, from your couch, right from your phone. You can add your help to type one diabetes research by completing the survey AT T 1d exchange.org/juice, box. This show is sponsored today by the glucagon that my daughter carries, gvoke hypopen. Find out more at gvoke glucagon.com. Forward slash juicebox. This episode of The juicebox podcast is sponsored by Eversense. The Eversense CGM is more convenient, requiring only one sensor every six months. It offers more flexibility with its easy on, easy off, smart transmitter, and allows you to take a break when needed. Eversense cgm.com/juicebox, I'd like to define PCOS, oh, for the kids. Yeah, yeah, excited.

Jennifer Smith, CDE 2:10
Okay, yeah, that's, I mean, I do a lot in women's health. And as you know, I've said many times before, a lot of women in that sort of time of life where they may very well be considering kids. So I'm surprised we didn't talk about PCOS before, but maybe we haven't. I

Scott Benner 2:28
just don't think we've specifically given it its own defining diabetes. Now wait, let me make sure we haven't. Hold on a second. That's a good point. Maybe Scott just isn't good at keeping his list up. Give me one second.

Jennifer Smith, CDE 2:39
The list is pretty low. I don't they don't even know how long the defining is it? We did quite a number of things. Oh,

Scott Benner 2:45
it's over 50 at this point. And But you just said something that just really made me think, like, let me just double check, because that's pretty smart, because we could pivot to another one if I'm if I'm wrong about this and that people will just get the laugh. Hold on a second. Nope, we haven't. Yay, good job, but I didn't know, honestly, something

Jennifer Smith, CDE 3:06
new to talk about. Oh, it's not really. It's not new by any means.

Scott Benner 3:09
No, is it something that many women might be suffering with, and their doctors never even give like a name or a voice to it. They just treat them like, Oh, you. You have tough periods or something like that,

Jennifer Smith, CDE 3:23
I would say I see that more and more and more, especially since in the years of having diabetes myself, I think it's really just been the past 10 ish years that I've heard more about PCOS, and especially just the past couple of years alone, more women who've actually had a more proper diagnosis of PCOS from providers who help them look further into some of the issues that they've had for a long time, maybe since they were a teenager, a young adult, you know. And I think I get to see it, especially, as I said, because some people end up trying and trying and trying to conceive, and at that point further testing, especially if you move into more fertility management, there are a lot more tests that end up being done just because you you are going to a specialist who should be evaluating All these things, hormone levels, you know? I mean, PCOS is, do you know what the acronym is, right? Actually,

Scott Benner 4:27
I know this one without looking. I know it's polycystic ovarian syndrome.

Jennifer Smith, CDE 4:34
Yeah, polycystic ovary, ovarian or ovaries, Ovary Syndrome, okay, so we know that it would affect hormones, right? Mainly because ovaries are the big thing that's impacted here, and they produce a lot of hormones in a woman's body. I mean, they're the little places that all the eggs that a woman has are kind of packed into, yeah,

Scott Benner 4:58
I think of it as an egg person. Course, that's a yes. There

Jennifer Smith, CDE 5:01
you go. Thank you. An egg bank.

Scott Benner 5:04
I also don't know why I think of it as anything, but that is how it pops up in my head I have here. PCOS is a common hormonal disorder that affects women of reproductive age. It is characterized by a combination of symptoms and physical findings that include irregular menstrual periods, excess androgen levels, polycystic ovaries. So

Jennifer Smith, CDE 5:27
a lot of the times, it's because the hormones, they're not regulated the right way in order for ovulation to happen on a monthly cycle, or that 28 to 32 day kind of normal cycle that we call normal, right? When somebody doesn't ovulate, essentially, you get these cysts. So that's where the polycystic many cysts, right? That's what the word means. Comes from these little like cysts that kind of hack around the ovaries. And you can actually in the right type of testing, in the right time of the month, you could actually see more of those SACS or cysts at certain times. So evaluation is really, really valuable. I think the other piece to proper diagnosis is talking to a woman who has symptoms that sound like it might be PCOS. But the other unfortunate thing is that PCOS is commonly thought to kind of also go along with a particular body type, being more overweight, obese, already having issues with different metabolic kind of systems, high cholesterol levels, blood sugar levels that are unmanaged. Insulin resistance is a hallmark of PCOS, kind of similar in type two diabetes, right? So when you talk about type one diabetes, I've had a number of women who, by visually looking and diagnosis of type one would never have been thought that that they could possibly have PCOS, and they do,

Scott Benner 7:01
yeah, I think Arden has it. And, yeah, she doesn't fit the stereotype. It's tough because, you know, years ago, when they're trying to figure things out, we don't really understand as much as we do. You start saying, Oh, well, a lot of these ladies look like this. So it must be you're having this problem. Because you're instead of saying, maybe my body style is like this because of the PCOS or other factors, you know, kind of put the cart before the horse. I want to read this, please. PCOS can also lead to long term health problems such as type two diabetes, heart disease and issues with fertility. The exact cause of PCOS is unknown, but factors like insulin resistance, inflammation and genetics are believed to play a role. Treatment typically focuses on managing individual symptoms. This is the problem, and may include lifestyle changes, medication and hormonal therapy. The problem is, is that we manage PCOS with Advil. Do you know what I mean? Like, oh, you know you're having a painful period, right? I think the reason that you're hearing more about it now, in a Zeitgeist again, is because of the impact that GLP medications are starting to have for people. If you take insulin or sofony ureas, you are at risk for your blood sugar going too low. You need a safety net when it matters most, be ready with G vo hypo pen. My daughter carries gevok hypopen everywhere she goes, because it's a ready to use rescue pen for treating very low blood sugar in people with diabetes ages two and above that. I trust low blood sugar emergencies can happen unexpectedly and they demand quick action. Luckily, GEVO kypopen can be administered in two simple steps, even by yourself in certain situations. Show those around you where you store GEVO kypo pen and how to use it. They need to know how to use GEVO kypopen before an emergency situation happens. Learn more about why GEVO kypopen is in Arden's diabetes toolkit@gevoqglukagon.com toolkit at gvoke, glucagon.com/juicebox, gvoke shouldn't be used if you have a tumor in the gland on the top of your kidneys called a pheochromocytoma, or if you have a tumor in your pancreas called an insulinoma, visit gvoke. Glucagon.com/risk, for safety information. How many times have you thought it's time to change my CGM? I just changed it. And then you look and realize, my God, it's been 14 days already. A week, week and a half, feels like I just did this. Well, you'll never feel like that with the Eversense CGM, because Eversense is the only long term CGM with six months of real time glucose readings, giving you more convenience, confidence and flexibility. So if you're one of those people who has that thought that I just did this, didn't I, why don't they do this again? Right now? If you don't like that feeling, give Eversense a try, because with Eversense, you'll replace the sensor. Just. Once every six months via a simple in office. Visit Eversense, cgm.com/juicebox, to learn more and get started. Today. Would you like to take a break? Take a shower. You can with Eversense without wasting a sensor. Don't want anybody to know for your big day, take it off. No one has to know. Have your sensors been failing before 10 or 14 days? That won't happen with ever since? Have you ever had a sensor get torn off while you're pulling off your shirt? That won't happen with ever since? So no sensor to get knocked off. It's as discrete as you want it to be. It's incredibly accurate, and you only have to change it once every six months, ever since cgm.com/juice, box, which could be, yeah, yeah, because I think the GLP hits the inflammation and impacts the resistance hormonal issue, right? And, and, except, and, you know, I know this is about PCOS, so we're going to go back to, you know, going through the three hallmarks of it. But if I ask, how does a GLP impact PCOS? It says GLP is an incretin hormone that plays a crucial role in glucose, met metabolic why can I say the word? Why can't I say the words? I can say metabolism and has various effects on the body, which can impact PCOS in several ways. The ways are by reducing insulin or insulin sensitivity, weight management, hormonal regulation and impacting inflammation. And I've told this like brief story on the podcast a number of times since you know, glps have become more prevalent. But there is a Facebook group full of women who couldn't get pregnant their whole lives that went on GLP medications and were getting pregnant because they were so positive they were never going to have a baby that they didn't do any kind of birth control. Birth control, yeah, so, so kind of a ping pong back to it, irregular menstrual periods. That's such a kind way to say what happens. You know what I mean, right? Instead of saying irregular menstrual periods, shouldn't it sound say Mike Tyson hit me for seven days and I bled a lot while it was happening. You know what I mean? Because that's, I think, what it feels like infrequent, irregular or prolonged menstrual cycles are common, great, yeah. And then what happens then too, is you end up with low iron, low ferritin, you know, absolutely. And there's a cascading issue, I

Jennifer Smith, CDE 12:30
think it, it highlights how much just one little thing can get off in the body. Let's say it is the hormone production that's incorrect, coming from the ovaries, right? And you mentioned something before androgen, right? Androgens are, they're, you know, kind of a kind of hormone that's usually a lot higher for men, but are found in smaller amounts in women. And so an imbalance of that creates an imbalance in the cycle, which then it just, it's like, again, a ball at the top of a hill that you keep rolling, and it just keeps gathering more, right? And it impacts everything then. And I think the problem is that there's not, there aren't enough specialists to this particular condition, much like really knowledgeable type one clinicians, right? And so you really have to find a specialist who can take the time to sit down. What have your symptoms been? How long have you navigated this? You know? I mean, the other typical things are, again, as I said, sort of body being often heavier metabolic issue is beyond, you know, diabetes or whatever, acne or really significant skin breakout problems,

Scott Benner 13:50
body hair, right body hair, facial hair, like,

Jennifer Smith, CDE 13:53
from a woman's standpoint, should not be and has a lot of relevance to that androgen management In the body. So the right clinician is going to sit down and take a note of all of these and say, Okay, we've got more testing to do. We can test these hormones, blah, blah, blah, but as you said, it's typically just a way. You just have heavy periods and they're irregular, and there's no way to make them more regular. Well, why don't we try birth control? Birth control is going to regulate it all for you. And that's it's like a band aid, yeah, don't give me a band aid. Yeah,

Scott Benner 14:23
I don't. I don't go down that road because I'm, first of all, I'm not a woman, and I don't understand it enough to talk about it the birth control piece. But I have heard enough. I've heard a lot of women raise a red flag and say, Look, birth control really screwed me up. So, you know, I guess the, I guess the easy comparison is, you know, pharma companies figured out how to give men erections, but they can't seem to help women do these things. And right, this one falls heavy on me, because my, I think my daughter's impacted by this. And, you know, and at the same time, no one's looking into it, and we took her to a good. Doctor, and even that doctor is like, I don't know how to help you with this. You know, they just don't have any but anyway, I'm not saying glps are not, um, they're not a cure all, but I think that we're, yeah, right, but I believe we're in the the early days of understanding the things they are going to impact. I'm just started hearing conversations recently about how it might be helping people with arthritis. I don't even understand how that could be, but the inflammation piece, there's some people are using it for pain management. People live with pain for years, like for my entire lifetime, people have been running around yelling, inflammation. We got to get rid of inflammation. And it doesn't seem crazy to me that inflammation has to be at one of the hearts of how you end up with type one diabetes, and that I see a lot of women with type one diabetes talking about PCOS, like it just, it seems like there's a connection, kind

Jennifer Smith, CDE 15:54
of, what goes along with it is, what is, if you read anything, even in the simplest literature, about inflam inflammation, what's one of the biggest things that impacts it?

Scott Benner 16:05
Sugar, yeah, then you're feeding it on top of it, yeah,

Jennifer Smith, CDE 16:09
you're feeding it right. And then with PCOS, you have sort of a metabolic, poorly regulated glucose use, poorly regulated insulin sensitivity. And so you've got these changes in your blood sugar level that are just keeping inflammation high. And until you learn how to navigate the inflammation, which will help the insulin resistance, which will, I mean, again, it's a ball that, once it gets rolling in the right direction with the right information and or the right treatments or plans, you can really make a very big difference.

Scott Benner 16:44
I don't think you can really understand as a type one how screwed up it is that your body's not making insulin. Stick with me for a second, till you look at a CGM on a person whose body is making it and watch that their blood sugars really don't really rise very much at all, you know? And then you realize that if you don't pre bolus at the exact right time, your blood sugar is going to go from 85 to 150 in, you know, two revolutions of your Dexcom. And

Jennifer Smith, CDE 17:10
I think the other thing there too is watching when it does rise, how quickly the rise gets taken care of. On a the CGM of a person who doesn't have diabetes goes up, and it's like clockwork. You can almost time it to the point of the beta cells knowing exactly what they're doing, how to time everything, how much needed to go out like that's the piece that we can't as as much as we have with intelligent systems now and putting the right information in, we cannot mimic what the body was meant to do on its own. And then the the landing point, right? It controls that rise. You see it turn on a CGM, and it it's like a beautiful landing of a plane that you didn't think. You're like, this is gonna crash, and it doesn't crash. You

Scott Benner 17:56
have good insulin, insulin sensitivity. You're not type one, and your blood sugar just it doesn't get low, like, you know, it's and that is the point. Like insulin sensitivity is the way you think about it, because your type one is different. But what I'm talking about is, like a person who doesn't have diabetes, it sees the need, and it puts insulin in immediately. It quells the spike immediately, and it shuts it off immediately. And you know that stuff is it's just not happening for type ones and type twos as well. But listen, I'm just gonna go like, GLP has an anti inflammatory property. Chronic low grade inflammation is often associated with PCOS and can worsen symptoms by reducing inflammation, GLP can potentially alleviate some PCOS symptoms. So a GLP medications not the cure for PCOS, but right it is going to it's going to impact inflammation, hopefully also by improving insulin sensitivity and reducing hyperinsulinemia, high insulin left. Did I do it? GLP can help in lowering androgen levels. High levels of insulin can lead to an increase in androgen production, which is responsible for symptoms such as hirsutism, which means hairy and acne in PCOS. If GLP impacts weight management, it does it by slowing gastric emptying, include increases your satiety and reduces appetite, which can lead to weight loss. Weight Management is a key component in managing PCOS symptoms, because obesity can exasperate insulin resistance and other symptoms of PCOS. And then, of course, GLP one enhances insulin secretion in response to food intake and improves insulin sensitivity. Since insulin resistance is common in PCOS, GLP one could help in managing blood glucose levels more effectively. I think that's for a person who doesn't have type one,

Jennifer Smith, CDE 19:52
and it's also kind of the hallmark reason the resistance piece of that whole PCOS is a. Reason that the main medication that's long term been prescribed for it is Metformin. Metformin, right? Yeah. I mean, that's been used for years and years and years, and has gained footage in even type one and type one with PCOS. But I think it's a baseline for some people, it does a really great job. For other people, they may need something more impactful, something like a GLP, one, which, again, is your body doesn't technically make Metformin. Your body actually does make a GLP, right? It is something that is secreted in the body. It's just not happening the right way in some people. And

Scott Benner 20:40
I think we're done here. But I'm going to end with in case someone's listening from Lily or novo, or any of the other companies who are going to come along, and they're all going to come along, you got to look at these other things that glps are helping with, and find different dosing strategies for people who are being helped for other things. Because, like, I've shared with Jenny privately, like it's helping my daughter with so many issues, but it's quelling her appetite. Too much, too much. Yeah, she needs less of the medication, and they come pre dosed. So, you know, it's a

Jennifer Smith, CDE 21:11
one pop that's actually, as another side note to these companies, there are many people who really hate the way that is dosed in the one, it's like a spring loaded like, pop it in. And I can tell you that there are a lot of people that don't

Scott Benner 21:28
like that. Here's mine for later. So there you go, that I take for, for just weight management. There are times I pick the right spot and I'm like, Oh, a little pressure. That's not bad. It's over. And there are some times that after I do it, I go, God damn, it's like, because it feels like, you know, sometimes it can feel like you got shot. Yeah, listen, I know what they're doing. I understand why it's happening the way it's happening. It's money, but, of course, yeah, but let's get to the point where we're realizing I'm tired of it just being, you know, doctors on YouTube going, Hey, I'm using this now for my patients, for this and this and this and this, like, let them, because you're not fooling anybody. No, I'm going to tell you that the the YouTube is full of videos with hundreds of 1000s of views about how to take the medication out of this and microdose it. So just, why don't you just make it safe for people, for God's sakes, okay, that was it. I didn't know how that happened. Realize that was gonna happen. Sorry, that's all right. Little side note. I didn't know I was gonna get bitchy at the end. But there you

Jennifer Smith, CDE 22:26
go, PCOS, and a note to Yeah, you know, and

Scott Benner 22:29
a note to pharma, like, why don't you? There you go, make something that'll help people with more than just the diabetes and the weight loss, yeah. Give people options. How hard is that really? Oh, want to thank the Eversense CGM for sponsoring this episode of The juicebox podcast, and invite you to go to Eversense cgm.com/juicebox to learn more about this terrific device, you can head over now and just absorb everything that the website has to offer. And that way you'll know if Eversense feels right for you. Eversense cgm.com/juicebox, a huge thank you to one of today's sponsors, gvoke glucagon. Find out more about gvoke hypopen at gvoke glucagon.com, forward slash juice box. You spell that, G, V, O, k, e, g, l, U, C, A, G, o, n.com, forward slash juice box. A diabetes diagnosis comes with a lot of new terms, and you're not going to understand most of them. That's why we made defining diabetes. Go to juicebox podcast.com, up into the menu and click on defining diabetes to find the series that will tell you what all of those words mean, short, fun and informative that's defining diabetes. Lots of people with autoimmune seem to have trouble with their thyroid, and that's why I've made the defining thyroid series, juicebox podcast.com. Click on defining thyroid the menu to find out more. If you're looking for community around type one diabetes, check out the juicebox podcast. Private, Facebook group juicebox podcast, type one diabetes, but everybody is welcome. Type one, type two gestational loved ones. It doesn't matter to me if you're impacted by diabetes and you're looking for support, comfort or community, check out juicebox podcast. Type one diabetes on Facebook. 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, wrongwayrecording.com. You.


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#1311 Strange Brew

Scott Benner

Kim's children inspired her to go on an insulin pump.

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

+ Click for EPISODE TRANSCRIPT


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

Scott Benner 0:00
OmniPod, Hello friends and welcome back to another episode of The juicebox podcast.

Kimberly is from Calgary. She's had type one diabetes since she was two and a half years old, and today she's 44 Kim's children inspired her to go on a pump, and today we're going to talk to her about her life, her diabetes and her family. Nothing you hear on the juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan, don't forget to save 40% off of your entire order@cozyearth.com All you have to do is use the offer code juicebox at checkout. That's juicebox at checkout to save 40 percent@cozyearth.com and if you have type one diabetes, are the caregiver of someone with type one and you live in the United States, that's either or, but that one for sure. Go to T 1d exchange.org/juice, box and complete the survey. I don't even know if that was clear. You have to have type one be the caregiver for someone with type one also live in the US. T 1d exchange.org/juice, box. Help propel type one diabetes research forward by answering a few questions in their survey, T, 1d, exchange.org/juicebox,

this episode of The juicebox podcast is sponsored by us Med, usmed.com/juice, box, or call 888-721-1514, get your supplies the same way we do from us. Med. This show is sponsored today by the glucagon that my daughter carries, gvoke hypopen. Find out more at gvoke glucagon.com, forward slash juicebox. I was looking for a way that we could all get nice and tanned and meet each other and spend some time talking about diabetes. How are we going to do that on a juice cruise, juice cruise 2025 departs Galveston, Texas on Monday, June 23 2025 it's a five night trip through the Western Caribbean, visiting, of course, Galveston, Costa, Maya and cozmel. So if you're looking for a nice adult or family vacation, you want to meet your favorite podcast host, but you can't figure out where Jason Bateman lives, so you'll settle for me. If you want to talk about diabetes or you know what, maybe you want to meet some people living with type one, or just get a tan with a bunch of cool people. You can do that on juice cruise 2025, space is limited. Head now to juicebox podcast.com and click on that banner, you can find out all about the different cabins that are available to you. And register today. Links the show notes. Links at juicebox podcast.com I hope to see you on board.

Kimberly 2:57
My name's Kimberly Gray, and I'm from air drill, Alberta, Canada. I'm married to Darcy for 24 years this year. And we have two girls, Mackenzie, who's 21 and Courtney, who's 17.

Scott Benner 3:11
Wow. How old are you? Kim Kimberly? How old are you?

Kimberly 3:14
4444 Wow. You've

Scott Benner 3:17
been, you've been going hard from the beginning.

Kimberly 3:22
There's something. People say that, yeah,

Scott Benner 3:25
you sound as Canadian as anyone has ever sounded to me in their entire life. I just want you to know that.

Kimberly 3:29
Well, that's a good thing. I

Scott Benner 3:31
guess I am absolutely, absolutely is.

Kimberly 3:34
So we're like 20 minutes out out of Calgary. So I know you know where Calgary is because of the flames, so we're about 20 minutes north of there.

Scott Benner 3:43
You think I know where, where Calgary is, that's sweet. I've

Kimberly 3:47
heard you say that on a podcast a couple weeks ago.

Scott Benner 3:51
So here's the problem. I only know things in short bursts, and then I forget a lot of them. My wife says like so we played this game last night. We got my wife and I got in bed, we did not play the game. You're thinking we played a different game where we brought up she brought up a television show that we watch religiously together, and she's like, go ahead and tell me the characters names. And I'm like, well, there's the little Spanish girl. And she goes, what's her name? And I'm like, I don't know. And then I'm like, and there's the girl with the wide hips, and she goes, and her name is and I'm like, no idea. She goes, What about the lead guy? And I was like, I'm not sure. I don't I've been watching this show for six years. I don't know the character's names at all. It's meaningless to me. I don't. I don't know how to explain that to you about me. So we drilled down, and I did start coming up with a couple of names. And I was like, is that one Tim? And she goes very good. And I was like, What's his last name? Like, oh my God, his last name. How am I supposed to know that? That was my answer. I was like, how am I supposed to know. That, what makes you come on the podcast? What? What made you interested?

Kimberly 5:03
I started listening to it last year, and I just got hooked on it right away. I'm up to episode three.

Scott Benner 5:10
Oh, Kimberly, are you listening just straight through?

Kimberly 5:15
Very cool, yes, yes. And I love it. It's so it's so good the first one or the second, wherever the wherever the Everest one was it. It hooked me for right from there, it was so interesting and so cool. And yeah, and I just wanted to come on and share my experience. Cool.

Scott Benner 5:33
I appreciate that you talking about the mom who talked about her daughter's time on Mount Everest.

Kimberly 5:39
Yes, that one was fascinating. Okay, very

Scott Benner 5:42
nice. That was pretty early on. You know, the way the podcast started was weird, because before I actually could get up an episode, I got an interview, and I genuinely did not know what I was doing. I've never listened back to that one. Maybe I should that might be fun, but yeah, the first one that went up was with this guy that was at that time on American Idol, and had type one diabetes. And podcasts were such a new idea back then that I just sent him an email, and I was like, Hey, I have a diabetes podcast you want to be on. And he was like, Yeah, I didn't tell him. I'd never actually put up an episode before. So Adam laughs your test on me. And he was terrific, by the way, it was great. I remember that one too. It's a weird start to the show, though, because, like the next number of episodes are all like me talking about management by myself. Anyway, I just remembered as being very strange, like I was getting ready to pop this other episode, and suddenly I was interviewing somebody had never done it before. Nevertheless. Okay, so who's got diabetes in your little group over there?

Kimberly 6:48
Me, me, myself and I you do not,

Scott Benner 6:50
not the girls.

Kimberly 6:52
No, none of the girls. They both had the nut trial done, and they've both been negative so

far. Oh, you did trial net for both of them. Oh, yeah. Trial net, sorry, I

said net file, but yeah. Trial net,

Scott Benner 7:04
net, trial, trial net, I understood what you meant. Same thing. Yeah, don't worry about it. Well. So how long ago were you diagnosed? When I was two and a half? Oh my gosh, that's a while. 4042. Years ago. Yeah, two years ago when you were two and a half, did you have brothers and sisters?

Kimberly 7:21
I have a brother, yeah.

Scott Benner 7:22
Does he have any autoimmune stuff? No, he's good. He's clear. And if you're in Canada, 40 some years ago, what was your management like?

Kimberly 7:34
What I can remember of it was like a lot of the What's it? Called it the exchanges, where if you want to eat this, then you can't eat that, and if you want more of this, then you have to take that out. So I remember that part of it, and I remember I had, like, a brown, a big brown meter. I remember that from back then, okay, but that's about it, because I was so young, right?

Scott Benner 8:02
When's the first time you really start having, like, a conscious memory of you managing yourself?

Kimberly 8:09
I'd say likely, around 1989 after my second year of going to camp. Okay, how old were you? Then I would have been nine. Nine. Okay,

Scott Benner 8:19
yeah. Just just

Kimberly 8:21
not completely managing, but I've started to be able to do my own injections. They had this thing at the camp called an injectees that would hide the needle, because I'm definitely afraid of needles. I'm terrified of them really, yeah, so I don't use them. I wouldn't like, it's the syringe that I'm terrified of. So if it was, like, a pen, I was fine because it wasn't the syringe and, like, if I could hide it in the injectees, I was fine because I couldn't see the syringe. But

Scott Benner 8:52
the minute you see the metal that you're not okay with, no,

Kimberly 8:56
I'm not it. Just, it kind of creeps me out a lot.

Scott Benner 9:00
What happens to do you get weird inside? Like, do you feel nauseous or it's

Kimberly 9:04
just panic? My first time that I had to have blood drawn was extremely traumatic. I got post PTSD from it. So that kind of led down this path of being horribly afraid of needles. Since then. How

Scott Benner 9:21
old do you think you were when you had the bad experience with the blood draw? Oh, about six. Six ish, yeah, that's not a good age for that to happen. I had a blood draw the other day, and the girl was a genius, like she just slipped that thing in there. And I was like, Get out of here. That's it. Way to go, like you wanted to leave her, like, there should be a tip jar on phlebotomists desks.

Kimberly 9:45
Oh, that's a good idea. It's

Scott Benner 9:46
not a bad idea at all, although quickly they would learn who does well and who doesn't. Because I would have happily, like, given her $5 on the way out the door, like she just like, man, it was easy. So you had a bad experience, and it stuck with you, though. Yeah. Yeah, like

Kimberly 10:00
the chair. I can't sit in the chair. If I go to get blood drawn, I have to lie down because the chair just freaks me out. I can't even walk into a room where there's one of those chairs

Scott Benner 10:10
where you where you can put your arm on either side, on the flat little panel. Yeah, yeah, no, thank you to this day, yep, I have to lie down. Do you have any other odd, not odd, but any other, like, significant reactions to other things in your life that have hung on to you?

Kimberly 10:28
No, that's it. Just the terrible fear of needles and blood draws and that kind of stuff

Scott Benner 10:34
about that. It's really something. Arden does not like it either. It's the worst. Yeah, she's overcoming it, but she's not a fan,

Kimberly 10:42
and like my husband, literally has to hold my hand while I'm getting it done. Oh,

Scott Benner 10:47
it's nice. He's a good person. Is that like date night for you guys, you go get a blood draw.

Kimberly 10:54
Not really date night. It's date day. Date day.

Scott Benner 10:56
Let's go out for lunch and have and get my blood done. You can hold my hand. It's nice. How about your your girls? Do they have any problems with the needles? If you take insulin or so faunal ureas, you are at risk for your blood sugar going too low. You need a safety net when it matters most, be ready with G vo hypo pen. My daughter carries G vo hypo pen everywhere she goes because it's a ready to use rescue pen for treating very low blood sugar in people with diabetes ages two and above that. I trust low blood sugar emergencies can happen unexpectedly and they demand quick action. Luckily, jivo kypopen can be administered in two simple steps, even by yourself in certain situations. Show those around you where you store GEVO kypo pen and how to use it. They need to know how to use jivo kypo pen before an emergency situation happens. Learn more about why GEVO kypo Pen is in Arden's diabetes toolkit at gvoke glucagon.com/juicebox, gvoke shouldn't be used if you have a tumor in the gland on the top of your kidneys called a pheochromocytoma, or if you have a tumor in your pancreas called an insulinoma, visit gvoke, glucagon.com/risk, for safety information. Diabetes comes with a lot of things to remember, so it's nice when someone takes something off of your plate. Us. Med has done that for us. When it's time for Arden's supplies to be refreshed, we get an email rolls up and in your inbox says, Hi, Arden. This is your friendly reorder email from us med. You open up the email, it's a big button that says, Click here to reorder, and you're done. Finally, somebody taking away a responsibility instead of adding one. Us. Med has done that for us. An email arrives, we click on a link, and the next thing you know, your products are at the front door. That simple, US med.com/juice, box, or call 888-721-1514, I never have to wonder if Arden has enough supplies. I click on one link, I open up a box, I put this stuff in the drawer, and we're done. Us. Med carries everything from insulin pumps and diabetes testing supplies to the latest CGMS like the libre three and the Dexcom g7 they accept Medicare nationwide, over 800 private insurers, and all you have to do to get started is call 888-721-1514, or go to my link, us, med.com/juicebox, using that number or my link helps to support the production of the juicebox podcast.

Kimberly 13:40
Uh, no, actually, Mackenzie is a nurse. She's up in Stettler, which is two and a half hours away, and she's loving it up there. She, um, can do it pretty much everything. And Courtney's just finishing our last year of high school, so she's got no fear of anything. She can go get her blood drawn, and no problem, bother at all.

Scott Benner 14:01
Is Mackenzie named after that very famous Canadian movie? No,

Kimberly 14:05
Mackenzie's named after um Ruthie in um Seventh Heaven. Really, yes, because her, her real name is Mackenzie, and yeah, that's how she got her name. What

Scott Benner 14:18
movie Am I thinking of with Bob and Doug McKenzie, wait a minute. I have no Oh, my God, you don't know how much younger are you than me? Like eight, nine years. Hold on a second. Maybe this is upsetting because you're Canadian. Let's figure this out. It was about beer. It was a moot, yeah, what was it called? It was about beer. What was that called? I think it was an SCTV skit, and then it was a movie. Eventually, Bob and Doug Mackenzie, but then what was the movie called? And they would be, they were like, take off a and then like, What the hell was Why can't I find out what the hell the movie was called? This is for. Ridiculous. I have the internet in front of me. Hold on. Come on, internet. Strange brew. You don't know this movie. No, never heard of it. Rick Moranis, and who is the other guy? Dave Thomas, neither of these names strike a chord with

Kimberly 15:16
you. Rick Moranis, you know him from Ghostbusters, but yeah,

Scott Benner 15:20
at some point in this conversation, will you please say oh yeah at the end of one of your sentences,

Unknown Speaker 15:25
oh yeah, yeah. Thank

Scott Benner 15:26
you. Appreciate it. Wow, yeah. All right. Well, everybody, strange brew, probably not a good movie. Just I just the movie I remember, uh, from my childhood, I guess. Okay, fine. Look at me. My my references are getting too old. Towards the end of the episode, we'll talk about the Kardashian woman taking out her butt implants, and we'll modernize the whole thing so you have any other autoimmune stuff.

Kimberly 15:49
I have the markers for celiac, the blood markers, but they haven't done the scope yet so, but it's likely going to come back positive when they do it.

Scott Benner 15:59
Do you avoid any foods.

Kimberly 16:01
I try to eat gluten free as much as I can. But, you know, I ate gluten for God right up to last year, so it's still kind of hard. Like when we go out for dinner or something and the kids in Darcy wants a burger, it's like, yeah, let's just go to the burger joint. I'll have a burger, I'll be sick tonight. Well, whoop dee doo.

Lija Greenseid 16:22
What kind of sick? What are we talking about here? Stomach,

Kimberly 16:25
diarrhea. I get heartburn sometimes from it, and indigestion. So is the

burger that good? A Five Guys Burgers? Yes, okay.

I mean, totally worth it.

Scott Benner 16:38
Because when you're eating, are you thinking like I'm gonna have diarrhea later. No, oh, I would be thinking

Kimberly 16:43
this burger is awesome. Am I glad I took it and made it?

Scott Benner 16:50
How is your health generally? Do you have problems with nutrition like so, like your body absorbing nutrition or weight, or anything like that? No,

Kimberly 16:58
I'm pretty good with that. My doctor started me on a bit just to try and help control sugars a little bit. So I lost 50 pounds last year. Wow.

Scott Benner 17:07
Get out of here. I

Kimberly 17:08
was happy with it.

Scott Benner 17:09
I've lost 50 pounds with a GOP. That's my number two. Good for you, yeah. How did it impact your insulin needs?

Kimberly 17:17
They went down. They went down quite a bit.

Scott Benner 17:20
Yeah, I would imagine. So it's interesting because you're listening to the podcast from the beginning to the end, like it could take you a year or more to get to the part where I'm using ozempic or, um, I started with, we go V and I'm using zepbound now. But you'll also eventually hear episodes with other people who are having the same exact experience you did. Took a GLP, insulin needs went way down. It didn't change your digestion at all, though, with the bread, for example,

Kimberly 17:47
no, no, no, I don't eat bread as much, very much, because I I hate bread. I ate too much of it when I was younger. Okay, you're all breaded. I'll try and stately about

Scott Benner 17:56
it. I feel like it's upsetting to say you don't like bread, but are the other day I took up, all right, no, I took a piece of bread and I put a little butter on it, and some cease, like, some salt, like, just a sprinkle of, like, something like a pink salt. Perhaps it was as best part of my day. So tell me a little bit about,

Kimberly 18:13
sorry, I eat a lot of fruit and, like, vegetables and that kind of stuff, meat, I I love meat, and it's just the starchy stuff. I try, like, potatoes, a lot of potatoes, a lot of rice. If we make spaghetti, like, we'll make a pot of regular spaghetti for them, and then I'll make a little pot of gluten free spaghetti for myself, gluten free. Like, I'm not totally strict on it. Like, I'm not one of those people that, Oh no, my my tongs touch the regular spaghetti, and now they're touching the gluten free spaghetti. I don't freak out about it like that. It's we gotta live our lives too. So

Scott Benner 18:49
what would happen if you got to the doctor after this, and they give you the scope, right? And then they say to you, listen, you have like damage in there, and you gotta be gluten free from now on, and they're going to give you the talk about how eating gluten when you're you have celiac could lead to some kinds of cancer. They're going to get that whole talk. Like, would after that, would you be like, All right, fine, I won't do it anymore. Or do you think you'd be like, I might have a cheeseburger once in a while.

Kimberly 19:18
I think I'm going to be, I'm going to have a cheeseburger every now and then I've lived this long, if, like, it's not, I don't know. I don't know how to explain it really is

Scott Benner 19:27
this enough? Have you had enough of life?

Kimberly 19:31
God, it's just that if my kids want to go out and have a burger, I'm gonna go out and enjoy myself with

Lija Greenseid 19:36
them. Okay, you can't just take the bun off and eat it. No, gross.

Scott Benner 19:42
I gotcha, I

Kimberly 19:43
gotta eat a burger as a burger, like a burger is a burger. Listen,

Scott Benner 19:46
I'm not arguing with you. I'm just trying to get your own book. That's all. I can't do the grease anymore. Even five guys just it's all too much for me. I don't like grease. It's it's been my thing for the last couple of years. I cut out a lot of different oils and. And anymore. Kelly got fries the other day, and I took two of them, and as I was chewing them, I thought, Uh, why am I doing this? Like, all I could taste was like the grease that was in them. I don't know what happened to me. Yeah, I still love french fries. So maybe celiac coming? Definitely type one. Anything else?

Kimberly 20:18
No other than that, I'm

Scott Benner 20:19
good. Okay, no. Thyroid, nope, no.

Kimberly 20:23
It's good. Ray

Scott Benner 20:24
nods,

Unknown Speaker 20:26
uh, what?

Scott Benner 20:26
Your hands cold all the time. Your feet cold?

Kimberly 20:29
No, oh, that's good. I got a little bit of neuropathy in my feet, but for being 42 years and that's the worst thing, I'm okay with that too.

Scott Benner 20:40
Okay. But when did your did your management change? Like, because you said you started exchange diet 42 years ago, you might have been using animal insulin, right? Like beef and beef and pork and then, no,

Kimberly 20:51
I think it was NPH in Toronto. Okay,

Scott Benner 20:54
so you started with the mph. And when did you go to faster acting? When did you go to like, I don't know, Humalog or Lantis or something like that.

Kimberly 21:01
I don't think any of that until I was actually pregnant with Mackenzie, really. Yeah, I had the same like, I didn't have good doctors at all until I was about 15 years ago. They just, they didn't help with anything. My experiences at the hospital were horrible. Like, it was just Yeah, so and then sorry, go. I

Scott Benner 21:29
want to know about it, like, so, like you're because you're basically discussing, like, from two years old to 30 years old. Nobody was really helping. So and you were, you were just doing, were you still doing exchange up until then?

Kimberly 21:42
I don't know when the exchanges quit. I think I just started eating regular, like, just eating, and then I had a sliding scale. Yeah,

Scott Benner 21:54
yeah, that's something else. Wow. So what? What are some of the places looking back that you were let down by your doctors,

Kimberly 22:00
definitely management, definitely explaining, like, when I got old enough to understand, they still didn't explain anything. And, like, this was before the internet, so I just couldn't go on the internet and say, hey, yeah, please explain to me what's going on or anything, just like, that kind of stuff. Yeah, it was just bad experiences, and no one really looking after me. It was more looking after the numbers,

Scott Benner 22:29
right? You feel? Did you feel alone? Like? Where did that leave you?

Kimberly 22:33
I was very alone. My my childhood. I was alone. I had a hard time making friends. They thought I was weird. I was odd. There was something wrong with

Scott Benner 22:43
me because of the diabetes. Yep,

Kimberly 22:46
I can remember going to school one year, the very first day, one of the kids there said to me, Hey, Kimberly, do you still need to eat snacks all the time? And this is right in the middle of big group of kids. And they all started giggling and laughing. And, yeah, I had a rough childhood, because I was, like, the only one in the school district out here

Scott Benner 23:07
that had it. And then, and you'd get low. You get low. Sometimes have to eat something. And that's what they made fun of you for

Kimberly 23:13
snacks. Yeah, because they didn't, they didn't understand. They should have

Scott Benner 23:16
given us some of those snacks. I might have calmed them right down.

Kimberly 23:20
You know what I mean? For snacking and stuff during school, I would have to go down to the office. I couldn't just stay in the classroom and have my little juice box. I actually physically had to get up and go down to the

Scott Benner 23:30
office. Oh, okay, so it separated you from everybody, made you seem different, and then shuttled you off somewhere else. Yeah, yeah. But that sucks. Kids suck and like,

Kimberly 23:41
back then we didn't have the teacher's aides, like the 504, plans. Sure, I never heard of one of those until I started listening to you. So I had no teacher's aide, no school nurse. I was I was actually sent home in a snowstorm once so low that my mother found me in a snowbank around the corner, passed out. No, really, because the teachers had no idea I was trying to put my mittens on my feet. And it didn't clue into them that there was something wrong. They just sent me out the door so

Scott Benner 24:12
they saw a little girl putting mittens on her feet, and they kicked her out into the Canadian tundra. Yeah, my god, yeah.

Kimberly 24:20
And then the ambulance came and got me and took me to the hospital. And when the ambulance came back, the drivers actually went to school and gave the teacher. What for do you

Scott Benner 24:32
ever wonder how we made it this far? Because I do okay.

Kimberly 24:35
I do sometimes, yeah. I

Scott Benner 24:37
mean, as a population of like, how, how, how did someone see that and just go, ah, kids, probably not having a stroke. We'll just send her outside, like in the into a like a a significant storm, right?

Kimberly 24:52
If I was walking down the back alley or anything, I was walking down your egg, like I could walk into the middle of

Scott Benner 24:58
the street, you were just walking down the middle. Roll the street. Well, I could have been Yeah. They would

Kimberly 25:03
say, yeah, it was a main drag road. So I could have taken off into the middle of the street, and they would have never known.

Scott Benner 25:10
Well, that's crazy. So when you're say you're walking down the main drag, like, what am I imagining? Northern Exposure or No, not that rural. No, no,

Kimberly 25:23
not that rural. Close though, I would get just like a main street on your on your Boulevard, right, yeah,

Scott Benner 25:30
but like the kind of place where a moose could wander down through town, or no,

Kimberly 25:35
we have had moose here. So it could happen. That could happen. I was actually getting up to drive work the other day, and I drove down my back alley, and there's apartments at the end of the of the alleyway here, and there was a deer just wandering into the farmer's field behind the house here.

Scott Benner 25:56
You said farmer field. And I thought for sure you're gonna say pharmacy. I thought you were gonna say, since you were just wandered into the pharmacy. Well, well, yeah, I mean, listen, you like again? You you live on an ice shelf, I imagine, right? So, polar bears, that kind of stuff, not quite. I

Kimberly 26:12
don't have polar bears. Winnipeg has the polar bears. I'm Alberta. It's great. We have gophers, gophers

Scott Benner 26:20
that go through the snow sometimes, yeah, when it snows there in the winter time, what do you get a foot? No, well, what's a foot in centimeter? Like,

Kimberly 26:34
get 10 centimeters today,

Scott Benner 26:36
10 centimeters. 10 centimeters is only, like, basically a third of a foot. Oh, well, then, okay, it's not a lot of snow. Then,

Kimberly 26:45
No, not right now, no. Or it's this. It's a spring, spring snowstorm. Nothing serious.

Lija Greenseid 26:52
What about in this, in the in the heart of the winter, though, when you get hit, does it? Is it a lot? It could be

Kimberly 26:57
we can get up to 30 centimeters, like a

Scott Benner 27:01
foot, yeah, that's a foot, my god, yeah, yeah, all right, Jesus,

Kimberly 27:08
but we get the cool, cool temperatures, like we get the minus 40, minus 50, oh, my God.

Lija Greenseid 27:13
Are you serious, yeah, can I ask a sincere question?

Kimberly 27:18
Okay, why

Scott Benner 27:19
don't you move like, go somewhere else. It's just very cold,

Kimberly 27:23
because I've lived here all my life, and I'll never leave. It's

Scott Benner 27:27
not a thing you think of, like, when it's minus 40, which, I don't know what that is, Fahrenheit, like, I don't have time to figure it out. But like, when that happens, you're not like, oh my god, it's so cold outside, I'm gonna die. Or, like, I have to stay indoors for two months at a time. Or like, none of that happens. You just live your life.

Kimberly 27:47
Just go on living real plane, yeah, but just keep on keep on going. What can you do? It's part of this the seasons here. Has

Lija Greenseid 27:57
snot ever frozen to your face? I don't think so. No, have you ever seen snot frozen in a man's mustache or beard?

Kimberly 28:05
I think my husband's before, yes, and you

Lija Greenseid 28:09
don't even know it's there, right? They don't how cold it is. Do you ice fish or have you no? Do you know people who do? No, I don't think I do. You don't have a lake around there.

Kimberly 28:23
We have a couple, but none that freeze like for that kind of that

Scott Benner 28:29
kind of thing activity. No kidding, no, that's very interesting. I'm sorry. I'm mesmerized by that. I would leave immediately. I would tell everybody, I love you all. I'm moving somewhere south. You can come or you don't, doesn't matter to me, but I'm selling all this stuff, and I'm getting out of here. And then I would go somewhere where it would never be negative, anything ever again in my life. That's, oh, I God bless you. I don't even know how you do it. I would listen, I want to be clear, if it was minus 40, whether it's Fahrenheit or Celsius, I don't even care. And I had to go somewhere. I would bitch for about an hour and a half before I left, as soon as the door opened, you would hear me go, Oh, like that. That's the first noise I would make. And then I would go outside. I would complain the entire way I was outside. Oh, my God, you'd never hear the end of it.

Kimberly 29:13
Oh, the worst part is, is brushing the vehicles off when you have to go out or go to work, that's the worst part. How's

Scott Benner 29:20
that even gonna happen? It's so cold we probably can't even get it off.

Kimberly 29:23
Oh yeah, because we the scrapers will get it off. But it's down cold standing out there doing it. Yeah,

Scott Benner 29:30
no kidding, no. Again, I'd consider leaving, but you love it there. You think it's terrific, huh?

Kimberly 29:36
Oh, I love it here. I'll be here forever. Like I said, so amazing. It's a little city. I've grown up here.

Scott Benner 29:41
I'm amazed, don't I mean, like, in a nice way, like, I think it's nice. I just, you would hear me complaining, miles away, kilometers, I'm sorry, away. I'd be complete. You'd hear me. What's that noise? I think that's Scott bitching about how cold it is outside. God, quite possibly. Yeah. So when you get to 30 and you have a change in your management style, what precipitates that like, what makes you finally look for more information or shift or whatever? Wanting

Kimberly 30:11
to be around for my girls and start learning, and I don't want to hide anymore. I want to be able to be like, Yes, this is me. This is what I have. It doesn't make me a bad person, no, and I'm learning to accept

Lija Greenseid 30:30
it. You felt that way for a long time, though. Yeah, I'm sorry. Are you? Are you crying? No, I

Kimberly 30:39
just have a cold nose because I'm sitting in the cold car.

Scott Benner 30:42
Oh, oh yeah, because your husband's sleeping and you're afraid if you talk, the dogs will bark and wake up your husband Exactly. Yeah, I appreciate this. How cold is it right now? Where you are zero. Wait, it's April. It's still that. I know it was 78 degrees here yesterday. I don't know how to tell you how warm that is. Hold on a second. 78 degrees Fahrenheit, in Celsius, 25.5 yesterday. I swear to God, you gotta leave. Does it get humid there in the summertime? Yes, it can. Yeah. Oh, my God, then what's the benefit of living there, muggy, muggy. Oh, yes, You're upsetting me. I gotta deal with sub temperatures, and it's going to be humid in the wind, in the in the summer. Yes, and a moose might walk down the street, quite possibly, yes, oh my God,

Kimberly 31:42
and the coyotes might jump the fence from the farmer's field and attack your dog.

Scott Benner 31:48
What the hell no, no. What is this? An episode of The Walking Dead. What do you what do you have going on there? Oh my gosh. Okay, all

Kimberly 31:56
right, we back right onto a farmer's field, and you can hear the coyotes howling in the night.

Scott Benner 32:02
Yeah, that, yeah, but you have a car, right? Yes, yeah. You should try driving south till it warms up. I'm telling you, you know, I want to dig more into this idea about like, being around for your kids. So do you mean to tell me that for the first 28 years of ex, about time of your life with diabetes, you felt so badly about yourself, likely because of the way you grew up with it, that you couldn't bring yourself to tell people you had diabetes or even ask for help. And then it occurred to you one day, I'm not going to live a long healthy life if I don't do something. Yes,

Kimberly 32:35
and that's when I went on a pump. Is then that

Scott Benner 32:40
got you doing insulin pump? Okay? Yeah, I would

Kimberly 32:43
always tell the doctor, because she would ask me, Do you want to go on a pump? Do you want to go on a pump? And I'm like, No, I don't. I want you to give them to the kids, like, in general, the kids, so they don't have to live the life that I live. Like Kimberly,

Scott Benner 32:58
did you think there was a limited amount of insulin pumps available. I didn't know they'll make enough. Remember,

Kimberly 33:04
I wasn't educated very well. Why

Scott Benner 33:07
were you not educated very well? Because you were constantly at the office about the slides

Kimberly 33:13
and diabetes. I never, oh, I wasn't very educated.

Scott Benner 33:17
But the doctor never said to you, Kimberly, honey, I got enough for everybody. Are you sure you really wanted the kids to have it, or you just were looking for an excuse not to do something new?

Kimberly 33:26
I wanted to be sure that they were looked after and they got an opportunity to have it. And like, I'm not talking my kids, they don't need it, but like, just the kids in general, in the world, that it was more important for them to have and live a better life than what I had, then for me to have it.

Scott Benner 33:46
Yeah? I mean, it's upsetting that a doctor wouldn't tell you it doesn't work that way. You can have one and they can have one. Yeah, you know, and, and same doctor for all those years, this

Kimberly 33:57
was like, just my GP general doctor, okay,

Scott Benner 34:01
oh, that's so you weren't even seeing somebody specifically for diabetes. No,

Kimberly 34:09
I had not seen an endocrinologist until about 22,008 was the first time I saw an endocrinologist, really.

Lija Greenseid 34:18
Why do you think that happened? Just the

Kimberly 34:23
communication got broke down, I'm guessing, um, I

Scott Benner 34:28
didn't know any better. Interesting. And did you feel like you were doing well, or did you actually think you weren't doing well, but you just didn't pay attention to that part of it.

Kimberly 34:38
I think I was doing okay, like I wasn't perfect by any means. My endocrinologist I have now went back to, I think it was 2008 and pulled up my a one C's, and they ranged

Scott Benner 34:52
from 8.0

Kimberly 34:57
down to right now, which is a 5.9 mm. Hmm, so it wasn't horrible, like, I wasn't in double digits by any means. But,

Scott Benner 35:04
no, no, no. But was there a lot of variability? Was there up and down with your blood sugars? Yes, there was.

Kimberly 35:10
I was quite brittle. I guess you could say, like they couldn't use a lot of Toronto insulin on me, or I would drop very, very quickly.

Lija Greenseid 35:20
Okay, what about nowadays? What? What's your management style now? What are you using?

Kimberly 35:25
I have a tandem pump. Sorry, OmniPod, but it's okay. I did have an OmniPod for 10 years, the upgrades and the renewal and the that kind of stuff, like the OmniPod five, we couldn't get get it here for years still, like, it just got approved this year, yeah. And the technology in the tandem was more what I was looking for than okay. And the dash, like, I got a dash, and I just, I just not like it at all. For some reason it just, I, I didn't like it.

Scott Benner 35:57
Listen, you don't have to apologize for finding whatever works for you, that's fantastic. You know, if you've got something that you like, that's great. Are you using, like, control? IQ,

Kimberly 36:06
yes. And I gotta see GM, yeah.

Scott Benner 36:09
So you have a g6 or do you or Libra? G6 No, g6 Okay,

Kimberly 36:13
I did the libre. I didn't like the libre either. It wasn't, wasn't what I wanted. So

Lija Greenseid 36:19
why? What's the difference for you between the Dexcom and the libre. The

Kimberly 36:23
Dexcom, at least brings the numbers up right away. Libre, you have to scan it.

Scott Benner 36:27
Oh, so you had libre back when it had to be scanned. Yeah, I don't think it's like that anymore. Oh, maybe not. You'll never know. How are they gonna like, that's right, no one's gonna tell you in Calgary now you're using an algorithm. Do you still think of yourself as like, difficult to manage with insulin? Or is that all become more stable? More

Kimberly 36:50
stable, but I still have kinks to work out every now and then, and just like everybody, and I can't be perfect. I I know I try to be perfect, but I cannot be. I tend to have number anxiety when I see numbers that I don't think are right. I kind of like, get it down. Get it down. Yeah, my educator kind of told me that I had to up my high alert because it was too low. She's She said to me, Why in the world do you have it that low? I'm like, so I can catch it faster. Yeah.

Scott Benner 37:25
Where was it set at?

Kimberly 37:27
It was set at a 7.7

Lija Greenseid 37:30
why? Well, I don't actually do move it. Or did you tell her I'm having good luck? Why would you ask me to change this?

Kimberly 37:35
I moved it up to an 8.5 which is a 154 for you guys.

Scott Benner 37:41
Why did you do that? Like, did you have a problem with it?

Kimberly 37:45
I didn't have a problem with it, but I was getting to the point that I was getting too focused on the numbers, and it was taking away from family time and stuff like that. So she said it would be a very good idea for me mentally, to move it up a

Scott Benner 38:03
little bit. Okay, has it helped?

Kimberly 38:07
Yeah, she wanted me to move it up to a 10. And I was like, No, that's too far. So I moved to 10.5

Lija Greenseid 38:14
what is wrong with what All right? Is this an endocrinologist?

Kimberly 38:19
No, it's just my educator.

Scott Benner 38:21
Oh, Jesus. Okay, so you,

Unknown Speaker 38:23
you have a, oh, no, no. She's

Kimberly 38:24
really amazing. She's very amazing. Okay,

Lija Greenseid 38:29
I mean, what? What was your a 1c before that,

Kimberly 38:35
the last one that I just got was a 5.9

Lija Greenseid 38:39
is it rising now that you changed the alarms?

Kimberly 38:43
I don't know. I don't go till May to get my next one done.

Scott Benner 38:47
Oh, you don't have you have a g6 Do you have clarity set up? It would tell you what? Oh, yeah. It, wait a minute,

Kimberly 38:56
you sound very cool a little bit, but I've got it down again by

Scott Benner 39:00
paying more attention to it. Yeah, do you see what I'm saying? Yes, no, no, okay, it doesn't. Are you a people pleaser?

Kimberly 39:07
I try to be. Oh, you

Scott Benner 39:09
try to be a people pleaser.

Kimberly 39:11
I was a sock up in high school. So, yeah, maybe, wait, wait, wait, you

Scott Benner 39:14
were a sock a, what a suck up like

Kimberly 39:17
a teacher's pet in high school.

Scott Benner 39:19
I I thought for sure. She didn't say, suck up. I thought I misheard you. You were happy with where your alarm was set. The doctor told you to move it because it would help you to not pay as close attention to your diabetes, which is not helping you with that, because you are still paying closer attention to diabetes to get your number back to where you wanted it. So why would you not put the alarm back to where you wanted it?

Kimberly 39:44
I might get there eventually.

Scott Benner 39:46
What's stopping you not wanting to make Chelsea mad? Is Chelsea your educator? Yes. Is she listening? She could be. She said

Kimberly 39:57
she was going to listen to my episode. Oh. Chelsea,

Scott Benner 40:00
listen, this is what we got going on here. Kimberly is stuck between a rock and a hard place. Okay? She wants a low, stable, a 1c she doesn't want to be burned out. And at the same time, if you put up her alarm, she's just going to think about it anyway, right? Yeah, so wouldn't it be wouldn't it make sense to spend the time together figuring out how to stop that alarm from beeping instead of just pushing it up so that it beeps later and then makes you go crazy, because the blood sugar's more like 180 or whatever.

Kimberly 40:30
That's the thing. If you don't catch it fast enough, it ends up going sky high.

Scott Benner 40:35
Where did you learn that? Where did I learn that from you? Yeah, okay, so, so let's figure out. Why are you seeing excursions that are going up? Are you pre bolusing your meals? Are you like, what do you think is causing that?

Kimberly 40:52
I think sometimes it's just the carb counts aren't dead on. Okay?

Scott Benner 40:58
And then do you wait for the algorithm to bring it down, or do you bolus again?

Kimberly 41:01
If I see that it's going up too much, I'll do it. I'll bolus it again.

Scott Benner 41:08
Otherwise, you're happy to let the algorithm work. If it's like, maybe more like 140 or something like that,

Kimberly 41:15
like, right now I'm at a 10.3 so I'll hit that and bring it down here when we're done, okay?

Scott Benner 41:23
Because it's it's

Kimberly 41:25
going up too. But I think that's likely going up because of adrenaline, nervous and adrenaline and all that kind of stuff, right?

Scott Benner 41:33
Plus fight or flight, because you're freezing to death in your car. Are you at least? Are you in a garage?

Kimberly 41:38
No, I'm out in the open air. No

Scott Benner 41:40
wait, you're in so, oh my god, Kimberly, I can't be responsible for your death. So you're telling me that, although, if you I don't want to say that, but if somebody was the dialog I was recording with them, I do think it would become a very popular episode, but I don't want that to happen to you. You're saying to me that you're it's zero degrees outside right now? Yep, and you're inside of a car that is not running, no, so they make background noise so that your dog won't wake up your husband. Yes. Kimberly, do you have the keys to the car with you? Yeah, do you want to startle up and warm up the car a little bit while we're talking? No, I'm okay. You're okay, okay, I had it on before

Kimberly 42:24
we started, so the seats are nice and warm, and I just put my hands under the blanket. I'm good. All right, listen,

Scott Benner 42:30
if you start putting your mittens on your feet, tell me okay, because I'll make sure we do something mittens on your feet. And they still sent you outside. Then no one was like, hey, that kid might be like, have an aneurysm or something. Maybe we should check on that. How old were you? Do you think

Kimberly 42:46
I was in grade three, so likely around what nine or 10 ish

Scott Benner 42:51
is the answer old enough to know not to put your mittens on your feet? Well, yeah, yeah, you've been let down by a lot of different people. Okay, um, do your kids know much about your diabetes? Yes,

Kimberly 43:06
they do. They learn. They know um. Courtney knows how to do a gunshot if she has to. She knows how to do everything um. And of course, Mackenzie knows how to do stuff when she's home. And she actually, actually, both of them follow my

Lija Greenseid 43:23
Dexcom. Oh, that's lovely. Did they ever help you, like mom? Are you okay? You ever get texts? Yes,

Kimberly 43:30
I get texts from Courtney all the time when she's in school. And I get um, from Mackenzie. I get told, hi, mom, the nurse is a mirror laughing at you because your numbers are going crazy. Wait, why should? Why is she shares it with the nurses up there? Why

Lija Greenseid 43:46
is she with the nurses? Because she is a nurse. Oh, that's right. Okay,

Kimberly 43:50
yeah. Sorry. When they're bored on overnight, like the overnight shift, they'll sit and they'll look at my numbers, and sometimes they'll play bingo with it, and

Scott Benner 44:00
while they're waiting for injuries to come in off the oil rigs. Am I right? Mostly

Kimberly 44:03
not oil rigs, but more of the telephone line people. There's a lot of linesman up there.

Lija Greenseid 44:10
Oh, no kidding, and they fall. Yeah,

Kimberly 44:13
they can, yeah.

Scott Benner 44:15
Hold on a second. I'm going to try to remember that the next time I complain about my job to somebody. You could be a linesman. I actually found myself the other day saying I had to record that podcast three times today. But I I've never fallen from a poll, so I guess maybe I'm okay. What about just burning out? Have you gone through that?

Kimberly 44:38
Oh yeah, I went through that hardcore tell me when I was about 1616, 1718, I started with the burnout. I wanted to be like my friends. I wanted to drink what they were drinking. I wanted to eat what they were eating. I didn't want to be different anymore. It lasted a long. Long time, actually likely, until I was pregnant with Mackenzie, it was I was still riding the burnout train.

Lija Greenseid 45:07
What did that look like, day to day? Were you not using insulin as much as you should have, or what were you doing? No,

Kimberly 45:13
I still did all of that. It was more what I was eating and like, I still did my testing, I did my insulin, I did all that kind of stuff, but it was more I was eating the chocolate I was eating or drinking regular drinks. I was just eating whatever. But then I would use my sliding scale and bring things back down to where they should be, right.

Scott Benner 45:35
Let me say something where I'm going to sound like a leftist, communist hippie. Okay, I was in a restaurant last week with Kelly. We do a thing on Saturdays. Since the kids have gotten older, we go to lunch on Saturdays together. Because, you know, we just work a lot, so we want to make sure that we do something together once a week. So we're having lunch, and I look over at the table next to me a couple, and their two kids. And the kids are like, four and six, maybe, right? And the waitress comes along and says, like, what do you want to drink? And everybody orders their drinks. And for the kid, she goes, Do you want chocolate milk or coke? And I'm like, water. Could get a little little water, maybe, and, like, I don't know, something that doesn't have a, like, 48 grams of sugar in it, maybe, like, no, like, just chocolate milk or coke. And I have to tell you, like I had a visceral reaction when the kid ordered a coke. I was like, why are we letting a four year old drink that? I don't understand that. But I guess everybody my I says to my wife, this is this, is this, in case you want to know what it was like to be at lunch with me. Then I was like, I don't understand this. Like, what people give their kids soda, like this, like, sugary soda. And she's like, Yeah, everybody drinks soda. I was like, I don't know, man. Like, I don't that doesn't make sense to me. Like, I don't know. No, we never let our kids drink that I don't know. I'm not saying I'm right or wrong. It just It strikes me very strangely,

Kimberly 47:03
I didn't get any sweet serve any sort while I was growing up. Well,

Scott Benner 47:08
yeah, they didn't know what to do with you because they would have had to start exchanging things off your diet.

Kimberly 47:12
Oh, exactly. I do remember that once, like, I got up early Easter morning and I snuck out and ate all of my brother's Easter chocolate. Nice. I got in trouble for that one.

Scott Benner 47:25
Was he pissed?

Kimberly 47:26
I think the parents were pissed more than he was.

Lija Greenseid 47:28
Did they give Oh, and you didn't have Wait. Did he get Easter chocolate and you didn't? Yeah, oh, I don't think he can do that, though that's tough.

Kimberly 47:38
And then, like, I grabbed the bag of Oreos once, and I snuck and ate them under the bed in my parents room. Under the bed Oreos, I ate the Oreos under the bed in my parents room.

Scott Benner 47:51
How old were you?

Kimberly 47:53
Maybe five or six. Okay,

Scott Benner 47:56
do you think these are all responses to diabetes?

Kimberly 47:59
Yes, definitely. And being treated differently, and being treated

Scott Benner 48:03
differently by your family or by others, or by both, even,

Kimberly 48:09
even by my family, because my brother would get the chocolate, but I wouldn't. And, yeah, yeah.

Scott Benner 48:14
So your your family treated differently because at school did, when you're getting ready to have a baby, you decide to do a little better for your for the baby, right? Or was this even a thing that you thought or did the doctor tell you

Kimberly 48:27
when I got pregnant with Mackenzie, they had told me to wait, and I didn't understand why, because nobody ever explained to me a 1c or numbers or anything like that. And being young and dumb and stupid Darcy and I were like, No, we're ready. Let's get the show on the road. So I got pregnant before I had my appointment with my Pregnancy Clinic type thing here, and the doctor there actually told me that I have to abort. McKenzie, wait, because you and I was like, wait, no, I am not doing that. Oh, hold

Scott Benner 49:05
on, Kimberly, let's pick through that. How pregnant are you? You didn't get pregnant on purpose, I imagine. Oh no, I did. Oh, you did. I did. Okay, so

Kimberly 49:13
you did. I was ready. I didn't want to wait for the doctor's appointments because they were going to be months. Apparently, when you get pregnant, when you're diabetic, you're supposed to have these great numbers, which nobody informed me of.

Scott Benner 49:24
And so you get there, and the doctor's like, you're gonna have to have these great numbers. But you didn't think, did you think you could do it? I

Kimberly 49:31
was really kind of in shock, and didn't really know, but I worked my ass off to do it, and the doctor actually told me twice that I should abort my baby.

Scott Benner 49:41
What was your a 1c at, when he, I mean, I guess it was a guy, right? Yes,

Kimberly 49:46
he was a guy, and I still remember his name, and he was an awful, awful

Scott Benner 49:51
doctor. Was his name? Dr Demento? No, no, it wasn't.

Kimberly 49:55
Anyways, I kept Mackenzie and she turned. Note like she was 10 two, when she was born, and she was three weeks early. And then for Courtney, we did it the right way. We got the A 1c down where it was supposed to be, did all the planning work, and she was nine, nine, and she was four weeks early. So

Scott Benner 50:21
what was your a 1c when the doctor's like, you have to have an abortion, I couldn't

Kimberly 50:25
tell you. I'm assuming it was up in the eighth. I'm guessing, because that's as far back as my current endo could go. She couldn't pull she couldn't pull up my numbers, likely because we didn't have computers back then for it. We it was all paper charting back then.

Scott Benner 50:42
Okay, so when you say, No, I can handle this. I'll make it like, where did you get your a 1c down to during your first pregnancy?

Kimberly 50:49
I couldn't tell you. I don't think they ever told me. They might have told me, but I don't remember it. Yeah, it's

Scott Benner 50:55
fine. I couldn't tell you. What does work harder? Mean, then? Like, what did you do that? Like, I don't know, changed your outcomes.

Kimberly 51:02
The biggest thing was, at that point, I changed to pens, and I started doing the four injections a day. Okay? Because before that, I was still on only two injections. Still, at that time in my life, I was still on only two injections a day. Obviously, you

Scott Benner 51:19
don't like needles. So was this a lot about you just didn't want to be doing more injections, and so you just looked at higher blood sugars. Or were you not testing like, did you not know what they were? You just counting carbs and putting it in? Yeah,

Kimberly 51:34
I didn't know any better. Wow, that's really something. I just I did not know. The communication got screwed up somewhere. I didn't get put through to the right people. And

Scott Benner 51:45
so Kim, after you, after, after you're told this about the pregnancy, and you're, I mean, you're trying harder, but you don't really know what that means. But what point do you really take control of it and say, I'm going to find out everything I need to know, and I'm going to do the things I need to know, and I'm going to follow through and see if it works like At what age did that happen for you? 26

Kimberly 52:03
likely for my second pregnancy, when I got my together, started to make sure I was going to be good for for this pregnancy, and then after the kids were born, it was likely 2008 where I really put things into play and started seeing my endo that I have now regularly. And how

Lija Greenseid 52:28
did seeing an endo help? If it did?

Kimberly 52:32
Oh, she's absolutely amazing. She helped me get numbers figured out. I can text her whenever I need to, I can call her home if I need to. I had my wisdom teeth out, all four of them at once, and I was sedated for it. She told Darcy that he used to call her every hour with my blood sugar, and he actually missed one hour calling her and she she was calling us to make sure everything was okay. Oh, she's amazing. I yeah, I don't want to say her name, because I don't know if she'd be okay with that, but she'll know who she is if she ever listens to it, because I can't say enough good things about her.

Scott Benner 53:16
You see what a difference it makes to find somebody who's engaged with you, cares, focused, understands what they're doing, and is communicative and good at communicating, oh,

Kimberly 53:26
like, I will send her Christmas pictures of the family, birthday pictures of all of us. Like, each time there's a big event, I send her the pictures, and she writes back and like, she's She's everything I wish I would have had earlier. Yeah, tell

Scott Benner 53:44
me why that's so like, like, why that level of intimacy? Like, sending pictures of your family. Like, what do you feel like she's done for you?

Kimberly 53:52
She's made it so I can be around with them, so I'll hopefully be here longer. And she's, she looks after me like, I don't know how to explain it, she's just

Scott Benner 54:04
a special person, amazing. Yeah, she she's

Kimberly 54:06
a very special person. And like, for five or six years, Mackenzie and I would do interviews with her students, because she's also a teacher at the university out here. And every time we would do the interviews, I would tell the students, I said, make sure you that you turn out like her, like be be there for your patience. Listen to them, understand what they're going through, and not just make snap judgments just because they say one thing wrong or whatever. Yeah, like, we're all learning.

Scott Benner 54:41
That's good advice. And

Kimberly 54:42
I'm I'm still learning, like every day, I learn something new listening to you.

Scott Benner 54:47
Oh, I'm glad. Oh, that's wonderful. I really do. I love the idea that you're listening from the beginning, that you're you're so many years behind where the podcast is right now. Wish I had that experience to have over again. I don't even know. Oh, it's funny. You're listening to stuff. I probably couldn't even remember that I did at this point. I just

Kimberly 55:04
started year 2020, so I'm waiting to see what you're going to do when all the covid stuff comes up. Oh,

Scott Benner 55:11
yeah, we talk about covid for a little bit, huh? I wonder how wrong we got that in the beginning.

Kimberly 55:16
I don't know. I'm waiting to see. And I just listened to the one where you read the story of the Grinch, How the Grinch Stole Christmas.

Scott Benner 55:24
That became a favorite. I've done that a couple of times since then. Oh, really, good. I can't wait. I think there's other Christmas poems in there along the way. On Christmas, I wanted to stop doing it, and I got chastised into doing it again this year. And I was like, I said, I said, I don't think people care. And

Kimberly 55:42
oh, yes, yes, we do. Oh, okay. Like, it made my day. Driving home from work, it made my day. Oh,

Scott Benner 55:48
I'm glad. Okay, well, I'll keep doing it. Then for you, Kimberly, if nobody else, oh, thank you, of course.

Kimberly 55:54
Because, like, I'm a nursing attendant in a long term care facility, and sometimes that listening to that kind of a thing, it just made my day so much better coming home, because it was a rough day at work that day.

Lija Greenseid 56:07
Oh, it's so nice. Thank you. Is that tough helping people who are older? It

Kimberly 56:11
can be when they don't know what they're doing and they're hitting you and they're spitting at you and they're biting you. And it can be, it can be very hard, but then you just have to think like they don't know what they're doing.

Lija Greenseid 56:27
It gets to that point they really just aren't they have no idea. Yeah, happens at all different ages. Yeah, yeah.

Kimberly 56:37
We have some really good, really good ones, and we have some that are just nasty. Why don't

Scott Benner 56:43
you put them on one of those moose and just slap the moose in the butt and just let them go.

Kimberly 56:49
It's not legal.

Scott Benner 56:51
Legal. What is legal? Legal? Smeagol, right? You're in Canada, the wild west of Iceland. You can do whatever you want, actually, which which one is that Iceland is warm in Greenland is cold, or is it vice versa? I don't know. Don't ask me. Yeah, I should learn more stuff before I talk on the podcast, but it'd be a lot of work. So I'm just gonna keep getting you should come to Canada, Canada. I gotta come to Canada so little kids make fun of me about my snacks. You know that's gonna happen

Kimberly 57:24
on a minus 50 day. You should come to Canada, step off the plane in your T shirt and

Scott Benner 57:31
listen, you're on the west coast of Canada. Am I right? Yes, yeah, I am not flying out there for anything. I don't even know. I don't even know what you'd have to tell me was at the end of that flight for me to get on the plane. That's not nice. No, I don't I'm just telling you I don't care. I don't care. That's that very well may be. I don't want to travel like that. That's my problem. Actually, I think I'm currently ignoring a diabetes association that asked me to come out the Western cap. I think, I think I owe them an email, but my email is gonna say so far away. Seriously, there'd have

Kimberly 58:07
to be. I tried to get, I tried to get Chelsea, to get you to come out here.

Scott Benner 58:11
Maybe this is who I'm ignoring. I don't know. Like it's so far. It really is. It's the distance that bothers me, not the Canada part. I would love to see Canada one day. I mean, I'm fine with it, seeing it or not seeing it, but if I see it, I'd be happy about it. I just I'm saying it's the distance thing. I don't want to be on a plane for five hours. Uh, oi,

Kimberly 58:31
that's horrible. Not five hours.

Scott Benner 58:34
Oh, my God, doesn't this sound terrible? Are you being sarcastic with me because I was agreeing with you. It's horrible. I was being a little sarcastic. I mean, I need a first class ticket. First of all, I don't want to. I can't be, uh, like, squished for five hours. You see, I'm already upset thinking about it. And then, like, even somebody said to me one time, like, Wouldn't you love to go to Hawaii? I'm like, Oh, my God, so far away. I gotta get on a plane. I gotta fly to California. That's five hours. Now get on another plane and fly again to another place, far away. For who? For what Ricky waters once said after the Philadelphia Eagles gave him a lot of money and he didn't try to catch ball, that's a bizarre statement for me, but anybody who lived through it, the eagles were a bad football team, and they finally spent some money on a running back. They got this guy named Ricky waters, and in his first game, think they were losing. In fairness, had he caught the ball or not caught the ball, I don't believe anything would have changed. And this past is sent to him. It's a little out of his reach, but if he just would have reached out, maybe laid out for it, he could have caught it, and he didn't. He just watched it go by like and then afterwards, the media asked him, you didn't make much of an effort for that ball, and he goes for who for what. And I was like, Oh, I feel very good about the money we just spent on him, for who for what.

Kimberly 59:50
He's very happy with it. How about

Scott Benner 59:51
for everybody watching the game and for all the money we gave you? And I know I didn't give it to him, but it felt like I did when he said he wasn't going to try that hard. You. Again, this has nothing to do with you, but I can't I mean, Hawaii would have to be Hawaii. Plus, I don't know what else you could offer me at this point, but it would need to be something, a lot of money, money, sex. I'd have to come back with a perfect hand. You'd have to promise it to me all the things that people love, like, there'd have to be a free car there when I got there, that would be back at my house when I got home. It's just so fcking far. I don't know, I hate it. I did a talk once in Oklahoma, where the wind comes right behind the rain, you might know the place, and I had to fly into Texas and then drive, like, I don't know, an hour to where I gave the talk, and the whole time I was in the car, I was like, Oh, why is the airport not closer to where I'm going?

Kimberly 1:00:57
I had to fly into LA in November. Okay? And this is another thing, like one of my fears with being diabetic and everything, I was absolutely terrified to go through customs and security and all that stuff, right, okay, and Darcy

knew this beforehand, so him

being the jerk face that he can be sometimes that I love. I'll just put that in there. He would watch border security and how all these people get caught taking stuff across the border. And I'm like, Darcy, this is not doing very good for me, and I have to cross the border in a week. Do

Scott Benner 1:01:39
you ever call him Mr. Darcy? No, I don't. From the movie. No, what movie do I mean? It's the one with the British people.

Kimberly 1:01:49
Oh, I have no idea, but I never call him Mr. Darcy. Isn't that, um, love, actually, or is it the other one?

Scott Benner 1:01:57
My reference for things today is off. I couldn't remember strange brew. Wonder what's isn't it? My Fair Lady with Mr. Darcy. I don't know. No, no, no, no, no, no, no, hold on a second. I

Kimberly 1:02:12
have no idea. Oh, now you're pulling it up. It's Pride

Scott Benner 1:02:15
and Prejudice. Oh, but Well, well,

Kimberly 1:02:19
he does not fit into that era at all. So no,

Scott Benner 1:02:25
that's well, that's why it might be funnier. Consider it, if you would think about it, you don't have to do it, but get back to me if you do it.

Kimberly 1:02:35
Yeah, I'll go in and wake him up and say, Mr. Darcy, it's time to get up.

Scott Benner 1:02:39
He'll be like, he'll be like, listen, Jane Austen, would you like flip out if, if you said that to your husband, he's like, I know that's from that Jane Austen novel, Pride and Prejudice. And I,

Kimberly 1:02:50
I would be very shocked if he knew what that was. Beyond shocked if he knew that that reference,

Scott Benner 1:02:57
like there was a Mr. Darcy film in 2023 does not look like it was good for popular Yeah? Sorry, this IMDb makes everything seem the same. This is like something somebody made on their phone. I think you guys have phones there, right? Yeah.

Kimberly 1:03:14
While we have, like, we have cell phones, we don't have a landline. We don't want one. What do

Scott Benner 1:03:19
you got, like, the iPhone two or something like that? No,

Unknown Speaker 1:03:23
14.

Kimberly 1:03:23
Judgy, judgy, a bit there. Fancy.

Scott Benner 1:03:30
How do they do in the cold, though, don't they, like, shut off when they get real cold? Oh, they

Kimberly 1:03:34
could. I haven't. Mine hasn't yet. So,

Scott Benner 1:03:38
Kim Burley, you are lovely. We are at the end of our time. Have I made all your dreams come true? Because at the beginning, you said you were having a fan girl situation, and I didn't let you talk about that. Yes, you have. Why? Why? How is that possible? I don't know. It just

Kimberly 1:03:57
seems like you're like, big and famous and exciting to talk to and I got to talk to

Scott Benner 1:04:01
you. Was that true? Was I exciting to talk to him?

Kimberly 1:04:04
You were everything that he thought you would be. How's that? Well, I

Scott Benner 1:04:08
didn't let you down. That's what I'm here. And

Kimberly 1:04:12
I knew you were going to pick on Canada, so I knew that going in. So I was like,

Scott Benner 1:04:15
Okay, listen, I'm like those kids and the snacks. I see an easy target and I go for it. I can't, by the way, I'm so sorry that I know it's such a long time ago, but it's horrible. You know what I mean? Like just kids, just looking for anything that's different and picking at you about it. Because it really does sound like it stuck with you for a long time.

Kimberly 1:04:37
It did. It was mental, mental abuse in a way? Yes, no,

Scott Benner 1:04:42
of course. No, it sucks. It really does. You don't have that problem anymore, though, in your adult life, right? No, I

Kimberly 1:04:50
got good friends. My family's amazing now, and, yeah,

Scott Benner 1:04:54
that's good. Oh, I'm glad. I'm glad for you. What's the the best advantage? Spent in diabetes that you've seen in your lifetime, definitely

Kimberly 1:05:02
say um, CGM, followed by pump.

Scott Benner 1:05:06
Okay, yeah. How does the CGM change things for you? Oh, no

Kimberly 1:05:10
more finger prokes, hello. My poor fingers have been able to heal,

Scott Benner 1:05:15
but not about the numbers. It's more about the the respite for your fingers,

Kimberly 1:05:20
well and the numbers, but you got to think of it both ways here, like my poor fingers. After seven, eight times a day of being poked, 365, times a year, they just hurt. They were they were in pretty bad shape.

Scott Benner 1:05:36
How long did it take for them to kind of rebound?

Kimberly 1:05:40
I don't know they look nice now. I'm looking at them right now, and they're looking pretty good. No little black holes in them. And

Scott Benner 1:05:46
how nice? How long were you? How long have you been on a CGM? Well,

Kimberly 1:05:49
I went Dexcom, then libre, and then back to Dexcom, so I'd say about seven years likely.

Scott Benner 1:05:56
Okay, and your fingers are nice now, no black you have those black dots you can get in those eventually, huh? Yeah,

Kimberly 1:06:03
that's crazy, but there's no more of them, and it's, it's awesome to see numbers as they as they come up, right? Like, yeah, unless you're me and who has number anxiety, then it's not so good, but, but

Scott Benner 1:06:18
it's better than not knowing, right? Definitely

Kimberly 1:06:21
better than not knowing Good, good, and especially when, like, I'm way down in southwest Calgary, where I work, Mackenzie's two and a half hours away from home, like it's good for them to be able to see what's going on. And like,

Scott Benner 1:06:38
Darcy's what

Kimberly 1:06:41
when he's at work, he's only 20 minutes away from me, so it's good for them all to know what's going on and how to help and where to help and who to call, and yeah,

Scott Benner 1:06:53
for safety, if nothing else. Okay, so are we going to call this one strange brew or Mrs. Darcy? Let's think about it, because you are technically Mrs. Darcy. So, boy, strange brew might be good. I don't know. I'll figure it out later. Don't worry about it. We got plenty of

Kimberly 1:07:12
time, like, least, about six months.

Scott Benner 1:07:15
Oh yeah, about six months. I've got plenty of time. I'll literally hear myself six months from now say this, and I'll be like, Hmm, I wonder what we are gonna call it, and then I'll decide then. But this is very nice. I appreciate you doing this. Very much. Kimberly, sincerely. Can you hold on a second for me? Yeah, thank you.

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#1310 Blame Kevin Costner

Scott Benner

Pam's daughter has type 1 diabetes and PCOS. 

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

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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 another episode of The juicebox podcast.

Let me look at my notes here. Pam has four children. Two of them are adopted. One has type one diabetes. Her name is Emma. She's had type one for three years. She also has PCOS and insulin resistance. They try to ozempic, but, well, what did I say? But I'm gonna tell you all about it in the podcast episode. Not gonna ruin the whole thing here for you. 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/juice, box. Don't forget to save 40% off of your entire order@cozyearth.com All you have to do is use the offer code juicebox at checkout. That's juicebox at checkout to save 40 percent@cozyearth.com I know that Facebook has a bad reputation, but please give the private Facebook group for the juicebox podcast, a healthy once over juicebox podcast type one diabetes.

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/juicebox this episode of The juicebox podcast is sponsored by the Eversense CGM. Eversense is going to let you break away from some of the CGM norms you may be accustomed to. No more weekly or biweekly hassles of sensor changes. Never again will you be able to accidentally bump your sensor off. You won't have to carry around CGM supplies and worrying about your adhesive lasting. Well, that's the thing of the past. Ever sense cgm.com/juicebox, type one diabetes can happen at any age. Are you at risk? Screen it like you mean it. Because if just one person in your family has type one, you're up to 15 times more likely to get it too. So screen it like you mean it. One blood test can help you spot it early, and the more you know, the more you can do. So don't wait. Talk to your doctor about screening. Tap now or visit screen for type one.com to get more info and screen it like you mean it.

Pam 2:47
I'm Pam. I am the mother of an 18 year old girl who was diagnosed with type one diabetes in April, actually, almost exactly three years ago, April 2021 we have four kids. We live in Montana. Two of our kids are adopted. Sort of a that's, that's the best of it. That's the

Scott Benner 3:10
Shakedown, isn't it? Pam, isn't it upsetting when you list your life out like that and you go, Oh, that's it, I guess.

Pam 3:18
Well, I mean, that's the tip of the iceberg. We could we'll definitely go deeper in all of that. I'm

Scott Benner 3:22
sure you know how, like, in your heart, you're like, I'm living this exciting life. You're like, I have four kids. I'm in Montana. A couple of them are adopted. One of them got diabetes. I mean, are we done? Yeah, yeah, yeah,

Pam 3:32
exactly. Can we stop now?

Scott Benner 3:34
Yeah, this is enough. Happy podcast. It's over. This is why Scott, like, pivots 15 minutes into it and talks about something it has nothing to do with diabetes. To do with diabetes. For a while, your daughter has type one. Is that? Right?

Pam 3:45
Yes, is she the oldest? She is the third child. But our oldest is 25 he's biological. Had him the old fashioned way, and then we had always wanted to adopt, and we were not having any luck getting pregnant again. So we went through, you know, just made the decision to adopt. We went through the state actually, which is usually not recommended if you want to adopt a baby, because that's not really the state's job there. You know, becoming a licensed foster parent. The goal is always for the state to reunite children with their parents. But our son came into our life in a very interesting way. We live in, like I said, we live in Montana. It's pretty rural. He was surrendered under the Safe Haven law when he was two days old, which is a law that allows a birth mom to surrender her child to a police station, a

Scott Benner 4:42
police station or firehouse, right? Yep,

Pam 4:45
okay, and she can stay anonymous to the court. So I got a phone call on a Wednesday afternoon. We have a two day old newborn. He's perfectly healthy, highly probable he'll be adopted. Are you interested? I about dropped the phone. One, my four and a half year old was sitting on the couch watching cartoons, and I'm like, you're getting a baby brother today, like in a couple hours,

Scott Benner 5:07
I would have thought longer about this kids if you asked me for a cat, right? But here we go. Let's go get a baby. Oh, wow. So at that point, you have two kids. Yep, the 25 year old is the oldest. And what that's a boy.

Pam 5:22
There's a four and a half year age gap because we went through all that process of trying to get pregnant and then adoption. So our next oldest son is 20, soon to be 21 he's a sophomore in college. Then your first baseball actually,

Scott Benner 5:36
Oh, hold on, we'll get to that. And then, and then, and then your first adopted is this one you're telling the story about? Yeah,

Pam 5:43
so he's adopted, and then he was a couple years old. And was weird timing. Actually, I just lost my mom. It was 2005 but for some reason, we had the baby bug again, and called the state and said, put us back on the list. And so I think we waited a little bit longer that time with our son. It was pretty fast process, actually, from the time they licensed us to that phone call with like, a week. So that was kind of crazy. But well,

Scott Benner 6:10
yeah, they got they got you marked as sucker on the list. They're like, Well, actually

Pam 6:14
it was like, we were so specific, we want a baby highly probable to be adopted. And they're like, this is never going to happen. And then it happened right away. It was everybody was kind of shocked, because that had never happened. It was only the second time in our state that that had ever happened, the first time in our town. So

Scott Benner 6:32
amazing. How do you like Can I ask how you like living in Montana? Have you always lived there?

Pam 6:38
I was born here, yep, which is kind of a big deal to people, for some reason, if you're Native Montana, and that's kind of different than if you moved here from somewhere else. I grew up about two hours from where we live right now. Okay, it's I. I love Montana, so people will get mad at me for talking about it, because people who are native Montanans don't want people to know that it's an awesome place

Scott Benner 6:59
to live. Wyoming has that problem too, because the Yellowstone TV show, right?

Pam 7:03
Yeah, and that's true, right, right? Montana as well. Yeah, yeah. It's become popular, especially since covid and a lot of people have decided this is where they want to live. So it's driven the housing prices, especially the town we live in. We live in one of the more expensive towns, thankfully, we purchased our home in 1999 long before

Scott Benner 7:25
all this happened. Well, you'll be able to sell it to an overpaid white lady at some point. That'll be nice at some point. Yeah, good for you, by the way, if you make a lot of money. I'm not judging you. I'm just trying to be funny. I don't, yeah, no, not you. I mean, lucky. I mean the people listening, Pam, like, if they're, yeah, like, if you're, like, Listen, if you, if you're wealthy, like, right on. I mean, you should send me money. I'm all right with you completely. Yeah. But that's what happens, right? It's, it's sort of oddly gentrifying, even though it's probably an already reasonably gentrified place, and somebody comes in who's just much more well off than the people living there, and they drive up the prices, down everything, and then people who live there can't afford anything.

Pam 8:05
Yeah, there's been a lot of a lot of tension around that issue,

Scott Benner 8:09
all this so they can go skiing and and do their marijuana in the mountains, yeah,

Pam 8:16
or something like that. Ma'am, I said

Scott Benner 8:17
do their marijuana to be funny, and you just were like, Yeah, that's what they're doing. They're up here smoking and spending their money.

Pam 8:23
It's legal now, and I can smell it when I'm out on my walk, so I know it's happening. Oh,

Scott Benner 8:27
my god, yeah, yeah. There are places you go for a walk in, like cities, and you're like, I'm gonna get high trying to get to the CVS, right? No kidding. So one of your adopted kids got type one?

Pam 8:40
Yeah? Yeah. So, yeah. We called the state, we let them know we were wanting to get put back on the list, and within six months, we had another phone call, newborn baby boy or girl. She was still in the hospital. She'd just been born, and her they were removing her and putting her in foster care because her parents had four kids before her that had been placed in foster care several months before she was born, and they were failing on their treatment plan, and so they placed her in foster care because it didn't look good. Well, they're

Scott Benner 9:12
prolific, yeah. So

Pam 9:15
they did have a unlike with our son, that was almost like with him, it was almost free and clear, like, here's your baby, you get to name him. Basically, he's yours. The birth birth mom did have 60 days that she could have changed her mind, but I I knew in my heart, like she had made a decision about what she was doing. But in the case with our daughter, they were given, you know, six months to work, a treatment plan. We had to take her to visits. They were in parenting classes, you know, doing different things to get her back, and unfortunately, they they failed pretty, pretty quickly. When she was six months old, they left town, basically. So what's

Scott Benner 9:50
that like for you and your husband and your family to you take her right with the hope in your heart that you can adopt her, but yeah, you can't. Come at it from that perspective for six months, because, I mean, you'd be a monster, right, like if you were actively cheering against the parents. I'm also imagining that as you have these visits, you're learning, I don't think this is a good place for this baby to be. So how do you walk that line between not wanting those people to fail and thinking it's probably better for her if they do. This episode of The juicebox podcast is sponsored by the Eversense CGM. Eversense cgm.com/juicebox, the Eversense CGM is the only long term CGM with six months of real time glucose readings, giving you more convenience, confidence and flexibility, and you didn't hear me wrong? I didn't say 14 days. I said six months. So if you're tired of changing your CGM sensor every week, you're tired of it falling off, or the adhesive not lasting as long as it should, or the sensor failing before the time is up. If you're tired of all that, you really owe it to yourself to try the Eversense CGM. Eversense cgm.com/juicebox, I'm here to tell you that if the hassle of changing your sensors multiple times a month is just more than you want to deal with, if you're tired of things falling off and not sticking, or sticking too much, or having to carry around a whole bunch of extra supplies in case something does fall off, then taking a few minutes to check out Eversense. Cgm.com/juicebox, might be the right thing for you. When you use my link, you're supporting the production of the podcast and helping to keep it free and plentiful ever since cgm.com/juicebox from the very beginning, your kids mean everything to you. That means you do anything for them, especially if they're at risk. So when it comes to type one diabetes screen, it like you mean it. Now up to 90% of type one diagnosis have no family history, but if you have a family history, you are up to 15 times more likely to develop type one screen it like you mean it, because type one diabetes can develop at any age, and once you get results, you can get prepared for your child's future. So screen it like you mean it type one starts long before there are symptoms, but one blood test could help you spot it early before they need insulin, and could lower the risk of serious complications like diabetic ketoacidosis or DKA. Talk to your doctor about how to screen for type one diabetes, because the more you know, the more you can do. So don't wait tap now or visit screened for type one.com to learn more. Again, that's screenfortypeone.com and screen it like you mean it. Yeah,

Pam 12:58
that's exactly how you feel. You feel conflicted inside, because one part of you is grieving for these parents that have not lost their fifth child and they just can't seem to get it together, hold a job, have any kind of stability either. You know other things you've heard about, neglect that's happened with other kids and stuff like that. You just it was hard. It was very hard. I felt very protective of her right from the start. So I don't think I was a very good foster parent. I have friends that have done a lot of foster care, and they're really good at it, like, they're good at communicating with the birth parents. They're good at, you know, that process of reuniting. And I wasn't, honestly, like, really very good. I was, like, really concerned.

Scott Benner 13:40
Was it conscious? Pam, or was it just maybe subconscious, from your desire to have the right thing happen? I

Pam 13:47
think it was from my desire to have the right thing happen. I was, I was consciously very protective of her. Okay? It was hard. She when she was born, she was sick, like she had this congestion that wouldn't clear up. And when she was four months old, she had to go on my antibiotic, and that cleared it up. And we don't know what caused that, but she, right away, at like, five months old, started with wheezing and was diagnosed with asthma, actually. So even when she wasn't sick, she was wheezing and she had pretty severe asthma. So and then I don't all of her health issues, like, right off the bat, contributed to me being nervous about her going back into a neglect because I'm like, they were both smokers. She has really severe asthma, all these things going on. I just

Scott Benner 14:33
was the mother, like, high or drunk during the pregnancy. Do you think they said that?

Pam 14:39
They didn't think so, other than probably some prescription drug use, is what I was told from the social worker. So much alcohol or recreational drugs, but like prescription

Scott Benner 14:51
drugs. Okay, how old is she when she's diagnosed with type one? Just three years ago? Yeah, 15, three years ago, before we get. To that, I'd like to ask, how much of her birth parents reality Do you share with her, and do you spread it out over time? Do you drop it all like a novel? How do you do it?

Pam 15:12
Yeah, great question. So both of our adopted kids from before they could talk, we would talk to them and like at their age level, what we felt like they could understand like, you know, you were, you were in another mommy's tummy, and then, you know, whatever, like wherever their age level was, both of them, when they were around eight and 10 years old, had just this flood of questions that was coming out of both of them constantly, and I, I always answered them honestly with whatever question that they had. So we've we've always been pretty open about

Scott Benner 15:47
it. So it's fair to say, your daughter knows that her parents were like addicted and had given up a number of children. Has she ever gone to look for siblings? Yep, she just recently found them. Is that something you're comfortable talking about, or do you feel more like that's your story? Yeah. Those? Yeah,

Pam 16:03
I think it's really I think it's very interesting. It's interesting how they're different, yeah, how

Scott Benner 16:08
so? Well, like my

Pam 16:10
son, he had questions, and at one point he was like, Can I picture? You know, because at first, his birth mom was anonymous to the court, but then our local newspaper did a story about him when he was a year old, and then she wanted to meet us. So her and I do have kind, not like a close relationship, but we're friends on social media, like I know who she is, and we've met a few times, so it would be an easy thing for me to introduce him to her, but he's just had less curiosity other than, what does she look like? You know, just kind of more general questions. But for him, it hasn't been that like making I need to know. But with my daughter, I think she's had that her whole life, even like, you know, when she was 13, she went through the whole I'm gonna run away and go live with my birth family phase and all of that. But the week she turned 18, she was absolutely determined to figure it out, and she kind of did it on her own. She just got on social media and like found, found her older birth sibling on Facebook and sent her a message. She said, I think I'm your sister. And they started communicating, and she is her older birth sister, so that opened up the door to her, connecting with her, both her birth mom and dad, who are no longer married, but they're still living and then other siblings. So did

Scott Benner 17:30
they ever pull themselves together? They are divorced,

Pam 17:33
which, in my mind, is kind of actually positive for them, because from the sounds of it, he's abusive, okay, and so I do think that she's better. Like she had two more kids, the older one after my daughter is adopted, she ended up in foster care and being adopted by a family. But now she has, like, an eight year old that she's actually raising, and she's living with her mother. It sounds like she's got support, and she's sober and, yeah, wow. Long story, good to learn. Yeah, that's

Scott Benner 18:03
it's a long she had seven children before she kept one of them. Is that right? 4566,

Pam 18:10
before she kept one. Yeah,

Scott Benner 18:12
I got that right? Look at me. Yeah. People who say I don't pay attention, I listen. Actually. Nobody says I don't pay attention. I I'm worried that I'm not listening, like, well, I'm trying so hard to listen to you and to think about where I want to go with the conversation. At the same time, sometimes I'm worried I'm not listening. Okay, so you told her, because I've been I'm adopted. You might know that from Yeah, listening. I've known I'm adopted for as long as I can recall. I've never, not known. I have never once had a feeling of like, Oh, I gotta go find these people. My wife made me for like, you know, medical background stuff made me that doesn't sound right, but it's accurate. Okay? It doesn't sound right, but it's an accurate assessment of what happened. Yep, she made me do it. It's never what you're hoping it's never like, Oh, my birth mom probably just didn't have enough time between being like, you know, the Princess of Wales and her other philanthropic endeavors to take care of me like it doesn't usually work out like that, and mine certainly didn't either. Once I got the information that Kelly wanted, I was like, I am no interest in this. And as a matter of fact, I will frequently forget my mom, my birth mother's name, like I have trouble. I have trouble recalling it when I need it sometimes. Yeah, it just is. I couldn't possibly and I'm so sorry for her, even though she's passed, but it couldn't possibly make less. I don't know. I don't care. I it's, and it's not out of animosity or anything like that. I just, I feel like I've had a full life with the people who raised me and my brothers and, you know, and everything else. Yeah, I'm not looking for a hanger on or whatever it would end up being. So she gets type one. Do we have the ability to go to the family and say, Hey, is there any of this? Is in your family line, or you can't really reach out like that, right? The contour next gen blood glucose meter is the meter that we use here. Arden has one with her at all times. I have one downstairs in the kitchen, just in case I want to check my blood sugar. And Arden has them at school. They're everywhere that she is. Contour, next.com/juice, box, test strips and the meters themselves may be less expensive for you, in cash out of your pocket, than you're paying currently through your insurance. For another meter. You can find out about that and much more at my link. Contour next.com/juice, box. Contour makes a number of fantastic and accurate meters, and their second chance test strips are absolutely my favorite part. What does that mean, if you go to get some blood, and maybe you touch it, and, I don't know, stumble with your hand and, like, slip off and go back, it doesn't impact the quality or accuracy of the test so you can hit the blood, not get enough, come back, get the rest without impacting the accuracy of the test. That's right, you can touch the blood, come back and get the rest, and you're going to get an absolutely accurate test. I think that's important, because we all stumble and fumble at times. That's not a good reason to have to waste a test trip. And with the contour next gen, you won't have to contour next.com forward slash juice box, you're going to get a great reading without having to be perfect. Not

Pam 21:31
until recently. I mean, I had no idea how to find them. I guess I could have done the social media thing too, and I we actually did every once while we, you know, try to find them on social media, but not until she just found them. And she did ask, and it sounds like there was some on her birth father's side with his parents. I think one of them is type one. There was, like, a couple people on his side of the family

Scott Benner 21:58
that had that had one, had type one. So you got that at least, yeah, what was her diagnosis like? How did you begin to notice it and and what did you guys do?

Pam 22:08
So she was sick for about three months with the sinus infection that we just could not cure. She could not get over it. We'd go to the doctor. She'd take an antibiotic. A couple weeks later, we'd be back at the doctor again, and I kept thinking, what going on? Like, why can we not get rid of the sinus infection? And then her her doctor finally referred her to an ENT, and they did a CAT scan, and of course, her sinuses are all clogged up, and they said she needed to have sinus surgery. So the ENT prescribed a steroid, put her on prednisone, and another antibiotic, which at this point, I think, was the fifth antibiotic that she'd been on. And I told her, I warned her, she's got ADHD as well. I've been on prednisone, and it usually, like, really gets you wired, like you can't sleep. You've got all this energy. And so I was telling her, you're probably going to be like, full of energy, and she's texting me from school, I can't stay awake. I'm falling asleep. And so one night, we were just sitting around the dinner table, and it was actually kind of fun, because my son and his wife just stopped in, which is not something they do very often, usually when we get together, like planned, and they just been out for a bike ride and stopped by and and my daughter's laying on the couch, and she's like, little tears are just coming down her cheek, and her lips are kind of turning blue, and I'm like, she couldn't, like, she didn't have a lot of air coming out, like, she couldn't really talk. And I thought, oh my gosh, she's having an anaphylactic reaction to this antibiotic. So I called 911, I think, or the nurse, I can't remember which I think I called the nurse first, and she said, can she say your name really clearly? Can she say mom with air? And I said, No, she's really not able to do that. She said, Hang up. Call 911, call the EMTs with

Scott Benner 23:54
that. I just said, Geez, it made me sad for a second. What you said? Yeah, it just hit me, I'm sorry,

Pam 23:59
yeah, yeah. Yeah. So the EMTs come in, they check her out. She kind of started to perk up, like she she was okay. Your oxygen was okay. So they said, It's all right. If you take her, you know, you can take her up to the emergency room. She doesn't need to go in the ambulance. So I took her up. They treated her for anaphylaxis, although I would say that your doctor, he was a little stump. He said, I think it probably is an effect, like, I don't know what else it could be. So she's getting pumped full of epinephrine, more steroids. We didn't leave the ER until two o'clock in the morning, and that might, and probably maybe for a few days prior, I did notice she was drinking a lot of water. And normally I have to bug her about drinking water, and she kept handing me her mug to go fill up with ice and more water. And I'm like, Man, she's really been dropping weight. And got discharged at two o'clock in the morning. Went to the only pharmacy that was still open at that time, we had 124 hour pharmacy, and picked up a EpiPen. Got home, and they said, follow up with your primary care. Pediatrician tomorrow, right? I called to make that appointment. I was actually kind of waffling, like I'm so tired, we've just been up all night, like, could we wait a couple days? But I had like, that nagging feeling like we need to go in today and follow up with this. And I jokingly said to my daughter before we left the house, I said, I'm going to get you tested for diabetes, cystic fibrosis. Something is wrong here. This isn't just

Scott Benner 25:22
you picked all the crazy things you could think of to, like, blur out. Like, yeah,

Unknown Speaker 25:27
yeah. And poor child,

Scott Benner 25:30
maybe she thought you knew something. Later she's like, Oh, that lady was onto something, yeah.

Pam 25:34
Now she credits me for her diagnosis over the doctor, which I do appreciate, because I just think I'm I was more like the instigator of it.

Scott Benner 25:41
So did you just wander in there and just randomly say a bunch of stuff out loud?

Pam 25:47
Well, we were talking about the allergic reaction she had to this antibiotic, and, you know, do we need to see an allergist? And blah, blah, blah, but I said at the start of the appointment, I said, I have noticed she's been drinking a lot of water and dropping weight. And the doctor looked at her chart, she's like, Oh, she's lost 20 pounds in like, the last two months, right? And so she said, we'll do a finger prick before you leave. So the pediatrician leaves, sends in the nurse to do the finger prick, and she does her finger prick, and her jaw just drops open. And I go, what is it? And she said, it's 595 with their blood sugar.

Scott Benner 26:21
You knew what that meant. Yeah. Okay, yeah.

Pam 26:25
I looked at my daughter, and I said, it's not your fault. Like I just felt like you just needed to know that right away, isn't your fault. I texted my husband, I said, I think Emma's got diabetes. They just tested her blood sugar, and so the PD Christian came, came back in, and she just opens the door and she goes, you have diabetes. She was like, almost laughing, like, I know it wasn't funny to her, but she knew everything we just been through for the last three months of like she was scheduled. This was a day, was, I think it was a Thursday. She was scheduled for sinus surgery on Tuesday, so we were just a few days out from having sinus surgery,

Scott Benner 27:01
completely unnecessary surgery, correct? Yeah, yeah, yeah. So

Pam 27:05
the pediatrician goes cancel surgery. That isn't the issue. This has been the problem all along. This is why she hasn't been able to clear this infection. You know, you're going to be admitted. We've got to send you back to the ER, and that that made my daughter freak out, because she had just been in the ER the night before till two o'clock in the morning, IVs and all this stuff. And she just did not want to have to go back to the ER again, second day in a row.

Scott Benner 27:29
So your doctor, the doctor, was just like, probably happy to find the answer, but yeah, but it came off a little bit like, hey, oh my god, guys, guess what?

Pam 27:39
Right? Yeah, she's a wonderful doctor. My thought My daughter loves her, but yeah, I was kind of, she was like, some kind of an adrenaline right from that, I think, like, you had diabetes, yeah.

Scott Benner 27:50
Also, what a bummer about the steroids not given. I've never felt better in my life than I when I'm on prednisone. I know I feel like super But although I say that to my wife, and she's like, I don't feel like that in the times I've taken it, huh? But, my God, it makes me feel like I could, like, walk through a wall. Yeah, it really does. Yeah. I

Pam 28:08
mean me too. Yeah. Not okay.

Scott Benner 28:11
So once you get her to the hospital and things get straightened out and everything, it's only three years ago, how do they start her care?

Pam 28:18
So they kept her overnight and just, you know, fully brought her blood sugar down. And then they discharged her that morning we had and then we had to get to another town, which is two hours from where we live, right away to do orientation, because that, well, I think it was a Friday, but then that doctor was going out of town or something, to include the only pediatric endocrinologist like in our area, so they really wanted to get her out of the hospital. We get on the road. So we had a pretty another pretty sleepless night, and then hit the road early in the morning, got to Billings, and spent a whole day with the team and billings doing that orientation, which was fantastic. Honestly, it was really good, especially from listening to the podcast and hearing other people's experiences. I'm really grateful, like, we got really good information right off the bat.

Scott Benner 29:05
How much of this story is about things not being close to where you're going? Like, because there's a lot of driving to get from place to place. Initially,

Pam 29:14
she was the only pediatric endo in our area for I think we did two or three endo visits there that were, you know, at her every three month visit. And then we did get an endocrinologist in our town. Now, okay, which is really nice, so we don't have to travel anymore. I

Scott Benner 29:30
have to tell you, this will be a bit of a left turn for a second, but I've been approached about doing an event out there next year.

Pam 29:37
Yeah, yeah, I

Scott Benner 29:38
saw that. I'm super I really hope it happens like and I want to say that I think it will. And the person that approached me is a rock solid person, so I think it could happen. But if things go well, maybe six months after this comes out, or maybe the summer after your episode comes out, there's going to be like a juicebox podcast event, like a few. Day event out in the Montana area, where, if all goes to my planning, it'll be myself, Jenny Erica, maybe, you know, and we're gonna put on an event for people with diabetes that last couple days. It'll be great. You'll love it, yeah, love it here. And then I'll stay and ruin the place like everybody else who comes and poaches your wonderful land actually, let me be clear, the minute it snows, I'd run out of there like a baby. So that will happen, yeah, unless I'm in the financial position to be a snowbird. I'm not living in Montana, because I'd have to get the hell out of there very quickly.

Pam 30:38
That is the safeguard that we have. It definitely keeps some people away, for sure. Well,

Scott Benner 30:42
it keep me away, don't you worry. It would have kept me it would have kept me away, if you if any number of reasons, like, Are there snakes?

Pam 30:47
Oh yeah, yeah,

Scott Benner 30:48
are there rattlesnakes?

Pam 30:50
There's rattlesnakes? Oh

Scott Benner 30:51
yeah, I don't live there town, but yeah, how do you know I don't live there? Then that's that. Okay. There

Pam 30:56
was a black bear that wandered through my son's High School. It's freshman year in the morning before school started, through

Scott Benner 31:01
the building. Yeah, yeah. See, you don't gotta worry about me. I'm good. I'd much rather be killed by urban blight than a black bear. In case you're wondering,

Pam 31:13
I could tell you all the amazing things too. Oh, my people live here at the other side of that. Yeah,

Scott Benner 31:19
go ahead and tell me that, and then say rattlesnake afterwards and see if I don't just leave. So I'll just watch Yellowstone. Thank you. Unless Kevin Costner ruins it.

Pam 31:29
Have you read that's no what? Oh,

Scott Benner 31:33
he got into a fight with the Creator or something. I think they're gonna ruin the whole show over it. Oh, that's not so great. Come on, Costner, we're all having fun here. You know what I mean? Oh, it's a lot. I know he's old, but it can't be that goddamn hard to make Yellowstone. Can it like he just sits on a porch, it looks like, and says under a gravelly voice every once in a while, and they're paying him like I'll do that if he can't. I don't think I'd be as good at it. I'm not quite as handsome as Kevin Costner is, but not the point. If he ruins this show, I'm gonna be really pissed. Yeah, yeah, I'm enjoying it. He's

Unknown Speaker 32:07
interesting. He's

Scott Benner 32:07
interesting. He's I don't know who he is. All I know is he got all, like, uppity, and then they got uppity back with him. The next thing you know, two rich people are pissing at each other, and I'm like, just make the goddamn TV show so I can watch it and stop trying to live my life over here. I can't be worried about Kevin Costner's problems, but here, but I was for days. For days, I'm walking around telling people is cost they're gonna mess this TV show up for me. And I don't know, I got very upset. Obviously, you should tell but my plan is to come out, do the event, and then spend a few days and actually go see the park and stuff like that. Oh, do yeah for sure. Yeah. I'm gonna try to make a thing out of it and then get the hell out of there before it gets too hot. Yeah? As most lovely places are either too hot or too cold, yours gets both things. Is that correct?

Pam 32:55
Yeah, yeah. This winter was pretty mild compared to last year. Actually, it really wasn't well for my scale. It wasn't too bad,

Scott Benner 33:04
just a few feet as well.

Pam 33:07
I don't think we had that much, I mean, over the whole winter, yeah, but we never had like, these big dumps like we did last year. In the summer. Is where we live. It does get warm, but we're in the mountain, so it really cools off at night, like we don't have air conditioning. We live in a condo. We don't need air

Scott Benner 33:23
you don't have air conditioning now is this, you don't have air conditioning, like those hippies in Vermont who need air conditioning but don't have it, or you actually don't need it.

Pam 33:32
We don't need it. There's usually about a week or two in the summer where I'm like, I wish we had air conditioning, but we got some fans, and that's about it. Yeah. I mean, it cools off to the 40s,

Scott Benner 33:43
okay. Oh, okay, all right, that's fine. You people in Vermont are out of your minds. I don't know what hippy dippy you're doing over there, but it's hot there, and you need air conditioning, and none of them have it. It's very upsetting. I went to Vermont once. It'll never happen again. Yeah, that's right, well, at least not in the Well, who am I to lie in time? I wouldn't go in the winter because the snow. I can't go in the summer because there's no air conditioning. I mean, there's probably two months in the spring I could deal with Vermont, which was, by the way, lovely, except for its lack of ability to condition the air. This is neither here nor there. I'm sorry I've gotten this off of track. Interesting. Pam likes the podcast, so I'm comfortable rambling to her, because I know she enjoys it. Yeah, when your daughter, Emma, right? Yeah, when she's diagnosed, is she rocked? Does she bounce back quickly? Like, what's, what are those first few months? Like,

Pam 34:35
she bounced back really fast. She had a great attitude right out the gate. You know, she just understood insulin is a life saver and I need it. She had no no shame, like, no embarrassment at all. Going to school. We were MDI for a few months from our choice, like, just took us a while to decide on a pump and all of that. She really had a fantastic attitude. Me for the first few months, and then, and I knew it, you know, I'm like, one of these days, this is gonna really hit her, actually, and it's a lifelong condition, and it's not going away. So, yeah,

Scott Benner 35:13
so after that, initial like, I got this feeling, goes away. Then what happened? What happened after that? Oh, I

Pam 35:21
don't know. It's been three years. I mean, the first year was rough. We were on the dash. I was listening to the podcast, you know, being bold with insulin. And which was good. She had a she had a pretty long honeymoon period too, which was actually both kind of nice and also a pain in the butt. You just don't know your insulin needs, yeah, off the bat, but just just diabetes, you know, just highs and lows and losing sleep and pumps failing and CGMS failing, and it's exhausting. It's just an exhausting disease. And I think with her ADHD as well, you know, just brought on a lot of mental fatigue and and stuff like that. I don't know if it was in the first year the second I think it was the second year. Last year she she really did have some, like, real mental health issues. She's doing a lot better now. She struggled last year a lot. She started having a lot of anxiety, which we were like, is this something to do with her ADHD and the medication she's on? Can can have the side effect of having anxiety? So she got prescribed antidepressant, which made her completely suicidal.

Scott Benner 36:36
Did she have, like, did she have actual ideation

Pam 36:40
only for a day, and thankfully, she was texting me. I mean, she was completely like, not hiding it at all, like, I just want overdose on insulin. You know, it was like this one day where she was like, I just want to kill myself. Okay? And I thought, I don't think this medication,

Scott Benner 36:55
we might want to stop this one, yeah, I don't think this

Pam 36:58
is good. So we called the doctor who then called a psychiatrist for some consult and then let us know, oh, turns out that this particular antidepressant mixed with her ADHD medication can make Heidel

Scott Benner 37:12
like, really, no one brought that up. Yeah,

Pam 37:16
too bad we didn't know that before. We just Well, isn't that?

Scott Benner 37:20
I believe that's what pharmacists are supposed to do. They're supposed to look for like drug interactions. That

Pam 37:26
would have been nice. I don't know. It just, it just got missed under the radar. So so we were in that process for a few months. At this point now, she's she's not on any antidepressants. We just lowered her dose of her her five answers, what she takes for ADHD, and that has created like she's fine, like she's not having overwhelming anxiety. And the other thing we did this is her senior year. Right now, she's going to graduate here in like 42 days. My husband's been counting out the days we the first semester of the school year, we really limited how many hours she could work. She was working a lot last year as well. I think that was contributing to some of the mental fatigue of school, working a job, diabetes. Yeah, it was just all too much. So we kind of put up a little bit more of a boundary this year for her, and she's really bounced back, and she's doing pretty good. Not

Scott Benner 38:22
that there's anything wrong with this, but why was she working so much? She's saving for something, or she's kind

Pam 38:27
of a workaholic. Maybe, I don't know she's she's just a worker, and I've known that her whole life. I think that's part of how our ADHD manifests. She just likes to be busy. She likes to have something to do. She likes to make money. So it was, some of it was just her drive, and then, like, everywhere, everybody's short staffed, so she wouldn't be scheduled, but then she'd get called in, and then she's picking up extra shifts, and just kind of snowballed. So we kind of had to, she had to quit that job, actually, because that wasn't going to get any better.

Scott Benner 38:59
Okay, now, like, beyond all that, like, today, where would you say she's at, like, with her management, her outcomes, her how she feels about the whole thing.

Pam 39:07
I mean, she still has some maturing and some growth. For sure, she's not, I don't, I'm not concerned, like, I don't feel like she's in a really unhealthy place. But she definitely is still, you know, she'll jokingly say pretty often, like, I quit. You know, the other day she tried handing me her teeth slim. She's like, you can just throw this in the garbage, you know,

Scott Benner 39:25
I'm done. I'm done with the kidding, yeah, it's good. It's over.

Pam 39:30
Yeah. She was recently to also diagnosed with PCOS, and that's a pain in the butt, because that's like having insulin resistance and type one, and

Scott Benner 39:41
that's it. Martin's managing that with um, with the GLP medication,

Pam 39:46
yeah. So we just had our third shot of ozempic, oh, a week ago, and she was in the ER this week. I don't think it's gonna work. Why? What happened? Got really sick. Just. Really bad nausea and stomach pain and vomiting, and how

Scott Benner 40:04
much omic Was she taking? The lowest dose, point two, five, did they talk to you about trying manjarno instead?

Pam 40:14
Not yet. I just sent the endoa an email yesterday and said, We're stopping this. It's not it's not working.

Scott Benner 40:21
A lot of the side effects from ozempic don't seem to exist as much with manjarno. Oh,

Pam 40:26
that's good to know.

Scott Benner 40:27
Yeah, I'm sorry that that was she seeing, like, less insulin need.

Pam 40:32
Yeah? Definitely. I mean, we were having some kind of serious hypos, actually, but we were kind of prepared for that. Yeah, we had a way cut down even just in three weeks. We cut down her insulin quite a bit, but she was also nauseous and not really eating.

Scott Benner 40:46
So as soon as she shot it, she felt nauseous, but then nausea didn't pass.

Pam 40:51
It did not pass. Okay, yeah, yeah. And this last week was worse, like it's supposed to kind of level off and kind of get better. And it got worse. We were in the ER Friday for fluids because she just was so sick. Oh,

Scott Benner 41:03
I'm sorry. No, that sucks. Yeah, no. I mean, listen, I don't know if Manjaro would be better. Manjaro, Manjaro, there's no N in there, right? Manjaro. I don't know who care, who cares, but I have heard, I mean, my doctor even said, you know, there's fewer side effects that I'm seeing with my patients with this to that that's good to know. Yeah, I don't know if she's up for trying it one more time or not, but maybe after she feels a little better, because you could she has a break. Yeah? So who knows, but I'm sorry, because it's can be so valuable for the insulin resistance that comes with PCOS and some of the other side effects.

Pam 41:40
Yeah, I was really hopeful, because she's not big on, like, like, with metformin. She just, she doesn't like to take pills every day. You know, that also kind of made her nauseous. She she did put on some weight in the last year. So there's just a lot of things. I thought, Man, this OmniPod could be like the magic ticket here. It's only one shot a week. Yeah,

Scott Benner 41:59
well, I don't know, it still maybe just might have had the wrong one. I'm so sorry, teller, I'm sorry. I wish that would have gone better, because it's working for so so many different people, honestly, you know, that sucks, yeah, because the Metformin also could be an answer, and you need to find an answer, because the PCOS will be like, it's a lifelong struggle. You know, it's finding something that battles with it would be really valuable for Yeah, so she took it, she felt nauseous, and then she ate, and she'd vomit, yep,

Pam 42:35
she'd throw up what she ate, or she just wouldn't eat. And then, of course, she wouldn't drink a lot because she was so nauseous. She felt like, if I drink, I'm gonna puke. I had a couple scary lows. One of them, I was actually out of town. It was quite frightening. She got really low in the middle of the night. And the job that she has right now, we've been kind of trying to figure out her management with that, because she started a job as a caretaker. So she's doing like, 15,000 steps at work, and she was having these adrenaline highs, and then these crashes in the middle of the night, and we've switched to activity mode, and that seems to work, if we haven't been having as many severe loads at night, thankfully. But this one night we were we were gone out of town for a wedding, and she was home, and I was on the phone with her, of course, through the whole thing, but she was having a really hard time getting the carbs to get back up with how nauseous she was. And she said, I need to go the bathroom. Just I'm gonna leave the phone here and I'll be right back. And it took a while for her to come back. I was starting to get nervous, and she came back and she said, I just puked. And I was like, Oh man, yeah,

Scott Benner 43:45
we need the carbs in, not out. Yeah, we gotta get

Pam 43:49
we gotta take care of this. So a friend came over. A friend came over. It was two in the morning. That's her boyfriend, actually, but he saved her life, I think, because she needed help at that point, I think you got her bowl ice cream, and I don't know, oh no, I know what it was. I said, Go fill a bowl with some sugar, just straight sugar, and have her lick her finger and rub the sugar on her cheek. Yeah, just, it just needs the sugar. And that's what they did. So

Scott Benner 44:16
wow, my gosh, yeah, I would stop using those epic too. That that's not, yeah, that's enough of that. Yeah, oh gosh, I don't know, like I said, I don't know if the other one would be more valuable for or not. But if not, I'm sorry, and I hope something else. There's other stuff being developed. There's pills, they're, they're, they're working on, and, like, all different kinds of ideas around this. You know, the impacts that you're getting from GLP. So hopefully they'll find a way to help people who are, you know, reacting poorly to the injection at this point.

Pam 44:48
Gotta get better. Yeah? Because even when we went to the ER, they weren't too surprised. And I almost felt like both the doctor and the nurse were kind of like, Are you sure you want her on this drug right now? Like we're. Seeing a lot of this here in the ER. And,

Scott Benner 45:01
you know, it sucks, because obviously, I wouldn't want that to happen to you or anybody else, or her, but at the same time, you know, we're seeing a lot of this in the ER, right now, yeah, of course you are. You're the ER. So that's where people who are having trouble go, right? Are you seeing any of the people who are thriving on it? No, oh, yeah, interesting. Like, it's, it's, it's almost like, when they like, oh, there's been, I actually heard, I heard somebody say the other day, we had to, like, had to fact check her online. But she said something like, you know, 42% of people who got covid got type one diabetes. And I was like, that's not right at all. You made that up. The person goes, no, no, a doctor told me. And I'm like, Well, maybe a doctor said 42% of the people that they, I don't know, that have diabetes, have had covid. Like half the people who got covid Didn't get type one diabetes. Or there'd be, right, there'd be hundreds of millions of people running, yeah, like, you know, you know, there's like, 1.8 million people with type one diabetes in America. And, I mean, between me and you, I don't know how many people had covid, but I bet you it was more than 4 million.

Pam 46:13
I'm not great at math.

Scott Benner 46:16
My thinker, don't think about math great. But that sounds wrong. Yeah. It just, it's funny how people respond to, well, I'm seeing a lot of and I'm like, Oh yeah, you do see a lot of trash. You're the trash man. Like, like, it's, you know, interesting. People are throwing this stuff away constantly. Okay? Like, anyway,

Pam 46:35
yeah, she's, she's definitely gonna need something, her insulin needs before this were tremendous. And she had, she did just have knee surgery as well, before we started the ozempic, and after the knee surgery, she was going through 200 units of insulin a day.

Scott Benner 46:50
Holy hell. So aside from the problem she had, what was her decrease like on the ozempic? I know it didn't work for it, but what insulin decrease did she see?

Pam 46:59
Well, she's on T slim So, and I still have not yet quite figured out how to get in there and look at what's happening with her basal rates and all of that. But we did have to switch her pretty much 24/7 into activity mode. Otherwise she was really going low. And then,

Scott Benner 47:18
yeah, so you think you haven't learned how to get into the T slim settings yet, but

Pam 47:23
we she has been been running it in activity mode most of the time since starting the ozempic, just to not have those hypos. And then we did finally get in there and edit it a few days ago, and I think she said she was at three units an hour, and we bumped it down to 1.5 See,

Scott Benner 47:39
that's so significant. So that's a lot, yeah, and it would have been more as she moved on with it, too. Very likely, does she have weight to lose? Yeah, yeah. So her weight would have come down, her needs would have dropped farther. Hey, listen again. I know she's been through a thing, and I it very well might not be the answer, but I don't know if it was my kid and this happened to her, I'd be like, take a breath. Then we're gonna try, like, something else. Manjarno, if it doesn't work, fair enough, but like, let's give it a whirl, because look at what it's I mean, honestly, like, three units an hour is, I mean, she's going to end up in a situation where, you know, at the very least, that's it just looks like she has insulin resistance, probably from the PCOS. Oh, for sure, yeah. You just want that alleviated. It's going to be a lifetime of of a hassle, if not. So I'm sorry. Why can't everything be easy? I know, but you're probably getting your unfair share of beauty in Montana, and therefore the world is trying to take back from you. Yeah, to balance things out a little bit.

Pam 48:51
Yeah. A few months ago, my sister, who I love, she's 14 years older than me, she was visiting us, and she's looking she goes, You guys have had such a charmed life. And at first I thought, we can't we have, you know, like, that's, that's the nice thought. And then the more I think about it, like, I don't think she's seen the whole picture here, actually. I mean, it's not horrible, but like, there's been some rough things, like some really hard

Scott Benner 49:19
stuff. Yeah, I think everybody has stuff, and then other people's stuff always looks like easier than your stuff. So you're like, Oh, you've got it easy. I like, what is your like? If you thought about it, if you asked your sister to line up her complaints, do you know what they would I'm not asking you what they are, but do you know what they would be? Well, I don't think

Pam 49:40
they'd be complaints necessarily. I think they'd be more like things that she sees as you know, we've had this we live in this nice town, we've got these nice kids, we've got a good marriage, I don't know, maybe something along those lines, yeah, and

Scott Benner 49:54
she's and her stuff doesn't match up with the things that are working out for you. Maybe not. You. You don't know her kids robbing banks or anything like that.

Pam 50:03
No,

Scott Benner 50:04
not you probably pretty good kid. If I tried to rob a bank in Montana, I'd get shot, right? Oh,

Pam 50:11
yeah, probably somebody else in the bank, carry

Scott Benner 50:16
someone in the bank, would definitely shoot me. They'd be like, Oh, finally, I'm gonna get to use this gun.

Pam 50:20
We're not carrying it. It's out in there, in the parking lot, in their truck. So I'm gonna

Scott Benner 50:25
have a person look at me and go wait here. I've been waiting for this. Just please keep robbing the bank. I'll be right back.

Pam 50:32
Yep, I gotcha definitely

Scott Benner 50:36
at Mr. Time. Hold on a second. I've got I don't even know which gun to pull out. I have somebody in my truck. Give me a second. Do you go hunting? Do you have you ever, like, targeted a deer for extinction? Yep, yeah, sure how. I've never, I never. It sounds like so

Pam 50:54
cold. It's exhilarating. I hope I don't get much. Eight emails now.

Scott Benner 50:58
Oh, tell me why. What's exhilarating about, like, hunting down something and snuffing out its life, or what do

Pam 51:03
you Yeah, I don't know. There's just something I don't know, like you're foraging your own food. I don't know. It's a thrill. It's different than going the grocery store and picking up a pound of hamburger. You know, if you went out and you you, you had to hunt it like you had to sneak up on it. You had to aim correctly. I've I've shot three deer. That's how many I've harvested. My friend that I used to hunt with moved out of state, and I really haven't had time to figure out how to do it without her, but I really enjoyed the times I got to do it.

Scott Benner 51:34
Just you two ladies out there looking for deer together. Yep, yeah, nice. Did you teach your kids how to hunt.

Pam 51:40
We tried. We took him through hunter safety. The interest hasn't been too high. My youngest son, he came out to the truck and saw the deer, the last deer I shot, and he burst into tears. He's just a soft hearted animal loving you know he's not, he's not gonna hunt. There's no way he's not hunting. My college then he likes to fish, and his friends are hunters. He's got a roommate that bird hunts a lot, but I don't know.

Scott Benner 52:07
Have you heard that story ever? My son, when he was recruiting for college baseball, one of the teams tried to, like, entice him by saying, we all go on a hunting trip together. And my kid got off the phone. He's like, I gotta shoot something to play baseball. I'm not doing it. I'm like, okay, he's not his school. He's like, That's not for me. And I was like, gotcha. He goes, Can you believe he tried to, like, make that out, like it was, like, a selling point. And I was like, Well, to some people, it probably would be, where does your son play ball? Community

Pam 52:31
College in Washington. Walla. Walla, community college. I

Scott Benner 52:35
know that one, actually. And what year is he enjoying it? Yeah,

Pam 52:39
he's a sophomore, so he's had an interesting journey as well. He broke his hook a hammy his senior year, playing, but we didn't know it was broken. They did X ray and didn't see it, so he played on a broken handle his senior year, and that was when he got recruited and all of that. And then right before he left for college, we found out he needed surgery. Had already signed and everything with the school. So the coach was very understanding, and he healed up and was, you know, training during the winter, getting ready for spring. And he's a butchered and he's like, I don't know if I'm a hypochondriac, but my left hand is starting to feel the same way my right hand felt when I broke my hook of handmade bone. Sure enough, he had broken the left one.

Scott Benner 53:21
Oh, Pam, that's a terrible baseball injury to have. Yeah, the hammer bones are really bad injury to have. And he did heal from the first one, but now he had to have one in the other hand. Yeah.

Pam 53:32
So he medical red shirted his freshman year, completely came home last summer, worked hard. We've got a nice facility or he could train at, and got back to school, was so excited to be able to play this year. He has, he's seen some innings. It's very competitive, as you know, even at the GPO level, like he's fighting for third base with, you know, five other kids, and he didn't perform great in a couple games. And he's kind of invention. Now he's having some weird health issue,

Scott Benner 54:04
really? Oh yeah, that kid gets diabetes. I'd give up if I was you, yeah, and I would call my sister and be like, I want an apology right now for what you said to me. What health issues is he experiencing?

Pam 54:18
Well, I don't know if it's all connected. He's had chronic hives for, like, a couple years, and we've seen an allergist for that, and he said it just happened. Take an allergy pill every day. Eventually it'll go away, and I think we need to go back and and see that doctor again, because it's not

Scott Benner 54:33
you heard how that happened to my son, right? No, no, it ended up being thyroid. Okay?

Pam 54:39
He had chronic hives, like his skin, like, if he scratches the skinny gets well, and then they just stay there.

Scott Benner 54:46
Coal would break out if his body warmed up.

Pam 54:48
Oh, I do remember hearing Yeah,

Scott Benner 54:51
and then we it ended up being a thyroid.

Pam 54:55
So this is all day long, every day, like, not no matter what or whatever, but it's. Who knows? I think there's some mystery thing. But the last couple weeks, he's been throwing that bile, which is quite odd. So he he went to urgent care. They ran a bunch of tests, everything came back negative. And so now we're like, we need to progress and see a doctor. So the trainer is trying to get him in with the team doctor, who apparently sees every athlete in Walla, walla for two schools, and it's been, like, three days we haven't heard from him. So I texted him last night because I think you just need to go back to urgent care today, and

Scott Benner 55:28
if they pull blood again for me, ask for a like, a thyroid panel. Yeah, not a big deal. Just tell them you heard it somewhere, and it's not a big deal. Just run it, just because if his TSH is high, you might have an answer there. The Chronic queue to carry is tough, like, you know, because every doctor says the same thing. We don't know why that happens. Take a couple of over the counter, you know, meds, and it'll be okay. But there are people online, if you follow them, like they're bedridden from it, you know, like, really, they can really significantly be, could be, it could be nerves. It could be, I mean, maybe he's just upset about baseball. Baseball is very upsetting. You shouldn't do it. It's much

Pam 56:07
pressure, so hard. He's a good student, too. I mean, he's 30 student. He works a job, a lot of pressure, not a lot. Yeah, honestly,

Scott Benner 56:18
yeah. People might not really. I mean, I guess you could imagine, but like playing baseball in colleges is insane. It's a lot of a lot of time and effort and pressure, and, you know, it just, and the truth is, if you could probably let any of those kids play, and they'd be good if you just left them alone and let them do it. And right instead, there's four kids, and you're trying to pretend One of them's better than the other. It's, you know, yeah, ridiculous. They're all pretty freaking good, especially at JUCO. By the way, JUCO is good baseball, you know, had he played his whole life?

Pam 56:52
Yep. Is he big? Pretty much. He got good size. Yeah, he's okay. He's okay. He's poor Yankees fan. Admit that to you here.

Scott Benner 57:03
I know you're Philly fans. My son's going the Yankees game today, so you're not admitting anything to me. Don't worry about

Pam 57:08
it. Sure. We'll be, we'll be watching it later. We don't miss too many we've, I've never been to a game, actually, in person, because I live in Montana. They don't play here. He's about the same size as Anthony Volpe. Like, every time I see Volpe up to that, I'm like, That's Andrew, even kind of bad. Like, we'll see a little bit I am

Scott Benner 57:24
going to tell you something, Pam, that is going to make your pants fall to the ground and bounce back up again. Okay, my son played college baseball with the kid who played second base in high school for Anthony Volpe while he was playing shortstop. Really fun. Yeah, they're going to the Yankees game today to say hey to Anthony and watch the game. Oh,

Pam 57:45
man, that's awesome. Sorry, he's a great kid. I love watching him play. Yeah,

Scott Benner 57:51
he's undersized too. Like, for, you know, yeah, for, for what he's accomplishing, he's leading off of

Pam 57:56
the Yankees. Yeah, I think he and my son are almost the exact same size, 511, 190 pounds. Like, yeah,

Scott Benner 58:02
it's interesting. Yeah. Oh, anyway, Cole's friend Pat is very good friends with Anthony, and that's cool. They're heading small world. Yeah, I just couldn't believe you said as you were saying it. I was like, she's No way. She's gonna say Anthony's name right now and again. We were literally talking about him last night in the kitchen because Cole's like, I'm gonna go to the game tomorrow with Pat and we're gonna say hey to Anthony and then watch the game. And I was like, Oh, it sounds nice. He goes, I've never met him before. Like, what should I say to him? And I was like, I don't know. I said you should tell him. I can't believe these guys are your friends, terrible friends and but yeah, they just played baseball in high school together, and then he was drafted out of high school. I think, I

Pam 58:41
think so, yeah, yeah, he's young. He's, I don't think He's much older than my son. I don't think, no,

Scott Benner 58:46
I mean, Cole's 24 so he's probably right around that age. Yeah, yeah. I don't know. Listen, baseball is great, yeah, until you get caught up in the system, then it's like everything else, and it's unpleasant. I was maybe you have this experience, maybe you haven't. I kept waiting for it to stop, like when they were little, and it was like, Daddy ball. I thought, oh, when they get out of Little League, that'll stop. And then they got into travel ball, and I thought, didn't stop here. That's okay. And then they got to college. I was like, what's obviously going to stop now? Didn't stop. Then I was like, Oh, my God, this is fascinating. Just the the the impactors changed in college, it was, you know, my dad made a donation that paid for a building, and so I play like that, you know. And in when they were 12, it was my dad's the coach. So I play. And it just was fascinating. Cole, at one point, played for a guy who I know for sure, didn't matter if they won, if his son wasn't on the field. Interesting, he did like, he's like, I don't care if we have success. If my son's not part of that success, then this isn't worth it. And then, of course, his son never continued to play baseball, yeah, as he ruined it's kind

Pam 59:57
of interesting. It's been an interesting journey. Ernie, for sure, we've been kind of insulated from a lot of that drama and politics and stuff. I don't know how we managed to get around it, but most like, I can't think of a year where that was an issue actually good

Scott Benner 1:00:13
for you my whole goddamn life.

Pam 1:00:16
You are good coaches.

Scott Benner 1:00:18
Well, your sister's Right,

Pam 1:00:21
yeah. I guess we've had a charm life. Now,

Scott Benner 1:00:26
I agree with your sister, because you're a son of a bitch to me now, because I watched, I watched people fight and argue and claw for years, it's just It was exhausting. That's a lot, absolutely exhausted,

Pam 1:00:39
really, pretty much a really positive experience from coaches that weren't the best, probably, but that's about as bad as I got, I think. So I should have moved

Scott Benner 1:00:49
to Montana years ago. You should have, yeah, all right, how much do I need to buy a reasonable house in Montana? Now I'm getting older, so it can be one story. Doesn't need to be two stories. Let's say a couple 1000 square feet. I'd like a place to park my car inside a little bit of land. What's it gonna run me? Okay,

Pam 1:01:08
the town we live in, the median price of homes right now is 800,000

Scott Benner 1:01:13
in our town, the median price so I can find one for like, 1.8 there too. Oh, yeah, and what am I living in for half a million a trailer with a gas bottle out

Pam 1:01:26
my son and his wife just it's not a trailer. It's a 900 square foot house, condus house slash condo. It does have its own walls, but

Scott Benner 1:01:38
walls, what do you mean? Like sharing walls, like our

Pam 1:01:41
condos, we share walls with other people, but they have like, a little tiny yard around their little condo, and they paid 350 I think, for that. But it's not in our town. It's like 10 miles.

Scott Benner 1:01:55
Are they near a meth problem? Or is it a nice place? It's just stuff's cheaper,

Pam 1:02:00
it's nice, okay, yeah, it's a nice little neighborhood. I

Scott Benner 1:02:03
don't want to fight off a medpat.

Pam 1:02:05
Do you understand that's the best deal you could get, but that's under 1000 square feet, 350

Scott Benner 1:02:09
but I get my own walls, so that's fancy. Yeah? Now I know what you meant, by the way, but it was just the way you said. It was hilarious, but I knew what you meant. I was like, oh, a house with walls. Do tell? All right, so somewhere between 350 and a couple of million and yeah, how are the state taxes? Am I going to get killed? I don't make a lot off this podcast. How much of it am I going to lose?

Pam 1:02:31
Yeah, we don't have a sales tax, which everybody really likes, but we do have pretty high property taxes, and those keep going up, so people are pretty unhappy right now about property taxes. So I'm

Scott Benner 1:02:43
not going to Montana. Probably not. But

Pam 1:02:45
you know, the town I grew up in, which is two hours from here, I look at their real estate all the time, and I'm like, we could sell our condo and buy a house in that town

Scott Benner 1:02:54
for cash, live like a king there. You're saying, yeah,

Pam 1:02:57
yeah, and it's only two hours away. It's a nice city, so

Scott Benner 1:03:01
Okay, you'll tell me the name of that privately, privately. You'll tell me. Yeah, okay, sure, I would like to live like a king somewhere. Once, me too. Yeah, me too. But am I going to be talking to like a guy named Bubba if I is it that far into the mountains, or what are we talking about? Oh,

Pam 1:03:17
it's not in the mountains. It's more urban. It's more of a city spillings. I'm not good. I mean, it's Montana. You'll probably fly, I don't know if you'll fly into there, if you'll fly into the town I live in, because I think I thought where you're going, all right, I'll look around. But, yeah, people complain about the crime there, though they do. So, I mean, I grew up there. My dad lives there. My mother in law lives 15 miles from there.

Scott Benner 1:03:42
I don't know. Am I gonna need a shotgun? I'm not up for that. Yeah, I don't know. All right, if I get an electric if I get an electric car, they're gonna make

Pam 1:03:51
fun of me. No, there's a lot of electric cars here that'll tell the outer Staters move in with their electric cars. So you're good. I

Scott Benner 1:03:56
see, okay, all right. I'm just trying to understand the landscape that's all All right. Pam, is there anything we haven't talked about that we should have?

Pam 1:04:04
I was also just going to mention, as far as Emma's journey with her, her diabetes, another challenge that we ran into this last year was some allergies to some of the insulin that she was really using, that that was also extremely frustrating and kind of difficult to navigate through that. Yeah, with her her teeth, limb, she was really having difficulty with her sights. And like she said, that it hurt, it felt painful. It was itchy. So she had been on Nova log, so we switched to hemolog, and that was good for a couple months. Everything was working fine. The absorption was good, and then that started to get irritated again, like we're going to run out of insulin pretty soon. And so the her pediatrician put her on a Pedra, which you're familiar with, yep, but didn't tell us that a Pedro doesn't work in a T slim, like it just doesn't work. And she kind of goes back and forth sometimes. Anyways, if. Between tslem and OmniPod five depending on her mood, sort of so we did have to switch back to OmniPod five for a while, and then she decided she wanted to go back on T slim and try the hemolog again. And she did, and it's for some reason now it's working. I don't understand it all, but it's been

Scott Benner 1:05:17
a Petra has not been FDA approved to work in any pump, I'm pretty sure, but I think you're right. Yeah, Arden's been using it in an OmniPod for like, a decade.

Pam 1:05:25
So, yeah, yeah, yeah, we didn't have issues with that. But, like, what

Scott Benner 1:05:30
was happening? Like, itching sore sites, yeah, she

Pam 1:05:34
literally said she could feel the insulin and that it felt she actually used the word painful, like it felt painful to her

Scott Benner 1:05:42
sore once she took off a pump site. Yeah. Arden experienced that with fiasp and loom Jeff, but I just figured it was something about the whatever they used to make it work faster. But then you've heard the interviews with people who have, like, honest to God, insulin allergies, right? Um, I think so. Yeah, okay, all right, some of them go on to, like, use, uh, aphraza and an injected basal. That works out well for them, yeah? But, yeah, I hope it doesn't get to that. Do you think she's just having, like, it's funny, your son's having a weird allergic reaction to something your daughter is they're not related by blood, right? Yeah, hmm, is it Montana? No, I'm just kidding, yeah, maybe, are they allergic to Montana?

Pam 1:06:29
Maybe, maybe that's what it is. So

Scott Benner 1:06:31
is that settled? Now, you think humalogs working?

Pam 1:06:34
It's working fine, right now, yeah, and I think decreasing the infant amount also helps, for sure, like having to use so much, but just keeping my fingers crossed, holding my breath, she just been through a lot of stuff. I

Scott Benner 1:06:47
was gonna say it's unfair. She's got a lot of stuff going on, for sure. That's, that's kind of how she feels. I would imagine, yeah, tell her I'd feel the same way. Yeah, that'll be of no, she'll be like, great. Who was that you're talking about? That guy that told me to use the ozempic, and I threw up great. Is that really? Is that my fault? By the way, the OmniPod? I mean, I brought them up, right? No, no,

Pam 1:07:07
but I did. I mean, I definitely, yeah. I mean, the more positive stories that you hear, for sure, and more like this, we need to try this. And they just turned 18, and our insurance covers it, and like, let's give this a shot. So

Scott Benner 1:07:19
okay, well, again, I hope, I hope you try the other one and that it works better, or that she finds another answer. I was thinking of calling this episode Kevin Costner. What do you think something

Pam 1:07:30
like that? Yeah, for sure, Kevin Costner should be in there. I

Scott Benner 1:07:34
don't think I'm allowed to curse in the titles. I think Apple would like, I could put, like, an asterisk in it, maybe, or something like that.

Pam 1:07:40
Make it an eggs. How disappointed

Scott Benner 1:07:42
Do you think people would be if they, if they like, saw Kevin Costner the title, and they listened to this whole thing, and they were like, This doesn't seem to be on anything about Kevin Costner at all. That's hilarious. I was just reminded today about one of my favorite episode titles. It's, uh, Mama needs her happy, or something like that, or something, honestly, somebody said that to me, and all I thought was, what a great episode title. It's funny. I don't even remember what it's about. I just remember liking the title, but nevertheless, I don't know what to say. Like, she's got a couple of speed bumps there.

Pam 1:08:16
They suck, yeah, they do. Yeah.

Scott Benner 1:08:19
Are you okay? Like, dealing now? No, all right, what's happening to you? I mean, it's well, I

Pam 1:08:27
mean, I have kind of a stressful job the year that Emma got diagnosed with a really hard year, so I think in some ways we're sort of still just recovering from all of that. I lost my best friend to cancer in September, and then Emma was diagnosed type one in April, and then my father in law passed away in August, and then another close friend passed away just within days of my father in law. Oh, my God, 2021. Was horrible. So, I mean, I do feel like, you know, we're three years out from all of that. Now we're, you know, we're definitely better than we were, but I have kind of a stressful job that I started in working here in 2019 I'm five years into this and definitely getting easier. But yeah, I'm in therapy

Scott Benner 1:09:11
and Pam, you might be a mush. You know what that means? What's that like a mush? Like, like your bad your bad luck. Maybe you're the common thread between all these horrible things. Yeah, I'm just teasing. But no, seriously, you went to therapy, yeah,

Pam 1:09:28
I'm in therapy. Is it helping? Yeah? Yeah, it's great. I love my therapist. She's just good at listening and good at asking questions and good at, you know, helping me kind of navigate through.

Scott Benner 1:09:38
Oh my gosh, maybe it's Kevin Costner's fault.

Pam 1:09:43
Maybe it's Kevin Costner.

Scott Benner 1:09:44
I mean, seriously, they could have made that show anywhere. Why did it have to be there? You know what I mean. So to

Pam 1:09:51
tell you the truth, I am not a Yellowstone fan. I do not love that show. I love all the spin offs of Yellowstone, like 18, 2319,

Scott Benner 1:09:59
i. Yeah, all them, right, yeah, but those are good. What about Yellowstone? Don't you like? Well,

Pam 1:10:05
I guess when you live here, it just totally hits you wrong, because it's such a soap opera, you know, like there's just all this drama and fighting over land, and it's so unrealistic. The show I really like that. I think frames the West a little bit better is Longmire. Have you watched Longmire? Oh,

Scott Benner 1:10:20
listen to me, don't. Don't act like I haven't seen Longmire. I was the best i covid watched the Longmire. No problem. I was disappointed when it was over. Let me think

Pam 1:10:31
about Yeah, I think I've watched it like three times all the way through, but Yellowstone, I'd watched it because I felt like I had to understand what people we're

Scott Benner 1:10:40
talking about? Yeah, I watched Longmire and then watched other Katie sack off TV shows because of that, the blonde girl, you know who I mean,

Pam 1:10:49
yeah, yeah. I don't know what else she's been in, oh,

Scott Benner 1:10:53
Battlestar Galactica, all kinds of stuff, my goodness. Okay, yeah, I, I'm gonna go out on a limb and tell you, I don't know that Longmire is a good TV show, but I loved it. I

Pam 1:11:03
love it. Yeah, really, the writing and I love the scenery. And, yes,

Scott Benner 1:11:07
no, I enjoyed the hell out of it. I really did. So, so you're saying Yellowstone? You're trying to tell me that rich people in Montana aren't murdering each other in office buildings.

Pam 1:11:18
I don't think so. Yeah, not, not on the daily.

Scott Benner 1:11:21
No, they're not throwing rattlesnakes at people in rivers to kill them.

Unknown Speaker 1:11:26
No,

Scott Benner 1:11:27
wait, this is crazy. Hold on a second.

Pam 1:11:32
You're gonna be so disappointed. Come out here. There's

Scott Benner 1:11:34
not a road in Montana where you throw dead bodies off of

Pam 1:11:40
I don't know there could be, God,

Scott Benner 1:11:42
imagine if all this is true, and you're just like, finding out right now, you know what? I mean, that's terrible. Yeah, no, I didn't expect any of that was true, but I do all the spin offs are terrific. They're really good. Yeah, very good. So, all right, well, all right, then, yeah, this is Kevin Costner's fault, for sure. We'll blame him. Actually. Have you ever watched the movie that the guy who made Yellowstone made hell or high water? I don't think so. Try that one. You might like that. Okay, all right, my dog is barking, which means this is over.

Pam 1:12:13
Okay, sounds good. It's really nice to talk to you. Yeah, you

Scott Benner 1:12:17
too. Pam, hold on one second for me. Okay, okay. Thanks.

Arden started using a contour meter because of its accuracy, but she continues to use it because it's durable and trustworthy. If you have diabetes you want the contour next gen blood glucose meter. There's already so many decisions. Let me take this one off your plate. Contour next.com/juicebox I want to thank the Eversense CGM for sponsoring this episode of The juicebox podcast and invite you to go to Eversense cgm.com/juicebox to learn more about this terrific device, you can head over now and just absorb everything that the website has to offer. And that way you'll know if Eversense feels right for you. Eversense cgm.com/juicebox, did you know if just one person in your family has type one diabetes, you're up to 15 times more likely to get it too. So screen it like you mean it one blood test. Can spot type one diabetes early. Tap now talk to a doctor or visit screened for type one.com for more info once. There was a time when I just told people, if you want a low and stable a 1c just listen to the juicebox podcast. But as the years went on and the podcast episodes grew, it became more and more difficult for people to listen to everyone. So I made the diabetes Pro Tip series. This series is with me and Jenny Smith. Jenny is a Certified Diabetes Care and Education Specialist. She's also a registered and licensed dietitian and a type one herself for over 30 years. And I, of course, am the father of a child who was diagnosed at age two in 2006 head now to juicebox podcast.com go up in the menu at the top and click on diabetes pro tip. Or if you're in the private Facebook group, there's a list of these episodes right in the featured tab. Find out how I help keep my daughters, a 1c, between five, two and six, two for the last 10 years without diet restrictions. Juicebox podcast.com, start listening today. It's absolutely free. 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, dot. Com, you got a podcast. You want somebody to edit it. You want rob you.


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