#733 Newly Single Mom

Lidset is a newly single diabetes mom.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon MusicGoogle Play/Android - iHeart Radio -  Radio PublicAmazon 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.

coming soon


Please support the sponsors

The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!

Donate
Read More

#732 Free Falling

David has type 1 diabetes and likes jumping out of planes.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon MusicGoogle Play/Android - iHeart Radio -  Radio PublicAmazon 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.

Dave 0:00
Hello friends, and welcome to episode 732 of the Juicebox Podcast.

Scott Benner 0:17
On today's show, we'll be speaking with David. He's had type one diabetes for quite some time, and he enjoys jumping out of airplanes. So obviously there's a lot to talk about here. While we're talking, 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. 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, I wish you would go to T one D exchange.org. Forward slash juicebox. Join the registry and take the survey, the whole thing should take fewer than 10 minutes. And once you complete the survey, you've done something kind for people with type one diabetes, you've done a favor to me, and you've done something that might help yourself. T one D exchange.org. Forward slash juicebox. Well worth your 10 minutes.

Dave 1:32
Today's episode of The Juicebox Podcast is sponsored by Omni pod makers of the Omni pod five. Learn more and get started today at Omni pod.com. Forward slash Juicebox. Podcast is also sponsored today. By Dexcom, makers of the Dexcom G six continuous glucose monitoring system. Find out if you're eligible for a free 10 day trial@dexcom.com forward slash juicebox. Hey, Scott, my name is Dave. See I'm 41 this year going to be 42 Very soon in March and I am a skydiver and a diabetic. Right now we're on to it. How do you find? How do you end up being on a podcast? One of my friends whom I skydive with, has a her wife was on your podcast, She's diabetic. And so we got talking about things. She says Oh, my friend has a podcast. You should really check it out. So I found you through her and here I am. No, that's cool. Yeah, we were looking for. I was looking for we Dave, I just said I just said we're like there's a big operation going on over here. It's just me. But um, but yeah, I was just trying to find people who do things. The other a little more exciting. outside the norm a little bit and I think flinging yourself out of an airplane qualifies compete. So well tell me first, you know, how old were you when you were diagnosed? So funny story, I was actually diagnosed at midnight on my 12th birthday. My mother was luckily a pediatrician. So she kind of caught all the signs. And the kicker the final breaking point was that I slammed three two liter bottles of water within five minutes. And she's like, You know what? I think I'm going to take you to the ER right now. So we went down and they checked me in and I got my diagnosis right at midnight on my birthday. When I was 12. Any other stuff going on? Or did the three bottles of water just like send your mom into overdrive? No. Three bottles of water and you know constant urination Of course. And I was skinny guy to begin with so I wasn't putting on weight. You know, right around adolescence. You're supposed to start packing weight on and changing. I was not doing any of that stuff. I was still a skinny, tiny little boy. I think I weighed 50 pounds. Wow. So something was kind of up. So they took me in check me out. And my blood sugar was astronomically high as high as the hospital had ever seen. I think I clocked in around 1200 That's pretty high. Maybe maybe 2200. So I'm like that was ridiculous. Wow. Did they sing happy birthday for you in the ER? Yeah, ironically, they did. See what I did there. Dave, you didn't say it. But I put myself in the minds of adults who were trying to imagine what kids want. And that's what I came up with. I would not have done that. If I worked in the ER for you. By the way I would have. I would have pulled you aside and said Hey, Dave. Well, this sucks, huh? Yeah, pretty much. I did get a lot of that. I did get a lot of oh my gosh, so unexpected meaning is it in the family? No, not at all. So my mother experiences some hypoglycemia every once in a while. But she just attributed that to diet. Nobody else in the family history had diabetes ever. And we went back generations. My my uncle Thankfully keeps all kinds of history on the family and everything. And it was pretty wild that it just popped up. Did you find any autoimmune aside from diabetes? hypothyroidism, celiac, anything like that? No, no. Wow. Dave, about rolling. I'm lucky. I'm pretty lucky. Yeah, look at you, man. Oh, wow, late winner, big winner. That sucks. How was it growing? I mean, you're, I didn't do the math, but you've had diabetes, like 29 years. Is that right? Yeah, for real. Wow. So it was very difficult. The, my life was just calm, pounded is crazy. So the year before I lost my older brother, who was he and I were very, very close to each other. And he passed away unexpectedly. So I was dealing with that. And then we got diabetes, the very next year on top of that, and that kind of sent me spiraling down a rabbit hole. And then the very next year, I lost my grandfather. So 11 through 13 was not my jam. I turned quickly to drugs and alcohol to relieve the stress of things. And, again, abandoned my diabetes for the most part, you know, I took insulin because I had to, but I wasn't keeping track. I was running three, four hundreds all the time. I once he was around 11. Okay, for most of my teenage years.

And I finally got serious with it and buckled down. Like to put things in perspective. Technology had come so far, but I was still using the old one touch meters with the very large test strips, and you had to put like, a gallon of blood on them, even up to 2004

or five. No, really? Yeah. Wow. It was a just, I was in a very bad

place. Yeah, it sounds. So I don't want to do I'm not gonna ask you to dig deep, but your brother, medical or something else. Now something else? Okay. It was just unexpected. It was like, Wow, that's crazy. And you're human. So it took a lot to unpack that all. And then I didn't really have time on packet or the proper guidance or net support network to do that. And then, on top of that I have diabetes to deal with too. So I can only deal with one thing at a time, you know, in diabetes was not it? Yeah, I hear you. Did you have other brothers and sisters? I did. I had an older brother. But He's much older. He was 10 years older than me. So we didn't really share any commonalities. Gotcha. So that, you know, made it even more difficult. David, your parents together? Yeah. All right, mom, dad, we're together. Not the best relationship and not the worst, for sure. But then, in my when I was, I wasn't even out of high school yet. And my father took a massive hit aneurysm sort of massive stroke. And so he was basically a vegetable for a very long time for at least 10 years after that. So I had the old dat and life. Just pass it on. You know, when it rains it pours. Dave, I like how you think you were coming on here to talk about skydiving? I mean, we'll get we'll get to it, Dave but you know, well listen to this all leads to it for sure. Oh, I'm already seeing the path in my head. But yeah, assuming you were trying to kill yourself at some point. But But okay, so when did the drug use start? How old? I think I was 16 or so. And a lot of it was just, it's really funny. Because high school started, I started smoking, trying to mess around cigarettes when I was like 1314. But it really wasn't my thing. And then high school started and I was in a car with a friend and riding home from school. I was going over his house to hang out and his brother in law's sparked up a joint in the front seat. I was like, Oh my gosh, the drivers on drugs. He's smoking drugs. And I'm like, waiting for it to get to me. I'm like, it's gonna happen. It's gonna happen. And they pass me a joint. They're like, Dave, you know, thank you. It's cool as I could possibly sound and like, Okay, thanks. Yeah, whatever. It was, obviously, not a big deal. But I built it up in my head so much. I was like, Oh my gosh. So then being exposed to it and realizing, hey, this isn't the big deal. My elementary school teachers made it out to be you know, maybe I'll check it out. And so I had no idea what to do. So I found my nearest neighborhood drug dealer and said, Hey, can I get some weed? And the guy was like, Sure. How much do you want? And like, I don't know, I've never bought and he's like, this is your first time and he was so thrilled about it. He's like, Oh my gosh, it's great here. Don't worry about you have to pay for it here just any gave me I think an eighth of weed and no idea what to do. So I just smoked it all one day after work. And man, it was a lot for a 16 year old. They handle an entire eighth by himself the first time and I was just out of my mind, which was such welcomed relief. Like I couldn't tell you between work and then since my father was took a stroke. My mother couldn't handle it. Also, she He retired from being a doctor early, she quit, like just up and quit one day. So we had no money I was working two or three jobs, trying to, you know, help give my money to my family so we can live our lives and supporting my mother and my father and doing adult care for him. It was a it was a lot it was just a door to step out on the side one day and take a breath just nice fresh air, nothing three lakhs and it was very, very medicating my your mom worked, walked away from like a up and quit. Yeah, I got diabetes. Then my brother passed away. I got diabetes. And then my father took us right before my father took a stroke, maybe like a month. Before he did. She was like, I can't do this anymore. She was she was just getting slammed and taken advantage of by her hospital. Just very outright. And she's just like, I'm not there anymore. And she had enough to deal with everything else. So that was her breaking point. Wow, that's insane. Yeah, it's just it's hitting me kind of hard. How quickly it turned on you because I it escalates quickly. Yeah. I imagine that five minutes before your brother, you lose your brother, your your give three people. I was the happiest kid ever. Yeah, right. Your mom's a doctor and everything's good. And here we go. And just like that, and wow. Just like that. No kidding. All right. Well, so I imagine when you were diagnosed, they gave you I mean, 29 years ago is regular an MPH or lentil or something like that? Where were you? Yeah, they give me regular an MPH

at the huge needles. And I took the shots very well. Like, the nurse was like, here, you know, Practice Center origin, you can practice on me. And so I did that. She was like, I think you're ready. And I just, I was so excited. Thankfully, about taking a shot. I was like, This is so cool. So I just jammed it in my leg like, like stabbing a knife, you know, and just did it and I was fine with it didn't matter. And in plus, you know, being around my mother, she's around the hospital the whole time environment, I was very used to the medical environment. So it wasn't a huge step for me. But what about? So management back then just was sort of? I mean, would you shoot in the morning? And in the end before dinner? No. I just shot before every every meal you were giving yourself in some before every meal? Yeah, with the I wouldn't take corrective doses. Like if I had an apple or something between breakfast and lunch, I wouldn't cover for it. Okay. How did I mean? I realized it's a completely different time in management. But how did you see your care back then, like, I imagined was your mom involved? Or did she tried to be but she was a pediatrician on an endocrinologist. So she started attending conferences for diabetes and try to learn more about it, because she didn't really know much about herself. I mean, right? Because it wasn't her field. So she did the best she could dealing with everything and trying to learn a whole new field of medicine. But it was not sufficient at all. I mean, then she tried sending me to, I lived in a very rural part of Pennsylvania, northeastern Pennsylvania, and that we didn't have the best doctors there. So everything was kind of guessing and shooting, I mean, it goes down, shoot around, now you don't shoot from the hip, but it's come so much farther. Now it's more accurate. But back then it was like, Well, you got to take your shot, they've you know, like, well, let's try this amount, see how it works, you know, and, and I wasn't really interested in anything they data testing was the key back then they said, you know, touch yourselves as much as you possibly can. So you can know your sugars and correct and everything I just wasn't having that. I'd actually backlog my meter from so when my mom came home from work, she would check it. And, you know, and see the date and time that I checked myself all these times. And I was playing hooky a lot with that kind of stuff. Right? It's interesting, isn't it that while the management diabetes has changed so drastically over you know, 30 years that the doctors understanding of current management, the percentage of doctors is probably going up a little bit, but it's not overwhelming. Like there really isn't now. Yeah, there's still a I've had to I'm sorry, I've had to fire many endocrinologist. Yeah, well, I'd say it's a weird road we did the drug use escalate, or was it just weed? Not really. I mean, I kept myself in check because I it was one of those things where I'm like, I'm very aware I'm using this medicinally I'm not going to I mean, yeah, I get wrecked at like every morning before high school. So I could deal with the day but I mean, it was never anything more than you know, minor drugs and alcohol use where you manage it wasn't out there doing crack or anything. No crack, David night. No. Okay. Good for you. Like it's you. Everybody has to have their limit. Yeah. By the way, I just like to say here if you use cracking you have type one diabetes, please email me, I would love to have you on. So I'm not kidding. But um, okay, so the we are managing the are you managing stress with weed? Or Are you overwhelmed? Yeah. How does it How did it feel to not be high? I guess is the question. Oh, it was just awful, you know, because I didn't have it was like a nice constant massage. Every time I was high. I kind of felt, you know, relaxed, okay to deal with this and handling stuff. But other than that, it was up tense. You know, worrying about so much stuff. My mind was scattered when I wasn't medicating myself. And it was a tough time. Like, you had to face reality. My brother's not here. I have a incurable disease that's going to eventually potentially kill me. And my life was pretty much filled up bottom of the barrel right now. Yeah. And your blood sugars must have been high too. So Oh, for sure. Yeah, yeah. I mean, I, I think I was tested 150 once and I felt super low. Right? I was like, my blood sugar is low. I need something and I tested this. I was 150. And I was like, oh, boy, this is not gonna

forget. Yeah, just, well, it happens to like, you know, happens to people now. It's gonna happen to you. If you if you've had significantly high blood sugars for a while your body gets accustomed to it. And then even a normal blood sugar could feel like you're 30. And right, yeah. And that's a real feeling. It's like, just because your blood sugar's 150. And you're not in mortal danger. Doesn't mean you're not dizzy or disoriented, or whatever comes with it. Right, you know, that varies from person to person, of course. But that's, that's really crazy. Wow, you just sound like you were all on. I really was. Yeah, you get out of high school. Okay, did you graduate? I did. Yeah, I went to a prep school, I graduated with a C, I think, and I ended up going to college out of state in New Jersey. And I kind of rethought things and stepped back a little bit and said, You know, I really need to get my stuff straight. So I did really good. My freshman year, I got a 3.98 and then GPA and then I found my social circle, and let it go. And my diabetes got the better of me and I started felt falling and old ways. And my next semester was a little bit less than than semester after that was point, nine, eight GPA 0.98. It was just a awful time. Yeah, it's struggling a lot with financial situations and diabetes, I remember I ran out of my regular insulin. And just not not for any other reason that I think I was just getting lazy and not caring about it giving the right attention. And I didn't realize I was running out. So my mother would ship it from the house to the pharmacy there. And, you know, we we didn't even think that, hey, why don't I get a doctor in our school? You know, like, my mind wasn't on that level, where I was able to focus on things like that to make those judgment calls. And so she would ship my insulin from Pennsylvania to New Jersey. And there was about a week I was living on just mph timing it right and overlapping my doses just so I be able to eat lunch and until dinner and stuff like that with no regular of what age should you start using faster acting insulin 2000. Was it around the time about when you upgrade your meter? Or was it prior to that? Not now? I think 2007 Okay, let's start using fast acting. Yeah. So I moved down to Philadelphia, and 2005 and for work, and I got tired of running home again, like my mind just wasn't right. So I was running back home to see my endocrinologist in northeastern Pennsylvania, two hours away, instead of just going to Philadelphia Doctor getting a Philadelphia doctor who was world ahead of any of these people that I was seeing and getting everything straightened. But one day I just had enough and I was like it clicked. I was like, why don't I just do this. So I pulled the trigger. I went down and I saw an endocrinologist and he wouldn't see me it was a top rated doctor of Philadelphia endocrinologist he made number one list on some magazine, whatever. He wouldn't see me because I was not on a pump. He only saw pump patients which kind of grinded my gears a little bit. But I'm sure my agency didn't have anything to do with it either. But um, so he pulled me off to his nurse, head nurse or whatever to see me and she was really she was sharp man. She was so sharp. She was much better than any of the doctors in back home that I had seen. Okay. And she she walked in she was like they this is trash Antonios and you got to get rid of it. Use this stuff. She gave me a bunch of free samples. She ordered me tons and tons of insulin saying I was taking like seven The unit today like prescription wise so I double up on my insulin and have backups and stuff and she got me all straightened out with everything and that's where I turn the page a little bit. She's been in Philly Yeah 2007 Right. Okay, so then I saw her and things started getting infinitely better but then she noticed, you know, a all my wicked ways are catching up to me. So I was spilling a lot of urine protein out of my urine. She was like, you gotta go see a kidney doctor. Go check get checked out. So I found out I had only one kidney working roughly because of my terrible diabetes treatments. And so I got straightened out with kidney doctor a little bit. I got screened out my eye doctor, I had to get my I started going so I got the the laser treatments I had to get injections of both eyes. And that was in like 2008 and because my I was getting severe retinopathy, but everything cleared up. They took care of it. I got my blood sugar's straight. And I have 2020 vision now except after hitting 40 something i

i It seemed like happen over the course of three days. I'm now farsighted. I don't know we're just old age stuff. You know, nothing crazy, but it's still messing with me. Yeah, I can't believe I'm getting so old did my so quickly. My sight was so perfect my entire life. I mean, like, hues and contrast and depth and sharpness at any distance. I just I saw like a razor. And then one day I saw these like, floating things. I looked up in the sky, my sunlight were having a catch. And I looked up into the sky, and I could see it looked like things were floating across the sky. And I of course, I immediately panicked. I went to my doctor, and I was like, I have eye cancer. I don't know if that's a real thing or not. You gotta get in there and find out. And he's like, Oh, Scott, you have floaters. He goes, it's pretty normal for your age. And I was like, fix it. And he's like, Oh, we don't fix this. I was like, Oh, yeah. So you just kind of learned to look through it and don't see it anymore. You know, and it's died down over the years. But then suddenly, the next thing that happened was like, I just couldn't see my phone in front of my face anymore. And I was just like, I can't, I can't focus on the on the phone. And I had to get glasses for reading. And just it was it's, I mean, it's a bummer how quick it happens. And you're but you're dealing with all this other stuff. So tell me first, how did they treat your kidneys. So they, they wanted to do a they wanted to see us going to Jefferson University Hospital is very respected in the community. And they're like, well, we need to try out all these. So it's very convoluted that the doctor they sent me to was just about to retire and move to Florida, like within like a couple of months. So he's like, I'm not gonna start you on treatments. If you're not gonna be my patient, he goes, here take this, like, it was basically a diuretic that flushed out all the potassium out of my system, because my potassium is very, very high. He goes, I'll put you on some pills and just slam this potassium three times a week, and you're gonna poop your brains out, essentially. And that's what how I managed it for three months until the new doctor came in and said, you know, we need to get you on a statin, we need to put a water pill on you, we need to mess around your dosing. And that was I think about a year long guessing game with treatment and dosage and pills and everything and my ankles, swelling up the size of softballs and figuring everything out. Mess around by diet, low sodium diet, no potassium, no bananas, potatoes, tomatoes. I'm Italian, you take that away from me, like I cry, cry about it daily. But we got it all figured out. And everything's been holding good. My kidney functions have actually increased from when I was checked in with it and diagnosed. So I have a little bit more than one kidney, but still pain in the ass. Okay, do you think you'll ever have to do dialysis? Yeah, I well. So as long as my, I asked my doctor, the same thing is, it's gonna happen because you're gonna get old. And that's a road that you can't avoid. Because people when they're 7080 started having showing the effects that you're showing right now. And they're, they're perfectly healthy and they're eating right and everything. It just happens because you're old. So the best thing you can do is just keep your diabetes maintained and put that off as long as you can leave it to your body to deteriorate it on its own instead of helping it. I see and that's what I've been doing. But I was I pay attention to a lot of that research stuff coming out and they're doing a lot the past presidential administration, President Trump had his wife working on kidneys disease was very near and dear to her heart. So she she was putting a lot of efforts and resources into developing research for that and The they made a lot of progress. And my doctor at the time said, you know, I'll be very frankly, David. The bright side of this is there's usually big developments in medicine every 10 years. They can bookmark it. So hang in there for another 10 years and we'll see what turns the page. So that's kind of what I've been doing. At what point did you or have you, I guess? I mean, you said you met the nurse and she she moved up to more modern insulin. Were you able to bring your agency down and get your blood sugar's more

Scott Benner 25:34
Oh, for sure. Yeah. So I got I got my agency down from guess what friends the Omni pod five automated delivery system is here. It's available. The Omni pod five is the only tubeless automated insulin delivery system that integrates with the Dexcom G six CGM, and it uses smart adjust technology to automatically adjust your insulin delivery every five minutes, helping to protect against highs and lows without multiple daily injections. On the pod five is currently cleared for people with type one diabetes ages six and older Omnipod five has the option to control it from a compatible smartphone. And it's also available through your pharmacy, which means you can get started without the four year Durable Medical Equipment contract that comes with most insulin pumps, even if you're currently in warranty with another system. Well, that's awfully interesting, isn't it? To get started today with Omni pod five go to Omni pod.com forward slash juice box. For full safety and risk information a list of compatible phones as well as clinical trial claims data, go to omnipod.com forward slash juicebox. And if you're not quite ready for automated insulin delivery, go check out the Omni pod dash at the same link because you may be eligible for a free 30 day trial of the Omni pod dash full safety risk information free trial terms and conditions are also available at my link Omni pod.com forward slash juice box. My daughter Arden is out today. She hasn't been home for a number of hours. And I can see her blood sugar's while she's not here. I'm able to do that because Arden is wearing the Dexcom G six continuous glucose monitoring system. So right now Arden has little device on her. It's talking to her phone, her phone is sharing her information and my phone is receiving it actually up to 10 people can share Arden's data, if she wants. At the moment, I'm watching a small Miss looks like she didn't Pre-Bolus quite enough for a meal, her blood sugar went up. I'm seeing it being taken care of. And I'm watching it come back down. None of this is stressful because not only does the Dexcom G six show me the number her blood sugar is, but it shows me the speed and direction that it's moving in with directional arrows between the arrows and the numbers and the graph, I feel very comfortable at the rate that Arden's blood sugar is coming back into range. Not only is this great for safety, but it's great for learning. We'll use this information to go back next time and make a better decision with insulin. You can get started today@dexcom.com forward slash juicebox. And you may be eligible for a free 10 day trial, the G six you can also find that out at my link. These are our results and yours may vary. But looking into Dexcom is a no brainer in my opinion. Let me just tell you the rest and then we'll get right back to David. Here it is. It's super simple. Supporting the podcast can be done in a number of ways you can share the show with someone else, leave a great review where you listen, subscribe or follow in a podcast app or other audio player. Or you can click on the links for the advertisers. There are links in the show notes of the podcast player you're listening in now. And if there's not, if your podcast player is like a reared woman, it's not there. You can also go to juicebox podcast.com and click on my links when you do that. You are supporting future production of the Juicebox Podcast omnipod.com forward slash juice box Dex comm.com forward slash juice box juicebox podcast.com. And don't forget to take that survey AT T one D exchange.org. Forward slash juice box. I appreciate you checking out the ads. Now let me get you back to David

Dave 29:42
I got my agency down from nine at the time in 2007 to I think I was like 7.5 Right? That's a big big decrease. Yeah, she gave me a new meter test you know all that stuff. The good pep talk that went a long way to what tech I want you to have right now. So I am up to date on pretty much everything. I don't have a pumped I'm still MDI multiple daily injections. Just, I just pumped up my thing. I've looked it over and done my due diligence and it's just not for me. But I have a Dexcom CGM.

And I have a, I forget what my meter is actually, I use it so infrequently.

Well, but I calibrate my Dexcom with it. And that's about it. Right? Is it a good is listen, as long as it's an accurate meter and you're calibrated? It is? Yeah, for sure. We get the G five or G six g six g six. Okay. All right. So you have a CGM, your MDI, your agency's in the sevens? No, no, it's in the sixes. 6.3. That's wonderful. Congratulations. I choose that a lot to my wife. I got married in 2013. She she's like, Listen, you stick around for a while. We're gonna be build a family. You gotta get your stuff together. Like all right. Deal. So she, I mean, so ironically, in 2010, I met my wife and on a date, and I was like, oh, sorry. I'm not doing drugs here. I'm a diabetic. Shoot my shot before dinner. And she's like, Oh, that's fine. My father's a diabetic. I'm like, really? So she she was a grandfathered in and the whole situation already, which was made it super duper easy. And she's like, Hey, take your shot. Did you take your long acting you take your time goes, Do you need tablets, like stuff like that? She had tablets in her purse already, like for her dad like? So it was like it was a nice transition. David, you're making me a little sad. I don't think you realize it. I'm, I'm seeing your I'm seeing your life like this. I'm seeing tragedy in your family. I'm assuming rock you and your mother. Then another tragedy comes along, hits you guys again, put your mom in more stress, she's probably got to make a decision for her own sanity and for what's most emergent, which I assume is your dad's care. And then she quits her job. And then your life gets I mean, you talked about interesting. You talked about prep school in high school, but money problems in college. So now I'm feeling I had money problems all my life. How did you? How did you get the money problems? So my mother was a doctor, the first year of prep, and then then I worked three jobs through high school to maintain the status of the school. Oh, geez, you should have dropped out. Yeah. But then you meet this woman in 2010. And she's kind of all the things that I imagined that young David needed. Yeah. 100% Yeah. Yeah, he bummed me out, man. We don't. Yeah, the whole thing was like a Hallmark movie to me for a half a second. I was like, Oh, I'm gonna cry. I don't want to I don't even know you. You don't even listen to the dude, you don't even listen to even know me, like, what am I into here? But that's, uh, I appreciate you sharing this. I mean, it's really. I mean, it can't be it just can't be said enough that your situation is more common than not. And I think that sometimes the people who are have been listening to podcasts for a long time her doing great. Probably think like, oh, this is what everyone does. But listen, I'll tell you if I could. If I got diagnosed today, my life would be easy street. I'd be like, Oh, okay, I have diabetes, no problem. My wife's there to support me. I have a support staff. I have the online community. Listen, back in 1998. Online didn't really exist, especially for impoverished David, not at all, who could barely afford lunch like, so we have all these good Facebook communities, you're very strong and very knowledgeable. If I want to find a diabetic, I had to go to diabetes camp. And that was just awkward at that age, you know, so like, it was more of a babysitting club than anything, right. Yeah. So now we have all this support. And yeah, if I would be in 100% perfect health. If I got diabetes today with CGM, fast acting insulin support, and the doctors knowledge now. Yeah, it's a different world. Everything that you need exists now. right not to say that it's not a battle. It's still a tremendous battle for anyone. Oh, yeah. And everything that exists now can get better and should. But I mean, compared. I'm saying specifically compared to 30 years ago. Oh, my gosh, yeah, lightyears ahead. Yeah. It's just it's a different world, really. And it's not something that got gradually better like bicycles, you know, they Okay, so they added a spring here, they added a software seat now, diabetes jumps like magnificent advances, you know, not not by kind of getting a little bit better here and there. So I mean, every five years, 10 years, you know, it's significant.

I like hearing somebody who's been around it for a long time having that perspective, because I think if you're more newly diagnosed or newer to it or not paying attention, you know, the advancements feel slower in the moment. But when you have the perspective of real time, like you do, you know, like, you know that one day it was insulin that was, and then it went to meters that were and then you know, suddenly the insulin got faster and the meters got better. And then CGM comes and I mean, the insulin genre again, you know, it's come a long way, in 30 years is a short amount of time. Unless you're living through it. And then it's your life, right? Yeah. Yeah. Yeah. Well, it's funny. Just on an aside, I saw I found this article from the Pew Research Center all the way back in 2007. When it said in 1998 41% of adults were online 57% of non internet users said that they worry not at all about missing out on something. It's by not going online like this 57 of the population was like, I don't need that internet. You know. And now, my family has definitely an on that fence. Yeah, yeah. It's crazy. So when did you I mean, what led you to skydiving? So funny. It's very bizarre. I was. So I had just moved to Philly in 2005. And I, I just didn't know anyone. It was a, I had a very, very, very difficult breakup. Prior to that, and I was working at McDonald's as a manager with my bachelor's degree, and I'm like, I really need something. But there was just nothing out there for me at the time. So I was trying my hardest to find a job. And I finally found one in Philadelphia. So I just picked up and left. I'm like, you know, screw this. I'm out of here. This area sucks. I just need to change in my life. I need to distance my problems from my environment. So I moved down to Philadelphia, I didn't know a soul. And I started. I finally got myself a computer. I hadn't had my own computer. This is 2005 finally bought a computer. And I was like, I think I'm going to try this online dating thing ever. He's talking about. So I was on this date with this girl. If I met online, and we're talking at the bar, and they was going okay, it's nothing spectacular. And she's like, we started talking about bucket list items. And she brought up Skynet, skydiving and I was like, Oh, I always wanted to Sky she was really I never meet anybody that ever wants to do it with me. I'm so excited. I'm like, yeah, she's like, Okay, well, listen, it's getting late. So I'm gonna go home, and you and I are gonna go jump tomorrow. I'm like, okay, you know, I'm at this point. I'm like, six, eight beers deep at the bar already. And it's like midnight. And I'm like, Sure, you could have told me I'd write it off. And I would have said yes and agreed to it. Dave, did you agree to skydive to get laid? Is that what I'm hearing here? No, no, it was a genuine. I absolutely wanted to do it in the social lubricant, made it easier for me to agree to it. So I was like, Yeah, sure when I should. Okay, well, I'm gonna go home now. I'm gonna go buy my tickets online. And then I'm gonna text you and you're gonna buy yours. It will go in the morning. I was like, Okay, fine. She laughed. I was like, Well, I guess that that was a flop date. I'm like, whatever. So I haven't gone home. Literally, like 20 minutes later, I get a text on my phone from this chick. And she's like, I'm like, she bought her tickets. I'm like, I guess I have to now too. So it's one of those things I was like, alright, so I bought them and shut up next morning. It was about a half hour from Philadelphia. Big Big shout out to my home drops on skydive crosskeys in Williamstown, New Jersey. Amazing, amazing facility and company just run by the best people for all the right reasons, wonderful environment, safety first there, and just a really great experience overall, for anybody who's thinking about it. So I show up, and she brought a couple of her friends and we're all talking about it. And they're like, Oh, I think I'm gonna get a videographer and have a video of my skydive. And I was like, watching these people jump and I'm like, that looks really, really fun. And I am a dread adrenaline junkie, all the way I did motocross through high school and things like that, and rock climbing. I don't shy away from that stuff. And I was like, I don't think I'm gonna get one. Because I know as soon as I'm done jumping, I'm going to have to go again. So it won't be one of those things. It's one and done for me, right. So we got geared up and read the spiel. Got our safety checks, gotten the airplane. And if you haven't been skydiving ever have you gotten Scott?

No, I? I have not. Okay, well, yeah. I'll talk you through it a little bit. So you can come on my journey. Picture the very smallest airplane you can ever get into. It's half falling apart. Then you shove 20 people inside and everybody's sitting on your lap. And everybody is very hungover from the night before and very loud. And the plane shaking takes If you start going up to altitude and everybody's horsing around on the plane, then the pilot finally says, Okay, we're good, the door opens up, and you're about 14,000 feet up in the air. And it's a very large door, and nobody's seat belted in. It's really crazy. And you look at it like, wow, and then somebody climbs out of the airplane, jumps onto the wing and then skydives off from the wing, the whole plane shakes rocks back and forth from the weight distribution loss. And the guy looks at me, he goes, Alright, you ready? He clicks me in, and I'm like, Alright, and then we go out of the airplane, and it, it was just the rest is history. For me. It was absolutely the most your fork thing ever in the history of the world. There's a line in the movie Point Break that they talk about, you know, some people have to shoot drugs for sniffing coke, for this kind of feeling, we get it every time we jump out of the plane. And man, it's true. It's, it's so euphoric, and perfect. A lot of the skydiving, drive is for the views. Wonderful. You're above the clouds, man, you're flying, you're literally flying through the clouds. And it's absolutely wonderful to be by yourself and not trapped in an airplane or you have a device hooked to you, you know. And it, it's, I liken it to, you know, a lot of these monks, Tibetan monks, they do meditation for many, many years, decades sometimes to achieve that inner peace for just a moment. And where they don't think about anything, except their mind is just blank. And that is exactly what happens when you step out the door of skydiving, you. You can't think about the bills you have to pay. You're not thinking about what you're gonna do later tonight, your mind is strictly focused with laser sharp accuracy, in every moment passing before your eyes. It is the best feeling in the world not to worry about anything else and keep your mind focused. Because nowadays, you know, we're sort of torn between work or phones or kids or you know, jobs, stuff like that. Your mind is all over the place. When's the last time you were able to focus on one thing without getting distracted about literally anything else in the world for one minute? Let's admit it's very calming and peaceful. Yeah, how long does it last? So the sky is a freefall is about a minute. And then you open your parachute you have maybe depending on how big your parachute is, how small it is, your descent rate changes. So you could it could be anywhere from a five minute dive on your parachute to, you know, 1015 minute parachute ride. Wow, no kidding. How that's insane. It really is that you could be up there that long. It's great man. Some people do. As soon as they get out of the plane, they don't do freefall, they just open their parachute. And they do what they call a cross country jump, which is just the opening parachute immediately. And then you man, you have 20 minutes half hour up there if you want. Wow, really nice. Have you ever ended up in a tree? Yes, I have. So I was going through progressing through skydiving school. Because as soon as I landed that day, I'm like, Yep, I'm doing it like this is I'm coming back as soon as I can. So I signed up for the ground school and they teach all you know the science part about it and everything. ground speed wins, you know, stuff like that. And then the actual skydiving part comes a little bit later. And you have to focus on landing patterns and things like that. And they had clipped a, a, a walkie talkie on me and another student and they're like, they're like, Okay, when you open your parachute, we're gonna have eyes on you. And you'll hear from us checks like, I can't talk to them, but they can talk to me kind of thing. And we'll walk you through landing pattern. I'm like, Okay, fine. So I did that everything was great. And I I was just, again, having way too much fun up there. Like, David you're too low for landing pattern. We're just start doing S turns and eat up altitude and land right where you are. I'm like, I had no idea what they meant by S turns I was not briefed on that at all. So the men you know, make a left turn and make a right turn make a left turn right turn.

So so you don't travel too far forward, right? Because I was running out of landing area. So I was making very very large calligraphy S turns nice and short, a tiny ones. And I like I was coming right for a patch of pine trees. It was pretty thick. So I immediately fell back on my training and you got to protect your vital organs. So I put my arms in front of me and made fists in front of my hands and crashed right through the trees. I was fine. The branches slowed me down, no injury, except my pride. They had to come and fish me out of a tree and everybody took pictures and laughed at me and then I had to buy beer for everybody at the drop zone because it's my first time doing anything So anything in this skydiving sport is a first. It's a beer penalty. Gotcha. And the thinking behind that is you have to buy beer for the after party so that you debrief. Everybody talks about what you did. And they share their stories with it, right. And everybody learns that way from it, you know, and it's a nice, relaxed atmosphere. And it was it was productive. And I learned a lot about it. And so the next time I went up, I knew not to mess around. So I jumped out of the plane, and I helped my parachute. And I got my confirmation check. And I didn't eat up my altitude and get close to the ground before my landing counter started. So I started following the procedures on the walkie talkie. And the like, No, David, you're doing the wrong one. We're talking to this student. And I didn't know they had two students on the same line frequency. So I was following all the directions for another student. And I ended up landing off of the drop zone. In the last words they said to me were, well, we can't see any more so good luck. You're on your own. Like, oh, man, so I ended up landing in this development on this guy's front yard. And it was like right around when school that out. So all the kids came like pouring out of the house, cheering for me and clapping everything. I gave him big thumbs up. I was like, meanwhile, I was sweating. My you know what's off, and they thought it was all planned and everything worked out. And I got back to the drop zone. And I was like, oh, we'll do that again. How many times? Those are my only two real close calls. Yeah.

How many times have you jumped in? Do you know? Yeah, I have about three or four hours of freefall time. It.

So adding up every one minute jump? adds up to three or four hours. So I think I have close to 300 jumps. Wow. Does your wife do it with you? She did it once just to try it out. But her excuse was a she did it for the scenery. So if we go somewhere else, she might jump again to see the different scenery but we were in Hawaii for our honeymoon. She didn't want to jump. So I think she's kind of done with it. Yeah, no kidding. And do you have kids? I do I have a 18 month year old boy now and a four year old girl. Okay. gratulations. That's really cool. Thank you. Hey, did you say that? You did say that her father has diabetes. But was it type one or type two? Is type one. No kidding. Will you write madam? Will you do? Well listen, before I asked my question, I interviewed somebody yesterday, who met a kid in school, they were childhood sweethearts. She had diabetes growing up, they got married. And for years, then the guy gets diabetes too. And then they one of their kids does. So now I'm just like, I believe anything at this point. But do you consider or have you done trial net for your kids? Are you interested to know if they have the antibodies? I have not. It'll I don't want to focus on that. If it happens, it happens. I'm fairly religious guy. So whatever happens happens, we'll take it. Okay. All right. Yeah. I mean, I don't think there's a right or wrong answer. I'm just interested. Yeah. So I wouldn't want to know when I'm gonna die. Yeah. It's kind of saying thank you. Yeah. Well, it's it's Yeah, right. Church. Wrong pew, though. I mean, like, you're not getting kids aren't good. Yeah. But although you have a it's interesting. You've lived more years struggling with diabetes than you've lived with it kind of the way you are now. So when you think of diabetes, it feels like a struggle to you. Yeah, for sure. Yeah. Okay. Do you think it ever won't feel like that? No, no, I mean, maybe if I was 100%. But with these kidney disease issues? Yeah, it's, it's always gonna be struggle, right? What if I told you and this is not me selling to you. But what if I told you that there are algorithms now that if you were a pump, your agency could easily stay in the fives or low sixes with much less effort? Right? Yeah. Is it not not attractive? Now, okay. For the device, just just the idea of wearing the device or what else do you think you wouldn't like about pumping? No, I think it's the idea that device I mean, there's a lot of you know, I follow a lot of pump people pretty closely. I skydive with some people that were pumps and they're always talking about the line tangles, the bubbles in the lines, the the site, pulls out, yanks out of the sleeping or catches on a doorknob, stuff like that. It's just, it's not my lifestyle. Yeah, no, listen, I my daughter wears a tubeless pump. So I don't think we'd be up for tubing either. Right? Yeah, no, I listened again, I don't have any opinion about what you do. I'm just interested in your thoughts around it. Right. So I think I when the technology gets better, I might be up for it. But as of now, I'm gonna still watch on the sidelines. That's excellent. What was I gonna just ask you, oh, what are your you know, everyone listening is like, well, you should probably ask him Scott how he jumps with diabetes. That seems like an obvious question of what we're talking about. and it is what I was thinking first over everyone who thought how does he not know what the next question is? That is my next question. How do you like to have your blood sugar before a jump? And how do you manage the whole thing. So managing diabetes while Skydiving is interesting, because everything is affecting it. The adrenaline makes my insulin more effective. So I easily if I take four units of fast acting for a soda, I easily only need to when I'm skydiving, I have to be aware of also potential lows, on jumps, because last thing I want to do is be in the air with the parachute pack while going through a low blood sugar. I could barely do it on the ground, you know. So for that reason, like I keep tablets in my locker at this, my skydiving drop zone, and in the hangar and also in my pockets. Anytime I jump in case I again land off and have to walk back to the drop zone. Do you have? Do you have a blood sugar you'd like to be at before you go? Because it's interesting. I do. Yeah, I like to fly a little sweet around 160. Okay, yeah, I was gonna say it's interesting. Adrenaline spikes, some people, and it makes some people go lower. I've heard I've heard people talk about it both ways. Bizarre. So if you if you jumped at 160 By the time you get to the ground, you're much lower you think?

Not much lower, usually 10 points lower here and I usually have to sometimes, I mean, it all again depends on that day and my breakfast habits and stuff like that, which I normally skip. I usually skip breakfast if I'm skydiving so I don't have to worry about carbs counting and everything and getting messed up. So I go on fasting sugars, but because I feel it's easier to manage that way. But I blood test before and after every jump. And sometimes it varies. I'll go up 160 I'll land it'll be like 89. Wow, that's some and sometimes I'll have to take a couple tablets before I go up. Hey, is it expensive to skydive super expensive kind of. So at first, it's super expensive. And then as you progress through the sport, it actually gets a lot cheaper I feel. But I mean, a tandem skydive is roughly $200 Wow, I think that might include a video. Okay. And then. So you do three tandem skydive, and then you start skydiving on your own. But you have to rent gear it so it's like skiing, you have to rent the gear and pay for the lift pick it up, right. So the gears, parachutes, brand new can cost like 10 grand, but I got my first parachute for I think $1,200. And that was the full deal. parachutes are tons of little pieces and the nickel and diming for everything, your canopy that you fly above You is costs a separate price than the strings it's attached to. And then you got to buy the book bag to store everything in. And then you have to buy your backup parachute. And then you have to buy an automatic activation device, which is a safety device that deploys your parachute in case you're you can't do it yourself. And you have to have everything checked every six months, which is another fee. But all after you get all that squared away. It's the lift ticket is $26. So Scott, it was roughly 26 bucks for me every time. Gotcha because you have everything else at this point. Right? Yeah. You know, you said something earlier, I skipped by it. But I want to come back to it. You said you jump, you'd like to jump a little sweeter at first. I've interviewed like 700 people. No one said that before. Yeah. And it seems so obvious when you said it is like a euphemism for having your blood sugar higher for something. And I was like, I think it was like How has no one ever said that before? So that's funny, fun terminology. So you jump with other people who have type one. I do. Yeah. rant. I was I was at my locker and this other guy. So my skydiving drop zone is a very large age. Let me refer to in the industry as a tandem factor. Dave, let me stop you skydiving school. Headphones set up. So very tandem friendly son, Scott, I've dropped zones are literally an airplane hangar in a field. That's it. And it's just for what they call fun jumpers, people who already have their license, go out on the weekends and bang out a couple of jumps. But this one is set up for students and 10 people who just want to try it once. So it's very large and people come from all over the country to it. So I was at my locker one day and I noticed the guy next to me fumbling with his insulin pump. I go is that an insulin pump? Yeah, I'm diabetic by walking. Yeah, I mean, so he's like, No way. So it was really funny. That entire world we have two diabetic skydivers lined up next to each other. Did your headphones come? Disconnected? Can you hear me? Scott you there buddy? Yeah, your headphones do they come? unpaired Oh, Scott, you there He's got Hey, how are you? Hey, there we go. Good. Good. Sorry. No, you started talking about I asked if he jumped with other type ones. And your voice changed. And I thought, Oh, his headphones disconnected because you were suddenly coming through a different microphone. I didn't know from where? Then I started realizing you were in your car didn't know if it connected to your car or what happened. But yeah, I think it went on safe driving mode. I think it just technology got the better of us. It was just, and then I'm like, he can't hear me. So I started texting through the app. And I was like, I don't even know if he's seen these or not. So, no. Anyway, we worked that out very nicely. So okay, great. Actually, you're so yeah, your story came right through, but go over it again, just for me. So, yeah, I saw a guy messing with his pumping. I was like, is that an insulin pump? He goes, Yeah, I'm diabetic. And he gave me the whole spiel. And was like me, too. It was very funny in the entire world. You know, the two diabetic skydivers have a locker next to each other?

Yeah, no kidding. You know, I have a similar feeling at the grocery store. I don't know if anyone's ever noticed this or not, but you park at the grocery store. And then you go into your thing, when you come back out. The person who's also coming back out is always parked next year. I guess it's just like an average time. And the funny thing. Do you ever notice that or No, I don't have to pay attention, though. I feel like there's like some synchronicity going on that we're generally unaware of. I don't know. I'm just telling you watch out for it. You pull in somewhere, somebody else pulls in, you know, there's no one else there. You get out. And the next thing you know, you come back out and that person's there. I'm just saying either I'm in the matrix, and there's a glitch or I noticed this a lot. One of the other that's funny. Yeah. But yeah, that is crazy. That that's that you just be I mean, there's not like there's that many people there, right? No, no, for sure. Yeah. It's really wow, you guys are you do know each other. So? Oh, yeah, for sure. We're friends. We jump all the time together. He lives in Maryland, I think. So he comes up to jump and we always check each other to try to meet up. And we joke we're doing a world record skydives together to diabetic largest diabetic skydive in history. Wow. Just three more guys, you set a world record? For what I saw, I feel compelled to ask you I mean, obviously your answer is going to be no. But if you can give me kind of bigger picture and how you've thought through it in the past, do you ever think like, I'm going to jump out of this plane one day, and I'm just gonna push into the ground. For sure that is always something in the back of your mind. But with skydiving, it's a it's a very, very unrealistic picture to what the media portrays, and what you know, the television shows show and stuff like that. There's a lot of science and safety behind every single job. And it's a whole thing. So with my parachute, I could probably shove it in my book bag and 10 minutes package up on get on the plane and go jump. But my reserve parachute takes two people three hours to pack they have to check every line set and go over every stitch and record everything every fold, and things like that. And then we also have what they call a these automatic activation devices. So if you're going faster than a certain speed at a certain altitude, it will automatically deploy your your backup parachute. And that is it's happened a couple of times to me but I deployed myself not that I wasn't able to for one reason or another because malfunctions in skydives are, are fairly common, but it's nothing that you can't work through. It's very rare that you you actually face this real emergency up there. And a lot of it is just through horsing around or not being aware of your surroundings, things like that. Do you remember the first time you pulled your main chute and it didn't work? Oh, yeah, totally. So it's your your main parachute is basically on a string. And it comes out the bottom of your book bag. With a hacky sack tied to it, that's your handle. So you pull on the hacky and you literally pull out your parachute out of your book bag, and it's got a mini tiny parachute on the end of it that catches the wind and pulls the rest of the the main parachute out. Okay. Once your main parachutes open, the mini parachute collapses automatically. And then you could steer your parachute through whether you still have forward movement in the air. Because you can dance up there if you want, you can put your body in any kind of positions and move around like a bird and you are in complete control of your direction and where you're going. And if you want to be upside down or face down or up, whatever. So if you still have forward movement during your deployment, you can tangle up your parachute lines, you know and that could lead to a very standard malfunction called the line twists and some people don't even consider that a malfunction because it's so common. So it's essentially, if you were to, have you ever sat on a swing at a playground and put yourself around a couple times I have, that's, that's what it looks like when you look up, your lines are all crossed together and tiny. So to get out of that, you just have to essentially move your body twisted around and do a bicycle kick, and your lines come apart, and you fly your parachute. But sometimes based on the size of your parachute, you lose altitude. So if I have a whole lot of fabric above my head, and I'm flying a very large parachute, it's less of a problem than if I'm flying a little tiny napkin, the parachute going very, very fast. So I can lose a lot more altitude based on a bigger parachute. So then that's where the issues come in. Yeah, you know, it's like, you can drive a Winnebago, you know, you'll, you'll be pretty much accident free. But

if you have that same kid jump in a Ferrari, he's probably going to cause an accident relative and you know, like, so it's this equipment that you use, and that so my malfunction happened because I still had forward movement in my skydive when I should have just been hanging out not doing anything and just deployed my parachute. I had some line twists. And I was like, Oh, I have like, twist again. Okay, let me try and work out. And then I tried working them out. But then I started getting more aggressive, they started getting more aggressive to the point where I was like a pendulum. Instead of being straight up and down, I was sideways and I could see the Earth in the ground, the sky and the ground spinning above and below me and I was like, I'm sideways right now. This is not good. And I checked my altimeter and usually open your parachute around 5000 feet, a little bit below the clouds. And then you have until 2000 feet or 2500 to figure stuff out. I was getting close to that 2500 I'm like, Well, I guess I gotta try out this extra parachute I always have. So I said my prayer and I yanked on my reserve and it opened up and it was perfect. It was instant. I had perfect parachute above my head instantly before my other one was even departed from my parachute setup. It felt very relieving. And when I got to the ground, like, hey, congratulations on your first reserve ride. We need a case of beer from you. And how was it? And I'm like, I didn't really fly it like everybody's like talking me like I'm test driving a car. And like I very delicately made turns and inputs into the parish to get me the ground. Like I didn't want to mess with it, because it was my only one left. And I have Do you Have you ever known anyone who's who's died doing it? Yeah, we do lose a couple of people in the sport. It's not often. But I've had about three close friends pass away. One Most recently, she was on a very large group skydive. And when you're in a very large formation, you got to hang on as long as he can to make the formation. So your open altitude is much lower, they open a lot lower for but there again, these people are all professionals. They're not just some Joe Schmo excited to take a parachuting, you know. So she opened up low, she had lion twist, she was flying a very fancy small parachute. They got more aggressive. And she couldn't get out of it. I'm not sure if she had her activation device on because again, sometimes sports parachutes professionals, you're you're flying your parachute at the speed that your activation device would open up, you know, my right because they're, they're so advanced. So sometimes they turn them off and she wasn't able to recover from the spin. Let me choose from sir. She was older she was I think 65 I was gonna ask you about the adrenaline. Two parts of it, actually. So the one part is, does it ever, like diminish or get old? Or do you? It? Does it hit? You know, it's wonderful. I mean, you learn to management, it's like, you can be drunk, you know, 100 times, but your first drunk is much different than the last drunk, right? So you'll learn to manage the feeling and enjoy it more rather than just experience it. Okay? And then this is a little morbid. And if I'm off base, just tell me so but no, no, God does it in what's the word I want? Does it increase the intensity knowing somebody who's past doing it? Does it act? No, not? Not at all. I mean, if, if anything, it just makes you step back. And you know, instead of just throwing your parachute rig on and jumping on the plane, you walk through your safety checks one more time and farther in depth, you know, right? Because you're like, I just want to make sure it's not going to be my fault. If I mess up or screw up, you know, you get hurt. Can you insure yourself against that? Against Well, like I would imagine if you're like a frequent skydiver, like getting like life insurance might not be easy. Oh, yeah, right now. So the we belong to an association through our skydiving sport that everybody has to join up in sign in for it and they provide hospital billing stuff like they, they assist with that stuff. If I fly my parachute into a parked car in a parking lot, they will pay for it. Stuff like that. So they do help. But yeah, I'm not looking for life insurance for anyone, anytime soon. What some people have floated the idea of some entrepreneurs are trying to do skydiving, insurance, life insurance stuff companies, but I'm not one for life insurance anyway to begin with. So no, don't really affect me. My, my consideration, there was just, you know, thinking about the kids, and that was one I'm thinking about my kids actually, I was like, I wonder, right? If I, if I left to do this, if my wife wouldn't be like, Hey, you're not doing that. You know, but it's just, it's a fascinating thing. It's very different to me, the idea of doing it is, I mean, it's outside of what I would consider doing. And right, you know, so it's just interesting to hear about, honestly.

It is, I mean, it's one of the reasons why I enjoy the sport so much. It's not everybody does it, and the people that do do it, you connect with them immediately. And especially connecting with people who have diabetes and do it like it makes it even more intense. So there, I block to a very small Facebook community group of skydivers that have diabetes, and there's 26 of us so far in the known world. And it's a really close knit community. It's really cool. What's the name of the Facebook group? skydivers with diabetes maybe is diabetic skydivers. I'm looking see if I can find it I'm trying doesn't it doesn't like what I'm doing type one diabetic skydivers. There you go. 26 people? Yep. Maybe you'll get more. Yeah, from this. There's a there's one guy posted a picture of him doing a blood test under his parachute. It was really cool. While he's coming down. Yep, that's excellent. He taped his meter to his hand and checked his blood sugar was cool. Yeah. Dave, listen, when I was younger, I used to ride motorcycles. I've been 160 miles an hour on a motorcycle. So I'm not judging you. I'm just there's something about off the ground. That is it's my bridge too far. Like I also if you told me you wanted to go on a small plane. Like there have been people on here like, I don't know if you know, Oren Lieberman, he's a CNN. Reporter, he also has type one, he was on here. And he's like, he's like, we, it turns out, we live pretty close to each other. And he's like, you know, I'll take you up sometime. And so yeah, thanks. Guess All right. And I know that's funny. Dude, I grew up in the northeast, outside of Philadelphia. So right, yeah. And I'm still pretty close to you now. And if you were like, Oh, it's okay. I don't know. Do you think people either know right away that it's something they always wanted to do? Or they have zero interest in it? Yeah. It's really funny. No, it's It's, uh, it makes a lot of sense to me, actually. Anyway, I would see a therapist is my therapy. It's great. No, I hear that. You know what I wanted to ask you that I never did. And I was just wondering, did the the weed smoking continue through life? Or did you let go of it at some point? No, I let go of it. It just wasn't fit my lifestyle anymore. Also, I moved to Philadelphia, I lost a lot of contacts. And it was just I I had my life for it was just a immediate band aid that I needed. Yeah, a crutch to get me through. But you know, again, you're not on crutches your whole life. Right. So it was I use it for its purpose. And I mean, if it's at a party, yes, for sure. But I mean, very, I can tell you last time I spoke right. I should name this episode. Dave can't find weed in Philly, because that'd be pretty fun. To imagine it's pretty available. I'm sure. Is there anything that we didn't talk about that, that I should have asked you about? So some fun little facts. The FAA recently alluded that having a low blood sugar amplifies hypoxia. And for everyone out there, hypoxia is you know, your brain doesn't get enough oxygen. And you start acting funny. It's the closest thing that a non diabetic can feel to being low blood sugar. If you Google videos of military going through hypoxia training, it's like watching somebody with a blood sugar at 50 It's ridiculous. They can't put the the block in the right hole or they're giggling They don't know what to do. They can't touch their face, they can't touch their nose, right. And you know, as skydivers, that's something that we have to be very aware of hypoxia happens roughly above 14,000 feet, right? And we skydive at two and a half miles above the Earth, which is about 13. Five. So we kind of flirt with it. So if my blood sugar is anything but perfect, it's just added to the danger, which I avoid, like the plague. But two and a half. It's really interesting. Yeah, where's the where's Where's low orbit? Like, when do you leave? You know, when do you leave the planet? The atmosphere? We fly planes at jumbo jets. It's like 30,000 feet, right? So it's got to be higher than that. Huh? That's interesting. Would you ever do? I mean, this is kind of fanciful, but you know, would you would you do space travel

if it was available to you? I tell you what, I think be cool. Okay, so, yeah,

Felix by monitor is a skydiver. And he jumped from the outermost atmosphere of the Earth, there was borderline space. And that really opened up it was very significant because it proved that skydiving could be integrated in spaceflight. And that astronauts if something were to go absolutely wrong up there, they could technically skydive back to earth as long as they got within the orbit of the Earth. I hope we never have to test that but it's incredibly I agree. Yeah. Would you would you want to go higher like where you would need oxygen assistance? So no, because I I've heard a lot of nightmare stories about that people passing out an airplane. I mean, they give you a can of oxygen for the halo jumps high altitude low opening. It's it's not something I want to I don't need to play with fire and then add more fire to it. You know, play with fire and add more fire to it. That's hilarious. All right, man. Well, I really appreciate you coming on and doing this. It's, it was really wonderful talking to you. I enjoyed hearing your story very much. Yeah, I even did some extra added stuff I'll throw in here. Even though I'm not on a pump, my pump, skydiver friends. Were telling me that it's standard practice to take pumps off for skydives, because some doctors warn that the lower atmospheric pressure may increase delivery of insulin, so they can get like a double dose of it. And T slim actually has an altitude bladder warning and it's only approved to an altitude of 10,000 feet. Oh, no kidding. Yeah, we have an episode about how to fly with a pump and that's around all that stuff. pressurizes the line and push it like you have to pump and it pushes the insulin through. People get experience lows and that highs when they're flying for reasons that are that are to do with the altitude. So that doesn't surprise me. No, I'm, I'm amazed you took notes. You don't seem like a note taker to me. Therefore, this was, um, secret note taker. I appreciate you being prepared. Yeah, I really did you have a good time? I did. I had a great time. I really appreciate you inviting me on. Excellent, nice. It's my pleasure. It was really nice for you to to reach out. And if you're looking for another Facebook group with people with diabetes in it, I have one with 20,000. So I'm on it. You're in there. Yes, sir. I like you. You're in the Facebook group. Don't particularly listen to the podcast, found the show through a friend. Will you say your friends first name? Ashley. Ashley. Well, Ashley, thank you for Ashley. Yeah, thank you, Ashley Tracy. All right. It just gonna blow up completely. Totally. Now, I really appreciate you doing this very much a happy new year. It's just just barely into January. So do you think you'll jump this year calendar year? How many? Yeah, just rough guess. About 50 times. That's a low number. Is it a warm weather activity. So I actually have a scouting event coming up on the 12th of February called freeze fest. And it's a little party that drops on puts together. We go out it's mainly to keep our licenses current because if you don't jump into a certain amount of time, you have to retake your license and everything. Okay, so they offer that and it's a huge dodgeball tournament for everyone. And we get together and have a good time playing dodgeball and skydiving. So February 12. I will be having my knees in the breeze again, and then I'll probably saddle it up until the warmer climate like May You dress differently in the cold weather.

You betcha. Yeah. I was gonna say it's gotta be so cold up there. Right. So cold so it's two

Scott Benner 1:14:37
degrees colder every 1000 feet you go out. Oh, and add a windchill of 120 mile an hour. It's a lot. Yeah, I'm not good with a cold on the ground actually. Honestly have a uterus a little snowy today. And I was I was already irritated. I woke up I was like, What is this when it's spring? It's my first thought. January. I'm wondering when spring is coming. Oh boy, you got a long winter how to do that. Yeah, I'm not going to enjoy the law anyway. All right. Can you hold on one second for me? Yeah, sure, thanks. A huge thanks to David for coming on the show and sharing his story with us. And a big thanks to Dexcom, makers of the Dexcom G six continuous glucose monitoring system, see if you're eligible for a free 10 day trial@dexcom.com Ford slash juice box. And of course, on the pod five, and on the pod dash are available at Omni pod.com Ford slash juicebox, you may be eligible for a free 30 day trial of the on the pod dash. Go find out. Thank you so much for listening. I'll be back very soon. You know what I hope you're having a great summer I haven't said that. I'll be back very soon with another episode of The Juicebox Podcast. If you're listening in a podcast app, like Apple podcasts or Spotify, please follow or subscribe to the show in that app. If you're listening online, please consider listening in an app. And if you love the show, and you just can't hold it inside me longer. Go tell a friend, a neighbor, a doctor, a nurse somebody else who you think might appreciate it. While you're at it. Don't forget right there in the podcast. If you're listening then right now, you can probably leave a five star rating and a review for the show. Already Thank you for listening, so I should probably just stop the recording. You know, ok... yea.


Please support the sponsors

The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!

Donate
Read More

#731 Bold Beginnings: Food Choices

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 MusicGoogle Play/Android - iHeart Radio -  Radio PublicAmazon 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 731 of the Juicebox Podcast.

Today we have another edition of the bull beginning series, a series that began back on episode 702 With honeymooning, and then it went to 706 adult diagnosis 711 terminology Part One 712 terminology part two, Episode 715 bold beginnings fear of insulin, Episode 719, the 1515 rule episode 723 long acting insulin episode 727 target range, and on today's episode, Jenny Smith and I will discuss food choices. While you're listening, 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 healthcare 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 use Box join the registry take the survey when you complete the survey which will take fewer than 10 minutes, you'll be helping people with type one T one D exchange.org Ford slash juice box

this episode of The Juicebox Podcast is sponsored by Omni pod makers of the Omni pod dash and the Omni pod five, you may be eligible for a free 30 day trial of the Omni pod Dash. And here's how you can find out on the pod.com Ford slash Juicebox Podcast is also sponsored today by Dexcom. And the Dexcom G six continuous glucose monitor, head over to dexcom.com Ford slash juice box to find out if you're eligible for a free 10 day trial of the Dexcom G six. When you use my links, you're supporting the show. Hi, Jenny. And welcome back to the bold beginnings. I can't pretend that we didn't just record another episode. I'm sorry. Nevermind. Scott, it's very lovely to see you again. And I just finished one we're moving into food choices. So there's a ton of feedback here from people, I really enough that I'm not certain we're gonna get through it, but we'll give it a shot. And I'm going to start the conversation based on based on the conversation that I had, just recently with a young person in their 20s with type one diabetes, and just we're talking about all kinds of stuff. And in the middle of it. She said having diabetes, diabetes really messes up food for you. She's like it just you start looking at it, like what is that going to do? And you know, is this or you know, maybe I won't eat that because of what it's going to do or it doesn't feel worth it to me to fight with this for three hours. She said she never thought about food like that prior to diabetes and right, it's a fair statement. So let's dive right in. Because there's a ton here. This person says that grocery shopping seemed incredibly difficult at the beginning. And it was also emotional. She said they were trying to eliminate some of the kind of quote unquote, not good for you foods that my daughter was getting. But then she saw me crying as we went down the aisles. Wow, that sounds like really in the beginning. Because you're feeling I'm gonna guess not a therapist, Jenny. But that's a sense of loss. Right?

Jennifer Smith, CDE 3:41
It is. And there's a sense of loss. I think in many things that because food is food is a major part of diabetes management. It is because food is also a basic necessity of life. We have to eat, we can't just say well, I've got affects this. So I'm just going to just not do that anymore, right. But we have to eat food. So what you've been used to doing may need to change. Now, you know, one step into that is was what you were doing? Not the greatest, or was it not as healthy anyway? And could you start to see some of these changes once you mentally get over all of the hard stuff that it takes to navigate through all these thoughts. It can you start to see this as a well gosh, as a family, we could clean this up. We could be doing this versus that and it would be better for all of us. Right? But it is it's it's hard.

Scott Benner 4:51
And not everyone's going to take that path either. You know, and I will tell you that some people see it as a challenge to like I'll just because we have died videos now doesn't mean I'm gonna You can't change me. I'm gonna figure this out, right? It's funny because I'm somewhere mixed into that idea, I'll probably figure it out as we're talking. This first and biggest worry I had was limitations of food. What in the world was I going to feed my kid? Because she only really ate a few things to begin with. Yeah. And those things all had carbs.

Jennifer Smith, CDE 5:27
And that's where then you work with that, because so much has changed with the child's life to begin with. That that's not a starting place for being like, well, you're just gonna eat broccoli today? Because that's so much better for you than whatever it was the child. No, no, that ain't that's not appropriate. But it's then learning Well, the 10 things that your kid does eat. figure those out, yeah, eventually move

Scott Benner 5:54
on. The same person said that they then had an appointment with a dietician a number of days later, where the dietitian lifted the fear by just saying, Hey, listen, you can eat what you want, but you have to cover it with insulin. But then they didn't give them the rest of the information, which is, you know, what this whole thing is about, right? Like is, you know, 10 carbs, this and 10 carbs that might not hit the same, right? So they went from, oh, my God, there's nothing my kid can eat to Oh, doesn't matter, they can eat anything to then realizing we don't seem to be very good at Bolus thing for them. Right? Then Then they ran into that idea of like, well, well, this must be what it is. Now, this next person says I was confused about the different views between low carb and like a regular diet. And I didn't, I didn't realize that you could use insulin skillfully. And still, and still have a great day one, see. And we do that now. But there still are times that we might not want a bunch of insulin on board. So we eat appropriately around that. Correct. So that's, that's a really thoughtful, that's the, that's somebody who's been through it already, and figured it out, you know, or has

Jennifer Smith, CDE 7:06
kept enough, even in a shorter period of time, has kept enough notes, or has done some trend analysis, or looked enough at what is going in and has seen. But when we do this, this works out pretty well. We've got it figured out whether it you know, is an apple or fruit snacks. They've figured it out, right? But then comes in, you know, the other types of things. And they say, well, these are the variables, I think it would be easier if we just have less overall insulin, maybe we could go this route for this type of setting. And it works better for us. Great. That's it's probably adding a good amount of variety anyway, which is healthy in your nutrition intake overall to begin with

Scott Benner 7:52
this next person's point I agree with completely. So, you know, they talked about, you know, I'd never thought about glycemic index and foods before this obviously said the podcast helped her think about it. But that she did make some pretty what she thought were obvious decisions on some things. And she puts a little list here, but I'll tell you for certain little things, like if you have pancake syrup in the house, get a sugar free one. Like that's me just like Why are you punishing yourself for right? You know, like, like, first of all, I don't know if you've ever really thought about it, but you start squirting that syrup on everything. By the time you're done. You have a half a cup of it in there, you're basically drinking 40 carbs of sugar, you know, at a know so

Unknown Speaker 8:35
much more. Much more. But yes,

Scott Benner 8:39
so so if you're gonna have pain, so Okay, fair enough. I still want to have pancakes, have pancakes, use the sugar free syrup. It makes it easier on you. Do you have to know? I mean, there are people listening this podcast who think this podcast is about the idea that you can eat whatever you want. I mean, I think the podcast is about understanding how insulin works, but fair enough. So but yeah, that kind of thing. Or, here's a super easy one. No one's ever going to tell you make sure you're buying bread that has no high fructose corn syrup. Super easy decision to make makes things much, much simpler.

Jennifer Smith, CDE 9:14
And if you go a step further, get sprouted grain bread. So much easier glycemic li than even the typical white breads that might say they're organic with no added corn syrup or whatever. But the more the more unprocessed something is, the better you're going to find your glycemic kind of, you know, outcome

Scott Benner 9:37
if you're a person who absolutely has to have soda and I have to admit, I don't understand that. I don't ever drink soda really. But aren't that I went out to lunch the other day and we're like, can we have two unsweetened iced teas and she goes we're out of unsweetened iced tea and I was like supply chain issues. And we were both like we'll have a Diet Coke and at a meal where I I probably would have drank a couple of iced teas. I did not get through the Diet Coke. It just it's not for me. But if you have to have soda, God bless, drink diet soda, and then you don't have to worry about that thing. Like, there are simple places where just for health in general for that if you don't have diabetes, you could be cutting out sugar. And, and at the same time, it just makes this whole thing easier, especially in the beginning. There's still times when people send me graphs and I'm like, Look, do yourself a favor, eat a simpler diet for a couple of days while you're figuring this out. Like you don't know what you're doing. And on top of that, you're trying to Bolus for Lucky Charms, like you know. Yeah, that's like, that's, that's an angel level decision you're trying to make here. And you just started yesterday, you know, right. Yeah, that kind of an idea. You okay with that you? Like I'm not saying to restrict your diet, I'm saying.

Okay, let's head together to Omni pod.com forward slash juice box. The first thing we'll do is brace ourselves because there's a photo of me there. And it's not. I mean, it's not pleasant. It's the best picture I could take. I don't know what to tell you. Anyway, I apologize. On the pod. They're makers of the AMI pod five. It's the first tubeless automated insulin delivery system. It's an algorithm based system. It's probably what you've been waiting for on the pod five is the first and only tubeless automated insulin delivery system to integrate with the Dexcom G six. It is now available for people with type one diabetes ages six years and older. Featuring smart adjust technology. The pod adjusts insulin delivery based on your customized targeted glucose helping to protect against high and lows, day and night. Where do you find out about this Omni pod.com forward slash juice box. Now if you're not in the market, for an algorithm based system, you might want to take a look at the Omni pod dash and you may be eligible for a test drive a free 30 day trial of the Omni pod dash, you can also learn this add on the pod.com forward slash Juicebox Podcast scroll down to the big purple box and start reading. After that you fill in a tiniest bit of information, and you're on your way. So whether you're looking for the Omni pod five, or the Omni pod dash, you want to go to my link Omni pod.com forward slash juice box. there everything is well explained and easy to understand. A tubeless insulin pump is within your grasp, head over there. Now. When you're done, I'd keep going right to dexcom.com Ford slash juice box. Now here's the good news about this next calm.com forward slash I'm typing I'm sorry, Ford slash juice box. Here's what you're gonna get there are Moreover, not get a photo of me. So it's a nice relaxing and calm experience. No pictures of Scott. Instead what you're gonna get is the breakdown about the Dexcom GS six, you're going to learn about zero finger sticks, glucose readings that are right on your smart device, customizable alerts and alarms and how to get started right now with the Dexcom G six. You can make better diabetes treatment and diabetes management decisions with zero finger sticks and no calibrations. The Dexcom G six lets you see your glucose numbers with just a quick glance at your smart device and receiver get alerted when your glucose levels are headed high or low and share your data with up to 10 followers. And the Dexcom G six is covered by most insurance plans. There's details surrounding all of what I've just said. But those details are@dexcom.com forward slash juicebox you don't want to I mean listen. You don't have to listen to me, right you can do whatever you want. My daughter has been wearing an omni pod since she was four and she's 18. She's been wearing a Dexcom since I don't know she was six or seven. And she's 18. These items are at the core of our decision making process, moment to moment, hour to hour day to day with type one diabetes. And you know what, they could probably help you a lot with type two diabetes as well. dexcom.com forward slash juice box on the pod.com forward slash juice box links in the show notes links at juicebox podcast.com. I am contractually obligated to say that for full safety and risk information about the Omni pod Plus Free Trial terms and conditions you can visit omnipod.com forward slash juicebox. I'm going to get you back to Jenny now who by the way works at integrated diabetes.com In case you're interested in working with her like I'm not saying to restrict your diet I'm saying

Jennifer Smith, CDE 14:52
make make potentially wiser decisions and Dorsey what you're doing Are you constantly having problems No matter what you're trying, maybe you're at the level of getting the majority of stuff. But there are a few things where like the maple syrup, or the regular sodas or you can't get over drinking juice. Okay, we know what I mean juice is recommended for a low blood sugar treatment. Don't drink juice. Just drink juice, eat the fruit don't drink the juice.

Scott Benner 15:23
I grew up in a house where nobody understood nutrition and orange juice was seen as healthy as hell. Yeah, yeah.

Jennifer Smith, CDE 15:30
I'm sure it was yeah, you know, better than soda from an from a from, I guess nutrient quality, especially if you're getting the not from concentrate, whatever. Okay.

Scott Benner 15:43
That is not a good marketing line. It's better than soda that does not breed. But in all of your foods. I mean, I'm telling you right now, no high fructose corn syrup. If you just cut that out of the things you're buying huge deal, if you can. I know. Listen, it's time consuming. But it's try to stay away from things in bags or boxes. These things have preservatives in them that make them more difficult to Bolus for. I made my own potato chips last weekend, which took hours but I found relaxing people made fun of me, but that's okay. And you should see how much less impact that had on Arden's blood sugar versus any kind of potato chip that would come out of a bag.

Unknown Speaker 16:28
And you would because you know what you did to them. It was a rough

Scott Benner 16:31
was soft on it. That's what it was like that. There's nothing else in it. I mean, except for whatever they sprayed on those potatoes before we bought them.

Jennifer Smith, CDE 16:39
Oh, you didn't buy organic potatoes.

Scott Benner 16:42
I don't know if I did or not. I was just for the situation teasing.

Jennifer Smith, CDE 16:46
Well, you know, who knows the organic versus non organic? Who knows what floats through the air? And

Scott Benner 16:52
I'm sure there's a way to get around that distinction already here. Yes. A lot of statements here about my first food shopping was completely overwhelming. We weren't carb counting. And we had to work in 15 grams of carb portions, oh, poor person was not carb counting. So they were eating either 1530 4560 That's a lot.

Jennifer Smith, CDE 17:15
And that would be more of like a sliding scale kind of concept of this many carbs. Take this much insulin. And that's all then use this correction if your blood sugar's in this range.

Scott Benner 17:27
And then the end of her statement, I've seen online a million times and heard from people in general, which was That was way too much food for my kid. My kid wasn't eating 30 carbs at a sitting they were a little but they wanted more than 15. And now they're forced feeding. They're telling the kid you got to finish this because we Bolus for it, which is not a good start to your life. That's for sure.

Jennifer Smith, CDE 17:48
Not at all. I mean, uh, you know that that's really old. I mean, that's, that's really what I learned. And that was really old, old school education. I mean, I could remember when I was taught, I was so excited when I was taught to read a food label. And I could cover carbs with insulin better. I was so excited about that, because it just, I don't know, it widened up things. I still wasn't the grocery shopper. I mean, it was still my mom. But I don't know, it just made a difference.

Scott Benner 18:20
This person said that they ran home from the hospital throughout everything with sugar in it based on no no information at all from anyone just thought that was the right thing to do. And then it took them months to realize that this stuff still had carbs in it. And it probably didn't matter one way or the other. People said I wish someone would have told me the best cards to carry with me. That's a good Yeah, yeah. Because I do. Do you ever see, like, here's one that floors me right? Chocolates not good. A good treatment to stop a low with right? Not at all. It's still a fat, but people do that all the time. Right? Like so you want simple sugar that's absorbed easily through your body. Think about like if you ever had that emergency gel, they tell you to rub it in the cheeks, inside of your cheeks. So juice works really well. A lot of people

Jennifer Smith, CDE 19:09
another really good one are the honey sticks. Okay, especially if you're someone who really doesn't want to do all of the processed Color Fill candies and that kind of thing. The long skinny honey sticks work really well. I've seen a lot of people comment about and I've done it myself when I've had like lack of something in a purse is just the sugar packets at a restaurant. Yeah, they work. Awesome. Dump it under your tongue. It dissolves right away and it is quick. It works.

Scott Benner 19:39
I remember having to do that with Arden one time. And she was like, you know and I said well just pour it on your tongue and I was like melted in your spit. Hold it in your mouth for a little while before you swish it around. You know, get it make sure you get on all your teeth so we can end up with it. But that's also a great Good example, if you're giving people sugar overnight, you might start seeing you might start surveys. Yeah, dental problems. And I've had a dentist on actually, his episode will be out pretty soon. So by the time this is out, it'll probably have been out where he said, you know, look, I'm not telling you to jump up in the moonlight and brush your teeth. He's like, but have water by the bedside. And when you're done, just swish it around your mouth and clear your mouth. That would be a big deal to do that. Yep. Okay, so best cards to carry around simple sugars that were quickly.

Jennifer Smith, CDE 20:31
I wanted to say simple sugar too, if people are looking at labels, the simplest, like most most easily digested carbohydrate is is is glucose, right? Which is why we have glucose tablets. But glucose is dextrose. So on candy labels, if you're looking for a candy, look for glucose, or dextrose, within the first three ingredients, and then you've got something that's going to work really quick,

Scott Benner 20:58
okay. And then after that, I think find what works for you, too. Right. And and let me say this, just don't think that because you open the package, you have to eat them all. You know, if you have a little single serving, like, I don't know, gummy package, and there's 10 pieces in there, five of them might fix your low blood sugar, you know, don't feel weird about throwing the other five away or twisting it up for later or something like that. You don't have to eat them all because you opened it up, which is the thing that people fall into all the time. All right, now's the time. Let's say hold on a second. This person actually made your point earlier that this might be a good time to make a sweeping change in how you eat. If you if you looked up and saw that your diets not a healthy one, it's a good, it's a good excuse to do something about it. So that was yours.

Jennifer Smith, CDE 21:48
And as you said earlier to you know, the least processed or the less processing of food most often means the food is is clean, if you will, right. There's not a lot that's been added to it, whether it's corn syrup, or all of the additives that they keep to preserve it on the store shelves mean the best places to shop and the grocery store. It's around the perimeter. You've got your fresh produce lots and lots of non starchy great vegetables, healthy fruits, you've got your protein sources, it's it's the aisles that are the danger zone.

Scott Benner 22:27
I know. I've seen it. I've seen it before they're there. The grocery store is actually set up. Just the way Jenny said like, look at it one day, they you know, they concentrate kind of the crappy food internally. Yeah, it's interesting. Here's one, what were the free snacks, I wish somebody would have given me a list of free snacks. And that's a funny statement to me. Because, because it's not always free. Right? Like, you know, I understand the concept like a like a cheese stick might be considered or a Slim Jim or something like that, you know if you're but if your blood sugar's I don't know, 120 and having a cheese stick, you know, doesn't have carbs in it. Okay, I get your point, maybe you don't need insulin for it right away. But if you really listen to the podcast, and if you've lived with diabetes for a while, you start realizing that, you know, the fat and the cheese could slow down your digestion, which could push up your blood sugar, or you could eat meat that later would be broken down and stored as glucose that there's nothing that's like legitimately free. I don't think

Jennifer Smith, CDE 23:36
Iceberg lettuce. There you go. Okay. I mean, unless you literally eat the entire head of iceberg lettuce. And I'm not saying that that doesn't have carbs in it. It does. But I mean, Iceberg lettuce, and many of the greens will have very limited if any impact blood sugar wise, right? I mean, on a whole big dinner size plate size spinach salad. I might add to what I'm kind of swag calculating on that. Maybe five extra grams for all of the greens that are there. Really, the rest of the stuff that you add on top of that is what needs counting all of those other nonstarchy you know, bell peppers and onions and mushrooms and cucumbers. They have carbs in them. They were I mean the concept of free again is kind of an old concept. It kind of is like that 1530 45 grams per meal and you take this amount of insulin. I got to know free foods as as a newly diagnosed as my aunt and uncle would bring to family gatherings big vegetable trees, because Jedi could eat those foods for free. And man did I eat them? I'm quite sure if I had a CGM. My mom would have been like man we got a dose for cucumber.

Scott Benner 25:03
Garden goes on kicks for sheets, tons of carrots. And we believe we Bolus for the carrots like

Jennifer Smith, CDE 25:08
oh yeah, Carrots are one of the curvier, non starchy type of vegetables. Definitely,

Scott Benner 25:13
the point is this is that in the beginning, you might not know what you're doing, you might have your Basal too high. And so you don't notice things like this. But as you start to get your settings, right, understand diabetes more, you're going to start seeing the impacts of those so called free foods. Now, don't get me wrong, if you've got a four year old and they want a snack six times a day, I take your point, and you should definitely find those ideas. You know, a little piece of cheese is definitely going to be less of a hassle for you blood sugar wise than given them an orange slice.

Jennifer Smith, CDE 25:47
And for a four year old from a standpoint of portion, the cheese stick or the Slim Jim or you piece of you know, grilled chicken or a boiled egg or whatever it may be, it's probably couldn't have pretty little to no impact whatsoever in the portion that that child is eating, versus the adult who's like, Well, I'm just going to eat a big ol six ounce chicken breast because there aren't any carbs in it. Wow, that's not going to work out so well.

Scott Benner 26:14
And that makes me think too, if you do have a toddler or a kid who's running around all the time, there may be an amount of, of carbs they can take in throughout the day that will look free. Because they were going to go low, and you're just kind of counterbalancing it before you see it.

Jennifer Smith, CDE 26:33
Yeah, you kind of bolstering with little snips in between. And that's often the way that toddlers eat too. Right? Little bit here a little bit there. They may eat two strawberries, they might eat, you know, a bite of cheese, they might that's just what they do,

Scott Benner 26:48
right? So if you're in a situation where you think, Oh, my God, my kid eats throughout the day, and they never eat insulin, try thinking about like this, instead, it's not a free food, you're pre carving a low before the low happens, right? You're treating before it happens, and you don't even realize it. Yeah, could be the situation. I wish somebody would have given me a list of foods. That's interesting, because then that's, you know, we get into eating styles. And I don't know that doctors would want to be pushing an eating style on you one way or the other. But, I mean, you should definitely see a dietitian who could help you with that. You know, and I

Jennifer Smith, CDE 27:25
would, I would request a dietician, who specifically is a diabetes educator, if possible, if where you live, that is a possibility. I will say that being a dietitian, myself. I know diabetes, for many reasons, obviously. But had I gone into the realm of cancer management. As a dietitian, even my life with diabetes would have taught me something. But I may not be quite so good at education outside of that, because that wasn't my realm of professional work. I've learned a lot by working with so many people with so many different needs and interests and requests and whatnot, to kind of draw on, so definitely do your homework, as we've said before, with any clinical team, do your homework and find somebody that can work with you,

Scott Benner 28:21
this person said, you know, there are just days when I need a break. And so I eat very low carb, or, and I think that's completely reasonable, first of all, and said, there should be options that people know how to do that without being scared. Because if you if your settings are set up for a lifestyle, and then you suddenly swap that lifestyle to something else, your settings are going to be too heavy, then, and you're going to have trouble. But she's like, it would have been nice if someone would have explained to me that, hey, if you just don't want to eat a bunch of carbs today, switch to this basil program and do this. And I take your point, I think that's a really good point, actually,

Jennifer Smith, CDE 28:59
indoor cover your meals, you know, learn how that learn what that means in terms of meal coverage, because it really should be a swap out of okay, my Basal does this because I've tested it, that should be worked pretty well. I mean, I've got a lot of people I work with who for religious reasons, do all day fasts, right? And so we've been fine with that having tested basil, that sometimes on a fasting day, they may even need a 10% reduction in their base basil, these there really is no food impact whatsoever through the course of the whole entire day. But the meal times themselves. If you're doing a type of fasting, that's more vegetables and protein or just a little bit through the course of the day or if you're doing any intermittent fasting where you're really only eating for six hours of the day, or eight hours of the day. You may see different impacts than you do with all day food intake of more, you know, mixed meal

Scott Benner 29:56
Yeah. Do you give time or do you have to go No, I've

Unknown Speaker 30:00
got let me check me. Let me check my schedule. I have five minutes. All right,

Scott Benner 30:08
so we'll do one more. And then we'll kind of come back to this one. This person says, I wish someone would have told me that it's okay. Right to eat one way to eat another way. But instead, I got a very restrictive care team that shamed us. And it was it was really tough. You know? That's the I'll tell you though, of all the things like I'm really freewheeling on my Facebook page, meaning like, I let people talk like adults, you know, there are very few rules, but shaming people about their food choices. I am not okay with ever, no, especially around diabetes, you can you can cause eating disorders with very easily. You know, eating disorders with people with type one is, is you know, more common. If someone wants to eat Kentucky Fried Chicken every day and learn how to Bolus for that's their life, you let them do that. If someone never wants to take a carb and once their blood sugar to be, you know, at 24 hours a day, that's their decision is their decision. Yeah. And then I see then everybody's tries, you know, everybody tries to make their point. And the one thing I wanted to ask you before we go on this one is do you I mean, you're listening, you're a trained dietician, right? So you have type one diabetes, do growing children need carbs to grow correctly? Freaking word?

Jennifer Smith, CDE 31:32
Yeah, that's a very good question. I think the bigger the bigger piece to it that I always look to analyze, when I get the questions from parents is calorically, what's necessary. And within that then also becomes food preferences and what they currently look like, and what you're considering transitioning into for your child, let's say, you think that it would be easier to just be carb free, or to be low carb, let's say, I mean, most people who are not entirely carbon free, children do need a very set amount of nutrition, intake through the day, carbs, proteins and fats, proteins and fats are really the very essential. I mean, they are protein is the building block of your body, you need fat for a lot of different functions, hormone, and all that kind of stuff in the body. And carbs are the preferred energy source of the body. They are, they're fast, they get in, they give you this energy boost, and then they kind of digest and they come out. And that's sort of the reason that we eat every several hours, if we are eating more normal carb types of meals. So our carbs necessary, carbs are necessary, I think in a certain amount, what that amount is boils down to, what are you looking at doing? And how can we meet the overall nutrition need of your child where they are? Are they heavily into sports? Are they more sedentary? What is their growth percentile? Are they growing on par with where they started out prior to diagnosis? Do we need to make any adjustments and then we can look at you want to aim to try lower carb because it might be a little bit easier in terms of glycemic control. Okay, but then we need to navigate those other pieces to make sure that they're meeting their growth needs.

Scott Benner 33:28
Okay, the fat and protein stuff fatten, right, it's funny, you're making me think of Arden's friend who is a she's like I'm a vegetarian are, you know, and but then she basically just eats like, potato chips and stuff like that. Yes, that's not I think you're missing the point.

Unknown Speaker 33:45
I don't be a vegetarian, but

Scott Benner 33:49
it's, um, I think that's what you just said just resonated with me so much. It made me feel like if everyone had you with them, I don't even mean diabetes, or a person like you to stand behind you and go, Okay, look, here's your lifestyle. Here's your need. If we eat these things in the course of the day, that's going to put your body in the best position possible. Right, right. And then the problem is that people don't get caught up in what you need carbs to grow, like, okay. Okay. Maybe you do and maybe you don't maybe let's just say you want to have carbs in your diet. And then there's a person over here is eating like a pretty keto diet and they don't want that. Just let live and let live like just let it be your name and their

Jennifer Smith, CDE 34:33
their parameters. Most often the people that I've seen who are keto or more paleo, or more just considering low carb. They've done enough homework or they've come in with I'm trying to do this. This is what I really want to stick with. I'm missing something. Something isn't quite right. I don't feel quite right or whatever. So then we have some things to look at to make sure we're meeting glycemic goals as well as for kids, especially again, bro. Schools. I mean, protein is it's a big piece of piece of growth and change. And kids are growing rapidly. They they need a good quality, you know, nutrition intake. I think the bigger thing if you're looking at carbs, are you looking at going low carb and getting an answer to whether carbs are necessary carbs, like celery and cucumbers and kale and spinach, and berries, if you're going to add carbs in small amounts, those are the ones you want. You don't want the processed, like keto carbee foods that are just like tricking the body.

Scott Benner 35:43
The only time eliminating carbs from someone's diet makes me sad, is when I see them do it because they can't figure out insulin. Correct. That's all like if you want to do it as a choice, I understand. And if you figure out insulin and then decide I still want to be low carb, I understand. But I feel badly when someone just didn't you know, all the things we've talked about in this podcast forever didn't learn how to Bolus didn't learn how to Pre-Bolus Didn't understand glycemic load all that stuff, you don't understand any of it. And you're just stuck in a space where you like when I eat carbs my blood sugar goes way up. I eventually give myself insulin I get super low and I'm bouncing all over the place in the dam and I'm not eating carbs anymore because I don't want to be on unwell. That That to me? I don't know. I wish they knew if they knew when they decided to do it. I understand. But if they don't know and they just are being pushed into it because they're scared. Well, I would rack you know, I would hope that somehow they could learn before they made

Jennifer Smith, CDE 36:40
that decision. No, I 100% agree. They're 100%.

Scott Benner 36:44
Alright, so Jenny, the next time we do this, we'll come back and make sure we're done with this list. Before we move to the next one, you can go back to your thing. Sounds good. Have a great weekend. Thank you, you too. Thank you.

First, I'd like to thank Jennifer Smith for helping me again on the podcast today and remind you that she works at integrated diabetes.com. I also want to thank Omni pod and Dexcom for sponsoring this episode of The Juicebox Podcast. Go check out all the trials and offers at Omni pod.com, forward slash juicebox and dexcom.com forward slash juicebox. Those links, of course are available in the show notes of your podcast player, and at juicebox podcast.com. I hope you're enjoying the bold beginning series. There's way more coming so keep downloading them every Friday. If you've been enjoying the podcast, here's a couple of things you can do. That will help me you can leave a great rating and review wherever you listen. You can follow or subscribe in the podcast player or audio app that you listen in. You can tell a friend about the show. If you see a question online where people are like, I don't understand this. You could say oh, you should try episode bla bla bla of the Juicebox Podcast. That would be lovely as well. What else? Hi, listen, subscribe. Tell a friend. Oh, here's another one. You could join the Facebook group Juicebox Podcast type one diabetes now with over 27,000 1000 members, over 110 new posts a day. What am I trying to say? It's jumping over there, full of great information. And great community members go meet somebody just like you. I'm going to share a little something here at the end, I assume you're a real big fan. If you're still listening once you know the podcast is over, but we're at the halfway point of 2022. The podcast is now as popular by download or stream you understand you can download an episode or stream it while you're listening a download or stream count the same for me. And in 2022 The show has as many downloads or streams already at the halfway point of the year as it did in the entire year of 2021. Now, not only is that true and amazing, and I thank you very much. But the best day in 2021 like the day with the most downloads, it was the day of the year I was like I cannot believe this many people downloaded the show today. That kind of thing. Right? That amount. The best amount from 2021 is now about I'm not great with percentages. Give me a second. Hold on a second. I'll be right back. I'm back I use the calculator. Okay, sorry. So the that that show that one show that had the most downloads in 2021. It has As about 21% fewer downloads than an average day in 2022. Does. That is bananas? As a matter of fact, what I would consider a slow day on the podcast is now only 14% lower than what the best day of 2021 was. That is crazy growth. It is because of you. It's because you're sharing, you're listening, you're subscribing. I can't thank you enough. It's really astonishing. And really, you could knock me over with a feather when I see stuff like this. Absolutely wonderful. I really appreciate you supporting the show. I hope you're enjoying the bowl beginning series. Don't forget, there's a ton of other series within the podcast. If you go to that private Facebook group, scroll to the top click on the feature tab. There's lists of all of them. I'm not going to bother you here with all of them. But there's so many about how people eat and the Pro Tip series defining diabetes stuff. Stuff about thyroid and pregnancy, mental health, on and online. Go check it out. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.


Test your knowledge of episode 731

1. Why is regular blood sugar monitoring important?

  • It helps in managing blood sugar levels effectively
  • It eliminates the need for insulin
  • It has no impact
  • It is only relevant for type 2 diabetes

2. How should insulin doses be adjusted?

  • Based on fixed schedules
  • According to blood sugar readings
  • By avoiding all physical activities
  • Without any changes

3. What role does diet and nutrition play in managing diabetes?

  • They play a critical role in managing blood sugar levels
  • They should be avoided
  • They have no impact
  • They are only relevant for type 2 diabetes

4. What are the benefits of using insulin pumps and CGMs?

  • They simplify and improve diabetes management
  • They make diabetes management more complex
  • They have no impact
  • They are only for healthcare providers

5. How should diabetes be managed during travel and unusual circumstances?

  • By closely monitoring blood sugar and adjusting insulin as needed
  • By avoiding all physical activities
  • By ignoring blood sugar levels
  • By reducing the need for insulin

6. How can the psychological impact of living with diabetes be managed?

  • By ignoring emotional health
  • By seeking support and counseling
  • By avoiding discussions about diabetes
  • By reducing the need for insulin

7. Why is having a diabetes care team important?

  • To avoid physical activities
  • To manage the emotional and practical aspects of diabetes
  • To ensure proper carb counting
  • To reduce the need for insulin

8. How can staying informed about the latest diabetes treatments and technologies help?

  • It can lead to more complications
  • It has no impact
  • It can improve management strategies
  • It is only relevant to healthcare providers


Please support the sponsors

The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!

Donate
Read More