#1856 Beverly Hills Braun
Fifty-year type 1 veteran and health psychologist Dr. Beth Braun discusses managing diabetes burnout, overcoming food shame, and the clinical impact support groups have on lowering A1C.
Companies that Support Juicebox
Key Takeaways
- A Half-Century of Evolution: Dr. Beth Braun shares her powerful narrative of celebrating 50 years with Type 1 diabetes, highlighting the massive evolutionary leap from once-daily animal insulin injections and urine testing to modern automated delivery systems[cite: 2624, 2639, 2644, 2800].
- Remission Through Specialized Care: Beth candidly details her battle with severe diabetes burnout, retinopathy, and gastroparesis symptoms in her late twenties and thirties, demonstrating how switching to a compassionate care provider and tightening tracking frameworks put her complications into long-term control[cite: 2721, 2723, 2726, 2835].
- Unpacking Disordered Eating: As a licensed health psychologist, Dr. Braun shares that 30% to 40% of people living with Type 1 diabetes experience disordered eating or profound food shame due to historical rigid dietary restrictions, advocating heavily for shifting therapeutic vocabulary from judgmental "test results" to objective "functional data"[cite: 2974, 2980, 2981].
- The Clinical Value of Support Groups: The conversation highlights foundational clinical research showing a documented drop in A1C levels when individuals join peer support groups, illustrating that breaking isolation acts as a functional tool for diabetes health[cite: 3152, 3153, 3158].
- Physiological Echoes of Stress: Both Scott and Beth track how emotional and psychological stress manifests visually on continuous glucose monitors—with blood sugars climbing significantly during high-stakes presentations or school meetings due to involuntary hormonal and adrenaline changes[cite: 3003, 3008, 3016].
Resources Mentioned
- US Med Diabetes Supplies Fulfillment [cite: 2615]
- Tandem Mobi Pump & Control IQ Plus Technology [cite: 2619]
- Eversense 365 Long-Term Wear CGM System [cite: 2619]
- Breakthrough T1D (Formerly JDRF/JDF) [cite: 2658, 2659]
- Juicebox Docs Doctor Directory [cite: 3030]
- Dr. Beth Braun Professional Website [cite: 3213]
- Dr. Beth Braun Instagram (@DuinDiabetes) [cite: 3214]
- Wrong Way Recording Podcast Editing Services [cite: 3257, 3261]
Introduction and Sponsor Spotlight
Scott Benner Friends, we're all back together for the next episode of the Juice Box podcast. Welcome. [cite: 2602]
Beth Hello, everyone. I am doctor Beth Braun. I am a health psychologist, psychologist, and I specialize in type one and type two diabetes. [cite: 2603]
Scott Benner 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. [cite: 2604] But everybody is welcome. Type one, type two, gestational, loved ones, it doesn't matter to me. [cite: 2605] 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. [cite: 2606] My grand rounds series was designed by listeners to tell doctors what they need, and it also helps you to understand what to ask for. [cite: 2607]
Scott Benner There's a mental wellness series that addresses the emotional side of diabetes and practical ways to stay balanced. [cite: 2608] And when we talk about GLP medications, well, we'll break down what they are, how they may help you, and if they fit into your diabetes management plan. [cite: 2609] What do these three things have in common? They're all available at juiceboxpodcast.com up in the menu. [cite: 2610] I know it can be hard to find these things in a podcast app, so we've collected them all for you at juiceboxpodcast.com. [cite: 2611]
Scott Benner Nothing you hear on the juice box podcast should be considered advice, medical or otherwise. [cite: 2612] Always consult a physician before making any changes to your health care plan. [cite: 2613] US Med is sponsoring this episode of the Juice Box podcast, and we've been getting our diabetes supplies from US Med for years. [cite: 2614] You can as well. Usmed.com/juicebox or call (888) 721-1514. [cite: 2615]
Scott Benner Use the link or the number, get your free benefits check, and get started today with US Med. [cite: 2616] Today's episode is also sponsored by the Tandem MOBI system, which is powered by Tandem's newest algorithm, Control IQ Plus technology. [cite: 2617] Tandem MOBI has a predictive algorithm that helps prevent highs and lows and is now available for ages two and up. [cite: 2618] Learn more and get started today at tandemdiabetes.com/juicebox. [cite: 2619] The podcast is also sponsored today by the Eversense three sixty five, the one year wear CGM. [cite: 2619]
Scott Benner That's one insertion a year. That's it. And here's a little bonus for you. [cite: 2620] How about there's no limit on how many friends and family you can share your data with with the Eversense Now app? [cite: 2621] No limits. [cite: 2622] Settle in. Eversense.
Fifty Years with Type 1 Diabetes
Beth Hello, everyone. I am doctor Beth Braun. [cite: 2622] I am a health psychologist, and I specialize in type one and type two diabetes. [cite: 2623] And I will be celebrating my fiftieth diiversary next month. [cite: 2624]
Scott Benner No kidding, Beth. [cite: 2624] Can I ask how old you are? [cite: 2625]
Beth Well, in my mind, I'm 36, but, obviously, I was diagnosed when I was five, so do the math. [cite: 2625]
Scott Benner Okay. Well, you and I are just about the same age, and I'll be 55 this summer. [cite: 2626] Mhmm. Were you born in [cite: 2627]
Beth Happy birthday.
Scott Benner Thank you. Born in '70? [cite: 2627]
Beth Yes, sir. [cite: 2628]
Scott Benner Look at you. Okay. So diagnosed at five. [cite: 2628] I mean, let's talk about that for a second. That's pretty interesting. [cite: 2629] So fifty years ago, diagnosed with type one diabetes meant what for your upbringing? [cite: 2630] Like, what did your parents do? [cite: 2631]
Beth Okay. You remind me in a way of my mom, and it must be the East Coast go getter. [cite: 331] I'm gonna do anything for my kid. [cite: 2632] I first of all, we figured out I was diabetic at Great Adventure at Exit 7 A or whatever it is. [cite: 2632]
Scott Benner No kidding.
Beth No. I swear I couldn't go five minutes without a drink, and they kept giving me fruit juice. [cite: 2633] Go figure. [cite: 2634]
Scott Benner So you went from the super duper double looper to diabetes? [cite: 2634]
Beth Yeah. [cite: 2634] And it was spring break. [cite: 2635] I remember because I was eating jelly beans and so on, and I was in kindergarten. [cite: 2635] And the next thing I know, my mom brings me to the doctor, and he tells her you're being a neurotic Jewish mother. [cite: 2636] And she goes, I'm not. [cite: 2637] This is not my child.
Scott Benner Something's wrong. [cite: 2637]
Beth Something is very wrong. [cite: 2638] And so they did a blood or they did a urine test back then. [cite: 2638] And for the first, I would say, five, eight years, I did urine tests. [cite: 2639] And at six years old, they shipped me off to Camp Firefly. [cite: 2640] I was the youngest camper. [cite: 2640] Uh-huh. And that it was all to gain independence. [cite: 2641] It was all to have a way of life. [cite: 2642]
Scott Benner Yeah. [cite: 2642] Well, what but what was your management like? [cite: 2643] Were you shooting, like, once or twice a day? [cite: 2643] Was that it? [cite: 2644]
Beth Oh, once a day when I started and one shot of NPH. [cite: 2644]
Scott Benner Mhmm. [cite: 2644] Okay. Jeez. All this is shocking to me, but the most shocking thing is I didn't know Jewish kids got jelly beans. [cite: 2645] I thought that was specifically for Easter. [cite: 2645] Am I out of my mind, maybe? [cite: 2646]
Beth Well, you know, we were we we tie dyed eggs and you know? [cite: 2646] Look at you. [cite: 2647]
Scott Benner Awesome. Yeah. Yeah. Yeah. Yeah. I know. [cite: 2648] It suddenly made me think, oh, are there people out there who are not getting jelly beans? [cite: 2649]
Beth No. I did until '75. [cite: 2650] You know? That was it. [cite: 2650] That was the last year of beans. [cite: 2651]
Scott Benner Your mom's like, we're gonna save a ton of money on these jelly beans now. [cite: 2651] Well, how long while sending you to camp at six, Would you have been sent to camp a different kind of camp if you were six and not having diabetes, do you think? [cite: 2652] Or is your, like, family, like, a camp family? [cite: 2653]
Beth We were a camp family, but, yes, every summer in the Poconos and things like that, but not till we were a little older. [cite: 2654] Yes. And I went to day camp. So I came home from Camp Firefly and went off to day camp. [cite: 2655]
Scott Benner Have you, ever I mean, I'm imagining your mom's not with us anymore. Am I right? [cite: 2656]
Beth Right. [cite: 2656]
Scott Benner Okay. So did you ever talk about that time in your life with her as an adult? [cite: 2657]
Beth Well, she went on we lived next door down the street from Lee Dukat who founded at the time JDF, which is now breakthrough t one d, and connected with her. [cite: 2658] She officially made me poster child of the Philadelphia JDF, and my mom worked her way up to president and then worked her way through international JDF. [cite: 2659] And in her memory, I travel all over the West Coast doing breakthrough t one d mental health talks. [cite: 2660]
Scott Benner Oh, how nice.
Beth Thank you. Yes. But she at the time, she wasn't working. [cite: 2661] She was a career mom Mhmm. [cite: 2662] and just happened to catch this while she was in between jobs. [cite: 2662]
Scott Benner How many brothers and sisters do you have?
Beth I have a brother who's four years younger. [cite: 2663]
Scott Benner Okay. Just the two of you then.
Beth Just the two of us. [cite: 2664] And within a month or two of me getting type one diabetes, he got asthma. [cite: 2665]
Scott Benner Oh. [cite: 2665] Mhmm. Are there any autoimmune issues that run through the family? [cite: 2666] People have celiac or thyroid or anything like that? [cite: 2667]
Beth All the women in my family have thyroid issues. [cite: 2667]
Scott Benner Okay.
Beth But, now I look around the holidays, and I'm like, oh, so I'm the lucky winner. [cite: 2668]
Scott Benner You got that one. Do you have other autoimmune yourself or just the type one? [cite: 2669]
Beth Oh, god. Yes. I do. Rheumatoid arthritis and hypothyroidism. [cite: 2670] So yes. [cite: 2670]
Scott Benner Yeah. [cite: 2670] How's the RA impact your life day to day?
Beth It doesn't, honestly. [cite: 2671] There are days I'll have a flare. [cite: 2671] Maybe after, you know, a wild weekend, things will hurt. [cite: 2672] There are times things hurt quite a bit when I'm under a bit of stress. [cite: 2673]
Scott Benner Okay. [cite: 2673] Beth, what's a wild weekend look like when you're 55? [cite: 2674]
Beth Well, for example, I'm speaking in Las Vegas this weekend at the breakthrough t one d. [cite: 2674]
Scott Benner Okay. [cite: 2675] So travel and eating in restaurants and and running around, not sleeping, stuff like that? [cite: 2676]
Beth Things like that or the ADA conference, but this weekend is also March madness. [cite: 2677] So once I finish speaking, I'll be watching a lot of basketball. [cite: 2678]
Scott Benner Oh, in a bar or by yourself somewhere?
Beth In the sports book. [cite: 2678]
Scott Benner Yeah. [cite: 2679] In the sports book. Oh, oh, yeah. You're gonna be in Vegas. [cite: 2680]
Beth I'll be in Vegas. [cite: 2680]
Scott Benner You know? [cite: 2681] You know, I've never been to Vegas, but my brothers and I, we just made plans to go see a concert there next year together. [cite: 2681]
Beth I hope it's at The Sphere. [cite: 2681]
Scott Benner It is. Yeah. [cite: 2682] We're gonna go to The Sphere and see a concert. [cite: 2683] Alright. [cite: 2683] Oddly enough, I I messaged my brothers. [cite: 2684]
Scott Benner I don't know how you grew up. [cite: 2684] We grew up really broke. [cite: 2685] And I was like, look. [cite: 2685] We should I said, we're I'm in my mid fifties. [cite: 2686] Brian's, you know, 50. [cite: 2687] My other brother is, you know, in his mid forties. [cite: 2688] And I'm like, we've never done anything like this before. [cite: 2688] We're really close, but we'd never do stuff like this. [cite: 2689] I was like, let's just do it. [cite: 2689] And so we worked it out, and I I I think it's gonna be a lot of fun. [cite: 2690]
Navigating Burnout and Complications
Scott Benner Nevertheless. Okay. So the RA only pops up if you exert yourself too much, that kind of stuff. [cite: 2691] Going back to when you were a kid doing the one shot a a day Mhmm. [cite: 2692] When does it change for you? [cite: 2693] Like, at what age do you remember your care modernizing, and how many times do you think it's modernized again over those fifty years? [cite: 2693]
Beth Good question. [cite: 2693] So the first modern technology I got was in middle school, my first blood tester. [cite: 2694] But the thing was huge. [cite: 2694] Absolutely huge. [cite: 2695] Mhmm. I couldn't carry it to school, and the fingerprints hurt so badly. [cite: 2696] I was also taking guitar lessons at the time, and I had to give that up because it hurt too much to do both. [cite: 2697]
Scott Benner Yeah. Okay. [cite: 2697]
Beth But we tested twice a day, and you had an idea of where things were. [cite: 2698]
Scott Benner Did you adjust off of those tests, or were they just sort of I don't know. [cite: 2699] Were they just sort of, like, oh, I it's what my blood sugar is, and then keep going. [cite: 2700] Was there something to do with that information? [cite: 2701]
Beth Well, you didn't have a sliding scale back then. [cite: 2701] You might have given a little more regular, but you weren't working off of a sliding scale. [cite: 2702] We weren't counting carbs back then. [cite: 2703]
Scott Benner No. No. No. No. Yeah. [cite: 2703] But but did it did the test make you think, okay. [cite: 2704] Well, do a little extra at dinner or tomorrow or something like that or less or more? [cite: 2705]
Beth A little bit, but you didn't go off the numbers the doctor gave you. [cite: 2706]
Scott Benner So everything was feel and vibe? [cite: 2707] Like, the doctor start started you somewhere, and then you kind of adjusted off of that? [cite: 2707]
Beth Exactly. Exactly. [cite: 2708]
Scott Benner At what age do you get do you get off of that standard and end up with, like, a short acting and a long acting? [cite: 2708]
Beth It started adjusting after college. [cite: 2709]
Scott Benner Okay. So in your twenties? [cite: 2709] Mhmm. Okay.
Beth Yes. [cite: 2709] Where you're doing I mean, I was giving more injections during college. [cite: 2710] Maybe I was up to four a day. [cite: 2711] But then after college, when I went to graduate school, I was definitely starting to count carbs [cite: 2711]
Scott Benner Okay. [cite: 2711]
Beth Which was huge. [cite: 2711] I grew up. You don't need sugar. [cite: 2712]
Scott Benner Okay. Yeah. [cite: 2712] That was just that that was over after you were diagnosed? [cite: 2713]
Beth You don't eat sugar [cite: 2713]
Scott Benner Yeah. [cite: 2713] Unless you're low. [cite: 2714] Wait. Wait. Help me on the calendar. After college is what? [cite: 2714] Mid nineties for you? [cite: 2715]
Beth Yeah. Early nineties. [cite: 2715]
Scott Benner Okay. [cite: 2715]
Beth And the doctors are like, this is how you count carbs. [cite: 2716] I thought he was crazy. [cite: 2716]
Scott Benner Really? [cite: 2716] Do you remember why it seems so out of bounds, the suggestion? [cite: 2717]
Beth I learned it one way. [cite: 2718] And why what do you mean I shouldn't eat pasta and bagels? [cite: 2718] I eat a bagel every day. [cite: 2719]
Scott Benner No sugar, though. Don't worry.
Beth No sugar. [cite: 2719] It it was I mean, you were watching things change in front of your eyes. [cite: 2720] And then when I turned 30, I I ran into some pretty bad diabetes burnout. [cite: 2721] I hate admitting that to the world. [cite: 2722] But I had these doctors that were really challenging me and judging me and telling me what a bad diabetic I was, and my parents left me to do diabetes on my own, basically [cite: 2722] Mhmm. until I turned 30, and I started getting gastroparesis symptoms. [cite: 2723] And my mom being the advocate that she was got me in with the world's greatest doctor, Ann Peters. [cite: 2724] And getting into her hands spoke to me like a person with diabetes. [cite: 2725] Instead of a bad diabetic, she got me on a pump, and she gave me the motivation to take care of myself. [cite: 2726] We're the first CGM from Medtronic. [cite: 2727]
Scott Benner What do you think your outcomes were like in those first decades there? [cite: 2727] Like, a one c's, do you know where they were? [cite: 2728] Do you have any context for [cite: 2728]
Beth No idea. [cite: 2728]
Scott Benner No idea. [cite: 2729] It wasn't a focus of care back then for you? [cite: 2729]
Beth No. No. [cite: 2730] And what was the focus? [cite: 2730]
Scott Benner Are you taking your shots? Are you testing? [cite: 2730] That's it. Right? [cite: 2731]
Beth Are you testing? Are you taking your insulin? [cite: 2731]
Scott Benner And you're standing up and talking, so you must be okay. [cite: 2732]
Beth I have all my fingers in I mean, it's a miracle I'm here, really. [cite: 2733]
Scott Benner I mean, in your opinion, is that just because that's how it was, or do you think you were getting substandard care? [cite: 2734] You've probably heard me talk about US Med and how simple it is to reorder with US Med using their email system. [cite: 2735] But did you know that if you don't see the email and you're set up for this, you have to set it up. [cite: 2736] They don't just randomly call you, but I'm set up to be called if I don't respond to the email because I don't trust myself, a 100%. [cite: 2737] So one time, I didn't respond to the email and the phone rings at the house. [cite: 2738] It's like, ring, you know how it works. [cite: 2739] And I picked it up. Was like, hello? [cite: 2739] And it was just the recording. It was like, US med, doesn't actually sound like that, but you know what I'm saying. [cite: 2740]
Scott Benner It said, hey, you're, I don't remember exactly what it says, but it's basically like, hey, your order's ready. [cite: 2741] You want us to send it? [cite: 2742] Push this button if you want us to send it. [cite: 2742] Or if you'd like to wait, I think it it lets you put it off, like, a couple of weeks or push this button for that. [cite: 2743] That's pretty much it. [cite: 2744] I push the button to send it, and a few days later, box right at my door. [cite: 2744] That's it. [cite: 2745] Usmed.com/juicebox or call (888) 721-1514. [cite: 2745] Get your free benefits checked now and get started with USmed. [cite: 2745] Dexcom, Omnipod, Tandem, Freestyle, they've got all your favorites. [cite: 2746] Even that new islet pump. [cite: 2746] Check them out now at US Med dot com slash Juice Box or by calling (888) 721-1514. [cite: 2747] There are links in the show notes of your pocket player and links at juiceboxpodcast.com to US Med and to all of the sponsors. [cite: 2748] Today's episode is sponsored by a long term CGM. [cite: 2749] It's going to help you to stay on top of your glucose readings, the Eversense three sixty five. [cite: 2750]
Scott Benner I'm talking, of course, about the world's first and only CGM that lasts for one year. [cite: 2751] One year, one CGM. [cite: 2752] Are you tired of those other CGMs? [cite: 2752] The ones that give you all those problems that you didn't expect? [cite: 2753] Knocking them off, false alerts, not lasting as long as they're supposed to. [cite: 2754] If you're tired of those constant frustrations, use my link, ever since cgm.com/juicebox, to learn more about the Eversense three sixty five. [cite: 2755] Some of you may be able to experience the Eversense three sixty five for as low as a $199 for a full year. [cite: 2756] At my link, you'll find those details and can learn about eligibility. [cite: 2757] Ever since cgm.com/juicebox. [cite: 2757] Check it out. [cite: 2758]
Beth I don't I don't think I was getting substandard care. [cite: 2758] I think we didn't have the ability to get as much information as we do now. [cite: 2759] There was no Google. [cite: 2760] There was no ChatGBT, things like that. [cite: 2760]
Scott Benner Mhmm. [cite: 2760]
Beth So the only time you got information was when you went to the once a year JDF update, or you saw an article in the paper, or when you went to your doctor every couple of months. [cite: 2761]
Scott Benner Yeah. I see. Mhmm. Yeah. Yeah. There's just nowhere to pivot from. [cite: 2762] I mean, there used to be what die was it Diabetes Forecast magazine or something like that? [cite: 2763]
Beth Right? [cite: 2763] I would get pen pals out of Diabetes Forecast magazine, and my dad would read it diligently. [cite: 2764] And since 1976, I would hear, oh, we're so close to a cure. [cite: 2765] We're so close to a cure. [cite: 2765] I waited and waited for a cure. [cite: 2766] And now in the last two, three years for the first time in my life, I believe there is a cure coming. [cite: 2767]
Scott Benner Something's out there. Right? [cite: 2768] You know, I don't know if it's a I mean, maybe it's a functional cure or or something, but I just interviewed somebody doing that the trial out of Chicago. [cite: 2768] Mhmm. I guess I'm getting ready in a week or so. [cite: 2769] In about a week, I'll be interviewing the guy running that trial. [cite: 2770] Mhmm. So yeah. I mean, that stuff's exciting, but it didn't help you in 1982 for sure. [cite: 2771] So what did? [cite: 2771] Like, how come I mean, you said you you had the onset of gastroparesis. [cite: 2772] It sounds like you might have been able to were you able to rectify that or slow it down? [cite: 2773] What did you do? [cite: 2774] Did it go away is what I'm asking you? [cite: 2774]
Beth Did it go away? [cite: 2774]
Scott Benner You know what I mean? [cite: 2775] Like, is it impacting your days? [cite: 2775]
Beth It was greatly impacting my days at the time I was just finishing my PhD. [cite: 2776] Mhmm. I was in dire pain. [cite: 2777] I was bent over in pain. [cite: 2777] My diabetes doctor compared it to stomach cancer pain, And I traveled around going to different doctors, and then I was living in LA at the time. [cite: 2778] Lo and behold, the man with the cure was right at my hospital, Cedars Sinai. [cite: 2779] And once I got to him, Mark Pimentel, he was able to cure me. [cite: 2780]
Beth And it comes back every now and then. [cite: 2781] I have a flare, but it is pretty in control now. [cite: 2781]
Scott Benner What was the thing that they did for you? [cite: 2782]
Beth I take an antibiotic daily, rifaximin, and he also got my motivated me to be even tighter in my diabetes control. [cite: 2783]
Scott Benner Yeah. [cite: 2783]
Beth and he changed my diet greatly. [cite: 2784]
Scott Benner Yeah. [cite: 2784] Yeah. So changing your diet Mhmm. [cite: 2785] Getting things better. [cite: 2785] But do we have context for what a betterment is? [cite: 2785] Like, you back then, do you know what your a one c was? [cite: 2786]
Beth Back then, I would say I was in the high sevens, but then brought it brought it down with Anne to about a seven. [cite: 2787]
Scott Benner You think the gastroparesis is from a high sevens a one c, or do you think that you were experiencing much more variability than that? [cite: 2788] Lots of high highs. [cite: 2789] Like, was that seven come to by a bunch of highs offset by a bunch of lows? [cite: 2789]
Beth Oh, it was thirty twenty five years of being out of control. [cite: 2790]
Scott Benner Okay. [cite: 2790] So you were bouncing constantly? [cite: 2791]
Beth Well, a, we didn't have technology like we do. [cite: 2791] You could you had to prick your finger to know where you were. [cite: 2792] Yeah. We didn't have these fast acting insulins, but it was long term diabetes at that point. [cite: 2793] Longer term with the lack of technology. [cite: 2794]
Scott Benner How many times in a course of a day or a week or however you wanna measure it do you think you were low and had to do something about it with food or carbs? [cite: 2794]
Beth Back then or now? [cite: 2795]
Scott Benner Back then.
Beth Oh, at least two, three times a week. [cite: 2795]
Scott Benner Okay. [cite: 2796] Two or three times a week, you were in a situation where you're like, oh, I'm low. [cite: 2796] I'm in trouble. [cite: 2797]
Beth Right. [cite: 2797]
Scott Benner Okay. [cite: 2797] I understand you didn't have the measurement tools back then. [cite: 2797] But hindsight, do you think your blood sugar was frequently over two fifty? [cite: 2798] Let's talk about the Tandem Mobi insulin pump from today's sponsor, Tandem Diabetes Care. [cite: 2799] Their newest algorithm, Control IQ Plus technology and the new Tandem Mobi pump offer you unique opportunities to have better control. [cite: 2800] I'm talking, of course, about the world's first and only CGM that lasts for one year. [cite: 2800]
Scott Benner It's the only system with auto bolus that helps with missed meals and preventing hyperglycemia, the only system with a dedicated sleep setting, and the only system with off or on body wear options. [cite: 2801] Tandem Mobi gives you more discretion, freedom, and options for how to manage your diabetes. [cite: 2802] This is their best algorithm ever, and they'd like you to check it out at tandemdiabetes.com/juicebox. [cite: 2803] When you get to my link, you're going to see integrations with Dexcom sensors and a ton of other information that's gonna help you learn about Tandem's tiny pump that's big on control. [cite: 2804] Tandemdiabetes.com/juicebox. [cite: 2805] The Tandem Mobi system is available for people ages two and up who want an automated delivery system to help them sleep better, wake up in range, and address high blood sugars with auto bolus. [cite: 2805]
Beth Not frequently, but enough. [cite: 2806]
Scott Benner Okay. [cite: 2806] And that was mainly being controlled by no sugar. [cite: 2806] How are you dealing with all the bread and everything? [cite: 2807] Like, I guess you don't know. [cite: 2807] Isn't it interesting now? [cite: 2808] Because you have now you have all the context for for these measurement ideas that we have now. [cite: 2808] Mhmm. and asking questions in reverse, you don't know the answer to them any better than I do. [cite: 2809] Like, you you just you don't I don't know. [cite: 2810] I was staying alive. [cite: 2810]
Scott Benner I did the things they told me to do. [cite: 2811] I didn't need sugar because that seemed to make sense, and then I moved up when technology moved. [cite: 2812]
Beth Exactly. [cite: 2813]
Scott Benner That's all you really could do. [cite: 2813] And then you feel, I would imagine, lucky to be where you are right now with your health. [cite: 2814]
Beth Well, part of it was my motivation changed. [cite: 2815] Suddenly, I was called doctor Beth Braun, which to me was so meaningful. [cite: 2815] And I started working in an office at Cedars with a pediatric endocrinologist. [cite: 2816] And she's referring me clients, and I'm helping kids with type one and type two diabetes. [cite: 2817] But how could I expect people to practice what I preach if I'm not practicing it? [cite: 2818]
Scott Benner I gotcha. [cite: 2819] You almost had to, like, at least live up to the the line you were drawing for them. [cite: 2819]
Beth Absolutely. [cite: 2820] Yeah. [cite: 2820] and then I started becoming much more educated in diabetes. [cite: 2820] And I think I they say the brain doesn't mature till you're 25 or fully stop growing, and I think that was part of it for me. [cite: 2821]
Scott Benner Yeah. [cite: 2822]
Beth At 25, I grew up. [cite: 2822] And at 30, I was handling patients. [cite: 2822] My first job as a therapist at Beverly Hills High, I was 26 years old. [cite: 2823] I had to grow up. [cite: 2824]
Scott Benner I wonder if it would surprise you to know how many people over the age of 25 into their thirties tell that same hindsight story. [cite: 2824]
Beth Isn't that interesting? [cite: 2825]
Scott Benner It's it's incredibly common when I talk to people all the time just like, I don't know what happened. [cite: 2401] I just I reached a spot and I decided, or it seemed different to me all of a sudden. [cite: 2826] The other thing I hear very frequently from people is for the love of another thing. [cite: 2827] So Mhmm. I met a woman who cared about me, and I wanted to get married. [cite: 2828] So I started taking better care of myself. [cite: 2829] I had a kid. [cite: 2829] My kid got diabetes. [cite: 2829] I decided I had to be a good role model. [cite: 2830] Like, there's a lot of those stories that come out in course of conversations. [cite: 2831]
Beth Yes. [cite: 2831] And I think working under this woman who was always helping me find better ways to take care of myself. [cite: 2832] Mhmm. I really admired my boss at the time. [cite: 2833] So it was great to go to conferences with her, and I was learning and learning. [cite: 2834] And then at 28, I got my first complication before the gastroparesis [cite: 2835]
Scott Benner Which was
Beth which was retinopathy. [cite: 2835]
Scott Benner Oh, no. [cite: 2836] Did you have to get the injections? [cite: 2836]
Beth Mhmm. [cite: 2836] No. They did laser back then. [cite: 2837]
Scott Benner Oh, okay.
Beth Uh-huh. And that totally straightened me out. [cite: 2837] Anything that I wasn't doing. [cite: 2838]
Scott Benner Wait. It straightened you out because it fixed your eyes or straightened you out because you thought, I don't need any more laser shot into my eyes? [cite: 2838]
Beth Both. [cite: 2839]
Scott Benner Oh, okay. [cite: 2839] You're like, well, if this is the fix, I'm gonna try to get ahead of this a little bit. [cite: 2839] So then if that happened, would you say that you previously to that had the knowledge to do better for yourself and just weren't? [cite: 2840] And then the confluence of all the things that you went through in your life and your perspective shifts, that's what got you to put those things into motion? [cite: 2841]
Beth I think in high school, I wouldn't tell anyone. [cite: 2842] I was moving around, going to different high schools. [cite: 2842] I end up at Beverly Hills High as a kid. [cite: 2843] I'm not hi, Beth. [cite: 2843] I'm the diabetic kid. [cite: 2844] I just wanted to be a popular kid. [cite: 2844] So I was embarrassed back then. [cite: 2845] In college, I had friends that knew that I could trust. [cite: 2845] But I was partying. [cite: 2846] I was carrying on. [cite: 2846] I was going to games. [cite: 2846] And then I learned because I was taking I studied behavioral health, and I was taking anatomy classes and behavioral modification classes and started experimenting on myself. [cite: 2847]
Scott Benner Oh, hold on a second. [cite: 2848] I wanna hear about that. [cite: 2848] But first, carrying on, does what does that mean? [cite: 2849] Alcohol, drugs, sex? [cite: 2849] What what do you what what does carrying on mean? [cite: 2850]
Beth I mean, I'm at University of Arizona. [cite: 2850] We're going to clubs at 18 years old and things like that. [cite: 2851] Not sleeping well, not who takes care of themself in college? [cite: 2852]
Scott Benner Yeah. I I don't know. [cite: 2852] I didn't didn't want to go to college. [cite: 2853]
Beth Okay.
Scott Benner But they were people were like, who's gonna pay for that? [cite: 2854] I went, oh. [cite: 2855]
Beth Right. [cite: 2855]
Scott Benner Okay. So you were just you were doing the college thing. [cite: 2855]
Beth I was doing I was being a college kid. [cite: 2856] Okay. [cite: 2857] I mean, I wasn't in excessive drug use or like, I didn't have an alcohol problem, but I was certainly at parties. [cite: 2857]
Scott Benner Yeah. [cite: 2858] So there was drinking and some some what do we call it? [cite: 2858] Like, drugs, weed? [cite: 2858] What are we talking about, Beth? [cite: 2859]
Beth I I Middle [cite: 2859]
Scott Benner of the eighties. Some cocaine, Beth? [cite: 2859] What are you trying to say here? [cite: 2860] No. No. [cite: 2861] No. Never. [cite: 2861] Never. Never. [cite: 2862]
Scott Benner I like that you're not gonna say what it is, but if I say something too much, you'd be like, no. [cite: 2861] That's a no. [cite: 2862] That's a hard no. [cite: 2862]
Beth No. [cite: 2863] I I ex it was the time to experiment. [cite: 2863]
Scott Benner No. I hear you. [cite: 2863]
Beth But I also knew back then that I was scared to try things because I was aware of diabetes. [cite: 2864]
Scott Benner I just had a girl on the other day. [cite: 2865] She was, like, 28, and she said, I don't drink because she's like, I don't need whatever problem that's gonna bring. [cite: 2866]
Beth Mhmm. [cite: 2867] Mhmm.
Scott Benner And but she was talking about her diabetes when when she was mentioning it. [cite: 2867]
The Psychology of T1D and Food Shame
Scott Benner Okay. Alright. So you started so you learned stuff in school. [cite: 2868] Tell people what you do. [cite: 2868] Like, what is your you said you have a PhD? [cite: 2869] Yes. [cite: 2869] What education were you getting in between them in between the dancing and the clubbing? [cite: 2870] What what education were you getting back then? [cite: 2871]
Beth You know, I'm gonna give a huge shout out to University of Arizona because I was in the psychology program, and I loved what I was learning. [cite: 2871] I loved learning about sleep psychology and sports psychology and so on and went off to grad school and studied behavioral medicine and health psychology. [cite: 2872]
Scott Benner Okay.
Beth and that gave me the opportunity to learn about holistic techniques, stress management, biofeedback, the whole brain body connection, which wasn't discussed [cite: 2873] Yeah. when we were young. [cite: 2874]
Scott Benner So then what did you do? [cite: 2874] You turn you took everything you learned, and you were like, I could probably help myself? [cite: 2875]
Beth Absolutely. [cite: 2875]
Scott Benner And so tell me how you did that. [cite: 2876]
Beth The minute I started hearing about the brain body connection, I could not believe how much that related to me. [cite: 2877] And I started taking it seriously, but, also, I could see the difference just sitting in class all day of what my lows and highs did to my study. [cite: 2878]
Scott Benner Mhmm. [cite: 2879]
Beth So I wanted to be in tighter range. [cite: 2879] So brain body connection, how any medical issue is it psychosomatic? [cite: 2880] I never heard that word before, but are these shoulder aches and headaches in my mind? [cite: 2881] Are they really there? [cite: 2882] Is my stress causing this, or am I having something muscular go on? [cite: 2882]
Scott Benner Yeah. [cite: 2883] I'm a big fan of John Sarno's books. [cite: 2883]
Beth Sure. [cite: 2883] I love him. [cite: 2884]
Scott Benner Yeah. [cite: 2884] And, they helped me throughout my life too. [cite: 2884]
Beth Good. [cite: 2884]
Scott Benner Couple things he said in one of his books that really stuck with me. [cite: 2885] If you go to work and have, a really stressful day and you come home with a headache, you don't think your brain is broken. [cite: 2886] But if you go to work, have a stressful day, you come back home and your back hurts, you think your back's broken. [cite: 2887] Mhmm. The idea, that they how did he put it? [cite: 2888] He said prior to World War the end of World War two, people didn't didn't complain about back pain that if you gave an MRI to a thousand healthy people, you'd see that, and that none of them who are complaining about back pain, you'd see slipped discs and bulging discs in, like, a large portion of them. [cite: 2889] And just the idea that you, you know, once you're upset about something and you think you're hurt, it can kind of magnify from there. [cite: 2890] You know, you pull a muscle and you go, there's something wrong. [cite: 2891] I'm hurt. [cite: 2891] And then you start to favor it, and then before you know it, it hurts more and more. [cite: 2892] I got through a a tough spot in my twenties just by telling myself quietly, not out loud, but there's nothing wrong. [cite: 2893] Your back's not broken. [cite: 2894] You're okay. [cite: 2894] And, it really did. [cite: 2894] It was a really great help to me as a younger person. [cite: 2895] So it's it's very cool that you were able to do that too. [cite: 2896]
Beth Doctor Sarnos is brilliant. [cite: 2896]
Scott Benner Yeah. [cite: 2896] A couple of his books are are are really valuable. [cite: 2897] Anyway, so you found more stuff like that. [cite: 2898] And now did you go into that field because you this is always something I'm interested in. [cite: 2898] Did you go into that field because you thought I need help, or did you not realize the connection between the help you needed and the education you were about to get? [cite: 2898]
Beth I have known I wanted to be a psychologist for diabetes since I was a teenager. [cite: 2899]
Scott Benner Okay. [cite: 2899]
Beth I was having a temper tantrum in my room and a hormonal one, and I said, when I grow up, I wanna help people be able to talk about diabetes because my mom was dragging me around as a teen to therapist, and they would have a bowl of M and M's out or a bowl of Hershey's chocolate. [cite: 2900] And I kept thinking, is this a test, or are they so dumb that they don't think to take this away Mhmm. [cite: 2901] while I'm here? [cite: 2902] And that also kicked off the strange eating patterns I was having as a young person. [cite: 2902]
Scott Benner I know that that this isn't you know, there's a big difference between an actual eating disorder and even disordered eating. [cite: 2903] Mhmm. [cite: 2904] I think there's an argument to be made that every person living with diabetes has an incredibly odd relationship with food. [cite: 2904] I don't think you can avoid it. [cite: 2905] No. You know, to be perfectly honest. [cite: 2905] And I don't and and you could be ultra low carb all the way up to just, you know, I count my carbs and I eat what I eat. [cite: 2906] Like, anywhere in between on that spectrum, like, you are having thoughts and feelings and having to make considerations around food that most people do not think about. [cite: 2907] Right. Yeah. [cite: 2908] It's really impactful.
Beth I think of it this way, and I've said this in so many of my talks. [cite: 2908] All day long, we balance our food. [cite: 2909] Can I eat this? [cite: 2909] How many carbs? [cite: 2909] How many this? [cite: 2910] Will this have fat in it that hits me in two hours? [cite: 2910] Do you know anyone else that has to do the math to eat pizza? [cite: 2911]
Scott Benner Yeah. [cite: 2911] Yeah. [cite: 2912] No. No. No. No one else thinks about it the same way. [cite: 2912] You know, even, like, you know, Thanksgiving Day, like, oh, I get so sleepy later. [cite: 2913] If you wanna grab them and go, I'd I'd love to test your blood sugar. [cite: 2914] Bet I even though you don't have diabetes, I bet your blood sugar is up in the one sixties right now. [cite: 2915] It's sitting there making you feel this way. [cite: 2916] But they know they'll take a nap or wake up, and it'll be gone. [cite: 2916] And it's not you never have to look more deeply into it than that. [cite: 2917]
Beth In the same day, food could save our lives or it can kill us. [cite: 2917]
Scott Benner Yeah. [cite: 2918] That's a weird relationship to have with something. [cite: 2919] And
Beth so look at society and how we celebrate. [cite: 2919]
Scott Benner You know? [cite: 2920]
Beth Chocolate. [cite: 2920] Oh, it's Easter. [cite: 2920] Here is your Easter candy. [cite: 2920] Oh, every holiday gets a matching Hershey's wrapper. [cite: 2921]
Scott Benner Forget the holiday. Friday, we get pizza. [cite: 2921] On Sunday, we go for Chinese. [cite: 2922] On like, you know, like, it's just everything. [cite: 2922] Constantly, you get up in the morning, and you're in a rush. [cite: 2923] I don't have time to poach an egg. [cite: 2923] I gotta do something here. [cite: 2924] Like, what, none none of your options are good, like running out the door options. [cite: 2925] None of your stop at the store, you know, in the middle of the day because I'm working. [cite: 2926] Options are valuable. [cite: 2927] It's easy to tell people, oh, just eat clean food. [cite: 2927] And I I you know, we talk about it all the time in different episodes, but where are supposed to get that from? [cite: 2928] And what about all the Mhmm. And what about all the pressure and the impact and the the hidden damage it does, being worried about it or feeling guilty about it or feeling ashamed about it or whatever else comes up in the in your head that doesn't exactly bubble up into actual words, but has an impact on your life all the time. [cite: 2929]
Beth Well, I was sneaking food as a kid. [cite: 2930] Yeah. Here, you're wondering about my partying, but I have a stash of Hershey's chocolate that [cite: 2931]
Scott Benner That's like the party is under my pillow. [cite: 2931] Okay. [cite: 2932]
Beth And I and this was food I would steal from my dad. [cite: 2932]
Scott Benner Okay. [cite: 2932]
Beth Or my brother was allowed gummy bears, and I wasn't. [cite: 2933] He could drink yoohoo and eat Entenmann's tasty cakes. [cite: 2934] I couldn't. [cite: 2934] I wasn't allowed. [cite: 2934] That's from Philly. [cite: 2935]
Scott Benner She's Yeah. [cite: 2935] She's tasty cakes. [cite: 2935] Everybody else is like, the hell she talking about? [cite: 2936] That's like
Beth Tasty cakes were the best. [cite: 2936]
Scott Benner Best tell people. [cite: 2936] A frozen crimpet, much better than a room temperature crimpet. [cite: 2937]
Beth They are the same as some of the excuse my French crap you buy in the market, a chocolate covered little cake with peanut butter. [cite: 2938] I was the chocolate peanut butter girl. [cite: 2939]
Scott Benner Okay. [cite: 2939]
Beth I would go to my best friend's house, and there'd be jars of candy everywhere. [cite: 2940] And her mother didn't. [cite: 2941] She did care what I did, but I don't think she realized [cite: 2941] how much I eating. [cite: 2942]
Scott Benner Well and what's the impact of that when you have to steal from your brother and steal from your dad? [cite: 2942] There's that's not a great feeling. [cite: 2943] Right? [cite: 2943] Because you're doing it, but you Shame. [cite: 2943]
Scott Benner Yeah. [cite: 2943] You're ashamed. [cite: 2943] Would imagine. [cite: 2944]
Beth I grew up with so much shame about food. [cite: 2944] And I'm hiding this, and you can't eat that. [cite: 2945] And that's a bad food, and that's a good food. [cite: 2946] And then I grew up to become this person that travels and lectures on let's change the language. [cite: 2947]
Scott Benner Yeah. [cite: 2948] Well, that's really what it is, isn't it? [cite: 2948] It's just the way you talk about it and the way you communicate it. [cite: 2949]
Beth Right. [cite: 2949]
Scott Benner Yeah. [cite: 2949] It's
Beth not good or bad food. [cite: 2950] It's unhealthy or healthy food. [cite: 2950]
Scott Benner Mhmm. [cite: 2950]
Beth Or I you come to my house. [cite: 2951] I have candy. [cite: 2951] I might go low. [cite: 2951] But people look at my house, and they're like, why do you have so much candy? [cite: 2952] You're diabetic. [cite: 2952]
Scott Benner You get that from people still? [cite: 2953]
Beth Oh, you now know what I do for a living, and I'll be walking down the street with a close friend taking a bite of something and say, you shouldn't eat that. [cite: 2953] You're diabetic. [cite: 2954]
Scott Benner How do you deal with that as an adult with your background? [cite: 2954] What do you do in that situation? [cite: 2955]
Beth I am not nice. [cite: 2955] I mean, I tried to be civil, but I'm like, are you kidding me? [cite: 2956] Do you know what I do for a living? [cite: 2957]
Scott Benner But they don't know. Right? [cite: 2957] Like, isn't that person trying to help you in that moment? [cite: 2958]
Beth Well, they better know what I do for [cite: 2959] a living. I mean about the food. [cite: 2959] Like, if if somebody know. If somebody's a friend of yours and they know you have diabetes, but they don't have a ton of context for it, and you, I don't know, grab something that they associate with not being for diabetics for whatever reason Right [cite: 2960] and they say that to you, Is that not a loving statement from them? [cite: 2961]
Scott Benner Like, can you eat that? Doesn't that mean, like, oh, are you gonna be okay? [cite: 2962] Should that like, I understand how you feel about it, and I don't disagree. [cite: 2963] But I'm wondering, like, do you think they're being [cite: 2963]
Beth No. No. [cite: 2964] Absolutely not. [cite: 2964] And in all honesty, I respond. [cite: 2964] I go, let me educate you a little bit. [cite: 2965]
Beth In the olden days with diabetes, we couldn't eat this unless we had low blood sugar. [cite: 2966] But now everything's based on carbohydrate. [cite: 2967] I love educating people. [cite: 2967]
Stress Spikes and Support Groups
Scott Benner Good. That's awesome. [cite: 2967] I give a lot of public talks, and I find there's things people are interested in me talking about more than others. [cite: 2968] And you kinda, like, develop kind of a niche of what you do. [cite: 2969] So when you go out and give your talks, what's your goal? [cite: 2970] People sitting in front of you, what do you want them to leave with when they leave? [cite: 2971]
Beth I want them to not feel so alone out in the world of diabetes. [cite: 2972] So if you were sitting in one of my balancing your relationship with food talks, which is one of my favorites to do Mhmm [cite: 2973] you would realize thirty to forty percent of people with type one are dealing with disordered eating, and you're not a bad person. [cite: 2974] I want people to understand that there are ways to get through it, and there are ways to build a healthier relationship with their diabetes and themselves. [cite: 2975] And some steps are so easy. [cite: 2976] For example, think about what you say to yourself all day, how you put yourself down, how you oh, I'm I'm two fifty. [cite: 2976] What did I do wrong? [cite: 2977] Well, I'm two fifty because I'm nervous about my meeting at 04:00. [cite: 2977] Or I'm dehydrated. [cite: 2978] I haven't had a sip of water all day [cite: 2978]
Scott Benner Yeah. [cite: 2978]
Beth and how to correct it. [cite: 2979] And if we can change our conscious thinking to a healthier way of speaking to ourselves and I love teaching parents as well. [cite: 2979] You know, let's change the words we use. [cite: 2980] You're not testing. [cite: 2980] You're checking. [cite: 2980] It's not a bad number. [cite: 2981] It's information to build the dose on Yeah [cite: 2981] and things like that. [cite: 2981] And people come up to me afterwards, and they ask if they can hug me, which like, sure. [cite: 2982] I could use a hug too. [cite: 2982]
Beth Yeah. [cite: 2983] But they're just so validated, and they feel so seen Mhmm [cite: 2983] when they feel so judged by the doctors. [cite: 2084] Every doctor you go to relates your diabetes. [cite: 2984] Oh, I have a bad knee, I think. [cite: 2985] Up. [cite: 2985] It's your diabetes. [cite: 2985] Yeah. No [cite: 2985] No. [cite: 2986] it's not. [cite: 2986]
Scott Benner Not everything. You know, this morning, my daughter's 21, and she's getting ready to graduate from her undergrad in psychology, actually. [cite: 2986] And I'm looking at her graph to make your point. [cite: 2987] Mhmm. [cite: 2987] So I'm gonna go all the way back to, like, 1AM last night where Arden's blood sugar's pretty much been between seventy five and eighty five. [cite: 2988] Mhmm. [cite: 2989] 2AM, three, four, five, six, seven, eight, 09:10, eleven. [cite: 2989] She has to get in her car and drive to school because she's meeting with her counselor to make sure she's graduating on time because she's switched she switched majors at one point. [cite: 2990] So she's so she goes because, a, she'd like to graduate as, you know, when she as soon as she can because she wants to move on to get a different degree. [cite: 2991] And two, because she's hoping to walk with her friends because if it doesn't Sure. [cite: 2992] If it doesn't work out, then she's like, oh, I'm not even gonna walk if I can't do it with everybody, you know, in my age group, people I know. [cite: 2993] I can watch her blood sugar go up as she approaches the meeting Mhmm [cite: 2994] and then it stays up. [cite: 2995] She hasn't eaten anything. [cite: 2995]
Scott Benner And she's on an automated system that is bolusing and working and everything, but she now has an impact from nervousness, concern, worry. [cite: 2996] I don't know. [cite: 2997] Rushing around. [cite: 2997] I have absolutely no idea what. [cite: 2997] But then so I don't know. [cite: 2997] Like, I'm kinda watching it at home as it's happening. [cite: 2998] And all I can think is, I wonder if she's getting good or bad news. [cite: 2999] Is this adrenaline? [cite: 2999] Is it, like, Yes. [cite: 3000] You know what I mean? [cite: 3000] Like, what is this that's hitting her? [cite: 3000] And she walked through the door, and she she's so happy. [cite: 3001] And she's like, guess who's gonna walk with her friends? [cite: 3001] Oh. [cite: 3002] And then she told me all about it, but now I realize and for anybody else wondering, Arden's blood sugar went from being stable between seventy five and eighty five for, like, ten hours to being at its height, one eighty. [cite: 3003]
Scott Benner Am I looking at that right? [cite: 3004]
Beth Mhmm. [cite: 3004]
Scott Benner One eighty two. [cite: 3004] Mhmm. [cite: 3004] And it's all just, like, that meeting. [cite: 3005] It's just you can watch it happen over the timeline of the meeting. [cite: 3005] That that's it. [cite: 3006] It's you know what I mean? [cite: 3006]
Beth Yeah. I have predictable highs. [cite: 3006] For example, I do a once a month support group for breakthrough t one d. [cite: 3007] Mhmm. [cite: 3007]
Beth And right before the meeting, even though I'm leading it, I created the slideshow and so on about ten minutes before it starts going up. [cite: 3008] Middle of the meeting, I am peaking high Yeah [cite: 3009] in the two hundreds. [cite: 3009] And then it takes about a half hour afterwards to come down. [cite: 3010]
Scott Benner To come back down. [cite: 3010] Do you ever bolus for it ahead of time? [cite: 3011] No. Try to get ahead of it? [cite: 3011] Why not? [cite: 3012] Tell me why not. [cite: 3012]
Beth Because I know it'll come back down, and when I did experiment and do that, I dropped. [cite: 3012]
Scott Benner What system do you use now? [cite: 3013]
Beth I'm on the Moby. [cite: 3013]
Scott Benner So you're using a Control IQ Plus? [cite: 3014]
Beth Mhmm. [cite: 3014]
Scott Benner Have you experimented with it since you've been on that pump, or did you experiment with it earlier on a manual pump? [cite: 3015]
Beth I experimented with it recently, and the drop happens afterwards when I come back down. [cite: 3016]
Scott Benner Because all the adrenaline goes away. [cite: 3017]
Beth Mhmm. Yes. [cite: 3017]
Scott Benner Okay. So yeah. [cite: 3017] I mean, that makes complete sense to me. [cite: 3018] I was just wondering what your experience was. [cite: 3018] What else do you want people to know? [cite: 3019] Why are you here? [cite: 3019]
Beth Why am I here? [cite: 3019]
Scott Benner I Not on the planet. On the podcast. [cite: 3020]
Beth Well, I think I had a friend recently say to me, you're so lucky you know your purpose, and it is to help people with type one and type two diabetes. [cite: 3021] But I want people to know that they're not alone, which I've said, but that having a good relationship with your diabetes also comes from your support system. [cite: 3022] So if you're going to an endocrinologist that does everything right according to the books but makes you feel so much shame about your diabetes, it's not a good relationship. [cite: 3023] You need to work with someone who motivates you. [cite: 3024] Having the right endo and the good relationship with your diabetes educator will be a game changer. [cite: 3025]
Scott Benner Yeah. [cite: 3026] I I wish everybody could find thoughtful doctors. [cite: 3026] Well, I actually started a website because of it. [cite: 3027] It's got, like, 230 doctors on it now from that listener sent in because it's hard sometimes to find Mhmm [cite: 3028] a person who's motivated to help, who understands you, understands diabetes, the tough mix. [cite: 3028]
Beth Mhmm. [cite: 3029]
Scott Benner So my website, if people care, it's juiceboxdocs.com. [cite: 3030] My question to you is gonna be, do you have a practice? [cite: 3030]
Beth Yes. [cite: 3031]
Scott Benner You do. [cite: 3031] How much do you see overlap between anxiety and type one diabetes? [cite: 3031] And do you see it as a symptom of having an autoimmune issue or something you can't fix, or do you think that the anxiety might also be because of the inflammation and and the autoimmune stuff? [cite: 3032] Have you thought about [cite: 3033]
Beth Yes. [cite: 3033] I think about it every day. It's twofold. [cite: 3033] When we are having fluctuating blood sugars, you then get into your brain not synapsing the same as someone without type one. [cite: 3034] And if you are at 200 and you get agitated, that is because the part of the brain that says, don't be a bitch isn't getting the message soon enough before the words come out. [cite: 3035]
Beth Mhmm. [cite: 3036] And when you are having to do an exam or something then and you're anxious about the exam, you're going high. [cite: 3036] Then you're in a bad mood. [cite: 3037] Then you're not doing as well on the exam because you're high. [cite: 3037]
Scott Benner And then that snowballs. [cite: 3038] They start impacting each other. The blood sugar impacts the anxiety. [cite: 3038] The anxiety impacts the blood sugar. [cite: 3039] You get caught in a in a in a loop. [cite: 3039]
Beth It's it's a spiral. And then there's also you know, if you look at something like depression and anxiety, it's very common in diabetes. [cite: 3040] At a time, it was one out of four people living with type one have experienced it. [cite: 3041] I don't mean they live with it constantly, but they live with it. [cite: 3042] And then I have many people come into my practice with complete burnout and diabetes distress. [cite: 3043]
Scott Benner Mhmm. [cite: 3043]
Beth And they are just exhausted from the beeping and the buzzing and I don't wanna do this, and they turn off their CGM. [cite: 3044] The depression comes when you're running high, for example, because you become insulin resistant, and then it becomes harder and harder to bring it down. [cite: 3045] You're angry at yourself. [cite: 3046] You feel ashamed. [cite: 3046] You feel hopeless or helpless, and it's also a cycle. [cite: 3046]
Scott Benner Yeah. [cite: 3047] You also have brain fog in that situation, and Mhmm [cite: 3047] there's just a lot of different impactors. [cite: 3048] What do you suggest for people? [cite: 3048] Like, do you think that stability in your blood sugar is an impactor a main impactor, and then you can address anxiety outside of diabetes? [cite: 3049]
Beth Oh, good question.
Scott Benner I'm full of these questions. Go ahead.
Beth Right. [cite: 3050] I, I think it is it would definitely help to get your numbers in order. [cite: 3051] 100% will help with your mental health. [cite: 3052] Will it cure it? [cite: 3052] No. [cite: 3053] If you're in a depressed state, you'd need to get some form of support. [cite: 3053] Talk to a therapist. [cite: 3054] Join a support group. [cite: 3054] There's all types of holistic treatments regulating your nervous system. [cite: 3055]
Scott Benner Mhmm. [cite: 3055]
Beth But you will start to feel better because you're not walking around at 02:50 or four hundred all the time. [cite: 3056] You will be thinking clearer. [cite: 3057]
Scott Benner Yeah. That's the pretty much the the, I don't know, the base of the focus I've had doing this podcast for so long, which is I think that if you can just lower your a one c by, you know, closing up your variability, try not to get too high or too low, that that leads to a lot of different successes in physical and mental health. [cite: 3057]
Beth I agree. [cite: 3058]
Scott Benner Yeah. [cite: 3058] And it's tough because when you're in a you call it a spiral, but, like, when you're when you're caught in that loop, right, it's easy to point out it's even easy to point out, like, there are five factors keeping you in this loop. [cite: 3058] Well, that's great, but it's spinning out of control, and each one of them is stopping me from impacting the other one. [cite: 2959] So how am I supposed to, like, reset and start over? [cite: 3060] And I think that the most reasonable place to start is with your blood sugar. [cite: 3061]
Scott Benner Because if somebody can help you walk through, I gotta get my basal right. [cite: 3062] I gotta make sure my insulin to carb ratio is right. [cite: 3063] Mhmm. [cite: 3063] I'm gonna make sure my sensitivity is good. [cite: 3064] Now my settings are good. [cite: 3064] Now maybe I'll have better outcomes. [cite: 3065] Maybe I'll have fewer highs, fewer lows. [cite: 3065] I won't be eating all the time to fix the lows. [cite: 3066] And then, you know, a week, a month of that, maybe it will will lead to some sort of calm. [cite: 3067] You know what I mean? [cite: 3068] Or or or just a just a space where you can exist for a minute without, like, frantically chasing these [cite: 3068] these things. [cite: 3069] And then who knows what will present itself next? [cite: 3069]
Beth Well, you're lowering the inflammation in your brain, so the neurons are firing better. [cite: 3070] You're getting better uptake of serotonin, of dopamine. [cite: 3071] You're sleeping better because you're not buzzing. [cite: 3071] So that's a big part of it. [cite: 3072] Then your self esteem goes up because you're taking care of yourself. [cite: 3072]
Scott Benner But buzzing is an interesting way to put it. [cite: 3073] I I know I know exactly what you mean. [cite: 3074] I have I there are people in my life who I I when I come in contact with them, I feel like they're vibrating. [cite: 3075] Mhmm. You you know? [cite: 3076] And when you stop and pick those people apart, sometimes they're stressed out. [cite: 3076] They're anxious. [cite: 3077] They're you know, they have other sometimes they have mental health issues or whatever, but they and they stand next to them. [cite: 3077] I feel like they're moving. [cite: 3078]
Beth Mhmm. [cite: 3078]
Scott Benner You you know? [cite: 3078] And it always makes me wonder, god, how do they feel? [cite: 3079] If I can feel it over here, what's going on inside of them? [cite: 3080]
Beth You know? Right. [cite: 3080] I meant the buzzing from the pumps. [cite: 3081]
Scott Benner Oh, well, guess what? I meant that. [cite: 3081] So I know what you Yeah. [cite: 3082] Yeah. Yeah. [cite: 3082] But you're saying smart too, but, like, I that's what it made me think of. [cite: 3083] Do you agree with what I'm saying? [cite: 3084] Like or Yes. Yeah. [cite: 3084]
Beth Absolutely. [cite: 3084] You feel their anxiety or their their toxicity almost. [cite: 3085]
Scott Benner Yeah. They're vibrating, I sometimes feel like. [cite: 3085]
Beth And then I think because the prevalence of disordered eating or an unhealthy relationship with food is so high in type one diabetes and probably type two. [cite: 3086] And I wanna say 50% of my practice right now is binge eating people. [cite: 3087]
Scott Benner Mhmm. [cite: 3087]
Beth That's a high amount. [cite: 3088] I have a full practice. [cite: 3088] It's building that healthy relationship with the food, with diabetes, and with your conscious thinking. [cite: 3089] I had a horrible day today. [cite: 3090] I'm gonna go home and invite my boyfriends over, Ben and Jerry, and maybe they'll bring their friends, Keebler elves, and it'll be okay. [cite: 3090]
Scott Benner Oh, Ben and Jerry ruined that ice cream when they sold it, but I hear what you're saying. [cite: 3091] Are GLPs helping people with this? [cite: 3092]
Beth Yes. Cutting down the food noise. [cite: 3092]
Scott Benner Yeah. [cite: 3092] Gotta be a big deal. [cite: 3093] Plus, I think it lowers inflammation, which I think is incredibly valuable for people with type one or people with autoimmune issues. [cite: 3093] I see people with type one who have insulin resistance on top of that are being helped immensely with it. [cite: 3094]
Beth Yes. [cite: 3095]
Scott Benner You know? [cite: 3095] But that's not a thing. You can't prescribe that. Right? [cite: 3095] You don't [cite: 3096]
Beth No.
Scott Benner No. You don't prescribe. [cite: 3096] And so when you see somebody who feels that way, does your word carry weight with their physician and their insurance? [cite: 3096]
Beth I give them the tools to go back to their doctor if they want to, but I am not a let's rush to medication type person. [cite: 3097] I am you have to get along with food for the rest of your life. [cite: 3098]
Scott Benner Yeah. [cite: 3098] Well, it's easier to get along with it when it's not attacking you, though. [cite: 3099]
Beth Right. [cite: 3099]
Scott Benner You know, I can just I can only tell you from my personal experience. [cite: 3100] I don't have type one diabetes. [cite: 3101] I've been using a GLP for three years, and it has fundamentally made my life better in more ways than I can kinda quantify right now for you. [cite: 3101]
Beth Oh, I it it has so many benefits. [cite: 3102] Mhmm. So many benefits. [cite: 3102] But let's say you still have to get along with the food, and you still have to be your own biggest cheerleader. [cite: 3103]
Scott Benner But, again, how do you do that if you're caught in the whirlwind? [cite: 3104] So it's it's an easy thing to say. [cite: 3105] So one thing may I please take this from from where I mean it from? [cite: 3105] I'm a big fan of therapy and talking and understanding how your mind works, and I know you're aware of the podcast. [cite: 3106] I Erica's on like, she and I are always talking about something I know. [cite: 3107] Around this. [cite: 3107] But the one thing that frustrates me about therapy is that it doesn't mean just because you understand that it's gonna happen, and life is finite. [cite: 3108] Like, don't wanna spend ten years figuring out my relationship with food when I could inject this stuff and Mhmm [cite: 3109] and me and the food could start on a level playing field right away, and then maybe I could work on it. [cite: 3110] Like, do you know what I mean? [cite: 3111]
Beth Well, I still see many of my patients on the GLPs still having unhealthy eating. [cite: 3111]
Scott Benner Oh, yeah. [cite: 3112] I don't think they don't need the therapy stuff. [cite: 3112] I don't think it's one or the other. [cite: 3113] I think, like, could it not be, I mean, a crutch to help you get going? [cite: 3113]
Beth It could be definitely be a crutch, and I don't think everyone needs to rush off and have therapy. [cite: 3114] There's so many ways to help yourself. [cite: 3115] Yes. Come to therapy, please. [cite: 3115] But there's so many other ways to help yourself. [cite: 3115] Get into a support group. [cite: 3116] Start going to diabetes events. [cite: 3117] Show up at my free education group online. [cite: 3117]
Scott Benner Yeah. [cite: 3117] Be I mean, go online and just meet other people who have diabetes. [cite: 3118] That's incredibly valuable. [cite: 3118]
Beth It it's priceless. [cite: 3119]
Scott Benner Hard to mimic in in person sometimes because it's not I mean, listen. [cite: 3119] You know those events, you you go to them and you're speaking at them. [cite: 3120] I mean, I've done every JDRF event in, like I I've probably done one in, like, 20 different states. [cite: 3121] and they're wonderful and put on really well, but you're lucky if 200 people show up at one. [cite: 3122]
Beth Right. [cite: 3123]
Scott Benner And so when there's a state full of people who need help and and that help is presented to them, and yet it only attracts 200 of them, then to me, that says that's not an answer for those peep for a lot of those people. [cite: 3123] Mhmm. Online, really. [cite: 3124] I'll probably say over and over again unless it falls apart or fails at some point, but my Facebook group is incredibly valuable for that. [cite: 3124]
Beth I love your group. [cite: 3125]
Scott Benner Yeah. [cite: 3125] Yeah. [cite: 3126] And, like, you gotta go find reasonable, lovely people like you Mhmm [cite: 3126] who have similar situations that you have going on because it may bring some of that calm. [cite: 3127] It takes some of the vibration away. [cite: 3128] Mhmm. And then again, like, you know, you make a small change for yourself and then kinda reacclimate again, and then you're surprised, I find, at the doors that open up for other change. [cite: 3129]
Beth Yes. [cite: 3130]
Scott Benner You know? [cite: 3130] I I hate to sound like a yogi, but but I feel like I almost sound ridiculous sometimes. [cite: 3130]
Beth No. [cite: 3131]
Scott Benner Because I didn't grow up this way. [cite: 3131] You understand? [cite: 3131] And and, like but it's just so obvious to me at this point. [cite: 3132] Go meet other people. [cite: 3132]
Beth Go meet there is nothing good about diabetes except for one thing, the community. [cite: 3133]
Scott Benner Yeah. [cite: 3133] Yeah. [cite: 3134] It really is lovely. [cite: 3134]
Beth It real there's nothing but you meet these people. [cite: 3134] I do these walk and talks and events for kids and just talking with the other parents and hearing their secrets and letting them voice themselves and to stand in a room. [cite: 3135] I have chills saying this. [cite: 3136] To be able to stand in a room where everyone understands the frustration of a Dexcom failure. [cite: 3136]
Scott Benner Yeah. [cite: 3137] I do touch by type one every year, and that's been growing. [cite: 3137] They had, like, 1,100 people at their event last year. [cite: 3138] It's been growing and growing and getting bigger. [cite: 3138] And I've last year, I went to Friends for Life for the first time. [cite: 3139] Mhmm. [cite: 3139] I don't really know how to explain, but when you collect a whole bunch of people together who have type one diabetes, their stillness happens. [cite: 3140]
Beth Right. [cite: 3141]
Scott Benner I watch them all relax. [cite: 3141] Mhmm. [cite: 3141] And then the space feels more relaxed. And then suddenly, it eliminates the diabetes portion of it. [cite: 3142] I did a I did a a cruise last year with, like, a 100 people. [cite: 3143]
Beth I know. [cite: 3143]
Scott Benner And it got them all together, and they just immediately all had something in common. [cite: 3144] And there you were. [cite: 3145] It was so it was a a really wonderful experience. [cite: 3145] Enough so that I did I'm like, I'm gonna do it again. [cite: 3146] Like, so we're going out again this year. [cite: 3147] I knew it was gonna happen. [cite: 3147] I knew it academically. [cite: 3148] It's different to be there while it's happening. [cite: 3148] Does that make sense? [cite: 3148]
Beth Yes. [cite: 3149] Yeah. [cite: 3149] Well, I was gonna share a quick note. [cite: 3149] First of all, I have clients going on your cruise. [cite: 3150] Oh. [cite: 3150] So there you go. [cite: 3150]
Scott Benner Hi, everybody. [cite: 3151]
Beth But how I know about this is I run a woman support group. [cite: 3151] Mhmm. [cite: 3152] And I took it over from a therapist who did research back in the eighties and nineties measuring how a one c's drop when you join a group. [cite: 3152] So does support group for type ones bring the numbers down? [cite: 3153] And her dad was a well known endocrinologist, and people were so surprised by how strong of an impact it was. [cite: 3154]
Scott Benner I can't tell you how many people have told me that listening to the podcast helps their their management. [cite: 3155]
Beth So much. [cite: 3156]
Scott Benner Yeah. [cite: 3156] And when I used to when I first heard it, I've said this so many times, but I really felt it's really impactful. [cite: 3156] The first time somebody said it to me, I said, oh, is it because I taught you how to pre bolus or account and they were like, no. [cite: 3157] I knew how to do all of that. [cite: 3158] And then it gets explained to me over and over again that there's some it's like a touch point, and the touch point keeps you grounded somehow, and the grounding leads to you Mhmm [cite: 3158]
Scott Benner taking better care of yourself without feeling overwhelmed by the effort that goes into it. [cite: 3159]
Beth Oh, it's and to see people just like you. [cite: 3160] I think another helpful thing, for younger type ones, but I recommend it. [cite: 3161] Find your role models. [cite: 3161] The fact that I watched opening weekend of March Madness and new four kids were playing with type one, or the last three years in the Super Bowl, someone or two people with type one were playing [cite: 3162] Yeah [cite: 3163] in the Super Bowl. [cite: 3163]
Scott Benner Yeah. No. It's really cool. It it really does help. [cite: 3163] I interviewed Mark Andrews' mom one time. [cite: 3164] It was so interesting just to listen to the lady who raised a kid with type one diabetes who became the tight end of the ravens. [cite: 3164]
Beth Right. [cite: 3165]
Scott Benner It was just a a really interesting, situation. [cite: 3165] I've also even my daughter who has her own group of people with type one diabetes that she, you know, kind of supports, like, a very personal small group of people. [cite: 3166] But even when she was younger, I remember seeing, gosh. Who was it? God. [cite: 3167] He's been on the podcast a couple of times. [cite: 3168] I love this guy. [cite: 3168] The, cross country skier. [cite: 3169] Why is his name alluding? [cite: 3169]
Beth Blanking on his name. [cite: 3169]
Scott Benner But he skied across the screen one day in the Olympics. [cite: 3170] I was like, I was like, hey. [cite: 3171] That guy is type one. [cite: 3171] And I watched her stop and really watched what he was doing for a minute before she walked away. [cite: 3172] And I don't think cross country skiing is on Arden's, you know, list of things she's interested in. [cite: 3173] But there it was. [cite: 3173] It just you could see like, oh, that guy. Then I said, oh, he wears an Omnipod. [cite: 3174] Mhmm. [cite: 3175] And she's like, oh. [cite: 3175] And then it just it's a little comfort point. [cite: 3176] You know? [cite: 3176] And it moves away. [cite: 3176]
Beth For me, it was Gary Clark Gary Hall junior. [cite: 3176] And he was diagnosed right before he was the in the Olympics. [cite: 3177] And everyone said, you won't be able to swim. [cite: 3178] And then he got to my endocrinologist, and she's like, we're going. [cite: 3179] Let's go. [cite: 3179] We're going to the Olympics. [cite: 3180]
Scott Benner Why can't you do that? Right? [cite: 3180]
Beth Of course, you can swim. [cite: 3181]
Scott Benner Yeah. Well, that's just that's the time or people who don't know or doctors who don't know. [cite: 3181] Mhmm. [cite: 3182] By the way, I'm sorry. Chris Freeman. [cite: 3182] I don't know how Chris' name escaped me. [cite: 3183] He's I actually, I love the way Chris I don't think he does a lot of stuff diabetes related like he used to, but he's one of those people like, he he speaks very, I think, clearly Mhmm [cite: 3183] and honestly about what it takes to take a good care of yourself. [cite: 3184] And and and I I like the way he talks about diabetes. [cite: 3185]
Scott Benner Anyway, he skied across the screen one day, and I and Arden was interested, and I felt like she got some sort of comfort out of it for a moment. [cite: 3186]
Beth Yes. I every time I see Jean Smart win an Emmy, I'm her silent cheerleader here. [cite: 3187] Like, that woman has type one, or I read the Sonia Sotomayor book. [cite: 3188] And these people are amazing. [cite: 3188] You can sit through taping a show and handle your type one when I was a little girl first diagnosed. [cite: 3189] My true role model was Mary Tyler Moore. [cite: 3190]
Scott Benner Oh, sure. Yeah. [cite: 3190] How did you guys even know back then she had diabetes? [cite: 3191] Is that, like, just was that in the Diabetes Forecast magazine? [cite: 3192]
Beth I think she was pretty open with it. [cite: 3193]
Scott Benner About
Beth people in the diabetes world knew. [cite: 3193]
Scott Benner On the flip side, how does it make you feel when you see a a person who not that anybody needs to be a role model. [cite: 3194] Right? If you're famous, it doesn't mean you have to be a role model. [cite: 3195] But when you see somebody who has type one, and then it's kind of clear they don't really understand it very well, you must have so I've yeah. You must have seen it. I've seen it too. So, like, does it make you think, oh, gosh. That's a shame or good for them that they don't they're apparently doing okay, and they're not really burdened by it or thinking about it too much? [cite: 3198]
Beth I see people that I know have type one. [cite: 3200] I see this more with men and women who will be out and about, go low, and have to go do the concessions and get something. [cite: 3201] I'm like, you don't carry anything? [cite: 3202] How do you not carry anything? [cite: 3202] Or they don't wear a CGM, or they don't wanna know the latest and greatest because they don't care. [cite: 3203] And I talk to them. [cite: 3204] I have friends like this. [cite: 3205] I have people I see out in the community, and I try to educate them a tiny little bit without being annoying. [cite: 3205] Yeah. I did I did convince one friend to go on the CGM. [cite: 3206] He said I changed his life. [cite: 3207]
Scott Benner Yeah. That's so Wonderful. [cite: 3207] I have to tell you, we're up on an hour. [cite: 3208] But, Beth, my maybe my favorite part of you is that when if I say something that you find impactful or you agree, you don't restate it. [cite: 3209] You just make a great noise that makes me know that you understand me. [cite: 3210] I said something, and you went, yeah. [cite: 3211] And I thought, oh, she got it, and we don't have to talk anymore. [cite: 3211] This is great. Mhmm. Mhmm. [cite: 3212]
Scott Benner Where can people find you? [cite: 3212]
Beth I'm all over the place. [cite: 3213] No. I am at doctorbethbraun.org. [cite: 3213] Easier to find me on Instagram at Duin Diabetes, d o I n. [cite: 3214] Or
Scott Benner No. There's other ways? Go ahead. I'm sorry.
Beth Yeah. [cite: 3216] I was gonna say if you have questions about anything I said or something that might be helpful, just shoot me an email, and it's a really simple email. [cite: 3216] Ask doctor Beth at Gmail. [cite: 3217]
Scott Benner Very cool. I appreciate you doing this. [cite: 3217] This is really, really terrific. [cite: 3218]
Beth The work you're doing, Scott, is so impactful. [cite: 3218] Every diabetes event I go to, and it's quite a bunch, everyone talks about your podcasts. [cite: 3219]
Scott Benner Oh, that's nice to know. I got yelled at on Instagram yesterday, so this is nice. [cite: 3220] Thank you. [cite: 3221]
Beth Yeah. That and whoever's yelling, whatever. [cite: 3221]
Scott Benner They don't. [cite: 3221] That person had a a very strong opinion about something I should be doing that I'm not doing. [cite: 3222] And and I was like, you should start a thing on your own and do it. [cite: 3223] Don't Oh. [cite: 3223] Yeah. Yeah. Yeah. Yeah. What what's the just a a old line in a movie I can never remember. [cite: 3225] But I I just felt like I'm like, I I'm not you. [cite: 3225] You know? [cite: 3225]
Scott Benner You're you're you and I'm doing a thing already. [cite: 3226] I'm I'm I don't have infinite time or infinite compute cycles in my brain. [cite: 3227] I'm doing the thing that I think is valuable for people. [cite: 3228] It's proving out to be so. [cite: 3228] I don't have the the bandwidth for the thing you think is important that I should be doing. [cite: 3229] I'm sorry. By the way, I agree with you on on the I I agreed about the topic and the idea and the whole thing. [cite: 3230] I just don't have it's just not possible. [cite: 3231]
Beth People just want to argue on social media. [cite: 3231]
Scott Benner That's very possible. [cite: 3232]
Beth Scott, really quickly, there is one other place. [cite: 3232] I have a wonderful re free resource, and that's my breakthrough t one d s, the therapist support groups. [cite: 3233] And I put all the info on my social media, but they are typically the last Tuesday of the month at 12:00. [cite: 3234]
Scott Benner Okay. Oh, it's lovely. So you can find that through your social media too? [cite: 3235] Absolutely. Great. [cite: 3235] Well, thank you so much for doing this. I really do appreciate your time. [cite: 3236]
Beth Thank you for having me. [cite: 3237]
Scott Benner That's a joy. It was really lovely. [cite: 3237] Hold on one second for me. Okay? [cite: 3238]
Beth Mhmm. [cite: 3238]
Scott Benner This episode is sponsored by the Tandem Mobi system, which is powered by Tandem's newest algorithm, Control IQ Plus technology. [cite: 3239] Tandem Mobi has a predictive algorithm that helps prevent highs and lows and is now available for ages two and up. [cite: 3240] Learn more and get started today at tandemdiabetes.com/juicebox. [cite: 3241] The conversation you just enjoyed was brought to you by US Med. [cite: 3241] Usmed.com/juicebox or call (888) 721-1514. [cite: 3242]
Scott Benner Get started today and get your supplies from US Med. [cite: 3242] Are you tired of getting a rash from your CGM adhesive? [cite: 3243] Give the Eversense three sixty five a try. [cite: 3244] Eversensecgm.com/juicebox. [cite: 3244] Beautiful silicone that they use. [cite: 3244]
Scott Benner It changes every day, keeps it fresh. [cite: 3245] Not only that, you only have to change the sensor once a year. [cite: 3245] So, I mean, that's better. [cite: 3245] Thank you so much for listening. [cite: 3246] I'll be back very soon with another episode of the juice box podcast. [cite: 3247] If you're not already subscribed or following the podcast in your favorite audio app, like Spotify or Apple podcasts, please do that now. [cite: 3248] Seriously, just to hit follow or subscribe will really help the show. [cite: 3249] If you go a little further in Apple podcast and set it up so that it downloads all new episodes, I'll be your best friend. [cite: 3250] And if you leave a five star review, oh, I'll probably send you a Christmas card. [cite: 3251] Would you like a Christmas card? [cite: 3252]
Scott Benner Alright. Let's get down to it. [cite: 3252] You want the management stuff from the podcast. [cite: 3253] You don't care about all this chitting and chatting with other people. [cite: 3253] Juiceboxpodcast.com/lists. [cite: 3254]
Scott Benner They are downloadable, easy to read. [cite: 3254] Every series, every episode, they're all numbered. [cite: 3254] Makes it super simple for you to go right into that search feature. [cite: 3255] In your audio app, type juice box one seven nine five to find episode one seven nine five. [cite: 3256] Juiceboxpodcast.com/lists. [cite: 3257]
Scott Benner If you have a podcast and you need a fantastic editor, you want Rob from Wrong Way Recording. [cite: 3257] Listen. [cite: 3258] Truth be told, I'm, like, 20% smarter when Rob edits me. [cite: 3258] He takes out all the, like, gaps of time and when I go, and stuff like that. [cite: 3259] And it just I don't know, man. [cite: 3260] Like, I listen back and I'm like, why do I sound smarter? [cite: 3261] And then I remember because I did one smart thing. [cite: 3261] I hired Rob at wrongwayrecording.com. [cite: 3261]
