#1939 Good at Talking to People - Part 2
Good at Talking to People (Part 2)
Part two of Elizabeth Maddock Dillon's interview with Scott: why storytelling works when instructions don't, what he thinks doctors can and can't do, and the three things he's actually trying to say.
Jump to a moment




















- Storytelling is the method, not a style choice. Elizabeth, speaking as a literature professor, names what the podcast does: stories rather than formulas. Scott agrees flatly — our brains don’t work the other way. He argues the reason a phrase like bold with insulin spread is that listeners pulled it out themselves; his job is to keep collecting stories so people hear an idea in whichever words finally land.
- His read on why clinic visits fall short. Scott is blunt that a twenty-minute appointment can’t deliver what a running conversation can, and he’s critical of endocrinologists who don’t raise new technology or dismiss the impact of fat on blood sugar. He’s explicit that this isn’t doctor-bashing — they’re people with finite time who can’t hold everything — and that the answer is to build on what they tell you, not ignore them. This is his opinion, not medical advice.
- Elizabeth’s own story lands the point. She describes firing an endocrinologist after learning about a pump from the podcast rather than from him. Asked whether he’d planned to mention it, he said no — it wasn’t his job to cover every new technology, and she had told him six years earlier she wanted injections. Her position: an A1c a doctor calls fine isn’t the same as one you can’t improve.
- Agency versus compliance. Picking up a recent episode with Erica Forsyth, Elizabeth argues that being compliant is close to the opposite of exercising agency — following orders instead of working out what fits your life. Scott adds that he doesn’t plan episodes; he calls his own not-knowing the engine of the conversation, and Elizabeth offers him a kinder term for it: beginner’s mind.
- The whole thing reduces to three goals. Get your settings right, pre-bolus meals when it’s appropriate, and understand and cover the impact of your food. Scott describes himself as a guy walking a hundred yards ahead with a lantern, calling back — not an expert handing down rules, and he says plainly that he does it because it helps people and it still pays the bills.
- Diabetes Pro Tip series — Episodes 1000-1025 — settings, insulin timing, and food impact, the three things Scott names as the whole point.
- Mental wellness series with Erica Forsyth — Including the agency and anxiety conversation Elizabeth references.
- Juicebox Podcast Facebook group — The private community discussed here — 85,000+ members and busy around the clock.
Every word of the conversation
Cold open & sponsors0:06
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Storytelling beats a formula2:22
Two things. One is the storytelling. I mean, I'm I'm speaking here a little bit in my hat as a literature professor, but that storytelling is a way you know, that's different than giving somebody a formula. Right?
It's the only thing that works. Our brains don't work the other way.
Exactly.
Yeah. Yeah. Our brains do not work the other school. Listen. I'm not a conspiracy theorist, but school is made up by the Rockefellers, right, to get the working class in line or something like that.
I don't exactly know. You should look into it yourselves. But what I'm saying is that, like, we don't learn by being sat at the desk and being told to remember that on July, blah blah blah, in 1877 like, that's not how we some people work that way. Most people don't. Most people do not wanna be told about things that they actually care about.
You think people care to talk about their diabetes? No one cares about that. You wanna I listen. Ask me to to boast for a minute.
Please boast
for a minute, Scott. Longevity longevity is hard. Okay? I'm very proud of doing this for so long at a high level that reaches a lot of people. It's really hard to do.
Longevity, and a permitted boast3:28
Okay? I am pivoting constantly. My pivots have pivots. Okay? Like, I am I'm dancing between the raindrops, making this thing work for all of you.
And the rest of it is that I found a way to be stupid and silly and smart all at the same time. You can't tell if I'm a moron or a genius when you're listening to this. Okay? So because of that, no one's put off by me. Smart people assume I'm smart.
Less smart people assume I'm one of them. Everybody in the middle thinks I'm, like, I I'm not anybody. I don't talk down to people because I don't have it in my heart to do it, so nothing feels like a lesson. I'm not a teacher. I don't understand any of this technically, so I can't come across as a school mom.
Like, it's a perfect mix. Also, I don't have type one diabetes, which for people listening who are bothered by that, please take that as a superpower in this space because I am not held down by the psychological issues that people living with type one diabetes have. So I can continue to be a thoughtful person out in front yelling, this is the path. I don't care if you're sad. Follow this one.
Not having type 1, as an advantage4:31
This one leads out. Right? Like, you I won't get caught up in it because I don't have it. Like, I'm not does that make sense?
Oh, it does. And and, also, I mean, there's so many parents who obviously are are dealing with the question of how do they help their child, and and that's and that experience is is hugely important too.
Yeah. No. But yeah. Exactly. Exactly in all of it at the same time.
It's not it's not me. It's us. That's why there's so many episodes so that it can be that that's why my end goal is to just I'm I'm telling you, the last thing I do is I'm gonna leave a prompt. It'll be at juiceboxpodcast.com, and it'll be an AI brain that can literally ping this entire podcast. That's the last thing I do when I'm done.
And I'm gonna leave it behind, and I hope you all use it. Until then, we gotta keep collecting people's stories because people find different ways to say things, and they don't always hit the same way. Like, I might say something, and it doesn't make sense to you. But then I might have a person on who says the same exact thing in a different way with different words and different feeling. And then you go, oh, I get it now.
Why it takes this many episodes5:43
And and that's why this and because the way social media works, Elizabeth, you can't just make I use this as an example all the time. If the world was a fair place, Mash would be the last TV show we made because Mash is perfect, and we don't really need another TV show. Okay? But it turns out people don't do that. They want another new thing and another new thing.
I'm sure the iPhone eight is probably a fine phone. Do understand? But this is somewhat humans do. Humans make things, and humans want new things. And they want them quickly, and they want them now.
And the Internet and the way it works now is exasperating that times a million. And it it worries me, and it fills me with hope at the same time. It fills me with hope because I there's a way to reach you. It worries me because now everybody thinks they're an influencer, and there's so much content in the world. You can't find the good stuff.
And that's me saying that I think my stuff is the good stuff, but that's neither here nor there. I've also think there's a lot of other good stuff. It's not me. I'm not saying that. But there's a lot of chaff too.
Right? So how do you separate the wheat from the chaff? Is that one of those? That's a saying. And so, see how I did the smart thing, but then made myself look dumb at the same time, Elizabeth?
It's it's very it's a skilled thing I know how to do. Then I and then I break the fourth wall for you, all in the same sentence. I might be a genius. Don't tell anyone. Okay.
Now listen. So we have this stuff going on here where everybody thinks they're a content creator now. And so everybody's attention is being fractured and fractured and fractured. Why is that a problem? Because 4,000 diabetes blogs was too many diabetes blogs, and now there's none.
Four thousand blogs, then none7:13
Okay? And if you tell me, oh, no, Scott. There's one still. That's nice. I don't know about it.
And if I don't know about it, it's a lot like saying it doesn't exist as I'm pretty tied into all this stuff. So point being is that somebody started by the way, they're lovely people. Carrie, Scott, George, those are the first three diabetes bloggers I can think of. I was probably in there in that year or two making one as well. Handful of other people, ten, twenty, 50.
I don't know how many. Hard to keep track back then. No way to know. There were people that did it before me is my point. I didn't know who they were.
I never read their blog before. I wasn't copying them, but I wasn't the first is my point. And people did it really well. Those that would have been enough. Maybe add twenty, fifty, a 100.
We're good. We're done. We got everybody's voice covered. 1002, 3,000, 4,000. All it does is separate your attention and give a person the feeling, I can't keep up with any of this, so I'm not gonna keep up with any of this.
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Use my slink. Use my slink. Use my link to support the podcast. That's US Med Dot Com Slash Juice Box. Now let's talk about the Tandem Mobi insulin pump from today's sponsor, Tandem Diabetes Care.
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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. Tandemdiabetes.com/juicebox. 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. And then all those important voices that we're helping people are gone because they can't make a living at it, and we all need to eat and turn on the lights. And so that becomes a problem.
I make a podcast. I think there's an argument to be made that everything inside of this podcast is probably everything you need about type one diabetes. I think it's all in there. But since I started, and I do think I was first on the diabetes podcast thing, I've looked pretty hard because I don't wanna just say something like that flippantly. I believe the ADA had a podcast a year before me.
In fairness, I think they've only gotten a million downloads in, like, the last ten years combined, which is not nearly as much as I do. So they might have had it first, but it hasn't really reached people the way I'm reaching them. There were a couple of blog talk radio shows that were short lived. I don't know if that's a thing people know about. People used to pick up their telephone in their house and call each other, and it would record on a third party system somewhere, and you could download the audio from it.
So people were making, like, blog talk radio shows. Some really cool people did stuff like that back in the day. I'd been on one or two at the time. And but they didn't last very long. They weren't great delivery systems.
But other than that, January 2015, I start up. It doesn't take a month and a half for someone else after I start to have the bright idea to do it too. And I stopped. I don't count, but I've looked in the past. And I haven't looked since I got to a 150 people who started a type one diabetes podcast.
It is has started and gone defunct since I started. And there are still there's some out there that still exist right now. I don't think they publish at my rate. I would call them more of a hobby, like once a week kind of a thing. I'm aware
The numbers behind the show12:06
So how many how many listeners do you have now?
I don't know how to tell you that. Apple Apple won't share that with me. Oh. I can I can tell you that since I started, I have just about 22,000,000 downloads? Wow.
Yeah.
So And how about on Facebook?
Facebook, we have over a 100,000 people. There's 85 well, it's more than that. I guess there's 85 or 86,000 currently in the private group, and I think another 30,000 follow me on the public page. Yeah. That Facebook group is, unto itself, its own beautiful place.
That Facebook group does between, like, a 120 and a 160 new posts every day. It does 8,000 likes, hearts, and comments combined every twenty four hours. It adds a 150 new people every seventy two hours. Wow. It's really it's an awesome thing.
For people who like Facebook, it's really a fan it's a fantastic thing.
Yeah. I I spend time on there. I mean, I I'm more of a lurker lurker than a poster, but I Most people are. I learn a lot.
Yeah. No. Most people are. What let me tell you one last thing to contextualize that, and you can answer your question. Rough numbers.
4,000,000 podcasts have been registered. Only 800,000 publish at least once a month. Of those, only 80% do no. On of those, 86% are doing a 136 or fewer downloads per episode. So 86% of 4,000,000 wait.
No. 4,000,000 86% of 800,000 podcasts get a 136 downloads on an episode. So that's, like, another 14% that actually do enough downloads to interest an advertiser. And of those people, the Juice Box podcast is in the top 1%. For clarity, the 1% above me make me look like I have a hobby.
Does that all make sense?
Yeah. No. It's it's extraordinarily impressive.
Yeah. But go ahead. Give your give your give your next question, please.
The loop that actually needs closing14:17
Okay. So I have this theory about diabetes. This is speaking as a as a diabetic that there's a lot of language about closing the loop between, you know, between the the the CGM and the artificial pancreas, whatever the pump, what that looks like. I think that the loop that actually needs to be closed is the loop between the doctor's office, the pharmacy, the insurance company, and the patient because that's where the the connections are being lost and and dropped. And that's one of the reasons why I think your podcast is so valuable because you are making all of those connections and giving people the information of, like, how do you actually live with this disease and not just you're a number on a script and here's some more numbers.
So I I I wanted to invite you to talk about how you think about your your place in the ecosystem of diabetes care.
Why doctors are at a disadvantage15:23
Yeah. Doctors' offices are a disadvantage as are doctors. So the thing that makes you a good doctor is not the thing that makes you a good podcaster. Right? When I wrote that book and I went out and I did my media for it, the editor called me one day and she's like, these interviews you're doing are so good.
And I was like, no. They're not. Because, again, I always think I'm messing up. Just I'm I'm I'm never happy with what I'm doing. It's always like, I'm always have an eye on making it better.
I was like, they're not great. I've messed up here. I shouldn't have said this. I went on too long here, like, blah blah. And she's like, these are the best author interviews I've ever heard in my life.
And I was like, what are you talking about? And then she says to me, people who write books are not generally good public speakers. And she's like, the the the, you know, the thing in you that makes you sit quietly and write a book is not the same thing that wants you to, like, project yourself in front of others. And I was like, oh, I didn't realize that. She goes, yeah.
You're the only one. Like, she's like, we bring authors to things. They stand there with their heads down. I went to a book fair one time. You must know about these.
They're like Yep. Yeah. They're like garage sales for authors. And, like, they happen in these big buildings. There's thousands of authors there with their books on their tables.
Right? I went to one once in New Jersey. It was really great. I brought a table. I brought all my books.
I brought a stool to sit on. I put the books on the table. Five minutes into it, looked around, and I thought, I'm not gonna sell one book, and any and no one else here is either. And I grabbed a handful of books, got out from behind the table, stood in front of the table, and at lunchtime, left, didn't have any books. The guy next to me goes, how did you do that?
And I was like, I'm talking to them. You're waiting for them to talk to you. I was like, you're doing this wrong. You gotta go get them. Stand up.
Go explain the book to them. Tell them why it's good. Tell them why they might be interested in it. And if they don't care, don't just turn your head to the next person and tell it again. I think you're not gonna no one's gonna come get this information from you.
I don't care what's in that book. It could be the secret, the goddamn life itself. They're not gonna do it. And I'm telling you this is the same problem. That lesson learned that day helps me with the podcast immensely because doctors think they have the answer.
And if you don't ask them for it, then you don't care about your own health. They're noncompliant. They're not motivated. I told them they didn't listen. That's all bullshit.
None of that's true. They don't know how to talk to people. Right? Or they're or they're restricted by I don't know. Whatever they're restricted by, by the the people they work for.
I think most doctors don't tell you how to use insulin because they don't want you to have a seizure and then blame them. Yeah. I think that most of them don't know what they're talking about to begin with. I've talked to endocrinologists who have been endocrinologists for thirty years who will stand there and tell me, I don't think fat impacts blood sugar. I'm like, yeah.
I don't know how you could be doing this for thirty years and not think that. I don't know how I can be the first person to say we're saw method to you, and you go, what's that? Doesn't make any sense to me, but they're everywhere. Right? But but it's not doctor bashing.
They're people. They're just people. Right? They they can't possibly know everything. They can't keep everything in their head.
They can't possibly restart the same story every twenty minutes going from room to they get exhausted. They also are being cheated on by their husbands and by their wives, and their kids are a giant pain in the ass, and their basement just flooded. And, like, they all have lives too. They they're not computers. And you go to them expecting them to spit out everything perfectly in a way that you'll understand and can take home with you, and that's just not going to happen.
You need the conversation running19:04
You need the conversation. You need it in the background just happening so you can hear it because you don't have enough time to sit and listen to 1,800 episodes of a podcast. You're obviously right about that. But if you pop this thing on a few times a week, I bet your a one c goes down to the sixes. And why does it matter how that happens?
Why do I have to quantify it for you? All I know is that being involved keeps you involved, and you end up doing better. That's what I see over and over again from people all over the place. And there is no functional way for a physician to do that for you. It just doesn't exist.
It's not the paradigm. We doctors are great when you break your leg. Right? Doctors are great when you go in and you go, look at this thing in the back of my throat. What is this?
Oh my god. Strep. Here. Take this for seven days. Drink this.
Do that. Take an Advil if you get a fever. You're gonna be okay in a week. They're great at that because that's the thing that medicine knows how to do. And that's the thing that human beings can communicate to each other.
And still, by the way, it doesn't go that well because people get home and don't take the medicine or they feel better in three days, so they stop taking it. They get sick again or they get bored or they get distracted or their floods and or whatever happens to people, right, which doesn't keep us moving in the right direction. The only thing that works is storytelling. That works. That changes how you think of things.
When when it's 02:00 in the morning and you don't know what to do and an idea just pops into your head like, oh, the guy said to trust what I know was gonna happen was gonna happen. The I've got diabetes broken down into t shirt slogans. Not because I wanna oversimplify it, but because that's all we have time for. It's all we have the the ability to absorb. And by the way, not everybody is working with the same deck of cards.
Right? Like, if again, if you want me to boast, I can I don't know who I'm talking to, and they're all having good outcomes? And a doctor would tell you, well, I need to know all about you before I can even tell you what to do. I say that's wrong. No.
Wrong. You just need to boil it down to the basics so that anybody can pick it up. And I again, I apologize if people have heard this before, but I think this is just for you at this point really, Elizabeth. But, like, we can't least common denominator people's health. Like, you can't look at human beings like there are 20 kids in a classroom and say, hey.
Look. There's three really bright kids in this room. There's 10 pretty average kids in this room. There's five that are a little dumb, and we got a couple of real morons over here. Okay.
Like so okay. That's about how this works. We're gonna teach to the morons? That doesn't make any sense. Like, in in a in a in an attempt to not insult anybody, we've eliminated helping 18 people.
That's ridiculous. That's just ridiculous. It's ridiculous in a school setting, and it's ridiculous in health care and anywhere else in between. Just say the stuff that works and give everybody a chance. You know what I mean?
You know you know when you're watching a movie and the, and there's an impending, natural disaster coming and there's always that scene where the president says, well, if we tell them, there'll be panic. And another guy goes, they all deserve a chance to get away. You know that scene, Elizabeth. Right? Right?
Yeah. We all deserve a chance to get away. Okay? No one's gonna panic when they hear about prebolising. Some people will do it wrong, and some people won't.
And they'll all be fine, and they have doctors, and they can go talk to them before they do whatever they can do. But to hide that information to people, going back to that person who was crappy to me the day I started that podcast, you're gonna hurt people telling them how you take care of your daughter. I think you're gonna hurt them by not telling them how to take care of them. That's what I think. And I think that asking yeah.
Go ahead.
I agree with the with you know, when you're told that you're you're told to essentially keep your blood sugar high all the time just in case you go
away. Today, Elizabeth, so you can die horribly tomorrow. Awesome. Exactly. What a plan.
Exactly. Thanks for the help. Really appreciate it. Where do I leave my co pay? Is there a lollipop I can steal on the way out?
Because I'm not feeling good about this. Like like, this is just whatever ridiculous way to help people. I don't want you to die today. Yep. I want you to die in a tragedy in ten years.
How about I would rather die today trying than go down like that? That's how I think about it. Now you don't have to think about it that way for the people listening. I wanna be clear. I couldn't possibly care less how you feel about it.
Do whatever you want. I am a live and let live guy. You want a guy that believes in American freedom? You're talking to him. Do whatever you want.
Smoke cigarettes through your nose. Shoot heroin into your eyeballs. I don't care. Don't do it in front of me and lead me the hell out of it, but do whatever you want. Okay?
Having said that, for the rest of you, I'd like it if you knew how to take care of yourself. I'd like it if my daughter knew how to take care of herself. I'd like it if after I'm gone, some shitty endocrinologist doesn't ruin my daughter's life after I put this much effort into it. I want everyone out there with the information that they need and their permission to do something about it. Do you know if people still don't feel comfortable changing their settings?
It's insane. It would be like if I told you I'm gonna set your thermostat at 67. Don't touch it. If you get cold, call me, and I will get back to you in a couple of weeks and let you know if it's okay to change the thermostat or not. What are we talking about, Elizabeth?
These are adults.
Yeah. I I feel like my endocrinologist well, you know, I I have had some experience with not great doctors, let's say. But they they see my a one c, and they're like, oh, that's fine. Like, no. No.
It's not. You know, I can do better, and I would like you to help me figure out how I can do better. But I feel like, you know, I checked some box for them, and they're onto the you know? It's it's good enough for them.
Paradigm doesn't work for your situation. Right? It would work if you broke your leg. Yeah. They this this isn't what medicine's not made for this.
It doesn't work this way. This is this is square peg round hole stuff. That's why they that's why they say that stupid thing to people. One day, sooner than you think, you're gonna know more about this than I will. Well, that's not comforting at all.
You're the doctor. Why don't you find a way to know more about it than me and then tell me about And the answer is either I don't know. I'm not able to. I don't have time for that. I don't care enough to.
I can't understand any of this because I don't live with it. I don't give a shit what the answer is. There's a lot of different answers to that question. But when someone says that to you, it's a false it's a false sense of security. What it what here's what they mean.
A doctor means, I don't know anything about this. And in a couple of months, you're gonna know more about it than me because I don't know anything. But what people hear is, I'm a doctor. I'm super duper smart, and anything you learn in the next month is gonna make you even smarter than me. Imagine how smart that makes you.
So you're all done because you know more than a doctor. Like, that's how people hear it. It's not what's meant, and it is not how it works out. Do not be comforted by the fact that you know more than your doctor about something that they don't know anything about. That's ridiculous.
And, again, bad communication. That's why the podcast, again, is very important, and it's important to have it in a long form and not to be all, like, nicey nice the way other people make their content. Like, it's important to really talk about it so that you can understand what's being said. What's being said is your doctor mostly look. There's some great doctors out there.
I've met them. But far and away, coin flip, you're gonna end up with an endocrinologist who doesn't know their ass from a hole in the ground. Okay? And when that person is in charge of your lifelong health and how your life ends, you might want to ask some more questions and make sure you're doing the right thing. And I'm not saying ignore doctors.
I'm saying ignore people who don't know what they're talking about or just build on what they've told you. Yeah. But don't just sit back and go, everything's gonna be fine because the guy said it was okay, because the guy is a heroin addict, and you don't realize it. Go find the Coldwind episode where the doctors are selling drugs out of the backdoor of the of the doctor's office, and just remember, those are somebody's endocrinologist. Okay?
Like, everyone's not perfect. You gotta take this from me, Elizabeth. Trust no one. Do you hear me? No one.
Don't even trust yourself some days. You understand?
The endocrinologist she fired27:26
Well, listen. This is here's a true story for you. I I fired one of one of the endocrinologists I fired along the way. I went to see him, and I had learned about the Tandem IQ, the new Tandem IQ at that point, from from your podcast. And so I was on I was on MDI.
And as I said, my doctor was like, oh, your, you know, your a one c is 6.4. Good enough for me. You know, which is
Nothing wrong
with fine. But
Nothing. But go ahead.
I felt like I could do better. So so I said, you know, I'm interested in this Tandem IQ, this this pump. And said, do you think that would work well for me? And he says, yeah. We we could give that a try.
And I said, well, were you were you planning to tell me about this? And he said he said, no. I I and I said, why not? And he said, well, I can't tell you about every kind of new technology that comes down the pike. There's so there's
so much you doing? And
exactly. And then I said he said, it's not my job to do that. And I said, that is exactly What
is your job then? Did you
ask him that? You said,
well, what the hell is your job?
I I said, yeah. And he said, well, you told me you wanted to be on MDI. And I said, that was six years ago. This technology
didn't exist. In 1976. What has that got to do with anything? Yeah. Yeah.
That's that that story is perfect. Yeah. That everyone should hear that and say to themselves, oh, I'm in charge of me and no one else no one's coming to help me. Right? That's it.
Yeah. And listen. Yeah. Apply that to your whole damn life. You want another secret, Elizabeth?
The whole podcast is just based on common sense. This is how I run my life about everything. Okay? Like, just just use common sense. If you don't have common sense, I god bless you.
Borrow mine. Okay? Mine works pretty good. Trust me. I'm doing okay.
Okay? So, like, just listen to me. Take care of yourself. If you don't know how to do it, go find somebody who does, and then write down what they say to do, and then go do that thing. There's no you don't have to reinvent the wheel.
There are plenty of people who know what they're doing. Just steal their ideas. And by the way, don't have to steal them. I'm trying to give them to you for free. Also, tandemdiabetes.com/juicebox.
Use the link. Support the show. I just, but seriously, when I joke about stuff like that, I am mostly joking, but I'm not. You like this long you like an hour and thirty minute conversation with Elizabeth about this? You like the thing you heard yesterday?
You like the thing you're gonna hear tomorrow? You didn't like the thing you like tomorrow, but you like the thing you got next Friday? That takes money and time. Two things that people don't give me for free. You click on those links, you support the advertisers.
The advertisers buy ads because they're reaching you, and I get to keep having these conversations. That's the point of this. Like, remember when I told you I wasn't gonna tell you about a story about a conversation I had with an advertiser?
Yeah. Let's hear the story.
“You want me here”30:31
Get to it eventually. I'm such a good storyteller. I really my stuff do you ever really pay attention, Elizabeth, how I, like, I I I talk and then I bring it back? I always bring it back bring it back. It's a it's a natural gift.
But I'm I'm having a conversation with an advertiser recently about doing some renovations on the bold beginning series. So remastering it, maybe adding an episode to it, turning it into a thing. And, and we like to do that once in a while because the way podcasts are set up, I can't make an entire 25 episode series and put them out one week after another. There's a number of reasons why I can't, and there's a number of reasons why I wouldn't want to. So but every once in a while, they get lost in the sauce.
Like, I don't even know what episode is the first episode of the bold beginning series anymore. I know the bold beginning series is very popular, but I also know that there are a lot of people who can't find it. So once in a while, we like to take the series that people really enjoy. And I'm talking about, like, Omnipod five pro tips, the pro tips, bold beginnings, small steps. These things have been downloaded hundreds of thousands of times.
Like, sometimes you like to put them back out again. But that takes money. So you wanna refresh them so they all sound like modern audio, and you gotta get somebody to buy an ad on that so you can do that. It's a little look behind the thing. Right?
Now takes a lot of money and a lot of effort to get that done, and it's possible that the juice isn't gonna be completely worth the squeeze if you buy the ads on these things because there are gonna be plenty of people who look and go, I've already heard the beginning series, and they're gonna skip it when it comes out. Does this all make sense so far, Elizabeth? Okay. Thank you. Absolutely.
So while I'm selling an ad on it so that I can do this thing, because my goal is to put out the bold beginning series as episode 2,000 and, like, and put them in chronological order so people can find them there like I did with the pro tip series at episode 1,000. Anyway, this is what I'm doing. So I'm talking to the advertiser that has the interest. They came to me. They asked what they could do.
I gave them the idea. They like the idea. Blah blah blah. I'm not sure the whole juice is worth the squeeze thing because of what I said, etcetera, and so on. And then I said this, you want me here.
That's it. I'm an adult. I'm doing a thing that other people don't do. I have a cohesive community of helpful, thoughtful people who are out in the world helping each other. People with diabetes are doing better because of the thing I make.
I can't do it by myself. Buy the ads because it's the right thing to do. That's all. There's no business sense behind it. I'm not gonna sell you on that your ROI.
I'm sure you'll do fine, but I can't promise you three times ROI. I can't I can't. I don't know how to do that for you. I was like, all I can tell you is that I've been doing this thing for twelve years, and it's a movement. And it reaches far more people with type one diabetes than anything else out there doing something like this.
And when you go into that group on Facebook, what you're gonna see overwhelmingly is a group of really thoughtful adults helping each other and a lot of scared people being brought along kinda quietly. You're gonna see me on a cruise talking to people. Why? The cruise doesn't make any money for me. I have I've done that cruise for two years in a row.
I don't think I've made $500. That's not the goal of the cruise. The goal of the cruise is to help the people on the cruise, make me better at talking to people, and to do the same thing that those Omnipod ads did in 2015. What was that, Elizabeth? It adds legitimacy.
And why do I need and why do I need legitimacy? So that people will find it and people will listen and they'll learn to get their settings right and they'll learn to time their insulin and they'll learn to think about the impact of their food. Because all I'm trying to do is help those people. That's the thing I was talking about earlier. When I started making the podcast, I started making it for Arden.
And at some point, I realized it could be for everybody. And now that's the driving force behind my professional life. Timing and amount, settings, food impact. Take care of yourself. Don't wait for other people to come help you.
Be positive. Follow a path of people who have gone before you who are successful. I that's all I think I am. I think I'm a guy with a lantern who's about a 100 yards ahead of you. I'm not allowed to stop walking, but I can keep yelling back and say, hey.
I'm here. Follow along here. Follow me here. And then one day, you're gonna walk off that dark path into the sunlight. You're gonna wave to me, and you're gonna walk away into the trees.
And I'm gonna lead the rest of the people, and we're gonna keep doing that over and over again. But only if you click on the links so that they buy the goddamn ads so that we can make the thing, so that I can retire one day and my wife doesn't yell about me that I don't have a job because I'm an adult man who makes a podcast. Try to imagine being married to a guy who makes a podcast. Okay? It it it's not fun, Elizabeth.
Alright? Like, I don't I don't have a real job. I'm an adult that doesn't have a real job. And you'll say, oh, no. It is a real job nowadays.
Sure it is. It's not. Okay? I'm an I'm a I I make a podcast. For the love of God, it's ridiculous.
Okay? But it help it it works, and it helps people. And so my argument to my argument to them was, you want me here. That was it.
Well, it it it works for me. It's it's certainly been working for me, which is which is why why I'm here.
I'm glad. I'm happy. Like, I trust me. I don't know what else I would do with this stupid superpower I have. Like, I mean, can you imagine me trying to, like, do this in the real world?
I would get fired from a corporate job inside of five minutes probably. As a matter of fact, I don't know how I make it through some of the meetings I have because I don't, like, stop. I don't I I've never once seen something ridiculous in a meeting and not brought it Like, why are there seven of us here? That doesn't make any sense. Like, I first five minutes, everybody pops up on a video.
I'm like, I don't understand why there's so many people here. What do you do? What do you do? What do you do? Why are these people here?
And they're and and people are looking at me. I'm like, this is ridiculous. I was like, we're just talking about ads on a podcast or talking about how to message something. I was like, there's seven people. They they can read a transcript of this.
They don't need to be here. I'm like, I don't wanna talk to all these people. I'm like I'm like, I don't I don't wanna do that. Oh, can you fly to I'm not flying to Chicago. I won't I swear to god.
I the company called me. They're like, come out to Chicago. I'm like, I won't I'm not doing that. I was like, we can do it from here. I do not need to leave.
Well, we'd like to meet you in I I don't care. I'm not doing that. That I couldn't possibly keep a real job. So I don't know how the rest of you do it. God bless you.
Like, I I every time something silly happens in front of me, I I say it out loud like I'm five years old. I I don't know why we're doing this. And, you know I'm sorry. I cut you off. Go ahead.
Agency, and the word noncompliant37:10
No. There's just there's one more one question that I really want to touch on, which we sort of been touching on all along. But I the episode that you did one of the episodes you did recently with Erica Forsyth, I think it it was called agency and anxiety. And I I really think that that idea of agency is so important, and it's something that the podcast as a whole really does for people. It's a version of the be bold with insulin and take this care into your own hands.
But one of the things that that you and Erica were talking about is that having that sense of of agency, it makes such a difference in your, I don't know, in your frame of mind and in your ability to take care of yourself. And it's kind of the opposite of when you go to the doctor, that phrase noncompliant, which really irritates me. Because if you're compliant, you're in a way, you are not exercising agency. When you're exercising agency, you're figuring out what works for you and how to make it work for you and how to live with this disease. And that's different than just following orders.
It's it's incredibly important. It's also points out what I was saying a second ago. Like, I don't like, that was my idea, but I don't remember it. And I know it wasn't that long ago. Like, I I wish that I wish that I hope that this conversation illuminates for you and anybody who's interested enough to listen to it that I'm not doing any of this on purpose.
I'm just doing what occurs to me in the moment. And by having a big community around me and listening to voices and hearing conversations, stuff pops into my head. I go, that's important. We should talk about that. I don't understand what that is, but I know that's important.
I know this is maybe sounds pompous, and I hope it doesn't because I really can't contextualize it for you. But agency and anxiety and blah blah blah and all that stuff, like, at some point, I had a thought. I jotted it down. I texted to to Erica, and I said, Erica, listen. I I there's something here.
We should talk about this. Feel free to, like, pull your thoughts around it together, and she does, by the way. She like, Erica's episodes are like, she she struct she puts a structure together for them, and I don't look at it. Just so you know. Like, she sends me notes, and I don't you can hear it when we're talking.
Sometimes, like, I I get to an idea, and I know she looks at me like, did you read ahead? And then I look back at her like, I haven't read any of this. You're just doing a good job of leading me through it. That's how I know it went well. Because when we get done, I look at her notes, and I realize we cut we hit everything in her notes.
And all the teaching points were there because I got taught it while it was happening. I'm the avatar for you listening. Does that make sense? Yeah. And if I Yeah.
If I educate myself about it before I start, then it's just two eggheads talking to each other about agency. And that's what I don't think works. I don't think that becomes conversational. And so my stupidity or whatever you wanna call it, ignorance, lack of understanding of the the subject, I'm what my ignorance is what drives the conversation. And what a and what a does it
You know, there's another nicer term for that. It's beginner's mind.
Elizabeth, that's much nicer. I'm just trying to point out that for whatever reason, I don't know what the reason is, I guess the big picture, I started I started my life in a pretty deep hole, like, parentally, financially, opportunities, everything. Anything you hope for your children to have, I didn't have. Okay? And I've done pretty well for myself in in I don't mean financially.
I mean in a lot of different ways. Like, I've drugged myself out of that hole 10 times over. And if I stopped to write my own autobiography, the only thing I could tell you is is that when decisions need to be made, I very frequently make the right decision, and I don't know why. And I'm not saying there's not a better decision or a different decision. I'm just telling you that when I'm met with adversity, I traverse it.
I get past it. I don't think about it again, and I usually beat it. And then I've just taken that, and I've overlaid the diabetes on top of it. And that's how I'm building the podcast. Does that make sense?
Mhmm. Good.
Because it doesn't make sense to me completely. Only because I think I've never taken time to contextualize it because that would be a waste of my time. It does
Well, I think you found your medium clearly, you know, that the that the podcast works, and and then you have enough of a deep commitment to it to to keep making it work when it when it
stops working. I just
You know? You just To do the pivoting. Pivoting.
Like like, oh my god. Nobody does this anymore. Doesn't matter. We don't need that anymore. That's where everyone dies, by the way.
Everybody who who hung their flag on blogging, they're gone. Right? And they they they didn't pivot fast enough. People who wanna start a podcast but don't understand why people listen to podcasts, your podcast is going to fail. I'm not here to be a bummer.
It just is. You don't have whatever it is. Like, whatever the juice is to do that thing, to know what to say, when to say it, how to say it, when to stop saying it, when to say something new, blah blah blah blah blah. Most of you don't have it, and it's not an it's not an insult. It's it's numbers.
4,000,000 people thought they could make a podcast. 4,000,000. Only 800,860 of them actually accomplished it. They only accomplished it once a month. They only reached a 136 people that month.
That's it. A 136 people. You know how many times you'd have to get reach a 136 people to get to 22,000,000? It's the the number's big. It's a lot of times.
Okay? So how do you take a boring thing that nobody really wants to talk about and make it educational enough and entertaining enough to draw not just people back over and over again once they find it, but to get them to go out into the world and share it with somebody else and have those people enjoy it such that they would go do it again, listen again, listen again, listen again, and go share it with people, and have the nerve to walk into their doctor's office and say, hey. I know you said I'm doing better. I just wanted to let you know it's not because of anything we didn't hear. I found something called the Juice Box podcast, and it helped me.
You know how much nerve it takes to tell somebody that and then how much nerve it takes for those doctors to start sharing it with other people because they realize that podcast is probably a better way than me for them peep that we are breaking barriers down left and right and left and right. And I only said we because I thought it was immodest to say me. But if we're being truthful, it's me. It's me and how things occur to me to do that are making all of this happen. And I don't know why it works.
I don't care why it works. I am just happy that it does because I got an email from a lady from Zimbabwe who said that her kid is better off because I make a podcast. And a lady in England and a nice woman named Elizabeth who's writing a book about sugar and everybody in between, it's not a it's not a brag. I I I hope I hope everyone realizes that when I walk away from this microphone, I won't think about this again. I only can think about it because you got me talking about it, and my brain's warm now, which is also another thing I can't describe to you about myself that I know.
That my my thoughts flow better when my head warms up. Like, I if you listen to me on the podcast, like, I have to get going. Like, you if you even listen back to this, when you brought up the going to the doctors thing, I guarantee you my speech patterns picked up since then because you lit me on fire. Like, I'm I'm warm now. Like, now I could really do a two hour podcast.
Like, if we just jumped into it right now, and I now I could really go. So and, again, it's a dumb it's a dumb skill. If it wasn't for iPhones, the Internet, and cheap microphones, I'd be the most popular greeter at Walmart.
But I also think we we work better in community as in conversation. You know, we're we're social beings. And and so that's another thing I love about what you've been saying is that part part of what makes this work is that you are really talking to people, not Yeah. You have to reach to yourself. If you don't was
a mom of mask, then what are we doing? I might as well yell out the goddamn window and hope somebody across the street has diabetes. Like, it's not like, I don't I don't fault people for trying, and they definitely should. But, like, when when this thing is set up, the structure of this is set up the way it is, most of you are not gonna succeed at reaching a a mass group of people. Also, I couldn't do it again on purpose.
A lot of it's time and place. Like, do you know what I mean? Like, it's a lot of it's time and place. COVID helped a lot. Time and place and COVID.
I pivoted better than other people during COVID. So what I heard podcasters say during COVID was nobody's gonna be in their cars. I'm not gonna make as much content. And I said, I'm gonna make more content because people don't have anything to do. So when when when the common theme was back then is, oh, podcasts aren't gonna do as well because people aren't commuting.
I was like, screw that. Here's three a week. And then they listened to three, and I went, here's four. And then somebody said, what am I gonna do on Friday? And I went, you know what?
You make a lot of sense. Here's five. Okay. And so, and while other people are like, well, they're not in their cars as much. They won't need podcasting as much.
That was a moment in time. Like, that's not a decision that people would make today because now they have hindsight. What I'm telling you is for reasons I don't know, that in that moment when the common wisdom was make less, nobody needs it, I was like, that's wrong. Make more. And so yeah.
And I was wrong.
You were right.
I've been wrong about things too. I I I once I shaved my arms once one summer, and I dyed my hair blonde. These were bad decisions as a teenager. Okay? Also, I just shaved my arms once to see what it would feel like.
It was neat, but there's a lot of upkeep. I let it go right back immediately. Point point being, Elizabeth, is that, like you know, I'd go back to that thing. I I don't know why it's working, but it is, and I don't think we should touch it because I am having an impact on people that I could not have imagined. And it's an impact that that I don't think has been seen yet in this space and for this and for this group of people.
And so
I agree. That and that's exactly why I wanted to meet you at the ADA because I thought you I really think you're doing something that that no one else is doing, and, again, that's having
a real impact. Very much. And I feel weird actually, I don't wanna lie to you. I don't feel weird saying it. I just know that I shouldn't be saying it out loud.
I know somebody else should be saying it. Like, the right thing to do would have been, well, let you talk about it. And then but then I would and I would have been like, oh, you're so nice, but it's bullshit. Like, let's just be clear about it. I don't know why it's happening.
It works. Let's not argue about it. And but the one thing I do really wanna reiterate that is it's important to me for people to hear is that it it only means something to me in the context of reaching you and helping you and building a thing that helps me understand diabetes better so that I can help my daughter better so she can live a better life and all of you can live a better life too. I will not think about this again when we stop recording this today. I am not a person whose ego or self worth is built on any of this, and no one's gonna believe that.
There's a few people who are close to me who know it's true. And other than that, I I I I don't care. Like, I don't run around going, I make a really popular podcast. I just I'm glad it's out there, and I'm glad I'm glad that whatever it is that I am in conjunction with this thing is leading to people feeling good. That's all I care about, and I don't spend time in it.
I do not think about it the way you would imagine I would. I have a very regular life outside of this. And so it's it just I don't know. I get I don't know why I have what I would consider to be a caregiver's heart. I've pontificated about it before.
A caregiver’s heart49:37
I'm adopted. My adopted parents got divorced when I was younger. I raised my brothers. I have a just I I really care about people, and I don't even know why. I I I when somebody got me a reptile the first time, my first thought was, oh, I have to take really good care of it.
I can't let it have a life that's, like, less than it could have if I didn't know all the stuff. And I don't mean to, like, take Elizabeth and a chameleon and put them in the same bucket, but I feel the same way about you, Elizabeth. Like, I don't want you to, the worst thing I I'm sorry if this is pivoting or it feels like I incompleted my thought, but I think this builds on it. I always have this, like, feeling in the back of my head that there's something I don't know, and that if I knew it, things would be easier or better or more complete, and that we should go find that thing. I have a fear that there's a medication in my house that I already figured out to get, but didn't figure out how to use.
I always I'm worried that I've heard something on the podcast that would help somebody, but I haven't figured out contextualize it in a way such that they'll understand that that would be helpful to them. Like, that's the kind of stuff that eats at me. And I don't I don't want the worst thing I can think of, Elizabeth, is you have a a health issue. I know the answer to it, but I don't know to say that answer out loud when you present the issue to me. So we keep talking, keep digging, and keep conversating so that it falls out eventually.
I hope that all made sense, but, like, that's kinda big picture, though. Somebody should just run this through AI and ask AI how it is I think about making a podcast because it would probably be a much clearer description than the one I'm able to give verbally.
Well, something that you just said that that I think is really important is is that continual desire to learn more. I think too many people think they know the answers, and so they don't listen. And they don't and they don't learn from other people. And it sounds like you have you know? And and you can hear it in your podcast that you're always like, oh, wait a minute.
How how does that work? Yeah. How did that happen? How did that? And and that's that's what we need
to my confidence with arrogance. It's not the same thing. I I really I'm super interested in people, why they do things, what they know. Sometimes they're not good at telling it, so I try to help them get it out. But I'm just infinitely interested in people.
Why they do things is just it interests me to no end. I don't even understand it completely. But I also don't think I know not only do I not think I know everything, I don't think I know most of anything. Like, I really like, I am such a again, like I said before, like, I I don't like, something comes up and I just know what to do. Like, my thought pattern is not the way you would think of it.
Like, I don't know how to, like, explain this to somebody. Like, you know when you say to somebody, do you have an inner monologue? Like, do you have an inner monologue, Elizabeth? Do hear a voice when you're thinking? I don't.
Yes. I don't have an inner monologue. You say something, and then I say the right thing. Trust me. The zombies come.
We're gonna be okay. Okay? You stick with me. We'll be alright. I don't know why I know what to do.
I just know that I generally do the right thing, and I don't have a thought process. So I I don't there's no, like, decision tree that I'm aware of. It's just the the first line of the decision tree comes out, and then the answer comes out. I don't see any of the tree in between. Does that make sense?
Okay.
In theory.
You but you see the tree.
Right? It's yeah.
Yeah. I don't know what's on the tree. I just know the answer. I'm not a genius. I'm not listen.
Elizabeth, my IQ might be a little higher than I say it is, but, like, I have no formal training. Okay? I'm just like my I I'm not good at math. I'm not good at anything that academics would would would measure as important. I just know what to do when something happens, and and I don't hear the steps in between.
So I'm always wondering what got me here. Like, how did I how did I start here and end up there when I don't understand any I just stop and think, and then the answer comes to me. Does that sound crazy, or do I sound like I'm bragging? Because I don't mean for that to be either of those things.
No. It doesn't sound crazy at all. I mean, it it sounds like you have you have figured out who you are, how your mind works, and how to use it for good.
That I feel like I've done. But I'm also telling you that, like, I don't know how the answer comes. I just don't question it. Yeah. And I just go.
I'm like, this is the right thing to do. Go. I just feel like I'm walking through a maze, and every 10 steps, I come to a fork. And I just generally seem to end up at another good place after I turn. And so I don't argue with it.
Yeah. And it and it and it's working so far. I'm sure I'll like, even when you I don't know. Like, I I I would highlight the thing you just said because I joke about it a lot. I hope the joke comes across, and I mentioned it here earlier.
But, seriously, you're all lucky I'm not a bad person. I'd have all your money. I just want you to know. I'd have your wives and your money and your kids to be cutting my lawn. I'd be one of those terrible people in the world that you look at and go, why are they doing that?
And the answer is they don't know, but they're just good at it, so they keep going. I just happen to care more about people. I just really want people to be okay. Like, I wanna be okay. I want my daughter to be okay.
I want my family to be okay, but I want the rest of you to, like, benefit from that somehow. And and I don't have, like, ill intentions for people. Like, I don't understand when people do things that are cruel or unfeeling. I got it's not a thing I can wrap my head around. It's just not a thing I could make myself do.
But I also understand that there are just people who are wired differently too. But the joking here is is you're lucky that this is how I'm wired because I have the skills to steal your house. I just wanna say. I just would never use it for that. Like, I'm definitely if you put me in a you know you know that, the Superman and then there's Bizarro Superman?
And, if if you if there was a Bizarro Scott somewhere, he's standing in your house and you're outside watching your wife cook dinner and he's laughing at you through window. And so I just don't have it in me. I guess if I did, this would be easier. Oh. You know?
But I I just like the way it worked out, honestly. I and I hope it's helping Arden or will help her in the future. Like, that's you know, I think Arden actually learns about diabetes the same way you guys all learn about the podcast, which is in the background with the volume turned a little bit down with things sticking to you that you don't really know why you understand and never sat down to take a quiz about. But you just sort of know what to do now. Like, that's how I
Well, there's so much to learn.
You can't just you can't just yeah. You can't send it all forward in in bullet points. It just won't work. Anyway, I'm sorry. Do you have other do you wanna rapid fire and I could limit myself?
Or I just wanna make sure you're done, and I want you to be able to get out of here.
You know, I actually have to hop off to
What do got on a job? Thing, Elizabeth. Yeah. Have you considered podcasting? It's much freer with your time.
One of those.
Much freer with your time. Well, actually, Elizabeth, I have a meeting in an hour too. So k. So I'm gonna go have lunch, and then I'm gonna come back and do my meeting. And by the way, the meeting is for something that does not make money that will only make the podcast better and is not a thing I need to do, but I am gonna spend time, money, and effort on it because I wouldn't I just want it to be better for you guys.
So there's go ahead.
Scott, can I just say you are allowed to make money? You should be making money. People should make money for their
work. Money.
You know? And they're working.
Don't think it's I don't think it's I don't like talking about money. I don't think it's a good idea. I just don't I just don't think it's a good I think if I make a dollar and you make 50¢, you're gonna be mad at me. And
Yeah. Yeah. Well, money's hard.
I what I want is for people to feel free to listen to the show. Nobody should have to think, oh, that guy, this is how he makes a living. And because it is, but that's not the point. Like, the point is is that here. I this is the best way I contextualize it in thirty seconds.
I know myself, and I know my skills, and I can make a lot more money, a lot more ways than this. I do this because it helps people. I enjoy it. I'm good at it. It makes me happy, and it still pays the bills.
If I stop doing this, I would be more successful. I'm pretty sure. But I just don't I'm in a position where I don't have to care about that because my wife also has a a is is a has has a good job. And so I don't have to try to ring every last cent out of all this. Not to say that I don't do well or that I'm not well compensated for the things I do, but I don't need to ring every red cent out of this.
I like doing this. And so I'm gonna keep doing it for as long as I can. And I'm not embarrassed to make a living from it. I just don't want people to feel excluded by that knowledge. I once saw a diabetes influencer driving around a really expensive car, and I thought, why are you showing people that?
That's just like, I can't take you seriously now. And I just don't I don't under I saw one of them doing it today. I'm at the I'm at the World Cup. I'm like, oh, okay. Why are you bragging to me about how much money you have and that you don't have anything to do on a Monday?
Like like, that's all I hear. You know what I mean? Like and so I don't want people to feel that way. By the way, you wouldn't think that way about me. I sit in this damn room for eighteen hours a day.
It's not glamorous in here. You would not be jealous of my life. But, you know, I just don't think talking about money is smart. So, anyway, I I I I I missed the world back when people did things like, you know, kept their mouth shut about stuff like that. I think it ruins society to know that some tight end makes $14,000,000 a football game.
Anyway, Elizabeth, go do your thing. I will put out an m p three for this. I won't edit a word out of it. I'll make a transcript for you. You can use it.
If I'm in your book or not in your book, I would completely understand either way. If you have follow-up questions, I'd do my best to answer them through email for you. And please send me a send me a copy when you get it printed.
This was Thank you. So far.
I'm glad you had a good time. I really appreciate it. You said it was fun. All I did was talk, and you and you were like, I'm I'm here too.
No. It's fascinating.
Nice. Alright. I'll get this to you by email as soon as I can. Alright. Okay.
Have a great day.
Care. Thank you.
Bye. You too. Bye. It seems that the podcast you just enjoyed was sponsored by Tandem Diabetes Care. Learn more about Tandem's newest automated insulin delivery system, Tandem Mobi with Control IQ plus technology at tandemdiabetes.com/juicebox.
There are links in the show notes and links at juiceboxpodcast.com to Tandem and US Med, who also sponsored this episode of the juice box podcast. Get started with US Med at usmed.com/juicebox or call (888) 721-1514. Get your free benefits check and get started today with US Med, the same place that we get our diabetes supplies. Usmed.com/juicebox. Links in the show notes.
Links at juiceboxpodcast.com. Click on those links, baby. Support the podcast. The juice box podcast has been in production since January 2015, and in that time, I have amassed just a fantastic catalog of information for you. Defining diabetes, bold beginnings, the diabetes pro tip series, small sips, fat and protein, algorithm pumping, mental wellness, ask Scott and Jenny.
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You haven't because we have a diabetes myth series and there's even a type two pro tip series. All of this all of this is free. Free. That's right, Scott. Free at juiceboxpodcast.com.
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