#364 Diabetes Pro Tip: Pregnancy

Diabetes Pro Tip: Pregnancy

Scott and Jenny Smith, CDE share insights on type 1 diabetes care

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Good and fresh.

Jennifer Smith, CDE 0:01
Because I'm not gonna sing this. I don't

Scott Benner 0:04
say oh, no, no, because this episode is going to be basically me going. Uh huh. And you saying a lot of different things. So okay, I want to if I can, yeah, do a protip episode about pregnancy. And I mean, like, pre planning leading up to it, what to expect how to prepare what to do, what's going to happen if this happens, what I do, and if we can, how do I do it without a glucose monitor? Is that all doable in the next hour? Right, well, let's do

Jennifer Smith, CDE 0:38
the mean without a continuous Yeah. Without

physically without knowing anything.

Scott Benner 0:44
That's possible. But isn't it funny? I call them glucose monitors or blood glucose monitor. Why do I do that? I don't know. Anyway, with without a CGM,

Unknown Speaker 0:53
gotcha, gotcha.

Scott Benner 0:54
Okay. Because I would like to, I want to do that as well. So anyway, I am, I'm going to be on the outside looking in here for this. But I do think that the place to start if you agree, is understanding what the pre planning is like? Because you can't, or you shouldn't, I'm guessing if you have type one diabetes, if you're the lady, you should not just if you can help it be in a situation where we got bored on Friday, and now we're going to have a kid. Right, right. There should be some more planning than that. So how far out? Does the planning have to be in is that maybe person the person and based on their situation? Hello, everyone. Welcome to Episode 364 of the Juicebox Podcast. This is the next in the diabetes pro tip series. And this is the 19th installment of that series. The diabetes pro tip series begins at Episode 210 with an episode called newly diagnosed or starting over. And then the episodes of course are in the body of the podcasts from they're they're spread out a little bit. But if you'd like to see them all in one place, you can find them at diabetes pro tip.com. Today, Jenny Smith and I will be doing a diabetes pro tip about pregnancy. That's the beginning then how do you make the baby with the type one. Please remember, as you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. or becoming bold with insulin. There'll be just a little more air for the music and then we're gonna get back to Jenny.

My friend Jenny Smith has had Type One Diabetes for over 30 years. Jennifer holds a bachelor's degree in human nutrition and biology from the University of Wisconsin. She is a registered and licensed dietitian, a certified diabetes educator and a certified trainer on most makes and models of insulin pumps, and continuous glucose monitors. Jenny has also had a couple of babies while living with Type One Diabetes. And I'll tell you this, if you could certify being delightful and wonderful and lovely. Jenny would be a certified delightful, lovely and wonderful person. This episode of The Juicebox Podcast is sponsored by Omni pod, the tubeless insulin pump, you can get a free no obligation demo of the Omni pod today sent right to your door by going to my Omni pod.com forward slash juice box. When you do that, on the pod, we'll send you the demo to your house and not pressure you about it at all. You can just try it on and wear it and see what you think there's zero obligation free and no obligation equals can't lose my omnipod.com forward slash juicebox. The show is also sponsored by Dexcom, makers of the G six continuous glucose monitoring system. Find out more about the dexcom g six today@dexcom.com forward slash juicebox. Every day we make decisions about my daughter's insulin use. And those decisions come directly from the information that we get back from the dexcom g six dexcom.com forward slash juice box. Alright, let's settle in. We're going to talk about being pregnant with Type One Diabetes. Jenny's going to give you her opinions about how to do that best for your health and for your baby's health. And by the way, if you ask Jenny privately, if you pulled her aside and said, Hey, Jenny, this thing we tell people about you know how to manage while they're pregnant. Isn't that how you wish everybody was managing all the time? and Jenny would go, huh? I think so. So there's gonna be a lot in here for everyone. Not just those of you who are looking To make a baby. So how far out does the planning have to be in is that maybe person, the person and based on their situation?

Jennifer Smith, CDE 5:09
Yeah, and kind of like we always talk, it is sort of person to person, you know, overall, if you've all along had pretty good management, you've put lots of the tips and tricks into play, and you know how to your insulin works, you know how food and activity and all of those things work for you. Maybe three months, maybe, you know, maybe you get married, and it's a quick turnaround. And you're like, yeah, we're ready. And like you have everything in placing, you know, your glucose is where it should be. And I mean, there are other parameters to check to, especially with diabetes, things like thyroid, all of those things should definitely be checked and analyzed and evaluated prior. But everything checks out. Great. If not, then yes, it could be three months, it could be six months, it could take a year. You know, if you're somebody who's starting out you, you know that you and your partner really want to have a child, but you don't really have things in place to do that safely from a discussion maybe that you've had with your doctor or your ob team or whoever, then it might take a long time, because I think it takes going back to really like the pro tips episodes. Really, if you're trying to get things contained. That's that's the starting place. Because while while you know where you need to maybe get, or maybe you don't glucose target range for pregnancy, should really be started prior to conception. Because then it's not such a big changeover from saying, Okay, well, I've been aiming for a target of 80 to 180, let's say, right? Well, Pregnancy target is, you know, fasting 65 to 95. That's when you wake up in the morning, is that is that anyone see in the fours?

Scott Benner 7:00
Is that is that high fours,

Jennifer Smith, CDE 7:02
have to look for the E one C. listing. Because what exactly where that is, I think

Scott Benner 7:08
what we're talking about here is that you have to know how to manage your blood sugars tightly, and see some consistency through weeks and months. So that it's not just a fluke, like one month, you're just like, Oh, I did it. And you have to be able to do it without low blood sugars that are going to be dangerous for you or the baby to write, you know. And so yeah, get it right, and then prove it over and over again,

Unknown Speaker 7:33
over and over again, or

Scott Benner 7:34
your period through different meals, because you also could, I just finished what I really enjoyed, I haven't, I did a four part series with a pregnant person who has type one. And we interviewed together after her first trimester after second after third and just yesterday, when her baby is three months old. And so I went through the whole process with her to try to understand it. And her a one C was like 4.8 during her pregnancy. And she was describing needing insulin, more than double than what she normally needed. And that like swallowing that pill of like, Oh my god, there's way more insulin needed here. I have to do it. And yeah, I want to get to all that. But But yeah, to me, what you're saying is, you can't be a person who's got an A one C of nine and say I'm going to have a baby. I'll just get pregnant now. And I'll fix it. Because what could those things lead to? Like what what Ohio one season pregnancy lead to?

Jennifer Smith, CDE 8:36
So that's where the like the typical national standard is? A one c less than 7%. at conception, right? That's, that's the broad goal. And we aim for a little tighter than that. Because as you're kind of getting to, it's easier to have things tighter to begin with. Rather than say, Oh, goodness, I've not really done anything, or I didn't plan it. And I also haven't done anything. And now I really have to tighten everything up. That's a lot of change all at one time, along with a load of hormones impacting things at the same time. Yeah, so it's a lot, right. So the standard for under 7% at conception is really because what they've seen in research is the risks of things like early miscarriage, or many of the genetic problems that can come up from those early weeks of forming all of the different body systems, right, all of the different body organs and everything. That's what's happening in that first trimester. So the goal being under 7%, your risk is about even with the general population who doesn't have diabetes, for those same types of problems to happen, okay. Okay. How hire the one See, the more potential for early loss or or miscarriage, the more potential for the heart to not form the right way or any of the organ systems, you know, a lot of those genetic types of things could happen. Also a lot of things that are not specifically genetic, like they don't come from down the gene line. But they just happen because glucose levels aren't allowing the cells to divide and form into what they're supposed to do. So

Scott Benner 10:32
anywhere from a miscarriage to birth defects, correct. Okay. And is it a mortal lock that that's going to happen? I mean, you know, how, you know how some people are like, I smoked all through my pregnancy, and he's fine. Like that, like, Are there dumb luck people? And I'm not that I'm saying roll the dice on that. But, but were you definitely going to see something or maybe not even know, like, Is it possible? You know, is it is it out of this world to think that you could have a high one C and your child could develop asthma? And that, even though you're never going to know, it could have something to do with that? I guess that would be speculative. But that's

Jennifer Smith, CDE 11:08
it is yeah, complete speculation, because there's really not. There's a lot of research done on later outcomes in kids who've been, I guess, born from women who have had diabetes, right through pregnancy, but a lot of it is more assumption of putting information together, right? You're never really going to know and you know, the opposite of that. Let's say you, you did plan to really take care and adjust and make changes and you know, things do happen. People get pregnant

Scott Benner 11:43
and it happens. I've seen it happen personally. Yes, yeah. There we go. No one's planning on it. And the next thing you know, you're moving to a place to have more space.

Jennifer Smith, CDE 11:55
Because you're gonna need it. There's gonna be another person,

Scott Benner 11:58
someone by mistake got knocked up. Cuz, you know, long day, everybody missed each other. And the next thing you know, I gotta leave my condo. That's all.

Jennifer Smith, CDE 12:06
There you go.

So you know that it happens. And I mean, and I've worked with a number of women through pregnancy, who that has been the case while they were planning eventually wasn't really right now and a once you really was not where we would aim to have it be the highest I've had someone start a pregnancy, which was really not planned. It was a teen pregnancy

was 11.3.

Scott Benner 12:36
Wow. And now they come to you right away. And and no, it took too long.

Jennifer Smith, CDE 12:41
They didn't they, you know, they came in early second trimester it was, you know, they had gotten through their first trimester with ob team and some endocrine, I can't even remember how the family found integrated to, you know, get in contact and get some consultation. But I worked with her through her whole entire pregnancy. And we pretty quickly got her a one seat down. Yeah. And then, you know, by the end of pregnancy, her a one C was 5.7.

Scott Benner 13:11
Wow, that's great.

Jennifer Smith, CDE 13:12
So I mean, and she has, she's a beautiful little kid, now that there are no problems there. So can things be okay? Yes, they can. But the risk increases dramatically as the a one C and the glucose levels are not man.

Scott Benner 13:29
Yes, it's me, for me personally. And given that you can get pregnant by you know, not on purpose.

Jennifer Smith, CDE 13:36
by breathing out someone, yeah. That's what I was told.

Scott Benner 13:40
But I think what we're saying is that, you know, say you live in a nice, safe town, you don't really need to lock your door, but you do anyway, there are certain steps you take, just because why would we take the risk if we don't need to? Like, if we know we're going to have a baby, why would we start with a 71 seat and go, I bet I can get it down before something weird happens to the kid like, you know, like, like, let's not do that if we don't need to. Right. If we get caught in that situation, then, you know, figure it out, write it down? It's correct. It really is. It's such as it's, I don't know, I just I'm thinking back now to the conversation I had, that the person who I mentioned from the, you know, the four different moves to the pregnancy came to my attention because her first pregnancy ended in the midst of miscarriage. Right. And so and I've been contacted by people who there's a person I'm still hoping to get on the podcast, she found out that she had diabetes, because she was pregnant. Yeah, you know, like, she got pregnant. They ran a blood test. And they were like, oh, you're not just pregnant. You have type one diabetes. And yeah, I did not know prior to that. That person's doing terrific. has a really cute kid, and I'm hoping to have her on one day. But um, anyway, it's just Yeah.

Jennifer Smith, CDE 14:54
You know, the other thing I wanted to mention here too, is that despite all the things that you can do ahead of time. Sometimes things do happen anyway. Right? I mean, I, I'm actually my personal is our my first pregnancy I had a miscarriage. So, you know, and I did everything ahead of time I had been doing everything for several years before we were like, yes, we're like, finally ready to definitely have a child. Right. And I had done everything. And in fact, my, my maternal fetal medicine, which is a high risk ob doctor that typically manages through high risk pregnancies. You know, she was like, this has nothing to do with your diabetes. She said many, many early pregnancies. In fact, she said many women, they kind of their visit late, especially, they've been pretty regular. They're a little late in their in their, you know, period starting. And then it starts like five, seven days late. And they're kind of wondering, she said, oftentimes, those are very early miscarriage where the body actually didn't even start up anything truly. Many miscarriages in terms of a person without diabetes, and a person with diabetes, who has managed well, they're just because the body knows that there's not something quite right.

Scott Benner 16:16
It just feels like a false start. And that's right. Oh, that's

Jennifer Smith, CDE 16:19
and it's sad. Yeah. And so, you know, I mean, it's sad in any regard. But I think if you can do the things ahead of time to prevent it, then you know, that you've done everything possible,

Scott Benner 16:33
takes away from the idea of is this diabetes? Or is this something else that you can see yourself as more than having type one, say, you can see normal things that happen to people, I just saw someone recently who had a seizure, and thought it was because of their blood sugar, but then figured out, it was, you know, but that was their first thought was, oh, I must have my blood sugar must have gotten very low. And it turned out not to be right, you need to see yourself aside of diabetes. And the best way to do that is to make diabetes a lesser impact on you so that you're not always worried about is this happening because of that, right.

Jennifer Smith, CDE 17:09
And I think that that's a good point, though, for the pre, the pre conception, the pre planning stage, to know, the impact of this versus the impact of that versus, you know, I do this activity. And this happens, there's a lot that goes into that, beyond just having well managed blood sugars, there are a lot of other things to consider in that right. Nutrition is one of them. And then the other factors that are very common in type one, or autoimmune disorder is are your other autoimmune conditions? If you do have them? Are they well controlled? thyroid is another very big one that's really, really important to have tightly managed prior to conception. Because thyroid levels do change through pregnancy, and they will manage and evaluate and do more blood tests and adjust your medication. But you also have Chi, you have to have kind of a baseline right to know coming in. Yes, things are good.

Scott Benner 18:10
You know, it's funny, you mentioned that because just an hour ago, I took art and to get her blood test, because we've been managing her thyroid through her endo forever. But it's always just like, well, she's in range. It's fine. It started with still having a lot of, you know, side effects of what you would consider hypothyroidism. Sure, I finally found an endocrinologist who doesn't care exactly what the number says they care about how you feel. And so she's doing all these other things with her. And I hope to have that doctor on at some point when this process is done with Arden, but it's fascinating. She's taking. So Arden uses terrassen. And the amount of tear sent that her first doctor had her on is half of what the second doctor had her on. And she looked and she said yes, her numbers fine, but her symptoms are terrible. And she said given her weight, I would think that this should be more medication like so she was just she's very tuned into it. I just think that I would like to do a lot more about thyroid. On the podcast. I just you have to find the right people to talk to him. They're difficult to locate, you know? Yeah. But yes, so that as well. So what do I do I've and I don't want to skip over what Jenny just said about nutrition to like, Don't get so focused on your blood sugars that you're like, Wow, look at me. I've got a four eight I can eat all the Twinkies I want I learned how to keep my foot the kids gonna need like some greens and protein and stuff like that to grow it but I don't want to tell you how to plan your family. What I am wondering is I've decided I've got some money, I found a space I can put the kid nice. The Safe closet if I want to go out maybe they can't get hurt, you know, and moving forward. Do I make with the bangbang fun part or do I go find a doctor first? What's first?

Unknown Speaker 19:57
Yeah, that's

Jennifer Smith, CDE 19:58
again, the other part of it. Not only your management, having a team in place prior to conception is really, really important. Because I've had a number of women that I've worked with who have thought that they would just go with who was preferred with their insurance, right plan. And a number of them have transitioned once or even twice through pregnancy, because they were so unhappy with the care that they were receiving. A lot of it's specific to diabetes, and the consideration of diabetes in the pregnancy. I mean, ob teams, and definitely high risk, Maternal Fetal Medicine teams, they know pregnancy, but it really takes the right team to know pregnancy and diabetes together. And pregnancy and diabetes with Type One Diabetes is very different than gestational diabetes. And so if you've got a practitioner who, you know, says yes, or they're you call and you ask around to a couple of offices to talk to their nurses and get a bit of an idea about how the clinic runs and how appointments run and the doctor and experience and Oh, we've got lots and lots of experience with diabetes, what kind of diabetes right is the question you should be asking? Because they may have a good amount of gestational diabetes management experience. It's very different with type one,

Scott Benner 21:30
you don't want to get caught in the medical equivalent of Oh, my aunt has that? Yeah, correct. Right. Right. Type on your end as type two, it's different. Thanks for right.

Jennifer Smith, CDE 21:38
So do your shopping is really, you know, the case, the other piece, when you're doing your shopping, essentially, for your care team is, if you've got a really great endo that you're working with already, that would be a first, like, stop to actually ask them. Are you going to be my diabetes backup manager through this pregnancy? Because I've had some NGOs who defer to the Maternal Fetal Medicine team, which, that's okay. As long as the Maternal Fetal Medicine team has got it,

Scott Benner 22:13
man, they understand the diabetes piece,

Jennifer Smith, CDE 22:14
and they understand the diabetes pieces. Well, I've also, you know, and teams differ, you know, some ob is, once you get pregnant with high risk anything, they're hands off there, like you're going to high risk, high risk is going to manage the pregnancy for you.

We want to you

Yeah, right, we won't see you until baby is born. And you are post delivery time, right? Other teams, the OB sees you for the basic ob visits just for the monitoring, and that kind of stuff, you'll be shuttled away to Maternal Fetal Medicine, potentially, then for the high risk types of things. anatomy scans, fetal heart echoes all of the higher risk types of evaluations, especially in the third trimester. So it, it pays to ask around, it pays to even see if offices have a preconception consultation that they will do. So you can talk to the doctor and you can bring them this is how I manage I'm well managed. This is what I've done to get to the point of being ready. Because the more that you can show, any team like that, what you know, and how well you're doing, the more comfortable they're going to be helping you to manage the right way. Yeah,

so

yeah, it it takes, it takes looking.

Scott Benner 23:33
Okay. So if do some shopping, fine, we find the doctor. We, we we decide to move forward. We start doing what we're doing. I end up pregnant. Me, I don't know why. You don't pretend I'm a lady for a second. I'm pregnant now. And I have diabetes. So pretend everything about me is different. I'm a lady. I have diabetes. I'm pregnant. Now. How soon do I start? noticing like well, I noticed that my blood sugar's before I notice in my pregnancy test.

Jennifer Smith, CDE 24:05
For the most part in the first several weeks post conception, blood sugars are going to start to look wonky, wonky. And I think the easiest way to describe it is if a woman has experienced a rise of any kind in blood sugar during their normal monthly cycle, whether it's the three to five days before the couple days of once they get it or even around ovulation. Hormones from the start of pregnancy are significant and they will make a big difference in blood sugar. Most women in about the first week to let's call it five to six weeks will experience a rise in their insulin need because of those hormones and the impact that they have. So you know, if you haven't been trying and you know that you've been trying As soon as you know you're done try get on the these are my diabetes pregnancy targets that I'm aiming for if you haven't been doing it, you know so tightly prior to trying then definitely do it as soon as you're done try

you could be pregnant.

Scott Benner 25:18
Alright, let's take a detour for a second and and and let Jenny rant for a minute. Yeah. Why? It's might be something I know about her that she's never said here but why are there different ideas of health for pregnant people with type one diabetes and non pregnant people with type one diabetes if it's great for the baby isn't it great for all of us, huh?

Jennifer Smith, CDE 25:41
There you go. Yes, it opens up a whole can of worms, Pandora's box, so to speak,

Scott Benner 25:47
we have an hour. Let's start with Dexcom, shall we? How would you like to always know your number? With just a quick glance at your smart device, I'm talking about Apple, or I'm what's called Android, I'm talking about Apple or Android, you can see trend lines that show you where your glucose levels are headed, and how fast they're getting there. So you can take action. Before something goes, you know, in a way you don't want. You're going to be able to set customizable alerts and alarms. So you can decide what your optimal ranges were alarm for Arden's blood sugar at 70 and 120. Allowing us to stop highs and lows before they happen. You're going to be able to share glucose data from the user to up to 10 followers. That could be a mother, a father, a grandmother, a teacher, a school nurse, or just a well meaning friend 10 people of your choosing can see your blood sugar can be alerted if you're super low. Wouldn't it be nice to have a backup or to be able to make decisions about insulin for your child through text messages? Right. That's how we do it with Arden. You've heard me a million times help Arden with her lunch at school because it's like I'm there all the information that I would have if I was with her I have when I'm not with her and that makes decisions easier. dexcom.com forward slash juice box Get started today with the Dexcom g six continuous glucose monitor. This morning I helped one of Arden's friends with a serial bolus did it remotely. So I could see Arden's friend's blood sugar on her dexcom. And I knew she had an omni pod tubeless insulin pump, and we just set up an extended bolus to help tackle this cereal. So using the Dexcom data, we decided when to Pre-Bolus and using the Omni pod, we set up an extended Bolus, think we put in 70% of our insulin up front and allow the other 30% to go in over the next 30 minutes. That's just one thing you can do with an omni pod, set up an extended Bolus, you can also do Temp Basal increases and decreases. You know most insulin pumps are going to do that. But here's what on the pod does that the rest of them can't do on the pod can get you your insulin without tubing. It's tubeless. And that means that you can wear it wherever you want, right? You can show it off on your arm or hide it on your abdomen. It's up to you. Do you want people to see your insulin pump? Or don't you? Are you playing a sport for lifting weights? Or going for a run? Where would it be easiest for you? It'd be in a wedding next week. Put it where it won't be in the way. Do you see the versatility that the army pod gives you? You know, maybe I'm not doing such a good job of explaining it, you should try it for yourself. Go to my Omni pod.com forward slash juice box to get a free no obligation demo of the pod sent directly to you. You can actually wear a non functioning pod to see if what I'm saying is true. And once you decide that you'd like to go with Omni pod, you'd like to set up an extended bolus on an insulin pump that no one can see. It doesn't have tubing that you can go swimming with or running with or play soccer with or take a shower with just calling the pot back and tell them you want to keep going. But there's no obligation. There's no cost to try the demo. It's worth a shot. Miami pod.com forward slash juice box dexcom.com forward slash juice box links in your show notes at Juicebox podcast.com. Upgrade your stuff.

Jennifer Smith, CDE 29:51
It's a great question and it's one that's always kind of been like in the back of my mind even before my husband and I were like yes, it's like We definitely want to have a child within the next year, right. But I had already prior to that readiness, I had already been focusing on much tighter targets than my endo ever told me to aim for. knowing what I know the research that I've done information about long term outcomes of blood sugar management and control, right. And it was several years ago, actually, that I worked with a woman through her pregnancy and postpartum, she said to me, so my doctor wants me to loosen up my targets. And she's like, now that I've gone through pregnancy, managing the way that I did, and knowing what people without diabetes, what their body manages for them. Yeah, she's like, why would I go back? To loosen targets? Right? Why would I do that? And so it was, I mean, it really like brought it to the front of my head from like, a subconscious level of that's what I always aim for. So I guess I didn't really think about it. But that's right. It's it's a great question. Why are we not overall, consistently aiming? Whether you're a man or a woman? Why are we not consistently aiming for blood sugars that are in the non diabetic range? Why Why is that the case? Now, outside of this? There are some good reasons things like older adults, hypoglycemia unawareness, there are some medical types of conditions or certain scenarios, let's call it that could need a broader range and or a higher range for safety kinds of reasons. But the general population, it's a good thing to bring up because that's, it's true. Why are we aiming for less than 180? after meals, really, it should be lower, and I

Scott Benner 31:54
brought it up, because in my sort of peripheral understanding of this, this whole time that I've been in the diabetes space, I've always thought of it as people with people with I was gonna say, people with pregnancy, people who are getting pregnant, are somehow asked to do some superhuman thing with their health. That's not even necessary. And it took me a while to realize that's not what we're really saying. What we're saying is that every Listen, there's a lot of people have type one diabetes, and we all have different access to different technology insulins, all these different things. And so there's a, there's a blanket statement out there, like, if you're a one sees, you know, under this number, you're probably have a really great chance of being okay. As it gets lower your chances of problems get differently, you know, maybe they lessen, but then once in a while someone will put out a report, this is all there's no benefit in having a one c under this number for some reason, right. And I every and we've talked about on here before and I see that I think I don't, I don't believe that that's true. And I think that that's gonna be one of the things that 10 years from now someone's gonna say, oh, there was a report 10 years ago that said this was wrong. Yeah. But, uh, whoops. You know, and I also think that it's a, it's an emotional idea. Like, if someone has a seven, you don't want to make them feel like a failure, because they're not five and a half. Right? Right. Because they're not, but it doesn't mean that they should stop trying for the right not make themselves crazy, or, you know, like anything but right. But better goals. It's, I don't know, right? It just, you know, it's like, if I went out and ran a 300 yard dash today, I think I'd finish it. And I don't know, probably an hour and a half. And so right. Now, that might be my personal best. But I saw in the Olympics, it can be done, you know, in about seconds, about 15 seconds. And so I can't just sit here and say, Oh, I did the best ever, because that's my best because it's not and it's your health or your child's health. And you can't just I I mean, I think that one of the underlying concepts of this podcast is that you can't just say, oh, oh, it's fine. It's good.

Jennifer Smith, CDE 34:06
Or it's good enough.

Scott Benner 34:08
300 after pizza usually go to 400. That was a huge win.

Jennifer Smith, CDE 34:11
That was that right? And maybe that was a win. Maybe that was a win, you know, but if it's, yeah, it's totally better. Again, try again, try but try again. Yeah. And that's it. So yeah, that's a very good point to bring, I think target targets in pregnancy are in a way they are tighter because we do have certain parameters such as in the post meal time period. The targets are at one hour post meal, the goal is less than 140. At two hours post meal, it's less than 120. Yep. And really, if meals aren't in the picture, you should be averaging somewhere around you know, like the 65 to like 100 ish range. That's, that's, that's what you should be aiming for. Now, the person who's not pregnant if they're sitting at you know, 121 Great, they might feel really good at 121. in pregnancy, that's the high end of really where we would want to hover long term. So there are some parameter differences. And I think it has to do also with everything that the mother is doing to her body does have impact on the developing baby then

Scott Benner 35:21
right? Thank you. So line by that is 221 blood sugar. If if you're a person, like we've been able to see my wife's blood sugar in the past, my wife's blood sugar sits at like, 75 most of the time, right? Yeah. And so if, if, if that's what your normal is, and you're 121, I'm going to tell you some quick math tells me that's 46 points higher than what your body would have done without diabetes, which is a significant difference significant. It's a significant concentration of glucose in your blood, messing with the development of that baby. That's what I'm, or if you're not pregnant, messing with your life, you know, so

Jennifer Smith, CDE 36:02
as far as like messing with the baby, I think another piece to bring in is once the baby, I always find this concept really interesting that a pregnant woman who has diabetes, Type One Diabetes specifically has a pancreas that's doing pretty much nothing, right? The betas are either almost completely dead, or they're all gone. Right? what they have and are growing, this little person has a working pancreas inside of its body. Yeah, right. I mean, that's, it's amazing just to think of like a developing baby to begin with, but then to think of all the little parts and pieces that are growing and working the way that they're supposed to, in that like little being. And it's amazing to me, so when you consider blood sugar in pregnancy as well, your baby has a functioning pancreas very early on, right. And it starts to make insulin in response to what your body is telling its blood sugar. Right, so the flux of your blood sugar tells then how it kind of it goes along with how much glucose or how much food gets funneled in to the baby, the higher your glucose levels are, the higher the baby's glucose levels will get now, baby's glucose levels again, they're being controlled well within a normal non diabetic target, because that's what its body is doing. But the more the pancreas has to work to combat your high glucose levels, the more like swapped in glucose, the baby is going to be continually. And that's why like later on post delivery, if the baby's body has been so used to pumping out excess insulin all the time, as soon as the baby is born, and you've heard about babies have been born with really low blood sugar. Yeah, as soon as that umbilical cord is cut the mother's food source to the baby, it is gone. Right? And if the baby has come into delivery, with a pancreas that's spitting out excess insulin because the mother's glucose levels were so high, its blood sugars are going to plummet.

Scott Benner 38:17
Interesting. So that makes sense, obviously, but that's Yeah,

Jennifer Smith, CDE 38:21
interesting.

So that's another piece of like, we talked about the tight control in pregnancy. Tight is it's, it's there for a different reason, really. And so the ranges and how long glucose should stay at that elevated like 140 Mark, and then be back down, really into the normal range. There. There's reason for that.

Scott Benner 38:43
Yeah. It's funny, we all talk about it. So academically, like you know, 140 in the first hour 120 in the second hour back down and stable until I work glucose monitor and watch my body do it. It really didn't mean as much to me as it did say it right, because my understood my entire understanding of insulin is through Arden's perspective. Like I've never thought about it before about about somebody else's ever once. And there's no lie, your blood sugar just sits in the 80s, you know, and that pops up a little it comes back down, it comes back down and levels out and maybe you see a protein rise or something from fat later, it comes back up a little bit, but boom, right back down again. I ate my face off and couldn't get my blood sugar to go above 145 one, you know,

Jennifer Smith, CDE 39:35
that cage or something?

Scott Benner 39:37
Totally took in as much food as I could and I couldn't get over 135. So, you know, so, but how do we? You know, it's interesting, right? Because this podcast works because we talk to people honestly about stuff like this, but most people's perception of how to talk to people, so don't make anyone feel bad. And I don't want anyone to feel bad like Don't want someone to hear this and think I can't do that. Because I think you can. I think that I think that it's very possible that Jenny and I could have cottoned on and said, this is a diabetes protip episode about pregnancy, go back and listen to the other protests, and then have sex. Yeah.

Jennifer Smith, CDE 40:17
Right. We'll see

Scott Benner 40:18
you next time. It may be could have been that, really. And so if you're in the scenario right now, where you're listening to this, and you're like, Oh, I can't do this, or I have a different kind of diabetes, you probably don't, you know, like, you know, a blood sugar that sits stable at 7075 80. That's basal insulin, that's just getting your base. All right. And so it's real doable. So if you've made it this far, you must really want to have a baby. And, and it really is doable. I really do say go back to Episode 210, find the beginning of the pro tips, or go to diabetes, pro tip comm where they're all listed, and listen through them, I think you could change your management. Now. Here's the thing you've been pregnant, like you said a number of times with type one, is it more difficult? And by difficult, I mean, intensive with your focus and paying attention to your diabetes while you're pregnant, while you're not pregnant? And what's different about it, like what are people going to find once they're pregnant? So I've got my three months where I'm doing great, but now all of a sudden, there's a baby in there, what changes?

Jennifer Smith, CDE 41:26
It's more intense, I think, because of the impact of the hormones once you are pregnant, right? So you knew what you were doing? You knew, let's say you had your list of 30 awesome foods that you had figured out or 30 awesome meals, and you knew what to do for them and how to Bolus and you could knock out your 10 mile run, you know, twice a week and whatever, you figured it out hormones in the picture, change

Scott Benner 41:49
that. Okay.

Jennifer Smith, CDE 41:50
And so and that sounds kind of scary, but it's it's kind of a roll with it sort of thing, right? You and if you've learned things, again, from the pro tips, you've learned that don't let it just sit there fix it, right? Don't wait six days to see is this really a trend? If you've got a high blood sugar in pregnancy, Okay, one, it might be hormones, great. Okay, but then let's get it down. In many of the ways you've already tested, that you know how to get your blood sugar down, use those tools, you may need to use the tools, you know, in a more hyped up way, right, let's say you always knew that an angled arrow or a straight arrow up required an extra half a unit of insulin. With pregnancy hormones in the mix, maybe it requires a whole entire unit to offset that. Because those pregnancy hormones cause some insulin resistance. And in early pregnancy, it's a very quick, noticeable rise in insulin need. The end of the first trimester typically things dip off a little bit, they plateau as there's a transition from where the pregnancy hormones are made transitions from ovaries into your placenta, there's a little bit of a transition there. So you might run some lower blood sugars in late first trimester, before second trimester starts. And this is where I kind of call it like, if you've ever been at a theme park, and you get on the roller coaster, and you're right at the bottom, and it just starts to get you going up and you're up and you're up. And you keep climbing and you keep climbing. That's from second trimester or about like 18 ish plus weeks, that slow steady climb and insulin resistance, thus requiring more and more and more insulin over time. I mean, the heaviest resistance is definitely the third trimester, typically somewhere between about 30 to 32 weeks until about 36 weeks is the heaviest resistance. So you accommodate by making adjustments. And again, this is where that team that you set up to begin with should be a huge advantage to you. Because during pregnancy, Pregnancy brain or mommy brain is not a myth. Yeah, it is something that is there. You might get lost in in data. And so having a team that's really really good and willing and able to help you frequently through pregnancy with adjustments, despite you making your own, you may need a second set or a third set of eyes looking at things and being able to say that was great, but I think we could bump this a little bit more we could change it a little bit more here. Oh, this looks like it's happening now.

So I guess that's

Scott Benner 44:39
well, I was just as you were speaking, there's this conundrum around more insulin like you know, my body needs more all of a sudden give it more and we call it insulin resistance. And I'm always resistant to call it insulin resistance. I'm always thinking of it as just more need, but how do you convey that to a person Right, how does a person who believes that their bazel is one unit an hour? How can they make the leap to now believe it's two units an hour or that a meal that was three units is six units all of a sudden, like, That's such a huge leap in your head? And I wonder if it wouldn't help people just to think of insulin resistance as magical carbs that just appeared inside of your body, right? Like so. Like, instead of insulin resistance, pushing your fasting blood sugar from 85 to 150, think of, well, how many carbs would have moved me that far? Right? And how much insulin would I have used for those carbs? So that's in there, there's a math equation of how much insulin Do I need. But what I realized most about the podcast is that people need a way to think about it, right? They need a way that it makes sense to them. Because otherwise, they want an equation that's going to tell them when I'm pregnant, I need this percentage more, or the food's gonna need this much more. And I don't know that anyone's gonna give you that answer. The way you want it, so

Jennifer Smith, CDE 46:02
and so it's, I think it is it's more but I think if you know, when you're talking about like the math, as you said, If you know that your typical fasting now in pregnancy has been like 7881. And now all of a sudden, you're waking up 103109 110

that kind of range?

How much of an insulin adjustment is needed? In that overnight bazel? Then and where did it go up and and what to adjust. Because again, if you've done your homework ahead of pregnancy, you have an idea of where things started. And as you see those slight changes, you're more attuned to them in pregnancy, you just you see things on a super highlighted level, let's call it um, you know, you're paying more and more and more attention, you asked, you know, what's the difference between paying attention outside of pregnancy versus in pregnancy? I think just the pregnancy itself, drives a woman to think I'm now caring for another little being that's growing, and I have, I have the ability to let this baby develop really healthy from the get go. And I am a big part of that. Right? So you become really kind of like hyper focused on evaluating what's happening to your blood sugar. I mean, I looked at my I looked at my Dexcom more while I was pregnant, I was constantly like clicking to see, you know, what was going on? Where was it going? What was happening? Because one I wanted to be able to see, Is this normal or up? have I gotten a new load of like pregnancy impact? And do I need to make a shift now? Oh, look, this is like, day two, that I've now had to correct my blood sugar with a little more after lunchtime. I need to obviously add more insulin to my Bolus, I need to change my ratio. Did you have

Scott Benner 47:59
anxiety around that? Samantha mentioned in the episode that she sometimes felt like she was hurting the baby when her blood sugar would get high? Yeah, it was hard to deal with sometimes.

Jennifer Smith, CDE 48:09
And then I think that's a, I would say 95% of the women that I work with their pregnancy that's at at least once it's mentioned, well, my goodness, my blood sugar, you know, over the weekend, we we had like a baby shower, and I had like a bite of a cupcake and my blood sugar was 201. You know,

I got a doubt really, you know, right away.

Unknown Speaker 48:29
They're like, okay,

Jennifer Smith, CDE 48:29
that's that's okay. And they're, you know, they're very, I think the worry really is one they need to voice it. Because if it was concerning, yeah, too. It's the fact of worrying about that baby. Did that really high blood sugar for one hour? Cause my baby to now have three eyeballs or to now weigh at 12 pounds? No, it's it's more understanding that the consistent lengthy, high blood sugars, that's problematic. These one off, I mean, was my blood sugar sitting at 83, the entire pregnancy dislike flat, beautiful, I actually go back to my Dexcom records from that time because I printed them out. But I have them in like my pregnancy file.

Scott Benner 49:12
Just let everybody take a second to say to themselves personally, whether they're doing chores, the house working out or your grocery shopping to go. I knew Jenny had her Dexcom

Jennifer Smith, CDE 49:24
they're good. They're reference for me, as I work with people, and I was really glad having done that my first pregnancy, because we knew that we wanted more kids. Yeah. And I wanted to have a reference to be able to say, this is where things shifted. So once you get through a first pregnancy and you get an idea, yeah, I needed more around 20 weeks, I needed more again, in Basal and in Bolus and I needed to lengthen my Pre-Bolus that's another big one that shifts through pregnancy. You might you know, pre pregnancy you might do 1520 minutes. kind of works. Things are stable, that works really great once you're pregnant. As you get more pregnant, the time of Pre-Bolus gets longer and longer and longer. So by about mid pregnancy, you should be at about a 30 minute Pre-Bolus for most meals,

Scott Benner 50:22
how much of what's happening to a pregnant person is in in regards to their insulin use is that they're pregnant, that they're cooking a little person inside of them, they've got a bunch of hormones going on. And by the way, all of you have to be so impressed that I talk about this stuff so much. And I've never told that joke from the 80s. How do you make a hormone? I keep it inside every time I hear it, just so you know. And and so how much of this has to do with that? And how much does it have to do with gaining weight, too? Is that a part of it? So like, side of the diabetes piece, or a side of the pregnancy pace, you are gaining weight as well,

Jennifer Smith, CDE 50:58
right? you're gaining weight, and you should you should be gaining weight. And that is a very big piece of it. Yes.

And you know, healthy weight gain. If you've if you're at a really good target, happy healthy weight prior to pregnancy, you could gain somewhere between 20 to 3025 to 35 ish pounds in pregnancy, that would be considered normal. You have to expect, I guess you have to understand where does that wait to come from? Because in both of my pregnancies, my first pregnancy, I think I gained, I think it was 26 pounds. My second pregnancy, I gained 21 pounds. And you have to expect that let's say you have an eight pound baby, that's like a third to maybe half of your weekly depending, you know, that's a big chunk of that already now, like put on the floor plopped out after you delivered, right, hopefully not the floor, but right, it's like not on you anymore, right. And then you have to expect breast tissue development for lactation, you have a placenta, you have all the amniotic fluid, your fluid levels in your body double through pregnancy. That's why a lot of women experience swelling and whatnot in their legs. By the end of the day, at in late stages of pregnancy, your blood volume increases to pump all of that extra blood through you and the developing tissue and the baby. So you've got a lot of gain, that disappears, literally once you deliver the baby. So really, women end up you hear people complaining on his last five pounds, I can't seem to get rid of it after pray. That's really it is that game? Yeah, most women gain somewhere between about three to seven pounds of fat gain through pregnancy. And it's normal, your body should be doing that. Because if you plan to nurse or breastfeed your child, your body needs a reserve. So it's packing things away. So you can make plenty milk to supply this like

never ever,

ever empty baby.

Scott Benner 53:03
It was about to show off and say that that was for breastfeeding, but then you beat me to it. I was like, oh, something finally that you did.

Unknown Speaker 53:09
Yeah, but

Scott Benner 53:10
I can't prove it now. So it doesn't matter.

Jennifer Smith, CDE 53:12
And typically, as long as you nurse, you're usually most women are gonna retain about that three to five pounds. Once nursing is done, depending on how long you plan to nurse, usually, as long as you return to your normal activity, and you haven't been eating bonbons crazy, just because you want to typically that weight does come off once you're through nursing.

Scott Benner 53:36
Alright, so we've gotten through the pregnancy things have gone well, the day the delivery comes, please talk to your doctors well ahead of hand and understand that just speaking to your doctors doesn't mean that the nurse at the hospital is going to know that you're taking care of your blood sugar during your during your delivery, right. And it's going to if you've been doing such a good job this far be really weird to hand it off to somebody, you know, in the last 50 yards, and you're like I can see the end. Now you take care of my blood sugar. So you know, if you have a spouse or a family member, that you can, you know, teach how to help you or

Jennifer Smith, CDE 54:17
be there with you right in

Scott Benner 54:18
case something gets funky and they end up putting you out or something like that. I guess obviously, if they go to a C section, you're going to get handled like a surgery case then too, but if you're just having a regular vaginal birth, you should be able to manage your blood sugar through that time pretty

Jennifer Smith, CDE 54:32
well. And potentially even a C section you know, really? Yeah, really and hospital hospital. I think this is where protocol. Like you said initially, it's really important to have this talk with your team much sooner than delivery could possibly happen. I mean, they're always certain instances delivery at like 28 weeks or 30 weeks or whatever those are really, it's not often and that's a very specific scenario of management. Right. But for the most part with women that I work with your pregnancy, we establish and detail a labor and delivery plan. Okay, and it goes through. These are the expectations of glucose management, this is where you should target through dip through laboring and delivery. This is how much insulin adjustment you could expect to need to make. And again, every woman responds to laboring and delivery a little bit differently, some women's needs with the active nature of laboring, some women's needs go down by 50%, great use attempt, these will decrease, right? Some women's needs go up a little bit with the stress of all of the contractions and everything great. So you might need a little nudge kind of boluses of insulin in order to get a little bit, right. A little bit extra, whenever you're correcting in delivery, our recommendation is typically take about 50% of what your pump is recommending to correct a blood sugar while you're laboring, because, again, you're you're active. I mean, it's not like you're out running a marathon. But a pregnancy can take longer, or a delivery can take a lot longer than marathon takes a person, right? So you can expect that that correction that you're giving now is going to get active pretty quick, and it's going to have a faster impact on your blood sugar. Okay. So those are some of the things that we highlight. We also have a pattern established in the care plan, so that the doctors know where your rates are, what your sensitivity is going into the laboring and delivery. And then there's also a post partum part of the delivery plan that notes. Now insulin needs are decreased considerably. This is what your postpartum pattern should look like. A lot of the women I work with take it into their ob team, they get it signed off, it becomes part of their medical record. So then once they go into the hospital, that's the plan of care. The nurses know the targets. They don't have to continue to explain it over and over and over and over to all of the nurses as they're rotating through their eight to 12 hour shifts.

Scott Benner 57:13
Yeah, yeah, that's Samantha brought that up, too, that the first nursing staff was great after the pregnancy and then when they switched over, the next group didn't know what the first group knew. And then now you're explaining about your blood sugar's and that all gets and you've just had a baby said she was wasted from having the baby. Yes, the whole thing. Okay, so I have a couple more questions. And I know we're running out of time a little bit. Oh, we're good. Okay. Make the baby baby comes out. Everybody comes to the hospital, like oh my god, the baby made a baby. It's great. You see your friends of yours. You're like, Oh my god, they shouldn't even be near kids. Somehow you let them hold your baby. If you're younger, trust me that will happen when you're 25 or 30 year old friends is going to be holding me like that's probably a mistake letting Jimmy near the baby. And you know, so that all happens. Your home now. Now, you've got to take care of a baby. Yeah, I see a lot of people say well, it's hard to take care of the baby and my blood sugar the way I was taking care of it before. But it did you find I'm using you as an example here because you're very good at handling your blood sugar. Did you have trouble after you had a baby keeping carry yourself?

Jennifer Smith, CDE 58:21
I think you know, this is where again, planning your care team kind of thing comes into play. And while your mom your aunt, your best friend, you know your uncle's brother, who isn't really your uncle, but as a good friend that you call a friend or whatever it is. whoever's going to be there anyone post delivery that you trust, not Jimmy, who

Scott Benner 58:46
might get the baby to know

Jennifer Smith, CDE 58:49
he can't get the baby to but

somebody you're going to trust to be there once you come home from the hospital. Yeah, that is a really, it's good to plan something for at least a week, maybe even two weeks for someone to really be there to help with things because one delivery in and of itself is it's a labor. Yeah, that's why they call it labor. Right? It's it's work you'll you may with a vaginal delivery, as long as you're feeling okay. You may not be in the hospital for very long. If you have a C section delivery, C sections typically are about a three to three to four nights stay at it depends on healing and how things are going and all of that kind of stuff, right? But definitely when you get home. It is it's harder because you're now not taking care of just you and diabetes. Now, it's like you've got a second child, even though if this is your first real child. I always considered diabetes, kind of like a toddler that never really grows up. Like constantly sort of like caring for it right? And so it's almost like This first child diabetes gets pushed off in the corner and you're like, yeah, you're just gonna have to sit there for a bit, because mommy's gonna take care of

Scott Benner 1:00:06
you fine, he can do fine. You're gonna be fine.

Jennifer Smith, CDE 1:00:08
That's right, right. So you know, some things to kind of, along with that care person, they're beyond your spouse or your significant other, you know, whatever. Somebody else that can be there. So you can focus a little bit, because in that time period, especially the first month, things will change considerably with insulin sensitivity, especially if you're nursing. There are a lot of changes that will take place and blood sugars are going to look a little bit more roller coaster than you probably want. How important are blood sugars to the breastfeeding process? Does that impact the milk at all? So there's a lot of like thought around it a lot of research, that's sort of like a 5051 of the big things is, high blood sugars can actually impair good lactation. So if you leave your blood sugar's sitting high one, as we've talked previous episodes about, like hydration, your blood sugars are sitting high, you are not well hydrated, you are in a and milk is liquid, not not only a more coming out as your nursing, blood sugars are high, and you're not drinking enough. Oh, I see. So right. So hydration is really, really an important part of not only the blood sugar, but also continuing to be able to supply enough liquid that's going to get sucked out of your body. Yes.

Scott Benner 1:01:32
Mine too. If you've never had a baby before, they don't sleep the way real people sleep. So there's a tired factor that is really hard to put into words. It's not easy. Yeah. Yeah. So there's a lot going on. I mean, listen, we've gotten this far, I should probably tell you having kids is a huge mistake. You should? No, no, I don't mean that. Having them is great. It's getting them and taking care of them and keeping them alive and being you know, good to them and teaching them things. All that is a harsh show. But the kid itself is lovely. Like we just walk through the room, you're like, Oh, look, the kid. That's nice. Oh, yeah, in that moment, you don't think about when they're yelling at you when they're eight, or that you paid a guy who was probably homeless to be spider man and a third birthday party or something like that, like, those are the things you know, they want you to have a dog, and then your dog cuz you're like, oh, the kid should grow up with a dog. And then at 630 in the morning, everyone's asleep, but you and you're outside with a damn dog. You know, like, you know, I'm saying kids are great. A lot of what goes with it is hard.

Jennifer Smith, CDE 1:02:39
And it's hard. And especially right after your baby is heartbeat, especially if again, it's your first pregnancy. Yeah, it's it's a harder time. And this is again, where help comes in the form of also, like, pre planning. For the post delivery, the time period, you know, we I had done a number of like soups, and things that I could put in the freezer, that were easy to pull out, I knew the content of them, because I knew what was in them, I either made them or my mom made them. And I froze them if needed a heck of a lot easier. Also, having some of those foods that are definite known foods and how you react to them. Yeah, can be a huge help in the aftermath. So it's just not it's not more struggle, as you're already managing. Nursing a child putting a child to sleep, learning how to not like have pooped all over the place as you change them. You could

Scott Benner 1:03:37
experience postpartum depression, which is incredibly common. There's a lot that could happen. And by the way, a lot of guys will eventually turn into good fathers, but it doesn't, they don't have a nature provided switch, like I'm telling you, you're gonna have a baby and be like, this is the most important thing in the world. I watched what happened to my wife, she almost didn't even care that I was alive. When the baby came out. She was like, the baby's here. And that guy, you know, like, it was you if you're, you know, lucky, you're gonna get a great connection, and you're gonna feel that desire to take very good care. It takes guys longer to figure out how to be fathers than it takes women to figure out how to be mothers, generally speaking, even if you've got a guy, even if you're listening to right now you're like, no, my guys a good guy. Listen, I'm a good guy. It took me like two years to figure out how to be a good dad. Right? Like, you have to watch it and go, Okay, this is what I think they want. But this is what they actually need. There's a difference in there. I still struggle with To this day, I'll probably be struggling with it on my deathbed. I'll be 80 years old, just drifting off, and I'll hear someone in my family go, huh, he did that wrong, you know, like so. There's, there's that too. There's a lot that's going to happen to you when you have a baby and you're going to have diabetes too. And it is It would be very much my hope that you don't take all this wonderful stuff that you've learned pre planning for your pregnancy, through your pregnancy through your delivery, and just do that human thing of going that baby's more important than I am. And so I'll let my stuff wait.

Jennifer Smith, CDE 1:05:17
You know, I think a friend of mine who also has type one, she had a son prior to our first son. And she gave me some really good advice, and said, you know, what? If inter we're talking about like, low blood sugars around nursing, right, and she was like, you know, what, if my blood sugar is low, and the baby is screaming, that the baby is safe, not sitting like on the edge of the counter waiting to fall off, right? But like, fine, I am important to take care of myself, it's important that I take care of myself. I'm important too. I have to manage my low blood sugar. Maybe I have to manage my high blood sugar and the baby screaming, it's okay. Yeah, maybe it's gonna be okay. Screaming really. I mean, you're not going to let him scream for like three hours. But yes, in the case of 510 minutes, while you are taking care of you treating a low blood sugar, or even just bolusing for your meal before you actually sit down to eat it. That's another piece that I we talk a lot about Pre-Bolus thing in the typing in this podcast. And that's a piece that often goes out the window, because depending on what your schedule is, like, what your significant other schedule is, like, you may at times be home alone in your maternity leave with the baby.

Scott Benner 1:06:41
Yeah, I there's part of me that believes that we should be making a sign and selling it through the podcast that just says that's a real homie. You know how to like you see those beautiful signs and people's kitchens. It's like the cook is blah, blah, blah. So there should just be one that says Pre-Bolus, hung in people's homes so that it gets drilled into your head over and over again, because this is the easiest thing to mess up. Like, forget, you know, I did it this morning, this morning, we got back from the blood draw and Arden's like, I'm gonna have eggs and turkey bacon and toast. And I was like, does that mean I'm making it for you? And she's like, yeah, so I'm thinking, Well, I have an hour till Jenny and I record. And I can get this done by then. And I started focusing on getting it finished. And then I turned her and handed her a plate and thought I didn't give her any insulin

Jennifer Smith, CDE 1:07:25
damage. And of course, she didn't think of it either. Nobody thought of it.

Scott Benner 1:07:28
No, we'd gotten up super early to go to this blood draw place. And you know, like all this stuff. So I said to her, we're going to Bolus now and please eat the toast last that was like the best I could come up with, you know, in the moment, and we ended up having to use an extra unit to overcome the

Jennifer Smith, CDE 1:07:44
offset. Yeah.

Scott Benner 1:07:45
So okay, did we miss anything? Is there something in the back of your head burning?

Jennifer Smith, CDE 1:07:51
I'm trying to think of, maybe I guess the one last thing along with the postpartum time period is definitely stay connected to your care team. Um, you know, because that's, as you mentioned, already, there is potential for postpartum there's a difference between just being a little bit like, down in the aftermath of delivery. And true, like, you crawl in bed, and you're like, I don't, I don't want to do anything else. I, I will nurse the baby. But then the baby goes over here, it's almost like a, it's a disconnect that happens in true postpartum depression. Yeah. And so staying connected to your care team, is really, really important. Making sure you have those postpartum follow ups kind of scheduled before you even leave the hospital. It's really, really important. Maybe staying connected with your diabetes educator or your endocrine doctor, whoever was also a really good advantage through pregnancy, stay connected with them so that, you know, they can even nudge you may be to say, Hey, you know, can you just pop your your pump in and upload it and I can take a peek and I can make some recommendations for you.

Scott Benner 1:09:03
Let's hope you

Jennifer Smith, CDE 1:09:04
let somebody help you. Really? I think I'll go ahead

Scott Benner 1:09:09
if you think it can't happen to you. And my wife and I, we were just talking about this recently. She said for the first two weeks after our son was born, she had no feeling at all about having a baby. Like she just felt like we brought home a lamp. You know, like it really she's just like, I don't know, if I like this thing or not. Plug it in over there, leave it. We'll see how it goes. Hey, man, and she said that all of a sudden, one day, a couple of weeks in, I was at work. And she said she just was holding coal and just started crying. She's like the baby's The most important thing. Like it all hit her at once. It was almost like you expect it to happen when you need it. But it didn't happen to her right away. And then she had that like, Oh my god, I have a baby and I don't care. Like right we're not even not care but like there hasn't been this ramping up connection connection immediately. Right. Yeah. So and that's a rabbit hole. People could fall down especially if you've been depressed in the past or you know something like

Jennifer Smith, CDE 1:10:03
and especially with another condition to manage like diabetes. Yeah, there's there's more to manage than just connecting with this new little person. Yeah, so um, so stay connected

Scott Benner 1:10:14
to somebody that can walk you through it and if you're feeling that way have to tell somebody like don't hide it. Just tell somebody.

Jennifer Smith, CDE 1:10:21
Just tell

Scott Benner 1:10:22
right? Yeah, and I should say here as we finish up if anybody wanted to buy a book about pregnancy with Type One Diabetes, should they buy one called pregnancy with Type One Diabetes your month to month guide to blood sugar management available on Amazon and written by ginger Vieira and Jennifer Smith CDE should Oh, yeah. Okay.

Jennifer Smith, CDE 1:10:40
Yes, they should. Absolutely. I think the farthest I've heard that somebody purchased our book is Valley. Um, wait. Oh,

Bali. Bali? Yeah.

I'm in Bali.

Scott Benner 1:10:54
Yes. Bali the place in Vegas where I can lose my money in

Jennifer Smith, CDE 1:10:58
Bali. Bali. Yeah,

Scott Benner 1:11:00
there's someone in Bali right now has a little baby. A Bali baby. Yeah, yeah. She's pregnant. Oh, look at that. All right. Well, all I know is ginger has been on the show before you obviously know, Jenny, the books only 12 bucks. It definitely is worth your while.

Jennifer Smith, CDE 1:11:15
And it goes through everything kind of in a much more broad sense of what we've touched on kind of in each of the sections of print planning pregnancy, whatnot. It's, it's a good book. I'm glad that we did it.

Scott Benner 1:11:28
Well, I'm glad you're proud of the book. And I know it's, uh, I know that I can easily get behind you and ginger, ginger, who doesn't get to be on the show as much as I would like ginger on the show because she lives in a terrible part of the country with bad internet connections. So she's not allowed to come on. That's all because every time I interview it sounds like this. I can't do that. So you know, if ginger movie

Jennifer Smith, CDE 1:11:51
wants to listen to that,

Scott Benner 1:11:52
you'll know ginger moves. Because one day she'll be on the podcast more often. Because I have very fun conversations with her where I'm like, oh,

Jennifer Smith, CDE 1:11:59
Ginger is way fun.

Scott Benner 1:12:00
They're probably I'm like people would love to listen to this

Jennifer Smith, CDE 1:12:03
actually prompted me

to um, she her little girls like to scooter. Like the not electric ones. Yeah, the like, random razor or whatever. And so she I saw that she had posted something I liked their scooter so much that I just bought a cheap, like, used one myself. And I was like, I'm gonna buy myself a scooter. Like my boys loved a scooter. And so I bought myself one. It's green. It's super awesome. Yeah, many times I have to take it away from my seven year old because he's using my scooter. But it's

way fun, and it's better workout than I ever expected.

Scott Benner 1:12:36
We'll see. When you saw ginger with the scooter online. That's how you reacted. I just sent her a sarcastic text message suggesting that she stole it from a child.

Jennifer Smith, CDE 1:12:47
I think I saw that. Yes,

Scott Benner 1:12:49
I put it online. I was like, I know you stole that from someone. And then she's so funny. She came back. She's like he looked like he was done with it. And so anyway, Ginger moves somewhere with good internet connection, you can be on the podcast. Thank you very much, Jennifer, I will talk to you. I know you're in a rush. So I'll talk to you soon. All right. Huge thanks to Omni pod index comm for sponsoring this episode of the Juicebox Podcast. There are links to all of the sponsors right there in the show notes of your podcast app, or you can find them at Juicebox podcast.com. But if you'd like to get a free no obligation demo of the Omni pod sent directly to you my on the pod.com forward slash juice box. And to find out more about the Dexcom g six continuous glucose monitor dexcom.com forward slash juice box.

Jenny and gingers book, Pregnancy with Type One Diabetes, your month to month guide to blood sugar management is on sale at Amazon. It's a little under $12. And you should pick it up if you're thinking of having a baby or if you're having one right now. Jenny Smith works for integrated diabetes and she is for hire. Check her out at integrated diabetes.com

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#363 She Had a Baby!

Part Four of a Four Part Series

Samantha is 24 years old, newly diagnosed with type 1 and pregnant. I'll be talking with Samantha after each trimester and after the baby arrives.

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

COMNIF SOON

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Pandora - Spotify - Amazon Alexa - Google Play/Android - iHeart Radio -  Radio Public or their favorite podcast app.

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#362 A Real Soap Opera

Kate writes for General Hospital

Kate Hall has a daughter and husband living with type 1 diabetes. She is also a writer on my favorite soap opera, General Hospital.

App is free & already on your iPhone ⤴

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Pandora - Spotify - Amazon Alexa - Google Podcasts - iHeart Radio -  Radio Public or their favorite podcast app.

Check out the Diabetes Pro Tip episodes and Juicebox Docs

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:05
Hello, everyone and welcome to Episode 362 of the Juicebox Podcast. Today I'll be speaking with Kate Hall. Some of you might be thinking Kate halls been on the show before, actually, that was a different Kate Hall. The first Kate Hall is an Olympic hopeful who has type one diabetes. This Kate Hall is a long time soap opera writer she's written on As the World Turns All My Children, the young and the restless. And currently and for quite some time now actually, on General Hospital. Now General Hospital. I used to sit with my mom every day after school and watch General Hospital with her. I mean, like, legit. I know about Luke and Laura been on the run the left handed boy, don't forget when the cassadines tried to freeze Port Charles. I saw it all as a child. So when Kate reached out, and we were talking, she mentioned she was a writer, but she never said of what. And then I got to know her a little better. And she told me, Kate was grateful for the help that the podcast provided for her daughter who has type one diabetes. And as a way to say thank you. She named a character on general hospital after my daughter. Now a couple of things here, I joke about it once in a while I'm trying to get one of you to name a baby after me. hasn't happened yet. But character on General Hospital. Pretty cool. I very much enjoyed it. And so did Arden. I'm gonna play a clip from General Hospital at the end of the show so that you can hear it. But for now, let's get into the story. So Kate's a D mom of a little girl with Type One Diabetes. She's actually also married to a man who has type one. Both stories are interesting. They're all in here. Plus, we're going to learn a little bit about writing for soap operas. Real quick couple things before we start. Of course, nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, please always consult a physician before making changes to your health care plan. Please, please please do that. And this episode of The Juicebox Podcast is sponsored by Omni pod, and Dexcom find out more about the Dexcom g six continuous glucose monitor@dexcom.com Ford slash juice box. And you can get a free no obligation demo of the Omni pod sent right to your door by going to my Omni pod.com forward slash juice box. If you need help remembering those links to Dexcom and on the pod or for any of the sponsors of the show. Look right there in the show notes of your podcast player or go to Juicebox podcast.com. Oh, I was singing along with the Skype ring and yoma almost was caught me. I'm so sorry. I have to get my energy up somehow for this. I record three of these this week.

Kate Hall 2:58
Oh my gosh.

Scott Benner 3:00
That's a lot. Okay, don't you worry. Listen, a couple of times while we're talking. Yes, my soap opera geek is going to come out once or twice. You have to jam it back in if it gets crazy.

Kate Hall 3:12
Okay, I'll do my best. I just

Scott Benner 3:14
go through my head right like I can't think of the first part of it. Right But it was love in the afternoon on Ryan's Oh, but there was a beginning part that I can't remember.

Kate Hall 3:23
Oh, see. I never watched Ryan. Oh, I didn't either.

Scott Benner 3:26
I'm just hoping this was like an ad that would run in between shows. Oh, okay. Got it. I don't know either. I just Okay, sure.

Kate Hall 3:34
You didn't watch right? Of course.

Scott Benner 3:40
Like a little fat kid after school watching soap operas with my mom.

Unknown Speaker 3:45
I love that. You guys.

Scott Benner 3:49
Oh my gosh. All right. We should start with with real talking because I just record the whole thing. This will you'll probably be mortified to find out that this is how your episode started. Excellent. Okay, so just go ahead and introduce yourself and and we'll start talking.

Kate Hall 4:03
Okay, I am Kate Hall and I have a 10 year old daughter Dylan with Type One Diabetes and my husband. Peter also has type one diabetes.

Scott Benner 4:14
Okay. You know, you're not the first Kate hall to be on the podcast, right? I do. Yes. I heard that episode. That was so funny. We have a lot of Mormons and, and a lot of case holes. That's exactly right. You understand? Okay, so how did we meet? I feel like I know like I feel like you reached out to say, what was yours one of the like, I need help emails or was yours a thank you email. I can't remember.

Kate Hall 4:39
I was all of the above. I started with a thank you. I think I messaged you on Instagram. Maybe just thanking you for all that you do and how much you've been helping our family and then I reached out wanting to be on the podcast. And then I reached out for help. After that.

Scott Benner 5:00
And I remember talking on the phone with you, because I feel like I embarrassed myself. Do you feel like I embarrassed myself on that phone call?

Kate Hall 5:07
No. Oh no, I actually was so grateful that we'd already spoken because it made me a little bit less nervous to do this today so much more. We've already chatted. Yes, no, we did speak on the phone. It was funny because you were like, you know, can you can you give me a call? And I'm like, sure. And then the next thing you're like, what's your number? I'll call you I'm like you're probably very smart not just giving random people your phone number.

Scott Benner 5:31
What if I just called you instead? So you don't remember me embarrassing myself? This is just

Kate Hall 5:37
no so what do you think you embarrass yourself with

Scott Benner 5:40
not to but I think that's what I know. I at some point discussed having written a book not not understanding that you are a professional writer who's one day time Grammys, okay. Daytime Emmys Excuse me.

Kate Hall 5:55
Um, I have never written a book and probably could not. So they are completely different genres. And yeah, that's crazy. That's nothing to be embarrassed

Scott Benner 6:04
about my books not really a book. It's a it's a I don't know. It's It's It's It's loosely connected blog posts like that are longer than regular. I could just, I don't have so ready.

Kate Hall 6:18
You were also on the Today show something I have not ever done any will never

Scott Benner 6:23
was on Katie Couric? Not to today's show. Oh, well. Okay, I did do fac er, though. That was really cool. Oh, that is cool. It was Yeah, it was cool to hear way

Kate Hall 6:32
more famous. And

Scott Benner 6:34
it was very cool to have the NPR guy in his deep NPR voice that he did not look like he was putting on it just felt like it came out of him, you know. And he's holding my book. And it's dog eared. It has like stickies in it. And all I could think the whole time I sat there was oh my god, I think he really read.

Kate Hall 6:50
Write read it closely enough to put sticky notes in it. Well,

Scott Benner 6:54
because Katie Kirk's producer read it and then told her about it. So right. It's my expectation that maybe NPR guy didn't either. But anyway, I'm in like, you're a real like, you're somebody pays you to write. I just want, right, I was in the right place at the right time. That's a different situation. You know, I mean, so I don't I just found myself embarrassed. Because I mentioned that I'd written a book. And it's not something I normally mentioned, either, which, by the way, now people are listening is like, Oh, this guy probably runs around all the time going. Have you seen my book? I don't think there are times I bumped into an old box of his books in the basement. And it actually makes me think, Hmm,

Unknown Speaker 7:29
I Oh, yeah.

Scott Benner 7:31
really feels like that. The thing about books is you can't really make any money off of them unless you're famous. So it's a lot of time for the much reward and the return is that you wrote a book, which is cool. Like, I have to admit in like certain scenarios. It's a selling point for me. Like I hear people say that all the time. Like, they'll have me out to speak and I they're like, oh, Scott wrote a book. And I'm like, it's not about what I'm here to talk about. But okay. Like, it would be like if I wrote motorcycles for dummies, and I was speaking at a diabetes event. They're like, Oh, he's an author. Yeah.

Unknown Speaker 8:05
Yeah. It just gives you like street cred. wrote a book.

Scott Benner 8:09
It does. And by the way, it's published. Like, by, like, I didn't self publish it not to like, who and anybody who has but you know, I'll publish.

Unknown Speaker 8:18
Oh, it's legit. You should be proud of it.

Scott Benner 8:20
Right. Okay. People have already hung up the podcast. up half of that, so we stay in this. Are we saying your child's name? Did we say it?

Kate Hall 8:31
Yes. I said it, Dylan. Okay. Dylan is 11 She is. She just turned 10. And what

Scott Benner 8:39
how old was she when she was diagnosed?

Kate Hall 8:42
Nine. It was like a week before her?

No, a week after her birthday. So she had just turned nine. So we're just over a year. I'm remembering.

Scott Benner 8:50
This is why I pushed you off so far for your recording. Because I wanted you to like I might not have told you this. This could be you did not. I was manipulating you like a puppet. You just don't realize. But I wanted I would have told you if it would have occurred to me, but I wanted you to be with it longer before we talked about it.

Unknown Speaker 9:08
Oh, okay. Make sense, right?

Scott Benner 9:10
Yeah, that's make sense. Yes. You were nice. So it wasn't weird to say, hey, you can record in like December, right? Like, a year ago?

Kate Hall 9:19
You're like, I know it sounds far out. But how's the beginning of December?

Scott Benner 9:23
Sure. Don't give away them the language from the email because it's the same email that goes to everybody.

Kate Hall 9:28
Oh, sorry. I mean, mine said something totally.

Scott Benner 9:31
But no, no, I can't. I had to automate some of this. I was really losing my life to like writing emails and responding to stuff and which is really cool. But it was taking up more time. And I was like, suddenly not editing the podcast anymore. I was like, I think they'll stop listening if there's no podcast. So no,

Kate Hall 9:47
I was like suspect. I was like, I don't know. I mean, he keeps saying that he is talking to all these people who reach out to him like that just can't be true. And then I email you and you're like, do you have time to chat? I'm like, oh my god. It's real. He really does it so crazy. So

Scott Benner 10:03
I'm gonna tell you something that's gonna absolutely flip you out. We started recording at 10am. And at 959, I hung up the phone with the person I was talking to. Oh, wow, because she had a confusion about something and I didn't want to. I just seems like I don't know, it's so much easier to say than it is to type. And yeah, I'm pretty. I actually believe that I'm pretty good at explaining diabetes and writing. But it's, it takes a lot of time. And you can miss nuance and things like that. So, no, totally, it's easier that way. Again, let me preface that by saying or not preface it, but let me PostScript that by saying please don't call me. Busy, and I don't have time.

Kate Hall 10:47
But seriously, I like helping people. Well, obviously, I mean, it's my gosh, I just can't even tell you how helpful you have been?

Scott Benner 10:57
Well, Kate, you better be able to tell me because that's why you're right.

Kate Hall 11:00
Right. Okay, I will find that work.

Scott Benner 11:03
All right. First of all, you are your soap opera royalty. Tell me a little bit about what your mom and dad did in the world of soaps.

Kate Hall 11:11
Okay, so they met on the soap opera search for tomorrow. And they played Scott and Kathy and they got married on TV before they got married in real life. And yeah, so then, later in life, my mom switched over to the writing side. So I'm really following in her footsteps. But yeah, I come by the soap opera world naturally.

Scott Benner 11:37
Now if I had your mom here, and I said to her, what made you switch to writing? would she say something? Like I had said it so many times. I just I knew what they wanted me to say. Or

Kate Hall 11:44
is it? No, you know what she she would probably correct me on this, I would I tell people and maybe I'm wrong. I think she did it just because it's a much easier schedule when you have children. And it's just, like, I work from home, I can work in my pajamas, I have no meetings to go to. It's great. I can still like be a mom and get my kids off to school. But like, I have this job that I love. It's just sort of perfect for when you're trying to raise a family. For me, have you ever been on screen? Have you ever stuck yourself in the background or something like that for? No, I dream about it, though. I had dreams, like a couple times a month where I'm like, at the studio for whatever reason, which I'm never at the studio but and you know, it's kind of like they need somebody and like a hall do it. You know, and all of a sudden Patrick turns into this actor extraordinary. And I have like a, like a main role now on the show, which of course that would happen. No, I love I am a writer, I think because like, I didn't have the chops to be an actor I would have loved to I'm too self conscious. I do. I would take rejection horribly and like that's what an actor's life is. It's people telling you, you're not right for this, you know, I would I would have been bad at it. So this is me getting to like flex that muscle. But from behind the scenes,

Scott Benner 13:03
you know, I didn't understand all that. And I can't believe I'm gonna bring up the book. But when I'm laughing at myself, when I when I finished writing, and I turned in my work I got, you know, they got back to me. And they had made an edit, which is super interesting to watch someone else edit your work, because when I reread it, I couldn't figure out what they cut out of it, which I thought was fascinating. I was like, Oh, yeah, like, That's amazing, you know. And we had, obviously, the publisher and I had long conversations over many, you know, a year or more during the writing process and the business beside of it. Everything is the book came back, you know, and she sent me back her edit.

Unknown Speaker 13:42
What is that about a kid?

Scott Benner 13:42
And I was like, Yeah, like, I was just like, of course you are because I wrote a book. And and she's like, No, no, we don't do this. For most authors. She's like, you can talk. And I was like, what she goes, most people who can write are not good at being the out front face of what they're writing. That's true. And she's like, 100% true. And I think you just kind of said the same thing there, which is what made me think about it. She's like, people who are usually good writers are not great speakers. And I thought no kidding, right? And she's like, No, no, really, she's like, we're gonna, we're gonna get you stuff. And then by the way, most of the cool stuff. I did. I did. They didn't do like, you know, right. They were always like, do this magazine article. I was like, This is the cool stuff here. We're talking about how do I get on TV? Like, be on the radio? I don't want to actually you know, it's funny. I did a podcast the first time and they use the audio from that podcast to show to other people. They're like listening. Oh, it was very, very interesting. Tony rose. I was on his podcast, which folded a long, long time ago. Every day when I'm making this podcast, I tried to prove Tony wrong. Tony had like a it wasn't a podcast. It's my show. I guess it was but it was like blog talk radio. That was a thing for a while where people just recorded like, over telephones and it sounded like that too, you know. But Ryan tried to talk about diabetes on his and his his long defunct and, and I contacted him in 2015 when I was starting to do this, and I said, do you have any advice? You know, I take any advice you had. And he goes, we'll enjoy it while it lasts, because you'll run out of things to say eventually. And I laughed, and I said, Oh, I bet you I won't. I'll take that bet. Nothing. She could talk forever. Just so you know. I always I never forgot that. He said that. Because every once in a while I think of it. I'm like, I gotta keep it fresh and new and think of different ways to go. Because I don't want to get into a scenario where I feel like, oh, I've already said that, you know,

Kate Hall 15:42
right. No, totally.

Scott Benner 15:44
So how do you stop that from happening? on something? Like you're on general hospital right now? Something that's how long has that show been running?

Kate Hall 15:51
Oh, God. 50. Like, I want to say, like, 57 years or something?

Scott Benner 15:59
So do you have any ability to make something happen? That hasn't happened five times already? Like, how do you do that?

Kate Hall 16:05
I mean, I would say most stories are recycled in some way or another. But you know, I don't come up with a story. I am a script writer. So I am told, you know, this is what is going to happen. And then I write all the dialogue for my show, like the day that I'm signed. So are you choosing direction?

Scott Benner 16:28
Like, which? No, no, I mean, like, the direction of the story, like what, no, I, I like flesh it out through the die, like, I can change some things, you know, if I don't like how they got from point A to point B, I can change the middle part. But that, you know, the end of the day, the tag of the day has to be the tag of the day, unless I'm told otherwise. So that you don't run into like, you know, it makes me feel like these current Star Wars movies where they talked about, like JJ Abrams came out with his reboot. And then Ryan Johnson came up and sort of like, if you watch the second one, you could see in that script, where the guy was, like, I don't agree with the stuff that was said in the first script that I'm going to try to move them away from that with my writing. So you don't have the ability to do that they give you like, you know, Robert Scorpio is going to show up here. And by the end of it, this person, this person, this person needs to be going towards this bar for this reason, and you get them there. Is that the idea?

Kate Hall 17:24
Yeah, do yeah, and all the dialogue in the stage directions. And, you know, they're just sitting around doing nothing had been conversational, try to come up with something they can do. And, you know, with soaps, it's like, a lot. I feel like the what I'm most proud of is making, you know, either, like the absurd sound, normal, you know, like something that somebody would actually say, and also, you're doing a lot of like recapping and kind of, like, you know, you're like, Oh, God, I feel like they had this conversation, you know, two scripts ago. And so it's trying to keep like, you keep things fresh and not always sound like you're saying the same thing. And so I feel like that's sort of the biggest challenge, then there's a name for that in television, right in writing for television is what do they say? like Captain exposition? Like, what is that idea when an actor comes on to explain to you what's about to happen? What's it? Yeah, exposition. Yeah. It's like expository dialogue.

Scott Benner 18:22
Yeah. When a guy just walks into the scene and says, So you mean, if we push this button, that mountains going to blow up? And you think no one would say that in a real scenario, but since they only have 45 minutes to explain this to me, we got it. Right. That's how you leap over 15 minutes of dialogue that would draw that out. Right? So is it sort of the opposite of like, so how do you play against the idea as like a professional writer? Because what do they say? Right? Like, don't, don't explain something you can show. Mm hmm. You are, but you're, you're explaining it in lieu of showing it?

Kate Hall 18:55
Well, I mean, it's just it's in different scenarios. It just depends what you're going for. But yeah, ideally, you would like to show it and not say it, but like, they're just some situations where, you know, you gotta, you got to do it. And there's, it's funny, there's some actors who are just better at it than others. And we're like, Okay, give that to so and so because he is really good at just like whipping out this expository dialogue, but like making it sound pretty normal, and he like gets it done quickly. And so you also like you have certain people in your head who like you would assign that job to?

Scott Benner 19:33
Oh, there are some people who aren't as good at it. It sounds more like an ad coming out of their mouth like,

Unknown Speaker 19:39
Yeah, exactly.

Scott Benner 19:40
Yeah. It's interesting. Do you know the actors personally, or do you have that feeling just from watching them on television?

Kate Hall 19:46
I know some of them personally, I get intel on them from like my editor because I am a mom on the phone with her like usually at least once a week where she can say Tell me like, yeah, this person probably won't be as comfortable with this as that person would or whatever it is. and

Scott Benner 20:07
heavy lifting give it to this person.

Unknown Speaker 20:10
Yeah, exactly. Mm hmm. Something that's very cool.

Scott Benner 20:14
Yeah, I feel like we're learning a lot here. Let me ask you this. Do you ever do watch the show?

Kate Hall 20:21
I try to I am embarrassingly behind right now. It's, you know, it's an hour. And like, at the end of the day, it's not like my husband wants to sit and, you know, he would I guess if I had like, mandated it, but, you know, we watch other stuff on TV, we're not gonna like sit down and I'm not gonna like press General Hospital, I usually if I'm like working out in my house or something, and I'm on a treadmill, I'll put it on or I just don't have a ton of time to watch it. But I wish I did. Because it's, it's really helpful. Even now, even after writing for as long as I have, you know, we get new characters all the time. And the only way to really get their voices and figure out who they are, is to watch it. You know, me just reading words on a page isn't going to help me. There's a lot to unpack here. Here's why. First of all, I know women have a tough but if a man said if I mandated it about like that would not fly came out of your mouth so easily. You're like, Yeah, he do it if I told him to. And

Scott Benner 21:21
we're all everyone listening is like, Oh, yeah, absolutely. If

Unknown Speaker 21:25
I need more, I need more.

Scott Benner 21:28
He said,

Kate Hall 21:29
my job like, he would feel bad being like, Oh, I'm not watching dental hospital because I like work there. And I, you know, like, I, I didn't mean it. Like, I can just order him around. Yeah.

Scott Benner 21:41
Okay. And so. And the other thing is that there are times where I pop the podcast, and I want to make sure it sounds right through headphones. I want to make sure it sounds right. If you just flop your phone on the countertop, if you're running it through a speaker, you know, I try to top of that, I try to make sure that, you know, there's connecting phrases that I use that I try not to. Obviously, I'm you're trying to avoid. So I tried to avoid but I use so a lot to get me to my next thought. Right? I sort of let it go because nothing is scripted here. So I am really thinking along with the conversation, try to cut myself a little bit of a break, but I try to listen to it. You know, so that I can figure out what it is. And my my wife will be like, are you listening to your own podcasts? And I was like, Well, yeah, but I'm just trying to listen to the and she's like, Oh, sure you are and then the sporting, I did it with the episode that went up today, which is the second trimester of Samantha's pregnancy. Like I don't know if you Oh, yeah, I saw that it popped up on my phone. So I'm listening to it. And I'm by myself in my house making my breakfast. And the absolutely delicious thing happened. I made myself laugh. So I'm laughing in my kitchen at something I said on the podcast, and it made me feel like a dope. Like I was just like, how can this? No, I knew I was great. No, I don't know. It seems like it might be like a mental illness. I'm actually putting the ad here because while I was recording with Kate, my computer crashed. This is just a natural break in the conversation. I'm going to make this quick for you Dexcom g six continuous glucose monitor see the speed and direction that blood sugar is moving with the dexcom g six. This is incredibly important. This information coming back from the Dexcom is going to inform it's going to supercharge your ability to understand how insulin is impacting blood sugars. how food is impacting blood sugars, how food impacts insulin, how insulin impacts food, it's going to show you so much You are going to be able to make decisions, unlike your wildest dreams could desire is that English? I think it is unlike your wildest dreams could desirable. There's a better way to say that. But what I'm saying is when you see this information, you begin to make better decisions about your type one diabetes, these decisions lead to better time and range, they can lead to lower a one sees so much when you can stop those spikes. And stop below before they happen. Just sort of find a way to keep your blood sugar in that zone that you're looking for. That's huge dexcom.com forward slash juice box Go find out more about it right now. The Dexcom g six is just a huge tool. In my daughter's life with Type One Diabetes, I do not believe that her a one C and all the other things that are important would be where they are without the dexcom I'm not even mentioning Sharon follow I should By the way, you know Dexcom like the wearer can share their information with up to 10 followers that's for iPhone or Android. Imagine your grandmother, school nurse, Mother, father and anybody you want. can see your blood sugar and if you're an adult, your best friend Friend at work, your sister, your brother, anyone, even your mom still like when you're an adult, you still need your mom, right? Well, with the dexcom g six, you can share your information with others if you want to.

If you act right now and go to my omnipod.com Ford slash juice box, the links are right there in your show notes. Don't worry, they're also at Juicebox podcast.com. If you can't remember anyway, if you go to my omnipod.com Ford slash juice box, on the pod, we'll send you a free, no obligation demo of the Omni pod tubeless insulin pump right now today, they'll get it right to your house. When you get it, you can try it on and wear it to see if you like it to see if it's comfortable. It'll fit into your life. And if it will, you just keep going with the process. And if you don't like it, it's cool on the pod doesn't, they don't mind. They don't mind sending it to you for you to find out that it's not for you. But just imagine if it is for you what a leap it's going to be to where your insulin pump without tubing to not have to shoot insulin anymore through needles to be able to Lord power over your basal insulin. I know those of you doing MDI, don't think about that. But just imagine getting the exact amount of basal insulin that you want every hour, not just shooting it once a day and hoping it works, hoping it works for 24 hours till you shoot it again, actually being able to control your basal insulin to be able to extend out your boluses get extended, extended boluses are so great for Chinese food and pizza and foods like that. Don't even get me started. You can do that with the Omni pod. You can also set Temp Basal increases and decreases for moments when you need a little more or a little less. Just think of it. Think of the possibilities. A little Temp Basal decrease going into some activity keeps you from getting low, and you get to where you're pumped the whole time because it's tubeless. That's not going to be in the way. It's astounding. Trust me. At least try the demo. Miami pod.com forward slash juice box dexcom.com forward slash juice box links in your show notes. Links at Juicebox podcast.com. Let's get back to cake.

Oh, let's hear it for max auto save. It is amazing. Was that my fault? No, my computer just crashed. So the truth is, I am using a five year old computer that I need to replace. And I made a decision this year to upgrade sound equipment over computer equipment. And this is the third crash I've had in a year and I haven't had one before that so I think this thing shot. I might have to go out on a limb and replace the computer. So all that all that fat cash I'm making off the podcast going oh,

Kate Hall 28:02
you should have done it this weekend. One of those you know Cyber Monday do something hurry. I'm

Scott Benner 28:06
thinking about maybe still doing it after that. Anyway, we didn't really lose anything. But I saw I asked you about whether you watch the show because I wanted to ask you if while you're doing that, if the dialogue runs ahead in your brain, like Do you know what people are about to say? Is that weird? Do you ever find yourself mousing along with it? Or going Oh, they're about to say this?

Kate Hall 28:26
No. Because I mean, it airs almost three months after I've written it. So I'm a little like, I'm so far ahead in my writing that I'm like, it's more like a fun reminder. Like, oh, yeah, I thought the fun show.

Scott Benner 28:42
Yeah. So now that doesn't surprise me at all. Because I'll get emails all the time ago, I was listening to the show today. And you said this and thank you and I'm like, I don't know what you're talking about. I I recorded that six months ago. Right? You know, and it went up today. And it's really, I can't believe I asked you that. Now I know that you said on the call. Of course you don't like because you're writing ahead. Right? Yeah, that's so cool. Okay, so all right. Let's get to the real meat of this. This meal doing now had diabetes for about a year were diagnosed. Tell me a little bit about what happened.

Kate Hall 29:21
It was her like well visit just her yearly annual visit and we went in and they said you know she's she's grown to inches but it says she hasn't gained any weight and the entire year so they're like, oh, the scale must be wrong. We'll go do another one. We went to another scale said the same thing. And I could tell the doctor was like, Huh, but then she was just gonna Dylan seemed like otherwise healthy and she was just she was going to have us come back for a weight check. And a month or two or something. And then I in the back of my head. We Pete and I had been on vacation. And when we got we left our kids With our nanny who's amazing. And when we came back, she said, You know, there was this one night where Dylan went to the bathroom, like, six times, she said, when she woke up in the morning, and, you know, I was like, Huh, that set off like mild alarm bells for me, but on the way to the doctor said, Dylan, you know, had that happen again, have you had to get up a lot? And she was like, No, and, you know, don't say anything to the doctors. embarrassing. I was like, okay, okay. And but then, you know, once I saw the concern, and her doctors face, I said, you know, there is one thing are, you know, and I told her what I just told you, and she said, Okay, so they did a urine test, there was glucose in Dylan's urine. And then they wanted to do a finger prick. But they didn't have a meter in the office. So they had to go somewhere else to another nearby doctor's office, get it, bring it back. And that was like, the worst sitting in the waiting room. Like, just wanted to get it over with so badly. And so they did the finger, the finger prick. And she was like, 300, and something. And just because of pee, I knew, obviously, that is not normal blood sugar. And so I was like, I think you have what Daddy has. And I thought that would sort of make her be calm about it. Like because she sees her father every day living a completely normal and healthy life. And she like flipped out, like, screaming and crying. And I mean, I was careful. And yeah, so there was no hospital stay for us. They just like sent us to the endocrinologist in like, the local one that they usually recommend. And we went to see her and they did all like the official tests. And then she got like her for a one fee and everything. And they officially said, yes, you have diabetes.

Scott Benner 32:01
Well, Had you ever considered before it happened that it might

Kate Hall 32:06
not once, and I feel so naive about that. But I, nobody ever said that I so my husband was diagnosed after we were married. He was in his early 30s. And everybody just kind of made it sound like he'd been struck by lightning. And no pediatrician ever told me it was like, there was a risk that our kids would get it. His doctor didn't say, hey, like, you know, when you have children just be on the lookout like nobody ever said it. And now, knowing what I know, I can't believe we weren't on the lookout for it. But we weren't like we were blindsided. I called him at work to tell him what was happening. He, like, was horrified and jumped on a train and came out and I remember them like, I still like cry. When I think about it them. We were in the parking lot of like a pizza place. Because when we went to the doctor, you know, they're doing all these tests, were waiting on them. So she said, you know, go get whatever you want for lunch. You know, of course, we're like, What do you want? You know, pizza, Pete was like, wait, she's eating pizza. And like, just, it's fine. I don't know, they told us It's fine. It's fine. Just meet us there. And he gets out of the car. And they just like ran to each other crying. And it was just, it was really, it was super emotional. And he had a lot of guilt, which of course he shouldn't have. But you know, he felt like, Oh my god, I gave this to her. And it was it was really sad. But it's also since then, I think connected them in a very special way.

Scott Benner 33:42
In that moment, when they kind of embraced and they were crying. Did you have a different? I don't know if you had the bandwidth at that moment or not. But did you suddenly see diabetes for your husband differently than you'd seen it prior? Oh, 100%

Kate Hall 33:56
I wasn't even I didn't even follow him on Dexcom. Like, he was just totally just doing this by himself. And I yes, it's changed dramatically how I looked at it for him and my empathy. And I mean, not that I wasn't empathetic before. Of course I was. But it's like a whole new level now. Well, you could just tell him to be I'm gonna mandate that he's just like a raise of blood sugar when he's low

Scott Benner 34:22
together. But no, I really, but I mean, I'm super interested in what you said, because it just feels like that it's possible that because of the lead up and that he was diagnosed when he was and that you guys got married, you know, you know, you weren't married when you're 18 or something like that? No. So that it's possible that for the first time in that moment, you saw how it impacts him. And have you spoken to him since then about? I mean, he's obviously I don't want to say hiding but there was a part of his life. He wasn't. He wasn't sharing right like about the diabetes. Does that make you feel strangely or do you understand the privacy is he as private now as he was then etc.

Kate Hall 35:00
I mean, I wouldn't necessarily say he was never hiding anything. It was just sort of, I didn't have that sense of, you know, other than like the first low he ever had. And I was pregnant, and I was sleeping in another room because he was snoring. And of course, that was just so annoying. And in the middle of the night, he like crawled into where I was, and was like, you know, I need juice. And I like, I want to say I ran but I probably waddled down the stairs and got, you know, a cup of orange juice. And he came back up, and he like, couldn't even bring it to his mouth. And I had to, like, feed it to him. And like, that was really scary. Obviously, it was it was our first experience with Alo and he had to, like, email his doctor the next day and be like, this happened to me last night. What was that? And the doctor was like, Oh, you just had your first low like, I we didn't know a lot going into this. And he was mis diagnosed at the beginning. And it was all confusing, but other than that, you know, needing to bring him something like that. I don't know. I didn't feel like it. Was this like team effort? Which is what I feel like it is now. Wow,

Scott Benner 36:12
that's that's really cool. Did How long did Pete have diabetes before it repeated with Dylan? I was just trying to say Pete and repeat just so you're one Pete and repeat. Well,

Kate Hall 36:21
that's so funny, because my sister married a Peter and my father is Peter. So it's Pete, repeat. And three peat is what we call them. If Arden was here, she would say Peters a euphemism for penis.

Unknown Speaker 36:38
Right?

Scott Benner 36:43
She's a delightful girl. Actually, by the time yours goes up, I'll say this year because it won't be teasing by then. But are denier gonna sit down and do a short series on the podcast of me trying to like pass ideas on to her? Oh, that's awesome. I had there was a lot of talking that got done to do that. And I think I committed to paying her if I'm not mistaken. Be and But

Kate Hall 37:09
well, now you're gonna have to know. I'm pretty sure

Scott Benner 37:12
I'm pretty sure I had to move her along with some cash. So for all you people out there who when I say like, If I was you, I'd pay them like people always like my son doesn't want to wear a pump. And I'm like, How old is he? They're always eight. I was like, you know, $50 would look huge to an eight year old, right? Like pay.

Kate Hall 37:27
And if they don't matter, candy,

Scott Benner 37:28
yeah. And if they don't like it after that, right on, like, but get them to try it. So I said to Arden, look, we're at this weird spot and you're, you know, in your life, you've had diabetes forever. And you're, you know, your dad's the guy on that podcast. And so it doesn't impact you the way it does other people. And she'll she'd be the first one to say that. There are days that go by where she doesn't think about having diabetes really, like it's not in the forefront of her mind. Right. But there's no doubt that I'm making calculations that she doesn't understand. And and I don't mean mathematical, I mean, you know, bigger ideas. Like she had Chinese food last night, that presented a problem to me, and I stayed ahead of it. Like, I kept her blood sugar like 180 that was like a Chinese food failure was like 180 for three hours. And, you know, everyone listening now is like, no Chinese food failures. 400 for six.

Unknown Speaker 38:20
Pretty good. Yes. And

Scott Benner 38:21
you're like, Huh, really? And I botched this, you know, and, and but she wouldn't know in this moment how to how to manage through those couple of hours so she wouldn't know what to do. And

Kate Hall 38:34
and is that a whole different ballgame now that you're looping?

Scott Benner 38:38
Yeah, no, yes. It's sort of like it's harder to correct with loop. Because loop doesn't want you to, but there's ways around it. There's ways around it. And the last version of loop that's out now is way better. Like it handles food way better. It doesn't cut bazel off like it used to. And it's just it's it's an updated version of Oh, that's good. Yeah. So it's, it's easier for me to correct with it. And I've learned how to like open the loop to crush a high to close it again. Like I've figured out some things. But at the same Yeah,

Kate Hall 39:13
why don't people just like, open it during the day and then close it for sleeping.

Scott Benner 39:19
Because you still have there are still going to be times where you have insulin needs changing during the day and the loop will get in front of those things. It'll get in front of it. Okay, and so as best they can, it's it's right around food. If you mess up the Bolus for food, then it's it's just, you know, it's a little more difficult to get back on top of but I really am figuring it out. It's just that Arden wouldn't know the right level of that

Kate Hall 39:45
right. And that's gonna be so great. Dylan will still eat those up with us.

Scott Benner 39:50
Well, I'll tell her not to see if it makes her feel differently about it because it's going to be me and her and at times, it's going to be me her and her friend Jani. is a kid who Arden met online who has diabetes. And we're going to do like a round robin thing if the technology holds up, which I think it will, and into the all three of us are going to talk about because Arden and Jani are in different situations like garden management is more stable than Yannis is. And Johnny's looking to, like get to that stability. So I think the information would impact both of them the same way, even though they're coming from two different places. So I have my fingers crossed, I practice on some kids who weren't mine in Kansas City a couple weeks ago. Now that I was like, here's other people's children will practice on them. Come on over here. And seriously, they took the information really well. They took notes, they were paying attention. Like it was really interesting. So

Unknown Speaker 40:45
Oh, that's so cool. So this podcast

Scott Benner 40:47
can't wait. Thank you. It's just a, it's a walk through my experience. And this is going to be the next part of my experience. So we're going to try to bring it to the show. We'll say I should knock on wood or something like that. She found that I've said this, that she'll back out and be like, Am I doing that? But does we need to have these conversations?

Kate Hall 41:06
Yeah, so I should not she does make it useful for everybody. Right,

Scott Benner 41:10
exactly. So that's our That's horrible. So okay, so so you had this thing? What I feel like, it's probably the most emotional moment of your life I'm imagining, and, you know, this whole sort of thing, you know, comes together for your husband, I get the part about feeling like you gave it to her. Is he shake that over time? Or does that stick with him? Do you think?

Kate Hall 41:32
Yes, I think he has.

I think he, it took a little while but you know, just had to keep telling him you know, she, you didn't give it to her any more than somebody gave it to you like it's just crap luck for both of you.

Scott Benner 41:49
I know Kelly has that feeling sometimes because Kelly has hypothyroidism. So there's an endocrine issue with Kelly. And it's, it seems like there's a feat on the female side of Kelly's family. They all seem to have a little bit of an endocrine thing. And I think that makes Kelly feel like she gave Arden diabetes, which she of course, you know, intellectually knows it's not true. But right, Martin,

Kate Hall 42:09
I get it. I get it. I would probably feel the same way. Yeah,

Scott Benner 42:12
go back to Dylan exploding in the doctor's office. Did you just let it happen? Did you I mean, I'm assuming you consoled her, but like, you just let her let her have her moment.

Kate Hall 42:21
Yeah, I let her have her moment. I kept trying to explain. I mean, I did not do you know, you always talked about like, crying in the shower, crying behind closed doors, but I was like, just 100% crying and that scared her. And I remember saying to her, I am not crying because I'm scared. Like, I know you are going to be fine. I'm crying because I'm, you know, really bummed out that this is happening to you, but it's going to be okay. She just she kept asking me if she was going to die. And I you know, maybe maybe she was asked me that before they came in with the meter. Like when she was a little confused. And that's when I said, No, you're gonna be fine, but you might have what Daddy has. And then when it was confirmed, and she looked at the doctor and said, Do I have diabetes? And her doctor said, Yes, Dylan. I think you do. And she I mean, she really she screamed. It was I was very surprised by it. But yeah, I let her do it and just hugged her. And, you know, we were leaving. And then I just like, couldn't deal anymore. And I like turned back and I remember hugging the nurse. And it was nice. I hadn't seen her again since because she was pregnant. So she's been been on maternity leave. And I saw her again for the first time at Dylan's well checkup this year. And I said, You know, I don't know if you remember. But last year, she just cut me off and she was like, Oh, I remember. And that was a nice little moment to see her again and have it be under much better circumstances.

Unknown Speaker 43:48
Remember your child screaming like

Kate Hall 43:53
I remember you losing your you know what all over the top? Yeah.

Unknown Speaker 43:57
Look, you cry. The kid screamed. Am I remember this

Unknown Speaker 44:03
week? Oh, God. Blue Monday here just

Kate Hall 44:08
sent out. Yeah, they just send you on your way. I'm like, Wait, what? Drive to this other town and go see this person like okay,

Scott Benner 44:17
very likely gonna be fine. Goodbye. Yeah, geez. Well, I I'll tell you, I have to like commiserate with her a little bit because I was in a hotel room while my son was recruiting for baseball. So he was in high school trying to get into college. And we were away one weekend when I found out Arden had hypothyroidism. And I believe that I had to stop myself from punching a hole in the wall of the of the hotel. Oh, I just so angry. That, like in the way it felt to me was like, how could you How could it be two things? Oh, yeah. Like how could she get to things you know, like, which is that is is how it really struck me in my heart. I was like, it's enough. Right? She's doing okay with this. Why would you, you know, and I'm not even I'm not religious, I don't believe in you know, like, I just I don't feel that way. It's not like I was blaming a higher power. I just thought this is this feels wrong, you know and hold me together. I think that my son was in the he was in the bathroom and I didn't want to like think I didn't want to lose myself in front of him. So I just kind of held right there. I think I would have just run through the door in the adjoining room and but like, Hi. My daughter has hypothyroidism they go with their type one diabetes. Isn't this great?

Unknown Speaker 45:34
Oh,

Scott Benner 45:36
terrible. No. Do you have other children? I do. I have two

Kate Hall 45:42
other daughters. Both younger Dylan's my oldest. Then I have a daughter Sawyer, who is eight and my daughter Reese who is for

Scott Benner 45:52
better to pick names than a television writer for children. That's they say that's a hard thing to do. But if you've got the skill, you have it, and you apparently did just Peter get the head any input on the children's names? Or did you'd mandate what they were going to be?

Kate Hall 46:05
No no mandating on that we know we came to it together. Yeah, I just love sort of the kind of the boy names for girls. I just think it's cute. Yeah,

Scott Benner 46:17
I know. Um, Arden is only I think the last time I looked, it's really only a few thousand, maybe five to 9000 people in America are named Arden. And over half of them are men. So it's not a very common name. And it's not the girl's name, but I just loved it. When I saw it looks like this. I get to like, here we go. Well, you liked it so much that you named a character on General Hospital? I sure did. I really appreciate that. Thank you. Fun.

Kate Hall 46:47
So I was bummed out. Her first scene was supposed to be with Laura, of Luke and Laura. And but I guess they must have Jeannie Francis wasn't available that day or something. So they did cut her out of the show.

Scott Benner 46:59
I looked up and I just thought, oh my god, Tristan Rogers is still on this television show.

Kate Hall 47:03
Like, I know, he left for a while. But now he's back.

Unknown Speaker 47:07
I feel like he might be thinking that too. Like,

Unknown Speaker 47:11
am I still doing this? Here?

Scott Benner 47:15
But no, it was really cool. Thank you. I tell. I'm interested a little bit in how the podcast found you and and what it what it did or didn't do for you in the beginning?

Kate Hall 47:25
I did if I you know what, I think I have started following diabetes stuff on Instagram. And then somebody posted, like similar to what I did when their kid got a good a one feedback and, you know, said, you know, couldn't have done it without. And I was like, What's this? What's the Juicebox Podcast. And so I clicked on it. And I started listening. And I remember I was on a train into the city for doesn't matter who cares. And

details not important.

Scott Benner 48:00
matter why it

Kate Hall 48:01
matters like dialogue, and nobody needs to know. And I was listening, I'm texting paints, and you have to listen to this. It's so good. And I was walking through Grand Central and it was the one where you were talking about like shoving the juice box through the fence at her softball game. And she just, you know, took it down in one group. And I'm crying because to me that just was so like beautiful and brave. And I wanted that for Dylan. And so I just started like binge eating it right off the bat. And it was just, it just gave me the courage to finally stop staring at the Dexcom and like watching the spike to 300 every morning and being like, why does this keep happening? Why does this keep happening? I don't understand. And instead just do something about it. Like you always say, like, doesn't matter why it's happening, just give her more insulin. And it was the most freeing thing. And I mean, I've just eaten up to everything that I hear on it. And I it's helped us so much. Like, I'm nowhere near where you are, but I'm doing it like I tell people I have like two full time jobs. I write for General Hospital and I managed diabetes.

Scott Benner 49:13
But you're gonna say and I listened to a podcast,

Kate Hall 49:16
and it will that's true, too. Yeah. And I talked about this man. Like, he's my friend, like, well, Scott says, and everybody's like, you don't know God. You know, who tells you now? Yeah. Like Dylan will be like, Mom, you don't even know him. I'm like, Well, I'm going to so you just watch out.

Scott Benner 49:33
I talked to him on the phone. I know him better than you do. Honestly, talk to me more today than most of the people I know. So that's fine. I've actually interestingly enough, as you're talking about kind of being tough and going through things, and I remember that moment, like, kind of so vividly when she just kind of like took that juice and went right back out there. And it was so cool.

Kate Hall 49:53
Oh, so good. And I needed to hear that like we were right in the you know, Dave after this, it happened and I like It just gave me hope at the beginning before, it's like, it gave me hope before the tools like, I just needed. And I just, I wanted so desperately to hear other parents, because, you know, just it made me feel less alone. And also, just like we could do it, you know, they're doing it, we could do it too. Of course you get

Scott Benner 50:20
I mean, honestly, if I seriously I mean, that's if I can do it, literally anybody can. Because there's really just genuinely nothing special about me. It's not like I knew something first, or I have someone helping me or get anything like it's just these ideas, they kind of coalesce and you can, you can make sense of them after a while. We're actually in the middle of something right this second that, you know, is one of those other tough things like while you were telling me that story about listening to the podcast, I was texting Arden, Hey, you got to eat faster, what are you doing? And so she's had a fairly large lunch. So it's a pretty big bolus. And it looks to me like she got to, you know, she got there sat down and probably didn't start eating right away. Right. It's like 60 diagnol down right now. And I just and I'm just like, hey, it's all the food in she was eating and I was like, dude, faster. You know, that was, that was pretty much it, you know, in five minutes, and I told him like, leave your phone out. Because, you know, if this gets sideways, you're gonna probably need some juice. And you're, you're not going to be paying attention because she's, she's eating. So right now. It's the sets. She's the first day on a new sensor. So in my heart if she was here, I would think test because I don't think she's as low as she says she is, I think right the foods ahead of it a little bit. And we'll wait it out a little because we're not scared and she's eating. But you know that she's not here. It's still a little different. Like it changes what you're gonna do a little bit, you know, like, Oh, yeah, there's there could be a moment in here. I'm like, just have a little like juice. But I know she's not going to no need it. So now I'm fighting the urge to say she needs the juice and kind of watching it happen. Like I say on the you know, I don't say anything on this podcast, and I'm not doing in my own life, like so sometimes you just really do have to have the balls to wait a second.

Kate Hall 52:08
Yeah, I do that I texted him like, it's gonna hit like you ate lunch. It's all there. It's gonna hit you. Like just wait one second. Because you know what'll happen if you treat it. And you're also I try to remember to like the Dexcom is behind right? So the food could have already hit she might already be on our way up. I just don't see it yet.

Scott Benner 52:31
Wait, wait for one more reading. And then if that reading goes the wrong way. You go, Oh, I was wrong. All right. And go ahead and have some of that juice now or whatever you use your fast acting, you know, kind of treatment stuff. No, absolutely. I'm thrilled first of all that the podcast is valuable for you. I really am. I end up emailing that to a lot of people that sentence and I hope that it doesn't sound trite but I really am thrilled. That it that it did something for you.

Kate Hall 52:58
It's a total game changer. I just can't i can't imagine had I not found it.

Scott Benner 53:04
Very nice. It's very kind. Thank you. I really I mean that it's a it's a touching thing. It really is. Well, it's hard to know what to say. It's it's still strange to me to hear from people like that. Not that it's like it's not I don't want to sound like an ass. It's not unexpected. Like I'm not like I've heard other people say it's just the it's not something you get accustomed to hearing. It feels well. True. You're very nice. It feels special every time someone says it, I guess is

Unknown Speaker 53:34
well that's good.

Scott Benner 53:36
Yeah. What are your using technology? What are you managing?

Kate Hall 53:43
Yeah, we are Dexcom and Omnipod

Scott Benner 53:47
and enjoying it so far. Oh, yeah. Yeah. Amazing. What is what is your husband use?

Kate Hall 53:54
He is just the dexcom and he does injections interestingly, like he keeps an interesting case. So when he was first misdiagnosis, type two so he was on what is it Metformin that is that what it is for like a while and it was just awful and defeating and he would you know, wake up in the morning and I'd be there like holding my breath while he tested his blood sugar and it would be high and he wouldn't have eaten a carb and you know, like he never had carbs like once he was diagnosed he cut carbs completely out of his life. And finally he was correctly diagnosed. But I think he kind of got it in his head or maybe it was phrased to him in such a way that it was sort of like if you get on like the fast acting insulin like the insulin his meals kind of like you've you've given in, like you can do this on your own with food and exercise and what if you have to go to insulin like then like, well, like diabetes got you type of thing and It so he just took one injection of key doesn't take Mantis but you know whatever. The similar insulin is the long acting.

Yeah, love him here. That's what he takes.

And it wasn't until Dylan was diagnosed so we're talking like eight years of him just through diet. Like he chips.

Scott Benner 55:25
Yeah. Oh my god, okay, he was really misdiagnosed.

Kate Hall 55:30
Oh no, I mean they knew he had type one for all that time I met he went eight years just on one long acting shot a day and no fast acting. We didn't even have any in like nobody ever even prescribed him any insulin like fast acting and sleds and we this is a Yeah, it was worth it is a one C was fantastic. Like in the fives always. Wow.

Scott Benner 55:55
Okay, well, a long honeymoon.

Kate Hall 55:58
Um, yeah, well, he just didn't eat any carbs.

Unknown Speaker 56:01
Oh, ever. Oh, ever? What was he eating?

Kate Hall 56:04
Like salads and chicken and vegetables and meat and like no carbs. Like he went from having sushi rolls to like just sashimi. Luckily, he was never really a dessert person. So that part wasn't hard for him. But like, we just didn't order pizza anymore. And we, you know, made zoodles instead of noodles and like we just, he just didn't eat carbs. Okay, so anytime we go out to dinner, I'm like, I am having all the pasta because like, we never cooked any carbs at home. And I never got to eat that stuff anymore.

Scott Benner 56:37
And did that like that? That kind of went through everybody like you were sort of a low carb family at that point.

Kate Hall 56:43
Oh, no, the kids were like carb maniacs. And I ate carbs just like not for dinner when I was with him but like i certainly carbs for breakfast and lunch and stuff.

Scott Benner 56:53
Oh, I see. Just not notice just

Kate Hall 56:55
him. Just him. Yeah. And and then after we were on like an airplane home from I think we had been skiing in Utah. And we're on the plane home and he had had this horrible like accident on the slopes for this guy who didn't know how to ski just like careened right into Pete and like, you know, dentist is pull in the lenses of his goggles popped out like it was a very hard hit. But they were both wearing helmets. So that was good. But I think like something got really shaken up in his body. And it's his blood sugar on the ride home on the plane was like, through the roof to the point where his meter was just saying hi. And so when we got off the plane, he texted his doctor and that was the first time that he'd ever been prescribed, fast acting, the doctor said, okay, you need to go pick this up and give yourself a shot. And then that just sat in the fridge forever. I mean, he never really used it. And then when Dylan got diagnosed, he sort of realized, oh, like fast acting insulin isn't a weakness. It's just what you do to help you eat food like everybody else. So now he does take fast acting insulin and he you know, can have sushi rolls again, if he wants to and slice of pizza if he wants to. He still eats relatively low carb anyway. But

Scott Benner 58:11
but not not just strictly it anymore.

Kate Hall 58:14
Yes, not strictly anymore. Well,

Scott Benner 58:16
that's interesting. It's such a interesting path. And how is that affected? Well, I guess somebody asked us first, who did you and Dylan like? Is that the the chain of like care? is Pete involved with the owners at you and her?

Kate Hall 58:32
He is involved for sure. I mean, at the beginning, it was so nice to have somebody who like me now it's just, I could do it in my sleep. But at the beginning, like the meter was very like overwhelming to me. Like I'd never tested Pete's blood sugar. He just did that. So I'd never used one before. And all the steps. It was nice to have somebody know exactly what they were doing. He knew how to give an injection. He, he's just he knew how to put on a deck. Like that was so nice to have somebody already like knowing the ropes of everything. But in terms of her care, it just makes more sense. I mean, I'm packing my lunch like I know what's in it. I I'm here if need be. I mean, he stayed out of it completely all day. And I just text with Dylan. But if we're all home on the weekend, like Hill, certainly if he's making breakfast Hill, you know, bolus her and so he's definitely involved, but I like the first person I guess in the chain of command. Do you

Scott Benner 59:37
follow his Dexcom now? I do. Yes. Is that just do you think now a function of having seen Dylan's it just would feel weird not to know his?

Kate Hall 59:47
Yes. And also it made me realize like I could be very helpful sometimes. I mean, if he is out like working in the yard or something, and I noticed it's a precipitous drop and he not going to get the low Arm yet, but I can see where it's going. I'll just like run out with a glucose. That'd be like you're going to need this. And I'm sometimes I'm really nice about it. And then there are other times at night where I've been up with Dylan like three times, and then his alarm starts going off and I'm like, Oh, you got to be kidding me. And I like throw, like sorella glucose. Algo did a stab at him. And like I said, Why aren't you waking up to your alarm? And like, I can't deal with you too. So, you know. I can be like really helpful and a great wife. And then I can also be not so nice about it. But I do you know, I give him the sugar. I give them the glucose. That's just how I do it.

Scott Benner 1:00:37
In fairness last night, I think I heard Kelly say to me, I think Arden's CGM is going off and you're not hearing it. And I was like, Yeah, because I'm sleeping, but I hear what you're saying. So you know, and she was just like, like bouncing a little bit like it was just going under 70. And coming back again. And like she was just kind of like, she was riding along that line. It was like 75, and then it was 69. And then BBB, but then right back up again, like it was doing that. And I I'm saying to Kelly, I'm like, it's a newer CGM. It's okay. But she's like, just go look, it was like, I really think it's alright. Okay. So I went and tested her. And she was actually like, 78. And I was like, I see it's okay. Like I said, I was sleeping. But, but thank goodness for Kelly because I really, I mean, those alarms they do you get numb to them eventually,

Kate Hall 1:01:28
you know, and I, I incorporate them into my dream. So then the alarm is just the sound of a car honking on the street. Like, I fight it. My body fights is like, No, I don't want to wake up.

Scott Benner 1:01:40
I fell asleep last night. I was trying to stay awake, right for a little bit to just get Arden's blood sugar, right, right. Like, I thought it needed a little bump, and I was making sure that bump worked before I went to bed. So I fell asleep, listening to a different podcast than my own. And I woke up realizing that the people in the podcast were in my dream that we were having this whole adventure together. It was

Unknown Speaker 1:02:09
amazing.

Scott Benner 1:02:11
It was really weird. But I know how those alarms end up because you're right. It's like your beep, beep beep and like you realize later, like, that was like a truck in your dream was backing up. And it was the Dexcom alarm. Right? Yeah, I it's a weird life. We all have

Kate Hall 1:02:28
a weird life. And Pete never wakes up. So I silence his phone. Otherwise, I have two phones. alarming, like it kind of like sort of the same time but not really. And they're staggered, and it's really annoying.

Scott Benner 1:02:40
Well, that's actually super interesting, right? Because you see his Lowe's differently than you see hers, right?

Kate Hall 1:02:48
Like, in what respect?

Scott Benner 1:02:49
It doesn't seem like a more immediate need because she's a child or because she's your child,

Kate Hall 1:02:54
or Oh, definitely because she's not I at least know. Pete's getting those alarms. He, you know, knows what to do and would fill in, it's like, I have to catch it and tell her what to do. So yeah, I see them very differently. But I will check in and just be like Pete, are you eating and you know, just shoot them a quick just to make sure if I see it going really low or he'll be like, yeah, I tested. I'm not that low. I'm actually whatever. And

Scott Benner 1:03:21
so yeah, it definitely feels more urgent with Dylan. Here's my Sophie's Choice. Right? They're both in exactly the same situation. And they need care. Dylan first.

Unknown Speaker 1:03:33
Right?

Scott Benner 1:03:35
guys out there who aren't married yet? Just so you know. Okay. Like, there's gonna be a moment where you're just relegated to Plex leftover, just so you're aware. That's all I mean, I'll be

Kate Hall 1:03:46
I will do real quick. And I'll come right back.

Scott Benner 1:03:48
But I would do the same thing. I would, you know, I mean, if we were on a raft and it was going under, and somebody had to go over, you know, I'd nudge Kelly off before.

It is a real weird feeling. You don't recognize it right until you have a kid but your spouse No matter how much you love them. is really just the guy you met. Right? And your

Unknown Speaker 1:04:18
kids, right? Yeah, it's true.

Scott Benner 1:04:21
There's another plan somewhere but Dylan's Dylan. I'm not trying to say you're like, don't get me divorced, buddy. I'm just trying to be fair. But, but But seriously, there's like, there's a real interesting. Like, I see it more like if I get a text right or something comes up on my phone and I go to look at it. There's this horrible thing that happens in our house. It's very small, but it's not small. I get fixated on what I see. Like if I'm being texted or if it's Arden's blood sugar or something like that. I don't realize that Kelly standing four feet away thinking is everything okay? Right. And so I finished what I'm doing And Kelly's like, what is it and I'm a boy. So I'm like, Look, you can eat, I can either explain it to you, or take care of it. I'm not able to do both at the same time, like so. You know? So like, I need I need to finish it. I'm doing but by the time I'm done, even if it takes 20 seconds, I can sometimes see that it makes her physically uncomfortable. Yeah, she's worried for artists, you know, we're cool. Even if it's a text message. It's I think, in the back of her head, she's like, that's it. He died, right? Like it finally happened. You know what I mean? Like, I've been worried since he was alive and right. No, it's fine. Like, everything's fine. She's not a worrier. It's just in that moment. Like, it's, like, you feel like there's information there and you have to act and I always lean towards back then.

Unknown Speaker 1:05:39
Yeah,

Scott Benner 1:05:40
yeah. What are you gonna do? We chat.

Kate Hall 1:05:43
Well, you need to work on multitasking. Like, it's okay, it's Artem. But she's fine while you're texting.

Scott Benner 1:05:49
Yeah, yeah, you're not wrong. And that seems completely doable. It's just a dozen. And I see how mad she is when it's over. She's like, you couldn't have just told me and I'm like, I mean, I don't know. Like, it's just I was just, I was gonna be done the second. And she's like, I think it's because I make faces when I read too. And she infers from my faces. She's like, you looked worried. I was like, I did like that. I wasn't like, just so you know, the dentist wants to know if you're coming for your cleaning on Friday. I was typing in there, you know. It's actually interesting now that uh, hold on. Arden's blood sugar looks lower than it is.

Unknown Speaker 1:06:28
She tested?

Scott Benner 1:06:29
Yeah, she tested and everything's fine. And she's she's 100% fine, but my wife just texted me like you have Arden. And so that's, that means that her blood sugar has been a little lower for a little like, looking lower on the CGM. Then than it is but my wife finally my voice finally like Alright, listen to you're not killing my kid. Are you? Like that? That was that? It was it was like you have Arden right. And

Kate Hall 1:06:50
I'm like, I get those. Dylan you see Dylan? Right. You see? I got her.

Scott Benner 1:06:55
Yeah. Okay. It's thinking, Oh, I'm just the girl you met? I see what's going on?

Unknown Speaker 1:07:00
Yeah.

Scott Benner 1:07:03
You're delightful.

Unknown Speaker 1:07:05
about yourself.

Unknown Speaker 1:07:07
Um, like always nice to hear.

Scott Benner 1:07:10
Delightful. You're conversational. You can hold up your end of the conversation. This is very nice.

Kate Hall 1:07:15
I'm a I'm an anomaly. I'm a writer who can talk I guess, I guess. So.

Scott Benner 1:07:18
I find I you didn't you didn't make me work hard at all today, which I appreciate. And, and we still get out really cool information. But I don't feel like we probably did we not talk about anything you want to talk about?

Unknown Speaker 1:07:30
I don't think so. How is

Scott Benner 1:07:33
doing doing over? Like, how would you characterize her health and her well being?

Unknown Speaker 1:07:37
She's doing great.

Kate Hall 1:07:41
She is like the same happy, enthusiastic kid, which is just awesome. Like, I don't feel like she thinks about diabetes very often. It's like, I don't know, you probably feel the same way. It's like a gift you can give them you know, to take it on for them. So they can just be a normal kid. And so far, it's working. I you know, live in fear of like, puberty and all that stuff. But hopefully, we'll get through it. You'll have to

Scott Benner 1:08:13
wait then. And you will. It's just more I mean, I can I can't give away the secrets too much. people stop listening. But it's really just more insulin. Yeah, when you need it. And when you don't, don't. And you'll start to figure it out. There's a there's a weird rhythm to it. Like you're used to thinking of diabetes in the form of a day. And you have to start thinking about the days and forms of weeks, like right periods a little bit. And then once you can find that, I almost said flow, a better word than that for this scenario. Once you find that rhythm, even that's not right, right. But yeah, you know what I mean? Like, like once you can find that. It's like, Oh, this is the week where you're going to need more insulin. This is the week where you're going to need less insulin. This is the week where it's not going to act weird, but it might get funky once in a while. And you just sort of then there's that one week where it doesn't impact you and everything goes back but you learn how to like, bounce between them real effortlessly as it I mean, I I'm trying to learn that I guess, right? And it's doing mostly Okay, there's something it's just when you don't notice, because you're not the person. Like, right, it's not like I have like there's not like an alarm that goes off in my head when Arden's period starts or when she begins to oscillate or something like it's not like I get a message. Right? So I have to like see what's happening. And then I think oh, that's this and Oh, right. It's this week. Yeah. But I'm telling you, the, the real the real trick is going to be to get everything that you're going to accumulate over these next six, seven years, right and figure out a way to put it into context for a person living with diabetes because you you're going to have a very special set of skills as a caregiver that I don't think are Going to one to one transfer. Like the right note me like, that's the Yeah, that's the thing I'm starting to work through now and why I want to have on the podcast and stuff because there's, there's what I know how to do, there's what impacts me so that I can react to it and then living with it's going to be completely different. But I think there's a way to transfer what I know, into a person who has diabetes, and I'm gonna, I'm gonna, I'm gonna put Arden on that table, and I'm going to yank her up outside until the lightning hits her, and I'm going to try to make her you know, try to turn her into a Frankenstein version of my ideas in her life.

Kate Hall 1:10:37
Interesting, too, because it's almost like you have to sort of make them care as much, you know, like, make it be as important to them their health as it is. Like, I just don't, you know, I just imagine like a lazy teenager who just doesn't feel like dealing and like, No, you are gonna have to deal like

Scott Benner 1:10:57
100% right now my mom is like, 76 years old, somewhere, she's more worried about me than I am. Right? You know, and so you're always gonna have that over giving me like, Isn't it weird how our minds work, like, you know, she's your daughter, but to her, she's just, she's just her. And you know, not everything doesn't feel as important or even connected, you are less connected to yourself than you are to your kids. Right? You know, like, you have this, you don't have that same feeling of responsibility. She wasn't there. When she came out. And you were like, Oh, my God, it's my job to keep that thing alive. Like she didn't have any of those experiences. You know what I mean? So

Kate Hall 1:11:34
I used to be like, the biggest type of Kondracke and you know, always worried thinking I was going to get sick, or this was going to happen to me or that. And once I had kids that all like all of that energy just transferred, you don't care. You don't care anymore. Yeah,

Scott Benner 1:11:49
exactly. I had an emotional conversation with my wife the other day about what it feels like to kind of care for Arden and be the one person that I cried through, because I realized I really only care about my kids, I stopped caring about myself. And you know, it's not that I don't take care of myself, but like, you come to that realization like that, if I were to get hit by a truck right now, My only regret would be that I wouldn't be able to help my kids more, right? Like, that's a really weird feeling to have. And your kids don't have that feeling about themselves. You know, I don't know, dozen years isn't going to sit we I have to, I think of it as my job, right in this next phase of the podcast to figure out how to take all this cool stuff that we all understand as caregivers, or adults who are listening who have found a way to, you know, be combined into who they are during the day. And I have to figure out how to explain that to my kid, like, so that I feel like is the next step. But I will get it all worked out way before your kid gets older. Don't worry about it.

Kate Hall 1:12:47
That's what I'm counting on. Like, all right, yes, please. And like technology and like, well, maybe it won't be as difficult because it'll be more sort of streamlined and easier than it is now.

Scott Benner 1:12:57
I think that's a sincere possibility. Okay, I really do. But I still think that there's the nuance right, that the scenarios and situations that they're going to need to understand how to, like employ that technology? And what Oh, totally? What do you do when, when the technology, you know, fails on you for some reason? You know, how do you how do you handle that part? And some of it's going to be, they're just going to have to have it happen to them. You know, and that's gonna be hard for you to say,

Kate Hall 1:13:26
right, but it's really the only way to learn. I mean, yeah,

Scott Benner 1:13:29
it is. So it's all gonna be fine, as long as I stay alive. But is that what you're telling me that the pressure is on me right now? Yeah. Yes.

Kate Hall 1:13:41
you've convinced Arden to do that theory to do because I think that will be amazing.

Scott Benner 1:13:45
Good. No, I think she's going to I really do. I bought the equipment that makes it possible for me to record two voices. So at this point, I am pot committed on that. And we'll see we'll see what happens. Well, I really appreciate you being on and doing this. Did this live up to your expectations? Or was it a huge letdown?

Kate Hall 1:14:03
No, it was great. It was a lot of fun. Thanks for letting me come on. I basically bribed you by getting your daughter's TV. So thanks. I just want to say that's probably true. Get my kids on television. You do get to come on the podcast.

Scott Benner 1:14:17
That's I you were booked before that, right?

Kate Hall 1:14:21
No, no. Well, yes, I yes. I was booked. But I think it was like part of the

Scott Benner 1:14:29
it was part of that conversation.

Unknown Speaker 1:14:31
Yeah, like part of the package a little bit. I

Scott Benner 1:14:33
have one last question for you. If you have a minute. Do you feel pressure to incorporate diabetes into the show?

Kate Hall 1:14:41
Oh, thank you for bringing this up. Oh my god. Okay. So there's a character on General Hospital. His name is Lucas he's currently used you know, cart like Sonny and Carly. You probably haven't watched in a long time.

Scott Benner 1:14:53
Anyway, I haven't and you still think I don't know who those people? Of course. Okay.

Kate Hall 1:14:57
Yeah. So or he's Bobby. Bobby and Tony's son, Lucas, Lucas Jones, and he so I've been writing for the show for like eight years. And I am getting my assignment and I look through it and I see that Bobby Spencer, they're giving her type two diabetes, and she's having conversation with her son. And you know, he's like, Mom, how can you not know how serious this is like with my type one? And I was like, Well, I'm sorry. Like, wait, what? Like there's this character has diabetes. And I had been writing for eight years and like, had no idea because nobody ever talks about it. So this actor poor man, I have like, I have alarms going off all the time. Now when he's in conversations, but it's husband, I have people talking about carrying glucose tabs around I have been saying, you know, I took insulin, but I didn't get a chance to finish my breakfast. So I'm writing it in every chance I can get which, and the show is being great about leaving it in there. I'm hoping they are liking the sort of realistic approach. Like obviously, it'll be the first thing that gets cut if the show is long or something but so far, it's made it in there. It's very cool. By now you got to get like a device on him somehow, right? Oh, I do. He wears a glucose monitor. Not that we've seen it, but we've heard it like we've heard his Dexcom go off.

Scott Benner 1:16:19
Oh, no kidding. Do they know that? That's so cool.

Kate Hall 1:16:22
I don't know if the actor has any idea what's happening. I think he just like says what's written there. I don't not sure if he really understands it, but he's doing it. So that's good. It's very interesting. I wonder what it's like to that's interesting. I'd be making me wonder like, what how much he thinks about or doesn't or he's just saying the words, but that's I know, I would like to if I ever meet him, I'll ask him and explain why all of a sudden he's talking about diabetes, but he hasn't done that for years and years.

Scott Benner 1:16:48
Do you feel that pressure come from community are you you're pretty much on its You're like an Instagram person, right? Pretty much.

Kate Hall 1:16:55
Yeah, I'm on Twitter. That's more like Twitter is my like soap opera persona and Instagram is just me.

Scott Benner 1:17:03
Well, our blood sugar's good. By the way, she's 65 diagonal up, everything's fine. She was hanging this version for a while everything's good. I don't want people to wonder is that as the episode stop, but I think we may be Pre-Bolus a couple minutes too early, is what I'm seeing as I'm looking at the graph, like I even realized when she was like lunches soon. I remember looking and thinking that seems four or five minutes early, that probably won't be a problem. But uh, it kind of was but fixed. No big deal. Just stick the juice through the fence, drink the juice, keep going.

Unknown Speaker 1:17:35
Okay.

Scott Benner 1:17:37
Well, I really appreciate you sharing all this. This went in more directions than I expected actually your husband's story. It really fascinated me. So I think it was cool that you were able to share all of that. I appreciate it.

Kate Hall 1:17:49
Oh, good. Well, thanks for letting me share it.

Scott Benner 1:17:54
Huge thanks to Kate for coming on the show and talking about being the mother and wife of someone with type one diabetes, and for having a really cool job and putting my daughter in general hospital which I'll play for you in just a second. Thanks also to dex comment on the pod for sponsoring this episode of the Juicebox Podcast. Get yourself a free no obligation demo of the Omni pod today at my Omni pod.com Ford slash juice box. And you're definitely going to want to go to dexcom.com forward slash juice box to learn all about the Dexcom g six continuous glucose monitor. Links to all of the spot links to all the sponsors or Juicebox podcast.com are right there in the show notes of the podcast player that you're listening with. Alright, ready, there's two little clips here. One is just a short blurb. You'll hear a couple of guys talking then it'll go into the blurb with Arden's name. And then there'll be a little like kind of scrub sound and then it'll go to the next one, which is a little longer is very cool hearing my daughter's name on General Hospital, because I am not kidding you. I sat for countless afternoons with my mom on the sofa watching GH and I'm not embarrassed, not even a little bit. Ada

Unknown Speaker 1:19:08
ottenere will be asking questions. Da Scorpio is a strong presence. Thank you.

Unknown Speaker 1:19:14
allegations against the defendant objection is sustained. jury will disregard that defendants speculation with regards to miss McCall. Miss Soto.

Unknown Speaker 1:19:27
No further questions, Your Honor.

Unknown Speaker 1:19:30
Miss Arden, your witness.

Kate Hall 1:19:38
You stated that everyone within Dawn of day is equal. But that's actually not true. Is it? Some are more equal than others. Can you explain how the trust operates

Scott Benner 1:19:57
there's some video of that audio video for the audience. Is video the audio way to talk? Well, there's some video of that audio. I guess the video from that audio with the video that that audio is from? Yeah, the video that that audio is from is available at Juicebox Podcast comm on the page for the episode of this podcast, I feel like I've been very clear. And I don't know why you're confused if you're confused, but I'm certainly I guess by now you guys have listened long enough to know that if I'm doing this later at night, this is how this ends up going. And it's kind of late right now. So anyway, I'm sorry, but I need to go to sleep. So I'll see you soon with another episode of the Juicebox Podcast. You have an absolutely fantastic diabetes doctor and nurse practitioner or anything nutritionist, somebody you use, who's making your life better with Type One Diabetes. If you do, just know that not everyone gets a great doctor, but they could. If you go to juicebox, Doc's calm, you can add your fantastic physician or practitioner to an ever growing list of listener. of listener. I'm gonna have a stroke here. I can't think of a word listener. It's not suggested, what's the word when you want to? Oh my god. I'm not going to stop this recording too, I think of it recommended to an ever growing list of listener recommended doctors, physicians, practitioners, people who are helping them with their type one diabetes. So if you need a great Doc, check out juicebox Doc's calm and if you have one, you can go to that same link to email me your doctor. Just look at the format of how the information is there. That's the information I need about your great doc. Okay, I think you've gotten a pretty good look into how long my day is. I hope you've enjoyed this episode. Say I can't talk I hope you've enjoyed this episode of the Juicebox Podcast. If you're enjoying the show, please take the time to leave a wonderful rating and review on Apple podcasts or wherever you listen. I feel like this went well.

General Hospital names a supporting character after Arden! Sometime in August I received this heavily blurred image from a Juicebox Podcast listener named Ka...

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