Scott Benner 12/4/19 Scott Benner 12/4/19

#286 Defining Diabetes: Stop The Arrows

Defining Diabetes: Stop The Arrows

Scott and Jenny Smith, CDE define the terms that are at the center of your 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 0:02
This episode of defining diabetes on the Juicebox Podcast is sponsored by companion medical makers of the impact. You can find out more about the in pen, ai companion medical.com. On today's show, Jenny Smith and I are going to define a term from your diabetes life. This one's very specific to the podcast, stop the arrows. What does that mean? This is going to be one of those where I'm like, Jenny, hey, I made this up. What do you think of me is

injured. Jenny's gonna tell you. That's how this works. I say Jenny define this. And he goes, Oh, that means this. And then I say something. I'm like, haha, I think this bah, bah, bah. And then she goes, Oh, I agree with you. The baby, sometimes she'll be like, I don't agree with you. And then she'll be more clarifying. And then it's over. Defining diabetes. There it is. That's the magic. Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise. And always consult a physician before making any changes to your health care plan for becoming bold with insulin. Alright, you're ready for Jenny? She's particularly delightful in this episode.

Why don't we define a couple of more like podcast tenants. And so this is where this is where I asked Jenny to define something that I've made up. And that way she can. Either always fun, right, right. Yeah. Right. Cuz, you know, I had, you know, we did the we did defining, you know, over Bolus, which again, is just a word I made up. And and we'll do some other ones. So we've done a couple. And some of them are bigger ideas are not just words, right? So if I told you that I consider stop the arrows to be a real diabetes term. It is it is to me and I think enough people do it now that that I'm buying into my own my own hype, a little bit on that. If I said to you, can you define stop?

Jennifer Smith, CDE 2:19
You are because on our assessment, on our assessment, many people actually say, I found you from the juice box. And I want to be able to stop the arrows. And many of them actually have it like in quotes, as if they're like, it's Scott's term. So I have to like quote him on. Oh, yes.

Scott Benner 2:38
Let me just say I appreciate the attribution. I really do. I get ripped off a lot in this space, Jenny. But when people say they heard it from me, it makes me feel better. So that I like that. So stop the arrows. What does that mean, to you?

Jennifer Smith, CDE 2:53
To me, essentially, you are both up arrows and down arrows, and very significantly straight up arrows and whatnot, it's essentially just pay, it's reacting to the arrow and saying, I need to stop this and plateau it I want to get it to even out. And that might be with some type of insulin adjustment, it might be with a little bit of insulin adjustment and some food of some type. But that stopped the arrows pay attention to, I think stopping the arrows also has to do with alerts and alarms, too. So I think that needs to be brought into the picture. Because unless you're physically like looking at your screen all day long, you may not see some of the arrows to stop.

Scott Benner 3:36
I don't want people to stare at their glucose monitor, right? I very much am against that idea. Like you. That's why I like your alerts being set in tighter tolerances, so you can find out earlier and do something sooner. So yeah, so when I first thought it, like when I was and trust me, I didn't sit down in a you know, think tank session and to say, I wonder how I could describe to people I was just, in a moment, my life. And I saw these arrows. And I thought to myself, I gotta stop these arrows. And you know, and I just I have to like Why look at this happening here. So in my mind, I see it as you know, you guys have heard me describe it before I just see it is putting more resistance on the side of direction that the arrow is trying to go, the arrow is trying to go up, I try to put more insulin over top of it to push the arrow back down again, if I if I have an arrow going down, I think of it is putting food underneath it to push it back up the other day. I described it to somebody. So I am going to say something. I need to give myself credit for something. I wish I speak in pictures. I really do. And I know that about myself. And sometimes I'd like you know, I'll do the tug of war thing. And then somebody won't get the tug of war thing and I'll be like, Oh my god, they didn't get that. Alright, I'll say it like this. So I was trying to describe stop the IRS as somebody though today. And I thought they're not getting it and then I said hey, you're a football fan, right? Okay, I said okay, so imagine your offense goes out on the field. The regular offensive line center two guards two tackles and a quarterback behind the center and you get sacked. On the next play, you might bring in a tight end and ask the tight end to help block. Now if you still get sacked, you could bring in a running back and tell the running back Hey, after we say hike, stand up, chipper blocker real quick, knock him off his path a little and then go out and try to catch a pass. If that doesn't work, you might bring in another tight end right. So in some scenarios with insulin, five linemen do the job five linemen can keep back a low blood sugar right keep you from getting sacked or keep back a high blood sugar keep you from getting sacked. But sometimes you need tight ends the block too sometimes you'll also need a running back. So sometimes you have to bolster your side so the other side can't get to you. And that's insulin like like it's just how I like that's just how my silly brain sees it like like so if you're trying to get low, like your blood sugar's trying to go low. That's the defense sacking you you need more blockers and then that Caserio, those blockers are carbs, right in the exact reverse situation. If you're trying to get high, then the insulin is trying to sack you. And you need to keep the insulin away from your quarterback like break, you know, or, you know, I'm sorry, if you're trying to go high down, the carbs are driving you up, you need more you need more insulin. So you bring in instead of blockers you bring in like attackers like people to like push back in the end, you're just trying to keep this this never ending back and forth like this, just like a pirate ship just rocking back and forth. You just asking like you're putting 100 people on the deck of a boat and telling them run to the right, run to the left, or the right run to the left like and again.

Jennifer Smith, CDE 6:46
That is how really you just want them eventually to like run to the middle at all

Scott Benner 6:50
stabilizes our do this, do that. And then eventually, exactly, every hundred people be in the middle and they'll be like, oh, what's our job now we got the boat stabilized

Jennifer Smith, CDE 6:57
standstill.

Scott Benner 7:00
I am totally gonna blow my own horn and tell you I've never had that thought before until I just had it right now because my stupid brain works in pictures. Okay, so that's what you're trying to do. I've in the past described it as scales of justice, but have holes in either side, and you're constantly putting an insulin in one side and carbs in the other and just trying to keep them from flopping down on one side. So any way you can think of stopping the arrows. I don't care, like whatever picture you have to paint in your head. But the truth is, is that if it starts getting away from you, you can't stand there and watch it. Right because then your quarterbacks gonna be out for four weeks with a broken collarbone, you need to do something right. So when so when I see, for me, it's diagonal up at 120. So and that's partly to do with Arden's physiology to a 118 diagonal up that goes to a 120 is about to go to a 125 straight up and Arden I know how that works. I can look at that line on that Dexcom graph and see it coming. So right he hits the 118 I can Bolus Mm hmm. And that stops the arrow. Right. And so now I create a plateau and then I watch it. And if the plateau doesn't come back, then I re address and I get it back again. But in my mind, I just messed up the Bolus for the meal somehow, had I put in whatever amount stops that arrow if it was in up front, the arrow wouldn't move up. Right there were also times Today's a great example, where Arjun texts me and says, Hey, I'm going to get breakfast. And I was like, Okay, so the last three times she said that at school. It's been a muffin. So I put in the muffin bolus that I had figured out. And then like 10 minutes later, she was Oh, hey, by the way, they didn't have any muffins. I got a bagel. It's just like now I live on the east coast. A bagels are a real thing here. It's like a real thing for bagel got still here and I threw it at you. I could kill you with it. You know? Like it's a big dopey thing, right? And it's not all like dry like you and like Indianapolis are thinking right now or you know, like often, like you guys out in California are thinking about I'm sorry, this is like a lump of like dough. Okay? So I'm like throwing in more insulin. I'm like, Arden, this is not gonna work, right. But let's just see what happens. And it worked for a long time, actually, for like an hour and a half. We were ahead of it. And I saw the curve up. And as soon as I saw it, I was like, Oh, god, oh, god, it's coming. And I just didn't hit it hard enough. So now Arden's like 195, and she's stable at 195. And we are putting more insulin on to get it back down. But now I'm also thinking about two things. I'm thinking about this, you know, this stability, stable arrow trying to turn it into a down arrow, and she's gonna eat lunch in 45 minutes

Jennifer Smith, CDE 9:53
and lunches. I was just gonna say lunch is coming for you.

Scott Benner 9:56
What do we do with that? Tell you what we're gonna do with it. We're going to start An arrow, then we're gonna stop an arrow. Okay, so we're going to make a really large bolus in about 30 minutes about 25 minutes before she's going to eat. I'm going to bolus her whole lunch. And, and I am going to try to use her lunch bolus to drop this to start an arrow, right. And then I'm going to use the food at lunch to stop the stabilizer, yes. And then I will reassess about an hour after she's eaten. But there's all different kinds of ways to stop ours. And moreover, to stop the direction and the momentum of your blood sugar. You can you know, I've said it a million times. But you can't just think about how your insulin impacts your blood sugar, you have to think about how your blood sugar impacts the food you're eating, how the food impacts your blood sugar, how the food impacts the insulin like these things all have this sort of like weird symbiotic relationship together. And we get it drilled into our head that diabetes is about a number and making a number go down with insulin. So much, so much more than that, if you know how to manipulate those arrows, meaning the direction of your blood sugar.

Jennifer Smith, CDE 11:15
Well, and you've also, you've also paid enough attention, as you said, if you get that angle the arrow up and it's 118 you know what's coming. And you know what's coming, because you've had experience with paying attention before. So sometimes, sometimes I actually talked to people about even watching to begin with when they're trying to be more bold with insulin, when they're trying to be more aggressive. I say, you know what, if you're worried to begin with, pay attention first, see what happens? See, let it let it go up. See how much once it goes up? How much does it take to bring it back down? Because if this is a consistent, that you're always needing one extra unit after lunch every single day. And even if your lunches a little bit different day to day, you're always adding an extra one, one and a half units. Okay? Well, one, something probably is wrong with your ratio, because we need to adjust it which also then just means you need more insulin up front, right? So we can learn from also watching. And you don't have to watch for a week with aiming for high blood sugar's just to be able to watch, you can do it a couple of times and say, okay, I've learned something here. Now I can be more aggressive, and I feel safe about it. So for people who want a little bit of assessment, that's kind of also a way to do it.

Scott Benner 12:32
That's brilliant and 100% necessary and what Jenny just said, you right, what you just said was 100% needed absolutely brilliant. poignant in the moment, do you want to know what happened in my head when you said that? What I thought Jenny just said, you have to take a strike. Do Yeah, you have to take a strike. So you can see how the pitchers throwing, right because you're going to swing it the first one and Miss anyway. And then you've lost the experience of watching the pitch cross the plate. So sometimes

Jennifer Smith, CDE 13:02
I told in my in my one of our to doing half marathon to get to finally doing like a half Iron Man and a whole full marathon and everything. I took a lot of strikes, trying to figure out what I needed to do to manage. And the strikes. They suck from a like perspective of that mental internal management that you always are aiming for. It's gonna work this time and I'm going to try this and there's going to be perfection, there's no perfection. There's, you get to a point of figuring some things out, like, you know, my long distance running strategies, I've figured it out. And unless something is completely just weirdly off 99% of the time, my strategy now works consistently. But I did I that's a great way I took a lot of strikes, figuring it out. How much nutrition do I need? How much bolus Do I need to shave off? Do I need to change a basal rate during or after? Or how far ahead of time or whatever. And so some of it is it strategizing and I kind of feel like a 30 year guinea pig.

Scott Benner 14:14
I'm gonna figure this out. But you know, it's interesting, it occurs to me like you said, that is it You and I have Jenny and I are interesting. Like we I don't think we have a probably a ton of similarities. But we talk about diabetes exactly the same way and we have the same sort of resolve about it. And it's obviously much easier for me to have the resolve than it is for you because you're living it. I just look at a person and go Yeah, don't eat that yet. Okay, now, she's like, I'm hungry. And I was like, I wish I cared. Just don't eat it. Like it's like, you know, and that and even that like right is crazy. I just I grew up in the part of the country where my I've talked about before, like my dad would have cared if I was hungry if a doctor told right, like you can't eat that for half an hour my dad would have been like, again, I didn't know for half an hour, right? You're walking If you're sad, go tell somebody who cares, you know? And so so I've just enough 1970s parenting and made to do that. But but it is interesting when you and I agree we agree so incredibly like Jenny and I don't have like a like we're not like out seeing movies together. She lives in Wisconsin and I live in New Jersey. Although we are going to get to meet each other in person coming up. I think I think I've hopefully I think I've negotiated Atlanta,

maybe. Oh, lanta. We're gonna we're gonna probably bump into Atlanta. I think it's possible in Arizona. And there's no way I'm coming to Wisconsin and not making them bring you so. So anyway. But I love how much we agree about this. Like when people ask me, like, why, why Jenny? Like, why did you choose to do it with her? I said, Well, I had done hundreds of these podcast episodes. And I would always go back to the two times I had Jenny on every time she spoke, I just thought, wow, I agree with this person. Like, like, oh, and I have my narcissism allows me to believe that I'm right. So if I'm right, you agree with me? You're amazing, right? So I don't know if you're actually amazing. But my narcissism thinks you're terrific.

Jennifer Smith, CDE 16:11
I think you're great to

Scott Benner 16:12
see. And Jenny has that nice accent so you don't hear her being narcissistic. You just hear it from me with my Philly thing going on. I got a beautiful text from somebody the other day that just said, I love when Jenny says carp. Really? Cuz your accent that you don't hear. So

Jennifer Smith, CDE 16:31
I you know, I get most of it. I get for the old when I say something with an O in it like Minnesota, or whatever. You know, I in fact, a lot of people just ask are you are you from? You know, Minneapolis. Are you from Minnesota? I'm like, No, I'm from Madison. I live in Wisconsin. I am from the Midwest. I know it's my accent.

Scott Benner 16:53
They were just like, it's just a taxi said I love when Jenny says carb. I actually got a message while we were talking about Vicki's episode that just says, almonds don't have nipples. I'm laughing because I get a lot of like, while we're recording, I still get my messages from people. And sometimes I'm like, Oh, that's from like another episode. That's so funny that they're listening to that while we're recording this one. Funny, but No, but seriously, I you know, that's it. I think if you and I got married and had 17 kids with diabetes, we would just like, walk in like, we'd be like The Brady Bunch of taking care of diabetes. I just I feel bad for the time

Jennifer Smith, CDE 17:29
without adopting your children. No.

Scott Benner 17:32
I was just thinking about like your poor husband. Because one day you guys are gonna have a disagreement about diabetes. And you're gonna say Scott would agree with me about this. And that guy's gonna be like, who is Scott? And why is it coming up here in our house? Because I hear a lot. Jenny, you have no idea how many notes I get from married women who are like, my husband is tired of me saying the guy on the podcast says we should do. Oh, like you don't find that to them. They won't like that.

Jennifer Smith, CDE 17:58
I'll tell you what I'm gonna do Jenny. Yeah, my husband totally. He totally knows your name and it and you know that we would that we do these. In fact, he usually tries to keep our son coenen who's two and a half and he hangs out with during the day while I'm working and doing these with you. He usually tries to keep them as quiet as he can so that there's not like this big like, ah,

Scott Benner 18:17
like in the background. You name a kid. Come on. He's gonna be loud. You know what I mean? That's a that. You might have done that. Yeah, that's what I'm saying.

Jennifer Smith, CDE 18:26
He is a loud Irish little boy. He is Yeah. He is all about I want it. I can do it. No, Mommy, I've got this. He. He's got it all down at two and a half.

Scott Benner 18:39
Hey, you know what I'm gonna do one day. I'm gonna put a survey online to see how many people with autoimmune diseases have Irish heritage. Because I'm telling you, the pale white people have trouble. Seriously, like, like, you know what I mean? Like, there's something about that part of the world that you know, celiac and like, like, that whole thing is very common through that bloodline. And my wife is, is is English and Irish.

Jennifer Smith, CDE 19:08
So she Yeah, and I, you know, Finland, I'm sure you're quite quite familiar with the studies in Finland being the highest rate of development of type one in the world as far as a country. And from the studies that have been done there. They've really kind of narrowed it to the field of one some genetic predisposition. But from that it has to do a lot with vitamin D. One, they're at a very bad, like, latitude for actually absorbing and being able to have their body produce vitamin D the right way from sunlight. But two, they've also found that there's something within the body, the bodies there that actually it just doesn't develop and so they end up having very low vitamin D levels. In fact, I I can't remember the study when it was done. From when to when it was like 2006 or 2011, up to like 2015 or something where the they started supplementing at birth kids that were born in Finland, and once they started supplementing the rate of increase in development of type one stabilized, it didn't keep climbing. So it's kind of like a standard now is just supplement with vitamin D from birth. I don't remember what the dose or anything was. But yeah, there's, there are some very specific like, cultural populations that are very prone to type one diabetes and Orthodox Jewish are also have a very, very, very high prevalence of Type One Diabetes you ever heard the, the idea that the potato famine created depression in Irish people, the Irish,

Scott Benner 20:55
they there carries on to this day. It that's just like, there's the that's the stuff nobody thinks about, like you don't think about stuff like that in your day to day life? Well, that but there's, I don't know, there's obviously there's different groups of people who have been affected for I mean, listen to what you just said, but their distance to the sun? Or because they couldn't grow food for variable. Was it five years or something like that? They in 1800s? They did. They just ate potatoes that make it freakin sad, that's for sure. Yeah, you know, and then they say it actually changed their genetic code somehow to

Jennifer Smith, CDE 21:28
I wouldn't doubt I mean, the body, the body adapts, you know, I mean, that's why we have so many different animals that have like, you know, developed in the sea, and then they crawled out and they grew legs. And I mean, same thing in the human body. I mean, the real reason that we have some of the teeth that we have in our mouth, is because of where we started out. And now we may not really use those teeth the same way. And you know, it's,

Scott Benner 21:55
I just think it's, it's, it's important to remember when you're thinking about your diabetes, that there are there, we talked about the variables, but there are variables that you're never, you're never going to know. And so that's why I like boiling them down into simple ideas, like be bold, stop the arrows, use more, more insulin, because you if you, you see people sometimes online get frozen, trying to figure out what's happening. And when you get frozen like that you're the person in the horror movie that stops running. And oh, yeah, yeah, you don't want to stop and start screaming, he's got an axe, just right. Just remember, you just run Yes, you don't have to outrun the bear, just your friend. Okay, so

Jennifer Smith, CDE 22:37
don't go into the dark room where the funky noises are coming from escape away from the funny noises, you don't

Scott Benner 22:43
have to figure out all the diabetes variabilities just enough of them to get to the next moment. So like, just try to keep in mind you're not, you know, you're not gonna be able to figure out everything that's going on, but you can figure out enough to live well. And that's sort of my goal for everybody. I am going to stop this and say thank you. Okay. Okay, just a couple things here at the end. First of all, of course, thank you so much to companion medical makers of the in pen for sponsoring this episode. You can go to companion medical comm to find out how your insulin pen could talk to an app on your phone, and then talk to your dexcom CGM help you make decisions about things like dosing insulin on board. A lot of stuff actually, you got to go check it out. It does more than I can just say right here companion medical comm check out the impact. Thanks also to Jenny Smith, for coming on the show. And for sharing her knowledge with all of us. I don't think I've ever made this completely clear. I hope I have. But this isn't an ad like Jenny's not a product placement. Jenny's just the person I love having on the podcast. Integrated diabetes doesn't pay for anything. I just share that with you. Because if you think she can be helpful, I want you to find so integrated diabetes.com to find Johnny. And then I have one last thing. The show is so close to another milestone. I would love it if you guys could share the podcast with just one person who you think really might need it. Love it, enjoy it. You know, anybody? Well, not anybody. Like don't go picking up people's phones and bars and just subscribe. You know what, I'm not gonna dissuade you from doing that. Let me let me restate. I would prefer if you found someone who you thought would really like the show or could use it and got them to listen to it. But if you want to pick up people's phones and bars and subscribe them, I'm not going to dissuade you. I'm going to say I don't think it's right. But I don't feel strongly enough about it to stop you.

About Jenny Smith

Jennifer holds a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin. She is a Registered (and Licensed) Dietitian, Certified Diabetes Educator, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. You can reach Jenny at jennifer@integrateddiabetes.com

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Scott Benner 12/2/19 Scott Benner 12/2/19

#285 She Is Having a Baby! Second Trimester

Part Two 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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Scott Benner 0:00
Hello, and welcome to Episode 285 of the Juicebox Podcast. Today is part two of my conversation with Samantha Do you remember her? She's pregnant has type one diabetes, first on the show back in Episode 259, where we learned all about Samantha's first pregnancy that did not end with the baby and her diabetes diagnosis. And her new pregnancy, which is what we're talking about now in this four part series. So if you have not heard Episode 259, pauses, head back, listen to that one, and then come back. But if you have heard that, welcome back, this is my update with Samantha update. Number two, there'll be two more, we're gonna get one more right as she's about to pop, and another one, about three months postpartum. So this is going to be a nice conversation that goes right through Samantha's pregnancy, to give you the full picture of what's going on. Today, we're gonna find out about the baby's gender name, food cravings, things that are going on around the house, how Samantha's blood sugar has been behaving and what position she can no longer have sex. And that's right. past all the important questions. This episode of The Juicebox Podcast is sponsored by Dexcom on the pod and dancing for diabetes, you can go to dexcom.com Ford slash juice box to find out about the G six continuous glucose monitor, or my Omni pod.com Ford slash juice box to find out about the tubeless insulin pump that Arden has been wearing for over a decade. And don't forget to check out dancing for diabetes.com to see everything that that beautiful organization is doing dancing the number four diabetes.com. Before Samantha and I get started, please let me remind you that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise. And always consult a physician before making any changes to your health care plan. or becoming bold with insulin.

Unknown Speaker 2:16
Samantha?

Unknown Speaker 2:17
Hi, good morning. Feel. I'm sorry.

Samantha 2:22
I said Good morning. How are you? Can you hear me? Okay. I can Yes.

Unknown Speaker 2:28
So

Scott Benner 2:30
I want you to know, this is nerve racking for me now.

Samantha 2:36
See, I'm I'm feeling better about this one.

Unknown Speaker 2:39
No data. Last one.

Scott Benner 2:42
So my assumption is and we're recording. So you know, and I think I might leave this little bit in

my assumption was because of your first experience, your recording that last one probably felt nerve wracking, right? Like, a little like, I'm gonna put this out in the world. And what if it doesn't go the right way? Is that how you were feeling a little?

Samantha 3:23
Oh, I didn't really worry about how it was gonna go. Like, I think just recording it because like, but I get it. And then after that, I was like, I don't really care what people think.

Scott Benner 3:34
Nice. So I now realize and this is a please. I hope this doesn't sound morbid. But now I realized like, were you really mean like you're Yeah, like the expectation of course. And I'm assuming everything is just gonna be delightful. You know, babies are born constantly, and they're all 10 fingers and 10 toes, etc. But like, there's part of me that feels like we're recording a cross country. roadtrip, except what we don't know is that, you know, when we get to California, there just be zombies there. And like, and I and I feel like, I don't really worry about it. But it sticks in the back of my head a little bit.

Unknown Speaker 4:09
Like every time we get real time. Yeah. Now

Samantha 4:12
I'd give you a heads up though. Who wouldn't?

Scott Benner 4:15
Go Can you imagine that? We're 45 minutes into the third one. And you're like, Oh, my house caught fire. My husband left me and you know, like, I'm just Oh, anyway, I now I'm like festively interested in your happiness. Well, hopefully I can live up to the expectations. I'm 100% certain you're going to I just I don't really find myself worrying about things very often and that one thing. Like it's been sticking in my head a

Unknown Speaker 4:45
little bit. Okay, I hope she's okay.

Scott Benner 4:48
Just I want this girl to have a perfectly happy life. I do not want to get to Episode Four. And you know, like the sad music comes on and it says, Oh man, Sam never answered the fourth. I never heard from perfect I don't know where she's at. Yeah, so anyway, that's all like, I'm not even saying about your pregnancy or your man. I'm just like anything like if you get abducted at the mall now I feel like it's my fault.

Unknown Speaker 5:11
But that would make it more interesting. Certainly what I could probably get on NPR with that.

Unknown Speaker 5:18
Okay.

Scott Benner 5:20
All right, let's recap. You are preggers, right? Yeah. How far along are we now?

Samantha 5:26
I will be 24 weeks tomorrow. Tomorrow being

Scott Benner 5:31
Thanksgiving. Yeah. Congratulations. Do you feel like you've hit any kind of a milestone yet? Or is it just the slog at the beginning? Like what's going on with? Like, how do you feel in the mornings and throughout the day?

Samantha 5:44
Um, I'm definitely getting progressively more uncomfortable. This like been? Because I'm getting like, it's there's no question that I'm not if I'm pregnant or not anymore. I, I got to the point a couple weeks ago, where people started asking me when I was due. And I was like, well, you don't even know if I'm pregnant.

Scott Benner 6:07
Or used that. See I already I'm fascinated by this. You so even though you feel like they've obviously are sniffing you out is pregnant. Right? And you're still thinking I don't look pregnant. You're out of your mind. Yeah, yesterday,

Samantha 6:19
I asked way. And I said, so like, Did you like look at me? and think, oh, maybe she's not pregnant? And he just told me? No. He's like, you're definitely pregnant. And I was like, Okay, here we are. I bought my first pair of maternity pants this weekend. Elastic all

Scott Benner 6:38
the way around them?

Samantha 6:39
Yeah, it's in full swing now.

Unknown Speaker 6:42
Good for you. I mean, listen, I think acceptance in many forms of life is the first and best step. Yeah, what was your hope that you would just be like model fin throughout the nine months, and the baby would pop out your ear when it was over? What were you really hoping for? No, I knew I was gonna get like, big. I mean, I'm not huge, huge, but I'm bigger. Because I was getting bigger than I was. With my last pregnancy, before I even got to the point of where my last pregnancy was. So I was like, this is gonna, it's just gonna keep going.

Scott Benner 7:16
My expectation and my understanding from talking to the ladies. And let's keep in mind that I have been a stay at home dad for over 20 years that most of what I do during the day is just me in a cluster of women. So is that after you have one or two, like, by the time the third? stretchy, your body just goes, Oh, I'm pregnant now. And it just goes to the size it's supposed to be? And it's just like, everything's cool. Any weird stuff happening yet? Have your feet grown?

Samantha 7:44
I don't think so. I haven't, I haven't noticed that. I'm just getting it. I can't lay on my back for a long time anymore. So that's a difficult sleeping has become more difficult back pain or

Scott Benner 8:02
acid reflux, which is,

Samantha 8:04
um, like, why I can't lay on my back? Yeah. Oh, just because the baby is squishing all my organs. Gotcha. See? So I'm laying on my back. And I'm like, Oh, this is very uncomfortable.

Unknown Speaker 8:15
Are you? Have you been thinking about? like big ideas yet? Have you hit that part? Where your brain starts exploding? And you're like, what about college? And like, have you have you skipped way ahead in your brain yet? No, my, my ob keeps saying that we need to have a pediatrician. I'm like, I don't even know where to start for their.

Unknown Speaker 8:38
Well, you finding one. If

Scott Benner 8:40
you go on Facebook, and you watch everybody complained about their pediatricians and whoever seems to complain the least that's your pediatrician.

Samantha 8:48
So I have to join some mom group.

Scott Benner 8:51
Can I be honest with you? Yeah, close to your house.

Samantha 8:54
Oh, yeah. Every I I drove like five minutes to work. I can't. I don't like driving. I'm not gonna pick someone far away.

Scott Benner 9:02
Everything about life is close to your house. When when, when Cole used to play like travel baseball. People be like, Oh, he's with a good team. How do you do that? You know, how did you forget what that team of like, I don't know if this is a good team or not. I don't care. It needs to hit three criteria he has to play. It needs to be close to my house. And inexpensive. That's it for the rest of its BS. Like, I don't care. I don't care like about the rest of it. You know? I think that too. I mean, listen, don't go to a doctor who, you know, seems scary or has like a hook or arm or something like that, like, you know, but I mean, any of them reasonably close to your house that takes your insurance. I think you're good.

Samantha 9:44
Yeah. I'm sure I mean, and then after the first appointment, if I don't like him, we can always switch totally

Scott Benner 9:49
bail on him. Look him right in the eye and be like, You're freaking me out. I gotta go somewhere else. Sorry.

Unknown Speaker 9:54
You won't be saying my child again. I will

Scott Benner 9:55
tell you right after you. You lose a little bit of that. That night. A skier once the kids there, you know, yeah, like, you know, right now if you were at a playground and just saw somebody doing something rude to another kid that looked like that kid was gonna get knocked off, you sit back and go, Oh my god, I hope that kid doesn't fall off the sliding board. You know, but when it's your kid at the top of the sliding board, you're gonna fly across the space cursing and throwing hands at people.

Unknown Speaker 10:21
Like Yo,

Scott Benner 10:22
knock my kid you'll just you'll be fine. That's a it's interesting that there is going to be a moment when in the like, in the just a flood of hormones, you're going to worry about like world peace. And you know, you're gonna start saying like, I heard droughts gonna be a problem in 50 years. You like stuff like that? Start getting consumed by it. How is has your interactions with your husband? Have you guys stayed the same like or is there any weird like parenting transformations coming over yet guys sometimes get weird when the the responsibility gets real like you like switch over from like, Oh, that's the guy I used to hang out with and do fun stuff with and now he makes wants to make sure we're warm and safe and can pay for food. Like it's a it's a strange switch that gets thrown. Have you noticed?

Samantha 11:18
I haven't noticed that he's pretty responsible already. So

Unknown Speaker 11:23
it's another line?

Samantha 11:24
Yeah, I haven't I guess it hasn't happened yet. Or at least it hasn't happened outwardly yet.

Scott Benner 11:31
I didn't mean like that. He's right now like, you know, doing bong hits in your kitchen. And like, and you're expecting him to stop doing that when the baby comes? I meant like, there's this. Like, I don't know how to characterize it. Exactly. But I imagine people listening who have had it happen to them can like know the feeling. It's a horror, like a horror falls over you that like it's your you feel so responsible. Yeah, at least it happened to me.

Samantha 11:56
I do. I do tend to say things like, you can't do that when the baby's here. I need to stop now.

Scott Benner 12:03
That's interesting. Do you have an example?

Samantha 12:06
I'm just like driving, is he? When I'm in the car with him? He kind of sometimes has road rage. I'm like, you can't do that. When your child is in the back of the car.

Scott Benner 12:19
I would say then how's the kid going to learn how to drive if you're not willing to?

Samantha 12:25
Cuz I don't do it. You don't do it. I don't have road rage. I mean, maybe I just don't drive enough.

Scott Benner 12:30
I have to say I'm now interested in what what qualifies as road rage?

Unknown Speaker 12:35
Like name calling? Oh,

Scott Benner 12:37
that's just a way to pass the time. I don't find that rageful at all. Does he critique everyone's driving?

Samantha 12:44
No, it's just, it's just when it affects him?

Scott Benner 12:47
Oh, oh, no. I'll look seven cars ahead and think to myself, why is that person making that left turn that show? like, Whoa, who taught them how to drive, you know, as if I'm any better of a driver? But no, I'm happy to critique anything within my visual stimulus. You know, like, Can I tell you something? This is a little off of your pregnancy for a second. But I take Arden into school every morning. And we're going into this entrance. And I'm watching people make this kind of like there's people leaving the school trying to make a left or right. And people going into the school in that same, you know, thoroughfare, both making a left and a right in. I'm in the line trying to go in to make a left. And I'm watching people come out and they're trying to sneak through traffic to make a left. And I said to Arden on a Tuesday. These people are getting more brazen as the school year goes on. They're not looking anymore. They're just going on hope someone's getting hit here. And she's like, What are you talking about? Like a car coming from the opposite of us is going to hit a car making a left coming out of the school. It's going to be the car coming out of the school left fall? And Arden's like you're out of your mind. A couple days later, I see it almost happened. I lay on the horn and save a life. Maybe not a life. They're going 30 miles an hour, but I'm still telling you I saved some damage. Arden's immediate response when she hears the horn. The second the horn starts, oh, Dad, stop, stop. I'm like, first of all, you don't know what you're talking about. You're over there trying to jam your contact lenses in your eyes. You have to jump out of this car. And so I'm like, I'm gonna calm down. I'm like, I just stopped those people from hitting each other. And she looks at me. Like she doesn't believe me at all. And I turned to her and I smiled very Riley and I was like, I'm a hero. Say something about that.

Unknown Speaker 14:37
She told me you are they owe you? Uh huh.

Scott Benner 14:40
She refused to anoint me a hero. But you know, when she started seeing the, the, the, the genuine genius and my ways it was two days later when people crashed right into each other. And Yep, right in front of us, because they don't know how to drive and I think your husband is just trying to point that out to them. And if he could get to them in their ear. He could probably help them, don't you think? I mean, I wouldn't doubt it. But you call that road rage?

Samantha 15:08
Yeah, I'm just a very I don't know, calm person when I drive. When I drive. I don't know. I mean, sometimes if somebody, if somebody, like cuts me off and I'm about to hit them, I get mad at them. But I got like a very momentary thing.

Scott Benner 15:24
Yeah, no, no, I am. Has your husband ever gotten out of the car and physically threatened somebody? Yeah. Has he ever began driving 15 to 20 miles an hour faster than he was driving to get back in front of somebody?

Unknown Speaker 15:36
Probably.

Scott Benner 15:37
Okay. He's got like half road rage. He's fine. He's 100% fine. Don't worry about him. Absolutely fine. I one more right, and then we'll move on to your pregnancy. I'm a small kid. I don't know how old eight, nine years old sitting on the Senate. Like, you're not old. So you don't know this. But cars used to have bench seats across the front. And in the newer fancier versions that there was a middle section that would fold down so the driver could put their arm on it. I would sometimes sit on that thing in the middle while my dad drove. Because it was like, you know, it was like 1979 and nobody cared about my life. You know me like my seatbelt literally was my dad reaching out and grabbing me? You think that's a joke? I'm 100% being drunk. I've had my face pulled right back from the dashboard of the windshield by my father who was just like, gotcha, bring you mad, you know, like that. So a guy cuts my dad off. And it's really egregious. I still remember to this day, it wasn't like we were on back streets. And like these sprawling back streets that went kind of on forever, you know, where there's homes, and this guy comes flying up on us we're going you know, 2530 miles and he comes flying up on us and whips around us and cuts us off and keeps goes really crazy. My father, chase that person down, cut them off, stop their car.

Unknown Speaker 17:01
Oh, man

Scott Benner 17:01
looks at me, puts the car in park takes a drag off his cigarette and says to me, Scott, one day far into the future, you will have a child with type one diabetes, and they should use an insulin pump called the Omni pod. Isn't that crazy? My dad was a time traveling soothsayer. He wasn't actually but I guarantee you if he was, he would tell me to use the AMI pod. And I know that because I've watched my daughter live with and without on the pod. And I know that life is better with it being untethered, right being able to pump insulin, make decisions about extended boluses and Temp Basal increases and decreases stuff that if you're on MDI right now you might not even know about. But when you get to the on the pod, the whole world is going to open up to you. Like Try to imagine a meal right where you really feel like you need six units, but you need four of the units sort of now sooner, but two of them you really need later. You know, like in a scenario where food might have more fat or protein and the rise that your blood sugar has, it doesn't happen for hours sometimes after the meal, you could do an extended bolus that would break up your your meal and so on and toast some now some out over time to huge impacting tool. I also love being able to do temporary bazel increases and decreases for those moments in the day that don't need quite as much bazel insulin or more basal insulin than they normally does at that time period. This is the flexibility you get with Omni pod. And not only that tubeless so you can wear it while you're exercising bathing swimming, you never lose that connection to your insulin. so important. And you can try the Omni pod today absolutely for free and with no obligation by going to my on the pod.com forward slash juice box and getting the pod experience kit tried today with no obligation my Omni pod.com forward slash juice box with links in your show notes with Juicebox podcast.com takes a drag off his cigarette and says to me hold this hands me his cigarette. I am now about nine years old holding a cigarette by the tip out in front of me hoping the ash doesn't fall on my hand. That's the extent of my knowledge of how to manipulate a cigarette at nine. Luckily, yeah. And my dad gets out very calmly walks up to the car. And I see him go taps on the on the guy's window. And so now I'm like, huh? So I start leaning out the window so I can hear and I hear my dad go roll down the window. Oh man, and I thought he's gonna kill this guy. And I've never really seen my dad do anything similar to this before. And after a couple of child things the guy for reasons I still can't understand as an adult and definitely didn't understand that a nine year old rolled the window down. My dad. My dad leaned into the car. His top half was gone for 20 seconds. He came back got in the car took this cigarette back and said to me, Well, he'll never do that again. And I was like, yeah, right on, and I never will either. You know, like, I'm never going to disrespect you again, just in case you were wondering, you know, like, I'm not 100%. Sure. But I would I realized later, is that my dad saw, like the policing of our neighborhood as partly his job. And I think you would call that road rage.

Unknown Speaker 20:28
I don't know what you turned out. Fine.

Scott Benner 20:30
Did I? I don't know about that. So have you been thinking about parenting ideas? Like the things you want to do you got to that point yet? Or is it more about like, I just need to get through this? And is it more about your diet and your blood sugar and stuff like that right now?

Samantha 20:47
Well, no, we talk about parenting stuff. Like, I don't know, I, we kind of talk about stuff like that, like throughout our relationship. Because when we met the, like, the thing that we like both connected on is the fact that we wanted a family. And that was really important to us. And so I kind of like think that the parenting talk was just like, woven into our relationship. From early on.

Scott Benner 21:11
I completely identified with that. there's part of me seeing Kelly was I used to think she's gonna be a good mom. But that felt really important to me, even when I was like, younger, like 2021 years old, I thought, like, I don't want to, I don't want to like hook up with a girl who like one day is, you know, doing questionable stuff with my children, and I'm trapped, and I can't get away. Yeah, you know, I never want to have to pull a kid aside and be like, yo, so I obviously chose really poorly. We're gonna, we're gonna pack a bag and get out of here after she falls asleep, right? Like I didn't want I didn't want that situation. Yeah, but so you guys just sort of like something happens. And you you'll comment on it like, hey, wouldn't the kid if we ever have a kid and it gets older? That's something I'd like to do or something I'd like to not do. Yeah,

Unknown Speaker 21:55
yeah, we talked about that. That's nice. Good for you.

Scott Benner 21:59
I think that's really wonderful. Actually. I like the pre planning aspect of it.

Samantha 22:04
Hey, I mean, we wanted to make sure that we're on the same page before we throw a kid in the mix.

Scott Benner 22:10
Well, look at you being responsible. Not everyone is you know, sometimes Yeah. Not everyone. Sometimes. You're like, I'm way not responsible, but others. So how have you been making out with your blood? sugar's Is it is it? I mean, tell me about a little.

Samantha 22:27
It's been constantly changing. And it's pretty. I mean, there's, there's like, a week span where like, things are good. And I'm not trying to chase, figuring out what my bazel should be. I've noticed it's my bazel that always needs. And it's a little bit frustrating, because sometimes it changes every day. So then I spend part of the day trying to figure out what my bazel is supposed to be. But I can get that steadiness and not go high or go low from eating. And like this last week has been really rough yesterday was terrible. I couldn't I don't even think I figured out what my bazel was supposed to be before I went to bed. That was high all night. And well, I for me, and so it's just been changing a lot. I haven't hit the insulin resistance that is supposed to be coming soon. I like as an overall generalization. I've been eating less insulin than like pre pregnancy. So I'm still a little bit insulin sensitive for the most part. But sometimes it changes where I do need more. And I think it has to probably do with where my pot is played also,

Scott Benner 23:46
absorption inside. Yeah, yeah, I just spent two days with Arden with her pot on her leg. And it was just, it just didn't go well. And the entire time. I'm trying to make adjustments though. I'm really thinking. I think it's the site.

Unknown Speaker 24:03
Yeah, you

Scott Benner 24:04
know, like, I just don't think we're getting absorption where we chose this time as well as we could be. And it's it's incredibly frustrating because I take your point, like it's a feels like you're spend the entire day trying to figure out your blood sugar.

Samantha 24:20
And it's hard because I like need to eat because I'm hungry. Yeah. And like if I just didn't eat, I could probably figure it out really quickly. But like, I can't not eat. So I'm like eating but then trying to figure out what my bazel is supposed to be but then chasing the blood sugars from my bazel being off and

Scott Benner 24:38
is that um you're like it's exhausting. I was wondering is it I'm searching for a word but is it nerve wracking like because you're in that space where you're thinking I'm supposed to keep my blood sugar really stable and you know, on the the more normal side for the baby, but the baby also needs the Food which today is making my blood Do you get caught in that loop? Is it scary?

Unknown Speaker 25:04
I, I think

Samantha 25:08
when I think I get most worried when I'm having, like, because a low I can always fix pretty simply just by eating. And then the highs are what really bugged me because I feel like that I'm hurting him. And I'm worried about that, even though like a high for me is probably a bit lower than the highest a non diabetics blood sugar gets. It's still like in my mind, like, I shouldn't be that high, right? Even though for that moment, it's probably okay, so it just gets a little bit. It's just a little bit anxiety. I put a lot of pressure on myself. So that doesn't help.

Scott Benner 25:47
Yeah, I can't feel I can see that as being a situation where you get into your own head and you're just you have these two, like fighting ideas, and they're both making you anxious in a different, like, similar but different way. Yeah. And then you're worried about little Scott the whole time. Yeah. Not gonna be the name. I know. But it doesn't matter. Have you thought about some names yet? Yeah, we have a name. Dude. That's gonna definitely stick them we're good.

Samantha 26:12
Yeah, cuz we picked out last time we picked out a boy and a girl name. And we obviously use the girl names. So we still had the boy name leftover. And we still like it a year later. So I'm just realizing

Scott Benner 26:23
did we not know it was a boy in the last time? No. Oh, hey, everyone. big announcement. Samantha's having a boy? Yeah. Yeah. Yeah, you could tell I don't plan this podcast, or I wouldn't definitely set that up better. But that's so cool. When did you find out you found out like, right.

Samantha 26:41
Yeah, we Yeah, probably like the week after we did the first podcast.

Scott Benner 26:46
Okay. Wow, was it? Were you Everybody good? I mean, obviously, you're getting one or the other. It's not a huge thing.

Samantha 26:56
But were you like, okay, you happy? Wayne was super excited. You wanted a boy. And I was, I was. I don't know, it was a weird feeling. I just recently, maybe in the last month, have gotten really excited about like the baby in general. And I think I'm finally like, I was finally let myself like, get excited. If that makes sense.

Scott Benner 27:24
No, of course it does. Do you feel like you've passed some sort of a threshold?

Samantha 27:29
I did. I realized last podcast I misspoke. And with how far along I was with the last pregnancy. And I was actually I think I said like 25 weeks, and I was actually 21 weeks. And I feel really bad about saying the wrong number. Because like, after I had listened to the podcast, I like did the actual math. And I was like, Oh man, I was wrong on that. But

Unknown Speaker 27:52
no one knew but oh, that's okay.

Samantha 27:55
Now everybody knows no, yeah. But so once I got to like 22 weeks, it was just like this. Wait, I think that lifted off of me because it was like, I'm gonna have starting like new experiences now. It's gonna be a kind of separated itself.

Scott Benner 28:13
I mean, it's like, probably not to trivialize it, but you never get stuck on a video game. You couldn't get past a certain spot and you keep playing and playing and playing. And then one day you move past the board, you're like, Oh, I'm doing it. It just feels like probably before then you thought maybe this is as far as this goes, you know? And, and now you're like, oh, maybe that was more of a fluke. And this is just what's going to happen, which I'm assuming is, is your situation, you know? Yeah, that's just, uh, it's really interesting. So it's very kind of you to talk about it. I

Unknown Speaker 28:47
never mind if it if it

Samantha 28:49
helps one person then that's enough for me. That's very cool.

Scott Benner 28:53
So okay, so your insulin needs haven't really gone up yet. You're not worried about lows because you could be your Are you always hungry?

Samantha 29:00
Most and most the time? Yeah, yeah. My the my hunger has increased a lot in the last couple weeks

Scott Benner 29:07
as your palate changed or use using similar foods that you enjoyed before pregnancy.

Samantha 29:13
I'm eating similar foods that I enjoyed before pregnancy. I haven't had any, like cravings. I don't think yet. I mean, there's some things I don't know I always thought cravings were like this intense need for something and I haven't had that yet. So

Scott Benner 29:30
I don't know like I mean, I only have my wife as an example. You know, I don't have like 20 Kids spread out around the country with 16 different women or something like that. So I only have my wife as an example. But she just was more as she got more and more pregnant with my son she was like junk food oriented. We should we did lot of takeout like like drive thru stuff. But with Arden It was like all like vegetables and like, she felt that way about it. And she all she had to say was that she just felt like that's What you wanted to eat?

Samantha 30:01
Yeah, I feel sometimes. I mean, when we're deciding what to eat, some things don't sound good, and I won't be able to eat it. But for the most part, I'm eating normally, as I did before, just more

Scott Benner 30:14
excellent. We I'm just gonna glance over this. Not too not too deeply, but everything like you guys still rolling along in the bedroom the same as that hasn't started to feel weird yet.

Samantha 30:27
Um, we I mean, the positions have changed. Oh, because I'm, I can't lay on my back and I can't lay in a third like positions for longer than I just, I'm just very uncomfortable laying down in general.

Scott Benner 30:44
Yeah, doesn't matter how good anything else is that's happening. We're not good. I don't know. Maybe it's, maybe it's maybe you're just using the baby as an excuse like, Oh, this again?

Unknown Speaker 30:53
Yeah.

Samantha 30:54
I mean, I will say that there's times where I'm more like into like, wanting to like, like I'm initiating things more often.

Scott Benner 31:06
The dexcom g six continuous glucose monitor is a small wearable sensor and transmitter that sends your glucose numbers to a smart device or receiver every five minutes. And it's easy to wear and easy to use. Try to imagine seeing your blood sugar, the speed and direction of it in real time without having to prick your finger. That's right, you do not have to do finger sticks with the Dexcom g six. So get started with the Dexcom g six today and let Dexcom help to make knowledge your superpower using the Dexcom g six continuous glucose monitoring system. My daughter Arden has been using the Dexcom for it feels like forever at this point. To be perfectly honest with you it is hard to know how we would do what we do without the dexcom. And what is it that we do? Well Arden's agency has been between 5.2 and 6.2. for over five years with zero diet restrictions. We make decisions about her insulin, using the information that comes from the dexcom g six continuous glucose monitor. It's amazing, right? Like Think about that. waffles, potatoes, rice, bread, Chinese food, pizza, all the stuff that seems like Oh, I can't eat that makes my blood sugar go way too high. Well, when you have the dexcom you can use the insulin more artfully and keep things like that from happening. Now. These are our results, of course, and yours may vary. But I feel incredibly confident telling you that you should go to dexcom.com forward slash juice box and find out more right now about the dexcom g six continuous glucose monitor. There are also links in your show notes at Juicebox podcast.com. After you get your dex calm head over to dancing for diabetes that's dancing the number four diabetes.com you're going to find a small organization that's getting bigger every day. And that organization is helping children to live well with Type One Diabetes, they are raising funds for a cure all through the art of dance, dancing the number four diabetes.com Okay, I love the sponsors, but the ads are out of the way now. We're gonna get going again with Samantha. All right, I love the sponsors on the pod Dexcom dancing for diabetes, but that's enough of that. We got to get back to Samantha. We still have to find out the baby's name a little more about how she's handling her blood sugar's bunch of other stuff. Plus, you know, we're right in the middle of this conversation about sexy pregnant time. We don't want to miss that. You guys ready? homestretch? Oh, how does he seem about that? Is he like excited? Like a little boy Christmas?

Unknown Speaker 33:46
Huh? Thanks. So yeah,

Scott Benner 33:49
he doesn't say See, maybe that's where I go wrong. He doesn't actually say out loud. Oh my god, getting this girl pregnant was a stroke of genius. Does it mention that as you're walking into the bedroom that like no, like, I might make an announcement like Wow, thank God I knocked you up. Well, good for him. He sounds like an adult. So positions have had to change but for similar reasons. You can't lay or you can't you can't just be on your back at all.

Samantha 34:16
Yeah, yeah. And obviously, obviously we have the problem with like, I don't want like laying on my decks calm. So depending on where my decks calm is, if my pod is in a spot where it's sensitive, then I don't want to be touching that and

Scott Benner 34:30
there's a lot going on. So you're basically standing on one leg and bouncing about a dresser. Well, that's nice. I think it's I think it's a you know, it's it's a lot to get around, obviously. But, you know, sounds worth it to me. And plus, how great is it you can't get pregnant? Yeah. Don't you have that thought? Which by the way is completely ridiculous because you are pregnant and you wanting to be pregnant. But you're just like, ah, I can have sex as much as I want. I'm not gonna get pregnant.

Samantha 35:05
Yeah, I like saying I hope I don't get pregnant.

Unknown Speaker 35:09
Do you have a good job? Because I don't

Scott Benner 35:16
like it. I lost my train of thought. I'm not looking at I hope everyone listening realizes you're probably like, yeah, we completely realize, Scott cuz you're rambling. But I'm not looking at any notes. So it's not like I have a thought coming up. So if I lose the train of the conversation, I have to start over again. And I just made myself laugh. The thing I thought to say, I can't say so I have to stop and start over again. Okay, so we know about the kid, the baby, the baby. I'm going over my notes. I

Samantha 35:47
want to know his name.

Scott Benner 35:49
I don't know. Should we tell people?

Unknown Speaker 35:51
I don't know. I don't have to. Well,

Scott Benner 35:53
I mean, I think we can. But let's, um, let's wait a little longer so that they have to listen all the way to the end. How

Unknown Speaker 35:59
about that we'll tell you

Samantha 36:00
will tell everybody the name at the end of the podcasts.

Scott Benner 36:03
That now your understanding better? Yeah, that's that's what was always my goal, really? Because I'm thinking the next time we do this in three more months when you'll be Geez, how long? How far along? Will you be the next time we record?

Samantha 36:16
I think we're doing it in February. So I'll be like 35 weeks. Okay.

Scott Benner 36:23
Hold on one second. For a 64. So you just got to be about ready to have the baby. Yeah. Okay. So my goal is to get all the info out of you this time, just in case the next time we talk you're just like, I don't know, man.

Unknown Speaker 36:43
And pregnancy brain. Yeah,

Scott Benner 36:45
I can't think and I'm standing on one leg right now up against my dresser to record this because I can't sit down. You know that that whole thing. And and and the talk of your lovemaking turns into. I'm just like, do it again. See if it comes out. I'm expecting that conversation could go much differently. But so how about the little stuff like baby room? Are you starting to buy stuff?

Samantha 37:11
We had a lot of stuff from last time. So we will not we Wayne built the crib a couple weeks ago. So that's bill, and we're trying to get things like kind of situated for the most part in there. He has the week of Christmas off. So that's his

Unknown Speaker 37:30
ask that week. Oh, you made a list for him. I just said get the baby room ready.

Scott Benner 37:36
I hate when there's a list on there. Really makes me feel like a child. Just the one thing that I know. But I'm just saying Be careful as you get older, when that starts turning to five, six things, just know that Wayne's gonna look at that and go, I don't need you to tell me to cut the lawn but thank you so much. As your as your anxiety builds that if the lawns not cut, your baby won't have a good life. My dad, you have no idea what very likely may happen to you after that kid comes out. I and you know who really doesn't know, Wayne who wished for a boy but should not have? Because Yeah, that kid

Unknown Speaker 38:10
is gonna like jump out into the world. And you're going to look at it and think that's my new boyfriend. This guy over here. old boyfriend. I've already told him that he this kid is going to get whatever he wants.

Scott Benner 38:24
What Wayne doesn't realize in the moment is the there's a finite amount of whatever. And when you're giving more whatever to the baby, there's less whatever for Wayne. He doesn't realize that at the moment. I'm just hoping he's taking copious notes about your sex right now so that he can recall it later in his life.

I'm sure that won't happen. So when you said he built the crib, you just meant he took it out of the box and put it together? Right? Like Wayne didn't like take a tree and fashion it into it. Oh, no, no, no, he just put it together. Because I just like wow, what a handy guy though it was when you use the word build. I was like, he must be out there with like a plane and uh, you know, like, some stain and stuff and just making a whole thing but I found putting the crib together to be terrible. I was back home. Oh,

Samantha 39:15
it was done when I got home. Do

Scott Benner 39:17
you know what else thinks? And may I say practice frequently prior is getting that car seat into your car? Oh, yeah, it's not easy.

Samantha 39:27
Oh, we have I don't know how different car seats like baby car seats are from normal car seats, like for older kids. But I got my nephew's car seat down. So

Scott Benner 39:36
you figure it out. Are you talking about like the booster seat thing?

Samantha 39:40
No, I don't think it's a booster seat. I don't know. I don't know. Man and stuff. I don't know.

Scott Benner 39:45
Just don't whip it out of the box and try it the day you need it. Just that's all I'm saying. Because it gets frustrating. And even they have those latches now in the seats, but then it's hard to get that seat belt tight enough to hold it down. And then in your mind if it moves tiniest little bit. You're like, well, that's gonna kill the kid. So I can't do that. And you know, like, so you're out there over and over again, Drake, I just, I have a horrible recollection of putting in my car seat. Sometimes fire stations or police departments help if you're really bad at it. Or hospitals, but I hope you're not that bad. You don't feel seemed like you'll, you'll see. What are your? Um, do you have any any concerns that aren't baby related right now like things you're that you find sticking in your head?

Unknown Speaker 40:32
Um,

Samantha 40:35
I that aren't baby related?

Scott Benner 40:37
Yeah, like it has like something else become incredibly important. Are you all the sudden worried about your 401 K, or like a leak in the roof that you've been ignoring for three years or something like that? You find yourself thinking like that? Are you? Is it just pretty focused on the baby?

Samantha 40:53
I mean, I get full. I think that all my thoughts are like, in connection with the baby at at in some way, like we are air conditioning and our heater were broken when we first moved into this house. And we just got it fixed a week ago, because we thought that the baby needed to have temperature regulation available to them. If

Unknown Speaker 41:20
you didn't interpret the baby does.

Samantha 41:22
Yeah, like if we weren't having a baby, we probably wouldn't have fixed it because it was just so dang expensive. But because the baby was going to be here, we wanted to fix it before. So that if it was too hot or too cold in the house, or I mean California weather is pretty moderate, but just in case we needed it for him.

Unknown Speaker 41:41
Gotcha. Home protection. Yeah, you want a gun? No, do you think about it? I have a BB gun. And we have two dogs.

Scott Benner 41:49
Okay, I don't own a gun. I just by the way, if any of you can figure out where I live, I do own a gun. So don't come here. But But I don't own a gun. And and so I just don't know, like I that's something I never considered in my life. Right? I'd never once in my life stood in my, you know, stood my foyer, my living room as I was getting ready to go to bed and thought, what happens if someone breaks in tonight? How exactly will I handle it? I've just always assumed like that happen. And then you have a kid you're like, Okay, now I have like an escape plan. If someone comes into the house, I know what window I can throw a kid out of the fall won't kill them. If the place catches on fire. You can like there's literally like, like all these bizarre things. Now, I don't know if that's just me or not. But I find myself taking the big things that could go wrong and walking them through in my head as practice that mental illness. I'm not sure. I know. But I now have like contingency plans for many, many things. Like I've literally sat my children down and said, Okay, listen. If you ever hear there's a shooter in your school, I don't care what they've taught you. If you're on the first floor, jump out the window and run to the woods. Okay, and, and my kids are like, what I'm like, I don't care what happens. I want your ass up out the window and sprinting in a zigzag fashion to the tree line. Okay. And they're like, Yeah, but then they never do anything when it like come. So I don't think they're, they listen to me. Do you know what I mean? But I've found myself thinking about weird stuff like that, ever since I've had kids.

Samantha 43:26
I haven't got there yet. I think the extent of getting there is that we sleep with our bedroom door closed right now. And I told Wayne that we're going to have to start sleeping with it open when the baby is in his room, because I have to be able to hear everything that's going on in the house.

Scott Benner 43:43
And you likely will. My wife could have three versions of the flu and have been on for 48 hours and finally falling asleep and noises in the house. And she's just like, Did you hear that? And I'm like, wait, why? Like who were you? Like, you know, like, I have to wake up and I'm like, She's like, there's a noise downstairs. Like we have dogs. They're not barking. And then the She goes, What if they're dead? Cuz he killed her? And I'm like, well, then I mean, he's gonna kill the dogs. He's gonna kill us to like, I don't think there's anything we can do about it. We don't have a gun. And like, but even like the kids like, did you hear Arden just like snore or rollover? Did you hear cold walking asleep? She hears everything when she's in it. I'm fascinated by it.

Unknown Speaker 44:27
I hope so that's how that's just a mom thing, then I believe it is I think you're gonna just get that like, like on day one. Like you just download it all it's a you'll get a code when it pops out and you just

Scott Benner 44:39
you type a code into your phone and then you'll hear things while you're sleeping. Exactly. That's exactly how that works. I actually think that might be similarly to how it actually works because it was I always felt like visually, you know, like at the beginning of a movie where a guy has to fly a plane but he doesn't really know how to fly it. You see him like throwing all these switches around looking at a Like, I feel like someone just crawled into a hatch in my wife's back and threw on 25 switches that weren't on previously. And now she just knows how to do things that she didn't know how to do before. It's very strange.

Samantha 45:14
That's what having a baby does to you.

Scott Benner 45:17
It also made her feet bigger. But maybe that won't happen. Yes, ma'am. It's a very possible,

Samantha 45:21
hopefully not because my feet are already pretty big.

Scott Benner 45:26
That's an admission to make in front of thousands and thousands and thousands and 10s of thousands of people.

Unknown Speaker 45:32
Well, I'm tall. So how tall? Are you? five, nine?

Scott Benner 45:36
As is my wife. Are you hoping for tall children?

Samantha 45:40
Well, he is already he's in the 79th percentile,

Unknown Speaker 45:44
even when

Unknown Speaker 45:45
you can tell that. Yeah,

Samantha 45:48
they measure him and everything. So I didn't know before they told me this. But 50% 50% percentile is normal. So he's at 79 already. And I'm like, Oh my gosh, please slow down. Yeah. How's he

Scott Benner 46:03
getting out?

Unknown Speaker 46:04
Have you thought about that yet? every moment of every day.

Scott Benner 46:09
You would enjoy talking to Arden who will say she's the man of a boyfriend or a boat. Like there's boys that like I think want to ask her out at school, but she's scary. So they leave her alone. But even around the house, like I'm gonna tell you once at least every two months, Arden will randos say I am not having a baby because I don't want something like that coming out of my vagina. She just she really steadfastly is not up for that idea at the moment in her life. If she was actually pregnant, I think she would probably think about it 24 hours a day.

Samantha 46:42
Yeah, I do. And then especially when people say, Oh, you're getting big.

Scott Benner 46:47
I know. I'm not like no, he's normal. Okay. He's at least he's 50% which is a coin flip. But 79 so is Wayne tall.

Samantha 46:57
Yeah, he's six. I mean, yeah, it's one.

Unknown Speaker 47:02
Okay, maybe 6162? You're five. I mean, he's taller. He's taller than me. So

Scott Benner 47:07
what about women in his life in your life? Do they have big babies?

Samantha 47:12
Um, you know, we've asked our parents how, like, big, and, like, weighing wise and lengthwise. We were and like, we I always forget me. Oh, no, it's not gonna make me feel better.

Scott Benner 47:27
No, it won't. You should ask them to lie to you. I have a friend. I swear to you. I'm almost 50 years old. I have a friend who had her first baby near the time I had mine. So our kids or I could have just said our kids are similar age. I don't know why I went through all that. But she had a really big baby. And she still sometimes talks about it. So I think it was like, devastating.

Unknown Speaker 47:50
Yeah, sorry.

Samantha 47:52
As soon as I go in labor, I'm gonna please give me the epidural now. And don't stop.

Scott Benner 47:58
Have you spoken with your doctor about like your CGM and your pump? And like how that how that how is that

Samantha 48:04
all that kind of get hit? I made it very cool. I, I made sure I by saying I'm going to handle my own diabetes management when I go into labor. Right is what I said to her. And she said that there shouldn't be an issue. And I was okay. Because I've heard bad stories with like, the hospital not letting people wear their pumps. And they want to stick them on IV and like, I don't want, like, I don't trust them to do it. And I'm doing fine. So if there's anything I need to sign now saying that I'm responsible for my own diabetes, and let's get that going. Because I'm not going to let somebody take over. I mean, my I think Wayne will have to do it at some point, because I don't know how coherent I'm going to be. Yeah, but I don't want the hospital doing anything. For my diabetes. Good for you.

Scott Benner 48:57
Does he know what to do? Or is this something you guys are gonna have to go over?

Samantha 49:01
Um, he, I mean, he knows the overview of how to give me insulin, and he knows what my target ranges and he knows that it will do the calculations. Like if I'm eating, but he needs like, more of a crash course. Yeah, if you actually take it over, I've been begging him to like, take over my diabetes for a day.

Unknown Speaker 49:27
That's a great idea.

Samantha 49:28
But he doesn't want to do on when I'm pregnant. So

Scott Benner 49:31
too late. Seriously, it's too late now he has to, because otherwise, you're gonna have to hire five crisis actors to come in and like, one of them's gonna have to kick you in the back. While while one of them's whispering in your ear. This giant thing is gonna come out of your vagina and then three other people are screaming, and that should pretty much approximate like the lead up to the baby coming out and end someone's gonna have to act as one of your mothers who won't leave the room has to be told to leave

Samantha 50:01
Well, I already told everybody that Wayne was the only person in the room with me,

Scott Benner 50:04
even in the lead up, like in the hours and hours before, you know, let them hang out. But when it starts happening, they're going.

Samantha 50:10
No. Because what if they don't leave when it starts happening

Scott Benner 50:13
happened to my wife, one of the major screw ups of my life. As far as my wife is concerned, I believe it is number 643 on her list of things I've done wrong. My we got in the, we were there for a long time, like, you know, 810 hours for my son. And you know, it turned into like a hang, just to repeat. Seriously, they're just people in and out and, and then all the sudden it started happening. And I felt panicky.

Unknown Speaker 50:47
Yeah,

Scott Benner 50:48
never told my mom to get out. And so, and I didn't, and I don't know why it didn't occur to her. Like maybe the same thing happened. Like, I don't think my mom was like, Hey, I'm gonna hang out and see, you know, Kelly give birth. I think it just happened really quickly. And it was startling. And, you know, yeah.

Samantha 51:06
And it's like, oh, man, it's happening, right? Yeah. Do you kind of freeze,

Scott Benner 51:11
and then I didn't like immediately get her to leave. And then it went on for a couple of minutes. And then Kelly gave me the eyes. Like, I know, in my heart, she was like, you'll get your mom out of here with her eyes. Like I know. That's what she was saying. And then I got caught in that like, I don't know, if I felt panicked or badly. Like, I can't remember how I felt. But I didn't do it. So mom was just there for the landing, you know? And it was fairly hard to find for Kelly, I think. But anyway, I can.

Samantha 51:44
I don't for me, I don't like I wouldn't mind if they were there. But I'm just going to be like so, like, stressed out about the whole situation that I don't need additional people in the room

Scott Benner 51:55
that you feel responsible for.

Samantha 51:57
Yeah. And I don't want their people being in the room. Like, if our parent like if my mom was in there, and his mom was in there, or if my sister was in there, I feel like Wayne would want to focus on them. And I need him to focus on me. Mm hmm.

Scott Benner 52:10
Yeah. Well, in that moment, like there's exactly what happened. Like I, I was in a weird situation where my wife was asking me one thing, and I didn't know how to say that to my mom. And I've never, by the way in my life had trouble telling my mom like anything. Like we have a real clear relationship. If If I would have just looked up at her and been like, Beth, what are you doing in here to get out? I think she I think she would have would have snapped her out of it. And she would have been like, Yeah, why am I here? And she would have just left, you know, but it didn't happen that way. And as recently as four days ago, Kelly reminded me of it. Keeping in mind that Cole is going to be 20 in a couple of months. She still, she still reminded me of it. Having said that she did just say to me the other day. I really can't hold a grudge, can I? And I was like, Oh, you're an absolute professional at it. We joked about her losing her memory one day, and she said, How will I hold my grudges? If I can't remember things? Yeah, it's not it's it's scary.

Samantha 53:08
At least you know, so.

Scott Benner 53:10
Oh, she's completely aware of it. I like to say that Kelly is still mad at me for the very first thing I did wrong to her. You know,

Unknown Speaker 53:18
and she can tell you what that was. She can I have

Scott Benner 53:20
no clue. But she can guess because it's written down. Some I actually said to her. In the extension of that joke. I was like, well, when you lose your memory, you could make a list. And she goes great idea. But then she gave me a dirty look, because she knows I was making fun of that. She makes lists. She's a list. Do you make lists?

Samantha 53:39
Um, no, I Yeah.

Scott Benner 53:43
Do I get disturbing? here's, here's what I think about life. You'll do the things that need to be done and the things that don't get done. Apparently, the need to get done.

Samantha 53:57
And until you get to a point where you're like, Oh, do

Unknown Speaker 54:01
I do it?

Scott Benner 54:02
Well, then you do it now? No, it's never too late. You're fine. It's not like I'm talking about putting air in the tires before driving or something like that. That would come to the top of the list. I would do that. I am telling you. I feel like what I just said over the last 30 seconds was infuriating to every female that heard those words.

Samantha 54:20
I like putting reminders in my calendar. That's, that's like my type of list.

Scott Benner 54:25
I do that. I think that's a good thing. Yeah. Now my wife is just like, she's got a list. It's in her head. And then when she doesn't want her head anymore, she puts it on paper. Then when it goes on paper, it becomes my list. And then I just I hate it. Like I don't even like taking a list to the grocery store. Oh gosh, because my brain doesn't work like that. Like I just I just roll up and down the aisles and I snatch up stuff that I know we need and I'm out. And if I miss something all good. The grocery stores, you know, five minutes from my house. I'll just go back if I need to. It's not like you're not there. Pretty much all the time anyway. But she's like, when she makes me the list, I end up going up and down aisles like 1000 times. Oh, no. Adds like a half an hour to my shopping trip. And yes, I'm the one that goes shopping. I do everything really I'm a stay at home. I'm a stay at home parent, like I do all the things. What are you gonna do with that? Like, how are you going to take care of little baby boy? When when he's here, what's your plan?

Samantha 55:27
Um, so I'm really lucky. My boss has told me that I can bring him to work with me. So he'll be Yeah, he'll be going to work with me until he becomes mobile. And on wrangle a bowl,

Scott Benner 55:41
then you know what? I'm in a closet?

Samantha 55:44
Yeah, probably like a drawer in my

Scott Benner 55:46
shirt. If you take the sharp stuff out of it. I don't legally, anything wrong with that. Remind me of what you do that you can have a baby with you.

Samantha 55:54
I'm a paralegal.

Scott Benner 55:56
Haha, your boss is out of his mind.

Unknown Speaker 56:00
She, she,

Scott Benner 56:01
yeah, look that was sexist of me.

Samantha 56:04
I'm sorry. I can. There's two partners of the firm one is a male and one's a female. But I will be sharing the office with the female

Scott Benner 56:12
though. See, now that makes more sense that a woman said it to you and not like, there's no way a guy would have been like, just bring the baby to work.

Samantha 56:20
Well, he knows.

Scott Benner 56:21
But it wasn't his idea.

Unknown Speaker 56:23
Oh, okay. Yeah.

Unknown Speaker 56:26
Like, if you left it just to him, he'd be like, can't we put that kid in the closet or something? Money he made a joke that he'll be coming in the office less when the baby?

Scott Benner 56:37
I don't think that was a joke, Samantha, but I hear what you're saying. Like, he was just he was speaking His truth out loud is what he was doing. Um, yeah. So your job would allow for you to have time with the baby. Are you breastfeeding? Is that part of this?

Samantha 56:50
Um, well, I mean, the biggest part is that we won't have to pay for child care. But I do plan on breastfeeding. But I also plan on bottle feeding right away because I want Wayne to be able to feed him. Because I can't do it all. Yeah, too much. Especially if

Scott Benner 57:10
you're so your bottle, you'll bottle feed breast milk. You're thinking?

Samantha 57:14
Yeah, if I have enough? If not, then I'm all these formulas. I'm no, I don't mind our kids. That formula. Both of them. Yeah, my sister was only formula and she turned out fine. So I don't see. That was in the 90s. I mean, I'm sure formula is even better. Now. Keep in

Scott Benner 57:29
mind, you can't see her thoughts. But other than that, I hear you saying I don't know that she's dreaming all day of doing something terrible to the squirrels in her front yard or something like that. But I don't think that by the way, it's important to note in episodes like this, again, that I am able to come up with bizarre examples that have nothing to do with my consciousness. So I have not considered any of the things silly that I've said so far as I've never thought of murdering a squirrel is I guess, is what I'm trying to say. But yeah, so I get your point. I think Kelly tried to breastfeed Cole for a little while. And it didn't. It went okay for however long it went. And then he kind of weaned off. But with Arden. It didn't work out as well. Oh, yeah. Yeah, I forget why. But it was something to do with nipples. I'm pretty sure. Like, I'm not kidding. And it's just a long time ago. So I can't remember. But yeah, I think that's plus, overnight, like seriously, in an attempt to sleep. There's a lot of getting up and feeding in the big.

Samantha 58:32
Yeah, I think overnight, I probably will do most of it just because it'll be the easiest when we're like getting out of asleep rather than like going to get a bottle ready. But at other times, I want to be able to be like, hey, you go feed your child.

Unknown Speaker 58:47
Yeah. And let me smell.

Samantha 58:49
And also, in all honesty, I really am going to need a drink after I get this child out of me. Gotcha. Oh,

Scott Benner 58:58
you're not sure how long you'll be able to keep the breast milk pure. before it turns to whiskey. What are we thinking here?

Samantha 59:05
Why fear? I'm going through the withdraws. Are you? Yeah, and I was I mean, I wasn't like a huge drinker before, but I miss it.

Scott Benner 59:18
Do you think it's possible you were a bigger drinker than you thought you were? Probably.

Samantha 59:24
Yeah, the people that are listening who know me are like, Oh,

Scott Benner 59:28
yeah, Smith. I'm not sure you saw that correctly. And by the way, there's something wrong with your sister. I can't believe you don't see that. Sorry to your sister, I'm sure is a lovely person. So okay, so we we figured out your husband has road rage. We figured out that you're you haven't hit like that really hormonal spot yet where you're worried about like, bizarre things that can never happen. Probably. We figured out that I apparently have a lot of female hormones because I still think about those things. To this day, I will make this point about that. I think that my time has, you know, being a stay at home dad for this long has proven to me that there are not gender specific things. There's just responsibilities, specific things. Like, you know, like, if you're in charge of this, then you're the one who cares about it. Like, you know, women don't like doing the laundry. It's not it's not a women's task to do the laundry. You don't I mean, like, it's just traditionally, years ago, you know, moms were home, the laundry machines at home, the laundry needs to get done. You trust me, my wife, if she needed to use our washer, she'd have to go online and watch a YouTube video and figure out how to turn it on like she doesn't Wayne does the

Unknown Speaker 1:00:41
laundry? Yeah.

Scott Benner 1:00:42
Right. So the point is, is that I worry about, you know, escape plans, because that's sort of my part of it. You know what I mean? Like, I think if my wife was at home, and I was at work all day, she'd be like, what am I gonna do if this place starts cooking? You know, like, but it's kind of falls to the person who's there? Yeah. Are you guys? I know, you imagine a split scenario, right? Where you're both pretty involved. But does one of your jobs take up more time during the day than the other?

Samantha 1:01:12
Like, our workshop?

Scott Benner 1:01:14
Yeah. Are you like, literally out of the house longer one of you than the other?

Samantha 1:01:17
Um, yeah, my work is a lot more flexible than his, like, his is very, like, nine to five and mine is.

Gives me leeway.

Scott Benner 1:01:30
So it'll probably be so when extra stuff happens, extra stuffs gonna fall on you probably

Samantha 1:01:35
Yeah, most likely, just because I'll be able to get away from work because I can work from home ultimately, to if I needed to. So if things come up, I'll probably be the one to handle it. Gotcha.

Scott Benner 1:01:49
So, once the baby is too old to just kind of hang out with you at work, is it? What's your next plan? is a daycare? Do you have a family member? What are you doing for,

Samantha 1:01:59
um, it might be like, live between because I really want him to go to daycare, just so he can get the socialization of being with other children. Um, but financially, we will probably get help also

Scott Benner 1:02:15
super expensive.

Unknown Speaker 1:02:16
Yeah, it is very expensive.

Scott Benner 1:02:19
daycare is quite literally the reason I'm a stay at home dad.

Unknown Speaker 1:02:23
Yeah,

Scott Benner 1:02:24
we were younger. And I didn't know I wasn't making very much money. And you go to daycare, and they tell you how much it is for the month. And I remember saying to my wife, like, I only make $300 more than that. Well, am I really gonna work 30 days, you know, every 30 days to make $300? You know, Mike, like, that doesn't make any sense. You know, and, you know, I set it up as like a financial thing back then. But in my back of my head, I was like, I might never have to work if this goes well.

Samantha 1:02:54
Like if I play my cards, right? I think

Scott Benner 1:02:56
I think Scott doesn't have to shave anymore. But honestly, no, it it didn't occur to me that way. I just felt like wow, we're gonna like, put this kid in daycare. And there's no financial, like, it's making a bunch of money. And we just stopped. And, and no kidding. Like, my son's gonna be 20 in February, and I quit my job like a month before. He was born in 19 in 2000. So I haven't like if you told me I had to go to work today. I'd probably cry and chained myself to a heavy piece of furniture. So you couldn't get me out of the house. I just be like, I'm not leaving. You can't make me go. But it is a it was out of that necessity that we did that. Yeah,

Samantha 1:03:42
that's an AI if I could if I could stay home. I would like to, but it's just not feasible for us even with how much daycare is. But we probably we won't have to go into daycare full time. I'll either work from home a couple days. Or we'll have like Wayne's mom, watch him if she's available. So it won't be a full time kind of thing.

Scott Benner 1:04:06
Yeah. They're pretty local for you.

Samantha 1:04:09
Yeah, his his family lives very close to us.

Scott Benner 1:04:11
That'll be helpful. We weren't close to either of our parents close enough for them to be helpful. And I can definitely see where that would have been nice. Once in a while. It used to be like, Hey, we're gonna go out

Unknown Speaker 1:04:21
just for an hour and want you to leave.

Scott Benner 1:04:23
Yeah, yeah. Hey, we thought it would be illegal to leave him here by himself. So you're gonna come over and you still feel guilty about all the things you did wrong to me when I was little, so you're gonna do it. So get over here and let's go. All right. All right, Samantha. Here we go. Ready? Coming up on an hour. Your name is Wayne. Wow, her name is Samantha. And the baby's name is going to be

Samantha 1:04:47
Harrison.

Scott Benner 1:04:49
Harrison. Nice after Harrison Ford or someone in your family?

Unknown Speaker 1:04:54
No, it's after Harrison Ford. Really? I got it right.

Unknown Speaker 1:04:58
Yeah, I walked down the aisle to a Star Wars Song. So we're kind of Star Wars people. So this kid's lucky His name is not anagen or something like that, then, oh gosh, no, no. Everything.

Scott Benner 1:05:12
Is Harrison the like, boom, like you knew right away or did you come to it? And if you came to it what other names got discarded along the way?

Samantha 1:05:21
Um, I think we, oh gosh, I mean, we've had this name for a while. I think we've kind of always wanted to be Harrison. his middle name is going to be with him because Wayne's middle name is Wayne and he just goes by as well name. So Oh my

Scott Benner 1:05:36
God, I thought you were telling me Wayne's name was Wayne Wayne for a half a second.

Unknown Speaker 1:05:42
Like Wayne's middle name is Wayne. I was like that screwed up and then I realized what you were saying. He goes

Samantha 1:05:50
yeah, he'll have the same middle name is.

Unknown Speaker 1:05:53
I'm an idiot. If any of you listening to this.

Samantha 1:05:59
I'm sure there's somebody out there. That's like but wait.

Unknown Speaker 1:06:03
Yeah, no, no. It's probably just me. Okay, so

Unknown Speaker 1:06:10
I'm sorry.

Scott Benner 1:06:15
I'm laughing at how stupid I am. Harrison Wayne. Very nice. is Wayne a family name?

Samantha 1:06:22
Uh, no.

Unknown Speaker 1:06:23
Well, maybe no, it is now. It is now. It was Yeah,

Samantha 1:06:26
it is. Now I my middle name is the same as my mom's. So if we ever had a girl, we were going to use my middle name. So since we were having a boy, I wanted to use his middle name.

Scott Benner 1:06:36
Very nice. Is there any reasoning behind this? Because it's like Bruce Wayne, Batman. Cuz me You just told me Harrison Ford. Because the Star Wars so now I'm thinking

Unknown Speaker 1:06:47
for Wayne. Like when you hear Wayne, do you think Ooh, Bruce Wayne?

Samantha 1:06:51
Well, we his favorite is Batman. Okay. I don't know if it's because of the name or because he has that like, which came first? I don't know.

Scott Benner 1:07:01
I don't know. I have no idea. What do you think you're like, I wonder what movie will be big that Harrison will watch and then like, you know,

Samantha 1:07:08
20 gonna be so weird. That's what we think about too. We're gonna be like, wow, this is gonna be there. Like, he's not gonna know who Harrison Ford is?

Scott Benner 1:07:17
No, he'll probably just think of him is that old man who crashed that plane on the golf course.

Samantha 1:07:22
Not even though because that was even a couple years ago. Yeah,

Scott Benner 1:07:27
he's not even gonna know the story of when the Millennium Falcon fell on him and broke his ankle, right? While they were filming the new movies. He just won't be like, he'll be like, I don't know, my parents are weirdos. Like, that's probably how it's gonna go. You know, like you're having this whole beautiful moment. But in truth, that kid 15 years now is gonna be sitting around with his friends. They're gonna be like, what do you named after using big? I don't know, some dumb movie.

Unknown Speaker 1:07:51
Actually, now the Disney plus exists. I bet you maybe he'll, uh, it'll be a totally different thing, though. That's what it'll be. It'll be crazy. Yeah,

Scott Benner 1:08:00
my thought is is like, like, What movie is gonna impact his life that you know, 2530 years from now and he's having a baby. He's gonna think you know what, I want to name my kid after this. You don't mean like, it's so cool. There's the thinking like artisanal art and talks like this a lot. But she's like, there's gonna be a movie 15 years from now. And there'll be a character in it. And I'll like the name, and I'll name my baby after that. Like, like, she has those kind of like, like, like bigger thoughts.

Unknown Speaker 1:08:27
Yeah. And I'm like,

Scott Benner 1:08:28
yeah, that's that's really weird, isn't it? She goes, Isn't it weird that that movie hasn't been made named yet or made yet but my baby will be named after it.

Unknown Speaker 1:08:37
It's like, yeah, I'm like crazy thought.

Scott Benner 1:08:41
This kid's not to do drugs at all. She's completely okay. Yeah, you know, coming up with these weird thoughts on her own. But that is variable. Well, congratulations on having a really cool name for your baby. Thank you. or will there be baby like other Star Wars themed stuff in the room? It's gonna have to be right i think

Samantha 1:08:59
i think we're gonna do baseball theme.

Scott Benner 1:09:01
Yeah, you said that before about the baseball but I don't know the Star Wars part.

Unknown Speaker 1:09:05
What about a baseball bat a little bit too much.

Scott Benner 1:09:08
What if you find a baseball bat that looks like a lightsaber? Let's try for

Unknown Speaker 1:09:11
that. Oh.

Scott Benner 1:09:14
It will not be cool. be something that you and Wayne love the baby will tolerate as he gets older and other people looking in from the outside will question you about

Unknown Speaker 1:09:24
what the?

Scott Benner 1:09:28
I like our conversation, Samantha cuz I feel like they go off the rails pretty easily.

Samantha 1:09:32
I know. I feel kind of bad. We didn't talk about diabetes.

Unknown Speaker 1:09:35
Well, we did. But

Scott Benner 1:09:36
yeah. You don't need as much insulin. Now. You'd rather slap below them BI. You just said everything. I mean, honestly. All right. Look, let's go. Is there something about diabetes? You should have said that you didn't. Oh, there's not right. Because it hasn't been that difficult.

Unknown Speaker 1:09:53
Yeah,

Scott Benner 1:09:54
okay. Because it's ever changing.

Unknown Speaker 1:09:56
Right? Yeah, cuz it's just changing.

Scott Benner 1:09:59
But you What are you doing? And you're using. I mean, I guess it's the frequency of the changing that makes the problem.

Unknown Speaker 1:10:05
Yeah, right.

Scott Benner 1:10:06
Are you getting tired of it? Is it is it making you upset? Or have you been? Oh, yeah, yeah, you have you had like, why the hell do I have diabetes moments?

Samantha 1:10:15
Oh, yeah, I have those. Probably more. Probably more. I was gonna say once a month, but it's sometimes it's probably more than that.

Scott Benner 1:10:23
Yeah. But it's been more frequent with the pregnancy.

Unknown Speaker 1:10:26
Um,

Samantha 1:10:29
me Yeah, yeah. Just because everything so like, I was so used to sleeping through the night every night before I got pregnant. And now I'm not and it's because of my dexcom alarms. So that's really frustrating.

Scott Benner 1:10:43
Because you're trying to stay in that lower tighter range.

Samantha 1:10:46
Yeah. And well before to like, I could post it at all night. And now it's like, I like last night. I was iron all night. And my alarms keep going. And sometimes I sleep through the alarm So then I'm higher for longer than I want to be. which affects like, me. Overall. It was just

Scott Benner 1:11:08
that affects you how,

Samantha 1:11:10
like, I like I'm very tired right now.

I just you just your mood changes.

Unknown Speaker 1:11:18
So in frustration too. And

Samantha 1:11:21
yeah, and it's just when I'm I for that long. Like if I'm high for over an hour. It's just like, I'm done for for like probably then. The rest of the day.

Unknown Speaker 1:11:31
What are we calling? Hi.

Samantha 1:11:33
Last night I was at like, one.

Scott Benner 1:11:36
I'm sorry. You cut out? 150. Wow. Yeah. And that's in your life. Hi. And for pregnancy? It's high.

Unknown Speaker 1:11:43
Yeah.

Scott Benner 1:11:44
So is it that you're so accustomed to having a lower blood sugar that even a 150 makes you not feel? Well?

Samantha 1:11:50
Yeah, if I'm over 120 I don't feel 100%

Scott Benner 1:11:55
No, I get that. Geez, you can't take it back. Now. That's not how being pregnant works. Just so you know, like it's in there now. So you're, you're stuck. Yeah, like this for a little? Do you think they'll be like you talked about like, you know, having wine after the baby comes? Do you think you'll be able to keep up this? Like the the management for your diabetes that keeps you under 120? That you like, do you think you'll be able to do that when the baby comes? Are you worried about that at all?

Samantha 1:12:24
Um, the only thing that I'm worried about is that I'll be so preoccupied with the baby that like, I won't fix like a low soon enough. I'm worried about my lows after the baby's born. Because, like the high makes me feel crappy. But like it can be dealt with. If like the baby needs something that I can push it aside for a second, but with the low, like, if I don't deal with it, I'm a little bit worried that that's when I'm going to start having like issues.

Scott Benner 1:12:55
Yeah, I get that. I don't know if you heard Alex last week on the wheat episode, the afterdark episode, but apparently, you can make those Hi, symptoms go away. Yeah, we probably should say we're joking about that. In case typhus just heard me joke about that and thinks you're gonna get Oh, yeah, get loaded.

Samantha 1:13:14
Don't worry. anybody listening, I will only have a glass of wine after the child has gone to bed. And my husband is present

Scott Benner 1:13:22
until you can teach a kid to pour the wine and then yeah, then when they've got some real usefulness in your life, that's when it's good. By the way, I'm just so I'm gonna take a stand right here. I don't like it when people make their kids pour alcohol. No,

Unknown Speaker 1:13:36
I don't know. It makes it feel. I don't think

Samantha 1:13:37
I was ever I ever had to do that.

Scott Benner 1:13:40
I was a kid. Mommy never sad sent you for a glass of make mommy feel better? No,

Samantha 1:13:45
I never I didn't know that was a thing. That wouldn't even come to my mind having my child do it boys fetching beers,

Scott Benner 1:13:52
like stuff like that. I'm okay.

Samantha 1:13:53
I've heard

Scott Benner 1:13:54
I'm not judging you all. I'm just saying it makes me uncomfortable. So, of course, I you know, I haven't had a beard. 15 years so my top of my my situation is different. Maybe, but I just I don't know. It makes me feel weird. Yeah, so Okay, I have a I have a overarching question for the baby. Do you in the back of your mind have like a dream for him? Like how like, do you see as like, how is life supposed to go? What you want him to do? Or have you thought about any of that stuff yet? I know it's Oculus, but I'm wondering if it's bought. I

Samantha 1:14:29
mean, we would love it if he played baseball. Of course that has the dream but like if he's just like not a brat. That'd be great.

Unknown Speaker 1:14:38
Good luck.

Scott Benner 1:14:42
just just just know that if the if you have another one, and they're both boys you're gonna get it's gonna be tough.

Unknown Speaker 1:14:51
Yeah.

Scott Benner 1:14:52
My poor mother still looks a little dizzy. From from me and my two brothers to be perfectly Yeah, there's just No, there's no, I don't know, there's no break in the

Samantha 1:15:04
I think when you have more than like, if you have to have either gender, it's just a lot.

Unknown Speaker 1:15:10
Yeah. Oh, I believe so you need to break different ways.

Scott Benner 1:15:12
Yeah. I like that. We got a boy and a girl. And then we were sort of like, Okay.

Unknown Speaker 1:15:17
All done that was it that worked out?

Scott Benner 1:15:19
Yeah. And you can see where they're, like you said, like they have different ways of approaching things. And it breaks up so that there's not the same thing happening all the time in the house. Yeah. Where my brothers and I were just living in Texas, and my mom was, my poor mother was just like, I just need to get through this. So they move out.

Samantha 1:15:39
She's like, counting down the 18 more years.

Scott Benner 1:15:42
Yeah. Oh, and the worst part is we are spread out so far. There was no respite for her whatsoever. Like I'm, I'm 40 This is embarrassing. I mean, they're 47 or 48. I'm not sure if you're on 7181 91 2001. I'm 48. And oh my god. So I'm 48 makes my brother 43 and my other brother 37. We're all five years apart.

Samantha 1:16:08
Oh, dang. So she just as soon as things got calm. She was like, let's do it again. Oh,

Scott Benner 1:16:13
like I was married. And my brother was in high school still. You know, and my mom was just looking at the last one. Like, Oh, God, like I'm not gonna.

Unknown Speaker 1:16:22
I'm not gonna make it.

Scott Benner 1:16:24
I'm not gonna make it. This one's gonna. This is gonna take me right to the end of my life. Oh, having kids is wonderful. You've made a wonderful decision. And yeah, you're gonna love it. It really is exciting. Have I bummed you out about children? I haven't right

Unknown Speaker 1:16:38
now. I'm very excited for you.

Scott Benner 1:16:41
I'm so happy for you. Thank you. I'm really it's very cool. I'm a little disappointed the kids names not Scott, but whatever.

Unknown Speaker 1:16:48
Yeah, I mean, you could do it out there. Did you? Did you try? No, didn't. But

Scott Benner 1:16:53
that's disappointing. I have to tell you like even if just jokingly you would have said it. It would have been nice. Sorry, I have another person who has contacted me recently. who's considering it.

Unknown Speaker 1:17:03
Oh, man, I'm finally on a list somewhere.

Samantha 1:17:06
That's something

Scott Benner 1:17:07
Yeah, it's not going any further than that. It's got a such a terrible name. There's no way anyone's gonna like think it's like, Scott. What is that? It's this just you don't I mean, there's

Samantha 1:17:19
not many people are named Scott. Yeah, well, cuz I think I know.

Scott Benner 1:17:26
Why do you think that is exactly Samantha you think because people hear and go Wow, what a great name. But I don't want to go with it. Is it short and lacks poetry? It's Kurt. You know what I mean? Like not Kurt the name but it's Kurt like it's short. And it's it's hard. It's just not a? I don't even think anybody calls me Scott my life?

Unknown Speaker 1:17:45
No, I don't think so.

Scott Benner 1:17:49
I'm going through what Kelly calls me and maybe once in a while. are no call me Scott. Sometimes when she's trying to get my attention. I don't even know that I think of my name is being Scott to be perfectly honest.

Unknown Speaker 1:18:03
Oh, there you go.

Scott Benner 1:18:04
Yeah, I'm just, I get it when people don't want to use it. It's fine. Maybe you should use my middle name. I'm not saying my name. That's how the middle name is. My mother did me a solid. My, my dad wanted to name me after her. His father, who had like passed away unexpectedly right before my birth hit by a train in case you're wondering like his car on the tracks. He probably killed himself. And this is the cover story that they tell people I don't know. Okay, but, um, but I'm adopted. So I don't feel a lot of connection to the fact that That's horrible. But anyway, the man has a he had just a terrible name. And my dad wanted to name after him. I guess out of, I don't know, respect or whatever it was gonna be. And my mom, like, like, stood up and was like, You are not naming my kid that. And I was like, Thank you mom. Like, like, seriously, but then, like, she let it be my middle name. So

Unknown Speaker 1:19:03
sounds terrible.

Scott Benner 1:19:05
I'll tell you. After we tell you what we're gonna say goodbye now. And then also, I'm going to write and then I'm going to tell you my middle name. Alright. So thank you so much for doing this. I will see you. Thank you.

Samantha 1:19:18
Yep, we'll see in February.

Scott Benner 1:19:21
Isn't this fun? Like being pregnant with Samantha and Wayne and baby Harrison. I'm having a good time. Harrison. I like it. Thank you to the sponsors Dexcom on the pod and dancing for diabetes for sponsoring the Juicebox Podcast. Don't forget the links are available in the show notes of your podcast player. They're available at Juicebox podcast.com. Or you can type them with your fingers. My omnipod.com forward slash juicebox dexcom.com forward slash juicebox. Dancing the number for diabetes.com

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Scott Benner 11/29/19 Scott Benner 11/29/19

#284 Defining Diabetes: Brittle Diabetes

Defining Diabetes: Brittle Diabetes

Scott and Jenny Smith, CDE define the terms that are at the center of your type 1 diabetes care.

Glycemic Index from Harvard.edu

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
This episode of defining diabetes is brought to you by in pen by companion medical. In pet is America's only FDA cleared smart insulin pen and app system that eliminates guesswork with its integrated dosing calculator. And that's about the least of what it does. Check out in Penn today at companion medical.com. There are links in your show notes at Juicebox podcast.com. In today's episode of defining diabetes, Jenny Smith and I will define a term that impacts your life with Type One Diabetes. Now you know, Jenny Smith from integrated diabetes calm, she's in all the pro tip episodes and ask Scott and Jenny, you know, Jenny, stop it. Don't act like you don't. If you want to hire Jenny, you can check her out at integrated diabetes calm, Jenny would love to have a private conversation with you. Let's see if she can help you with some of your diabetes questions. But for today, Jenny is going to help me define brittle diabetes.

Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise. And always consult a physician before making any changes to your healthcare plan for becoming bold with insulin.

At the end of this episode, I'm going to include a little I want to call it an outtake with me and Jenny, it might not be an outtake, it's a preamble, some chatter we were having before we started, you know, doing the defining diabetes thing. It's fine. And he's a hoot.

I would like to define brittle diabetes. And I am super interested in what you're going to say when I ask you, if it's actually a thing, or if it's an old timey term for I don't know what's wrong with you. It does have a definition, right?

Jennifer Smith, CDE 2:07
There is a definition and as far as like the old timey thing, I would say that that's more that's more appropriate, brittle diabetes. Used to be termed to or used to be something doctors called someone with diabetes that they just sort of threw their hands up and their blood sugar's were all over the place. And there was no, you know, do this and it works and whatnot. I mean, on a day to day basis, we know the variables that can go into management. So I think in today's world with technology and CGM, and being able to follow things, a good number of people who probably would have been called brittle, ages ago, or maybe even in the past five or 10 years with a really old doctor who isn't clearly up on what could be being done. I think they may have been called brittle. But in today's age, with what we can follow and track, many times, we get people who come to us even and they say, no one's been able to help me kind of get this contained. And we look at things and we start with like the basics that we've done before. And in the pro tips, kind of starting with beads, and looking at boluses. And looking at food impact and things that some people may have never really looked at before as the impact and how to pay attention to them. So we can kind of then you're not brittle, you just haven't had good information given to you about how to manage more consistently right. Now, I would say I hate the term, I hate the term riddle. But I would say that there are some people with long term diabetes, like you know, ages and ages, you know, 50 plus years, maybe, who may be at a point that there is there are potentially other complications in the picture. And that can make management of diabetes itself a little bit more cumbersome. And so you might appear a little bit more I guess, brittle. Again, I hate to use that term, because it's, it's, it's old. But when you've got other things like heart disease, or kidney disease, or even things with like neuropathy that might limit or change how often you could be active, or energy levels, all those things can impact blood sugar control. So it's not so much that it's, oh my gosh, I'm just going to throw my hands up and there's nothing to do about my blood sugar because I just can't management manage, nothing ever work. Sometimes its management of a couple of things to get the management of diabetes, more stable.

Scott Benner 5:00
with you on the idea of I hate, I hate it even bringing it up, because the first thing I think about is someone who's been living for such a long time with a doctor telling them, there's nothing you can do about this. You're just a brittle diabetic. And they're really buying into that and living a life around it and then turning this on and hearing someone go, that's not a real thing. Like, I don't want them to have that experience. Right. Right. But I also know that we define it, it's almost like taking a diagnosis away, it's like telling them Nope, you're definitely you know, you're crazy to think that your ups and downs, are, you know, something that you're doing wrong, because it's not, you've just not been given enough information to manage exactly, but at the same time, we we've already defined a couple of terms that, you know, bristle people, and I've get a lot of good feedback about I'm glad you tackled this idea. So I want to do this. So, you know, googling it comes up Rare Disease info.nih.gov. So this is the government saying that brittle diabetes is a term that is sometimes used to describe hard to control diabetes, it is characterized by wide variations or swings in blood sugar, in which blood glucose levels can quickly move from too high to low. And that's a fairly new, that's from 2017. That's not an old. Right? So I've always seen it as a, it's a, it's a give up from a doctor, it's just like, I don't know what's wrong, you're brittle. You know, like, like, you know what it reminds me of I and I hate to say this, but 50 years ago, if a woman 50 years ago, probably longer than that. Now, if a woman was emotional, they'd say what like, Oh, she has the vapors. She's prone to, you know, they mean, like, what that really meant was, some lady was saying something some guy didn't want to deal with. And they were like, Oh, you know how she gets, you know, like, you know, it must be hurt. Right? Like all that stuff that kind of like dismissive stuff, which I think really means my wife's trying to talk to me about her feelings. And I don't want to so let's just say she's crazy and get out of this conversation. And I don't think this is much different in that. It sounds to me, like, Doctor see these crazy numbers, right? Imagine it. Imagine no technology, you go in with your meter, and your meter says 35. And then it says 400. And the doctor doesn't know what to say. And the insulin is not as good as it is now. And you can't glucose monitor with a CGM,

Jennifer Smith, CDE 7:18
and the person hasn't had any notes. Because it's three weeks ago, when that happened. They're like, I don't know what happened three weeks ago,

Scott Benner 7:24
they're working off whatever bad advice they got 30 years ago from an endo. I mean, imagine what they tell people today, imagine what they were saying to people 30 years ago, it must have been just like, Hey, you stick that in there. And if you get dizzy, have a candy. You don't anybody was probably similar to that. Right. And so I, I shudder to think that there are people living today who think they're brittle, when I really believe it's possible that they just aren't aware of how to use their their insulin

Jennifer Smith, CDE 7:51
well, and even that definition that came from NIH in 2017, is there's no definition to why the variability could be there. The ups and the downs, we all have variability at times. And if you're, as we've kind of gone through, and many of the things that we've talked about, if you're not, if you don't pay attention, and make some notes about things or keep track of some things, or look at your data, you could feel very brittle, you could feel like nobody's ever going to be able to help me my blood sugar just does what it wants to do. And there's no rhyme or reason to it. And you know, whatever, I've just got bad diabetes.

Scott Benner 8:29
I think we got the bad griddle, Jenny, right, it just means like, easy to fall apart. Like the idea of something better, like a brittle bone, or a brittle twig or something like that. If you don't hold it with kid gloves, and don't move, it's just going to explode and fall into dust. Right? And it's just, if you're living right now and thinking you're brittle, please go back and listen to the prototype episodes. Because it's very possible. I mean, in less than, I hope this isn't the case. But unless you've gotten to the point, with your health, like Jenny described earlier, where there's where there's a lot going on, that's not positive. I mean, still, then you're not brittle, you just have complications, you know, like, it's so anyway,

Jennifer Smith, CDE 9:10
and there is different management then for complications and the diabetes component there. You know, I used to work when I worked as an inpatient diabetes educator and dietitian, there is very different management for people who have chronic kidney disease or who are on dialysis or those complications. They bring something in I also used to work on a cancer ward. And there are people who have diabetes and also have cancer that brings into the picture a whole host of fluctuations that happen. That doesn't mean you call the person brittle, but it means that there's something there to manage to help them also manage the diabetes.

Scott Benner 9:48
Yes, excellent. You know, your wife is upset in 1925. She doesn't have the vapors

Jennifer Smith, CDE 9:55
that she probably needed a hug or just to sit down and actually talk to somebody right

Scott Benner 9:59
should be affected. I opened his mouth and didn't cheat on her, she wouldn't be so upset. So anyway, I know you made me just now think of Nicole who was just on and I don't know if you've ever heard her Nicole's episodes, but Nicole came on prior to getting a kidney to kidneys, and a pancreas transplant. And then she just came on recently to talk about how it's going after the transplant. And one of the things she brought up is because her management was not great by her own admission for a very long time. She has gastro precice to Yeah, he actually has to consider her medications. right because of the gas or priestess like what if the, it doesn't get picked up in the right time? And that's just one of the things you just said. Like there's adjustments that need to be made based on your situation. Right, right. So, so Nicole's stomach isn't brittle. Nicole has no bruises, and she needs to do something a certain way. Correct. I like that. We did this one. Okay. Awesome.

Jennifer Smith, CDE 10:51
Yeah, it was good, too. It was definitely good to bring up because I think it's still it's still talked about too much. It is.

Scott Benner 10:59
Yeah. When I first said it to you, I had the same feeling in my stomach as I had when I said hey, Jenny, let's define non compliant. And you looked at me like really? Scott, should we do that? And I was like, No, no, we should. It's gonna be okay. And you're like, yeah, this is good. We're going down with the ship here, aren't we buddy? Okay,

Jennifer Smith, CDE 11:15
so that was a good one to noncompliant because I hate that word.

Scott Benner 11:20
Huge thanks to Jenny for coming on the show. As always, don't forget that you can hire Jenny right at integrated diabetes comm there are links right there in your show notes. If you want to check out Jenny may think there are links at Juicebox podcast.com. And of course, you can just go to integrated diabetes and give her a shout. Thanks also to in pen for sponsoring this episode of the Juicebox Podcast Do not forget, all you have to do is go to companion medical.com. And there you can find out where you stand with your diabetes care plan because the in pen app displays your active insulin, blood glucose and the last insulin dose. It also reminds you when to take a dose calculated recommend your next dose and warns you if your insulin is expired or has been stored outside of the recommended temperature range. Having an M pen is like having an insulin pump. But it's in a pen. Get it in pen. You get it you can get more Jenny and the diabetes pro tip series other defining diabetes episodes and of course, the Ask Scott and Jenny episodes. If you just can't get enough, Jenny, that's where you can find her here on the Juicebox Podcast. And now you're used to hearing Jenny say smart stuff about diabetes. Get ready to listen to her talk about other stuff where she sounds more human. We've been trying to figure out for Arden all year which is incredible. For network

Jennifer Smith, CDE 12:59
I don't know where you went

Scott Benner 13:01
where network connection and you were gone.

Jennifer Smith, CDE 13:03
are gone. All of a sudden

Scott Benner 13:05
you're like a little Blippi today. Kick your heels Yeah,

Jennifer Smith, CDE 13:08
I don't it's it's pretty windy outside here today and kind of overcast so that might be I don't know whatever happens in the atmosphere of cloud

Scott Benner 13:18
do you get your internet through satellite or you get it through like your cable system?

Jennifer Smith, CDE 13:23
I don't know I've got a little box in the corner of my office and whatever

Scott Benner 13:30
admit what I just said you is gonna end up at the end of one episode where people will feel better knowing that there are some things you don't understand at all.

Jennifer Smith, CDE 13:39
Have any no idea why

Scott Benner 13:42
he knows everything? Like how do you get your internet NO NO IDEA starts looking around the room like so. Anyway that was great. I

Jennifer Smith, CDE 13:52
come in and got a little I've got a little cable thing box in that I think I'm assuming it's the Wi Fi converter whatever it does thing Yeah, I I have no idea. Are you not surprised now that I could like like build a loop and actually make it work and understand it's working.

Scott Benner 14:10
I'm a little concerned that people are running around the country in the world doing things with their insulin just that you made up in your head?

Jennifer Smith, CDE 14:16
No, no, I promise not that. If you ask you this set up all of the internet connections and everything no probably not going to get done. I'll figure it out. Like I can read directions. I'm a direction follower. I got that from my dad. Everything that he brought home you took out the directions and you started with a like all like shelving units and stuff. All he got all of the Tupperware containers out and he put them all like by size and color and everything he organized them and we need one of a and we put it in the a hole and one at well. That sounds kind of weird, doesn't it? The

Scott Benner 14:54
no this is staying Yeah. Jenny just in case you're wondering. This is gonna be like the beautiful like last five minutes on episode people. Like just leaving the stupid stuff you say this is gonna be one of those that stays in.

Jennifer Smith, CDE 15:06
Anyway that I learned my organization of how to put things together from my father, he was very, very organized

Scott Benner 15:12
for clarity. Jenny learned how to put things in the a hole from her dad. So I like him to hear this.

Jennifer Smith, CDE 15:22
He's not unfortunately, who passed away? No, it's okay. He passed away about 10 years ago, he had, he had kidney cancer. So

Scott Benner 15:31
I'm horrified to tell you that I wasn't sorry to hear that he was passed. I was sorry to hear that he couldn't hear what you just said.

Jennifer Smith, CDE 15:37
nature of what I said yes. And he would have, he would have liked it because he had the greatest dad jokes. Like in the world, my dad had a great sense of humor, so he would have loved it.

Scott Benner 15:50
To do something here on the Mac, right? Okay, so I just want to prove to you all that Jenny's a real human being she's not perfect. But she has a great sense of humor. And she does not know how her internet works. At the end here. You know, just let me tell you that podcast just hit 500 reviews on iTunes, which was really touching little plateau, for me. Quite a little milestone. Most of them are really good, which is also very nice. I want to thank you too, because the podcast just hit 1.2 5 million total downloads for the whole show, which is a really incredible thing. And I've probably said before, but it the first month of the podcast back in February 2015. I think there was something like 1000 downloads that month. And now I can't, you know, get 1000 downloads like every couple hours. As a matter of fact, by the time you hear this episode, November of 2019, will become the most downloaded month in the history of the podcast. And that happens a lot. Where the next month like we're one month does better than the last month over and over again. That really is to do with the podcast being shared by listeners. I have no budget for marketing. And I can only hope that when the podcast grows, that means that you found that helpful, or entertaining or thought provoking or something and told somebody else about it. Which I really I didn't expect that either. I know when hindsight it seems obvious, right? Somebody will like it, and they'll tell somebody else. But in the beginning I I really didn't think that would be I don't know, I just didn't imagine. And you know, reflecting here just a couple of hours past Thanksgiving. I'm really thankful for it. Actually, I was looking through my photographs. So I'll leave you go back to your life after this. I was looking through some photographs from two weeks ago. And I was in Kansas City at the jdrf type one nation event. I did four talks that day. Right. It's a think the thing started at 9am. And it was over my for for for those hours, I was speaking in a room. Not concurrently, although almost. And the first hour was just sort of thinking about your diabetes differently kind of talk, I sort of introduced people to the idea of the podcast. But then in the second hour, I talked about, you know, kind of the tools that we talked about here and give people sort of like a one hour if you can imagine, like the whole idea of the podcast on one hour. It's me talking pretty quickly on stage. After that, I did a q&a, where we talked through people's like real life issues. But at the end of the day, I sat down with the teenagers who were were at the event. You know, at first, um, they looked like teenagers coming into a room being told that, you know, this old man here is going to explain, you know, something to you about diabetes. And they sort of all came in like they know, somebody promised them something if they just came and said still. Maybe they had been a cost, you know, but in a couple of minutes. I got them talking and I got them laughing and started talking to them about their health and how they could possibly feel and you know, 10 more minutes later, a couple of more taking notes, and asking questions, and then the quiet ones in the back got engaged. And I don't know I was thinking about what I was thankful for today and you know the things in my life aside, my family and the people I love you guys for listening. I just started thinking about those kids. And I was really grateful that they listened. Anyway, I don't usually say what I'm grateful for Thanksgiving. But I think I'm grateful for you guys sharing the podcast to the point where it got me invited to an event in Kansas City, where I met a few kids whose lives might be different now. Because you told somebody else about the show, I'm going to put a picture of those kids up on my social media. So if you're listening to this, it's going to be right around. Thanksgiving on my social media. You can find the date scroll back.

If you're listening to this later, okay, this is me being all serious and quiet. Thanks so much for listening to the Juicebox Podcast. There'll be another episode on Tuesday, and every Tuesday and Friday from now until at the very least, the end of 2020. Because all of the sponsors are back plus some new ones. So huge thanks to them. Huge thanks to you guys. Hope you have a great rest of your 2019 keep listening to the show and sharing it and I'll keep making it. Hey, one last thing I need some new equipment to record with. So buy some t shirts maybe or a sweatshirt or something maybe at Juicebox podcast.com. Or you can make a donation to the podcast if you want just scroll down and you know every episode, there's a spot there to do that. Anyway, I'm not begging, I just need another microphone, a new preamp, my computer's starting to get to the end of its life. So there's gonna be some expenses coming up in the next couple of months. And if you would like to help with them by you know, picking up a sweatshirt or dropping five bucks on me or something like that. That'd be really cool. If you can't, please don't think twice about it seriously, I don't want you to feel bad not even for a second. Just keep enjoying the show, sharing the show. And I will I will take care of the rest. But But if you're just sitting there right now thinking I got a couple dollars I can handle that. I'm not going to stop you as they say, but I would be very appreciative

About Jenny Smith

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