Scott Benner 3/1/22 Scott Benner 3/1/22

#638 Chile Cahcho

Fernanda has type 1 diabetes and she has an intersting story and a cat.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Google Play/Android - iHeart Radio - Radio Public, Amazon Alexa or wherever they get audio.

+ Click for EPISODE TRANSCRIPT

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

Scott Benner 0:00
Hello friends and welcome to episode 638 of the Juicebox Podcast.

Today on the Juicebox Podcast we speak with Fernanda, she is an adult living with type one diabetes, who's been through some stuff. She has an interesting story, it's well worth hearing. She also has a cat that has very little to do with this. Please remember while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan, or becoming bold with insulin. Are you an adult with type one diabetes, or an adult who is the caregiver of someone with type one? If you are one of those things, and the US citizen, please go to T one D exchange.org. Forward slash juicebox do me the favor of filling out the T one D exchange survey. It should only take you a few moments and you can do it right on your phone. I would really appreciate it. So with the T one D exchange and it would benefit a lot of people living with type one if you would. Thank you. Music for

this episode of The Juicebox Podcast is sponsored by the Contour Next One blood glucose meter Learn more at contour next one.com forward slash juicebox Are you looking for the diabetes pro tip episodes they started episode 210 and can be also found and can be also found is not English, but let's just get past that and can also be found at Juicebox Podcast calm and it diabetes pro tip.com.

Fernanda 1:59
I'm Fernanda I'm diabetic type one scenes 1998. I've been through a lot. I just started with some implant Omnipod actually a year ago, and before that I was using the Medtronic g 670. I started with that one in 2017. And before that I was MDI

Scott Benner 2:26
for a long time.

Fernanda 2:30
Yeah, it's just because as I told you before, I'm not American. I come from Chile. And in chiller, insulin pumps were not covered by MediCal insurances. So if you wanted a pump, you have to pay it out of pocket. And very expensive, especially for our economy. So I mean, it's a long story. My dad didn't want it to buy an insulin pump for me. He thought I didn't deserve one. Because my control was not on point. And whatever. I moved to the United States, and as soon as I could, I got one. Cool. So you've had a one C one from 10 to seven in three months.

Scott Benner 3:13
Okay. You've had diabetes like 22 years.

Fernanda 3:20
There's 98. Yeah, yeah.

Scott Benner 3:21
Okay. How old are you now?

Fernanda 3:25
I'm 35.

Scott Benner 3:26
Okay. It's okay to be 35. So you were online? Yeah, you were what? 13 ish when you got diagnosed?

Fernanda 3:38
Yeah.

Scott Benner 3:40
Your dad's

Fernanda 3:41
just starting my teenage years. Horrible, horrible age to be diagnosed. Oh, my God.

Scott Benner 3:47
When did you move here?

Fernanda 3:50
To the US, September 2016 2016.

Scott Benner 3:54
What made you come?

Fernanda 3:58
Work. I'm a physical therapist. So back in Chela, there are a lot of physical therapists, our salaries are not the best. We're not recognized as as well as we are in the United States. So I took advantage that I know English from school. And I started looking for a job in here and here I am. Wow, that's really cool. It was not easy. I

Scott Benner 4:25
can't imagine it was easy. Yeah. Are you were you Did you come by yourself? Or did you come with other people?

Fernanda 4:32
No, I came by myself. I brought my cat with me.

Scott Benner 4:36
That's a Chilean cat I saw walked by a minute ago

Fernanda 4:39
and said Chilean cat. Yes, absolutely. And believe it or not, he is able to figure out when my blood sugar is low. So he wakes me up at night if that happens,

Scott Benner 4:49
are you serious? Yes, you have a diabetic.

Fernanda 4:55
Yes, he learned by himself. So long story short in the 23 years as a diabetic, I've had a six hyperglycemic, comas. Oh my gosh. And well, and eventually, I, I don't feel those anymore until I'm very low. I feel them when I'm in the 30s. And for some reason he figures it out and every time I'm I'm going low at night, he wakes me up.

Scott Benner 5:24
Do you think he's trying to wake you up? Or do you think he's trying to test to see if you're dead so we can eat you? I don't know. I think there's little cats are looking at people. Like if I was bigger, I was definitely them.

Fernanda 5:39
Yeah, you know that there's a joke when the when COVID started, and everybody was doing quarantined, and there's a dog, and a cat. And the dog is like, good. My Masters is staying at home with me. And there's the cat bed says, and you're gonna get fired?

Scott Benner 5:56
That makes exact sense. Did the cat have any trouble with the language change? I'm just kidding.

Fernanda 6:03
I don't think so. Yeah, that's very well,

Scott Benner 6:07
what what made you want to come on the podcast?

Fernanda 6:12
So from all the all the episodes that I've been listening from you, I remember when you started with these, after our, what's the name of it after dark? After Dark podcasts. Thank you. And you have these girl coming in talking about diabetes and sex. I'm like, Okay, this is this interesting, let's talk that's lovely. And listen to it. And the thing that made me like, go and talk to you was well, you know, she was diagnosed as an adult, she was just changing from being shy of showing her gadgets talking about the Dexcom, or whatever you use, and the and the, the pump, and how she didn't want to show them and how she was interfering with, with her sexual relationships and whatever. And I said, you know, maybe you need another point of view about it. Like somebody that was diagnosed as young as me, or well, just for you to know, before I live in Miami right now, before here used to live in New York. And in New York, I have a big group of type one diabetic friends, and I love them. And two other girls were diagnosed pretty much at the same age that I was, and we met three, four years ago. And we were all talking about the same, like, how different is when you're diagnosed as a as a young woman, girl, and you're growing up as an adult, and how you deal with all your diabetic stuff. And how you don't care anymore. If your God just show up how you don't care if your partner sees them or not. What do you do with your pump when you're in the middle of sex, and you just throw it to one side, and then you throw it to the other one, and then you just take it away? And stuff like that, that make you grow up as a diabetic? You know, like, at least for me, if my partner doesn't like my diabetic gadgets, it's a no, no.

Scott Benner 8:21
Right? So are you telling me that you think that because you had diabetes longer, and you didn't get to experience sexuality before diabetes, that you kind of have the same relationship with around sex that we describe as you know, people, like my daughter's had diabetes, and she's too and she doesn't think about it the same way as people who were diagnosed when they were older. So like, kind of that vibe, but around sexuality, it kind of sticks and is similar.

Fernanda 8:51
I I'm so used to my, to my diabetes. I'm so used to my alarms. I'm so used to all of these. That for me being diabetic and having sex, it's like, they it's not a problem. It's like, um, I don't know. I'm so used to it. It's part of my life.

Scott Benner 9:15
Yeah, you ever CGM. And yes, I have a Dexcom. So maybe when it beeps, you just tell the person like oh, that means you're not doing a good job. Try harder.

Fernanda 9:27
Let's just finish this

Scott Benner 9:31
three times. You've got two minutes, buddy.

Fernanda 9:36
Hey, finish faster.

Scott Benner 9:37
I'll get you as far as I can, but I gotta eat.

Fernanda 9:40
Yeah. If you want me to stay here longer, we have to do something about it.

Scott Benner 9:47
Is it Is there any difference between a more casual relationship and a more long term relationship where you don't see a difference?

Fernanda 9:56
So one of the reasons that I moved from New York was because I broke up with my ex boyfriend. We were together for nine years. And he knew me with him doing MDI. And then he knew me with Medtronic. And then he knew me with the Omnipod. I mean, he went on the process with me. And he didn't care. He actually didn't care a lot. And I don't know if it's because he didn't care or because I didn't care that he cared. So after we broke up, and I moved to Miami, where I am right now been dating other people. And I think they don't care neither. Okay. It's just I'm very open about it. They go and they're like, Oh, is that first stop smoking is like now for my blood glucose, you know, like, right. And then I have to start explaining, and because I work in the medical field, for people, it's even easier to understand. Like, oh, this is my insulin pump. This is my glucose monitor, or if you hear beeping, don't worry, I'll take care of

Scott Benner 11:06
it. Right. Did you think that that boyfriend from New York, were you with him so long? Because you thought he didn't care? And that was special about him? No, no, no, nothing like that. Okay, like you weren't, like stuck with? Like, at least he's not bugging me about this. Okay.

Fernanda 11:23
All right. No, not at all. I usually do the same example. I make the same example. Sorry, like, I'm injecting insulin is like brushing your teeth. It's something that you have to do every day.

Scott Benner 11:35
So would you say that regardless

Fernanda 11:36
of what the people around, you say, like, you have to brush your teeth,

Scott Benner 11:40
right? Maybe it's your attitude about it that doesn't allow them to even you know, me, or maybe you pick certain people like maybe there's something about you, that leads to what kind of people surround you? That would make sense to me?

Fernanda 12:00
Maybe so it happens that for my friends, my type one difference in New York, I have one friend that also diabetic for 20 plus years, and she's always hiding her Dexcom she's hiding her Omnipod. And she's, we have a WhatsApp group that we talk a lot between us and we do all these nerdy messages that we only understand. And she was telling she texted once and she said the only time that I feel free to wear my gadgets out in the open is when I'm with Fernanda like, well, girl, there you go.

Scott Benner 12:34
Well, then, yeah, maybe my points valid. Maybe there's something about you that just lets people feel comfortable. I feel comfortable. Maybe. Thank you. I listen, I hear it from people a lot, too. They say Oh, you're very easy to talk to. Or I said something during our conversation. I never expected to say, You made me feel comfortable. And I'm like, I didn't make you feel comfortable. Like I didn't like sit down and thoughtfully be like, Oh, I'll make this person feel comfortable. There might just be something easy about you. And you have a nice like pleasant smile. And you don't even like yeah, like, that's it. You just attract good boys. Maybe some people just attract the people who are no. You're away.

Fernanda 13:23
I'm a magnet, your magnet? Yeah, exactly.

Scott Benner 13:28
No, I mean, sounds like you're not it sounds like you attract like reasonable people who don't judge people based on their, at the very least on their diabetes technology. So yeah,

Fernanda 13:37
I don't judge people at all. I'm usually very open to to everybody. And I don't know, it's I think it goes with my profession. That I'm like, you know, physical therapists have a lot of psychological component into it. We we have to spend an hour with every patient. So we we need to talk about something. Right. And you meet a lot. I tried to write Oh, yes. Oh, yes, I have.

Scott Benner 14:10
And it's intimate. Like, right off the bat. I mean, you know, I mean, if I have a thigh injury, it's more intimate than, you know, if you work Oh, yeah.

Fernanda 14:23
It's the same thing as the Okay, let's go back is the same thing as having a pump. You know, like, I don't make any difference if your injuries in your thigh or is in your low back or eating your shoulder from it's your bodies, your body and I respect it totally from your last toe, from your your your toes to your last piece of hair. Like I don't make any difference from it. Do you think usually if it's more intimate parts, I will say hey, you know what, I'm really sorry. But I I have to I have to touch it. Right? And they're like, yeah, no, no worries. But you don't make faces. You don't make jokes. You respect every part of it.

Scott Benner 14:59
Yeah, but I'm saying that's a that's an aspect of your life that you're accustomed to. And so absolutely, yeah, even that makes sense. Really? You? Is it? Alright, I'm going to ask you a question here. Is it easier to have sex with the Omni pod than it was with the Medtronic?

Fernanda 15:16
Absolutely. That Medtronic sometimes was just hanging somewhere. And I had, and I remember my ex telling me okay, what are we going to do about it? I'm gonna take it off. You know, when you take that the pump from the insertion site, there's a cup that goes over it like to close it. And it happens that if you don't put the cap like the edges of the insertion side are very sharp. So he usually had like five or six cuts in his and I think he's night table and it was like, there's a cup. Okay, I took it off.

Scott Benner 15:52
So he would actually keep the little caps the put on the site.

Fernanda 15:56
Yes. What are we gonna do about this? It's all over the place. I was like, I'm taking off. Okay, here's a cup. Okay. Thank you.

Scott Benner 16:03
Thanks. It's silly. When you hear people say I Oh, we stopped to put on a condom and it broke the mood. You're like, I had to take my insulin pump off. So yeah.

Fernanda 16:12
Oh, we heard yesterday. You know, like, we really didn't care.

Scott Benner 16:17
Do you think Omnipod should change their tagline to easier to with? In their ads? Do you think they

Fernanda 16:25
should be a good line? Like, yeah, um, it doesn't mess around with your nightlife.

Scott Benner 16:31
Say you were you were nicer. I know. I can beat myself out. So I didn't I didn't think about it that way.

Fernanda 16:38
It can put it in comfortable places that you don't have to deal with. Yeah,

Scott Benner 16:41
it's interesting. I mean, when we chose it for Arden, so long ago, she was four. And it was one of the first things that struck me I was like, This just seems more adaptable, like just not being I mean, it just seemed like common sense, like not being tethered to something seemed better than being tethered to something. I know people get used to other pumps. But there's still aspects of it that nobody talks about. So

Fernanda 17:09
that is yes. So from from going from a two pump to a Tablas pump. Originally, I didn't choose them at 2670. Yes, I chose it. But it was my doctor's preference. I had an amazing endo in New York. And so when I moved to New York, looking for a doctor and everything, it was hard in the beginning, I didn't know how to do it. And all I wanted was a pump. And she said, Well, you know, what, what if you wait for a second, because Medtronic is coming with the next pump in July 2017. And it's going to be a closed loop. And this is how it's gonna work. Like, I barely know how a pump works. But if you told me it's the best that it's going to come with i I can wait. I don't mind. I don't even know what a loop is. But sure if you say so I'm going with it. And I weighed it came, I learned how to use it. I was with it like for two years until I met my diabetic peeps. And they were all of them in loop. I didn't know what loop was and the look. The look you know what the loop? Yeah. And not the Medtronic loop the other loop. And they were saying these is really good. This is fabulous. My agency is here my agencies there I have so much control over my blood sugar's I was like, Okay, I'm, I'm willing to about because I'm so not technological. I was afraid because I didn't know how, how to manage it. I mean, I barely know how to turn on and off my computer and leave it there. And they were like, No, you will be able, don't worry, we will help you. And I was like, Okay, after like six months, insisting I said, Okay, I'm gonna try it. And one of my friends gave me a box of Omnipod and he's peed on her PDM and she's not here you are trying, like, Ah, okay. How do I manage this? And she said, Give me your numbers. Give me your ratio, your factor everything. We're going to do it together. Here you are, you're ready, go. And I tried the Omni pod like for two weeks. And I said, Okay, I love this. How I was thinking last week, it was love at first sight as it

Scott Benner 19:30
ever made before.

Fernanda 19:34
I love at first sight. And then I said okay, I'm going for the loop. And one friend said I have an extra rilink So I'm gonna give it to you use it if you like it, you buy yours and then you give it back. And that is how I went into loop just like my friends sharing their stuff with me. And I really liked it and eventually I bought my rilink I got my army part even though I was not out of The motronic yet, but because they fall under different categories inside of medical insurance, I didn't have any problem. And that is how it changed. And I'm very happy with it. Wow, he's so you know, a lot of for the first time in a long time I had my lowest I even see that it has been 6.6.

Scott Benner 20:17
That's amazing. That's very good.

Fernanda 20:19
I was Yeah, I was diagnosed with 17.4.

Scott Benner 20:24
Well, I wanted to go backwards a little bit. I don't mean to make you uncomfortable. But you said your dad said, Your dad said he that you didn't deserve a pump. Like where do you think that thought came from?

Fernanda 20:37
So I have a hard relationship with my dad, he was not the easiest dad to deal with. Raised in America in a very military family. That was his way of raising us. And when I was diagnosed, he his his way of thinking very squared thinking he was like, this is the insulin you need, this is the carbs you have to eat. And this is how your life is going to go. By that time using NPH, which I don't know how we survived that insulin, but whatever. Um, he was very rigid with the numbers. This is the amount of insulin, this is the amount of carbs, this is the amount of insulin, this is the amount of carbs and don't get out of there. And if you have a low, why do you have a low? And if you have a high what what did you eat? Like there was always a judgment out of it. And eventually, we changed to I don't remember the the long acting insulin but it was for 12 hours. So I have to put it out morning at night. And then with him a log. And it was a it was a hard change for him to understand that numbers were not the same anymore. And that he could have more flexibility with timings that I didn't have to have breakfast every day at 7am. And I didn't have to have lunch every day at 12:30pm that I could be more flexible that I if I wanted to have lunch at three I could. And if I didn't want to eat everything I could. So it, it was all a big mess. At the same time I gained a lot of weight gain almost 70 pounds in two years. Because of this amount of carbs that I was putting in and this amount of insulin that people just thought it was the good thing to have. And it was you couldn't adjust it. Okay, so Hema came in, I tried, and I remember, he always used to tell me the same thing, and he got so angry about it. Please stop playing with insulin. And this is what you call now being bold with insulin. My dad call it playing with insulin. And he was so afraid of it, that every time that I started playing with it, he would just punish me and you are not going out with your friends. You're not going out partying. I used to do a lot of sports until today I was playing field hockey by that time. I was going into the national tournament and everything. And his way of punishing me was you're not going to your field hockey match this weekend. That's just because I wanted to get more adjusted with insulin. It sucked actually did my a one C never went down from nine or 10. He was very frustrated about it every time on a once he came in. It was another punishment because it was not an seven. He wanted to manage my insulin as much as he could, even though it was a team. And when I started asking for an insulin pump, he was like, You know what, number one is expensive. And number two, you don't deserve it because you're not showing good numbers. I was like, okay, whatever. And that is how my life went on.

Scott Benner 23:59
Yeah. Let me ask you. Did you have any idea in that management style right there? Did you have any idea how to make your agency lower?

Fernanda 24:10
Ah, not really.

Scott Benner 24:13
Yeah, I mean, so he's saying, really, you're wrong for not doing for not accomplishing this. But yet you? He doesn't know how to do it. Neither do It's just frustrating. Really?

Fernanda 24:24
It's just that I have I have one. One little issue. I love picking food. I'm really I'm not a big eater. I don't have like big plates of food. But I love having little snacks all day. And you can't be having snacks all day when you were an MPH.

Scott Benner 24:46
Yeah, but you can now right now it's not as an issue

Fernanda 24:49
now. Now I do all the time. Yeah, um, other thing it's like, um, I have a really sweet tooth. So I love cereals. I love chocolate. And every time I had like a piece of chocolate here or a bowl of cereal there, my blood sugar was all over the place. And I didn't know how to manage it, even though I tried. And I don't know, I think maybe my first hypo coma was a big mistake was because I confused insulins instead of putting 30 units of this low, I put 30 units of human like, Yeah, but the second one was, maybe because I was trying to manage while I was pouring out with my friends, and the mix of alcohol dancing food, and insulin was not in a good line. And I went home and I woke up in ICU the next morning,

Scott Benner 25:53
okay. How long ago was that?

Fernanda 25:57
The last coma was 10 years ago, I believe 10 years ago. And after that one, the doctor told me like one more and I don't know if I'm going to be able to wake you up.

Scott Benner 26:08
So yeah, so that pumps the unnecessary all of a sudden, huh? Like, not just a nice thing to have.

Fernanda 26:17
I think that when I decided to come to the United States, God in one way or the other tried to help me bringing a cat emoji sex.

Scott Benner 26:31
Listen, you can't keep saying delightful things because you already chose the episode title. It's called Love at first sight. It's just too good. I mean, you're gonna have to say something pretty amazing. from here forward to get that to get that one knocked off. Yeah, I mean, listen, sometimes things just come into your life and, and you definitely need them. And I listen, I'm not gonna defend. And after

Fernanda 26:52
two years in New York, I met all these diabetic people that they are amazing. How did you meet them? Like with capital letters? Amazing. How

Scott Benner 27:03
do you meet people like, like that have diabetes? Did you go to a meeting or online? Or how did you do that?

Fernanda 27:10
I'm kind of

Scott Benner 27:22
managing insulin is difficult enough, when you have good data. But it gets harder when the numbers you're getting aren't accurate. With that in mind, I asked you, is your blood glucose meter? Accurate? You don't know, do you? Of course you don't. Because someone just gave it to you. You didn't look into it, or ask any questions. And I understand why I didn't either. The first time somebody gave me a meter, I just took the one that doctor gave me. But now I know better. Now I know about the Contour. Next One blood glucose meter. And you can know about it as well. It's not a secret. And you have the internet I imagine. So head over to contour next one.com forward slash juicebox. At that website, you can learn everything you need to know about the Contour. Next One blood glucose meter. I'm going to tell you my favorite parts. It's easy to hold and easy to transport. It has a bright light for use at night. And the screen is gorgeous. Interesting. I'm saying the numbers are big, and they're well lit. And I can see them me and my old eyes. I know what they are. The test strips are fantabulous, they offer Second Chance testing. So if you touch a little bit of blood, but don't get quite enough, you can go back and get the rest without ruining the accuracy of your blood sugar test. And accuracy is what this is all about. Contour next one.com forward slash juice box. You can make your decisions a little less burdensome by having accurate measurements. Right? You don't want to be guessing about what your blood sugar is. You don't want to be thinking like well, I hope this meter is like close. Where did I get this meter from? The guy pulled out of a drawer. The salesperson Oh God, I don't remember. Why do we have this meter. I'd like you to not be walking around with a blood glucose meter that you can't remember how you got make a decision. Check out the Contour Next One blood glucose meter contour next one.com forward slash juicebox links in the show notes and links at juicebox podcast.com. Support the sponsors support the show. Oh sorry. That's a no data from Arden stacks calm. She's on an airplane right now. on airplanes that does not have Wi Fi. I didn't mean to interrupt us. We just put this back down. Now, by the way, Dexcom is a sponsor too. They didn't sponsor this episode, but dexcom.com forward slash juice box. Let's get back to Fernanda.

Fernanda 30:21
So it happens that once I started in the pump, and my agency started getting better, I started running. And as I said before, I've always been an athlete. But running is another monster, you have to deal with your blood sugar's for a long time while you're exercising. And while I was an MBI, I was able to run like maybe one to three miles. And then I was crashing down. I couldn't hold it. But with a pump, I figured out that I would do three miles four miles 578. And I could manage I was like, Okay, let me see how other people manage their sugars while they are running to see if they are doing better or worse or whatever. Just I needed ideas of what to bring in. So I started talking with one of my patients like, hey, I need to find a group of type one diabetics that run. And I'm googling and I can't find one. And I'm sure there has to be one because there's way too many out there. And I'm not the only one that runs for sure. I know, I'm not the only one. And she said, Well, you know, ah, Billie Jean King was a diabetic. I was like, Yeah, to 801. And he was like, Okay, we'll find one. Okay, we'll find one and eventually Googling, I found beyond type one. And beyond Taiwan. It's amazing community to you, they have these type one run community. And when you go to Facebook, and you look for them, and they suggest different type one run communities, there's the metro area of New York. And like, Okay, I'm going to join these one, let's see what the people do in this city. And shortly after I went through there, they said, Hey, we're gonna meet, we want to see each other faces. So let's come together these day, this place this time. Like, okay, let's go, you know, I don't have any issues, socializing. And that is how we met. Wow. And it's incredible. The other day, we were talking like, if we were just on our own in a bar, we have never come together. Like how we are now because we just share that we're diabetics.

Scott Benner 32:31
Yeah, how would you know who's who really are? You know? That's a really, that's excellent. Really cool.

Fernanda 32:37
Hey, we're like 20.

Scott Benner 32:38
Does it turn into a social? Guide? I'm sorry. Yeah, it does it turn into a social circle. Besides running? Absolutely. Yeah. What's it? Absolutely. I have to ask you what it's like to be young, in New York with diabetes. It's just, I mean,

Fernanda 33:02
thank you for the young part. I love it.

Scott Benner 33:05
Listen, you've been there for a while, right? So obviously, go back in your memory. Really? No, no, but But seriously, like, that's a single even Miami's a bit of a I mean, Miami, sort of like New York, but, you know, closer to Cuba, basically, you know, like, so. It's a it's a very, I mean, I there's similar kind of aspects to the social lives. So, I mean, how much do you think about it? Having diabetes while you're being social? I'm not a match. No, you don't. Because you were had it when you were young, actually for saying

Fernanda 33:46
I don't care at all. It's like part of my life. Um, the easier thing about loop is that you can control how much insulin you put in or suspend or whatever with your cell phone. So nobody knows if you're putting insulin or sending a text message.

Scott Benner 34:05
It's excellent. It's very cool.

Fernanda 34:07
Because I'm because I'm very there because I'm very obvious with my with my Omnipod. I sometimes we're both in the same arm, or I wear my G six, seven on my chest, the six g six on my chest all the time. So people seed and they're like, Oh, the same as I said before, it's just smoking. I was like, nope. And I have to start telling me no, I'm diabetic. But I'm, I'm cool. So let's go porting

Scott Benner 34:34
Hey, listen, I'm gonna You're a little noisy. I'm gonna stop your video. Just to see if that helps us, sir.

Fernanda 34:41
I can stop it. Yeah, thank

Scott Benner 34:42
you. Hopefully, it'll just give us a little more bandwidth. But I want to go back for a second so people understand you were your G six on your chest. Do you mean? Is it on your breast or is it up on your like, up on higher on your chest?

Fernanda 34:56
aids like, two three fingers under my clavicle?

Scott Benner 35:00
Okay, that's a perfect guy, but I

Fernanda 35:03
use it everywhere. I mean, last week I had it on my, on my, on my lower leg.

Scott Benner 35:09
On your calf.

Fernanda 35:11
On my calf. Yeah,

Scott Benner 35:12
yeah. I've seen people do use it everywhere. Yeah. Do you find it works better in one place than the other?

Fernanda 35:20
Oh, the chest for sure. That is my gold standard place.

Scott Benner 35:23
Okay. Interesting. Arden loves it on her hips.

Fernanda 35:27
It does. It doesn't bother. I so right now I have it on my hip. The only problem is that every time I want to go to the bathroom, and I put my pants down, I feel I'm gonna take it away.

Scott Benner 35:40
I I've heard her say that before. Yeah, I the biggest. I would say if Arden has any issue with her hip. It's that if she side sleeps, sometimes it could give her a compression low. Oh,

Fernanda 35:56
for sure. So the Omnipod right now I have it in the inner part of my thigh. Four days ago, I have it on the outer part of my thigh and I'm a side sleeper. And I couldn't sleep to that side. Because I feel it like digging into my tie.

Scott Benner 36:11
Yeah. Hey, the inner how far? Or how far on the inner part of your thigh? Like, what if we talked about the top of your thighs? Like the crown? Is it all the way? By 90 degree? No,

Fernanda 36:23
no, it's not the way it's not the way in. Because my legs are a little chunky. And I don't want to walk with it between my legs. But it's like, let's say two fingers in the upper part of your thigh. Like, it's, if you put your legs together, it won't go in the middle.

Scott Benner 36:46
That's how I understand. Okay, pod bra. Yeah, you don't want that. Right?

Fernanda 36:51
No, not at all. Well, you figure it out with time. I used to put it on the lower back. Before and it's very comfortable when you're standing up. And when you're sitting down. You want to kill yourself. Okay.

Scott Benner 37:03
Oh, I see. Yeah. I can imagine because it's always gonna hit a chair, especially anything with like lumbar support. And it would probably be

Fernanda 37:12
Yeah, I used to put the Dexcom like in this role that I have, like, on my, my mid back, like we're the the bra goes on the back. There's a I have a little roll of fat roll in there. I used to put my my Dexcom in there. It used to be very comfortable until I decided to take off one of my T shirts. And he came out with it. I was like, Ah, forget it.

Scott Benner 37:39
You're very adaptable about everything really? Why do you think that is?

Fernanda 37:45
I try. Um, you know, it took me 15 years to recognize my condition. I neglected it for a long time. I was very frustrated about my numbers. My first depression episode or diagnosis, I don't know how you want to call it was because of diabetes. And I think that when I moved to the US and I was able to take care of my life for myself for the first time. And I had the chance and the money and the opportunity to have a better control life. I just wanted to enjoy it as much as I could. So I don't feel ashamed of it. I'm very proud of managing it as best as I can. And the long road that I have been going with it. And I tried to just be flexible with everything because I don't want it to to be like a like a I don't know, like stop point in my life.

Scott Benner 39:08
I have a question. Should was, was your father right to be worried? Or was the way he was? Did his the way he acted? What put you into that feeling that you just described?

Fernanda 39:25
No, I think he was just extra worried. And my mom was to both of them where it's just that my dad was more militant about it. How would you? Yeah, he was really good at punishing and screaming and shouting and this very terrifying image of it. Actually, I stopped talking with my dad like five years ago and start talking to him again. Two months ago. I took me time To forgive him for all of what he did. Yeah, and yeah, right now I'm good. I think I, I, I went a long process with my psychologist and my psychiatrist to stand up again and say, Do you know what this is who I am? And here I am. Here's what I come with. And let's go.

Scott Benner 40:25
What would Excuse me? Sorry. From your perspective, what? What parenting tactic would have been valuable to you? What do you mean? What could your dad have done that would have helped your health back then, and given you a more healthy outlook as an adult? Like if you were done punish

Fernanda 40:50
me because my blood sugar was high? Yeah. Don't punish me because I was gaining weight. Don't tell me like that. I look like a cow. Because I'm 170 pounds. Don't promise me gifts, if I lose 30 pounds? That is not the way of doing it. You know? Like, if I'm low, you don't punish me. Yeah. Okay, here you go corrected. Let's see what happened. The next time you put one unit lies. If you want to eat the whole lasagna thing. Go and eat it. I just want you to finish with 100 of blood glucose, you know, let's see how to do it. Yeah, man. No, he'd never had that psychologist, I that psychology? I think that when you love somebody so much, sometimes it's it's bad. Because you don't let them grow.

Scott Benner 41:48
Yeah, and he did. He obviously didn't know how to help. I mean, you know, it's a tough, he didn't Yeah, I mean, you're using regular mph. And it would have been difficult for anybody. But the rest of it doesn't make sense. Like listening to it. I don't know how he goes from, Hey, eat all this. Because you're supposed to eat all these carbs to you're gaining weight. That's your fault to like, don't gain weight. Exactly. Yeah, eat all this food, don't gain weight. Okay, you know, like, exactly. What am I supposed to do here? And you're young. So

Fernanda 42:20
I was a teenager, hey, I got my first period when I was 15 years old. And let's just try another roller coaster. You know, I didn't get it. But he never. He never assume any part of it. He just said, I'm doing what I have to do. But she's not collaborating. So that's why the numbers are so messed up.

Scott Benner 42:44
Yeah, like it's your fault. Because he probably couldn't imagine anything else. He didn't know what was going on. So I guess if you're if

Fernanda 42:54
I already I already forgive him about it. Yeah, um, the last episode that I listened from you was this guy. Mike, Max, he had all these complications because of being diabetic and having his high a onesies for so long. And it's like, it made me kind of worried a little bit. Because my avsc was up in the tents for more than 15 years.

Like, I hope, I hope that I'm not gonna have any of these. I hope.

Scott Benner 43:28
How are you so far?

Fernanda 43:32
So far? I'm really good. All my numbers are coming out fine. My eyes are working beautiful. My crediting levels are on point. It's just that complications come without advice. So

Scott Benner 43:49
yeah, no, when they show up there,

Fernanda 43:50
I hope I'm standing up when that happens.

Scott Benner 43:55
Hey, he said, you're speaking to your father again. Did you? Did you tell him? Yes. Like that? Was that part of the process? Did you tell him how you felt back then?

Fernanda 44:05
No, because I know his answer. And I don't want to deal with it.

Scott Benner 44:07
I gotcha. So you just moved on. You just kind of Yeah, yeah. New life start over.

Fernanda 44:13
Yes, yes. Absolutely. He's gonna blame it on me.

Scott Benner 44:16
Gotcha. If you go back and tell him how you feel. It's all gonna start over again. I hear you.

Fernanda 44:21
Okay. Yes, he will. He will say I did everything that I had to do. You didn't do your part. Okay, he's very narcissist. Alright, so I'm not gonna I'm not gonna go into that. into that part of my life again. It's not worth it.

Scott Benner 44:37
Yeah, no, I mean, I think it's, I also think it's healthy not to hold on to resentment about things. So it's good for you. You know, they mean to Yeah, let it go.

Fernanda 44:47
I'm already made. I'm already in charge of my own things. And I'm happy about it.

Scott Benner 44:55
Yeah. Cool. That's excellent. Do you think you want to do You think you want to have kids?

Fernanda 45:03
I would love to, I would love to have kids. But I'm already because of all this complication things that we were talking. I'm in the position that if they come, I'm very happy to have them. And if they don't, they just don't.

Scott Benner 45:21
You know, you're not actively, you know, chasing a boy around trying to make it happen. You just live in your life. Yes, yeah. Gotcha.

Fernanda 45:30
Yes, yes, yes, I come from a very conservative family. I, if I have kids, I would like to have you know, I'm not gonna say a husband, but at least a partner to have a father image to my kid, you know?

Scott Benner 45:45
I say, yeah, it makes sense to me. Are you do you? Do you date? With that in mind? We're like, how do how does a single person I've never printed a Listen, I've never been single really? Like you don't I mean? Like, I was pretty young and, and things like that. So how does a single person like yourself? Like, how do you even find people? And when you find them, like, does it become obvious very quickly, who wants to get married? And who just wants to date? And how does that all work?

Fernanda 46:21
Well, I think there's a difference between dating when you're 20. And when you're 30. When you're 20. You're just dating and having fun. And whatever it happens, it happens when when you're 30 year old, really very straightforward. You meet somebody you have fun or just talking and then the question just pops up, like, Hey, are you planning to marry one day have kids or you want to be single for the rest of your days? That is a question that I do right away. I am not shy about it at all.

Scott Benner 46:57
And you don't care what their answer is. You just want to know.

Fernanda 47:01
Yeah, I don't care about their answer. I just want to know exactly. Like, it doesn't have to be with me. I'm just asking in general, like, what is your plan for the rest of your days? You know? It's just to be wiser with whom you're spending your time when it comes to date with? Are you already it was nine years of my life, that I was with the same guy that originally he told me no, I don't want to get married. I don't want kids. I don't want anything. And I had this idea, of course, as every women saying, Ah, you will change his mind. Of course you never did. And after eight years, we were fighting a lot. So when things were already bad, we've refinished and he decided that he wanted to married now. And he wanted to have kids and he kneeled actually, he gave me a ring. And I said, I'm so sorry. It's too late.

Scott Benner 47:59
You're that feeling kind of left you? Like what was? Yeah, was there a time when you would have married him?

Fernanda 48:07
Absolutely. If he asked me maybe two years earlier, or three years earlier, when I just came to New York, a booth I was I was in love. I was sealing in love. But after, you know, some disappointments on enough i It was no

Scott Benner 48:29
did the fighting did the fighting sour it.

Fernanda 48:35
Like, more than the fighting, you know, um, he started showing personality issues that were very, very similar to my dad's. Okay. And when I saw them coming, like the shouting in the undermining, um, all these bad words coming out and everything I said, you know, and I know, this is a very, very red flag. I need to get out of here. Now.

Scott Benner 49:08
I've done this once. I'm good. I don't need to do it again. Thank you. It took me

Fernanda 49:11
time to figure it out. It took me like seven years to figure out real because I was in love. So I didn't I didn't see the bad things. But well, I saw the red flag, it was like almost on my nose. And I said, Okay, I'm out of here. And I've met like very nice guys on the way. So I'm very thankful that I was able to realize it on time.

Scott Benner 49:35
Do you think about guy's backgrounds when you're dating or do you not care? Where They're From

Fernanda 49:46
what do you mean like country profession family?

Scott Benner 49:49
I think maybe I mean, all of it. And I'd be happy to pick through it like so let's start with you know, do you look at their prospects their, their professional prospects? How long until them Yes, I

Fernanda 50:00
do. Yeah. Yes, I do. Yes, I do. I'm a very competitive person when it comes to talking knowledge. I like to talk about politics. I, I like to talk about the Nils. I like to talk about a lot of stuff. And I want a man by my side that can tell me hey, yeah, absolutely. Or no, I don't think this is the right thing.

Scott Benner 50:31
Do you want them to be able to make a certain amount of money?

Fernanda 50:35
Huh? No money. So donation, you know, money comes and goes, Okay, today, you can be a millionaire today. Tomorrow, you can have nothing.

Scott Benner 50:43
How about just like, cultural backgrounds does dues? Do you? Are you looking for similarities to your own? Or does that not matter?

Fernanda 50:53
No, not really. You know, I've had a lot of boyfriends. I mean, not a lot. I'm gonna say. I got like seven boyfriends in my life since I started dating, but they all have different backgrounds. And that is funny. Okay. I I dated a Brazilian I dated a guy from Holland or Netherland. I dated a guy from Dominican Republic. That was my ex. I was with a guy from England. Yeah, I really don't mind about their background.

Scott Benner 51:27
Gotcha. Religiously doesn't matter to you.

Fernanda 51:31
Not really, I'm Catholic, but I don't remember the last time I went to church.

Scott Benner 51:35
Gotcha. Yeah, I mean,

Fernanda 51:39
I believe in God and the Virgin Mary.

Scott Benner 51:42
But if I, let's say you and I meet, and I don't believe in any of that, um, I just come right down. I tell you, I'm an atheist. Can you date me?

Fernanda 51:50
Absolutely. It's a thing of respect. If you respect that I believe in God and the Virgin Mary. And I respect that you don't believe in anything that we're fine. Now, if you're going to start judging me, because I decided to start going to church on Sunday, then we're going to be in a problem,

Scott Benner 52:03
right? No, no, I would expect that. Yeah, I just didn't know if they had to be similar. Of all those guys with different backgrounds. Was that the cat?

Fernanda 52:15
No, no, that was me saying no. Oh, I

Scott Benner 52:17
was like, you were like, I speak I spoke over. So listen, for people to understand, like, my voice has pumped up in my ears a little bit. So sometimes, like, it's hard for me to. It's always like, it was me hour and No, and I just didn't know which way I wasn't certain. And then let me thing. Okay. And I thought that I was disappointed because the cat didn't have an accent. So I was like, Ah, that's a letdown. Oh, have the boys that you mentioned from all the different backgrounds? Did any of them. What's the one I want to ask you? Were was there any background that's more passionate? Less? Like they did they around in different ways?

Fernanda 53:05
I'm gonna say that the guy that I was dating from the Netherlands, he was the most romantic for sure. in kind of a kind. He learned how to cook. He learned how to cook Chilean food. He would just get me out on dates out of the blue. He was very nice. Maybe wasn't because we were both in our early 20s. I don't know. But I have really good really good memories from him.

Scott Benner 53:27
Right? He was trying hard.

Fernanda 53:31
Oh my god. Yes. He was so cute.

Scott Benner 53:34
But you guys were too young. That wasn't gonna work out. Right.

Fernanda 53:37
Super. Yeah. Yeah.

Scott Benner 53:40
Which, if you could go to one of those backgrounds now to start over with which one would you choose?

Fernanda 53:48
Um, maybe him because I we have really good memories together.

Scott Benner 53:52
Yeah, it's not so much. To me.

Fernanda 53:54
I I don't mind a lot about backgrounds. I I just enjoy good company.

Scott Benner 54:01
Yeah, it doesn't matter. Right.

Fernanda 54:03
It doesn't matter. Okay. It actually doesn't matter at all.

Scott Benner 54:08
I feel the same. I just was interested to see if, you know, there was just one thing that that stuck with you all this time. And if if you felt you felt if you felt like it was cultural or not, that's all.

Fernanda 54:22
No, not at all. I don't know if you want to know a freak thing. These guys that I was dating from Brazil. We were together like for six months, maybe seven. And he never told me that he was diabetic until I saw one human like planning his table night. I was like on the table. And like, what is this about? You're like, Oh, that is mine. No, for sure. It's yours. It's not mine. Wait, why didn't you tell me that you were diabetic? And he was like, I don't tell anybody.

Scott Benner 54:51
Did he know you were Yes. That's That's weird. Right? Yeah. I didn't like that. Oh, am I gonna write down where I said? No, I said again.

Fernanda 55:07
That is one of the free things that have happened to me dating.

Scott Benner 55:11
Give that's insane. Did that like, did that change the relationship?

Fernanda 55:17
Ah. And I'm not going to face a red flag, but it is for sure a yellow.

Scott Benner 55:27
We could say yellow.

Fernanda 55:29
Like something. So something that is going to be with you for the rest of your life. Why don't you share it? You know?

Scott Benner 55:37
I wonder if that's just that he is like, I wonder if I wonder if that's an indication of how long you thought he was going to be with you? Or if he really didn't? Do you just didn't tell people.

Fernanda 55:48
And sometimes I stayed with my patients a lot. They don't like sharing their medical background because they don't like to be judged. And I use my diabetes as my I don't know how to say it in English like my Troy horse. Your church? Yes, that they are like, Hi. Well, I can do exercise right now because I'm diabetic. Oh, my god, me too. Let's go.

Scott Benner 56:15
Ah, that's your way. Yeah, yeah. I guess. I mean, obviously, I have a podcast where I talk a lot, but I don't think about that stuff ever. Like, I would never think to hide something about myself if I was having a conversation. Like, it just all seems everything seems pertinent to me.

Fernanda 56:34
A lot of people hide their stuff, if they are HIV positive. They don't make them people to know if they have cancer. If they have Ms. I don't know, a lot of people are afraid of being judged. And I think that my way of being so obvious about my diabetes is a way for them to tell them. Look, you're not alone. You know, we're a lot of chronic. There are a lot of people with chronic illnesses out there. Yeah, it's not just you, I try

Scott Benner 57:04
to say that there's way more than you think, you know, like it, it feels so limit, it can feel so limiting. And singular, because I think partly because other people don't share or light, you know. And so

Fernanda 57:18
I'm so lonely. And there's something that we all share. I'm not saying it's diabetics, but as a chronic ill people, we all share the burnout. We all share these being tired, and whatever it comes with it. Like we are not the only ones that we stopped putting insulin when we are done with our we don't want to be diabetics anymore. There are people with cancer that they stop doing chemo because they're done with it. There are people with HIV that they stopped taking their medication because they're done with it. There are a lot of people that with chronic illnesses that they stop taking their medications and their treatments, because they're done. And then we feel so bad that we're all coming back and say please give me my insulin back. Yeah, but we all go through that process because it happens we get tired.

Scott Benner 58:11
No, makes sense. I have a question from earlier. It's kind of a question for me, not for you. But you said that you recently listened to the the after dark episode with Mike about his complications. And that it made you concern for yourself? Yes. Put yourself in my shoes for a second. What was making that episode the right thing for me to do? Absolutely. Okay. All right. So absolutely. So even though it made you worried, it was still it was still important for you to to hear?

Fernanda 58:47
Well, I think we all know where where we are hearing if we don't take care. And I think the reason why I have so many hyperglycemic comas was because my dad was very afraid that I was going to lose my kidneys if I was high all the time. So he rather had me low. It's just that he didn't know that every time I had a Hypo coma part of my brain was shutting down until one of the doctors told him Look, you are killing her brain like this. So after that, he realized and he said, Oh, okay, so capably semi comas is a short term issue. Well, DK A's are a long term issue. I never had a DKA I was not diagnosed by DKA. The first DKA I had it two years ago, and I really, really felt like I'm sorry for the word but I felt really bad. But because of that, I think that long term problems have been solved. behind my head because my dad always repeated to me, you have to have your blood sugar low because if not, you're gonna lose your kidneys, you're gonna go blind, you're gonna lose your feet, I'm gonna blah, blah, blah, and all that stuff. And working in a hospital as a physical therapist, believe me, I have at least once a day, a patient with diabetic complication, open ulcers in their feet, an amputation. necrotizing Charles, or whatever that is. So I have I have to remind them, they're reminder all the time. But didn't say Oh, those are type two. They don't care. There's 200 pounds, whatever. But when I I, like you start in the back of your mind. But when I heard Mike, I was like, I don't want to please God help me.

Scott Benner 1:00:52
Were you glad you heard it? Absolutely. Okay. Yeah, I just, I mean, you can try to imagine that. You know, I'm trying to build a narrative with a podcast. It's pretty wide sweeping. And I feel like that that was important to do. But it's odd, because I don't have type one. So I'm the one Oh, but I'm the one making the decision to put that out there. And it's, you know,

Fernanda 1:01:17
but remember that out there. Mike is not the only one. Yeah, he was the one that decided to talk. But a lot of people are dealing with complications. So is the same thing as I'm doing right now telling everybody, everybody that I'm diabetic. He's telling everyone, everybody sorry, that they are not the only ones having complications,

Scott Benner 1:01:33
right? No, I listen, I obviously thought it was the right thing to do. I was just interested in how you felt about it. You're the first adult that I've spoken to. Who's heard it since it's been up. So like, Oh, okay. On the podcast, you know, I mean, I've spoken to people privately but being recorded. Yeah, I think it was, um, I mean, I took my cues from him. He felt like it was incredibly important to do. And I thought he was a good arbiter of that decision. So

Fernanda 1:02:00
yeah, when he said, Well, now that I hit my a one to five, and I'm not getting out from there, I was like, I'm gonna aim for that. Number two, just give me time to

Scott Benner 1:02:10
keep trying. Right.

Fernanda 1:02:12
Right, ma'am. And 6.6. And I feel like I'm wanting, I don't know, like a gold medal, but I can get even higher.

Scott Benner 1:02:18
Now you could definitely get a gold might give you a gold medal for 6.6. That's amazing. Especially from where, you know, yeah. I mean, from where you came from, and everything you've been through like that. You even found the courage to try it is a big deal.

Fernanda 1:02:32
Yeah, for sure. But I'm gonna tell you in the in the back of my mind, I'm very afraid that one day, another hypokalemia is gonna come. Yeah, I was gonna that that one gets me that one gets me. Yeah. I was wondering. It's not funny to wake up one morning in an ICU, like not knowing what happened. And yeah, I have my cat. But he can wake me up. But um my mom tells me every time that I had a Hypo coma, I was having seizures. And I was not waking up. So for sure, if I'm having seizures, My God is not going to wake me up.

Scott Benner 1:03:10
Do you have glucagon now? And because, yeah, I

Fernanda 1:03:13
have glucagon. But what's the point? If I can put it?

Scott Benner 1:03:16
Yeah, if it comes on too quickly, right.

Fernanda 1:03:19
You know, like, all the times that I needed a glucagon My mom put it in. And but yeah, I tried to share my Dexcom my Dexcom numbers with my brother. Oh, my family's in Chile. I try to share them with my brother in Chile. And I couldn't for one, I don't know what's the reason but Dexcom doesn't allow you to share numbers outside of the US territory

Scott Benner 1:03:41
internationally. I just figured that out recently, when I offered to help somebody with their child and they were Canadian. And I had them send me their thing and I couldn't do it. I didn't realize

Fernanda 1:03:53
no you can't. You can tell right now I'm trying to find a peep here in Miami that I can have the confidence to say. Do you want to hear my alarms at 2am?

Scott Benner 1:04:05
How would you like to be irritated by me even when I'm not with you?

Fernanda 1:04:12
I'm still trying to look for that. BFF Yeah, that wants to share the burden with me.

Scott Benner 1:04:18
Do you think it would take another type one to want to do that? Or?

Fernanda 1:04:26
I don't know. So I found the father of type one here. Let me play beach volleyball together. And I asked him if he was willing to do have my numbers in his cell phone you know and he said sure, yeah, sure them to me, whatever. But the last time I saw him was like a month ago so I was like, forget it. This is not gonna work right now.

Scott Benner 1:04:49
It definitely it's a strange ask because now suddenly, like if you asked me to do it, I think well, now I feel responsible to make sure you're okay. And that's

Fernanda 1:04:59
it. No, right? Because it's weird. That's why I'm saying I'm finding like a BFF. They don't know they don't have to come, they just have to call 911.

Scott Benner 1:05:07
That's all. I don't even want you to like, leave it bother calling me just send an ambulance to wherever I Yeah,

Fernanda 1:05:12
exactly, exactly. If you call me and I don't answer the call 911 You don't even have to get up from your bed.

Scott Benner 1:05:18
Is that more of a? Is that more of a fear based on your past history or your current situation?

Fernanda 1:05:26
I think if you're based on my past history, absolutely.

Scott Benner 1:05:28
Especially because if you're looping, then I mean, not that it's foolproof. But you have you noticed on loop that it's pretty hard for your blood sugar to get under 50. If things are set up pretty well, like that loop does a pretty good job of, of stopping, like, super low lows. Do you agree? Yes,

Fernanda 1:05:47
I had one incident with Luke three months ago that killed me. I don't know how it happened. But it bothers to 15 units or two in the morning. And that when I don't know how it happened, I woke up at 3am with so you know the Dexcom when you're going down it first gives you a very, like a normal sound alarm like a beep, beep beep and you're okay, I'm low. But because I don't feel the lows. Sometimes I could just look at it turn around and continue slipping. And then the second bit comes and it's a little bit lower. A little bit higher. Sorry. And if you don't turn that one off, the third one is going to wake up the whole building.

Scott Benner 1:06:33
Yeah, that panic. Well, and the one yes, like I don't know how to like it's like, it's like, if you can almost hear it yelling at you get up, get up pay attention. Like that.

Fernanda 1:06:45
Yeah, absolutely. It's a it's a very loud alarm. And then when I woke up, I was like, Okay, what's going on in here? And I was in 32. Like, okay, I'll go, I need something. And I went to the kitchen, I got like a glass of sugar, water, whatever. And I started drinking. I was like, how on earth did I get to 32. And I started looking at the look numbers I need. I don't know if it had a glitch. And it sent me a Bolus of 15 units.

Scott Benner 1:07:12
It should be able to limit how much it can Bolus. I'm not sure if that's for sure. But it has.

Fernanda 1:07:23
So you have a max delivery for your Basal and you have a max delivery for boluses. Yeah. My Max delivery for Basal is a top of five units. But the max deliver for ballers. I have it on 15. And for one reason, I don't know which one it is. It gave me 15 units at once. And it was scary as hell

Scott Benner 1:07:45
yeah. No kidding. Did you have um Is there any chance you woke up and gave yourself insulin? Like or did it in your sleep? I'm not I'm just trying to figure out how that could happen.

Fernanda 1:07:59
I don't know. Um, you know, to get into the loop up, get into the insulin part, press 15 Getting my face recognized by my cell phone and actually put it in

Scott Benner 1:08:13
would really be something and there are a lot of steps to kind of slow you down. No, that sucks. But no, I mean,

Fernanda 1:08:21
the first one last time it happened never again.

Scott Benner 1:08:23
Okay. All right. Cool. I, I you know, I don't think anything's perfect. But I mean, for No, not

Fernanda 1:08:33
at all, but I'm very I'm very grateful for a loop for sure. Yeah. Very, very grateful. accident happens all the time. Every everybody commits accidents. Like I don't know, you crash your car or whatever it is. Nobody does it on purpose. But loop has helped me so so much.

Scott Benner 1:08:55
Yeah, no, I agree. I it's been a big deal for us too. I mean, we're, I think the biggest deal for for algorithms in general like forget loop like for all of them. It's just the idea that you're going to get to sleep more it's such a big deal. You know, like like MMA.

Fernanda 1:09:10
No, you won't you don't think so? Yeah, I still wake up at two or three in the morning. Different issues or is that high or it's a low or it's my cat or it's I don't know.

Scott Benner 1:09:23
Well, the cat the loop can help with the cat.

Fernanda 1:09:28
So before when I was in MBI don't know how this happened. But I was having constant lows when I was using a it was the long acting Basal the 12 hour long acting by that time that was very long acting. With the human log. I don't remember the name of the insulin as soon as I can. I will let you know that insulin was supposed not to have pigs at all. It was a Basal 12 hours beautiful lantai no Lantus is 24 hours just before lunch is

Scott Benner 1:10:00
not Atlantis lent Tae

Fernanda 1:10:04
unlimted Yeah, exactly. There you go. That's not it. Okay. It was a 12 Yes, that is it. It was a 24. It was a 12 our Basal beautiful, no peaks, you can just use it with him along and you were fine all day. Somehow that insulin, yes, it had a peak. But the peak was like, three, four hours after you indicated. And during the day you don't figure it out because you're just eating and snacking and whatever and the life life is happening and you don't see it. But at night, I was having these lows a two three in the morning down to 30. Then then they just bounce back up to 180 out of the blue. And I will wake up in 121 30 I didn't have a CGM by that time. But I remember that I woke up one night 30 I woke up the second night 30 The third night 30 I was like, Okay, this is weird. Then I would just sleep the whole night. And if I didn't wake up, it would go down to 30 and then up to one a by its own I didn't even have to treat it. And eventually the doctor is something that something she needs. She divided like okay, you're going to put two thirds in the morning and 1/3 at night and whatever and then it just stopped happening. But yeah, loads at night have been my thing.

Scott Benner 1:11:28
What insulin do you use now? Chemo okay.

Fernanda 1:11:34
But I'm very eager to try a freezer, because I hate the highs and I have such a hard time bringing them down.

Scott Benner 1:11:43
Okay, she's gonna try the V inhalable insulin. Yes, yeah.

Fernanda 1:11:49
I want that to 30 to be one in 100 in five minutes

Scott Benner 1:11:54
that somebody is able to

Fernanda 1:11:56
do that. Hey, I'm gonna pay for

Scott Benner 1:11:58
you to give it a try. Yeah, I people asked me to have someone on about it. And I always just think like, I don't know, it seems like such a leap for me about the inhaling it. And I know people say it's been around for a number of years now. But you know, I don't know it feels. I feel a responsibility not to say something out loud. Unless I can be pretty certain about it. I so hard hard for me. I have

Fernanda 1:12:22
one of I have one of my diabetic peeps in New York. He's, uh, he's been using a friend for a while. Yeah, I can say once he's like in 5.1. I don't know Kyle. He is my go to. I want to be like him. Okay. Yeah. 5.1 just on a frozen. I'm so impressed on that.

Scott Benner 1:12:41
Does he use those like a Basal insulin as well?

Fernanda 1:12:46
I think so. I think he's into Ziva. Okay. You will have to call him and ask him. No, he's incredible.

Scott Benner 1:12:53
Is there anything that we haven't spoken about that you wanted to talk about?

Fernanda 1:13:00
No, not really. I just wanted to clarify that, uh, you know, like, having having sex and being diabetic is not a bad thing.

Scott Benner 1:13:13
Well, I think that I think your point, it's interesting, because if I look back at your, you know, about your intake about what you want to come on in the show and talk about, like, we didn't really talk about it very much. But I think you just made the point very clearly, like, you know, I understand how an adult who's been diagnosed as an adult might feel super, you know, you know, awkward about their technology, but I don't feel that way. And I mean, even if you're not diagnosed as an adult, or as a kid, like people feel differently about it. So I'm glad you gave a different perspective.

Fernanda 1:13:44
Yeah, these are my gadgets, they come with me and they will be with me the rest of my life. So I'm fine with it. Actually, if you want to know a funny story, I had one of my patients in New York, he was part of the comedy of JD RF dirty. Yeah, that's the name of it, right? Human on diabetes Research Foundation. And he saw my G six on my arm. And he said, You know what? Like, we're working for and then the next five years, the Dexcom is half its size. And I was like, Oh, really? Cool. Well, let me tell you something. I hope that in five years, I don't have to use nothing at all because we want to be diabetic anymore.

Scott Benner 1:14:32
Like, I've got bigger goals here, buddy.

Fernanda 1:14:35
And he just he couldn't answer back and I was like, hey, well, just for you to understand a little bit what we want. We're fine with the technology, but we need a cure for this.

Scott Benner 1:14:47
Yeah, keep moving in all the I think they I mean, I think that it's all important, right, like making making your CGM work better making it smaller making insulin work better. Like all that's important. You No and and yeah, you should also be looking at the other stuff too. I just interviewed somebody the other day, who's in a trial for encapsulation, you know, where they put the cells inside the pack and everything. And that was really interesting to hear about. I'll get that up as soon as I can. But um, yeah, I think I would like it if everybody was working on everything. You know what I mean? Like, work on a cure work on a stop gap. You know, the, maybe it's cells inside of a pouch, make make this stuff work better make it better, like do an oral kind

Fernanda 1:15:30
of super fast, fast, fast insulin that will bring my 200 to 100 in two minutes and not

Scott Benner 1:15:36
make me low an hour later, please. Yeah, get on exactly. Everybody get going. Take care of it right now. Yes. Well, you were really terrific. I appreciate you doing this very much. I never asked your cat's name.

Fernanda 1:15:54
Gotcha. Okay, now it's complicated. Yeah. P AC H O kachel.

Scott Benner 1:16:01
ca ch Oh, okay.

Fernanda 1:16:06
It's a Chilean Islam.

Scott Benner 1:16:07
I'm just gonna I'm looking at that right now. Hold on. It's a dice game, bro.

Fernanda 1:16:12
No, no, no, no, no, no, no, no. So it's a dice game. Yes. It's like it's a dice game. But his name is not because of that. I gotcha. So I catch you in Chile is like something that you have. And but it has like a sentimental value. So you don't want to throw it away?

Scott Benner 1:16:33
I gotcha. Oh,

Fernanda 1:16:35
yeah. I don't know. It's something that you have, but you don't know what to do with it. And that becomes a catch all. And that happens because my character rescue my brother rescue him from like, from the garbage I'm gonna say when he was pouring out with his friends. And he just brought him home. And here we are.

Scott Benner 1:16:59
It has different meanings in different I'm looking online here in different languages to a little bit.

Fernanda 1:17:08
Yeah, you can have like the horns of the bowl. Their goal catches too. You have the game. You have like the tip of a mountain. It could be a catcher. It means a lot of things.

Scott Benner 1:17:21
That's cool. That's very nice. All right. Well, thank you very much. I appreciate you doing this. Did you have a good time?

Fernanda 1:17:27
Yes, I did. Thank you for for the conversation. It was a very cool conversation.

Scott Benner 1:17:33
I had a great time I right before we started recording you said you like sometimes you will have trouble finding words like in English did. Did you feel okay, while you were talking?

Fernanda 1:17:47
Yes, I felt really cool. Sometimes. i The verbs that I use are not in the in the correct. Time. But I figured out right away and I tried to correct myself.

Scott Benner 1:18:02
If it makes you feel any better. I'm not 1,000% sure what a verb is, so don't even worry about it.

Fernanda 1:18:09
Yeah, you're fine. I think people understand the idea of what I'm talking about.

Scott Benner 1:18:14
No, I thought you were terrific. I really did. That's why I was like, thank you so much. I was I was I was a little confused that you were even worried. Because I thought it went. I thought it went really well. Alright, well,

Fernanda 1:18:26
let me because I see it every day. Yeah. Well,

Scott Benner 1:18:28
if I ever have a physical therapy question, I'm gonna ask you,

Fernanda 1:18:32
please. Yeah, no. Absolutely invited to us wherever you want.

Scott Benner 1:18:46
First, I'd like to thank Fernanda for coming on the show and telling her story. Thank you very much. I also want to thank the Contour Next One blood glucose meter, and remind you to go to contour next one.com, forward slash juicebox. Don't forget to also, in addition, T one D exchange.org. Forward slash juicebox. take you less than 10 minutes to take that survey. And just imagine when you're done, you see two things in your head. One. People living with type one diabetes who have been helped by your generosity, and to me smiling. Those are the two things you should see at the end. They don't actually show you those things when you finish the survey, but if they did, I would have this smile on my face. You can't say it but I'm smile. Thank you so much for listening. I'll be back soon with another episode of The Juicebox Podcast. If you're looking for something else to do today, you should check out the Juicebox Podcast private Facebook page Juicebox Podcast, type one diabetes now with over 22,000 members just like you will you might meet a friend or learn something or I don't know. Maybe just look through people's conversations and never say anything. Maybe you're creepy like that. I don't judge you

#637 Running From Cows

Anna from episode ten has returned!

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Hello friends, and welcome to episode 637 of the Juicebox Podcast.

On April 7 2015, episode 10 of the Juicebox Podcast went up. And it was a conversation with a woman named Anna. Anna was the mom of a small child with type one diabetes. And today, some seven years later, she is back on the podcast to check in. Please remember, while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan, or becoming bold with insulin. Also, I want to tell you that on the day this was recorded about a block from my home, someone was grinding a stump. And it made an horrible noise. And it came in on my microphone at times. It's not throughout the whole episode. But there'll be moments when you hear me talk and there'll be this hum behind me. It's not overwhelming. And it's only when my microphone is open. So whenever Anna's talking, or I just realized, now you can make fun of me in your head for talking so much. But whenever I'm not talking, you won't hear it at all. And it's not distracting. It's just something I'm aware of. And I'm apologizing for it now, because I wish I could have done something about it. This show is sponsored today by the glucagon that my daughter carries. G voc hypo Penn. Find out more at G voc glucagon.com. Forward slash juicebox.

Anna 1:55
Well, I'm Anna, and I'm mom of Teddy, who we spoke about maybe seven or eight years ago, I should have I should have checked that. But he was diagnosed with diabetes in 2012. So I've always felt like he was a little bit behind what Arden was experiencing. And obviously following you was just amazing, because I could see how well you were doing. And that gave me so much encouragement with situation when Teddy was diagnosed. So yeah, it's really good to catch up, you know, when he's, he's 13 or so.

Scott Benner 2:39
Okay, so I'm looking now. And this is really astonishing. I haven't really done this a lot. You're maybe like the second or third recording. I've done like catching up with people who were on the show at one point. But you were on episode 10

Anna 2:57
Oh, wow. That I'm like how many you've done? No,

Scott Benner 3:01
there. There are 540 of them up right now. Wow. And I mean, yours might end up being like 600 like or something like that, by the way, they all go up. I remember. So let's see how funny it is that they all blend together a little bit for me now. I remember the management of making your episode because I was so new at it that I didn't like I didn't know what I was doing yet. So just setting them up putting them online took forever. I'm I'm I think this is gonna be a lot of fun. So I'm really happy that that you reached out what made you reach out?

Anna 3:44
Um, well, I I started listening to your podcasts again, having had a break. And really just because I didn't have the right time to sit down and listen. And, and I started listening again because well through lockdown, obviously more time and through COVID. So, and I thought, oh god, you're still saying stuff that is totally interesting. And I can learn from and I was just really gobsmacked at how you could still be saying things that were so different to what anyone around me says in you know, in when we talk about diabetes in this country, so it sort of really fueled me to think gorgey you did you know you you really made a difference to our lives at the beginning. And it's just great. You're carrying on doing it for so many other people now.

Scott Benner 4:48
Thank you. You. Your episode went up April 7 2015. And we are recording today on the seventh of September 2020 I have to maybe maybe I have to echo your gobs Makary because I don't know that I thought the podcast was still gonna be going now, either. And I figured some things out since then. So I'm glad it was there for you when you went back to it. So let's remind people a tiny bit and then we'll we'll jump forward. Teddy was how old when he was diagnosed? Three. And how old is he now? 13. Hold on a second. Well, he was like, seven when we spoke the first time.

Anna 5:35
Yes, six or seven. I'm looking now. Yeah. Yeah, I think it still felt really new. And we were still on the the injections at that point. And I think because we I knew from listening to you that I wanted only posts. And you just couldn't get it here then. Like he just couldn't. And so I Yeah, it was it was before he had a pump.

Scott Benner 6:06
How long has he had a pod now? It's hard, isn't

Anna 6:16
it? It's almost six years, I think. Yeah. Probably quite soon after I spoke to you last time. Yeah. Yeah, cuz? Um, yeah. Six years. Like I could be wrong. He may be already had one when I spoke to you.

Scott Benner 6:32
Not sure. If it's really funny. How is he using the CGM?

Anna 6:38
Yeah, he's got Dexcom. And so he's on the GS six. And both those things when you're back from you, and both those things were here in the UK later than available for you guys. And I had to find a hospital that I knew would be able to get funding for us to have those things. So we moved moved hospitals. And yeah.

Scott Benner 7:06
It's amazing. I'm very happy that you're back. What was it? Did it? What's my question? Was being on a podcast back then that basically, I mean, it wasn't being listened to the way it is now. Like, for instance, one day in the future, I'm going to put this episode up. And in the first three hours that it's live on the internet. It'll get downloaded more than your previous episode was downloaded probably in a year. Yeah, it was there anything that came from being on the podcast? Did anyone say I knew that was you? Would you just make you feel good to tell your story to other people? Like what was the outcome of doing it the first time

Anna 7:48
I think it made me feel something I already felt that actually, what I was thinking about Taiwan was so completely not shared by anyone in the community in this country. And I felt like I was part of a special gang. Like across the sea. So it felt special. And it fell I just, I just I just felt how do we not know these things? How does the hospitals not push these things? And why is this stuff not available? Why is the why is this dialogue not here about having aiming for normal blood sugar levels? And so yeah, I made me feel like I was part of another game.

Scott Benner 8:44
Because you would seen those things right? Like you were having those thoughts, but there was just nowhere to anchor them to

Anna 8:52
know and at the point when I spoke to you, I was feeling quite dying. Because the way I was dealing with it was by finger pricking, like sometimes 20 plus times every 24 hours. And I knew that was the only way that I could see what was happening. And, and I knew it wasn't good. Wasn't great for Teddy, but in one way, it was great for Teddy because it meant we had good management. And I was being told off for using too. Too many test strips and I was getting told off all the time by the doctors and I just stuck to it. And I said I even said it some point we're going to have a device that does all this. For us we won't need to finger prick because I'd heard about Dexcom probably through you and the consultant said that will never happen. And it just it seemed crazy to me that

Scott Benner 9:55
boundless hope from you. When you say that They were giving you trouble. Were they giving you trouble for poking him so much or for using the test strips up?

Anna 10:07
Well, firstly, it was a shame for his fingers. They kept saying and I said, Well, actually, he doesn't really mind. He doesn't I mean, he didn't he didn't like the injections one bit, but fingerprints, you know, once your fingers have been roughed up like that I don't, you know, he didn't mind he really didn't mind. And it was far better for him than having to have hypu treatment or, you know, correction injections and all the rest. So, but also financially, because we get funded by the NHS, they, they kept telling me it was costing too much money. So I was going through them too quickly.

Scott Benner 10:42
But were you having better outcomes than they were accustomed to seeing?

Anna 10:48
Definitely, yeah, we I mean, we were always told, we actually left, you wouldn't be surprised. But we left that hospital when that doctor told me that it would never happen that that something would replace fingerprick. And but we he was having better outcomes than anyone else in that any other child in that hospital. And the case is the same today in the hospital, we're in that he's always we're always praised about how we're sort of top in terms of management. And I, you know, that just makes me feel a bit sort of disappointed in the system, because you think, well, we should all be doing this. And so anyway,

Scott Benner 11:32
it's kind of confounding, isn't it that you're having a an outcome that's so much different than everyone else's? And instead of them saying to you, Hey, what are you doing? Maybe we should be doing this? They're like, You have to stop doing this. You know, like, Why? Why fight against? I don't know, it's such an interesting thing that they would just fight against that idea instead of embracing it, or at least trying to figure out why it's working.

Anna 12:02
Yeah, I think they've moved on. I think they have moved on a bit. No, they have. And so obviously, different consultants, some are going to be more forward thinking some are going to embrace the technology more, but there's a whole load of sort of old school ones that really just don't like change, and they like to do, you know, they still think you should eat meals at the same time a day, you should only test if you're testing once every two hours. And they still seem to think that that works. And which is something I've always had to say it just doesn't doesn't work.

Scott Benner 12:36
At least not as well as what you're doing. You know, so, no, did you find the blog? Were you reading while you were reading my blog?

Anna 12:47
Was that before the podcast then? Maybe? Yeah, yeah. Yeah,

Scott Benner 12:51
it would have to be because I mean, honestly, if you were on an April, that means I recorded you soon before that March. And the podcast only began in January. So I mean, I'd be surprised if you heard one of the first episodes in England. And yeah, and then reached out. That's a it's so funny. I can't remember the details of it, really. But I remember I

Anna 13:16
was I was definitely reading the blog. Okay.

Scott Benner 13:19
You know, back when you were on, it was easy to like, name the episodes because I was just like, this one will be called Teddy's mom and I have to be more. I have to be more agile now. Because I'm starting to the other day, I thought to name something. And I typed it into the search bar for the episodes. And I already used that title for something. And I was like, Oh, you have to get a little more thoughtful about this. So

Anna 13:48
how is the creative things in it? Yeah, well, you just have to tip it thing

Scott Benner 13:52
I get yelled at, you know, speaking of getting told off like I People tell me all the time, your titles don't tell me what the episodes are about. And I always think I don't know what the episodes are about. I recorded them and they seem like we talked about, you know, 20 different things. I can't just pick one of them and tell you you know, the the show's about this today, you know, it might end up being about a bunch of things. So I don't know, I think I'm doing okay, but every once in a while I get somebody comes after me for it. Well, how is Teddy doing? Like, what's his life like now compared to back then?

Anna 14:26
Oh, he's great. He's just he's, we were just we just walking the dog before this there because he goes back to school tomorrow after the summer holidays. And we're just sort of chatting about the plan for school what he's going to do with this with this type one and how he's going to manage it and he's just so mature and positive and totally understands what he's doing. And I don't know I think it's made him He's so well organized. It's unbelievable. And so yeah, I feel that, you know, diabetes for him now type one is a good, positive thing in his life because he, you know, he owns it and he's easy. He doesn't, it doesn't get in the way.

Scott Benner 15:22
What do you think, led him to be that way? I mean, he correct me if I'm wrong. Are you married?

Anna 15:30
No, no, we're not married. But we've been together for 25 years, I think. But no, we are not married. But I mean, me and Tom live together, and we've got three kids,

Scott Benner 15:42
okay to get so, so. Okay, so you're you guys are together. And there are two, Teddy is were in the three kids. So they're older metal? He's the middle. Okay. Any other autoimmune stuff pop up with it. Other kids? No, nothing. Gotcha. So I'm saying like, what do you think? Like, how does he do you think he was always kind of a mature kid? Or do you think the diabetes has helped him with that?

Anna 16:11
I think the diabetes has helped him and because I tell he's never rebelled against it. He's never pushed against it. He's always understood it and accepted it and wanted, what we want for him to be dispatched and understood why that means to good management, and so on, I think is the diabetes. I mean, who knows there's certain things that are in his genes and certain things that are, you know, but he's I think it's made him extra special anyway,

Scott Benner 16:48
huh? Yeah. And I didn't mean that I like the diabetes turns you into a better person. I just mean, like the, the work that you have to do and the concern and consideration that they may be kind of hone you a little bit make you a little more mature. At a lower lesser age, maybe I don't know, like because Arden's the same way. She's super, she's super like, I don't know, even had like a talk about it, I guess, like, you could leave Arden alone, Arden will be okay. You know what I mean? Like, she takes care of things, she's thoughtful about her safety and, and that sort of stuff, things like that, that I don't even know that my son is at an older age. I think she's just accustomed to thinking about herself. And, and understanding impacts of things that are kind of outside of her control.

Anna 17:43
Yeah, I think also making quite thoughtful about other people's. So suppose one of the things that really troubles them is he is quite self conscious, too. He's, and he knows that we totally respect that as well. So we I've never wanted to push pushes diabetes, you know, out there to be visible. And that he's I don't know, he's just very sensitive, but in a very good way. So he's quite sensitive about other people and how they might feel about certain things. So I'm sure that's the diabetes. I mean, you have to put up with quite a few disappointments in life, don't you when you're dying? Yeah, although you can do anything. There are times when you just, you know, it's like, no, you can't have another bit of cake. And no, you can't trampoline for another hour at the moment. And you sort of, you have to just accept that. And I think that's really good life skill, because there's so many things in life that, you know, you could let sort of flatten you. But if you're resilient in that way and think cool, it doesn't actually matter, then it's such a good skill for life.

Scott Benner 19:01
Yeah. Well, I think to in a, in a more digital age, there's an idea that everything you want is going to be there for you immediately. You know, it's hard not to oh, we were in a movie theater. Two days ago, and during the movie, a person in front of me pulled out their phone to read an article about the movie. And I just did fried my brain. I thought just watch the movie. And then you'll see what's gonna happen. Like, why are you reading about it? Like, like, are you so? Are you so accustomed to having the answer immediately that you can't sit in this movie to get the answer? You know, it was just a very, very odd thing. And I take your point like about him, just sometimes needing to be accepting and moving on. I think that's a hell of a life skill. We all need, honestly that everything can always go our way and definitely won't. Well, that's interesting. It really is. Um, yeah. How long has he been? Like you said he's heading back to school after summer break. But had he been in school prior to that? Or how's school been going there?

Anna 20:20
Yeah, I can't I can't really remember how much time they've been at school. It's been so weird, hasn't it, but they did go back after Christmas, and we're there all the way through to July. And I've got one child whose homeschool the eldest is at home. So that confuses things a little bit as well. But Teddy likes being at school. I think he likes his friends. Yeah. And but we've had a really fantastic summer just chilling out. And it's always a bit sad to go back to school.

Scott Benner 20:56
Do you still live in the same house from when we spoke the first time?

Anna 20:59
Yeah, we do. And it's absolutely gorgeous. And we've got Yeah, we just have so many nice things we can do. And, and I listen to your podcasts, and you talk about eating out a lot. And it's quite a job for us to eat out. It's quite a journey and can't get takeaways to live foods. So I think that probably means to be a better diet in one way because we just we can't just go out and have something to eat very easily.

Scott Benner 21:35
Yeah, I remember you sending me a photo of like your property and thinking and Powell kind of just lovely it was and feels like it's in the woods and a little remove things. It's really nice. And it's interesting that it brings up that idea that you can't go you know, at a moment's notice. You can't run to a restaurant or to a store you have to be prepared to cook and have things in the home and I guess that's interesting. It you say it leads to to better eating.

Anna 22:04
I think we live quite a slow life compared to a lot of people probably because of the location but um, yeah, I think I think we do live quite a small life. So anything that's happens outside the house is like a special occasion. And, and thankfully, the kids seem to really enjoy that they're not really desperate to go off into like, you know, mentioning trampoline park. It's it's maybe once a year, that the most that we do something like that. We have a meal like maybe once every six weeks. How does them so?

Scott Benner 22:42
I'm sorry, I didn't mean to step on you. No, no, that's how does Teddy get to school?

Anna 22:48
He gets a taxi.

Scott Benner 22:50
Oh, every day. That's lovely. So that seems like I know, Regal to me.

Anna 22:57
I know well the thing is he there is a school boss that takes them but we live up this bumpy track with potholes and it's really twisty and very narrow. There's no way a boss could get down here and the bus can't stop on the road the roads really bendy. So they they pay they provide a taxi. It's totally amazing. So when my my daughter starts high school which will be next year that will be two of them in the taxi and I wouldn't have to do any car journeys, running kids to and from school and I've been doing that for I don't know 10 years I've been running kids to and from school in the car.

Scott Benner 23:39
You won't miss that. That's a no I have to tell you that one of the best things that happened during COVID was me not having to get up super early in the morning because of school for arguing helping her get things together and you know taking her to school I just I got so accustomed not to sleeping long but just not getting up you know so early and I really liked it if that's all I know

Anna 24:03
because there is so much to do. You know and I just think like I hate the school routine. I hate it and I can't really say how much I hate it because I have to tell the kids it's a really positive thing to go to school but all the stuff they need and you know, choose the right and I mean I don't know but mine have to wear uniforms I don't know if if you have to wear a uniform it your skills.

Scott Benner 24:30
Doesn't know she doesn't have to but she also might not meet the Queen. So I guess it could happen for Teddy what what did you take away from the podcast? About management? Like Like you said, You were you were expecting that there were things that existed you felt it kind of inside but you couldn't find anybody else talking about it. You found me speaking about it. Did you just get to a place where diabetes sort of fell into the background and it just went the way you expected?

G voc hypo pan has no visible needle, and it's the first premixed autoinjector have glucagon for very low blood sugar in adults and kids with diabetes ages two and above. Not only is G voc hypo pen simple to administer, but it's simple to learn more about, all you have to do is go to G voc glucagon.com Ford slash juicebox. G voc shouldn't be used in patients with insulinoma or pheochromocytoma. Visit G voc glucagon.com/risk.

Quickly before we get back to Anna, I'd like to remind you that if you're a US citizen who has type one diabetes, or you're a US citizen who is the caregiver of someone with type one, the T one D exchange is very interested in your answers to a simple survey. You can find that survey AT T one D exchange.org. Forward slash juicebox. By completing the survey, you are helping someone with type one diabetes, you're also supporting the Juicebox Podcast, T one D exchange.org. Forward slash juicebox. That link as well as links to the sponsors are all available right there in your podcast app right there. There's notes in there, you go into the little you'll see it and they're right there, you can you can click right on them or you can find those same links at juicebox podcast.com. If you're looking for the diabetes Pro Tip series, they are also available at Juicebox Podcast comm they're available at diabetes pro tip.com. And they're available again right there in your podcast player just search for Juicebox Podcast, diabetes pro tip. The first episode of the Pro Tip series begins at episode 210. But for that list, check out diabetes pro tip comm or join the private Facebook group and look up there the top what do they call it at the top of the Facebook group. They just changed it. Facebook changes the name sometimes in the featured section. And there's lists of all of the you know, you want me to look polling, you go into the featured section on the private Facebook group, private Facebook group is called Juicebox Podcast type one diabetes. There are lists of the Pro Tip series of the defining diabetes series, the diabetes variable series, the Quickstart episodes, how we eat series, you know, there's one of those, there's a list of popular leave requested episodes, there are special episodes that you can find mental wellness series, Scott and Jenny's where listeners send in questions that Jenny and I answered, we're actually going to be doing more of them in 2022. But there's a ton of them already there. There are significant amounts of information about how to bowls for fat and protein. So much to choose from Juicebox Podcast type one diabetes, it's a private Facebook group with over 22,000 members in it. If you go right up there at the top, in the featured section, you can find all that and much more

Anna 28:29
I think the first thing I got from it, which changed my life was that it is completely right to want your child to have the same blood sugar as you do. And, and I always felt that in my gut, that to be healthy, you should have the same blood sugar as a normal person generally as much as you can. Because that's how our bodies had been made. And nobody was saying that to me at all. And so I felt like I was sort of inventing that. And it was so nice to have that validated that you know it's it's it's a true and right goal to have normal blood sugar. And and then you gave me some of the tools to achieve that. And some of that was the technology. Some of that was a you know, micro Bolus thing. I think one of your podcasts that you did with the sugar surfer. I can't remember his name Dr. Pond ponder. Yeah, oh my goodness, that changed things hugely. And these were all things I wanted to do, but I wasn't being told I should and I'm quite good at following rules. So I was quite cautious about breaking the rules that were being imposed upon us. But it was all stuff I really wanted to do. And so you know, being aggressive with highs and Catching the lose and, and boosting regularly and boosting way in advance by especially for breakfast that, you know, nailed the breakfast and, and but more just the belief that you can do it you can you can achieve good control

Scott Benner 30:23
that that ends up being what but I guess sounds like the most important part to you is just having a foundation an idea to work for, instead of like this is going to be a mess, and nothing is going to be right now and your kids sick and you can't have decent blood sugar. So, you know, just accept that and then let your life be what it's going to be in you feeling like, I don't want that for him. And I don't even feel like that should maybe that's not even really true. How do I find out and then you you learn? Okay, I can aim for more. And then here's ways to aim for more. And then after that you're just you're on your way, I guess how long do you think it took to pull things together? To where you were comfortable in it? It felt easier?

Anna 31:19
I think since Teddy was I'd say for the last five years. And it's been felt like it's easy. And it's almost like you just get in the zone, don't you? And people say is it not hard work? And you just say what? It's literally what you do. I've got a Apple Watch. I look at my watch. All the time. We react straight away. We do all the text messaging, you know, which I learned from you. And at that point had you didn't have a phone when you were talking about texting Arden I was like oh my god, he's got to have a phone. Because I thought he was too young to have a phone. But yeah, just just all your tricks. And it just became second nature. And I don't know, it's I go to the consultant and he's like, do you never have a break? You know what? To sit down in the evening with a glass of wine. It must be such hard work. And he goes on like that. And I'm like, it's totally second nature. The hard work and I think that's what you've always said is if you if you miss the highs or you miss the lows, that's where the hard work starts. And you know, I still feel that some people they people just don't get it. It's, you know, it's normal, isn't it for, for us and for you. It's not extra work at all.

Scott Benner 32:50
I share your feelings completely I would. I would a million times over prefer to just pay attention for a couple of seconds to avoid a problem than to spend the hours of turmoil chasing blood sugar's around and being fearful that happens when things get out of whack. Like that part. I couldn't. I couldn't have lived through that. Okay, like eventually that would that would have gotten to me but the the other stuff now like just doing something beforehand. It's um I don't want to say it's easy because I don't want to, I don't want to insult anybody. But it's second nature is a great way to put it like we just we walked into that movie theater the other day. And Arden got, you know, food she doesn't normally have all at once. And her blood sugar would never went over like 145. And that and she was drinking one of those giant like Slurpee things. There's ice. And I never even remember a play. It was no it this one was pretending to be Coca Cola. So

Anna 33:56
oh, it was brown. And he has these blue, blue and blue ones, which makes your mouth all blue.

Scott Benner 34:03
Yeah. Well, I I didn't get a drink. Because of course, anyone who has a family knows after you pay for everybody else's stuff. You're like, well, I guess I won't have something so that this doesn't

Anna 34:16
that's what I always say you get the smallest portion.

Scott Benner 34:21
There's popcorn left at the end. I'll eat the pieces from the bottom, please. And so I tried her drink a couple of times because I was thirsty during the movie. And boy, it's a lot of sugar. Just you know, I was like, Oh, geez. But she drank that whole thing and had popcorn that shared with my wife that we didn't measure and she ate a candy. And I don't know how much of it she ate and I just I just did the things that I do. And it was fine. And I don't really know a better way to explain it than that other than I just I know what to do. And I just do it like I mean if you've ever played a Sport, where if there's something in the world you're just incredibly good at, you just don't think about it just happens. And I don't want to say it's like riding a bike, because that seems like an old timey statement that people will laugh at me for. But I just knew what to do. And I didn't really have to think about it. And I think that most people, eventually and I do think the podcast is helpful for that. I think you can get to that. So it sounds like you're there.

Anna 35:27
Yeah, the problem I've got the moment is that my eyesight is getting a bit worse, which I've been denying for as long as I can. I didn't want to get glasses, but I can't read his reading on my watch. Which is just really awful. So I had to go to an optician and actually get in and get glasses, so that I can read his BG on this tiny, tiny little watch face. I've got

Scott Benner 35:56
well, you acted like an adult. You know what I did? When that happened to me. I stopped wearing the watch. Just put the watch down. I was like, This thing just reminds me that I'm old. And that's not what this is supposed to be for. My wife thinks that like, my wife uses it now. I almost gave it away on the podcast. I was like I was did a thing like when Scott's Apple Watch because he can't say it. And my wife was like, I'll use it. I was like, okay, but no, I've, you know, arm's length has a different meaning to me now. You know, I used to think of keeping something at arm's length. It's keeping a person away from me. And now I think of it as where I hold my phone so that I can read it. And I've got the glasses too. It was tough. Makes me you know, it always makes me think about it always makes me think that one day Arden might have that problem. But she'll be by herself taking care of her stuff. It always makes me sad. Well, she won't be able to see Yeah, I get worried about that. Because I interview older people who have diabetes. And some of the some of the issues with dexterity come up eventually buttons and applying devices and things like that become harder as you get older. And it makes me think about that stuff. But no,

Anna 37:15
there won't be any, there won't be any devices, then we'll work. That's what I keep telling Teddy, there will not be any devices. It'll all be. It'll all be automatic and invisible. And this is the harvest fit nice. So they wouldn't have to deal with any of that.

Scott Benner 37:31
I like your ideas. That's a good I hope that happens. For sure. I mean, the way the way technology is able to leap forward. I guess it really just takes the will of, of a company to keep leaping with it. You know, you just need people to want to keep improving and innovating and making things available. So I don't know, like I listen, it doesn't make me cry in a corner or anything like that. I just think about it sometimes, like she's gonna get older, you know, and still have to do this stuff and I'm gonna be dead. I mean, it's not possible for me. Oh, my goodness. How much longer can I go? Let's be honest. I've chosen a profession where I sit still for hours and hours a week. I should have picked something where I'm moving around, don't you think? Start doing this podcast on the move. That'll sound great. Walking in the background and trees rustling

Anna 38:26
could be like a mindfulness podcast in mindfulness Titebond. So some of you could have like birds tweeting, yeah, Twix, tweets snapping on your feet.

Scott Benner 38:37
I'll just hum it. Muhammad. Just everybody just said to yourself. Yeah, I think I can get away with putting that up three times a week. Oh, okay. Oh, gosh. Well, what are your hopes like moving forward? Like are you thinking about algorithms for him? Or do you think you'll stick with Oh,

Anna 39:01
that's interesting. You asked because I've been listening to you talking about the loop system. And we're gonna wait till we we get the the only port five visit we're gonna wait however long it will take for that to come out. And that's exciting. I yeah, I think it's by the time Teddy's left home, there'll be definitely a better way of doing it already. And you know, the night times won't be such a warrior or anything like that by the time he's been idle. And yeah, I think we're doing the hardest bit and that's the way it should be so but I mean, you don't want to hope too much but I just feel really positive about it and not you know, even if it didn't really change now he's he's buki and and he can, you know, he can manage it through. I don't know if I have not mentioned but he was diagnosed with celiac, and four years ago, so that's actually had more of an impact on him than his tight wall and it's made type one seem, seem sort of far more manageable because the celiac was, was a real surprise, and like a real life changing event. And it's still something that he, he can't help but wish he didn't have it. Because, you know, there's food to feed that he wants to eat, and he can't. And that's like a harder one in a way to come to terms with when you think about his future because I think about him being no drinking beers got gluten in it. And, you know, you think about them being students and they're going to the pub, or they're going pizza or the and that's when I think that's, that's the thing that's gonna be it's harder to feel positive about but at the same time, you know, he's he's growing older with it. And there's plenty of alternatives. And there's more and more alternatives all the time. So again, it's just something that will be part of Him and He will be fine.

Scott Benner 41:14
Yeah. What's his day one see right now.

Anna 41:19
I need to look at my bit of paper, and his last Awan see was 35. In March,

Scott Benner 41:34
me think about how that goes. I'm looking at my

Anna 41:36
GI bill numbers, because I still think in old numbers, and

Scott Benner 41:43
I'm just looking for my chart, so I can figure it out.

Anna 41:47
Yeah, I think he's he's been about 40 for at least five years now. If not more,

Scott Benner 42:00
I'm looking it up. 5.8 in America, okay. Okay. That's excellent. So good. It's really, really, really wonderful. And not too hard to achieve for you.

Anna 42:18
Know, I mean, we have these, we have a bit of a laugh, because that'd be nice pizza tonight. But that's pizza in frozen pizzas. That's a night where I never get much sleep. But that's a bit of a laugh, because I do get sleep on other nights. That's fine. And so yeah, there's certain things that definitely through the BGS Tullio, and it's normally food based late in the evening eating things that are high carb, high fat. And the rest of it just seems easy. And yeah,

Scott Benner 42:57
have you heard the episode about bolusing for fat?

Anna 43:01
It did. Yeah, I listened to that. And the problem that I've got at the moment, and I don't know how long this has been going on for is I sleep through all the alarms, and I've changed them. And I double check the volume, I've got another alarm clock that I put on to go off every two hours just in case I've set through all the the alarms on the Dexcom. And so I'm still a bit scared of going to maths before I go to sleep with insulin because I'm like, Oh my God, I don't know if I'm going to wake up. And I don't know how to solve that. Because you can't make that I'm on the highest volume possible. And I know that fire men apparently have to change their alarms regularly. Or they'd sleep through like the the alarms when there's a fire. Yeah. So and that is what I do. And it has no effect whatsoever not helping

Scott Benner 43:59
you. I've never sorry, it's not helping you at all changing the alarms.

Anna 44:04
No. And I've never slept through anything awful and really, really good thing that we've discovered because of this is he's actually woken up on a zoom a couple of times when he's been low, proper low. And, and again, I only knew our numbers but like say 2.3 or something. And I don't know how much that is in your your numbers.

Scott Benner 44:29
What do you want? So pretty low.

Anna 44:34
Yeah. Yeah. So he's woken up and got up and had dextrose and going back to bed. And I've seen the graph in the morning and being like, Oh my God, and His thought is okay, I did it. Wow. But um, yeah, I I don't know. I think after all those years of not sleeping. I just, I need to sleep now and then Yeah, I don't quite know what to do

Scott Benner 45:03
about it. And I'm gonna tell you about the time your eyes stop working. It's about the time you can't just power through the night anymore. Either those those things happen to me at the same time,

Anna 45:12
always at my age. Are you getting older? Oh, no.

Scott Benner 45:18
Well, I think the thing that's going to fix that, in my opinion, since you brought it up is on the pod five. I think an algorithm that has good settings is going to really surprise you overnight. It's probably gonna be pretty cool. So that that should be a lot of comfort for you. I mean, I know he's still young. But do you think he thinks about going away? University?

Anna 45:40
Yeah, definitely doesn't want to stay here just being in this field that we live in for the rest of his life. I know. I think they all want to go off to the city at some point. And yeah, he's, he's probably wants to go to uni or college or something. Who doesn't? He doesn't know what Yeah, but

Scott Benner 46:03
your oldest is thinking about it, too.

Anna 46:07
Yeah, he's. Yeah, it still seems really he's only 15 the oldest. So it's only the beginning of thinking about it.

Scott Benner 46:18
I liked it. You're like, they don't want to, there's no way they're gonna want to stay here with us. You guys will just be

Anna 46:23
until good. Yeah, no, I suppose I'm talking. Because that was the way I fell. As I was brought up in a little village, and I was so desperate to get out. And I basically choose a spot on the map, which was the furthest away from where my village was, I was in Scotland and I choose a point on the map in the south of England. And because I was just so ready to get out of this tiny little community. And I'm like, Oh, God, my kids desperate to get out of here. And and none of them are actually seeing that at the moment. So I'm hoping we've not walked them into thinking it's a great idea to live in a field for the rest of your life.

Scott Benner 47:06
Here with you guys. For everything right. How did you end up back in? Uh, how did you end up back in a small place if you want to get away from it so badly?

Anna 47:16
Well, life, places circle, isn't it? Do you not think? I mean, I think that more and more it is do you just go round and end up where you were at the beginning?

Scott Benner 47:28
So did you go to a city and then get away at first?

Anna 47:32
Oh, yeah. And I spent years in different cities. I did loads of higher education in different places. And I worked in London and and yeah, I only came back to the countryside when I was in my mid 20s, probably 40, actually. And so yeah, I'd been away for 2020 odd years away from a rural situation. And I did all the city stuff and I think it's maybe when you have kids that he just started to sort of pining for maybe what you had in your childhood.

Scott Benner 48:09
Did this boy drag you into the woods? Or was it your idea?

Anna 48:13
No, it was me. No, he's he's from London. He's from the city born and bred and then I we went to live in London together I worked in galleries in London art galleries, and I'd get on to you know, the Underground trains work and I I come back from work because he's crazy. All these people are like robots on these Underground's on the escalators and crammed into the trains and then there's all the cars and and crazy way of living and looking at your window and all you can see is houses and that sort of rant and rave about it and and and then we basically left and he didn't think you'd like the countryside and and I I've been proved right that actually this is the way this is the way we live well. Not everyone would like it, but we love it and and you just you just want to go yeah,

Scott Benner 49:12
you just went into the city like a like a monster from a movie stole one of their boys and ran back into the woods with it. It's very nice that you guys found what works for you so well. It's uh, yeah. Lovely. Yeah. So, I guess I want to understand how much of management is you and how much of management is Teddy in the course of a normal day?

Anna 49:42
Okay, well, go is totally Teddy.

Scott Benner 49:49
No more texting when you're done with that.

Anna 49:52
He has a rule that I must not ever text him when he's at school. because it's just really embarrassing having your mom text you. So I've tried to respect that. And I think there's only once actually ever that I've, I've texted him when I was watching, and I could see that he was low. And, and in a way, I think he felt he needed to prove to me that he could do it really well, so that I wouldn't bother him. And that's what he's done. So he is totally in charge at school. And he, he does a pretty good job at school schools fit weird because I feel like there's a lot of emotion at school, because you've got all your friends there. And then you've got a teacher, you're sitting in class being quiet, and then you come out a class an hour later, and there's all loads of noise and excitement in the corridor, and then you sit down in a quiet classroom. And I think that really affects your blood sugar. And so it's quite a challenging job being at school, and it's not to do with the food at all. It's to do with just the environment you're in.

Scott Benner 51:07
Where does he? Well, first of all, is, is he Pre-Bolus In his meals, even at school.

Anna 51:15
Yeah, although he is they don't really eat. Him and his friends walk around the playground. Looking really cool. And it's like not, it's just it's not really cool to have proper food. So you might have like, a bag of crisps or something. And, but certainly not like a sandwich or anything that's in a wrapper or so yeah, he he tends to have a good breakfast. I make him porridge every morning. And then he eats like bird food all day like nothing really. And, and then he'll totally pick out when he gets home from school.

Scott Benner 52:05
Gotcha. The porridge. He's good, good apologising for without a big spike.

Anna 52:11
Yeah, we've got it down to a tee is this week, I actually way it's the only food I ever weigh for him. I don't weigh anything else. But I just we got to get the breakfast bang on if he's going to school. So way out, he has banana in it. And it's totally perfect. He doesn't need he's on for years. So it's the the Pre-Bolus is short, 510 minutes max, whereas it used to be sometimes even half an hour. And so if we sort of forget, or we're running late, it's not a big deal. And I just always feel the porridge just keeps him going pretty well through the morning. So and, yeah,

Scott Benner 52:57
that's excellent. And he just takes care of the whole thing. And now you're more overnights Eve unless he wakes up and you don't like like I am? I'm sorry. No, then. Good.

Anna 53:08
Yeah, that no, the minute he steps in the door. He behaves like he doesn't have diabetes anymore. So it's me. You then yeah, it is like such a drag to Bolus yourself and you can't be bothered to do this. And you know, it's also incredibly tiring and picking up the PTM. So yeah, I take over and I don't care. I like it. And so yeah, I don't and I just feel while he's at home, give them a bit of a break and let him you know, not have that hassle. Yeah. And if he's up in his bedroom, and I can't be bothered going all the way upstairs then it's obviously it's text messaging, and he does it all but no, I mean, through COVID I pretty much did everything. And

Scott Benner 54:06
when you said you like it, you mean you like giving him a break?

Anna 54:11
Yeah. I just it makes I just feel like he deserves it. You know, to get through a school day, it's it's a lot of work. And he's really good at school. He's such a good student. And any case say Oh god, it's all that extra work with my diabetes. No one else has got that. And I just think it's too nice for him to come home and just shed it you know, to take the uniform off and forget that he's got Bolus and that's what I'm there for. I mean, I don't work much I part time and since Teddy was diagnosed with type one, I think my hours are just year after year they've reduced and I thought actually I'd be able to work more and more. But I realized that when I work a lot I'm not Thinking about his blood sugar, and then I'm not in tune with his body, and then I'm getting it wrong. And then you're stressed and you're tired and just life gets difficult, doesn't it? So I've whittled my hours right down. So I'm just, I'm a mom, you know, and I am not always distracted by having to work. And so I just feel good knowing that I'm looking after him and giving him a break.

Scott Benner 55:26
Nice. That's excellent. Just, um, just does your does Tom work out of the house? Or does he go somewhere for work?

Anna 55:35
Yeah, well, he's, he works always within like a three mile radius of where we live. We live in a cottage on like the country estate. So it's like a private landowner who owns houses and villages, and Tom's in charge of all the cottages on the estate. So it's like 100, or two cottages. So he's he sort of manages all the repairs and designs, sort of new builds, and all that sort of stuff. But since COVID, he did a lot more work in the office from home. And so he's probably at home more than he's not at home. Interesting. And, yeah,

Scott Benner 56:12
that whole shift has been, like, Kelly just has been in our dining room forever. And then she, you know, said she was going back to work a month or so ago. And she went one day, and when a second day, and then she came back, and she said that they said to stop coming in. So I was like, Okay, let's just back in the dining room again. And I don't know when she's gonna go back now. Now they're saying maybe the end of September, they're not even sure. But the not commuting part was really nice. I know that she was losing a lot of time just driving back and forth to her office. And yeah,

Anna 56:50
it's really nice is that? I mean, I, it's quite nice having the house to yourself sometimes. And I'm not quite sure that's ever going to happen again. For me. Just to have like, a day on my own here would be heaven, but it is really nice having everyone at home.

Scott Benner 57:07
Yeah, no, I love everybody being here. I was sad. When when Cole went back to school, I, I was happy for him. Because being here was not what was supposed to happen. It was obvious. And you know, last night on social media, I saw Instagram Stories from his baseball team. And you know, I can see him at practice. And he's smiling and you know, with his friends and everything, and that's all fantastic. And but I did really get used to him being here. And I did I do miss that he's not here. I sent him a text the other day. And I said hi, just said hello to him. And he said, Hi, he goes, You know, he's like, what's up? And I said, just nice weather today made me think that if you were here, we don't be on a field somewhere, like hitting a baseball together. And I miss you. And I just want to say hi. Oh, you know, and he was like, Oh, hey, and then you know, he was gone. So that was pretty much the extent of it. But But having said that Arden's back at school now, and there was a there was definitely a moment where I thought, Oh, if Kelly would just leave, I could be by myself again for five minutes.

Anna 58:21
I just I do I fantasize about I don't know what I do. But it's just

Scott Benner 58:26
I just do everything. I just like the quiet Yeah. more quiet. Yeah, yeah, stillness that happens in the house. Although, and I don't know if you experienced this or not. But I can wake up in the morning, and you can feel when everybody's not there. And yeah, the house feels different with or without people in it. And it bums me out a little bit too. So I don't know what's gonna come of all this? Oh, does

Anna 58:53
that make me feel a bit lonely thing? Um,

Scott Benner 58:57
I don't know if it's lonely. I just really like being around my family. And I don't know it's lonely or not. I just, I like being able to, like even if you don't, you know, in a normal day, sometimes you don't even talk to people very much. But they're there. You hear them moving around, or they walk past you and you say hello. Like, you know. I don't know, I guess is that lonely? I just I always think

Anna 59:19
I'm glad you still. I'm glad you still say hello to them when they walk past you. Yeah, that must mean you get on because, yeah,

Scott Benner 59:28
yeah, you're staring at the floor.

Anna 59:33
Like, elbowing them as they will.

Scott Benner 59:35
Yeah, even like, when my kids leave the house, they always tell us they're leaving. And yeah, then there's something about that. That makes me feel like I'm aware of their greater movement, like and I don't know why that's important to me, but I like knowing I don't even know what it is. I like knowing I like knowing where they are not even where they are because I don't ask them where they're going. Just um Leaving, I'll be back. And I'm like, okay, great. And then I just, I don't know, I don't even know how to put it that feels like a connection point for some reason. Yeah, I don't know. And I could be out of my mind, it doesn't matter. Maybe I've been in this house,

Anna 1:00:14
you might know, you might emerge like a butterfly at some point and spread your wings and have a whole new.

Scott Benner 1:00:24
Well, Arden told me last night she's leaving for school soon. She's like, she says, Is it strange that a year from now I won't be here. And I'm like, so I said to her, I go, you think you can get into a college? She goes, I think I can try to tease her a little bit, you know? And, and then I thought about it. I was like, Oh, she isn't going to be here. And then you're right, I am going to need to do something. So there's some some, I guess, kind of spots around the country that we haven't visited yet. That we're thinking of maybe taking some road trips and driving to see things and but trust me, the big issue is going to be getting my wife away from work because she's a she is beyond a dedicated employee. She's a very type a worker. So when there's something to do, she does it. And there's always something to do. So we'll see if I can pry her away or not. Sounds like I should get her into the country. And she'd relax in two seconds.

Anna 1:01:26
Oh, yeah. You go camping.

Scott Benner 1:01:30
Anything, right, just just to get away a little bit. I also think your situation is great, because if you guys get on each other's nerves, and one of these naps, you can bury the body somewhere, no one will ever know.

Anna 1:01:43
No, you're right. There's loads of places you could bury a body, or you can stop off and disappear for half an hour. And nobody can find you

Scott Benner 1:01:54
just wander off. And

Anna 1:01:57
yeah, we've got a herd of them of cattle. They're wild cattle. With huge horns. I'm sorry, can

Scott Benner 1:02:10
you get near them?

Anna 1:02:13
Well, they put their heads over our fence. That there we were living in an area that they're calling like a rewilding zone. So they basically letting the whole place go completely wild. And they've got wild ponies and they we've got these 13 and white Park cattle with these enormous horns. We they just put a bull in with them. And it sort of changed the field. It feels a bit like Jurassic Park now because you hear like the undergrowth crunching and because they're quite enormous, and then you go for an innocent walk. And you always have to be incredibly vigilant that they're not very near because they could charge it yeah, maybe leave got these massive horns. So yeah, it feels like we're now living in Yeah, Jurassic Park.

Scott Benner 1:03:10
The white Park cattle is a medium size animal with mature bulls and working conditions weighing approximately 2100 pounds and cows up to 1400 pounds. Wow. So you don't know how big that is? That is because you Yeah, there's 13

Anna 1:03:26
of them and they literally stand with their heads looking over the fence. We've got two dogs so the dogs sit barking at them and I jog I go jogging along our track and I have to look all the time because the one thing that farmers said to me was don't ever turn your back on a cow so I go jogging and I might completely terrified that they're going to be there but I still do I get a bit of a kick out of the danger it feels it feels like my dicing with death first thing in the morning

Scott Benner 1:04:13
100 pounds by the way 2100 pounds by the way is 150 Stone if that means more to you okay, yeah, but a lot

Anna 1:04:22
Yeah, and they move quickly

Scott Benner 1:04:26
it's possible your episode is going to be called running from cows

this is as as as talking to me today been fun for you or did you are you let down at this point like we're an hour into it like I wasted my time or how are you feeling about this?

Anna 1:04:48
Oh, not at all. No is it's so nice to speak to you again because I feel like I feel like I've sort of known you for so long and I always want Arden to be thing Well, and, you know, Teddy knows that Arden was always the one who I was sort of looking at how she was getting on. And, and I yeah, I think I honestly don't know anyone else who's got anywhere close to what you're doing. And I do I have friends who've had kids diagnosed in this country, and I've recommended you, and I just wish I just wish everyone was doing, doing the management the way you speak about, and I wish, you know, the world would be a better place.

Scott Benner 1:05:45
Thank you. Do you? Do you think that some of those people don't do it the way that you do? Are there some people? Yeah, definitely. Yeah. Is that how does that make you feel?

Anna 1:06:00
I don't like to say anything, because it's not my place. But I it makes me cross and it makes me cross that a child can have like quite a bad start in life if you know that. They've not been managed well. And, and I do think I'll give you an example. I've a friend of ours that we've known for a long time was diagnosed only two years ago, a spike 14. And the the nurse in the diabetes team told them after six months, he said you don't need to check him in the night anymore. Because he's stabilized. So they told me this, and I didn't say anything, but I just thought how can anyone ever seen that? And he had a really, really bad seizure in the night. And they had to phone an ambulance. And it was utterly terrifying. And, you know, I just, it's just amazing, really amazes me that the experts, the medical experts still have such a dated way of looking at type one diabetes.

Scott Benner 1:07:20
No, it's interesting, too. Because as much as you know, like, I get the idea that once you say something, you feel like okay, I said it once, like, I can't come back and push. Right. Like it's, it's even though you feel like it would be valuable. There's a hard thing to want to do with getting between a person and their child's health and, and yeah, in for yourself into it. I just looked well, um, I just looked while while you were talking. And there are hundreds of 1000s of downloads in the UK since you've been on the podcast. So, yeah, it's the it's the fourth largest country for me eight for me, it goes US, Canada, Australia, then UK. Number four, for me. It's pretty, it's pretty amazing. Actually, with dragging this around the map and seeing that people listen in India and South Africa and Brazil, it's very strange. You know, there's a fair amount of downloads in Mexico. And there's even one guy listening in Greenland. So, and I've actually met him online. One day, I went on Facebook, and I was like, He's the person in Greenland who's listening here. And this guy's like, that's me. That's like, oh. And it really is there's, there's literally not enough downloads for it to be more than one person. And, oh, that was so incredibly interesting. I mean, thinking back to when you were on. I was just trying this, you know, I just like as a wondering if this will work. And the month you the month your episode was up? I wouldn't think that. I mean, I wouldn't think that the podcast had. I mean, maybe I can look actually because it might be interesting. I feel it's so bad. I have to go back into an old. It's so long ago, I have to go back into an old system that tracks things, because the system has changed so much since then.

Anna 1:09:23
I know. And the picture changed. I remember when that changed.

Scott Benner 1:09:27
Yeah, Arden Martin was like stop using pictures of me looking like a baby and I was like, Oh, okay. Oh, do you think of her as a little kid though, right. You know, I told her a lot of people think of you this way and she's like, I don't care. And I was like, Alright. Embarrassing. Yeah. She does well with it. But I mean, there are limits to how much she'll accept I think. April or this is crazy. April two 2015 the month your show was on the entire the entire show, not just the 10 episodes that were up at the entire show got 1536 downloads that month, like that. Month Hold on a second. Yeah. And if I'm not mistaken, I had an episode go up this. Do and that episode. It's only been up for a handful of hours. That episode has 1238 downloads. Wow, already. That's the episode and I won't share with you how many 1000s of downloads the whole show has today already. But it's a lot. Wow,

Anna 1:10:43
it made you feel really good.

Scott Benner 1:10:45
It makes me yes. I mean, that should be my first answer. It makes me feel like I accomplished something and that it's working and that people enjoy it. And it's helpful to them. And that's why it's growing. And that's why people listen to it. So that part is really amazing. I am still a little like stunned by it at times. Yeah, you know that, that a month's worth of downloads in the first year is now a couple of I mean, it's honestly, it's like an hour's worth of downloads now. And it's weird. You know what, the more than anything, it gives you a feeling of responsibility. Yeah, that you realize how many people are listening and you very badly do not want to lead them wrong. And and it's also strange a little to know that some people are counting on you for their entertainment. Because the show has become like it's I don't think it's I mean, it's a diabetes podcast. But it's it's a regular podcast, too. You know, like it's, I think, yeah, some people just like listening to I love listening to audio, like before you and I got on. Yeah, I was listening to something that I enjoy listening to. And then I took my headphones off and sat down here and I'm talking to you now and when I get up, I'm gonna put them back on and keep listening to what I was listening to. So yeah, I It's interesting to know that somebody's sitting thinking, like, I wonder when this episode is gonna come out, and that they're waiting for it. It's nice. It really is. It's a very fulfilling feel like

Anna 1:12:16
I've only got a couple more minutes because I've got to go and pick up my daughter from school.

Scott Benner 1:12:20
No, well then let's say goodbye. Is there anything that we didn't talk about that you were hoping to?

Anna 1:12:26
No, I think we well, we just we just chatted, it was lovely. It was it was a nice catch on. Yeah.

Scott Benner 1:12:32
I just really, I thought it was so interesting. When you reached out I was like, Oh my gosh, she was on the 10th episode I would love. And I remember and I remember you. Because I mean, try to imagine 10 episodes into making a podcast in New Jersey. Yeah, no, I heard from a lady who's like, I live in the country in England and I want to be on your podcast. I was like, wait, what? Like, wow, you know, like it was a little mind blowing, you know? And, yeah, tomorrow an episode goes up with a woman who lives in Canada, but is of Iranian descent. And her son was diagnosed while they were at a wedding in Iran. And like I edited one last night with somebody from New Zealand and a little girl from Russia was on recently and really, you were the first one. So you'll always be the first one at a you'll always be Oh, well. I really appreciate you doing this. And thank you so much for taking the time to come back on again. Thank you

a huge thank you to one of today's sponsors, G voc glucagon, find out more about Chivo Kibo pen at G Vogue glucagon.com forward slash juicebox you spell that? G VOKEGL You see ag o n.com forward slash juicebox. And everything else you need to know is either at Juicebox Podcast comm diabetes pro tip comm or right there in the shownotes of your podcast player.

I'd like to take a moment to thank Anna for coming back on the show, but also for coming on in the first place. I breezed over it a little bit in the episode. But Anna came on the podcast like I said in April of 2015. I think the show was going up once a week and it started in January January of 2015. The podcast started. I was putting up one episode a week. And I didn't really know what I wanted the podcast to be yet. I think Anna's was one of the very first conversations that I had just a talk with a person and It must have had a real impact on me because the very next episode is Episode 11, which now we all know to be bold with insulin and a fan favorite. But, you know, the experience I had talking to her put me in that headspace when I went back to record episode 11. So I'll always be very grateful that she came on the podcast back when, honestly, very few people were going to hear her story. But today, a magnitude of many, many more heard what she had to say. So I appreciate her helping me build this thing for you. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.

#636 Defining Thyroid: Goiter

Scott and Jenny Smith define thyroid terms.

In this Defining Thyroid episode, Scott and Jenny explain Goiter and talk supplements and nutirition.

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

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Hello friends and welcome to episode 636 of the Juicebox Podcast.

Today I bring you the sixth installment of the defining thyroid series today Jenny Smith and I are going to talk about goiter, and supplementing, and some other stuff. So far in the defining thyroid series, we've tackled hypothyroidism, and Hashimotos thyroiditis, that's an episode 616. In Episode 619, we define pituitary and thyroid glands. In Episode 624, we defined P S H testing, and in Episode 628, we define T four and T three. In episode 632. We talked about auto immune, and today we're gonna be talking about goiter, supplementing and some other stuff. It's kind of a, I don't want to call today a free for all but today is sort of a building conversation. You'll well you'll see in a minute. While you're listening today, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin.

If you have type one diabetes, or are the caregiver of someone with type one, and are a US resident, please go to T one D exchange.org. Ford slash juicebox. And take the survey. This episode of The Juicebox Podcast is sponsored by Omni pod makers of the Omni pod dash, the Omni pod promise and the upcoming Omni pod five. Learn more about that Omni pod dash and see if you're eligible for a free 30 day trial at Omni pod.com forward slash juicebox. Today's episode is short. So at the end, I'll explain how you may be eligible for that free 30 days of the AMI pod dash. Alright, Jenny, we're gonna we're gonna do a quick All right, I'm already laughing ready? Goyder?

Jennifer Smith, CDE 2:25
I know it's such a funny word. Funny Little word. Really goitre. Like, couldn't. There are many medical terms that I think are hilarious. But definitely goiter is one of them. It is. It's funny.

Scott Benner 2:37
I don't know. I'm just I always wonder still. Why, you know, we didn't find out what Hashimotos first name was before they named it?

Jennifer Smith, CDE 2:46
Well, I think the thing about goiter, too, is the fact that like there's a visible part of Goyder, right? It's not just like the name. That's right. That's funny. Like there's a visible piece that on your body, you're like, ooh, that doesn't look normal. shouldn't really be there.

Scott Benner 3:01
Well, and some people can get them. I mean, they can look like real like lumps in your neck, right?

Jennifer Smith, CDE 3:07
Yes, yes, my mom. In fact, when I've seen pictures of my mom, I mean, they're the really old like fading types of pictures before she was diagnosed or within the process. She had a very visible I was on both sides of her neck, she had a very visible she had kind of like the protruding sort of like eyes. There were a lot of things that were very like, that's diagnostic there for her. But, but yes, goiter is essentially an alert and enlargement of the thyroid gland. If that all that we just said did, like, bring that up. That's what it is enlargement of the thyroid gland.

Scott Benner 3:46
goiter also called enlarged thyroid probably by a doctor who laughed every time he said goiter. You know, when it's um, gosh. Do you remember I'm really gonna date myself. There used to be this. People used to shop on TV. I don't know if that's the thing that everyone knows. But there were like infomercials or longer commercials that some guy would come on with a deep voice and tell you about the the heartbreak of psoriasis, you know, or something? Yes. And it's the word terror, which has nothing to do with anything we're talking about here but sticks in my head since I'm a child, because you know, the heartbreak of surprises you and he runs through these lists of other things you might see. And then he goes terror. And it's like stuck in my head. I don't know why I can't get rid of it. I don't even know what it means. That's really funny. So, goiter says abnormal enlargement of the butterfly shaped gland, below the Adam's apple, which is called the thyroid. Of course, a goiter commonly develops as a result of iodine deficiency or inflammation of the thyroid gland. Not all goiters cause symptoms symptoms that do occur might include swelling cough. Rarely, symptoms may include throat tightness or trouble breathing A small goiter that doesn't cause symptoms may not need treatment. In some cases, medication or surgery is needed. Doesn't have. So it's so funny because I'm actually learning something here today. So it shows me we're on the right track, Jenny. Yes. So goiter. I mean, not that I'm just repeating myself. But goiter is an enlarged thyroid. It's not a thing. It's not like a new thing that appears in your neck. It's, it's the enlarged,

Jennifer Smith, CDE 5:34
it's the thyroid and large and really reason. I mean, the reason is because your thyroid gets kind of signaled too much by the pituitary gland to bring out more thyroid hormone, right, I mean, that's the gist of it. And so that over stimulation can cause the thyroid to get larger. And to some people get large enough that you could visibly see that see the change,

Scott Benner 6:03
and the reason in the United States that you would kind of pretty much think thyroid hormone problem or nodules, when you see a goiter. But I guess Believe it or not, is because we have iodized salt in the United States.

Jennifer Smith, CDE 6:21
Yes, we do. As long as you truly get iodized salt,

Scott Benner 6:26
right. Yeah. Can you get it non right.

Jennifer Smith, CDE 6:28
But I mean, if you look, and it's interesting, since we started doing all of these about thyroid specifically, I've started paying attention to salt at the grocery store. I like the grocery store anyway, so. But I was noticing like at Costco specifically, there are big things of sea salt, specifically state on the label. This is not a valuable source of iodine in the diet. So does Himalayan sea salt. I mean, there are many salts that have now become this as the preferred to use that no longer have enough of it in it.

Scott Benner 7:10
Yep. And it's so so in a past episode, I think in the goitre episode, I talked about No, not in the greater episode in the autoimmune episode. This is the goiter episode I talked about. I talked about a new rheumatologist that that ardency she spent 10 minutes talking about iodine and how it's interesting, not in our diet anymore. You know, and and then she went into talking about, I think this kind of fits, she went into talking about even when you eat well, in a factory farming society, you're not eating as well as you think you are. And she used an example of she chose a very popular grocery store chain and said, they, some of their fruits, they they flash freeze, and they don't deliver them to you for months afterwards. And she's like, they have ways of delivering foods where they show up to you with not nearly as much nutritional quality and quality believe that they have because you're like, Ooh, I'm eating a piece of fruit or I'm eating a vegetable. She said but the they've been decimated for nutrition all the time. And she started talking about having to supplement things that you just even if you have a certain diet, you might not know you need to supplement and that that's what made me think of this, which is you know, we all use salt and things. So if you used iodized salt and you have a goiter, it's likely not because of iodine, it's likely because of thyroid, but in other places in the world or if you've gotten all Fifi and you're using sea salt which I say jokingly because I realized this we're talking I switched to pink salt like years ago years ago right? I absolutely don't use much of the other people might have still use the salt shaker but I I have a little salt

Jennifer Smith, CDE 9:04
pig you like that you like the pink salt.

Scott Benner 9:08
I like to take a little pinch and just like you know let it go over top of things and and now I'm realized that I better just shake this the shaker a little bit myself once in a while. Okay, glitters did not look pleasant in the photographs.

Unknown Speaker 9:22
No, they don't. Yeah.

Scott Benner 9:25
And your mother had one. My mother

Jennifer Smith, CDE 9:27
had one. Yes, a noticeable one again from pictures and whatnot from that time and then once her thyroid was well managed, and she actually had thyroid burnout and everything because she was hyperthyroid and now she actually takes the typical levothyroxine because she has hypothyroid because of everything wise

Scott Benner 9:51
I have to say when I when I just Googled for pictures of goiter when they come back with like no not drawings but like but actual therapy. Following photographs, a lot of them do look like they don't live in the United States. That's interesting. That is interesting. Yeah. And while they can get massive in some Yeah. Oh, that's horrible. Okay. All right. Fun times here on the podcast.

Jennifer Smith, CDE 10:14
Yes, exactly. From time.

Scott Benner 10:17
There's nothing else to add to this one, right?

Jennifer Smith, CDE 10:19
I don't think so. No, there's certainly things that I could add, but I don't think that they're as 13. I'll

Scott Benner 10:25
just read this last piece that I had here in larger the thyroid gland, when your thyroid is bombarded by signals from the pituitary in an effort to trigger the thyroid into making more hormones. The excessive stimulation may cause the thyroid gland to enlarge to the point where you have a bulge in your neck. So this seems like that means in the case of an actual thyroid issue, but not an iodine deficiency, correct? Exactly. All right. Well, let's never speak of this again. Seriously,

Jennifer Smith, CDE 10:57
unless somebody comments, just like I want to learn more about guider, and

Scott Benner 11:01
we'd be happy to talk about it. But my goodness, that is that is very unpleasant, we'd

Jennifer Smith, CDE 11:05
have to find a greater ologists, I think.

Scott Benner 11:09
I'll tell you what, if my life gets down to that, Jenny, I'm not, I can't do this anymore. That's fine. I'm trying to outline the fact that I think that if I don't get Arden straightened out, and everybody else doesn't just stay healthy for five minutes, I'm gonna like light my underwear on fire and start running around the streets much longer.

Jennifer Smith, CDE 11:36
Everybody just needs to well, and what it actually goes along with something that I It sounds like you really found a quite good physician, because a lot of what she was telling you about the quality of food, I mean, it's the big reason that I take or spend the extra to buy non farm raised fish, okay, because the difference between farm raised salmon and actual wild salmon, there's a major difference. If you look at farm raised salmon, and you look at the package, you will see color added that color is added because they haven't been being fed the wide diet that they would eat in the wild to actually get the quality or megas that your body the benefit of eating salmon or tuna is for the omegas which in your daughter's case, the doctor was like, hey, you need more omegas right? Well, don't buy farm raised fish then because that's not going to help her anymore.

Scott Benner 12:38
I want to say too, she spent a lot of time showing us how to read labels on supplements, vitamins, and she said there are overwhelmingly more useless vitamins on the market, then, you know, she's like, and they're very good at marketing it to make it sound like they're good, but she's like there's nothing in them. It's just a it's just a waste of your money.

Jennifer Smith, CDE 12:59
So my original naturopath when I saw her years ago, um, she actually did the same thing. What supplements are you using? How are you using them, and she actually recommended very minimal list of quality, just multivitamins, and at that time I had needed to start taking like a prenatal vitamin, right in terms of preparation for getting pregnant. And she was like these are the ones and don't pick outside of those this list. These are quality they come actually the nutrients come from real food sources, not from synthetic something something she's like otherwise you paying for a bottle of what's actually getting peed out into the toilet.

Scott Benner 13:39
He also told me that the real popular vitamins that people know are good get knocked off online, so you have to be careful about even buying them from Amazon. And what else did she say? Oh yeah, anything that you can absorb to the lining of your mouth is preferable over swallowing it. So she gave Arden vitamin D drops instead of like sardines, one of those people that takes 50,000 I use a vitamin D a week, like once a week. And she's like No, she's like, just do these drops instead.

Jennifer Smith, CDE 14:07
Again, it goes back to the gut and absorption and they know very well that the gut and absorption and people who have type one is lacking. My my naturopath did the same thing. My vitamin D was 18 Yeah, the doctor had given me a supplement, huge dose like pills, supplements. And he was like, I don't know I started seeing a naturopath. She said you need to drop you need to put it under your tongue every single day, get things retested in eight weeks and come back and they were up already.

Scott Benner 14:38
You know, it's funny I'll add here before we end this one and move on to the next that if you would have found me before Arden had type one diabetes and before I knew anything about all this stuff, and had this conversation with me, I would have said oh I met a hippie lady today that was talking about vitamins and how they're not all the same and you know, you got to take vitamin D under Your tongue and I think she was high on the weed is what I would have thought, you know, they mean like, oh well, lovely cookie woman, you know, but now I know you're not cookie, and I'm not either. Thank you. So there's way more to this than, than most people would think, Oh, just just getting your supplements, right? It's not coming from your food. I mean, everybody, look when this is over today, take five minutes, close your eyes, be honest with yourself and think about what you've eaten this week. And tell me if there's food in any of it. Or if you're just keeping yourself alive and not nurturing yourself. You know, so I, I was on a road trip yesterday. I got up very early in the morning, I did not feel like eating, I drove a couple of 100 miles. I saw my son, I drove a couple of 100 miles back, I drank two bottles of water in the morning. I peed in a sketchy rest stop. I went to get my son. We went to lunch, where we went to a English pub, and I had fish and chips. So I had cod, probably not deep fried, but I stay away from the oil. So I picked all the breading off of it. And then I had fries and a little bit of ketchup. And then I got in a car and drove home and ate a peppermint patty, because that's what I could find it a rest stop. And then I got home and that is what I'd eaten that day. You know, and if you asked me, How do I eat? I'd probably say I'm fine. Because the day before I didn't eat well, but I didn't. I didn't on Sunday. And you really do have to start asking yourself, Am I I'm fueling myself and I'm not hungry, and I'm staying alive. But am I bringing in the nutrition that my body actually needs to maintain itself and to rebuild itself from problems? You know, and I think for most of us, I really I hate to say it, I'm not coming down on people. I think most of us, I don't think we do really?

Jennifer Smith, CDE 16:53
Right? Well, and I think if you ask many people who have enough resources and whatnot to actually have enough food in their life, it's quantity of food seems enough. So they would say yes, I'm well fed. Well, what's the quality? Not the quantity of what you're eating? Because quite honestly, here in our United States, we have enough quantity,

Scott Benner 17:19
right? It's almost hard to go hungry at this point. Yeah.

Jennifer Smith, CDE 17:23
So you know, and I mean, there are certainly people who do struggle for enough. But even them unfortunately, what they can have then access to doesn't have a quality piece to it. It's what they can have is what they can have, because this is what's affordable. And unfortunately, there's not much quality there.

Scott Benner 17:47
Yeah, no, I mean, if you are a person who's listening to this in the hopes of fine tuning your health, there's nothing in a Dorito that's going to help with that, I guess is the message. Even though I will say this of all the longtime foods from my childhood, the junk foods, Doritos has done the best job of keeping the experience of a Dorito the same as it was 20 years ago. Here's a short list of people who have not Fruity Pebbles, Apple Jacks, just using. There are some junk foods that people have just messed up over the years. For funny, Fruity Pebbles is my biggest disappointment. Jenny's like I don't know what a fruity Pebble is that? I'm not eating it.

Jennifer Smith, CDE 18:26
I don't Well, the funny thing is I do but we didn't have we didn't have those. I think I've had 30 pebbles, maybe once in my life. And it was just because my parents just didn't buy that kind of stuff. If we did have cereal, it was way way up camping. And it was like honey nut cheerios, right. I mean, that was like, and I mean, it still has sugar added to it. Obviously it's still you know what it is? But yeah, I think we just we didn't get that kind of stuff. I was actually talking to somebody the other day and I were talking about like kids and what they eat and whatever and it was like my children have never been enough Donald's

Unknown Speaker 19:05
like we can pass and Donald's and there is no Mama Mama Mama.

Jennifer Smith, CDE 19:11
They don't really I mean, my nine year old now obviously knows what it is but he would have no desire to stop there. Because we just don't that's not a regular thing for us to do.

Scott Benner 19:23
Yeah, in my house. It was soccer because Kelly did not did not want our children to play soccer we gave them no context for when they were growing up. I know I've told this story before but it I don't think to me that's interesting. We bears it bears repeating because you can you can impact how your children go up and what they think to do and what they think to don't do you know, food being the example but when my son was like two or three years old, we were stopped at a traffic light and there was a men's league and they were playing soccer. I'm talking about like hundreds of people spread out over five soccer fields. My son says, Mommy, what are they doing? And Kelly looks out the window and looks back and goes I have No idea and the light turned green. And we drove away. Because Kelly's sisters played soccer growing up, and Kelly hated going to soccer games. Ah, she's like I didn't, she didn't want to have a kid who played soccer. So we just didn't tell him what it was. And he just didn't, he never asked about it. And that that was it. And I, I'm dialing that back to your, you can, you can move your children in the right direction with a lot of different things. Even taking a supplement every day, you know, like just a multivitamin. You can make that part of their life to the point where they get older, they just, they just do it. You know, because not every older kid just you know, if you you realize when you're 20 years old, you need a a multivitamin or something. It's not going to be easy to get everyone to integrate that into their life. You know, most people are gonna have a hard time adding things as adults. So,

Jennifer Smith, CDE 20:52
right. I mean, even my five year old can go to the refrigerator and pick something like he'll often want and want to do it himself. An apple cut up with peanut butter. That's like his favorite thing ever. He can he make his own egg salad. I think it's pretty awesome. It's not pretty. And it certainly is kind of messy on the counter. But you know what? He can make his own eggs

Scott Benner 21:16
to do it. Well, that's, that's the, that's the takeaway from this one is you can make decisions about how you eat and how you get. There you go. Alright, Jen, do we have time for one more? Yeah, absolutely. If you're tired of injecting your insulin with a pen, or a syringe, or you have a pump with all kinds of crazy tubing attached to it, that you really don't like, this next bit is for you.

The Omni pod tubeless insulin pump does not have any tubing. That's why they call it tubeless. I know you're thinking that's not possible. But it is Omni pod doesn't have tubing. Other insulin pumps have a controller with a cartridge, connected the tubing that kind of you know, goes all over the place to an infusion set. And then that's how you get your insulin through that long tube. But with Ali pod, there is no tubing, no tubing to get caught on door handles. And nothing to disconnect when you're bathing or swimming. Because the Omni pod is, you know, it's happy in the water. You can go in the bathtub, in the shower in the local lake. You can go wherever you want wearing your Omni pod tubeless insulin pump. That's pretty important because then you don't lose your insulin during those times. How many of you have disconnected for a shower only to forget to reconnect to your tubed insulin pump? When do you find out an hour or two later when your blood sugar's sky high? Because you haven't had any insulin for a while. Why? Because you had to disconnect for a shower. That shouldn't be the way and with Omni pod it isn't. Now if this all sounds magical or different to you, and you're not sure what to do, I understand that, but you may be eligible for a free 30 day trial of the Omni pod dash. Now go to Omni pod.com forward slash juicebox to find out. If you're eligible, Omni pod, we'll send you a free 30 day supply. You can check it out and see what you think. And even if you decide to stick with what you're doing after the trial, you still got our free 30 days. How often you get a free month of anything. So the Omni pod dash is tubeless it's waterproof, you can shower with it, or you know swimming the pool. Right the pool the pool. Are you thinking about summer I just made me think about summer. It's not here yet kids slipped through this cold a little longer anyway. swim in the pool. Don't get your tubing caught anything, don't have any tubing to be sneaking through your clothing. It's all pretty great. And no multiple daily injections. With the Omni pod, you just pull out the PDM that's the personal diabetes manager's little handheld device kind of looks like a cell phone. And you you just say I'm gonna have 12 carbs, he talks a little thing 12 carbs and says I think you should have this much insulin, you know, based on your settings and you go okay, push a button and boom, boom, here comes the insulin. No injections. I love it. Now you might be thinking, Alright, Scott, I want it on the pod but I've been hearing about this Omni pod five, and I'm just gonna wait for that. Hmm, I would say in a normal circumstance, I understand. But with the Omni pod promise, you don't have to do that. Here's what the Omni pod promise says. You get the Omni pod dash today. And you start using it and you love it. And then I don't know, a month from now two months from now whenever Omni pod five is available for you and covered by your insurance. You just move up to the Omni pod five. That's the Omni pod promise. The Omni pod promise says you can go to new technology that Omni pod has, when it's available to you and covered by your insurance. That's it, you want to change, you can change. That's a pretty good promise on the pod.com forward slash juice box, you might as well go poke around on the website and figure it out a little bit. See if you're up for it. Check to see if you know you're eligible for that free trial and get started today. Omni pod.com forward slash juice box. There are links in the show notes of your podcast player and at Juicebox Podcast comm to Omnipod and all of the sponsors

if you're wondering what signs and symptoms to look for in hypothyroidism, hyperthyroidism, Graves' disease, and Hashimotos, I'm going to list them all for you right now. If you already know what they are. Well then thanks so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. But if you're waiting for the signs and symptoms they're gonna happen like right now. symptoms of hypothyroidism Farey the Mayo Clinic list of possible symptoms such as fatigue, increased sensitivity to cold constipation, dry skin, weight gain, puffy face, hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain stiffness or swelling in your joints heavier than normal or irregular menstrual periods. thinning hair slow heart rate depression impaired memory enlarged thyroid gland, which could be known as a goiter. If you're looking for this in infants, you might also look for a large protruding tongue difficulty breathing, hoarse, crying, an umbilical hernia, or yellowing of the skin and whites of the eyes. As the disease progresses in infants, you may also notice constipation, poor muscle tone and excessive sleepiness. In teens, you may notice poor growth resulting in short stature, delayed development of permanent teeth, delayed puberty were poor mental development. Let's move on to hyperthyroidism. Still on the Mayo Clinic's website, they say of course, that hyperthyroidism can mimic other health problems. We've been talking about this through all these episodes, you know that unintentional weight loss even when your appetite and food intake stay the same? We're increase, rapid heartbeat, irregular heartbeat, pounding of your heart, increased appetite, nervousness, anxiety, and irritability. Tremors, usually a fine trembling in your hands or fingers, sweating changes in menstrual patterns, increase sensitivity he changes in bowel patterns, especially more frequent bowel movements, and enlarged thyroid gland of course called a goiter, which may appear a swelling at the base of your neck, fatigue, muscle weakness, difficulty sleeping, skin thinning, fine embrittle hair. For Graves disease, you're looking for dry eyes, red or swollen eyes, excessive tearing or discomfort in one or both eyes, light sensitivity, blurred or double vision, inflammation or reduced eyes movement, protruding eyeballs just quickly Hashimotos disease which as we know is an autoimmune version of hypothyroidism. Hashimotos disease progresses slowly over the years you may not notice signs or symptoms of the disease eventually the decline in thyroid hormone production can result in a the following. There going to be a lot of duplicates here from hypothyroidism, fatigue and sluggishness, increased sensitivity to cold increase sleepiness, dry skin, constipation, muscle weakness, muscle aches, tenderness and stiffness, joint pain and stiffness, irregular or excessive menstrual bleeding, depression, problems with memory or concentration, swelling of the thyroid, the goiter of puffy face, brittle nails, hair loss, enlargement of the tongue. I'd like to just finish by saying that if you have any of these, please see a doctor get a simple blood test and get yourself some answers. Don't forget a TSH over two is enough reason to be concerned. Treat your symptoms, not the lab values. Thanks again for listening. I'll be back very soon with another episode of The Juicebox Podcast.

More Diabetes Pro Tips from the Juicebox Podcast