#1560 Pump-Ready With Jordan
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Jordan Wagner has been to more pump trainings than he can count—and he’s seen it all.
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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 and welcome back to another episode of The Juicebox Podcast.
Today's guest is Jordan Wagner, a nurse, a diabetes educator and a person living with type one diabetes, and today, Jordan and I are going to talk about getting you ready for your pump or CGM training, so that you can get the most out of it and get started on the right foot. If this is your first time listening to the Juicebox Podcast and you'd like to hear more, download Apple podcasts 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. Please don't forget that nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. This episode is sponsored by the tandem mobi system, which is powered by tandems, newest algorithm control iq plus technology. Tandem Moby has a predictive algorithm that helps prevent highs and lows, and is now available for ages two and up. Learn more and get started today at tandem diabetes.com/juicebox this episode of The Juicebox Podcast is sponsored by us med. Us med.com/juicebox, or call 888-721-1514, get your supplies the same way we do from us. Med, All right, guys, Jordan's Back. We're in our second episode together. What are we going to talk about today? Jordan,
Jordan Wagner 1:56
yeah, so I wanted to kind of touch on a couple things here, but the big topic is just going to be getting an insulin pump, how to be successful for the training, leading up to the training, looking at the CGM that are compatible and being used with these pumps, and then realizing that sometimes there can be inaccuracy in CGM, and really How to address those inaccuracies. What could cause those inaccuracies? So just really looking to set someone up well for getting an insulin
Scott Benner 2:28
pump, there's more CGM now than there's there's ever been, right? Like, so absolutely,
Speaker 1 2:33
yeah. And then if you, if you think about things going on outside the US, there's even, there's even more CGM, more options.
Scott Benner 2:39
Give me an example of one that's outside of the US that you wish was inside the US.
Speaker 1 2:44
Yeah. So for example, you have the blanket on the name right now, but there's the new Medtronic CGM. They have it currently in the US, but it's only compatible with the in pen, whereas it sounds like it's going to be compatible with the Medtronic 780 G insulin pump, and it's, it's going to be a disposable sensor, as opposed to the Guardian sensors. Right now, you have to keep the transmitter. So it sounds like they're trying to get on board more with some of the other CGM brands where they've gone away from having to keep the transmitter or save a piece. It's all disposable now. So that's an example there. Yeah,
Scott Benner 3:20
the simplara, that's what it is. Yes. Thank you. Yes. And then that's been in Europe for a bit now, right?
Speaker 1 3:26
Yeah, I believe so, yeah. So they get the CE marks over there way sooner. The FDA in the US is usually a little bit slower to approve things. Okay, when it comes to diabetes tech, if you kind of want to know what's coming down the pipeline into the US, or perhaps other countries, looking at the European countries, that's going to be a good spot to start, yeah, because they can get the okay over there a little easier, a way easier, way sooner. Yeah, for the moment, there's still Dexcom, g6 Yes, and there's g7 and then Libre is up to what the libre three
Scott Benner 3:57
plus
Speaker 1 3:58
or libre three plus. And so the variation between the libre three and the three plus, you've added an extra day. So the three plus is 15 days. It's, it's the same size, but that one's going to be compatible, more friendly with with the insulin pumps. Okay,
Scott Benner 4:13
do they make it like with the people you help who are on liberty three plus as specifically, do they make it 15
Speaker 1 4:19
days? Usually? Yeah. I mean, I would, I would, it's hard to quantify that, but I would say maybe 60% of the people that I'm helping are making it the full the full time there. And I think one of the things, aside from sensor failures, is that, because it's so small, there's less tape area, whereas, like, if you think about the the Dexcom, and I really think that tape is very sticky with the Dexcom personally, but there's also an overtape that comes with the sensor, so it helps to keep it on a little bit better. There the libre three. Then three plus is the size of a penny, so it's a lot smaller taper. I think that contributes to it falling off more easily with some patients that I work with,
Scott Benner 4:59
Oh, I see. See by making it so much smaller, it also doesn't allow you as much tape, because it's not like it's a penny, is it really that small?
Speaker 1 5:10
Yeah, it's the size of two pennies stacked on top of each other. Wow. But
Scott Benner 5:14
then the area around it with the adhesive is not as much, and you think it's coming off because of that. Maybe, I think that's
Speaker 1 5:20
one of the reasons, too. Yeah, you know, I hear people say that, you know, they they bump their arm on the door and it fell off. And I know that can be said about all sensors, but that's just my theory. Is that by bringing the size down, while that's that is a nice thing to do, you've also got less tape surface area, okay? And so I always tell people the three or the three plus. You might consider getting an overtape for it. You might have to go to a third party place to get those, but it just helps to keep it in place longer.
Scott Benner 5:51
Do you have a preference between g7 and libre three plus?
Speaker 1 5:56
Yeah, so I mean, my personal preference is g7 and that's simply because I use the tandem pump, the TE Slim x2 with control iq plus, but the three plus is not currently compatible with tandem. You can use the FreeStyle Libre two plus that is compatible with tandem, but the three plus is not quite there yet. I've sampled the three plus, honestly, I think it picked up on low blood sugars a little sooner. One thing that I like about Dexcom over the Libre is that you can have the rising quickly or the falling quickly features on the Dexcom. So we think about Dexcom, you've got the the flat line, the steady line, there's diagonal, there's straight up or down, and then there's double arrow up or down, whereas the Libre is going to have all of those, but it's not going to have the double arrow up currently. And so I kind of liked knowing if, if I really messed up and I'm rapidly rising. There's that slight variation there with the Dexcom versus the libre,
Scott Benner 6:55
yeah, and that it's valuable to know like this is happening quicker than correct. And maybe I feel like it
Speaker 1 7:00
is, yeah, now I will say the Libre is nice in the sense that it it shows you're reading every minute compared to every five minutes. Oh, okay, I've talked to many Dexcom reps about that, and you know, hey, can we, can this be a feature in the future? Basically, when you look at the studies, there's no clinical there's no significant clinical difference when it comes to reading every five minutes versus every minute. So it comes down to a user preference, essentially. Oh, I see, but I don't think it's from Dexcom perspective. I'm I'm not speaking on their behalf, but I'm thinking it might not be financially worth it for them to to do that when there's no statistical significance
Scott Benner 7:38
to it. Yeah, because they have to. I mean, they have to remake the software, and then they have to put it back through the FDA again, correct? Yeah, I guess is that? Why that they don't make what seems to be the most obvious change, which would be rate of change. Like, having rate of change would be awesome, just like, plus five points, minus three points, like, on every reading. I think that's really helpful. But,
Speaker 1 8:00
yeah, no, that would be helpful. I mean, you have, you kind of have to guess a little bit, but like, the arrows do actually represent numerical values, yeah? Then again, you can't really know for sure, right? Because it's kind of giving you a range, you know, like two to three milligrams per deciliter, or or, like, four or five, or whatever it is. And then you kind of have to guess a little bit, like, oh, well, if it's every five minutes, and I do the math on this, maybe, maybe it's like 16, maybe it's 20, right? But it's not gonna exactly give that to you. I'm a fan of it. I like having it, so, oh, big time. Yeah. I get it through third party stuff, you know. So I see it on night Scout, I see it on sugar pixel, like, then it's, it's really helpful. I think, yeah, well, building off that, I mean real fast, just a side note here. You know, I worked with a patient the other day who was blind and he was only checking his blood sugars like once a week when a family member could come over. Didn't really know about CGM, so told him about that. But, like, I thought with with Dexcom, it'd be so cool if they had a feature that it audibly told you your blood sugar, like every 15 minutes, or every 30 minutes, whatever you programmed for it. I mean, I know they have the Siri feature, where you can have the you could say, like, hey Siri, what's my glucose at? Or whatever you programmed it, and it'll tell you, but to have the option where it automatically tells you, for people who are blind, I thought that'd be such a cool feature to have in the future. I
Scott Benner 9:23
think that, generally speaking, disabled people and elderly people are widely ignored by all of our devices. Yeah, that's for sure. Yeah. I mean, listen, I'm not running the company, and I can almost hear their arguments in my head. Against you want me to make a giant screen with numbers? Nobody else wants that like, in my mind, I think you just have to make space for that in your business plan, because these are people who have likely been customers of yours, patients for their whole life, and then for them to enjoy this, this stuff, and then get to a certain level where then all of a sudden it's like, well, I guess I don't get this anymore. You know, I don't like it. I don't like giving people something like that. Than taking it away from at some point, whether you're taking it from or they can't use it just one way or the other, right, right? Yeah, it would be nice if it was paid more attention to the other what's the other guard? The guardian for is, yes, is the one that's working in a US now for Medtronic,
Speaker 1 10:16
yeah, yeah. So you got the guardian for and that's nice, because you don't have to calibrate the sensor like some of their previous models, did you know, and the accuracy of it has gone up a lot there. So when you're looking at CGM accuracy, you want to look at something called the marred value, okay? And that stands for mean absolute, relative difference. The easiest way to understand that is to basically think, what is my glucose level in the blood right now, and how close can we get that on a device? So we want to be as accurate as possible. So when you're looking at a margin value, you want that number to be as low as possible. The lower the number, the more accurate the sensor is. And so you know, Medtronic sensor has improved drastically over the years. So have, you know, the libre and the and the Dexcom sensors, but, yeah, you want to be looking at that there. And so like the Guardian four has improved a lot in their in their values there, so it's a much more reliable sensor. Now. Do you have any patients using the ever since CGM, you know, I actually don't. No, yeah, okay, that's not as commonly seen. That's for sure. You know, I know Nico, sure she wouldn't mind. She's been posting all about it, but she's on the ever since now, had a chance to have coffee with her and Ryan, not that long ago. And really interesting to hear about that. Yeah, so I'll be, I'm really curious to hear about her experiences more with it.
Scott Benner 11:39
I am too, genuinely am, because, I mean, obviously there's, I mean, a lot of these companies are sponsors, so, but, like, but, you know, ever since is a sponsor, and I feel like my job is just to let people know about it, because, yes, because it's so new, you know, and it's different, it just is, like, at this point, you know, there's three CGM that go on the way they go on, and then there's one that's inserted, like, ever Since, and you're gonna wait to see if the if the public adopts the idea and goes with it or not. I can see that, I think, in a John right now, I don't use his full name, who's using it, and I see him in the group talking about the time that he loves it, yeah? Like, I just keep that. I mean, he's going out of his way to tell people that he how much he's enjoying it. So,
Speaker 1 12:18
yeah. And I think that's great, like, just the sharing of information. Like you know, my job as a diabetes educator is not to tell you what to do, it's to share the information you get, to take it and decide what you want to do with it. And so, like you said, I'm a big advocate for sharing about your own personal diabetes journeys with people or within the podcast group there, just so other people can see it, because it could just be a simple post that literally changes someone's life, and go, Hmm, maybe I should try this or do this differently, right?
Scott Benner 12:46
So, so tell me this. This just your, you know, your opinion, obviously. But any one of these four CGM, if you had a shot at having one, and you couldn't have any of the others, you're not losing, right? There's not one of them that you're just like, oh, I can't believe this is the one I got. Like, these are all like, life changing devices. Am I right?
Speaker 1 13:05
Absolutely right. Yes. Okay. And again, like that whole marred value system, these CGM have improved so much that you could look at the marred value on some of these CGM and compare it to, you know, a middle tier glucose meter, and it's actually going to be a higher margin value on the CGM than it would be the actual glucose meter, meaning that the CGM could literally be more accurate than actually poking your finger. Yeah. So that technology has improved so
Scott Benner 13:31
much, I say to people all the time when they're like, oh, this, this CGM is wrong again, I test it. I'm like, I've never seen that meter before in my life. Like, where, like, rock, did you get that under Exactly? And, you know, like, they have some janky, like, third party, like, you know, meter, and they're like, look, this says this, but my Dexcom says that. I'm like, I'd be more inclined to believe the Dexcom, like, absolutely, yeah, when
Speaker 1 13:52
you got the other consideration there too, with the the glucose meters, if you don't actually quality control, check your glucose meter, which most are not doing, then there's a good chance that it's not even right at all, even if the marred value on it is good. That is something you need to be checking. Like, for example, in the hospital setting, we have to do that every 24 hours to ensure that the meters are as accurate as possible.
Scott Benner 14:17
So, and nobody's doing that at home, like meters all used to come with that, yes, but they don't even come with it anymore, do they? This episode is sponsored by tandem Diabetes Care, and today I'm going to tell you about tandems, newest pump and algorithm, the tandem mobi system with control iq plus technology features auto Bolus, which can cover missed meal boluses and help prevent hyperglycemia. It has a dedicated sleep activity setting and is controlled from your personal iPhone. Tandem will help you to check your benefits today through my link, tandem diabetes.com/juicebox this is going to help you to get started with tandem, smallest pump yet that's powered by its best algorithm ever. You. Control iq plus technology helps to keep blood sugars in range by predicting glucose levels 30 minutes ahead, and it adjusts insulin accordingly. You can wear the tandem Moby in a number of ways. Wear it on body with a patch like adhesive sleeve that is sold separately. Clip it discreetly to your clothing or slip it into your pocket head. Now to my link, tandem diabetes.com/juicebox, to check out your benefits and get started today. I used to hate ordering my daughter's diabetes supplies. I never had a good experience, and it was frustrating. But it hasn't been that way for a while, actually, for about three years now, because that's how long we've been using us, med, us, med.com/juicebox, or call 888-721-1514, us, med is the number one distributor for FreeStyle Libre systems nationwide. They are the number one specialty distributor for Omnipod, the number one fastest growing tandem distributor nationwide, the number one rated distributor in Dexcom customer satisfaction surveys. They have served over 1 million people with diabetes since 1996 and they always provide 90 days worth of supplies and fast and free shipping us med carries everything from insulin pumps and diabetes testing supplies to the latest CGM like the libre three and Dexcom g7 they accept Medicare nationwide and over 800 private insurers find out why us med has an A plus rating with a better Business Bureau at usmed.com/juicebox, or just call them at 888-721-1514, get started right now, and you'll be getting your supplies the same way we do.
Speaker 1 16:51
Most of them don't, yeah, so you might even have to go to the manufacturer's website. And maybe I'm incorrect, but it maybe some of them don't need to do that, but I was under the impression that you should still be doing that sometimes, well,
Scott Benner 17:03
one way or the other, having accurate numbers is obviously the most helpful thing that you could possibly do. I agree with you. Like CGM, I would say, get a CGM before a pump. If you can only have one thing, I think it makes a huge difference. Not that a pump wouldn't be awesome, but, like, if you could just get one thing, I get a CGM I think it would change your life. Oh,
Speaker 1 17:24
absolutely, yeah, it truly, truly will. And again, the accuracy of these has improved so much, and that's also helping to make these insulin pumps have these, you know, tighter controlled algorithms,
Scott Benner 17:35
right? Yeah, the better the CGMS get, then the more aggressive the pump companies could be with their algorithms, I imagine
Speaker 1 17:42
absolutely, yeah, because there's uncertainty, right? If the CGM is not as accurate as possible, the pumps not going to target a lower glucose level, because you have a margin of error. And if it's you know is going on the low side. They don't want people to be low all the time, because there's that huge risk for one, probably lawsuits as a pump company. But then two, you're harming patients, and so not what you're trying to do as the CGM get better. Yeah, they're gonna, they're gonna get tighter and tighter, for
Scott Benner 18:07
sure, what do you tell a person who comes to you and says, Listen, I want to get one of these algorithms. But, yeah, my CGM is not accurate all the time, and I don't want that thing making insulin decisions. When you know my CGM says I'm 220 but I'm really 170 or I'm 170 you know, but it says I'm 65 or, like, how do you answer that question? Because I've always struggled with that,
Speaker 1 18:29
so that's a great question. Yeah. So CGM, their accuracy, can be great under the right circumstances. So first I would be asking some questions to the to the person there. So for example, when did you put the CGM on? Because there's something called insertion trauma. And the first 12 to 24, hours of wearing a CGM, you are going to notice that there could be some variables in the accuracy there. And that's simply because, if you think about it, you've created a small hole in your skin that's going to cause inflammation. And when the body has inflammation, it's going to send an inflammatory response there, yeah, white blood cells, the whole, the whole thing, right, right? So that's going to naturally throw off the the CGM, potentially, because CGM are looking at, it's an enzymatic so enzymes, it's a reaction happening there. So if you have any other like micro things in your body going on there, it could throw off the sensor. So if they've put it on in the first 12 hours and they're telling me this, I would tell them not to really worry about it too much, because these CGM, you wear them for anywhere from, you know, seven to 15 days, depending on the brand
Scott Benner 19:36
you use. Yeah, that's not the question, though, like Jordan, the question is, isn't this thing going to give me too much insulin if it thinks my blood sugar is higher than it is? But I don't know how to explain that. Arden has been using some kind of an algorithm for years, and I don't imagine that her CGM is always spot on right, and it's never been a problem. Is that random luck, or is that you. Is that not is it? You know what I mean, like, I don't know how to quantify I'm you might not either. I don't know how to quantify it. All I tell people is, she's been wearing it for a really long time, and so far that hasn't been an issue.
Speaker 1 20:10
Yeah, I guess what I would say to that is, the algorithms are designed to reduce your basal rates if you're going too low. So for example, if you look at control IQ with tandem, they have a target range of 112.5 to 160 if you drop below that 112.5 or are predicted to in 30 minutes, your basal rates gonna slow down. So there's a pretty big gap there between a low blood sugar and that number there, because you could be 130 and dropping, and it's going to back off on the basal rate. So I would say, even if you're not actually 130 in that moment there, it's allowing for enough margin of error to where you're not actually actually at a low blood sugar for that basal rate to start slowing down there.
Scott Benner 21:00
What about if my blood sugar is 300 on the CGM, but it's really, I don't know, 180 and it's bolusing, and then the number doesn't move. I would describe Arden's experience with Dexcom as really good and even lucky to some point, like she wears them right out to, like, the 10 days plus 12 hours. She very infrequently gets one that just goes haywire. Yeah? And it's a thing I'm gonna ask you about, which is, like, personal body chemistry in a second, but like, like, so I'm saying, okay, like, it works really well for her, and I've still seen times when it tells me her blood sugar is 100 points higher than it really is, right? And the algorithm is bolusing during that. But yet, I'm not here also telling you that she got super low afterwards. But you know, also, I might be talking myself out of this. I also know how to look at that CGM and say something's not right, like, because I know what we've done and I know what should happen, and I've seen it so many times that when it doesn't happen, I think that number is lying to me. I know pretty soon, when it's happening like it doesn't take me, you know, I guess maybe that's the difference, if I'm looking for anyway, I'm sorry, there's a question
Speaker 1 22:06
in there. No, no, you're good. You're good. But so there's a couple things there, but to your point, right? You know how to look at the CGM graphs, and you can just look at it, and maybe it says it's stable, but you just know that it looks a little funky, right? Yeah. And so that that ties back into even, like in our first conversation, we talked about knowing your baseline and having plans, right? You have to know your baseline and what and what works right, because maybe you have a failed pump site or something, and that's why it's high and it's not coming down. But to that question, maybe I don't have the specific, specific answer to that, but like I would, I would be just going through a checklist, essentially, of saying, are you doing everything correctly to make sure that you have the most accurate readings on your CGM, right? Are you staying hydrated? Yeah. Like, if you're not, if you're not hydrated, you're going to have less interstitial fluid there, and that's not going to work out well for the readings of the CGM, right,
Scott Benner 23:00
right? So first of all, I asked you the question because I think in the end, I wanted you not to have an answer because, and I don't think I have a specific answer, because my answer is, this, is that, yeah, okay, maybe you found a flaw in the system, right? And, yeah, sure, it should be better than that, but at this point it's not, but it's still, even with that being a, you know, a weakness in the big picture, it's still so much better than anything you're going to do manually and absolutely, you know what I mean, like, I'm, for most people, you can still be half at this and get an A, 1c, under seven, like, Oh, definitely, definitely, just, it's just awesome. You can have a whole month where you're just like, I don't know, I wasn't really paying attention, and look down and be like, Oh, I have a six, six this month. Yeah. It's not crazy to think. And so I would say, I guess my real answer is, in a world of uncertainty, I prefer the uncertainty that comes with that than the uncertainty that comes with something
Speaker 1 23:57
else. Yeah, I think that's very fair. And then if you also look at, like, all of the CGM companies, I think they do account for this sometimes, because they will give you specific instructions when you're going through the setup process, that there are times that you should actually physically poke your finger, yeah, and see where you're at. So even though, even the companies themselves say, hey, like, you probably shouldn't, like, 100% of the time, just rely on this. Like, there are times where you do need to actually maybe confirm the reading a little
Scott Benner 24:25
bit. When I see people complain about I think, listen, everybody has their experience, and you should voice your opinion. I'm not saying don't pressure people to make their things better. But when I see somebody who's more newly diagnosed, like holding up a CGM and going, This thing doesn't work, I think to myself, someone ought to put your time machine and let you go live on regular and mph for a couple of days, totally. And you might come back and go, Oh, this thing is awesome. You know what I mean? Like, and I know that's just the fact of life. Like, you know, not everybody comes in at the same spot, and they don't all have the same perspective, but I wish they knew. Like, sometimes. When I see people doing that, I wish they knew. And I'll, you'll actually see very often online, older people with type one will send me notes and say, hey, somebody put up a post that their libre wasn't very accurate, or the Dexcom wasn't very accurate. And like, you should take that down. And I'm like, Well, I'm not, I'm not going to, but their points always the same thing. Like, you should not let people think that CGM aren't terrific. And I'm like, Well, I'm not into telling people what to say, but I get my point is that I get their greater point like they've been around long enough to know that a CGM, even with its foibles, is maybe the greatest thing you could have. It
Speaker 1 25:36
absolutely is. I mean, take my uncle for an example. He was diagnosed with diabetes in the 50s, right? And so he was having to boil his syringes before taking an insulin injection. Yeah, you know that to check glucose, you had to go pee and see what your urine had for glucose in it. And, I mean, that's like, two, three hours from what's even at. So, like, like you're saying a CGM is just, hands down, so much better. Even if there's a little bit of inaccuracy at times, it's just gonna be so much better for most
Scott Benner 26:08
people. I just interviewed a lady recently, and her thing's not out yet, but it'll be out soon enough. You know, she told a story of her mom diagnosed in like her, I think 11. She may be 11 or 12 years old. She was dead before she was 50 Wow. And the whole time just saying, No, I'm doing a great job. I'm doing a great job. And I thought while she was talking, if you could somehow go back, that means long time ago now, right? It's probably 50 years ago. This story is like when, when the woman was diagnosed, but you go back 50 Years and slap that Dexcom on that 11 year old, and she'd know she wasn't doing great, right? You know what I mean, and then she'd have a fighting chance to do something about it, at the very least. So I'm a big fan. I know I went way off the mark with what you were trying to talk about here. I apologize.
Speaker 1 26:50
No, it's okay. This is, I mean, that's, this is a super valuable conversation, like an understanding, yeah, I
Scott Benner 26:54
like talking more deeply about this kind of stuff, all right? So CGM get one if you can. I hope your insurance covers it. I can't say enough good things about it. But like you said, there's a lot of these CGM now that are supporting algorithm based systems. So yes, you were nice enough to put a list here together, so I don't have to do it off top my head. But right now we have Omnipod five, the beta bionics, eyelet pump tandem, which at this point is, what is the x2 Moby, and they might have a two. Are they working on? I shouldn't say it's out loud if I'm wrong. But is there a tubeless pump?
Unknown Speaker 27:25
Yeah,
Scott Benner 27:25
so there will be a tubeless pump in some point in the future. Again, I don't speak for the company, but they're working towards that. That's a goal for the future. Yes. And then medtronics Got that 780 G that people seem to love. And then there's a they're a brand new sponsor, actually twist their pumps, not even it's April 18. It's not out yet, but it's, it's coming very soon, from what I understand, very soon. Yep. And that pump is going to run a version of loop. It's good. They call it the what twist loop algorithm, yeah. And that's going to be a version of loop. So you've got a version of loop, you've got Omnipod five, you've got beta bionics, which says, Just tell me your meal is going to be average, smaller than average, larger than average, breakfast, lunch or dinner. Yep, the 780 G, which I started hearing about two years ago from people in Europe who were telling me that it was awesome, which I they there's, they don't use the 780 G in Europe, but it's the same pump with a different number on it. And I mean Omnipod five, which has been chugging along for a while now. And people seem to love the control IQ, and now they just upgraded it to control IQ, plus, yeah, these pumps all need your CGM data to work with. Can I ask you my first question is, if you have any idea, like, what the backroom scuttlebutt is like, how come some companies are like, hey, ours works with this one, but not that one, or that one, but not this one. Like, how does that happen? Like, how can you bring to market? Like, oh, it works with libre, but it doesn't work with Dexcom. Works with Dexcom, it doesn't work with libre. Like, do you know how that happens?
Speaker 1 28:49
I don't know exactly how that happens. I know it's a frustrating. It's frustrating. It's obviously a business negotiation thing. I don't know exactly, but there's also, yeah, good.
Scott Benner 28:59
You can say what you want to say, but I just don't understand from a like, if somebody's like, No, it's okay. We don't want to work with yours. I'm like, I don't like, or they can't I don't know, like, I guess I don't understand the back room of it, but it's frustrating for somebody to say like, either, oh, I really want to try that pump, but I don't, you know, I use this one, not that one. Or, you know, what's worse, I think sometimes is that people get stuck with things they don't want because it works with the thing that their insurance covers, or, I don't know, yeah, and
Speaker 1 29:27
I mean, there's also a lack of education from the prescribers themselves. How so well, it would be awesome if all the prescribers actually knew in depth about some of these insulin pumps. For example, you might have an older provider and all he's known for years and years is Medtronic so then every patient is going to go, I want an insulin pump. He goes, Okay, that means that you get a Medtronic pump. When that maybe that's great for that patient, but they don't know about the other options. It'd be great if the providers knew the options available, and could. Could speak to them.
Scott Benner 30:00
I listen. I can't talk about this with you. I will get very upset, but I can't wrap my head around that like that's your job and you don't have a weekend to figure out the five or six pumps that are available.
Speaker 1 30:11
Scott, listen this. So I just was in an endo office the other day looking at someone's schedule, and this endocrinologist had booked three appointments in the same 15 minute slot? Yeah, I guess not. So that's, I mean, if you're quick, you got five minutes with each patient.
Scott Benner 30:28
You get a day off eventually. Like, wouldn't the week get easier if you spent one Saturday understanding what all the pumps did? Or Can't you just ask a support staff to put together a one page on each one of them for you?
Speaker 1 30:39
Oh, you you should. I mean, you totally should, right? I mean, there's the other side of that too. It's like, maybe they do that, but maybe this person's only in the office once a week, or like that. That was literally the case at this particular office. It was that the person who would do any of the the pump trainings or putting anything together was only in house once a week. So you're working with all these
Scott Benner 31:02
conflicting schedules. I make a podcast. I work on the weekends, okay? And like, I hear you, it's not my point. Like, I think my bigger point is that if you were digging a ditch and your shovel broke, going to get a new shovel, even if it's a waste of time and you're supposed to be digging, is way more productive than digging with the broken shovel. Like, I don't understand not, it's insane to me that an endocrinologist could look at me and go, Oh, you want the tandem. I don't know anything about that one. You have to get the Omnipod, or vice versa, or whatever. Like, you don't know anything about it. Like, if you don't know who the knows, then, right? Seriously. Like, that's how it would that's how it feels to me every time somebody tells me something like this, like, Oh, my doctor said they couldn't support that one, or they didn't understand how that worked, or they wanted me to use I mean, look at Canada given their kids aren't, you know, mph and regular still, because they're like, well, there's no one at the school to give them an injection, injection. They're wearing rocket ships that give them insulin, right? What are you talking about?
Speaker 1 32:03
Yeah, no, I wholeheartedly agree with you. Like, but anyways, yeah, but yeah. I mean going into a pun training, like, if you want to be successful, do your homework, right? Because, as as we just discussed here, the provider might not know everything about the pumps, so it would serve you well to do your homework. Research different pumps, look at their websites, figure out which one you're thinking about, because maybe that takes you to go into the office and say, hey, I want tandem or, oh, I want Omnipod. So just research it beforehand, so that you're not stuck in a position where you might not have
Scott Benner 32:36
what you want. Let me ask you something. Do you have a one sheet for each pump?
Speaker 1 32:40
I do have a little one that I created for like, hospital use. Yeah,
Scott Benner 32:43
would you want to share it with a guy who makes a podcast to put on his website? Sure, no problem. Okay, thank you. All right, I'll do it if nobody else is going to do it. Yeah? I just, like, for the life of me, you know what I mean? Like, I listen, I have a ton of compassion for doctors. I know how hard their job is. I know. I know. Listen, I've been through it 16 different ways. I know all the problems, right, and I'm not unfeeling to the issue. But like, you can't be unfeeling to that the people are coming to you, like, whether it's fair or not, you're what's between them and success.
Speaker 1 33:13
Absolutely, yeah, you're that. You're supposed to be the expert. So like, in my mind, like, like, what you're saying, there's no excuse for a provider to, especially an endocrinologist to not know about the pumps.
Scott Benner 33:23
Yeah, right. So this is your wheelhouse. So tell me what the keys to pump training success are
Speaker 1 33:28
absolutely yeah. So like I said, be prepared. Know the pump that you wanna do, I would say also look at your insurance coverage. Okay, so before you start this whole process, you should have a general idea of what you're getting yourself into. So what I would recommend you do is you actually call your insurance company. They're not going to give you a specific number at that moment, but they might be able to tell you what percentage of coverage that you'll be able to have for each particular pump. You can even ask them, like, is this being run through pharmacy? Would this be run through DME? What are the differences there? That way you have a general idea of what to expect for payments and things like that. Now let's say you get an answer and you go, wow, this is ridiculous. This is too high. I can't I can't do this check with each of the pump manufacturers because they oftentimes will offer payment plans. And perhaps you have a payment plan, it's, maybe it's 50 bucks a month, or whatever it is, that would allow you to still get an insulin pump, otherwise that you wouldn't have been able to
Scott Benner 34:27
get it at all. Yeah, you don't want to fall in love with the convertible if you can't get the loan for it. Like, so, like, exactly, yeah, know what your purchasing power is like through your insurance or whatever. Like, what is it you're eligible for before you show up and fall in love with something and then find out you can't
Speaker 1 34:41
have it absolutely. Yeah. Now you're also going to want to know where, where are your supplies coming from? Okay? So a lot of people, I'll get them trained up, and that was maybe a question that was never brought up or asked, and now they don't know where their supplies are coming from for their next pump change, right? So they'll get, like, three months of supplies to start. I don't actually know where I'm gonna get my stuff, so make sure you know where it's coming from. Generally speaking, the pump companies will look at a supplier that's contracted with with your insurance. Yeah, right. So like, I know you talk about us Med, you know there's edge Park Byram. There's a bunch of them out there. Just make sure you know where it's coming from. Because you don't want to love the pump, be using it. And then you get to where you're like, oh, it's been three months, and I have no supplies, right? You want to know? You got to
Scott Benner 35:26
know that. Give me a second. Here. You can get your diabetes supplies the same way my daughter does from us, med, us, med.com/juicebox, or call eight. I don't know if I know the number of thought my, damn it. I don't think I know. It's so funny. No, they, I just wanted to bring up that they're, they're a sponsor, so, but, yeah, like, I'm a, I'm a huge fan of that, like, so my daughter's Dexcom comes from us. Med, her OmniPods come from there. We're on a, you know, actually, just was on the phone with them today because we switched insurances. And it's so interesting, because no matter which company this is, you see people mad at them all the time, like nobody's ever madder than somebody who sends medical supplies to you. And in fairness, I would say that they all feel like they should buy a new computer to me sometimes, but I know that's an oversimplification, but like it just feels, it feels like a process. It's a little outdated for you know where technology is. Having said that I woke up one day and I was like, Where the hell are Arden supplies? And then it hit me, oh, we changed insurance. That's my fault. Yeah. Like, you know what I mean? Like, oh, I never called them and said that I called them up. I just kept assuming, like, Oh, it'll show up. And this I called and I said, Hey, we switched insurance, and it's not a fun process. They've got to contact your doctor again because the new insurance company wants verification, and the whole thing is a rigmarole, like, it hurts, like, you know what I mean, but once it's set up, there's nothing like it. Because I don't know how some of these other companies work, but us Med, like, they call my house, I push a button on the phone, and the stuff comes and, like, you can't beat that with a stick. That's awesome, you know what I mean? Totally, totally,
Speaker 1 37:01
yeah. And that might not be everyone's experience with every single company. So just, you know, work with the companies, and if you don't really like them, I mean, you can, you can switch suppliers, sure? Yeah,
Scott Benner 37:12
absolutely. I've worked with Edge Park, I've worked with us Med, I've worked with other companies. I've worked with CVS, Caremark. Like, I don't know what it is about the process, but it always feels like, God, it shouldn't have this many steps, agreed. You know what I mean. But the thing I like about us Med, the best is that, once it's up and running, it is so automated, it's just, it's awesome. So, but, yeah, like, that's an interesting point, right? Because people are diagnosed and they like, your doctor gives you some supplies, maybe to get you set up, and then, or, you know, your first order comes with some stuff. And you probably just, like, you probably don't even think about it, like, Where does this come from, right? You know? And some people probably just think local pharmacy. But that's not always, you know. I mean, after, you know what, it is not bad, but after you've got this Albatross, I was gonna say Albatross, after you've had diabetes for a while, you don't want to be at the pharmacy all the time picking stuff up, you know? Yeah, no, I hear that, yeah. What else you got
Speaker 1 38:07
there? Yeah? So I'd say also, you need to know who your point person is. So the way it works is a lot of times you'll have an actual employee from the pump company who's doing a lot of the back end stuff, right? So they're they're working with a doctor to make sure that all the the orders and the prescriptions are correct, making sure settings are dialed in that employee there may not actually be the one who's going to train you on the pump, right? So you're going to want to know who is the actual pump trainer that's going to train train you. So like, as an example, I do pump trainings outside of working in a hospital as a contractor. And there's also endocrine clinics that have their own trainers there, and then sometimes there's trainers from the actual company. So you want to know who that person is, because they're going to be a really good contact point for you to while you're learning how to how to use the pump, or if you need help with the supplies and things like that. You gotta know who that is, and you need to communicate with that person. I would recommend don't leaving that person unread, like you wanna get things situated and scheduled up listen to their recommendations. Now that person there also is likely not gonna be able to come to your house. In the old days, you could go and do pump trainings at people's houses. But there's, there's definitely a safety issue that can come sometimes with that. And so most of the pump companies will say you need to do this at your doctor's office, like a coffee shop, a diner, a library, something like that, a public location where
Scott Benner 39:36
you can't be absconded with Jordan, where you don't end up in somebody's trunk. Is that what
Speaker 1 39:41
you're saying? That's exactly there. There's a few trainings that before these policies were really implemented. Let's just say I was like, I need to get out of here. You're
Scott Benner 39:50
like, this isn't going my way. I wish I remembered this guy's name, but this has got to be 10 years ago, a really long time ago. Arden was on, like, Chief. Four and we had some sort of, like a failure, and we didn't have any more supplies. And I called the company, just like anybody else, I didn't call. I wasn't like, Hey, I'm the guy from the thing. I wasn't the guy from the thing at that point. And I, you know, I got somebody on the phone, and they said, Well, your local rep may have samples. And they gave me my local reps number I called. She said, I'm sorry I don't, but, like, I know that the local rep in the next state over, like, I'm in New Jersey, she calls a guy in, like, Pennsylvania, and he says, I have stuff here, and I'm talking about, like, 90 minutes from my house, right? And he says, This is my home address. You come here. I'll give you one. And no VI, like, later that afternoon, I was standing in his dining room, and he was handing me a transmitter. Oh, that's amazing, yeah. Like, just a really, like, like, a genuinely nice thing that nobody had to do, you know. So I don't know if the world's gotten so big now that that stuff, that stuff like that happens anymore or not, but like, a long time ago, like, that was it just, you know, some local rep that has some stuff in his car. And he was like, happy to like, like, help me out with it.
Speaker 1 41:04
Yeah. I mean, I down here, because down here in Arizona, right, there's, it seems like to me, it's a pretty family friendly state for the most part. And like, the reps at all the companies kind of fit that description that you just said there. Yeah. I mean, I've had encounters before where you're like, This patient's really struggling, and one of them will be, I'm on my way. I'll be right there to drop off a sample, right? It's incredible,
Scott Benner 41:27
yeah, just very, very, very uplifting, actually, I guess, the way for sure, for
Speaker 1 41:31
sure, but yeah, I mean, when you're going through your training there, like you said, You'll coordinate with that person to figure out where you're going to be training. Just make sure, though, during the training, you come prepared to ask questions, and depending on the person's training style, they might try to do everything for you. I would say, go into that training. And if it's not made clear from them upfront, like you should be holding the pump, you should be doing everything yourself. You got to get that hands on experience. Otherwise it's it. You're going to get to your first actual site change or whatever, and no one's there, and you're not going to know what you're doing tactilely. It's not going to be memorable at all. You're not going to be exactly right. So like, if I do a training with someone, I say, Listen, from the get go, you are doing everything. I'm here to help coach you, but you're going to be entering all the basal rates. You're going to be putting the pump on yourself. You're loading it with insulin, you're doing it all. So, yeah, just, can
Scott Benner 42:23
I be cynical for a second, if a trainer is doing that? Is that just them trying to get out of there? Or do you think it just also could be just a style? Like, you know what I mean? Like, are they, like, let me just get this thing set up so I can get the hell out of here. Like, do you think that
Speaker 1 42:36
has I see? Yeah, there's a possibility that, definitely that could be a possibility. There are situations where maybe someone's getting really sidetracked and just really off topic. I got you, and you're like, Oh, hey, let me show you this real quick, and then you do it for them real fast.
Scott Benner 42:52
Are you? Are you asking me to remind people that that you're not there to hear someone's life story?
Speaker 1 42:58
That's for sure. Like, I think people should be personable and have good conversations, but you are there for a specific goal of getting someone going on a pump
Scott Benner 43:08
right? Listen. I'll tell you something. One of the reasons it's so easy to make this podcast is because no one likes to tell their story more than people with type one diabetes. They love this. Yeah, oh my God. They love it. Yeah? Like, yeah, I if I go speak at something and I try to walk across the room, I gotta put my head down and put a bag over my head if I want to make it to the other side. Because everyone who stops you, it's like, hey, it's, first of all, it's lovely. Like, don't get me wrong, but like, at some point they settle in, and if they feel like you're not moving still, boom, here's my diagnosis. Or they they start at a at the beginning, and you're like, Oh no, I gotta go.
Speaker 1 43:43
I know you don't want to sit there being rude or anything. But, oh man. And
Scott Benner 43:48
worse for me, Jordan, and you know, it like I'm really interested. So I'm like, oh no kidding. Before I know it, I'm making a podcast for them and me. You know, maybe, like, No, it wasn't. If no one else can hear this, I you know, can we record this at least? I think it's nice actually, that people are, you know, I honestly, I think it's a community thing. Like, once you get in front of somebody who, you know, understands, like, you're like, Well, this is my chance to, like, open up about this to a person who's not going to look back at me, like, blankly, you know, I get it like, it's awesome, but the trainer's got to go. They got a half an hour, and they got a lunch break too, and like, they got to keep moving get to the next
Speaker 1 44:24
person. Yeah, yeah. And again, this depending on the person, but I usually allow for up to two hours, or
Scott Benner 44:30
they call a mensch, that's nice, yeah. So
Speaker 1 44:36
that usually is plenty of time, like most of the pumps, you can get trained up in about an hour or so, give or take, and then that leaves about an hour to, you know, have some friendly conversation or ask questions and things like that.
Scott Benner 44:49
You have a list here of things to be prepared for. Can I Can I read the list? Yeah, go ahead and read the list, because I'm amused the pump. Have you shown up at trainings where the pump wasn't there? Absolutely. Absolutely okay. The charger. Have you shown up at locations where the pumps not charged? People who don't have their infusion sets or their pods with them? Yes, yes, they brought the pump, but not insulin correct? They have the pump, but they don't have their CGM, yep. Okay. They don't have the transmitter for the g6 but they have the sensor. Yes. So now, here's the here's one I'm interested in. Now, I know professionally, I think you have to say what you want to say, but I have other thoughts. Alcohol swabs, if you, oh, if, if you want to use them, you put it there. Okay, all right, yes, you are not carrying alcohol alcohol swabs with you. For them, not at all. Gotcha. And then, and this is a great tip, like, bring a notebook so you can write stuff. Now,
Speaker 1 45:41
yes, yes. Okay, so everything on that list that's all coming from experience. I've been doing pump trainings going on about five years now, professionally, and everything on that list has been forgotten, misplaced, or something like that, to where you either have to reschedule the training, or, you know, we're getting a delay where, while somebody drives home real quick to go get it. Listen, I don't want
Scott Benner 46:05
to be critical, as the person who has left my house 1000 times in my life and walked back in two minutes later going, I'm just gonna remember to take my wallet with me this time. Exactly this list hit me like, like Jordan, when my wife and I rented our first apartment after we were married, we were sitting down to sign the contract on the apartment, and there was, like, this highlighted, like something on the page had like, highlighter through it, so it drew your eye to it, and it said, No swimming in the pool with open wounds. I gestured to the rental person. I was like, this isn't just the thing a lawyer thinks of, like, what is this? She goes, Oh, you have no idea how many people try to get into the pool with open wounds. I was like, Oh, that's a problem. She goes, it's a massive problem. And I was like, oh, okay, that your list reminded me that I'm like, That's not just things people write down. Because why would you have to remind people to bring a pump to their pump training? But yeah, I
Speaker 1 46:55
can't tell you how many times they're like, Oh, I thought this was just an educational session. It is about the pump. Where's it at? Yeah, right. Okay, just a quick side story here, but I went to a training once, and this was for a tandem pump, and we get there, and this was also back when I went to people's houses. So I'm at this guy's house, way out, way out, far away, and we're talking and all that stuff. And then i All right, well, why don't you get the pump out? And he gets it out, and he's like, whoa. Like, what is this? My dad, that's your pump. He's like, No, I wanted that tubeless one. And I you mean, the Omnipod? Is like, Yeah, I thought I was getting Omnipod. I'm like, Dude, this is the tandem pump. And, like, when did you get this? He's like, it, well, it's been here for
Scott Benner 47:36
a month, yeah, in a box that says tandem on the front
Unknown Speaker 47:39
of it, right? Yeah.
Scott Benner 47:41
Oh, my goodness. And for clarity, you mean you're out in the desert, is what you're trying to say, right, literally, out in the desert. You're like, oh, I don't want to get buried out here. So, like, so
Speaker 1 47:52
I was like, All right, well, I might have to either reschedule, or he ultimately, was like, I got to send this back. We're not, I can't do this training. I was
Scott Benner 47:59
wondering. I wondered, like, did he just, like, put the other pump on? But no, he sent it back and went and got the one he wanted. It's awesome story. I don't
Speaker 1 48:07
know how that actually worked out with his insurance. I kind of was like, All right, I'm gonna wash my hands of this
Scott Benner 48:11
one. Here I go. Now, goodbye. Yeah, he didn't ask if you want to stay behind and shoot cactus for a while or anything like
Speaker 1 48:18
that. No, he just asked if I wanted to stay for a couple of glasses of whiskey, but, oh, that's, that's lovely. It was very polite and kind. But I was like, you know, I've got to get home to my family. Thank
Scott Benner 48:27
you in one piece. Yeah, understand how a CGM works. Go ahead. What do you what do you want people to know?
Speaker 1 48:34
Yeah. So just just understanding, similar to, like, what we touched on a little bit up there earlier, but like, for example, CGM do not read blood glucose. They read interstitial glucose. And so if you're not aware of the difference, interstitial glucose is really the glucose just outside of the blood. So think about getting to that open wound discussion we had, if you scrape your knee and you clean off the blood and then it's kind of oozing a clear fluid that is interstitial fluid. And that fluid there contains glucose in it. It's going kind of back and forth a little bit through osmosis. Yeah. So anyways, it's just, it's just glucose outside the blood, the easy way to think about it, right? But because it's measuring that the changes of your actual glucose levels that are going to impact you are happening inside the blood. There can be a slight delay in that interstitial glucose there. Yeah. So as an example, let's say you look down at your CGM. It says that you are 150 with two arrows up. There's a good chance by that point there, maybe you're like 170 actually, if you pull out a glucose meter, a reliable glucose meter, and checked, because the CGM is going to lag behind when there's these rapid changes. So you just got to be aware of that, right? That's all I meant by that. Okay,
Scott Benner 49:54
I've tried to impress upon people forever, and I sometimes I feel weird about, I'm not going to lie like, because. You know, like, ever since Dexcom, they're sponsors, right? And then I see somebody online, they're like, This thing doesn't work, and blah, blah, blah. And I'm like, and you want to say, like, are you hydrated? Like, you know, is it this? Is it that? Like, I'm always afraid people are going to be like, he's over here apologizing for them. The fact that people aren't wowed that a little, tiny wire gets inserted under their skin, and then they know what their blood sugar is, which direction it's moving, and how fast it's going that direction. Yeah. Like, yeah. I don't know how you're not wowed by that constantly, but Okay, and how you don't see that like this, this static piece of metal and plastic, which is being run by like, an algorithm that's actually taking that measurement and then doing a bunch of gesenters that you and I do not understand, to come up with how much glucose is in this interstitial fluid, and how does that translate to how much we'd find in the blood right now if we did a finger stick like, that's magic, okay? It is magic, absolutely and not to understand that like you and your body or your kid's body, and that person's body, or that person's kid's body, are not the same. They're not in the same state, and that somehow this company has made this thing that still works for most people exactly like, that's beautiful, right? And yet, but we always act like, I don't know why this doesn't work, like it's not a doorknob, like it's not, like it doesn't just work or not work, like there's a lot going into it. And I find it valuable to remember that when you're using it Well
Speaker 1 51:31
absolutely. And I love the points that you brought up in other episodes where, like, if you really look down or look at like, what's going on a situation, I think you could probably dive down and get to the root cause of pretty much every issue with diabetes. It just seems like it's a mystery to some people, but if you actually took the time and looked into it, you'd find out, like, oh, that's why this happened, right? And so you can look at a CGM also, and like, you brought up the individual biochemistry of people, right? And so, like, think about, like, you could be taking even different medications than someone else, yeah. And that could, that could play a role into the into the CGM readings there. So it's not that the the CGM itself was not working. It just could be a different situation going on in that person's body. Again,
Scott Benner 52:15
it's a piece of plastic and metal and algorithm that, in 2025 is talking to a human body and coming back with this information. It's pretty awesome, and it's not going to be perfect for everybody. Like, you know, the same idea with the with adhesive. Like, one person will say, this thing falls off all the time. The next person will tell you, like, I can't get the damn thing off of me, right? Why don't they make it this stronger, weaker, better? Like, because it's they're trying to make it work for as many people as possible, right? Not specifically for you. So, like, if you have greasy skin and it falls off a lot, then you're a person who's like, I wish they'd make this stuff stickier. So they make it stickier. And people go, I can't get this thing off, right? People with dry skin are like, oh, and then, or like, you know, listen, I don't There's few things that break my heart, like medical adhesive rashes. Like, I just It breaks my heart to think that, like, you're already in this situation, you already need to wear this thing. And like, oh my god, now this is happening. You know what I mean? Like, and I take people's points, like, Well, why don't they make a hypoallergenic one, the one that like this, the one like, I'm like, because if they started doing that, they'd have to make 7000 of these things. And then, like, I don't know how they could do that, you know what I mean, or how would even figure out which ones for you, you know what I mean. But at the same time, like, I'm not again, I'm not unfeeling to people who put it on and four days later, they're like, oh, this thing doesn't work already, right? But at the same time, I'd like to be able to say to those people, could, could you drink a bunch of water and make sure it's working. You know, first, like, before you just announce it, the thing doesn't work anymore, right? Absolutely. Listen, it's tough for everybody, but like, you know, this is what it is. This is the best you have. So you know, understand what interstitial fluid is and how you can help to make sure that your CGM is working as best as possible, that's all. And we absolutely put out episodes about it. So it's out there, if you want to know, no,
Speaker 1 54:05
it's definitely out there. Yeah, I just, you know this is coming off my head. I just forgot to mention this. But like, back to where I talked about doing the research for the pumps. There's some things that your fingertips that you could do right now to look into pumps. There's there's simulator apps. Oh yeah, go ahead and take a look at the pumps. So go on the App Store the Google place or whatever, and type in simulator for whatever pump that you want to try out. And there's a good chance you'll be able to try it out on your phone there, just getting a feel of what it would be like to push the buttons and all that. No kidding, yeah. So there's some cool things
Scott Benner 54:38
I'm telling you. As you're talking I really feel like I'd like to reach out to every pump company and just say, like, look, you know, give me a web page worth of information that you'd like people to have and like, I'll put it on my website. Yeah, yeah. You don't need to be an advertiser for that. Like, I mean, the truth is, I haven't looked into it in a couple of years, but I get better traffic than the companies do. So like, yeah, my. My site does really well. Like, I'd be happy for that stuff to be there and to help somebody. I just, I'm a one man show. Like, I can't, you don't mean, like, if I did everything that I was thinking of doing, I'd never get done. So I just prioritize stuff as best I can. Absolutely, yeah, I would love to do that. Like, I mean, yeah, I don't know, like, I hopefully you could get somebody to do it, but it's hard, man, it's difficult because you don't realize, like, you think, like, oh, call the company. You're not calling the company. You're calling a person who works in, like, my connections are in like, media or PR, and right, they don't work on the medical side. Like, you know what I mean, like, so then they got to put you in touch with another person, and now I'm in touch with another person who doesn't know me anymore. I'm like, You know what you should do? You should give me your content to put on my website. They're like, who are you? Because they don't know me. The PR people know me. I don't know like you just it's hard to get things done. I guess is my is my statement?
Speaker 1 55:49
Yeah, no, it is. And like you said, you're a one man show, so it's, uh, that makes it harder to, yeah, there's,
Scott Benner 55:55
I'm out of time. Did we cover everything you want to cover? Yeah, we did. We did. And we had a nice conversation. I thought, too. Absolutely, yeah, I'm all jacked up. Jordan, I've You are my third recording today.
Unknown Speaker 56:06
Man, yeah, you gotta take a break after this shot out of a
Scott Benner 56:09
cannon. I'm running on adrenaline right now, but I really appreciate you doing this with me. It's been a lot of fun. You'll be back again, right? We're gonna do more.
Speaker 1 56:17
Absolutely, yeah, there's always topics there, like I'd said the previous one like, I want to at some point cover some things on nutrition, yeah, yeah, there's lots of things to talk about. So I'll be back. Awesome, excellent. All right, I'll talk to you soon. Sounds good.
Scott Benner 56:34
Thanks so much to Jordan for spending his time with us. If you're enjoying Jordan on the podcast and you'd like him to come back. Go find him on Instagram, the diabetic murse, and let him know how much you enjoyed him on the show us. Med sponsored this episode of The Juicebox Podcast. Check them out at us, med, Comm, slash Juicebox, or by calling 888-721-1514, get your free benefits check and get started today with us. Med, the podcast you just enjoyed was sponsored by tandem diabetes care. Learn more about tandems, newest automated insulin delivery system, tandem Moby, with control iq plus technology at tandem diabetes.com/juicebox there are links in the show notes and links at Juicebox podcast.com thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. If you're not already subscribed or following the podcast in your favorite audio app, like Spotify or Apple podcasts, please do that now. Seriously, just to hit follow or subscribe will really help the show. If you go a little further in Apple podcast and set it up so that it downloads all new episodes, I'll be your best friend, and if you leave a five star review, ooh, I'll probably send you a Christmas card. Would you like a Christmas card? Check out my algorithm pumping series to help you make sense of automated insulin delivery systems like Omnipod, five loop, Medtronic, 780, G twist, tandem control, IQ and much more. Each episode will dive into the setup, features and real world usage tips that can transform your daily type one diabetes management. We cut through the jargon, share personal experiences and show you how these algorithms can simplify and streamline your care. If you're curious about automated insulin pumping, go find the algorithm pumping series in the Juicebox Podcast. Easiest way. Juicebox podcast.com, and go up into the menu, click on series, and it'll be right there. Hey, what's up, everybody? If you've noticed that the podcast sounds better and you're thinking like, how does that happen, what you're hearing is Rob at wrong way, recording doing his magic to these files. So if you want him to do his magic to you, wrong way. Recording.com, you got a podcast. You want somebody to edit it. You want rob you?
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