#1739 Smooth Operator - Part 2

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Claire shares her story of being diagnosed with Type 1 diabetes at age 29 during her lunch break, only to board an international flight to Australia just days later. A long-time listener of the podcast, Claire discusses how she utilized the "Pro Tip" series and Jenny Smith’s book to prepare for a healthy pregnancy.

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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.

Claire (0:10) I'm Claire, and I've had type one diabetes for ten years. (0:13) I'm really excited to talk today.

Scott Benner (0:18) Friends, we're all back together for the next episode of the Juice Box podcast. (0:21) Welcome. (0:22) Please don't forget that nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (0:28) Always consult a physician before making any changes to your health care plan or becoming bold with insulin. (0:42) Alright.

Scott Benner (0:42) Let's get down to it. (0:43) You want the management stuff from the podcast. (0:45) You don't care about all this chitting and chatting with other people. (0:48) Juiceboxpodcast.com/lists. (0:52) They are downloadable, easy to read, every series, every episode.

Scott Benner (0:57) They're all numbered. (0:58) Makes it super simple for you to go right into that search feature. (1:01) In your audio app, type juice box one seven nine five to find episode one seven nine five. (1:08) Juiceboxpodcast.com/lists. (1:24) I'm having an on body vibe alert.

Scott Benner (1:27) This episode of the Juice Box podcast is sponsored by Eversense three sixty five, the only one year wear CGM. (1:35) That's one insertion and one CGM a year. (1:38) One CGM, one year. (1:41) Not every ten or fourteen days. (1:43) Ever since cgm.com/juicebox.

Scott Benner (1:46) This episode of the Juice Box podcast is sponsored by US Med. (1:51) Usmed.com/juicebox, or call (888) 721-1514. (1:57) Get your supplies the same way we do from US Med. (2:01) Today's episode is sponsored by the Tandem Mobi system with Control IQ plus technology. (2:06) If you are looking for the only system with auto bolus, multiple wear options, and full control from your personal iPhone, you're looking for Tandem's newest pump and algorithm.

Scott Benner (2:17) Use my link to support the podcast, tandemdiabetes.com/juicebox. (2:22) Check it out.

Claire (2:23) I'd say the first trimester first trimester, I kinda knew I was pregnant before I took the test just based on my CGM. (2:31) I was like, little insulin resistant today. (2:34) Mhmm. (2:35) So that was kinda cool. (2:38) So I immediately had changed my settings and just kinda increased my basal a little bit to compensate for that, reached out to my endo.

Claire (2:47) And I was seeing her the next week anyway, so it's perfect. (2:49) So went in, made some adjustments, and she basically just kinda cranked everything up a little bit

Scott Benner (2:53) Yeah.

Claire (2:53) To help with the resist the little bit of increased resistance I was having and to make sure I'm hitting those tighter goals.

Scott Benner (2:59) Mhmm.

Claire (3:00) And then we were keeping it a secret at first, which, you know, can everybody's probably gonna do it a little differently. (3:07) We kept it a little secret at first. (3:10) We wanna get all that blood work back. (3:12) We wanted to try and tell our family in person. (3:14) It was still very, you know, much COVID times.

Claire (3:18) So we were able to tell our family on Mother's Day. (3:22) And I think I was about ten weeks pregnant at that time. (3:27) And then I just was trying to be very cautious with what I was eating, count my carbs, know what I was eating, all that stuff, using all the tips and tricks I had, you know, previously read about and researched and experimented with. (3:42) Yeah. (3:43) But the first trimester wasn't too crazy.

Claire (3:46) Mhmm. (3:46) But then in that second trimester, it's probably around, like, eighteen weeks, give or take. (3:52) It just it was like Jenny says, you know, that roller coaster cranking up, cranking up, cranking up. (3:58) But I had a great team. (3:59) I had my OB, my high risk doctor, and my endo.

Claire (4:03) And the three of them are familiar with each other because, you know, they all work in the area. (4:08) My high risk doctor and my OB actually went to med school together.

Scott Benner (4:12) Okay.

Claire (4:13) And then my endo kind of led all the blood sugar insulin stuff. (4:18) Because I've heard a couple episodes where, you know, one person's driving. (4:22) One of those three doctors is driving, you know, the the changes insulin needs and, you know, all the changes. (4:29) But for me, it was my endo. (4:30) So every two weeks, we would connect through the messenger app.

Claire (4:36) She would review my log or she would review my CGM, all my pump data, everything, and then send me a message back with adjustments. (4:44) And then once a month, I would meet with her. (4:46) So I was making adjustments at least every two weeks. (4:50) And then anytime I would see a pattern change for two days instead of three or more, I would make adjustments accordingly.

Scott Benner (4:57) Okay.

Claire (4:57) So it just kept going up, up, up, up, up.

Scott Benner (5:01) How were you about I'm sorry. (5:02) How were you guys how were you guys connecting? (5:04) Was it texting? (5:05) Were you doing a portal? (5:07) How does phone

Claire (5:08) Message yeah. (5:08) Messaging through the portal. (5:10) Mhmm. (5:10) And then once a month I think at first, I was going in person and then we were doing virtual appointments where she would again review my data and we would talk in person.

Scott Benner (5:19) Okay.

Claire (5:20) So I was just in very close contact with her. (5:23) And as soon as anything went funky, I would just reach out and immediately get a response. (5:28) I remember I went into work. (5:31) I was 36. (5:33) I was, I think, right at thirty six weeks.

Claire (5:34) Went into work, and I my blood sugar just kept crashing. (5:38) And I was like, I don't think this is a good thing. (5:41) Now Jenny's book, she talks about it. (5:43) Must have missed that part. (5:45) But at thirty six weeks, your insulin needs kind of plateau or even dip.

Claire (5:50) So I reached out to my endocrinologist, and they called me right back. (5:54) And she was like, yep. (5:55) This is typical. (5:56) Just I think I decreased my basal 10%. (5:59) Everything leveled out.

Claire (6:00) It was fine. (6:02) So I was like, man, I didn't take Jenny's book to work today. (6:05) Should've.

Scott Benner (6:06) Why does that happen why does that happen at thirty six weeks? (6:09) Do you know?

Claire (6:10) I think it's I mean, Jenny would know. (6:15) But it's something about, like, everything kinda just settles out. (6:19) Like, I don't think it's and it all kinda goes back to the placenta. (6:22) I think a lot of that insulin resistance is from the placenta. (6:26) But I think everything just kinda, like, starts to settle out, level out, and your needs sometimes almost dip.

Claire (6:31) I don't know. (6:32) But at first, I was, like, worried that something was wrong. (6:35) Like, why why is this dropping?

Scott Benner (6:37) Mhmm.

Claire (6:38) But once I found out that it it was typical, expected, and the change was made and everything leveled out, then I was that was okay. (6:45) And my baby was moving fine too, so I was monitoring that too.

Scott Benner (6:49) Well, ironically, because eventually AI will stop us from needing to make babies, but it seems to know about this. (6:55) Let's check into it for a second. (6:58) Why insulin needs drop around thirty six weeks. (7:01) A shift can occur where insulin requirements plateau or even drop. (7:05) The main reasons would be, one, placental changes.

Scott Benner (7:07) As the placenta begins to age or mature towards the end of pregnancy, production of those insulin resisting driving hormones may decline. (7:15) Less placental hormone equals less insulin resistance equals lower insulin needs. (7:21) Fetal glucose use, the baby is growing rapidly and using more glucose directly from the mother's circulation. (7:27) That extra uptake by the fetus can reduce maternal blood sugar levels, again, lowering insulin demands. (7:33) And this one's listed as a clinical concern, early placental insufficiency.

Scott Benner (7:38) In some cases, a sudden and sharp drop in insulin needs can signal placental insufficiency, which is the placenta not functioning well. (7:45) That's why obstruction, obstetrics teams usually monitor closely if insulin requirements fall rapidly. (7:52) It can be an early red flag. (7:54) Practical takeaways are a modest reduction in insulin around thirty six weeks is common. (7:58) Normal physiological change and a dramatic drop should always be reported to the care team.

Scott Benner (8:03) There you go.

Claire (8:04) There we go.

Scott Benner (8:05) Nice. (8:06) And yeah. (8:06) And then one day, like, you'll we'll grow babies in labs, and AI will take care of all of it for us, and none of this will be important when it takes over and then turns us into the the machines that run the world.

Claire (8:16) But who's gonna name the babies?

Scott Benner (8:18) Well, if I can gain control, they'll all be named Scott.

Claire (8:22) Yeah. (8:23) If

Scott Benner (8:24) if my cult here's the plan. (8:26) I start a cult based around people taking care of their diabetes well. (8:29) Then, eventually, I get some coders in there. (8:31) We develop our own AI, and one day, we're can you imagine? (8:35) By the way, I I I if if any of are worried about AI, I I understand.

Scott Benner (8:39) And if any of you are excited about it, I understand too. (8:41) I'm very much hopeful that we fall somewhere in the middle where we're not slaves to computers, but yet it's helping us in different ways.

Claire (8:48) Yeah. (8:49) Mhmm.

Scott Benner (8:49) I I was listening to somebody talk about, medical research the other day. (8:54) And they said in their lab where they're researching, you know, a thing, that most of the people in that lab prior to AI would be people who were compel you know, compiling data and, you know, just making models so they could try to hopefully figure something out, then they'd end up calling, you know, somebody else that they know and said, hey. (9:14) Have you ever seen this? (9:15) Like, it was a very, like like, that kind of process. (9:18) And now those people, well, here's the downside of it.

Scott Benner (9:22) Those people don't have a job in the lab anymore. (9:24) But Oh, yeah. (9:25) But Yeah. (9:25) The AI is is doing the compilation. (9:29) And then how did he put it?

Scott Benner (9:31) He said, and then it considers things that would take me years of sitting there banging my head against the desk to see the the the the connections between it sees the connections in, like, a couple of hours and, and made it sound very hopeful. (9:46) And so I was like, awesome. (9:47) So, hopefully, that's the way I hope it goes, nevertheless. (9:50) Yeah. (9:50) Yeah.

Scott Benner (9:51) Although, in my mind, I just see that the the, the robot smashing the the skulls at the beginning of the Terminator movie. (9:58) So I'm

Claire (10:01) thinking of Spider Man with great power comes great responsibility. (10:05) Mhmm. (10:05) You can use it for good or for evil.

Scott Benner (10:07) Yeah. (10:08) And someone's gonna do one and someone's gonna do the other for sure. (10:10) Like, for every person who's out there, like, I wonder if it could help us compile data faster so that we could learn about medical advances. (10:16) There's someone else who's thinking, I wonder how I could get it to steal someone's money for me or house or, say, something like that. (10:23) Well Yeah.

Scott Benner (10:24) People. (10:24) What are you gonna do, Claire? (10:26) That that little kid you're raising over there, he could go either way. (10:28) We don't even know yet.

Claire (10:29) No. (10:30) Do you

Scott Benner (10:30) ever think about that? (10:31) Do you ever think about that? (10:32) Like, you could be raising a bank robber or, you know, somebody who's out helping people.

Claire (10:40) I think he'll be a helper. (10:41) Yeah. (10:42) He'll be a helper.

Scott Benner (10:42) Hope so. (10:43) It's nice. (10:43) I wonder if the people know. (10:45) Like, I'd like to get the people whose kids ended up being bank or bank is bank robber or real thing. (10:49) I'm saying something like it's 1965.

Scott Benner (10:52) But I wonder if somebody whose kid, like, grew up to do something like that. (10:56) I wonder if you could get an honest answer from them and say, hey. (10:58) When they were five, did you think this kid's gonna grow up to be a criminal? (11:02) Like, did you know? (11:03) You know what I mean?

Scott Benner (11:04) I'd love to know that.

Claire (11:05) Yeah. (11:06) Alright, Claire. (11:08) We've lost the threat. (11:09) Some there are probably some small signs.

Scott Benner (11:11) Small signs. (11:12) I'm like she's like, do not bum me out about my three year old. (11:14) He's awesome. (11:15) Stop it. (11:17) I'm thinking that.

Scott Benner (11:18) Claire, right now, she's like, oh my god. (11:20) He's gonna use heroin and rob banks? (11:21) That's not what I no. (11:25) Okay. (11:25) So you get that you get that drop at thirty six weeks.

Scott Benner (11:29) You you make your adjustment, and then how does it proceed from there?

Claire (11:33) So listening to the podcast episodes, I was like, okay. (11:36) Do I wanna manage my own blood sugar during labor and delivery or not? (11:40) Mhmm. (11:40) So, the plan was to induce it thirty nine weeks, which is, you know, the recommendation to anyone who's well controlled. (11:47) We're gonna induce you at thirty nine weeks.

Claire (11:49) They didn't wanna let it go on too long and risk placental failure. (11:52) That was, like, their concern about letting me go longer than thirty nine weeks. (11:56) Mhmm. (11:57) So I was like, okay. (11:58) Let's go with the plan.

Claire (11:59) And, you know, when I hit active labor, I was like, you know what? (12:04) I'm gonna I'll turn over the blood sugar control to you guys. (12:07) Because in my mind, was like, IV insulin's gonna work faster than subcutaneous, and I don't wanna be high. (12:14) So I was like, okay. (12:15) I'll turn it over to to you guys and, you know, one less thing for me to worry about.

Claire (12:18) That was my that was my plan. (12:20) Once we get there, I was managing my blood sugars during the early phases of labor all on my own, you know, at my I was wearing a Dexcom. (12:29) I was in manual mode. (12:31) This is before the Omnipod five algorithm existed.

Scott Benner (12:34) Mhmm.

Claire (12:35) I still was on my 10% decrease basal. (12:38) I think once I hit active labor, I actually had to drop it more because just all that energy expenditure of labor was bringing me low. (12:46) Anyway, so I'm, you know, I'm monitoring, managing, doing everything fine. (12:49) And my OB walks in, and she's like, are you you sure you wanna pass control over to us?

Scott Benner (12:55) Your your OB is like, you're doing a great job here. (12:57) Like She she did. (12:58) Yeah. (12:59) Yeah.

Claire (12:59) Actually she empowered me. (13:00) She's like, look. (13:00) You've been doing a great job so far. (13:02) Like, why don't you just keep doing it yourself? (13:04) And, you know, you can always change your mind.

Claire (13:05) You have ID access. (13:06) We can switch you over. (13:08) No big. (13:09) And I was like, really? (13:11) Like, you think I can do it?

Claire (13:12) Well, yeah. (13:13) You're right. (13:13) Like, I've I've been doing all of this myself here, and it's going really well. (13:18) I mean, my blood sugars are great between, like, 70 and a 100. (13:22) Mhmm.

Claire (13:23) And I was like, well, what's my blood sugar now? (13:25) 70. (13:26) I was like, well, what's your what would you do now? (13:29) Like, what's your protocol? (13:29) And I'm like, well, your blood sugar's only 70.

Claire (13:32) So we wouldn't give you any insulin. (13:33) I was like, wait a second. (13:34) You're not gonna give me any insulin? (13:36) I'm not gonna stay at 70. (13:37) I was like, yep.

Claire (13:37) Okay. (13:38) I got it. (13:38) I got it. (13:39) You guys, you do your job. (13:41) I'll do mine.

Claire (13:42) We're cool. (13:42) Got it.

Scott Benner (13:43) Nice. (13:44) Hey. (13:44) And worked out well?

Claire (13:45) It worked out really well. (13:47) There was only one minor problem.

Scott Benner (13:50) Mhmm.

Claire (13:50) But this is a great story. (13:52) So what happened?

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Claire (16:01) Eventually, my labor stalled and my doctor was like, okay. (16:04) I'm gonna give you an hour. (16:06) But if I come back in an hour and things are not ready to go, we're I would highly recommend a c section because I think if we just keep delaying it, we're delaying the inevitable. (16:16) I was like, okay. (16:17) Got an hour.

Claire (16:18) So in that hour, trying to, like, relax, keep it together, Look at my husband. (16:24) I'm like, okay. (16:25) You are gonna have to change my insulin pump settings for me when the time comes because I had my you know, all my prepregnancy settings, like, ready to go on my Omnipod and my PDM. (16:38) I was like, alright. (16:39) So take this in to the OR in your pocket.

Claire (16:41) And, you know, once the baby comes, we're all excited. (16:44) We're all happy. (16:45) Once the placenta's out, so we're gonna assume that happens, like

Scott Benner (16:49) oh. (16:50) Oh, where'd you go?

Claire (16:52) Sorry.

Scott Benner (16:52) No. (16:52) It's okay.

Claire (16:55) Speaking of, speaking of, what is it? (17:00) AI. (17:01) There goes my Amazon Alexa. (17:04) Okay. (17:04) So so my doctor says that, you know, I'm gonna come back in an hour.

Claire (17:10) Probably gonna need a C section. (17:12) If we keep delaying it, you know, an hour at a time, keep checking it every hour, she's like, think we're just delaying the inevitable.

Scott Benner (17:19) So You should have had your husband pinch your nose and blow into your mouth.

Claire (17:23) I I was trying anything. (17:24) Mentally, I was like, try and relax. (17:26) Like, baby, move. (17:28) Like, let's go. (17:31) But to me, c section wasn't the end of the world.

Claire (17:34) My my labor and delivery plan was I want the epidural, and I don't want my kid to get stuck on the way out. (17:39) Mhmm. (17:39) So as long as we accomplish those goals, we're good. (17:43) So I had epidural on board, you know, kind of mentally preparing. (17:47) Okay.

Claire (17:47) This might end in a c section. (17:48) But I had all my pre pregnancy settings and everything, like, ready to go on my Omnipod. (17:54) I just knew I had to switch it, and I knew how to switch it once the placenta was out since that was, like, the main driver of all the insulin resistance. (18:02) So so I turned to my husband, like, okay. (18:06) Here's my PDM.

Claire (18:07) Let me talk you through how to change it. (18:10) Okay. (18:10) You ready? (18:11) You're good? (18:11) Alright.

Claire (18:12) We're all good. (18:13) So I go in the OR first, and then he comes in right after me. (18:16) I'm like, you got the PDM? (18:17) He's like, yep. (18:18) Cool.

Claire (18:19) I actually feel terrible by this point. (18:22) Like, it's just been a long time, a lot of drugs. (18:24) I'm exhausted. (18:26) And I'm laying on the OR table, and I'm like, oh my gosh. (18:29) I'm gonna I'm gonna throw up.

Claire (18:30) I'm laying on my back. (18:31) I I can't throw up right now. (18:32) This is the best moment my life, but I feel like I'm gonna throw up. (18:35) So I was a I was a mess. (18:37) But my husband's there.

Claire (18:38) He had the PDMs. (18:39) We're good to go. (18:40) And then, you know, they're like, he's coming. (18:42) He's coming. (18:43) Baby comes out.

Claire (18:44) He's crying. (18:45) Looks great. (18:46) I can see him. (18:48) My husband goes over to him. (18:51) And then I'm like, hubby, you got you gotta change that.

Claire (18:54) You gotta change the the settings. (18:56) And I can barely talk because I feel like if I open my mouth, I'm just gonna, like, throw up

Scott Benner (18:59) everything. (19:00) Yeah.

Claire (19:01) And he gets if anybody's familiar with Omnipod five in manual mode, I had a temp Bazel running. (19:07) And when you have a temp Bazel running, you get an error message when you try and change your profile settings.

Scott Benner (19:13) Mhmm.

Claire (19:14) So here's my husband getting this error message. (19:16) He's never seen it before. (19:17) I haven't seen it in a long time. (19:19) And when we practiced him switching it over, he didn't actually hit go. (19:23) So neither of us anticipated this error message coming up.

Claire (19:26) And I can't talk because I'm gonna throw up if I open my mouth. (19:29) So I just grab my PDM from him with my left hand. (19:32) I'm right handed. (19:33) So with my nondominant hand, I change my insulin pump settings on the OR table.

Scott Benner (19:39) I would love to clip out this, like, five minutes and make, like, eighteen to 23 year old girls listen to it to hear you go. (19:46) It was the best moment of my life because they're probably like, oh my god. (19:49) What is they'd be like, what is happening to this woman?

Claire (19:52) Yeah.

Scott Benner (19:52) How is she describing this as the best moment of her life? (19:55) Oh my god. (19:56) Did he think you were mad at him?

Claire (19:59) No. (19:59) No. (19:59) He was just like he had this panicked look, like, I don't know what to do, and I literally was afraid if I opened my mouth to say anything

Scott Benner (20:07) Vomit was coming with it.

Claire (20:08) Yeah. (20:08) Yeah. (20:08) And I'm like, I probably shouldn't throw up when I'm flat on my back, and I probably shouldn't move because I'm on an OR table.

Scott Benner (20:14) Plus, I don't wanna dirty the, the memory. (20:17) You know what I mean? (20:18) Yeah.

Claire (20:20) But, anyway, so that was probably the second coolest moment of my entire life. (20:25) Was like, that was pretty badass. (20:26) Like, I just grabbed it, swiped it, and did it. (20:29) No. (20:30) I just think he was just, like he was, oh my gosh.

Claire (20:32) I had one job. (20:33) I don't know what I'm doing. (20:34) Like, what is this error message? (20:36) Yeah. (20:36) Just, like, moment of panic and

Scott Benner (20:38) there was, If like if and I can lend some perspective as a person who's been married longer than you. (20:43) Never mention it. (20:45) It'll just it'll loom large for him. (20:48) And then one day when you see his confidence come back and you realize he's forgotten about it, that's when you bring it up. (20:55) I don't have time.

Scott Benner (20:56) Yeah. (20:56) Yeah. (20:56) You have plenty of time to use this as a psychological manipulation is what I'm saying, if that's what your goal is. (21:02) No. (21:03) No.

Scott Benner (21:03) Because look at how nice you are. (21:04) People are like, god. (21:05) This guy's wife must be terrible. (21:06) She's not. (21:07) She's just Catholic and you know?

Claire (21:11) It was just so it was just so funny because in that moment, it was like, we had just you know, our son's born. (21:17) He's happy. (21:17) He's health well, he was healthy.

Scott Benner (21:20) Yeah. (21:20) You know if he was happy or not.

Claire (21:22) Yeah. (21:22) We don't know. (21:23) He was probably like, what the heck? (21:24) It's cold out here. (21:25) Pull me back.

Scott Benner (21:25) Yeah. (21:25) No clue.

Claire (21:26) But but it was just like this moment of, like, sheer panic on his part. (21:32) What's going on Slash. (21:33) I was like, I don't know what else to do. (21:35) Let me do it myself. (21:36) And I was like, wait.

Claire (21:37) I just changed my insulin pump settings while I'm lying on an OR table. (21:40) Was like, that was pretty cool.

Scott Benner (21:41) Yeah. (21:41) That's that's really awesome. (21:43) It felt empowering.

Claire (21:44) Oh, yeah. (21:45) Yeah. (21:45) I can do anything.

Scott Benner (21:46) I can do anything. (21:47) But then how long was it until you're like, I don't wanna do anything. (21:50) I'm gonna stop. (21:51) Because there's a moment where you're like, I'm exhausted. (21:53) There's a lot going on here.

Scott Benner (21:55) Where does your a one c and your goals change to? (21:58) How long do they stay there before you say to yourself, you know what? (22:01) Screw this. (22:01) I can I can be that healthy, like, forever if I wanna be?

Claire (22:05) Yeah. (22:06) Probably gosh. (22:08) There's just so much going on and so many changes occurring, like, day to day, week to week. (22:13) There was probably once I got back more in, like, a rhythm and a routine, probably, like, back to work. (22:19) And not, like, right back to work because that was that was a rough reentry.

Claire (22:22) But maybe when my son was about, like, six months old, I was like, okay. (22:24) I feel like we've got a little bit of rhythm, a little bit of routine. (22:27) My blood sugars are a little bit more understandable. (22:31) They're not quite so crazy. (22:34) But I was like, okay.

Claire (22:35) Like, I can I think I can do this? (22:38) And then Omnipod five had come out, and I I liked the idea of having that, kinda like that assistant to your blood sugar. (22:47) Right? (22:47) You've got you know, so a lot of adjustments going around in the background that you don't have to, like, mentally think about. (22:52) Mhmm.

Claire (22:53) So I was like, that sounds great. (22:54) Like, if I could get better control with a little more automation, that sounds perfect.

Scott Benner (22:59) Hey. (22:59) I wanna let people know you I think you did misspeak at one point telling the labor story where you said OmniPod five, but you were not using OmniPod five during the delivery. (23:07) Right? (23:07) I have always disliked ordering diabetes supplies. (23:11) I'm guessing you have as well.

Scott Benner (23:13) It hasn't been a problem for us for the last few years, though, because we began using US Med. (23:18) You can too. (23:20) Usmed.com/juicebox or call (888) 721-1514 to get your free benefits check. (23:28) USmed has served over one million people living with diabetes since 1996. (23:32) They carry everything you need from CGMs to insulin pumps and diabetes testing supplies and more.

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Scott Benner (24:04) That's usmed.com/juicebox or call (888) 721-1514.

Claire (24:12) Correct.

Scott Benner (24:13) Right.

Claire (24:13) I might have missed that.

Scott Benner (24:14) Yeah. (24:14) That's all. (24:14) I just wanna make sure because so it doesn't confuse people. (24:16) That's all.

Claire (24:17) Yeah. (24:17) I was on Omnipod, but in the plain old regular

Scott Benner (24:23) Using a dash and manual?

Claire (24:25) Yeah. (24:25) Manual. (24:26) Okay. (24:26) Mhmm. (24:29) So then I did that for a little while, and I still wasn't quite getting the results that I wanted.

Claire (24:37) My a one c has been really good and fine. (24:41) I've been in the sixes ever since my son was born. (24:45) But I think it's, like, it's this very interesting place I'm in now where, like, I kind of come up for air. (24:51) My son's a little older. (24:52) Come up for air.

Claire (24:53) I'm, like, kinda, like, okay. (24:54) I think I can handle a little bit more control. (24:58) I can handle a change. (24:59) I can handle, like, a little bit more interaction Mhmm. (25:04) With my diabetes because I want better control.

Claire (25:08) And even though my a one c is coming out good, fine, passing on, you know, medical standards, I still see these big fluctuations or stubborn highs. (25:19) And I'm, like, getting really frustrated with that. (25:21) Because I'm like, I know I can do better. (25:22) I know I feel better. (25:24) You know, I felt so good when I was pregnant, but I also put in so much effort.

Claire (25:28) Like, can I kind of find something in between here?

Scott Benner (25:31) Yeah.

Claire (25:31) So all the AID systems are, you know, coming out and, you know, everybody's upgrading and leveling up and this and that. (25:39) So I was like, okay. (25:40) Like, let me try. (25:41) I've I had Omnipod, and I really didn't want a tube because I'd never had a tube. (25:46) So I was like, alright.

Claire (25:47) I'm sticking with Omnipod or maybe looping, but just the idea of looping was just so overwhelming. (25:54) I was like, oh my gosh. (25:54) I can't I can't can't build anything. (25:57) I can, like, barely get my Apple products to work. (25:59) So so, actually, I met with Jenny through IDS.

Claire (26:03) I did a one time consultation. (26:06) I met with Jenny, and I was, like, kind of, you know, this Omnipod five algorithm isn't giving me what I want. (26:14) You know, I don't have enough options in there. (26:16) You know, it's doing so many things auto automatically, which is great, but it's, like, not quite enough. (26:21) Like, what else can I do?

Claire (26:22) So she gave me some, like, hacks for the Omnipod five, just some suggestions. (26:28) She was, or you could try another algorithm. (26:32) So she told me and, you know, she mentioned that Omnipod and Loop. (26:37) You know, when you Loop, you can use the Omnipod, so you're still tubeless. (26:43) I was like, Jenny, I I can't I can't build Loop.

Claire (26:47) Like, I no. (26:49) So she told me there's a company that will build it for you, and you pay them a monthly fee. (26:55) And I think you actually interviewed one of the guys who's working there now.

Scott Benner (27:00) Yeah. (27:00) I'm sure. (27:01) There's I think there's a couple, but yeah. (27:04) There's there's a couple. (27:04) So you got somebody to set it up for you.

Claire (27:06) Mhmm.

Scott Benner (27:07) That's awesome. (27:07) Yep. (27:07) Yeah. (27:08) That's Now I'm

Claire (27:09) on the loop algorithm using Omnipod Dash and the loop algorithm that was built for me. (27:15) And it's definitely giving me more options, which now I can you know, my brain can function and I'm using more options and features. (27:24) Whereas, you know, some days I was like, no. (27:26) You just do it all for me. (27:27) Mhmm.

Claire (27:28) Algorithm, you do it all for me. (27:29) I can't mentally deal with this right now. (27:32) But but now I'm in a headspace where I'm like, okay. (27:34) Can mentally deal with it. (27:35) I want more options.

Claire (27:36) I want more control to see the results and to feel to feel better, but without so much of the effort that I was putting in back in the day. (27:46) So I really like the algorithm. (27:47) I think it's helping me more. (27:48) I think I could definitely do more with it if I sat down. (27:54) I probably need to go back through the approach it series.

Claire (27:57) Probably need to learn more about the algorithm. (28:00) Excuse me. (28:02) And I can definitely do more with it. (28:03) But that's where I'm at now, and I definitely feel like I'm putting in less effort and getting better control, which is just such a hard balance to strike. (28:12) And then I think in the future, I'll be able to customize it more, learn about it more, customize it more, and have it serve me even better.

Scott Benner (28:19) Yeah. (28:19) And you went with Loop, not with Trio?

Claire (28:22) I did. (28:23) I think that just came out because I switched to Loop about a year ago.

Scott Benner (28:28) I see. (28:29) So just as you were doing it, it felt a little newer. (28:32) Arden's really, I I think having a lot of success with Trio, by the way. (28:38) Yeah. (28:38) Now that you're you're a professional, you could just jump back and forth.

Claire (28:43) I know. (28:43) Try them all.

Scott Benner (28:44) You know, plenty of people have both of those algorithms on their phone. (28:49) Wow. (28:49) Yeah. (28:50) And they'll just, like, start a pod on one or start a pod on the other one. (28:54) Yeah.

Scott Benner (28:55) You think you'd be that kind of person?

Claire (28:58) I don't know.

Scott Benner (29:01) I just like you. (29:01) You just went, ah. (29:03) That was great.

Claire (29:04) Good. (29:09) But I I do love the the Omnipod's tubeless and the other appeal when I was, like, hesitant to switch from MDI to to pumping. (29:17) Just, you know, change is hard. (29:18) Right? (29:18) And I was like, I don't know.

Claire (29:20) But the appeal was instead of purchasing the pump, you know, and having to wait four years for insurance to pay for another one or whatever. (29:28) Gives you a rough life cycle. (29:30) With the with the pods that you can really kinda do it month to month, I think, because instead of being DME, it's considered a pharmacy something or other. (29:39) Anyway, so I was like, that's appealing too if you're not, like, locked in committed for four years to a pump. (29:44) I definitely didn't wanna do that.

Scott Benner (29:46) Awesome. (29:46) Have you shared everything with me that you were hoping to share today?

Claire (29:52) I I think so.

Scott Benner (29:54) Got it over in your head. (29:55) Take your time.

Claire (29:57) I think so. (30:00) I think the only other tidbits I know you have interviewed ton of other people with type one with interesting stories of diagnosis or crazy things that happened or and, obviously, pregnancy. (30:12) The only other thing I can offer as just something a little different is when when I was pregnant, I was about eleven weeks pregnant, and we had a little bit of a scare where we thought we were we thought we were having a miscarriage. (30:27) We thought we were losing our son.

Scott Benner (30:30) Jeez.

Claire (30:30) So that was a very, very rough couple of days. (30:36) But what was interesting was looking at that CGM. (30:40) My CGM, my blood sugar numbers, my insulin needs were all behaving like I was still pregnant. (30:47) So I was oscillating back and forth between being absolutely devastated and still hopeful because those CGM numbers. (30:56) And then looking back on it, once we found out that, you know, every I went to the doctor.

Claire (31:01) I got checked out. (31:02) Everything's okay. (31:03) But it was just so cool to look back on it and realize that because I had type one, I was wearing a CGM. (31:10) And because I was looking at my CGM, my CGM was showing me, like, you're still pregnant. (31:16) Baby's okay.

Claire (31:17) And that was just, like, very cool to look back on because it's, again, like, very unique experience.

Scott Benner (31:22) Yeah. (31:23) What was, happening that made you think that the pregnancy was not viable?

Claire (31:28) Yeah. (31:28) I started bleeding. (31:30) It was, like, ten or eleven weeks. (31:33) I went to the bathroom and I was like, oh, I'm bleeding.

Scott Benner (31:39) And then what do they say to you? (31:40) Like, what what's the steps to take after that? (31:42) Rest and Yeah. (31:43) Let's see if it stops?

Claire (31:45) Yep. (31:45) Yep. (31:46) So and it was a it was a Friday.

Scott Benner (31:49) It's always a Friday too. (31:50) Been Friday, Claire.

Claire (31:51) Friday. (31:52) It was Friday. (31:53) It was 6PM. (31:55) And I was like, do I go to the emergency department? (31:57) What do I do?

Claire (31:57) Well, I called the OB on call Mhmm. (31:59) Who was great. (32:01) He was like, you know, he's like, okay. (32:04) It might be something or it might be nothing. (32:05) It's nothing you did.

Claire (32:06) You didn't do anything wrong. (32:07) It's nothing you did. (32:08) It's nothing you ate. (32:09) It wasn't the green Jell O. (32:10) He was just, like, you know, trying to, like, calm me down.

Claire (32:13) But I still remember that day. (32:14) It wasn't the green Jell O. (32:15) I was like, okay. (32:16) I didn't eat green Jell O, but just, you know, just trying to, like, relax me, calm me down. (32:20) He's like, look.

Claire (32:21) What you're gonna do is just rest this weekend. (32:23) See us first thing Monday morning, and we'll check and we'll we'll see what's what's happening. (32:29) And so I was like, okay. (32:31) Don't go to emergency department. (32:32) Also, whatever they told me, you know, that's not their area of expertise.

Claire (32:37) So I'm like, I could just go to the emergency department. (32:40) But also, I was like, alright. (32:41) Trust my OB. (32:42) If they say just wait, we'll wait, which is not a fun wait.

Scott Benner (32:45) Yeah. (32:46) Jeez. (32:46) I bet would he just sit in the house, like, staring at each other?

Claire (32:50) No. (32:51) We we thought about, yeah, canceling all plans and, like, just holding up in the house. (32:56) But I was like, okay. (32:57) We're gonna lose our minds. (32:58) We were gonna go to an outdoor concert, and we still went.

Claire (33:04) I just sat the whole time instead of standing.

Scott Benner (33:06) Yeah. (33:06) It wasn't

Claire (33:06) in to rest.

Scott Benner (33:07) It wasn't in Australia, was it?

Claire (33:09) Oh, gosh. (33:09) No. (33:10) It was only, a two hour drive away. (33:12) But, it was, like, out in the country outside, you know, big field music. (33:17) And, I was like, okay.

Claire (33:18) Well, we'll just bring, like, camping chairs to sit on because I was told, like, don't, you know, don't run, try and sit, rest. (33:24) Don't lift anything heavy. (33:25) You know, this stuff like that.

Scott Benner (33:27) Yeah. (33:27) Don't bounce to get around in there.

Claire (33:29) Yeah. (33:29) Yeah. (33:29) Don't make it any worse. (33:31) Stop jostling the baby. (33:33) Like, what did you do?

Claire (33:36) But, yeah, sometimes it just happens. (33:38) And so I went to the doctor Monday, and they're like, oh, yeah. (33:40) Sometimes this just happens. (33:41) But, you know, they're like, baby's fine. (33:43) Baby's fine.

Claire (33:43) Sometimes this stuff happens. (33:45) Just, you know, relatively rest. (33:47) And then eventually, everything was fine.

Scott Benner (33:49) It was just okay. (33:50) And and there's no answer after that? (33:52) There's no, like, great pronouncement about what happened or didn't happen? (33:55) Just like, oh, that's over. (33:56) Cool.

Claire (33:57) It's actually, hopefully, I'm pronouncing it right. (34:00) It's called a subchorionic bleed, and it's just blood fills somewhere in the uterus. (34:06) I forget. (34:07) I think it's between the uterus or placenta or something. (34:10) But it's just this little pocket of blood.

Claire (34:12) And usually, you know, depending on the size and the severity and symptoms, you know, sometimes bad things can happen. (34:19) It puts you at increased risk for other things. (34:22) But in in my case, it was small and it resolved on its own. (34:25) It was fine. (34:25) But that's what I was seeing.

Claire (34:28) And then as I think any woman would assume, you know, you're pregnant. (34:32) There's blood. (34:33) Like, that's it.

Scott Benner (34:34) It's over. (34:34) Yeah. (34:35) Yeah. (34:35) Yeah.

Claire (34:35) But I didn't know that this existed. (34:37) And it actually happened to a friend of mine who was pregnant at same time. (34:39) It happened to her a couple weeks later. (34:41) And we kinda circled back on it later comparing notes. (34:44) I'm like, oh my gosh.

Claire (34:44) That happened to you too. (34:45) So I was like, why doesn't anybody talk about this? (34:48) Probably because they don't want you to assume one thing or another. (34:50) They don't want you to assume that everything's okay or assume everything's the end of the world terrible. (34:55) Yeah.

Claire (34:55) But it was just very interesting, like, later on to compare our experiences. (34:59) And I think she probably didn't wait a whole weekend like I did to get checked out by the doctor. (35:05) But that weekend, I had that CGM information and, you know, my insulin needs were the same. (35:11) And I was like, I was like, I think I'm still pregnant.

Scott Benner (35:14) That's something.

Claire (35:16) So it was just interesting to have that. (35:18) It was kind of a comfort, but I didn't know, you know. (35:22) Yeah. (35:22) It was just different.

Scott Benner (35:23) Two questions. (35:23) If that would have been a Wednesday and not a Friday, do you think they would have had you write in? (35:27) You would have been examined. (35:29) Do you think that that exam would have alleviated all your concern right then and there or not necessarily?

Claire (35:36) Yeah.

Scott Benner (35:37) Maybe.

Claire (35:37) It probably would've given me answers sooner, but it probably would've been the same result. (35:41) Like, hey. (35:42) Hang out. (35:43) Wait. (35:43) Relax.

Claire (35:45) Yeah. (35:46) I don't know.

Scott Benner (35:46) What was the bleed called again?

Claire (35:48) I think it's called a sub chorionic bleed. (35:51) You can probably look it up on AI. (35:55) I know how to spell it and pronounce it. (35:57) But it was just a it was, it was just interesting to go through that as a type one with the CGM information while I was waiting to find out if everything was okay or not. (36:07) Mhmm.

Claire (36:08) Because all of my technology, my insulin needs, my blood sugar needs were all showing that I was still pregnant. (36:14) So I was, like, pretty hopeful that I was still pregnant, but I didn't know.

Scott Benner (36:20) Yeah. (36:20) But did you cling to that a little bit?

Claire (36:23) Yeah. (36:23) I was, like, holding out hope. (36:24) So I was definitely oscillating between, like, oh my gosh. (36:27) We're losing this kid. (36:28) We already know it's a boy and all all of that.

Claire (36:33) But I kept clinging on to that little bit of hope because I had that CGM. (36:38) And

Scott Benner (36:38) And you could see your blood sugar was still being screwed with by by a pregnancy. (36:42) And you thought, oh Yeah. (36:42) A kid must be okay in there. (36:44) Look at my insulin resistance. (36:45) Yeah.

Claire (36:46) Yeah. (36:46) Yeah. (36:46) Not just the CGM, but, yeah, my insulin needs were the same as the day before when I knew I was pregnant.

Scott Benner (36:51) Right.

Claire (36:53) My blood sugar wasn't crashing. (36:54) I wasn't going sky high. (36:55) I was like, oh, okay. (36:57) I was like, I think I'm still pregnant. (36:58) Mhmm.

Claire (36:59) I acted like I was still pregnant.

Scott Benner (37:01) Well, I have here that a pelvic, let's see, like a cervical dilation, whether the cervix is soft or thin, but it doesn't tell them how the baby's doing. (37:11) Fetal heart rate monitoring, Doppler in the office, continuous monitors in the hospital, the main tool to assess distress in the baby. (37:18) Patterns in the baby's heart rate show how well oxygenated they are. (37:22) Non stress tests measure how the baby's heart rate. (37:25) Did you end up doing all this when when the the week finally came around?

Claire (37:29) I think they just did a quick ultrasound. (37:31) I was like

Scott Benner (37:32) That's the next thing. (37:33) Ultrasound, NST to check movement, breathing motions, muscle tone, and amniotic fluid, contractions, stress test, ultrasound, double. (37:40) Okay. (37:40) Alright. (37:40) So Yeah.

Claire (37:40) So it was pretty it was pretty early. (37:42) Was eleven weeks. (37:43) You know, I went into the doctor's office, and they were like, okay. (37:46) Let's just they were like, okay. (37:50) Let's just let's take a look.

Scott Benner (37:51) Yeah. (37:52) Just

Claire (37:52) ultrasound take a look. (37:53) And she was like, oh, that's what it is. (37:54) I see the bleed there and spent a minute, like, listening to his heart rate. (37:58) She's like, oh, baby's fine. (37:59) It's

Scott Benner (38:00) his heart rate. (38:00) Yeah. (38:01) Now does that experience early on in the pregnancy, are you able to give it away, or does it stick to you the entire time the baby's in there? (38:09) Like, do you think about it?

Claire (38:13) It did for a while. (38:15) And then because I was getting so many ultrasounds and that was on my record, they looked, they checked, like, oh, it's gone. (38:21) It's resolved. (38:22) It's a nonissue now. (38:24) I think, you know, I didn't know as much about that.

Claire (38:27) I already knew everything was high risk for everything being type one and, you know, mid thirties. (38:33) And so I was more worried about that.

Scott Benner (38:36) Yeah.

Claire (38:37) I was like, ugh, just another thing. (38:38) But I was just more worried about all the other risks more being associated with type one and

Scott Benner (38:44) Yeah. (38:44) Yeah.

Claire (38:44) Not being 25.

Scott Benner (38:45) Awesome. (38:46) So you would tell people who have type one and are, thinking of getting pregnant, it's very doable, I assume?

Claire (38:54) Yeah. (38:54) I used to think it was impossible. (38:57) Like, there is absolutely no way these goals are insane. (39:00) There's no way I can do that. (39:03) But I did it.

Claire (39:04) So I'm like, okay. (39:05) If I can do it, anybody can do it. (39:07) I would do some research, some planning first, and it's hard to go from zero to 60. (39:13) So I'm really glad I took, like, a year to kind of hone it in, ramp it in, take the information in, do some research, listen to other people's experiences, but it is totally doable. (39:25) And I think we have a little bit of an advantage because we're all in better touch with all of the things, sleep, exercise, nutrition.

Claire (39:34) We're so so much in better touch with our bodies and the way we feel

Scott Benner (39:37) In the world.

Claire (39:37) More in tune, yeah, than somebody without type one or a chronic health condition that needs constant monitoring.

Scott Benner (39:44) Yeah. (39:44) So I

Claire (39:44) think we're already at a bit of an advantage there. (39:46) So, like, if anything funky does happen, I feel like we kinda know know our bodies best and trust our gut really well. (39:56) We've got this I feel like that. (39:57) It also needs and CGM is, like, an extra vital sign when they're doing all this monitoring and testing. (40:02) So

Scott Benner (40:03) That's really awesome. (40:04) I'm I'm very happy that you you took the time to share this with me. (40:07) Thank you very much. (40:08) I want you to know that, when you earlier said like, you sounded, like, embarrassed about how much you like college football, it made me find you on, Facebook. (40:17) And Yeah.

Scott Benner (40:18) Yeah. (40:19) Yeah. (40:19) You might have a problem. (40:20) I just wanna say.

Claire (40:21) I might have a problem. (40:23) I may or may not be wearing football attire right now. (40:29) Like, my second favorite day of the year. (40:32) It's, you know, big kickoff tomorrow. (40:34) It's beginning of the college football season.

Claire (40:36) So

Scott Benner (40:36) But you don't care about pro football?

Claire (40:39) I follow the football players I like in college. (40:43) I follow them to the pros, but then they change teams, like, 20 times and I get very confused.

Scott Benner (40:47) Yeah. (40:49) I like it when you're just forced to play for this one team. (40:51) It's better. (40:53) It's awesome.

Claire (40:53) Can you just stay in one place so that I can buy the jersey and it's still valid a few years from now?

Scott Benner (40:59) Now is this is there an irony here where, like, you know, we finally find a girl who loves football, but the guy you married doesn't care about it? (41:06) Or do you guys have that in common?

Claire (41:09) He knows what he married into.

Scott Benner (41:11) But he doesn't love it like you do?

Claire (41:14) He he will get into it for me. (41:16) He enjoys it, but he he doesn't seek it out in the same way. (41:21) Like

Scott Benner (41:21) He doesn't have an illness like you.

Claire (41:23) Exactly. (41:24) It's, like, I will seek it out. (41:26) I will turn it on. (41:27) I'm ready to go. (41:29) And he's like, wait, what time is it?

Claire (41:30) What channel is it on? (41:31) Okay. (41:31) It's on. (41:31) Yeah. (41:31) Let's watch.

Scott Benner (41:32) That's fine.

Claire (41:33) But, funny story about us is he actually proposed to me in on the 50 yard line of my college football, field, which is not easy to get on.

Scott Benner (41:45) Did you do it legally?

Claire (41:47) Yes. (41:48) Yeah. (41:48) Very nice. (41:49) Yeah. (41:49) We had an employee escort us out there.

Scott Benner (41:53) What does he tell you you're doing? (41:55) Because do you know you're being proposed to?

Claire (41:59) No. (41:59) I didn't know. (42:01) It was definitely a little odd. (42:03) He was like, you've never you've never taken a tour of the stadium? (42:06) I was like, no.

Claire (42:07) I was like, I have been on the field one time.

Scott Benner (42:09) Right.

Claire (42:10) But I was no. (42:11) I wouldn't take a tour. (42:12) I've never been on a tour. (42:13) I've been to many games there. (42:15) Why do I need a tour?

Claire (42:16) He's like, oh, well, I'm gonna take you on a tour. (42:18) I was like, okay. (42:19) We pull up and this employee, he shows up and he's like, oh, are you guys here for the tour? (42:26) So the the employee was totally in on it.

Scott Benner (42:28) The tour?

Claire (42:28) Has in

Scott Benner (42:29) the tour. (42:29) At what point were you like, I am not having sex with you on this football field, you creep. (42:33) Is that where this is leading to?

Claire (42:35) No. (42:36) No. (42:36) Wait. (42:37) My husband and I pulled up and there are these two, employees And they're like, are you guys here for the tour? (42:42) And we're like, I guess so.

Claire (42:45) And my husband's like, oh, yeah. (42:46) Yeah. (42:46) We're here for the tour. (42:47) And then, and at first, it seems like a legit tour. (42:52) Like, you know, here's the locker rooms.

Claire (42:53) Here's that. (42:54) Here's this. (42:54) And then we get to the field, and here I am being, like, the nerd that I am. (42:58) Like, how often do you have to paint the field before a game? (43:01) Well, we paint it, like, twice a week, but crazy lady, like, stop asking me questions.

Claire (43:06) I'm like,

Scott Benner (43:06) it's not really

Claire (43:07) a tour. (43:07) Boyfriend.

Scott Benner (43:08) And I don't I

Claire (43:09) don't know boyfriend.

Scott Benner (43:09) I don't know a lot about this stadium.

Claire (43:13) I mean, I think they they did. (43:15) So they were kind of trying to answer my question, but also facilitate getting me to center, like Yeah. (43:20) To the 50 yard line, like, center of the field. (43:23) And they're like, why don't you go just, you know, walk out there, see what it looks like from the center? (43:27) And that's where my husband proposed, and the employees got photos of the whole thing.

Claire (43:31) It was great. (43:32) And afterwards, I was like, okay. (43:34) That was amazing. (43:34) But was like, you didn't have to go to I would have said yes anywhere. (43:38) You didn't have to do that.

Claire (43:39) And he was like, no. (43:39) But it was cool. (43:40) Right? (43:40) I was like, oh, that was very cool. (43:41) Yeah.

Claire (43:42) The pictures are great.

Scott Benner (43:43) Set the bar too high. (43:44) He's gonna be he's gonna be chasing that dragon the rest of his life now.

Claire (43:47) I know. (43:48) Mhmm. (43:48) I know. (43:48) And then, like, all any any mutual friends were just like, oh, dude. (43:52) Come on.

Claire (43:53) Like Yeah. (43:54) You did that? (43:55) What am I gonna have to do? (43:56) Yeah.

Scott Benner (43:57) I I looked at my wife in the bedroom we were living in, and I said, you know, it should probably be easier if we got married. (44:03) And she's like, what? (44:04) I'm like, well, you know, we could afford the car insurance then. (44:07) My wife and I got married for car insurance. (44:10) Like, I'm not kidding.

Scott Benner (44:11) We were dating for a while, living together because of a bad circumstance in her family. (44:18) And she got a great job, but we couldn't afford to like, like, you couldn't afford anything. (44:25) So we figured out a way to lease her her a car because it was very inexpensive back then to get started. (44:30) Right? (44:31) And but we couldn't figure out how to like, she couldn't afford the insurance.

Scott Benner (44:35) But if we were married, the insurance would have been much cheaper. (44:39) So we got we planned a wedding and got married in a number of weeks, used the money that people gave us as gifts, which if I'm remembering correctly, did not equal more than about $750 to put a down payment on a leased car, and then we could afford the insurance because she was now on my insurance policy.

Claire (45:00) Wow.

Scott Benner (45:00) Not as sexy as your story. (45:02) But, like, that's now keep in mind, that seems like a terrible way to start a a marriage and a life, and we've almost been married for thirty years.

Claire (45:12) Yeah.

Scott Benner (45:12) Yeah. (45:13) Who knows how it works and how it does.

Claire (45:14) Thank you car insurance.

Scott Benner (45:16) Thank you. (45:16) Hey. (45:16) Yeah. (45:17) They they

Claire (45:17) insurance premium.

Scott Benner (45:18) Exactly. (45:18) Yeah.

Claire (45:19) I've heard of I've heard about health insurance, but not car insurance. (45:21) So

Scott Benner (45:22) She had to get it was a great job. (45:23) Like, we couldn't she couldn't not take the job, but it was too far away. (45:28) There was no other way to get there. (45:29) She needed a car. (45:30) It needed to be dedicated to her.

Scott Benner (45:32) We didn't have anybody that could help us with that. (45:34) And so those are the steps we took. (45:35) So if you're if you're sometimes wondering, like, how did Scott figure out diabetes without having any knowledge about it, that's how Scott figured out to get car insurance when he was broke and, you know, like, 20 some years old.

Claire (45:46) Yeah. (45:46) There's a will. (45:47) There's a way.

Scott Benner (45:48) I'm just a practical person. (45:49) That's all. (45:50) Alright. (45:51) Claire, you were great. (45:52) I'm gonna take a little breaky, and then I'm actually interview, I'm actually recording with your your friend Jenny in thirty minutes.

Scott Benner (45:58) So

Claire (45:59) Oh, awesome.

Scott Benner (46:00) I'm gonna go rest my voice and then come back and do it again.

Claire (46:02) Yeah. (46:03) Good.

Scott Benner (46:03) You were terrific, really. (46:04) I I really genuinely appreciate it.

Claire (46:06) Oh, this is really fun. (46:08) It was really fun to be a part of something that I've, you know, been listening to for so long. (46:12) It's influenced me positively for so long. (46:14) So it's it's really cool. (46:16) I've been telling a lot of people.

Claire (46:17) I'm like, oh my gosh. (46:18) Guess what I'm doing? (46:19) I'm so excited. (46:20) And it's really cool to talk to you in person too. (46:23) I just wanna thank you for all this all of this hard work.

Claire (46:27) So many episodes. (46:28) I'll tell people, like, this is, you know, the number one diabetes podcast. (46:32) It's this many episodes and they're just floored. (46:34) They're like, oh my gosh. (46:35) I know.

Scott Benner (46:36) I appreciate that So very

Claire (46:37) much time, energy, and effort.

Scott Benner (46:39) I I'm I would certainly not I am not complaining, and I certainly would not complain. (46:43) But if you were here and watched me every day, you would be like, I think maybe Scott should go outside a little more often. (46:49) Or, you know, like, I'm worried that he's not, like, living a life just making this podcast. (46:54) But I just see it as a, I mean, it's a moment in time. (46:58) It's it's not gonna be here forever.

Scott Benner (47:00) And, you know, the more conversations, the more ideas, you know, the more people get stretched a little bit and and come up with new ideas and come back on and have time to share. (47:13) I I think it's just important, you know, and and I think it's I think it's a time in my life where I'm dedicating more time to a job than I probably should be, for me personally. (47:26) But I think that, hopefully, you know, big picture, it's gonna be something. (47:30) Like, when I leave it, when I put it down at the end, and I go, here it is. (47:33) You guys can do whatever you want with it.

Scott Benner (47:35) I think it might keep helping people. (47:37) So Yeah. (47:38) That that's my my goal, certainly. (47:40) And I appreciate you speaking so nicely about it. (47:42) Thank you.

Claire (47:43) Yeah. (47:43) And it'll keep helping people even if you were to stop tomorrow because it's all out there just sitting and waiting on the Internet.

Scott Benner (47:52) Yeah. (47:52) I can't stop that now though. (47:54) Like, I keep seeing connections to other things. (47:56) Like, I interviewed a guy the other day, and at the end of talking about, you know, this really amazing conversation about how the podcast helped him get his daughter on her feet in just a few years before she was on her way to college. (48:08) Then she had this experience, like, right away at college, and she handled it really well.

Scott Benner (48:13) And he related that all back to the podcast. (48:16) And we're kinda done talking, you know, forty five minutes, an hour later. (48:20) And he just sort of pops up and he's like, oh, also, I listened to your weight loss series and changed my life. (48:26) And I was like, oh, and he's like, I've lost 36 pounds in the last six months and talked about all the good things that happened for him personally. (48:33) And and I was like, my gosh.

Scott Benner (48:34) Like, there are there are days, Claire. (48:36) Like, I just record this stuff. (48:37) I just assume, like, no one's listening to it. (48:40) Like, you really like, it have to be a maniac to just think I'd be insane if I actually believe that the number of people listening to this were the number of people listening it. (48:49) Like, I know functionally that's how many people are listening, but when you sit down and talk, you can't think, I'm about to speak and x number of people are gonna hear the words.

Scott Benner (48:57) Like, it's just not a way to think about it. (48:59) So when Yeah. (49:00) He comes around and he's like, this helped me, I spent, like, a half an hour after I'm recording thinking, like, wow. (49:07) Like, I decided to do a thing and listen to what happened for him. (49:09) Listen to what happened for his daughter.

Scott Benner (49:11) Listen you know, like, that's it's awesome. (49:14) Like, I wanna do more of that. (49:15) And then you start seeing connections with it, and you're like, you know, we gotta keep talking about this. (49:19) Like, I'll I'll tell you right now. (49:21) I was out ahead of talking about injectable GLPs for type ones.

Scott Benner (49:25) And when I started talking about it, I took a lot of from people about it. (49:28) And I've been out ahead on a couple of things, but I think I'm only there because you guys are all coming in, like, having these conversations. (49:37) And I'm seeing, like, like, through lines. (49:39) And I'm like, no. (49:39) That really does feel like something that's that's positive right here, something we should pay more attention to.

Scott Benner (49:45) We have to keep talking about that so we can grow. (49:48) I think that, one of the saddest things about content in general is that it's it's fleeting. (49:57) Like, most content creators that you listen to, they burn out pretty quickly or the the algorithm gets tired of them or whatever happens. (50:04) And before they can really build a compendium, they're here and gone. (50:08) And because there's no financial incentive to keep going, they just stop.

Scott Benner (50:12) And so I I think that's part of why the podcast grows and becomes more and more valuable is because we're able to put this much effort into it for such a long time. (50:22) That's a lot of, like, high minded talking about me making a podcast, but that's sort of how I think about it. (50:26) Yeah. (50:27) Yeah. (50:27) So, anyway, I really appreciate you saying that.

Scott Benner (50:29) It's very kind of you.

Claire (50:30) Yeah. (50:31) Awesome. (50:32) Yeah.

Scott Benner (50:32) Awesome. (50:33) Alright. (50:33) Hold on one second for me. (50:34) K. (50:42) Head now to tandemdiabetes.com/juicebox and check out today's sponsor, Tandem Diabetes Care.

Scott Benner (50:49) I think you're gonna find exactly what you're looking for at that link, including a way to sign up and get started with the Tandem Mobi system. (50:57) Arden has been getting her diabetes supplies from US Med for three years. (51:01) You can as well. (51:02) Usmed.com/juicebox or call (888) 721-1514. (51:09) My thanks to US Med for sponsoring this episode and for being longtime sponsors of the Juice Box Podcast.

Scott Benner (51:15) There are links in the show notes and links at juiceboxpodcast.com to US Med and all of the sponsors. (51:22) Today's episode of the Juice Box podcast is sponsored by the Eversense three sixty five. (51:27) You can experience the Eversense three sixty five CGM system for as low as $199 for a full year. (51:34) Visit evercentcgm.com/juicebox for more details and eligibility. (51:40) 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.

Scott Benner (51:49) 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. (51:59) I'm joined by Jenny Smith, who is a diabetes educator with over thirty five years of personal experience, and we break down complex concepts into simple, actionable tips. (52:09) The diabetes pro tip series runs between episode one thousand and one thousand twenty five in your podcast player, or you can listen to it at juiceboxpodcast.com by going up into the menu. (52:20) If you're looking for community around type one diabetes, check out the Juice Box Podcast private Facebook group, Juice Box Podcast, type one diabetes. (52:29) But everybody is welcome.

Scott Benner (52:30) Type one, type two, gestational, loved ones, it doesn't matter to me. (52:35) If you're impacted by diabetes and you're looking for support, comfort, or community, check out Juice Box podcast, Type one Diabetes on Facebook. (52:44) Hey. (52:45) Thanks for listening all the way to the end. (52:46) I really appreciate your loyalty and listenership.

Scott Benner (52:49) Thank you so much for listening. (52:51) I'll be back very soon with another episode of the Juice Box podcast.

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#1738 Smooth Operator - Part 1