#1815 Mr. Pibb
Diagnosed as an adult after months of confusion and missteps, she shares navigating LADA, finding the right insulin strategy, overcoming fear of lows, and learning that tighter control is possible with education and support.
Companies that Support Juicebox
Key Takeaways
- Trust Your Instincts: Even healthcare professionals can overlook the early signs of Type 1 diabetes in their own children. Pay close attention to subtle symptoms like excessive thirst, frequent urination, and unexplained weight loss.
- Take Small Steps for Big Changes: When addressing Type 2 diabetes or overall health, do not try to change everything overnight. Small, sustainable modifications—like short daily walks or minor dietary tweaks—yield the best long-term results.
- The Power of Pre-Bolusing: A little bit of effort upfront, such as correctly timing your pre-bolus, can prevent massive blood sugar spikes and save you from hours of frustrating diabetes management later in the day.
- GLP-1 Medications are Transformative but Complex: While GLP-1s can greatly aid in weight loss and managing insulin resistance for both Type 2 and Type 1 patients, they come with high costs, pharmacy reimbursement challenges, and potential side effects like muscle and bone density loss.
- Community and Connection Matter: Group education and shared experiences often lead to better health outcomes. Patients learn valuable real-world tips from one another and realize they aren't alone in their struggles.
Resources Mentioned
- Cozy Earth: cozyearth.com (Use code: juice box)
- Omnipod 5: omnipod.com/juicebox
- Dexcom G7: dexcom.com/juicebox
- Touched by Type 1: touchedbytype1.org
- Tandem Mobi: tandemdiabetes.com/juicebox
- Eversense 365: eversensecgm.com/juicebox
- US Med: usmed.com/juicebox or call (888) 721-1514
- Contour Next Gen Meter: contournext.com/juicebox
- Medtronic Diabetes (MiniMed 780G): medtronicdiabetes.com/juicebox
- Juice Cruise 2026: juiceboxpodcast.com/juicecruise
- Wrong Way Recording: wrongwayrecording.com
Welcome & Sponsor Messages
Scott Benner Friends, we're all back together for the next episode of the Juice Box podcast. Welcome.
Julie Hi. My name is Julie. I am a pharmacist at Medical Arts Pharmacy in Fayetteville, Arkansas, and, I'm also a diabetes educator and the mom of a type one diabetic son.
Scott Benner If your loved one is newly diagnosed with type one diabetes and you're seeking a clear practical perspective, check out the Bold Beginnings series on the Juice Box podcast. It's hosted by myself and Jenny Smith, an experienced diabetes educator with over thirty five 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 Juice Box podcast.
Scott Benner The bold beginning series and all of the collections in the Juice Box podcast are available in your audio app and at juiceboxpodcast.com in the menu. While you're listening, please remember that nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. Always consult a physician before making any changes to your health care plan or becoming bold with insulin. This episode is sponsored by Cozy Earth. You can use my offer code juice box at checkout to save 20% off of your entire order at cozyearth.com.
Scott Benner Everything from the joggers that I'm actually wearing right now to the sheets I sleep on, the towels I use to dry myself with, and whatever else is available at cozyearth.com. Just use the offer code juice box at checkout. Today's episode is also sponsored by Omnipod five. Omnipod five is a tube free automated insulin delivery system that's been shown to significantly improve a one c and time and range for people with type one diabetes when they've switched from daily injections. Learn more and get started today at omnipod.com/juicebox.
Scott Benner At my link, you can get a free starter kit right now. Terms and conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox. The podcast is also sponsored today by the Dexcom g seven, the same CGM that my daughter wears.
A Shocking Diagnosis for a Pharmacist Mom
Scott Benner Check it out now at dexcom.com/juicebox.
Julie Hi. My name is Julie. I am a pharmacist at Medical Arts Pharmacy in Fayetteville, Arkansas. And, I'm also a diabetes educator and the mom of a type one diabetic son.
Scott Benner Wow. Julie, that's a lot going on. Let's figure it out. How old is how old is that son, and how many other kids, if any, do you have?
Julie So he is 19, diagnosed when he was 15 just before his sixteenth birthday. And, then I also have an older son who is 22.
Scott Benner Okay. And, any other autoimmune issues in the family?
Julie Not really on my side of the family. My, my husband, has an aunt who had autoimmune issues. He has a half brother who, had, type one diabetes. So I think it comes from his side of the family. Yeah.
Scott Benner I mean, listen, Julie, it's fair. Go ahead and blame him for a second.
Julie Get let's get that
Scott Benner let's get that killed off you if we can. Okay?
Julie Well, he he he would agree. So
Scott Benner Oh, listen. Still, it's worth saying if it makes you feel better. So the, the aunt with issues, do you know what they are?
Julie Not in total. I mean, I think she had I wanna say she had type two diabetes. She's other than that, I'm not exactly sure.
Scott Benner Oh, so autoimmune wise, like, she doesn't like celiac or thyroid or anything like that?
Julie I I'm honestly not sure.
Scott Benner For sure.
Julie No. We we she lives, she lived in Michigan. She she's actually passed away, but she lived in Michigan. We we barely saw her, so I didn't know the extent of it. But it was his half brother that he had several autoimmune.
Scott Benner Oh, okay.
Julie Type type one being the the main one, but he also had some, I think, psoriasis and and things like that.
Scott Benner Gotcha. A half brother on his father or mother's side?
Julie Mother's.
Scott Benner Mother's side. Okay. And let's see. You were two kids, type one diabetes with the youngest, but nothing else?
Julie Yeah. I mean, my my husband has some autoimmune things, but not anything well
Scott Benner What's he have? Yeah.
Julie He does he does have autoimmune issues as well. Not diabetes, but yeah.
Scott Benner We would you share with me what they are?
Julie We just discovered actually that he has, thyroid hypothyroidism, and then, he also has sort of colitis.
Scott Benner And is that something he it's been throughout his life?
Julie Since he's been about 22, I believe.
Scott Benner Okay.
Julie 22, 23.
Scott Benner So a lot of bathroom visits throughout his life, but we just, like
Julie Unfortunately, a lot lots of colonoscopies, which, he's not
Scott Benner Thrilled about?
Julie Enjoyed very much. Yeah.
Scott Benner It's it's all about your frame of mind, Julie.
Julie So Yeah.
Scott Benner The thyroid, how did you figure it out? Was his did his mood change? Was he having trouble getting rested? What what
Julie No. Yeah. He did, feel like he, more than anything, just was low on energy, but, you know, it wasn't something that he sought out lab work for. He just you know, we went for annual wellness checkup, and it it he tested low. And so it was like, oh, well, that may be part of the explanation.
Julie So
Scott Benner Awesome. Did it help the Synthroid?
Julie Yeah. I I believe so. Yeah.
Scott Benner Yeah. Did you notice anything, you know, like, personally personally about about him change or is it more about his his energy?
Julie I think it was mostly about his energy. Okay.
Scott Benner Yeah. Okay. Well, I appreciate you sharing that with me. So let's see. Your son was diagnosed about three years ago.
Julie Yes.
Scott Benner How did you notice that? What what were the, signs?
Julie Yeah. So that was it was kind of crazy because he's he was 15. I didn't know that he was going to the bathroom probably a lot more than he, was before and drinking a lot more water. I noticed that he was tired a lot. And my my husband, we took, you know, the first day of school picture, and he was like, he looks so skinny.
Julie And I was like, well, you know, he's he's had a growth spurt. So, you know, he'll fill out. It'll it'll be fine. And in the midst of this, I was literally becoming accredited to be a diabetes educator. So
Scott Benner Seriously?
Julie Seriously. Yes. So then I don't I can't tell you what prompted it. But one night, I came home from work, and I said of course, I'm I had a I had a glucometer at home because I'm a a pharmacist nerd and, you know, I just test everybody's blood sugar once in a while just for the heck of it. And so I I said, let's let's just check your blood sugar.
Julie And we checked it, and it was 578. So I said, okay. Let's check it again because I think maybe that's a mistake. And so we checked it again, and it just said high because it only goes to 600
Scott Benner Mhmm.
Julie I suppose. I said, well, let me check mine. And it was one nineteen. We just eaten. So we checked this again.
Scott Benner High.
Julie Julie Julie's like, then I checked this blood sugar 63 more times. Was truly in denial. I I mean, I knew the first time I was like, this explains a lot. And but I didn't wanna really admit it to myself. And so after after checking it three or four times, and we headed to the local children's hospital ER.
Scott Benner After you yelled through the house, hey, poop boy. See what your aunt did? Right.
Julie Right. No.
Scott Benner But but
Julie but Yeah. No. I was like, he was we were we were both we were all in shock. But, yeah, we went to the ER, and he wasn't in DKA, thankfully.
Scott Benner We He did catch him pretty quick.
Julie Yeah. He was I mean, he was close. And, I mean, looking back, you know, in retrospect, I think that he had had COVID, in June and, of that year, and this was October. And I think that was sort of the trigger. If it hadn't have been that, it probably would have been something else.
Julie Something else. Know that, but that's just my best guess.
Scott Benner Let me ask you the the things that you said. You said that explains it. Explains what what had you been seeing.
Julie So mainly the the tiredness and the just he looks very skinny.
Scott Benner Yeah. Nothing else for that.
Julie I had tried to, you know
Scott Benner Justify. Because you said nature's been stretching him. This is makes this makes a ton of sense.
Julie Yes. And then I started remembering I would take him to tennis, and he said, well, I've gotta stop and fill up my water bottle and go to the bathroom first before I even get on the tennis court.
Scott Benner And I
Julie was like, we just got here from home.
Scott Benner And
Julie it it didn't ring any bells at that time, but then later, you know, in looking back
Scott Benner You start putting the pieces together.
Julie I started putting the pieces together. Yes. Like, he had never come home with an empty water bottle from high school before.
Scott Benner I know. You're praying they'll drink water, and they never go the point.
Julie And and every day, it was completely empty.
The Dual Role: Pharmacist and Diabetes Educator
Scott Benner Tell me something. You, you know, been a pharmacist. Can you tell me how old you are now?
Julie I am 50.
Scott Benner Okay. So you've been a pharmacist since you I'm guessing you got out of college?
Julie Yeah. So pharmacy school. So I I graduated pharmacy school in 2001. So
Scott Benner Okay.
Julie Yeah. So it'll be my coming up on twenty five years as a pharmacist.
Scott Benner But that makes it your silver anniversary. Is that right?
Julie Yeah. I know.
Scott Benner I think you're I think you get a tea set.
Julie Yeah.
Scott Benner So so you're doing that for twenty five years. Right. What prompted you to wanna be a diabetes educator?
Julie You know, it's interesting because it wasn't obviously, that when I decided to do that, I had no idea that my son had diabetes. Yeah. But my my pharmacy, actually, we sort of stumbled into actually getting involved in in the Omnipod world because we are a pharmacy that does medical billing, and and Omnipod was running into some roadblocks with getting it covered through pharmacy benefit for some patients. And so they asked us, can you medical bill it? And we said, hey.
Julie We'll give it a shot. And, we did, and then we just started working with the Omnipod rep. And so we were we were very started getting very involved in the diabetes community, and then I it just was sort of a good fit, we felt like, for our pharmacy to kind of make that a focus. Right. So yeah.
Scott Benner Was it a business decision, or did you feel some sort of kindred spirit towards it as well?
Julie I think it was a little of both. Diabetes has always been a very interesting disease state to me. One that I felt I I thought one that I thought I knew a lot about, and I felt really comfortable in that space, of course, until he was diagnosed. And then I I didn't know what I didn't know. It was that was that was really interesting.
Scott Benner Pee people used to come up to you and be like, Julie, tell me about diabetes. You say, well, let me just sit back and explain it to you. And then your son was diagnosed, and you're like, I don't know. Don't ask me.
Julie Right. Yeah. It was very humbling. And, you know, when they they roll in the whiteboard with all the carb counting and correction factor calculations, I was like, I gotta I gotta go for a walk.
Scott Benner He's old enough. He'll be okay. I gotta I mean, I'm good.
Julie Yeah. No. Well yeah. And and honestly, like, he he was like he took one look at it, and he's like, I got this. So he was he really took it in stride way more than his dad and I did.
Julie Like, we we were, our our worlds were turned upside down, I feel like. I felt like I was bringing home a newborn newborn baby from the hospital, truly.
Scott Benner Even though you're a bit of a veteran parent at that point. Right? I mean, because if he if he's 16, that means your other son was is three years older already. Right?
Julie Yeah. Yeah. He's uh-huh.
Scott Benner Yeah. You're, like, two kids are, like, you're like, these kids are going to college and, like, we're gonna go live our lives. This is a whole thing that's happening. Right? And then you're, I don't know what I'm doing anymore and we're starting over.
Julie Yes.
Scott Benner Oh, jeez.
Julie Yeah.
Scott Benner Did it hit your husband and you differently?
Julie I think so. He's my husband is a a physician and not in the diabetes world, but, he's a physician. And so he you know, everything was from a medical perspective. He starts thinking about, okay, you know, complications. We gotta we gotta make sure you're on a routine.
Julie We gotta you know, he was worried about just all of the the medical side of things. Think and I was too, of course. I'm in the medical field, but I think it was possibly a little more emotional for me as a mom. Just, you know, the the the the worry, the worry dial gets cranked up quite a bit. It's already there, but it definitely, got cranked up quite a bit.
Scott Benner Would you, talk a little more about that for me? Tell me how you were feeling and what you did to get through it.
Julie Well, yeah. So I I mean, it was almost kind of a sense of grief, I would say. You know, grief for him because this is like, you know, he's not gonna and and my husband felt a sense of that too. Like, he can't just be a regular kid anymore or a regular teenager, that he has to, you know, now be thinking about this all the time. And and and so that was part of it.
Julie And then just for me, as soon as he was discharged being a pharmacist, I went straight to my pharmacy, and I was like, I'm putting him on a Dexcom. I'll worry about the prior authorization stuff later, but I wanna continue his glucose monitor. I they wanted us to do finger sticks for two weeks. I'm like, I'll do that, but I've gotta have a Dexcom and the follow app and all of the things. And yeah.
Julie No. I just mostly worry and and sadness for him and just not being able to be a regular kid and and and also just, it just felt overwhelming.
Scott Benner Yeah. Okay. So you said there he was. He's not gonna have a normal life anymore, but it's three years later. Did any of that prove out to be true?
Scott Benner Or where are you at today? Like, does it feel like he doesn't have a normal life, or does it feel like you figured something out?
Sponsor Break: Dexcom & Omnipod
Scott Benner The Dexcom g seven is sponsoring this episode of the Juice Box podcast, and it features a lightning fast thirty minute warm up time. That's right. From the time you put on the Dexcom g seven till the time you're getting readings, thirty minutes. That's pretty great. It also has a twelve hour grace period, so you can swap your sensor when it's convenient for you.
Scott Benner All that on top of it being small, accurate, incredibly wearable, and light, these things, in my opinion, make the Dexcom g seven a no brainer. The Dexcom g seven comes with way more than just this. (14:55) Up to 10 people can follow you. You can use it with type one, type two, or gestational diabetes. It's covered by all sorts of insurances and, this might be the best part.
Scott Benner It might be the best part. Alerts and alarms that are customizable so that you can be alerted at the levels that make sense to you. Dexcom.com/juicebox. Links in the show notes. Links at juiceboxpodcast.com to Dexcom and all the sponsors.
Scott Benner When you use my links, you're supporting the production of the podcast and helping to keep it free and plentiful. Today's episode is also sponsored by Omnipod. We talk a lot about ways to lower your a one c on this podcast. Did you know that the Omnipod five was shown to lower a one c? That's right.
Scott Benner Omnipod five is a tube free automated insulin delivery system, and it was shown to significantly improve a one c end time and range for people with type one diabetes when they switched from daily injections. My daughter is about to turn 21 years old, and she has been wearing an Omnipod every day since she was four. It has been a friend to our family, and I think it could be a friend to yours. If you're ready to try Omnipod five for yourself or your family, use my link now to get started. Omnipod.com/juicebox.
Scott Benner Get that free Omnipod five starter kit today. Terms and conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox.
Navigating the Teenage T1D Years
Julie No. I mean, I I would say that, you know, just like when you have a baby and and you feel like you're never gonna sleep again, same thing here. Like, I felt like we're gonna be spending thirty minutes calculating insulin doses before every meal, and he's taken it in stride for the most part. You know, it's not easy. And and, you know, I would like to say as a diabetes educator and pharmacist that I I've got it all figured out and and and that he doesn't have highs and lows, and he just coast along with a 100% time and range every day.
Julie But, no, not so much. For the most part, yeah, he lives a normal life. He's he's a freshman in college now. He enjoys, you know, the the the things that normal teenagers enjoy, video games and all that. He enjoys playing tennis still.
Julie He all of those things. So I would say, yeah. He has a normal life, but but it's still always at the back of my mind, and I'm sure it's back of his to some degree, although sometimes not as much as it should be. I get frustrated with him sometimes.
Scott Benner Yeah. No. Listen. You would have gotten frustrated with him even if he didn't have diabetes, I bet you.
Julie Oh, yeah. Definitely. Very true.
Scott Benner How does this experience of seeing him live with it, watching the things that your husband went through, experiencing what you went through, is that helping you in your job? Like, you say you're a diabetes educator, but, like, day to day, what is it you do, and and has your experience been valuable in that?
Julie Absolutely. Yeah. So I I think that it goes both ways. I think it makes me, more empathetic as a as a pharmacist in general, but also working with diabetes patients. I'm like, I I get it.
Julie I did not get it before. I could talk about all the, you know, the medications and the technical things, but and the eating and and exercise and everything. But in terms of, you know, just the coping and emotional side of it, like, I I didn't get that part. So it definitely puts a different spin on that. But it it on the on the flip side of that, I learn a lot from the patients that I have worked with.
Julie The the the groups that I've gotten involved with, Breakthrough t one d is great, and other mom, other parents, just all of that. I think I've I've I've learned ways to help him. In fact, I was listening to a few of I went back and listened to to your Omnipod episodes because I was like, he has a lot of lows in the middle of the night still, and it it but it's because he's 19 and he stays up till 4AM and gets hungry and eats and then takes an insulin dose and goes to bed. Goes to sleep. Because I don't fix this high blood sugar.
Julie Do what?
Scott Benner He said, I'll fix this high blood sugar. Gives himself a bunch of insulin and goes to bed. Right?
Julie Yeah. Or or he'll eat something and, you know, I've, from less you know, it's like that time of night, you know, he's gonna be more sensitive to the insulin, and so he's he doesn't probably doesn't need as much. And so you wouldn't think you would need a insulin to carb ratio difference at, you know, between 10PM and 4AM. But you know what? I set one for one to fourteen.
Scott Benner Yeah.
Julie And during the day, his is, like, one to eight or one to nine.
Scott Benner When you say you wouldn't think you'd need a different one, why would you think you wouldn't need a different one?
Julie Well, because most people aren't sleeping or aren't eating in the middle of the night.
Scott Benner So maybe they all need it. They just don't know because they don't eat in the middle of the night.
Julie Maybe. Oh, but, yeah, I I just did that, like, three days ago. I I didn't do it. I told I told him, please do let's just try this and see what happens.
Scott Benner Yeah.
Julie So far so good. So I don't know. I think maybe that might be at least something that that helps all of us get some more sleep.
Scott Benner Right.
Julie I haven't been able to turn the the the follow-up off just yet. So I don't know.
Scott Benner Why would you want to?
Julie I don't know. I mean, I guess I I don't know. Part of me says he's an adult, and I I want I want him to be able to manage it. But part of me says, you know, nobody else is looking out for him other than him, and and he might sleep through. And so
Scott Benner So let me say this. I've talked to adults who Uh-huh. You know, vary in every decade of age, and, you know, they all mostly tell me, I wish somebody could watch my blood sugar for me. It's funny. The people who have somebody watching their blood sugar for them Uh-huh.
Scott Benner Will say, I don't need anyone's help. And Right. You know, and bought and, you know, it's a I don't want people watching me and blah blah blah. The people who don't have somebody helping them are like, oh, I wish somebody would help me.
Julie Right.
Scott Benner People are fickle. That's what They are.
Julie You always want what you can't have.
Scott Benner Well, you know what? I think that's the saying for a reason, probably.
Julie Yeah. I think you're right. I think you're right. Because we, you know, we bug them. We'll we'll we'll text them at 03:00.
Julie Hey. Are you up getting something to eat or drink? And he'll you know, I'm surprised he didn't send us just a bunch of eye roll emojis. Do
Scott Benner you seem to have a good relationship? Like, are you comfortable with the back and forth that's going on with it? Friends, I just placed my order at cozyearth.com. They're today's sponsor, and I'm here to tell you about them. Use my offer code juice box at checkout when you buy, and you'll save 20% off of your entire order.
Scott Benner That's everything in your cart at cozyearth.com. Save 20% with the offer code juice box. Now why am I excited? Well, I just ordered the cozy earth blanket. It's the viscose bamboo blanket.
Scott Benner I'm super excited about it. It looks comfy as can be, it's gonna go so well with the sheets that we already have from Cozy Earth. Now, yeah, I'm a bit of a a Cozy Earth convert, I guess. I'm sitting here in my joggers. I used my towels coming out of the shower this morning.
Scott Benner I slept on my sheets last night. Slept like a baby, by the way. Cozyearth.com. They pretty much have everything you want. Use the offer code juice box to save 20% at checkout on skin care, women's and men's clothing, bath and sleeping accessories.
Scott Benner And don't forget, Valentine's Day is coming up quickly. Get those pajamas. Cozyearth.com. Use the offer code juice box at checkout to save 20% off of your entire order.
Julie Yes. And and I think that he understands the why behind what we're doing. Obviously, you want you want your kids to listen to you whether they have diabetes or not. Right? But when they're teenagers, they they think they know everything.
Julie I took him to a a diabetes educator that's not me because I wanted someone else to echo what I was saying so he would not think that I'm an idiot, basically.
Scott Benner What were you telling him?
Julie Well, just the that he needed to to eat more real food, that he needed to have a routine, that he needed to have more balance in his in his meals in terms of carbs and vegetables and proteins and all of that. He he's he's always super picky. You know, it's it's hard to get him to to eat a lot of different things. But yeah. Just
Scott Benner Is his biggest issue the quality of the food that he eats?
Julie I think that's a lot of it. Yeah.
Scott Benner How long has that been the issue?
Julie With his diabetes or just in in his life?
Scott Benner However whatever amount of time that occurs to you to say that. Like, you so because Forever. So then can I ask a difficult question?
Julie Sure.
Scott Benner Who buys the food?
Julie Well, that's that's a fair point. Yeah. That being said, in college, I have no control over it. And and and at home, at least for dinners, I always made the point of and and even lunches. I packed his lunch, and it was I feel like I packed him a fairly healthy, balanced lunch.
Julie And and and I always, you know, for the most part was the at dinner was like, okay. This is what we're having. And if you don't like it, then you need to learn to cook something else for yourself because I'm not gonna cook, you know, multiple meals at dinner. But I have I mean, I have modified things to make it to more plain, I guess. Yeah.
Julie But but yeah. No. I I do at least try to get him to to eat healthy and and and put the food in front of him, and I've always said that.
Scott Benner Do you eat that way?
Julie Yeah. For the most part. I mean, I I can't say I'm I eat perfectly, but, yeah, I feel like I eat pretty healthily, and I've always it's it's been important to model that for our
Scott Benner That's why I was wondering. Like, are you you're modeling that behavior, it's just he's just not picking it up. Does your husband eat similarly, or does your husband not well?
Julie He probably he honestly probably eats healthier than me. Gotcha.
Scott Benner But the damn kid won't listen, you tell him.
Julie Right. Yeah. But no. Yeah. We've I'm I'm the primary cook, and so it's always been yeah.
Julie It was like, okay. You know, I'll make you some mac and cheese. I was that mom who would I would puree squash and spinach and
Scott Benner You're trying hard.
Julie To get in there, yeah, to get some vegetables in them. So
Scott Benner Well So let me ask you a different question then. Sure. If that's just how he eats Yeah. Then what is the outcome that you're like, you know, you're telling him, please don't eat that way. You're telling him, I'm assuming, a, for nutrition and just quality of food, but b, it's Right.
Scott Benner It's difficult with his diabetes. Right? Mhmm. Yeah. What makes it difficult?
Scott Benner Because, you know, my kid doesn't always eat very well, but, like, we kinda bolus around it and everything. Is he not doing something else that would lead to success even with that food?
Julie I think he's pretty good at, you know if if he's gonna sit down and eat, you know, half a bag of marshmallows or something, just get
Scott Benner Has that happened?
Julie Which I mean, probably. Yeah. I mean, where, you know, he he does he doesn't he goes all in when he eats something, you know, or or, you know, half a bag of chips, whatever it is. Like, he does a pretty good job of of, you know, pre bolusing and with time, you know, earlier if he's just gonna have carbs and and and counting the carbs pretty well. So so he he he does a pretty good job of managing for what he eats.
Julie It it's more just the quality of it, and, like, it would be easier and we feel like if if he would you know? And just better for him if he would just eat better food.
Scott Benner Well, I mean, listen. I agree with you. I'm not saying that. Yeah. Yeah.
Scott Benner What what what I'm interested in is, you know I mean, listen. It's a so it's an interesting juxtaposition. Right? You're a diabetes educator.
Julie Right.
Scott Benner I'm jumping to the the conclusion that you know how to handle, like, carby or, you know, processed foods as as a, you know, as a person bolusing for them and that you guys so is it a situation where if he's bolusing for it, it doesn't go well, but if you were to bolus for it, it would go well? Or is it just physiological where, like, no matter what you do, you kinda can't make it work? By work, I mean, no big spike in a meal, no low later. That that's all I'm talking about.
Julie I think he probably, honestly, does better than I would in terms of pre bola thing instead. I think it's more about, you know, the physiologically and, you know, I as you know and, yeah, as I've learned that there's so many you know, he's a teenager with hormones and all that.
Scott Benner And It's a lot.
Julie There's just lots going on. Stress, school stress, and so it's hard to I'm trying to learn. I'm actually listening to that that that thing like a pancreas right now on audio audible. But just trying to factor all those different things in. I I don't I think we're both sort of fig trying to figure that out.
Scott Benner So Have you heard the pro tip series in the podcast?
Julie Some of it. Oh. But I I need to work my way through it more. Yeah.
Scott Benner Yeah. Has he? Or did you show him
Julie Well, I have I have I have shared it. Believe believe me. I've I've I share episodes with him all the time. I I tell him, go listen to this podcast. Listen to this book on Audible.
Julie I don't know if he listens to any follow this person on Instagram because they really have a lot of good advice. I don't know if he listens to anything I say.
Scott Benner Have you have you tried saying, hey. Listen to this series podcast, and if you do, I'll pay your tuition? Or you could come home and
Julie ship a sale, baby. I we're already paying his tuition. So Oh, let's But, yo, I could probably make it. I could come up with another deal though.
Scott Benner I I swipes his card for food and there's no money there and you go, oh. Oh. Oh, did you want money? Right.
Julie Right. Did you want me to pay for your gas maybe for for the next six months?
Scott Benner Oh, yeah. Yeah. Yeah. How would you like to drive again?
Julie Yeah.
Scott Benner No. But but seriously, like, what a tough time, like, diagnosed at 16.
Julie Yes.
Scott Benner Right in the middle of high school towards ending high school off to college. Did he go away to school or is he at least local?
Julie He is local. So that that gives me a little more peace of mind for sure.
Scott Benner Local sleeping away or local comes back to the house every day?
Julie Well, I know he's in the dorm. He comes home a lot of weekends, but but he does mostly he's in the dorm.
Scott Benner He come home with his laundry?
Julie You know, he doesn't come home with like
Scott Benner He might like you then. That's nice.
Julie He has yet to bring his sheets home with the so I'm like, please tell me that's not because you haven't washed them. And he assures me because he's texted me on how to how to manage it. But he assures me he's watched them at least a couple of times. So
Scott Benner At least a couple of times. That's right. He's a senior. Right? No.
Scott Benner I'm just kidding.
Julie Freshman. Yeah. Right.
The Pharmacy & The Truth About GLP-1s and Type 2 Diabetes
Scott Benner Well, it's I mean, it's all it's very, very interesting. So when you do your job, are you doing it in a health care facility? Are you doing it for a company? Like, how do how do you like, what does your job entail?
Julie My pharmacy has a, actually has a class room. And so we have a a a space to to to offer the education. And so we just we depend on referrals from physicians, and we've sort of made the rounds to let them know we do this. And it it kind of ebbs and flows in terms of having patients to to provide the education. But, yeah, we have we actually have the facility there there in the pharmacy.
Scott Benner How'd you get your 10,000 isn't it I don't know how many hours this How many hour how many hours you need to become a a diabetes educator? But how did you get those hours? Did you work where like, where'd you do the work?
Julie So there's a certified diabetes educator, which you have to get, like, I I believe a thousand hours and take a test, to be a certified diabetes educator.
Scott Benner Mhmm.
Julie Recently, I don't know, in the last couple of years, they've decided pharmacists, like, have the knowledge base to educate on diabetes, but we still need to be accredited. So I didn't have to get all those a thousand hours to be a certified diabetes educator. So I'm like, I think it's just like a diabetes care and education specialist, but I'm not a certified diabetes educator. Okay.
Scott Benner So I see. So your Yeah. Your previous schooling made up for some of it, then you do what? Did you do classroom work, or how did you get the rest of it?
Julie Well no. So it was all, just there's an accreditation process where you just kind of work through, like, what are the different modules you need to teach when you're teaching someone about diabetes? And then and I and I have to and I get I have to get fifteen hours of continuing education every year that are diabetes focused for this to and just to keep up with with, you know, all the all the changes and everything. Right.
Scott Benner I would like someone to send me that accreditation in the mail right now.
Julie I can email you my certificate.
Scott Benner No. No. I want my own. I I want people to listen to the podcast and go, okay. And then just give it to me.
Julie Probably earned it. I I think you have enough hours that you definitely earned it. And and, like, you you really truly give, some great advice and have some great guests. So I
Scott Benner You're very nice.
Julie I
Scott Benner I would not do the fifteen hours of continuing education. I would lose it the first year. Well,
Julie what what stinks is, like, I have to get fifteen hours for pharmacy too. And and, anyway, it doesn't and and some of it doesn't have it has to be another thing. So I end up getting, like, twice as much as I have to, which is really
Scott Benner Oh, is it valuable though? Do you find it to be valuable, or is it part
Julie of the do find it to be valuable. I do. Definitely. And and so and I'm also I also am doing the insurance. I have an insurance licensed insurance agent as well, and that's I know that sounds crazy, but it actually help our patients understand insurance more, mostly Medicare.
Julie But we do a lot of helping people jump through the hoops of getting things covered, which is a huge problem in diabetes as I'm sure you're aware. That's one of the reasons why, like, we're we try to be kind of a go to place because we chains tells you they can't fill something, we'll just come to us, and we'll we'll problem solve it to death to make it work.
Scott Benner So else is going on in the back of that farm? Is you guys got cock fighting and card games back there too? Or what what else? Jeez.
Julie Yeah. We've got all kinds of stuff. Yeah. We do a little bit of everything. Yeah.
Scott Benner My god. There's a dice I think there's a dice game back there for sure. Yeah. But is that a byproduct of, like, small town, like, living, like, trying to put a lot of services in one place for people?
Julie I would say so. And and just part of it is, independent pharmacy or local pharmacy is a is becoming a dying breed for a lot of reasons that would take me hours to explain, and you and you'd probably fall asleep listening to it. But we have to be creative and innovative in what we do to to stay alive and and get the privilege of of doing that in something that I enjoy. So so, yeah, it's it's not just about dispensing medications. It's it's more to us about taking care of our patients.
Julie And so that means, you know, educating them on diabetes. That means helping them pick an insurance plan. That means helping them problem solve insurance issues, getting their Omnipods or CGMs covered and teaching them how to use it, whatever, you know, whatever they need. So yeah.
Scott Benner So it's almost like a community center, but for for health issues. Right? Yeah. Yeah. Because I guess once they're done, what is the real finding here?
Scott Benner Like, let's be honest for a second, Joy. They go to the hospital, they get a basic overview that's probably not very valuable, then they go to a doctor who's what not as not very valuable too, who then passes them off to you and says, hey, try to help these people. Is that the is that the process?
Julie Yeah. I mean, generally, of course, in the setting that I'm in, I'm mainly seeing type two people with type two diabetes.
Scott Benner Okay.
Julie You're automatically gonna be seeing an endocrinologist. Not everybody gets fabulous care when you're they're type one, but you get more attention for sure. In type two, it's like, stop eating the white stuff, get some exercise, and, you know, here's a prescription for metformin. Have a nice day.
Scott Benner Wow. It's no cookies, crackers, or cake. Here's your metformin. Good luck.
Julie Yeah. No no cookies, cake, pasta, or bread. Stop eating that stuff and and have yeah. I mean, they they it's it's very, very limited. Partly because they just don't have time.
Julie Yeah. I mean, there's just only so much they can fit in, and so that's where I try to come in and and and be more thorough and and really give them some more tools.
Scott Benner Are you seeing doctors talking to type twos about GLPs, or is that not even commonplace at this point?
Julie Oh, yeah. A type twos or type
Scott Benner Type twos?
Julie Oh, yeah. Yeah. We yes. We very commonplace. Okay.
Julie We yep. I see I see GLPs a lot.
Scott Benner Are people using them? Are they staying on them? Are they having success with them?
Julie For the most part, yeah. I mean, unless you have the you you we have some people who you you can't tolerate them because of the nausea and whatnot. But, I would say with especially people that want to lose weight, they love them, and they never want to get off of them. The the biggest the biggest hurdle is the expense. And then with pharmacies, believe it or not, we actually struggle because we insurance companies often pay us literally $100 less than what it costs us to buy it.
Julie So
Scott Benner How does that work?
Julie Don't get me started. They that's a good question, but
Scott Benner that's that's that's that's
Julie that's that's the way that our health system works. It's it's not good. So so yeah. So we end up, a lot of times, having to we we can't do this, or or we'll we'll go out of business if we lose money on every prescription we fill. Right?
Julie So we have to get it somewhere else, I basically. But, yeah, they they are very widely prescribed, and and and and we're seeing a lot of people that literally have type one and type two. You have type one for so long and and then develop that insulin resistance. And so we have type one people with type one diabetes that are on insulin, and they have been for thirty years. And then they're starting to put them on GLPs and and on Yeah.
Julie Other medications. Yeah.
Scott Benner Well, I'll I'll say that I don't think you you don't have to have had type one diabetes for a very long time to have insulin resistance as well. Sure. Yeah. I think you're gonna see more and more people diagnosed with, like, you know, they'll call it type one and type two or something like that, you know, insulin resistance with type one diabetes. However, they're gonna end up talking about it, but I think that could happen for you.
Scott Benner I don't think that has I mean, not that it couldn't become worse over time for some people, but I think that's a common way that people thought of it in the past, but now you're seeing, you know, my I mean, my daughter has insulin resistance. Without a GLP, she uses 30% more insulin. Wow. You know, I've seen it with other young kids. I've seen it with adults.
Scott Benner You know, it I I think it's I don't know. Brought to light more and more as the days go by. But it's it's just interesting to hear you talking about it from, like, an on the ground perspective.
Julie Yeah.
Scott Benner Is the whole thing just sounds a little bit can I be candid? It sounds like a mess.
Julie It is. As a honestly, it has a best description.
Scott Benner Yeah. Yeah. And then and then there's people like you who are like, look, I have got some background in this. You know, I I'm a I'm gonna try to help people. Like, hopefully, we can get them in here and get them going in the right direction and give them the stuff that they need and help them understand what's going on.
Scott Benner But still in all, it just really feels like a twister going on. And you're just reaching up into the dirty air trying to grab someone up and go, hey. You know what you could do? Try this. And then, like, let them go back into the funnel again.
Scott Benner You know?
Julie Right. Yeah.
Scott Benner Is there a clear path to how that doesn't need to happen? Like, forget the excuses. Like, they don't have time or they don't like like, where would where should we be intersecting these people so that they don't get to the point where they're like, well, maybe the nice lady at the pharmacy can help?
Julie I don't know. And and I've been asking myself that question and and trying to figure that out because that is a an issue. Like, you know, even even if I got 20 referrals tomorrow, you know, how many of those people are they'll show up for the first visit, and then slowly, they they stop coming to classes. And like you said, they don't they the excuses come in. And and so, you know, I wish I had the answer.
Julie I don't know if it's some kind of incentive. I don't like using scare tactics. I don't think that's the way to go. So
Scott Benner Can I ask a question?
Julie Yeah. It
Scott Benner might be hard to answer. Is that okay?
Julie Yeah.
Scott Benner Did they not come back because they don't find the classes valuable?
Julie Well, I hope that's not the reason because I what I I will say what I have found is that the classes that have stayed together because I I I'd meet with everybody one on one for for an hour, hour and a half, hear their story. And then I get a group of at least four people, sometimes more together, and we have, you know, group classes. And so the groups that stay together and make it to the end are groups that mesh together from the first class. So I I think that that may have something to do with it. And so part of what we're trying to do is maybe offer, like, some support groups or something like that.
Julie There's there's a lot out there for type one diabetes, but not a whole lot for type two diabetes with type support with groups and stuff. And so I don't know. You know? I we we've tried a lot of different things. I I think that they find the information viable, but sometimes it's it may be somebody that's been diagnosed for twenty years, and they they want the cliff notes, I think.
Julie You know? They want the the, which a lot of people if young people don't even know what that is, I guess.
Scott Benner But No. They know.
Julie They want the fast version. Yeah. It's got something
Scott Benner to do with cheating. They understand what it is.
Julie Right. Yeah. They they want the chat GBT version. How's that?
Scott Benner Yeah.
Julie No. But they they want the the the quick and easy just just sum it up for me in in a couple hours and let me go on my way.
Scott Benner Why don't you do that?
Julie Well, I I for a what it's considered a follow-up, I guess, but I've started to consider that being kind of one of the the methods I I go by because Medicare's model is ten hours of first time education. That's a lot of time.
Scott Benner Yeah.
Julie There's a lot to cover, and you really get into the weeds and and a lot of and it is valuable information, but but even that can be overwhelming.
Scott Benner Is it necessary or valuable? Because let let me ask you a question. Yeah. Do you care if they understand it as long as they're having good health outcomes? You know what I mean?
Scott Benner Like, like,
Julie it's No. I mean yeah. That's fair. Like Yeah. I don't I don't I I guess the answer is no, but in a sense, I feel like if if they're if they are given the the tools to to truly be able to manage it themselves, then I mean, I've had classes where they've had good outcomes from the start to the finish great outcomes from the start to the finish.
Julie Now what happens after that, you know, I don't necessarily know, but I feel like, you know, arming them with that information is very valuable. Now whether is ten hours necessary? I don't know the answer to that. But but, yeah, I think that there's there's something to be said for, like, maybe trying, you know, a a shorter
Scott Benner Brief focus. Shorter
Julie yeah. Yeah. Yeah. Trigger points. Yeah. Exactly.
Scott Benner Do you think it's over people's heads sometimes? Do you think that it's overwhelming sometimes? Or like, because it seems to me that the funnel is is that the, you know, whatever the governing body is is telling you that this is the education you have to give to people. And then you're saying, well, if they come back, they get it. And if they stick together, they do better.
Scott Benner Mhmm. But, you know, I guess I'm asking you, like, if you were the governing body, would you tell them they need these ten hours? Or or do you think that's not the path?
Julie To me, it's not about the time. To me, it's more about the value they're getting from the information. And so I do I think that it requires ten hours to get the important points across? Not necessarily. Right.
Julie For some people, maybe, but not for everybody. But I think that, you know, that that people learn the important points better when they are in a setting with other people that they can, you know, you know Jive with. Questions. Yeah.
Scott Benner Yeah. Feel comfortable. Like, they Right.
Julie They share each other stories with each other, and they get ideas from each other, and share recipes, and all of those things. And so that
Scott Benner Helps.
Julie Is really valuable.
Scott Benner Do people, generally speaking, do you find not understand food? Meaning, like, the difference between good and bad and the impacts of fat, protein, carbs? Like, do is are they really lost about the science behind food?
Julie I would say so. Yes. I mean, I I think that just like the whole the quick don't eat don't eat sweets and don't eat pasta and bread and potatoes, is is kind of what is in their mind, really, about about that. And so, yeah, understanding that it is a huge part of it, I think.
Combating the Processed Food Trap
Scott Benner You think you feel like the fun police to them when you start talking?
Julie No. Because I don't I I always I I make it a big point if I don't talk about diet. I don't use the word diet. I don't use the word exercise because I think that they get in their head that they have to go on this boring food that doesn't taste good diet. And I'm like, no.
Julie You eat balanced. Eat find food that's good for you that you love. Experiment with different things. Maybe cook things a little bit differently. And if you want to have a little bit of mashed potatoes or a piece of cake, have a piece of cake.
Julie But, you know, maybe leave off the mashed potatoes that night.
Scott Benner Yeah. Don't don't have the mashed potatoes, the cake, and then another piece of
Julie cake later. Yeah. And and a and a bowl of ice cream later. Right. Yeah.
Julie But you don't you know, my to me, like, my message, you don't have to stop eating foods that you enjoy. Like, you you find maybe find foods that are healthy that you enjoy, but also, you know, let your let yourself have have what you want sometimes. Like, that's fine.
Scott Benner So everything in moderation? Yeah. Yeah. Sure. So yeah.
Scott Benner So why don't the t shirt slogans work? Do you like, seriously, like, you're really in the trenches. You're talking to people. Like Yeah. Like, if I put you in charge of the whole thing and I was like, listen.
Scott Benner Jake, just tell me now, Julie. Like, what are we what forget everything else and everything everyone's gotta tell you. I'm I'm giving you two visits with these people because we're not sure if they're gonna come back. Like, what would you tell them in that time?
Julie Oh, wow. I would tell them, wow. Gosh. That's you're putting me on the spot. Let's see.
Scott Benner That's the whole point of this. Yeah. Yeah.
Julie Good. Well, the first thing I would say is move your body every day in some way. It doesn't have to be a marathon. It doesn't have to be a run or even a walk. Just move.
Julie Move your body. Even if you're at a desk job all day, every hour, like, just stand up and
Scott Benner Is that happening? Are people living a life of, like, Wally? Are they sitting in a chair?
Julie I think so.
Scott Benner Yes. Did they tell you that?
Julie Yes. Like, I had I have a I've had several people that like, yeah, I have an office job, and I sit at my desk all day long and except for when I get up to go to lunch or when I leave for the day, and it it's just you know? And I'm like, set it alarm on your phone and just, like, for a minute, just just a minute every hour. Just move around.
Scott Benner Okay.
Julie Something simple like that. If if you have somebody that's older that that has mobility issues, there's chair yoga or there's even you can sit there and and I I mean, I don't care if you sit there and flail your arms and legs around. You're still moving. You know, just move in some way. You're meant to move.
Julie So that would be one of my biggest messages, I think, because I think that's just as important as what you or almost as important anyways what you eat. And then just not only not just everything in moderation, but I was like, like, find food that's good for you that you enjoy. Like, do you enjoy out of people a lot of times things that they didn't realize that they really liked, or maybe if they just roasted it in the oven instead of, you know, covered it in butter and fried it or whatever, that that it actually kinda tastes pretty good that way.
Scott Benner Yeah.
Julie A few different just a few small modifications to the foods that you enjoy and the in the way that you cook them can make a big difference.
Scott Benner Mhmm. Wow. Super interesting. Are they not taught from a young age about the quality of the food that they're eating? Is it all they have access to?
Scott Benner Is it a financial issue? Is it a mix? Is it like, is it ignorance? Is it inability? Like, what what is it exactly?
Julie Yeah. That that's that's the hard part. It's it's it's a little bit of all of that. And so I'll have people tell me, I can't afford to buy fruits and vegetables because that's what's expensive at the grocery store. I mean, everything's expensive at the grocery store.
Scott Benner Can we talk like like like friends for a second, Julie?
Julie Yeah. You bet.
Scott Benner Do you think they're full of shit and they just wanna eat like a ho ho, or do you think they really can't afford a clementine? Which do you think it is? Because I can get a bag of clementines for $4, eat them for a month. Right? Like, so what's the I mean, that sounds pretty cheap to me.
Scott Benner No?
Julie Yeah. Or a bag of apples. Apples are cheap. Bananas are cheap. Although bananas bananas are have a lot of sugar in them.
Julie That's that's probably the the worst fruit, but that's still better than, like, about half a bag of marshmallow.
Scott Benner I just wish you would have said a $5 apple bag, but nevertheless
Julie Oh, gosh.
Scott Benner But but because then I definitely would have called your episode $5 apple bag.
Julie Oh, shoot. No. No.
Scott Benner No. I hear I hear what you're saying though. Like, you know Yeah. Melons, and not even like high sugar stuff either. Like, just Right.
Scott Benner You know, get an avocado. Avocados are expensive, actually.
Julie Yeah.
Scott Benner They are. And so I take the I mean, I take the point that the money is an issue, but it's funny though, isn't it? Like, you know, like, look at all the money that's going out for the health. It, like Right. Just maybe put that money into the food, but you're saying that it's about I feel like I've heard you say more than once that they want something that tastes good.
Scott Benner So do you think that their
Julie Yes.
Scott Benner Their their palate's been zhuzhed up to a 100 to the point where nothing tastes good anymore? Unless it's, like, got sugar and, you know, high fructose corn syrup on it and nine other, like, sugary things, and then they can taste it?
Julie Yeah. I think that's a big part of it. I mean, I think that you know, it depends on the age and and how and and all and all of that. And so I think there's been a shift. I mean, I don't I know when I was a kid, like or I would go to high school not having had breakfast and eat a bag of M and M's and and and mister Pibb, and that was my breakfast.
Julie That's I I'm embarrassed to say that, but it's true.
Scott Benner Please.
Julie So and it's not that my parents, I mean, didn't provide us with healthy food. I mean, they did, but, the big thing then was, was, low fat and who cares about all the sugar. So
Scott Benner Yeah. You're right age where you got caught up in that you got caught up in that messaging that as long as you eat low fat, you'll be okay. Because it was they thought it was about your heart. Right? Like, now it it seems to be shifting.
Scott Benner I mean, it's been shifting for
Julie a long time. That that's a lot of the problem is that people don't know what to do because it's like, is it the food pyramid? Is it keto diet? Is it the Mediterranean diet? Or, you know, like, what what is the right way to eat?
Julie I don't know because I've been told one thing for ten years, and then all of a sudden it changes. And I don't know I don't know anymore. Doritos taste awesome. So Well, that too.
Scott Benner Well, yeah. Yeah. Right. Because I don't know what to do, but I do know what tastes good, and I also don't have a ton of time. It's not like we're not all sitting around like a Kardashian wondering what to do with our morning.
Scott Benner Right.
Julie Yeah.
Scott Benner Like, people are getting up. They're hustling to work or school. They're hustling home. They're doing other things. They don't you you they don't have time to sit around and philosophize about about what they're eating.
Julie They Right.
Scott Benner Yeah. You know. It it it's a quick, again, a cyclone. You get you get scooped, dumped into it very quickly. You don't have any time to think about it.
Scott Benner You have bad direction. Probably can't afford it to begin with. And now you're just, you know, whoo. Like, I gotta go. I gotta go until all of a sudden somebody says you're sick, and that's what stops you.
Julie Right.
Scott Benner And they say, hey, you're sick. You know what? What'll fix this? Stop eating all the food you can afford that you've been eating for twenty years that you like. Right.
Scott Benner And I really hope people hear that because I am sometimes stunned by the frequency in which someone will say to me, we went out to dinner. And then they finish that thought by talking about going to a place that I don't think I would not eat at. Yeah. They think of it as a local restaurant Right. Or, you know, like, good food or something.
Scott Benner I'm like, oh my god. That's your it's McDonald's. You're you that's not you shouldn't go there. Yeah. I went over it recently in an episode we did.
Scott Benner We actually did we have a series called bolus four.
Julie Uh-huh.
Scott Benner It just kinda breaks down a food item. Like, here's how you bolus for a potato. Here's how you
Julie Yes.
Scott Benner But we did here's how you bolus for McDonald's. Did it because a lot of people go to McDonald's and they still have to know how to bolus their insulin for it. Right? And I'm going through that website picking through fat, protein, carbs, everything, and some of this stuff, and it's astonishing.
Julie Right.
Scott Benner And then you, like, start talking about, like, you know, like, the reality of it. And the example I used was my wife left recently in the middle of a stressful moment during the day, and she came back with a bag of McDonald's. And I was like, what's going on here? You know? And she's like, things are out of control.
Scott Benner And I was like, okay. She couldn't eat very much of it.
Julie Right.
Scott Benner And she says to me, do you want a chicken nugget? And I was like, when's the last time I had I'll take a chicken nugget. Right? I said, let me let me pair that chicken nugget up with three french fries and a short dip in this, sweet and sour sauce. Yeah.
Scott Benner I take a little bite of that. She and I chat for a while, middle of the day. We're just talking.
Julie Uh-huh.
Scott Benner And then I go to leave. I'm gonna come back upstairs and keep working. It's just, do you want another nugget? And I went, no. And I reached into the box and took one because Yeah.
Scott Benner Both were true, Julie. I did not want one. I was like, let me see about this.
Julie Yeah.
Scott Benner I bit into that nugget, and it had gotten chilly. And you couldn't distinguish what it was anymore.
Julie Oh, gosh.
Scott Benner And I was like, when it when it was hot and the grease was still a little popping, and you get the salt, I was like, this is chicken because someone told me it was chicken. And five minutes later, I was like, I could not attest to this being chicken right now.
Julie Right. It's like that's you're thinking back to the pink slime
Scott Benner I don't know what I just I went like I went like it. I don't know if you know this noise. Had that right into a napkin and I got rid of it. Right? Yes.
Scott Benner But five minutes before, was like, chicken nugget. And it and Yeah. And I think, like, wow. And at the very least, the argument used to be, like, look. It's not good for you, but it's affordable.
Scott Benner It isn't even affordable now.
Julie Right.
Scott Benner So when the whole world's full of this food Mhmm. You know, I just think telling people, just stop eating stuff that tastes good and go for a walk. And, boy, I'll tell you what, I think twenty years from now, this is all gonna straighten right up for you. You just keep on this path. That's why you're seeing people have so much success with the GLP because they can't eat it or they lose their flavor for it or they can't stomach it, like, literally.
Scott Benner And then I think the one people the people you see go, I can't tolerate this. I am super interested to know what they mean by I can't tolerate this is I kept eating a bunch of crappy food and my belly hurts, so I'm gonna stop because my belly don't hurt when I'm not taking the GLP. Like, if it didn't stop them from eating it, so they're having that slow digestion problem of putting that all that fat in there to begin with. Right. Anyway, that that's sort of my I don't know how you're supposed to fix that from the back of a of a dice game, but good luck.
Julie And I will say that, like, a couple of things. I do talk about like, you were talking about reaching for the chicken nugget when you didn't want it. I say I I tell people, pay attention to mindless eating. Like, we do so much mindless eating, and it's like, enjoy your food. Like, people will sit down like, it's like going to the movies with a bucket of popcorn.
Scott Benner Sure. You're find the bottom.
Julie Are you really even you you can get to the bottom of that bucket of popcorn and and not even really really tasted it or or enjoyed it or realized that you ate it, and you've just consumed, I don't know, how many you know, 3,000 calories and a 100 grams a car or whatever.
Scott Benner And whatever buttery flavored topping it is.
Julie My god. Yeah. It or or just sitting down to to watch a movie at home, and you've got a bag of chips, and and you before you know it or a or a sleeve of Oreos. And before you know it, you've eaten the whole sleeve of Oreos and half a bag of chips. Like, making people aware of of that, of what they're eating and and not mindlessly eating, like, just really taking the time to enjoy their food is one thing.
Julie And then, two, like, I myself shared about my high school breakfast. The more that I have cut out artificial sweetener, which I used to be, like, drink three diet Doctor Peppers a day, I don't have crave sugar as much. That's a real thing. And and so I think that make it a slow process. Don't do anything don't do anything extreme.
Julie I think that's the other message is, you know, don't try to go from zero to 60 in a week. Like, you know, start slowly introducing better foods or slowly you know, if you don't exercise, if you have a desk job that you sit at, you know, eight hours a day, then start by walking down the driveway to your mailbox and back, like, every day for a week.
Scott Benner You're freaking me out with the idea that people don't move at least that much.
Julie I am dead serious. Like like, I you working in in the in where I work, like, we see everything. And, yeah, there are plenty of people that that don't move. But and and I say that. I I should also say that a lot of it is people that are older that that have lost some mobility.
Julie So there is there is that side of it. And and but even they can get some movement. And some of, you know, some of that may be a product of just having bad habits for a long time, but you can always start good habits even if you start them really slowly. Just just make it a slow slow process. And before you know it, you may be walking a mile or two every day.
Julie Who knows? You know? Or you may be you may be eating salads and, grilled chicken, and it tastes good. So yeah. No.
Julie You can I think you can make good food that's good for you tastes good, and and I think everybody can move in some way every day? So
Scott Benner Can I agree and disagree with you at the same time? Watch this. Absolutely. Okay. I think you're right.
Scott Benner And I think that if if that's the thing that we could get people to do, then that would be awesome. And I also think that for some people, and I don't know the percentage of those people, it could be half of them, some of them, most of them, few of them, I don't care. It's not gonna work for them.
Julie Right.
Scott Benner I mean, you and I have discussed a myriad of issues that impact people. Right?
Julie Right.
Scott Benner My thought here is is that people's lives are only so long. Mhmm. If you think about life, like, genuinely, right, what is It's 20 to get going, 20 to live, and the 20 where you die. Right? Yeah.
Scott Benner Honestly, joy. Yeah. The first 20, you're learning stuff, you're growing, you're having fun playing baseball, you're learning how to go to college, whatever. If you're lucky, you get a job in the first few years after high school or college, maybe not even. Even that's being stretched now.
Scott Benner People in their mid twenties are still looking for work. Maybe you're gonna, like, bump into a girl who can tolerate you. You'll bump into her a couple more times and a baby will come out. You'll raise that baby. Now you're 45 or 50 by the time that kid goes off to college or, you know, gets the hell out of your house.
Scott Benner That's about the time your arm starts hurting for reasons you don't understand.
Julie Right.
Scott Benner And then, like it or not, you get older for the the next, like, ten or fifteen years. You're like, I'm gonna I'm gonna live forever. I'm if the 50 is the new 30. And then you get in your mid sixties, you go, holy hell. My and then it's over.
Scott Benner And then you slowly die. Okay. Like so, like, when that's I mean, listen. And that's if you get lucky and don't get cancer.
Julie Yeah.
Scott Benner So when that's the thing and you start off with a mom who's like, hey, off to school. Here's your mister Pibb and your and your m and m's and you broke free of it. You're eating pretty well. A lot of people won't. And, you know, they don't have the education behind the food.
Scott Benner The food system's set up the way it is. You, a, don't know what you're supposed to be eating and most of the stuff that's being shoved towards you is no good for you anyway. You're putting somebody in a completely unwinnable situation and then you're telling them, why don't you try walking to the mailbox? Mhmm. You know what?
Scott Benner You walked to that goddamn mailbox. You better put that mailbox on the moon because, like, if if because because if that's not what's going on, you're not gonna overcome the landslide of social, psychological, financial bull that's holding you back. And that's why I say, and I'll say it right here and now, save up your money, jam that GLP thing into your and shut off your hunger long enough for you to hopefully be able to reset yourself as I think that might be your only chance.
Julie Yeah.
Scott Benner All that other stuff needs to get fixed. I don't know how that's all supposed to happen in my short lifetime is my point. Yeah. That's all.
Julie Yeah. Yeah. I and gosh. That's depressing to think about it.
Scott Benner Hey. The truth often is.
Julie That is true. That is true. But no. I and and that's one thing that that, you know, I I worry about with the GLPs is is there a world in which you are able to get off of it because you've gotten in yourself into a a good weight level and and a good
Scott Benner Julie, may I? Better Who cares?
Julie Well, I guess that's a that's a fair that's a fair point.
Scott Benner Right.
Julie But, like, in my pharmacist brain, how long have they been out? I don't know. Not that long. We don't know.
Scott Benner Well, no. No. They've been out they've been out over a decade.
Julie Yeah. Which in the in the pharmacy world is is not I mean, I I guess everything moves pretty fast now.
Scott Benner So I I
Julie forget that. You know, it's it's not that we're not living in the days of penicillin discovery. So but, no, I mean, they're they're finding some some negative things. And so I I guess, you know, that's
Scott Benner a What negative things?
Julie You know, women, who are losing a lot of weight are also losing muscle mass and they're and and then losing bone density. And so that's a big problem because that increases risk of fractures. That brings with it a whole host
Scott Benner of problems. Don't know how to choose between a fracture and a heart attack. Do you?
Julie Yeah. I mean, yeah. I guess yeah. That that's what what can I say?
Scott Benner I know that you can't say anything. I'm not asking you to say anything. Yeah. 2005, by the way, Byetta came out. It's approved.
Scott Benner It's the first GOP.
Julie I knew that the daily one Byetta was the the very first one. I remember that one. It had been out the longest. And then Bydureon, and then I think Victoza may have
Scott Benner been Look at you.
Julie Okay. Still
Scott Benner a day on
Julie you in.
Scott Benner I'll give it to people. Two thousand five. Byetta, two thousand ten. Victoza, twenty twelve. Bydureon, that's the injectable the first time.
Scott Benner Trulicity comes out in 2014. Saxenda yeah. Saxenda comes out in 2014, 2017. Ozempic for all the people who are like, Ozempic, it just came out. Ozempic 2017, that's nine years ago.
Julie That's crazy. It's it's only just recently exploded though.
Scott Benner Yeah. Well, it's because they zhuzhed it up enough that you've, like, people were saying it. And a couple of famous people got thinning. You're like, hey. That chick from the office looks like a twig.
Scott Benner What's going on? Yeah. 2019, Rybelsus. 2021, Wegovy. 2022, Mounjaro.
Scott Benner Yeah. And so, like, it's been around since 2005.
Julie Right. Right.
Scott Benner But my bigger point is the bigger point, which is it's nice to say what we should be doing, but that's not happening. And in that time, people are getting, you know, type two diabetes. Right. They're having a heart attacks, strokes, you know, experiencing all kinds of of different issues, weight related issues that can touch a thousand different things, including, like, inflammation and, like, you know, some people have autoimmune issues that are holding them back. My point is that while I think while the system is telling people, you just be perfect, and then we'll see where that gets you.
Scott Benner Mhmm. I'm saying everything's a tornado. Jump in the tornado and start swinging your hands and see what you can get for yourself because you're not gonna live forever. Like, you told me I was gonna live for a thousand years, then I'll walk to the mailbox for a hundred years and see what happens. Right?
Scott Benner Like but, like, I don't have that kind of time. If I've gotta educate them and then I've gotta give them enough money to pay for the food, then I've gotta teach them which food is the right food to eat. And then I've gotta show them how to exercise after a life of not exercising, which by the way, now they're overweight, their joints hurt, and they probably got brain fog, and now I want them to go for a walk to fix the whole thing. Like, I'm not saying that isn't the right way, and I'm also not saying that there aren't people who get to it that way. I'm saying when you're thinking about the big picture of everybody, I would drop it out of airplanes.
Scott Benner Okay? And then raise a generation of people who are not hooked on Oreos and then see if maybe their kids don't learn differently. See if maybe that doesn't impact the the industrial complex that makes our food. And maybe if they can't sell Oreos by the metric ton, maybe they'll stop making them. And then maybe you'll get a avocado that costs 49¢ the way it probably should.
Scott Benner But do you see what I'm saying? Like, it just
Julie I do. Yeah. I do. I just think I I do think that the the the unfortunate side of that is also in a perfect world, GLPs would be affordable. And that's the other thing, you know, people complain about food not being affordable.
Julie Yeah. GLPs cost they're a thousand dollars a month.
Scott Benner Nah. They're $300 now.
Julie Not yet. Hey. I work in a pharmacy, and I see the cost to us, and I see what insurance is paying. So there may be backdoor ways to get them that way, but right now, we're not seeing it. So I'm just saying.
Scott Benner It might be that it's not maybe that's not the way to do it at this point too because it's Yeah. As of late twenty twenty five, GLP medications are $299 a month. You can get them through Lily Direct that way. There's ways to to to accomplish that. And my point would be at $300 a month, I mean, that I'm not calling that a little bit of money.
Scott Benner But if a pack of Oreos is $8, I bet you could walk through your kitchen and find $300 worth of food you shouldn't be eating. And so come up with the first 300, get ahead of that sugar craving, and then stop you know, at some point, you're gonna have to put your foot down and make a decision about what you're gonna do. Right?
Julie Right. It's the same argument with getting like, I help people quit smoking, you know, like 100 they spend tons of money on that. But are they gonna but then, like, you tell them a consultation or to to quit is $75 or or a
Scott Benner Where am I getting that from? I gotta buy cigarettes.
Julie Or or a box of patches is $50 for a month.
Scott Benner I have someone in my family. I'm I hope they never hear this because you'll be on the phone you'll be on the phone with them and they're talking about all the stuff they can't afford. And in the background, you're like, don't know what I'm doing. I can't afford anything. And I'm like, yeah.
Scott Benner Is that that $20 cigarette you're smoking back there?
Julie Right.
Scott Benner Telling me you can't you can't put gas in your car? Is that what just happened? Because it feels like that's what just happened. Yeah. But also, I'm not saying they're not addicted to it.
Scott Benner Like, it's not as it would be like saying to an alcoholic, like, Just stop drinking.
Julie Right.
Scott Benner You know what I mean? Like, it's not that easy. And so I all my point is around this is if there's a way to help you, whether it's pharmacy I would I don't even care what it is. If it's pharmaceutical or another way to help you, try to get off this roller coaster of what the world is offering and what you have access and availability to, then why not, like, try to put a foot in the ground stop and start over again? But I also think that that's not how it's put to people.
Scott Benner Like, I don't think they understand that they're on a death spiral twister ride.
Julie No. Because it's too slow.
Scott Benner Yes. Oh, that's such a good point. Right? Like Yeah. Yeah.
Scott Benner Because it comes on you too slowly, and you don't realize it's happening until someone says to you, hey. We have to unclog that artery or you're gonna shut off. Yeah. Right. Right.
Julie Right. No.
Scott Benner I hear
Julie you. That's the that's the that's the worst part of diabetes, type one, type two, any of it. It's is that every everything happens at such a slow pace that you tell somebody twenty years down the road that x is gonna happen. They'll be like, well, years down the road Yeah. You know, like, I'm not worried about that.
Scott Benner We cross that bridge when we come to it.
Julie Right.
Scott Benner Except when you
Scott Benner come to the bridge, there's a big hole in the middle of it, you're too heavy for it, and you fall through. Yeah. Yeah. Yeah. No.
Scott Benner No. It's it really is terrible. Like.
Julie Yeah.
Scott Benner Yeah. Can we call this episode mister Pibb? I think we could. Right? No.
Scott Benner No? Why not?
Julie Well, no. We can. But but I I do want to just make a point of that it is 100 not my mother's fault. Like, she she fed me well. I I would I would go to school bare wake up at a time barely to to get to school, and then I would buy it at the snack bar at school.
Julie So which they they had in the mornings before school started. That's all it was candy and sodas.
Scott Benner No. I know. No. But that is part of my point is that it's been Yeah. It's been marketed to you a thousand different ways.
Scott Benner After I graduated from high school, had to come back a couple years later for something. And I was like, there's a soda machine in here. What an odd thing to put in a high school. I I even thought it's like a young person. And then I walked down the hall, to drop something.
Scott Benner I was like, I think my brother was still there. He was dropping something off. And there was a candy machine. I was like, there's a candy machine and a soda machine here. That's nuts.
Scott Benner It really is that's an insane thing to do, but that's very common now.
Julie Yeah.
Scott Benner So yeah. I mean, listen. Again, you're caught in a loop. I don't normally talk about political stuff, but you're caught in a loop here. You're being fed with one hand and then the other hand's telling you to, you know, go for a walk.
Scott Benner Like, alright. And that's not gonna help me. There that walk is to keep you busy so you don't notice that they're draining your pocket with Oreos. Listen. Yeah.
Scott Benner Get out there and fight for yourself. I don't know what to say. Yeah. Julie, this turned out really fun. Thank you.
Julie Yeah. Well, good. I've I've I've had fun.
Scott Benner You too. Good. Good. Good.
Julie I I felt like we ended up talking about type two diabetes more than anything, but I think it's information that's good for for both or just for people not even with diabetes.
Scott Benner You know? Every conversation is not gonna be the same. That's what makes them special.
Julie Well, good.
Scott Benner Yeah. You know what makes me special? Don't know. I I don't know. My mom my mom told me.
Scott Benner My mom never told me I was special. I was I waited for it for a long time and Oh, stop. She was like, you seem average at best. So
Julie Well, maybe you need to to give me some bullet points on if you were to teach my class, what would those bullet
Scott Benner points be? You wanna finish there? I can do that with you.
Julie Yeah.
Scott's Diabetes Core Philosophy
Scott Benner If I was teaching a class for somebody with type one diabetes or type two.
Julie Either one.
Scott Benner Okay. Well, there Yeah. I mean, if it was type two
Julie Yeah.
Scott Benner I think I would come from this perspective. When my little brother was 12, I caught him smoking cigarettes. And I said, somewhere right now, there are 10 really rich people sitting at a conference table laughing at you for buying those cigarettes. And they're taking that money and they're buying an island with it and having sex with models. I just want you to know that that's what they're doing with your money.
Scott Benner I was like, they're they're off leaving a lavish life, while you kill yourself and send them your money. And I said, and I bet you none of them smoke cigarettes. And then years later, I heard this the people who, you know, invented doom scrolling and, you know, and social media say, I don't let my kids have a cell phone. Yeah. I think I'm gonna bet that if we find, you know, the company that owns the company that makes the cookies that you love, First of all, that company is probably owned by a different company.
Scott Benner It's probably a cigarette company that owns a food company. I'm making quotes around a food company.
Julie Right.
Scott Benner And they have found a way to get you to send them money for a cookie. And I bet if you go to their house, you won't find one of those cookies there.
Julie Yeah.
Scott Benner So I understand that this is the situation you've been put in, but I wouldn't wanna be made a fool of. And and that is really how it it occurs to me. There are people out there picking your pocket by getting you addicted to salt, sugar, and fat, and you're sending that money to them. You know what I mean? Like like, don't don't give them that don't give them your money.
Scott Benner You go buy an island with your money, you know, or whatever it is you want. Don't get caught up in this game and the the payment for this game is your life. And you're telling me I, you know, I can't I can't afford ten hours to come to this class. You come to this class. I'll teach you about food.
Scott Benner I will teach you about nutrition. I'll teach you about what it's doing to you. We'll talk about ways to mitigate the problems you have right now. If you're type two, let's hope we can get you through it and maybe get you to a point where you don't need medication. But at this point right now, you're in too deep.
Scott Benner You're in a hole and telling me you wanna climb out by walking to the mailbox. I'm telling you, I think we need to throw a flashlight and a ladder down there and help you get out. So I can help you use this medication. There are some things you're gonna have to do when that medication comes to you. Right?
Scott Benner We can't inject the GLP and then go eat a pizza. We can't do that. Okay? So your first couple of weeks, gonna put you on, you know, what's gonna seem restrictive to you, but I'll tell you six months from now, you're gonna think of it as fantastic. Because that's my been my experience, Julie.
Scott Benner And I would I would share my experience with them that once you get like you talked about, once you kinda get that sugar out of your system and you're not eating all that stuff all the time and the medication's helping you not feel hungry and to feel full a little bit. If you just trust that medication and say, I'm full and realize that when you go to reach for food, that is a that's a habit. That's a psychological issue. It has nothing to do with hunger and it has nothing to do with nutrition. If you can ignore that for a few weeks or a few months, you're gonna pop up on the other side in a flower filled sun drenched field of happiness.
Scott Benner I promise you. And then I'd show them a picture of myself three years ago and a picture of myself now. Mhmm. And I'd say, just hang on. That could be you.
Scott Benner If your stomach starts hurting, you're probably eating stuff that you're testing that medication a little too much. Let's not do high fat. Let's not do real thick heavy foods. You gotta go to the bathroom every day. You ain't pooping every day, we got a problem.
Scott Benner Here's a bottle of magnesium oxide. Start with one a day. If that don't make you go, go to two a day. But I want you pooping every day so your belly doesn't hurt because I want your belly not to hurt so that you can stay on this medication long enough to get into that field full of flowers and sunshine. That's where your work's gonna be.
Scott Benner Your work's gonna be ignoring the thing your brain is telling you and the thing that your memory is telling you that, like, oh, you know, it's not Easter without jelly beans. It's not yes. It is. It's still fucking Easter. Okay?
Scott Benner Like, don't eat a bag of jelly beans, please.
Julie Yeah.
Scott Benner I just you know, I think of Christmas and I think of this. Think of something else.
Julie Right.
Scott Benner Back when my grandmother put out a little candy at Christmas in a dish, it was a butterscotch or like a mint, and you had three of them in December. Because when she bought them, the bag had a, you know, had six ounces of candy, and it's the only bag she could afford, and that's all you got. Now when I go out and buy a bag of candy, it's five pounds. It costs $3, and if it if it runs out, I'll just go get another one. Like and now I'm eating 17 pieces of butterscotch a day.
Scott Benner You're not in the same game anymore that your brain's telling you you're in. So, I mean, for type twos and then, yeah, once you start lift losing weight and you can move a little bit, get going. Like right? Like, get moving. Stand up.
Scott Benner Don't sit down. Walk around your house. Like, you know, oh, you got stairs? Up and down. Up and down.
Scott Benner Up and down. Like, keep going. You have no idea how good you're gonna feel in a couple of years. And if you don't wanna do that, god bless you. That's the path to this whole thing.
Julie Yeah. Okay. And what well, last thing, what
Scott Benner Type one.
Julie What do tell a 19 year old boy?
Scott Benner Oh, your son should be listening to
Julie Type this one.
Scott Benner Yep. Just
Julie It won't listen to his mom.
Scott Benner Just tell him to listen to this small sip series that I made. That's
Julie all. Okay.
Scott Benner Like, that's it. It's juiceboxpodcast.com. Go up to the menu. Click on small sips. It's like 20 episodes or a few minutes long.
Scott Benner Right. That's foundationally pretty much everything he needs to understand to take care of his insulin and his diabetes. Okay. He wants to expand from there. He should go to the pro tip series to listen to longer conversations about it.
Scott Benner But in the end, it's about timing and amount. It's about understanding the impact of your food and how that food impacts your insulin, how that insulin impacts your food. You get those three ideas down, he's gonna have an a one c in the low sixes.
Julie Yeah.
Scott Benner That's it. It's it's it's about it's about and and if I if I may, this is the thing I can't get through to anybody yet. I'm still trying. A little bit of effort now takes away the need for a lot of effort later and that's day to day and throughout your lifetime. So around type one diabetes, get up in the morning, your blood sugar's one fifty.
Scott Benner You don't eat, you get your blood sugar down. Then you pre bolus that meal, then you eat. You pre bolus your meals, you stay ahead of high blood sugars. If you stay a high ahead of high blood sugars, you're not gonna fight with highs. You're not gonna always be either giving yourself more insulin or worried sitting there going like, I don't feel like doing this and not giving yourself more insulin, which is, you know, eventually gonna lead to a low later, which you're gonna have to put more effort into.
Scott Benner So a tiny bit of effort upfront saves a ton of effort throughout the day. It lightens your load, makes this whole thing much easier. Timing, amount, understand the impact of food, you know, get ahead, stay ahead. That's that's pretty much the whole thing for type one. Yeah.
Scott Benner Yeah.
Julie And he does mostly a pretty good job of that with he just needs a little tweaking, but, yeah, I I appreciate that. And I think that he just needs to to listen.
Scott Benner Yeah. No. But super seriously, it's just Yeah. I understand being a kid and I understand not wanting to do things and all that stuff. But, you know, in the end, Joy, you just it's about it's like everything else.
Scott Benner Like, at some point, you're just gonna have to do it. And if you don't, no matter what it is, forget diabetes. There's things you gotta do and if you don't do them, there's gonna be, you there's know, gonna be consequences on the other side.
Julie Sure.
Scott Benner So Yeah. I don't know. All this stuff is exactly the same. Get ahead. Stay ahead.
Scott Benner You know, do your part. Go for a walk. Pretty much a handle. That's all. I'm good.
Scott Benner Thanks. Excellent, Joy. You were awesome.
Julie Sounds good.
Scott Benner Hold on one second for me. Okay?
Julie Okay. Yeah. You bet.
Closing and Final Sponsor Messages
Scott Benner A huge thank you to Cozy Earth, a longtime sponsor. Cozyearth.com. Use the offer code juice box at checkout. You will save 20% off of your entire order when you use that code. Don't let me down kids.
Scott Benner Head over there now. Get yourself some joggers, some towels, some sheets. Save yourself some money, support the podcast, make your life beautiful and comfortable all at the same time. Cozyearth.com. Use the offer code juice box at checkout.
Scott Benner Today's episode of the juice box podcast is sponsored by the Dexcom g seven, and the Dexcom g seven warms up in just thirty minutes. Check it out now at dexcom.com/juicebox. This episode of the juice box podcast is sponsored by Omnipod five. Omnipod five is a tube free automated insulin delivery system that's been shown to significantly improve a one c and time and range for people with type one diabetes when they've switched from daily injections. Learn more and get started today at omnipod.com/juicebox.
Scott Benner At my link, you can get a free starter kit right now. Terms and conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox. Thank you so much for listening.
Scott Benner I'll be back very soon with another episode of the juice box podcast. If you're not already subscribed or following the podcast in your favorite audio app, like Spotify or Apple podcasts, please do that now. Seriously, just to hit follow or subscribe will really help the show. If you go a little further in Apple Podcasts and set it up so that it downloads all new episodes, I'll be your best friend. And if you leave a five star review, oh, I'll probably send you a Christmas card.
Scott Benner Hey, kids. Listen up. You've made it to the end of the podcast. You must have enjoyed it. You know what else you might enjoy?
Scott Benner The private Facebook group for the Juice Box podcast. I know you're thinking, Facebook, Scott, please. But no. Beautiful group, wonderful people, a fantastic community. Juice Box podcast, type one diabetes on Facebook.
Scott Benner Of course, if you have type two, are you touched by diabetes in any way? You're absolutely welcome. It's a private group, so you'll have to answer a couple of questions before you come in. We'll make sure you're not a bot or an evil doer, then you're on your way. You'll be part of the family.
Scott Benner The Juice Box podcast is edited by Wrong Way Recording. Wrongwayrecording.com. If you'd like your podcast to sound as good as mine, check out Rob at wrongwayrecording.com.
