#1558 Smart Bites: Fuel First, Feel Better
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Macronutrients, Micronutrients, and the Mystery of Feeling “Off”
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Scott Benner 0:00
Welcome back, friends to another episode of The Juicebox Podcast.
Welcome to my nutrition series with Jenny Smith. Jenny and I are going to in very clear and easy to understand. Ways walk you from basic through intermediate and into advanced. Nutritional ideas, we're going to tie it all together with type one diabetes, talk about processed foods and how you can share these simple concepts with the people in your life, whether it's your children, other adults or even seniors, besides being the person you've heard on the bold beginnings and Pro Tip series and so much more. Jennifer Smith is a person living with type one diabetes for over 35 years. She actually holds a bachelor's degree in Human Nutrition and biology from the University of Wisconsin. She's a registered and licensed dietitian, a certified diabetes educator. She's a trainer on all kinds of pumps and CGM. She's my friend, and I think you're going to enjoy her thoughts on better eating. If this is your first time listening to the Juicebox Podcast and you'd like to hear more, download Apple podcast or Spotify, really, any audio app at all, look for the Juicebox Podcast and follow or subscribe. We put out new content every day that you'll enjoy. Want to learn more about your diabetes management. Go to Juicebox podcast.com up in the menu and look for bold Beginnings The Diabetes Pro Tip series and much more. This podcast is full of collections and series of information that will help you to live better with insulin. 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. This episode of The Juicebox Podcast is sponsored by the Dexcom g7 the same CGM that my daughter wears. Check it out now at dexcom.com/juicebox, the episode you're about to listen to is sponsored by tandem Moby, the impressively small insulin pump. Tandem Moby features tandems newest algorithm control, iq plus technology. It's designed for greater discretion, more freedom and improved time and range. Learn more and get started today at tandem diabetes.com/juicebox Jenny and I are back to add to the nutrition series, but we've been talking about personal stuff for a while, so I just told Jenny, I'm all warmed up. I might speak too quickly, so keep an eye out, Jenny, if i i start babbling too quickly, I will fix it. Thank you. Yeah, you just slow me down. You go, Hey, slow down, buddy. So far, we've done the first three modules, and today we're looking at number four, advanced nutrition. And you have this marked for 18 and older health professionals and those wanting in depth understanding. So what are we going to talk about today?
Jennifer Smith, CDE 2:59
Yeah, so we've talked a lot about the some of the basics, right? Even, I think last time, we talked a lot more about how more processed types of foods impact overall health in a lot of different categories. And the reason for this more advanced Nutrition has to do with understanding how much your body needs, and it really is based on things like your sex and what weight you want to be at, how active you are, and then even moving into the diabetes realm, which is, again, the big piece of your podcast is, why is It then important to focus on the wealth of nutrients coming from all of those food groups that we've talked about already? Right? All the macronutrients boils down to the micronutrients. At what level do those micronutrients have a role in overall diabetes management, whether it's type one or type two, there are numbers of things. And I think a big, you know, a big piece is that people in general have been very focused on carbohydrates. And in the end, what I see is there's no understanding of how much to have in your intake on a day to day basis, okay, and especially, I see that for adults, kiddos, many times, will have a meeting with a registered dietitian, especially first at, you know, initial diagnosis to establish where are they on their growth curve. Are they growing well, have they kind of fallen off because of loss around the diagnosis time? How to get them back on their curve. And then what does your child do? Are they athletic? Are they more sedentary? But in all, whatever age you're at, it's understanding how much do you need, that's from a caloric level. And then again, those micronutrients, how much do you need of that? There are, you know, host of places that you can kind of chart things. There's things like lose it in my fitness pal and I spark people and places to put in weights and goals and that kind of thing, and get a feedback of this is your overall nutrient goal based on your parameters you've entered. But working with somebody to really establish that is valuable, because if you're really just focused on covering the food you eat with insulin, you could 100% have an overage, or you could be undercutting what you need in one category, and then your overall health can suffer.
Scott Benner 5:35
Do you find that people just think of eating as addressing hunger a lot of times. And not so much about fueling, right? 100% Yeah? Because it's funny, because you say macronutrients. And even I was like, macronutrients, like, is that a thing? I don't understand. So I went over to like, a web portal, and I was like, give me some examples of macronutrients, in case I don't know what I'm talking about. And all it said was, carbohydrates, proteins, fats and water, yeah, but you need a mix of chicken breast, rice, oats, like, you know, that kind of stuff. Yep, I get afraid that people are like, Mac nu. What is that like? But I gotta take a supplement. Like, you know what I mean? Like, no, you just have to eat a reasonable balance of quality foods when you're hungry,
Jennifer Smith, CDE 6:18
right? And you can, let's say you are the healthiest in choosing your they're all organic, and don't do anything that's processed and whatever. But if you don't know how much food you actually need, you could have the loveliest looking blood sugars. But you're wondering, well, why can't I get rid of this excess 10 pounds or whatever? Why
Scott Benner 6:37
won't my muscle build up because I Yeah, right, yeah, because I eat chicken. But actually, Jenny, you put me to this, like, while I've been losing weight, because I said, I told Jenny, I'm like, I'm taking in protein I'm doing this and this, she goes, Are you eating enough? And I was like, Oh, I don't know. What's enough, yeah, you know, I didn't realize. Like, so I'm putting all this effort and eating chicken and not eating enough of it. And I was like, Oh, you got to be kidding me. I added a protein powder, yeah, yeah. Because I was scared, I was like, I'm on a GLP. I don't want to not have enough protein. No, okay, and we
Jennifer Smith, CDE 7:07
lose muscle mass as we get older. I think it's after about the age of 30 or 35 if I remember correctly, you no longer really gain a heck of a lot, and it takes a lot more effort to maintain and then build that muscle structure, right? So anytime you're doing more of the resistance training and whatnot, you're really kind of tearing muscle fibers apart, yeah, in like, layman's terms, explanation, right? And then you have to rebuild that. The way that you rebuild that is putting back the right grouping of macronutrients. And also then the reason we eat the big food groups for their caloric value, which comes from the macros we get all of the micros, which, again, we've kind of talked about the micronutrients being non caloric, but they do provide the vitamins, the minerals, little antioxidants, and those pieces that we have to have from a very Small structure in our body. Our cell structure requires those,
Scott Benner 8:03
yeah, and these things exist in the right foods, but they don't exist in some things. I know it's so hard to think about, like, yes, a manufacturer makes a potato chip and then they add something into it, because it has to rise to some level to even be considered to be food, right? So they'll sprinkle something on it. But this is not where you should be getting your vitamin B from, or something like that, right?
Jennifer Smith, CDE 8:25
I'm imagining them at the food man. They're like, let's sprinkle this. How much do I have to sprinkle
Scott Benner 8:29
on that? We can feed this to humans, right? Right? Like, and because it's all flavor and nothing else, really, it really is, right, yeah, where do people like, trip, like, how come they don't add butter or avocado when they're looking for fat or something like that. Like, how come, or is it always just too much or not enough? Like, where do people, like, fall short when they're not getting their macros? Let's talk about the tandem Moby insulin pump from today's sponsor tandem diabetes care, their newest algorithm control, iq plus technology and the new tandem Moby pump offer you unique opportunities to have better control. It's the only system with auto Bolus that helps with missed meals and preventing hyperglycemia, the only system with a dedicated sleep setting, and the only system with off or on body wear options. Tandem Moby gives you more discretion, freedom and options for how to manage your diabetes. This is their best algorithm ever, and they'd like you to check it out at tandem diabetes.com/juicebox when you get to my link, you're going to see integrations with Dexcom sensors and a ton of other information that's going to help you learn about tandems, tiny pump that's big on control tandem diabetes.com/juicebox, the tandem Moby system is available for people ages two and up who want an automated delivery system to help them sleep better, wake up in range and address high. Blood sugars with auto Bolus, you can manage diabetes confidently with the powerfully simple Dexcom g7 dexcom.com/juicebox the Dexcom g7 is the CGM that my daughter is wearing. The g7 is a simple CGM system that delivers real time glucose numbers to your smartphone or smart watch. The g7 is made for all types of diabetes, type one and type two, but also people experiencing gestational diabetes. The Dexcom g7 can help you spend more time in range, which is proven to lower a 1c The more time you spend in range, the better and healthier you feel. And with the Dexcom clarity app, you can track your glucose trends, and the app will also provide you with a projected a 1c in as little as two weeks. If you're looking for clarity around your diabetes, you're looking for Dexcom, dexcom.com/juicebox when you use my link, you're supporting the podcast, dexcom.com/juicebox head over there. Now
Jennifer Smith, CDE 11:04
we fall short entirely in our education system. That's where we start to fall short is nobody learns these things unless one you've gone to school to understand them, like I have right, or you've done your homework and said I don't feel right. Or I'm trying to do this in terms of, like sports performance, and I'm not quite getting there. What am I doing wrong? And thankfully, now, you know, we don't have to go to like, Encyclopedia Britannica to look things up at the library. We can Google it or use AI systems or whatever to look up information. But unless you're really willing to do that, we fall short in the fact that we haven't been taught how much do we need? Why do we need it? And that's kind of the basis of this. Is the build of understanding, so that, you know, as kids, kids get what they get in a good way from their parents, what their parents understand and bring into the house has value as they then grow up and start to make sense of well, gosh, I was a runner. Right in high school. I got better at running, but thought I could probably do better. I went into college as a runner, but really didn't know why I was failing and not progressing. Had they learned some of the things about what goes in to build their body and to build that piece, they probably could do better. So in understanding these basic ideas, the goal is essentially to build a platform for parents to educate better. That's why this is more advanced, right? People, I said, probably over about the age of 18, so that they can really incorporate this idea in starting with how much do I need? It's based on where you are in your life, who you are, what your workout plan is kind of like. And then a piece behind it that even goes a little bit deeper is we're all made up genetically a bit differently, right? We have genes that have come down through our own heritage, that do impact our own body's metabolism, right, how we store and burn those macronutrients that we essentially take in. And I think a great way to boil it down is, you know, we talk about diet plans earlier, we've listed a whole bunch of them, right? And the piece here to figure out is people end up really do their homework. They end up finding some type of fueling plan that feels the best for them and gives them eventually the results that they want, and then they stick with it. But there is no one plan. There is nothing that will fit every single human on this planet. And the reason has to boil down to our genetics. We are all a bit different. You have to do your homework. You have to know a little bit about, well, you know, my grandma, my dad's mom, she was probably the tiniest person in our family. She was very healthy. She just died in old age, right? A better portion of the other part of my family, my mom's side, all definitely have some type of metabolic issue. They are much bigger people. They had there's a lot of cancer, obesity and all of that kind of stuff. And so if you know enough family history and enough history in terms of family health history, we can work against genetics.
Scott Benner 14:30
It's hard. You know, how I prove that out in my head is I'm actually thinking of this one person who has type one diabetes. She's, I can't think of her name. She's probably listening like, great, she's Canadian and she's a bodybuilder, right? Okay, I see her online. She pops up in my feed all the time. And I think there's a person who perfectly figured out what nutrients their body needs, right? Because you don't build to that size by mistake. Like, look, no, I'm doing resistance training. Every day, right? And when I'm done, I'm like, Oh, if I look like this all day, this would be awesome, right then, but, like, but I wake up the next day and I don't look like that anymore. But if I take enough protein and I eat the right way, I actually hold that the next day, right? Like, so she's figured that out, like, blown up in a big way. I'm not asking all of you to do that, but I'm saying this, like, if you're not using the right building blocks every day, not only are you gonna have lesser outcomes, right? You brought food in anyway. You might as well bring in the right food, you're gonna have lesser outcomes day to day. But what Jenny's saying is, like, it could really impact you 10 and 20 years from now as well. And I think maybe, just to highlight the idea, before we started recording, I told Jenny I missed my GLP medication for a day, and I woke up that following day two pounds heavier, and it's just water weight, right? It goes away. But like to Jenny's point about us all being different, it doesn't make any sense that my body would retain two pounds of liquid just because I'm not taking that GLP for a day. Like, there's something wrong with how my body's built,
Jennifer Smith, CDE 16:05
and it's making up for it with using it for why? Why does it work that way for you and for other people? Exactly, it
Scott Benner 16:12
doesn't Right, right? Like, how come, like, some people take that medication? I've heard people say, like, I've been on it for three months, I haven't lost any weight. I lost 14 pounds in the first week, right? Whatever happened, my body was like, Oh, we've been looking for that. And like, you know? And boom, and all that water weight came out of me. Why? It doesn't make any sense. I didn't change how I ate. I didn't, didn't, I didn't even know I was on the medication. Like, I didn't feel any differently. So tell me if I'm right about this. Because sure, like, I told you I went I just said, like, Hey, tell me what my macronutrients are and it breaks them down into carbs. But it also says what carbs do is that it gives you quick access for fuel for your brain and your muscles. Gives you some examples, oats, rice, pasta, potatoes, fruits, beans, table sugar, honey, and it says protein building blocks for muscles, enzymes, hormones and immune cells like chicken, breast, eggs, Greek yogurt, tofu, lentils, salmon, peanut butter. So I'll make sense to you, okay, Jenny's like, great. Good thing I went to college because now any dumb ass can ask this thing. But
Jennifer Smith, CDE 17:11
like, well, it's a good thing you can read. So there you go.
Scott Benner 17:15
Fats, long term energy. Cell membrane structure helps absorb fat soluble vitamins like A, D, E and K. You can get that from avocados, olive oil, nuts and seeds, butter, cheese, fatty fish like salmon. And then it lists water right? And it says that this is often listed separately, but the way it thinks of it is solvent for biochemical reactions, temperature control, nutrition, transport, and so you can get water by drinking it or by eating things like cucumbers, watermelon, broth, stuff like that. So that's what you're talking about. You're talking about, like a good blend of these kinds of items. How long if I'm sitting here now listening and I'm like, I don't feel right, my body's not where it should be. I know something's wrong. How long do you think a person eats like that before they sit, stand up and go? I do seem like, I think I feel better now. Like, how long do you think that has to happen for?
Jennifer Smith, CDE 18:11
It would be a pure guess. Honestly, if I put a number out there, days, weeks, whatever I think it does depend on how, for lack of a better word, how messed up their system is, right? It's gonna take some cleansing, if you will, of a system, especially if there's a lot of packed in issues in the arteries and the vessels and that kind of stuff, there's a lot of cleanup that the body has to work on. And one of the big pieces in our body that really is driving our sort of burn, our metabolic everything, is our mitochondria. There are a host of really good books all about mitochondria out there. It's really, you know, what we call the powerhouse of the cell, right? And then how we generate energy comes from how well our cells work, how well they clean themselves up, how well they kill themselves off, how well they regenerate. And so again, how long would it take? I think it doesn't take long to determine a fueling plan that you know doesn't feel right, okay, right? Because I can definitely say I'm somebody that I know how to do, for lack of a better you know, use is I can do the ketogenic diet. I have very flat looking blood sugars. I can do it to a T, but I do not feel the way that I know that I should feel on it okay. It doesn't work that way for me metabolically. So I know what works for me. I know what I've found works for me, gives me energy, allows me to be active the way that I need to, allows me to think through the course of the day without brain fog, etc, etc. So I think how long it's going to take might also. To take some experimentation and say, well, especially with diabetes, this doesn't seem to be working for me. I've tried everything in and out with Bolus timing or insulin timing and everything. Maybe I need to clean this up. Maybe I need to cut this back a bit, add a bit more of this, and it may not be a specific named diet, so to speak, but you will end up finding things that make you feel well and also, in the realm of diabetes, help you manage your blood sugars as well as you possibly can, along with also letting your body respond to insulin the way that it's supposed to
Scott Benner 20:33
respond. Yeah, and I don't want to sound like a hippie here, but like I think also when you start eating differently, I've had this experience, it takes a little while for your again. I even saying this out loud makes me feel stupid, but like, I know that this is true. Like, your gut microbiome, like, it takes a while for it to shift again. It's been breaking down whatever the dust is that they put over the thing to like, like, that's got to get out of you. Like, right? And it's not so much. It's got to get out of you is that it's like, it's that your body has to learn how to deal with something. Like, you've put your body in a situation where it is pretty reasonably processing a ho, ho or whatever, like thing, like, right? Like, it's nothing Jenny would not eat if you put a gun to her head. So, like, your body's learned how to get that through you, and now you're putting in good stuff it doesn't have what it needs to break down chicken and, like, it's, it's a different mix in there, and so you have to kind of make it through that, maybe take a probiotic at first to try to help you along. Because I hear, I hear all the time people say, like, oh, I made a shift, but my stomach was uneasy, or, like, I just couldn't do it anymore. And I'm like, Yeah, I think that's because your body was so used to doing it this way. It's got to adjust it this way.
Jennifer Smith, CDE 21:41
It has to clean it up Absolutely. And so that's why I don't think that there's a time frame to really put on, how long until you start to feel better. And again, with diabetes in the mix, you do have, you have a piece to watch that other people without diabetes don't have. We have a CGM or a glucometer to be able to use and say, Well, I'm not quite feeling better yet, but I do see that my blood sugars look better when I do this.
Scott Benner 22:06
Yeah. Do you find, generally speaking, that people with type one end up oversimplifying their nutrition, because it is a lot about like, if I can cover this with insulin, without spiking, without getting low, I have a success at this meal.
Jennifer Smith, CDE 22:20
Some people can oversimplify again, this is where personality comes into the mix, right? Some personalities do really, really well with the same thing over and over, because it's what they've figured out works and they don't veer from it. And if they're okay with that, there's nothing wrong with it, as long as they're meeting all of their micronutrient needs, if they're getting a host of everything they need. There is some limit to eating that way too.
Scott Benner 22:45
Yeah, no, at some point it can't just be about I know how to keep it from causing a spike, right? So, right, yeah, exactly. It's got to be food.
Jennifer Smith, CDE 22:53
It's got to be food. And in our world today, you know, as we've said before, we have so much that inter that's social about food intake. And can you be social without food? Absolutely, you certainly can. But it food has worked its way into the majority of settings in which we interact with other people, yeah, and so you have to work your way around it. Maybe you establish, I think everybody with diabetes, whether there's a name for it or not, we end up having some type of rule around how we do things, okay, around how we navigate food. We all end up with some some level of disordered eating, truly. You know, when you think about it, you may end up eating less of this, because you know that eating This amount could keep things under control better, or you shy away from this or that. And again, we don't define it by a true eating disorder, name of which there are within the realm of diabetes, but I think we all have these rules that we've established in how we navigate our day to day, to keep our control, so to speak, where we want it to be.
Scott Benner 24:06
I take your point. I mean, when food is medicine, it's tough. Like, you know, you mean, like, Dan, I don't mean like, listen, food could be medicine for all of you if you ate off that list. But like, I'm saying, like, when you know, you're like, oh, I have to eat something now. It needs to work in the next five minutes, or I'm going to get dizzy, or I'm going to pass out, or this is going to happen like it really does change. It's just, it seems like an oversimplification to say, but like, type one, I guess type two diabetes changes how you think about food in a way that I don't think is good. You know, I was just interviewing a woman who had Lada as an adult, and I'm not gonna, like, retell her story, but the myriad of psychological impact she had from not knowing, can I eat this? How much of this should I eat? What is this going to do? Like she was frozen, like she almost couldn't eat at all. Right? It's not fair, but I think what we're saying here is, if you take foods in that you. Find that jive well with your body that bring in micro and macronutrients. You might find diabetes to be easier to manage as well. You know, you
Jennifer Smith, CDE 25:09
may Absolutely and you know, as I as when we kind of started, it was, how much do you need? What you figured out does work? Then what's the portion of everything that you kind of need so just that you've found out, great, I do really well with broccoli, but I don't do super great with peas, fabulous. But that doesn't mean you should eat, like, six buckets of broccoli every single you know. And it boils down to then figuring out, how much nutrient do we need in our day to day intake. And we have, you know, two things. Really we've got our Do you know what BMR is,
Scott Benner 25:44
body mass? No, I don't know.
Jennifer Smith, CDE 25:48
That's my best guess. No, that's that's okay. I when we talk about, like, caloric intake, we talk about need versus need being what our body needs at base, and then overall, what do we need? Because we've added other variables into the day, like exercise, right? So BMR is our basal metabolic rate. Okay, that really speaks to the number of calories. And again, everybody's is a bit different. It's a base for breathing, thinking cells to develop all the essential functions that would go into maintaining your body, even if just sat on the couch all day long, you still need calories for that. Yeah, and it's a fair amount of calories, quite honestly, to keep your head up, to keep your head up, right? So essentially, then we add on to that. What do we need in total? When we add in our what we're called like activities of, you know, normal daily life, like walking around work, at at our job, or exercise that we do, or, you know, whatever it is, there's an extra amount of calories into that that we want to take into consideration. For those who are working on weight management, how do you know, well how much I need, but I really want to lose weight, so how much deficit then do I need in order to lose a certain amount of weight? So, you know, in terms of that, you may find the fueling plan, but then how much on that fueling plan do you need becomes the next thing to pay
Scott Benner 27:15
attention to, right? And I mean, how do you figure that out? There are
Jennifer Smith, CDE 27:19
formulas. And again, one of the easiest places to go. You can do it free or paid versions. I always think of like my fitness pal, is you can put in your parameters, and it'll give you a baseline of your your needs. And then, when you say, but I'm going to be moderately active six days a week, then it builds into that base an amount also. Then with the goal of, let's say I want to lose 12 pounds. Great. You've told me you want to be at this weight. You're active this amount, your baseline needs are here. So it kind of does all the math for you.
Scott Benner 27:50
Yeah, I hate to say it, but, like, I probably just go to any AI model and ask it, you could probably get the answer. Sure that AI could probably do it. I know people are going to give me crap, but you know, I was interviewing somebody last week who told me, you know, Scott, you talked about how you used AI for something, and I picked it up and tried it. And I've always had trouble talking to my doctors, so now I have the conversation with the AI first, and then ask the AI how to approach my doctor with it. And she's like, and then I email that to them, and I find that it's more concise than when I write it out. That's great. I ask it to be a little more technical so the doctor can understand it better. And she's like, and now I'm having a much better time talking to my physicians about my health. And I was like, Awesome. Cool. That is, you know, hey, I'm this old, I'm this tall, I weigh this much, you know, here's what I usually eat, but I'm hoping to eat somewhere like this. Can you tell me how much of it to achieve whatever I'm trying to achieve.
Jennifer Smith, CDE 28:43
And many of the platforms will even break it down, even I'm assuming AI would do it too. The more questions you ask or the more things that you want it to delve into. You can say, Hey, I'd really like the breakdown of my carbs, proteins and fats to be this percent, this percent, this percent. And I'm sure that it would break it down and say, great, you want to focus on this many grams from this group, and this many grams from this group to give you the overall, you know, breakdown in 3030, whatever.
Scott Benner 29:08
That's awesome. I think that anything that makes people's path easier is helpful, like, you know, because maybe people are embarrassed to go to a doctor and say, also, by the way, this is a group of people who've lived with, you know, autoimmune issues. There are doctors more often than not, and a lot of them have experiences of going to a physician asking a question and not getting an answer correct. It's a hard one to jump over, which is, I got to go to a doctor, set up an appointment, sit there and go, I don't like my weight or my health or like, so now you're embarrassed to begin with, can you tell me what they're doing? The guy goes, like, get more exercise. Like, awesome, great. I'm glad I took a day off from work for this. You know what I mean? Like, I need a real answer so
Jennifer Smith, CDE 29:44
well, and I think that is the the unfortunate thing people expect that their doctors are the person to go to for any health consideration. And that's just not the case. It's the reason that we have many different clinical places. Places to ask questions, right? I mean, you wouldn't ask your dentist about the fungus on your toe. He'd be like, I don't know.
Scott Benner 30:07
I'd go with my theory about the grocery store. Follow the fit people around, see what they're eating. Your doctor sitting there. Look like he's had seven packs of cigarettes today. Like, Hey, can I can I ask you a question about my health? He's probably like, Sure,
Jennifer Smith, CDE 30:21
right? Even, you know, even lab work, then, is another place, sure the doctor can order it. You can get the lab work. You can get the lab work back. And let's say, you know, taking this topic kind of further into not macro, but those micronutrients that we want, the reason we want to eat everything, it boils down to, well, maybe we're deficient in something. Maybe we don't have enough, you know, of magnesium or whatever it is, and there are quite a number that's specific to diabetes, play a pretty important role in helping manage background, how your body navigates life with diabetes. It helps with insulin use. It helps with glucose metabolism. A lot of different pieces in the mix, right? So we've got things like some of the fat soluble vitamins, vitamins A and D and E, that could actually be more deficient in those who have especially type one diabetes, you know, and the role of those quite valuable, you know, Vitamin D plays a big role in terms of sort of glucose metabolism, how your body uses insulin. On the cellular level, it has an important role, you know, in terms of overall, how our body sees and interacts with the food and then uses it up, yeah, you know. And then other things like magnesium and selenium and zinc and you know, their pieces B, 12 is a common one that's lower levels, and people who have type one, so if you're going to get those analyzed, great, but then know who to go to to talk about, what to do about it, right? Because I guarantee your primary care is not the person who's going to know the baseline. They're going to say, well, take a take a supplement. You might be have, you might have really expensive PE then,
Scott Benner 32:14
yeah, yeah. Now you're at the grocery store picking up some garbage, gummy or something like that, and spending $50 a month on it. It's not doing anything for you. Also, I'm not going to give any more details here, because I don't want to muddy the water, but you just gave me a great idea for a series for the podcast. So, oh, thank you. Awesome. Sure. Yay. Where are we at on our list? I want to make sure we're I
Jennifer Smith, CDE 32:32
want to definitely talk about micronutrients, which I just mentioned, kind of the big ones, essentially, that are often deficient, not always, but often. Vitamin D, I think, is top of the hit list there, quite honestly, how the body metabolizes different nutrients. We've kind of talked about that you brought up your nice AI of those macronutrients, what your body does with them and why they're important overall disease prevention, kind of more therapeutic nutrition, I think it's a it's definitely a piece that's beneficial to know about, because most people with diabetes may not have a second condition right now, but many people do. Yeah. Many people already have some type of what's called digestive disorder. Many people are always already having some type of heart disease or nerve problem or another autoimmune condition. We tend to in medicine, unfortunately, compartmentalize conditions. Take care of this one, and then we do this for this one over here, when really they all have an impact on each other. So we need to start looking at the whole of the person and what they're living with, whether it's one chronic thing like type one or a host of things like celiac and type one and thyroid and whatever. And we have to see how, from a nutrition standpoint, how are the things that we're doing interacting as a whole? Are there pieces missing? Do we need to start adding something that will benefit the whole, rather than picking them apart and only treating to one thing. Yeah.
Scott Benner 34:05
Okay, so I have to tell you, like, it's because we've been talking about this. I've approached Erica about talking about an idea too, that I think will help with this. And so okay, we'll bring it in later. But I think there's kind of the idea of, there's what we want and what we want to want. It's easy to talk about all this, but, and you can say, like, you know, I want to want this, like, I really do, but what I want is, yeah, you know, pizza rolls, course, yes. So we have to figure out a way. Like you just said, like you can't, you can't keep breaking things up into little like, we'll do this, then we'll do that, then we'll do this. Because if you keep saying like, you like, I'm going to address how I eat, but your brain's telling you not to do these things, you're not going to make it long. You know, there's that piece too. So I'm going to talk to Erica about how to logical. You know, you don't want to go down a rabbit hole, but a lot of this food probably has a hold on you in one way or another. Yeah, and making you want more like little drug dealers running around
Jennifer Smith, CDE 35:04
those people, you know, no that, and that's a great topic to bring up with her, because there truly are, I think we even talked about it before, you know, many different kind of cultural groups and or the way that you grew up eating. It becomes a piece of your family structure. And if you're the one that changes, and now you're doing this, and you're the only one eating the items that you brought, and everybody else is the wealth of the rest of the table, there's a big psychological piece to that, and you almost start feeling like the outsider then. So that's a great topic to bring up.
Scott Benner 35:39
Yeah, I just think that there's things that just get burned into your circuit boards, you know. Like, I'll tell you, you take my wife to a movie, she's buying popcorn. It doesn't matter if she wants it or not. Sometimes she'll have, like, four fingers full of it, and then she puts it down. I'm like, I think we just bought $75 worth of popcorn for you to have a handful of popcorn. I'm like, You didn't even want this. And she goes, No, I know, but it's hard to go to a movie without popcorn. I'm like, what? Like, it's something from her childhood. You know what? I mean, like, it just sticks to her. She goes into a movie theater, she buys popcorn. You want that? I mean, I don't know, but we're at a movie like, okay, let's just imagine all the other things that you're doing throughout the day that you don't realize. So
Jennifer Smith, CDE 36:20
absolutely, I there a host of things. Again, that's why, from this age, this more advanced piece, it's a I hope that more you know, parents, adults who have influence on the younger can start to understand it and even bring in some of the concepts in an easy way into family structure. Because it's what I've tried to do with our kids to help
Scott Benner 36:45
them. I've said this before in probably my weight loss series and other places, but you're gonna hear me cheerlead for glps, because I think some people are in such a generational pickle that they it's not, honestly, you can go to all the therapy you want. I don't think you're breaking free of it. Breaking free of it. If you can stop your brain from wanting to eat and stop your stomach from telling you you're hungry long enough for you to eat these macro and micronutrients have I mean, Jenny, look, it's two years now, I look like a completely different person. Now, yeah, I'm just gonna be honest with you, I don't think there's any world where I would have done this on my own. I could have accomplished it on my own. I forget that me even trying. I've been trying my whole life. I don't think I was getting it done. If you want to sit here and say that, you know, you go back and my dad grew up on a farm, and they ate, like, way too much food, and my mom was all about, like, make more, make more. And it was never good food, but there was always a ton of it. Or, you know, I think I shared with you recently that I'd eat grilled cheese constantly, but it was just wonder bread, butter and Velveeta. Yeah. I mean, I've probably eaten a truckload of that in my life, I'm sure, like, and so now I'm an adult, and I'm like, Oh, I can eat better now. I don't even know what that means, and my brain's wired from the sugar and the carbs and all the other stuff. Like, I was never somebody threw me in a hole so deep that even with a flashlight and a pair of spikes and a ladder, I wasn't getting out of it, right? Sure, this GLP came in, and it was like, here, you having trouble not thinking about food. Boom, done. You having trouble feeling full? Boom, done. And it's also wasn't magical. It wasn't a month or six weeks later, like it's two years later, yeah, but, but two years later, and I walked into the post office the other day. We have a very quaint little post office in my town, right? Like, it's literally, it's like five by five, and the same woman's been running it for years, and I only go there once a year to mail my taxes, because I like to see them put the I want to make sure it's dated correctly, right? Went in. I'm like, is this a my fault? If it doesn't go well, right? So I didn't see her last year. I saw the other guy that works there, and I walked in this year, so I hadn't seen her in two tax seasons. I walked through the door, we made eye contact. She lit up because she saw it was me, and I'm delightful, you know. And so, and she goes, Hey, how are you? Oh, are you okay?
Unknown Speaker 39:03
Because you look like you're a smaller human.
Scott Benner 39:05
Now it's been two years. I've looked like this now for eight months. I don't register what she's talking about, and so I'm frozen, and I'm looking her in the face. I'm like, What is she asking? Am I okay? And I can I just put it? Went, Oh, you think I have cancer? And she goes, Yeah, do you? And I'm like, No, I just I've lost a lot of weight, and we haven't seen each other in a while. She goes, oh, good for you. And then she started telling me about her husband and cancer and stuff like this. But what I realized is, is that, like, you know, had I seen her three months into this, she wouldn't have noticed. She wouldn't have noticed six months into it, she might have started seeing in a year. So if you're going to make these changes for yourself. It's not going to be right away, and if you need help, then you need help, right? I hate turning on another podcast or a TV show or something online and seeing some jacked up person tell me like you just don't want it enough. Like I want it plenty. Like I. Don't have your genetics, I don't have your job, I don't have your money. I don't have a lot of things like, right? Like my mom grew up giving me Velveeta cheese. I'm in a hole here. So anyway,
Jennifer Smith, CDE 40:09
well, I think the other thing, from a help standpoint, help from one angle, maybe it is some type of medication that helps you clear up that that food piece. But then I've seen enough people as well who may do fine using it in terms of what med does, but they still don't know the basics of what we've been building. You have to put it all together. Yeah, yeah, yeah. Have to find and if you don't know how to do that, and you want the wealth of benefit, if you are deciding to use something like this, then work with somebody who can truly help you get in quality. Because, again, there are a lot of pieces to using this medication that do focus around the quality of the food and those macronutrients and which ones are more heavily important.
Scott Benner 40:56
I am certainly not saying Just jab yourself once a week and eat your Doritos and like, and meld away. That's not valuable. Like, look, maybe it would be valuable on some level, but it's not. It's not what you're trying to do. But I'm just telling you, like, I have a personal story from this week in a meeting, and I can't give you any of the details. Like, somebody was in a meeting with somebody and said, I've lost over 100 pounds on a GLP medication, and in that room, someone treated them like they cheated. Oh, well, yeah, I guess if you don't have the stick to itiveness to do it on your own, yeah. And that person, by the way, was significantly overweight, and I was like, What is wrong with all of us? You want the same thing they have? Like you're mad at them for taking a shortcut, like it's not a shortcut. They weren't getting there, like it's not I know these people. They're not out there. They're not out there eating Crisco with both hands. It's not the world like, you know what I mean. So I'm not saying just take the Med and don't do anything else. I'm saying that if you can do all these things without that medication, then you should, and I think that's great if there's other things in the way I don't want to see you spend 10 years talking to a therapist to figure out why you want Cheetos on Thursday afternoons, because your mom used to come home and yell at you, like, I don't we ain't got time for all that. Jenny, right, life is short. Yeah, that's all I'm saying. Look, I got all upset at the end. All right, sorry.
Jennifer Smith, CDE 42:16
Oh, good. You didn't talk. You didn't talk too fast. Though they're all They're all warmed up, and I
Scott Benner 42:22
wrote myself a note before we started that. Just said, slow down.
Jennifer Smith, CDE 42:27
I did a great job. All right. Thank you. Thank you. Hold on a second.
Scott Benner 42:36
Today's episode of The Juicebox Podcast is sponsored by the Dexcom g7 and the Dexcom g7 warms up in just 30 minutes. Check it out now at dexcom.com/juicebox head now to tandem diabetes.com/juice box and check out today's sponsor, tandem diabetes care. I think you're going to find exactly what you're looking for at that link, including a way to sign up and get started with the tandem Moby system. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. You
my diabetes Pro Tip series is about cutting through the clutter of diabetes management to give you the straightforward, practical insights that truly make a difference, this series is all about mastering the fundamentals, whether it's the basics of insulin dosing adjustments or everyday management strategies that will empower you to take control. I'm joined by Jenny Smith, who is a diabetes educator with over 35 years of personal experience. And we break down complex concepts into simple, actionable tips. The Diabetes Pro Tip series runs between Episode 1001 1025 in your podcast player, where you can listen to it at Juicebox podcast.com by going up into the menu, the episode you just heard was professionally edited by wrong way recording, wrong wayrecording.com you.
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