#1671 Deez Nuts - Part 2
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Part two: Scott and Kirby dive into fat/protein bolusing, gaps in clinical guidance, parenting/language around food, online noise, and real-life T1D pragmatism—with laughs, candor, and Buffalo Bills jabs.
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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.
Kirby 0:15
My name is Kirby, and I'm a mom of a eight year old who was diagnosed just about a year ago with type one diabetes.
Scott Benner 0:23
This is part two of a two part episode. Go look at the title if you don't recognize it. You haven't heard part one yet. It's probably the episode right before this in your podcast player, my diabetes Pro Tip series is about cutting through the clutter of diabetes management to give you the straightforward, practical insights that truly make a difference. This series is all about mastering the fundamentals, whether it's the basics of insulin dosing adjustments or everyday management strategies that will empower you to take control. I'm joined by Jenny Smith, who is a diabetes educator with over 35 years of personal experience, and we break down complex concepts into simple, actionable tips. The Diabetes Pro Tip series runs between Episode 1001 1025 in your podcast player, or you can listen to it at Juicebox podcast.com by going up into the menu. Nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. This episode of The Juicebox podcast is sponsored by Medtronic diabetes and their mini med 780 G system designed to help ease the burden of diabetes management, imagine fewer worries about missed boluses or miscalculated carbs thanks to meal detection technology and automatic correction doses, learn more and get started today at Medtronic diabetes.com/juicebox today's episode of The Juicebox podcast is sponsored by the contour next gen blood glucose meter. This is the meter that my daughter has on her person right now. It is incredibly accurate and waiting for you at contour next.com/juicebox oh my gosh, yeah, yelled up at the doctor. That's one
Kirby 2:14
that drives me nuts, if I can talk about that drives me nuts, because there is no doubt that you need to Bolus for those things I get, especially as a dietitian, that even just teaching carb counting is an uphill battle for a lot of people, luckily for me, like I was teaching it for a decade or more before this happened, so it was I was old hat. It drives me nuts that that wasn't one of the first things we learned about I get it is very difficult to kind of suss out, because everybody's a little bit different, and you got to kind of tweak the way that you do it. But it is just just yesterday I was re listening to your fat and protein pro tip with Jenny, and I sent my husband a text. I said, OMFG answers, because I wanted that the idea that you were guys were talking about with doing the protein at the end, and what was it like doing 0% up front, 100% over three hours. I wanted that. I also wanted. I hadn't even heard of the concept of doing a temporary basal increase for the fat, and both of those things make perfect sense to me, because I understand how protein gets turned into glucose, and I understand how fat slows down digestion. Why is it almost a year later that these pieces are being put together for me? Because I have an eight year old who eats pizza, he eats mac and cheese, he eats all of those things. So we went a year not being able to practice and nobody teaches it.
Scott Benner 3:40
It's not. It was never going to occur to you that's like, how
Kirby 3:43
would I even know to like and I did actually ask early on about bolusing for those and somebody said, No, people don't normally have to do that. Well,
Scott Benner 3:51
if it makes you feel better, two things if, first of all, it makes you feel better. I didn't recognize it. Somebody told me about it. I recognized the action and the need, but I didn't put it together with the fat and the protein, right? It wasn't until, like, I was talking about it so much that somebody who knew about that was like, yeah, that's this. You should talk to this lady. There's a lady in Canada, like, she's got a website called waltzing the dragon. She came on the podcast and, like, laid the whole thing out for me, really technically. And I was like, oh, that's what I do. I just didn't know that's why I was doing it. Yes, yeah. And now it's part of the thing. Like, you know what I mean? Like, that's why this thing keeps building. It really is me learning as I go right, just like you are. And I think that if someone would have said that to you on day one, I don't think it would have stuck to you anyway.
Kirby 4:35
It might not have stuck, like the way to do it, but acknowledging that it was something that we could address when we were ready, would have been nice, because, you know, it would be like, then I would know to ask. But instead, I had somebody early on say, you don't have to. And you know when, when your kid gets diagnosed with something, even, no matter what you know, even as a dietitian, as a mom, everything I knew flew out the window, everything it was gone for, like. A hot second. So like, anything, people said to me, that's what we did for a little while just to stay safe. And then I was like, well, would have been nice if they had said, when you're ready, we can talk about this. Well, it
Scott Benner 5:12
makes the assumption that they know too. And I suppose, bring this full circle by telling you that the person who was chastised in the doctor's office was told by the endocrinologist, not that, like, that's a difficult thing to explain to people, or like, let's not confuse them with that. Told them that's not real.
Kirby 5:28
Oh my gosh, see now that I have to laugh because it's infuriating. Of course, it is absolutely infuriating. I
Scott Benner 5:34
don't know what to tell you. Like, people are people aren't perfect, and some of them are
Kirby 5:38
doctors. I suppose my Yeah, my expectations are way too high for people. My dad has always said that, like, Well, I mean, are they really that high?
Scott Benner 5:47
I think so. Mean, I really do. I yeah, I try very much to have a more human view of this. Like, I know doctors, they're just people too their husbands and wives are mad at them. They have kids that don't listen. They can't afford stuff. They, you know, like they're paying off their blah, blah, blah. They, you know, their moms are sick. I can't believe any of us get up in the morning and go do the thing we're supposed to do half
Kirby 6:10
the time. I will. I will give you that, yeah, but, but because the fat and protein thing is real, your dog dying shouldn't prevent you from acknowledging that. No, you know,
Scott Benner 6:20
but it does. And you know, because you forget, or you're tired or whatnot,
Kirby 6:24
well, in the case you just said, they actually denied it, or they don't know, maybe they don't know. Yeah, I'm fired up. I give people a lot of grace right now. I'm just fired up. I'd
Scott Benner 6:34
be, listen, I'd be happy to get fired up with you. I, you know, I started telling you about something before we got on here, and I alluded to it at the very beginning, that I don't know if I'm getting older and surly or if I'm starting to like, really, I pay a lot of attention to things. Like, I'm either nosy or I'm interested by things, right? But I watch the world as closely as I can, and I've noticed lately that no one seems to know how to comport themselves anymore, right? In public, right, right? They're unaware of each other. They don't know what they're doing. They're I watched two people talking the other day. One guy just coughed in the other guy's face. He didn't like flinch when he coughed, and the guy that got coughed on didn't flinch. And all I could think was like, we're like, a couple of years removed from covid, where everybody wouldn't even, like, stand near each other, right? And now it's all gone out of your head, like, not the button, but forget covid. Like, it's all going out of your head not to cough in someone's face. Then go, Oh, I'm so sorry, or for the person to even react. I was like, why is so? I watched that app, and then I walk around, I see I'm in the grocery store just for contact, right? And this woman's like, you know, she grabs something off the shelf, she walks a few feet, gets into what I would consider to be the main thoroughfare at the end of like, she's she couldn't be in more people's way if she set out to be in more people's way. And then she stopped and started doing something that could have happened anywhere, but she's now blocking the traffic of four different directions, and she is completely unaware that this is happening. So I stop, because whether you think this or not when you're listening, I'm a good person, okay? And like, I'm gonna give her the benefit of the doubt here. Kirby, right? I just stop. I got headphones on. I'm listening to something. Truth is, I ain't in a hurry to get back to where I'm going either, so I just sit, I chill out. I'm waiting. I'm waiting. I'm waiting for her to, like, figure out what it is she needs to figure out and get and start moving along. And she looks up and sees me, and then eyeballs me, like I'm doing something to her. And I was like, Is this a fucking joke? Yeah, I'm like, lady. I didn't say anything. I just smiled and gestured for her to go by. And then she walked by, and I was like, Oh, my God, she's mad at me.
Kirby 8:52
It's wild. That's awesome. Really wild.
Scott Benner 8:55
In this same trip, people are going along. I watched a guy get sherbert or, like ice cream or something, right? Like the colorful ice cream, is that sherbet? Herbert sorbet? No, it wasn't sorbet. Anybody know I was in the sorbet section. I would have known if it was sorbet. Okay, gets it out, takes 10 or 20 steps, realizes he doesn't want it, and puts it down somewhere that's not frozen anymore. I was like, okay, and then no lie as leaving and checking out, checking out, checking out, checking out, doing the whole thing. There's a waste paper basket, like, there's like, there's like, super cashiers. They don't actually have to run the registers, but they seem to run the whole thing. You know what? I mean, they have a little like, podium. They have, right? Yeah, and the podium has a little waste paper basket, actually, because they do a lot with paper. And this family's walking out. Father, I'm going to call him, 3840 years old. Wife, same age. Son, eight, 910, range. Daughter, seven, eight, range. Like walking along, I see the daughter get a look on her face, and then she just Hawks up a loogie and spits it in the waste paper basket that the people are standing next to the cashiers are standing. And she just kept going. And the mom saw it happen, nothing. The dad saw it happen. Nothing. The brother kept going, and all I could think was 1978 I'd be 50 feet from that location right now. My dad would have hit me so hard, right? Like I would have just flown. I just would have flown through the air, through the grocery day. Is it right to hit your children? I don't
Kirby 10:37
think so. No, there's we got to get somewhere in the middle somehow,
Scott Benner 10:40
from the time I was nine till the time I'm 54 went from like, this is a beatable offense, to like, No one looked up, right? And this was not okay, like she wasn't get for any of you listening, I know how you all are now you try to make an excuse for everybody, like there was no reason she couldn't have just like, lived five more seconds and spit that into a bush outside. She was so close to being outside, you know what I mean, and no direction, even, not even like, so now I'm watching, God, I got my car too. I'm leaving so, like, I stay not close. I'm not being creepy, but I stay, I stay close enough to see, like, am I gonna get outside and see a little parenting? Hopefully, no, that part was over already. That's what
Kirby 11:26
was in my head. Is like maybe they were waiting to talk. I thought so
Scott Benner 11:29
too. That was me again, given the benefit that they get girl outside, they pull aside. Nice to go. Hey honey, listen, you know we don't want to spit in the trash can. Blah, blah, blah, you know nothing,
Kirby 11:40
and I don't know how, like, I mean, I could have all sorts of, you know, speculation about how all this came to be, but I can, at least, with you, acknowledge that it's just something has disappeared, and some it's sometimes I find myself like, gosh, this seems so obvious. Like, how to be a good person, how to think about our impact on other people. Well, why
Scott Benner 12:05
do I bring this up here? Because I think that the only because my my initial reaction was, I went home, I said to my wife, we got to go right, right. She's like, what? I'm like, we got to bug out. I was like. I said, if we can sell the house, great. If not, let's just burn it to the ground. We got to get out here. And she's like, why I tell my long winded story about the grocery store? My must have caught my wife in a mood, because she was like, agreeing with me. She never agrees me. We've been together way too long. And so I was like, okay, but then what I landed on was running is the wrong thing to do. I got to keep going to the grocery store and just acting the way, like a generation ago knew to act right and like, and maybe that'll help something.
Kirby 12:43
I think so that's the whole idea of Be the change that you want to see Right? Like, that's it
Scott Benner 12:47
for the people you're talking about, like, who are very honestly, probably listening to this. Like, if you know something, like, put something into action. Like, maybe, maybe your work will say yes to it. Like, you know, like, try something. Because otherwise, whatever the version of spitting in the waste paper basket is 10 years from now is gonna happen. Somebody doesn't stand up and say, Hey, I think we should talk about the fact that sometimes fat needs a Bolus. Like, it'll just go away. Like, nobody's gonna like, I don't know where we're all headed exactly, and I don't want to be high minded about my stupid podcast. I think people who know have got to keep saying so Agreed, agreed, right? And maybe you'll be wrong, or maybe you'll bump into people won't agree with you. Maybe, if I would have said to the guy, like, Hey, man, your kid just spit in the waist paper basket. Like, are you going to do something, even if he didn't take offense to it? Right? Which, of course he would. But like, say he was going to be thoughtful about it. He might be like a kid had to spit. Like, what do you want to do? To spit on the floor? Like, right? No, I wanted to hold it into her mouth, swallow it like a human being. Live through it. Go be uncomfortable for five seconds, and don't make everyone else part of your problem. A guy just coughed right in the other guy's face. He didn't even notice he did it contour next.com/juicebox that's the link you'll use to find out more about the contour, next gen blood glucose meter. When you get there, there's a little bit at the top. You can click right on blood glucose monitoring. I'll do it with you. Go to meters, click on any of the meters. I'll click on the Next Gen, and you're going to get more information. It's easy to use and highly accurate. Smart light provides a simple understanding of your blood glucose levels, and of course, with Second Chance sampling technology, you can save money with fewer wasted test strips. As if all that wasn't enough, the contour next gen also has a compatible app for an easy way to share and see your blood glucose results, contour, next.com/juicebox and if you scroll down at that link, you're going to see things like a Buy Now button. You could register your meter after you purchase it. Or what is this? Download a coupon, oh, receive a free contour next gen blood glucose meter that. To tell contour next.com/juicebox head over there. Now get the same accurate and reliable meter that we use. Today's episode is sponsored by Medtronic diabetes, who is making life with diabetes easier with the mini med 780 G system. The mini med 780 G automated insulin delivery system anticipates, adjusts and corrects every five minutes. Real world results show people achieving up to an 80% time and range with recommended settings, without increasing lows. But of course, Individual results may vary. The 780 G works around the clock, so you can focus on what matters. Have you heard about Medtronic, extended infusion set? It's the first and only infusion set labeled for up to a seven day wear. This feature is repeatedly asked for, and Medtronic has delivered. 97% of people using the 780 G reported that they could manage their diabetes without major disruptions of sleep. They felt more free to eat what they wanted, and they felt less stress with fewer alarms and alerts. You can't beat that. Learn more about how you can spend less time and effort managing your diabetes by visiting Medtronic diabetes.com/juicebox,
Kirby 16:14
and that's this is why it's so hard to do the right thing, because we are living in this kind of and I wouldn't say it's not so hard to do the right thing. I was saying it's we have so many different perspectives on the right way to be that are existing around us that make it kind of hard to move things forward. But truthfully, like, as I sit here, I think, like, Where will I be with all of this in five years? Right now, we are just getting our legs under us, but as soon as there is a path, like I want to be on that path talking about it, and maybe I'm not the one to make the change, but my voice could potentially be one of the voices that propels it forward. Well,
Scott Benner 16:50
all of our voices, yes, exactly. Everyone's got to do it, because I earlier said there's no way it's going to happen. That's me being cynical, telling you that it doesn't look like things are going that way. It doesn't look like they're going in a direction where enough people say, hey, you know what? We got to say something about this and around diabetes specifically. Like, I'm not the only one. But you know, when I was writing a blog, most of those blogs were just like, I don't know how to put it exact. They were just like, Woe is me. Blogs, right? They were like, diabetes is hard, isn't diabetes hard? It's so hard. It's hard for me. I know it's hard for you. Let's be sad together, you know? Like, that's a lot of them were like that. I had conversations back then with people writing those blogs. Some of them were really and I was like, I'm like, I look at you privately, like you're doing so well, why don't you tell people about this, right? I don't want to get involved in that. I'm like, oh, okay, great. Yeah, I don't want to tell people what to like, because then it's going to open you up to, like, somebody's going to tell you you're wrong, and then they're going to yell at you. And I was like, people been yelling at me for 15 years. It's not bad, you know. It's really not that bad. You can live through it, you know.
Kirby 17:54
And you know, like, how long it takes and what actually goes in to being able to discover these things, and the things that you discover sometimes really are just for the person with type one that you're considering. Yeah, right. And some of them apply to everybody, but especially when you're early on, you're like, can't make heads or tails of things. Like, you don't know what the difference between those two things are,
Scott Benner 18:14
right? So I agree, too that you're not going to know what they are. So somebody should say them all, and then you can just figure out which work for you and which don't exactly. It's fine. Everything's not a rule. And the other thing is, too, is when someone's, you know, online, you know, disagreeing with you, you know, that's a minority of people, right? Like, you know, I Kirby, I'm not going to bring up where we are in the world's history today, because it's not for this podcast, right? But, yeah, I told my kids yesterday, I was like, I know it seems like the whole world knows about this. And I was like, but it's really only a small fraction of people. And, you know, there's only a small fraction of people who even know who that person is. There's only a small fraction of people who know that this happened. I just went out to I stopped by a health food store yesterday afternoon. No one knew what happened in the world. If I would have said to the person, hey, do you know about this? They would have said, I don't know who you're talking about. Most people are not the internet. I was like, I know it feels like everything that happens on your screen is everything. And I was like, but the truth is, is that if you go look it up, only a small fraction of people are online every day, right? And as you get older, you'll realize that that's not the whole world. It's a piece of it shouldn't be ignored, and it's not nothing. But there are a lot of people out in the world just doing their thing, living another day. And I was like, and you you should. That's, in my opinion, what you should be doing.
Kirby 19:38
I agree. I actually it's funny that you said that. Because I went to see a new therapist, I realized that I wanted to talk to someone after my son was diagnosed, because I was, you know, having all the stuff going on, I'm like, I just need something to ground me. The first thing I talked to her about was some stuff I was seeing not related to type one, but things that were causing me a. Lot of anxiety and panic that I was seeing online, and she was just like, limit your exposure. Like, how much of that do you need to know? I was like, Well, I think I need to know. She's like, No, you don't actually need to know any of that. If you need to know something, will that information get to you? I said, Yeah. And she said, limit your exposure. So I had to take an action. Yeah, it's like a spring cleaning, almost. Of the things that you're exposed to, it's like, really remove the stuff that is not serving you, because you're gonna get the information that you need. And why do that to yourself? Because you get sucked in. And so anyway, that's that was some of the best advice I got.
Scott Benner 20:40
Yeah, it's great advice, and also it counts for everybody. Like, it would be easy to say, oh, you know that that's how famous people get treated. Like, I've heard people say, like, well, they deserve it. They want to be famous, so, like, they take what they get, right? But it happens to me. It would happen to you if you had 10 followers on Facebook. Like you can go online right now. And I am either a deity or an asshole, and neither are true. And you know, like, who knows? Like, where does that come from? Like, why would you like listen? I'm happy I get that. If you if the podcast has helped you, then you're grateful about it. Like, that's very cool. I think that's awesome, and I'm happy that it, it helped you. But like, at what point I don't know. Like, how could this make you so angry? You need to tell people that I'm a bad person, right? This person, like, said something that I disagreed with, and now I'm gonna go make sure to tell everybody that I can find, to let them know that they're wrong. And I'm like, my god, like, what are you doing? This isn't hurting anybody. It is bonkers, but I'm saying that happens to people. Like, I'm not famous. It happens to me. It doesn't happen often, but it happens to me, and it happens to people in their regular lives too. Like, right? Like this, listen, I don't understand people's psychology enough to really, like, speak about this, but like, whatever that framework is that applies to, you know, the most famous person in the world, down to some guy with a niche podcast about a niche disease, because that's really what this is, right? Like, it's not even diabetes, it's not even type two diabetes, type one diabetes, right, right? Like, there's as few people as possible within diabetes in your regular life, like I saw yesterday, there's people online ranting to three followers, and one of the followers is busy telling them how right they are, and one of them's busy telling them how wrong they are. And I was like, Oh, my God, this is four people talking. Is what I'm seeing here.
Kirby 22:33
And that's, I mean, that's a microcosm of what is like happening, yeah, everywhere.
Scott Benner 22:37
To bring it back to what you were talking about around diabetes, specifically, like you can get into that space and what happens? Like everything feels so what like Why was, what was the feedback online doing to you? What did you see and how did
Kirby 22:51
it make you feel regarding type one or the other? Stuff that I was the type one thing that mostly it made me feel comforted that there were so many questions and so many people that had found their way through it, but early on, it felt a little confusing, because so much, and still, I mean to a degree still today, because there's so much that's so specific to our situation, and it's very hard to explain all of that, like on a Facebook post, you Know, Like, here are all the things you need. And that's one thing. Another thing, if you know any of the tech people are listening, would be great to have the ability to put more into like, if, I'm say, if we have to treat a low and to put in how much we treated and when, because I don't remember, I don't I wish we could put a little bit more that wrote alongside the graph, so that when we're looking at it, because I don't remember, I don't remember what happened last Friday, I'm like, I know that he had pizza and we I can't remember quite what we did. So I think that that's partially how I feel sometimes when I'm trying to piece things together based on other what other people are saying online is like, it's not exactly what we're experiencing, and it's hard to place it, kind of transpose it into our situation. So, but what we do is, I know you asked this earlier, is like I hear something, and then I try it and I see if it works, and then if it didn't, I try to figure out why, and then maybe I'll go back and see if I can find information on somebody else saying the same thing, and try something else. And so it's just like you kind of keep trying new things until you find it which you know is going to is going to change again with, you know, as the years go on. But I had to figure out how to use it, because at first it did feel like a little bit. It made me feel a little anxious, because it was kind of, it seemed like so many people had so many answers, which was cool, but then I was like, Well, I really don't know how to, like, really into what we have going on. I mean, there's
Scott Benner 24:44
something about the way the internet works and being online works, and, you know, social media something that just, it just, I don't know if it's the the speed it runs at, or what it is that it helps people who are already anxious to feel more anxious. Right, right, right, or in an anxious situation to feel it turned up somehow, yeah. But the irony, of course, is this is the best place to get the information for sure,
Kirby 25:10
yeah. And I think what I, you know, I would urge people to do is just be mindful of, you know, how you know your tone comes across different when you're typing versus talking. And what struck me a couple of times is when people say things so definitively, like, Do this, do this, do this, do this. It's like they don't come along with your disclaimer of, this is not medical advice. It's like, you know, it's like, you have, you have, I'm so happy for you. You have found what works for you. But when you kind of say it like, this is exactly what you need to do, which not everybody does, I will say that's the minority. But when you're searching for answers, sometimes the minority feel a little bit louder to you. You know, it's like if you get a haircut and, like, a million people tell you it looks great, but one person tells you it's not the best look on you. That's the one you focus on. So
Scott Benner 25:56
you should try being me long enough you learn how to ignore those
Kirby 25:58
people. Well, I don't know if they have wonderful hair, though. I mean, so come on, the
Scott Benner 26:02
voices who have been scared in the past are often the the loudest, yeah? Like, because I see that through throughout a number of different conversations. Like, you know, my kids blood sugar has been high for two hours. What do I do? Go to the emergency room? Like, wow, yeah. And then, right, you get the like, well, if they don't go and something happens, then what? And I'm like, okay, okay. Like,
Kirby 26:24
not on you. It's not, you're not responsible for that.
Scott Benner 26:27
Something that happened to somebody, another one that I and I don't, I don't see any humor, and I don't see any humor in any of these because it's something bad's happened to somebody along the way. But like, anyone who's had an eating disorder, and you start saying, like, Yo, you know, I didn't want my kid to have this cookie. It turns immediately into the worst part of what happened to them. They are now going to, like, they're gonna tell you about right? Because they don't want that to happen to your kid. And it's a loving thing. Like, I really do think it comes from a good place. I think all this stuff comes from a good place. Oh, for sure. Of course, it does. Often their experiences change the way they communicate it, yes, absolutely, the communication can feel very aggressive, and then they don't. They don't know it's aggressive,
Kirby 27:13
right? And I think, you know, I'm very tuned into that, because I see it all the time with, like, weight loss. So I don't work directly with people, but I hear a lot of weight loss conversations, and somebody will find something that worked perfectly for them, then they'll tell somebody, say, You should do this, whatever the thing is, and because we're different people, everybody has a different body, it might not work for that person. And what sometimes I'll say often will happen is that they'll blame themselves. They'll think that they did something wrong, when really it wasn't the right thing for them. And I think the same thing kind of applies here, is like if, if we say things with authority that can leave somebody feeling like they failed if it didn't work for them, or if maybe you didn't have all of the information. So, and I don't, I mean, I think you're right. Everybody is seeing this from a very loving place, because if they found something that worked, they want to spread the good word. Right? When
Scott Benner 28:04
I was just writing the blog, there was this moment, this lady, she's a lovely woman. She wrote a book called Kids, first, diabetes, second. And I mean, I want to be completely honest, I have a passage in the book. I haven't read the book. So I want to just be clear. I'm so sorry. She hears this, I haven't, I haven't read your book, but I don't read. Nobody should take that offensive. I haven't read her book. I don't actually know what it means. I think what she meant was, like, try to see the kid first, and then, like, I mean, there's no other way to put this. I watched kind of like, very aggressive low carb people say, Oh, she means that health isn't as important as having fun. And I'm like, I don't feel like she's saying that at all. Yeah, yeah. You know, it was like that. That's a weird distortion of what she's saying, right? But around that time when that book was in the zeitgeist, and it was popular enough, and, you know, like, it was like kids, first diabetes, second, this lady doesn't care about blah, blah, blah. I mean, some people, some people, some people think it's a great way to think, like, hey, let's make sure your kid's happy first. Like, who knows what you care. But I got wrapped into it at one point, because I started making the podcast. Then on the kind of the tail end of that, and it was the it's episode 11, which is crazy to say, because, like, so early years will be like episode 1800 or something like that wild. Oh my goodness. But in Episode 11, I was searching for a title, and I back then I didn't know how to make the titles, so while I was editing it, I just wrote down things that I heard me say in the middle of, and it was like a talking head episode where I just was talking to myself. And I think at some point in the episode, I said, that's when I learned to be bold with insulin. I was like, Oh, I'll call this episode bold with insulin. Oh, my God, right. And I call it that. And it became a thing, like, it's, it's a mantra. People use that term, right? And for sure, that wasn't on purpose for me. You know what I mean? Like, I just, it was a catchy phrase that I heard inside of the 45 minutes that I made the recording and I made it the title, and now that's a movement. Now. Well, those same people came at me, oh yeah. He just wants you to use a bunch of insulin for everything. He doesn't care if you eat healthier or not. I'm like, I don't think that at all. But then I got to make a choice, and the choice that I fell to was that what I see mostly from people, is they have trouble with high blood sugars, and that caused them problems long term. And I don't think it's a good idea to put into their head that there's an amount of insulin that's too much, right, because it could lead them to not use enough insulin, and to ride with higher blood sugars, and to think that higher is better than low, and all that other stuff, right? And so, like, I've got to pick a messaging basically, like, what side of this coin am I going to stand on more firmly? And I stood on the idea of, like, I think you should learn how insulin works so that you can use it very effectively. I'd like you to Pre-Bolus so that you don't you know, because that that is definitely going to keep you from using more insulin. You're not going to be fighting highs later. I don't want you to get low afterwards. That is certainly not a goal. But in the end, you need as much insulin as you need. And for 10 years, that small group of people you know are like, Oh, he's pushing insulin on people. He's, you know, why won't he just tell them to eat low carb? And what I mean, you as a nutritionist, know, like, you can't tell people how to eat. No, that isn't gonna work. No, well, it's just not gonna work. Like, even if I was, even if they're right, like, like, just say, give it to them for a second, right? Like, you know, I'm thinking to this one person, you know, like, sorry, I'm laughing, but she's just so crazy, but in a very lovely way. And by the way, now there's like 20 people who think I'm talking about them, and they're all like, I'm not crazy. Actually, you all seem a little crazy to me, but that's just my opinion. Maybe you're not
Kirby 31:46
like each other's crazy,
Scott Benner 31:47
but at the same time, like, I think that they just have been saved by a thing, and they know it's working for them, and they want other people to know, and they and they do think that, like, too much insulin will cause problems, by the way, hey, between you and me, it is better to use less insulin. Yeah, yeah, but not so much so that, like I That would be nice in a perfect world, right? If you ate lower carb and you got all your nutrients and you were using less insulin, that would be, I do think that would be a better way to go, right? But when most people don't live lives like that. That's not good messaging for them, right? Yeah, you got to do the bigger picture thing. Like, look, I've never gone all the way on what I think, but like, I do say it out loud enough that, like, I don't understand if you're drinking soda with sugar in it. I do not understand you. I don't understand why you would do that. Having said that, I'm in the minority. Cook and Pepsi are pretty big companies. They're doing okay, you know what I
Kirby 32:48
mean, right, right? And, and I think, you know. And that's interesting, that you're bringing that, that up, because that is something I have struggled with, because in it, you made me think of it when you said, kid, first diabetes, second or later, whatever it was that that has been like this convergence of the way I wanted to parent around food, and now trying to make it make sense in the context of diabetes, because I had a very specific and I still hold it philosophy about the way we talk about food and the way we talk about what we consume, and it really pressed me to figure out how to stay true to that and align with my own personal philosophy and still help my son and help our family manage his diabetes. So like, you mentioned soda, but I'll use juice, because I know he's mentioned like orange juice a few times, right? Like, I come from a place of there's no and I hate saying this because it's been said so many times, but it has been said so much because there's truth to it, which is, like, no food is bad food and but then you have to start asking yourself, like, what constitutes food, and is it the amount that you're having that is the issue, or is it the actual food? So like in the case of orange juice, or any juice, part of the issue, especially with kids, is that it has been over served. It's at too many meals, they get too big of a portion. But we come from a place of it has a place and it has some nutrients in it. It can be considered part of your fruit intake. So the way we talk about that is different than what you might tell someone who's trying to manage their blood sugar right like so it's been really interesting, even with I'll back up a little bit more too. Even just what I've told my kids about food is that I won't tell them. I would never force them to eat anything. It's something I told them so early. I will never make you eat anything. I'm not even a try a bite club type of person. If you don't want it, don't eat it. But fast forward, and my son has a low blood sugar, and he has to eat or drink something in the very early days. He said, Mom, you told me that you would never make me eat something if I didn't want to. I didn't know exactly. So it's like all of these things coming together. That's it's just so interesting to see. Like, I say interesting, but really, sometimes it's challenging to walk the line between. The two, because I think as he gets older, he'll find foods that are that he enjoys, that are better for his blood sugar management. But right now he's still a kid learning to eat, and part of that is letting them explore, letting them you know, you're in charge of what you put in front of them, but at the end of the day, they can eat of that what they want, and I have to try to help manage his insulin around that. So it's just, it's, it's tough. I think when, when you start talking about the actual food, with with the kids, and the drinks, we're still finding our way,
Scott Benner 35:33
but yeah, you just shouldn't drink sugar. Like, I think it's just, yeah, like, that's
Kirby 35:39
the thing. Like you can, I mean, it's if I had my druthers soda probably wouldn't have been invented if I could. That's not the world we're in. You know,
Scott Benner 35:49
don't not drink soda, by the way, I do. I drink diet soda with, I know frequency is the right word, but, like, I drink diet soda. I said this recently when I was talking to Jenny. I was like, you know, like, orange juice. Like a couple of swallows of orange juice, like, is, like, that's awesome. Like, a 16 ounce glass, exactly, right? Yeah? Like, that's way too much.
Kirby 36:09
And I think I always use the example, like, we all, like, you'll people say, like, we shouldn't, you know, donuts are bad for you, right? Like, that's, that's the thing that people will say. It's like, Well, so is an apple, if you only eat apples and bags and bags of apples, and only apples for your life, like it is the dose, it's the dose, and that the environment that we live in right now is not really that conducive to, you know, foundational foods that are good for health and moderation of the other foods. That's just not where we live. I
Scott Benner 36:37
don't understand the chemical mechanism of it. But I can tell you, like, after, you know, having used the GLP for two years, now, if you gave me a donut, I could take a bite of it and go, Oh, that's good, and then not eat the rest of it, right? But I know for certain that before the GLP, I would avoid the donut, because, if you because, if not, I would eat as many donuts as was there,
Kirby 37:00
right, right? Yeah, it is working on your hunger and your fullness hormones. It's also helping with food noise. I don't know if you experienced that, but like, the internal narrative so that it
Scott Benner 37:09
is, I hear people say, like, oh well, you just, you know, have to have more, you know, restrain or something like that. Like, it's not just, I don't know how to explain that. That's not what was happening. Yeah,
Kirby 37:20
no, I'm with you. I mean, I think that those are it's people don't, even the experts, we don't fully understand all that goes into hunger, fullness, weight, metabolism, you know,
Scott Benner 37:31
yeah, you have to experience it to understand it, yeah, and I can't. It's still hard to put into words, to be perfectly honest, like, I'm not, I was not an undisciplined person, but I definitely had weight to lose, and I was definitely eating, you know, too much, or the wrong thing, or whatever, enough to hold that weight. And, you know, and there's plenty of times where I didn't eat that way, and my body just never, like it never responded to eating well, and no kidding, like, without a certain amount of sugar, like I would have told you in the past, if you said to me, like, cut out sugar, I would have said, Oh, I don't know, like sugar, so only one of the ways, like, my digestion works the best. Like, if I cut too much sugar out, I can't go to the bathroom. Interesting, that's the thing I would have told you. I believed 100% and it seemed like it was proving itself out in my life. I don't know what it was doing or not doing, but I can tell you that I don't have as much sugar anymore, and it's not a problem. Yeah, so, and I wasn't having a ton of it, but I was having some, right? I don't know, like, I just think that the entire thing is, it's easy to say, like, this is the way to do it, if it's working for you, exactly. It's also not easy to put into practice, just like anything else, like, say, you know, if you're a runner, you you tell a great shipment, everybody should run. Well, that's, oh, yeah, too easy. That's not true. Yeah, it's not gonna work for everybody.
Kirby 38:49
That's, that's right, some people can't even walk a mile, you know. So it's, and that's that you can use that as a, you know, what's the word? Metaphor, you know, like, some people can't do what you're doing even at a slow pace. So
Scott Benner 39:01
I just think that in the end, like people shouldn't suffer, agree, and no matter what pathway it takes to get them to that, if it's eating low carb, then that's great. If it's running every day and they can do it, then that's great. If it's somebody needs a GLP medication, then awesome. Like, in the end, like your life is a is a very finite thing. It is very short and very finite, and it could end at any second. And even if it lasts as long as it possibly can, it only lasts 7580 years. And those last 15 years aren't gonna awesome to begin with. So, like, so maybe you're getting like, 60 years that are awesome. But also, if you're an adult, remember this, you don't really remember your life before you were like 16 anyway, so you lose the first 15 to that maybe 20, and then the last 15 you can't walk. So basically, making this not sound great, Life is 35 years long, okay, so, like, while I'm in those 35 years, I gotta struggle the whole time. No, no, no, I'd like people to be as happy as possible in that
Kirby 39:59
great yeah. And I think that's what like, the foundation that we lay with the kids, especially like in the setting of type one, is so important, because though they won't remember every single thing you said, you are creating their formative experiences around food, around their diabetes, and the way you talk about it is so important. And that's what like I with with my kids, and especially with our type one. I won't ever say like, Well, you shouldn't eat that because of your diabetes. Those words will never leave my mouth. I won't even say that. You know, that's not a great food. That's not a bad food. The only thing I'll ever say is, if there is something that is has something in it that's not great for them, like an ingredient that's not good for little bodies, I might say, Oh yeah, it's got something in there that's not great for little bodies. That's as close as I get. But what you're describing like the joy that we can get out of food, that ability to do that, is laid. It's a foundation that's laid at such an early age, like I grew up in the area of, you know, the Jenny Craig's and all of the women and my family going on diets and eating salads. And that has stuck with me till this, this exact moment I still struggle, and that was put there early. It doesn't mean you can't learn to cope with it and learn, you know, ways to to thrive, but it has just been so, you know, it has come into focus for me so much with the diabetes, because the way we talk about food, we have started kind of walking on ice a little bit for a minute. It was or eggshells, then ice. What's the you know, whatever. Yeah, we can walk on thin eggshells or on ice.
Scott Benner 41:26
How about you walked on thin ice shells? I love it. That's that's the episode. Walking on thin ice shells. There you go. Okay, I don't know, these nuts is
Kirby 41:35
awesome. I know I'm gonna, how about go bills? Can we do one of those? Oh, my God,
Scott Benner 41:40
that's insane. The bills are never gonna win anything, and for you to assert otherwise is ridiculous. Gosh, okay, in this moment, what a disaster.
Kirby 41:54
You have enough stuff
Scott Benner 41:55
when that quarterback will win. You know, when that quarterback will win? Think long and hard what you're gonna when he leaves buffalo? That's when it'll win, because he's pretty good. Yeah, you guys are jinxed. I don't know how to put it. Remember the time you lost four Super Bowls in a row. I think
Kirby 42:11
what you mean is, remember the time we made it to the Super Bowl four times in a row.
Scott Benner 42:16
That's not what it felt like, please.
Kirby 42:20
So see again, formative memories that gave me grit.
Scott Benner 42:23
Brother, hey, listen, there's something to be said for that. Like, you know, like living through a lot of disappointment really is helpful. Sometimes.
Kirby 42:33
I'm telling you, I do look at it as they went for years. So I mean, not every day that no one
Scott Benner 42:39
there's the only way you could possibly look at that, because otherwise you would have to fling yourself into one of those frozen rivers. You know, they mean that you live near and honestly, no one should live, no one should live where you are. It's too cold.
Kirby 42:50
It's not that bad. You know, we had like, 90 degree days all summer, so,
Scott Benner 42:55
but humidity, right? Yeah, it's been, it's been hot, yeah? No good.
Kirby 43:01
All right, listen, talk nice about your food, people. That's what I'm saying. Just be me.
Scott Benner 43:05
I'll make a point to that too. Is you don't always say what you mean, either, and it's hard to, like, remember it day to day, moment to moment. Like the other night, Arden and I were doing something, and it was something she had trouble with. And I said, Okay, well, you know, I said something like, let me know if you're gonna do it, because if you're gonna do it, because if not, I have to throw it away because it's not going to be good after this time. Doesn't even matter what we were talking about. And she felt bad about that. But I didn't mean. I wasn't trying to make her feel bad about it. Like, I just, I was like, I was like, and then I realized, I'm like, Hey, we have more. It's not a big deal.
Speaker 1 43:36
Back track, back, track, back. Yeah. I was like, I just
Scott Benner 43:39
want to like, like, I just want to know, like, what am I supposed to be doing with it? Right? Doing with it right now? Like, you know, I mean, because it won't last past this, and I want to toss it so it doesn't get confused with something else. Blah, blah, blah. And then she's like, well, thanks a lot. And I was like, what? She goes now, I feel bad. And I was like, Oh, I didn't mean for that. Yeah. Wait, did you look back over your life and figure out how many times something like that happened? Oh,
Kirby 44:00
my gosh, yeah. And I'm sure it happens without them even telling us, yeah.
Scott Benner 44:04
My point is, you're doing it. You're doing it right now. Like you don't know it. You think you're trying not to, which is commendable, but like, it's gonna
Kirby 44:11
happen. It is, yeah, it's tough, and it's like, it's a learning process. I think as long as your intentions are good, that's the part that will stick. You know, we're not bringing our own baggage, and putting that
Scott Benner 44:21
doesn't really work is when somebody makes you a Bills fan, like, that's, oh, my damaging and there's no way out of it. You know what?
Kirby 44:27
I mean, you're gonna be feeling so ridiculous in February of 2026, about this conversation.
Scott Benner 44:35
So after the joy of the Eagles winning a consecutive Super Bowl happens, what? How will I feel? Exactly what's
Kirby 44:41
gonna you're gonna feel so silly when we bring that home. You're just gonna feel
Scott Benner 44:47
I'm so sorry you had Stefan Diggs and you ruined it.
Kirby 44:50
Oh, please. He's fine. He's good, we're good, everybody's good.
Scott Benner 44:55
You ruined Stefan
Kirby 44:56
Diggs. What do you think of that he was part we you
Scott Benner 44:59
ruined his. Career,
Kirby 45:01
I'm not gonna I have opinions, but I'm not gonna share them right here.
Scott Benner 45:05
Just been on a decent football team. Imagine what would have happened for him, stuck up there. Remember, you ruined that beautiful defensive ends life, too. He was so good. What was his name? Oh, my God. Which one was the most famous defensive lineman you've ever had in Buffalo? Ever? Who you mean? Ever? Oh, my God, look at how young you are. How old are you?
Kirby 45:27
I'm 42 really, I'm trying to think of who you could be talking
Scott Benner 45:31
about. Wait, are you sure you're thinking of the bills? I definitely am. Hold on, like, old. What? Like a Yeah, older, older. I'm just gonna do it here.
Kirby 45:39
Like, like Bruce Smith. You can't be talking about him. No,
Scott Benner 45:42
you ruined his life too. Yeah,
Kirby 45:46
I can't believe the turn this is taking. If you could see my face, this is
Scott Benner 45:49
like, what did he win? Nothing. Uh, he won the one of the great defense events.
Kirby 45:56
He still is. If you asked him today if he would have, he would say, I would there was no place you'd rather be than right there, right then you
Scott Benner 46:05
would have said, I would have rather been somewhere warm where we could have won something. What
Kirby 46:08
do you think? Bruce Smith, if you are listening, please tell Scott Benner that you are proud to be a bill and that you wouldn't trade it for the world.
Scott Benner 46:17
I don't believe. I think he wished he would have played in the year of free agency. Think
Kirby 46:21
of his name, because I thought you couldn't be talking about him. I was trying to lead
Scott Benner 46:25
you to the greatest defensive end that ever played for the bills.
Kirby 46:28
But you said that we ruined him. His
Scott Benner 46:32
career was ruined by playing in Buffalo.
Kirby 46:34
Like, why does he still spend half of his time in Buffalo then? Because
Scott Benner 46:37
he didn't make enough money to get out of there, because he was before free agency, and he got screwed.
Kirby 46:42
He's nuts. That's it. I
Scott Benner 46:45
can't believe you didn't say, put these in your mouth and shut up.
Kirby 46:51
You just said it. You say all of the
Scott Benner 46:53
things. For me, the bills are terrible. I don't know what to tell you.
Kirby 46:56
We can't go bill. We can't end like this.
Scott Benner 47:01
They should be a good team, and they're just not. I don't know why.
Kirby 47:04
Oh my gosh, you did watch the game on Sunday, right? It doesn't
Scott Benner 47:07
matter. And you have our old defensive coordinator, and I like him, McDermott,
Kirby 47:12
right? I'm gonna send you, yeah, he's amazing. I'm gonna send you a note in February. Just wait. Make sure you're checking your inbox. Make sure you're checking
Scott Benner 47:20
I will look for when you say, oh my god, I can't believe how they lost in the playoffs again.
Kirby 47:25
Okay, listen, here's a deal. If they lose, you have to send me and my family on your juice
Scott Benner 47:31
cruise. Listen, I can't afford that. Wait a minute, are you referring to the game was, was it the ravens and the bills? The game that the Ravens lost, you're taking credit for winning. Well, not me personally, okay? Because that the bills didn't win that game. The Ravens lost
Kirby 47:48
it. You do know that everybody plays until the last second, right?
Scott Benner 47:52
You can't lose a game when you're up 40 to 25 that's your fault when that happens. This is just a difference of opinion. It's a difference of opinion, right? Like between somebody who was watching the game from a third party position and a person like yourself who's trying to make yourself believe something that's not true. I want I swear I don't even care.
Kirby 48:11
How about that? I'm going to tell you something cute. My son said, because when they were playing Sunday night, I did not make it through the first night. I watched the highlights because I had to get up in the morning. But my husband was watching part of it with my son, and pointed out, I can't remember his name on the ravens, who's a type one. And my son, yes, yes, yes. And my son so sweet. He says, I wish Josh Allen had type one, like not
Scott Benner 48:33
because he wanted, because he wants some of the room for with diabetes. Yes.
Kirby 48:38
And I loved that he felt so okay about having diabetes, that he wasn't like, he wasn't wishing it on an enemy. He was wishing it on a hero, because he wanted it. You know, it was such. I was like, That is
Scott Benner 48:49
sweet. I take your point. Noah Gray has been on the podcast. He's, I
Kirby 48:52
just listened to that one. So good, right? Actually,
Scott Benner 48:56
I think I have an email here from here. I have an email here from, oh, my God, look at all these emails. You people, you got to stop emailing me. It's enough. I don't, I don't have a person. It's just me over here.
Unknown Speaker 49:13
Oh, where's her drawback of fame?
Scott Benner 49:15
I Yeah. I am emailing with, yeah. I'm emailing with Chad, mumas. Mumas, oh yeah, wife, right now. I think they're both. That's awesome, yeah. So that's, that's another guy, like he's, yeah, we love
Kirby 49:32
seeing it better than the bills problem. Stop it. Just are the bills we were going in such a good direction. We were getting off of it. And then he went back. He went back.
Scott Benner 49:43
I know I felt like I did. Okay. I think we're just gonna call this the episode The bills suck, and then that'll if I swear I would
Kirby 49:50
be the worst. The worst I would choose these nuts. Okay, I would.
Scott Benner 49:54
We've spoken for an hour and a half, even longer. Rob's gonna have to turn this into a two episode pod. Podcast. That's gonna be a two part podcast. Oh, and I never once brought up that my mom bought a Kirby vacuum cleaner when I was younger, and to ask you if you knew what that was,
Kirby 50:10
of course, I did, because I have to always say to people say, like the vacuum my response, which I've been working on since a child, is yes, except I don't
Scott Benner 50:19
suck. There you go. Not like the bills. So we were so close see what you did, though, you allowed me to do that by saying, Oh yeah, okay, all right. Well, thank you. We're done now. Goodbye. Okay, hold on a second.
Thanks for tuning in today, and thanks to Medtronic diabetes for sponsoring this episode. We've been talking about medtronics, mini med 780 G system today, an automated insulin delivery system that helps make diabetes management easier day and night, whether it's their meal detection technology or the Medtronic extended infusion set, it all comes together to simplify life with diabetes. Go find out more at my link, Medtronic diabetes.com/juicebox, I'd like to thank the blood glucose meter that my daughter carries. The contour next gen blood glucose meter. Learn more and get started today at contour, next.com/juicebox and don't forget, you may be paying more through your insurance right now for the meter you have than you would pay for the contour next gen in cash. There are links in the show notes of the audio app you're listening in right now, and links at Juicebox podcast.com, to contour and all of the sponsors you Okay, well, here we are at the end of the episode. You're still with me. Thank you. I really do appreciate that. What else could you do for me? Why don't you tell a friend about the show or leave a five star review? Maybe you could make sure you're following or subscribed in your podcast app, go to YouTube and follow me or Instagram Tiktok. Oh gosh, here's one. Make sure you're following the podcast in the private Facebook group as well as the public Facebook page you don't want to miss. Please. Do you not know about the private group? You have to join the private group. As of this recording, it has 74,000 members. They're active talking about diabetes, whatever you need to know, there's a conversation happening in there right now, and I'm there all the time. Tag me. I'll say hi. If your 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 straightforward 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 at Juicebox podcast.com in the menu, the episode you just heard was professionally edited by wrong way recording, wrong way, recording.com
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