If Jarvis Was Real
Scott and Jenny use AI live on air to teach you how to use it. A pizza talked through out loud, the Warsaw math run in real time, and eight prompts to steal.
Jump to a moment
- The pizza walkthrough is the whole lesson in one segment. Two slices of sausage pan pizza: roughly 65 carbs now, plus about 32 carbs' worth of fat and protein arriving over the next four or five hours. Low first, then a climb you can't catch. Same total insulin, wrong schedule.
- Jenny's verdict was that it covered everything she would teach — and her caveat matters just as much: no insulin ratio was ever given, and the device already on your body can do that math for you.
- The useful shape is a loop, not an answer. Describe the meal, reason it through together, go eat, watch what happens, come back and say what the line did. The postmortem is as valuable as the plan: drop in a graph and ask what happened.
- Where the line sits: interface help, log analysis, pulling one section out of a device manual, understanding a setting you were told to change but never understood. Not insulin dosing. Jenny notes the developer community cautions hard against the data-and-settings use, even as people report success with it.
- The 504 Builder at juiceboxpodcast.com/504-builder started as Scott cleaning up Arden's old plans for someone in the Facebook group. It now builds a plan by clicking, explains why each item is there, shows its sources, makes a substitute-teacher one-sheet, and writes you an argument when the school strikes something out.
- 504 Plan Builder — Build a 504 by clicking, see why each accommodation is there, and get an argument back if the school strikes one
- Episode 1943: Oliver — Fifteen years of being told his A1C was fine, then he pointed a model at his own Loop data
- Juicebox Podcast Pro Tip Series — Management fundamentals with Jenny Smith, episodes 1000–1025
- MiniMed Flex — MiniMed's smallest pump yet, the size of two stacked vials, controlled from an app
- Contour Next Gen — The meter Arden carries — second-chance sampling and a downloadable coupon at the link
Every word of the conversation
Welcome and Sponsors0:03
Friends, we're all back together for another episode of the Juice Box podcast. Hey. 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. This episode of the podcast is sponsored by MiniMed and the Kontoor NextGen blood glucose meter.
MiniMed, of course, 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. There is one blood glucose meter in this house, the Kontoor Nextgen blood glucose meter. That meter is on my daughter's person right now and at all times.
It is incredibly accurate and waiting for you at kontoornext.com/juicebox. Okay. Let me say this to you when you're being recorded. Do you wanna do something fun?
Let's Do Something Fun1:41
I would like to do something fun. Alright. That would be lovely.
Friday, we're gonna do something fun. Normally, we jump on here and don't know what we're doing. Today, we're gonna jump on and double, triple not know what we're doing because, normally, I have an idea, and I don't tell you about it. Today, my idea isn't even a fully formed idea, and I have literally no idea how this is going to go, but we are gonna step through it together. So my idea is that you and I...
Don't disconnect right away. Keep listening. You and I are going to use AI to teach people how to use AI to help themselves, and we're somehow gonna fold it into the things that are in the pro tips and the podcast and stuff like that. But I don't know how yet. But I'm gonna use your brain to prompt my AI to figure out what would be valuable and is accomplishable within this forty five minute period.
You don't even have to understand what I'm saying. Just answer questions when I give you questions. Okay?
Okey dokey.
If Jarvis Was Real2:45
Okey dokey.
Sounds fun.
I am starting for people who understand this a little bit. I don't know if I'm even counting myself as one of them. I'm starting a project right now in Claude using Fable. I said, let's brainstorm ways to use AI to teach people how to use AI to help themselves with type one diabetes. So it's thinking about that right now.
Now I'm asking you, what do you think that's very reason and math related? Like, let's rattle off some things about diabetes that is... If Jarvis was real... Right? You know Jarvis?
Yes. I know Jarvis. Just said that. I thought man. Alright.
Alright. Okay. If Jarvis was real and you had type one, what would you ask Jarvis in the course of a day? Now I thought right away bolusing for food. Right?
Because I know people are gonna be like, oh, it'll be wrong or just just just hang for a minute.
And if Jarvis is truly as, let's say, intelligent Mhmm. As it seems in the movies, if you've ever, you know
Right.
Heard the things that have been asked of Jarvis. I mean, god, probably everything. That's a gigantic brain dump. I know. That's a...
Like, that's all of the inner monologue that people with diabetes have. A 100% could be dumped into this to be able to say, hey. I'm eating Chick fil A such and such right now, and I need your suggestions. Now the lovely thing that AI... It would be great if it could have your information, and you wouldn't even have to tell it your information.
Right? Hey. This is what my information has. I've got this much IOB. My trend is looking like this.
This is my program that I'm using. This is the algorithm so that it understands all of the pieces as Jarvis would.
Uh-huh.
Because he's that smart.
Now you're getting it.
All... And then all you have to say is, hey. I'm eating Chick fil A these items. Please tell me what I should do with this bolus. Oh, and...
Right? I'm gonna play soccer for two hours after this.
Right.
And? So factor that in.
Good. See, Jenny. I knew your brain would start to work. Okay. So all the things that you ask yourself when you're thinking and helping people, wouldn't it be cool if they could just help some...
To ask something, and it would even point them in the right direction? And I'm not talking about, like, bolus exactly this much insulin. Like, I'm not talking about it like that. I mean, I'm at... Hey.
I'm walking into McDonald's, and I'm gonna get a number four. Okay? It's gonna have a diet soda with it. The number four is the two cheeseburger meal, blah blah blah. I don't know what to do.
Right? Like, I I I don't know what to do. I'm I'm... Every time I go to McDonald's, I mess this up. Like, that kind of stuff.
I'm not telling you I'm gonna build a tool that I'm gonna give you. I'm telling... I'm trying to think of ways to help people talk to this to get responses back because I also... Let me tell you the background behind this. I believe it will help them talk through it on their own even when they don't have something like this with them.
Right? Like, because Right. Because it's not so much that it's not so much that people don't have answers. I think oftentimes, it's more about they don't know what questions to ask.
I would agree with that. Because even as I've played with Claude Mhmm. I have to think about I have to think about all the things that are in my brain Yep. That I then want it to also consider in relation to the topic. Right?
And the more you feed it, the more detail you give it. And I know that this is a hotly contested sort of topic even for, like, carb counting using AI. But, honestly, I have truly found that if I give it as much information about a meal that I'm gonna eat as well as a picture of what it is Mhmm. And I give it some portion ideas, like this chicken curry with vegetables, for example, which I wouldn't eat, but that's just my example. It's a fist sized portion of rice and a fist sized portion of these vegetables, and the chicken looks like it's the size of the palm of my hand.
Yep. Right? Give me the macros for this. Again, is it gonna be a 100% precise as weighing, measuring, blah blah blah? No.
But at least it's giving you an idea to start with, and that's much better than the typical swag.
Right. And we... And you and I do that all the time. Jenny, can I ask you, is the cat bubbler on, and could we shuttle off if it is?
I don't think that's
not?
That's okay. Me check.
I hear a little noise behind you, and I wanna tell people while you're looking that
I will be right back.
I said I said I've told Claude that we're live building something while we're recording. I would like to make a tool that people can use when they're done. And then, it started to think more about my website. And I said, stop thinking about my website so much and think about helping people to use you and other AI. So it's working through there right now.
Was the bubbler on?
The bubbler wasn't on, but the fan in the bathroom down the hall was on.
Thank you, Jennifer. I appreciate it very much. And everyone listening appreciates it too, except for all the people who will later send a note and say, I could not hear the fan, Scott. But I could. I'm I'm not gonna listen.
I was thinking about it. Okay. Alright. So we're building now. Content first page is a lesson on how to talk to AI with type one diabetes.
It's a subject matter of building. So it's building. It's been at it for about a minute and a half. But I wanna... Before it does that, I wanna do what you just said.
Asking It to Explain Itself8:33
I like meal... I think the meal talk through is a great idea.
Okay.
Okay? So I'm gonna hope this works. Hey, Claude. We're gonna do the meal talk through. So I'm gonna record your voice while you're talking so everybody listening to the Juice Box podcast is listening to you right now.
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Download a coupon? Oh, and receive a Contour Next... Oh, there might be a free meter on this page. You have to go check it out. Contournext.com/juicebox.
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A Pizza, Talked Through Out Loud11:12
Happy to. Hi, everyone. So here's the thing about a meal. The hard part isn't the carb count. It's everything around it.
What time you start the insulin, what the fat and protein are going to do two hours later, whether you're walking after dinner. And most of that never gets talked through with anyone. That's where I can help. Describe your meal to me in plain language. Pizza, two slices.
I'm at 90 flat. I usually spike around an hour after. I'll ask you a couple of questions, and then we'll reason through it together. Not a number I hand you, the thinking behind the number. Then you go eat, and you watch what happens.
And next time, you tell me what happened, and we adjust. That loop is the whole game.
Let's do that right now. Use that meal that you just said and ask me the follow-up questions.
Right. Let's do it. Two slices of pizza. You're at 90 and flat. First one, what does your insulin usually do at this time of day?
Is dinner a time when you're pretty sensitive, or does it take more than you'd expect? Second, last time you had pizza, what actually happened? Did you go high fast, or was it fine for two hours and then a slow climb that wouldn't quit? And third, are you sitting down for the evening after this, or is there anything active coming?
So normally at dinnertime, I'm pretty good. My settings work pretty well, but I had a pretty hard day at work today. So I was pretty active, and I am a little worried about that. But normally, when I have pizza, I think I get... I don't know what I'm doing wrong really, but normally, I get low before the pizza seems to, like, impact me, and then I end up getting high afterwards.
Ah, okay. That pattern tells us a lot. That's the classic pizza shape, and you're not doing anything wrong exactly. It's a timing mismatch. Here's what's likely happening.
You dose for all the carbs up front, but the fat is slowing the whole meal down. So your insulin arrives on schedule and the food doesn't. That's your low. Then hours later, the fat and protein finally show up. Your insulin's mostly gone, and you climb and can't get it back.
The fix isn't more or less insulin. It's spreading it out. Less upfront, more behind it, and the active day matters. I'd lean even lighter on that front portion. What are you doing for insulin right now?
Pump or pens?
MDI.
Okay. That changes the shape of it. You can't extend a bolus, so you split it. Something like, take a smaller dose upfront for the carbs and then a second smaller injection maybe two hours later for the fat and protein. That second one is doing the job an extended bolus would do on a pump.
And given the hard day at work, I'd go conservative on both and lean on the fact that you can always add later. You can't take insulin back. Does splitting feel doable, or is a second shot a nonstarter for you?
No. I'd be willing to do that.
Great. Then that's genuinely your answer for pizza going forward.
Well, now...
So tonight...
Hold on. Before you go on, now I'm a little worried that I don't really understand how much is in the pizza. I'm at Pizza Hut right now, and it's a sausage pizza.
Ah, good catch. Let's ground it. Two slices of a Pizza Hut sausage pan pizza is roughly 60 to 70 carbs and something like 25 grams of fat and 25 of protein. If it's hand tossed rather than pan, knock the fat down a bit. That fat number is the whole story, by the way.
That's why your pizza behaves the way it does. Want me to run the Warsaw math on those numbers so you can hear roughly how the split shakes out?
Yeah. Sure. Let's do that. I don't know what the Warsaw math is, but I'd love to hear about it.
Sure. The Warsaw method is a way to account for fat and protein. Let me actually run it. Okay. 25 grams of fat times nine calories plus 25 of protein times four, that's 325 calories.
Divide by a 100, you get about three and a quarter fat protein units, and each unit gets treated roughly like 10 carbs. So your pizza isn't 65 carbs. It's 65 now plus about 32 carbs worth arriving slowly over the next four or five hours. That's your low then high in one sentence. Same total insulin, wrong schedule.
Okay. So I really do appreciate this explanation and talking through it's been helpful. But I'm at the pizza place. I need to know what to do, and I can't have all this chatter. So can you just lay it out for me really quickly?
Right. Quick version. Take about two thirds of your normal pizza dose now and go a little lighter than that because of the active day. Eat. Then set a phone alarm for two hours.
When it goes off, check your number. And if you're flat or climbing, take the rest. That's it. Go eat.
Thank you. I appreciate this.
Anytime. Go enjoy it. And let me know tomorrow what the line did.
Jenny Grades It16:52
Alright. What'd you think?
Right. I mean, that's everything that I would teach somebody.
Jenny's like, I'm looking for another job right now.
No. It is. I mean, that's that's the the gist of education is pulling the stuff apart to give you a baseline. And then the majority of what I do is I get in the nitty gritty and actually discuss the what happened and the over and over and the actual kinds of food and all of the variables. I mean, 40 plus variables that we have.
Right? Yeah. So, yeah, I mean, in general, that was broken down very well. And the fact of the matter is, in this example, there was no insulin ratio given.
Yeah. I I purposely didn't
ask. You a guideline.
Yeah. I mean, listen. You... It's up to you if you wanna ask, but, I mean, I I genuinely believe if you told it your ratios and your settings, it would would have hammered that out pretty quickly as well.
It could have, but you could also then just use the device that you have, which is the technology you wear on your body. And that can easily figure all of those things out for you.
Right. Also, as it's talking, I realized you could use it as, a postmortem. You know, you could go back... You easily could have opened up that window and said, hey. I I went out last night for pizza, and Mhmm.
Here's what ended up happening, and I have no idea why it went this way. And it and it really could kind of, like, go backwards at you. I... And on the other side, I... I've...
I asked Claude to tell me how to talk to it. It was very clear. It says, tell me the whole story. Make it think out loud. Make it ask you questions.
It's talking about itself. Make it ask you questions. Tell it what not to do. Push back. Be conversational.
It's not... You know, AI is not perfect. It doesn't know everything. So go back and forth. I just...
I think it's a great situation for if you don't have someone to talk to about
Who's Actually Using This18:49
it. Correct. Yeah. I also think it's important to consider those who might be using these AI platforms to start with.
Mhmm.
Now you've talked with Claude a lot
I do.
Already up to this point. Yep. And with that being said, Claude has gotten to know you, and the things that you've fed it are very diabetes specific, are very in-depth diabetes types of things. And so it has... It's it's got kind of its own library to work from.
Well, that's just a chat. It's not using any of my information.
And that wasn't
using connect it to anything that I have. I I do stuff like that on my own where it has access to all of our conversations. Conversations and... But it's not a thing I've made public or know how to make public or know that I should or could. But but I can do it on my side for that.
That was just Claude using... I don't even think... It only went to the Internet once. That was just general... Like, I think that's just generally, like, how it responded.
Okay. Could have asked it to dig deeper, and go online, cite sources, but I I didn't want it to get boring for people. But you could do that yourself. You could say Yeah. I don't understand the Warsaw method.
Explain it to me. Then you could say, explain it to me. I didn't understand that. That was too difficult. Like, break it down.
Give it to me in sixth grade
for it. Yeah. Yeah. Yeah. Exactly.
Like, keep moving it in that direction. I mean, in the end, when you and I do a bolus four, which we're gonna do right now, like, very quickly, all I do to get those numbers for people, and we'd say it really clearly while we're talking, is, like, throw in some food and tell it to go get us the macros for it. Mhmm. And it comes back to it. Then you do the the talk through on how to bolus for it.
But I usually, in these episodes, also let it talk it through to see where it matches. It's generally... I never really say that out loud while you and I are recording, but it agrees with you normally. So
Yeah.
Oh, or you agree with it, or I don't even know how to talk about that at this point. But keep thinking for a second. Like, what would you... Like like, now let's pretend for a minute that it's perfect. Okay?
What Jenny Wants It to Do Next21:11
And we can trust it a 100%. What else do you hope, like, in the future it does?
Oh, well, in the future, I think future, the big hope is that it can actually take a collective look at your data and give you true feedback on adjustments Yeah. Really. Right? Because right now, we have such a large amount of technology that we use. Whether you're a pump or MDI, there's a lot of information we're trying to piece together so that decisions like this particular meal
Mhmm.
Becomes something we can draw on historically in our mind, but also that we can make changes when we notice something is trending not the right way. And we haven't changed anything, but our needs have changed or a trend is new, that a system could actually truly pull that out and give you feedback as to what to adjust on an individual level. Not pulling it from the broad spectrum of, well, this is what the books say to do. No. No.
Yeah. This is my data. Look at everything that's been going on in my data and tell me what to adjust and why to adjust. And then a deeper step there even goes into... I've mentioned it many times, like female health.
Female hormones, man
Mhmm.
Are a struggle
Difficult.
To navigate around. At all stages of life, there is something different for a female going on with hormone fluctuations, and that directly impacts blood sugar. It directly impacts food intake, activity, energy levels, all those kinds of things. So a most beneficial AI would absolutely be able to pull all of those pieces together
Yeah.
And say, this is your plan. This is what you should do.
I would
And we're not there.
We're not... Yeah. Either we're not there or nobody's thinking about it that way right now, but I don't see how you couldn't just... Even just to drag a CGM graph into it and say, what do you think happened here? I...
And, like, I don't, like, I don't know what happened here. Could you ask me questions and try to figure it out? And imagine that. Imagine if you threw your graph in and you also knew the information about when insulin went in or what you ate or something like that and we're able to talk it through and go, yeah. Well, I had a banana at 10:23.
What do you think happened here? I mean, based on what it just said, I would imagine it could say
It could say something like, well, gosh. Your banana, you spiked way high. It looks like there wasn't enough insulin or enough time between the insulin and when it looks like you actually start to eat, to eat, or look. You were low. Gosh.
It looks like your insulin to carb ratio is wrong because you bolus, and it looks like the time was fine, but your blood sugar never actually rose after this banana. You just crashed.
I mean, that's gotta be a reasonable thing to ask and for it to to do a good job at. I I... It just doesn't... I can't see how that's not a possibility for somebody to do. And and by the way, I have an episode coming out in a couple of weeks.
This guy, he'd he'd, like, took the code from, like, his his his, like, a... His his AID system and, like, fed and fed it into it and was just like, hey. How does this work? And now that you know how my my system works, how can you help me answer some of these questions? I don't...
And then it helped him. I don't... Listen. He's gonna tell his own story, but he dialed his settings in Mhmm. That...
You know, on his... Doing that. And he said he's never had better, like, better results.
And that's the interesting thing because in the I've seen many people... Many being a good amount in terms of what I read in the online world, which is not very often, but it is what it is.
Yeah.
Who have commented to the positive of doing just that. While on the absolute opposite side, there are a lot within the development community that really caution
Don't do that.
Using Yeah. AI that way.
And I'm
Very heavily caution.
It's where I'm... It's... Listen. I'm not telling anybody to do anything. I'm wondering out loud.
And I've talked to those same people, and I don't disagree with them either. But, you know... So listen. It's gonna be episode nineteen forty three. Either it's out already or it's coming out.
Oliver, and the Settings He Found25:48
So to your point, Oliver, who is an engineer, spent fifteen years being told his a one c was fine. Then he pointed an AI model at his own loop data and found out what his settings had really been doing, changed his settings, and he'll tell you his story. But to your point, Oliver is an engineer and might have had a better idea of how to talk to it. And so Correct. A a person who gets in there and asks the wrong questions or leads it or something like that could end up with ink...
I mean, listen. If you don't talk to it correctly, it could tell you the wrong thing for sure.
Right. Because it's very directed by how what you ask You... The direction that that goes.
Right? You you could impact it too by by saying something that you believe that isn't true, and it's going to accept what you said is true. May... And I don't know. Maybe you could push back on it and get it to, like, figure out you're wrong, but I don't know how many people would have the wherewithal to do that either.
So this isn't me telling you, like, you know, it's all just perfect and go... Just go ask the thing. Because if you just ask the thing, you're very likely gonna get the wrong answer back. But my point is is that can someone not harness it in a way where it would be impossible for you to get that kind of an answer back. I'm imagining more of something where it keeps asking you questions that you can't say in a way that will miss...
That it could misinterpret. And that
Sure.
Well above my pay grade. But, like, I... That's my idea there is that that's gotta be reasonable to do. Absolutely. At some point, I just think some...
One of... Companies or people online or something... Somebody's gotta, like, just go for it. And I'm sure... By the way, I guarantee there are people like Oliver who are doing it for themselves already.
You know? It's it's just an interesting idea, though. Like, I keep I keep thinking about what he said. Arden, you know, is using Trio. Trio is code you can download off the Internet.
Could I not just give it to it and say, explain how this works to me better?
Right.
Yeah. I I... There's settings on this. I don't know what they do. I know it's online somewhere, but...
Yeah.
Here's a month of the data, right, from NightScout or whatever database you're using. And now that you know the algorithm, what do you see?
Yeah. Yep.
What are your first inclinations to what you see from this database? Right?
Right. Because having the algorithm should, in theory, if I'm right about this, let the model understand how the decisions are being made, and then you could tell it what's going wrong. And maybe it could just say to you, oh, that's clearly this setting here or this time here. I don't... I...
Listen. Again, I don't know.
But Yeah.
But people are gonna be picking through this more and more, as as time moves on. There are people who I've been... Who had told me they would never look at... Use AI who I now see using it. So, like, you know, six six, twelve months from now, I don't I don't know where we'll be at that point.
Well... And I can say as somebody who looks at an awful lot of data, right, professionally, I can look at a database before I have a visit with somebody and have some idea of what we need to adjust or look at or discuss.
Mhmm.
But it really is in the discussion of that data that true adjustments can be made.
Okay.
If I... And I think that this is the the stepwise difference really between what you might get at a very... Typical endo practice that has short time frame to look, give you the gist, and then give you some suggestions, whereas longer visits are necessary. Because just as you would need to direct AI by feeding it more of your personal variables to truly assess the data the right way, when I visit with somebody, that's what I need. I can absolutely get an idea of how to look at the data.
But unless I know that person and why they eat and what their schedule is for, you know, PE classes or Zumba in the morning or whatever, I may not be able to pick out a pattern, or I might be seeing the wrong thing to adjust because I didn't know there was a variable there that wasn't marked. Mhmm. Right? So it's a really important thing to consider not only as you work with an educator or your doctor, but also as we lean more heavily towards these automated systems that can give us more more information. As we started out, you have to give it the right information.
Yeah.
You have to tell it a lot of detail in order for it to actually generate the right suggestive move.
Mhmm. Yeah. No. I don't I don't think we're there, but I think it's I think it's coming at some point. Like, I Mhmm.
Two years ago on the podcast, I was like, I can't imagine that one day one day your pump won't just have this all baked into it, you know, at some... And be making these decisions, I would imagine, fairly autonomously without you thinking about it. If someone has the wherewithal and the technology exists, etcetera, I just mean, theoretically, it's possible. So I don't know if somebody will try it or not, but I don't see that it's not... I mean, it's a lot of math.
Right? Like, think about your algorithm. Like Mhmm. That's a lot of a lot of... And not and not difficult math, by the way, from what I understand when you're talking to people.
Yeah.
Once you really look at the algorithm, the math really is not that difficult. And this is where it always goes... My comment always goes back to, if we can put a man on the moon or send one or two or three around the moon and back to Earth and they land and they're alive and functioning.
Right.
What the heck?
Yeah. Like, come on.
This is not rocket science.
Yeah.
That one. Come on.
You're Not Stopping This32:00
I I I just think I agree. So... And I... Listen. I...
This isn't really a conversation about whether or not AI is good or bad or up or down or water used or electricity or anything like that. It's
how to use it the right way.
I just think... Look. It's... My my expectation is, like, people are gonna use it. If you're on the side of, like, it's taking jobs or it's wasting water or whatever it is, I don't I don't even know how accurate any of that is.
I'm just telling you that, like, you're not stopping this. It's happening, and it'd be awesome if people used it in in ways that would help other people. And, you know, it's... I I get people's arguments when they're like, you know, please don't don't don't waste my electricity, making a picture of your rabbit holding a basketball. I I Sure.
I get you. But, also, listen. I'll... I won't get on a soapbox, but Meta, which owns Facebook and Instagram, is probably just an AI company that sells ads now. Okay?
I know people think of it as, you know, more of a a community app or somebody. It's a... It's an AI company that sells ads. And if you're on Facebook complaining to people about them using AI, I don't know how to break it to you, you are also using AI. So if you're on Instagram yelling at somebody about it, you are also using something that is really using a lot of AI.
And and don't do the disservice of going to AI and asking it all the things in the world that use AI that you're unaware of because you're gonna get a list back about 300 things long, and you're gonna go, oh, I'm using most of this stuff in my day to day life. Mhmm. So if that's happening, my point, let's do something cool with it. Like, let's do something helpful with it. That, to me, makes more sense.
A Friend Stranded at the Port33:44
Make it beneficial.
Yeah. So let's real quick check-in. You guys don't know this, but a friend of Jenny's is at a port in... We're not gonna use her name. She's at a port getting ready to get on a cruise, and she said, oh, she...
She's looking for... She got... Somehow got to the port, and she thinks TSA lost her infusion sets. Is that right?
Either that or she left them or
Somewhere.
She has she has them she has them not.
Yes. She doesn't have them.
She is on her last
So we're trying we're trying to get people to, like, literally run to the port and give her a infusion set. So so Jenny Jenny offered to help people for free, and and and the person jumped on and said, oh my god. Thank you, Jenny. Not only that, I'll I'll send a care package. So let's see if it...
What... If this actually gets to somebody, and helps her. I hope that she's getting on that ship pretty soon. I just wanted
to Yeah. Sometime in the next, what is it? Like, probably hours, I think, is when her cruise is technically supposed to leave port. So she's... Just needs some sets for her twist pump.
That's
That's it. Got everything else.
By the way, Jenny, that's Twist with two i's. That's visit.twist.com/juicebox. Yay.
Happy to support a commercial.
Yeah. Yeah. Yeah. They're an advertiser. So while you were chatting a minute ago, I downloaded the code from a DIY system Mhmm.
Feeding It a DIY System's Code35:15
Dropped it into a project, and had it, like, you know, absorb the entire thing. And I said that I asked it to write a user... I just said, write me a user manual for adjusting settings. So all I said because I I... I'll be honest.
There are settings in Arden's AID system that are set because someone else told me turn this to that. And people who are learned know how to do it, and they've been right. But I don't know what I turned, and I don't know what it is. And so I'm not... I I would just like to understand it better.
That's an actual use. So I built something. I'm in the middle of building something right on. But I... Amy, again, my friend Claude, who, by the way, they changed his voice.
He used to be more British last week. And I don't know what happened there. He jumped on, and I was like, that's not what expected him to sound like. Oh. And so, like, just so it's not for public consumption.
It it asked me, do you want it on your website? I said, no. I just wanted to use it for myself. So I... I'm interested to see how long it'll take to build it and what I'll get back.
But what I'm hoping is for me to be able to go through... And by the way, I'm sure that this system already has a user manual online. But Hopefully. But it's... I don't know.
Like, I I... And I'm not that... I don't know how to explain that. I'm not the person who would go look for it. I would just have a problem and then go, I guess it'll be okay.
And... Which I think is what most people would do. And I'm not doing this... I'm... I I may be doing it more to illustrate what what AI could probably do
for you. Do.
Yeah. And and you take this example and go apply it to other stuff in your life. Like, for example, there's, I'm sure, a user manual online for your insulin pump. Like, right, how great would it be if you just said, look. Take this manual and break it down to the things you think I really need to know.
Here's some problems I'm having. Where in this manual should I even look to get this answer? It... You know, that that kind of stuff is... It's here.
If you don't think it's here, you're probably listening to the wrong news.
I was gonna say another way to use it would be because the user or owner manuals are online for all of the approved devices. Devices. Mhmm. If you were having a particular issue, absolutely, you can just say, I use this device. Can you look in the user's manual and just tell me what the directions are for for this thing?
Like, how do I set a temp basal? I've never done it before on my tandem pump. Yeah. It'll just suck that section out and give you just that rather than you having to thumb through PDF file after file and find that section of the user manual. It'll just pull it forward for you.
Yeah. No. So... I I... Well, listen.
Build Me a Warsaw Visualizer37:59
Here... Here's a a super inter... I'm just gonna... While it's doing that, I'm gonna open up another window. Right?
Build a visualization tool to help me understand how the Warsaw method works.
I I would have it do
Go ahead.
It at eighth grade level.
Okay. Eighth grade level.
Which eighth grade now is probably, like, a senior years ago.
I don't know. Jenny, don't be don't be mean to the young generation.
Grade level. I... You could do eighth grade and then see what it does different for a fifth grade level too.
I want sliders so I can see how... I I wanna be general with it. How settings, measurements, timing, impact.
Mhmm.
Insulin. Insulin. What's that word you use when, it's a fancy word for insulin going away? Is it desecration? Oh.
When when insulin breaks down, what's that word you use all the time?
Now that you ask me, decay.
Decay. Thank you. How insulin decay and, I don't know, food impact hits. That's as plain language as I could come up with and and very... Like, almost vague just to see what you get back.
I'm assuming what we're gonna have back in five seconds is an HTML page where I can type in letters, numbers, etcetera, sliders. But I don't know what's coming, so let's wait and see what happens. Cool. Yeah. Are you using it all in your life?
I don't imagine you use it too much, but I'm wondering where you've thought to look or not look at it.
AI? Yeah. Oh, I will absolutely use it to get a... I mean, I'm pretty good at carb counting at at estimation. But if it is something truly different or whatever, I'll use it to look food up just to get a idea whether my estimation was pretty close or also do it kind of for fun just to see how close I can get to something.
Just kind of fun to do that. I also do use it. There's a professional sort of AI that I also use to put together references that have research base to it. Mhmm. When I'm putting, like, articles or something together or I'm putting a teaching tool together that I want it to have definite reference to be able to highlight kind of at the end.
I'll use I'll use an AI online professional Oh. Program.
Eight Prompts You Can Steal41:03
I... So so now everybody's heard everything we've talked about so far. I just scrolled down on something that I didn't see. Remember I told you earlier it said it gave you, like, five ways to talk to it, push back, tell the whole story, etcetera? Yep.
Yeah. I didn't scroll down. It said, here's a toolkit. Eight prompts that people can steal. Copy, paste this into any AI, fill out the orange parts with your life information.
It gave it gave a prompt for pattern detection, a meal talk through, a what just happened postmortem, the curve ball planner, sick days, time zone changes, long flights, days at theme parks, the appointment prep, how to get ready and dampen your frustrations going to the doctor, settings, change journal, the oddball food decoder, a food with no playbook. It talks through what the carbs, fat, and protein, but the each handoff builder, oh, turns your routine into a clean one pager for a school nurse or a grandparent or a babysitter. They turned it into a web page for me to put on my website when I when I wasn't looking. So, I'll have to go look harder at that. Actually, maybe we'll...
I don't know how much time you have today, but maybe we should grab one of these prompts and see. Do you have to go?
Sure. No. I've got, like, ten, fifteen minutes.
Do you? Oh my god. It just built my settings manual for the, DIY AID system. Oh my gosh. It's extensive.
It... I don't even know how to explain this to Settings before features. The order is basal insulin, carburetral, and sensitivity always diagnose patterns, what you see, what to touch about settings. The pattern, drift up overnight or between meals. No food on board.
Likely culprit. Basil's too weak in that time block. Auto sends ratio pinned at point seven or 1.2 for days. Underlying setting is wrong. Auto sends is maxed out covering for it.
I don't know if any of this is right. It's just, it goes
But what you'd have to compare it to is what the docs say for the actual
Yeah. Yeah. Yeah. Yeah. You'd have to go look and check and see and test and etcetera or talk to people about it, your doctor, whoever.
It breaks down, the core profile settings as basal carb ratio, insulin sensitivity, glucose targets, duration of insulin action, insulin curve, and peak time. Talks about all the safety limits that are built into it, explains SMB and u m... UAM. She tells you the math around how SMB is disguided. I mean, this is like...
Goes on forever. So, I mean, the Mhmm. And that's... And this is... It's at the eighth grade, and it's still really Okay.
Like,
detailed. Still pretty detailed.
Yeah. Oh, actually, no. I'm sorry. The manual, we didn't do at eighth grade. We did the...
We did... Which one did we do at eighth grade? The
I don't know. Okay.
I tell you, I got it. I got it. We're saw methods visualization tool.
Okay.
It's still working on the visualization tool. Alright. Let's do one of the prompts then while it finishes the tool. Hold on. Scottie's jumping around Okay.
So let's take the prompt that says, oddball food decoder or hand... Even the handoff builder is a nice idea. Sure. Yeah. You wanna try that?
Yeah.
Alright. I've copied the prompt. I haven't looked at it. I'm starting up a new chat. I put the prompt in.
I need a one page handoff sheet for a school nurse, grandma, sitter, let's say sitter, so I'll delete the rest, leave sitter, who will be watching my child with type one diabetes for an evening. It also gives, like, school day, so you could, like, here... Here's our routine and my own messy words, everything I can think of, devices and what the alarms mean from what a low looks like. Oh, I see what it wants you to do. What a low looks like for your kid and how to treat it, snack rules, mealtime routine.
So it wants you to talk that into it. Just blabber away about everything that you do and then turn into a calm, clean, one pager in this order. Okay. Ready? I'm gonna give this a try.
Yeah. This is what I usually do again with with people who want... I I call it a decision matrix, essentially. Yeah. A one page, if this, then that.
That's all people need to know. Very simple and easy.
Alright. Well, I haven't done this in a long ass time, thought about Arden like this. So hold on a second. Let me put the... It says devices, what alarms mean, what a low looks like for your kid, how to treat it, snack rules, mealtime routine, bedtime, who to call, what order, anything always that can that can confuse new people.
Alright.
Wow. That's a lot.
Let's find out if my microphone will work with both at the same time. I don't think it will. Right? No. Because my mic's being used for this now.
It's not gonna work for that. Okay. I'll tell you what. When I'm done recording with you, I'll do this and add it into the recording and see what it comes up with.
Cool.
Alright. That's... So that's that. And let's see. I can't believe that they just threw out all those prompts like that without asking.
I'm I'm just hoping that it's okay.
It's asking If you if you really understand that online world is... It is endless. Like, there's never an end to the information string. So this, in particular has been discussed many platforms, many places, all the questions. There are plans online that people share.
So I'm expecting that what it does is it just pulls from the most things that people put on online resources, and it's asking you to put it together.
Jenny, I... While it's... So it was asking me a question about the Warsaw, like like Mhmm. Visualizer that I didn't answer. So that's why it's taking so long.
How the 504 Builder Happened47:24
So while that's happening, because I now answered the question, let me tell you that the other... This is a week and a half ago. I was sitting here editing the podcast, and on my other computer to my right, I often do, like, q and a's in the Facebook group while working, like, because I... You know, because why would one thing be enough to do? And so I'm doing a q and a.
People are asking me all kinds of, like, silly questions, poignant questions, like, personal, like, whatever. It's a nice thing to do to to chat with people. In the middle, some person, I think a gentleman said, like, I need help with five zero four plans. And it made me think, oh, I think I have a couple of Ardens somewhere. Let me try to dig them up.
But problem being is that older, and when I used to hand Arden's five zero four points, and I handed it in on a piece of paper. Like, you know, like, I don't have documents, but I had a... I thought, oh, I do have... Maybe I have a couple of them as Word documents. I'll give them to him.
And then I thought, oh, that's, like, ugly. I said, let me just throw it into AI and clean it up. I'll turn it into a PDF form real quick and send it over. So it's a little, like, more visually appealing and maybe etcetera. And then I was like, I don't know.
Like... So I started a project, and I was like, you know, like, I wanna be able to share these five zero four plans, my daughter's five zero four plan with somebody online. Can you clean it up? And it cleaned it up, and I was like, you know, could you make it so that, like, he could type in his, like, his kid's information where it says school and, like, name and stuff like that. I swear that's where I started.
And then it was like, yeah. I did that. I said, is this up to date information anymore? My daughter's older. And then it started looking, and then it pulled in, like, the ADA and, like, all these online online things.
And I was like, screw it. Was like, can we make a five zero four builder where people could put in their own information? We could take... It could reach out to all these places. Blah blah blah.
If you go to juiceboxpodcast.com/504-builder right now, you are gonna see an insane and simple to use five zero four builder. You you just answer questions by clicking. You can read up to... I mean, there must be nine there must be nine headers with, like, nine questions underneath of it or nine ideas of what could go into the fit. If you don't like the one thing, uncheck it.
It takes it out of your five zero four plan. Check it. It puts it back in. It explains why. It shows you where it gets it.
I I mean, honestly, Jenny, like, it's insane. It makes a one sheet for a for a substitute teacher if you need it. It asks you if if they deny you something, it'll give you an email to answer back about why it's important. If they try to strike something out of the five zero four, you can go into the five zero four, click on what they struck, and it'll give you an argument to get it back... Put back in.
It's... But, you know, I promise you if I spent thirty six hours on it, maybe. And it's a it's astonishing how well it works. So that's the kind of stuff I'm saying. Like, when I see people get online and go, like, I don't know how to make a five zero four plan.
Guess what? The Internet knows, and and you just need to be able to, like, pull it all together quickly. So when people are, like, it's useless, it doesn't do it. When I hear people complain about it like that, AI specifically, I think, boy, they just don't realize what it could do. I think people are stuck in the idea of, like, you know, people asked it to make a picture last year, and it put seven thumbs on a hand.
How does it not know that a hand doesn't have seven... Right. We're well beyond that now. And I don't know where we're gonna be in six or twelve months, but I think it's gonna... I honestly believe that you're gonna get to a point very quickly where you don't even have to...
I'm already hearing coders talk about it. Some of them with glee and some of them with sadness that, like Right. The... You're not gonna sit down and write code anymore. They're already talking about their keyboards being obsolete, that it's gonna be...
That you're just gonna talk, and you're not gonna need to even put input in that way. And so if you can if you can explain your idea in plain language, I think you can get a reasonable response back.
Response.
You know? And and then from there
mean, it boils down right now, as we've said, it boils down really to feeding it the information that you really need it to consider.
Yeah. No. I mean, you can sit down and give it your history if you want. You could... I've talked about that before too.
Like, I don't... I I think people should sit down and just talk their health history out to
it. Yeah.
And then when you wake up one day and this hurts or that hurts or this is happening, it's not just thinking about that. It's thinking about everything you've told it in the past and say, look. Apply this to my health history and tell me if there's a a... What do I call and tell my doctor right now? Because I don't know what's wrong.
And maybe that's gonna help there. Maybe... Listen. I don't know. I make a podcast.
I could be completely wrong, but I'd check it out. You see, I could
be completely wrong.
I could be... Listen. It's a high likelihood that I'm completely wrong. But I'm just telling you what I'm noticing, what I'm seeing, what I'm doing in my own life, and and what people are coming on here and talking about. I mean, I had that conversation with Oliver.
He... He's a guy who's had... He's a smart guy. Diabetes a long time. He was not having outcomes he wanted.
And lo and behold, you know, he's like, I need help with my settings. Is. Yeah. That's it. So Yeah.
Or Just Hire Jenny52:50
Anyway, if you're afraid of AI, just hire Jenny instead. She'd be happy to talk you through the whole thing.
I'll be happy to help. Yeah. I will try to help.
I will. She... Listen. Jenny, at this point now, in these poll is for episodes, you toe to toe every time I ask you a question about carbs and something or how to bowl us for it or whatnot, and then we, like, check it against Claude. You're you're always you're always a 100% right.
So Yay. You're you're my AI is what I'm saying.
Aw. Well, thanks.
Stop it. Alright. I'm gonna let you go while this is finishing up, and then I'll jump back on and finish this.
Awesome.
Thank 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, empowered by the proven automation that helps over 600,000 people manage diabetes day and night.
Order today. Minimed.com/juicebox. Having an easy to use and accurate blood glucose meter is just one click away. Contournext.com/juicebox. That's right.
Today's episode was sponsored by the Contour NextGen blood glucose meter. It's the meter my daughter uses. She has it on her right now, and you're one click away from having it too. And don't forget using juice box podcast links helps support the show. Friends, 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 am joined by Jenny Smith, who is a diabetes educator with over thirty five years of personal experience, and we break down the 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, where you can listen to it at juiceboxpodcast.com by going up in the menu. If this is your first time listening to the juice box podcast and you'd like to hear more, download Apple Podcasts or Spotify, really any audio app at all. Look for the juice box podcast and follow or subscribe.
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