#1911 Two Mirrors Part 1
Two Mirrors Part 1
Part one. An RN mom hasn’t slept in nearly two years — her daughter’s needle phobia, anxiety, and lows run the house. Scott hears it all, then offers the advice.
Jump to a moment
- The signs were there on the drive to Maine — the downed frappuccino, the desperate bathroom stops, the midnight thirst — and Amy, an RN, “knew it, but didn’t know it.” The diagnosis call came at a red light, on the car speakers, with Emily in the back seat.
- Emily may be the one kid who should never have gotten a disease built around needles — she was already in needle-exposure therapy before type 1 arrived. Four hours to change a Dexcom in the early months; nearly two years later, she’s still on MDI with a Tandem Mobi finally in the mail.
- Caregiver burnout is the real subject of this episode. Amy has woken every two hours for nearly two years — “I need a four-hour nap and a bottle of tequila” — and only one person on earth is allowed to babysit.
- The family history runs deep: Amy’s mom was diagnosed with type 1 at 40, her grandfather in his sixties, and Amy and her mom both have Hashimoto’s. Her nephew’s unexplained lows prompt a live look at whether lows can precede a type 1 diagnosis (sometimes, rarely).
- Scott’s reframe: people who live with diabetes long enough stop flinching — like people who live where rockets fly overhead. Part one ends mid-sentence as Scott asks, “Can I give you the advice?” The advice is part two.
- Part Two — JBP #1912 — The conclusion — Scott's advice, the two-mirrors talk, and the thyroid checklist
- Tandem Mobi — The pump Emily is about to start; sponsor link
- Juicebox Podcast Facebook Group — Community around type 1 (verify URL)
Every word of the conversation
Welcome0:00
Hello, friends, and welcome back to another episode of the Juice Box podcast. My diabetes pro tip series is about cutting through the clutter of diabetes management to give you the straightforward practical insights that truly make a difference. This series is all about mastering the fundamentals, whether it's the basics of insulin, dosing adjustments, or everyday management strategies that will empower you to take control. I'm joined by Jenny Smith, who is a diabetes educator with over thirty five years of personal experience, and we break down complex concepts into simple, actionable tips. The diabetes pro tip series runs between episode one thousand and one thousand twenty five in your podcast player, or you can listen to it at juiceboxpodcast.com by going up into the menu.
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. Today's episode of the juice box podcast is sponsored by the Kontoor Next Gen blood glucose meter. This is the meter that my daughter has on her person right now. It is incredibly accurate and waiting for you at Kontoor Next dot com slash juice box.
Today's podcast episode is sponsored by MiniMed, the innovators behind the MiniMed Flex system, a small, sleek, and discreet insulin automated delivery system controlled from an app. Nothing comes close to freedom you can feel. To learn more, visit minimed.com/juicebox.
Meet Amy — Ohio by Way of Everywhere1:49
My name is Amy. I currently live in a suburb of Cleveland, Ohio. I have two kids. One's my t one d and my husband, and we have a German shepherd named London.
I see London. I see France. I see Amy Yes.
On the podcast.
Also, every time someone says Ohio, I just think of that Drew Carey show.
Well, my husband is originally from here. I am not. So there seems to be awful a lot of jokes about Ohio for some reason, and I I don't know whether to join in on the jokes or not to defend my husband, but it's so funny. So I don't know.
Well well, there is a for people who don't remember television, there was a a a sitcom with Drew Carey. I believe it was called I I don't know how they came up with this title. I I believe it was called the Drew Carey Show. And, there was a song, and I don't know any of the song. Like, I couldn't sing it for you now if you paid me money.
All I know is that the last line of the song, someone just goes, Ohio. And I think it, like, and I think it echoes. And that's what I think of every time. So That's
so funny.
Nevertheless, I'm sorry that someone drug you there if you didn't wanna go.
No. Well, it's one of those things where it's such a nice it's a great place to raise kids, but there's, like it's a you know, it's
Now what?
It's like well, it's like it's you know? So I'm from Massachusetts. I was raised on the very Southern West Coastal Maine coastline.
Okay.
And we had the beach. We had mountains. We had Boston. And, you know, you go to Boston, it's like Harvard and and all the, you know, Tufts and all these things, and it's just you're surrounded by, like, education and some of the, in my opinion, best sports teams in the country.
Well, I mean, you're wrong about the sports thing, but the other stuff I'm in, I I I do I do understand what you're saying.
You know? But, and then, you know, it's just so funny. And then you come here, and it's great. There's nothing, like, wrong with it, but it's just like
Is it so from your this is interesting. May I before we get started, I I recently went to Tennessee to look at a a house. And and everyone who's from here says, you're gonna move to Tennessee? And I'm like I I said maybe. And they're like, well, then you'd be in Tennessee.
And I was like, yeah. I think it's really pretty, and there's, like, mountains, and it's, like, I found I found that it was, like, in the middle of nowhere, but, like, very close to something else. And, you know, and I thought but but then this this thing came to me. I I work a lot, and so does my wife. Right?
And we're probably gonna work for ten more years. And so I told I I said to them, I honestly think that on the if you pick the right day of the week, you could pick my house up. If you could magically lift my house up and put it somewhere else, I might not know that I'm not in New Jersey for days. Right. I was like, so what's the difference?
Right. Very
fair. Very fair.
At the end of the day, when I do make it outside for a half an hour, what if I looked up and there was a mountain there and my neighbor wasn't right next to me? Like, what if that happened?
Yes.
I don't know.
We we lived in South Carolina, actually, in Greenville for a year. My son was born there. And so we were very close to Tennessee, and we would go. And you could go to, like, Gattenberg and Pigeon Forge and Nashville. It's great.
Like, I highly recommend Tennessee because I just think it's so beautiful. Thank you. You know, we lived in Manhattan too, so I was very close to New Jersey at one point. So I no offense, but that's a bit busy for me.
It's it's getting busy for me too. Okay? And and I think that's a a function of my age. If we get to a chance later, I will tell you how that right before I did this, I was in the driveway of my house on my phone, ranting at the person who's supposed to pick up my recycling in a way that made me think, I gotta I gotta get out of here. It was like was anyway Yeah.
Let's find out a little bit about you guys now. So Sounds good. Husband, dog, kids, Ohio. How many kids again?
We have two.
Two. And the ages?
So my t one d daughter is 12, and, she turned 12 in March. And my son is eight, and he turned, eight. So he's, like, eight and a half. How
old are you?
I am old. I am 40. I just turned 44 in April, and I just hate saying that number.
I am old, you said. I'm 50 I'm 54.
Well, it's funny because a lot of women my age are like, oh, 40 is gonna be awful. When you hit 40, all of this stuff goes wrong. And, you know, in my thirties, was hearing that constantly, and 40 was fine. 41 was fine. 42 was fine.
And I'm like, they're lying. I don't know what you know, I'm running half marathons every year. Like, I'm like, I don't see what the problem is. And then 43 hit, and it was like t one d diagnosis, 43, everything like, my world is just falling apart.
So Wait till you go
into what they call perimenopause.
Well, yes. I'm like, shoot. Now that's next. There's nothing like there's no good coming. It's all downhill from here.
Alright.
Listen. I I like being positive, but you're probably right. So I I I all I know is my wife's downstairs, and if I brought her up here and she started talking right now, I think she'd go on for a while about what's what's wrong. But but
Well, and it's it's funny because I'm an RN too. I don't currently work. But, like, for a long time, I was always the person scheduling what I call, like, the older people test, like, colonoscopies and all these things. And now I'm like, shoot. That's gonna have to be me some soon, and these little young nurses are gonna be scheduling that for me.
Like, when did that turn? I don't I don't like it. I don't understand it, and it's just all terrible.
There's gonna be some 23 year old girl with an ass like a drum who's gonna flip you over one day and be like, oh, I hope this doesn't happen to me.
That's exactly right. Yep. That's my fear. It's happening.
Mhmm. And it's gonna listen. Here's the thing I said to somebody the other day. Getting old is terrible, but it's way better than the alternative. So
I hope so.
Yeah. But we don't know
what it is. Dying.
Andy, the old the the you're like, wait. What if dying's better than the old than being old? Is that what you're saying?
We don't know what we don't know. Right? Like, you know oh, man. That's funny.
I guess that's why at the end, you do see older people who have lived a long time. They just go, it's okay. I can die.
And and Exactly right.
It's best it that is maybe one of the hardest things to understand when you're younger. When you look at a person who's just like, I'm I'm good with going. You're like, no. You can fight. And they're like, meh.
It's alright. I'm good. I've done enough.
Yeah. Exactly. Really interesting.
The Road to Diagnosis Begins8:25
Okay. So how old is your child when when they're diagnosed?
So she was 10 pretty much. It was, like, the end of summer, and her birthday's in March. So Okay. Yeah. 10.
What what so you said you were an RN. So did you please I I'm waiting for somebody to go. I immediately know what it was, and I jumped into action, but but tell me what happened.
So we lived in England, The UK, for, like, six years.
And your husband's a spy, right, or something? What's going
on? Yes.
Okay.
Alright. I can't tell you more, but he definitely spies on peep no. Okay.
And you guys what have you said to me? Massachusetts, South Carolina, Ohio, England, New York City.
And I lived in Hawaii for four years as well. Yes. Alright. But that was pre kids.
I gotta tell you, you are gonna explain this to me at the end of this episode. So okay. So okay. So anyway, you're go ahead. You're doing what now?
Yeah. So my husband's job, he worked in a British pharmaceutical company and and a different company too. So two different companies took us to The UK, total of six years. While we were there, my daughter got very sick, and she it was, like, it was, like, post COVID, but not really. So it was the rules about who was in the hospital with who was tight still, but you could kinda go to a restaurant.
So it was like and UK was different than America in terms of their regulations and stuff. But she was really sick. Both my kids were her cough lingered, and then it, like, turned bad. And so I went to see our private doctor, and he was like, well, here's a prescription, antibiotic, take it if she spikes a fever. And it was, like, twenty four hours later.
I'm like, this isn't going anywhere. I'm gonna just start giving her this antibiotic. Mhmm. And then, like, probably twelve hours later, she was, like, on the couch, not able to eat, not able to drink, not even able to, like, speak because she was just so lethargic. And I was trying to, like, spoon chicken noodle soup into her and, oh, you know, whatever.
And then we brought her to the hospital. They admitted her. She had pneumonia. And so okay. Fine.
So three days, IV antibiotics. We went home. All's fine. But they delayed the treatment in my opinion. And she's always had my dad backstory, my dad died when I was 10 from polycystic kidney disease, and my daughter has had blood protein on and off in her kidneys since she's been two, which was picked up by a very kind teacher at the Primrose School in Greenville, South Carolina, who just thought we had she we thought she had a UTI, but it was it was just, like, a little bit of an infection kind of.
But, anyway, nothing nothing bad enough to fix anything. There's nothing to do. It's like a benign, hematuria is what they call it. So they're functioning fine. They're just not perfect.
Right? So, like, a filter that's just not perfectly filtering. It's no big deal. We got the pneumonia fixed. We're fine.
Couple years go by. We move home just because we're like, that was a scary experience. Like, the health care in The United Kingdom is really difficult and not great. Let's move back to America, so we did. We picked Ohio because my husband was convinced that the housing market was cheaper here.
So we moved to Ohio, and the summer of twenty four, we went to back to London for two weeks to visit. And we landed, and we were doing our thing. And at summer, not a lot of places have air con in them. She was drinking some water, but it literally didn't I did not stand out in any way. We came home back to Ohio.
Four days unpacked, repacked. We drove to Maine. And on our because that's we do a summer holiday there for about two weeks every year.
Warning Signs on the Drive to Maine12:08
Okay.
And on the drive to Maine, we stopped at a rest area, filled up with gas. There was a Starbucks. She downed a frappuccino in, like, ten seconds, and my son was barely sipping it. And he had never had one before. In The UK, we didn't really have Starbucks very frequent.
So I was like but she loves sugar and, like, sweet stuff. And I'm like, oh, that Emily. Like, now you're gonna get sick. Right? So she had peed twice while we were there, and I just thought, well, maybe like, come on.
You just you're just drinking too much. Like, this is silly. You're just downing this stuff. It's gross. We get back in the car.
We're on 90 heading east, and they shut the highway down because of a massive car accident. They're trying to land a helicopter. So they funnel everybody off on these back roads in Pennsylvania for to pass, like, two exits. And during that time, it was bumper to bumper for probably an hour, and she started having to pee. And she has had to go so bad that she was, like, crying about it.
And I was getting mad because I was like, you're making this drive difficult on purpose. You're back there just doing whatever, you know, drinking because you're bored and whatever.
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'I Knew It, but I Didn't Know It'14:51
So we finally get to a rest area. It it got so bad, though. I thought about asking, like, a random house, knocking on a door, and being like, can my daughter pee? But that's weird. So we didn't do it.
Found a bathroom somewhere, got her settled, got back in the car, got to Maine. The end of the two weeks comes, and she came up in the middle of the night and was like, I'm thirsty, and I have to pee. And the whole two weeks, they had been complaining about the location of their bedroom in this rental property that we had. And so they're a little bit bougie. They're used to Ohio where we have air conditioning in the house.
A lot of main houses don't have air conditioning. It was a hot night, and I'm just like, whatever. You're just being difficult. Go to that. It happened this second night, and that was the last night of the trip.
We're on the coast of Maine. There's no children's hospital with it's, like, forty five minutes north to Portland to the Barbara Bush Hospital or forty five minutes south to Boston. And I was like but I didn't I knew it, but I didn't know it. And I was like, nope. Nope.
Nope. Like, this is not it. We're fine.
She's just a pain.
She's just a pain in the ass. Like, whatever. I can't even handle you. You're just ruining my sleep on my vacation. Right?
Like, so I'm just annoyed. And so we pack the next day. We're driving home, and I'm emailing her nephrologist who we just have annual well checks with.
Right.
So I'm like, listen. I don't know, but I need you to run all these tests. And she's like, okay. Fine. Because we had an appointment with her probably three days later when we got back in Ohio.
Okay.
She's like, fine. No big deal. So blood work. There's a whole another story with needle therapy exposure for Emily because my daughter because she is just terrified of needles. So this was a we had, like, eight people holding her down.
We got the blood work. I expected to be wrong. Like, I was just praying I was wrong. We went to Dillard's, which is a local department store to do some back to school school shopping, And we were driving out at a red light. It turns green.
The Phone Call at a Red Light17:05
My phone rings. It's a local Ohio number. I didn't really even dawn on me who this could be, so I pressed okay on my car. So it's over the speakers, so there's no way of hiding it. And my doctor's on the phone, and she's like, your daughter has type one diabetes.
I need you to get to the emergency room right now. And I just was like and she's in the back seat, and the light screen, there's people behind me. The cars in front of me have gone. I can't pull over. She's, like, thinking she's going to die immediately because she doesn't know what this means.
Yeah. Yeah.
I'm like, oh my god. Like, I don't even know. So I pull over as fast as I can. The doctor's trying to calm her down through the speakers of the car. I you know, I'm just like, oh my goodness.
So we race home, pack a bag, tell my husband, and the four of us drive to the local hospital where the sweetest, kindest, loveliest peds endo is on call waiting for us to arrive. So we get there, and we are admitted for two nights, three days. Yeah. And then
That's it.
Here we are, diabetics. Yep.
Wow. Jeez. That's something else. Was a lot. Yeah.
No. I I imagine. And and did you get to go to Dillard's? Did you do the shopping or no?
Yeah. We did the shopping. It was a great mother daughter day. Like, everything was good. You know, she didn't it wasn't like drinking every day like crazy and peeing every day like crazy.
So I thought, you know, maybe it was just a fluke.
Yeah.
Maybe it was a flu. Maybe it was a little sickness. Maybe it was exhaust heat exhaustion because we go to the beach every day, all day in Maine, and it can get warm. And Right. You know, you're tired.
You're not getting sleep. You're not in your house. We don't have air con like, whatever. It could be a million things.
Why? I asked about Dillard's not because I cared about the shopping, but I was trying to figure out if she if she was, like, you know, how she was feeling. This sounds like she was doing okay that day. I
gotcha. Great. Yeah. Oh, she was walking the little runway within the dressing room, like, trying things on, and Yeah. We had a great we had a great morning.
So
I I like when you say I I have to tell you what. I don't I I'm not going I'm not vacationing anywhere warm without air conditioning, and I don't think of that as bougie at all. I don't think I think of that as fair necessity. But
So funny. Well, we grew up as kids in Maine, and we never had it. You would open the windows, and you'd have a little ocean breeze, and you were fine.
Yeah. But as we went over earlier, Amy, you're old, So that's a different one.
That's exactly right. Yes. The world the climate has changed.
Right? Listen. We we, grew up I don't know if I've ever really talked about this before or not, but I grew up in a rented house.
Okay.
That, was rented to my family by a church. So the church had a parsonage. A parsonage is a place where usually your your pastor lives. And, they were renting it because the pastor had his own house. So I I grew up in a three story home that I didn't belong in.
Like, we couldn't we couldn't actually afford. Okay? But I think I as I look back now in hindsight, I think the church was trying to be nice to my family and everything. I I I see now that I was on some sort of welfare that I didn't understand. But but that but neither here nor there.
We did not that house did not have air conditioning. Mhmm. And we didn't have what you might call money. So, my parents eventually, like, scraped up enough to buy one air conditioner that went to a window. Mhmm.
And what we did was is we basically figured out what the largest room in the house was that we could afford an air conditioner that would fit in, and then we put it there, which ended up being the living room slash dining room.
Okay.
Now the problem is is that there was a doorway into the kitchen, and it didn't have a door on it. But we the the air conditioner wasn't strong enough to actually air condition the kitchen too. So we had to hang sheets over doors to keep the cold air in the space, and then all summer long, we all slept in the Yeah. In in that room. Right?
And I'm gonna tell you right now, I can physically feel right now pulling the curtain aside and walking into the kitchen.
Oh. Like like, how
just wave.
Yeah. That exactly. Just, like, hit in the face of this horrible heat. You know? You tell me to sleep in that now, and I'll say, no.
Thank you. I've I've ascended I've ascended beyond this. I'm not doing this anymore.
So So funny. Well, the houses in England don't don't have air conditioning, really. And so why
we all left.
Yes. Yes. That's the only reason. And we like, the ups they're built so well, and, like, the upstairs just is stifling in the summer. And they don't have screens on the window either.
So you can't open the screens at night because bugs come in, and you can't not open the window because there's no air con. So I don't know how people survive.
Heathens.
Like, because Yeah.
Yeah. No. I understand.
It's awful. It's awful.
I listen. I vacationed in Vermont once.
Oh. And I listen
to that noise she knows already. And so, like so I'm living in society here where where, you know, people live in civilization. I never imagined there wouldn't be an air conditioner at the house that I rented. And Yep. My wife arrived earlier.
Arden and Kelly went ahead because Cole and I were in a baseball tournament. And so she we're now driving to Vermont. She's there. And I remember Arden, this little girl. She calls.
She goes, hey. Mom called and said this house doesn't have mom said this house doesn't have air conditioning. And I went, it's a house. Of course, it has air conditioning. She goes, no.
This house does not have air conditioning. Everyone was mad at me for a full week. I just want you mad.
No. They need a redo on their vacation.
I've never slept so close to a fan before in my entire life.
That's so funny. Anyway Welcome to New England. Yeah.
Pull pull it together, Vermont. Terrible. Yeah.
But so
They're all eating Ben and Jerry's. They don't know it either. Well, I mean, we did
the Ben and Jerry's tour. It was nice.
Yeah. Yeah. Absolutely.
Well, So so impact on you, rest of your family, then I wanna hear about your daughter. But, like, is it I mean, obviously, it's shocking, but how do you how do you process it?
Processing It — an RN and a Mom23:02
Oh my gosh. It was awful. Like, I was just in the hospital, and I'm as I'm watching things from a medical side because I'm an RN, and I'm also trying to be her mom, and she is terrified. And, like, the anxiousness, the apprehensive like, I don't need there's no word that could even describe how anxious my poor daughter is. And before this, ironically, the probably eight months leading up to it, she had the flu shot the fall before, and our pediatrician was like, her reaction to getting a shot is not okay.
Like, she needs to see a therapist. So we went and we saw a therapist who she hated to see, but he was sweet as can be. And he did needle exposure therapy. So he brought in insulin syringes, like the old school kind, to just let her touch and feel and, like, you know, and he actually let her poke him with one and to to just try to get over, like, this irrational fear. Does it help him?
No. It didn't. And it was just miserable. And then we go on these trips and we get diagnosed, and I have to call him and be like, listen. Like, randomly, the one kid in the world who should not have a disease that's based around needles just got diagnosed with type one.
And he was like, what?
Like, this is so random. That that's that's like a
well, listen. We you know, Arden is a has a fairly heavy needle phobia too. So and I I know what she's tried a couple of different things, and so far, none of it really helps.
So Yeah. Yeah. I mean, it's like for blood draws, we have to go downtown. They have to bring in the child life specialist. They have a dog.
They have, like, you know, a gift toy shop, like, whatever. You know, we have to bribe her with whatever it is she want. Like, it's it's awful. It is awful.
But I should say that recently, Arden had to get a blood draw, and she went by herself.
Oh, okay.
And, like, there's definitely part of me that when she came back, I was like, there there's a coin flips chance she's gonna walk in the door and go, well, I didn't do that. And so, but she did. I was really proud of her. So
Yeah. Yeah. That's huge. That's huge. Yeah.
So I had swollen eyes. Like, I was in I was walking around the hospital with sunglasses on my face because my eyes were so swollen from just crying Mhmm. The whole time. And my so my mom has type one, but she didn't get diagnosed until she was 40 when my dad passed away, like, the same year they think it was stress. Her dad had it, but he didn't get diagnosed until he was in the sixties.
And they both were like, no. It's type two, but it wasn't. Like, the doctors were wrong.
Family History — Type 1, Hashimoto's, and Anxiety25:45
Was Amy, your grandfather was diagnosed with type one in his sixties. Your mom in her forties, and your dad had polycystic kidney disease? Yeah. What do you have? You have you definitely have hypothyroidism.
Right?
You're correct. I have Hashimoto's.
Yeah.
My mom has Hashimoto's. And, actually, I got Hashimoto's, like, my fourth month of being pregnant with Emily Mhmm. With my daughter.
Yes. And Emily's anxious, you said too.
Oh, to like, that doesn't even come close. That's the closest word I can figure out to describe her, but it's awful.
A cat in a room full of rocking chairs kind of thing?
Yep. Yep. Like, four hours to change a Dexcom for the first six months of our diagnosis. Like, four hours to put one on and never mind taking the old one off.
I know. Ardent's good. Like, I just wanted to
drink fast. I'm like, I mean, we have done this 800,000 times.
Yes. Yeah. Yeah. So Yes.
Well, what wait. Wait. What what else is so if you listen, you know, like, I I don't imagine that anxiety is autoimmune, but I do think it's inflammation related to some degree. Yeah. And I also think that I and I'll say this over and over again if I have to, but I've interviewed nearly 2,000 people now.
And I think that if I left the type one community and interviewed 2,000 more people, I would not hear this much anxiety from people. Like so I think it's all kind of interconnected somehow. What else is going on? Anybody got celiac?
Not that we know of. No. Not that we know of. No. I don't
Nobody nervous belly? Nobody's running to the bathroom all the time?
Not that I know of. Okay. So I I can get that sometimes, like, when I ran and stuff like that, but I don't know. Like, it's not bad enough where it's like a thing, but it's sometimes. So Mhmm.
I think it's just two Hashimoto's and
the type one. Ones. Well, now three three three type ones now. Yeah. Yeah.
Yeah. How about your husband's side? Anything going on over there besides thinking that the the real estate in Ohio is the way to make a decision?
Mental ill no. I'm joking. So he had, he had anxious he was very anxious in college. Like, almost like panic attacks, but not really. Okay.
But that's it. I don't think they have
his dad. How did
you find each other? High in a therapist's office? What was going on?
We he worked actually for a pharmaceutical company, and he was living in Connecticut when I was living in the New England area. We just met through mutual friends. But
Okay.
Yeah. They
were like, hey. I think if we put you guys together, you'll have a really anxious kid. And so
But I've never been an anxious person. Like, I mean Okay. I lived in Hawaii. I was just chill. I was very relaxed.
Like, my whole life, I feel like I wasn't an anxious person. I was just about having fun and Mhmm.
How about you?
Never. And
Do you have any siblings? Or
I have three sisters. Yep. My oldest one is my dad's child only, so she's my half sister. She has a lot of, like, urinary issues, like UTI chronic UTIs. Mhmm.
They all have had ironically, they have all had blood and proteins in their urine, I believe. I know blood. I'm I'm pretty sure about proteins more than I have. And so when I was pregnant, the doctors were all over my kidneys, and there was never anything wrong.
Yeah.
So I felt like I was skipping that, but I take after my dad more than my mom. Like, my looks, my height, my colors, like, all the things. Mhmm. And those girls the other my full two sisters take after my mom's side more. And, honestly, I just thought if anyone gets anything, it's gonna be those kid the my sister's kids because they kind of resemble her more.
Oh. But I just feel like we got, you know
But
slammed with it.
Any autoimmune with the with your sisters or anything else with them?
Her Nephew's Lows — Can Lows Come Before Type 1?29:44
Not that we know of. My youngest nephew who is, what, five maybe, he recently in the past six months I don't know too too much about it because they're not sure what's going on yet, but he will get super cranky, super, like like, just hangry until he has a snack. And so they are keep checking his blood sugars. And then I went online, and I don't know if it was within your Facebook group or just t one b d parents or something, but somebody actually posted about my kid having a low blood sugar for a very long time, and then they got type one diabetes. Yeah.
And I don't know if that's, like, a thing.
Or It it it is. Like, sometimes sometimes people get low before they get diagnosed.
Yes. Yeah. And he, like, needs a snack, like or he's freaking out apparently. I don't know that's,
I don't
know if that's the the actually, we should figure that out. While I'm figuring that out, let me read this real quickly for people. Polycystic kidney disease or PKD is a genetic kidney disorder where many fluid filled cysts grow in the kidneys. Over time, those cysts can make the kidneys larger, damage normal kidney tissue, raise blood pressure, and sometimes lead to kidney failure. So plainly, the kidneys slowly get crowded by cysts, and the crowding can make them work worse.
Yeah. Common things connected to PKD could be high blood pressure, backside or belly pain, blood in the urine, kidney stones or infection, cysts in the liver, gradual loss of kidney function. Let's ask the question. Why wait. Wait.
Hold on. Is there a medical reason that someone who will one day get type one diabetes would experience low blood sugars. Is that not I think I did that. Right? Yeah.
Let's see let's see what today I'm using ChatGPT. I would have used another one, if it was open, but I was using I was using this one to make images for the website, so it's open on my browser. I look forward to your emails telling me not to use ChatGPT to make images. I can't wait to delete them. Let's see.
Yes. It can happen, but it's not a common pattern. Well, it seems common when I'm talking to people. Erratic insulin release from stressed beta cells, insulin antibodies, autoimmune hypoglycemia, reactive hypoglycemia that is unrelated to future type one. So it okay.
So the three things that it highlighted was in early autoimmune diabetes, the pancreas may still make insulin, but not smoothly. Some research has described post meal reactive lows before overt type one diabetes, possibly from delayed or excessive insulin release. There are published case reports and small studies showing hypoglycemia before insulin treatment in a minority of people later diagnosed with type one. One study found that six of eighty seven people or six point nine percent. Insulin autoantibodies, autoimmune hypoglycemia, rarely the same autoimmune process around type one can involve insulin autoantibodies that mess with the insulin availability and cause lows.
This is uncommon but documented. And then reactive hypoglycemia that is unrelated to future type one. This is probably the more common explanation. People without type without diabetes can get shaky, sweaty, weak, anxious, hungry, or foggy a few hours after eating, especially after high carb meals. The Mayo Clinic notes that reactive hypoglycemia in people without diabetes often has unclear causes but can relate to meals, alcohol, gastric surgery, inherited metabolic conditions, or rare tumors.
Wow. Life. So much fun. So you're
So much.
And and yeah. Good time. Like you said earlier, like, I said, you know, it could be worse. You could be dead, you went
that case, I mean, you know.
Two Years In — Still MDI, a Moby in the Mail33:34
So so
okay. So I think we understand the background of of, you know, your family. So I I guess I would like to dig in for a second. She's diagnosed. She has a terrible needle phobia.
Yeah. And so how does she handle the diagnosis, and how do you get through this? Because now it's what? Three and a half years later, did you say?
We're it'll be two years this August. Two years. So we're not yeah. We're still we're still kind of in the fog. So she's I when she was first in the hospital, she had been in the hospital for the pneumonia in England, and she had the IV, and that was awful.
But that was it. Like, there wasn't multiple sticks and all that kind of thing, obviously.
Mhmm.
This one, you know, just involved waking us up all the time for the finger sticks and all the things. And I just think she thought, like, that would end. Like, there would be that's just while we're here in the hospital, and then we go home, and that's not like that. We have a restaurant called the Yard House that we go to every Friday. It's, like, five minutes from our house, and it's just our Friday family thing to do.
And I remember telling the doc like, on the rounds, I went out because I was so interested in what they were saying, the RN part of me. And I stood there in rounds, and I was like, listen. We're out of here by 03:00 today. Like, I'm done. I can't do this anymore.
So whatever you need to do to discharge us by three, we are going to the yard house tonight. It is Friday. We are out of here. Like, I'm done.
Mhmm.
And I just remember getting to the yard house and being like, I have no idea what the fuck I'm doing. Like, am I going to keep her alive? What is a french fry? I don't know. I have zero clue.
You know?
Everyone were leaving the yard house immediately. Everybody
out. Yes.
The Yes. Poor kid was starving, and I just was like you know, in the hospital, they just try to teach you so many things at once, but also super basic stuff. Like, you can eat meat and cheese. There's no snacks. This is what you do for breakfast.
This is what you do for lunch. This is what you do for dinner. So I was like, this kid can't have a snack ever? Like and I remember my nutritionist, like, two days after diagnosis being like, no. That's not true.
And I was like, oh, thank god. Like, you know, because I don't know what I don't know.
We want 20 dozen eggs and 35 pounds of bacon. We we yeah.
Oh, and she's gonna die now of clogged arteries at, you know, 12. Like, I
don't know. News. Her blood sugar's terrific.
Her her
cholesterol is not looking good at all. Oh,
And then sodium, you know, so then her kidneys start failing. You're just like, damn it, man. Can it wasn't
the really does go through your mind in those two days.
Oh, a 100%. You know? And, you know, and and I haven't slept. I honestly I I feel like I she's still MDI, and we're just, like, two days ago received Tandem Moby in the mail, and we haven't received the the supplies with it. And we're waiting for our training, but this is the first time in almost twenty four months that she's even been like, well, maybe I could potentially let's see.
Try this. Maybe. She could
make run from the needles even though she hates them?
Anything new is so scary to her. Like and not even necessarily diabetes related. Like, if I was, like, try softball. She'd be like, oh, I don't know. You know, like, it's just
Mom, softball.
My god. You know what's gonna go wrong.
Right? Yes. Yep. So anything new. So it's like that was what we were doing.
She couldn't deviate from that.
Aw. Boy, a poor kid.
That's terrible.
Running on No Sleep36:57
It's awful. And I haven't slept in, you know, twenty two one months. And, like, literally, every two it's worse than a newborn. I am up every two hours all night, and my sweet husband, he'll sleep through the night. He travels a lot for work, so I'm I don't work currently.
I'm the primary caregiver for the children. So he gets restful nights when he's away, and he gets restful nights when he's home because he has to work. Like, on the weekends, we take turns and stuff, but I'm like, you know what? Monday through Thursday, like, this is all it's fine. I can try to rest during the day, whatever.
And he'll be like, just take ten minute power naps. And I'm like, for someone who gets consecutive sleep, a ten minute power nap might work. But when you're sleep deprived of that deep restorative restful sleep
Amy, it's
like ten
minute nap. Nap. Fuck you. Okay? Literally,
this is what I wanna say. I need a four hour fucking nap and a bottle of tequila.
About three months, and you all try to stay alive till I get back.
Yes. Yes. And I don't know if it's because I'm mom or and an RN or both or one or whatever it is, but she, for the first, I would say thirteen, fourteen months, wouldn't let anybody touch her but me.
Yeah.
So if it was like, I couldn't even see couldn't even be like, Amy, I got this. Like, you rest tonight, because she would have a massive panic attack because daddy was trying to fix it. And bless her heart, one night, I did go forty five minute away to a mom's night out. It's a diabetic conference thing for parents of t one d.
Sounds fun. Yes.
And it was forty five minutes away, and I got a call during the dinner service at, like, 07:30. She's like, mom, I'm going low. Daddy just gave me a sugar free juice. And I was like, oh my god. This is this is why I can't leave home.
He's like 13
year old's on the phone going, hey. This idiot you married is trying to kill me over here. Okay? Yeah. So
Yeah. Yeah. And my son, who's seven or I think six at the time, he's like yeah. I can hear him in the background. Like, don't worry, mom.
I gave her a regular juice with Sesame Street on it because that's the kind we buy is the little ones with the Sesame Street
on it. So Amy's out going My seven years, they have only one holding this together right now.
Like, I'm not this is so not you're not wrong. Like, there's times, and I'm like, oh my god. This is true. Like, he knows more. I think, in honest opinion, he would know more about pediatric type one diabetes than the average adult ER physician.
I'm not even like, I honestly believe this whole heart.
Yeah. Yeah. Well, it's just sad on its own, by the way. So Oh,
that's awful.
So okay. I think I understand the bigger picture here. And and and so now completely serious, you know you can't keep doing this for much longer. Right?
I honestly feel like I told I I I have had moments where I've just melted down and and, like, you know, screamed at everybody because I don't feel like they quite understand that if mom dies of sleep deprivation, like, or cancer because I haven't slept or sick, whatever, like, my car into a tree because I fell asleep driving, like, I'm not gonna be here to take care of you anyway.
So, like, if I don't I go, we all have to go together. Okay? Because I'm I'm looking up. Like, maybe he could do okay without the kids, but I think with the kids, it's not gonna go well. Maybe maybe just give the seven year old a couple of grand and let him go farrow and see what happens.
You you know?
I used to I used to be in the philosophy of we all fly on a separate plane because, you know but now I'm like, no. We're all together in this one, guys. Hop aboard because if it goes down, at
least is what we need. We need to all go if we're gonna go. You're you're you're in the the crazy, like, you're, like, crazy lady on the news, like, level right now. Well, what happened? I just they can't live without me.
I'm like, they probably would be fine. So so but seriously, they probably would be fine. So, like, you're like, you know what I mean? Like, what do you honestly, they'd pull it together. Right?
Well, you know, I I do think in the I think my husband has been you know, she has, you know, made him feel awful enough for that one night that he's really learned to, like, look at what he's giving her for a low snack. But I just think she is it's a 100% nothing to do with him. He's great, but it's just her personality. And it's just her changing it up from something. And mom's always there.
Mom's you know, I I my body will literally wake up, and then the next change on the Dexcom, it'll hit a low. And I'll be like, my it's just like something in my body.
Why So Many Lows?41:30
Why is she getting low so much?
It's so weird because, you know, I've listened to you a lot, and I'm like, what what am I doing wrong? But she like, I'll do the same thing, the same time, the same food, the same activity, and one night she's 200 plus overnight, and I'm waking up every three hours to give a correction and whatever. And then the next night, you know, I give the same correction right before bed, and she's dropping, you know,
I have night the
Moby's gonna fix a lot of this for you.
I praise God. Like, if they if if it does, I will find the creator of that pump and give them a big old kiss because I'm like, I need someone to come save my life right now. Like, this is but my my anxiety in all of this is there have been plenty of times that the g seven is so off that I am terrified of it being like, oh, she's one eighty, and Moby's like, okay. Here's some insulin, and she's 40. You know?
And I think telling me there are
times that her blood sugar says one eighty, but she's 40?
There's been times the g seven has been a 100 points off. Yes.
But but like that? Or
Yeah. Like yeah. Yeah. Yeah. So one time it was I was checking her, she's and like, mom, I just don't feel right.
And then her actual finger prick wasn't 40. That's an exaggeration. But it was, I think it was, like, 62 or something. And the Dexcom was, like, one fifty or, you know, something you wouldn't have even, like, almost to the point where you're like, you're fine. Like, I don't
know what you're bitching about. You know? But, like, then she's not. She's well hydrated.
Most days, you know, there could be a day at school or something like that where she's not, but I do try to make sure that, you know, she's drinking well enough. I do try to make sure it's in the right spot. I do it's not a compression low. You know, like, with the Dexcom's low and she's not like, all the things, you just but it's like she's standing she put her left foot forward, and the wind's blowing north today. Like, I don't know.
Like, what is the there's nothing that I can think about that changes. You know? You
are in desperate need of a step back.
I am desperate need of, like and we used to have such a good life. Like, for six years, we lived in
You got a good white lady thing going on. I heard it. Yeah. Yeah.
Yeah. Traveled to Italy. We went up on the weekend. You know, we were like, let's go to Rome. Why not?
Let's drive to France, Belgium. Let's do it. You know? Like and believe
doing me that anymore?
No. We live in America, which it's like, where are we gonna go? Michigan? I'd rather not.
You know?
A lot of people listen from Michigan. I love Michigan. I just wanna say that out loud. There's nothing wrong with Also Ohio.
Wrong with Michigan. Yeah.
Well say.
There's nothing wrong with Michigan, but it's not Rome, Italy is my point. You know what I mean? Like, it's not
I hear you. Okay. Well, I mean, I think even the people of Michigan would say that.
This is it. Yeah.
This is it. That's my point. Yes.
'We Used to Have a Good Life'44:28
So yeah. So but but but wait. Let's let's let's slow down for a minute, Amy. Are you so you said you're anxious too.
Well, I'm anxious about the fact that if I do something wrong, she's dead, and you're supposed to take care of your children. Right? So you're supposed to protect them, and you're supposed to provide
them all and You're not gonna kill her. It's fine.
I'm just
You gotta let go of that.
Ugh, man. And it's like, you know, everything has just become so complicated in life. Like, we've flown. We were in Hawaii in April. You know, we go on a holiday every every summer school break, and the amount of crap we went to Connecticut for two days because we're supposed to move for my husband's job now, and Connecticut was the first option.
So we went and being from New England, I was so excited, and we got there. And I'm not like we lived in Westchester County for a little while too, and it's right on that purchase, like, New Cannon line or whatever. And we were there for two days, and everything went wrong. The Dexcom went failed. The second the one I brought for we were there again for two nights, so I brought one extra because the one she had on was supposed to last.
We were in, like, day two or something. It failed. The one I brought, the wire stuck through the hole. Then we spent, like, two hours at CVS trying to get another one, and then that one failed. And then I had to get a third it's like you know, it was just
like Amy Amy, is it possible you're the problem?
No. You never fail on me. They never fail on me.
I just know.
String of them right there.
It was it was a weird thing. And there is there is a girl, and she's posted on her Instagram that she has a theory. Marley, you know, Bane, like that little Yeah.
She's lovely.
She she at one point said if they're made in Malaysia, they tend to have more problems than the ones that don't say Malaysia on the box.
Well, I think the company would tell you I think the company would tell you that's not true, but I don't know. Like, I have no idea. Listen.
You know he does lie, but I saw it, and I was like, oh, she's onto something. Like, all
four of
are from the lantern.
By the way, very well could be. I have no idea. What what I'm saying is that, like, there used to be this, gosh. I wish I could remember the number. There was this theory years ago that one of the codes was a problem.
And and Okay.
And then but you really have to stop and think about this. Like, the the number of those CGMs that are are made and put out into the world Mhmm. Is a massive number. The number of people online is a much, much smaller number.
If Very logical. Yes.
20 of them say, oh, this code is bad, then everyone online goes, everyone's saying it's this code. But Yeah. No one's pinging the other million CGMs that were made this year. And so
Very fair.
Yeah. So, anyway, I don't what I would say is that I don't think that's a good mathematical way to figure it out. I and I'm also not telling you you're wrong because I have absolutely no idea. I would just I would just, you know, say it feels like you got a bad string of them or maybe listen. Maybe a lot of them came out.
A lot l you know, not a lot, but a lot.
The lot.
Yes. Yes. I kept
I could've kept saying a lot over and over again. I wasn't gonna get anywhere. And maybe they came in that area. Like, I have absolutely no idea. Look.
I I Yeah. I'll tell you right now, that goosenecking thing that you talked about. Yeah. When it first came out, I think Arden put three on in a row that did that.
Yes. And it was clearly a
problem, and now it seems to be much less of a problem.
Well and here's the thing. Like, if she was a very chill girl and it's just like, oh, shit. This wire popped through. Let's rip it off and do another one. It would be, like, no big deal.
But it is, like, meltdown. Like, it you know?
Well, I don't wanna I don't wanna undervalue her situation, but I also don't wanna undervalue other people's situations. I think it's a big deal for anybody. I think I think that, like, you know, you don't wanna stop and change a device, And then you No. You do it, and then it doesn't work. You're like, you gotta I gotta do this again.
And then not only do I have to rip it off, poke myself again, but now I gotta call the freaking company and tell them it didn't work so they can send me another one. And then now there's people online going on, but you can do it through your app. I'm like, I know you can do it through app. And then and, like, you know, to be you still gotta go through all that problem, and it is frustrating.
Yeah. And and and there's just
Absolutely is.
Yeah. And there's nothing worse than seeing your daughter or your child so sad and so scared and so upset and so worried. And I think she's worried she's going to die. Like, she will not wake up in the morning
or she will die. From you? I
don't think so because I'm not I've never ever been like, oh, this is this is that. Like, she'll have a trouble.
You just told me you're afraid that if you mess up, she's gonna die.
Well, that's me, but I've never put that on her. Like, when I'm around her, she'll be like, I'm a mom. I don't feel good. I'm having a lot. I'm like, that's alright.
Just sit down. We'll poke your finger. Let's get a juice. Let's figure it out. You know?
Like, a
beer a coffee. You're you're you're Hawaii Amy, one on one yourself. Yeah.
Okay.
You're like, oh, it's gonna be fine. We'll meet a handsome boy. We'll stay in Hawaii forever. Yeah. Yeah.
I right there.
But I think, like, in the back of my head is like, even as an RN, if I was working, I'd be like, okay. I gotta do the five rights here because if I mess up this medication, like, that's that. Like, so it's it's a general, this actually could happen. Am I losing sleep about potentially killing her? That's not the reason I'm losing sleep.
You know? I'm just I always.
Up down. Up down.
In the beginning, I couldn't sleep, and I don't think my body has gotten past that you need to be awake in case something happens. But during the day, I'm not like Can I tell check and follow every ten seconds?
Tell you what really happens is they get older and they become a bigger pain in the ass.
You come you come
less worried. You you come less worried about whether or not people die or not. You're like, you know what? I've had enough of all of you. So That's you're
oh, man. That's so crazy. Like
oh, yeah. No. Like, you know, obviously, I I don't want anybody to die. But but
I be same.
Rockets Overhead — Getting Used to It50:20
But but, you know, like, I'll use it. I can just use yesterday as example. Arden finished her last her last final. It's her you know, she's got, like, three more classes left, and she graduates. Her boyfriend's graduating now.
All of her friends are graduating now. So they went to a they went to a house party yesterday, and and she lost her signal. I'm gonna guess she put her phone down. Right? Like and but she didn't have a signal for hours.
And I have to tell you, I never worried about it once. Yeah. And then and then and then she got her signal back, and her blood sugar was too high, obviously, because she was probably snacking and and whatever else she was doing and not getting insulin from her automated system. And then it came back online. I gave her insulin.
She went down. And I'll tell you right now that five hours later, she got low. And then she drank a juice, and it was all fine. And I never worried about it once. I think there's Amy, give me a second.
I think that that the time that I've been doing this like, I can now see how eight years ago, someone with type one, an adult, would have listened to me and been like, this guy he doesn't have the whole picture yet. And they would have been right. And I don't have the whole picture now, but I have a lot more of it than I did eight years ago as an example. And eight years ago, I would have sounded like you. I've been like, oh my god.
The signal went by. This thing doesn't work. You gotta do this. Like, it's gonna be a problem. She's gonna die.
How's the algorithm not gonna know what to do? Is she gonna get too much insulin? And I would but you know what? Then I meet a ton of adults who have type one diabetes, and they all have something in common. They're they've been through it enough that they don't they don't flinch anymore.
They're like they're like people who live in a war zone. When Yeah. Like like, if you shot a rocket over my head right now, I would probably die. Like, I would probably, like, short circuit fall over and and explode myself. But there are places in the world where rockets fly over people's heads all the time, and I've seen videos.
They don't even flinch.
Oh my goodness. Yeah.
They're just like, this is what happens here, and you get used to it. And I think that that's a it's a bombastic example, but I'm telling you, I think maybe it's not when it comes to diabetes. Like because you feel like you're gonna die. You feel like she's gonna die. Something terrible is gonna happen.
But if you live through it long enough and have enough experiences, I don't think that feeling I think that feeling goes away to some degree. Yeah.
I yeah.
You know what mean? Now for her or somebody who's that anxious, maybe it's not gonna be that way for her. But for you, it could be because I I I genuinely wasn't worried yesterday.
Yeah. That's good. No. I do feel like I've improved. Like, the first twelve months was awful.
I would say the last, you know, six months, I've kind of felt like today is, you know, this is the worst thing that could ever happen to us. We had such a good life. Like, this is like, there's so much has changed. This sucks. It couldn't get any worse.
And then I'll wake up the next day, and I'll be like, you know what? She's not in a wheelchair. Like, she has you know, she could be stuck in a hospital bed. She could have terminal cancer. Like, every you know, she's fine.
She's gonna get on a pump one day. Her numbers will be more stabilized. Her kidneys won't fail because she potentially already has a precursor to a problem that could be exacerbated by the diabetes. Like, all that stuff's going to be fine. We're not even two years in.
We have to still find our rhythm. You know, she's a kid. She's 12. She's going through puberty. That's gonna change a lot of things day to day.
You know, I don't restrict her food because she's already had so much taken away that I'm like, eat a doughnut. I don't care. We'll just give you insulin for it. Like, she's not I'm not strict in that way. Yeah.
Amy, worry And then
worry is a waste of imagination is a is a phrase that I find really helpful because what you might not be wrong, by the way. Like, something something terrible might happen twenty five years from now. Okay?
Yeah.
But there's literally nothing you can do about it today.
True.
Right? Yeah. But, I mean, there's some basic things. Prebolish your meals. You know, make sure you understand the impact of your food.
Try to keep blood sugars from being wildly up and down, like, look for stability, try to get an a one c as low as you can that's, you know, comfortable in your life. It doesn't cause, like, problems. And then, I mean, I there's that old, like, country song. Right? I beg your pardon.
I never promised you a rose garden. Like, what did you think life was gonna be perfect? You you you know what I mean? Like so, like, there's gonna be problems along the way, and I guarantee that a a well rested, not out of her mind Amy does a better job in that moment than the one you are right now. You you know what I mean?
Like and so, like, I don't know that you're ever gonna be like, hey. The rockets are flying. I don't care. Keep playing. Like, I'm I'm outside playing badminton.
I'm not gonna slow down. Like, maybe you're never gonna be that person, and maybe you shouldn't be. I have no idea. But, like, I I don't I for everyone listening and for you, I would just tell you that as your experiences pile up, you should take stock of them and and try your hardest to not stay stuck where you are. Because right now, you're what I've heard you say we used to have we used to have a good life.
You must have said it four or five times already. Yeah. I would argue you still have a good life.
Fair. And that's fair. And and here's the thing. Like, in other parts of my life, I'm so easygoing. Like, I was a first time mom with a two month old baby who had to move to The UK for my husband's job.
I had to learn how to drive on the other side of the road with a I had to learn how to be a mom. My husband left to go to Brazil for work, like, a week or two after we moved there. So I was like, where's the grocery store? Like, you know, so there but I was like, whatever. We'll figure
that out.
You were you were like, So I can do
I got this.
So this is the
Texas, and a Cliffhanger56:12
One one month from now, we're moving to Texas for my husband's job. I've never had Texas in my, you know, in my vision.
Where in
Texas? Just West of Plano, he's working in his offices in Plano. So instead of Connecticut, we picked Texas because there's sunshine and warmth and, you know, whatever. I guess, you know, cheaper homes, and it's beautiful.
Amy, no no no, no, tax, state income tax either.
This is the other thing.
I didn't I didn't pick I didn't pick Tennessee by mistake, in case you're wondering. And so Connecticut
and New York were like, that's a double whammy, where if we go to Texas, we can, you know, save a few bills. So, you know, that's what we're gonna do. And I've had friends who have been like, I would have a toddler fit if my husband said we had to move to Texas. And I'm like, really? Well, whatever.
We've moved nine times, and I just do it, and it is fine. And everyone's like, how are you doing that? Like, I have
to just move. You translate this to that?
I don't know. Scott, if you could answer that question for me, we would both be so happy.
Well, can I give you the can I give you the advice?
Yeah.
Yeah. I mean This episode was too good to cut anything out of, but too long to make just one episode. So this is part one. Make sure you go find part two right now. It's gonna be the next episode in your feed.
I'd like to thank the blood glucose meter that my daughter carries, the Kontoor Next Gen blood glucose meter. Learn more and get started today at kontoornext.com/juicebox. And don't forget, you may be paying more through your insurance right now for the meter you have than you would pay for the contour next gen in cash. There are links in the show notes of the audio app you're listening in right now and links at juiceboxpodcast.com to Contour and all of the sponsors. Something new just arrived from MiniMed.
It's the MiniMed Flex system. Think about everything people love about MiniMed technology. Designed for great outcomes, helping keep you in range, and made to be easy to use. Now in a pump that's the size of two stacked vials of insulin. MiniMed Flex is fully controlled from an app.
Designed to stay tucked away and powered by the proven automation that helps over six hundred thousand people manage diabetes day and night. Order today. Minimed.com/juicebox. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app.
I'll be back tomorrow with another episode of the juice box podcast.
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