#1617 Fifty Countries with Diabetes
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Sarah, an anesthesiologist and mom of four, shares her family’s adventures traveling the world while managing her 9-year-old son’s type 1 diabetes.
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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner 0:00
Welcome back friends to another episode of The Juicebox podcast.
Speaker 1 0:15
Hi. My name is Sarah. I am a physician and a mother of a son who was diagnosed with diabetes about three years ago now, which was six weeks before we started a six month trip around the world.
Scott Benner 0:28
I am here to tell you about juice cruise 2026 we will be departing from Miami on June 21 2026 for a seven night trip, going to the Caribbean. That's right, we're going to leave Miami and then stop at Coco k in the Bahamas. After that, it's on to St Kitts, St Thomas and a beautiful cruise through the Virgin Islands. The first juice Cruise was awesome. The second one is going to be bigger, better and bolder. This is your opportunity to relax while making lifelong friends who have type one diabetes. Expand your community and your knowledge on juice cruise 2026 learn more right now at Juicebox podcast.com/juice. Cruise. At that link, you'll also find photographs from the first cruise. 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 of The Juicebox podcast is sponsored by Omnipod five. Omnipod five is a tube, free, automated insulin delivery system that's been shown to significantly improve a 1c and time and range for people with type one diabetes when they've switched from daily injections, learn more and get started today at omnipod.com/juicebox at my link, you can get a free starter kit right now. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox the show you're about to listen to is sponsored by the ever since 365 the ever since 365 has exceptional accuracy over one year and is the most accurate CGM in the low range that you can get ever since cgm.com/juicebox the episode You're listening to is sponsored by us. Med, us. Med.com/juicebox, or call 888-721-1514, you can get your diabetes testing supplies the same way we do from us. Med,
Speaker 1 2:33
Hi, my name is Sarah. I am a physician and a mother of a son who was diagnosed with diabetes about three years ago now, which was six weeks before we started a six month trip around the world. Oh, we're gonna talk about traveling today with type one. Yes, we have done a lot of travel, so we have been to 50 countries in the last three years or so. As a family, we have four kids, and it's been a wonderful experience for us, and we've learned a lot about how to travel with diabetes in that time, as you might imagine, yeah, what kind of physician are you? I'm an anesthesiologist, so far afield from the diabetic world in general, but it does help me feel more comfortable about emergencies and navigating medical systems in different kind of kinds of locations.
Scott Benner 3:16
Cool. How do you find yourself traveling so much? Well, when I was growing up,
Speaker 1 3:20
we I didn't travel at all, and then gradually started as I as I got older, my husband and I actually met when we were climbing up to Everest base camp in Nepal. And with I was by myself, and he was with a few friends. And so we've always loved to travel and love to travel together. And once the pandemic restrictions were lifted, we wanted to share that with our children, so I was able to negotiate some time off of work, and then we basically created a plan to go around the world. That first trip, we went to Spain for about three months and put our kids in a local Spanish Montes school. They didn't speak Spanish prior to that, and now they are conversational. And then went to basically places that just sounded cool and interesting to us. And it was a great experience for our family in terms of bonding and being together, and a way to spend time together where we weren't all distracted by work or school or birthday parties or soccer practice or all the other things that make a modern family kind of distracted and pulled in different
Scott Benner 4:25
directions. Yeah, wow, that's awesome. How many kids do you have?
Speaker 1 4:29
We have four, three boys and one girl, and my youngest is the one with diabetes. My youngest son. How old is he? He's now just turned nine and he had he was about to turn six when he was diagnosed,
Scott Benner 4:42
and fair to say, Sarah, we would qualify you as a go getter.
Speaker 1 4:47
You know, I love that there are so many wonderful opportunities available in life, and so I am enthusiastic about learning and discovering things in the world and spending time. In a really values based meaningful way.
Scott Benner 5:02
I met my future husband while I was climbing Everest by myself. I'm an anesthesiologist. I figured out a way to go on a trip. It sounds to me like you're a go getter, so it's an interesting model for me, like while we're talking about this, because it tells me you're always looking for ways to improve things or experience something, and I think that's going to make this conversation really interesting. So tell me a little bit about the lead up to your son's diagnosis. What did you see? How did you figure it out? What did the first days
Speaker 1 5:33
look like? Yeah, well, a big part of me feels really, really stupid, because honestly, I didn't see anything. My son was completely normal. There were really, we didn't see any signs at all, except, in retrospect, he started bringing a glass of water into his room at night. But otherwise, really no signs. And then on my oldest son's birthday, we were having cake for his birthday. And then my youngest son started to throw up repeatedly. And you know, we have four kids. We have had many children throw up many times in many situations, as you can imagine. So we didn't take it too seriously, but he just wasn't quite getting better in the way that I would have expected him to over a period of hours. And eventually I brought him into our emergency room, and the ER doctor, who I knew, looked at him. Just took one look at him. She's very experienced ER doc, and said, Oh, I didn't know better. I would think he has diabetes, you know, that was confirmed through a blood test. And because we live in a small, rural area, we had to be overnight, you know, life flighted into a larger hospital and take multiple ambulances and fixed wing airplanes and another ambulance and go to an ICU. We were just there overnight, and then he did great after that, and we were able to go back to our home. So it was a kind of dramatic diagnosis, and all of this was layered on top of the fact that we were planning to go first to Hawaii in a week and a half, and then then to this huge around the world trip that we had already planned in about six weeks after that, so that that was a layer that probably more stressful than you know, it would have otherwise been. We weren't sure if we'd be able to go on the trip. And actually, the doctors at the Diabetes Center were great, and were kind of, like, there's no reason why you would not be able to do this. And were instantly supportive.
Scott Benner 7:33
Awesome. How quickly when it's your own child, does your brain forget that you went to medical school too? Like, when do you turn into, like, somebody's mom? Like, do you know what I mean? Like, am I asking that question in a way you understand what I'm saying? Oh,
Speaker 1 7:47
totally. And there are lots of great stories about how much humility doctors should have around their own friends or family members when they're diagnosing or, you know, considering anything vaguely medical, because almost always they will miss it. I remember lots of stories about how a pediatric cardiologist missed a heart defect in his own son, for example, or a pediatric infectious disease doctor rushed his daughter for to the hospital for a routine case of croup, which any infectious disease doctor knows the difference? Yeah. So it's, it's very common, but it's still very humbling to, in retrospect, realize that my son was having signs and symptoms that I just, I just missed. It just was not on my radar at all. You know, you're going along with your life and, you know, trying to manage your life and your kids and all these things, and the fact that your kid is drinking a little more water just doesn't necessarily come onto your radar, right? I
Scott Benner 8:42
have an experience where I was contacted privately by a literal brain surgeon from Hopkins. I realized when I was speaking to him about his child's diagnosis that he was as confused and sad and scattered as everybody else I'd ever spoken to about this, about the situation. None of his background helped him. I don't know. He was so and he was honest about it. He was just like, look, I don't know anything about this, and I need help. And I was like, Okay, it's the first time that I did that math, you know? I mean, I was like, wow. Like, in this situation right now, this guy is as lost as he could possibly be. And you would think from the outside that, I mean, if this was gonna happen to anybody, here's a person who could figure it out. Now, eventually, when he had all the information, he was okay. But in the beginning it was, he was just as startled as everybody ends up being. So absolutely, yeah, so you okay? So you have to learn about type one in a very short amount of time before you go on this trip. It does occur to you, maybe we shouldn't go. Somebody gives you some support. Says, No, you should do it. I guess the question should be, what did you learn through that experience of traveling with type one?
Speaker 1 9:47
We learned so much. I think the main takeaway is that it's just extremely doable. It's really not a problem at all to travel with type one. The hard things are. Are getting through airport security and finding food that's, you know, kind of diabetic friendly, and those are things that are extremely manageable. You know, our son hasn't ever needed hospital level care after his initial diagnosis. And that was something that I didn't like you mentioned. I didn't really understand how rarely we would be interacting with the medical system, which is great. We thought that we would need a higher level of support available, like we were, for example, spending three weeks in the islands on the Galapagos, which is obviously extremely remote, with very limited medical care. And we were really worried about that, but we were able to, as most diabetic parents of a diabetic child are able to manage almost all situations ourselves, and the likelihood that we would need a a hospital kind of situation was much lower than we initially thought it might be. So that is actually, you know, that's been very reassuring. You know, it's in that way, it's easier than something like, you know, severe allergic reaction, for example, or asthma that can cause kind of unexpected needs for hospitalization. So in terms of the food, you know, it's kind of funny that the poor kind of country you go to, the more likely they're going to have diabetic friendly type foods. South America really reliant on beans, avocados, you know, some meats, those kind of things. And then in the Middle East, there's a lot of similarly kind of bean based dishes, like like hummus and chickpeas. And then also, you know, we've eaten kebabs literally everywhere in the world. Like their kebabs have really infiltrated into every country that we've ever been to, those kinds of foods are so great for our kid, because he loves to eat them, and then also just helps us guess how many carbs. More easily we're just able to able to anticipate what his reaction might be, more easily than you know, honestly, places like Europe are the hardest because they are very bread, pasta and sweet space, and so those are just harder for us to to dose them for. And the other countries you've
Scott Benner 12:05
been so many places, let me ask you about food specifically. Is America the hardest place to find food that's not hard on blood sugar, like I know you'll find it if you look for it, but I guess, like readily available. I had to go somewhere last weekend. It was an early morning thing where I drove somewhere by myself, and I ended up at this place, and on the outskirts of it was a McDonald's, and I sat and just kind of, like, remarked to myself, almost in my mind, how crazy it was that there was an endless line of cars, and not cheap cars, or, you Know, broken down cars, or, like, like, nice vehicles with, you know, full families in them, just going through and treating this McDonald's like it was a real place you should be eating. Does that make sense? And like, and everyone was leaving with, like, hot cakes and this and sandwiches. And then I sat and watched for a few minutes, all I could think was like, Wow, there's so many people around here who think this is breakfast. I know how difficult all that would be to Bolus for if it was a situation that that we were in, like, you know how much more you'd have to understand about how insulin works and the amount you're going to need and everything else. Like, I'm just wondering. Like, I think those people were mainly in that line because it was quick and easy, not because they thought, oh, you know what would be awesome if I had an Egg McMuffin today in other countries, is there just no such thing as quick and easy? Or is even quick and easy more basic staple types of foods?
Speaker 1 13:29
Those are all great points. In a lot of countries, like you're mentioning, when we lived in Spain, there is no takeout coffee. That's just not a concept. For example, like there's people would be very confused about why you would have to be walking while you drink your coffee. You know, if you need a coffee in the morning, you go to a restaurant and you interact with people while you are having your coffee, and then you go somewhere else, yeah, and maybe a very short interaction, but you're not wandering around, walking and eating and drinking like we do in the United States. There was a recent New York Times article about is the bread in Europe better for you, for example. And we actually have found that our son does react better to the bread in other places of the world, where it is, you know, does tend to be, you know, more real bread, less of the you know, many ingredient bread for the bread that is actually just right? So
Scott Benner 14:24
stuff that'll sit on a shelf and be stable for a week or so, right? Okay,
Speaker 1 14:28
right. So it's all fresh, you know, that ingredients are flour and water and maybe some salt and oil, and that his, you know, his spikes just aren't nearly as high with that kind of bread. So that is definitely interesting. And then think there's also this idea that food is meant to be a social experience, and you're you're sitting down with other people, and that also just leads to to naturally, you know, you're not throwing food in your face as quickly as you can, which not be great for your digestion. And I. Right, and blood glucose overall. So I think the culture around food in the US makes it really hard. At the same time, there are a lot more choices here than there are in other countries. Yeah, you know, we've certainly been a lot of places where the choices are, you know, hummus and hummus, hummus and hummus, baguette and baguette. You know, us is always spoiled for choice and poor on time so that, but we definitely prefer to take more time and eat better food when we can.
Scott Benner 15:25
Yeah, okay, what's his regimen like when you leave for that first trip? Are you just they give pens, give a CGM. What do they give you? Diabetes comes with a lot of things to remember, so it's nice when someone takes something off of your plate. Us. Med has done that for us. When it's time for Arden supplies to be refreshed, we get an email rolls up and in your inbox says, Hi, Arden, this is your friendly reorder email from us. Med. You open up the email, it's a big button that says, Click here to reorder, and you're done. Finally, somebody taking away a responsibility instead of adding one. Us. Med has done that for us. An email arrives, we click on a link, and the next thing you know, your products are at the front door. That simple, US med.com/juicebox, or call 888-721-1514, I never have to wonder if Arden has enough supplies. I click on one link, I open up a box, I put the stuff in the drawer, and we're done. Us. Med carries everything from insulin pumps and diabetes testing supplies to the latest CGM like the libre three and the Dexcom g7 they accept Medicare nationwide, over 800 private insurers, and all you have to do to get started is call 888-721-1514, or go to my link, us, med.com/juicebox, using that number or my link helps to support the production of The Juicebox podcast. This episode of The Juicebox podcast is sponsored by the Eversense 365 get 365 days of comfortable wear without having to change a sensor. When you think of a continuous glucose monitor, you think of a CGM that lasts 10 or 14 days, but the Eversense 365 it lives up to its name, lasting 365 days. That's one year without having to change your CGM with the Eversense 365 you can count on comfort and consistency, 365 days a year because the Eversense, silicon based adhesive is designed for your skin to be gentle and to allow you to take the transmitter on and off, to enjoy your shower, a trip to the pool or an activity where you don't want your CGM on your body, if you're looking for comfort, accuracy, and a one year wear you are Looking for. Ever since 365 go to ever since cgm.com/juicebox
Speaker 1 18:03
to learn more. Yeah, we pushed to have, at least when he was diagnosed, the kids were supposed to do just regular injections for a while, and then move to pens, and then to CGM, and then to, you know, to an insulin pump. And so we push to have all those things very quickly. And I imagine that me being a doctor probably made that easier. Just, you know, in all honesty,
Scott Benner 18:30
they assume you'll figure it out to the light you had earlier. Okay,
Speaker 1 18:33
right? And I've, you know, and I've given people insulin plenty of times in my life, too, and I have a sense of, you know, how much is too much. And you know what a normal range is. But that being said, my husband does most of my husband stays home with our kids and does most of my son's glucose management, just because he's more available and more able to follow on a you know, hour to hour basis regularly. And he, of course, picked it up very quickly and is very, you know, very structured. And, you know, he's smart, and he and just very interested in figuring out how to do it the best way he could. And so it, despite it being my medical background, that kind of allowed us to have access to these tools, probably a little easier. It was really just my husband's motivation and natural interest in tracking things and numbers that allowed us to do a good job with what's
Scott Benner 19:22
his background? Besides being able to pick up a doctor on a mountain, what's he
Unknown Speaker 19:27
important life skill? I think it
Scott Benner 19:30
might be his most important life skill.
Speaker 1 19:34
But he has an education degree and a Master's in Fine Arts and photography, nothing that would obviously point you towards being amazing at managing diabetes, but he really wants our son to be healthy and happy and and he loves he's also very good at math naturally. And so that part of it is appealing to him.
Scott Benner 19:56
It lends to this thing he needs to do now,
Speaker 1 19:59
right? Exactly. So basically, when we got those tools, we had been using them for the pump and the CGM for probably two weeks. By the time we left, we didn't have a ton of experience with it, but they're pretty intuitive and easy to use. The hard part of it was really getting through the security The first few times we went somewhere, places do not like it when you don't put your stuff through the security the
Scott Benner 20:24
scanners. Boy, I'll tell you, this is a thing that I can't wait to hear you talk about, because we just traveled two weeks ago with Arden, and Arden's flown a number of times with diabetes. And I have to tell you, like, I don't get why people have trouble with security, like, and only because we never have I'm trying to figure out, what's the mechanism like, why is does it go so smoothly for us? And yet, I hear some people that are just like, they have these horrible Can I tell you that the first time we went through on our trip recently, and we were just flying inside the country, so, like, we weren't, it wasn't an international flight. But when we got to the security the first time, not TSA Pre check or anything like they were just going through regular security, my wife says, Don't forget to tell them that you have juice boxes in your carry on. So the way we do it is we pack extra supplies in the belly of the plane, like into somebody's bag, right? I bring enough to keep like, five people with diabetes alive for the amount of time that we're going to be there. And by the way, that bag almost never gets opened. And then we hand carry enough for the trip as well, like so, in my backpack I had we were going to be gone for a week. In my backpack we had five OmniPods, three dexcoms, enough insulin in a in a cylinder with ice to you know, three vials of insulin, way more than we would need, a glucagon pen, two juice boxes for the plain gummy bears like all this is in my backpack, and I say to the person when I put it on the belt, hey, listen, my daughter has type one diabetes. There's juice and insulin in here. And he goes, Okay, and then I watched him not tell anyone, and then I thought, Oh, My bag's gonna get hosed because he didn't tell the scanner person. My bag goes right through, pops out the next then nobody says a goddamn word about anything. I've got juice boxes in there. You would think they'd want to swap them, right? Nothing. And it's a major metropolitan airport, and Arden walks up to the thing and says, Hey, like, I'm wearing an insulin pump. And they go, okay, and then she goes through the scanner, they scan her, they pat her down, and then she moves right on. I was like, Huh? That's weird, because they usually at least swab her pod, you know, like with that explosive swab, they make sure it's not, you know, not even that. And we were right through and on our way. So on the way back, I forgot to say there's juice boxes in my in my no one mentioned it again. I actually watched a ladies bag get pulled out instead of mine, and she had hand cream in it. I was like, I have a metal cylinder with liquid inside. It looks like a bomb. I'm not kidding. Nobody said a word. So I'm like, I don't understand. And then you go online, and people are like, in the middle of a pat down process that looks like it takes a half an hour. So I'm interested to learn what you learned and where you had hiccups. I'm sorry that was long, but like, I this just happened to us. It's fresh in my mind. Today's episode is brought to you by Omnipod. We talk a lot about ways to lower your a 1c on this podcast, did you know that the Omnipod five was shown to lower a 1c that's right. Omnipod five is a tube free automated insulin delivery system, and it was shown to significantly improve a 1c and time and range for people with type one diabetes when they switched from daily injections. My daughter is about to turn 21 years old, and she has been wearing an Omnipod every day since she was four. It has been a friend to our family, and I think it could be a friend to yours. If you're ready to try Omnipod five for yourself or your family, use my link now to get started. Omnipod.com/juicebox get that free. Omnipod five Starter Kit today, Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox
Speaker 1 24:18
Yeah, it is really interesting. The variability is huge, and we've experienced everything from what you just described to people literally not allowing us on the plane, almost to because of these kind of supplies. So big picture is that in industrialized countries, where they're used to seeing diabetes devices and people with diabetes, it's a lot easier, so almost always in places that have you know, there are a lot of people with diabetes these days, so they see, you know, these devices coming through regularly, and it's just not nearly as big a deal. So they the familiarity is a big piece of it. We also. Learned because we go through our local airport quite often, and every time, it seems like a completely different experience.
Scott Benner 25:07
It sounds like you live in where northern exposure was filmed, but like
Speaker 1 25:13
we have a big airport near us, and so when we go through that airport, what we've learned is that for kids, for any kind of like security issue or pat down or anything. It's up to the supervisor on at the time who can make any one of a variety of decisions on any where on the spectrum, but it's dependent on that person, okay? So that's why it's a little different. Every single time we go, we don't really know where to fall on the spectrum of whether the OmniPods and Dexcom should be put through the scanner or not, but just erring on the side of caution, we've requested that they be hand checked, in part because, since we travel in different parts of the world, we can't be sure of the amount of radiation that they're getting. You know that some of those machines just might not be checked as well or kept up to the same standard, so we just kind of ask for them to be hand checked every time. That has led to us being stopped in you know, in Egypt, for example, anywhere in the Middle East, you go through two different security checkpoints, once right at the beginning of the airport, and then again, right before you get onto the plane. And so both of those times are opportunities for people to be very confused about what, what you have, what it looks like, why it can't be can't be scanned and needs to be hand hand checked, why they can't open it, and, you know, make it un sterile, and those kinds of things. So we always bring, now a letter from, you know, from our local Diabetes Center that's translated into local language. Something we didn't initially realize was that although a lot of people in a lot of places can speak some English, that doesn't mean they can necessarily read English. A few times, had the situation where we handed someone our letter in English from Diabetes Center about the devices not being scanned, and they kind of just put it aside, and we later realized that it was probably because they just they couldn't or whatever, taught to read it. Right?
Scott Benner 27:02
Whatever, taught to read it, right? Yeah, we used to do the letter thing. We haven't done it recently. We used to carry a letter from an endocrinologist. But I can see why going overseas would make it even more important,
Speaker 1 27:12
right? Exactly. So we take that and then we use Google Translate to translate it into whatever languages, the local languages of the places that we go. We always immediately take it out of the of the carry on, put it in a container, say it needs to be hand checked often. That needs some reinforcement, because people kind of just like, take it and then put it on the on the tray to scan it. You're like, no, no, that's not going to work. By doing those two things that takes care of most of the problems. But we've had to wait for the supervisor to come many places where, in Azerbaijan, for example, super nice people, and they just literally had no idea what to do with us, yep, and they really wanted to. So first we had the, you know, the regular security people come, and they kind of looked at the letter, and they looked at the devices, and they were like,
Scott Benner 27:55
huh, above my pay grade, right? And then they go to, yeah, right. So then
Speaker 1 27:59
they call their supervisor, and they have to come in from wherever. So in the meantime, they called the doctor on call the hospital who came over and was like, Yeah, this is diabetes devices. I'm going to go back to sleep. Supervisor comes, and then the other supervisor comes. So then, then we had to go through another security checkpoint. So shortly after that, and said, you know, Would one of you mind a company so we don't have to, you know? So people know that we've already kind of been checked out, and they're like, oh, all the security department is already here. There's no one else to go through the other side, because everyone is right here already. So, you know, people are really trying to do their best and just follow their protocol. Often, just in some countries, a protocol does not exist for this kind of thing. And so, you know, understanding that
Scott Benner 28:40
too. You're waiting to get to a person in charge that'll say, Okay, fine, yes, yeah, exactly. We've also lived through that experience too, right? Right here in America as well. Like, it's not, it's interesting. Certainly, seen someone look at that Omnipod and go, I don't know what that is. I don't want to be a part of this, right? And then go get a supervisor who comes over and looks at it and starts like, what is it? You explain it to them, and then I don't know if it's more confusing, because it's on a kid and you said diabetes, sometimes you know what I mean, like. And then there's like, well, we'll have to swab it to make sure it's not explosive. And they swab it down to go back for a second. We started off asking for our stuff to be hand checked and not to go through the scanner as well, too. But over time, I'm wondering if this is one of those things, like, the longer you live with diabetes, the less you kind of if maybe, like, my way of going through airport security isn't the like swag at a restaurant version of bolusing after you've had type one or been around type one for 20 years. You know, you're just like, I don't know. It's probably like 55 cars. Let's go. Maybe you just stop paying that close of attention to it. But that's
Speaker 1 29:42
probably true. I think that's probably true, and we are probably being overly cautious. I have that thought, but then I also have the thought that, you know, any testing that they've done probably hasn't been like going through 10 different security scanners of varying level of, you know, caliber. Situation over a period of time. So, you know, I think, because, also, since we're traveling and we don't have easy access to a backup, like, if they, you know, if it did seem like, oh, oh gosh, it seems like they're all of a sudden failing, or failing quickly or something, yeah, getting new supplies would be, would be pretty challenging, and that's usually our we have almost we travel with our entire supply for the entire, you know, months of trips. Do you
Scott Benner 30:25
split it up into different bags? Like, if I did that, I would think, if this bag gets lost, We're so screwed, like, I would probably split the supplies up amongst different do you how do you manage that? Or do you not have the same fear I have? We
Speaker 1 30:36
travel very light, so we each just have one backpack, and then we have one carry on with mostly diabetes supplies in it. And we, we carry that on. It's a, it's a carry on, okay, yeah, you don't
Scott Benner 30:45
let it out of your site. Then, yeah, exactly got you. I mean, honestly, that's what I end up doing, is I bring enough stuff to get by, and then I bring extra stuff, you know, in a packed bag that gets checked the last time. I don't even think I ever took it out. Like, you know, I think it sat in a check bag the entire time. Nobody ever took out the extra stuff. We never dipped into the extra and it does. It hits me every time we travel, like, I'm bringing too much stuff. I don't need to bring all this. I just think, like, I don't, not usually like this about other stuff, but I'm like, the one time I don't bring this stuff, it's definitely gonna go something's gonna go wrong. But at the same time, like, if you don't leave America, it shouldn't be too difficult to replace stuff if you had to it just definitely, yeah, it shouldn't be too tough. But I'm taking your point about going over to seas. There are people from some of the places you've traveled. There are people who live in those places, who fly here just to get their diabetes supplies and then fly back home again. Exactly? Do you carry enough stuff to do it manually if you needed to?
Speaker 1 31:43
Yes, we also carry, we carry one of those, you know, those cylinders also with a with the ice pack, and then in there, we also carry enough pens and vials of insulin and and other supplies to to get us by, to do, to do everything manually if we
Scott Benner 31:59
needed to. Well, you said, How long was this trip for? 50 days? Did you tell me
Speaker 1 32:03
the first trip we did was about five and a half months, and then we've done since then a few three month trips. We're about to go to France for for a few months to do French lessons.
Scott Benner 32:13
How much insulin do you take with you for a five month trip? Think we
Speaker 1 32:17
had six miles or something like that. Oh, okay, his knees are pretty minimal. And that's also something that you can get, like, of all the possible things, plain old insulin. That is something that you can get almost anywhere these days. Interesting,
Scott Benner 32:31
okay, hey, what do you carry the insulin in? I'll just tell you that we I used a, it's a, you know, it's a cylinder that is made to keep things hot or cold. I take insulin out, I take a paper towel, fold it in threes lengthwise, wrap it around the insulin. I put a rubber band around it to try to insulate the glass so that it like if something bumps into it, it can't break and so that doesn't come in direct contact with ice. I put it inside of a baggie, I put the whole thing inside of the cylinder, and I pack ice on either side of it, and that's it. That's how I travel with insulin. But what do you
Speaker 1 33:09
do? We have a, and this is there's no relationship, but we have a, there's a company called all for family. I think that makes different size cylinders for medication and travel. And those have been great. They make a small size and a larger size. So for our bigger trips, we use a larger one. For our shorter like one month trips, we use the smaller version and and it's easier. We also do use those, those plastic coverings on the insulin vials, the that the shock that make them less, yeah, exactly. So we put those around them, and we just shove them right in there, and they stay for a long time. And that also means that you have to have a freezer to get the you know, to make sure that the frozen pack can still stay frozen over your period of your travels. So we've put it in a random freezer in someone's kitchen, you know, at a Airbnb, or we've, you know, at a hotel. A lot of places don't necessarily have a freezer inside their mini fridge, and so we've put it in the in the kitchen of the of the hotel. And in different countries, people are usually very nice, especially if you say that it's for your
Scott Benner 34:19
kid. Yeah, there's many places in the world that you can't get ice, really,
Speaker 1 34:23
yeah. So we don't, we definitely would not rely on ice, because it's just too unreliable. It's just too variable to be able to find ice. And also, within going through security with ice and if it's melted, is much more confusing to the security checkpoint people, I
Scott Benner 34:40
have to say, like, it's, I just put ice in, and then when we get somewhere, if it's a long travel that goes over days, like, every once in a while, I just bleed out whatever melted, and throw another handful of ice in and keep going, like, it's funny, like, you and I do the same thing. I do it with paper towels and ice, and you do it with cold packs and, like, little like, shirts that go over top of the insulin packs. Well. About the level of comfort for your son. So I know about all the things you're thinking about. Is he too young to really consider it? Because I've watched Arden as she's gotten older, think more and more about it when she's traveling, like, when she was younger, she just assumed we were taking care of it. And now that she's older, I can see her like, Hey, where's my stuff? You know, where's this kind of thing at like, how much of this does he know to be concerned about? You
Speaker 1 35:25
know, he is an exceptionally responsible young person, and he does a great job managing his own diabetes, and always has. He knows all of his carb counts. He knows how much he needs. He can he could really do it all on his own in terms of bringing stuff. He's also generally very good about saying, you know, where's my pack, where's my stuff. You know, get everything. We did have an incident where we had said, Do you have your pack? And he said, Yes. And then he went to put his shoes on and put his pack down, right before we got in the car to drive to the airport to go to Morocco, which then meant that we had no daily pack that has his finger stick stuff in it. We did not have that, which was a little stressful, but we just, you know, when we got to Morocco, the first thing we did was go to a pharmacy and buy another one, and it was $20 and totally fine. No big deal. You know, that pack had we used cashews quite a bit for him. So and, you know, and glucose tabs. We were able to find both of those things very easily. Basically, we're able to redo an entire pack within about a half hour period in Morocco. So, you know, almost anywhere now has a pharmacy that is, you know, honestly, so many people have diabetes, type two diabetes, in the world now that didn't used to those kind of supplies are much more readily available than they used to be.
Scott Benner 36:41
One of my biggest takeaways so far, takeaways so far is when you said that earlier about the devices at the airport, like they they're more prevalent now, so more people have seen them. And like maybe it was easier two weeks ago when we traveled than it was 10 years ago, because they've seen more OmniPods and dexcoms go through. Surely does have something I'll tell you the during our last trip, the most scrutiny Arden got was trying to get into a professional baseball game. Oh, interesting. They went through her bag. Actually, I'll share with you what she did. So, you know, she's like, Hey, I have type one diabetes, so there's some juice boxes in there. You know, I have an insulin pump with me, an extra CGM, like, this kind of stuff. Like, we have enough, like, in our minds, I don't want to go to a ball game, have a CGM fail, have a pod fail, and then that ruined the entire experience. And us have to get up and leave that, that event right. Like, we went to all this trouble to go there, like, that kind of thing. So she has enough stuff with her that her stuff could fail while we were there, and it wouldn't change the event for us. So she's got one vial of insulin, and the guy's like, digging around in her purse, and she's, she said to me, dad, it was going on too long. And I was like, okay, so he says, what's that? And he points to GEVO hypo pen. And my daughter goes, I know how to put an end to this. She goes, that's the thing I use if I have a seizure. And she goes, he went, Oh, and backed up out of her bag and handed it back to her. And she was like, I'm gonna remember that for next time. So basically, she's like, I made him uncomfortable. And he stopped, right? But she did it on purpose. Like, he's like, what's this? Oh, that's an insulin pump. What's this? What's this? And he's picking around in her bag with this. Have you ever done that? They use the stick to move your stuff around because they don't put their hands in there, which makes a lot of sense. And then he's like, what's this? And she just goes, Oh, that's the thing I use in case I have a seizure. And she's like, that just put an end to the entire transaction. He just was like, Okay, great. And, like, hands the back, back to her. And I said afterwards is, did you do that on purpose? She goes, yeah. She's like, it just it was taking forever. And then she's like, I just made him a little uncomfortable on purpose, and he stopped. I was like, Oh, that's interesting. I don't know where she learned that from, but anyway, there's some advice for everybody
Speaker 1 38:51
listening. There have been just a couple times where I've had to resort to saying things like, if you do whatever thing, you know they're trying to take away the insulin, or whatever they're trying, whatever kind of silly thing they're trying to do. I say, you know, my son could die. Do you want my son to die? Because that's what's going to happen if you, you know, that's what could happen if you continue to do that. That usually kind of similarly gets their attention enough that they,
Scott Benner 39:14
yeah, I mean, I said to her too, like, you know, like, in all fairness, like, here's a retired guy who grabbed the job at Petco Park, right? You know? And he's just out in the sun enjoying his life. He's supposed to be picking around, making sure nobody's bringing a gun or a knife in here, yeah, like, all of a sudden, you start talking about insulin and insulin supplies, and he's like, wait, what? You know? He got confused and and then he starts to go slower and pay closer attention, because he doesn't know what he's supposed to be doing or not doing it, whether it's in a medical situation at a hospital. And you and I talked a little bit before we started recording, and I have to be honest with you, I'm totally gonna invite you back on, Sarah, to talk about that other thing that you do, but like, whether it's in a hospital situation, whether it's at a security thing, whether it's at an airport, in the end, you're just dealing with people with different levels of understanding. Thing exactly. You have to be ready to clearly, concisely. That's not a word without getting emotional, like, explain your situation. And I do think that sometimes I see people have trouble because they get offended or they get like, like, I shouldn't have to do this like, and they're not wrong. You shouldn't have to do all that. It does suck. The person you're asking to do this thing, they have a job too, and they have a level of understanding. And, you know, like there's, it's in the end, it's communication. Really
Speaker 1 40:30
Totally agree. And we've definitely found that, you know, having that understanding has been really key for us, especially in these countries where foreigners are fairly unusual that, you know, if you're just nice to people, and you really, you know, they're just doing their job. They're trying to, they're trying to do a good job, yeah, and that's great. And they're trying to keep everyone safe, like wonderful, give them the information that they need to be able to, you know, take things to, you know, to get past whatever obstacles as much as possible. People generally are, are really nice around the world, and want to help you, and want to they see a little kid and they feel bad for him, and, you know, they they don't want to be a mean person to a little
Scott Benner 41:13
kid. Yeah, right, yeah. And put yourself in there. I know it's like overly simplistic advice, but put yourself in their position, right? They're trying to do their job and and are you also saying that you go to a lot of places where there's not a ton of Americans coming through to begin with? Okay, right? Exactly. So it's already strange, and now there might be a language barrier, etc, right? How do you find traveling to a place where you don't speak the language, where you feel very out of control? Because you mentioned earlier, I have to tell you, you mentioned my only bucket list trip that, like, I know I'm gonna get to the end of my life and just be like, I can't believe I didn't go to the Galapagos Islands. It's the only thing I wanted to do. But like, I look into it, and the plane ride seems a little too far, and the language barrier seems like a little too much. And like, I'm not as adventurous as you are when it comes to travel. How do you get through all that without it being an issue for you?
Speaker 1 42:04
Honestly, a big part of it is just the basic belief, which I which I can tell you already have, which is that people are nice and want to help you, and so the kind of just faith that people will help you. I mean, we have been helped by people nearly 100% of the time when they could have ripped us off. The language barrier, especially now, is just not that big of an issue. Like in the Galapagos, lots of people speak English, and I speak Spanish fluently, but there are lots of people who speak English now in the Galapagos, and we also didn't, by the way, didn't do a cruise, because those are very expensive, and I get very motion sick. We actually just went from Island Island, and it was much cheaper, and just, it's pretty amazing experience, because very few tourists actually stay on the islands instead of on the cruise
Scott Benner 42:47
ships. Yeah, I don't want to do a cruise to there. I want to, I want to stand there and wander and stare. That's what I want to do. Yeah,
Speaker 1 42:54
that's a that's the way to go. But we've been to places, you know, I can read some French and I speak Spanish, but lots of places we've been, we haven't spoken in English. You know, the translating apps are great. They work pretty well in, you know, many circumstances, not all. So those can help. You're right. A lot of times you're just not in control. You kind of look around and you kind of hope that, you know, you kind of get in a car with somebody, and hope that you end up in the right place. Usually you do. I think it really does come just down to that, having that faith that people in general are good and want to help
Scott Benner 43:27
you. How many times you've been walking down the street with your four kids and you're what I'm assuming is incredibly handsome husband. I mean, honestly, he's going up at risk with his friends. He picks you up there. Like, What is he like, six three, he's gorgeous, right? Yeah, no, no, no, I trust me. I It's like a Hallmark movie, I guarantee it. How many times have you been walking somewhere and thought, Oh, we've made a mistake, we're all going to be dead in a minute. Oh, never, never. You've never thought I made a wrong turn. We're in the wrong part of town. I did the wrong thing. Oh, my God, we're in trouble.
Speaker 1 44:00
That's never happened. We've we've definitely had moments where we've thought, Okay, we need to kind of get out of this area fairly quickly. Never have we felt that we were being targeted or people were purposely making us feel unsafe. Okay, there's just a basic human goodness where people don't want to be you know, first of all, it's a lot of hassle if you have a lot of people around to you know, you have six people instead of one person that you're trying to target, that's just more
Scott Benner 44:26
hassle. See what you're saying, you've made a brood big enough that it's not worth the effort. Exactly. There's just too much trouble. They're going to rip off a family of four. It's going to be much easier. You
Speaker 1 44:35
know, most of the ripping off that happens is more financial ripping off, like charging somebody more than, more than it's worth. But I'll tell you, you know, we were in Tunisia, and we got there, and we had a driver planned to take us to some really incredible Roman ruins. Tunisia has some of the best Roman ruins in the world, and no one ever goes there. And so they're basically completely, you have them completely to yourselves. It's amazing. And we had, we had no cash that they use Tunisian i. Money, and we had, we didn't have any, and we also were running low on euros at that point, so we were going from ATM we had the driver take us to several different ATMs to try to get money, and for whatever reason, our car just would not work at those ATMs. So we're kind of starting to get a little, you know, nervous about being in a country with zero money. And then the driver kind of figured out what was happening, and he spoke almost no English, but he said, Oh, you need money. I have money. Here's some money. Take my money. It's okay. We figure out later. And he literally just started giving us cash. You know, this driver, who I assume didn't have a whole lot of cash to just be throwing around, was just so kind. And, you know, it's like, just take my money. It's not a big deal. You can pay me back later. And then the person that I had arranged the driving the car with called and said, Oh, the driver said, you're having trouble getting money. Just meet me at this corner. I'll give you some money, and then we'll figure it out later. Like, don't worry about it, just enjoy your day. And we'll figure it out later. And to me that that is much more of the attitude that we have encountered is more like we're happy to have you in our country, our culture is such that we prize hospitality and kindness towards strangers. And we want to show you that part of our culture, for us, this is normal, like, if somebody doesn't have money, we would just give them some money.
Scott Benner 46:20
You know, that's lovely, I mean, and you're right, that is my general expectation. Like, I really do feel like most people are kind and want to be, and if I was by myself, I have to be completely clear. Sarah, if it was just me, I'd go anywhere and do anything. The minute I involve my wife, I feel incredibly responsible for her safety. And then the same thing for my kids, like, I'm like, I can't put them in a bad situation. And I know that's that's not the attitude that gets you to Tunisia. It is how I feel. Like, I don't know why I feel that way, but
Speaker 1 46:51
totally understandable. You know, I think definitely one of those things where the more you experience kindness from people in all parts of the world, the more you expect it, and this that virtuous cycle. Very
Scott Benner 47:03
cool. Hey, I noticed in your notes that you listed one thing that it never occurred to me, like dealing with a lack of outlets or Wi Fi, like, how many places have you been where you're like, Oh, the phone that runs, the thing is dying and we can't charge it back up.
Speaker 1 47:16
Yeah, that is a surprisingly common situation where maybe there will be one outlet for for all of us, you know, for all six of us in a room. And so, of course, my son's diabetes devices get priority, but it still means that then maybe my husband or I have a dead phone, or that, you know, it doesn't quite charge it as much as we would hope. Or, you know, this even happens when we're now, we have portable charging devices, which are, which help a lot, but those were not as prevalent when we started traveling. And then we've, you know, we went to Jordan in the desert, so there's Wadi Rum. Is this big desert in Jordan where it's really, it's where Star Wars was filmed. It's in the middle of nothing, right? And they just didn't have any chargers. Having to think through, you know, well, how we need to then charge right before we leave for this place. And then we need, we're going to need to charge right when we get back. Or, you know, can we ask the driver to, you know, let us stop at a cafe or something for, you know, an hour to charge on the way, right? So just kind of planning for that kind of contingency that we hadn't really thought about before we started traveling. But, you know, in a lot of places, most people don't need to charge one device per person, plus an extra, you know, one or two devices for the diabetes.
Scott Benner 48:38
I'm sitting in a 12 by 12 room, and as you're talking about it, I'm looking around, I think there's 30 things plugged into this room. We don't grow up living with, like, Oh, where am I going to plug something in most of the time? And then, right, yeah, you get somewhere else that, like, yeah. Just just occurred to me. I was like, I'm like, there's a power strip there, there's a power strip there. There's a power strip there. There's five outlets in this room. I realized it's becoming more prevalent in some parts of the US. But like, I've never once thought, like, what if I don't have electricity? Like, when people are like, I have a generator. I'm like, a generator for what I've been alive for 54, years, the power has only been out for an hour. Like, three times. I live in a place where there's so many people here that they, you know, you can't afford a power outage, because these people will go crazy, like they'll be looting and rioting in five seconds. So they got to keep the electric on, yeah. Oh, that's a really interesting and those power bricks, those new kind of, like portable battery packs, they really work great nowadays too. They
Speaker 1 49:34
really do. And so those have been super helpful. Now, my son does everything through his iPhone, but before he had a PDM, so then we would have to charge both of those, of course, and that was always those don't take those portable bricks. And so that was an issue. And the power outages are definitely an issue, including for things like the insulin and the and the ice packs. You know, sometimes refrigerators just aren't cold anymore. That's. Another thing that we've kind of just had to be aware of when those things happen is, how can we kind of quickly gather up the insulin and the ice packs before things start to melt?
Scott Benner 50:08
I also imagine in the back of your head, you know, if the ice packs go away, that insulin, you still have time, even after it warms up. It's not like, it gets warm and then it just explodes. So like, you still have a month now that it's room temperature, whatever, exactly, yeah, and you know, it's not like, it's not like it's gonna, it's not a ticking time bomb. You'd have to maybe make your way to somewhere again to get insulin if you were on a super long trip. But it's not like you're, you know, isn't it funny? Like people all the time are so worried about refrigerating their insulin, but then they put it in their pump and go outside. It's 96 degrees outside, and no one ever thinks twice about that. So,
Speaker 1 50:44
I mean, honestly, the insulin and keeping it cool was something we were really worried about. It ended up being once we figured out a system to keep it cool, because we have been to a lot of very hot countries where, you know, it can stay at room temperature, but yeah, you know, having it kind of sit in a bus for four hours in 100 degree heat is like, maybe not the best, right? It hasn't really been an issue because we've been able to keep it cool in these these cooling systems. The charging has been much more of an issue than we than the insulin being cold has been.
Scott Benner 51:13
Arden went into the city for something, and I was like, Look, I don't want to see you have to hump around a metal cylinder with insulin in it. Like, you don't even mean, I was like, and I looked in the refrigerator, I was like, well, we have this vial here. It's like a third of the way full, yeah? Like, just put it in your bag, you mean, like, and it'll get warm, and then bring it home and we'll use it up. Yep. That's kind of like how we like, if something like that, like, I honestly, I can't make her take a tumbler to New York to see a play. You know what? I mean? Like, it just feels ridiculous. And there's a million diabetes running around with pens and their purses and, you know, every other
Speaker 1 51:49
and we have, we do the same thing. We have a pen and in my son's pack that we use regularly also. So all those things. Yeah, we did. I agree, not worrying about that too much, is definitely the way to go.
Scott Benner 52:01
Even one of the concerns for like, you know, Arden is using trio now, but like, if you're using loop or another DIY, like, I used to be like, Wow, you lose this phone. You're screwed, right? Because I gotta go back to my computer to upload and now, even now, they can send the apps, like, through an email link. It's so crazy. Like somebody, you know, you can just set up. Like, you can get a note on your in your email, click on it, it loads trio on your phone. Like it's, it's awesome. Like, you know, how much better things have gotten? Have having said that? Like, how many times have you been somewhere where you don't have a signal?
Speaker 1 52:33
Yeah, a lot of times. Also we you know, just something helpful to know is that T Mobile, for example, has free five gigs of international Wi Fi or international cellular per month, and so that's been really helpful, just that way, my husband and I and our son can all have readings all the time without having to mess with E sims or anything like that. And then a lot of times we have to have him, one of us will just carry his device so that we can keep a closer eye on it, because we no longer get a signal and we don't. We're not getting alerts. We're not getting, you know, sugar mate, no more shells and those kind of things. Yeah,
Scott Benner 53:08
you know, it's funny. You just said T Mobile, which made me think of the ring from the phones, which made me think of the Devil Wears Prada. That made me think about how much I, like Anne Hathaway, that all went through my head when you said
Speaker 1 53:18
T Mobile, amazing. Amazing. I was like, advertising is working, so it
Scott Benner 53:23
really is hitting me. I heard like, doo doo, doo doo. And I was like, oh, The Devil Wears Pro. By the way, I'm not embarrassed to enjoy the Devil Wears prod. It's a great, great movie. It's a great movie. Anything I've missed, Sarah, I know you like, you have, like, a real job. You have to go back to work. So I could just keep doing this, but you may have to go somewhere. Is anything we missed that we should add into this? I
Speaker 1 53:43
don't think so. I mean, I think, yeah, you did a great job of hitting all the main points. I mean, my main motivation is just making sure that people feel like it's something that's attainable and within reach for people with diabetes, that traveling is totally something that somebody with type one diabetes, a kid with type one diabetes, can do, and that it's not overwhelming, and it's not a barrier to being able to explore the
Scott Benner 54:05
world. Well, you made me feel that way, so I assume that you did that for somebody else as well. Thank you. Excellent. If you came back on, what would you want to talk about, about the health prei piece? Yeah, can you give me, like, 60 seconds on what what that is?
Speaker 1 54:18
Yeah, well, I can tell you what I mostly deal with, which is, it doesn't completely overlap with what you are talking about. It may not be a great fit, but what I mostly do is, so I worked at Rand, which is a big Think Tank, doing AI model evaluations for national security risks for a couple of years. And with that, I obviously translates a lot into healthcare, in terms of, how do you know that a lot of these AI tools that we're using are safe. There's obviously AI that's going into these dexcoms and the OmniPods and, you know, the closed loop systems in general, and the FDA is kind of struggling, honestly, to keep up with how quickly the field is moving. And then that's kind of a small piece of you know, when you multiply that into you. AI tools that go into a healthcare system. And you know, how do you know that the information that you're getting, the recommendations that the clinicians are getting, are accurate? And because AI is what we call probabilistic, not deterministic, meaning that it there's a it will give you the same answer, maybe some of the time, but not all the time. Whereas most of the systems we're used to using in medicine, like if you put these three inputs in, you're going to get this input out. And that's not how AI works. And so it's just harder to evaluate the safety of it, because it doesn't always give you the same answer. So figuring out how to use that safely with patients, and integrate that into a hospital system and the AI products themselves, and then testing them to make sure that the software is indeed safe and how it's used regularly, actually is what you intended. That's most of what I do. I do a lot of healthcare. I have a sub stack that I write, and then I have a large physician community also that that I run, but it mostly these days focused on AI evaluation and governance. I still think
Scott Benner 55:59
that's very interesting. I don't even care if what you're talking about, though. Talking about doesn't directly apply to diabetes. I still think it's a really interesting conversation. So if you want to have it, I'd like to have it too.
Speaker 1 56:09
Okay, yeah, that'd be fun. I would love that. Okay. I mean, I think it's a really I think it's interesting, and I think for people with diabetes, actually probably does apply more, because AI will be the recommendations that you see are so personal. You know, for a lot of people, this is very abstract. In terms of, like, AI will recommend something someday in healthcare, and then you will, you know, get a response. And for people with diabetes, this is very immediate and very personal in terms of, you know, some of the AI systems, how they're prompted is to be more aggressive, and some of them, how they're prompted is to be less aggressive. And you see that in your own recommendations and how these closed loop systems
Scott Benner 56:46
work. Yeah, no kidding. I think the first time it struck me was when I asked, I think I asked Jake leach of Dexcom, like, you know, how much more can you improve the sensor wire and the blah blah? And his answer led me to believe that the improvements aren't as much in the hardware as they are in the interpretation of the information coming through the hardware. Absolutely. Yeah. And what can that thing, I don't know, surmise from what it's getting? And I was like, Oh, that's interesting. And when you talk to companies about their algorithms, and you know, like, how aggressive their insulin pumps are, and you say, like, oh, well, you're gonna have to develop one that's more it's not really develop one that's more aggressive. They just need to turn a knob and then test it enough to say that it's safe. And right?
Speaker 1 57:30
So that's exactly it, yeah. How do you test it at safe? How do you show that it's safe? And we don't really know, is the answer, right? The the what is the standard for demonstrating safety? Is not as clear as you would think it is, especially for AI since, since it's going to give you a different answer every time, yeah,
Scott Benner 57:47
that so that's what I'm interested in talking about. Okay, so hold on one second for me. Thank you very much. I appreciate you doing this very much. Today's episode of The Juicebox podcast is sponsored by the ever since 365 you can experience the ever since 365 CGM system for as low as $199 for a full year visit ever since cgm.com/juicebox for more details and eligibility, this Episode of The Juicebox podcast is sponsored by Omnipod five. Omnipod five is a tube, free, automated insulin delivery system that's been shown to significantly improve a 1c and time and range for people with type one diabetes when they've switched from daily injections, learn more and get started today at omnipod.com/juicebox of my link, you can get a free starter kit right now. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox, 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, 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 podcasts 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 if you or a loved one is newly diagnosed with type one diabetes and you're seeking a clear, practical perspective, check out the bold beginning series on the Juicebox podcast. It's hosted by myself and Jenny Smith, an experienced diabetes educator with over 35 years of personal insight into type one our series cuts through the medical jargon and delivers stress. Forward answers to your most pressing questions, you'll gain insight from real patients and caregivers and find practical advice to help you confidently navigate life with type one. You can start your journey informed and empowered with the Juicebox podcast, the bold beginning series, and all of the collections in the Juicebox podcast are available in your audio app and@juiceboxpodcast.com in the menu. 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. The episode you just heard was professionally edited by wrong way recording, wrong way recording.com,
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