#704 Mature Onset of Young Love
Melanie has MODY diabetes and is here to share her story.
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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner 0:00
Hello friends, and welcome to episode 704 of the Juicebox Podcast.
On today's program we're going to be speaking with Melanie who has Modi diabetes, and a host of other interesting things to talk about. Please remember while we're talking 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. We're becoming bold with insulin. If you're a US resident who has type one diabetes, or is the caregiver of someone with type one, please consider going to T one D exchange.org. Forward slash juice box. Join the registry. Take the survey help people living with type one diabetes while you're supporting the Juicebox Podcast, T one D exchange.org. Forward slash juice box. If you're looking for a place online to talk to other people who live with diabetes, you should check out the Facebook group for the Juicebox Podcast. It's called Juicebox Podcast type one diabetes. It's on Facebook. It's a private group with over 25,000 members. There's something there for everyone.
This episode of The Juicebox Podcast is sponsored by Omni pod makers of the Omni pod dash and the Omni pod five. You can learn more today at Omni pod.com forward slash juicebox. Get yourself a tubeless insulin pump. Get the army pod. The podcast is also sponsored today by us med white glove treatment for your diabetes supplies is just a phone call away. 888-721-1514. Call that number or go to us med.com forward slash juicebox to get a free benefits check. Wouldn't it be great to get your diabetes supplies without a hassle? I know it would be us med All right. That was not it was my fault, Molly, but I'm blaming my dogs.
Melanie 2:25
Hey, that works. They can defend themselves. It's the perfect scapegoat.
Scott Benner 2:29
Yeah. So there's like a few minutes before? Do you really care about this? You want me to tell you?
Melanie 2:34
I love talking. So I'll tell
Scott Benner 2:37
you what, then we're you're being recorded. Introduce yourself. You don't have to use your last name. If you don't want to, then I'll jump in and tell you.
Melanie 2:44
So my name is Melanie. I'm super excited to be here. What do you what do you want me to tell you?
Scott Benner 2:49
You're done melody that's good enough, we can start talking. Okay, perfect. So I was up very late last night. There's my mom's been having some health issues. And I'm sorry to hear that. You're very kind. Thank you. So I tried to sleep in a little this morning. And I still figured I could do everything I wanted to do take shower, you know, blah, blah, blah. And then I look over and my wife is sick and she has been sick for a couple of weeks now. She has some crazy cough it's not COVID it's just really bad and it's beating her up really good. And I look over and I'm like oh god she's not even awake. I was expecting her to be downstairs I thought other poor dogs haven't been outside yet. now live in a short amount of time woken myself up taking a shower, gotten dressed. And I'm like by the way, there's you have something talking in the background. I don't know what that was, is it? Oh, it's my daughter. She's running around. That's fine. So I'm like well the poor dogs I'll let them out real quick. So I'm just gonna let them out let them pay do what they got to do and I'll feed them when I'm done talking to you or Kelly will come down and she'll feed whatever they go outside immediately break ranks and go in two different directions. One is meandering around won't even pay them. I'm literally like I'm like indie just pee pee now. I gotta go You gotta pick now I'm texting you hey molly, I'm gonna be late. I get the big one in the house I look over cannot find the little whenever anywhere I am looking all over my property and then I just kind of widened my search pattern in my eyes. And sure enough, Melanie he showed on my neighbor's driveway. Of course not in their yard where I can maybe pretend that their dog did it but in their driveway. So I now am in my neighbor's driveway picking up dog crap. And and in anyway in the rush to go outside to help them to go out. I didn't click one simple button which is why I couldn't hear you while you were doing everything.
Melanie 4:47
Gotcha. No, that sounds like my dogs. I have one of those dogs too. He like will not go when you need him to go. But you're way kinder than I am. I just throw in the backyard and I'm like Okay, stay out there for two hours. You Fake air.
Scott Benner 5:01
I have to be honest, it's gonna sound crazy. I don't want to rush them. Like I wouldn't want somebody running into the bathroom yelling Now Scott, go do it right now. I mean, it's in case case I'm having a moment. But But I really did have to get upstairs and I really very badly because my wife was sick didn't want her to come down and have to deal with every Yeah, for sure. Anyway,
Melanie 5:21
that's, that's funny. Well, I'm glad. I'm glad you got that all sorted out.
Scott Benner 5:26
The downside of it is you spent three minutes talking to yourself.
Melanie 5:31
No, it's all good. I I work from home. And so zoom calls are like my life. So I'm used to staring at a blank zoom screen. So you're
Scott Benner 5:40
Gotcha. Okay, so why are you on the podcast? Let me think if I can remember anything at all, Lada Modi, actually, damn it.
Melanie 5:51
So close, though. One of one of the unknowns? Yeah. Yeah. So I am a Modi type three diabetic.
Scott Benner 5:59
Okay, you are and how long have you known that about yourself?
Melanie 6:03
So my story is really funny. I was misdiagnosed as a type two. When I was 18. I had one of the worst doctors imaginable. I went into him with high blood sugar. My dad's a diabetic, my answer diabetic, my grandmother's a diabetic. And we just don't know beyond that. Went into him. I was like 18 years old. I think I weighed maybe, like 120 pounds. I'm five, seven. So just to give you a little bit of context, like, that's really thin for me. And he told me start Metformin don't gain weight. That was literally his advice, which obviously, you know, is the worst thing you can possibly do. Wow. So it was a very slow progression, since at least for me, my Modio is kind of a slow onset. And so I didn't actually realize that I had what I had until I was pregnant with my first daughter last year. And I'm 20 I just turned 29. So this was like a decade of literally just trying to figure out what's going on. Like,
Scott Benner 7:10
when you say you're trying to figure out what's going on what is happening. But take all the diagnosis. I'm making quotes out of it for a second, like what was your day to day like?
Melanie 7:20
So honestly, like, to give you a little backstory, like my dad is a diabetic. And if I had to put money on it, he's probably Modi as well, but has never been diagnosed. And so I first learned
Scott Benner 7:34
about hey, Melanie, could you put that kid in a closet or something? Please? We're talking here. Yeah. Thanks very much. Just I'm
Melanie 7:42
yeah, let me ask my husband. Normally she,
Scott Benner 7:45
I'm teasing you. That's lovely.
Melanie 7:48
Oh, okay. I'm like, Well, I will try.
Scott Benner 7:51
I thought saying put her in a closet was fanciful enough that you
Melanie 7:57
know, you're I was really just looking over like, do you need me to put her upstairs with my husband, though?
Scott Benner 8:03
were you considering putting her in her closet? Let's talk about that first. Well, I
Melanie 8:06
mean, you weren't necessary? No, not at all.
Scott Benner 8:10
Not at all. If you can, if you can relocate her, that'd be lovely. Yeah, for
Melanie 8:15
sure. Um, once again, let me mute this for just two seconds, so I can yell up the stairs
Scott Benner 8:23
I don't know if I'm gonna pause this or not so bored. Okay,
Melanie 8:27
sorry. Very quick. Yeah, so she's like obsessed with her show Coco mela so I thought that she would just sit there and veg but of course, this is the one day that she's like, No, I need your I need your attention right
Scott Benner 8:38
now. Hey, once again, choke Coco melon. Yeah.
Melanie 8:41
Yeah, Coco mom. It's like this little kids show. It's really it's really the worst thing on the planet. But she likes it. So right up there. So we just go with it. Okay, thank you. Appreciate you. Okay, Kid officially in the closet.
Scott Benner 8:56
Okay. Wow, hold on a second. Cocoa melon are just on YouTube is nursery rhymes. Yeah, it's kind of like not bad, but not good. Animation. And these videos have massive downloads.
Melanie 9:13
Yeah, it's ridiculous. I'm I'm pretty sure that they're like subliminally messaging these kids. Like did you ever see zoo lander? Yeah. Where like, they like have like the subliminal stuff going in the background. I'm pretty sure it's something like that.
Scott Benner 9:26
No lie. These videos have anywhere between eight and 25 million views apiece and they're like 40 minutes long.
Melanie 9:36
Yeah, each episode has like eight to 10 little nursery songs and they're just dreadful. Well, they're absolutely dreadful. Here's
Scott Benner 9:42
one with 50 million views. A year.
Melanie 9:48
I probably contributed about 1000 So
Scott Benner 9:51
I also do it in Spanish Portuguese. What looks like Japanese to me. Yeah. Oh, somebody's a genius.
Melanie 10:01
I know right? Like you look at it, you're like I could have done that. I could have I could have figured that out.
Scott Benner 10:07
It's I am so mad at myself right now.
Melanie 10:10
I know you pick the wrong field,
Scott Benner 10:12
why am I working so hard?
Melanie 10:15
Exactly. Well, the ones that get me are like, have you seen the ones where people will just open toys? Like it's literally just a camera, like pointed at their hands, and they'll just like open toys.
Scott Benner 10:23
I saw one kid do that once I learned how much money he makes for doing it. And it just I never, I never thought about it again. It made me so upset. Hey,
Melanie 10:33
like makes you sick to your stomach, right? Like this. Alright, so
Scott Benner 10:37
now that we've dispensed with your kid, so you were saying that you think your father had? Yes has Modi two?
Melanie 10:44
Yeah. So my first encounter with the whole concept of diabetes was, I think I was about eight or 10. I was pretty young. And my dad had come home from a worksite. He's an alarm technician. So he goes out to like work sites. And he had stepped on a screw. And he didn't feel it. He had complete, like, neuropathy in his feet. And he kind of just ignored it. I think it was more so my parents didn't have insurance. There's six of us. So it was kind of like this, I'm just going to ignore it because we don't have money for it type of thing. And so he comes home. And that's literally one of the first things I remember from my childhood is he like, takes his shoe off, and it's soaked with blood. And so he ended up in the hospital. And he they almost had to amputate his foot because he had blood poisoning. But luckily he didn't. But that was like my first encounter with diabetes. And from that point on, I was just terrified, like, just scared to death that I was going to be diabetic. And that was going to happen to me, but like, nobody talked to me like, my parents are very much so like, we're just not going to talk about things. We're going to kind of just handle them and then sweep them under the rug.
Scott Benner 11:52
Oh, Catholic. Catholic gotta get right.
Melanie 11:56
Not quite close. Yeah, it was my parents. My dad just doesn't talk. Like he's not a talker. And then my mom just doesn't like dealing with things. So
Scott Benner 12:07
tell me, um, on the day your dad's foot got screwed. How old were you about?
Melanie 12:13
I want to say probably about eight or 10.
Scott Benner 12:16
So you wrote around that edge. Worried about it through your those formative years. And then when you were 18, somebody said, Hey, you have diabetes?
Melanie 12:24
Yeah. So it was an absolutely just like, terrifying thing. Because it actually was ice. Okay, so the way that I even learned to like, get myself checked, because I didn't have insurance until I was 18. And like, living on my own, I started working.
Scott Benner 12:41
And so we wait, wait, stop. You didn't have insurance as a child?
Melanie 12:44
No, my parent, no, nobody had insurance in our family. Okay, so it was just, and I mean, like, my parents had six kids. My dad didn't have like a great job. Like, I'm just I'm just amazed at the things they pulled off. Yeah, we didn't. How old?
Scott Benner 13:00
Were you the first time to get your teeth cleaned?
Melanie 13:03
Oh, I was like eight. But because they had like a family dentist that would like give them really good deals and stuff. So I definitely saw the dentist. Surprisingly, enough of all the things you think my parents cared about our teeth,
Scott Benner 13:17
but I just I just don't know, like people who didn't grow up broke. Like, I don't know if they would like think about stuff like that. Like, I didn't go to the dentist until I was an adult and I I had health insurance.
Melanie 13:30
Yeah, it's I literally my mom told us when we were kids, she was like, don't break an arm. We're not going to the doctor. Like that was that that was our like preventative measure. It wasn't like, let me teach you to climb this tree. It was if you break an arm, it's just it is what it is.
Scott Benner 13:46
Not only do you put down because you fall into that tree. And that's what's gonna happen.
Melanie 13:52
Exactly. That was like literally, the things my mom says like, she even told us one time for our dog. And looking back on all this probably explains why I'm as screwed up as I am. But she was like, if that dog gets sick, I'm not going to take it to the vet to put it down. I'm going to take it in the backyard and hit its head with a brick.
Scott Benner 14:10
Hey, Merry Christmas.
Melanie 14:12
Exactly. Yeah. So but that was just really my upbringing with I guess the medical world as a whole, it was just very much so like, we don't touch it. That's not what we do. Um, it was even like, at the point where one time my mom there was a grease fire in our house and she got like third degree burns on her arms and her face and she wasn't going to go to the hospital. Like it was just like, we had to beg her to go in the ambulance. And it was it was just but that was like the demeanor around health and hospitals and doctors. It was just we don't have money. We don't touch it. Yeah. And so that was definitely a big thing for me growing up because I just thought you don't. You don't go to the doctor, right? You You figure it out was really what it was. So then When I was about 18, I started feeling like tingling in my toes. And that was just scared the crap out of me because obviously, I saw what happened with my dad. And so I decided to take his little blood meter. And I check it. And it's at like, 347. Like, really high. Yeah. And that just freaked me out. And so finally, when I was 18, I decided to it was after that point, I decided to go to the doctor at that point, I had insurance. I didn't even know what to do with it. Like, I was like, oh, insurance. So it's that.
Scott Benner 15:35
Just holding up this car to the room going, can someone help me? Can someone help me?
Melanie 15:40
That was literally how it was like, I had no idea how to use my insurance. Nobody had taught me. And so I just go into like the United Healthcare. thing. I don't know if I can say insurance names or not. But I go into their little portal. And I like just search for like a doctor. Like anybody. I'm like, I don't know, just somebody. Of course, I pick the worst doctor on the face of the planet by chance, and so I go to him. And like I said, he was just horrible, like 18 years old, super thin, diabetic family history. He doesn't even do like he doesn't a one C. And then he gives me that Foreman says don't gain weight. That's it. Like that was the diagnosis
Scott Benner 16:21
about 11 years ago. 18 years old Byers. Yeah. Yeah, by myself in a doctor's room. Hey, you didn't? You were probably thrilled when he didn't threaten to hit you in the head with a break.
Melanie 16:32
Exactly. Yeah. So now just the whole experience. And so like, really, my whole diabetic journey was very, I guess, very lonely in a lot of ways, because I didn't know anything. And so I had to learn what questions to ask and what to do and how to advocate for myself. So it's been a very, very interesting journey.
Scott Benner 16:53
How many What was your agency when you were 18?
Melanie 16:57
It was a five points. No, not that's wrong. 6.4 I want to say, so it wasn't crazy. But it was definitely. Yeah, it was definitely in that that pre diabetic range. Okay. So that's why it's been a very slow, like onset for me. Yeah. So I started taking Metformin. And I just I don't, I don't I didn't like the way I felt I was raised very, we don't go to doctors natural remedies. And so I just felt really weird about it. And then I took it. And then shortly after that, I actually got engaged my husband, and we got married really young. So
Scott Benner 17:38
if I was you? Were like, I'm not doing this by myself. I gotta get out of
Melanie 17:43
here. Yeah, get out of my crappy little apartment. Yeah. So anyways, I got engaged. And once again, it was a very, we were in a very, like, toxic religious environment. That was about, we just pray for healing, you know, and it was is very, very toxic and unhealthy. And so we decide that I'm going to stop taking my metformin and we're just going to trust God, and just pray it away. Which is, I Oh, I could go on and on and on.
Scott Benner 18:18
I want you to slow down a couple little things. You're, you're a little excited, which is fine, but I think you're either banging on the microphone wire or touching or touching the table a lot. Don't do that. That's okay. And give a drink.
Melanie 18:32
I can get the one
Scott Benner 18:33
yourself a water, take a drink, relax for a second, okay, because we're gonna dig into a lot of stuff and I don't want to dry you out and get you over excited.
Melanie 18:42
Let me let me grab some water
Scott Benner 18:52
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Melanie 22:48
Okay, we're back.
Scott Benner 22:49
I'm super excited to talk to you about all this. Do you mind digging into some of it?
Melanie 22:53
No, not at all. It's, it's this has been my life. So I'm, I'm excited somebody wants to listen to me rant.
Scott Benner 23:01
But for $40 The therapist will listen to but that's not the point. I'll do it for free. It sounds good. The husband that we just pawned the kid off on same guy you married when you were younger? Same guy. Yes. You and he together decided to let Jesus take the wheel. In a way I was
Melanie 23:19
very much so. Um, I want to say submissive, like, it was just a very unhealthy culture. I don't know if you have any background in like, the religious world at all. But it was just a very unhealthy culture of the man is the head of the household. And, and so so he felt the need as a young man to fill that role. Right? Even though now like our relationship is completely different. Completely, like we totally had the opportunity to grow up together and realize how much just bull crap was going so much so much was going on. So
Scott Benner 24:02
you and he grew up in similar ways. And yes, and so you both kind of escaped together. And then you fall back into what you saw when you were growing up, which was the man says something the lady does it kind of thing. And exactly. For people who don't understand because they haven't ever mirrored that. The guy can feel like well, that's my job. I'm supposed to tell everybody what to do. Like it doesn't it's not as it's not as domineering from their perspective as it feels probably from your perspective. It's more like it's like, this is my responsibility. I'm supposed to be doing this end. They have no idea what they're doing. So they just knee jerk reaction everything and then run 100 miles an hour with it. Is that about right?
Melanie 24:46
Exactly. That about sums it up. So from his perspective, it wasn't an all a I'm I have to dominate here. It was just a well this is what I'm supposed to do. Got it. So So it was yeah, it's our relationship is totally different now.
Scott Benner 25:04
Well, that's amazing that you made it through that if you saw a therapist, they would congratulate you on working things out and not ruining your relationship.
Melanie 25:10
Exactly. Like we talk, we talk a lot, we're at a point where we will literally tell each other everything. And I've told them before, it is a miracle. We're still married. I don't know how we're still married. And why do you think that? I think it's because we both went into the marriage saying, we're going to work out whatever happens. And we were just really committed to being honest with each other. And I'm definitely I've learned as I've gotten older, I'm a very dominant personality, and I'm very much so a leader. I don't like leaving conflict in a box. That's not it makes me super uncomfortable. So anytime there would be some kind of conflict, I would drag it out. Until, until we dealt with it. And I really think that that was probably a big part of it is it just we forced the issue of figuring it out. And he honestly had a huge transformation when he was in college, because it just opened his mind to viewpoints that he hadn't even been introduced to. And so as he grew, and he changed a lot of who he was, he like, realized, wow, I'm kind of an act. To put it, sorry, I don't know if I can say that on here. But it's, he just realized that he needed to change. And then through that, we just, I don't know, we just talked and figured it out. And we were willing to work through it
Scott Benner 26:48
pretty cool. The hardest part is what seeing the things you don't see about yourself, and then somebody points it out to you. And you have to kind of swallow hard and look at yourself from a different perspective, you think that's the more difficult issues,
Melanie 27:02
it's definitely hard, because in order to admit, you need to be better, you have to admit that you've been wrong. And that's one of the hardest things to do. For a lot of people, especially when you are raised in that culture of I have to be the leader. I can't be wrong, I have to man up, so to speak. So I give him a lot of props for the transformation he made. Because it went from him feeling like he needed to take charge, even from a medical perspective to you tell me what you need. And I'll be there. And it's it's been a huge, huge difference for us.
Scott Benner 27:42
How did he overcome that? Do you think like, how did he give away the idea that you weren't going to be lost without his direction?
Melanie 27:51
It it was really going to school was huge, because that changed so much for him. He changed a lot of his, his politics, his beliefs, just everything. And then one of the biggest things for us though, is we actually went through a program together, it's actually one that we're doing through the company I work with. So it's a personal development program. And basically, it was all centered around asking deeper questions and digging into what is true here, not just what do you believe, but what is actually true. It forced some very deep and uncomfortable conversations between us that made us just actually own up to who we were and who we wanted to be. And that like we literally like describe her life The program is called the Creator purge. We describe our life as pre creator purge and post creator purge because it was such a big impact on us, like just digging into our own selves and realizing how much insecurity and fear there was for both of us. And it that just it just absolutely changed our marriage 100% And with that, everything diabetic for me because people think that like a diabetic diagnosis just lives on its own, but it doesn't like it affects everything in your life.
Scott Benner 29:19
know for sure. Okay, so that's kind of crazy. Day to day medically for those 11 years, you're taking Metformin, is it messing with your stomach, or did your body get used to it?
Melanie 29:31
So after taking this back when we decided we're just gonna let Jesus take the wheel, right, I've stopped all medication. I wasn't testing. It was literally like, worst thing I could do. I stopped testing. I just decided I'm just gonna have faith. And when I was 21, we had been married for about a year. We go to apply for life insurance, and they do all the bloodwork and I'm denied for life insurance at 21 because of high blood sugar First, I want to say my agency at that point was probably about a 7.7. Ish. Okay, so definitely like kind of creeping up. And so, same thing, I don't really even know anything in this world of diabetes. I'm super like disheartened, because this is still the point where our marriage is really on the rocks. I go to see a holistic medical doctor, she's actually a, what do they call it, an acupuncture doctor thought it all the
Scott Benner 30:32
way needed to be seeing maybe if they poked enough holes, me the sugar would come
Melanie 30:35
out, maybe. And so I actually started a very strict vegan diet. And so my approach because I did some Google searches, and I learned I was just looking type two diabetes, I didn't even consider type one or Modi or anything else, just because I had always heard. If you don't have type one as a baby, you're not type one, or type two. So my approach was okay, well, let me see how I can fix myself. And so that led me down the path of diet. And so I started a very strict vegan diet, which helped, because my body was still making a little bit of insulin. So the fact that I was eating so clean and so disciplined, it dropped my blood sugar enough to kind of get approved for life insurance.
Scott Benner 31:26
Where did your excellency go to?
Melanie 31:28
It went down to I think, a 6.3 or a 6.4.
Scott Benner 31:32
Did you know that that still wasn't optimal?
Melanie 31:35
I didn't, I never imagined, okay. Like, I didn't even know what a good a one C was, like. My dream was a 5.7. I thought I could never reach a 5.7 ever.
Scott Benner 31:47
Dream was life insurance? Why were you trying so hard to get life insurance when you were 21?
Melanie 31:51
It was just what we thought we were supposed to do. Like as young adults, we were like, Okay, well, we're supposed to set up retirement plans. We're supposed to get life insurance, like we were just completely winging this whole adult thing. Yeah. It was just because my husband didn't know either. His parents are very similar in the sense that they don't really talk about things they kind of just let them be. And so
Scott Benner 32:19
give me a side question. Now that you're a person who talks to their husband, why do you think other people don't talk to each other?
Melanie 32:28
I think because it can be really difficult to just embrace what is true. And to recognize that we all go through things, and we have to be okay with accepting someone else's for us. And so it can be really painful, like, some of the issues that we have had to dig through. And actually resolve were really painful in the moment. And it's really easy to choose momentary okayness in order to, like, but it to put off actual healing in the relationship. And so it's just, there were definitely times where it was hard. Yeah, where I like, I didn't want to, like, there were literally times where I wanted to just go drive somewhere else and be like, I'm staying with, so and so I'm not doing this, but I like forced myself to stay. And it's just it's really difficult. Because working through those things are, are painful. Yeah. Because you have to dig up things about yourself. You have to figure out why you are the way you are. And that's really hard.
Scott Benner 33:50
I find that even after you know, it's still hard. Yeah, that's why I'm impressed when people do it. Because I know for me, that when people I care about aren't happy, or aren't healthy, then my focus turns completely to fixing something for them. Yeah. And I, you would have a hard time talking me out of it. Believing talking me out of believing that my energy isn't best serve, trying to help them. And so even if you stepped in front of me and said it's got a don't help me, I would think I not even think it's hard to it's a it's an impulse, right? Well, no, they just don't know how bad this is for them. I see how bad it is for them. I can save them. That kind of feeling. Exactly. It's a terrible feeling to live with. Because you don't know what's happening. Like, it's not like you don't step out of the situation and never think well, they're right. They don't need my help or they don't want my help, you know, which is a weird thing to try to accept too, especially when You care about somebody and they don't want your help. And then you realize that, like, you know, there is a world where you could be right this person could be going down a bad path or going to end up having a bad outcome. And there's just nothing that they're going to let you do about it. And the more you try the further like of a chasm, you push between each other. Yeah, I think it's important. The reason I'm talking about it so much right now with you is a you brought it up and be because, you know, there are a lot of people who listen who take care of people with type one who are at some point or another may run into this exact problem. And you have to decide, like, What path are you going to head down? Are you going to ruin your relationship to save someone's blood sugar? Because eventually, eventually, you'll you'll wedge yourself so far apart, you won't have any input into their health anyway? Or do you step back and try to let them do their thing. And hopefully, you can be there, if it falls apart, or hopefully they can figure it out on their own,
Melanie 36:01
for sure. And it's, it's really become a fine, a fine balance for us. We're at the point now, because I have I have, I'm fully insulin dependent. Now, I'm just going to give you a little flash forward, I'm on the Omni pod in the Dexcom thanks to Juicebox Podcast, amazing, amazing combo, I am telling you. But he literally checks my blood sugar at night, because I usually go to sleep before I do. So he has the app on his phone, and he'll come and he'll punch in my blood sugar into the Omni pod and give whatever correction is necessary. And so we've we've come to the point where literally, he helps take care of me. And that is definitely a level of trust that we've had to get to. And I would say for anybody that maybe is dealing with that, that they have a loved one that they're trying to figure out how to help. I would say the best thing that you can do is listen and ask questions, and just go on the learning journey with them. Yeah, because there's so many nuances to being a diabetic, like, you are literally I don't have to tell you, you're literally controlling an Oregon from the outside. And there are some days where it's just it's just tough. Yeah. There's there's no ways around it. Yeah, it's just tough. It just sucks.
Scott Benner 37:29
Okay, so cheese. This has got like, so what's Modi? I still don't know what, oh, by the way, no matter how many people I talked to about Modi, I don't really know what Modi is. Did doesn't matter how many times I Google it. I don't know what Modi is, but maybe you're gonna be the one that's gonna set me straight today.
Melanie 37:47
Maybe I'll be the one I get. I get super passionate about this. I talked to everybody. And that's actually really helped me with this journey is rather than allowing myself to become a victim, I use it as a chance to educate the people around me. And I just I tell them about it. I'm like, oh, yeah, this is what I have. And, and this is what it does. And this is why and this is why and rather than giving them a chance to feel bad for me, it allows me to educate and then as I educate I learn more. So anyway, I just I think it's important to teach the things you wear to the people around you as well.
Scott Benner 38:24
Absolutely. Okay, ready? Hold on. Okay. Wait, I'm on. I'm just clicking now. I'm just on the web. I'm on the internet right now. Looking at Modi. What is maturity onset diabetes of the Young is that first of all your understanding of what Modi stands for? Yes. Okay. Yes, it is. Because immediately it then says Modi is a monogenic form of diabetes. And then my brain goes, Wait, did they mean and was monogenic? That's only because I'm not that smart. That usually first occurs during adolescence or early adulthood Modi accounts for up to 2% of all cases of diabetes in the US in people ages 20 or younger. Okay. Yes, so it makes sense. Okay.
Melanie 39:04
Yes. So to kind of break down at least to my understanding, obviously, I am not a doctor. But I have done lots and lots of Google searches. And I was actually blessed enough to land with a an endocrinologist that is really knowledgeable of Modi, which, which has been incredible for me like it was a total godsend. This woman, I have the best endocrinologist in the world, but least in my opinion. So just to kind of break down what Modi is, from my understanding. So mature onset diabetes of the young, it basically means it's diabetes that pops up in your adolescence is essentially what it means. And the thing that sets Modi apart from let's say, type one, is it is truly a genetic disorder. It is not an autoimmune disorder. So, with type one, there's the autoimmune component where obviously, the beta cells of your pancreas, it attacks itself and your your, your body stops being able to read what's happening, which is why your pancreas eventually shuts down and all that jazz, you know all that with Modi, it does not have that autoimmune disorder. So when I was first tested for type one, all of the tests came back negative. It was it was actually in my pregnancy with my daughter, the one the one we shipped off. I went in so little story storytime, I got pregnant with her. I went in to see my OB, and my primary care doctor is is amazing. He basically told me because you're dealing with diabetes, and he didn't really know either, but I don't expect family care doctors to be incredibly knowledgeable about diabetes, it's not their field. But he was smart enough, at least to say, we need you to go see an OB right away, and they're going to get you into a specialist because they're going to help you. So I go immediately I see my OB. And he sends me immediately over to the perinatal, which is like high risk pregnancy. And they hooked me up with a diabetic educator. She tells me, you can continue Metformin, or we can try insulin. It's your choice. Like I can't tell you what to do. But these are kind of your options. And so Metformin, I wasn't taking it at the time. At this time, I actually had switched to a strict ketogenic diet, which helped my blood sugars immensely, but only because I wasn't eating carbs. That was it. Like, there wasn't any other any other science so
Scott Benner 41:45
that I thought you were gonna tell me you switch to Buddha.
Melanie 41:50
Close enough. No, so at that point, I was doing strictly ketogenic, but when I got pregnant, I just couldn't maintain it. Obviously, your body needs carbohydrates, especially in pregnancy. And so I decide, well, I'll I'll give insulin a shot. See what happened.
Scott Benner 42:07
No pun intended. Go ahead.
Melanie 42:09
Exactly. Thank you. I didn't even think of that. So I start taking insulin. And magically, my sugars just fix. There's like, and I'm talking small, small doses. I'm having lows, like, crazy lows for like two or three minutes, like, and it just, I'm floored. I'm like, What is this what is happening here? Because I thought my whole life I was insulin resistant. And then I literally throw a little bit of insulin into my body. And it just like takes it like, throwing water on dry ground.
Scott Benner 42:48
Yeah, I see how you could be confused by that. Okay, that's
Melanie 42:51
exactly, yeah. And so I started talking to my diabetic educator, and she's, she's like, well, this is confusing, because you're definitely not a type two. And she was the one that first sent me for my type one antibody screening. And she's like, your tests are negative. So you're not a type one. You're definitely not a type two. I don't know what to tell you. And so basically, they told me regardless, well, I started doing digging at that point. I was like, Is there something in the middle? Is there something going on? And so good old Google, I started researching. And sure enough, I discover, but I found at the time was Modi. And it just made all the sense in the world. Wow. Because a lot of surefire signs like red flags for Modi is when diabetes doesn't skip generations. Because with like a type one, it is an autoimmune disorder. And so it's not it's not necessarily genetic. There might be genetic leanings. But it could absolutely skip generations. Like you could be a type one diabetic and not have type one diabetic children. That's just
Scott Benner 44:02
but this moody thing, just it every every line gets it like do you think your daughter will have it?
Melanie 44:09
So it is a 50% chance? Oh, wow. So if one of your parents has it, at least with my specific type, the way my endocrinologist explained it is she said it's Modi three with a dominant gene. So if I pass that gene on to my daughter 5050 chance she will have Modi and I'm actually I'm actually expecting my second daughter right now. So same thing with her if I pass that gene, she will be diabetic.
Scott Benner 44:36
I didn't know you're pregnant. Congratulations.
Melanie 44:38
Thank you. I appreciate it. I'm there inducing in about five weeks we were right there.
Scott Benner 44:45
Amazing. Look at you you're you're doing anything you know I've through this entire conversation. I'm I'm really interested and at the same time I can't wait till this is over so I can watch Coco melon and see what it is. I would play it right now but I don't think we Usually I can let the audio run.
Melanie 45:02
Probably not. But imagine Nursery Rhymes where they like put their own twist on it, but it kind of makes you mad because then they ruin the nursery rhyme.
Scott Benner 45:13
makes you angry. makes me angry. cartoon. It makes you angry.
Melanie 45:18
Yeah, no, but at the same time I love it because whenever I need to make dinner I just like turn it on that I think that was literally one of her first words was Coco. She was Coco.
Scott Benner 45:26
Coco. So it's a bit disappointing. I know so really want to be disappointed. Arden told me the other day, hey, she goes on just three days until the next season. A big mouth comes out on Netflix. I was like, oh, yeah, my daughter and I have that in common. We watch Big mouth.
Melanie 45:45
Hey, you know what, whatever. Whatever works. I
Scott Benner 45:47
have to ask you a question before we move on you. earlier. You like wanted to tell a story you said storytime. Was that a Bert kreischer reference. I don't use Bert kreischer. If you don't know those words, then it's not I was just checking. That's all. He's a commute.
Melanie 46:01
I know that. Oh, okay. I know there was the guy on was it fine. You go storytime. So.
Scott Benner 46:08
I didn't know that one. But anyway, like, I just I was wondering where that if it was just something you were saying? Or if you were referencing something,
Melanie 46:14
I think I was just saying.
Scott Benner 46:17
Okay, so let's, let's like, try to like, bring this all little tie it up. And then we're gonna build on it again. You grew up in a home where nobody talked about health. And people didn't take care of their health, you didn't have health insurance. When you became a team, you found out you had diabetes, they told you it was type two, you believed your father lived all that time with type two diabetes as well. You got married early, I did want to ask was your husband in college while you were married? Were you guys married in college,
Melanie 46:50
he had just started college. So we got married, he had been in college. He was in his first semester, when we got married.
Scott Benner 46:58
Were you in college.
Melanie 47:01
So I was taking classes at the time, we actually took a couple classes together, we like worked it out to try to be in the same class. And I was actually going to study music, music education. And I learned very quickly, that was not for me, because I hate teaching in a school setting. And so I just decided I I didn't even know what to do. So I decided to drop out and just let him go. Because financially, it was just going to be a very big burden on both of us. So he went to school, I ended up dropping out and just kept working.
Scott Benner 47:35
Is there any chance that you did that? Because you felt that it was his job more than yours? Or just because you did not enjoy this setting?
Melanie 47:44
I think it was probably a little of both. The more I dig back into what I've been through, I find that that mindset really permeated so much of what I did just everything. So it definitely wouldn't surprise me if there is that there was reasoning there. I haven't actually thought about it. So that's a great question.
Scott Benner 48:01
I know, you're very pregnant right now, I don't want to make you think about things that you haven't thought of. I'm not crying with you on this podcast this morning. I know, right? I'm just not. I'm with you. Okay, so, alright, so that happens. treat you like a type two for a while doesn't work. A lot of metformin get pregnant. And then boom, we're we're not type one. We're not type two, you start Googling Modi. And then how long has it been since you've known that?
Melanie 48:34
So once I had my daughter, because basically the perinatal goals, they told me, even if you get a different diagnosis at this point, we can't we're just going to keep treating the way we're treating pregnancy is just weird. Like, hormones are everywhere. So we can't, we're just going to keep treating with insulin because it's working. Once you have your daughter, we're going to hook you up as an endocrinologist. So once I had my daughter, that's when I went to see my endocrinologist. I told her some of my, my theories. And she sent me for actual Modi lab work, which was a genetic screening pool. And they found Sure enough, the Modi Jing and it was an actual Modi takes rediagnosis you're like Dr.
Scott Benner 49:18
House. Does that reference fall on you? Or you've
Melanie 49:22
never watched Dr. House? No, but I know what you're talking about.
Scott Benner 49:26
The show was just called house by the way. Well, that's goes to show you really did you like you took a bunch of like you took you took some information. You took some happenstance, you took some you know, historical knowledge, you went to the internet, you pieced it all together and you diagnosed yourself. Yeah, pretty much pretty with like one credit and music appreciation. Exactly. There you go. A rough shot upbringing. You're a genius, Melanie. I appreciate it all. Take it. She'd be like, Are you like every incredibly proud of yourself?
Melanie 50:04
Give her like I am. Actually,
Scott Benner 50:06
I would be too. And I am. Yeah, I'd run around telling people I'd be like, I know what's wrong with you just come here. I'll figure it out. Figure this out. You mean Google? We got this. Do you? Have you become the person? Like, are you like the? Are you like the medical person in the house? Now when something happens?
Melanie 50:25
I am. I absolutely am. It's what's funny is, and I will, I'll actually give a lot of credit to the Juicebox Podcast because there isn't a whole lot of Modi stuff out there. Because it is it's it's just such a strange type of diabetes. I just treat myself like a type one. Okay, so if I ever like need to tell somebody what's going on, and I don't want to, like sit there and explain it. I just tell them I'm a type one. I'm just like, I've got
Scott Benner 50:50
I don't want to deal with I don't know how you I don't in a world where people don't know the difference between type two and type one, actually, in a world where people would get burnt with grease and think they're not going to the hospital. I don't know how you explain Bodie. diabetes to people.
Melanie 51:03
Exactly, exactly. And so. So that's kind of how I treat. But I really have like, I just took it and ran with it. And I decided I am going to, I am going to figure this out. I now that I know what's wrong. I'm going to fix it. I'm going to figure out and sure enough, like I was able to during my first pregnancy, I started with a onesie of 6.3. And in pregnancy was insulin management. It dropped into a 5.4. In pregnancy. Wow. Which was insane. And then after that, I started this next pregnancy with an agency of 5.1. And yeah, I was. It's been amazing. And now like I peaked at 5.4. And now I'm back to 5.3. Melanie,
Scott Benner 51:54
are you back on? Are you on the show to tell me that there's finally going to be a baby named after me? What's going on right now? Well, she's a
Melanie 52:00
girl. So Scott tat
Scott Benner 52:04
it's not gonna work? Yeah, it doesn't have I don't want to I don't want to hang that on the kid. Don't worry about it. Let it go. Well, that's really I appreciate you saying that. I also, while you were saying it thought, you're the exact kind of person who would like this podcast because you completely believe that you need to kind of take your own health in your hands and am shepherded along its way and that you can't wait for somebody else to fix it for you.
Melanie 52:29
Yeah, you have to. And I've also been blessed with a great care team. I don't know if that's just because they're great, or because I do my research. But all of my doctors they are so hands off. Like, even my endocrinologist. She's like, Well, call me if you need anything
Scott Benner 52:51
else you imagine in a private room, they're like, they get together like at lunch, and they're like, hey, Melanie's like figuring all this out. We don't even have to do anything. This is perfect. Don't even talk when she comes in, let her talk first. She probably already knows what's going on, we can just nod along and look like geniuses.
Melanie 53:07
I know. Right? So it's, and that's how it is with my diabetic educator, too. She tells me she's like, You're doing a great job, you're teaching me things. She's like, you know more about your pumps that I know about it. So. So it's I feel like that's what's really important too, is you have to own your education. At the same time understanding that you can also like Teach Your doctors. Yeah, but but with the humility of understanding that they're there to help you. Because I think when I originally went into the medical setting, because I'd never went into it. And as a kid, I almost had this like, suspicion, like, all doctors are here to do is to get me to take drugs and take my money. Take my money. Exactly. And then I've realized that I do have a really great care team. But they're not with you every single day. Like they can't be and so you have to take that ownership.
Scott Benner 54:07
Yeah, no, I agree. Let me ask you a question. You're an employed person now and you have health insurance, obviously, yes. Looking back, and now that you have a child and one on the way, talk about what it's like to live without health insurance from the perspective of somebody who now knows what it's like to have it. I mean, what is it? Uh, I mean, I look at it as a scourge. You know, on us. It's a it's a plague on our house kind of a thing. Everybody should be covered with reasonable health insurance. A person at 18 years old, shouldn't walk into a doctor's office and be like, Wow, this is a doctor's office crazy. Exactly. You know, I shouldn't be 20 years old going like, I guess I should get my teeth cleaned. You know, like, like that kind of stuff like that shouldn't be happening to people. It's very basic care stuff. It's not you know, it's it's the great It's just it's just the great leap to say that people shouldn't have to live like your mom shouldn't have to burn herself and think I can't get in that ambulance. I can't even afford the ride, let alone what's going to happen when I got there.
Melanie 55:12
Yeah, you know, it's, oh, this is a whole rabbit hole, we could go down. We're about to go ahead. No, I get very frustrated especially. Well, let me put it this way. I feel like I have people, I have people in my family that are very staunch like Republican, why should I have to pay for health care for someone that's not going to be healthy. And I've had to take that opportunity to educate them. And tell them like there are some things people cannot control. And so I've learned that a lot of the people that are so so called against, like a universal health care type system. Most of them are just very, very ignorant. Some people are just awful people. But a lot of people are very ignorant. And I'm, I'm very blessed to have health insurance, because that's not something that everyone has. And I'll even go into the Facebook group and see people that are struggling with stuff. And I just, it breaks my heart. Like, and I wish I had the magic solution. I wish I do did because it is absolutely terrifying. To have to choose between your health and whether or not you're going to buy groceries. Like it's it's wrong. Yeah, in my viewpoint is it's very, very wrong. And let me say,
Scott Benner 56:41
I don't know, I don't know that it breaks so easily down. party lines. I bet you that that that that sentiment of I worked hard. Let them work hard to I think you'd find Democrats and independents and Republicans all willing to feel that if not say it out loud. I think it's a I think it's kind of a human idea. Like people like to feel like they pulled themselves up by their bootstraps, or things weren't given to them, you know, that kind of thing. And you want to feel like what you did was special. Like sometimes I don't know if it's so much about how a person would feel about another person as it is about wanting to feel like you've accomplished something like look like because if, if there are no poor people, then I don't get to feel good about what I've accomplished. If we're all on the same level, then why am I working so hard? There's some real psychological, like, bends in there that I'm sure not everybody feels that way. But there are enough there are people who do like somebody's got to lose so I can win. And if that makes sense or not?
Melanie 57:44
Oh, no, it absolutely does. Yeah. And I mean, it's definitely one of those weird mechanics of life where, technically that's true. But it doesn't mean that we should strive for that it you know,
Scott Benner 57:56
you could adjust what winning means to you. And then that's exactly like maybe winning means that a stranger you've never met before gets their teeth cleaned when they're nine years old. And that's a good thing. And you let that be, you know, exactly, I just see it pretty basically, as people's bodies break down, and everyone dies. And on the way to that death, they require health care, you're going to either give them the money at the end, after they've lived a hard life that they or just give them money in the beginning and make their life better. Exactly how the hell does that not make sense? Like you mean, like, it's the same money? Just put it in a better place?
Melanie 58:33
Yeah, no, I completely agree with you. And I think that you're spot on when you say that people want like I do when they want to feel special. And we have idolized this idea of, like you said, pulling yourself up from your bootstraps and being the success story. Yeah, you know, because I've talked to people and they're like, Well, I believe that no matter what happens, anyone can kind of pull themselves up. And it's like, but should they have to?
Scott Benner 59:00
Also can they? And is that fair? Like, you know, if you come from a systemic situation where for I mean, imagine 10 generations of people who barely get through high school and never go to college, right? Like, how is how is the the mother in 2020? That's from that line of, you know, of despair? How is she going to make a good decision for herself or her kid? She doesn't have the tools, like you said yourself, your husband had to go to college and meet a lot of other people to hear a lot of other opinions and ideas before he could kind of coalesce them together and say, Alright, well, this thing I heard when I was a kid, that's not right. But this does sound right. And I'm going to take this and this and put it together and turn myself into a person. That's, you know, we just act like that's always going to come from parents. When the truth is, it probably doesn't come from parents as frequently as we'd like to hope. Yeah, and then, you know, and then we just put it on them go, oh, they should have done a better job or they don't know how to do a better job.
Melanie 1:00:00
Exactly. Well, what's even what's funny to me, is my family, obviously, who we've talked about extensively. And just to give you a little, a little backstory to I have five brothers and sisters. So chances are, I'm not the only one with this condition. But none of them will go get tested because my family still doesn't have health insurance.
Scott Benner 1:00:23
And so yeah, they're gonna live their life into the ground then. And so
Melanie 1:00:26
I've begged them, go get tested, go figure it out. But and I finally had to decide I'm not their mother, I can't do anything. I've talked to my mom about it. I've told her, push them to get tested, but I can't. And those same siblings are some of the ones that are so against getting any type of help any type of quote, unquote, handout. And it's, it's just heartbreaking to me because I'm sitting here saying, you could have what I have, like judo, you're just ignoring it. And you have all these viewpoints that are against your own interest. And so that's that's why I say I think a lot of people say things out of ignorance is because they just they think they're fine. And it's easy to hold a viewpoint when you've never dealt with it.
Scott Benner 1:01:16
Listen, $45 worth of rubbers would have been, you know, sent to your dad, we would have been in a better situation. You know,
Unknown Speaker 1:01:24
I mean, theoretically,
Scott Benner 1:01:26
theoretically here like he would have us but horrible to think about I didn't mean to talk about your parents haven't apologized right now.
Melanie 1:01:36
No, you're fine. I've had so many uncomfortable conversations in my lifetime that nothing scares me anymore. So
Scott Benner 1:01:43
So isn't it interesting to I'm have to clear my throat I apologize. Oh, my God, I'm gonna die. Hold on. This is it's almost overwhelming. I apologize. Oh, no, no worries. I was gonna say, Isn't it interesting that your parents won't take medical help, and they don't want anybody to help them and she can't go to the hospital because she's on fire. But I'm assuming she went to a hospital have all those babies.
Melanie 1:02:11
She actually had my two younger siblings at home. God.
Scott Benner 1:02:15
Damn, no kidding. Harder, or your mom is she's like, I'm not taking help, because he's trying to make a point and I was wrong. Oh, your mom's like, no, no, this thing comes out. We all die. That's how it has to happen.
Melanie 1:02:28
My mom is pretty hardcore. I think that's where I get a lot of it from my mom is stubborn. She is a stubborn woman. And I think if she learned how to like, cultivate that better. She'd be a very, very, like, intellectually
Scott Benner 1:02:45
successful person. Yeah, I mean, look, what yeah. What part of the country did you grow up in?
Melanie 1:02:50
I mean, live in New Mexico,
Scott Benner 1:02:52
New Mexico. Okay. All right. I don't know anything about it. I was just interested to hear. Holy hell. Let's take a breath for a minute. Melanie. This is a live demo, right? It was a lot. I thought you were gonna come on and talk about moody and I was gonna go like, I don't know what moody is. And then it was gonna be over. But instead, we learned about life. I mean, I love it. It's a great podcast, everything that looks different. Listen to it sometimes ago. I know it's a diabetes podcast, but it's really not.
Melanie 1:03:22
No, I agree. I agree. And, and I fully believe that, like I kind of said at the beginning, we can't compartmentalize our health. And a lot of times people want to put their diabetes in a box, whether it be it's for them or for their kids, or, or whatnot. And what I just had to learn, and this is something that I've had to process with the ever present reality that one or both of my kids could have what I have is, I've had to already start processing in my mind. How do I teach them to have an okay life? How do I teach them that their diabetes is not everything? And we try to just think that it's all about just fixing the diabetes. And we don't realize that your mental health matters as much as your blood sugar's maybe it's not as immediate, right? Like, you can't die from a mental hypo. But it lingers with you. And it stays with you. And when we're helping the people around us kind of going back to how do you how do you help people, you cannot leave out the components of how was their mental health? How, how is this affecting their view on the world as a whole? Right, like, I had to realize down the line that a big part of why it was so hard for me to get medical help is I had this idea in my mind that I was not worth spending money on. My parents didn't have a lot. And I thought if I had to spend our money on medical things that I was a burden to our family.
Scott Benner 1:05:04
Oh, you were a drain if you did that, yeah. And so
Melanie 1:05:07
all those thoughts are so real. And we can't neglect those and we can't neglect addressing them with ourselves and with other people, too, is reaffirming for them, you're not a drain on this family. Like you have no reason to be feel guilty for this, like I spent years feeling guilty, like I would even i There were times I would tell my husband, I'm so sorry, that I'm I'm such a drain on our budget. And it was just like, it stems into everything. And so we can't just put it in a box and say, let's fix the problem. You have to say,
Scott Benner 1:05:45
I'm sorry to cut you off. I apologize.
Melanie 1:05:47
No, I was just to say we have to look at the external elements as well. How is this affecting my view on my finances? How is this affecting my relationships, right? Because it can become very easy as well to start viewing yourself as the problem child, or they just have to take care of me and we start viewing ourselves as diabetes and not as a person in the family
Scott Benner 1:06:13
sort of comes back around to what we said earlier about wanting to help somebody and I never considered that you would make that person feel like a burden, because they they were somebody you looked at who felt like they needed help even. Yeah, yeah, I really appreciate you bringing this up. I mean, I recorded I don't even know how many podcasts at this point, probably like 650 of them. And this just never come up. Like no one's ever used. Like I just seriously. I believe that people who grew up in a hard way have so much to share. And they don't get an opportunity sometimes to share it. So I'm really glad that you're here talking about it. But just in general, like the idea of not feeling worthy of having $1 spent on you is I bet you're foreign to a lot of people and probably very real to more people than you would think.
Melanie 1:07:05
Yeah. Especially if you grew up with tight was tight funds. Yeah. Right. Because you see, you see the budget and and for my husband and I we've worked very, very good with our money. We budgeted always because that was just the adult thing to do. We didn't know why we just did it. And it panned out well for us. But actually seeing those medical expenses on the budget, and I still I still struggle with it to this day. Because medical supplies even with insurance are not cheap.
Scott Benner 1:07:35
Oh, Melanie, I feel broke no matter how much money I have. I could have an amount of money and double it. And I would still feel broke. And exactly I grew up after my dad took off when I was 13. My brother Brother eight, my other brother three. So three 813 My mom went to get a job because she'd only ever had like this part time job for like extra money. And she went to them and said like, I need full time hours now like Yeah, great. But she worked in like a private clothing store. Like by private. I mean, like it wasn't part of a chain. And I remember she was making $3.75 an hour. And so that was probably an ad three ish, right. And I remember when she got to raise to four and a quarter and how excited we all were. And I remember that there were times where we had like a number. I think it was like $60 We could spend on food a week. We were relying on we rented a home. And but it was a home that was owned by a church. So it was like the parsonage that they didn't use. So they rented it out to us. And we lived in it for years, like for a long time. But then my dad left. And the entire time I lived there. They never raised the rent. Wow. So by the time I left, by the time I moved out probably seven or eight years later now into like the early 90s. They were still charging my mom $300 a month to rent a three storey house that had four bedrooms in it. Oh, wow. Because and without that we wouldn't have made it. That's crazy. Like and so like when you hear tight budget, like understand what that really means. It doesn't mean like, you know, like you can't get a PlayStation when they make a PlayStation five because it's expensive. Like it meant like we didn't have anything. Yeah, yeah, like Christmas was a Christmas we got things we need it because you just did what Christmas was was the things you needed to survive wrapped in paper. Exactly. I mean, it wasn't quite a can of soup wrapped up but you know if you needed a jet if you needed a jacket, you know you got you know if it got cold in October and you're out had outgrown your jacket. Well, you just stayed cold till December 25. So mom had something to give you on Christmas. Like Exactly, and that's even lucky for a lot of people.
Melanie 1:09:54
Mm hmm. For sure. I mean, I I totally get that. Like I don't I think I can count on one hand the amount of like, new things I got as a kid, you know, and it was just an even then there was so much guilt around it. And it's just real. You know that. Yeah,
Scott Benner 1:10:15
everything that happened in my life, I thought, how are we going to pay for that? Everything didn't matter what happened is something broke. It was like, well, that's gone now, because we can't replace it. Or if something had to happen, I don't know how we're going to pay for that. It took me years into my adulthood not to feel that way. And I and like I said, I still feel broke in my head. And I'm not. And I still feel like I am. Ironically. And my bigger point around this was going to be that broke, people have great perspective. And they and they know how to get they know how to get around and through things. And one of those ways that I'm going to tell you, you know, is a happy story is that the success of this podcast is partially due to the fact that I grew up broke. Because when I see downloads, which mean people listening, it never feels like enough to me, wow, like, so it's the same as the money like I never feel like I have enough money, because it's all gonna go away, or we're going to lose it or I'm not going to have enough. And the same thing about this like as so it translates well into helping people with diabetes, which of course also coalesces nicely into my feeling that I have to save everybody. So. So it works out really well. So like when I get hundreds of 1000s of downloads in a month. I think that's a really cool, it could be more. It's my first I never feel done. And I think that's why part of the reason why the podcast is still growing, because I still push at it like it's not successful.
Melanie 1:11:42
Yeah. And it's, it's, I found is such a fine balance. Because that backstory is what can drive you to be successful. And it's, it's important to never forsake that part of your life, like I have grown up to be very resourceful. Because I had to be, like, I bought, I started buying my own clothes when I was 13. It's just what it was. And that has made me a very resourceful person, like, I can take anything and turn it into anything else. I'm just I'm confident of that. But at the same point, it can also trap you in a mindset of, like you said, feeling like it's never enough, and you can never be enough and you can never reach enough. And so it really is this balance of learning how to take that, take the heart of the hardship, and thrive on it. But allow yourself to become new mentally and say, This is not where I have to stay.
Scott Benner 1:12:39
Ya know, I feel that like I, you know, there are weeks sometimes when I just sit here for hours and hours and hours a day for six days a week, and I don't think anything of it, because it's so much easier than the jobs I had when I was poor. Yeah, like, it doesn't feel like anything to me. I'm like, it almost feels like a dream. But at the same time, I know I should probably not be working this hard at something, but I'm not going to stop because then you also get the feedback from it helping people like look, you came off you talked about like, we haven't really talked about it today. But I made a thing and you're living healthy because of
Melanie 1:13:13
it. Exactly. And that's something I hope you're proud of.
Scott Benner 1:13:16
I am very much so thank you. But yeah, I'm not gonna, I don't know, I probably don't know how to stop. But I think that's important because this can be it can become tedious at some points, like you are the third person I've spoken to this week. When I hang up with you. I'm gonna have to say goodbye in a second. I have like 10 minutes, and then I'm gonna record another episode. Wow. So and then I do Jenny tomorrow, and there's editing tonight and editing tomorrow. And it just it really doesn't like it doesn't stop and I love it. Like I genuinely genuinely love it. But I don't think I could have done it if I would have grown up with money and with comfort. I know that sounds really strange. But
Melanie 1:13:58
no, I totally feel that and that could lead us down a whole nother rabbit hole. I know you don't have time for it. But I think that's a lot of why some people are so married to this idea of not helping other people is because they think that you need hardship and in a way you do but then you have to weigh the pros and cons Yeah, okay, well, which hardships like
Scott Benner 1:14:19
not only let me say in fairness, I believe that if I could have afforded to have my teeth cleaned as a child, my lifestyle would have been hard I'm not saying to pick people up and carry them along because I don't disagree either. By the way that you don't need the hardships actually there are people who don't have any that probably could benefit from some of them. I spent a lot of time as I had kids wondering where my kids hardships were going to come from and sometimes trying to not work history at them, but when they when I saw them have trouble I was like let them sit in it for a while. You know, like like that kind of thing. So I'm with I'm I don't not believe that. I think it's important I think pressure creates diamonds etc or whatever. But at the same time, I mean that pressure doesn't have to be a cavity in your mouth that you can't get taken care of. That's exactly silly. It doesn't have to be that you have diabetes when you're 10. And you can't afford insulin or, and I'll, I'll use this example. And it's outside of the United States. So people might, you know, like, dismiss it. But years and years ago, I spoke in the Dominican Republic, where, if you were diagnosed very early with diabetes, like super early, 234 years old, you were dead by the time you were 12, or 13. You know, and so, you think that can happen here? You don't think it's happening to people here? I bet you it is. Yeah, absolutely. So, alright, Melody, this has been an upbeat conversation. Well,
Melanie 1:15:43
I appreciate you, thank you so much for having me. And it's it's been such a joy. And I wanted to tell you, though, one one last funny thing, please. I always listened to the podcast on like two or three speed, just because to sit more, more in my day, right. And so it's it's so interesting hearing you talk at normal speed. I
Scott Benner 1:16:01
can't believe this seems normal to you. Because most people are like, Oh my God, you talk so fast. I sound like a two times speed off the listen and find out. You just have a little higher pitch just a little bit changes my pitch, just ever so slightly, but the resonance in my voice is my favorite thing about my voice. You can't take that from me.
Melanie 1:16:20
Okay, it will make you feel better. I'll listen to one UFC
Scott Benner 1:16:23
waste more time in your life for me so that I can feel better about something that I'll never know is happening or
Melanie 1:16:28
not compensate for not naming. My daughter's got it? How about that?
Scott Benner 1:16:32
Listen, you could just call the kids Scott. Or you could go with Mike, you could go with my middle name. What's your middle name? I would never say that on here. So
Melanie 1:16:41
almost got it.
Scott Benner 1:16:42
It is such a terrible name. Anyway,
Melanie 1:16:46
I appreciate you. Good luck on your next recording. And thank you so much for all you do. I really do appreciate it. And I know it's made a big difference in my life. And it will be for my daughters. Hopefully they don't have to ever deal with it. But at least they'll have an understanding and have empathy towards other people.
Scott Benner 1:17:01
That's very kind of you. I guess I don't want your 20 year old daughters to have to listen to a 70 year old me tell them how to Pre-Bolus
Melanie 1:17:09
Don't worry, I'll take care of that.
Scott Benner 1:17:11
I'll be talking slower by then.
Melanie 1:17:14
Then we'll speed it up,
Scott Benner 1:17:16
then you're gonna have to hold on one second for me. Okay. Okay.
I want to thank Melanie for coming on the show and sharing her story with us. And I'd also like to thank Omni pod and US med for sponsoring this episode. Go to us med.com forward slash juice box to get started today with us man. Or you can call them at 888-721-1514. And of course on the pod dash on the pod five and all the good on the pod stuff we talked about. Is it on the pod.com forward slash juicebox. Links to the sponsors are in the shownotes of the podcast player you're listening in right now. And it juicebox podcast.com.
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#703 Butthole Adjacent
Katie has type 1 diabetes and a rather unique diagnosis story.
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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner 0:00
Hello friends, and welcome to episode 703 of the Juicebox Podcast.
On today's show we're gonna be speaking with Katie. She's had type one diabetes for only about a year. But Katie is going to give a whole new meaning to the word open and honest on today's show. While you're listening, please do 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. Are you looking for the diabetes Pro Tip series? It begins at episode 210 In your podcast player, or can be found at diabetes pro tip.com, and juicebox podcast.com. If you would like a list of the episodes available on the Pro Tip series, or really lists of all the different series in the podcast, you really should consider joining the private Facebook group Juicebox Podcast type one diabetes and then going up to the featured tab where they are all listed in a very neat and orderly fashion. The T one D exchange is looking for US citizens who have type one diabetes, or are the caregivers of someone with type one to take a brief survey AT T one D exchange.org. Forward slash juicebox. 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. today's podcast is also sponsored by touched by type one, head over to touched by type one.org. To learn more about this great little organization, or to get tickets for their upcoming extravaganza, which yours truly will be speaking at. Lastly, but not leastly. The podcast is sponsored today by the Contour Next One blood glucose meter, you can get the Contour Next One at contour next one.com forward slash juicebox you will find links to all of the sponsors in the show notes of your podcast player and at juicebox podcast.com.
Katie 2:23
My name is Katie, I'm 28 years old and I was diagnosed with type one diabetes. Actually, I think it's going to be a year ago tomorrow.
Scott Benner 2:33
Really? Yeah. I just had the conversation with somebody recently where I said like so excited and like, like a child most like, you know, everybody comes on on their birthday or their diversity is or something like that. It's like it's such a coincidence that I realized that's not a coincidence. People look at the calendar and and pick when they come to their property one.
Katie 2:52
This one was semi coincidence. This was like the earliest, you know, date you had on and all that fun stuff. And then I just was like, Oh, well, that's the day before. That's kind of cool.
Scott Benner 3:02
Nice. Well, I'm happy you're here and, uh, years an interesting amount of time. So we'll say it again. You were how old? were you diagnosed?
Katie 3:09
I was 27.
Scott Benner 3:12
Do you have any expectation of this in the family or anything?
Katie 3:16
Oh, yeah. I think Oh, yeah. I think I mentioned in my email. I have my mom is a type one. Two of her sisters are type one. And then another one of her sisters daughters. So my first cousin is type one. So that's 1234 type ones kind of in my immediate family,
Scott Benner 3:37
your mom, two aunts. I say what am I from the south? A mom to ask. What do you prefer? Katie? Aunt or aunt?
Katie 3:48
I call aunts? I mean, I'm like semi from the south. But I say aunt.
Scott Benner 3:52
Okay. And then you makes five in the family. Yeah, yeah. I think there's gonna be more. Are there other people walking around looking real nervous?
Katie 4:02
I don't know. I besides myself, everybody else was diagnosed when they were like six or seven years old. And it's interesting. They've all been females. Like there's no Oh, okay. Oh, males. Yeah.
Scott Benner 4:14
What else I would this with a number like five? I feel like you're gonna tell me. Three of them have Hashimotos or hypothyroidism?
Katie 4:23
Actually, I don't 100% No, I know my mom doesn't have hypothyroid or Hashimotos. I know have a little cousin doesn't either. And I'm pretty sure the other two agents did not fit their celiac. No, not that I know. Okay, well, just I just diabetes. When
Scott Benner 4:46
you hit that number. I was like, oh, there's going to be a bevy of autoimmune diseases in that family and then nothing.
Katie 4:51
Yeah, you would think and then I mean, I have a really big family. So I guess I don't know everybody's intimate health history but that's Um, we talked about a whole lot, but even in the extended family, like, I don't think that there's any other real autoimmune stuff going on. Wow, that's
Scott Benner 5:06
fascinating. And all females, all females. Yeah, I think, um, I've said this before, I think it's my wife's side of the family seems to have some autoimmune. And it's all females. And then, and then suddenly my son got Hashimoto. So I guess that breaks that mold. But, but I don't know. Also, I'm adopted. So, you know, yeah. I could come from a week of people with autoimmune diseases have no idea. Okay, so this happened about a year ago, it wasn't a complete surprise. Was it one of those that you found out really, obviously early, because you're like, Oh, I recognize this, or?
Katie 5:45
I wish it was. Yeah. Okay. So I, I wanted to tell the story, it's hilarious, embarrassing, etc, etc. But I love it. And any of my friends who listen to the story are going to love it. So I actually, you know, I'm a nurse, and I work night shift. And this was last summer, I'd been like, I've been kind of dieting going back to the gym. I was losing weight. You know, I was like, Oh, great. Yeah, it's finally working. I feel like you hear that a lot. But uh, and I was like, really thirsty all the time. But I was like, it's summer I'm working night shift. I drink a lot of water on night shift, etc, etc. The the way that I found out actually, I started having some pain and an uncomfortable area. Vagina. No, no. Okay. Perry anal area.
Scott Benner 6:40
That's close to there though. Okay. Yes, yes. So for the layman. Katie, that's your tape.
Katie 6:47
It's right around the butthole. Gotcha.
Scott Benner 6:50
Boy, got Katie. In seven minutes. You might have named the episode right around the bottle.
Katie 6:57
I don't know how I would name my episode that fast. I was waiting for
Scott Benner 7:00
something. I'm not certain what you're gonna say next. But that's a strong contender. Go ahead. Third, so you're strong because you're drinking a lot of water go.
Katie 7:08
Yeah, yeah. So I'm at work and you know, it's getting painful to sit down. Like diabetes is not even on my radar. I haven't thought about diabetes since like, I was a kid when my mom would check my blood sugar all the time. So not even on my radar. I think that I have hemorrhoids like a hemorrhoid. Yeah, exactly. So I'm at work and I'm trying to just treat it at home because I'm a nurse and I hate to go to the doctor. So I like you know, bought all the creams, all that stuff trying to treat at home. Nothing's working. Finally, I'm like, You know what, I can't do this anymore. I get off work one morning and I go to an urgent care. And the doctor at urgent care. He looks at me and he's like, you know, have you had a hemorrhoid before? And I was like, No, I haven't. He was like, well, I could just prescribe you, you know, normal hemorrhoid stuff. But I'd kind of like to take a look at it. Sure. I don't think that was his cup of tea.
Scott Benner 8:07
I'm just imagining that you have to you think to yourself, I have to let somebody look at my butthole I'm not good at work where people can like where people I know I'm gonna go to an urgent care why don't know these people. But before you continue with your story, because I am enjoying it. If you wrestle that Khan's away from that dog and throw him out of the room. I'll give you $10 Okay,
Unknown Speaker 8:27
okay, hold on one second. Okay.
Scott Benner 8:36
I don't know if the rest of you could hear the licking and the, from the dog but it was trying to get into the story. And I was like, oh, dog. Can you hear me by the way while I'm talking? Okay, I'm back. Sorry,
Katie 8:46
guys. Are you talking about me when you're gone? Yeah, of
Scott Benner 8:48
course. Because Because your start I'm trying to get into the story and in the background while you're here like I'm gonna get I'm gonna lose my focus. I mean, you've already said taint. I said vagina. You've said butthole three times. You're about to show a stranger your ass and I'm like, I do not want that dog eating that Kong toy during this. So. Okay, go ahead. What kind of dog? Sorry.
Katie 9:10
He's like a 60 pound mine. Oh, lovely. From the streets. You know?
Scott Benner 9:14
It's nice that you took him up. Okay. Yeah.
Katie 9:17
Okay. Okay. So, um, go to urgent care. You know, the doctor wants to look at my butthole fine. He takes a look at it. He's like, I think you have cellulitis and I was like, Okay. Not what I was expecting. But he sent me home with an antibiotic. He was like, there may be an abscess there. If it opens you should go to the emergency room because we don't have good pain meds. And it's going to hurt.
Scott Benner 9:44
Yeah, so no, no. Yeah, he did happen. Oh, yeah. Oh, God. I know somebody that this happened to and just from their description of the pain. I'm already on the edge of my seat. Okay, go ahead. Katie. You went home. You must have been stunned first of all.
Katie 9:59
Yeah, I was like like, Well, I mean, I kind of was just like, Okay, I take these antibiotics for a few days, everything's good and well in the world and I'm back to my life
Scott Benner 10:07
probably thrilled you don't have a hemorrhoid. Yeah. Kind of.
Katie 10:12
I don't know much about hemorrhoids, to be honest. So that sounds like not a lot of fun. But I go home, you know, I'm like soaking in warm baths, trying to make myself comfortable. And at this point, just to set the story up also, my boyfriend and I had been together for February, March, April, May, June, four months at this point. Oh. Yeah. So he's, uh, at our apartment. I think we're living together then. I don't know. But anyways, he's at my apartment with me. And I'm in so much pain, like, just can't take it. And he's like, urging me this whole time. Just get an emergency room. And I'm like, no, no, like, you know, it's fine. Um, he was like, Well, what if it bursts open? And I was like, Oh, I've got some gauze and some cleaning solution. Like, I'll just keep it covered, and it'll be fine. And he's
Scott Benner 11:01
so funny. It's because you're a nurse. Right? That you had that? 100%? Yeah. Because if you told me what if my, I want to say at all so badly, but what if my butthole popped open? I'd be like, that's a valid concern. Let us go to the hospital right now. Okay. Yeah. But
Katie 11:18
meanwhile, me I'm like, you know, I can take care of that. Right. So it's hurting. It's getting worse, like throughout the day. So finally, he looks at me and he goes, Do you want me to look at
Scott Benner 11:30
it? Our month at the dog's back?
Katie 11:33
Yes, I he grabbed a squeaky toy. Oh my gosh, hold on. I'm gonna lock him in a room.
Scott Benner 11:38
There you go. The animal lovers alone like that? Are you guys like thrilled with this story? Like I am like she's about to make the decision. Am I going to show what might be a burst open? butthole to my four month boyfriend? I don't know. Would you do it? Think about it for a second. Would you just go to the hospital? i It's a big decision. Because this is probably I mean, you don't know if she's still with the guy or not right. This is probably a big moment. She's coming back. Okay. Katie, I did like a little build up while you were gone. Oh, gosh. Because the scene because Yeah. Because it's a big moment for you. Right? If you're with him for months, you clearly like him. It sounds like you're living together. And now you have to decide, am I going to look like a like a monster with like, a hole next to my other holes? Like cute. And by the way, do you bend over? Like a counter? Or do you go on your back? Right? It's a big question, don't you think? And you leave your underwear on and just kind of show him the one spot. All right, go ahead. Tell me what you got me.
Katie 12:49
Okay. I was like, Well, I don't really want you looking at it. But I kind of being you know, me. I was like, I kinda want to see a picture of it. So I can get it because I have no idea what this looks like at this point. I'm just taking that doctor's word for it. So I was like, yeah, if you don't mind, like, can you look at it? So I lay on the bed kind of on my side.
Unknown Speaker 13:13
Okay.
Katie 13:15
Yeah, you got to be comfortable. I'm gonna go through this intimate experience. You got to be really comfortable. So I have to
Scott Benner 13:21
ask you, Katie, when you laid down to do it, did you give any consideration to how you would look the least vile doing it?
Katie 13:29
I'm kind of I'm pretty sure like I kept the underwear like on you know, tried to cover myself up as much as possible by
Scott Benner 13:38
making take a picture. I did. No flash or flash. I don't remember because if you get a natural light, it looks a little nicer. And is this the first time you've ever taken a photo of your lady bits? Or was are you had you done this in the past? No, no, no. Oh, that was the first. I'm sorry. You're on your side. Go ahead. Do you? Do you expect him to do it?
Katie 14:02
Oh gosh, I'm trying to remember. I was so like, you know like traumatized at that moment. Yeah, it's hard to remember the details. I think that he did the cheeks.
Scott Benner 14:20
G voc hypo pan has no visible needle, and is a pre mixed auto injector of glucagon for treatment of very low blood sugar. In adults and kids with diabetes ages two and above. Find out more go to G vo glucagon.com forward slash juicebox G voc shouldn't be used in patients with insulinoma or pheochromocytoma. Visit G voc glucagon.com/risk. Are you in the Orlando area? Would you like to hear me speak live? Go to touched by type one.org. Click on the program's tab then annual conference. And you can register right Right now for touched by type ones Annual Conference, which aims to educate, encourage and empower people living with type one diabetes. Do you know what it costs register? That nothing. It's very pretty baby. Let's do it. Here, do it. Let's do it. Come on over on Saturday, August 27 and see me Scotty, where am I going to be the Loews Portofino Bay Hotel in Orlando, Florida. It seems like it's near universal studios. Registration again, is free and open to all with a connection to type one diabetes touched by type one.org. When you come over, bring your brand new meter with you, your Contour Next One blood glucose meter, the one you're going to get at contour next one.com forward slash juice box. I say it all the time. I'm not afraid to say it again. We just get the meter our doctor gives us most people don't get to choose if they did, they would choose accuracy, they would choose a bright light and easy to read screen something that is small enough that could be carried in a purse or a diabetes bag that has insanely accurate results. A bonus might be test strips that allow for Second Chance testing, and an optional app for your cell phone for your cell phone. What happened am I who also do we still call them cell phones, for your smartphone for your phone, let's just call your phone that keeps track of the data you get from your blood tests. That's the Contour Next One blood glucose meter. That's what you're looking for. Head to contour next one.com forward slash juice box right now you can learn more, or buy one today, you can actually get it online like through Amazon and places like that there's a link there for that. There's all this information about the accuracy the meter, the cost, you might that the costs that might be incurred with strips. And contour likes to remind me to remind you that it's possible that buying the Contour Next One blood glucose meter would be cheaper in cash than you're paying right now for your meter and supplies through your insurance, which would be bonkers. But as possible contour next.com forward slash juicebox. Get the blood glucose meter that I just use 20 minutes ago with Arden.
There are links in the show notes of your podcast player and links at juicebox podcast.com. To the sponsors. And all of the sponsors that Juicebox Podcast, when you click on the links, you're supporting the show. Very nice of them. Go ahead.
Katie 17:35
And as soon as he did that, it opened. Oh, oh. And he says, Oh, God bless him. He just looks up and he goes, I'm gonna go get some toilet paper. I was like, what? And he goes, we're going to the emergency room.
Scott Benner 17:53
Oh my god. Yeah. Did he? Did he redownload his Tinder app on the way to the hospital?
Katie 17:59
Sure he did. Man. It's a wonder we're still together. I don't know how that that's happened.
Scott Benner 18:04
Was there blood in pass? I'm so sorry. Oh, my God.
Katie 18:07
It's okay. Yeah. Like, like I said, I'm a nurse. Like,
Scott Benner 18:10
other people are listening to this.
Katie 18:12
They're gonna be mortified. I'm sorry, if you're you're you're listening your your views or whatever. I'm sorry if that drops.
Scott Benner 18:20
Oh, my gosh. Okay. All right. Blog and pass. We get it cleaned up a little bit. Yep.
Katie 18:27
Yeah. And he's like, we're going to emergency room and I'm like, no, no, it's fine. Like I can and he was like, No, we're, we're going. So we go to the emergency room. Mind you. I haven't eaten anything since like, midnight the night before? I was hadn't been feeling well.
Scott Benner 18:43
Yeah. Try not to go to the bathroom too. I'd imagine. Yes.
Katie 18:46
Yeah. That was excruciating. Go to the emergency room. I you know, we're out in the waiting room. I have to explain what happened to everybody again. And this is the waiting room. Also at the hospital I work at just
Unknown Speaker 18:59
FYI. Hey, Patti. What's up, Jim?
Katie 19:03
I definitely definitely saw people that I have worked with. And I don't work in the emergency room. But my nurse in the emergency room I went to nursing school with it was it was a fun time.
Scott Benner 19:14
I bet you they weren't thrilled either. Oh, I'm
Katie 19:17
sure. Were though,
Scott Benner 19:18
do you think later they run around? They're like I saw Katie's. But today
Katie 19:23
oh, gosh, probably that was probably a good dinner conversation,
Scott Benner 19:27
would it because if it happened in reverse, if the girl or guy that you went to nursing school with had to come show you they're asked for some reason, would you not? I mean, where's the line in medicine?
Katie 19:39
Well, I mean, I couldn't talk about who I could definitely say like, Hey, I had to look at a butthole today, but I definitely couldn't say whose butthole I don't know.
Scott Benner 19:50
I feel like in private moments, you guys just talk about each other incessantly. But whatever. Go ahead. Whatever you do on the podcast right now it's fine. Okay.
Katie 20:00
So we're in the waiting room. You know, when you go to the emergency room, they put in an IV and they just draw like basic lab work. They drew a BMP, which is just, you know, like a metabolic panel, and that has your blood glucose in it. And I get a notification on my phone, because I have like my chart system and all that fun stuff. And I get a notification on my phone that says, my glucose was high. So I pull it up, and I look at it, and my glucose was 312. And I was like, okay, um, well, surely somebody is going to talk to be about that. And maybe it's just the stress the infection, you know, that can raise blood sugar. So yeah, maybe that's it. So I go the entire emergency room visit, which was traumatizing in itself. And nobody says a word to me about the lab results. Yeah, like I have no other illnesses. I'm, you know, nothing wrong. And nobody says a word. So they end up lancing that abscess and send me home with more antibiotics. Which, for the record, the emergency room did not give me good pain medicine. I had they numbed it with lidocaine, which was terrible.
Scott Benner 21:16
Wait, somebody took a needle and put it in a butane shorted? Oh, my God. Yep. And at no point when this was happening, was it just so over was the rest of it so it was the fact that you're asked blew open? so overwhelming that you didn't go hey, my mom, my two aunts and my cousin have diabetes and my blood sugar's high.
Katie 21:38
I honestly, at Yeah, at that point, I was like, You know what, this is something I'll just deal with later. I just, I want my body to feel better.
Scott Benner 21:44
Okay. Oh, yeah. Well, I hear from like I said, I've had a person describe it to me, I think it's described as a horrible feeling. worse pain. Somebody told me once they had ever experienced in their life, but are we getting alright, I don't want to rush the story. This story could be about your this entire podcast could just be about your abscess. And then at the end, you'll be like, and I have diabetes. And I'll be like, No, we have to go. So. But go ahead. You're home now.
Katie 22:12
Yeah, yeah, I'm home. Long story short, I borrow my mom's old like meter and strips and all that stuff. Because I was like, I'll just test for a few days. See if it comes back down. You know, I test and I don't get a number below 300. I was like, alright, so I go to the My primary doctor. Does all the normal bloodwork. My agency, I think was 12.7. Was like had the antibodies and did the C peptide and all that fun stuff. And he was like, Yeah, you have type one diabetes.
Scott Benner 22:48
And do you think that that's where the abscess came from the extended high blood sugars?
Katie 22:53
Maybe that would be my guess, my endocrinologist I because I asked her. I was like, Do you think that I had this for like, a long time and just didn't know it? And she was like, No, I'm thinking it kind of started a couple weeks before you actually got diagnosed like it wasn't a whole whole long time. Okay.
Scott Benner 23:14
Wow. And this boy stayed with you.
Katie 23:18
Yep. We're still together.
Scott Benner 23:19
Wow. It's like one of those things where you went through a thing so horrifying. You're delayed fuse trauma bonding. Yeah. Is that what that's called? I think so. Oh, my God. When my wife and I were dating, something so horrendous happened. I would never tell you about it. And I do remember afterwards. Like thinking like, oh, I called her back.
Katie 23:45
I guess we still continued on,
Scott Benner 23:48
I guess we were like, Oh my gosh.
Katie 23:53
Well, everybody, I've told that story too, is like, you know, you have to marry him. Right?
Scott Benner 23:57
Well, that's at least buy him like a car or something. You know, like something significant that later? Yeah, he deserves something feel paid for like, like, in a significant way. Oh my gosh, okay. How long did it take for that to heal?
Katie 24:12
Um, once I started the antibiotics, it really wasn't bad. I mean, it was probably healed up in like a week or two.
Scott Benner 24:17
Okay. And how many days into your testing? Did you really like when did you start to think like, Oh, my God, I have diabetes. Like, was it the second day? Or did you hope
Katie 24:27
it was like, the morning after I tested like, first thing in the morning when I know, like, I hadn't had anything to eat like, and it was still, you know, like, 350. I was like, okay, yeah, that's, that's probably real. And I called my mom, you know, my mom. My boyfriend was with me the whole time in the emergency room. But I called my mom and asked for the testing supplies and kind of told her what was going on. And then I called her after I was diagnosed and she was like, Are they sure it's type one. Maybe it's type two. I think she just you know, was kind of in denial of it. Yeah.
Scott Benner 25:03
Well, and she tested you a lot as a kid. Yeah. Yeah. She was worried about her whole life probably.
Katie 25:08
Yeah. And then, you know, I know for her She probably thought like, after we grew up, like, Oh, my kids made it, you know, they don't have it. We're, we're good.
Scott Benner 25:16
Because the rest of the family was at a young age.
Katie 25:19
Yeah, yeah. And she in I mean, a lot of, you know, older diabetics, and even people in general, just, they didn't really know that you could be diagnosed older, you know, ya know, juvenile diabetes for so long for reason.
Scott Benner 25:32
Right? Oh, you got out of juvenile. You're all good now. Yeah, yeah, I understand. Okay. Do you? Do you think that you and baboy will ever make a baby together? Or is this a concern for you?
Katie 25:45
No, I mean, I think that's still on the horizon. I think that's it's kind of a concern for me. But I don't, I don't know. Gosh, I hadn't really thought about that.
Scott Benner 25:58
I'm sorry. No, like,
Katie 26:01
you know, we we just, we want kids so bad that, you know, I don't know, I think and, and like, diabetes, it's not like a death sentence. You know, so wouldn't be the worst thing in the world, I guess. And
Scott Benner 26:15
you have a different perspective. I mean, you obviously have a family with it. And you have it now yourself. Um,
Katie 26:22
yeah, I know, for a lot of people like it's, it's a really, a lot of people grieve and stuff, you know, when they get diagnosed, or their kid gets diagnosed, because it sounds like this horrifying thing that you're gonna have to deal with. And a lot of people have a hard time with that. But uh, I mean, for me, it was just like, oh, well, this is what I do now.
Scott Benner 26:41
Yeah. Do you ever talk to your mom about it like, or does she kind of held the way she feels privately?
Katie 26:47
No, I'm, we've we've talked about it a little bit. We're not very good about talking about our feelings. But I mean, we've talked about it a little bit.
Scott Benner 26:53
Yeah. Talking about your feelings. Now Catholic?
Katie 26:57
Did you just ask about Catholic? Yeah. How did you know that? I mean, I'm not but my family is.
Scott Benner 27:03
Okay. I know what's up door. Wow. Yeah. He talked to people long enough. You know, people call those What's that thing? They say you're not supposed to generalize? Yeah, you know, don't generalize about people. People are individuals blah, blah, blah. Yeah, sometimes.
Katie 27:20
Like, I just like, talk to a psychic or something. That's crazy.
Scott Benner 27:23
I just the guy who's recorded almost 1000 podcasts. That's all. That's fair. Yeah. Although, give yourself a gold star, because you're the first person who's asked exploded during their story. So
Katie 27:34
I was gonna I was gonna say at the beginning, I was like, I feel like I have a diagnosis story that I have not heard yet.
Scott Benner 27:40
I have to be honest. Like, I get so excited when somebody tells me something. I think no one's ever said this before. It really makes me feel like I'm digging deep no pun intended on the butt thing. Like I'm digging deep. And trying to like really, like, I'm like, wow, we're you're finding different angles to this. You know what I mean? Like, everyone doesn't come on and tell the same story over and over again, even though it's about being diagnosed. And I appreciate that by anyone listening who has any kind of stories like this, please get on the podcast. I love hearing about stuff like this. I really do. If you have no idea. It's early. I don't like I record at 9am Sometimes my time, but it's not that frequently. And when you started talking, like this morning, I was like, alright, Scott, you're making a podcast, like pull yourself together. You don't I mean, like, let's get going and I am jacked up now. Like, I swear to you, I have like, I'm so ready for this day. Just love hearing that story. I have the right job. I get to go
Katie 28:38
about your day. And you're like I heard about someone's butt hole this morning. Like everything is I'm just so jacked up.
Scott Benner 28:44
Katie, I can't tell you that. I'm gonna tell four people about your ass today.
Katie 28:50
I don't know if you realize but like, how many listeners do you have a few. They're all going to hear about
Scott Benner 28:55
it. I'm thinking in my personal life. I want to be like, Oh my God, how are you? Yeah, you want to hear a story about a girl you'll never meet and then and plus the and the best part of this is that before we began recording, I saw your boyfriend's name. And
Katie 29:11
right we started with the porn star. Oh god I wasn't that wasn't recording.
Scott Benner 29:14
No, we weren't recording during that. But your your boyfriend has a porn star name which is absolutely like, it's just I don't know, the whole thing is to like look at it unless you say something absolutely horrifying. Between now and the end. This is going to be the most fun I've had making the podcast this week. So
Katie 29:30
that makes me feel so special.
Scott Benner 29:33
It really should I have so I have so many inappropriate questions about it that I'm not going to ask because I'm polite even though people probably don't think that's true.
Katie 29:42
Thank you I'm probably gonna have my mom listen to this. Yeah.
Scott Benner 29:45
Oh no, I had all like you were you were like laying out the story and I was like, I wonder if she was shaved the way she wanted to be before this. Right like did you protect your lady parts from like the past and the like the bite like all that stuff? I was worried you had an infection when it was over. You have no idea what was running through my head that I didn't say. I'm really glad you didn't Oh, my God. Well, I said, I found a way to say it anyway without actually asking you like, right. And I don't actually have to answer. Exactly, because it was all in the like abstract. Yeah, yeah, there's a little trick case you ever want to use it? Okay, so you have diabetes. Now. Everybody's on board that this is happening, your infection is cleared up? And do you go back to the people you work with and go, Hey, you guys are terrible at your job?
Katie 30:32
Well, you know, like I said, I don't work in the emergency room. And I understand like, when you come into emergency room, a lot of people don't really realize that but like, they see your main complaint on the paper. And they're like, Okay, let's fix this main complaint. You know, yeah. Okay. They're their job isn't figure out whatever else is wrong with you. They shouldn't be off for that.
Scott Benner 30:51
Oh, you know, emergency emergent. I get it. Okay. Yeah, it
Katie 30:55
makes sense. But I did. You know, I told my co workers on the floor I worked on, you know, hey, you know, that hemorrhoid? I thought I had it's actually type one diabetes. And they all were like, what, you know, everybody was shocked. I had to go through the whole experience again, and yeah.
Scott Benner 31:14
Wow. Wow, that is a gift to go tell everybody because everyone knew you didn't feel well, right. You're probably telling coworkers like I can't sit down. This hurts. I probably have a hammer. Yeah.
Katie 31:24
I mean, we're nurses. We talk about you know, our health stuff. Like I know way more about a lot of my coworkers then I probably should, but yeah, yeah. And I mean, it was it was hilarious, too, and kind of embarrassing. Like, we would get new employees show up and my friends would be like, Hey, this is Katie, have her tell you about her type one diabetes story. And I'm like, Hey, quit.
Scott Benner 31:45
The first day here break the ice. You remember the day your taint hurt Katie? Yeah, bring the new girl. Yeah, bring the new girl over and let her know.
Katie 31:54
Welcome to the new unit new employee,
Scott Benner 31:57
while the new employees thinking like so I've worked with a bunch of nurses who thought that diabetes was asked pain. I'm gonna know more than everybody in five minutes. Did you go to an? Did you go to an adult? No. Do
Katie 32:10
you go to your mom's Endo? Oh, no, no, I went to an adult Endo.
Scott Benner 32:13
Okay. Like found your own doctor started fresh? Yeah, it's
Katie 32:17
in the same. I mean, the area I'm in is kind of ruled by one health system. So it's the same kind of office but a different Endo. I kind of just took the because it took Gosh, at least a month or so to get in with the Endo. Yeah. And that was even just for like a virtual visit. I didn't, I still haven't got my endo in person. But yeah, I just kind of took the first one that was able to get me in.
Scott Benner 32:45
Okay, that's happened around where I live to, it almost feels like a mobster went to every doctor and said, You work for us now. Do it, you know, and suddenly, a doctor you've been using for years. It's like I'm now part of the blah, blah, blah health system. I was like, yeah, they got to Yeah, you know, it really feels like that somebody has you know, the doctors get sold on the like, we take care of the billing, we do this, all you have to do is be a doctor and they're like, oh, that sounds good. Well, honestly,
Katie 33:11
with like your own malpractice insurance and all that stuff. As a physician, it's hard to have an individual practice now. It kind of just makes more sense to be a part of a system on their end. Yeah,
Scott Benner 33:22
no, I can see how it's just funny how they fall like dominoes. Oh, yeah, right. Okay, so. So I'm super interested. Do you have me have four people you're closely related to that have diabetes, you know, have it? Do you go to them to commiserate? You go to them for advice? Or do you just pretend you're an island unto yourself and just start fresh on your own?
Katie 33:47
I'm probably a little mixture of both. I know my little cousin. She's, oh my goodness. I don't know how old she is. I think she just turned 13 So at this point, she was around like 12 or something. And I know that she had kind of mentioned to her mom, like, why am I the only kid in the family that has this you know, why am I the only of the cousins that has this kind of thing. So I pretty much immediately called her up and was like, Hey, you're not the only one now? Yeah. So I really kind of wanted to offer her some some camaraderie and support. It didn't really go so much for advice because I don't know. I don't I don't really know their management. You know, I don't know my cousin say once see or anything like that. But I did you know, my mom offered up a lot of advice. I don't know that I necessarily asked her advice, but
Scott Benner 34:44
I know she's gonna listen to this but like dang serious. I want to talk through this part. Right. So being serious. Did as you were and she were talking you and she is that right? Human she her her would have been wrong, wouldn't it?
Katie 35:00
I think it's she I think it's one of those things where she sounds weird, but that's correct.
Scott Benner 35:03
I made I got that right. Wow, I'm so impressed that That's right. Somebody, you know what I almost had somebody send me an email, nobody sent me an email, I'm, you're gonna get so many emails six months behind on my email, nobody email me. But when the two of you spoke about it did you find yourself thinking, Oh, that's not how you should be doing that mom or did you think okay, like, I don't know anything about this. So this is a good base of information.
Katie 35:29
Um, I'm not gonna lie to you, I kind of have always been that like, that kid that's like, Oh, I know better than my parents kind of thing. So I tried to be open minded and listen, and my mom did, you know, give me really good advice. But I mean, she definitely has a more traditional way of managing things. When I was diagnosed, she was on MBI. I think she's had a pump in the past before. And then shortly after I got diagnosed and got on a pump, she started talking to her Endo, again, about getting on a pump. So we've kind of helped each other in that way. But yeah, she definitely had like some more outdated advice at times. You know, I would tell her that like I would go to bed at you know, and my blood sugar would be at she like, aren't you afraid you're gonna drop overnight? And I'm like, No, it's It's fine. She's so it's you so used to go into bed at like, 121 3150 kind of thing.
Scott Benner 36:35
And how long has she had type one?
Katie 36:38
She was diagnosed when she was I think six. So that would have been 966 or 1964.
Scott Benner 36:48
Okay. All right. So she didn't have the same gear. She is she was she was live in a different situation now. Oh,
Katie 36:53
yes. Totally different. She told me all about I just listened to a podcast you recorded where? I think it was a lady around my mom's age. And she talked about like, the boiling the needles and all that stuff. Like, yeah, my mom's told me. She knew that. Yeah.
Scott Benner 37:08
Wow. Yeah, that's it. So when you hear her say that, and then you look at did you have new respect or understanding after she explained and you kind of held it up against what you do?
Katie 37:20
Yeah, yeah. And I mean, even like, it's interesting, because my endos advice sometimes is more similar to what my mom was telling me. So I'm like, you know, and my mom listens to her endocrinologist and makes adjustments based off what her endocrinologist says, you know, and like, I was like, she's still getting, you know, this semi outdated advice. So, you know, I can't sound like you can blame her for
Scott Benner 37:49
no, no, not
Katie 37:50
the way she thinks. You know? Of
Scott Benner 37:52
course not. I mean, honestly, taking diabetes out of it. It's sort of like, at all when I was growing up, my grandmother would be like your watches. This is amazing. It's Lawrence Welk. And I was like, What the hell are we doing here? Like, this is not entertaining. It's not amazing, but she thought it was like she came from a time where like, That guy was entertainment. I know. That's a reference. Katie. You have no context for what
Katie 38:12
I was just gonna tell you. I have no clue who Lawrence Welk is.
Scott Benner 38:15
Do you know the woman I spoke to yesterday didn't know who Perry Como was Do you know who Perry Como is?
Katie 38:21
No.
Scott Benner 38:21
Do you sing Christmas songs at Christmas time? Yeah, you definitely know who Perry called knows.
Katie 38:27
Okay. All right, then. Yes,
Scott Benner 38:28
I know who Perry I know. You're a liar. Maybe you're super open with your butt. But not with what your knowledge of party coma. That's fine. I watched that in there. Much like I appreciate that. Yeah, much like you had to watch that cost. And you're asked after that. Thank you. Alright, there's no reason to say but a bunch of times anymore. We're done. The story right? So okay, so your mom's stuff is a little antiquated? Is it fair to say that when it comes to diabetes on your mom, is that what we're talking about right now? Or you guys
Katie 39:00
who don't say that let her you know, she's helpful.
Scott Benner 39:05
Oh, where do you so how do you find me so quickly?
Katie 39:09
Um, the good old Google I think I don't know maybe it was on like a Facebook you know, I I go straight to type one diabetes Facebook groups. And you know, I dive right into it. I like to learn when I focus on something I like try to learn everything about it. So within like a week or two, I was on all these Facebook groups I found you know, all these books and all kinds of stuff. So yeah, I found you pretty quickly.
Scott Benner 39:36
Wow. Tell people you don't actually use the other groups anymore. Mine is the only one
Katie 39:40
right? That's the only group I'm in.
Scott Benner 39:44
Are you just being polite or is that?
Katie 39:46
Honestly, that's the only one that I actually am semi active and I guess I think I've posted in there a couple times. But the other ones I kind of look at sometimes and they're just sometimes they're just kind of sad.
Scott Benner 39:59
Yeah. I have a good feeling about mine actually. So yeah, yeah, yours is good. I like how it works. It's all attitude, right? You just pick an attitude and you decide this is how we're going to be. Yeah, I get I get notes like that, that I, you know, obviously, obviously Katie, I don't jump on this podcast and become a different person. So. But I get so many notes about like, you make diabetes easier because the way you talk about it or like that you interject humor into it. And I'm always like, confused by that. And like, I don't purposefully interject humor into diabetes. I just actually find some things funny that I think other people don't find amusing. That's all so. But I like also
Katie 40:38
to like, you know, if you're gonna live with a chronic illness, you got to you got to make some jokes about it time time.
Scott Benner 40:44
Yeah, you can't be so serious, right? It's exactly, yeah, it's a bummer. I mean, it's already a bummer. You have diabetes. So like, making it more of one is just, it's just piling on.
Katie 40:56
Yeah, that was one thing. You know, we talked about how great my boyfriend is, after the whole incident, we're not going to talk about anymore. But he, you know, soon after I kind of I got a little bit down, you know, I was like, Oh, God, like, I, I couldn't even take a pill every day consistently. Like, I don't know, I never had to deal with anything like that. So I was like, how am I going to do this, you know, blah, blah. And he kind of just looked at me and he was like, This is what you do now. There's no sense in being upset about it, or sad or worried about it. You just You just learn about it. And you just do it. So
Scott Benner 41:31
yeah, yeah. Well, that's, I mean, listen, great advice. That's boy perspective, right. There. It is. Yeah. What are we going to talk about this more? Just do it shut up?
Katie 41:43
Pretty much. That's his attitude on everything. Like, why are you worried about that? It's gonna work out. Like, how do you know?
Scott Benner 41:48
Yeah, because we're boys than we don't have the ability to wonder the other thing. Yeah. Like, can you imagine if we were all girls are all boys. Like, you know what I mean? Like, if everybody had like a like that men, classic boy mentality of like, it'd be fine, put your head down and walk forward. We'd all just be disconnected and running into walls. Yeah, we're all girls with the like, Oh, what if this happens, and we'd all nothing would ever get done? Right? We just sit in a circle worry the whole time. So exactly. It's interesting. It is really interesting how people can balance each other out. So have you did you find it difficult in the beginning? Or were you like to do everything you were supposed to do? Or did you pick it up pretty quickly and just do it?
Katie 42:31
Um, I feel like I picked it up pretty quickly. I don't know, I just, I, I kind of just like, did it. I don't know, there's not really a good. I wish I had better, you know, like, oh, I went through this, this and this. And, you know, I kind of just like, Okay, I want, I'm still young. I want kids someday I want to be around for grandkids like I also I should specify that I worked on at that point. I worked on a vascular and cardiac surgery floor. So I saw a lot of diabetics come in and get amputations and I saw all the bad side of you know, uncontrolled diabetes. And so I developed more, I think, a fear of highs than I did a flows. I hear a lot of people say like, they're so scared of going low. I was never scared of going low. Like I've always been, I get a little panicky when I start going high. Okay.
Scott Benner 43:29
Yeah, so what I was saying must have, like, you must have been like, Oh, I agree with this idea. Like when I say, like, I wake up every day thinking I'd rather stop a lower falling blood sugar than fight with a high one like that.
Katie 43:41
Oh, 100%, especially after I had my first like, real, real low. And I mean, I was I tested, I didn't have a CGM or anything at that point. And I tested and I was like, 23 I was home alone. And I was like, Okay, I'm just going to, you know, drink about a gallon of juice and we'll get it up and we'll be fine. And after I came out of that with like, no issues, I was like, Okay, I you know, I can handle it low.
Unknown Speaker 44:10
Okay, which is maybe a
Katie 44:12
little bit of a scary like, my endocrinologist is probably, you know, cringing hearing that but
Scott Benner 44:19
Well, I mean, listen, I think it's the only way to do it. Otherwise you get a blood sugar that's up and he spent the next three or four hours messing with it.
Katie 44:29
Exactly. It took me You know, I mean, that one probably took me a little longer to bring up it probably took me like a half an hour to bring up to you know, normal, but I hate hate hate fighting a high blood sugar.
Scott Benner 44:43
How make how low do you think you were in that moment?
Katie 44:47
My meter said 23 or 27? I think that's yeah, it is really low.
Scott Benner 44:54
You went back of like, did you think you're gonna have a seizure?
Katie 44:59
Ah, Uh, no, I, I didn't like I just I was pretty. It felt like being really drunk, honestly, you know, the seizure didn't even really crossed my mind. But I went back to work and I was talking to one of my co workers, and they were asking me about the diabetes and they're like, you know, what's, how's the lowest you've ever been? And I was like, yeah, one time I tested and I was 23. And one of my co workers popped up and he's like, Yeah, I had a patient one time his blood sugar was 23 he died. I was like, oh, yeah, I probably shouldn't let that happen again.
Scott Benner 45:33
Yeah, I was gonna tell you, Katie, that's really low. So I don't
Katie 45:37
want your listeners to think like I walked around at 23 that happened one time.
Scott Benner 45:40
When I say I'd rather stop a lower foreign budget. I mean, like 70 Diagonal down.
Katie 45:47
100% But like, honestly, I I think in my endocrinologist gets on me about the lows. Like I said, I don't have lows that bad anymore. But like, I I get so afraid of high sometimes that I end up going to blow. Okay. Kind of frequently.
Scott Benner 46:03
When that happened. Did you ever? Well, first of all, I don't know. Do you? Are you MDI, do you have a pump? I have a pump. And do you have CGM? Sometimes? Yes. But the way you answer it makes me think you have a Medtronic or a T Islam. No, no, I have an Omnipod Omnipod. Oh, usually when people are like, are gonna say things that are advertisers. They're so happy to say them. And I thought, Oh, you're trying to save my feelings, but you don't have to do. But like people can say what kind of pump they have. It's what about CGM? What are you using?
Katie 46:37
I use it Dexcom. Okay,
Scott Benner 46:38
so were you wearing it when you got that lowered? No,
Katie 46:41
that was like within. That was probably like within a few days of starting insulin. Oh, I forgot to tell you. So when I first got diagnosed, we were planning a trip to Nashville. And I was like trying to get my insulin sorted out before going to Nashville. And I wasn't able to get it. Because like, I didn't understand that the with my insurance I had to the hospital, I had to get the insulin at the hospitals pharmacy. I couldn't use like CVS or anything like that. So I like just went to Nashville for the weekend after being diagnosed with like, no insulin. Wow, zero out of 10 would not recommend. But Wow.
Scott Benner 47:27
She just like it's so new. You don't really know what you're doing. Right? Yeah. 100%, like, you probably you probably went this work, you know, you haven't this low. When you have this low blood sugar public, you know, it's fine. I'm going to eat, I'm going to take my insulin the way I'm supposed to. And then I'll run around and be a nurse for 12 hours without thinking things like, you know, running around might be exercise and exercise could drop your blood sugar and Bob like this, you don't know about any of it. And your mom doesn't even know to tell you about it. Because she would never do that. I would imagine I'm sure
Katie 47:57
right. It's so crazy that like, you know, I people hear that, you know, oh, I have family members that are type one. And I'm a nurse and like so I I feel like I was expected early on to just know everything about it. You know? And that definitely was not the case. Yeah, I feel like you don't really know. Yeah, you don't know anything until you kind of have to figure it out on your own no matter what experience you have with it already.
Scott Benner 48:22
Yeah, I always think it's interesting to when medical people come on and talk about it. Like there was an episode on this week. Guys, like an orthopedic surgeon, this kid gets diabetes. And you know, he didn't either, like nobody knows. Nobody knows. I make I used to make this point all the time. Like nobody knows anything about anything that doesn't impact them.
Katie 48:41
Oh, 100% Yeah. Yeah. And that's what you know, I, I would hear patients say sometimes like, oh, you know, I know my body. I know more about this. And I early on, I was kind of ignorant, maybe. And I was like, well, but you're not a medical professional. What do you know? But now that I've I'm living with something, I'm like, dang, they they were right. You know, you do know your body better than anybody else.
Scott Benner 49:04
Crazy. It really is crazy how quickly, it can become the truth that you have a better handle on something that you previously knew nothing about. That. Yeah. Then your doctor does. Yeah. And you tell people that and at some people I think are met with comfort on that one. And I think some people are met with that, like, well, that shouldn't be the case. It's almost anger. They're like that that couldn't that shouldn't be the doctor should know they need to tell me. And I guess you have to live with it for a little while until you kind of marinate and, and you realize what the situation actually is.
Katie 49:38
Yeah, yeah, exactly. Well,
Scott Benner 49:41
where are you at now? Where you share like where does your what do you call success? What do you shoot for day to day have you did you honeymoon?
Katie 49:49
I don't really think that I ever honeymoon Exactly. Like I've always required insulin. My insulin needs have definitely increased kind of over time, but so Yeah, I'm on the Omnipod index calm. My decks calm settings, like during the day I keep pretty tight. I think I have it set between like 70 and 120. Actually, I, my last day one C was 5.1, which I'm due to get that done here soon again. And I'm definitely not having the lows, like I used to, you know, my main focus now has been trying to keep that tight range with fewer lows.
Scott Benner 50:33
So and is it working? Are you starting to figure things out?
Katie 50:37
Kind of? Yeah. I've had to kind of rearrange my schedule a little bit. As my big thing was like, I would have Lowe's. In the afternoons when I'm off work, we take the dog for a walk at like three o'clock, and my natural instinct is to like eat lunch at like two o'clock. So I'm starting a walk with insulin on board and trying to sort that out. has been a little bit of a challenge, but
Scott Benner 51:04
well, you're so new at it, too. Yeah, you don't realize a year is like nothing.
Katie 51:11
Yeah, it doesn't feel like it doesn't feel like I'm new at it feels like I should have everything figured out by now.
Scott Benner 51:15
Doesn't work that way. I still cry. I was still crying after a year. Sometimes. Yeah. In the shower. Mainly. It's where I like to cry. Yeah. I would go shower. Hello. So you're giving away my personal secrets. I'm gonna tell you, I'm gonna tell your porn star boyfriends name in a second. So, but no, um, you know, back when Arden was little I would just like Kelly would come home at the end of the day. And I'd be like, Oh, I didn't get a chance to take a shower today. Let me just jump in the shower. I just get in the shower and like cry. And then I'd be like, Okay, I can do the rest of this day now.
Katie 51:49
Yep. You got to just let it out sometimes. Yeah.
Scott Benner 51:54
Yeah, it just it just is right. Okay. Well, I guess now that you brought it up, like, Hold on. Let me let me text my plumber. Now that you're
Katie 52:01
putting your business out there.
Scott Benner 52:03
Well, yeah, I mean, now that people know my shower doesn't work.
Katie 52:08
Hopefully people aren't going to assume that. You're only shower.
Scott Benner 52:18
Yeah, I have two showers. I'm very fancy. There's two showers. bougie. Oh, my goodness. You have no idea how fancy everything is. I have a shower and another show. to shower. Oh, yeah. It's crazy. It really is like there's just opulence everywhere. So we have carpeting and some of the rooms. Oh, wow.
Katie 52:41
Yeah, not all bad. Everybody. You're what does that cup of coffee thing you have? Yeah, by
Scott Benner 52:46
me. Your money paid for a rug with it. What do you think?
Katie 52:50
You let Scott afford to hold showers? Yeah,
Scott Benner 52:53
I'm dripping in gold to you should see me. I'm not even sure that my T shirt matches the sweat pants I'm wearing right now. But whatever. Does it it? Probably maybe it does.
Katie 53:03
I don't know what does matching. Anyways,
Scott Benner 53:04
Arden makes fun of me constantly about my clothing. So she's like that. She's that doesn't match. I'm like, How do you know? It feels like it does. She's like it doesn't. She just looked around. She's even rolled her eyes at me. She just looks at me with such disgust. And then it's over. She's like, how can you not know? I don't know. So of course. So this is kind of super interesting. Ready? Like, you have a year into it. You're a nurse, you've got all these people in your family. And you are still going through the same exact stuff that everyone else goes through? 100% Yes, no, you didn't get the past go kind of a situation. You know, people didn't come up to you and just like drip this great knowledge all over you. You're you're starting just like everyone else. You got your you know what I mean? Like, yeah, if
Katie 53:55
anything, I probably started out with like, less information. Because, because my doctor knew like, I'm a nurse. I told him I had, you know, type ones in the family. And so he was like, Okay, well, here's, here's some Lantis and human log, take it, you know, as directed, and I'll get you an appointment with an endocrinologist. And then then chronologist my first appointment. She was like, Okay, tell me about yourself. Do you want a pump and a CGM? Like in it? I didn't get like any education from anybody because everybody assumed, you know, oh, she knows what she's doing.
Scott Benner 54:30
So you know, it's funny. I realized now I've heard that so many times. I just had a different thought about everybody's like, Oh, the doctor just assumed I knew because I was a nurse. I wonder if the doctor didn't think Oh, good. Maybe she knows because I don't. That's possibility. Yeah. Like I do. Like, I wonder about that too. Like, it just hit me. I was like, Oh, I wonder if that's like a safety net for them. Not
Katie 54:51
another funny story too. I saw a diabetes educator with the endocrinologist office like once didn't you know they are very nice, but I didn't find it excruciating ly helpful. But I got a message from the educator I saw maybe like four or five months into my diagnosis. And she was like, Hey, we have an opening at the office as a diabetes educator, like if you are looking for a new job. I was like, I, I'm just trying to figure out my own stuff. Like I'm not really interested in that right now.
Scott Benner 55:24
That's also interesting, isn't it? Because yeah, the the insight there is, hey, you might not know much about this, but you probably know more about it than you know. Could you come on that? You know what I mean? Like, there's no there's no shining. There's no shining hill, where people like who know are like, Ah, come on over here. We've got it. Everybody's in the same boat. Really?
Katie 55:46
Yeah, yeah. We're all just like, you know. What's that Titanic reference, like Jack and Rose out in the ocean. Like, we're all fighting over the door. Trying to climb up on the doors.
Scott Benner 55:59
Not a bed. Like a, like a headboard? I don't
Katie 56:04
know. I don't know that I've ever seen the whole movie all the way through.
Scott Benner 56:07
Wait a minute. You've never seen Titanic all the way through?
Katie 56:12
No, I don't think so. I don't watch a lot of movies.
Scott Benner 56:15
Oh, okay. You're one of those. Yeah. Because that movie was so huge when it came out. People saw it three four times the movie theater.
Katie 56:26
You know, I might have been like a year old when it came out. So I understand wasn't me.
Scott Benner 56:30
I understand. You prefer Caitlin's? Like young or old?
Katie 56:37
What like, I'll be honest, I don't even know if I can tell you. That's rose in Titanic, right?
Scott Benner 56:43
Oh my god. Katie. Katie. Listen, this is gonna I've never I've never revealed this on the podcast before. But you know when you know when couples are like, You know what they call that? Like your? Like Kate Winslet your hall pass? He is. Okay, but I like her older.
Katie 57:01
Oh, gotcha. Yeah.
Scott Benner 57:03
I don't know what everyone says to me. Kate Winslet and I'm like, yeah, no, like, why am I I don't know Kate Winslet. She's not even my type.
Katie 57:12
I feel like she's very like, classy. She's like a classy. Kinda pretty.
Scott Benner 57:19
I'm just telling you. For me. It's Caitlin's.
Katie 57:23
Okay, I'm 100% googling Kate Winslet now.
Scott Benner 57:25
All right. Hold on. Are you doing it?
Katie 57:27
Literally now? Yeah, like literally right now. Alright, so
Scott Benner 57:30
I'm a Google images as well. Let me try to find one where I would tell you. This is the Kate Winslet for me. All right. She's in like a white long sleeve. Her hair is past her shoulder and there's It looks like she's standing in front of a piece of wood. It's like three rows down from vanity. fair.com.
Katie 57:56
Okay, I'm looking.
Scott Benner 58:00
Oh, yep. Okay, that yeah, that Caitlin's that I would buy a car for? Okay. Okay, that's fair. Thank you. I'm just saying this is my situation. Okay. Yeah. I again, actually not even my type. Now, any Kate Winslet pres pregnant picture that Caitlin's what I would buy a house for? I don't even know why. I'm just telling you.
Katie 58:23
Yeah. I don't know why you're telling me that. But now,
Scott Benner 58:24
you know, I want to, I want I want Caitlin's with that my baby I think is what I'm saying.
Katie 58:31
Right? This again, personal is it
Scott Benner 58:33
cuz she's really rich and famous, and I believe married? So. And by the way, that's fair. I'm actually married as well. So I don't I don't think any record coming to fruition anytime soon. I'm just telling you. And then there are pictures of Kate Winslet where I like I wouldn't like I wouldn't let that Kate Winslet clean my house. By the way, I don't have a house cleaner. But I was just I don't know why that. I do. Really wish I had somebody like, do people do that. Katie, do you ever do that? Like the the gifts and may come over and clean the house up ever? Oh, God, no, I can't afford that. I want that so badly. I can't even
Katie 59:08
I'll meet you. 100%. Actually, that's kind of a lie. So I'm travel nursing right now. I'm in a different state than I live in. And my sister in law offered to clean our apartment back home while I was gone, so I guess if that counts,
Scott Benner 59:25
well, I mean, are you paying her? Yeah, I
Katie 59:27
paid her. Well, that account. Okay, then. So yeah, yeah, I guess I can say I have a house cleaner
Scott Benner 59:32
now. Who's bougie? That's so bougie. Okay, send her to me. I need her to I just want you know what I dream of? Like someone just doing like a one deep clean, like twice a year.
Katie 59:43
Yes. Yeah. That's what she like, clean, like thoroughly cleaned the bathroom. The walls like all that stuff. It needed it.
Scott Benner 59:50
Yeah, I just wiped down a room. And as I was doing it, I thought, can I just get to the point where someone else does this for me.
Katie 59:57
That's how I know like, I've made it When someone's wiping your walls, yep, like cleaning out the vents and stuff. Uh huh.
Scott Benner 1:00:05
No, I really do have similar feelings. I was Oh god, I just had a question for you where to go? Dammit, dammit. This question was going to shape the entire direction of the end of the podcast. All right, hold on. Caitlin's lit. That had nothing to do with it. Oh, we did never settle but they were on a headboard and Titanic Matador I think, okay, good enough. So there was plenty of room on it. And there was no reason Jack could not have gotten up on that thing.
Katie 1:00:35
See, I've seen the argument that like the density of the board or whatever, like wouldn't have supported both
Scott Benner 1:00:40
of them. I didn't even try. That's true. They didn't even attempt it. They did and she's British. Those people are lighter. They have bones like a bird. That's fair. I read that on the internet. I don't think that's, that's true. Okay, so Caitlin's it house cleaning bougie. I'm trying to I'm trying to get my mind to get that my brain to say why I had such a good way to button this up. There's something about diabetes to people like, Oh, good. He was going to talk about diabetes and the diabetes.
Katie 1:01:12
I feel so bad. I feel like we haven't talked much about diabetes.
Scott Benner 1:01:15
I'll bleep this out later, Katie, you're at all exploded. So there was no way we were ever going to talk about diabetes? You should have known that. Yeah. I mean, honestly, oh, I found my thought. Okay. At the beginning of the podcast, you said, I'm going to tell a funny story. And that is usually not a good sign.
Katie 1:01:38
Right. That's usually not a super funny story.
Scott Benner 1:01:41
Yeah. The layman don't really know what's funny, you understand? Right? Well, I get it. I'm a professional. I know what's funny. And so usually, when people say that, I think, oh, hell, how am I going to dig out of this hole after they tell this horrible story that nobody thinks is funny. But then because, you know, it's like, it's like, he used to work for my uncle when I was a kid. And there were these short, like, 15, I worked in a sheetmetal shop, it was not a pleasant job, Kitty. And, by the way, I have another question for you. This time I wrote it down. Because I'm not an idiot. I'm not getting fooled by my brain twice today. So you'd get these 15 minute breaks from this horror of a life you were living, you'd have some bad food, people would drink coffee for 15 minutes, you'd kind of relax and get up enough energy to make it to lunch, you know, and my uncle would sit down, he's dead down so I can tell the story. And he would start to spin these yarns that were mind numbingly boring. And he would get stuck on details that had no relevance to what you were talking about. And my best example is that one time, he was telling a story about something and in the story, there was a car truck, and he got stuck on what year like make model year the truck was. And he went to such lengths to come up with the answer to this. That you just thought, well, the whole story hinges on this being a 58 Chevy pickup truck or whatever the hell he was saying, right? Yeah, that after he found the year making model the truck, the truck never came up again in the story.
Katie 1:03:17
Of course not. I thought you're gonna tell me it was like a basic, you know, 1990 Ford Ranger or something? No, Katie, it
Scott Benner 1:03:24
had nothing.
Katie 1:03:25
It didn't even come up. Oh, my God.
Scott Benner 1:03:27
It just nothing. And I sat there even as a young man. so angry that he told that story so poorly. Like I, I hated how badly he told the story. It just made me I was like, you have all of our attention. I could be cracking these people right up now. And instead, you're telling us a bad story and spending five minutes in the middle trying to decide if Chevy made a pickup truck and whatever year you were like, yammering on about Ah. So anyway, when you told your story, I was like, Katie was right. This is good.
Katie 1:04:01
Yeah, like, thanks. So it's, it's been a hinge of my like, story. So everybody I tell it to you is highly entertained, either highly disgusted or highly entertained, maybe a little bit about oh,
Scott Benner 1:04:14
no, no, no, that's just a good trust me. You trust me? Trust God. That's a good story. What I was gonna ask you about is travel nursing. Yeah. So a lot more money?
Katie 1:04:27
Yes, yeah, I should. I could probably say that.
Scott Benner 1:04:30
Yeah. So I'm hearing nurses talking about a lot. And I have a friend whose daughter is a travel nurse. And I've seen some people complain about it. The hospital won't pay the employees. They have a lot of money, but they'll pay a travel nurse to come in and they'll pay them more money.
Katie 1:04:45
Yeah, well, here's the thing that's starting to happen now is that like, and this is why I'm actually probably on my last contract, at least for a little while. But the hospitals now are dropping the rates to where your actual pay He is not much more than their own nurses. But you're going to be making money in like housing and food stipends and stuff like that.
Scott Benner 1:05:12
Oh, so they pay for your apartment.
Katie 1:05:14
So kind of like your agency pays for the apartment, sort of they, you know, they use like government standards for tax free stipends and all that fun stuff. So
Scott Benner 1:05:28
are the agencies actually maintaining residences and then moving people in and out of them?
Katie 1:05:34
Some of them do, but honestly, you know, usually just find like your own Airbnb or, you know, short term leases, and you kind of find it on your own, but you get this stipend every week to pay for it. The person
Scott Benner 1:05:46
I know is using the travel nurse program to like, expand their medical knowledge and to travel. Yeah, right. So like, she went to Baltimore. And she said that in six months, she has now all of the skills she needs about gunshots, for example. And then once she felt she felt like that hospital had everything she could, you know, she stayed a little longer. And then boom, she went out to Arizona, I think, and I think now she's in Hawaii. it for her. Yeah, she's just like, kind of, like, gaining knowledge and having a an adventure, you know, in her in her mid 20s. So, the vertical Yeah,
Katie 1:06:25
that that's kind of our, our process. You know, we haven't traveled super far just because we're both really close to our families. So we've definitely stayed in a couple new places. One that's been enjoyable. But now
Scott Benner 1:06:36
I'm worried Katie that you're that you're supporting this boy.
Katie 1:06:40
No, no, no. He works. He works remotely, actually. And he's in school. Yeah.
Scott Benner 1:06:45
Boy, so it was a wonderful time. So he can just move around because he works remotely.
Katie 1:06:50
100% Yeah.
Scott Benner 1:06:51
I'm a sucker. Katie.
Katie 1:06:54
You're doing it all wrong.
Scott Benner 1:06:54
I am. I mean, I'm sitting in front of almost no equipment. This stuff could travel. What am I doing?
Katie 1:07:01
Yeah, he has like all of his, you know, company supplied computers and stuff and just packs it up wherever we go.
Scott Benner 1:07:08
Let me let me be honest, we let's talk like turkey for a second. Katie. Boy making enough money to support you. Like is he okay? Are we gonna have to look for someone else?
Katie 1:07:17
No, no, he's he's totally fine. And like I said, he's in school. He's getting his doctorate degree. So really gonna
Scott Benner 1:07:22
be good. Yeah, we will what smarty pants getting a doctorate and
Katie 1:07:25
he's getting a doctor education. And he's gonna kill me if I get this wrong, because we only talked about all the time.
Scott Benner 1:07:32
Like you don't love him? If you don't know. So go ahead. Oh, I
Katie 1:07:35
love him. I do not enough
Scott Benner 1:07:36
to know about his interest, but go ahead.
Katie 1:07:39
to higher education, leadership. That's what it is.
Scott Benner 1:07:42
Higher Education Leadership.
Katie 1:07:44
Yeah, I think his ultimate goal, I think he wants to be like, he wants to teach college or be in like administration. At a college university type thing.
Scott Benner 1:07:55
Yeah. Do that remotely. No, no. That's
Katie 1:07:58
why this is a short term thing. Gotcha. Okay. And, you know, we want the kids in the house and all that stuff. So yeah, this was just something we saw the opportunity and
Scott Benner 1:08:08
took it. No, I think it's terrific. Is he an intellectual? Yes. Oh, yes. No, some people think that's not a great thing. Really, you don't you don't hear that?
Katie 1:08:17
No, I've never heard that. Okay. I love an intellectual.
Scott Benner 1:08:21
I don't dislike him. I'm I'm saying that. There are people who would say, Look at me. This has got nothing to do with your boyfriend, by the way. But I think there are people that hear that word. And there's there's, I think pretty two different reactions. Like I hear, Oh, smart, educated person. And some people hear there's a person who has no real world knowledge who will then go shape young people's minds. Oh, see what I'm saying?
Katie 1:08:45
Yeah, I get what you're saying. He definitely has the real world knowledge. You know, he you talked about working for your uncle or with your uncle. He like worked, you know, blue collar jobs for his dad and uncle like, he's he's been out in the world a little bit.
Scott Benner 1:09:02
Oh, well, let's be honest. Katie, he saw your buttocks blood. So I think really, he's got a different level of understanding of the world than most people do. Seriously, if you have children one day when they come out, he'll just be like, yes, it's no big deal. Probably I could totally look at this with no trouble.
Katie 1:09:22
Let me so funny too, because he is like 100% You know, doesn't do well with blood and guts and you know, that kind of stuff. But he sucks it up for the people he cares about, ya know? Or like, you know, our dog too. He you know, he'll clean up after the dog and stuff and you can tell he dies a little bit inside but he doesn't
Scott Benner 1:09:41
kill you. I didn't like that you held yourself up level with dog poop at the end there. But that was that was like the only other example I had necessary drove up parallel. You know whether it's helping me with my butthole Scott or cleaning up after the dogs, they can't make it outside. My guy's a good guy.
Katie 1:10:02
That's all. That's all boils down to. He's a good guy. Yeah.
Scott Benner 1:10:05
boils. By the way. There's something Oh my god. Yeah. By the way, please, please respect the fact that you said piles earlier. And that that's a old euphemism for hemorrhoids. And I did not mention it. I did not know that. No, no, you didn't. But you knew Boyle's? Yes. Yeah, we could do this all day. I mean, I could you probably would get bored by it. It's the people listening, I imagine would be like, Oh, God, let it go. And I'm like, No,
Katie 1:10:32
yeah, just just end it. We can. Alright.
Scott Benner 1:10:37
Well, let's just ended then, Katie, unless we there's something that we didn't talk about that you would like to
Katie 1:10:41
the only thing that I kind of, I read back over my email that I sent you because it's been forever. The other thing I kind of wanted to talk about a little bit was like, I see you have a lot of like, parents of kids with type ones. I don't really see a whole lot of like, kids with parents that have type one. And I know like, parenthood and stuff like that is something people who have type one kind of worry about. But you know, my experience growing up, my mom and her sister, her one sister babysat me all the time. And I definitely saw some scary lows and stuff with my aunt. I think I mentioned in my email, like I remember, you know, pouring orange juice down her throat or rubbing icing on her gums. And like, even after all that, like I still felt like I didn't know much about diabetes. You know? So who
Scott Benner 1:11:36
was babysitting? Who?
Katie 1:11:38
Yeah, fair.
Scott Benner 1:11:39
Yeah. Did they pay you when that happened?
Katie 1:11:42
No, I was young, you know,
Scott Benner 1:11:44
but I'm gonna need that 10 back.
Katie 1:11:48
I don't even think they paid my aunt for babysitting. We both you know, she was she was like a second mom to me. So we both were just so well,
Scott Benner 1:11:54
you get what you get. But, but also your aunt At what age was having like, significant low blood sugar?
Katie 1:12:03
She probably would have been in her 30s or 40s. At the time, maybe?
Scott Benner 1:12:08
And this is maybe how long ago? Do you think 15?
Katie 1:12:12
This is like late 90s. Maybe because I was born in 93. So I remember doing this as like a toddler. So
Scott Benner 1:12:19
alright, so almost maybe 20 years ago? Yeah, that's probably fair. All right, or more. And so her. So part of your aunt management was periodically I'm gonna pass out and you're gonna need to get me orange juice.
Katie 1:12:33
Yeah, she just, she was very like, up and down, up and down, you know,
Scott Benner 1:12:40
traumatic as a kid, when an adult is being put in your scenario. And you're being told this is the person taking care of you. And you know, I might be taking care of them.
Katie 1:12:49
I never really thought about it like that. It was just so because my mom had lows too. So it was just so normal. That it it didn't really like bother me. I was just like, oh, and Terry's low better give her some orange juice. Like, I don't know, it never really like crossed my mind is something abnormal or weird?
Scott Benner 1:13:10
I wish. I wish I don't wish I wonder if Arden was your mom's age. And I was your mom's dad's age. If I would have figured something out differently back then. Or if it would have just felt like a thing that happens to you that you can't impact? Because I imagine that's how they felt right? Like this is just part of it.
Katie 1:13:33
Yeah, 100% like you don't have the resources. You know, you don't have the whole world at your fingertips. Fingertips back then. So it's just kind of like, this is what it is. This is what we do when it's low. And hopefully we can fix it.
Scott Benner 1:13:49
Well, my point. Yeah, but my point was that most of the stuff that you hear about now on the podcast, that seems so obvious, because people have CGM 's, and pumps and stuff like that, I came up with this stuff before that stuff existed for us. Like I was like, like figuring it out the whole time. Like, there's no doubt that the Dexcom like it, it propelled me for my ability to understand what I was seeing. But I was like, studiously every day trying to figure out what was happening to art, and so we could do a better job with it. And I'm sure
Katie 1:14:23
you would have figured out I mean, with the tools you had, I'm sure you would have figured out something like you. I referenced that one lady you had on that was about my mom's age. And I think she mentioned that her dad came up with some kind of formula with like fat and protein, you know, even when she was young. Yeah. So and working with beef or pork insulin or NPH, or whatever she had at the time. Like, that was a recent episode. Yeah, I feel like you would have you would have done something like that. Maybe not math so much, but you would have figured something out, you know,
Scott Benner 1:14:56
like, that's what I'm sitting here wondering. I was like, I'm like, Could I Have? Could I have found a way to make the leap? Or? Or would it have just overwhelmed me? And I would have just said, Okay, well, you know, we'll keep orange juice and icing in the house, because this is what happens. I just, I mean, we'll never know, but,
Katie 1:15:14
but I feel like with your personality, like you wouldn't have I mean, personalities don't. Just because you're in this time, you know, your personality would have been your personality then. So I feel like your personality wouldn't let you just settle for, oh, this is what we do. Keep orange juice on hand kind of thing.
Scott Benner 1:15:31
See, that makes me sad. Katie, like, because I picture when you say that I picture your mom, right? And she's in this situation or someone like her? And for whatever reason, they don't come to the bigger answer or see the bigger picture or something like that. And then that makes all that time seem wasted to me. And then I have such a hard time with wasted time.
Katie 1:15:54
Yeah, that's why like, I've tried to, you know, with my mom now. So that Aunt, by the way, has since passed away, she passed away a few years ago. But I've really tried with my mom, to kind of instill the knowledge I've learned, while also taking the knowledge she's learned and kind of combining them. And maybe we can both come out a little bit better. Yeah, with both our knowledge combined.
Scott Benner 1:16:20
I was gonna ask you about that. But first of all, ask you did your did your aunt die from something diabetes related?
Katie 1:16:26
You know, I'm not 100% Sure. I don't think that there was she passed away in our sleep. So I don't think that there was ever I don't think anybody was interested in autopsy or anything like that. I believe she had some kind of heart trouble, too. So it was probably one of those two things. Yeah.
Scott Benner 1:16:45
The heart from the diabetes, though. If if your blood sugar Yeah. How old was she?
Unknown Speaker 1:16:51
She was yes, D 50. Some? Wow.
Scott Benner 1:16:58
I'm sorry.
Katie 1:16:59
- So my thank you. Yeah. Thanks. I mean, we were extremely close not to get to, you know, not sad and stuff. But yeah, we were really close. Yeah.
Scott Benner 1:17:08
Well, you know, it only makes sense to bookend an episode that started the way it did with the passing of Your Beloved. And so, you know, because these things do not appear to mesh together well, at all. So it has been a roller coaster. Yeah, we're really getting to it here. I want to know, if you're where I get our 15 minutes into it. My childish brain is finally let me go back to other things. I'm so sorry. Don't be listen. The way this unfolded is the way it unfolded. I think it was terrific. So we're not gonna we're not going to go backwards here. But I'm wondering if you are having you that I did not say you correctly there. But I'm wondering if you were having any luck imparting modern management onto your mom, or if she's even interested in it?
Katie 1:17:55
I think so. Um, like I said, I, she, so she was MDI, and then she had a pump when I was young, I want to say maybe early 2000s ish, she had a pump for a while. And then she was kind of just having issues with that. So she went back to MBI for a long time. After I was diagnosed, I got I got the Dexcom and Omni pod pretty quick. Like, I'm pretty sure I got both of those within a month or two of being diagnosed. And I kind of told her how much easier things felt with those. And she was like, Yeah, I've been thinking about going back on a pump. I was like, I really think that you should give it another try. And she's, she's happy with it now. And I've kind of she's kind of started to accept that, you know, writing in the 70s. And 80s isn't a bad thing.
Scott Benner 1:18:53
Did that feel low to her at first? Yes. Yeah. Good. Has her agency improved since you've been diagnosed?
Katie 1:19:02
It has actually. I think she was I don't think she would mind me sharing. But I think she was like in the eights maybe. And I think she's down into the sevens. Now, what she's trying to get her bees replaced. So she's also been working on getting her agency down for that.
Scott Benner 1:19:19
I see. Well, she listened to the podcast, or is this too,
Katie 1:19:23
I'm gonna try really hard to get her to listen to it. She's not very tech savvy. So it's probably going to have to wait, you know, till I can get over there and whenever it comes out and actually set it up for but I would like for her to listen,
Scott Benner 1:19:35
would you would she listen to like the pro tips or the defining stuff. Do you think
Katie 1:19:41
if I can set it up for her? She might. Interesting. She's retired now. So she should
Scott Benner 1:19:45
what does that mean? What's your mom's name? Her name is Pam. Pam, what are you doing? Just I could use the downloads and it sounds like you could use the help. So like let's just help each other. I think you're a one see, Katie's probably in the 60s Right.
Katie 1:19:59
Um, My last one was 5.10.
Scott Benner 1:20:01
My goodness, nevermind it. Is that from Lowe's a little bit or, you
Katie 1:20:06
know, I'm like that one I think was less than I think it was like less than 2%. Low.
Scott Benner 1:20:11
Wow, how are you eating your best style?
Katie 1:20:16
During? No, not really no, I kind of just eat what I want. I tried to just I figured out what is easy to dose for. And I eat those things. With the exception of like, I go out to eat and stuff. And that's usually the times when blood sugars get a little crazy, but I think overall, I eat what I want. I almost
Scott Benner 1:20:38
jokingly called you a cheater when you said I found out what I'm good at bully stick for getting the fight, Katie tried to figure out french fries.
Katie 1:20:47
I've tried. I've tried. It's tough. I know it is.
Scott Benner 1:20:51
No, I completely know. I keep wondering when Arden leaves her school, how soon it's going to be before she's like, Alright, I'm not gonna beat that anymore. Like, you know, like, she'll just be like, I don't have the time to figure out how to Bolus for that. Like when she's in college, or that's my
Katie 1:21:05
thing like I does, I'll eat during the day, I'll pretty much eat anything, because I have time to figure it out. Like, when I work, I have to get up at like, 530 in the morning for work. So when we're planning dinner, and I don't get off until about 730 at night, so when I'm eating dinner, it's like 830 I don't want to eat something that I'm gonna have to be up late trying to figure out Yeah, so especially for dinners, I try to keep it pretty simple.
Scott Benner 1:21:29
Hey, you wanna you want to sleep? Yeah, exactly. I need sleep. all make sense to me. Okay. Yeah. So I feel like we're done. But I want to make sure you feel good. No, I
Katie 1:21:42
yeah, I feel good now.
Scott Benner 1:21:43
Good. Because you gave and you deserve to get back. Get what I'm saying? Yeah, story anyone's ever told. I mean, I don't remember most of the podcasts. But I hear from other people. It's good. So I assume there have been other good stories. I'm Do you understand that concept, Katie, that I'm the worst person to ask about the podcast.
Katie 1:22:01
I 100%. Understand, okay. Like, I don't even really know we talked about so I'm sure and you record so many of these. Like, I'm sure it's all just flirty. Okay?
Scott Benner 1:22:09
You started explaining something that you were just like, Oh, and this woman came on and blah, blah, blah. And I'm thinking, Oh, that sounds so familiar. Like, I'm sure that did actually happen. It went up two days ago, which means I've no, yes, it did. I forgot about that. So that means I've edited that episode in the last 10 days. And I'm just like, oh, that sounds so familiar.
Katie 1:22:29
Yeah, I totally get it.
Scott Benner 1:22:31
Oh, my God. Like, I don't know if you've ever like seen Isabel helping on the Facebook page? Yes, yeah. She'll jump in. And she'll be like, there's this one, this one and this one? And I'm like, How does she know that? That's that's like, I tell her sometimes privately. I'm like, I feel like you know my life better than I do.
Katie 1:22:49
It's probably does, because I mean, I feel like you probably go on like, autopilot. Sometimes.
Scott Benner 1:22:55
I'm just talking, like, when I talk to people, I just say whatever occurs to me. Yeah, there are times when I think like, you know, Katie, I don't know if you realize it or not, what we really talked about today was, you know, nurses, and medical people, they don't even know about diabetes. So you probably shouldn't feel too bad. If you're not a nurse or a medical person, you probably know as much as they do. Coming in from, you know, from starting at zero, we talked about. I mean, just kind of, I know in ways that that's not what we talked about. But I feel like it's what it's about right like that there used to be ways to manage diabetes, there have not been as valuable for some people in your family, and you're now you're now kind of blossoming with this new technology and new ideas, things like that. To me that says the people keep up with technology. Pay attention. You said Jerry, once he's in the fives, and you're, you know, only in a year makes it feel very possible even though you didn't know what you were doing. You were
Katie 1:23:56
so glad you're wrapping this up, because I was so worried that like, my episode would be one that like people don't get anything from you know what I mean?
Scott Benner 1:24:04
No, I don't know not. Not at all right. Like, listen, you had an abscess in your me it was in your butt. So it's funnier. But you had an abscess from high blood sugars. I hope that sticks with people, right? Yeah, high blood sugars can make your body it makes it difficult for your body to heal from other things. Your mom is in a situation with just an eight a one C which a lot of people would be happy with where she can't get a knee surgery. Yeah, right. So we talked about a lot of stuff like don't let the fact that I copped to liking Kate Winslet in this episode, and that your butthole exploded. Don't let that Mar what we've done here today. Katie, this has been a really informative thing. And the best part is, and this is the trick of the podcast, Katie, is that at the end? That's what people will remember. But they won't know that they learned it. It's learning without knowing. Ah, yeah, fix it. That's what makes it accessible.
Katie 1:25:02
I like it. And that's probably I mean, yeah, that makes sense. That's what keeps people engaged and listening. If you sat here and just talked about, I mean, your Pro Tip series is amazing. But if this whole podcast was all like, that kind of setup, I feel like, you know, yeah,
Scott Benner 1:25:18
it's just too much. It. Can you imagine, like, if I sat down? What if we sat down today? We're like, Hey, this is Katie. Katie's 27. She's had diabetes for a year for people in her family have had it her aunt has already passed away probably from heart failure from diabetes. Her mom's a one season the AIDS and she can't get a knee surgery because of it. By that point, you'd be like, I am out. I want to hear this. Get me out of this. And you lead with the butthole story. So everybody's like, trust me. No one shut this off. Because they're right now like, I wonder what else this girl is gonna say. If she led storytelling
Katie 1:25:52
right there. You got to get them engaged. Yeah.
Scott Benner 1:25:55
And we did a thing where we talked about all your lady bits and it wasn't even sexual was so
Katie 1:26:00
fun. Something my mom can still listen to. Oh, good.
Scott Benner 1:26:02
Yeah. And trust me. There have been times where people are like, Well, great. Now my mom can't listen to this.
Katie 1:26:08
Well, my mom's My mom was a nurse too. So either way, she was gonna listen to it.
Scott Benner 1:26:11
But yeah, I figured she might have been when I stalked you on Facebook. During the conference. You stalk me on Facebook, you do that? Well, and when we're talking, I need contact. Now that I saw the dog. I saw the boy. I saw you.
Katie 1:26:25
I saw you, right.
Scott Benner 1:26:26
I mean, I I can't say what I was just because. Well, I don't know. Just say it and I'll go ahead. Don't say it. No, I'm gonna say it. I'm gonna bleep it out. Okay. Okay, so this thing popped into my head. It is completely for comedy, right? I promise you. I was gonna say, I'd let him give me a hand. Wish I wouldn't really do. But I was trying the most, like, farcical compliment. The most farcical thing that I thought was also funny popped into my head. And that's what I was gonna say, but this podcast, people don't listen to for that part of my personality. So I didn't say it. Fair enough. Yeah. And it's going to be hilarious later bleeped out. So that's why I'm sure yeah. Oh, my God, just think about it now.
Katie 1:27:17
You know, I'm saying, Oh, my God, I'm gonna I'm gonna cringe. I'm gonna do all the things listening
Scott Benner 1:27:21
to this again. I saw the dog. I saw everything. Also, I saw two dogs, which confused me.
Katie 1:27:29
Yeah, that's my parents dog. I take
Scott Benner 1:27:31
other people's dogs getting your photographs.
Katie 1:27:34
Well, I used to live with them. Also,
Scott Benner 1:27:37
during this episode, a spammer tried to put something up on the Facebook page, which I took care of. Look at you. I googled, I texted with a plumber. In times when you didn't know I did. Are you impressed at all? Haiti by my skills?
Katie 1:27:52
I definitely am impressed.
Scott Benner 1:27:54
Shut up, stop it. You're, you're, you're terrific, by the way. And one of the things you're the kind of person and at the age where I, it gives me a lot of hope that the podcast is actually valuable for people because I really should be you. There's just no world where 27 year old person should be listened to a podcast made by a 50 year old guy. You know what I mean? And that and that you like the podcast, but you never actually said, but I'm assuming you do.
Katie 1:28:22
I mean, I've listened to a lot of them. So I should say that, but no, like, honestly, when I first started listening, I was kind of hesitant, because I think I've heard people say this before, like, well, it feels like it's really geared towards parents with kids with type one and like, so when I first started listening, I was like, I don't know, maybe I'll pick up a couple of things. But I mean, then I just really got engaged. And I feel like I do pick up tidbits from everybody's stories, you know, whether it's a kid or an older adult who has type one or whatever, like, it's definitely you can pick up something that's useful for you, no matter who's talking.
Scott Benner 1:28:57
It's such a simplistic. Listen, I get like, we're all simple people, like people are simple, right? But people do that thing. Like, what's that guy, he doesn't have diabetes, and his diabetes knowledge comes from him taking care of his daughter. So this must be about taking care of kids with type one, like, I get right, I get how that would happen. But, you know, there's a problem when people think there are different kinds of diabetes. You know, there's not the way my daughter's diabetes works is about the way everybody else has diabetes, right? You know, I mean, there's variables and there's personal impacts and stuff like that. But for the most part, insulin makes your blood sugar go down carbs, makes your blood sugar go up, etc, etc. Like there's the you know, it's not it's not 30 years ago, where people I bet your aunt probably told you she was Burdell
Katie 1:29:45
I don't think I've ever heard that term before. But really, they didn't use this Oh, yeah. Before like this podcast and the group and stuff like that. Yeah, I don't. I don't think I ever heard anybody really say that term.
Scott Benner 1:29:55
Aside of the word though. Do you think that was the feeling like oh my boy, yes. out all over the place. There's nothing I can do about it. That kind of stuff.
Unknown Speaker 1:30:03
Yes, yeah.
Scott Benner 1:30:04
Right. Like she they acted like they had a, like a seizure disorder, like you could live for three months and everything would be fine. And then one day just out of nowhere, oh, I'm having a seizure. And in instead of understanding, like the impacts of the insulin was just again, no way they could know back then. I don't think without decent technology that to track it with but anyway.
Katie 1:30:28
Well, I think that's why people get so frustrated too. I know, I have like, when my blood sugar, like last night started going up in the middle of the night. And there's like, I couldn't figure out any reason why it was, you know, and that was like the frustrating part. I eventually figured it out. But like, I think that's when people get really frustrated and upset, and they kind of throw their hands up in the air. And they're like, Oh, this is just diabetes. And, you know, this is how it goes. And I can't do anything about it. But there's always a reason. Sometimes it's hard to figure out. And it takes some time. But I mean, your blood sugar doesn't just go up or down. It's either too much or too little insulin, basically. Yeah,
Scott Benner 1:31:06
I completely agree. Yeah, I just do I know I can. I've had it be that frustrating for me. And I can imagine, especially if you're an adult, right? Or a young adult with type one, you're more on your own. And you just you go to bed with a blood sugar of 110. And you wake up and it's 300. Like I was just sleeping.
Katie 1:31:27
Like Yeah, and like this worked perfectly fine the last 89 Nights, right?
Scott Benner 1:31:31
And how am I going to be aggressive with this, if suddenly, I'm not going to need it again, I'm gonna make I'm gonna make myself low, I'm gonna be asleep. But I get it like it's, it's, it feels unknowable. And there are still times when it's unknowable. But for the most part, you know, with good technology now and some and some decent understanding of terms and tools and stuff you should be able to. Anyway, you should be able to get your knees replaced Katie one day without having to get your agency down.
Katie 1:32:00
Well, I'm hoping to not have to get my knees replaced. But yeah, definitely.
Scott Benner 1:32:04
You know, the man told me the other day, I might need one. Oh, really? I got my knee cleaned out. Right? It was all like painful. And I guess my meniscus was torn up. And so he went in there and cleaned it out. And then he told me afterwards, hey, there's a lot of arthritis on the inside part of your knee. Was that the interior? Is that how the body works in theory and anterior? Is that right? Your nurse gave you
Katie 1:32:26
into an anterior there's like ligaments and stuff that are injured. What do you talk about?
Scott Benner 1:32:29
I'm like, Isn't that how you measure your knee? Like the inside of your knee? Is the interior part in the Oh, yeah, that's right. He says, Katie, come on. I didn't even go to the gym. I go to nursing on this podcast longtime. Listen, it's an hour and a half. You're fine. What do you get tired? Yeah, I'm
Katie 1:32:43
tired. All right.
Scott Benner 1:32:44
You have the whole day off. He told me. Yeah, true. I do have to go do things after this. Oh, that sounds too good to flit around or whatever you do. I don't know what you do. And so anyway, he comes out afterwards. And he's like, you might need a replacement, like 10 years. So I was like, Oh, great.
Katie 1:32:59
That's terrible. I mean, it's it's not it's not as bad as kind of it sounds my dad has had to replace recently, too. He's doing all right.
Scott Benner 1:33:07
He's doing all right. That's not a shining endorsement.
Katie 1:33:11
Oh, I mean, I could tell you like it's been terrible, but it hasn't. He's done. Good.
Scott Benner 1:33:14
Good. All right, Katie, I appreciate you doing this very much. If you'd hold on for a second, I'd like to thank you in private.
Katie 1:33:21
Okay. Yeah, sounds good. Thanks.
Scott Benner 1:33:33
A huge thank you to one of today's sponsors, G voc glucagon. Find out more about Chivo Capo pen at G Vogue glucagon.com Ford slash juicebox. You spell that g VOKEGLUC. Ag o n.com. Forward slash juicebox. Also want to thank the Contour Next One blood glucose meter and touched by type one. Come see me at that conference touched by type one.org and get yourself a Contour Next One blood glucose meter at contour next one.com forward slash Juicebox. Podcast. If you're enjoying the Juicebox Podcast, please subscribe in a podcast app. If you're already subscribed. Telling someone else about the show is another great way to support the podcast. And if you need something, or are interested in learning more about one of the sponsors, clicking on my links directly is a huge help. Those links are in the show notes of your podcast player and at juicebox podcast.com. I want to thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. And don't forget if you're a US resident who has type one diabetes or is the caregiver of someone with type one, you can take the T one D exchange survey in fewer than 10 Min. That's this survey is HIPAA compliant absolutely anonymous helps people living with type one diabetes and supports the Juicebox Podcast T one D exchange.org forward slash juicebox
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#702 Bold Beginnings: Honeymooning
Bold Beginnings will answer the questions that most people have after a type 1 diabetes diagnosis.
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 702 of the Juicebox Podcast.
Today is the first episode in the bold beginnings series. While you're listening to this episode, 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're a US resident who has type one diabetes, or is the caregiver of someone with type one, please consider going to T one D exchange.org. Forward slash juicebox. To take the survey, the T one D exchange survey benefits people living with type one diabetes, it's incredibly easy to do and will take you fewer than 10 minutes T one D exchange.org forward slash juicebox. Also today you're going to hear Jenny Smith. Jenny is a CDE. She has had type one diabetes for over 30 years. And she works at integrated diabetes.com If you're interested in learning more about what she does.
This episode of The Juicebox Podcast is sponsored by Ian pen from Medtronic diabetes in pen is an insulin pen that talks to an application on your smartphone and gives you much of the functionality that you will get from an insulin pump. In Penn today.com. The podcast is also sponsored today by us med. Don't just get your diabetes supplies from anywhere. Get them from us med Call today for your free benefits check 888-721-1514 Or you could just go to us med.com. Forward slash juicebox. Us men always provides 90 days worth of supplies, and they give you fast and free shipping us med.com forward slash juicebox. So we did this little episode recently where we talked about we're going to go through the steps of the questions that people sent in about being newly diagnosed. This is going to be our first episode about it. We have it broken down. It's not really it's still it's gonna be a lot of episodes, but we haven't broken down to honeymoon. What it's like to be diagnosis and adult. different terminology. highs and lows, the 1515 rule long acting insulin, fear of insulin, range and food choices Pre-Bolus ng carb guidelines and impact of food stalking, flexibility school exercise guilt, fear and hope. Podcast the community medical care team journaling, technology and supplies, insurance. And that's it. So that's it. That's it. I have it narrowed down to like I don't know, 15 or 20. Yeah, so we're gonna go through and have these conversations. So you and I put these in order, and we thought honeymooning went first. So we're gonna have to feel our way through this a little bit, because we've never done this before. In the past, I just started the conversation. And then we chatted to where we wanted it to go in the in the in the pro tips. But this one, we have questions from people. So why we thought this was important, is because going into the Facebook group with 25,000 people on it and asking them, What do you wish you would have known or someone would have told you when you were newly diagnosed? So under the heading of honeymoon, the first thing that we have here is a better explanation of the honeymoon phase would have been helpful. Let's talk about what that is.
Jennifer Smith, CDE 4:09
Yeah. Better is is a it's like a rabbit hole of consideration. Right, though, like, better explanation kind of starts with Well, how was it explained to the person or to the majority of people to begin with? Yeah, and I do think it's a concept that's really it's a gray area, have known, honestly. Because it's a time period, essentially, where after diagnosis, you've got some remaining beta cells, at least many people do. Not everybody but many people do. It seems like the sooner you get containment of the blood sugar levels, the more likely you are to have if there are remaining betas, their assistance and they come I'm back to help and that may eventually reduce your overall insulin needs. I mean by how much again, this is a person to person, you may need less overall dosing for mealtimes. Maybe just Basil is holding things really, you know, tight for you in that honeymoon phase. But I think a good word to go along with honeymoon is unpredictable. Honestly.
Scott Benner 5:29
So, the, you know, let me jump to another question, because I think it'll pull the conversation together, right? This person says mi honeymooning, how will I know. And I think that's such a good point. Because you really don't know what diabetes is to begin with. So whatever it is for you on day one is how you imagine it is and a lot of people get caught up in thinking, well, this is it. You know, and someone can tell you in the moment, hey, you might experience a honeymoon, and a honeymoon is going to be, you might have some beta cells that are still helping along with insulin production. That might be great. Because if it's stable, then we'll use you know, less insulin. But it also could wax and wane. It could be one day, you're getting help. And the next day, you're not the next day you are and you know, especially you're probably going to be MDI at that point, right. So you've got to for the most part, right, you've got a fixed amount of insulin in us a basil. And then one day, you're, you know, your pancreas is like, I'll help and no thanks. I already put the insulin in today, and you're feeding insulin all day. So it's a lot.
Jennifer Smith, CDE 6:34
It is a lot. And I think a misconception too, is that it shouldn't really be mistaken. And it could be easy to think, Well, gosh, maybe i i was incorrectly diagnosed. Right? Maybe I am really getting better. Maybe I was just sick or something was going on this downplay in insulin need. Especially being tested. I mean, most people who are who are diagnosed with type one, or assume type one, get the antibody testing and all those things that we've already talked about to to really give a positive diagnosis. But once that's there, even if your insulin needs go down in this expected honeymoon time period, you're not you're not getting better. And that's sad to say it is
Scott Benner 7:27
because it'll hit you that way. Because it happened to me. Yeah, there was a couple of days where art in just out of nowhere did not need insulin. And or at least that's how it felt like, you know, my memory on it could be, you know, right. I'm getting pretty old those long time ago. But right, my recollection is there were two days where Arden didn't need insulin, and I and I've told this story before calling our pediatrician who's a friend. And I preface what I said by going I know I'm wrong. But I have to say this because it feels imperative that I tell you that I don't think Arden has diabetes, somebody made a mistake. Right? And he sat very quiet and sad and said, she asked diabetes, this could happen. You should call the endo and talk to them. And I was like, okay. Yeah, but the problem day to day and why the question gets asked by people who are like, you know, when you ask somebody, what do you wish you knew? I think first of all, you need to know what could happen, you need to know it might not happen. Correct. You know, you might catch diabetes very early. And then your honeymoon might be longer, you might catch it later, it might be shorter, and 1000 other variables that could influence if there's a fluctuation, and if there is how big it is. This person says the lows were horrible. And we had a scary middle of the night, barely conscious, 32 blood sugar, about three weeks after diagnosis. So this is a person who didn't have this information was never told.
Jennifer Smith, CDE 8:51
Right. And that's I guess it also brings in a timeline of when, and that's a that's a major question that's also often asked is, well, how long can I expect this to last for? It could be a week, it could be a couple of days, it could be weeks, it could even be years. And for the most part, the years that length of time in honeymoon. I more often see in adults who are diagnosed who research has has shown as an adult diagnosed you more often have a reserve of betas after diagnosis that's a little bit larger than really young children or even kids or teens really. In fact, there's there are a lot of good studies for kids diagnosed under the age of five. I believe that actually so it's that the onset of type one is much more rapid and much more aggressive. And that there is more likely that there's less or almost no beta cell action left in really little kids were diagnosed very quickly. Yes, yeah.
Scott Benner 10:02
Artem was to and, you know, besides those two days, well, here's the rest of me right. Besides those two days, I'm going to tell you that I didn't notice. But I also was a guy holding the meter and a handful of syringes and a vial of insulin right? There were no CGM, I couldn't see anything happening. And these people who are listening very likely are not being handled a CGM right away either.
Jennifer Smith, CDE 10:26
Many of them are not I've had, in the past couple of months, I've had a handful of people who've actually left the hospital with a CGM on their child. Okay, well, that's fine. But again, that's it's a small percent, but it is encouraging to see how that's progressed in importance for visibility. And or they've left with a prescription to get it within a week or two after leaving the hospital or after diagnosis, which again, is, in my opinion, pretty quick turnaround,
Scott Benner 10:57
the context that the the glucose monitor line gives you, it's just, it's different. Because otherwise, in your mind, it just feels like the blood sugar is coming in and out of hyperspace. Like, it's you know, it's 78. And then the next time you look up, it's 250. And without context for how it got there, your brain struggles to make sense of it, you know, especially when it's very likely that the doctor has given you basic ideas of what to do count these carbs. Use this, you know, use this formula, inject this insulin, if you're lucky, you got that right information. Right. And because we're talking about newly diagnosed and not just children, I've interviewed a number of adults, you know, you know, over and over again, but lately, one that's sticking to my head where they just told her like your take 10 units of this and eat. Yeah, that was it, you know? Right, right, exactly. consideration about carbs or anything. Honestly, it's more
Jennifer Smith, CDE 11:55
than for adults, I've seen many more adults being diagnosed, let's say correctly with type one, but given more of a really old school, way to dose insulin, and prior to giving them any, you know, real information or education, if you will, it's like you said it's eat your meal, take 10 units of insulin, take it three times a day with each meal time and go about your business until you actually see an educator or somebody who can help adjust this for you. Where again, that's it's that's really old way to dose.
Scott Benner 12:34
But you're seeing it more and more you're saying.
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Jennifer Smith, CDE 16:41
I see it, I see it often enough that it sort of frightens me, given all the technology we have today. And the types of insulin we have today and the way that they are meant to work to specifically especially our rapid acting insulins to mimic sort of digestion for the food that it was formulated to cover which is carbohydrate. So why don't we just educate people? Well, give me an idea what your meals look like. I mean, this is pretty easy question to ask people upon diagnosis, okay, your meal seemed to be this. And as an educated clinician, you should really have an idea about how to carb count, especially if you are in the profession of diabetes. And that's you should be able to say okay, let's start easy and just say, for every 15, you take one, right, at least
Scott Benner 17:36
it gives people context,
Jennifer Smith, CDE 17:38
something's starting to work with a starting point, even if it's completely wrong, and they need to be a one to five, at least, then in a couple of days, you can say, well, that's clearly not working, let's adjust it, but they already have the concept of counting and dosage.
Scott Benner 17:52
Your, your your story makes me think that maybe at diagnosis, people are like, well, they're gonna get great technology. And then now this is going to matter. So I'll just say something that won't kill them today, then they can go to the next person, and the next person will do a better job of this. But your point is, I mean, listen, it's not a brag, but I think you could bring me up to any person using insulin. And I think I could probably ask them four or five questions and make a pretty educated guess about how to cover their meal. Yes. So absolutely. Yes, it just doesn't it's not I hate to say it's not that hard. But you know, it shouldn't be if you're a clinician, I guess. Just this next thing here says, What do I need to know, during the honeymoon stage, you really have to put yourself in the position of a person who's just been whacked over the head with a shovel while someone's yelling, you have diabetes. And they're like, wait, what she's she said before they teach carb counting. Like when do I know if it's a true DKA? Or hold on a second? These are broken up questions. So let's skip the car panic and go. When do I know if it's a true DKA situation are just part of the honeymoon stage? What do you think they mean by that?
Jennifer Smith, CDE 19:01
Well, high blood? It's a good question. Because if high blood sugars are just sustained high,
Scott Benner 19:07
and then they again, do ketones because somebody told them if you're over this for a certain amount of time test your ketones, right. And they're fresh from a traumatic moment in their life where these kids had or they had a high blood pressure and they were in the hospital for it. Right. Oh, I see. Okay.
Jennifer Smith, CDE 19:22
I mean, that's what I that's what I would certainly expect but it is it's a it's a good question. But I think it's a pretty complex question. Because if you're in this window where honeymoon could be the case, and all of a sudden you're running high blood sugars, okay, great. Go ahead, do the steps. You know, test for ketones. dose, call your call your doctor and say, Hey, we've been running higher all of a sudden, it seems like without visible illness or stress or anything in the picture. Seems like you're likely at that point then coming out of honeymoon and you actually need To increase your doses, potentially basil to start, maybe the doses that are covering mealtimes, especially if they've been very, very, very conservative. But I mean with high blood sugars, regardless of what point of diabetes diagnosis you're in, if it's a stain high test for ketones, right, good first step.
Scott Benner 20:20
You know, it's funny, I always think about these things, all these topics about I think of them as like, if we were in an elevator for three minutes, and you said to me, Scott, honeymooning, what do I do? I think, and I don't want to give away that I've watched more than one season of Big Brother, which I'm embarrassed by, but I think you have to expect the unexpected. Like, if Thank you, if you just need to live in the in the reality for a little while, that things are going to change more frequently. Or they could change more frequently, I should say. Then you hope and right. And that's where you hear people online, say stuff that I don't like that they say, but I understand where it comes from, like, you know, carbs, times this plus this equals elephant, you know, or when they say like, nothing makes any sense, right. But if you expect it to be varied, then it does make sense, but it's varied. Right, you know, if you if you put yourself in a position where you say, This is what should be happening, I did what the doctor told me, I measured it correctly. This is wrong. None of this makes sense. I give up. You're gonna, you're gonna make yourself crazy. Right? Yeah, you just have to stay very flexible in the beginning.
Jennifer Smith, CDE 21:29
And I think that the flexibility and especially in terms of what people should know, after diagnosis around honeymooning is that expect that it may be in the picture for you at some point, sooner than later after diagnosis. And that once you're exiting the honeymoon, it doesn't necessarily mean that you're doing anything wrong. Right? This isn't it's not really, it's not your fault, that you're coming out of the honeymoon time period that you need more insulin. It is what it is. Yeah. So I mean, there's a lot of, I mean, in the grand scheme of diabetes management, there's like, a lot of psychological stuff anyway. But I think this is a, this is a period where you may feel really, really confident. And honestly, during a honeymoon time period, it may seem a lot easier for some people because they have these really tiny insulin doses is they're only on basil. They feel like oh my gosh, I'm an eating and checking my blood sugar looks like it's in this target range. And they may not even be dosing mealtime insulin, maybe Basil is just cutting it for them, right? And then it starts to inch and creep and change. And that's where again, like that psychological piece of management kind of comes in, because a lot of people think, well, well, maybe I need to cut back. Maybe I'm doing too much, maybe I'm eating too much. So I'll just eat iceberg lettuce. And that means it's okay.
Scott Benner 23:04
It's such a good point that in the beginning, you're very likely using such a small amount of insulin and it can make you feel like I've got this it's so easy. But if your Basal is point one an hour, and you know your whole meal, insulin is like a unit for a meal or something like that, like, I'm not belittling, it's hard, and it's scary and everything else. But you're basically playing wiffle ball in the backyard with your dad, you're not hitting up a Clayton Kershaw right now, yeah, go crazy. When you put the ball over the hedge line, you know, they may just say, okay, and to me, it's all experiences. I mean, I don't know how many times I could talk about it, but you have to do a thing. You have to see how the thing works out. And then you decide, do I need a little more, a little less, a little sooner? A little later? How does this insulin work? And you do it again, and again and again, until one day, it just makes sense every time you do it? And? And the truth is, is that, you know, in the beginning, you do have more going against us than just understanding that you have the other parts, the psychological aspects of it, and what could really be, you could be suffering with depression at that point, or, you know, there's a lot happening. I interviewed an adult recently, she's in her mid 30s. And she said they were explaining to her about her diabetes, and she just sat there thinking I don't have diabetes. Like she wasn't listening to anybody. You know, she's like, a young fit person. And she's like, I don't this is wrong. Like she couldn't get past the I think they're wrong about this. You don't know how many important things were said to you. While you were staring at the wall thinking, hey, what was wrong? Yeah, what the hell just happened to us? Yeah. Okay. Yeah. Is there anything here we're missing? I do want to go to one more question here. But I want to make sure you have everything out that you want to say.
Jennifer Smith, CDE 24:49
Um, I don't. I don't think so. I mean, outside of just one other question that I think has come up in conversation in discussing with some newly diagnosed people that I've worked with, a lot of people end up asking, is there anything that can sustain this honeymoon? Right? And there's, there's only one study that I know of, and it was done in adult men. So not even a broad spectrum of, you know, gender or anything. But it showed that exercise in newly diagnosed men proved that the honeymoon lasted a fair amount of time longer than those who didn't include exercise in that time period post diagnosis.
Scott Benner 25:40
I wonder why that is. So
Jennifer Smith, CDE 25:43
again, I mean, something like that, certainly, you need to study it in more people more, you know, kids, teens, women, but at least it was a good visual that there is that one thing that was shown that could potentially prolong it, and I would, I would expect, it's just from a sensitization standpoint, right building muscle making the muscles work, which makes your insulin work better. And if your body is more sensitive, your pancreas also doesn't have to work as long so maybe it preserves the beta cells longer, right would be my expectation
Scott Benner 26:17
what let's put this part in here to like, so we know about like Tomislav, for example. Right. There's that drug trial. Yeah, about a long gating people's honeymoons? What's the real benefit of that? For the patient? Beyond that you don't need to use insulin, and you don't have to have diabetes, as soon like, I mean, the lesson to think of put off three, four years, then hey, you know, I'm saying, that's amazing. But if I'm just doing something that's going to extend my honeymoon by a week, or a month or two, like, what's the real benefit of that? Is there one?
Jennifer Smith, CDE 26:50
I guess the benefit to me especially would be for if it's even keeping people from some type of diagnosis, you know, in those who are tested with antibodies and are given the drug in order to extend the time without diabetes, any years without diabetes are definitely a benefit.
Scott Benner 27:10
I get that one I'm talking about, like, if running around like a lunatic makes it take three less. Like, if it gives you three weeks back, you know what I mean? Like, like, you've had diabetes for over 30 years? Yes. Would it be any different if you had it for three weeks less? No, no, right. But I would not, but three, three years less, God bless we would like that. Right.
Jennifer Smith, CDE 27:33
Absolutely. Three years less. Absolutely. And, you know, from the standpoint of ease to the body and whatnot, I think more information needs to be gathered as to people who were diagnosed without use of something like this. What type of outcome with control, like healthy management long term? What was their end outcome compared to people who got the use of this drug and had an extended let's call it honeymoon time, where their body was allowed to help them a little bit more. They had to use less injection, less pumped insulin less, right? What did that bring in down the road? Did it improve anything down the road? And that's going to take years to look at differences
Scott Benner 28:26
from I think, from my perspective, from a person who talks to a lot of people. When I hear about people wringing their hands about honeymooning what I really hear from them, mostly, they just wanted to stop. They just they just like, can we just get to the part where this is reasonably predictable? Please? Like, like, what what is happening, Jenny?
Jennifer Smith, CDE 28:46
I don't know. That's not me. It sounds like you're getting a weather. Emergency weather alert.
Scott Benner 28:51
Maybe a tornado here. Oh, great. Now live, you're gonna ever hear this episode? Scott, he's on his way up.
Jennifer Smith, CDE 29:01
I was gonna say do you need to go to the basement? I don't live
Scott Benner 29:03
in that kind of an area. This is the kind of an area where people go like, why don't we get these tornado alerts. But But, but to go back to my thought that was very odd. They just, I mean, listen, if it's a situation where one day your kid can go to baseball practice and the next day, they can't because one day the pancreas isn't doing anything and the next day it is. It's it's it makes you nuts. Like it just does. And I you mostly hear people say I just want to get to the next part at this point. All right. And I don't you know, I don't not understand that. I think but but this person asked this last question that says they're talking about a two year old who overnight is experiencing lows with no insulin at all. And they say he can hover at 90 for hours and then slowly creep down to 70. But here's the thing. Isn't this interesting? If Jenny's blood sugar would hover it 90 For hours overnight, and then slowly creep down to 70. She would text me in the morning, a picture of her CGM ago, look how good I am at this. And that's the thing you don't have context for when you're looking at your two year old baby who's had diabetes for two months. Right? That, you know,
Jennifer Smith, CDE 30:19
there's not enough history to it for it, this example, this family, this person, there's not enough. I, I have a sense of, of what that means to me. I also have a sense, if I got an alert overnight, and I saw what was happening. Even without using the system that I'm using previous to this, I would have a strategy that I 99% of the time would have worked, right to say, Okay, it's drifting, this is happening, this is what I need to do, or I can go back to bed, because I know that it's all gonna be totally fine. Right? So knew there are, there are a lot of kids, especially kids that I work with, who are still using multiple daily injections or MDI. Because once that Basal injection is there, you can't take it away.
Scott Benner 31:09
Yeah, this is an example from someone who obviously pumps because they were able to turn their basil off off, right? If they were MDI, they would continue to get low. It's funny, yes, I just was explained to somebody the other day, a person who just doesn't know anything about diabetes, and we're talking about low blood sugars. And they said, Why does it keep getting low? And I said, well, the insulin is dumb, it doesn't know. I think that the insulin is pulling glucose out of your blood, pulling it out, pulling it out, pulling it out, it doesn't get to a number and say, Oh, good, we're done. It just, it will continue to take glucose out of your blood until the power of the insulin is gone. And it doesn't care that you are where you want to be too low, having a seizure doesn't matter, it's going to does taking
Jennifer Smith, CDE 31:52
correct. And that's, you know, on pumpers if it was happening enough, again, in this particular example, you could say okay, well, this has happened night after night, I've had to turn the basil off. But if you've got a pump, you can program it just program is zero basil from this point of drop to this point of leveling out and and take care of it. You know, but on again, injections, it's it's really difficult. And so often, what we end up having to do is really make sure that the morning is when the Basal is adjusted, assuming that the overnight lows in this case, and assuming it's honeymoon in this case, is the pancreas is just kicking out at this point. Yeah, this is where it's taking most of its action. And so you don't need any injected or pumped insulin here, because your body is helping.
Scott Benner 32:39
And then the last question that people constantly ask is, How do I know when it's over? And yeah, that one's easy, because you need a lot more insulin,
Jennifer Smith, CDE 32:48
your insulin needs go up. And it's again, this is a visible Okay, was it today because it was a birthday party or a cookout or something? And so we just had a lot more that was different, or is it ongoing in the next? Okay, this was today, tomorrow looks similar. The next day, it looks similar By day three of needing more insulin and nothing else has really shifted or changed. You're probably getting to that point of honeymoon is ending
Scott Benner 33:15
experience after experience day after day showing the same thing. Yeah, you're probably not being helped by your pancreas anymore. The other thing too, is I don't want to be like ham fisted about it. But you know, when you have type one diabetes, and you're not getting any help from your, uh, you know, the way I used to explain it to one of my daughter's teachers when they wouldn't understand I said, Look, here's Arden right now, her blood sugar is perfect. If I take this pump for her, take it from her, just she got no more insulin, and we give her a half a bite of this cookie. She's going to be dead in four days. And you're like, I'm laying there like what? And I'm like, Yeah, her blood sugar is going to continue to rise and there is nothing her body can do about it. I said it will put it into decay, it will end her life a bite of this cookie without insulin. And so you can see it. When you don't have insulin, your blood sugar wants to go up. And if you you know if you can, you know, if you have some stability, say you are using a CGM and you have some stability at 120 and then you eat something and you know, you Bolus for it and three hours later, you're 120 Still but then it keeps rising and keeps rising and keeps rising. Your Basil is probably not strong enough. And then you need to probably go over and listen to the pro tip episodes about how to get going and taking care of your blood sugar. So alright, did we do it? Is this good?
Jennifer Smith, CDE 34:29
I think this is pretty good. Yeah,
Scott Benner 34:31
I you know, every time we do this, I wait for you to look at me and go, Dude, you're so wrong. Stop talking.
Jennifer Smith, CDE 34:38
I don't think I've ever said that to you.
Scott Benner 34:40
You just keep there's that little kid inside of me. It's like I'm gonna mess up eventually. And Jenny's gonna be like shaking her head at me and be like, What are you talking about? Stop but I think
Jennifer Smith, CDE 34:48
the only one time that I did correct you is when you told me that I wasn't nurse and I'm like, Yeah, I'm not a nurse, dietitian.
Scott Benner 34:55
I misspoke and there's the truth right now. We're still recording she would stop me if you I misspoke one time in how many years have we been doing this together? Oh my god, you're like, I'm not a nurse. Oh my god, I felt like I was married to you for a second. I was like, Oh, she finally got me he's so excited
new episodes of the bold beginning series will come out every Friday. Thank you so much to Ian pen from Medtronic diabetes, for sponsoring this episode of The Juicebox Podcast. Please remember to head over to Ian pen today.com. If you'd like to learn more about that insulin pen that talks to that app, through Bluetooth, I also want to thank you s Med, and remind you that you can get a free benefits check right now at us med.com forward slash juice box or by dialing 888-721-1514.
It would be a great companion to these episodes to become a member of the private Facebook group. For the Juicebox Podcast. It's absolutely free. But it's a private group so that you can feel comfortable speaking openly with other people who are living in a similar situation as you it's called Juicebox Podcast type one diabetes, you'll just have to answer a couple of questions to prove to that Facebook algorithm that you're a real person, and then you'll go right in to a space with over 25,000 members. There's so much activity on that Facebook page every day, there's bound to be a conversation. That's about something you've wondered about something you're experiencing, or something that you know enough about to help someone else with Juicebox Podcast, type one diabetes on Facebook, in that same group, at the feature tab at the top, you'll see lists of other series of the Juicebox Podcast, like the diabetes pro tip episodes that have been mentioned, or the defining diabetes series, which will also be mentioned here. If we haven't already, everything you need to know is it juicebox podcast.com are right there in that private Facebook group Juicebox Podcast type on diabetes. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. Let me just remind you again, before we go that Jenny works at integrated diabetes.com If you're interested in hiring her, she's interested in helping you. Also, for US residents, T one D exchange.org Ford slash juice box, it really is a valuable thing for you to do to complete that survey. And it genuinely helps people with type one diabetes, and it supports the Juicebox Podcast. So if you can spend just 10 minutes today taking that survey, I would just greatly appreciate it t one D exchange.org. Forward slash juicebox. I've seen listeners of the podcast be involved in a number of different trials around diabetes, they got the opportunity from the T one D exchange. The one that comes to mind right now is that there was one person involved in a new adhesive study for the Dexcom G six. But there are many other opportunities. So beyond answering the questions in the survey and helping people with type one by lending your your data to the T one D exchange and I don't mean like super personal stuff. I mean simple questions about type one diabetes, which by the way, are HIPAA compliant and anonymous. Anyway, by by answering those questions in the survey, you will also give yourself the opportunity to hear about trials and studies. T one D exchange.org forward slash juicebox
Test your knowledge of episode 702
1. What is the main topic discussed in Episode 702?
2. What is the purpose of the Bold Beginnings series?
3. How many topics are covered in the Bold Beginnings series?
4. Who is Jenny Smith?
5. What is the honeymoon phase in type 1 diabetes?
6. What can influence the duration of the honeymoon phase?
7. What is a common misconception about the honeymoon phase?
8. How should you manage insulin during the honeymoon phase?
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