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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

#1342 Community Spotlight: T1D Exchange

Scott Benner

Talking about places and people who help.

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
Welcome back, friends. You are listening to the Juicebox Podcast.

I'm always hearing stories about people and entities that are out there in the world doing great stuff for people living with diabetes. Today, in this short episode, I'll spotlight one of them. Perhaps their efforts can help you. Maybe they're happening near you, or maybe it's something you'd like to get involved in one way or the other. We're gonna throw a light onto all the good work that's being done out there. I hope you enjoy hearing about it, and I hope that it helps to lift you up and make you feel you know, like you're not alone. Nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. If you're looking for community around type one diabetes, check out the Juicebox podcast. Private Facebook group. Juice box 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 you I'm

going to start today with the T 1d exchange. This is probably something you hear about in the bumpers of every episode that you listen to, but the T 1d exchange is a non profit organization that's focused on improving the lives of people with type one diabetes through research. Right? They are involved in how do I explain to you what they do? You go to T 1d exchange.org/juicebox, and you join their registry and fill out a survey. That's all you do. This whole process might take you 10 minutes. They take your answers right and then they I don't know how to it's data. Then when I don't know companies or when institutions or anybody who's doing research for diabetes, when they need data to make sense of you know, what's important or what they need to do. Like, I'm obviously not the right one to tell you about this, but, but I'll read you a couple of things in a second. But my point is, is that they need to know from huge swaths of people the answers to these questions. It actually helps research move forward. It actually helps things get done, like CGM, for example. So you give up about 10 minutes of your life. You do it from your house, you do it from your tablet or, you know, your computer or your phone. You could probably do it while you're, you know, sitting on the sofa. This is not like a heavy lift, is my point, right? The answers to your questions are not things you're gonna have to think about. They're gonna ask you questions about diabetes that you know the answers to. They're looking for caregivers, of people with type one and adults living with type one. They need you to be a US resident, but that's pretty much the only couple of things you need to be they would love it if more men would do it. More people of color would get involved. But they're looking for everybody caregivers, type ones to jump on, join the registry, take the survey and help. Super simple. I hope you do it. But here's a couple of things, T 1d exchange supports numerous advancements in type one diabetes research, care and technology focusing on improving patient outcomes and quality of life. They do patient and clinical registries, right? So the T, 1d exchanges, large scale patient and clinical registries have gathered invaluable data on various aspects of living with type one diabetes. These registries have been essential in identifying trends and challenges in type one diabetes management, from glycemic control patterns to health care disparities. They use real world evidence to help with these things, right? So their data has been in instrumental in evaluating the use, adoption and effectiveness and effectiveness of diabetes devices like continuous glucose monitors and insulin pumps. This information has helped drive innovation in diabetes tech, making devices more user friendly and effective. So this is my point. You go answer a few questions, and I don't know, two years from now, you get a better device that's a big deal like it really is. They need your answers to these simple questions. It is genuinely a situation that is just, it's no skin off your ass. You know what I mean? Like, you are not going to be put out by answering these, these questions or joining the registry. Jump on, sign up, answer the questions. They actually send out follow ups once a year to continue. You know, they don't bug you. They're actually really good about that. And sometimes there's opportunities for you to be involved in other stuff. You. Get an email and be like, Oh, maybe I will do this. Like, I've known people who have been in CGM studies, for example, listeners to the podcast and actually got paid a little something to do it, and had this experience and were able to help more. But if you just want to help from your couch, that's absolutely crazy good too. Let's see, during COVID 19, telemedicine research was done the T 1d exchange supported research on the effectiveness of telemedicine in diabetes care. This has highlighted the benefits of remote care for people with type one diabetes, which has been essential in advocating for the long term integration of telehealth and diabetes management. That's another thing that the T 1d exchange did. They published significant findings on disparities in diabetes care and outcomes, particularly around racial and socio economic factors that impact access to technology and glycemic control. Their research has informed initiatives aimed at improving access to care and technology for underrepresented groups. Let's talk about insulin affordability. T 1d exchange has been a leading voice and understanding and addressing insulin affordability challenges through surveys and data collection, they have provided insights into the financial burden of insulin cost, which has fueled advocacy efforts for better pricing regulations and support systems. What else? They've conducted research on glycemic management in children and adolescents with type one diabetes, emphasizing the need for age specific strategies and the importance of early and consistent use of diabetes technology for better outcomes. I can go on and on if you want, but T 1d exchange.org/juicebox, go there. Join the registry, fill out the survey. If a look, you guys. Don't know how many people listen, but it's a lot more than you think. If 1000 of you just did this today, that registry would be that much more rich and valuable. It would just be fuller of good information. It would be fuller of ideas waiting to be mined by researchers, waiting to help you. It's, I mean, how often do you get to do something that helps other people, that will actually help you or your family as well? All right, couple more things, let's see the organization's quality improvement. Collaborative engages over 50 clinics improving care standards through shared data and evidence based best practices. They focused on disparities in care, showing that CGM users generally have better glycemic control than those using self monitoring methods, which has implications for device adoption and access advocacy. Oh, look at this. The T 1d exchange has been at the forefront of studying off label GLP one use among people with type one diabetes, particularly its relationship to cardiovascular help, despite glps recognized benefits in type two, its role in type one is less understood, and this research is helping establish new care pathways for patients with type one who may benefit from GLP one therapies. So this is something that could end up helping you down the line in I mean, imagine, imagine that they help prove that GLP ones have significant impacts for cardiovascular health, for type ones and 40 or 50 years from now, not to be too heavy handed, but you don't have a heart attack because of something that got figured out today, because you signed up for the registry and filled out the questionnaire like that's helping, right in ways that you almost can't imagine. T, 1d exchange.org/juicebox, is there more here? Let's see. All right, I'll wrap it up with this. T, 1d exchange, collaborative program with over 50 us clinics works to improve care through real world data sharing, the program has enhanced best practices across type one diabetes care, allowing clinics to identify and act on areas needing improvement, which has scaled successful practices across participating clinics. They provided data showing that continuous glucose monitors generally achieve better glycemic control and fewer severe hypoglycemic events compared to those using traditional monitoring. This research supports advocacy for broader CGM access across the more diverse patient demographic they investigated, like we said, GLP one finding that the findings indicate limited use of GLP one, despite potential benefits for patients with obesity and cardiovascular conditions, paving the way for additional research on the effectiveness for it with type one management. I'm telling you you want that research done so you've been listening to this for nine minutes, just 10 more minutes, and it's over, and you've done something awesome. T 1d, exchange.org/juicebox, I'm going to put the link in the show notes right at the top, you can click on it and fill it out. They'll know you came from me, which helps support the show. But that's not why I'm telling you about this. I've been telling you guys about the T 1d exchange for a long, long time, years and years and years, because this is a simple and effective way for you to help with type one diabetes research, and you don't need to leave your. House. I hope you do it. Do it now. Don't wait. T 1d exchange.org/juicebox, now the music's going to play, and if you're interested in hearing about the juice cruise and some other stuff we have going on, you can listen for another couple seconds. But this is pretty much the end. I'm going to keep coming back and doing this. I need a name for this, if it's like community highlight, or, you know, spotlight, or something like that, but, but I like this, we're going to do more and more. And actually, there is, I started a Facebook post about this, and people are just piling in organizations and other people who have been doing great stuff for people with type one so I'm gonna have no shortage of great works to tell you about in these short episodes. So look forward to another one next week.

If you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective the bowl beginning series from the Juicebox podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698, in your podcast player. Or you can go to Juicebox podcast.com and click on bold beginnings in the menu.

I was looking for a way that we could all get nice and tan 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 cosmel, I'm going to be there. Erica is going to be there, and we're working on some other special guests. Now. Why do we need to be there? Because during the days at sea, we're going to be holding conferences, you can get involved in these talks around type one diabetes, and they're going to be Q and A's plenty of time for everyone to get to talk, ask their questions and get their questions answered. 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. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The Juicebox podcast. You.


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#1341 Sally Sells Sea Shells

Scott Benner

Kristie has a 13 year old with T1D who was diagnosed at 10.

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.

Christy has a 13 year old with type one diabetes who was diagnosed at 10. We're going to talk a little bit about the difference between the Australian and United States Medical Systems, the value of community and finding others to deal with the same things that you are and much more, 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 at cozy earth.com All you have to do is use the offer code juicebox at checkout. That's juicebox at checkout to save 40% at cozy earth.com if you are the caregiver of someone with type one diabetes or have type one yourself, please go to T 1d exchange.org/juicebox and complete the survey. This should take you about 10 minutes and will really help type one diabetes research. You can help right from your house at T 1d exchange.org/juice, box. 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.

This show is sponsored today by the glucagon that my daughter carries, gvoke hypopen. Find out more at gvoke glucagon.com, forward slash, juice box. Did you know that despite the increase in CGM use, only a third of people living with diabetes meet the recommended guidelines for healthy glycemic levels. Today's episode is sponsored by Medtronic diabetes. Learn more about hyperglycemia at Medtronic diabetes.com/hyper.

Christy 2:00
My name is Christy. I am from Australia. I have a 13 year old type one diabetic daughter. I have a 21 year old son, and I have four step kids and six grandchildren. Now,

Scott Benner 2:17
I want everybody to know that hopefully Christy's connection thing is, because she's from Australia, and she's so far away. So Christy, every once in a while when you stop talking, it gets electric, which is, I don't believe anything you can do about it. So we're going to try to make it through. I also want to tell you that while I've only probably recorded with a handful of Australian women, you all sound exactly the same to me, and I'm sorry for that. Like, generally speaking, I can't tell the difference between you and anyone else I've ever spoken and as a matter of fact, when you came on originally, I thought, Have I already recorded with her

Christy 2:59
slang? That was he slang.

Scott Benner 3:01
It gotta be casual, casual chit chat. Yeah, interesting, I don't know. And tone, even tonally, you sound like I'm like, Oh, this is the same person. But obviously you're not the same person. I am gonna say this. I think I'm detecting that your microphone is picking up. S's strangely, okay. Can we test that to see if I'm right? Can you say something like

Christy 3:26
Sally snakes or something like that? That's what

Scott Benner 3:28
it is. Holy crap. How was it? How's it doing that? Can you move the mic farther from your mouth? I can give it a go. Do the Sally sells. She sells down at the seashore. Again.

Christy 3:40
Sally sells seashells down the seashore. Yeah,

Scott Benner 3:43
you're not allowed to use any words that begin or end with s okay.

Christy 3:49
That cuts out the Aussie slang.

Scott Benner 3:52
Yeah, right. People are gonna need to understand if they want to hear some from somebody from Australia. Be clear to them, your internet runs through two threads that go under the ocean, right? Like it's very Yeah, you're lucky to be talking to the outside world, honestly, at 11pm at night. Plus, yeah, you have to be up very late. I'm bitching to my wife last night. I'm going to bed. I'm like, why am I recording so early tomorrow? I said my scheduler is out of their mind. And my wife goes, Do you not make the schedule? And I was like, yeah, there must be a reason for this, but tell me one more time. It sounds like you made two babies and rented four. So go, go over them again. For me, we've got

Christy 4:29
a Yours, Mine and Ours situation. So I, I had my son, and I met my husband. He had two biological children, and he had two step children. And then together we had our Emily,

Scott Benner 4:43
so you had you had one coming in, he had four coming in,

Christy 4:48
yeah, ours and hers, because there was two that were actually my husband's stepchildren.

Scott Benner 4:58
Yeah, yeah, huge. I'm going to ask you a question that has nothing to do with anything Sure. How does a man leave a relationship with the children that are step that are stepchildren?

Christy 5:13
So he raised the boys, so he met his first partner when they the kids were two and five, and they were together for 13 years, and then had two girls together. And then when they separated, he just never, he just always continued to look after them. Wow.

Scott Benner 5:33
So he seems like he might be an exceptional person. Is that correct? He

Christy 5:36
is. He is very exceptional, yes. And then he took on me and my son.

Scott Benner 5:41
It's like, come on, I can do more, yeah, but

Christy 5:45
he had no biological boys, but he had three biological girls. So he just, he just collected the boys, yeah?

Scott Benner 5:55
Well, listen, you gotta do what you gotta do. So you and he have a baby together. That baby has type one. That's correct, okay? And she's 13. Did you say yes, just turned 13. I can't believe I remember that. I'm so impressed with myself right now. So you and he have a 13 year old together who has type one. Does anybody else have autoimmune any of those other kids? No,

Christy 6:18
no. There's nothing in the family, no type one diabetes, no autoimmune No, celiac, no, nothing.

Scott Benner 6:26
How about on your side of the family? Nope, nothing interesting. How old was she when she was diagnosed?

Christy 6:32
She was 10 years old. It's been three years. She didn't go into DKA. She I took her to the doctors because I thought she had a bladder

Scott Benner 6:40
infection close enough, yeah, whatever gets you to the doctor, right? It doesn't matter. That's right. Did they figure it out, though, once you came in talking about bladder infection. This episode is sponsored by Medtronic diabetes, a company that's addressing hyperglycemia head on. Learn more at Medtronic diabetes.com/hyper and now we're going to hear from Medtronic champion Maddie. Hi.

Speaker 1 7:06
My name is Maddie Fisher. I was 12 years old when I was diagnosed. It was really, really hard through my adolescent stage. I hated diabetes. Sometimes I would cry and just say, like, Why me? And I think, you know, just from hearing from people in the community that a lot of people have that very similar story, what did you find that helped? I was able to see all the latest technology that other type one diabetics, especially in the Medtronic champion community, were using, and I stumbled across the N pen. And this girl was using the N pen. I just messaged her. Tell me all about this. I called Medtronic, and the lady that I was talking to, she's like, Yeah, I

Scott Benner 7:46
totally understand. It feels like meeting more people helped you.

Speaker 1 7:50
Yeah, I definitely did. You know, I used to hide everything, and now I wear it with pride.

Scott Benner 7:55
What have you learned since you've been wearing your technology openly?

Speaker 1 7:59
There's great support. And then you know you have Medtronic who just elevates that support.

Scott Benner 8:05
Prolonged hyperglycemia can lead to serious health problems and long term complications. Learn more about hyperglycemia at Medtronic diabetes.com/hyper if you take insulin or sofanylurias, 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 voc 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 kypopen before an emergency situation happens. Learn more about why gevok hypopin 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, yeah.

Christy 9:27
He tested a sugars, he did a ketone test, I believe. And then he said to me, I think you might need to go to the hospital, because I'd like to get a have a blood tested and see what's going on. And then he said, I'm suspecting possibly type one,

Scott Benner 9:43
and that was the end of that. Oh, well done for him. Yes, that's fine. Yeah, what I'm going to ask you, because of the list you sent, seems very specific, like you really have something you want to talk about. So let me start with, why did you want to come on the podcast? I just feel there's a lot of information. Question

Christy 10:00
out there for Australians that there's, you've got a lot of Australian listeners, and there's a lot of information that we've got here in Australia that can also be brought to the attention

Scott Benner 10:13
of of those,

Christy 10:14
those people. So we've got a lot of support groups in Australia. We're also missing a lot of the technology in Australia, a lot of the technology that you have over there, we haven't seen here at all yet. So I think there's very there's a lot of differences between the Australian Medical System and the American What

Scott Benner 10:38
do you have that you think people don't know about

Christy 10:43
the support network in Australia, we have a foundation called the type one foundation, which is just a Support Foundation for families. They send out these new awesome packs for the type one diabetic, the ones they've just been diagnosed, say that they're not in this alone, and the parents making them feel like they're not in this alone. There's a lot of other Facebook websites, Facebook pages, sorry, that are out there that Australia, that we don't sort of get told about. You have to go searching for it.

Scott Benner 11:21
How did you go about finding them? Just touch it into

Christy 11:24
a search bar, if I'm honest. Yeah, when you're sitting in the hospital for five days and you're Google, which you shouldn't Google, and then you find all this really horrible stuff, and you don't know where you're going, you don't know what's happening that first five days that we were in there, I just remember feeling absolutely lost,

Scott Benner 11:47
overwhelmed and alone. I

Christy 11:53
think was a big thing. I didn't know anybody else that had type one. I've never even really heard of it before. And then slowly but surely, I started finding these groups, and now the type one foundation make packs that go to the hospitals, that give you a little bit of information on just to connect I see with them, and it gives you a sense of community. Start chatting with people that other families that are going through what you're going through.

Scott Benner 12:23
Yeah, see, I think it's interesting because you said there's this information out there that people can't get a hold of. And then I was like, How'd you find it? You're like, I Googled it. And so I thought, I bet you people could get hold of it. And so I think what so I think the real like thing for you is you're saying, like, there's this great help out there, and it really helped me. So that's what I'm Yeah, so that's what I wanted to ask you about. So how did you feel helped by it? What did it do for you? Oh,

Christy 12:52
it just connected me. It really connected me to other families, people that were going through and could understand what it meant to be up all night, what it meant to have to inject your child with this drug that too much or too little of could cause dramas that nobody else seems to understand. Everybody seems to go, oh, but you've got a handle on it, haven't you, these communities that are out there that where you ask silly questions like, how many carbs are in this or what happens when we go and play basketball? What do you feel helps you, or

Scott Benner 13:34
just a sense of connectedness? And

Christy 13:37
I think your Facebook group does the same thing. People can get on there and and chat and converse and see that they're not alone. Is the big it's a really big thing for me.

Scott Benner 13:52
I love what you said about feeling supported by by finding information and by finding people too. Why was that so important? What Where were you at when you look? Because, let me tell you why I my mind doesn't work that way, like when I needed support. I created some for myself. And also, being fair, it was 2007 and the Internet wasn't quite what it is today, obviously. So the idea that you could go to a thing and type in anything and get a lot of information back, I mean, the Internet was still pretty new to us in 2007 No, no kidding. So I was like, I'll create my own support. I started doing it through email for people. And then I found a program called iWeb. Like it just it came pre installed on my computer, and I read it, and it said that I could put my thoughts on the internet. And I was like, Ooh, and I made a blog like that. That's how that happened in the beginning. Like, seriously, I didn't know anything about anything, but my point is. That it's my inclination to to create the support. But that's not how most people think about it. Most people think about like, how do I find it? And so what? What do you feel like? Let's see what my question is here. I know what it did for you. Why did you but why did you need it like, what was the driving force behind it?

Christy 15:26
I think because even I didn't understand

Speaker 2 15:28
what was going on, and we're in a small town

Christy 15:34
with it not being around, and I was incredibly scared. I was scared for my daughter. I was scared for me. I was scared for our relationship. I was scared for my other children. Christy,

Scott Benner 15:48
can we say that you were frightened? Sorry,

Christy 15:53
yeah, I was frightened by what was going to be my life, what it was going to look like, what it was going to look like for my daughter,

Scott Benner 16:05
I was the unknown. The unknown had you absolutely

Christy 16:09
the unknown, yeah, and you've thrown all this information comes at you on how to keep her alive and how to do this, and how to do that, and how to bowl us. And all these words come into your vocabulary, and you're bombarded

with information.

But once I got the information, and once I sorted through it,

Scott Benner 16:35
I filed through it, made my made my way through it. Yes, right? Yeah, considered it, absorbed it, and Reno absorbed. Absorbed has an S in it. I shouldn't have done that. Sorry. That's right. I'm not gonna say it once you got through it. Yeah, I found at the

Christy 16:57
other end of all of that, I was sitting alone with my thoughts, and I didn't know what it looked like for my daughter, so I reached out to a young girl, as she was a young adult, and she started talking to me about type one, about her condition, and she was a vibrant, busy, working, healthy young woman who then put me in touch with the type one foundation, and I met all these other vibrant, beautiful, successful families dealing with type one diabetes,

Scott Benner 17:45
yeah, so then in everyday life, you see people who are at the moment, I would imagine, confounding your expectations of what this means absolutely, yeah, okay, all right, that makes a lot of say

Christy 17:59
that You don't see. You just told this diagnosis. You just told your child has type one. You've got to inject insulin, you've got to count carbs, you have to keep them alive. And I wasn't sure what keeping her alive looked like as an adult. I didn't know if she could still do things

everybody else could do okay as an adult? Yeah,

I was just scared. I didn't know what it meant. I didn't know what type one diabetes meant as an adult or future.

Scott Benner 18:33
Do you recall what any of your unfounded concerns were in the beginning, like, what popped into your head that was going to happen to her, I think just managing it, I thought it

Christy 18:48
was going to restrict her in everything she ever did for the rest of her life. I thought it was going to make her sick. I don't know why. I just thought she had a chronic illness and she was going to be sick for the rest of her life, and unwell she was going to be unwell for the rest of her life, sickly,

Scott Benner 19:06
always not feeling well, always under the weather, like somebody turned her down a little bit. Everything

Christy 19:12
was dangerous. Everything was dangerous for her to exercise was going to be dangerous for her to eat was going to be dangerous for her to live her life, to work, to drive a car, to have a child, have a baby for her, to meet somebody. I thought everything was just going to be dangerous for her for the rest of her life.

Scott Benner 19:34
How long did you feel that way before you got better information, till you met that girl? It was a long time. It

Christy 19:42
still happens. It still doesn't go away.

Scott Benner 19:45
It was probably a

Christy 19:47
couple of months after I sent her back to school and she started, we started to get back into basketball, and we went down to the beach one day, and. Because all she wanted to do was be a normal kid. And I think the first time I actually laughed about diabetes was we're at the beach. My husband has taken her to that water's edge. She's in the water. He's watching diligently. I've gone and sat down near the flags in Australia, you've always got to sit between the flags. It's a very popular beach. She come running out of the water and said, Mom, I need your coke. I need to get high. And I've just instantly grabbed the Coca Cola and threw it into her and said, Have some of this while she's swimming. And then it wasn't until she reached the water again I sat and I realized what she just yelled out and screamed as she was running up the beach, Mom, I need coke. I need to get hot. And I didn't realize until that very moment, exactly that was the first time that I laughed about diabetes because I thought it sounded so funny to something else, not to me. It was Coca Cola I was giving her. I just threw in some Coca Cola so that her sugar level would come up as she was swimming. But in that point in time, I had no idea what she was, how it was perceived to anybody else.

Scott Benner 21:17
Listen, Chrissy, it's a lot easier to kill a great white shark with your hands, if you're yakked up on some blow, you know what I mean, like, you could really kind of get in there and fight. No idea,

Christy 21:30
no idea what it looked like. But that was the first time I think I actually laughed about diabetes, because before then there was no laughing, there was just crying and tears, and I was alone. And then that was the same weekend I met the young lady who stopped to talk to us about her devices because we were still on pens. Okay, we didn't know even what technology was really out there. So, yeah, we were just doing pens. I was just injecting my daughter. I was giving her needles every day. Was

Scott Benner 22:03
that part of it frustrating and upsetting as well? Absolutely,

Christy 22:07
it was sad because she had a needle phobia, mainly because when we're in the hospital, she was just screaming because she was getting her blood tested. But the second day, she said, I want to reject myself. I want to do this by myself. And she started doing it by herself. But in the middle of the night, the finger pricks the having to leave whatever she was doing and stopping whatever she was doing to have a needle really started upsetting her. Yeah, and that's really tough. It's really tough. And you feel like, what am I doing? And it was, and that's when you feel alone. That's when I felt really alone. I just felt like we were the only person on the planet dealing with this, yeah, until I found a community of people.

Scott Benner 22:56
There's, I mean, JDRF Australia says there's 130,000 Australians with type one. That is a small number. Well, compared to the I mean, how many people are trapped on Australia? Huh? I'm actually typing live in Australia. Don't worry. I'm just saying that because of your internet. Well, listen, 26 million people as of 2022 so that really is the, I mean, that's my point, right? Like, hold on a second, 130,000 is what percent of 26 million? It's point 5% it's, it's based on the My point is, you're not going to meet a ton of people with type one diabetes in Australia. I don't diabetes

Unknown Speaker 23:42
in Australia. I don't think,

Christy 23:44
no, but it's kind of like when you buy a new car and it's a purple car, and you think you've got a purple car, and all of a sudden you start seeing purple cars everywhere. Once we had type one I think I said, I live in a really small town, and just even recently, I've met five other people in our small town that have got type one diabetes. There just seems to be, you know, more and more people you talk to, oh, my dad's got it, or my my niece has got it, my granddaughter's got it. It seems so much more prevalent now that you're in the environment of type one diabetes. So

Scott Benner 24:26
if people spoke about a little more and were maybe more open about it, you think you might see more people too? Yeah, absolutely not that you need to, by the way, but like it just, you know, if it was a thing people were talking about all the time. Maybe you would find more people. It's interesting. Yeah,

Christy 24:43
that's where these groups, and these your Facebook groups, and even the Facebook group the juicebox podcast comes into it. You can ask these questions, or you just read. You don't even have to ask. You don't have to participate. You can just flick through. Comments and see something that might sound similar to what you're going through or exactly spot on, and you realize that you're not you're not alone in this, this journey and that, I always read somewhere people always say, hey, you know what? You so sorry that you've joined the club, but it's one of the best clubs to be in because everybody's so supportive. And in Australia, they really are. They really are. It's It's amazing the amount of people I've met. Now that I call my friends

Scott Benner 25:33
interesting, it's fantastic. I know people I'll never meet. I think although I have to say, I have to say, I've been having this conversation with a person. I shouldn't say this on here yet, because it really might not work out, but I guess if it doesn't work out, I'll say that again too. But I think we're going to do a cruise for listeners to the podcast. That'd be so cool. I actually think that's going to happen. Yeah, and so we'll get to meet people, which will be fantastic, and help them all meet others to get what you're talking about. You know what I mean? So, yeah,

Christy 26:10
well, the Taiwan Foundation, well, in a couple of weeks, we're actually going to dream world for the day. So they hire a function room and dream at dream world. Then they gather the tandem, OmniPod, Medtronic, Dexcom libre, it's all set up so all these different reps are all set up in the room as well. All these children all come together, all these families all come together. We communicate, we chat, we talk, we introduce ourselves. It's a massive community and a massive help to everybody, to just meet these people. And you meet babies with type one diabetes. You meet this mum, she's got type one diabetes, and her children don't. Or you get to just chat and meet people, and it's incredible. We've started. Emily and I actually volunteer a lot of our time. So we go down early. We help set up. We're on the meet and greet tables.

Scott Benner 27:14
We are

Christy 27:16
part of the merchandise stand. Emily decides she wants to meet all the other little kids and introduce herself to the other little kids and be like a big sister. Hey, look at my pod or look at my Dexcom. That's

Scott Benner 27:29
excellent. No, it's amazing. Good for you. Hey, you were talking in your note about lack of technology updates. I think you mean in Australia, is that correct? Absolutely. Yeah, yes.

Christy 27:40
We don't even have the g7 at the moment. So New Zealand's got g7 and Europe's got g7 Australia is still behind with the g7 we don't have the mobile app for tandem, so Emily's running a tandem Dexcom setup. There's no mobile app for that. We don't have OmniPod five. We've only got OmniPod dash,

Scott Benner 28:08
and we've

Christy 28:10
got Medtronic 780, I believe. Wait, what

Scott Benner 28:15
is going on? You have, I think, three or four times more people living there than in New Zealand. How does that happen?

Christy 28:23
I have no idea. Our Therapeutic Goods Administration, I think it's called the TGA. Have just they're just slow in approving it, in improving the Dexcom g7

Scott Benner 28:35
there are 26,000 people in New Zealand with type one diabetes. What the hell you guys are getting shut down by bad government or something? Something's going on here? Yeah, yeah.

Christy 28:45
It just takes forever. Everything takes forever in Australia to get approved through the TGA. So we see all these amazing technology on your website and listen to it in your podcast and go, isn't that awesome? This is great. We just don't see it yet. And every time you sort of hit up OmniPod, hey, when's OmniPod five coming out? They're like, Oh, we don't know yet. It's still going to go through the TGA. When is tandem going to get their remote policy, their mobile app? Oh, we don't know yet. Nobody's got an answer. We only know that the g7 is possibly by the end of the year,

Scott Benner 29:23
yes, or we've been told, you know, it's funny, they really don't know either, like, it's not, it's not like, they're like, just tell them we don't know. Like, I really think they the process is, I hate to say it like this, I think the process is just what it is, and it's not written down anywhere, timelines, that kind of thing. And then, you know, people can give you any, any excuse they want to give you with the time for why it's taking so long, right? Like, for a while, they love to say, Oh, it's covid. Covid has got to slow, you know? And then that ended, and then they say something different, yeah, yeah, covid fault. You can't have a. CGM,

Unknown Speaker 30:00
yeah, and

Christy 30:02
but I do Australia, we do have we don't pay for the Dexcom, so it's free for all type one diabetics. Okay, oh, well, we don't have to pay for a CGM. It's all covered through our Medicare.

Scott Benner 30:16
Is that part of the reason you think I wouldn't? Think so. I

Christy 30:19
don't know. I can't comment on that, because I don't really know whether or not that's part of the reason. But you know, in comparison, I guess we're lucky that it is funded. It's only just recently be funded, been funded for all type one diabetics. So at least we've got, you know, free CGMS. Our pumps are through private health insurance. So you have to have a private health insurance to apply for a pump, except for OmniPod. OmniPod is the standalone OmniPod you can get just as a subscription.

Scott Benner 30:54
Okay, so OmniPod doesn't cost, or it does, it does, yes,

Christy 31:00
it does, but it's but you can get it directly into any contract. You just get it directly from OmniPod, omnipodically private health. I see you get OmniPod and it,

Scott Benner 31:10
it costs about 200 to $400 a month. There's like American dollars,

Christy 31:16
Australian dollars, tripling it or double, I think, for American at the moment.

Scott Benner 31:22
Okay, so if you said 200 for you, it's 400 for me. Yeah, okay. Well, everything costs so much money. I can't believe I'm I feel old Christy saying this, but the prices of things have really gone up recently. So like, Yeah, I'm not stunned anymore. Like $20 now feels like $5 to me. Yeah, yeah. And I used to think of $20 as I still think of it as a lot of money, but I still treat my kids like that. I'm like, this 20, and they're like, 20, yeah.

Christy 31:56
They quite often ask me, Can I just have $20 mom? I'm just gonna go to the shops. I'm like, No, that's too much. You haven't earned $20 What

Scott Benner 32:03
are you gonna do with all that? They're like, I'm gonna get a bottle of water, I think, and I'll lollipop like, oh, wait a minute. I didn't realize. Yeah, upsetting. Well, I mean, we're not gonna speed that up. Obviously, that seems like a problem between you guys in the government, and, yeah,

Christy 32:22
that's right, yeah, just something that we are lacking, that's for sure, especially when we're listening to your podcast and talking about all these amazing technologies. And I'm like, right? I want that. What are we doing with that? Where is that? Where is this? And

Scott Benner 32:37
we just, we're just still waiting. Just continue. I appreciate you talking about it nicely with me instead of the note I got the other day from somebody that said, I have to check my privilege because I have something they don't have. And I was like, Oh my God. Like, I thought this part was over, but okay, I'm like, I feel grateful for things I have. I've said that before. Do you want me to say it before? Every sentence I speak like, like, you know what I mean? Like, you know, I feel

Christy 33:04
incredibly grateful because our insulin doesn't cost half as much as what you guys are paying for insulin if you don't have health care. There is things that I have read on there and go, Wow. Like, people really struggle over there, whereas we don't necessarily have to struggle and fight for insulin. We don't have to struggle and fight for a CGM. We're very fortunate in that way.

Scott Benner 33:27
I also think that people make a mistake when they talk about insurance in America sometimes, like, the people who have it, they'll say, like, I've said it before, like, what does insulin cost me? I think it costs me $20 every time we order. And that doesn't matter how many Arden's like, it doesn't matter like, if Arden's script called for five vials of insulin, it would cost me $20 if it called for 10 vials of insulin, it would cost $20 like, that's kind of the thing. The part you don't stop and talk about is that, you know, round numbers. Through my wife's employment, I think we pay $9,000 a year to insure my family. And then after that, the first $3,000 that gets spent for every individual person comes out of our pocket. And then it covers 80% after that, so nine three. And then if everybody gets sick, 369, 1212, 621, yeah. So I paid $21,000 plus $20 for the insulin this year. And, yeah, you know. And people are like, oh, like, it's free for you. I'm like, Ah, okay,

Christy 34:37
let's just add it up. And it's the same here to get onto a pump. We've got a lot of programs through JDRF, I think they do Medtronic pumps, but it's all income based. We do have one private health insurance company, which is what we use, and they just in. Sure my daughter so I'm not insured. I don't have health insurance. My husband doesn't have health insurance. We use just our Medicare system here in Australia, okay?

Scott Benner 35:07
And we're fortunate

Christy 35:11
enough that that particular insurance we've got for our daughter covers her for the pump, so she's eligible for a pump.

Scott Benner 35:19
Well, that's the other thing. When the year starts over, you know, we have these deductibles, these yearly deductibles. So the calendar rolls over to the next year, and then the first order you get of something you're paying cash for, like, so, and I'm not kidding, like, you know, if a three year supply of pumps or a three month supply of pumps is the first thing that rolls up, you get a bill for like, $1,800 and you're like, Uh, okay. And then, you know, like, you pay that. And you think, all right, I did that. And then Dexcom comes up, and you still have $1,200 left on your your co pay, your deductibles, stuff like, what, I don't even know what the hell it's called. It's not important. They send a bill and I gotta pay it, and then the next thing you know, you're not out of January yet, and you're out $3,000 in cash. And you're like, and then the rest of the year you're covered, and you're like, okay, so that, I always joke with people, like, people are always like that you go to the pharmacy or something like, oh my god, that's so much money. Do you want to buy it? I always go, No, I don't want to buy it, but yes, I'm gonna buy it. And, you know, and they're like, and I was like, but don't worry, I used up my whole deductible today. That's the good I always say, that's the great thing about type one diabetes. You get that out of pocket out of the way very quickly. At least it doesn't nag you all year long. We've

Christy 36:38
got this other awesome thing. At the moment, in Australia, there's a it's called strip supplier. Stripes, yeah, strip supply now all I do is punch it in the computer and they send me exactly what I need. I don't even have to go in and really work it out. It's a monthly subscription. They just send me everything I need and I get it. And because who has time to go to the pharmacy and work all that out. I

Scott Benner 37:01
gotta be honest, I used us med now for a while, and so I just, I really do like, I don't know about punching it into the computer, but I get a text. I get a text or and if I don't, how do I have it set up? I get an email. If I don't reply to the email, they'll call the house. And it's great, because you just literally can't ignore it. And, you know, like, you're like, you're like, Oh, I gotta even sometimes I've heard the phone call and thought, you know, my phone announces, I don't know if people still have home phones or not. I do. I'm old, and it's like, you know, call from us Med, and I'm like, I gotta go answer that email. And you go to the email and you click on it, and I swear to you, like, three clicks later, this stuff's at your front door, and I'm like, This is how it ought to be. This is good stuff.

Christy 37:47
I was first trying to organize what I wanted. And we've got a certain supply that you're allowed to have, and you never know sort of how much you used. How many dexcoms do I have left? How many reservoirs have I got left? How many all the different things? And now with this, I just order it, and it just comes to me each month, and it comes a month in advance, so I'm never behind. I'm never I'm right on top of all my supplies. I've got enough. I don't have to worry about, oh, no, oh, we've left it to the last minute. We need to go and get, you know, Dexcom. We need to go and get some insulin. We need to go and get the cartridges, because I don't have any or, yeah, it always just comes down.

Scott Benner 38:36
You're never really paying attention, organized, yeah, you're never really paying attention till you're like, I have two of these left. Damn. Hold on a second. Although a different kind of counting happened yesterday. Arden's finishing up her sophomore year of college right now. Like it's today. She she told me, today is the last day she's gonna do any work, and then she has a presentation, and then she's done. And I was like, okay, and she goes podcast when she first went, Oh, isn't that crazy? How time, trust me, there are people listening who are like, I read the blog when that kid was like, seven, you know, she said to me, one more pod. And I went, What are you talking about? Are you out of pods? And she goes, No, no, no, no, I have plenty of pods. I went, okay. She goes, one more pod that I'm gonna do, and then you're taking care of this all summer,

Christy 39:28
my daughter quite often sits here and says, Mom, can you just enter it in, please? I don't want to think about it. And I went, yep, okay, pass it over and I'll enter it in. But because with the tandem, because she's still on like it's all tubing. She just sits next to me, and she just doesn't ever look she's like, whatever, yeah, put that in, okay, now compared to two years ago, now we're much more relaxed. We're much more calm.

Scott Benner 39:56
We do a lot more now, except for me, go. To the doctor. I did get the firm feeling though, that my my summer is going to be spent changing CGMS and insulin pumps. She's like, I'm I'm taking a break from everything. Is the vibe I got from her. I was like, okay, yeah, holiday mode for sure, from everything. Oh, I'm gonna get the phone handed to me across the table when food comes out, something like that. Like, Oh, are we eating? Here you go. Yeah, yeah, turns it right back over that

Christy 40:25
we can still do that for them. I mean, they've got this for the rest of their life, so Yeah,

Scott Benner 40:29
honestly, I'm happy to take a little bit away from them, right? No, I agree with you, and I'm happy to do it. And it also won't. It won't last that long, by the way. She's not. I mean, it won't be a month from now and she's still like, Uh oh, my pump needs to be changed. Like, it's not going to go like that, you know. So, um, my job this summer is just to she's a couple little bad diabetes habits that I'm trying to, like, get her away from. I want her to put a new CGM on a little before she takes the old g7 off, like, just to soak it a little bit soaking. Yeah, I can't get her to do that. Yeah, I always forget to do that. And in college, she rides her pump out to the last second or the last unit. And I'm always, and I'm always like, Arden, please. Like, let's not like, you know, she's like, it's fine, it's fine. But she's had a couple of times where she's gone to bed and said, It's fine, and then not it didn't make it, yep, yep. We've had that. And then I'm waking her up and I'm like, you have to get up right now and put a new pump on. And she's like, exhausted. Now I want to say, in fairness to her, somehow Arden ended up going to college for something that I kind of thought was going to be like, not as taxing, and it ended up being worse, somehow, like, she's got a friend becoming a nurse at college. She has a friend becoming a teacher at college. She has a friend in college learning comp sci. And Arden's doing, you know, fashion design, yeah, and her friends are like, you're way busier than we are. Like, like, because, because, when she, when she gets a an assignment that it the assignment isn't like, Hey, sit in this class. I'll explain this code to you. Then you can go home and code a little bit, or what you know, or go read terms for nursing or something like that. Like they get her into a room and they go, Hey, you're gonna make a pattern for this dress. And they literally hang a dress in front of her. And then you have to visually deconstruct the dress. You can't take it apart. You have to make a pattern for it, and then make, then make and remake the dress. Except no one teaches you how to do it. You just have to do it. It's really interesting. Like, like, Arden went to school for fashion design. She'd never really sewn very much, even, okay, and so, like, she goes to these labs, like, like, we'll get like, a call from her, like, the other night, she said it was, like, five o'clock. She calls and she facetimes. I don't, I don't know if people call anybody anymore, so she's FaceTiming all this, and she's, she's eating, and we're like, what are you up to? She goes, I'm gonna finish eating. I'm gonna go pick up Addison. Was a friend of hers. And she's like, and then we gotta go to number nine, and then we gotta make a pair of pants. And I'm like, okay, and then, you know, at two o'clock in the morning last night, like, literally, I saw her. Blood Sugar was super stable. It been very stable for a long time. And I woke up and I was like, I wonder where Arden is, and I open my phone, and she's still in that lab, like at two in the morning. They're they're doing this stuff. And so she's done all these overnights with diabetes, I have to tell you, she may never know it. And Arden uses Iaps right now, but it wouldn't matter if it was, if it was control IQ or OmniPod five or 780, G, whatever she's wearing. These algorithms, they're changing people's lives. I don't even think they know it. You know like you go find a bunch of collegiate type ones pulling all nighters and riding around a six, one, A, 1c, right now, and ask them if they weren't low all the time, or, you know what I mean, like, and Arden's just like not having those problems because of this stuff. Really great.

Christy 44:28
We had OmniPod dash. So Emily decided she didn't want tubes, and she wanted to try the OmniPod Dash. And we tried that, and it was great. The Remote bolusing was great. The no tubes were great. Being a girl, she could wear whatever she wanted to wear, and it was really wonderful. Yeah, and

Scott Benner 44:47
then hormones kicked in. So

Christy 44:51
every night when the hormones would kick in, we were up bolusing and correcting and bolus. Seeing and breathing constantly, and then she would drop at other certain times of the month, she would drop,

Scott Benner 45:07
and because it wasn't catching it,

Christy 45:10
we felt there was a lot of work. We were up late at night. We were It wasn't until two o'clock when it all was stable. And we, you know, we would put a heap of insulin in and just wait for the low, but with tendon, with the T slim that she's got, it does those corrections. And you can, quite often go right, I can go to bed, yeah, like, it's better catch. I'm not putting in too much insulin where she's going to crash incredibly fast. I can just make little corrections, and sometimes I don't even have to do that. Now, the pump just kind of does it itself. And she's sitting in an A 1c of five point H was her last one.

Scott Benner 45:53
That's fantastic. And if OmniPod five was available in Australia, you probably would have gotten it absolutely, absolutely. That's been my point to a couple of the companies when I've talked to them recently, like they have to begin to understand that the algorithm is going to become the most important part of their device. I can make the argument about OmniPod, the tubeless nature of it is really significant to people, and might push some people you know to not say the algorithms like top on their list, but that's what you're that's what you're selling now, yeah, that's what

Christy 46:30
we went for. It was just, it's the algorithm in that T slim. And even Emily started to fight because Mom, I'm going low. It's already cut the insulin out, so I don't have to worry about it too much, or if she's going high the diabetes educators just said, well, we'll do the corrections. We'll just change your correction factor a little bit. And that has made an incredible difference to her being able to manage it in school, to the point where sometimes she's not even really thinking of it because the algorithm, algorithm is doing it for her, yeah, whereas OmniPod just wasn't keeping up. Well, you're

Scott Benner 47:07
using the dash. It's just manual. It's just the dash. It's just running the the basal program that you put in there. The you know, it's not making corrections, it's not cutting basal. And listen the algorithms, they don't catch every low and but, and they don't catch every bad low. I don't want to say that, because that they certainly don't, but nine times out of 10 the low you're having is not nearly as emergent and scary, because the algorithm has been taken away, taken away, taken away insulin the whole time.

Christy 47:41
Yeah, at least you can sit down, she can have a bit of sugar, and she's pumped back up with enough without having a crashing blow. It lets her know beforehand. The Dexcom does. So she just finds it's less management, management with the algorithm, yeah, than it is with OmniPod. She loved OmniPod. She loved the freedom of OmniPod. So we still get OmniPod every now and then she wants to wear a pretty

dress, or she wants to

do something where she didn't want the tube, she will put on an OmniPod for the time being. But she actually asked to go back to the tea slim for the algorithm for me, like at night time when we were on OmniPod, I go to work, they go, you look really tired. And I'm like, No, this is just my face. Now, I had a good night's sleep. I was fine, but this is just what I look like.

Scott Benner 48:37
No, I'm doing great. What are you talking about? It's the best I felt

Unknown Speaker 48:41
in the week, right?

Christy 48:42
What are you talking about? You look tired. It's just the way you look now, the bags are just permanently under the eyes, just just the way you look now.

Scott Benner 48:54
Now, yeah, I, yeah. I say again for, for pump companies listening, you're not selling the 770 G, you're not selling the OmniPod, you're not selling the T, you're selling your algorithm that that's your product. Yeah, so concentrate on it. I had this thought the other day, and this is going to be frustrating to you, because you're you get things later. You think of yourself as the Canada of the other side of the map. And so because they don't get their stuff very timely either. But, yeah, it's, it's pretty much neck and neck, honestly. But what I, what I was thinking the other day as I was was I doing? I think it was outside, pressure washing my house. It's like getting, you know, that molt where you live there. I don't know what you know, but like, in over the winter, we get, like, green stuff stuck to our siding, and you kind of like, go out and pressure wash it off, right? So I'm out there getting soaked, having green stuff bounce back in my face, assuming I'm going to turn into Spider Man eventually, from whatever's going in my mouth. And I'm thinking about my podcast and things I talk about and everything. And I started thinking about AI a lot, and. And I wondered, are we going to see a slowdown in the current algorithms advancements, because are they already ahead doing something else that we don't know they're working on? And if they're not, should they be you know what I mean? Like, Yep, yeah. Like, when am I going to be able to tell the pump what I'm eating, for example. Like, when am I going to be able to say, hey, pump, this is a cheeseburger. It it's just going to be a communication, yeah? Like, is that? Is that going to happen? Like, you know, and wouldn't that be, for some people, more accurate than them, half assed guess, and how many carbs are in something, or forgetting that it's greasy, or like that kind of thing, like, like, I wonder if that's not something somebody's thinking about, and I think they should be.

Christy 50:52
It kind of reminds me of Siri, I suppose. Hey, Siri, how many carbs are in this? That's constantly our question. Siri, how many carbs are in this? And she might tell us, and then we sort of go, Well, we're going to have a bit more than that. Actually, she's talking to me now.

Scott Benner 51:06
Do you think that Siri has friends and in her downtime, she's like, Yo this Kristen and her family, they eat like, seem like. It's all they do. That's all they talk about with me. It's just food.

Unknown Speaker 51:18
Facebook,

Christy 51:19
how it listens to you. It listens to you. It just comes up with recipes and things like that, because it's all listening to me.

Scott Benner 51:26
I suppose these only talk about whatever.

Christy 51:31
I'm never asking for directions. What do I need here? What do I need there?

Scott Benner 51:36
She's never once asked me about anything fun or going on vacation or anything like that.

Christy 51:41
No, I just want to know the food. Let me know the food I actually have got on my fridge. I did up a all Emily's favorite foods. How many carbs are in the foods? So it's on the fridge, and I don't have to ask her anymore. Hey,

Scott Benner 51:57
I need to sneak in my my I have standard Australian questions, have you ever sat on a toilet and there's been a spider or a snake in it? No frogs, though, frogs. Okay, fair enough. Green Tree frogs. Not a snake, not

Christy 52:11
a spider, but, oh, spiders are everywhere. We name them in our house. No, but frogs. Green Tree frogs.

Scott Benner 52:18
Green Tree Frogs are common. Yes, in the toilet. Common, do you ever get to the point where you're just like, I'm not taking this out, or I'm just flushing it down the toilet, taking what do you take it out? Or what do you do with it once you say it? Frog, yeah, the frog, well, you

Christy 52:34
just got a flush. I mean, if you've already sat on it there and and go and get anything out. We just, you can flush it, or you just, I've got two toilets. I can just go to the other. This is sometimes in the outback, yeah, being camping, and the whole shed has been full of frogs, therefore you I just don't even use that particular toilet. Okay, it's way out. We find a tree,

Scott Benner 53:03
it's safer to find a tree. If I found a tree, I'd be able to get farther away from these frogs than if I went to the toilet. I gotcha, hey, they're more frightening

Christy 53:11
the frogs in the toilet. If I'm honest, I'd rather sit on a spider.

Scott Benner 53:16
I don't know how do I even make that adjustment in my mind, but okay, and snakes everywhere, crawling across the street. I walk outside. They're on my patio. They're like birds in America. Yes or No, no, no, where. Where are they at no so they're

Christy 53:33
out in the bush. They're hiding underneath your rocks and things like that. You do have to be careful. You can be walking through a paddock, and all of a sudden there's a nice brown state there. I have not encountered one. I've only ever encountered a few black stakes, which are pretty quiet, and they tend to move away from you before you

Scott Benner 53:52
are anywhere near them. The brown one can hurt you.

Christy 53:55
The brown one's nasty. He's mean, yeah, yeah. He's more aggressive. The black ones, not so much

Scott Benner 54:01
just aggressive or poison both. Both are very poisonous, even the black everything

Christy 54:08
we've got, I'm more afraid of a crocodile in Australia than I am of a snake or a spine or anything like that. Those factors jump up out of the water and get you.

Scott Benner 54:18
Here's my question. In the last five years, how many stories have you heard about people being drug under by a crocodile and taken? Oh, over under 10. Under 10,

Christy 54:32
sometimes this little dog, like people, are walking their dogs so the dog gets taken.

But I just, I don't like

the thought of the crocodile like he's in the land, he's in the sea, and he's just got his little beady eyes looking at you from the top of the water. And I don't know if anybody's ever been to Australia zoo, or any you watch Steve Irwin's videos, they launch up out of the water. I. I've seen them launch, so I'm just not even going to go near water's edge in North, in North Queensland.

Speaker 3 55:09
Gotcha, yeah. Oh, listen, they're dinosaurs. They're dinosaurs living with you. They are. Yeah, no, no. It's very upsetting. I don't huge, oh, what? 1012, feet? I don't

Scott Benner 55:23
know. Oh, feet. Oh, God, you live in one of those places. Hold on a second. Let me just figure it out. How many meters is 12 feet? Let's see if I was anywhere close to being correct. Uh, three and a half meters. Yeah, they can be bigger than that. Bigger than that, okay, yeah. And why don't you leave? Tell me that, like, pack up those. I mean, you got enough kids. They could pull they could pull the car if you don't have one. There's so many of them. I

Christy 55:50
live in the bush. We live in a in a small country town in Queensland. We are further away from the crocodiles. But recently we went on a holiday up to North Queensland, which is 11 hours drive from where we live, up to North Queensland, and, yeah, my husband and my daughter walking along the beach, and I just waited back. I went, No, thank you. Yeah,

Scott Benner 56:14
I'll be here for whichever one of you lives, and then we'll go home together. Yeah,

Christy 56:19
we even got in a boat, did the crocodile tour, and I was freaking out sitting in the middle, and Emily's like, this is great. This is great. And then all of a sudden, like, a pump starts alarming, and I'm like, Just be quiet.

Scott Benner 56:33
I can hear that. I will throw you in the water,

Christy 56:38
because I don't want it to come anywhere near us.

Scott Benner 56:42
Do you think you'd which parent do you think you'd be? Have you seen the video online? I'm gonna make my point. Have you seen the video online where the guy's walking out of his home? He's got, like, one of those doorbell cameras, so you're getting to see it, by the way. Do people not know that all a doorbell camera is gonna do is catch you falling it's not gonna catch anybody breaking into your house. But so the guy's coming out. I mean, he's a guy. He's in his 30s, you know what? I mean, prime of his life. He's holding his son, the kids, three, maybe three, I'm gonna guess. He takes a step down his first step, and a raccoon just grabs his pant leg and starts going crazy. Now listen, that would scare me. I'm not gonna say otherwise. He takes a couple of aggressive steps forward, then he throws the kid on the ground. I mean, he really throws the kid. I think the kid's Okay, so it's okay to laugh about. He was like, just dispensed of that child when his life was in danger. He did not think about that kid anymore. He was just like, self preserving. Oh, my God. He was like, this thing's in my way.

Christy 57:53
I'm not taking it. I take them first.

Scott Benner 57:58
Then he calls for his wife, like a, I don't want to say like a little boy, but he did called for his wife like she was his mom, and and then, um, and then the, I don't know, the raccoon, takes off, whatever, but it's the way he throws the kid that makes me wonder. Like, we all think we're gonna be that person who's gonna just, like, save the child, step up, you know, blah, blah, blah. But I think if that crocodile came, you'd be like, listen to me, kid,

Christy 58:25
I would have been out of Yeah, I think I would have just turned the boat around if anybody fell in. Too bad.

Scott Benner 58:32
I gotta go. Hold on tight. You go out and we're not coming back for it.

Christy 58:35
He was huge, just sitting there looking at me, you know,

Scott Benner 58:40
oh my god. Anyway, if you haven't seen the video of the man in the raccoon throwing his kid, please find it and just enjoy yourself and think, Well, the kid's fine, don't worry about it. But I mean, man, he just, he just tossed that kid aside like a bag of just like

Christy 58:59
he's yours. You take him

Scott Benner 59:00
for the rest of your life. You're, you're, you're a woman Christy, you're married. You know, for the rest of your life, the guy says anything, you pause, and you go, Hey, remember the time you threw our kid? Right? I mean, do you ever win another argument if you're that guy? I don't think so.

Christy 59:19
No, you've already given up the child.

Scott Benner 59:22
You can't act dominant sexually anymore, like you can't do anything you because you'll be thinking, like, oh, screaming

Christy 59:28
for his wife,

Unknown Speaker 59:29
exactly,

Unknown Speaker 59:32
where's the man.

Scott Benner 59:33
He's like, You know what I want to try tonight? You're like, what bitch boy, what do you want to do tonight? Remember when you threw our kid and cried. Oh my god, fantastic, by the way, we, um, we did a disservice to this podcast episode. You guys love to curse, and I didn't curse much in this one at all. I'm sorry for that.

Christy 59:53
I know I I've actually been holding it in too. I'm too scared to say the s or something like

Scott Benner 59:59
that. Yeah, if you would have went to other words, we could have avoided the s, yeah, I

Christy 1:00:04
Yeah. I work with children, so I can hold it in when I

Scott Benner 1:00:11
need to. It was done very well, because I imagine it's the first word that comes to mind whenever you're starting a sentence. Yes, yeah. Why is that? By the way, I'm not making this up. Am I like, cursing is like a, like, a national pastime? Yeah, it's very

Christy 1:00:25
casual. It's very over in Australia. I quite often say to my husband, really, like, really, is that what you just said? You go, yes, well, it is, but, you know, yeah, no, it's quite often used. A lot of Aussies tend to use it.

Scott Benner 1:00:44
Yeah, it's very liberal. I swear to God, I

Christy 1:00:48
cry. Son just turned 21 and he feels like he can swear in front of me now

Scott Benner 1:00:52
21 oh god, you you made it far. I curse like I love cursing. I would fit so well, except for the snake, the snakes and the spiders and whatever else you got. I would never come to Australia. I just want to say this right now, you'd have to put me in an acrylic box with air holes if I'm coming there. But

Christy 1:01:10
it's not that scary. It's quite surprising how everybody thinks it's so scary. It's really not. I know we've got great white sharks in the ocean and we've got crocodiles and we've got snakes and we've got spiders, but we all we survive.

Scott Benner 1:01:25
I mean, I know that, but somebody doesn't, and I don't need it being me. You know what I'm saying? Yeah, I want to be clear. I also probably wouldn't go to West Texas, Arizona. I mean, I can make a long list of places I'm not going for you. I got invited to speak in Montana. I'm already looking for snake boots. Like, good guy, did they? I don't even know if they have snakes, but like, I, you know, and a bear, like, I'm gonna need a bear gun. There's gotta be a gun you can kill a bear with, right? Like, I need a bear gun and Snake boots. That

Christy 1:01:53
would frighten me, too. The bears would frighten me. After watching that movie with Leonardo DiCaprio, the bears would definitely scare me. Oh,

Scott Benner 1:02:01
The Revenant. Yes, that's one. I thought you were gonna say cocaine bear. I was gonna say Christy. I don't think that was real.

Christy 1:02:12
No, no, not that one. No, no, definitely The Revenant. When the bear attacks him, because I don't really watch horror movies or anything like that, that bear was horrible.

Scott Benner 1:02:22
Yeah. Well, the bear doesn't care if you're alive or not when it's eating you.

Christy 1:02:26
No, yeah, just rips you apart with those big claws, right?

Scott Benner 1:02:30
Some animals have the common courtesy to break your neck or something before they like the crocodile, will break your neck

Christy 1:02:36
and, oh no, the crocodile takes you down to the bottom of the river alive and death rolls you, yeah,

Scott Benner 1:02:44
but that'll break your neck, is what I'm saying. The bear was eating him, the Be it the bear was eating him for hours. Wasn't

Christy 1:02:53
bears, you can, you can have those look like

Scott Benner 1:02:55
if you're being eaten by a bear, you gotta yell, don't start with my foot. I I mean, if we're doing this, come up top,

Christy 1:03:08
get it over and done with, Oh, my goodness,

Scott Benner 1:03:09
I didn't know this would turn into a bear attack. Uh, podcast, but here we are. Okay. What about diabetes? Haven't we talked about that we should

Christy 1:03:17
have? Oh, the fear that it puts around the rest of you health issues.

Scott Benner 1:03:21
So, okay, you

Christy 1:03:23
want to go to the doctor these days for myself, I get terrified after having diabetes come thrown out of nowhere at me. I actually have a lot of anxiety going to the doctor personally,

Scott Benner 1:03:37
health concerns. Yes, you so now you're, you're pretty sure, or at least incredibly worried, that something's going to go wrong with you absolutely.

Christy 1:03:47
I I'm always thinking that I the worst. If I go to the doctor, I'm going to get out of the blue it's going to be something that's going to be the worst. I'll go for a sinus thing, and I'll think I've got, you know, some sort of tumor or something, because I think the diabetes come so far left field. We had no idea what diabetes was. There's no autoimmune no one in the family has it. Yeah, there's nothing like that. And we've taken Emily to the doctor for

a urinary tract infection and ended up

coming home with type one diabetes, right? And it's just terrified me now to go to the doctor thinking that something else is going to be thrown at me from left field.

Scott Benner 1:04:33
I think that, you know, we have a lot of things thrown at us, and I don't know

Christy 1:04:40
they say the universe only gives you what you can handle. Yeah, I get scared for myself because I need to we I need to be around to look after my daughter.

Scott Benner 1:04:50
So the anxiety of me not being well

Christy 1:04:56
is really starting to play. A major role in my life. I've had to go and see a psychologist just for that.

Scott Benner 1:05:05
Do you curse during the psychology visits? Sometimes, yeah, I would too, that's why I asked. But so let me ask a question here, prior to the type one diagnosis, were you generally healthy people, you'd end up at the doctors very often.

Christy 1:05:22
No, not very often. I started to worry about my health. I was a bit overweight, and so I was worried about my health, and I had high blood pressure, but nothing overly concerning. You know, we if you went to the doctor for anything, you just go and get it checked out. Just going to go and get this checked out. Now, I don't necessarily want to go and get something checked out, because I think that I'm going to come out with something worse than what I went in with. Christy. Let

Scott Benner 1:05:49
me help you a little bit. That's backwards. Okay, you can't think like that. And isn't it interesting, being overweight and having high blood pressure is serious, and yet it's exp you think of it as reasonably expected. So when someone says it to you go, Okay, well, what's the thing I do for that then? And but the diabetes was so, like you said, out of left field, that now it feels like anything could happen. Now it feels like it could just spring up out of the water at you and snatch you up. Yeah, something

Christy 1:06:21
like, oh, it won't happen to me. I always think the complete opposite now that could happen to us, because this happened to us. So you know that could

Scott Benner 1:06:34
happen. You completely transitioned from one mindset to the other very quickly. Yeah, isn't that interesting?

Christy 1:06:40
Yeah, it really does worry me. Now, for any little thing, I get really worked up. Going to the doctors really works me up. Now,

Scott Benner 1:06:49
I find a lot of comfort in this thought. I hope it helps you. Whatever's going to happen is probably going to happen. So I've

Christy 1:07:00
got, like, things everywhere, all over my house that say, you know, things happen for a reason, and it's gonna happen, it's gonna happen,

Scott Benner 1:07:07
but I don't want it to and it can't listen. I want to be clear. I don't think they happen for a reason, but I think they're gonna happen like, I think there's just the natural progression of things like, and I've had, listen, no lie. I'm 52 if I sit here and try to be thoughtful about this, I had to have a surgery on my toe, my toe because I couldn't walk. My knee had to be cleaned out. My shoulder had to be repaired. I had to have my appendix out. I've had, I have a couple of crowns in my mouth, like my teeth are, you know, needed to be replaced. I mean, I carried weight that I couldn't figure out. Like there's no reason, rhyme or reason behind of it. I'm working through my gut health issues right now with somebody, which I haven't talked about on the podcast yet, because I'm not done with the process, but, and every time I go to do something like, I'm like, oh my god, I'm hurt again, or this is happening, and it feels so like this is not what you were promised, but you realize then nobody really promised you this, and I'm still moving like, This is amazing. Like, yeah, I lost six months fixing up my knee, and I limped for three months after I got my toe fixed and like that kind of stuff. And and my shoulder surgery was maybe one of the more painful things I've ever physically been through in my life, right? But the alternative is, what, you know, what I mean, like, I, if my knee didn't work and my shoulder didn't work, a bear would have eaten me 20 years ago, if it was 100 years ago. So, yeah, I'm just, you know, I'm all about find it, face it, get past it, and if it kills you, whatever that was gonna happen anyway. I

Christy 1:08:51
had to really struggle with that,

Speaker 2 1:08:54
and with seeing somebody has helped with that. That's good, same mindset,

Christy 1:09:01
you know, I've just got to deal with it, and we're going to take it one step at a time. And if this happens, then we'll do this or but, and my husband is amazing with he's so it's not casual. Casual is not the right word. He

Scott Benner 1:09:21
is very calm.

Christy 1:09:22
If things happen, we're just going to roll with it, especially medically.

Scott Benner 1:09:27
I don't know your husband, he's clearly got the most boy attitude I've ever heard in my life. He's like, hey, those kids aren't mine. I'll take them. Don't worry about it. Like, you know, like, practical, yeah,

Christy 1:09:37
yeah. Just,

Speaker 2 1:09:38
he's just so real about things. I

Christy 1:09:42
think he's got a very realistic view on everything. Me, I've got that emotional view being female. We just do that. I think look into things too much. But yeah, he's always supported me. He's like, You need to go to the doctor and get that. Checked,

Scott Benner 1:10:00
lovely. So, yeah, good boy, listen there.

Christy 1:10:03
I just, you know, and it doesn't help. When the doctor goes, we just need to see where the bleeding is coming from. Great. Yeah, is there a cancer in your family? And I go, what? Why did you

Scott Benner 1:10:16
and then, where? And then, and then, where was the bleeding coming from, by the way, yeah. So I just have, I

Christy 1:10:24
had the weight loss surgery as well. So, yeah, I had that done in 2020, and so there was no, no bleeding from there, but I was losing iron. I wasn't absorbing iron, yeah. So he said, You must be bleeding from somewhere. Is there cancer? Is there this?

Scott Benner 1:10:42
And he couldn't just say we took out a bit of your stomach, and maybe you're just not absorbing iron as well anymore. Yeah,

Christy 1:10:47
that's right, it just turned out to just be the surgery. There wasn't anything else I went for every test under the sun, and there wasn't everything,

anything else, but it was the whole

process, and I was terrified. Yeah,

Scott Benner 1:11:01
of course, I had that happen to me too. By the way, my iron was low and they're like, you have cancer? I'm like, oh, okay, I don't think I do, but I guess we could check Yeah. How did the weight loss surgery work for you? Did it do what you hoped for to do? Yeah,

Christy 1:11:13
lost 60 kilos, and I've kept it off now for for a long time, I can eat anything. I've been very fortunate. I followed all the instructions given to me by the surgeon, and I've managed to keep it all off. And I can, I can eat my actual the rest of my bloods are all great. I'm just not absorbing enough iron.

Unknown Speaker 1:11:39
Holy hell, you. You lost 132

Scott Benner 1:11:41
pounds. Is that what? That's what it is, yeah, like a whole person. I'll be damned, that's crazy. How tall are you? Yeah, I

Christy 1:11:51
can get up off the floor easier. Now.

Scott Benner 1:11:54
What are you doing on the floor? Oh,

Christy 1:11:57
I work with children. Oh, okay, yeah, constantly,

Scott Benner 1:12:00
like, down there level, wow, wow. That's crazy good for you. Now, do you? Can I ask you? Do you look now at everybody using GLP medications and think, god damn it, I probably could have just done that, if only they were available a couple of years sooner,

Christy 1:12:18
sometimes that I actually have a needle phobia myself. If people are injecting ozempic or something like that, I think I'd rather the weight loss surgery.

Scott Benner 1:12:29
No kidding, that's interesting.

Christy 1:12:33
Very big needle phobia. So I had to get over that pretty quick. Well, for Emily, I can Yeah, you're

Scott Benner 1:12:39
a bit of a pleasant paradox. Christy, which I would, by the way, call your episode pleasant paradox, if I wasn't already going to call it. Sally sells seashells. Yeah, that's what I'm calling it, actually. So I have to have a way to explain this to people. The which is still happening, by the way, I just haven't brought it up yet. I also noticed, the less I talk about it, the fewer S's you use, which isn't that crazy conscious of it now? Well, now that I realize how how that works, I think I'm just gonna start when I'm talking to people, I'm gonna say things like, you should send me $5 and see if it starts happening. If, like, just $5 bills just started showing up. I'm like, Oh, I was wasting my time telling them about other stuff. All right, cool. Well, listen, I really appreciate you doing this with me. It's got to be after midnight there. You have to go to sleep and take care of 43 children tomorrow. So yeah, let me, let me, let you go and say thank you. I really do appreciate you taking the time coming and sticking up for people in Australia, saying, Don't forget about us, when you're making your stuff, get it over here. It would be nice if they fought a little harder for you at some of these companies, huh? Yeah,

Christy 1:13:47
absolutely. Just be on par with some of the technology would be amazing. Yeah,

Scott Benner 1:13:54
just because you have a frog in your toilet doesn't mean you don't deserve good health care. Dolls. That should be a t shirt. You should make a t shirt that says, just because I have a frog in my toilet doesn't mean I don't want your blah, blah, blah, then send it off to the company. You make somebody laugh so hard they put some effort into it for you, probably, yeah. All right. Christy, thank you so much. Can you hold on one second for me? Yeah? Thank you. Thank you.

A huge thank you to one of today's sponsors, gevok, glucagon. Find out more about gvoke hypopen at gvoke glucagon.com, forward slash, juicebox. You spell that, G, V, O, k, e, g, l, U, C, A, G, o, n.com, forward slash juicebox. Today's episode was sponsored by Medtronic diabetes, and Earlier you heard from Maddie, who shared with us what finding Medtronic meant for her. Learn more about hyperglycemia at Medtronic. Chronic diabetes.com/hyper, I can't thank you enough for listening. Please make sure you're subscribed, you're following in your audio app. I'll be back tomorrow with another episode of The juicebox podcast. If you or a loved one was just diagnosed with type one diabetes and you're looking for some fresh perspective. The bold beginning series from the juicebox podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698 in your podcast player, or you can go to juicebox podcast.com and click on bold beginnings in the menu. The episode you just heard was professionally edited by wrong way recording, wrongwayrecording.com you.


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#1340 Diabetes Is Back

Scott Benner

Courtney was misdiagnosed with gestational diabetes.

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
Hello friends, welcome back to another episode of The juicebox Podcast.

Today I'll be speaking with Courtney. She's 38 years old. Was diagnosed at 29 with gestational diabetes, but later they realized she actually had Lada. She has a bit of anxiety. We talk about that and much more during this episode. 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 at cozy earth.com All you have to do is use the offer code juicebox at checkout. That's juicebox at checkout to save 40% at cozy earth.com if you are the caregiver of someone with type one diabetes or have type one yourself, please go to T 1d exchange.org/juicebox and complete the survey. This should take you about 10 minutes and will really help type one diabetes research. You can help right from your house at t1 dxchange.org/juicebox, when you place your first order for ag one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink. Ag one.com/juicebox, dot com, slash 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, 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, 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

Courtney 2:22
My name is Courtney, and I was diagnosed with type 1.5 Lada or La da when I was 29 years old.

Scott Benner 2:35
How old are you now?

Courtney 2:37
I am 3829

Scott Benner 2:40
38 that's nine years. Okay, we're not going to use actual words that would tell anybody. But did you and I go to the same high school?

Courtney 2:50
No, probably not, probably

Scott Benner 2:51
not. You didn't go. You didn't go where we were talking about just now,

Courtney 2:56
um, if you lived in where we were talking about, then, no, I lived in a different part.

Scott Benner 3:02
Gotcha So,

Courtney 3:04
but very, very close.

Scott Benner 3:06
You taught that you're a teacher.

Courtney 3:08
I was until I do what I do. Now,

Scott Benner 3:10
do you want to tell me what you do now? Sure,

Courtney 3:13
I work for a company that has contracted with the US Patent Office, so I am fortunate enough to work from home, and I sit around editing patents all day, editing

Scott Benner 3:25
patents, and you get did that from teaching, what pays better,

Courtney 3:29
probably in the long run, teaching, I mean, when you're in it for 20 plus years, you know that pays off, but this has allowed me to be around my children more and be there for them pretty much every step of the way. It's pretty flexible, excellent, and it's really helps me with diabetes management. Rather than being in a classroom and having a little blood sugar and being stressed out about it while you're trying to teach, this is I can take care of it and move on with my life and go back to work.

Scott Benner 4:01
Did you enjoy teaching I did? Was it a different experience with diabetes

Courtney 4:06
when I was first diagnosed with diabetes, it's actually a weird story. So I was pregnant with my daughter when I was diagnosed with gestational diabetes, and they told me, Oh, it's a fluke, you know, it's, it's probably just like, you know, something that's just going to go away. You won't have to worry about it. After you have your baby, you'll just get tested again, and then, you know, whatever, you'll be fine. I went through pregnancy thinking I was going to be okay. After having her, I was, I was fine. After having her they tested me in the hospital, like, you know, finger pricking or whatever, and I was totally fine. And then a year later, I went back for blood work. They didn't take a, an A, 1c, or anything. They just, like, took my current glucose and it wasn't fasting, and they told me I was fine. Mm. Yeah. Um, a few months after that, I was like, not well at all.

Scott Benner 5:05
Did you call them and say not fine, not fine,

Courtney 5:09
yeah, eventually. So, I mean, there's a whole story behind that too. Like, for a few months, I was noticing really bad leg pains, like my cast were. It felt like electric shock was going through them all the time, and I had really bad like, Charlie horses in my calves. I noticed I felt really dizzy or like anxious all the time. I also was experiencing like I had to go to the bathroom constantly. And I remember, like, thinking back, like, Oh, I'm so thirsty. Just so thirsty, and my mouth felt like a desert, and I like a dope. Was like, Oh, I drank so much water. I should probably drink Gatorade. So would pound Gatorade after gallons of water, thinking I needed it. But, I mean, probably

Scott Benner 5:57
did, yeah, get your electrolytes back up. Yeah. Yeah. And, like,

Courtney 6:01
it wasn't thinking anything of it, because I had no idea what DKA was, right. And I, you know, just a month before, like, this September, I was tested, and when, like, my daughter was, like, 13 months old. And then by November, was, like, the night that I was like, Oh, this is it was Thanksgiving, my husband's family, does this, like, really fun outing with like 80 people at this, like, camp, they all grew up going to where they have Thanksgiving. They ran out of water, and I was having those symptoms where I was, like, just downing water, and there were no water bottles, but I was so thirsty, so I drank soda, because that's all that was left. And I felt absolutely horrible, like I thought I was gonna die.

Scott Benner 6:48
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/juicebox 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 strip. And with a 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. Diabetes comes with a lot of things to remember, so it's nice when someone takes something off of your plate. Usmed 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. Adding all that sugar and your body was just like, I cannot process any of this. Your blood sugar was probably super high at that point, everything. Oh,

Courtney 9:44
without a doubt, I remember we were driving home, and we're it was like an hour and a half away from our house at the time just thinking, like, I think I have the flu, like I'm really not okay, still not putting it together, still didn't think it was any. Thing related to diabetes that was two months ago, had the blood test done, and they're like, you're fine. I think my blood sugar was like, 110 when they told me I was fine. Oh,

Scott Benner 10:09
Courtney, let me be make sure I understand gestational diabetes in your mind. That's a thing that happens when you're pregnant. It goes away. You had a follow up, they said it's everything's fine. And so your brain's never gonna go back there again, correct, I would imagine. And this, DKA feels like the flu at first, like that, just like body beat up feeling

Courtney 10:31
Yes, okay, okay, sorry, go ahead. No, you're fine. So we go home Thanksgiving night. I just try to, like, sleep it off, not thinking anything, and actually, like, I get through, like, the next couple of days, and I'm, like, surviving, and I don't know how, but I guess my my body still works somewhat to the point where it must have brought it down to probably still a really high level, but like, high enough that I guess I would my body was just accustomed to it from being high for, I guess, the past couple of months at least. Then my husband and I, we had like, a family photo shoot, and we went out to dinner, and I got pasta, and that night, I shot out of bed, and I was like, I feel horrible. And something told me, Go get your meter from pregnancy. So I did, and my blood sugar was like, 438

Scott Benner 11:34
Wow. It finally hits you, but you don't know why, right? Just jump in your head,

Courtney 11:37
yeah. If something just says, like you're you're not okay, like something isn't right. And I had realized that I had lost a ridiculous amount of weight in like, two weeks,

Scott Benner 11:47
but nothing about the way you felt mimicked how you felt when you were pregnant. Did it?

Courtney 11:53
No, nothing. I didn't need insulin while I was pregnant. I would just I went to the nutritionist, I ate the amount of carbs that they told me to eat during meals, and I never had a problem. I stayed within range almost the entire time, until the like the last three weeks of my pregnancy, my fasting started creeping up over like 105 so they add added a Glyburide to my my regimen, and it was a very small dose, yeah, but looking back, also not a good option for someone who's really, you know, type one, and not, you know, just gestational instead of, like, thinking I need to go to the emergency room, because honestly, I didn't know enough about diabetes to know. So what did I do? I go for a run with my dog at 130 in the morning around the neighborhood.

Unknown Speaker 12:47
Why? Why did you do that one?

Courtney 12:48
Because the I was always told that walking worked, and it did while I was pregnant, I would if my if I was like, 150 or something, I immediately would pound water and go for a walk, and I would be brought back into range, like, I just think I was, like, out of my mind at that point and in denial, definitely. Can I stop

Scott Benner 13:07
you for a second? Is there any other type one in your family? No autoimmune of any kind, thyroid, celiac,

Courtney 13:17
no. Okay, so Well, I mean, this is what doctors have told me it's unrelated. I do have a cousin on my dad's side. He has type one. He was diagnosed at eight, but that's that's it. And they, every doctor has said that's not related, because it's not your father, your mother, your sister, your brother.

Scott Benner 13:36
I mean, I get what they're saying, but I don't know it seems related to me, like my my wife's brother's kid has an autoimmune issue. My wife's sister's daughter has PCOS like that. Don't sound related to you. You know what I mean? Oh yeah. How about when during the pregnancy and the gestational stuff, they were probably like, Wow, you're a light case. It was probably almost in the back of their head, you being gestational but no one said this increases your risk for type two diabetes later in life. They didn't even tell you

Courtney 14:08
that. They did. Tell me that they did, okay. Well, that's Yeah, okay. They said, within like, I think they I don't know if it was like, within five to 10 years, your risk increases by like, 50% and I'm just throwing that out there because it's been a long time, sure, but like, I remember reading that and going, what the heck this stinks. And

Scott Benner 14:29
then also amazing,

Courtney 14:32
yeah, like, at the time, like, I was doing CrossFit workouts with my husband. I was doing them while pregnant with my daughter. So, like, I in my head. I'm like, Yeah, right. I'm not. I'm not gonna end up like that.

Scott Benner 14:44
One of these kids better end up being the CEO of IBM or something. I'll tell you, you know, like, it's a big trade off here. Okay, tell me though you, you're, I'm sorry you're out for the run with the dog. Go back to that. So

Courtney 14:56
I'm running around the neighborhood. I don't sleep at all because I'm in like. Cheer, utter panic, and I'm telling my husband, like, diabetes is back. I have diabetes, like, I don't know what to do. And he's like, Oh, it'll go down in the morning, like, and then we'll call the doctor. So hours and hours later, I'm still sitting at, like, 279 according to my meter, like, and that was that morning. So I dropped my daughter off to my mom, and then I, I'm like, we need to go, like, because I need to be diagnosed. And it was a Sunday, so like, my doctor wasn't open. So we go to the ER, and they do all kinds of blood work, and they're like, Oh, well, you know, you're not in DKA, so that's good, but you have type two diabetes. Here's Metformin, and your a 1c, is 10.5 and you're just gonna need to follow up with your doctor.

Scott Benner 15:45
Courtney, you're not gonna get a lucky break in the beginning of this story at all. Are

Courtney 15:49
you No? No. Okay,

Scott Benner 15:51
so it starts better. Oh, go ahead, please. I want to know.

Courtney 15:56
So I go to my doctor and I meet with her, and she's like, and thank God for her Honestly, my family doctor, and she looked at me and said, No, you're not a type two. There's no way they've got it wrong. I'm gonna test you for type one. And I'm sitting there like, I don't even know what that is like, what? Is that? What's the difference and why? And she's like, because you're a young, healthy, active, there's more to this story. There's no way. So she did, and my C peptide was normal, which was nice when, but my dad was positive, and that was the only one that I had positive and she said, that's all it takes. And then right then and there. She said, You have a slower, progressive form of type one. She called it Lada, yes, okay. And then referred me to an endocrinologist. So off I went. I went to my endocrinologist, who then refused to give me a title, she said, I don't know what you are. From

Scott Benner 17:04
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 screened for type one.com and screen it like, You mean it you're like, I've seen three people three, and somehow there's two, two options. And three people said, three different. Yeah, I bet I'm sorry. That's terrible. So which one did you end up believing? How did you how did you move forward?

Courtney 18:29
It was when I went to my second endocrinologist, my family doctor eventually, like, moved to a new practice. So she said to me, it doesn't matter, but the first endo who said she didn't know what I was, she said, Yeah, your dad, you know, came back high, but it's really not as high as I've ever seen. And I'm like, Okay, well, what does that mean? And she couldn't really give me an answer. She's like, well, your your numbers are fine right now. You don't need insulin right now, so we're just going to keep you on the Metformin. And that was fine with me, because, you know, at the time, taking insulin for everything scared the ever living crap out of me, and because I just didn't know, at the same time, though, you know, they're like, oh, test your blood sugar four times a day. Well, at that time, like my husband is a carpenter in the carpenters union here, and so our insurance is a little bit different. It's like, funded by the union, and no diabetes testing supplies were covered period. None. They

Scott Benner 19:35
were just like, that doesn't exist on our formulary. Good luck.

Courtney 19:39
Yeah. Yeah. Basically, so I was like, what so for me to be able to, like, test, and I didn't know that you could go get a Walmart brand meter or whatever, and so I'm, like, buying the Accu check, which is what I was given during pregnancy, and it was, like, $150 a month. And my husband and I were young, and still, like, I. Gearing out life at that time. So it was like a huge blow, just financially, to have to deal with that CGMS, like, I didn't even know they existed. I didn't know about Dexcom. I knew nothing. I continued to lose weight because I just started restricting myself so much that I turned into like, basically this skeleton of myself. You've

Scott Benner 20:25
got shaky information from doctors, even though one of them got it right, but, but it's still it's confusing enough. There's shaky information from doctors. You're on a medication you shouldn't be on. You're having trouble paying for the stuff that you need. You don't even really know why you're using it or what it is you're supposed to be doing. All that fear culminates into you slowing down, just not

Courtney 20:47
eating, not eating, and over exercising, trying

Scott Benner 20:51
to keep away. What did you think? Were you trying to keep away type two diabetes in your mind? Or did you not know what you were doing?

Courtney 20:58
I had no idea what was going on my my mind and heart told me you probably have what your family doctor said, because I looked it up and I'm like, this makes sense that it was probably never gestational to begin with, and that it was brought on by my pregnancy and the stress on my body from being pregnant.

Scott Benner 21:16
How long did it take you to believe yourself?

Courtney 21:19
I want to say after my second pregnancy.

Scott Benner 21:22
How long is that, since the end of the first my

Courtney 21:26
my son and my daughter are almost exactly three years apart, and my daughter was roughly 15 months old when I found out I was some sort of diabetic,

Scott Benner 21:38
so you maybe lived for almost maybe four years as a type one, with lot of not 100% sure, or treating it with insulin or anything like that. That

Courtney 21:47
part is not 100% true. So, I mean, I did end up on insulin, but okay, I was going to my Endo, and I wanted, I knew, I wanted to have another baby. So it was like maybe a a year into, you know, my diagnosis about a year and my I had my a 1c came down from 10.5 I was like 6.3 on no insulin. But I was so underweight. She was like, you have to gain weight or you're not going to be able to carry a baby like you're just not. So I had to then figure out how to eat lots of calories so that I could have another baby.

Scott Benner 22:27
And you said to her, I'm not eating, I'm over exercising. Like did she know that part, or did she just think you were losing weight? Because I don't know why she wouldn't think, if she didn't know what you were doing at home, I don't know why she wouldn't think, DKA, you know what I mean, she

Courtney 22:42
did know that I was losing weight, and I told her that I eat low carb. So maybe she thought that was

Scott Benner 22:49
why Instagram model, yeah, I gotcha. Courtney's like, I'm 38 I don't really look at Instagram that often, but I kind of get what you're

Courtney 22:57
saying. I'm 30 I look at Instagram, not Tiktok.

Scott Benner 23:02
She probably thought you were just like, doing keto or something like that, right?

Courtney 23:07
Yeah, essentially, I was, because that's what like, you know, I joined like Facebook groups, and because I didn't have any information, I didn't know where to turn or who to talk to the the diabetic educator I went to see was telling me to eat all these carbs that I wasn't comfortable with eating, because every time I did, I mean, obviously my blood sugar was going high, so like I was getting stressed out. And no one apparently thought I needed insulin at the time, because my a 1c

Scott Benner 23:35
was good. How long until they gave you insulin?

Courtney 23:39
So it was when I finally got pregnant with my son. I was about 15 weeks, and I ended up with a stomach virus that my daughter had passed to me, and I could not keep my blood sugar down, and I couldn't get under like 200 which now I'm like, Ah, like, that wouldn't be that concerning, knowing numbers that I've hit now without even trying, without even trying, yeah, like, I could just be stressed out, and all of a sudden I'm like, 200 you know, super stressed about that. She put me on levimere, a long acting to try. I was terrified. I had my Husband, husband, do the first couple of injections until I was like, All right, I could do this myself. Let's go away. And that worked out great. And then eventually, towards the end of my pregnancy, I added in meal time, and I'll tell you when that happened, that was the most terrifying experience of my entire life. I still have nightmares and stress, and this is why I still have a hard time taking, like, larger doses of insulin to cover a lot of carbs. What happened? Because my endo gave me the wrong information, and I I don't go to her anymore. I left, but I didn't know any better. What happened? Tell me the story. When she's decided to add in mealtime insulin, she said, take two to three units with every meal. And I'm like, okay, but you do know that I eat low in carbs, right? And she said, yeah, so take two units. And I was like, okay, so that night, I took two units with my dinner. Again, pregnant, no. CGM just finger pricking at least 12 times a day. The next thing I know, I am shaking like 45 minutes to an hour later, just shaking uncontrollably. I'm like, oh, oh, this is not good. And I check my blood sugar, and it's 38

Scott Benner 25:43
oh,

Courtney 25:47
panicking, Yeah,

Scott Benner 25:48
I bet you are. Was it like, I guess you don't know because you weren't wearing a CGM, right. Okay, all right,

Courtney 25:53
no, I would have, I wouldn't have had any idea. I had no clue My husband was giving my daughter a bath, and I was freaking out, like I drank juice, I there was like leftover birthday cake on the counter. I downed that, I ate a brownie, and then I just sat on the floor in the kitchen and cried for a straight hour, texting, testing, testing, testing, until I finally came back up. But I think about that moment, and I still have like nightmares about that, like,

Scott Benner 26:26
did you tell the doctor about the experience? Yeah, did you get a response?

Courtney 26:32
It was just like, oh, well, you probably should eat more carbs.

Scott Benner 26:38
Not Hey, I told you to take too much insulin there, huh? Sorry, no. Nice. Which? What kind of doctor is this? The Endo.

Courtney 26:47
That's my endocrinologist. Yes, was I was gonna say Not, not anymore, right? No, gotcha, I

Scott Benner 26:52
want to talk a little more about this. So sitting on the floor crying, did you have a feeling like I almost killed myself just now. Like, what, where was the fear? Like, I don't know how to explain what I want from you, but I want you to tell me what aspect of that story scared you.

Courtney 27:14
Well, the fact that I didn't I knew, I didn't know what I was doing, and I didn't have the right person to help me, and I was afraid I was eventually going to die from taking too

Scott Benner 27:25
much. Yeah, okay, so it just felt like you were on a path that was probably going to end very badly, and there was no answers. I see. Okay, wow, that's an existential crisis. Did you talk to your husband about it, yes, did he say I'm a carpenter, I'm gonna go to work now, leave me alone. Or did was he helpful? I just I know a couple trade guys, so I'm not sure which one. I'm not sure what guy you married. I'm trying to figure it out.

Courtney 27:53
No, I am very, very lucky. My husband is super sweet, even to this day, like right before talking to you, he texted me while he's, you know, working, how's it going? How are your numbers? Because I guess he kind of wants to figure out what kind of day I'm having, so he knows what to expect.

Scott Benner 28:12
He's planning on whether or not to work overtime or not. I might grab a couple hours Courtney. I'm gonna hang out. Yeah, gotcha. Does your blood sugar affect your mood

Courtney 28:25
when it's like, a stubborn high, and I mean, like, high, like, 200 and then I'm, like, injecting, injecting, walking, yeah, then I'm mad. I'm not necessarily mad because, like, the blood sugar makes me feel that way, but I'm mad because what I'm doing is not working. So I got you My kids know, like, when mommy's on the treadmill, stay away.

Scott Benner 28:50
I don't see any of you working towards the CEO of IBM thing, by the way. Is it isolating? Because you work from home too. So at one point you said you were a teacher, and there were things to be concerned about, about blood sugars while you were teaching, but now you're at home. Is one better? I mean, were there any type ones or people with diabetes at work? Was that even something that was could be helpful to you?

Courtney 29:17
No, not when I was teaching. It really wasn't. The funny thing is, though, when I was diagnosed with gestational and, you know, I had my little mini meltdown because I didn't even know what that meant. I was teaching at an elementary school. I didn't realize that one of my friends who was a teacher had type one I didn't even know so

Scott Benner 29:42
there was somebody you could have spoken to, but nobody knew about it. It's interesting.

Courtney 29:47
Well, somebody mentioned it to me, like, oh, you should go talk to this person, because she has type one diabetes. And I bet you she could help you, like, learn about gestational and give you some tips. And I'm like, okay, so I go to her, and I'm like, Hey, I had no idea. And, yeah, she did help me, and I remember, like, crying to her about it. And now I'm like, Oh my gosh, she must have looked at me like, girl, you have no idea. Like, you're crying over gestational diabetes. You have no idea. She's like,

Scott Benner 30:20
yours is gonna go away, yes,

Courtney 30:23
and then we, we still talk now. And she's like, shocked at like, how that happened, what happened

Scott Benner 30:31
to you, the progression of what happened to you. Yes, you know Courtney, from listening to the podcast that your story is incredibly common for people who are diagnosed like this, right? Yes, yeah. Does that make you feel any better or worse?

Courtney 30:46
I wouldn't say better, and I wouldn't say worse, but I would say just not alone, because I felt so isolated before, like no one in my orbit really understood what I was going through. And you know, my own doctor who diagnosed me with LADA was like, Oh, it'll be fine. It'll be like, brushing your teeth, you know, you'll get the hang of it. And I'm like, now I look back then I'm like, You had no idea what you were saying. Because, no, no, it's not. Every day is different.

Scott Benner 31:17
So you're running into what you know happens to so many people. You just, you're finding doctors that just don't really know about this. Even though they're endocrinologists, they just probably see more type twos than type ones to begin with. Or they, you know, they don't know enough about it to give valuable information. And here we are, like, you know what I mean? Like, like, so many people are treated the way you are. And I don't mean treated like, treated poorly. I mean like, medically treated like, this is how they think. To tell you to do it. You'll figure it out. It'll be okay. Try three units. Three sounds like too much, dude, two. Two almost killed you. Oops. You know what I mean, like, like, like, there's nothing actionable in any of your interactions so far, like, no one has said one thing to you that you could go home and go, Oh, I'll follow these steps and I'll, I'll see what happens, and I'll have an outcome, and then I can make an adjustment. Like nothing has you're just like, left blowing in the wind is how it feels. Honestly,

Courtney 32:20
that's exactly how it felt. Okay, all right. Well, then, yeah, oh, sorry, no,

Scott Benner 32:25
no, the anxiety you talked about in your note. Did that exist for you before diabetes? I

Courtney 32:32
mean, here and there. I think, like, as a typical person, I mean, I feel like when you're a teacher, there's always an element of anxiety because you're a perfectionist, you want to do a great job, and you're constantly working and busy. And I didn't have any kids yet, so that was my baby, and it would that would stress me out sometimes, especially because I was a special education teacher, there's added elements to that that are a little stressful and anxiety inducing.

Scott Benner 32:59
My sister in law is an administrator for special ed, and so I hear a lot about this, and I know it can be difficult. My niece actually is a special education teacher now, and she's been bitten. That does sound stressful to make so not a crazy amount of anxiety like prior, just normal being around life. And is it ramped up now? Is it not going away 100%

Courtney 33:26
I mean, I do go to therapy to help deal with my anxiety surrounding it. I started that two years ago. It's been helpful. Good. Yeah, my anxiety is pretty bad. It got to a point where I was, like, I'm afraid of my own body, mainly because it's progressed, and I had a really hard time wrapping my head around it. Like, after my son was born, I didn't need insulin anymore. Oh, for how long? Well, I'm thinking because I wasn't I, it had to do with nursing him, but, like, for at least nine months,

Scott Benner 34:03
not even wait, not even basil.

Courtney 34:07
I think I was taking, like, once I started taking it again, like, three or four units a day. Wow,

Scott Benner 34:13
that's interesting. For nine months as a type one, like, yeah, yeah, that's

Courtney 34:19
crazy. And I was fine, like I was eating more carbs than I had in the previous years, like two years, because I was nursing him, and I was still going low, I would nurse, and then all of a sudden, bam, like dropping, like a tank, so I couldn't use insulin.

Scott Benner 34:36
How, if at all, was your doctor helpful with that transition?

Courtney 34:39
Well, at that point, I had a new endocrinologist,

Scott Benner 34:42
and this one's better. Fingers crossed. She

Courtney 34:45
She was better. Yes, she really was. She, she had the mindset of saying, Nope, you're a type one. You're just you're at a point now where like you're going to progress, but here, like you're you're still making some on your own, and we'll just. Kind of keep going with the flow, and as your needs progress, we'll just keep adding and at that point, she was at least able to write me a script for a freestyle Libra the original, like, I guess it was a 10 day one, and I just paid out of pocket. So I had that. And then she had the mindset of, listen, you know, this is your life, and you have to manage diabetes, so whatever you need. If insurance denies it, I'll write letters until they approve it. So I'll do it for you. So she was great.

Scott Benner 35:36
Let me ask you a question. I want you to finish first though, go ahead. What were you gonna say?

Courtney 35:42
Oh, no. And then I moved and then it took me, like, an hour and a half to get to her. So I don't, I don't live there anymore, but yeah, so I had to find another endocrinologist. Were

Scott Benner 35:54
you able to find a decent one near you?

Courtney 35:56
I did, and she was absolutely amazing. I found out,

Scott Benner 36:03
she solved the practice.

Speaker 1 36:04
She just left the practice. Yeah,

Scott Benner 36:07
she's like, see a sucker. I'm out of here. I cried. Oh my god. I feel like I know your story now. Like, and, and I want to kind of shift a little bit to talking about, I want to try to figure out how to get you out of this place that you're at right now where you seem a little frozen, and just by asking you, what do you think you need? Like, what would make all of this better for you? Doesn't even matter if it's reasonable, just tell me what it is you would need,

Courtney 36:34
I guess, just someone to take the fear away. Like, I don't know how to get past it, because it just seems like everything is is constantly changing on me. I think I need consistency. Maybe if I knew what to expect, I would feel better. But I feel like every day is just, it's nuts. I mean, the past couple of nights, I've had lows in the middle of the night, and last night I was, like, all night long, not high, but like, higher than I want to be, like 130 all night long. I like to be at like 100

Scott Benner 37:04
you said, OmniPod. OmniPod. Are you using dash? No,

Courtney 37:09
I'm not using a pump at all. Oh, I'm

Scott Benner 37:11
sorry. You're not using a pump at all. You do have a CGM, though I have the

Courtney 37:15
Dexcom seven. I use the in pen, which is what I'm really comfortable with. I do really like it. Okay, and I use levemere. Okay, so

Scott Benner 37:25
I can say, would your insurance cover a more modern basal insulin like traceba?

Courtney 37:31
I believe that is the one that would be covered. You. Maybe that might

Scott Benner 37:35
be a good place to start, because you're probably, I mean, I'd be doing a lot of guessing here, but levemere doesn't really last 24 hours the way they say. So if you're experiencing like higher blood sugars 18 ish hours after you shoot your lever mirror, that wouldn't surprise me. You could try. I've

Courtney 37:54
been splitting it up into two doses. For that reason, you are

Scott Benner 37:57
splitting it okay, I don't know. I would try the more modern basal. I think that's a good step. Are you against having a pump?

Courtney 38:05
I just don't think I'm ready for it yet. I'm scared. I'm scared of, you know, the things that could happen with the pump, the malfunctioning like my brain cannot handle seeing a 300 blood sugar like ever so if, like, it fell off, or, like, you know, if it was malfunctioning and I wasn't getting any insulin, the thought of that scares me to death, but like, the fact that I know if I'm injecting on long acting and I got it, I feel safer.

Scott Benner 38:38
I hear this from people constantly, but normally from new or diagnosed people. How long because of this whole, the whole thing you just explained to me for the beginning of this episode, how long do you forget that? Forget the calendar. I know how long you've had diabetes. How long do you feel like you've had it? Does that make sense? Yeah,

Courtney 38:57
a long time. It feels like I don't really remember eating normal, like, regular, you know, like a big piece of pizza or whatever,

Scott Benner 39:08
because the argument, it's not an argument, but the perspective of, at least, if I shoot the basal insulin, I know it's in there, or if the machine, you know, revolts and takes over, and I'm fighting with Skynet or something like that. When people are like, I don't know what the pump is going to do, like that usually is an argument from more newly diagnosed people, not usually from people who've had it as long as you've had so you're still scared of like, I'm not saying it couldn't happen, but, you know, I don't think there are a ton of examples throughout the world of insulin pumps like going crazy and killing people, you know what I mean, or suddenly not not working, and your blood sugar's shooting up. And by the way, you're wearing a CGM, if your blood sugar started shooting up and you bolus and nothing happened, you could just change your pump like it's not and you work from home. So this is a great time to get accustomed to it. So you. You're doing that thing where I would normally say fear is a waste of imagination, like you're just you're deciding to believe what could go wrong, and that's the reality you're working from. That's what does that feel accurate to you? Yeah, yeah. And you want to stop that? Or, No,

Courtney 40:19
I do. I do want to stop that? I feel like I would like a little more freedom, but I also know mentally where I can and can handle things. And I'm, I guess I'm, yeah, it's just a fear. I'm scared that I will do something wrong and end up, like at 300 and then have, like, a panic attack at the same time, which will send my blood sugar higher. And

Scott Benner 40:43
do you have no you have panic attacks, like legitimate panic attacks. Um,

Courtney 40:48
I haven't in a while, but when I'm going low and I don't understand why, yeah, that that might set one off.

Scott Benner 40:56
So does the low bother you, or does the unknown about why it happened bother you, both, both, which is more strong for you?

Courtney 41:07
Probably believe the unknown. I like to be prepared.

Scott Benner 41:10
Yeah, this, this goes right back to your first example, with the with the injection and the sitting on the kitchen floor being upset, like, like, I think what, what you hated about that most was the unknown part of it. Is that accurate? Yeah, yeah. Like, so you're comfortable stopping a low blood sugar. You know how to do that. You're not scared of that. No, okay, yeah, you don't. Like, well, that's interesting. Um, is this a thing you're working on with your therapist specifically?

Unknown Speaker 41:43
Oh, yes, okay. Are

Scott Benner 41:44
we getting anywhere? Is the therapist any good?

Courtney 41:48
She's great. I love her. And yes, I mean, I'm slowly moving towards considering a pump more and more. Listen, I

Scott Benner 41:56
don't think anyone needs a pump, but if you're telling me you're getting low overnight. And I'm thinking these algorithms are pretty great right now, like you don't even look at stopping stuff like that. How low were you overnight?

Courtney 42:09
Two nights in a row, I hit 59 and it took a while to come up. And I think, though my it was my activity level, I had had like, 17,000 steps so one day and then the next day, it was like 13,000 steps. And I had done a workout, I was just moving a lot, and I think that had to do with it also. I think, you know, the change of season, my doctor said to me before, like, oh, When summer comes, you know, you're probably going to need to start lowering some of your long acting and maybe that's now, because all winter, I felt like I struggled really hard. I was either taking too little or taking too much, and it was getting really frustrating in the winter.

Scott Benner 42:56
Does your activity change from summer to winter?

Courtney 42:58
I mean, I mean I'm outside more now, like playing with my kids, but in the winter, I had a really good regimen of getting up and working out, and then working out would send my blood sugar up in the morning, along with the dawn phenomena, and then I would walk on the treadmill to lower it, and then I would work. And then on my breaks, I would take walks on the treadmill, and it wasn't like I was inactive.

Scott Benner 43:25
So your workouts in the morning are like, are weight, weight based you're lifting and that kind of stuff, okay? And that, did you ever try bolusing for it?

Courtney 43:35
I did. I was really working on that for a while, like taking a half a unit to a unit depending on what I was, just to see what would happen. But then I went to a different diabetic educator, and she said, Well, I would rather you walk on a treadmill to lower it after your workout than take insulin for the workout, because what if you have, like, a rebound low from the workout, which actually did happen to me yesterday.

Scott Benner 44:02
That happened to you, but did you take insulin for it?

Courtney 44:04
I did. I was sitting at like 150 right after lunch, maybe like an hour a half after lunch, and I thought, all right, well, I'll take a half a unit. And I knew I was going to do this weight training workout, and it was strictly weights. There was no cardio, and maybe two hours later, I was sitting in the 50s, and we were out, and I, you know, luckily, had stuff with me, but you're sitting in traffic, and I'm just feeling like, trash, yeah? Awesome. And I'm like, What the heck? Like any other time, you know, my blood sugar goes up, yeah, the

Scott Benner 44:40
anaerobic stuff puts your blood sugar up most times. Is there? I hate to ask you this, as we don't know each other, but this example of you being out and getting low after an anaerobic workout. Are you by any chance within five or six days of your period starting,

Unknown Speaker 44:58
no, ending? Yeah. No. Interesting. That

Scott Benner 45:02
sucks. Yeah, yeah, I'm sorry. I mean, listen, a diabetes educator telling you not to use insulin for anaerobic workouts, I think is a little short sighted. I mean, I think that's kind of the way you have to manage that stuff. I think you need some consistency, something that to count on. Does that make sense? Like, at least, have you ever listened to the Pro Tip series that I did?

Courtney 45:26
Yes, I have. So does that multiple times over the years? Does that

Scott Benner 45:30
one idea of like, at least when I do something, I know that what happens next is from me? Does that resonate with you? Yes, yeah, because that's what I feel like. You don't have enough of, you don't have enough of, hey, I might be low, but at least I know why. And you know what I mean, like that, I think that would help you a little bit, like the the knowledge that I did this and then this happened. So the next time I do it, my expectation is that's going to happen. If it doesn't okay, but it's gonna happen enough that it'll feel reasonably consistent to me. Hey, if you've heard

Courtney 46:06
your thyroid checked, yes, what's your TSH, then fine. Do

Scott Benner 46:10
you know what the number was for the TSH,

Courtney 46:13
oh my gosh. The last time I had it done, it was a while ago, because my endo left. So I was supposed to go in March, but she was gone

Scott Benner 46:21
because they'll tell you it's in range, even if it's a little high and needs medication sometimes,

Courtney 46:25
no, I'm pretty sure it was like completely normal, because I my my therapist, actually, I talked to her about it, and she's also very knowledgeable in that stuff, yeah, and she made me look at it again and tell her, because

Scott Benner 46:40
of the anxiety piece. What it was like these anxiety is, like, a hypothyroidism, like, definitely could, could come from that. Also being, um, having, like, uneven mood swings, weight gain, hair loss, dry skin. There's a lot of stuff that could come from that. So you don't have any, you don't have any of that. How about Yeah, you're just anxious. You're like, no, no, I just have anxiety. Thank you, yep, but anxiety that you might have had your whole life and was made worse by diabetes. Is that correct? Yes. Okay, anybody else in your family anxious? Mom, dad?

Courtney 47:17
Uh, yeah, my mom's a worrier, for sure, she my grandmother was the same way she was. She was definitely a warrior. And sometimes, you know, I can see myself sitting in it like that, just like just holding on to it for some odd reason, even though, you know, my husband's not like that, and I think that's why we work. He is a go with the flow, relaxed. Don't worry about it until it happens. Kind of guy, and

Scott Benner 47:46
that doesn't help you, right? Like his relaxed, it does it. It brings you down a little bit. That's nice,

Courtney 47:52
because if I see him worried, then I know, oh, I probably really should be worried.

Scott Benner 48:00
He looks upset, we're gonna die.

Courtney 48:04
And usually he's like, it's fine, and it's you, and it's usually fine, like, I mean, and we've been together for 22 years, so I know what to expect from him. He's He's my rock, and I don't know what I would do without him.

Scott Benner 48:18
Well, I'm glad it helps. Background, English, Irish, something like that. German, German, okay. How do your parents handle the anxiety? Do they drink, um,

Courtney 48:28
occasionally, but not excessively, not for

Scott Benner 48:32
medication purposes? No, no. Okay, so it's not like, it's not harsh. Then throughout your family either, just a little more like yours, yeah, yeah. Have you tried medication? I don't. I mean, it's not my favorite answer, but have you ever tried something

Courtney 48:50
I did and I really didn't like how it made me feel? Yeah, and my husband said he thought I actually seemed more angry while on it, and I was on it for maybe three months, and I kind of agreed with

Scott Benner 49:04
him, I'm laughing because he said, more angry, not angry. He was like, Oh, the anger is turned up. Would they give you Wellbutrin?

Courtney 49:13
No, it was Zoloft, Zoloft. Okay, interesting.

Scott Benner 49:20
Would you try another one? Or was it? It's an excursion, right? It takes like, six months to try it and see if you like it. Then you got to get off it. If you don't like it, it's a lot, right?

Courtney 49:30
Yeah, I feel like I do a good job of controlling, like, my everyday anxiety. They basically told me, like, if you're just sitting anxious all day over nothing, you know that's that's a problem, and I don't have that. The anxiety occurs when it comes to, like, when I'm low in the middle of the night and it's not coming back up, or like yesterday, that was stressful because, again, didn't know why it wasn't coming back up as fast as I wanted. It too. I mean, it was, it was going on for a while. The other thing, like this, other issue I was having was hours after eating. And I had listened to your podcast episodes about, like, fat and protein and all that, because that's a lot of what I eat, and a lot of vegetables. But for some reason, like, hours after eating, I'm like, spiking, and I couldn't figure out what the heck is happening. Like, I'll eat dinner at 435 o'clock. As soon as seven o'clock hits, I'm just spiking, and I'll keep spiking, no matter how many times I correct until like, 10 o'clock. And I could be at like, anywhere between 202 30, and then I'm just like mad, like, what? Like, why are my corrections not working at all? I am using my ratio. I've even tried, like, splitting it, like knowing Okay, high fat protein, or trying to calculate for protein and taking that, like, at the meal or right after eating, I just felt like, and then I even tried just not eating and seeing what happens. Like just not eating from like two o'clock on, and I would still at seven o'clock just be like, Oh, here we go. Here's this rise. And I'm like, but if I increase my leavenmere or change the time, for some reason it that wasn't working either. Like, I just couldn't figure it out.

Scott Benner 51:22
You're describing a scenario where I believe you would enjoy an algorithm based insulin pump. Yeah, yeah. Because then that rise starts to happen, the pump starts pushing back. It never gets that high, and you don't get low afterwards, because it cuts basal then to make up for the difference, like that. I mean, I don't want I had this feeling while you were talking earlier, that if we could start you on a pump and then put you asleep for the first six months while you learned it, and you just woke up and it was working really well. Like that would be perfect for you. Like you. I don't know that telling you to do it would be valuable for you, because I'm not sure the impact that the first part is going to have on you, the adjustment and the learning part, and not fun, yeah, but, and, but at the same time, you're paying a lot of attention to your diabetes, like, you know, a lot like, so I don't think you'd be lost, but there would be a learning curve. And then I think once the learning curve is over, I think you love it. I just don't want the learning curve to send you. I was gonna say off the deep end, but that's not a fair assessment of you. But like, you know what I mean? Like, push you further in the wrong direction, I guess is what I'm saying.

Unknown Speaker 52:35
Well, that makes sense. Is

Scott Benner 52:36
that your concern

Courtney 52:38
I'm like, a person who doesn't like change, and I think I just want things to stay the same and easy, like anybody does.

Scott Benner 52:46
Is this easy or is it just something you're accustomed to?

Courtney 52:51
It's not easy, but I feel like I'm still somewhere in between. Like I feel like there are some days I barely have to take insulin still, yeah, and then there are other days where I'm taking 10 more units than I was, like, two weeks before that. So I don't know, it's just those weeks are easy. Those weeks I'm like, I'm fine, I got this. And then, you know, comes the resistance from hormones. And I'm like, you know, miserable, and I know that a pump would probably really help that.

Scott Benner 53:23
Do you care if the pump has tubing or not tubing? Have you thought about that?

Courtney 53:27
I would prefer no tubing, no

Scott Benner 53:30
tubing. Would you build your own algorithm, like a DIY algorithm?

Courtney 53:35
I'd probably be a little afraid to do that, not knowing what I'm doing.

Scott Benner 53:39
I think OmniPod five might, I mean, if you jump around significantly with your needs, OmniPod five might still require you to do some bolusing, more than you're imagining. And I don't know if maybe the control IQ would be better for you, but then you're going to get tubing. So I mean, there's going to be gives and takes through the entire process there, I would think, I mean, honestly, I think best case scenario for you is probably, you know, a loop with with an OmniPod, but there's, you know, there's some stuff to do in there. Obviously, have to build the algorithm yourself. And I don't know if that's the thing you want to be involved in, but still, for mitigating lows, for addressing rises as they're happening, and not after they've happened. Any any of these algorithms is going to be good for you? Not islet, I don't think you wouldn't do well with that, but the rest of them, even the Medtronic, the 780 G, I think they'd all work for you, but you have the Dexcom g7 so at the moment, the only thing you could do with g7 is tandem or loop. I don't know when OmniPod five is going to be with work with g7 It's May 30 right now. So I mean, I expect it soon, but I don't honestly know. Has. Any of this been helpful for you at all this conversation, like, why did you want to come on the podcast?

Courtney 55:06
I don't know. I just wanted to tell my story with diabetes, because I I don't put a lot out there, and maybe I should try to, you know, make people more aware. Because actually, not long after my diagnosis, so probably my son was born. He's going to be seven now, so maybe he was like two or three. One of my husband's childhood good friends I saw ended up being diagnosed as a type two diabetic. And I thought, No way, no way, you are not a type two diabetic. And I messaged him, and I said, you have type two diabetes. And he was like, Yeah, I was just diagnosed. I'm like, who's your doctor? And he had the same endocrinologist that I first had, and he was a tall, skinny guy. And I said, you need to get tested for type one. Please. Please, go get tested. And he did, and it turns out he has type one. How about

Scott Benner 56:12
that? Look at you, saving lives over there. It stopped somebody from having your whole, your whole situation that nice. Yeah,

Courtney 56:19
look at you. And it's weird that it was someone that, like I knew for years, that's

Scott Benner 56:25
lucky, lucky for him. Did it make you feel better? Did it make you feel a little bit like your experience was more valuable now, because it helps somebody else?

Courtney 56:34
Yeah, it did. It really did.

Scott Benner 56:37
Before I let you go, I'm gonna ask you this one kind of question. It's just, I think, the question that pops into people's heads all the time when you're talking about anxiety, and this so you have this anxiety, it's stopping you from doing something. When you talk about doing it, you sound like you want to do it, but then you fall back into, it's like this analysis that you go back into, and then you seem like you're stuck in the analysis of it, like waiting for this perfect answer to move forward in does it feel like that, or is it just how I'm hearing it?

Courtney 57:09
No, that's exactly how it feels. Okay, don't

Scott Benner 57:13
do that. Isn't an answer that helps you, right?

Courtney 57:18
That's why I'm going to therapy to work through these things. It really does. It really does help to do that. And I am working through it. I'm getting better at it

Scott Benner 57:28
sounds like it, honestly, I'm just trying to, I'm trying to paint a picture for anybody who doesn't have anxiety, who's listening to you, what they just heard was, hey, this lady knows what to do, and she's not doing it. And if I was her, I'd just do it. Probably they feel like that because they don't have anxiety, but like, it's just worth saying out loud, because it does sound like to a person who wouldn't understand anxiety. You don't actually have a problem. You're just making the wrong decision, but you're making that decision pushed by the anxiety. It's not your conscious mind telling you what to do, it's the it's the anxiety telling you what to do. Is that right?

Courtney 58:00
Yes, and I don't want to blame it solely on my first experience with insulin, but I really do think that has a big part of it, that terrifying feeling that I felt, where I really felt like my life was in danger, coupled with the fact that, like, I have to do this for the rest of my life, yeah, just sucks. And that's where, that's where it comes from. And then the fact that, like, you know, change is scary, and I feel like I keep having to go through change and to change things up, and, like, going on a pump, is a really big change in my mind, even though, time and time again. People tell me, you know, it's fine, it's great, right? But I do think that I do follow a lot of like, you know, other diabetic people on Instagram who are, I guess you would call them influencer influencers. And there are a few of them who refused to go on a pump and then decided to do it. And watching them go through that, change has kind of helped me a little bit. So I feel like the more that I see that, and the more that people put that stuff out there, and I can go on that journey with them, I will feel more comfortable Good. I'm

Scott Benner 59:13
glad it's helping you. Yeah, also, some of those influencers are just doing the things they know you're feeling so that you'll follow them. So they do the whole like, I don't want to pump. I'm not doing that. Then they do that for about six months, till they see their engagement drop, and they go, You know what? I think I might try a pump. It's like, oh, is, is this season two of your little mini series? Okay? But I'm glad it helps you. Like, that's fantastic. I, I also completely understand, like, the situation you're in, like, I'm not saying just, I'm not saying, why don't you just do it? I was being, you know, facetious for the conversation. But the one thing I will say, from just a practical point of view, and you don't need to be told this, you're a full grown lady, like you're 38 years old. The change part, I. I'm not 20 years ahead of you, but I'm pretty far ahead of you. It's never going to stop. Like, it's a fallacy to think you're going to get to stasis, like, oh, as soon as the kids get through this part, or once they get to middle school, or after they're out of high school, or as soon as college is done, or as soon as I get another pay raise, or we move out of this house, or I get this room painted, like, all that's all bullshit. Like, that's never going to happen. You're never going to get to the end. The end is literally when you die. Like, there's no end in the middle. It just, it's constant change. It's slower, so you don't see it sometimes. But we all sit around and do that thing, like, I'll do this as soon as this happens, but that's never going to be the case. And I know that's upsetting to hear, but I, from my perspective, absolutely true. You are going to analyze this forever if you're waiting for something to become unchanged, to make a decision. Does that make sense?

Courtney 1:01:03
It does everything you're saying makes sense. And I I agree with you 100% I mean, I think about that every day. I mean, my kids are growing up before my eyes. My daughter's almost 10, and when I was diagnosed, she was a toddler. So yeah, I mean, I'm fully aware of that, but I also am seeing all these changes in diabetes technology, from when I was first diagnosed to what I have now and what I see now, and maybe part of me is waiting for something that I'll feel more comfortable with

Scott Benner 1:01:38
you. You know, I'm just saying, if you, if you wait for the cars to fly, you're going to miss out on the one that drives itself. That's true. Yeah, that that's all like, these algorithms aren't bad. They're they're not bad at all. The ones that exist now are. They're all really rock solid. They're going to get better, probably. But, you know, here's what I would ask you to talk about with your therapist. I don't know how you're going to feel if you try it, but you don't like the way you feel now. So what's it going to matter if you don't like the way you feel while you're trying it, if you're not going to like how you feel, then at least try the thing. You could always go back to your in pen. Does that makes does that seem reasonable to you, or does that not seem reasonable?

Courtney 1:02:25
No, it definitely does seem reasonable. I mean, I wouldn't say it's bad all the time, but when I discuss these things with my endo too, not just my therapist, they look at my a, 1c and they're like, you're fine. Don't make any changes, because my UNC is, it's always been pretty well. I have been below 6.2 and between like 5.6 for the past well, even after having my son at least the past five years.

Scott Benner 1:02:53
See, I would look at that and say, Courtney, look how well you're doing with a with an insulin pen, you know enough to use a pump. Like, you'll probably excel at this. Like, I don't even predict that. Like, yeah. Like, listen, may I make a suggestion to you, whatever you think, write it down, then wonder what 180 degrees different of it is. Then do that. I think that would help you, because, because you just, you just said something that made me think the exact opposite thing, that it made you and the doctor think the doctor's like, well, you have a great a, 1c, why would you change? And I'm like, if you can do it with that, imagine what you could do with better tools. Not that. Impend is not terrific, by the way, fantastic. It's a great device. I'm not saying that. I'm not saying that people need to use pumps. They don't have to. I'm saying you are describing a world where you don't want as many lows overnight, and an algorithm has the opportunity to maybe try to mitigate those for you. So since you're so good at this, slap the damn thing on and try it's just an it's just an insulin delivery system, right? And then, you know, it'll take you a couple of months to learn how the algorithm works and how to bullish for stuff. And then you can make a decision if you don't like it, then throw it out and go get your pen back. Should I chant do it at the end. Do it? Do it. I just don't want to make I just want you to be upset. You know what I mean? Do you know what I'm calling your episode? Uh oh. What, diabetes is back. It's the it's from, like, the first 15 minutes you you said that to your husband during, like, you're like, you were like, diabetes is back. I just, I don't know why, like, it was the way you said it. I was like, I'm gonna call the episode that. That's fantastic. It made it feel like you had a a lake house, and I don't know you were feeding a freshwater dolphin, and it was gone for six years, and then one day it came back, and you ran inside joke, oh, my god, the dolphins back. I don't know that's what it made me think of. Well,

Courtney 1:04:52
a dolphin would be fun, terrified,

Scott Benner 1:04:56
way better than diabetes. I think you're gonna do it. We. Tell me how it goes. I will like, you'll message me online. You'll be like, I tried to pump I lost my mind and I killed our dog, so it's your fault, like, or something like that. In a German murder, in a murderous German rage, I went through my house and threw my shits out

Courtney 1:05:18
the window. Can't I don't have to sit there.

Scott Benner 1:05:20
My husband wasn't there because he called earlier the day to see how I was and heard it my voice, so he did a little overtime. You're fantastic. I really like you. Courtney. I appreciate you coming on and doing this. Thank you so

Courtney 1:05:32
much. Thank you so much for having me. It's been awesome listening to your show for so many years and getting so many tips. You are amazing, and I appreciate you. That's

Scott Benner 1:05:44
very kind of you. Thank you.

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. A huge thanks to the contour next gen blood glucose meter for sponsoring this episode of The juicebox podcast. Learn more and get started today at contour. Next.com/juice, box. The conversation you just enjoyed was brought to you by us. Med, us. Med.com/juice, box, or call 888-721-1514, get started today and get your supplies from us. Med, I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The juicebox podcast if you're living with type one diabetes. The after dark collection from the juicebox podcast is the only place to hear the stories that no one else talks about, from drugs to depression, self harm, trauma, addiction and so much more. Go to juicebox podcast.com up in the menu and click on after dark there, you'll see a full list of all of the after dark episodes. 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, wrongwayrecording.com, you got a podcast. You want somebody to edit it. You want rob you?


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