#1596 Hot As Balls
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Nicole from Perth shares her 25-year type 1 diabetes journey — from pancreatitis at 13 to DKA, loss, GLP-1s, and thriving with CGM, Omnipod, and hard-won perspective.
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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
Friends, we're all back together for the next episode of The Juicebox podcast. Welcome.
Nicole 0:15
Hi. My name's Nicole. I am from Perth, Australia, and I have had type one diabetes for almost 25 years now,
Scott Benner 0:27
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, or you can listen to it at Juicebox podcast.com by going up into the menu. 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. The episode you're about to enjoy was brought to you by Dexcom, the Dexcom g7 the same CGM that my daughter wears. You can learn more and get started today at my link, 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
Nicole 1:57
Hi. My name's Nicole. I am from Perth, Australia, and I have had type one diabetes for almost 25 years now.
Scott Benner 2:06
You're from Perth? Yes. Do you know what people from Australia most commonly do when they're on the podcast? I've heard a couple that, yeah, they always get the day wrong. Like, I sit down to record. I'm like, okay, meanwhile, like, it's 9am for me, that's as early as I record. And you it's What Is it midnight for you,
Nicole 2:25
and nine o'clock, 9pm 9pm
Scott Benner 2:27
for you. Okay, so it's nighttime for you, and most of the time I sit down, and then every time it's from somebody from Australia, they're not there. And I send a note, and I send a note, and I go, Hey, you know we were supposed to record. And they go, no, no, that's tomorrow. And I'm like, yeah, no, it is tomorrow, today, here or like, and I don't even know how many of that works, so I get confused by it, and then we just laugh and we try it again, yeah? Anyway, 25 years, and you are how old? Yeah, I'm 53 three, so you got it when you're
Nicole 2:57
28 Yes, yes, okay, oh, 29 Yeah, okay, all right,
Scott Benner 3:02
are you a mom?
Nicole 3:04
I am, yes. Now, were you then? Well, that's a long story. Okay, that's part of my story. So
Scott Benner 3:12
then go ahead and tell me that story. Hell. Jump right. Well, how's that part of your story?
Nicole 3:18
Well, I think my story probably starts earlier than that, probably when I was 13. When I was 13, I got very sick one day and ended up in hospital. I had severe stomach pains. My parents, like, ended up rushing me to the hospital, and I had did the tests, and they were like, Oh, we think you have diabetes. Ended up not being diabetes. It was pancreatitis. Okay, so, yeah, I was in hospital for about three weeks.
Scott Benner 3:53
Three weeks almost done, yeah, yeah, were you on death's door? What's going on? I
Nicole 3:58
Yeah. I was Yeah. I i when they rushed me in, and it was probably about six days, I was very, very sick. I remember one night, the the one night when they kind of said to my mum, oh, look, if she if she doesn't, the fever doesn't break and she doesn't get well overnight, then we're going to have to operate and take out her pancreas. Hopefully it will only be, we might only have to take half of it out otherwise, you know? And, yeah, I remember, like, at 13, I was looking up, and they had all these fans on me trying to, like, bring my temperature down and all this kind of stuff. And I looked at looking over at my mum, and I've never seen her so scared. I could see on her face that she was really scared. But yeah, it did break overnight that night, so yeah, and then they kept me in hospital for, I think, in that another week or so, because I'd lost so much weight that I was already very skinny. And, yeah, I'd lost so much weight, so they were trying to. That me up and yeah, get me get me better.
Scott Benner 5:03
So what was the onset of that pancreatitis like? Was it instant, very quick, or
Nicole 5:08
it was instant? Yes, I remember it was like it was New Year's Day. We'd gone down to the beach. When we left for the beach, I was okay. I was just feeling a bit off. By the time we got down to the beach. I was in severe pain. I just laid on, like, lay down on my towel, and I couldn't really move much at all. And then by that night, yeah, I was in severe stomach pain. I couldn't move, couldn't do anything. Yeah, they ended up calling in a locum doctor, and he said, like, get it done. But he did it, like a urine test, and said, No, you need to take it to the hospital right now. Yeah, it was very sudden, and they never found out what what it was, either they did tests afterwards to, like a endoscopy and CAT scans and all sorts of things, and never actually found a cause
Scott Benner 5:58
for it, like viral or, like, you don't know what brought along law, no, don't know. And then don't know, that's 13. How long? What's the recovery time? A few weeks,
Nicole 6:09
a couple Yeah, a few weeks.
Scott Benner 6:11
And then you just keep going and never think about it again. No, no, yeah. Were you sick more as a child after that? Or was that this one time thing?
Nicole 6:21
No, it was just a one time thing. Okay, one time thing. Yeah,
Scott Benner 6:25
interesting. And you think that's where this may have all began? Well,
Nicole 6:30
I don't know. It's just the pancreas. It's possibly no one's ever said that, like I've mentioned it before, to doctor, to my endos and that kind of stuff. And they've kind of just gone, oh, yeah, that's interesting. You don't know, do you,
Scott Benner 6:44
yeah? Well, I have, I have a little thing here I was doing while you were talking. So, yeah, if you get something called pancreogenic diabetes, it's acute or chronic pancreatitis, and it can happen because of physical scarring or loss of both exocrine or endocrine tissue. They say a clue that it's not classic type one could be that you have little or no digestive enzymes. Did you have any trouble with that? Did you digest food poorly through your life? Yes, really. So it says here, a key clue is that it's not a classic type one diagnosis, little or no digestive enzymes, low C peptide, but no autoimmune antibodies. Have you ever been checked for the antibodies? Is that That's you. That's me. Well, our overlords on my computer say that that's probably what happened to you. So so we'll see if they don't take over the world and blow it all up, maybe they know something about this. Well, that's interesting, isn't it? It sucks, because there's no other autoimmune in your family,
Nicole 7:49
right? No, no, no. That's not just a
Scott Benner 7:51
random illness you picked up probably got bit by one of those spiders. Possibly, possibly, damn right? They're everywhere. Tell people they're everywhere. Yeah, everywhere. Yeah, you live in a Jurassic Park over there. Tell
Nicole 8:04
people, yep, yep. We do. Yes, lakes, spiders, lizards, kangaroos.
Scott Benner 8:10
Are there no planes. Why won't you leave?
Nicole 8:13
Oh, yeah, there's planes here. But I love it too much. Is it
Scott Benner 8:17
a good place to have you ever lived anywhere else? No, I haven't. No. Have you visited other places? Yes, yes. Where have you been that's anywhere equal to Australia or something that makes you feel as comfortable?
Nicole 8:29
I've been to New Zealand. Don't know that it's equal,
Scott Benner 8:34
but not bad, not bad. Yeah. People in New Zealand are like, hey, it's not bad here. It's not Yeah, yeah. But so you're you just, you love it there, yeah, nothing wrong with that. How's the weather like right now? It's summer's coming here. What's happening there? Yeah,
Nicole 8:49
Winter's coming here. I see. So we're about, well, it got to 18 today. Oh, you use
Scott Benner 8:56
that other system, 18. What does that mean? I'll figure it out. You keep talking. So it's cold there today.
Nicole 9:02
Yeah, it's getting cold. Yeah, okay, and we've had kind of a late onset to winter, but yeah, it's, it's getting here. You'd never saw snow, though, right? Oh, once, but not here. Where was it? It was on the east coast of Australia, up in the mountains.
Scott Benner 9:17
Yeah, in the mountains, you can get some there. Okay, I got it? Oh, 64 so that's cold for you. 18, yes, okay, yeah, I call that a spring day. Little chilly, yeah, yeah, do you have pants on the coat?
Nicole 9:31
Just pants in the jumper. Yeah, interesting. So summer is like a hot day in summer, would be 4546 okay? 4546
Scott Benner 9:45
in like the 80s or 90s, I get you all right. I'm doing my math. I got you all right. So it's not that different from here, although it just doesn't get that cold. It gets cold for you, but it doesn't get cold compared to how it gets cold here I see, yeah, well, I think you're lucky, because the cold is terrible, though, apparently, if it doesn't. Cold enough, then the spiders don't die, and then they get, yeah, they get bigger over time, and they're as big as your face. Oh, no, the big ones don't hurt. Yeah, it's the little ones we're scared of. Yes, the little ones awesome, the ones you can't see coming. Yeah, yeah, yeah. Have you ever had a snake in your toilet? No, no. Have you heard of people who
Nicole 10:18
have, I have, I've had one at the front door.
Scott Benner 10:21
What I see the other day over is it on the TOC tech or perhaps Instagram, this guy's ring camera went off, and I think he was in Texas, and there's just like a five foot bull snake going up the side of his house, and it just tripped his ring camera. And they're harmless, I guess, but nevertheless, do people get constricted to death in Australia, ever?
Nicole 10:43
No, no, no, not so much in the pythons. They have them as pets here. Oh, do you have any pets? No, no, no. You're like, I can go outside. Not snakes. I've got a dog and
Scott Benner 10:55
that's all. How about I? What do you got crocodiles? Right? Anybody ever get chomped up by a crocodile?
Nicole 11:01
Oh, not in Perth. We don't have many here, the top half of Australia.
Scott Benner 11:05
Okay, all right, so you're okay. I see what. I'm very worried about these things. As you can tell, I would not be okay. I would definitely, I'd be in a panic most of the time, just walking around thinking like, when is one of these snakes or spiders gonna end my life? Probably right now, but you don't think about it. No, no, not really. All right, I guess I'd be okay then. So 13 years old, this happens, kind of move on. Nobody thinks twice about it. Now you grow up, go through school,
Nicole 11:33
yeah. Do you go to college? Yep, no, I left school and got a job,
Scott Benner 11:38
okay? And yeah, what kind of work were you doing in your 20s? Admin, work. Okay, so you just out in the world chugging along. And then how does the diabetes present for you?
Nicole 11:49
Well, I then, like, made a boy. We decided to live together. And, you know, do what you normally do.
Scott Benner 11:57
Argue about where to get dinner, yeah,
Nicole 12:00
yeah, we do that. But, you know, it's getting on to like, 2025 26 now, I'd always wanted to be a mum, so Yeah, time was getting on. So we decided that, yeah, it was time we we tried to have a bait, you know, start having the baby. Took a while to get pregnant. That took like two years or so, tracking my cycle and doing all that kind of stuff. We were trying hard. Okay, took two years. Yeah, it finally happened. Yeah, it took two years. We finally, it finally happened. All was going well, I didn't have that great a pregnancy. It was, like, lots of morning sickness, that kind of stuff. I got to about 27 weeks and started having, like, I'd be walking around work and I couldn't go anywhere without a bottle of water. A lot of the normal, like, signs of diabetes started happening, but because I was pregnant, you're just like, oh, well, I'm, you know, I'm drinking lots of water because I'm pregnant.
Scott Benner 12:57
Yeah, if you pee a lot when you're pregnant, right? You just think, Oh, the baby's on my bladder. Yeah. Yeah, yeah, you still working that far into the pregnancy? Okay, okay, yeah,
Nicole 13:06
I was still working. Funnily enough, I was actually working in a nursing home. So I was surrounded by registered nurses and nurses. The first time I'd ever come across type one diabetes. One of our residents was a type one, yeah. She often. It was a bit of a controversy, because she was often high cowing, and they were having to give her glucagon quite a bit. And looking back now, it's kind of Yeah. That was a bit worrying, yeah, but yeah, they no one saw anything. And I just by about 27 weeks, I got sick. So I went into my my GP doctor. He saw me, he was like, Oh, I think you've got a virus. You've got, like, the flu. Go home lots of rest, have some rest, drink lots of water. So I went home that night, and just steadily got a lot worse over that night. I I started getting in it, in quite a lot of pain. I don't think I slept much at all that night. When I got up in the morning, my partner got up to go to work in the morning, yeah, he got up to go to work, and I then, when he went off to work, I called my mum, and she came and picked me up and she took me to the hospital.
Scott Benner 14:19
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Nicole 16:44
Yes,
Scott Benner 16:47
Nicole, explain the female ability to hold a grudge. It's an amazing superpower, isn't
Nicole 16:52
it? It is quite amazing superpower, yeah. Well, to be honest, I kind of forgotten a lot about that that time, yeah, it was, yeah, it was, it's a bit of a blur till right
Scott Benner 17:04
now, when I brought her up, and it brings it all right back again, and you can murder him right now,
Nicole 17:12
I have been thinking about it, and I've talked a bit to my mum about it as well. Yeah, like, she filled in some, some of the blanks, because she came to me, she came to visit me the night before, she was worried. Okay, so, yeah, she was ready to take me to the hospital in the
Scott Benner 17:25
morning. Yeah, how many kids does your mom have? Five, five. So, yeah, yeah, four girls and my brother. Yeah, nice. She knows what to do. So she got you to the hospital. Now, when you get there, is it a is it a right away thing, or do they have to struggle to figure out what it
Nicole 17:40
is? I got in there, and I was having the breaths by then, two small respirations. Yep, that's them. So they looked at me, and they said, Oh, how long have you had asthma for? And I said, Well, I don't have asthma. So, yeah, they brought me in pretty quickly, then took me in and did an ultrasound. Then they told me that the baby was passed. Oh, yeah, from the DK, DKA, basically they said the my blood had poisoned him. Poisoned his blood. So, yeah,
Scott Benner 18:16
Nicole, now I feel bad about joking about the boy. No, that's good. No, it's terrible. I'm so sorry. Yeah, I mean, it's a long, long time ago, but I'm, I'm still very sorry it is didn't stick with you through a lifetime, losing him. Yes, yeah,
Nicole 18:32
particularly as I feel, I almost feel responsible because it was me that I should have known. I should have gone insane. Now, I should have I know logically, I tell myself it's not my fault, but I still feel like it is. I
Scott Benner 18:50
understand, yeah, when you listen to the podcast and you hear so many people tell stories like that, where you know they they feel responsible for a thing that is clearly not their responsibility, or a thing they could have known about. Do you? Yeah? Do you have compassion for them, but not for yourself?
Nicole 19:05
Absolutely, I do still feel that compassion for myself when I but I still feel it and then tell my give myself the compassion,
Scott Benner 19:14
but then the but it doesn't, it doesn't dissipate. For you, the fear, yeah, it doesn't dissipate. Yeah, people are weird. I mean, the way our brains work is strange. Oh my gosh. So what happens then? I mean, I don't want to walk you through it step by step, but how does that get managed? That's, I mean, that was seven months in, right?
Nicole 19:32
Yes, yeah, yeah, yeah, six months in, yeah. It's, it's all a bit of a blur. There, they put me in the ICU and got the ketoacidosis under control, and then they had to wait for my health to recover before they could induce the labor. How long? So that was a week. Oh, geez. So, yeah, I was a week in, yeah, a week in the maternity. 80 Ward, learning how to control, how to handle type one
Scott Benner 20:04
diabetes, gosh, see a therapist after something like that. I
Nicole 20:08
didn't straight away. I did later on, which was very helpful, Yeah, I
Scott Benner 20:13
bet, I mean, that week of being being pregnant, but not, you know, knowing the baby's gone is, I mean, that's, that'd be, it was terrible, yeah, taxing in a way that a lot of us wouldn't understand. My gosh, so you're learning your diabetes in the hospital during that and then you have to have that procedure, and then you go home.
Nicole 20:33
Yeah, yes, yeah. Like, so then, yeah. Then tell me that I have to wait. I have to wait until I can try again for another baby. I have to get my blood sugars under control, all that kind of stuff.
Scott Benner 20:48
You understand yourself to have type one diabetes. At that point,
Nicole 20:52
I did Yes, and I think at that point it was all I didn't grieve that process or accept that process, because all I was focused on was starting my family again, starting again, and trying for another baby,
Scott Benner 21:07
right? What happened to the baby? And the idea of like, let's get going and get this. Yep, happy again. Doesn't really let you absorb the diabetes diagnosis. Yeah. Does that stop you from understanding it, or does the imperativeness of wanting to have a baby again make you does it force you to take care of
Nicole 21:27
it? Both, because they told me that before I could get pregnant again, I needed to get my a 1c down under six. That forced me to do that. But at the same time, I wasn't focused on learning anything about diabetes. I think because I was diagnosed as an adult, I didn't, I didn't get any training. Yeah, I didn't get any training at all. Like I said, I was like shown what to do in the maternity
Scott Benner 21:51
ward. Probably not their cup of tea there, I would imagine, no, no.
Nicole 21:56
The adult endos here really don't know that much. So they just prescribe, pretty much, just prescribed the insulin, and that's it. I was given one appointment with a diabetes educator who sat there pretty much and told us the difference between type one and type two and what to do with a glucagon. And that was almost it was. That was all my training.
Scott Benner 22:19
Not a lot of direction. I mean, 20 some years ago, how do you figure that out? Back then, if you need that information, where do you get it
Nicole 22:26
from? I didn't really. When I left the hospital, they gave me mixard pens, which was a mix of 7030 I pretty much did it with I ate to the insulin. Oh, so I did it with my diet.
Scott Benner 22:42
Yep, you shot the insulin and then just ate the food, and then they kept you from being too low. Yeah, yeah. How was testing back then? Like, were you testing your blood sugar with any frequency, oh,
Nicole 22:54
before a meal, and I think it was an hour, two hours after a meal, and that was
Scott Benner 22:59
it. That was it. Do you have any idea of what kind of like outcomes you were having.
Nicole 23:03
I did get my a 1c down to about six, and within probably about four months, I fell pregnant again. So I did. I did well in that, that first part, yeah, I
Scott Benner 23:14
know this is a long time ago, and is the process of trying to make the second pregnancy. Is it joyful, or is it scary?
Nicole 23:23
A very scary. Once I actually fell pregnant, it was very scary. Okay, I worried at
Scott Benner 23:29
every step, and then then your diabetes on top of all that. Yeah, yeah, what were they telling you? Your goals were for pregnancy, for your type one.
Nicole 23:38
Once I got pregnant, I was testing before a meal and then every hour after a meal. Okay, if my blood sugar started to go up for three days in a row, then I would increase my insulin the next day for by one unit. My dose. Right up until two years ago, I was basically, I don't even, wouldn't even say it was a sliding scale. It was I'd go into my Endo, and my dose was three units before each meals and 30 units of long acting. And that, that was it. There was no correcting, there was no counting carbs. I was never taught any of that. How long did you do that? For 20 years, until just recently, yep, what the heck? How did that happen? Because I never got any education at all. Were you using fast tracking insulin? I was using Nova rapid.
Scott Benner 24:34
Okay, okay. Well, what changed a couple of years ago? Did you meet a doctor that was like, hey, you know, there's a more modern way to do this. Oh,
Nicole 24:42
no, kind of okay. What changed was continuous glucose monitors were approved here or approved to be subsidized here for adults, okay? Because before that, it was only under 21 under 18, that they were approved for and for adults, they were quite a. Expensive, the same with pumps. So I was on MDI for that whole time. Okay, I had before that. I had a endo who was a little bit different, so he was like one of the leading endos in Perth, and back in, I think it was about 2011 2012 by Etta came out, and then was approved for type twos. He decided that was too good a drug, and he gave it to all his type ones as well.
Scott Benner 25:30
Oh, you got a GLP. I got a GLP. So how long ago was that? Tom?
Nicole 25:36
That was 2012 I went on by ITA. And then when trulicity came out, I was changed over to trulicity. And then when ozempic came out, I was changed over to ozempic. So
Scott Benner 25:48
13 years ago, you got a GLP, but you were Yes, but you were MDI officially,
Nicole 25:54
yes, yes.
Scott Benner 25:55
Interesting. It's interesting where you got the modernization from.
Nicole 25:59
On one side, that have no modernization, like no tech, or anything like that. But that was he went against the norm. He actually decided that, like, he just put the authorizations through without telling the authorities kind of thing, yeah, but he
Scott Benner 26:15
never thought to give you an insulin pump. No. And how long ago did you to see Jim
Nicole 26:21
as about two years ago, same doctor. No, he retired. He retired.
Scott Benner 26:25
Okay, so this guy saw something that he thought this would be valuable for my type one patients. He kind of went out on a limb and got it for people, but he didn't know. Would have been nice if you knew. Yeah, it would have been expensive for most type ones. Okay, adult type ones here, yeah, for for a pump, or a pump or CGM, yeah. Okay, so it's just not, it's not the way it worked. Yeah, I see Yep. Your outcomes pretty good through that time, through those years, up till 2012 Yep,
Nicole 26:52
my one Cs were around seven. Not fantastic, like, like now, but not bad, but not
Scott Benner 26:59
bad. Yeah, yeah. And did the GLP, the first one help with that at all?
Nicole 27:03
Yes, each one helped a little bit more.
Scott Benner 27:06
Progressively got better. So tell me the first trulicity was the first one, or biota, no,
Nicole 27:12
which was on a day, a shot a
Scott Benner 27:15
day. Yeah. And do you remember what the impact was? It reduced
Nicole 27:18
my insulin needs by a small amount, but it also stabilized, like the weight gain. It stabilized all that. And it, I think, even though I wasn't testing very often and I didn't have a CGM, so it was very difficult, by my a one saying that I think it did still, like smooth those highs and lows out a
Scott Benner 27:39
lot. Highs aren't so high, the lows aren't so low. You don't use quite as much insulin. Talk about your weight for a second though, like, was it at a place at that point that something needed to be like you felt like you needed to do something?
Nicole 27:51
I was probably about five kilos over where I wanted to be. Okay? I wasn't overweight or anything like that, but it was something I was always worried
Scott Benner 27:59
about. Did that take that weight off or just hold it at bay? It
Nicole 28:03
helped me lose about, probably about three or four kilos, and then it held it there, nice, which is what it's done pretty much the whole time,
Scott Benner 28:11
right? It's interesting, because you have experience with these three different drugs. So I'm going to have fun. I think we'll have fun picking through this. So how long are you on that one, till you move to the
Nicole 28:19
next the biota, I think, was about three or four
Scott Benner 28:23
years, okay? And then you move the trulicity. Is there any increase in impact, only
Nicole 28:30
a small amount. And the main thing with trulicity was that I went from a once a day to a once a week,
Scott Benner 28:37
okay, yeah. And so you didn't have to inject it every day, but it was helping about the same. Yeah, okay. But then ozempic, when did that? When does he move you to exempt? Thank God he didn't retire before ozempic came out. When did he move you
Nicole 28:52
to that? Ozempic was around 2019
Scott Benner 28:56
Okay, wow. Yeah, that's fine, yeah. So you're saying, Nicole, that the internet knowing something doesn't mean that's when it first existed. Interesting. I love how everybody thinks that it was epic. Came out, like, a year and a half ago, because that's when they heard about it on tick tock.
Nicole 29:11
Oh, yeah, again. So, yeah, it was been a while for type twos. It's been around a what? Long time? Yeah, a while.
Scott Benner 29:18
So now talk about like you went from by added trulicity to ozempic. What was the the change in impact then
Nicole 29:24
ozempic was, was, was better than trulicity. But if you went from ozempic to biota to ozempic, there was quite a difference, yeah, in the holding the weight gain and the holding the the blood sugars, like level and that kind of stuff,
Scott Benner 29:40
yeah, yeah. I want to hear about it. So did you lose more weight on ozempic? I did.
Nicole 29:44
It was kind of like, probably the same as what like with the weight loss now, where, where you increase into it, into the next level, where, you know, it kind of flattens out, you're on it for so long, and then you kind of plateau, yep, and then you lose, go up to the next one, and you lose a bit. More, but I didn't have a lot of weight to to lose anyway. So
Scott Benner 30:04
what weight was there to lose? Is gone
Nicole 30:07
now? Well, not really now, menopause and and then I was off it for a while because of the shortage. Oh,
Scott Benner 30:16
so tell me how long you were on it and then how long you were off it.
Nicole 30:19
So I think I started in 2007 and then think the shortage, the shortage might have happened. It was it 2020 or 2021 2022,
Scott Benner 30:29
and you couldn't get it. Then, no,
Nicole 30:31
then I couldn't get it. By that time, my endo had retired, and I got a new Endo. I remember the first, my first appointment with this new Endo. And I walked in there, and he said, Oh, you had Dr such and such. And I said, yep. And he said, I just got off a he because he was one of the top end days, he did a, like a training session, like a zoom training, training session with a with a lot of endos. And he told all these endos that all my patients are going to be coming to you now, and all my type ones are on pick, so they're all going to be asking, be asking you for them. Pick, he, I think I got one script from him, and then there was a shortage, and I couldn't get it
Scott Benner 31:09
anymore. Okay, so that, what's the fall off like, when you stop taking it, does the weight come back?
Nicole 31:15
Yes, okay. Weight comes not really, really bad. Okay. There was a bigger impact on my blood sugars, though.
Scott Benner 31:24
Yeah. Does those EMP impact your hunger, or did you not have an issue with that? It does impact my hunger? Yes, you would say you had, like, prior to that, like hunger that didn't make sense at times. Oh, yes. Okay, absolutely. Yeah. And so, do you think that the decrease and then subsequent increase in insulin needs. Was it multifaceted? Meaning? Was it some about your weight, some about your intake, some about insulin resistance. Or do you think it's not touching you in all three of those places?
Nicole 31:53
It's touching me in all of those? Yeah. Okay. Well, it did. It
Scott Benner 31:57
did, yeah. And then so tell me that you go off it slowly, like, let's take a I forget the actual Half Life is, like 20 days, maybe, or something like that. So it's out of your system in a few weeks, and then your insulin needs start to rise up again. Yes, yeah, by how much do you remember?
Nicole 32:15
Well, I can, I can say my a 1c within 18 months, my a win, a 1c went from the low sevens to up to the nine.
Scott Benner 32:24
Your a 1c in 18 months, went from low sevens to nine when they took you off the ozempic.
Nicole 32:29
Yep. Geez, yep. But there was other, like, other things going on at the same time, which because at that time, I was going through a divorce. Oh, okay, and that impacted my mental health as well, and I wasn't looking after my diabetes.
Scott Benner 32:46
I see, yeah, that's uh, taxing. So, yeah, yeah, yeah, is that a late in life from your first Marriage Divorce? Yes, yes, yeah, it's a long time, right? You were married for a long time, 20 years. Yeah. Geez, was Can I ask, was the divorce you're doing, or his or mutual? It was my doing? Okay, that's taxing in a different way. And then you, when you get over, I'm guessing, overwhelmed, but when you get impacted by that, what? How does that impact your diabetes? Well,
Nicole 33:17
I was working a lot. I was probably having a few drinks every night and forgetting to take my long acting and I'd wake up sometimes and, like, then get back out to work so, and I wasn't testing my blood sugar either. So
Scott Benner 33:31
now you had diabetes for a long time before this happened. Had you not been through other tough life things before? You know what I mean? Like, I mean obviously, yeah, losing the baby, but you lose the baby when you're you're just diagnosed. I mean, like, Yeah, after you're diagnosed, had things not happened before? And did you? Did you give up on your your health during those things too? The
Nicole 33:50
last half of my marriage was very toxic and very taxing, but I think what saved me was the temp how it made it easier to manage my blood sugars.
Scott Benner 34:01
Ah, you weren't used to having to put as much effort into diabetes anymore, because ozempic made it easier. Yeah, I agree with you that it makes it easier, by the way. If you have, yeah, I want to say this, if you have insulin resistance, if you have, do you ever feel like you might have had PCOS at any point in your life or no
Nicole 34:19
possibly, but not to an extent that it was very
Scott Benner 34:22
painful or had a lot of, yeah, so I'm saying, like, if the things that the ozempic impacts, if you're getting those things, you could see a, you know, a pretty significant decrease in insulin needs, like you said, spikes and lows. You know, it lessens your hunger, so it lessens your intake, if you lose extra weight, that helps your your your insulin resistance as well. All this stuff helps. And then, not that you're lazy about it, but like, diabetes got easier, and then, boom, they take away the ozempic, and you decide to get divorced. And all this stuff kind of piles up on itself.
Nicole 34:59
Yep, I see. Yeah, so something I didn't have to pay that much attention to. All of a sudden I did have to pay attention to, but I had other things going on in my life as well, so
Scott Benner 35:08
it was taking that attention away. Yeah, I see, oh, it's interesting now in like, sitting here talking about it. Now, fair enough, but like, were you aware that any of that was happening while it was happening?
Nicole 35:19
I think in the back of my head, yes, I was
Scott Benner 35:22
just didn't have the space to handle it, yeah, yeah. Okay, yeah. How long did it take to get divorced? Took
Nicole 35:29
about three years before the final orders came through, and everything was, yeah,
Scott Benner 35:33
yep. Did your blood sugar suffer through that entire time?
Nicole 35:37
The first part wasn't too bad, because I was on the same so half of it I was on the Zen pick for which helped me to just coast through it. Yeah, it was the last half. As soon as the Zen pick was gone, it just spiraled a bit from
Scott Benner 35:51
there. Well, I hope you're happy. Novo Nordisk, look what you did to Nicole. Yeah, these things are important to people, like all the you know, forget ozempic. Like the things you count on are important to you, and being able to afford them and have access to them is important. And when it's not there, it's not as simple as just, like, oh well, like, you know, we had a shortage, or this thing broke or something. It's really affecting people, not that they don't know that, maybe, but, and you're back on it. Now
Nicole 36:18
I am, so I'm getting it off label, so I'm paying full price for it. Oh,
Scott Benner 36:22
but yeah, what's that cost in Australia? And what's your money worth?
Nicole 36:26
Okay, well, it's costing me 170 a month. 170
Scott Benner 36:30
what rubles, I don't know you guys use. You guys just have dollars. That's awesome. Is that the equivalent to an American dollar? No, no, oh, Australian dollar equals point six, five of the United States dollar. So it's not quite half as but it's close. So you said, How much 100 What 171 70? So you're paying about $85
Nicole 36:57
a month, or a week a month, a month. Are you able to afford that? Yes, yeah, I make sure I can afford it
Scott Benner 37:05
like I've lived with glps and I've lived without it. I sold my soul to the devil, and he gives me $85 a month, and now everything's good again. I'm with you, Nicole, there's not much I wouldn't do. Yeah, I know what it's done for me and for people around me. Yeah, I chopped down George Washington's cherry tree right in front of him for, uh, first on those empy, I guess to that year and a half gave you a lot of perspective on what it was doing for you as well.
Nicole 37:29
Yeah, it did, yeah. But then I, I also, before I got back on the exam pick, I actually got a CGM, which just blew my mind and opened my eyes up to a whole new world, yeah? Because the other thing I'd never even heard about was pre bolusing
Scott Benner 37:47
really. Well, I mean, yeah, your MDI, there's no CGM. Like, kind of makes sense, right? Like, everything's a little behind, yeah,
Nicole 37:55
yeah, my, my Endo, the one, the previous one, at one point, he said to me, he didn't use the word Pre-Bolus, but he tried to get me to do that, but he made me come home. He said, when you've got someone home with, you just do a little test. So take your insulin for your meal, and then every five minutes, take your blood glucose, take a finger stick and record it, and then work out how long it takes for your insulin to start acting. If it takes 15 minutes for every meal, that's how long before you meal you you need to do it to your insulin.
Scott Benner 38:33
Okay, let's start all of them. Yeah, but when, when did that start?
Nicole 38:39
That was, I don't know. I can't remember exactly when it was. I did it for a while, but it didn't always work. So it didn't stick, because it was, well, as you can imagine, it's kind of daunting to not know when that drop is going to happen, and it and where you're starting from, what your curve is, all that, all that kind of stuff.
Scott Benner 38:59
Sure. No, yeah. It's like, somebody blindfolding you, putting you near a cliff and saying, just wander around. You probably won't fall, right? Yeah, yeah, yeah. The CGM changes the whole thing for you. It does, yeah, you see it happening. And then, then you can it's not like, you're not like, testing every I mean, imagine how many times you'd have to do that to build up some belief in how it's going to work, right? And, yeah, yeah, oh, wow. Okay, so the CGM, if I made you give one thing back, the CGM or the GLP, what would you keep? CGM? You'd keep the CGM, yeah, because it's seeing it as everything really is, yeah, yeah, you can. You could work it out without the GLP, it would be, you'd use more insulin, etc. Other things would happen. But
Nicole 39:46
so I got the Omnipod as well at a similar time. So with those two, I got my a 1c down to about six and and the podcast, of course, oh,
Scott Benner 39:56
but how do you find it, though? Because you're not, you're not a young person. Person like, who, like, tells you, you know,
Nicole 40:02
my endo suggested a pump to me, and I thought, realized that I could get, like it was all fun, like it was funded by my insurance and subsidized the as well through NDSS here, so made it more affordable. So I was researching, they had the three pump. See, they had Omnipod tandem at ipso Med, and I was went looking online for like experiences on what people thought of them, and that's how I found the podcast. Yeah,
Scott Benner 40:34
wow, that's awesome, and that, and it's all these things together, these basically tools, right? Like the Omnipod, the CGM, the GLP, my voice, they're all just tools, right? Yeah, yeah, put them together, and suddenly you're having some nice success. Where's your a 1c,
Nicole 40:49
today. Did you say in December it was at 5.8 look at
Scott Benner 40:53
you. That's awesome. Congratulations. Yeah. Do you have any long term health issues from type type one?
Nicole 40:59
No, I have had a frozen shoulder Other than that,
Scott Benner 41:03
nothing else, nothing else that's great. Good for you. How do you describe yourself to people now, like post divorce, post having all this technology to help yourself with the are you in a different place than you were five years ago? A better place? How do you think of yourself?
Nicole 41:18
Yeah, yes, definitely a different place. I'm happier, I'm more settled, I'm healthier, yeah, yeah. Are you dating? I've tried dating. How'd that go? Oh, not very good.
Scott Benner 41:32
Did you find some guys that made you go like, Oh, if I'm gonna put up with this, I could have kept
Nicole 41:37
the other one. No, no, oh, no. Happier on mine,
Scott Benner 41:41
the first guy wasn't good, huh? No, I wasn't good. I'm sorry. Okay, what is it that you're, like, my our age? Like, how old are you again? 53 Oh, yeah, at our age, Nicole. Like, what was hard about dating? What made it something you were just like, I'm not doing this.
Nicole 41:57
Oh, it's the apps and the I don't know. There's a different mindset out there nowadays. A lot of, most of the don't know if it's just the men, because I don't date women so, but they're, they're just after casual things. And yeah, so you
Scott Benner 42:14
went out in the world and found out that 53 year old guys are just like 18 year old guys, true,
Nicole 42:19
yeah, without the ambition to have a family and settle down and all that kind of stuff.
Scott Benner 42:24
Yeah, and so, oh, I get you. Are you through menopause, or are you still involved in it? Involved in it? What a weird way to say that. Sorry,
Nicole 42:32
not too sure. I've had a hysterectomy. I think I'm through the other side,
Scott Benner 42:36
pretty through the other side. So interesting. You're not the part of your life where you're trying to build a family. You have kids, right? How many kids do you end up having? Three kids, three kids. You got three kids, an older person like, you know, meaning you're not 20. Sex isn't the same, like, weird fun that it was when it was younger, right? It's a little more. What utilitarian trying to get to the end is that the idea, am I missing? No, did you want it to be fun? And it wasn't?
Nicole 43:03
No, that part was okay. Oh,
Scott Benner 43:07
Nicole's like, that part was good. I was good with that part. Yeah, okay. What's the part that wasn't okay?
Nicole 43:13
It's just the connection. And what people want. They just want to go out and hop from person to person and have have a little bit of fun and nothing meaningful.
Scott Benner 43:24
Yeah. So the sex was okay, but you were trying to build something with somebody, and you couldn't find interest in
Nicole 43:31
that. Well, that's where I'm at now, yeah,
Scott Benner 43:33
does the diabetes impact? It like Do or do you not bother telling them? Or
Nicole 43:39
no, I'll wear it proudly. Now, up until about two years ago, I'd only ever met one other diabetes, which was a kid that was like my, my child's age in school. Okay? So I never had any community, never knew anyone else with diabetes, type one diabetes. So now more people are wearing dexcoms and and pumps and that kind of stuff. You kind of see them out and about. So, yeah, I've been to restaurants and seeing people and been approached in the shopping center. So are you aware of Dexcom? How is that kind of thing? And it's kind of nice,
Scott Benner 44:16
yeah, just to have that feeling it's nice. It really is. Does it help online too. Like to meet on people online.
Nicole 44:22
Oh, yeah, definitely, yeah. You know, you're the first
Scott Benner 44:26
lady from Australia I've spoken to who I don't feel has what I would call a delightful mental illness. This is no disrespect to other people, but, like, I used to get, like, a lot of high energy people who are just like, I'm like, wow, that was a lot. I thought it was an Australian thing. I guess maybe it was, unless you know a lot of those ladies and you know what I'm talking about. No, not really. Oh, awesome. Then it's just a was just a coincidence, yeah, possibly, yeah. Listen, you're not representing your country and I'm not representing mine, but let me apologize for getting your reporter shot with one of those rubber bullets. Yesterday. Sorry about that. I'm sure it wasn't you that did it. No, it was not me. I was not even on that coast, but that poor lady is just out in the street. She's like, I'm reporting. Oh
Nicole 45:10
yeah, you look at the guy who the cop, who, I'm not sure who it was that did it. It looked like he actually turned around and aimed for it. Wow,
Scott Benner 45:19
I know I'm dying to hear from him, because, like, it can't be, you're not wrong. They were standing in a line, and it almost looked like you looked and went, Hey, there's a lady from Australia. You're doing a report. I'll shoot her in the lake. They just kind of, like, turned her was like, thump. She did go down hard, by the way, that That must hurt like a son of a bitch, yeah, I'm sure, yeah. But I would love to hear the expert. I wonder what he thought was happening. You know what I mean, like, because I don't believe that he was like, Oh, I'll be just shoot a
Nicole 45:43
reporter from Australia right now, especially when there's cameras on her as well, exactly like,
Scott Benner 45:47
I wonder if it's going to be one of those things where he's like, I didn't mean to do that. Like, I didn't even mean to pull the trigger. Sorry or not. Anyway, it wasn't fun. You know, it's one of those things, Nicole, it's not funny. And yet, I mean, if you see the video, it's a little amusing, not to her, obviously, I think it's the reaction that's amusing. Not the not the not the action. You know what? I mean? Yeah, yeah. She just looks like something, just like bitter. And she's like, Whoa, what the hell. Probably a hell of a I had the same feeling for I have when I see a baseball player get hit in the back with a pitch. I'm like, oh, that's gonna leave a mark. Yeah, it sucks. What made you want to come on the podcast?
Nicole 46:23
Well, the community. And I didn't really know anyone that was type one, so I want to add my voice to what's become my like, my community as well. Oh, that's
Scott Benner 46:36
wonderful. That makes sense. It makes a lot of sense. Am I not letting you be effusive enough about how much this podcast means to you. Is it a big deal for you?
Nicole 46:44
It is a big deal for me, actually, yes. It keeps me grounded in my diabetes like I listen every morning on my way to work, and it keeps it in the front of my mind and thinking about diabetes without actually thinking about it. It it keeps all those little catch phrases that you have, that you hear on and off all through the podcast. It reminds you every day,
Scott Benner 47:10
yeah, and you saw that drift away during your divorce, and you don't want that to happen again. Yeah, yeah. This sentiment that being like, just listening to a podcast once a day. It's not like someone's yelling in your face, take care of yourself, you know what you're supposed to be doing. Like you don't get that feeling like, the shame, feeling like you're not doing what you're supposed to be doing, or whatever, or somebody like, you know, talking to you like a school mom or something like that. Yeah, but it's enough just to keep you connected to it without you focusing on is that right?
Nicole 47:46
Yes, that's right, excellent. But it also gives me a great feeling with not just the diabetes, but putting some of the theories into into life as well. Like I remember your graduation speech that you give to all anyone that
Scott Benner 48:03
graduates, oh, this is water. Yeah, this is water. Yeah,
Nicole 48:07
you mentioned that on one of your one of the podcasts, and I thought, I'll just go and have a listen. So I listened to it, and that resounded with me quite a lot, yeah. And that brought that into my life as well, like, into my into my work life I had recently, I had someone kind of came at me a bit and accused me of something, and in the email that he she C like 10 people in like she was trying to cover her own and put put blame on me. Now I could have come back and, like shame to in front of everyone. And I just sat back. And I thought, No, I don't think I'll go. I'll just sit back. And the next day, I thought of that, that speech, and I thought, well, what's going on in her life, that
Scott Benner 48:49
she's Yeah, yeah, yeah.
Nicole 48:53
So yeah. I thought about that speech, and I thought, well, what's going on with her, that she has to defend herself and just gave her a little bit of kindness instead, and now she's, like, not doing it anymore, and she's, she's quite lovely.
Scott Benner 49:07
Yeah, that's awesome. Yeah, I think I'm a reasonably common sense person, yep. And I don't get rattled normally. You know, when I think about bigger ideas, I can kind of hold a few thoughts in my head at the same time. And I'm not, I'm not brilliant, like, I certainly I hear, sometimes I hear people starting to talk about, like, political things, and I'm like, I get lost, like, you start getting into that sixth level. And I'm like, I can't keep all this straight anymore. Yeah, I'm certainly not brilliant. I think that if you listen to that Pro Tip series, or any of the stuff that I talk about, about managing diabetes and exchange some of the words for other things in your life. I think it works for almost everything. Yes, anybody who gives me credit for being good at diabetes, you should actually just be giving me credit for, I don't know. I think I'm a clear thinker. And then I apply that to I had to. I applied that to. Diabetes, and that's why it worked out, not because I certainly didn't know anything about diabetes.
Nicole 50:04
Yep. And you can hear that. You can hear that through the podcast in different aspects, like good that this is water.
Scott Benner 50:09
Yeah, no. You know, it's funny. There's this moment in one of the series that I did with Jenny where I said, Oh, I want to talk about something that I came up with. And she goes, Okay, what is it? And I said, I said, I call it over bolusing. And I start explaining it to her, and she goes, Yeah. John Walsh called that super bolusing in a book he wrote 20 years ago. And I thought, well, first of all, lucky me, I don't read I've never heard that book. I mean, I know who he is. I know the book pumping insulin. I know it exists, but I've never read it. No one's ever said to me, Hey, you should try a super Bolus. It's a thing that I just figured out one day, and then to hear her tell me that's a thing that people who really know what they're doing about diabetes do i That made me like, that actually gave me confidence. That made me feel like, oh, what I'm seeing is maybe, right, you know, like, because I didn't know, I was just guessing. I'm just guessing. I'm just trying to help my kid. Yeah, I don't know what I'm doing. You know what I mean? Like, I'm thrown into this problem. I take who I am and I apply it to it. I get my goals, I get what I'm trying to avoid, and I make as decisions as well as I possibly can. And then here we are. And then one day I say, you know, I have this idea, like, you know, sometimes when you can't Pre-Bolus, what if you Bolus for the food and then went into the future in your mind and said, What is the spike gonna look like from not pre bolusing, and how much would it take to kill the spike? What if we put that into the Bolus and didn't Pre-Bolus, we could super Bolus, it stop the spike and not get low later. That made sense to me, you know. And then you try it one day, and it works like, Huh? And then later, you know, 10 years later, some lovely lady tells you, yeah, that's the thing, you know. Have you ever read pumping insulin by John Walsh? And I'm like, No, so it's so cool. I'm just happy. Honestly, I'm happy for you. I'm happy for my daughter. I'm happy for the other people who listen. If you got me when I was 20 and said, Hey Scott, you know you're going to help a lot of people making a diabetes podcast, I'd be like, That's how my life ends up. You
Nicole 52:13
know, where I'm working now, this sheet metal shop.
Scott Benner 52:15
Are you really? I am really. What do you do there?
Nicole 52:19
I'm the office manager, bookkeeper, so I don't work out in the in the factory, but you get an air conditioner.
Scott Benner 52:27
Yes, yeah. That's all you need. That's excellent. We used to come up with reasons to have to go into the office to look for a blueprint, shake it, stand in the air conditioner for a minute. The guys do that still. Yeah, they do, yeah. Oh, my God. It's like, you just walk in. You're like, oh, I don't think I'm gonna die if I stand here for 20 more seconds. It's so hot in that building, and everything's hot, dirty, and it's horrifying. I did enjoy working there. I have to say,
Nicole 52:50
Yeah, I love it. It's the guys are great. People work for that. Work for their they're great.
Scott Benner 52:57
You know, you said that some of the best guys I ever met my life worked there, yeah? Like, really good, solid dudes, you know, yeah, yeah, welders and fabricators. People did paint shop stuff. Like they were all just reasonably, you know, good people worked hard, yeah, yeah. I just talked to a guy recently who I worked with there, and he's like, it's so crazy to me, like he's retired now, he's in his late 60s, you know? Oh, wow. And I'm like, oh, that's nuts. Like you were like a 35 year old guy when I had that job, like, talking about raising your kids and like, stuff like that. And now I talk to him on the phone. He's like, we'll talk sometimes while he's in the car and he's coming back from like, his like grandchild, like karate class or something like that. And I'm like, oh, it's nuts, man. He was so this guy, I had to give him a lot of credit. He's one of the funniest people I ever met my life. His name was Bob, and it used to get like I said it was, it was hot as balls in there. And that saying is important, because every once in a while you'd walk through the shop and just see Bob, grab the front of his pants, yank it out, take a bottle of talcum powder, and just shake it down his pants and jump up and down real quick, and then go back to work, there'd be little talcum powder puffs on like the floor, because they would go down your pant leg. Then, yep. Anyway, go to college, get it.
Nicole 54:21
I'm gonna be careful. Now, walking out the workshop,
Scott Benner 54:24
you see any white on the floor? That is definitely where someone has powder in there, that's for sure. Yep, is there anything we didn't talk about that we should have? No, I think that's that's all good, good, good. That's awesome. I'm so happy for you. I mean, we didn't really say it out loud, but just the slower pace that Australia got technology, got CGM cover for people like you. Seem like a nice person. I don't imagine you do. But does it make you mad that you didn't have these things sooner? Sometimes, yeah, yeah, but it's okay, because you don't really have any, you don't have any outcomes that you're not looking for. So yeah,
Nicole 54:58
and I got, like. Well, I did get the same pick, which I think helped you a great deal. If I hadn't have had that possibly could have been a different outcome.
Scott Benner 55:07
Yeah, what's that doctor's name? Would you be willing to say it? Retired, Dr Stan. He was thinking way ahead of the curve. He did you a solid. He was, Yeah, no kidding. I mean, it's, you know, 2025 now halfway through 2025, it's, you know, five, six years after somebody started talking to you about glps, they've obviously gotten a lot more effective. And I think we'll continue to I bet you it turns into a daily pill sooner
Nicole 55:31
than later. Yeah, that'd be good. Not that I mind an injection. But, well,
Scott Benner 55:35
some people do, though. But like, do you notice it wanes after day four or five? Yeah, yeah, right. It would be nice if it if you had a little more even coverage. You know, we're still arguing with people now, like, it's been five years since, you know, trulicity and by Ed and all that stuff. And I think the outcomes are obvious, and yet you'll get online and some people still say, like, Oh, that's not for type ones, or you're cheating. Just don't eat as much. Like, you know what I mean, like, that kind of stuff. Like, yeah, it's just not that easy all the time. You know, no, and you got one life, and it doesn't last that long, Nicole, so I don't, I don't like you suffering. Yeah, I like it. I like it being, uh, I like it being happy for you, you know, yep, all right. Well, you were awesome. I appreciate this. You probably got to go to bed. Yeah, it's getting late, right? You got to get up tomorrow and watch those guys do whatever. Well, it's winter time now, actually, working in a shop during the winter is awesome because, yeah, right, because it's so cold outside, the building is in no way. There's no insulation in the building, so the heat, kind of the cold comes in from outside, and the machines kind of off balance. It's almost kind of nice and toasty. Not bad, actually. Yeah, that part I remember
Nicole 56:39
fondly, not so much in the office. It's cold in the office.
Scott Benner 56:42
Well, yeah, you got to get out there
Nicole 56:44
with Yeah,
Scott Benner 56:46
yeah. Just constant banging and clanking, right? Yeah, you don't hear it after a while, though, it's interesting. No, yeah, that's right, yeah. And the shears, like, you know, coming down and cutting a plate. It's like, just, I can hear it. My God, I lived through it so many times. I'm gonna let you go, Nicole, because it's late. Hold, it's late. Hold on one sec. Hold on one second. For me, 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, today's episode is sponsored by the tandem mobi system with control iq plus technology. If you are looking for the only system with auto Bolus, multiple wear options and full control from your personal iPhone, you're looking for tandems, newest pump and algorithm. Use my link to support the podcast, tandem diabetes.com/juicebox, check it out. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The Juicebox podcast. If you're looking for community around type one diabetes. Check out the Juicebox podcast. Private Facebook group. Juicebox podcast type one diabetes. But everybody is welcome type one type two gestational loved ones. It doesn't matter to me if you're impacted by diabetes and you're looking for support, comfort or community, check out Juicebox podcast, type one diabetes on Facebook. Hey, 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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