#1630 Tilt-A-Whirl

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With type 1 diabetes, ADHD, and a background in dance and psychology, Gabi, 28, opens up about family, teaching pilates, and finding her own way.

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Hello friends and welcome back to another episode of The Juicebox podcast.

All right, Rob, so a couple things happened during this one that are going to make me tell you this. This girl has ADHD. She has long pauses and gaps. Normally we would take them out. I want to leave them all in, because they help tell her story. They help people to understand how her thought process goes and where it might impact her diabetes and her other care. As a matter of fact, use this as the voice note to open up the show, so that the people listening know that normally we would tighten this up, but so that they can really understand Gabby, we're going to leave it all just as it was recorded. Bye Rob Oh, and by everybody else. I hope you enjoy the podcast. If this is your first time listening to the Juicebox podcast and you'd like to hear more, download Apple podcasts or Spotify, really, any audio app at all. Look for the Juicebox podcast and follow or subscribe. We put out new content every day that you'll enjoy. Want to learn more about your diabetes management. Go to Juicebox podcast.com up in the menu and look for bold beginnings, the diabetes Pro Tip series and much more. This podcast is full of collections and series of information that will help you to live better with insulin. Please don't forget that nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin you

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 dot com slash Juicebox. This episode of The Juicebox podcast is sponsored by the Omnipod five. And at my link, omnipod.com/juicebox you can get yourself a free, what I just say, a free Omnipod five starter kit, free. Get out of here. Go click on that link, omnipod.com/juicebox check it out. Terms and Conditions. Apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox links in the show notes, links at Juicebox podcast.com. This episode of The Juicebox podcast is brought to you by my favorite diabetes organization, touched by type one, please take a moment to learn more about them at touched by type one.org, on Facebook and Instagram. Touched by type one.org, check out their many programs, their annual conference awareness campaign, their D box program, dancing for diabetes. They have a dance program for local kids, a golf night and so much more touched by type one.org. You're looking to help or you want to see people helping people with type one. You want touched by type one.org.

Gabby 3:17
I am Gabby. I'm How old am I? I'm 28 I have was diagnosed when I was two, okay? And

Scott Benner 3:32
that's good. That's a good start. Gabby, also the editor, is gonna like, when you hear it back, you're gonna be like, I'm Gabby. I'm 28 and I was diagnosed when I was two, and you'll be like, Oh my God, I don't remember being that clear and concise. Amazing. Yeah, and don't worry, you'll get you'll get more comfortable. I wish life could do that. You would like an editor to walk around with you. I would love that so much. Okay, so now that we've said that, I'm going to tell Rob right here, don't edit the way Gabby said it. Leave that there, and now edit it again so people can hear what it could sound like if you edit it together. Rob, you know what I'm saying. Do that like let them hear her, and then let them hear what an edit would it sound like. Then we'll go into it. Here

Gabby 4:11
I am, Gabby, I'm 28 I was diagnosed when I was two.

Scott Benner 4:18
So you wish somebody could walk around with you and just take all the pauses out.

Gabby 4:22
Yes, all the time or a lot of my work is saying words that are supposed to make sense together in real time.

Scott Benner 4:30
Wait, what kind of work do you

Gabby 4:33
do? I teach Pilates and kids dance. Is

Scott Benner 4:37
there a job where your words don't have to make sense together? I guess there are some right

Gabby 4:43
sometimes not live, at

Scott Benner 4:45
least not Oh, I see what you mean. Like, so you have to feel smooth when people are listening to you right away, yeah, like it's happening. I feel like I'm a fairly smooth speaker. And yet sometimes I hear myself back and I'm like, oh my god, Scott. Like, get to it. Or like there was. Six different ways you could have said that. That would have been better. You know, sometimes you just get stuck with what comes out of

Gabby 5:05
your mouth as you do. How can you expect everything to go right?

Scott Benner 5:09
I don't know. There's times when it does. There's sometimes I get done. I'm like, that was good, actually. I think since I know Rob's listening closely to this one now, I actually think, like, there's not a lot of work in here for Rob. I bet you this one will be easy for him. But then there's others where I get done and I'm like, Oh, poor Rob, that's not going to go well at all, you know? And he's thinking that right now, because you said about pausing. He's like, Oh God, I hope Gabby doesn't pause between every word for the next hour. I know he's laughing right now listening to this, because he's like, I am absolutely thinking that nevertheless diagnosed when you were two years old, yeah, and you're 28 now, yep. Do you have any kids of your own? Nope, no. Are you anywhere near making a baby? No, good for you. That's why

Gabby 5:52
I giggled, because I was like, That's terrifying.

Scott Benner 5:54
Actually. Is having a baby something you've ever thought

Gabby 5:58
of? Yes, and then I just Just recently, definitely was like,

Scott Benner 6:01
Huh? I guess I am 28 what's terrifying about it

Gabby 6:07
that I'm a freelance like fitness and dancer and have no money?

Scott Benner 6:12
Listen that that should be your main thing. Yeah, that's definitely your biggest fear. It's very expensive to have kids. It's insane of life. Yeah, are you with somebody? I am.

Gabby 6:24
I've had a boyfriend partner for like, as of a couple weeks ago, like, five

Scott Benner 6:29
years. Has he ever mentioned, hey, Gabby, are we gonna get married or make a baby or anything like

Gabby 6:35
that? Yes, and baby, like, very much. Not at all.

Scott Benner 6:39
That's not a thing he's that interested in if that makes sense. Oh, does he have a good job?

Gabby 6:45
Yes, but not that he like, loves and wants to be at Forever, a long time.

Scott Benner 6:49
Oh, you can tell him, that's how everyone feels. Yeah, right. Well, I love what. I heard my son say, I don't love this. And I was like, wait, what you thought somebody loved their job. Stop it.

Gabby 7:00
I know. Well, I do, but then I burn myself out. So

Scott Benner 7:04
you love your job, but you also said it doesn't pay very much. I mean, in the grand scheme, it is to pay for a baby and stuff like that. Yeah. Is there pressure when you're a lady to think like, I have to be able to take care of this kid in case that guy flakes on me. I mean, that's always a possibility, right? Oh, did I just, like, add another concern to your life? I'm sorry.

Gabby 7:27
No, no, I was gonna say maybe from my childhood, but that's not actually true. Like, my parents divorced, but not for that reason.

Scott Benner 7:34
Yeah. I just wonder. Like, I mean, I think if you took 100 guys and 100 girls who didn't have a kid and said, Hey, if one day you have a child and you become divorced, who do you think will get the baby? I bet you. Most people would say, I think the mom would Yeah, and so

Gabby 7:49
laws and stuff or not laws. But most law orienting people would say that too. Did

Scott Benner 7:56
you say law orienting people? Yes, I did. Can we call the episode that? Do you think? No, there has to be something good. I hope you don't say one thing more ridiculous than law orienting people.

Gabby 8:07
I'm sure there'll be, like, 100 more ridiculous things. We'll

Scott Benner 8:11
get to it. Then, if I asked you what it was like to grow up with type one diabetes, what are the things that pop into your mind first? Um, a fear of lows, yeah, yeah, since you were little, yes, what do you did you get low a lot, and do you still?

Gabby 8:35
I have had a lot in, like the whole 26 years of, hypo seizures.

Scott Benner 8:42
Oh, you've, you've had multiple seizures, yeah, like, too many to count more than a dozen. Yes. How do you feel? Like, that happened like so, I mean, you were born, what? 9696 so do you have a sensor, a CGM, right now, yeah,

Gabby 9:02
I am currently wearing g6 and then I am truly changing my new ish tandemobi. You're changing it right now, while we're talking, yeah, it ran out of insulin.

Scott Benner 9:19
It did not run out,

Gabby 9:21
which is a thing that I'm like working on in life, to not have that ever. But it didn't at all, and it still has, like 1514, something left. However, my sight was on my thigh, and I am learning that after the second day, it's just like, Nope, we are done. So you're

Scott Benner 9:42
starting to see a high blood sugar from your thigh site, more than starting, oh, oh. So why'd you put you knew we were going to do this. Why did you put it off all morning? Let me, me act like your dad for a second. Why? Why didn't? Why didn't you do it earlier?

Gabby 9:55
Act like your dad. That's hilarious. Because I was taking my dad to his doctor.

Scott Benner 9:59
Oh, oh. Your dad needs help. He's not the one helping.

Gabby 10:02
No, not anymore. Sorry. I was in reverse a little bit.

Scott Benner 10:06
Your roles have been reversed. Yeah, seriously though, like you were out this morning doing something, yeah, and the

Gabby 10:14
horribly, purely opposite of any version of any morning

Scott Benner 10:19
person at all,

Gabby 10:22
and yet we're at the doctor at 1030

Scott Benner 10:26
Yeah, I have to tell you, I do notice that people I record with who want earlier times are sometimes more energetic people, even when I like I recorded this morning at nine, and not let me be clear, nine is not early, but that's the earliest you can get on my schedule, right? And I sat down, I was like, I don't even know if I'm awake yet to do this. And I popped on and the person was just full of life. And I was like, Oh my God, you morning people or something, yeah. And I don't, I get up early. Like, I don't. I'm not a, like, a late riser, generally speaking, no, you're not me. But I don't pop up, like, full of, like, exuberance, like I I'm happy to be awake and see the, you know, see the beginning of the day and everything, but I'm not out there looking to, like, run a marathon or record a podcast or something like that. Yeah. Anyway,

Gabby 11:13
I was gonna say you need your coffee, but not actually you need your ag one or something, right? Yeah,

Scott Benner 11:17
I don't drink coffee, so that's not helpful. Are you still doing 81 yes, yeah, but I don't drink coffee. And I do see people like, supercharge their lives with it, and I'm like, maybe one time I should I just don't. It doesn't smell good to me. It doesn't I can't imagine. It tastes good. I don't know. Anyway, it freaks me out that, you know, I don't drink coffee,

Gabby 11:37
such a weird thing. I mean, a lot of people know a lot of things about you,

Scott Benner 11:41
I know, but when you're faced with it one on one, it's strange. It's an abstract when you just sit down and record and say stuff you don't actually like, it's not like, I I walk outside, and the 1000s of people that just listen to it walk up to me and say, Guess what I learned today? Like, it's not until, like, you go online and you see people talking about it, and you're like, oh, okay, I guess somebody heard that. That makes sense. But even that's it still remains a little abstract, you know, like, but you and I are now talking, and you're just like, Oh, you don't drink coffee. And I'm like, How does she know that? Yeah, so Nevertheless, you didn't change your pump. You knew you should have earlier because you saw the site going bad. Happens mostly on your thighs.

Gabby 12:24
It just has happened, like the same thing, like

Scott Benner 12:30
a week or week and a half ago, okay,

Gabby 12:33
like, literally on the same thigh, a little bit higher or lower, in which I had a really horrible night. And I didn't even quite piece it together, like, it didn't necessarily have an exact like, all right, it's two days and we're done. Yeah, you

Scott Benner 12:49
didn't see cause and effect right away, but, but you're a dancer, you said, right? And you're doing Pilates. Do you have like, strong thighs, yeah, yeah. I think maybe it's like, yeah, but close to a big muscle, like there's reasoning behind that, like the using the top of your thighs or the sides, might be weird, but like, almost inner okay, because there's more,

Gabby 13:15
yeah, I don't know. I feel like it's less muscley, muscley, which maybe isn't even true. So

Scott Benner 13:20
Well, what other sites have you tried? Have you tried like the like your hips, top of your butt? What

Gabby 13:24
have I not tried? You've been 26 years

Scott Benner 13:27
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Gabby 15:43
yeah, well, actually, when I was so, I started pumping, when I was like 10, with, like, you know, manuals, of course.

Scott Benner 15:51
And

Gabby 15:53
because back then I was, like, in a ballet class every night wearing nothing, basically,

Scott Benner 16:00
I put

Gabby 16:02
that pump with the site that I would only leave on, yeah, lesson learned, much, much, much, much, much later that site would sit like on either hip, and that was my rotation,

Scott Benner 16:18
hip, hip, yeah.

Gabby 16:21
So that then it then it could just have the teeny, tiny sight part without the pump. When I had, like, just ballet tights and leotard I see, and it was semi invisible. Yeah, you were trying to hide it. Yeah, a little bit. But also it just, like, was more comfortable with everything, with like that, like leotard. But then how we, you know, put our leg over our

Scott Benner 16:50
head. Were you disconnecting to dance? Yeah, from like,

Gabby 16:56
then from like 10 till like, pretty much like 20,

Scott Benner 17:01
okay, and then what happened at 20, I accepted the learning.

Gabby 17:09
I was in college dance, so I was still doing all the things, but then it was even more, all the time, and not like an evening class,

Scott Benner 17:22
and also new doctors as adulting started who were like, You can't do that. You have better expectations for yourself. I was told I could. Yeah, so somebody at some point when your kid was like, well, just disconnect for dancing, but then your blood sugar would get

Gabby 17:42
high. Oh, it wouldn't even No, I would still go low. Do we get low? Still? Yes, interesting, absolutely. I would be sitting, not sitting.

Scott Benner 17:50
I would be standing, sweating,

Gabby 17:53
shaking, because we're, like, working hard.

Scott Benner 17:57
But then, I mean, not

Gabby 18:00
every day or anything, obviously. But you know, just how low is? Those happen. I would be like, doing a ballet class combination, and it's like, okay, a combination takes like, a minute, and then you have the next one in the next minute, and there's like,

Scott Benner 18:17
pause, go, pause, go. So I would stand there thinking, like, I think I'm going low, and then you just go exert go, exert yourself going low, yeah. And then, but you still kept exerting yourself and going,

Gabby 18:34
yeah. So I'd be like, Okay, I don't know, so maybe I'll do this one, and then maybe, if I know I'm low, then

Scott Benner 18:43
I'll go, okay. Have you ever had a seizure at dance class? No, no. Where did they? Where did they normally happen

Gabby 18:53
in all of childhood? It was always in sleep.

Scott Benner 18:57
Okay, night. And my last one was even though I woke up right before it.

Gabby 19:08
But others besides last one, like more recent than childhood, have been

Scott Benner 19:18
just all different, different times. So when you were a child and having them while you were sleeping, did you you did not have a CGM at that point, or you, at some points, didn't, at some points,

Gabby 19:28
didn't until, like, so recently, really, like, life would have been so incredibly different.

Scott Benner 19:34
Wait, how long ago did you get it?

Gabby 19:37
Um, I think I started trying something around like 2018

Scott Benner 19:46
Okay, and that's, does that kind of line up with you becoming more mature and trying to take better care of yourself? Or did it line up with you getting insurance? Or what was

Gabby 19:56
the oh, it was just literally like, Doc. Were like, Here, try this. And I was like, Cool. You were up for it. It was not presented to me before.

Scott Benner 20:07
You look back and think of yourself as having good health care and like forward thinking doctors before or no

Gabby 20:15
forward thinking, I don't know, good yes, in general, there is one nurse practitioner who, like, I have not seen her in years, and to this day I have, like, passionate loathing for her.

Scott Benner 20:32
Why? What did she do to you?

Gabby 20:36
She just really wanted me on the newer Medtronic

Scott Benner 20:41
and you just didn't, and I quote, tried. What do you mean? You tried. You didn't really try.

Gabby 20:48
No, I mean, I use the pump for sure, like I use that pump for, I guess, four years or more, okay, but their

Scott Benner 20:59
sensors in like 2018 ish,

Gabby 21:07
were not what they I guess maybe, hopefully are. Now

Scott Benner 21:11
you have a 20. Did you say 2018 Yeah. So what I have in front of me is right. Don't know if it is or not, but I use the internet. It looks like Dexcom had the seven plus in 2009 seven plus, yeah. Then in 2012 the g4 platinum. Then, then 2015 the g5 then in 2018 the g6 in 2023 the g7 i It's so crazy to me that you're having all those seizures, and nobody is crazy. Yeah, somebody didn't say, like, Hey, have you tried one of these CGM things? Yeah, did they know you were having seizures? Or did you not tell them? No,

Gabby 21:49
no, they definitely knew. I mean, I definitely didn't tell them about a couple, but

Scott Benner 21:52
there were so many you felt like you could hold a couple back for yourself a little bit. What do you in hindsight? Why do you think you had so many seizures?

Gabby 22:04
They were always, like, incredibly fast crashing and just the like, worst combination of all of the million variables. But

Scott Benner 22:14
like, structurally, what do you think you went like, let's go back into the middle of a day. Did you eat before dance class? Like maybe you ate Bolus, then went to dance, took off the pump, the exercise, you know, combined with the active insulin, made you low at dance. Then, you know, you addressed it. Went home, ate again, right? Bolus again, and then maybe had, like, a latent low overnight from all the activity. Is that possibly how it went?

Gabby 22:44
Yes. I mean, that is the likelihood of, like, much earlier in college years, which is, like 2014, to 18 was, did

Scott Benner 22:55
you ever try to break that down while it was happening? Or were you just like, oh, this is, like, my lot in life, how did it feel to you?

Gabby 23:04
It felt like I was trying constantly and

Scott Benner 23:09
not set up for success and not like, completely, fully supported. Not supported Dr nursing, yeah, not supported with information and tools,

Gabby 23:21
yeah, and technology and technology. Okay, it's so I only know that in hindsight.

Scott Benner 23:26
Yeah, no, I understand. But during that time, listen, Gabby, if we all knew everything while it was happening, life would go much easier. But while it was happening, were you trying to make adjustments to what was going on, or were you so busy just staying alive that it felt like, like, you know what I mean? I feel like you were drinking from a fire hose and you couldn't keep up and you were just trying to keep your head above water. There's a lot of my whole life feels like all the time. Oh, sorry, there's like, so many metaphors in there. I confused myself. So that's it. Like it's happening so quickly. You're just trying to stay alive. You don't even have time to think about, like, how could I stop this from happening? Yeah?

Gabby 24:02
Like, I feel like I always was thinking about and was trying to and was like, adjusting and checking, like a million times a day, yeah, like, I had really terrible psychology time blood sugar, like a lot of humans, but none of the like, oh, I'll just pretend I don't have it.

Scott Benner 24:27
You're having bad outcomes during college and

Gabby 24:29
trying, yes, like, trying so hard,

Scott Benner 24:34
so defeating. At least some of the other people's stories are just like, I don't know. I didn't really pay that close attention. You're like, Well, that makes sense, yeah. So it's hard, a little heartbreaking. Then

Gabby 24:43
yes, absolutely, yeah. There's have been a lot of, like, not even, besides, just like tears, like anxiety attack, panic attacks,

Scott Benner 24:53
like mental health stuff. Dad, yeah, did you say, Dad? I said Bad. Bad. I was like, Okay. How do we kind of, like, loop your father into this too? So you have a lot of would you call yourself an anxious person,

Gabby 25:07
a little bit not like, terribly in general,

Scott Benner 25:11
okay, but this whole process, I would

Gabby 25:15
say I had a really terrible season

Scott Benner 25:18
of life with very, very, very bad,

Gabby 25:25
low anxiety, and just anxiety in general, about, like, everything in relation like, literally seeing an ambulance on the street. What time of your life was that season that was basically during college, college, or, like, one of the years that was somehow the worst, especially because of a couple times during those, like, I mean, it was only, I don't know, it was probably three in those Four years

Scott Benner 25:54
that that, oh my god, brain, brain, brain, three or four times in those years that

Gabby 26:07
that I had a seizure, like three times or something. Okay,

Scott Benner 26:10
when's the last time you had one and

Gabby 26:15
you're not helping my track, I'm sorry. Last time, it's fine. I know your go to what. I know how you go to last time was June 15.

Scott Benner 26:26
Okay, explain the ADHD to people what's happening right now

Gabby 26:33
that my brain has a sentence and then just completely loses it,

Scott Benner 26:37
and then while you're looking for it, I'm trying to get you to, like, refocus and that it's less than helpful. It's not helpful. When I do

Gabby 26:45
that, sometimes it is. But then you ask something different. That's because

Scott Benner 26:50
I get, I get bored waiting for your answer. This took so long I don't even care. I'm not doing how my brain does it too. I'm definitely I'm not doing that. I'm just trying to find ways to help you get to what it is, but I don't want to hinder you and make it worse either. Do you take anything for the ADHD? So I do, and I'm not confident that it's super helping. What are you taking? Vyvanse,

Gabby 27:19
no, I'm taking Concerta. Okay, at like, a medium dose, and I felt it very strongly at first, like an hour after I would take it, I would be like, Oh, okay, we have energy. And that means that I am not gonna be the inattentive version of ADHD and like stare at a wall for 30 minutes.

Scott Benner 27:54
So

Gabby 27:55
since I've just been on it for a while, I think my body just feels used to it like too much. It's not helping. I don't know if I want to, pretty much like ask for hire or something totally different, or

Scott Benner 28:14
what So explain to people, there's there's times during ADHD that you're inattentive and so you just can't focus on anything. So you stare. Is that the kind of the idea? Yes, okay. And there are times where the Met, when the medications helping you what you've got, like, crazy energy, and you're super focused, and kind of have like that. What do they call that? Like you have, you have a lot of cocaine, kind of conversations, you know what? I mean, a lot of big ideas. Can't stop talking that sort of stuff. Not quite okay.

Gabby 28:49
It almost feels like the medication when it's like energy, but in like, a good way for the start of the day too. It almost feels like if I have like 20 things floating around my head, it like pulls at least like 10 of them together so that they either can, like, be what we need them to be, or they can be, like, put on a shelf, so that the one thing that we need to be or do, or whatever can actually be done, is

Scott Benner 29:31
that a thing that a therapist has explained to you, a thing that you've experienced, but no, but you're you're making it up, but you're making it up, like, from your experience, though, Yeah, so this is how it feels to you. I would have trouble putting anything that concrete to any of my my actions. I'm guessing that this is a thing that you've lived with for so long that you really have, like, a very intimate understanding of how it

Gabby 29:54
works. Yes, and though so long, without any like diagnosis or. Anything until very recently. Really like, yeah, so I feel like I understand it in just like how I am. And it wasn't necessarily like, I mean, it did feel like there's something wrong with me prior, but not like one thing. It was just like, Oh, I'm stupid, oh, I'm like, failing at this. Oh, I'm forgetful, oh, I'm

Scott Benner 30:25
whatever, scattered. How long did you live without a diagnosis with it?

Gabby 30:32
The official one was, like, a year ago. Oh,

Scott Benner 30:34
so you felt like that your entire life,

Gabby 30:38
to some extent, yes. Oh, I'm sorry, but I think it also like hides in a lot of people too, and I mean a lot of women, obviously, because, you know, the stereotype is like the little boy with energy, which obviously, like, literally, was my brother. But I think it was truly, like hidden and masked and everything for me, because, like

Scott Benner 31:04
a lot of people, like structure, like school hood,

Gabby 31:12
has the structure that essentially like I need to function Like I functioned so well because of the structure,

Scott Benner 31:24
and

Gabby 31:28
now without having pretty much any structure, I was like, Oh, this is bad.

Scott Benner 31:33
So getting out of college, you're like, well, Where's, where's the schedule? Yeah, yeah. And then and that got

Gabby 31:40
you college was like, you have to make your schedule, but then at least, like, it's made

Scott Benner 31:44
once you have it, yeah, oh my gosh, that sounds exhausting,

Gabby 31:48
yeah. And I didn't realize, like,

Scott Benner 31:53
Why, I guess, for a while, and you just assumed you weren't smart, not that I wasn't smart, because you're probably doing well at school. You knew you were,

Gabby 32:06
yeah, exactly, like, right structure, like I wanted to do well. And, like, I was like, oh, try hard. And, yeah, but, but also Yes. Like, how I just said, like, Oh, I forgot this. I messed this up. I whatever. Yes, my brain would go, Oh, I'm so stupid. Blah, blah, blah.

Scott Benner 32:25
So lots of my human work is like undoing that sort of your parents have this too, like, How come nobody noticed this in you? Were they living with the same thing, or were they not that involved?

Gabby 32:38
Absolutely, they were living with the same thing. And also, don't know, meaning my mom, my dad, I don't know,

Scott Benner 32:44
maybe, but who knows? My mom, like 100%

Gabby 32:53
is exactly the same as me and my sister, and I don't know, probably still my brother, because if you're diagnosed as a kid, it doesn't go away, right, right? She just does what I do now,

Scott Benner 33:11
like

Gabby 33:13
my brother got her a tile when they were like brand new, so that she could find her phone and then find her keys. And he got her key chain that says, keys I have not lost yet.

Scott Benner 33:28
Because,

Gabby 33:32
again, she's like, the smart like, mostly has it together, mostly doing well and all the things like all the degrees, and all the kids and but we'll go back in the house three times to get stuff. Will be late to everything like me now, and just all the little things that now she she'll literally be like, Why and me and my sister are like, Mom, there is a reason, actually.

Scott Benner 34:06
So it's you, your sister, your brother, your mom, your dad, and you have type one. Does anybody else have type one or other autoimmune stuff? No, nobody. Nobody has celiac or thyroid or anything like that. Nope. Do any of them have anxiety? Yes, which ones your dad?

Gabby 34:31
My dad, I don't know. He was just saying how psychologists are nothing. Wait, what was he saying that he just doesn't like believe in psychologists. Oh, your work,

Scott Benner 34:42
even though you think he has anxiety, I think he worries sometimes more than other times. So who else has anxiety? My sister and my mom for sure. Okay,

Gabby 34:59
yeah. I just reminded my dad that I have my dance degree is also a minor in psychology. He was like, oh, yeah, I don't believe in that.

Scott Benner 35:07
Yeah, thanks, Dad. Do you believe in the dance at least? No, he does at least. So that's good, yeah. How do you manage to take care of your diabetes with ADHD like is, does that not make it more difficult? Exactly, sorry. I like, I feel like I'm just here asking. I feel like I'm I feel like I'm just here asking you questions that make you feel validated. That's not

Gabby 35:33
what. No, that's correct. That's accurate, because that is also why I think diabetes has been very challenging. I'm sorry I'm laughing because I am at my dad, since I just took him to his doctor and I just overheard him yelling on the phone to a telemarketer to go to hell.

Scott Benner 35:54
I don't need solar panels, really. No,

Gabby 35:56
I don't think he would know what those are. How old's your dad? He's very old for me, at least. What does that mean? How old is he? He's 82 your dad's 82

Scott Benner 36:07
Yeah, and you're 28 Yeah, hold on. A second, 30 840-858-6878, yeah, 81 your dad? Why Your dad was 54 when he had you? Yeah, I'm 54 now. Yeah, if I had a baby right now, I would jump out of a window. I'd be like, who is I can't take care of this thing. Yeah, me too, and I got energy. I'm up in the morning. You understand, my hair is still dark, but I would not be okay. This is not so dark. Are you the oldest? No, no, you're the

Gabby 36:39
youngest. Very much the youngest of many that I haven't mentioned yet. Wait a minute, not

Scott Benner 36:46
that many are you have a brother and a sister on your Oh, do your parents have, like, a first family that they have too? Basically, do any of those kids have autoimmune type one, etc? No, nothing. His son's a bitch. It's just you okay? Yeah, so your mom's the second wife,

Gabby 37:08
yes, but my dad was also the second

Scott Benner 37:10
husband. I was gonna say also your mom's second marriage. Gotcha? Is she younger than him? Yes, by like, 14 years. Have you ever heard the phrase, it's a man's world terrible. Like, how did you know what I mean? Like, how come your mom couldn't pull a guy that was 14 years younger than her? Yeah? Oh, not fair. Okay, so you're a late in life baby for them. Yeah, my dad had two other kids first too. I see okay? Because when you're like, I'm taking my dad to the doctor, I'm like, geez, what the hell is wrong with her father? He's in his 50s, and he can't, like, get the doctor by himself, but no, okay, all right, that all makes a little more sense.

Gabby 37:48
It's mostly yes company too, and he can talk to me and admire my service dog. And,

Scott Benner 37:55
you know. Okay, so you have a service How long have you had a service dog?

Gabby 37:59
Like, a year and a few months? Yeah,

Scott Benner 38:02
this is the part in the interview with people with ADHD where Scott gives up on structure and just goes with it. I don't know if you guys realize that happens or not. I try so hard and then eventually I'm just like, all right, I'm just gonna follow the stream of consciousness. So when did you get a service dog? I'm

Gabby 38:19
sorry, like, a year and a few months ago? What prompted you to do that? This the beauties and the seizures and the fear of that. How long

Scott Benner 38:35
you've been listening to podcast a while, but I don't remember. Exactly when I started it, but back

Gabby 38:47
then, while ago, I don't know 18 or something, 2018 I don't

Scott Benner 38:52
know it was hard for me to listen because, because I would listen and get mad at people,

Gabby 39:05
no, very much, depending what it was about, like, someone's like, okay, whatever. But if it was about things that just like, I don't know, hit or about low seizures, or parents talking about their kids, like, bad lows, or, I don't know, random too, probably I would have to, like, stop what I was doing. As you do things with podcasts, listening and, like, just sit down and sometimes just

Scott Benner 39:39
cry. So if it hit a trigger of yours, it made you really upset, yeah, but then I would like, you know, move through that. What's your trigger around parenting? I don't know that there's like, one thing that I can name. Did you feel like you weren't being helped as a child?

Gabby 40:01
No, because my parents definitely also worked, like, trying very hard, okay? And my mom was constantly, like, definitely, there's a source of an anxiety part, right? I mean, honestly, still is. So give

Scott Benner 40:15
it. Give me an example of something you heard on the podcast that stopped you in your tracks, made you cry, I don't

Gabby 40:21
know, because that would have been so long ago, because now I listen to it like, every day, all the time, like, while I'm walking my dog, and it doesn't make you upset anymore. No, okay, so you were hearing once in a while, I'll get like, goosebumps, but like, that's pretty much

Scott Benner 40:38
goosebumps, like, like you're touched, or, yeah, people tell the nicest stories about it's so kind of everyone to share their life, actually, yeah, but Okay, so when you first started listening, there were pain points that it would bring up for you. You worked through them. That's awesome. Has your management changed since 2018 like, I mean, what was your a 1c

Gabby 41:02
I mean, it is. I'm like, so far from where I want to be right now, but I'm so much better than then too. And you were,

Scott Benner 41:12
have you had fewer seizures in the last handful of years? Yes, I know.

Gabby 41:20
Why do you think you're still like, I actually think I don't know.

Scott Benner 41:23
Yeah, when's the last one? Just like, months ago? When interesting? June? Wow. Okay, two months ago.

Gabby 41:34
That one, I know why. Actually, like, 100%

Scott Benner 41:36
what happened? What happened

Gabby 41:40
in my sleep. Like, I mean, obviously I woke up, but like, I do not remember the

Scott Benner 41:46
sequencing i

Gabby 41:50
I must have been somewhat high from late snacks and such, and I gave myself through my tea slim before, where I could Bolus through the pump without looking at my phone.

Scott Benner 42:06
13 units

Gabby 42:10
for being what 200 Max 300 probably, probably need Max, five units or something. I don't know how, besides that, that is a fact that happened because of the pump history,

Scott Benner 42:26
so But I gave myself 13 units,

Gabby 42:31
I guess, by mistake, somehow, of that number being my max. Bolus at the time,

Scott Benner 42:37
while you were sleeping, woke up, had a high blood sugar Bolus gave yourself way too much insulin. Yeah, got super low, woke up right before it hit you. Yes, I woke up. And I

Gabby 42:51
don't know if I saw it on Dexcom or whatever, but I woke up. I turned to my partner and said,

Scott Benner 43:00
Can you go get me juice? And the

Gabby 43:06
next story is also how he's diabetic, but so he has a cup of juice from the night before on his side, like on his nightstand.

Scott Benner 43:16
Hand it over to me. I take the cup

Gabby 43:21
and place it on my nightstand, and then that was it. You didn't even drink the juice. No, I knew that I had to put it down somehow, but you were pretty low. You were pretty low by the needed it. And then I knew that I couldn't hold it.

Scott Benner 43:36
How many of these seizures are because you gave yourself too much insulin over the years?

Gabby 43:42
Not many, definitely not. Never like that. Okay,

Scott Benner 43:46
if I asked you to tell me your level of confidence with how much of these seizures are bad tools, not good direction, versus just you didn't know what you were doing and were just randomly putting in stuff. Can you put a finger on, I guess, what's your major issue? If someone said to you, hey, you've had a lot of seizures in your life, what's happening there? Like, what's the first thing you think of?

Gabby 44:14
I mean, the first thing, I think, is that that's a really great question for a doctor, that I would love answers to you

Scott Benner 44:18
just don't have any idea.

Gabby 44:22
Yeah. And we did testing when I was, like 17, I want to say, and there was nothing, but we did all the fun, really great scans and stuff,

Scott Benner 44:33
just to have a look. Okay, but you're using a mobi right now, so using control IQ, yeah, okay. And besides you giving yourself a ton of insulin two months ago and getting low since you've been on control IQ, have you had other seizures? One, I think one. Do you remember what that one was about?

Gabby 44:52
Yeah, it was also this past February.

Scott Benner 44:59
It. It was

Gabby 45:03
literally after I gave myself one unit

Scott Benner 45:06
like, what? And you just got low afterwards, huh? One going back to the last one

Gabby 45:12
type pump site at like, a different time.

Scott Benner 45:15
And, yeah, finish that thought, why would that impact it?

Gabby 45:24
It was that I got up early to go to my early day work, to teach children dance and pump, I guess, was about to run out of insulin or something. So pump got changed in my actual woke up early for that, and giggles that I'm bad at waking up early for that or for anything.

Scott Benner 45:56
Pump

Gabby 45:58
probably had one unit of insulin left, and I think I delivered it being like, oh, it's the last, like, you know, use the gold and maybe I'll actually eat something, yeah.

Scott Benner 46:11
And

Gabby 46:14
also, normally, like, drink a little coffee will go up a little bit, one unit. No big deal. All good. Like, I probably made one unit for a coffee.

Scott Benner 46:24
Gabby, yep, I'm gonna, when I'm done recording with you, I'm gonna leave a note for Rob at the beginning of this episode so that he knows. I don't want him to take out any of your pauses. I want people to like be able to listen to what is happening in your mind while you're trying to consider your diabetes. Like, I think that's really important. Because, I mean, if you ask me after 45 minutes, like, what do you need to be more successful? You need somebody without ADHD to help you? Like that, to me, seems like most of your issue you're having trouble considering even why things are happening. Like, when I said, what, you know, what's your main problem? Be like, like, I need a doctor to tell me that, but you're a bright person. You understand your diabetes. I just think you're having trouble thinking about it. And I think that's valuable for people to hear. So hopefully they'll find this conversation as interesting as I find it, but I find the most interesting parts of your conversation when you're quiet and you're thinking, it's telling that those pauses are telling, you know, so, I mean, in my opinion, like, if you were my kid, I'd be like, Look, we need to go back to the ADHD doctor, whoever that one is, and say this stuff you given me. It's not working. I want to try something else, because I'm having difficulty with my health, because I'm having trouble concentrating on my type one. I can't see patterns. I can't take my experiences and apply them later to help myself. I need a better way to control the ADHD that just seems to me like that would be step one. Do you agree with that at all? Yeah. I mean, hearing it back is, is like, more, but I definitely agree with it, yeah, yeah. It just it feels like if you're to have a real shot at this, you need to be able to concentrate. Yeah. When I see parents online talking about their young kids with ADHD, and they're like, I'm so worried about what's going to happen to them when they get older and they move out. Like you feel like the after of that before? Yeah, yeah. You're motivated. You're working hard for yourself. You care about your own health. You're smart or, you know, you're articulate, like you have all the pieces you need to take good care of yourself. It feels to me like, you know that thing at the fair that you sit in and it spins and you get pinned to the wall, and your feet the floor drops down, you're just, you're pinned to the wall. Yeah, it feels like if you put me in that and started asking me how to Bolus for pizza, I'd be like, can I just tell you when it's over? Please? You know what I mean? Like, I feel like you're always in a state of being shook up, like physically shaken to the point where you can't think while you're trying to do something that takes a lot of thought. Do I have it? Gabby, yeah, all right. Are you gonna cry? Are you laughing what you're doing right now? No,

Gabby 49:16
I'm crying because you like have it so much.

Scott Benner 49:19
Okay, well, don't cry. It's okay if you want to cry. I'm already tapped out. I interviewed a woman this morning, like she used up all my tears already, but I'll sit quietly with you while you while you process.

Gabby 49:29
Um, yeah, it's, it's just because it's like, nail on the head, yeah.

Scott Benner 49:34
It just seems to me like that's where you got to go. It's

Gabby 49:36
like, unrecognized nail on the head. No. I mean,

Scott Benner 49:39
it's obvious, once you talk to you, if somebody, you know, if anybody would take the minute to talk to you, any doctor would hear this. This is just not how doctors appointments go. The problem is, if you go to therapy, the therapist is going to want to lean into the therapy parts of it, I don't know that you need therapy. You need somebody to, like, make the tilt a whirl, stop. Mm. Yeah, because that's my life. Yeah. It sounds like to me, that's what the inside of your brain feels like. Like, there's a bunch of diabetes knowledge in there and stuff you need to do, and then somebody spins it up, and it all pins itself to the wall, and you can't focus enough to like, put it all back together and make sense of it, yeah, let alone like, be it like, correctly? That's the part I'm spinning, because I'm low and so that's the part I'm playing in this conversation right now. Right is I'm taking the things that you're sharing and I'm re contextualizing them and giving them back to you. Yeah, that's why it's like, That's insanely true. This is why I make a podcast that people listen to. It's not about me, it's about you, and you need in some I'm gonna guess Vyvanse, like, what's the other one they gave you? Hold on a second. They gave me Concerta. Concerta. Concerta.

Gabby 50:56
It's, it's other like, science. Name is wild metal.

Scott Benner 51:02
Just stimulant, same family as Ritalin and Adderall, works by increasing levels of dopamine and neuro something, something refereeing in the brain, which helps improve attention, focus and impulse control. Has it improved attention, focus or impulse control?

Gabby 51:19
I think it maybe did when it was new.

Scott Benner 51:21
It's an Do you have the extended release supposed to last? Yeah, common side effects, trouble sleeping, decreased appetite, weight loss, headache, stomach ache, increased heart rate or blood pressure. You have any of those? I

Gabby 51:37
probably have increased heart rate when it was new, and my body wasn't used to it, but it was for like an hour, not like, nothing crazy, okay, like it felt like I had an extra special espresso shot for like

Scott Benner 51:51
half an hour. Got like, a little jolt. Okay, so what else is there? Vyvanse, Adderall. Avecco effect, oh. Avecco e, v, e, k, e, o, non stimulant options, stratara and not

Gabby 52:08
Oh, that's stratera. Is the one that I tried first. Actually Did that work? Because they always try and do non stimulants first, and then when those don't work, they try stimulants. So that didn't work. It didn't work. It also had side effects that I was like, Nope, this is not happening anymore. What kind constipation? And when I called about it, the phone lady was like, Oh, that's okay. You can keep taking it. And I was like, I will not be taking this

Scott Benner 52:38
phone lady, I haven't a week. What are you talking about?

Gabby 52:42
That's not fun. Yeah, I was like, lady, I've been vegetarian for such a long time, usually I am so good, and this is not okay.

Scott Benner 52:50
All right. So you started with strat Terra, or whatever it is. Now you went to, have you ever tried Vyvanse or Adderall? Hmm, are you gonna, I

Gabby 53:07
mean, sounds like it.

Scott Benner 53:08
Listen, I'm not a person who says, run and take Vyvanse or Adderall. But like, yes. I mean, it seems like you know, for you, you're here in mine, yeah, keeping your story in mind, I think it's worth a shot. I would hold on a second person on Concerta is not being helped.

Says, Try switching to an amphetamine based stimulant like Vyvanse or Adderall. So wait, concert is not cool. Wait, is Concerta not stimulant? It's

Gabby 53:56
definitely a stimulant, but maybe it's not

Scott Benner 53:59
mean, but I thought it was. It contains methylphenidate hydrochloride, which is the same stimulant class as Ritalin. It works by boosting dopamine in the brain, which helps to focus attention and execute function. That particular stimulant isn't a good match, and oh, so if it's not working, it's possible that stimulant isn't a good match, and the doctor may switch to an amphetamine based stimulant like Vyvanse or Adderall, or stimulants in general, may not be the right fit, and a non stimulant medication might be tried. To be clear, Concerta is a stimulant. It's an extended it's just, I guess it's just a different molecule, yeah. I mean, God, I would try something different if I could. Is, is switching like I want to know if it isn't unusually hard, though it does take some careful steps with a doctor, so there might be some tapering you have to do, and then some adjustments to find the right dose back up. I would make 1000 sticky notes that say, get your ADHD under. Troll and put them everywhere along with the doctor's phone number. And to make sure you do, those are my best friend, because I'm worried that you're gonna leave here and just be like, it'll probably be all right, and then

Gabby 55:09
never think about it. No, not at all. All right. Gabby,

Scott Benner 55:13
I can't believe this went this way. Part of me wanted to call this episode Yo Gabba. Gabba, but, uh, that's not gonna work out. Definitely total world, but tilt world is accurate. Why did you want to come on the podcast? By the way? Funny? Because I hate those. No one likes them. They're ridiculous, okay,

Gabby 55:29
but I hate anything like it, like the tea cups, even the tea cups,

Scott Benner 55:36
hey, oh, it's gonna be okay. I thought that was, hold on, a second. I need a second. I'll explain why. I'll be back in 20 seconds. I'll explain when I get back. All right, a lot of these words might not make sense. By blue mbanja Panther chameleon did not eat his super worm this morning, and the super worm was about to make a great escape out of the feeder run cup. Oh no. I don't know if any of that made sense to you or not, did, but how did it escape? Well, previously, there was a silk worm in there that he didn't eat, and the silk worms now go into a cocoon. And so it grabbed the silk and climbed up. Oh my gosh, I'm leaving it in there to see if he eats the silkworm moth once it's, what do they call it when it comes out of the cocoon, once it emerges, emerges maybe, yeah, yeah. Anyway, he is the weirdest eater of the of the chameleons. He stares at his food for hours. Oh, wow. And then eventually he goes, okay. And then he eats it, huh? It's just, I have one that, like, make sure, oh, I have one that would just eat anything. Like, if you put a rock in there and it wiggled, they'd be like, cool, done. I'm eating that. Not him. He's just, like, he is so particular about when he eats. He doesn't like anybody seeing him eat. He's he's the closest I've come to like, wanting to pull my own hair out

Gabby 57:01
because that the one that's afraid of certain colors?

Scott Benner 57:05
No, that's like lack of color. Now you're making me tell people, I have three chameleons. I hope you're happy. Gabby, no, the the one who's the one who's afraid of my white socks. He's just staring at me right now because he had, like, a huge approach this morning that he loved. And I think, I think he's waiting for another one. I think he's like, Hey, let's do that one more time. Yeah, so, and he just took a great poop the other day, so he's probably super excited

Gabby 57:33
to eat anything like, so, lunch, right? What's that? He's like, Arden, like, lunch, right? Like, lunch, yeah? Like, it's time for lunch. Like, you're gonna make me lunch? Yeah? No, he's

Scott Benner 57:43
looking at me, like one of my kids, and he's just like, somebody has got to bring at least one more of those roaches over here. So, yeah, the roaches, by the way, people should know who are listening, are not the kind that, like you would. They could infest your house there. Very much. No, they don't

Gabby 58:00
see you every night in Philly.

Scott Benner 58:02
Oh, oh, you're in Philly, yeah. Oh, that's right. How about that? Go birds. How about the Phillies are on a run right now, huh? Yeah, exciting. Everything's going well. What have we not talked about that we should have?

Gabby 58:22
Oh, how bent the cannula is that I just took out of my thigh.

Scott Benner 58:25
Oh, so it's not your thigh that was the problem. Or maybe, oh, wow, you pinch up when you put it in. No, well, why not? Gabby, you've had diabetes for 26 years. Pinch. Why? There's nothing to pinch. Is that what you said? Yeah, I mean, maybe my thighs are too muscley. I don't know. Is this a humble brag about your thighs being strong? Is

Gabby 58:49
there stuff to pinch elsewhere? Apparently, what especially like now in life, there's, there's more to pinch.

Scott Benner 58:56
You're calling 28 Wait, you're calling 28 um,

Gabby 59:00
I don't know if it's pinchy I'm, they're not small at all. But,

Scott Benner 59:06
uh, Gabby, if you think 28 is the now part of life, you're going to be in trouble.

Gabby 59:12
As you said about Arden and like, Oh, if complications in 30 years means that she's 3032

Scott Benner 59:20
uh, yeah. But I'm saying, like, if you think, like, oh, like, you know how, how it gets when your body's run down when you're 28 like, you're gonna look back at 28 one day and be like, Oh, my God, I can't believe I said

Gabby 59:31
that. Well, I don't mean run down. I just mean that I'm thicker than before. You're thicker

Scott Benner 59:35
than before. Okay, yeah, I almost asked this a couple of times, but this is such a, what I would call, like a science based question. But there was part of me that wondered, do you have any reason to try a GLP medication?

Gabby 59:49
Yes, but also I don't really have any resistance,

Scott Benner 59:53
because I was wondering there's like, look, this is apropos of nothing, and nobody should listen to me. But there have been a few people on who have talked about, like, starting a GLP, seeing a reduction in inflammation and other things in their life getting better. And there's part of me that, like half wonders, like, if you had a chance to try it, if you would notice something different about your attention, or ADHD, or anything like that. Like, how much is ADHD actually related to, you know, I don't know, inflammation, yeah, maybe I'm not sure. I mean, I listen also, that could all be just crazy. But I just wondered, like, because so many people are seeing these secondary quality effects from glps by mistake, right? They start because their weight, and then they, like, pop up later and say, Oh, I had a real, like, turn around in this or this, or like, with me, with, like, my digestion. Or, like, you know, there's that lady on recently who said that a lot of her kids, like bipolar, like issues kind of dissipated with it, like, crazy stuff like that. So I don't know, but do you need to lose weight? Like, could you talk somebody into it for that, just to try it? I, kind of want to give good insurance. I could, could lose some and also, like,

Gabby 1:01:17
one unit of insulin me

Scott Benner 1:01:19
over. So that's your other concern. Is that, like,

Gabby 1:01:23
I also think that's like, why a doctor would be like, No, I don't want you to

Scott Benner 1:01:27
be more insulin sensitive, yeah. But, um, I mean,

Gabby 1:01:31
sometimes I feel like I'm resistant, but I'm also like, maybe I just need to push my basal up because I gained a pound. Like, what's your total daily

Scott Benner 1:01:39
insulin use? Do you know it's somewhere around 50, okay, that's not nothing, yeah. What's your basal then, like around, what a point nine ish, yeah, yeah, because you're eating, you said you're vegetarian, yes, yeah. So you only use in about 2025, units a day for food. Yeah, it's mostly, what, mostly like proteins and and, like, you don't probably get a ton of fat either, right? Or, do you, I

Gabby 1:02:12
don't know, I think I get a good amount because I still eat, like, dairy. So,

Scott Benner 1:02:15
okay, are you like, a vegetarian? Are you like, one of those people who's like, potato chips? Vegetarian? Yeah, I

Gabby 1:02:28
only hesitate because I'm now more like potato chips, but only because, like, as a child and teenager and such, I like, never had potato chips, so after, I don't know, adulting, I was like potato chips. Maybe

Scott Benner 1:02:42
I just, I laugh, because I know a couple of vegetarians who like when, when you say vegetarian to like a third party, well, they, they think, when you say vegetarian to most people, like, oh, you eat, like, beans and lentils and salads and carrots and, you know, roots and and then you meet a vegetarian, they're like, Oh no. I just, you know, cookies and, you know, like, but there's no meat in it. So, like, I just wanted to know where you fell on

Gabby 1:03:04
the on the cookie, but after you have, like, your lentil vegetable soup, okay,

Scott Benner 1:03:08
I just want to know where you fell on the spectrum. That's all.

Gabby 1:03:11
I don't know. I feel somewhere medium ish, now,

Scott Benner 1:03:14
yeah, well, I mean, listen, if you don't think you have a lot of insulin resistance, I don't know if a GLP would decrease your need for insulin, so I don't know there's a lot there.

Gabby 1:03:26
Oh, like you're saying it wouldn't

Scott Benner 1:03:27
have that effect that much. What I feel like I'm seeing when I'm talking to people, obviously, I'm not talking to everybody, but I feel like I'm seeing people who could end up with what they call a dual diagnosis at some point, right where they kind of have attributes to type one, they have type one, and then they have attributes of type two, usually in the form of, like, insulin resistance, PCOS, like stuff like that. Yeah. There's been, you know, one specific doctor on here in the last year who said, Look, you're going to start seeing a lot more of these dual diagnoses for people. Now, if you're a person who has type one, but doesn't have any attributes to type two, but you have weight to lose, then I wonder, like, would it just decrease your appetite? Would it, you know, like you'd obviously have to change your insulin for those reasons. But it might not be the magic pill that it is for some people, like when you inject them, and then your insulin needs suddenly go down by 20% and so there's a world where, if it could help you with weight, it would, I mean, your insulin needs would go down as your body mass decreased, and it would go down if you ate less, obviously, but you could that you could keep up with that adjustment. And if it didn't touch, like, if it didn't have, like, a magical 20% decrease for you, then that wouldn't be an initial concern. And then do you get to see if lowering the inflammation in your body changes anything about your ADHD? That's all, but I don't know. There's a lot in there. To, like, unpack, I would maybe worry

Gabby 1:05:03
good. You'd maybe what I

Scott Benner 1:05:05
think I'd go for the vivent or the other drug first to see where that gets you.

Gabby 1:05:10
Well, logically I or logistically, I will talk to that doctor before a primary doctor. So

Scott Benner 1:05:19
those two things are worth bringing up. Like, if you've got a reasonably thoughtful doctor, they might, you know, maybe do some research with you and see if there's value in that. And what I'm saying is, if you have good insurance, just based on body mass index, if you qualify for, you know, we go over your set bound or something like that, the doctor doesn't have to make the case for the rest of it. You can just tell them, like, let's just track that to see if we see improvement in my, you know, in my ability to focus and stuff like that. Yeah, who knows? Worth a shot. It's better than what's happening now.

Gabby 1:05:53
Yeah, right, absolutely. I also have a theory now that I might be hypothyroid,

Scott Benner 1:06:04
and that's not a

Gabby 1:06:05
thing. You have to theorize, only a theory, I know, but I do have to get tested. I'm like, I can't go get tested. Like, in the next

Scott Benner 1:06:12
hour, when did you have this theory? You said, since when? Yeah, when did you have the theory the first time? Oh, well, the theory, like, crystallized, I don't know, became confident

Gabby 1:06:31
when I had this really weird symptom that I was like, I know I shouldn't Google stuff and, like, get anxious about it or something, but like, I gotta Google this, because it was really weird. I had like orange, like dark, rusty orange discoloration on just one my left hand on, like my thumb, where I pick and destroy my cuticles, where the skin right there on that thumb, like on that day, was like, raw. I knew it was healing. So there it was, like orangey. And I was like, oh, no, did I? Did I like, make my finger bleed, like in my sleep. But it was not blood at all, for sure. And it was like, just through some other fingers in, like my left palm. And it wasn't like, all over, like a ton, but I was trying to, like, wash my hands so much

Scott Benner 1:07:33
and it

Gabby 1:07:36
it like was dissolving, but over the whole day, not at all from like one hand wash at all, okay? And when I Googled it, wait, what did Google tell you? It was like, you ate 12 million carrots, obviously. And I was like, I am a carrot vegetarian, but I have not eaten 12 million carrots yesterday, okay? And then it was like, hypothyroidism. And I was like,

Scott Benner 1:08:05
Okay, do you have any other hypothyroid, like, symptoms? Have you gained weight recently? Is your hair falling out? Are your nails brittle? Are you tired?

Gabby 1:08:13
Have been brittle for my whole life? I

Scott Benner 1:08:16
don't think my

Gabby 1:08:18
hair has, like, fallen out more. It's just been relatively thin for a while,

Scott Benner 1:08:25
but my fatigue

Gabby 1:08:29
and sort of brain fog, but especially fatigue more recently.

Scott Benner 1:08:35
Well, maybe this doesn't have as much to do with your jewel. Yeah, exactly.

Gabby 1:08:39
So I don't know what it is, but then I had that orange and was like, was like, maybe that's it. Well, my fatigue was, is still is, like, ridiculous. Well,

Scott Benner 1:08:50
Gabby, then, if you have ADHD, and then you layer the fog of hypothyroidism over top of it, then you need to, like, peel that onion apart and get these things taken care of, like, so just you got to go to the doctor, lay all this out and say, I need a blood test. I need you to do a thyroid panel. That's first, right? I have an autoimmune disease already. It's not crazy to think that I this could be too. Let's check, right? Yeah, and tell them. Like, if, if you see a TSH over, you know, 2.1 then I want to try to medicate these symptoms. We'll do that that's only going to take a couple of weeks on the thyroid medication to see if you're going to get value out of that. Then you can re assess your ADHD medication. Is that helping? Or do I need to switch to something else, right? Yeah. I mean, these could be quick fixes for you. Just got to get in there and get in there and get somebody

Gabby 1:09:43
moving on it. Yeah, I'm set to see a new primary in the beginning of September, so

Scott Benner 1:09:48
hopefully,

Gabby 1:09:50
I don't know the dude, but hopefully he'll be cool and be like, Yep, all right. Test. Here we go.

Scott Benner 1:09:55
Write it all out beforehand so that you don't walk in there and see. Like a scattered mess, right? You know what I mean? Just say to him, like,

Gabby 1:10:05
actually, I've been working with a naturopath doctor, and she basically has been doing that with me. I mean, lots of other stuff. And she does cranio sacral therapy, which is

Scott Benner 1:10:15
very cool, but

Gabby 1:10:19
one of our main things is organizing, like, literally, in document form, so that I can walk in to the primary doctor and be like, This is what I want and need, and this is what has been killing this and that and weird and yeah, you,

Scott Benner 1:10:37
of most people that I've spoken to like you would benefit from writing down your thoughts, loading them into chat GPT, and saying, Hey, can you turn this into a document that I can hand to a doctor? I'm afraid that I'll be all over the place if I try to speak this out, and then it'll give you something back that you can give right to the doctor. Yeah, yeah, because you don't want because I think you're lovely, and I've had a great time with you, but I'm making a podcast with you. Like, if you walked into a doctor's office and I was a doctor, I can see where in the first couple of minutes before I even got to know you. I don't mean this in a bad way, but, like, it can be exhausting dealing with somebody who's got your problems, yeah, and so like, the other person can just be like, like, I know it's turning into a good podcast, and I know that people will benefit from it. You know, I have a lot of reasons to keep having my conversation with you. If we were, like, sitting at a party and I started talking, I'd be like, oh, boy, I can't, I can't, I can't do this with Gabby. Like, it's a lot here. But before I let you go, did you say your boyfriend has diabetes? What kind? Oh, we don't know. Maybe you don't know. Well, I think Lata, I'm not an endo. So what can I say?

Gabby 1:11:50
He was diagnosed with type two, and that was a while ago, and I don't know that he's had antibodies run like again.

Scott Benner 1:12:01
So how old is he? 35 a man's world again. Why is this? How come he gets a shot at a 28 year old? Gabby, not fair. I mean, it's only like, what? Six years? Well, I mean, that's seven years, and that's a lot of time. Imagine when you were one he was, I guess, because I'm about to be my birthday, yeah. Imagine when you were one years old, he was eight. I know we talk about that all the time. Well, when you were 15, he was 23 What can I say? Creepy? You know what? I mean? I'm just kidding. You're older now. It's fine, but no, like,

Gabby 1:12:33
it's he also did slide into the DMS, quite literally. But like, also about diabetes. And was like, let's chat about that so, and then the slide worked.

Scott Benner 1:12:44
He got you that way. Yeah, you didn't have to go to a hinge or something like that. No, especially because it was during covid. Is that how people meet people now tinge right?

Gabby 1:12:55
Well, yeah, actually, he saw me on Tinder, and then I guess my Instagram was like, on there in that moment, and so I never actually saw him on Tinder, but

Scott Benner 1:13:09
saw his message on Instagram. I don't know how kids date like, it's crazy to me. It is, yeah, yeah. The whole thing sounds insane to me, like he just used to go out, like, find a pretty girl and talk to them, and if they didn't act like they were mortified by you tried talking to them more. That was pretty much it, yeah. All right, listen, what's

Gabby 1:13:30
that? That's how it was after the Instagram text. All

Scott Benner 1:13:34
right, Gabby, I need you to go take care of yourself. You have a list you know what to do? Yeah? Are you sure, Kevin, you know, if you want me to, I can ship over your file. Have Rob edit it now. He'll send it back to me. I can literally take the transcript from it, put it through chatgpt and tell it to put together, like walking orders for you, like things that you should do and things you should say to your doctor, and it'll spit it right back out.

Gabby 1:14:03
I mean, that would be interesting to at the least. Yeah, sure.

Scott Benner 1:14:07
How about if I do that? Oh, now I'm giving myself more work. I gotta make a note. Hold on a second interesting Gabby,

Gabby 1:14:16
just to see what it has to say.

Scott Benner 1:14:18
Chat. Doctors ask. All right, okay, well, Rob's gonna get away with one here, because I'm gonna tell him he doesn't need to edit out any of the gaps. And he's gonna be like, Oh, thank you, Scott. And then you have no idea, like, your episode. I'm gonna guess a lot, he would get back to me and say I had to make like, 600 edits on that. Oh, my God, trust me, and you weren't bad. I've talked to some people before that. I was like, oh, Rob's gonna like, quit. I send this one over nevertheless. Okay, all right, you were terrific. I will do that. I'll package it together with a blog post that'll accompany. Your episode when it comes up, but I will send it to you ahead of time earlier, so that you have it well before September. Okay, cool. All right. Thank you very much for doing this. And of course, let us all speak well that the Eagles and the Phillies win their respective championships this year as as should be, of course, right? That's all I know the Cubs fans are excited. They're having a good season at all, but screw you. It's our turn again. That's pretty much it. That's how I feel about that. I just won a World Series. That's all I want. I mean, how great was it to win the Super

Gabby 1:15:32
Bowl? Great. I mean, it was crazy. Yeah, it was about

Scott Benner 1:15:37
the best thing. And how great was it to watch Patrick my homes look sad. Yeah, yeah, awesome. Have you ever been to a game at the link?

Gabby 1:15:47
No, just a Phillies game, like last year.

Scott Benner 1:15:49
You should try an Eagles game. They're they're pretty awesome. I should go to an Eagles game. You should. I haven't been in a while. I'm gonna get Eagles tickets. I just decided. Look at you, Gabby. You're fixing my life. Thank you very much. I'll talk to you soon. Hold on for me, I need to tell you some stuff after we're done recording. Okay, okay, all right.

Touched by type one sponsored this episode of The Juicebox podcast. Check them out at touched by type one.org on Instagram and Facebook. Give them a follow. Go check out what they're doing. They are helping people with type one diabetes in ways you just can't imagine. This episode of The Juicebox podcast is sponsored by the Omnipod five, and at my link, omnipod.com/juicebox you can get yourself a free, what I just say, a free Omnipod five starter kit, free. Get out of here. Go click on that link, omnipod.com/juicebox check it out, terms and conditions. Apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox links in the show notes, links at Juicebox podcast.com I'd like to thank the ever since 365 for sponsoring this episode of The Juicebox podcast, and remind you that if you want the only sensor that gets inserted once a year and not every 14 days, you want the ever since CGM, ever since cgm.com/juicebox one year, one CGM.

Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. My grand rounds series was designed by listeners to tell doctors what they need, and it also helps you to understand what to ask for. There's a mental wellness series that addresses the emotional side of diabetes and practical ways to stay balanced. And when we talk about GLP medications, well we'll break down what they are how they may help you, and if they fit into your diabetes management plan. What do these three things have in common? They're all available at Juicebox podcast.com, up in the menu. I know it can be hard to find these things in a podcast app, so we've collected them all for you at Juicebox podcast.com, the episode you just heard was professionally edited by wrong way recording, wrongway recording.com

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