Scott Benner 5/8/23 Scott Benner 5/8/23

#905 Best of Juicebox: Ask Scott And Jenny 11

Ask Scott And Jenny: Chapter Eleven

Originally posted on Mar 25, 2020. Scott and Jenny Smith, CDE answer your type 1 diabetes questions. Today, basal vs. temp basal adjustments, how to measure health, standard deviation.

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

Scott Benner 0:00
Hello friends and welcome to episode 905 of the Juicebox Podcast

welcome back to another episode of the Best of the Juicebox Podcast. Today we're going to be revisiting episode 317. It's chapter 11 of the ask Scott and Jenny series, and it originally aired on March 25 2020. And today's episode we talked about a number of things, including Basal versus Temp Basal adjustments, how to measure health and standard deviation. While you're listening today. Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your healthcare plan. We're becoming bold with insulin. If you have type one diabetes, and are a US resident or a US resident, who is the caregiver of someone with type one, I need you I want you I beg of you to go to T one D exchange.org. Forward slash juice box and complete the survey. That's all I'm asking. complete the survey. Take you about 10 minutes. P one D exchange.org. Forward slash juicebox. Help the people help yourself. help humanity be a helper. That's all I got.

The podcast is sponsored today by better help. Better help is the world's largest therapy service and is 100% online. With better help, you can tap into a network of over 25,000 licensed and experienced therapist who can help you with a wide range of issues betterhelp.com forward slash juicebox. To get started, you just answer a few questions about your needs and preferences in therapy. That way BetterHelp can match you with the right therapist from their network. And when you use my link, you'll save 10% On your first month of therapy. You can message your therapist at any time and schedule live sessions when it's convenient for you. Talk to them however you feel comfortable text chat phone or video call. If your therapist isn't the right fit for any reason at all. You can switch to a new therapist at no additional charge. And the best part for me is that with better help you get the same professionalism and quality you expect from in office therapy. But with a therapist who is custom picked for you, and you're gonna get more scheduling flexibility, and a more affordable price betterhelp.com forward slash juicebox that's better help h e l p.com. Forward slash juicebox save 10% On your first month of therapy. Hello and welcome to episode 317 of the Juicebox Podcast. I'm your host Scott Benner. Today, Jenny Smith and I will be answering questions that you the listeners have sent in three questions today. The questions three. As you can tell, I've been locked in my house for a number of weeks now. And I'm getting a little weird. This episode of The Juicebox Podcast is sponsored by the Contour Next One blood glucose meter. And by touched by type one, you can go to touched by type one.org or contour next one.com to find out about these wonderful sponsors. My friend Jenny Smith has had type one diabetes for over 30 years. She's also a certified diabetes educator. She has a bachelor's degree in Human Nutrition and biology from the University of Wisconsin. Jenny is a registered and licensed dietitian, a certified trainer on most makes and models of insulin pumps and continuous glucose monitors. And as you'll find out later, very well may be a person who can talk to wildlife. The one thing Jenny definitely is, is a person who would want you to know that nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, she'd want you to Always consult a physician before making any changes to your health care plan. We're becoming bold with insulin, Jenny she's good like that. She's rock solid, you know what I mean? She wants what's best for you. In today's show, Jenny and I are gonna talk about when to change Basal rates you know when to do with Temp Basal and when to put, you know, a firm change into place. We're going to talk about the measurement for success in diabetes management. And what a good standard deviation might be, not just for you, but for everybody. Bum Bum Bum Bum Bum Bum bum. bumbum bumbum bumbum. The highlight of my entire week has been that the Costco near me had paper towels.

Hey, sorry, I was moving my microphone stand a little. That's okay.

Jennifer Smith, CDE 5:07
I think I have a like, I think I have like, a problem with like, I did a finger stick, okay. And my finger really hurts. really hurts, like, like, and it's kind of like, puffy. Like, can you see that? It's like puffy and red.

Scott Benner 5:29
I can. On the top. It's puffy, but you didn't stick yourself on that.

Jennifer Smith, CDE 5:34
No, I stuck it on the side where I always do and like, I can't see anything from it. I also need like bifocals. Because I have to go like this every time I have to like see something up close. My son brings me like the directions for a game. And I'm like, like, seriously, who wrote these directions? Like, come on.

Scott Benner 5:57
You have no idea how many times because Arden's a, a side stick, like she sticks on the sides of her fingers, too. But you have no idea how many times like in the middle of the night when I do it. I'm so close to her cuticle. I'm like, How did I miss that? Yeah, and I looked down at her and she's not awake, and I go, ooh, she's never gonna know about

Jennifer Smith, CDE 6:17
this. This has never happened before. Like, and it's it like it hurts it physically. I'm like, I can't there's like no hole. I can't tell if there's like gross underneath or anything. But who knows? I don't know. Maybe there's like an alien growing underneath there.

Scott Benner 6:33
Listen, if it's too fast for you to get an infection, obviously. So it's not that did you maybe just hit a nerve, I

Jennifer Smith, CDE 6:43
must have just hit something that was just a much more sensitive spot. Or maybe I hit a spot that I had already hit. It's time it's kind of a favorite thing. Like

Scott Benner 6:54
in her sleep. Right? This is fascinating. In in art and sleep. I will. I will go to fingers that she doesn't use figuring She's asleep. She won't know in her sleep. She'll pull the finger back and give me a different finger that I'm always impressed by because sometimes I'll be like Arden and she's not awake. Right? She just she feels you in her sleep. Take the wrong finger. She's like, No, no, this one. We're still do two of them. She's like either one of these is fine, but not like I tried to use her thumbs when she's asleep. yanks him right back, fold him up in a fist. I'm like, That's hilarious.

Jennifer Smith, CDE 7:31
That is hilarious. That's super funny.

Scott Benner 7:33
So yeah.

Jennifer Smith, CDE 7:35
So how are your How are your older older kids? I hate calling them kids because they're really not kids anymore. But like, how are they doing with everything? I've got some teen nieces in Milwaukee and they are just like, they're like climbing the wall really according to what the brother in law says. They're just like, I cannot be inside anymore. I need to be not near my parents on board.

Scott Benner 8:02
We're gonna turn your question. You're very kind. How are you question into part of this episode. And here's here's why. Arden's insulin needs have gone way down since she stopped going to school.

Jennifer Smith, CDE 8:16
Do they go down in the summer too?

Scott Benner 8:18
Yes, she doesn't like being at school. That's just what it is. So now this whole the the, the incarceration is actually freedom to her. She can go to bed when she wants get up when she wants to handle her work when she wants to. She's much happier. I'm seeing more smiling. I don't think I should ever send her back to school.

Jennifer Smith, CDE 8:44
The reason a lot of a lot. I've got several people that I work with who homeschool their kids. One who I started working with was telling me about her. She's the pilot. Yeah. Her parents school homeschooled her. She's now like, out of college. She's actually doing an internship with one of the airlines and doing wonderful but she was homeschooled. And they didn't see the fluctuations like comparatively with the other kids her age that is working with who were in school. clear difference from a weekend or a holiday away to actually being physically in school

Scott Benner 9:22
right now. There's there's been even the summer takes time for her to like ramp down. Sure, but this was one day, the first day when she was unsure of how this was all gonna work. Her blood sugar didn't change. And then after she got her work in on time, she was just like free and easy and really happy. So it's interesting now my son he doesn't like the lack of activity. Like we were outside in the driveway throwing a baseball yesterday for a half an hour. He brought us he said he's my kids are both very good with money. They Don't ask for a lot of stuff. And he's like, I need a squat rack. For the basement. He's like, I need to be able to like exercise though. And I was like, okay, and the other end, he walked outside, just sat on the front step for a while, you know, just the height, I need to get outside, because he's also a boy. So like, he'll start playing a video game and lose a day to it if he if you let him, you know what I mean? And last night, he told me around midnight, I'm gonna get a shower. And then I'm gonna read for my, my economics class. And I was like, Oh, that's great. And he's like, it's not like, why is it not? He goes, because I'm going to read for an hour to get what I could get out of a five minute explanation for my professor. And I tried to do like, I did the dad thing. I was like, oh, there's nuance to the reading. you'll appreciate it later, he was looking at me, like, I don't care what you're saying. And I was asking, I was like, I tried not to be, you know, I just was like, you know, this is it. It's good. And, but he wants that he's also concerned about how much we pay for school. And that now he's basically learning through, you know, yeah, really fancy YouTube videos. So he's like, why are we paying for this? And I said, call this time is going to turn. It's one of the strange things about about the United States, at least, that I've never understood, like, why has quality distance learning not become more? I don't know. Like acceptable, especially in college. Right.

Jennifer Smith, CDE 11:28
Right. Right. I yeah, I mean, it I think it's getting better now, how people viewed the distance learning like the University of Phoenix, or whatever it is, you know, all the commercials for, but there, there are quality programs, and my sister in law actually did an online master's degree in business management. And she, she does a great job. She's a wonderful job. Cuz she did that. So there's nothing wrong with Oh, no, no,

Scott Benner 11:55
no, but why is it not more popular? Why is it why not? Is it just is like an his level of embarrassment? Like I went to school, like through the mail? Does it feel like that or something like that? You don't? I mean, like, 1960. It took a writing course from Hollywood.

Jennifer Smith, CDE 12:10
Yeah, I don't know. I think I think in today's technology world, it's getting better. In fact, some colleges, as I'm sure you've seen with even Cole, I'm sure he probably has some things he needs to submit, online and do that way already. But I think it's such a big change from the quality of as you know, in high school. And even in college, there's a lot of social networking that goes on that you, you don't get that when you have it at school, you just don't. And

Scott Benner 12:43
we talked about that. There's, you know, you sometimes meet guys that, you know, he's playing baseball with or he's met through school, and you talk to them a little bit, you go, that's an impressive kid for 20. It's going to be impressive adult and you don't know when 10 years from now, that kid or your son's going to wake up one day and go, you know, I have a position to fill and you know, who would be great for this? Yeah, that guy played baseball with 10 years ago. And so there's that piece and there's the social part of it. Like I'm not, I'm not discounting that. But for some people, they just want their degree. They're not looking for you know,

Jennifer Smith, CDE 13:16
they could care less about sitting in class next to the guy who doodles pictures of his dog, right? Yeah,

Scott Benner 13:22
I met the most interesting guy in college yet no one cares. But anyway, it just was it's interesting that they both are they're not happy. We spent number of hours playing poker the other day. You know, there's we keep talking about having a movie night but it hasn't happened yet. Everybody's that we're I think we're kind of quietly keeping things. Activities aside for when everyone loses their mind. And we really, like need the activities and so far, everybody's been okay. Kelly's under the weather, but oh, it's not um, you know, it's nothing related to all of this. Just yeah, it doesn't feel well, just a

Jennifer Smith, CDE 14:03
normal thing. I know. And that's every time you hear somebody like

Scott Benner 14:08
oh, my god, get back to person get away.

Jennifer Smith, CDE 14:12
The cough maybe they were eating a granola bar that didn't go down the right way.

Scott Benner 14:16
We're doing it on purpose for comedy reasons, too. Yeah, that would be my husband. Yeah, just everybody runs out of the room. mom's sick. Don't touch her. She's like I just I got a dry piece of Winona bringing us down with you. So and she cut caffeine out. But she did it too fast. So now she has a caffeine headache, you know, and I gave her a little tea. I'm like here have a little it's not from soda. And this, she might even

Jennifer Smith, CDE 14:43
do better if she if she's willing to do tea. She could even do something like a matcha which has a little bit of caffeine in it and could kind of ease down Calper the caffeine kind of thing because it's also much smoother caffeine than coffee coffee is like you get this big like rule

Scott Benner 15:00
Yeah, we don't drink coffee. Nobody here drinks coffee. Actually, I think the truth is that I don't believe Kelly ever has been I've never had a cup of coffee in my life. So I wouldn't even know what it is. As Jenny takes a large

Jennifer Smith, CDE 15:14
as well. I drink tea every morning, usually a couple of

Scott Benner 15:17
drops. But I'm drinking earl grey with a little bit of honey. Oh, I

Jennifer Smith, CDE 15:20
have a very good friend in Colorado who Earl Grey, and Lady Grey are like her favorites. My

Scott Benner 15:26
favorite thing it really is. Alright, so Jenny, we have a ton of ask Scott and Jenny questions. And we are gonna do like three recordings in a row over the next two weeks so that we have them all set up? Yes. Before we start, let me tell you that and there's no pressure here. But tomorrow at 3pm I'm doing a like it's just a social meet up online. And if you're free and you jumped in for a couple of minutes, I bet you these people would be very excited to

Jennifer Smith, CDE 15:55
unware zoom. And zoom.

Scott Benner 15:58
Yeah, so you could sit like this, click on a link pop up.

Jennifer Smith, CDE 16:01
What? Yeah, we zoom for our staff meetings on Wednesdays. But what at what time,

Scott Benner 16:07
three o'clock tomorrow? Three to 430 it's gonna run. It's gonna be like a free thing. Like people can come

Jennifer Smith, CDE 16:12
time. Like, dude, a two to 330 my time. I should be around. Usually, I'm working on emails at that time. So send me the link. I will

Scott Benner 16:20
even if you just popped in and you were like, Yo,

Jennifer Smith, CDE 16:23
and send me a quick text while you're doing it so that I remember you

Scott Benner 16:27
will. You're gonna find out what it was like to be Elvis in the 60s. Ah.

Jennifer Smith, CDE 16:34
Interestingly, are you recording right now? Okay, I just wanted to

Scott Benner 16:40
read you want to say something private? Hold on a second. by everybody. will gently I hope nobody finds the body. I think you're gonna be okay with where you hit it. You're so I mean, it's Wisconsin. There's so much snow on top of it. No one's ever gonna find it.

Jennifer Smith, CDE 16:58
We've got lots of bugs too, you know? Yeah.

Scott Benner 17:00
So should we just start at the top of this list? Or do you have a favorite in here?

Jennifer Smith, CDE 17:04
No, I the one that I think we had commented briefly. The last time we talked was it last week already? was about there was somebody who asked about artificial sweeteners. And that one was curious to me. But there's a good list of questions. So wherever you want to start, it's totally fine to me. Okay. Well.

Scott Benner 17:26
Can you like there are so many guys. First of all, Rudy was so nice to send in so many questions. But yeah, let's just roll through the top. Okay. Okay. Sarah asks, Please address puberty. Specifically, I think Sarah wants a question answered for her specifically, but 12 year old, pre period, girl, the spikes and drops are insane. There aren't on the pod Dexcom. So I think the question here is when to change basil, and just Temp Basal. Okay, so she's seeing drops and spikes. And she's looking for your when is this a change I make forever? And when is this just something that's happening? But that's interesting.

Jennifer Smith, CDE 18:10
It is. And it's a great, I mean, given the age of the preteen. And you know, her being a female, obviously, there are going to be, as I've talked with a lot of the people I work with who have girls about this age, who have not started a cycle yet. There are often about like a six to maybe 12 month time period before a cycle actually shows up. Okay, that if you start to track these resistant and sensitive times on a month to month basis, you may find anything to answer your question, you may find that it actually flows around the same time every month. And if you can catch that, then yes, you may be able to put a pattern in you know, Omnipod, all the pumps out there allow you to actually set up different Basal profiles to turn on at certain points. So if you can track enough to say, Okay, this cyclic nature of resistance is always coming around the 15th of the month, or whatever it is, right? If you track a couple of months, and you see that and you say, Okay, last month, we used 50% More this month, we're using 40% More, you should be able to set up a Basal profile, then that essentially is that much more at least in Basal delivery, and then just enable it for that time of the month and the duration of days that you see it typically lasts. That's you know, that's kind of then going forward into once a cycle does start, you'll be able to utilize that same kind of pattern. And once the cycle becomes regular, which is usually it takes about a year, give or take for most girls once they start their period to have kind of a consistency to it right So you should be able to use a pattern then, rather than just always employing a temporary basil. It does take using the temporary basil up front though to figure out which amount extra you need to actually create a profile from.

Scott Benner 20:16
Okay. So last night, I learned that Arden has a name for her period and she won't tell any of us what it is. It has a human name apparently human names. Yes. Awesome. I think she likes the feel like there's a person who's inflicting this on her so that she can be focused on the person doing the problem that's on the side. Yesterday I showed Arden's friend Jani, who has not been on the show yet, but will eventually she's somebody whose blood sugar I'm tracking. I showed her how to see that her pod site went bad. So she's rolling along great in the 90s just kind of bouncing, you know, 8996, like all day long, three o'clock in the morning, it shoots up and levels off at like 220. And just stays that way all night till she wakes up at like four in the morning realizes that Bolus is the Bolus takes her down a little. And then she's levels off and kind of rises back up again. And so I just pull up a 12 hour graph. I showed it to her and I said, just look at this. This is a bad site. And she's like, why? And I'm like, doesn't matter. It just is like, look at it, look at it. This is what a bad site looks like all the sudden, your insulin pump is not doing what you expect of it. Common sense here says bad sight is it is this the last day of your set. And she goes it is and I was like okay, change your palm, get yourself down and start over again. The reason I bring that up where it doesn't feel like it maybe fits here is that the way I would handle Sarah's question is I would just do it over and over again until I had that feeling of like, Oh, I know what this is. And I really believe that it's not just me. I mean, I think the podcast has proven that outright, that eventually after you do something enough, you just see it. And then all the thinking goes away. Jenny, what Jenny said is all perfect, do that. But I think that one day, it'll just be a situation where you got this as a Temp Basal increase, or Wow, this is not giving up. This is more. Right. Sorry. Exactly. So long game.

Jennifer Smith, CDE 22:21
It is a lot. It's a marathon, not a sprint. Yes. Entirely. And you know, in the beginning, though, when you're really trying to figure out the difference between a temporary or a true solid adjustment? Yeah. I think you know, when you make, let's say you make you decide you're going to make a profile change. Oh, sorry. Bringing it shouldn't have rang. I had it turned off.

Scott Benner 22:45
I didn't hear it on the sensor. You're good. Oh, good, good, good, good.

Jennifer Smith, CDE 22:49
So, you know, overall, you might make a basil change. And then you're like, Well, what, what gives three days later, you're like, that's not working anymore. And now I'm way back down that might overtime again, prove I need to maybe make a temporary adjustment, rather than a permanent kind of an adjustment. It's kind of similar to growth patterns and kids, you know, where you see a temporary need, because you're now fluxing up and Okay, all of a sudden, this is gone now, and I'm staying a little higher, but I wasn't at the rate of need. Like I was for three days. Yeah, it's come back down a little bit. But now it looks more stable. It's a little higher, but not quite. So yeah.

Scott Benner 23:29
Yeah, I think that somewhere in between, stay flexible, be and reactive, not in a negative way. But in that sort of don't wait around weigh, you know, like, and there's drifts Sara that you'll start seeing on the Dexcom line. And just by the angle of it, I don't know how to explain it to you. But you'll start to look and go, This isn't going to stop. Like this shouldn't be happening here. I'm going to try a Temp Basal increase right here. With Arden's period yesterday, I used a lot of temporary increases yesterday, because she was sitting stable at 190 boluses weren't moving her. And so to me, that meant, you know, Basal jacked it up, it worked a little bit not enough, it was the end of her pump. So we swapped her pump, you know, we just went through the steps of you know, of what it could be and, but we didn't wait around like once you saw it, we moved on it. Well, we all have one thing for certain. And that's an abundance of Time, time that can be used in many different ways. You could perhaps spend your time at touched by type one.org. Or maybe you'd go to contour next one.com To find out if you can get a free Contour Next One meter by just clicking on a link and filling out some information. So here's what we're gonna do, touch by type one.org He has a mission of elevating awareness of type one diabetes. They also want to raise funds to find a cure. But mostly they're looking to inspire people to diabetes to thrive. They have these beautiful programs and services. They're helping kids all over the world with our D box program. They put on one heck of a dance program every year in Florida. Go check them out, touched by type one.org. And once you've done that, you know what you need. You need the best blood glucose meter My daughter has ever used. And by best I mean, the most portable, the Handys fits well in your palm lights up nicely at night super duper accurate. And blood sugar test strips, the little strip things you get a second chance with if you mess up, you know, when you go into the blood, sometimes you're like, I got it, I got it, and then it doesn't beep and you're gonna throw away the test strip, not with the Contour. Next One, you just dive back in again, beep beep looking at your blood sugar. I absolutely adore this meter. As much as anyone could adore a blood glucose meter. The Contour Next One is it. So head over to contour next one.com. And see if you're eligible today for an absolutely free, no obligation meter. And if you know you need a prescription, contact your doctor. They're just sitting in their living room to no one's doing a damn thing. Just throw him an email be like yo, what's up? Let's try this new meter, send out a prescription have gotten nothing but time. Contour next one.com touched by type one.org. Those links are in your show notes right there in the app. Right that you're listening in now. And at juicebox podcast.com. Check them out support the sponsors.

Okay, well, it's so funny. It's another Sarah but a different Sarah.

Jennifer Smith, CDE 27:05
There are lots of stairs just like Jenny. Yeah, it was a popular name.

Scott Benner 27:08
So they're even spelled the same way. It's not even helpful. What would you consider the most meaningful metric or measure of successful diabetes management?

Jennifer Smith, CDE 27:21
Oh, that's a good one. And I think we've actually got we went over that a really long time ago. Any of the of the pro tips or any of those kinds of things? I think if you're looking at measurement from a site like clarity, or one of your pump upload sites that gives you all of the metrics of this is your you know, your average or standard deviation. This is what your glucose management indicator value is showing you what not, what's the best indicator is time in range. That's it in second to that really would be that standard deviation, right? Because the lower the standard deviation, the more smooth management is rather than the jagged up and down kind of Rocky Mountain. But definitely, I would say time and range. Our goal when we work with people is always, you know, at least 75% time in range less than 5% of the time low. Pregnancies a little bit different but

Scott Benner 28:23
yeah, so what are the ranges you give people? What is that range?

Jennifer Smith, CDE 28:28
I work with people on their target range, because everybody is individual.

Scott Benner 28:33
So okay, so if do you feel like most people are being told 8180? Something like that? 71

Jennifer Smith, CDE 28:42
Yeah, 70 to 180. Like, if we look just at tide pool, tide pool has automatically set up as a time and range target as 70 to 180. You can in your settings, go in and adjust that to get it tighter or make it broader or whatever. But yeah, most most practitioners, I would say are aiming for about an 80 to 180. That's the most common that I hear. So again, if you just aiming for what the standard is. That's it.

Scott Benner 29:11
I think that these companies should expand this a little bit. I've been thinking about this. I need a time in range, and a time in Nirvana, like kind of match. Right? Like I want to know.

Jennifer Smith, CDE 29:27
I want to know how to be in range, but I really wanted to be in this sweet spot. Like

Scott Benner 29:31
I'm not I'm not I'm not upset that Arden's blood sugar's 180 for an hour, right? I'm gonna get it back down again. But I want to know when I'm 70 to one to 181 3120 in there, I want to know when I'm, I even want to know like 65 really like because if because if she 65 for a couple of minutes after a Pre-Bolus Yeah, I'm already with that. Right. And so I think that everyone needs to remember that when we talk about this stuff, there's context that you need to give it. And you see all the time there's people online, or look, I was in range 100% of the time today, and somebody will come in and say, you know, what's your range? And then suddenly, they don't come back again. Because you know, they never went over 350. And we're never under 50. I'm using range all day. And even you know, what, if that's for them a success? I'm not taking that from them. I'm just saying that when you're trying to share it out loud and public, you need to tell people what that range is, or it lacks, you know,

Jennifer Smith, CDE 30:33
I've even seen something that goes along with it. I've even seen people then question, well, what are you eating? Because when we're looking at sharing our own information, and kind of patting ourselves on the back, which good for us? Absolutely, it takes work. So go ahead and pat away. But you also have to, when you're putting it out there to the public, you have to give all the information that went along with that. You can't just say look at this nice flat line. Well, people then ask, well, what are you eating? How did you get that? Because there are so many different variables that go into meeting that.

Scott Benner 31:09
So my blood sugar has been between 82 and 86. All day, I've had four hard boiled eggs yet like yeah, like tell somebody the whole story. Right? Exactly, yeah, because it feels bad. Otherwise, like, otherwise you're looking at it, you're like, oh, my gosh, you know, this person's blood sugar. I try to remember as much as I can, to say, you know, art and say one scene has been between five, two and six, two, by the way, coming up now on six years. And she doesn't have any diet restrictions. But I always think the important thing to add is, for all of you that are imagining that her blood sugar is just at three constantly. That is not the case. You know, we just don't look at high blood sugars very long, and she's not low. So, you know, I would say that Ardens deviations never where anyone would want it. A hertz is usually like 40, you know, and, but within range, it's being measured between, it's being measured between 70 and 120. Right. So, you know, and you know, and I know, I still don't want her to spike up, but she sort of doesn't, right, you know, so. And not that she doesn't ever she does a couple of times a month or you know, a couple of times a week or whatever it ends up being. But she just doesn't jump the 300 and stare at it. So I think that while the measurements are really important, the way we talk about them are, is possibly even more important. So I don't see anything wrong with a one, see if it's being done correctly, meaning no protracted lows that are giving you a false sense that your agency is lower. But what Jenny's saying is you do not want your blood sugar bouncing up and down. That is just not good for you. It would probably be better for you to be steady at 150 than to go from 70 to 300. combover. Correct. Exactly. Right. So there you go. Actually, the funny thing here is the next question from Nicole, is, what are your thoughts on a reasonable standard deviation for a growing five and a half year old? Yeah,

Jennifer Smith, CDE 33:11
that's, I think you have to have a little bit of expectation that there is going to be more variability in certain periods of life. There will be I mean, kids, I mean, she's his growing five year old kids are growing considerably from birth, I would say, honestly, until about the age of like, 10 ish, things are kind of similar and patterns of growth. They really speed up. I mean, you can see the difference. Yeah, and we've got one of those, like tree growth charts for our boys. And I usually try to every couple of months to see where are you because I know, you look like you've grown or your pants look way too short again. And I swear I just bought new ones last month, you know, but at some point that growth slows down. And certainly the teen years are a different amount of growth, not the same as far as like height or anything, although it could be for boys differently than for girls. But hormones are a bigger impact there in the teen years. For little kids like that five year old age. You can expect that in for a standard deviation of something like 20 might not be in the cards because you may have a lot more variability. Even if your time in range is kept very good. You still might have a little bit more variability in there. Because if your five year old is like my who is now seven, when he was five, I mean, he could be like I want to eat I want to eat I want to play I want to eat nope, I'm not going to eat all of that. So when you mix diabetes in there and you have to Bolus and strategize and okay now I have taken a little way and now I have to plan for this and whatever. There's going to be a lot more variability perhaps, but aiming That's why I said that metric of time and range would be really more what to look at. Yeah, we don't want your standard deviation to be 80. But if it is going up a little bit more, you know, up and down. That's kind of par for the course with littler kids.

Scott Benner 35:18
I think that common sense is incredibly important here too. Because as you're listening to Jenny, explain this, from a clinical standpoint, you're thinking about what is or isn't said to you by The American diabetes Association, or by your endocrinologist, all that stuff, you have to remember that they're just trying to give, they're not with you, they're not always whispering in everybody's ear, right. So they're just giving a baseline like, you know, your standard deviation should be less than blah, your agency should be here, your variability shouldn't go blank, like, they're just giving you a place to start. I think that it's a, it's kind of incumbent upon all of us to take what looks like the rules, I'm making little quotes with my my fingers, and realizing that that's probably not the best you should be shooting for. It's not it's not the top, they're just trying to keep people. I don't know how to say this. There's a, there's a way that if you're, well, I'm struggling here. Anyone, anyone who's been in a position of power in an organization knows that you're giving common denominator advice to your employees, to you know, the the subjects of your kingdom to like, to whom ever you're talking to, and to hear that advice and take it as gospel, I think is a mistake. Right? Do you know what I mean? Like, you know, like, yeah, do you ever go around a corner and the speed limits 25. But you're in a sports car, and you're like, I could go around this corner? 45. And it would be, you know, that's you, you're in a different car, they put the 25 there for the guy coming through in the 1975 Datsun like, do you mean like his car can't handle this curve at 25? He will roll the car and right, yeah, so for us, for instance, my standard deviation doesn't look good on Arden compared to what people say, except those people have a range between, you know, 80 and 180. While I'm shooting for a range between 70 and 120. And so, my I, I know where our standard deviation sets When I'm happy with our blood sugar, right, and I don't care what anybody else says that works well for us, right. And then people are like, whoa, but then or health or health or health is going to be great. Like, if you tell me that a person growing up with diabetes, who's got an 801 C, and the fives constantly eats whatever they want, doesn't spike high, you know, maybe sees one at twice a day for 45 minutes. If you're telling me that's a problem. I don't believe you. You're I mean, like, or here's this, that's the best we can do. So you know, we keep trying to tighten it down and make it better. But at some point, that's when you get to the the life versus management trade off. Like I got to be alive to weed. Right? Exactly. Right. Yeah. And so the problem with asking these questions are and getting the answers is that no one's going to give you a real answer. They're just going to say what feels safe. Right. And so that's the most part. Yeah, common sense. These pop it

Jennifer Smith, CDE 38:27
what I can kind of say about standard deviation, though, even in let's say, your time and range of whatever range you have set. Even for a five year old, for example, you know, if you're constantly having these big old climbs, and then constantly attacking them, and then having a drop that you're getting into the red zone, and then you're climbing again, because of the red zone, and then you're dropping again. Even if you're in range and doing that, that standard deviation, it's still it requires improvement, right? You don't want this mountain peak, you know, up, down, up, down, up down all day, because even in range, it doesn't feel good for any age person. So the smoother that is, the better the person, the child team, whoever feels

Scott Benner 39:17
if you're looking at up and down and up and down like that and worried about time and range or standard deviation, you're missing, you're Miss focusing your concern, your concern should be Pre-Bolus thing and carb ratio and understanding glycemic index and stuff like that.

Jennifer Smith, CDE 39:31
And also effective insulin right duration of insulin. Yeah, understanding how long is my insulin actually working? You know, we're under that kind of takes it a step further in that variance that you see that standard deviation, because we're kind of in the understanding that our rapid insulin is rapid. I mean, we talked about this before and that it also clears very rapidly. That's not actually the case. If you follow it out, right. There's actually a A lingering dribble of impact. So if you are getting that up, down, up, down, up, down, it's very likely that even with using a pump, you might unknowingly be stacking insulin because your duration of insulin has been too short. And with modern day conventional pumps, what you set it at is what it uses. It doesn't do anything else beyond that, right? So it can't say, Okay, there's still insulin left here. Make sure you take some of this off. But yeah,

Scott Benner 40:30
Jenny's talking with their hands while I can hear birds outside of her window, and she looks like Snow White. I talk with my hands a lot. I don't mind the hands hockey, I'm just telling you about Snow White for a second. Listen, here's what I think. Don't worry about your algebra grade worry about understanding algebra, right? You know, the grade will come if you understand the math. And with this, if you know how insulin works, the standard deviation of calm, the time and range are commonly a one CL come like you can't, don't focus on the grading focus on the work. And, you know, I don't know how many more times I can say this, I keep thinking I'm going to sync the podcast, it's timing and amount. It's understanding how insulin works use the right amount of insulin at the right time. And the rest of this becomes unimportant, you know, its background all of a sudden.

Jennifer Smith, CDE 41:18
And the important thing about that timing and understanding is that it is individualized right for you not to cut and dry of okay, the doctor told me that this should last three hours. So that's what it should last. That might be the case for Johnny. But for Susie over here in the corner, maybe she's figured out that three hours, the doctor told me it looks like it's four hours for me. So it does have to be individualized.

Scott Benner 41:41
I don't know where I was where I rolled up into a talk. And I told people look, here's the truth. I could have flown in here, got up in the morning, got showered, jumped up on the stage, grabbed this microphone and said, Hey, everybody, it's all about timing and amount. Just understand how insulin works. And you you're going to be fine. Thank you good night, and I could have left, you know, would, you know would have left out some of the details about how to get to that. But that's still the truth. Correct. Jennifer Smith is available to work with you. Check her out at integrated diabetes.com. Thank you very much to the sponsors, Contour Next One, and touched by type one. A lot of ones in there. Two ones, you know what you get when you add up to ones. One on One is equals to I'm completely alone in this room. I just want to go outside, touch a handrail. Don't walk past somebody who sneezes and not have a stroke. Soon, probably a couple more weeks, couple months the most. It'll be fine. was still wearing pants or you don't judge me. Listen, I put this up a little early. Right? Because on March 26, at 3pm, we're going to do a big zoom meet up. And I have an idea for that I think you guys are gonna like so if you're hearing this in the moment, check it out. And if not, the video will be running on the Facebook page, you can go back to it. But here's what my thought is going to get a bunch of people together. And we're all going to you know, just chit chat, see how things are going make sure nobody's like, you know, go and do because they've been locked in their house too long. And they after we all do a little Chitty chatty like that. We're going to talk about getting people's Basal insulin, right. So like a big group thing on everyone's Basal insulin. And then we're gonna come back the next week, see how people are doing and then add another step. And maybe during this whole Coronavirus thing, we can bring everyone's variability and standard deviation and a one seat down, when that'd be cool if we just all got together in a group and did something like that. Well, I hope you think it's cool, because I'm pretty excited about it. March 26, Thursday 3pm Eastern time. There's links right now on Facebook, I think the links on Instagram, send me a message if you don't know how to get to it, get there. Gonna go through people's Basal rates, just like it's a private phone call, except we're all going to be there kind of kicking in our two cents, helping everybody out. You know, if the listeners of the Juicebox Podcast can't count on each other during a time like this, then I don't know who we can count on. So while we're all busy being stressed out watching bad Netflix shows, I figured we could spend a little bit of time doing something for everybody's health. I hope to see you there. Hey, last thing if you're not a subscriber to the show, like if you just count on remembering the shows on it would help me out a lot if you hit subscribe and your podcast app would help even more if you share the show with a friend. And if you're not up to like share in the show, maybe just share the zoom with them get together and maybe they'll see something they like and they'll check it out on their own. The podcast is growing so quickly because of you guys. It isn't even letting down during this Coronavirus thing. I'm super impressed. I thought for sure. Like, oh, downloads will slow down, but they haven't. And that's really very touching. Oh, by the way, last thing next week. So the next show that comes on, let me take a look. On the 30th of March, it's going to be an after dark episode. Sexuality from a female perspective. So if your kids usually listen, don't let them listen to that one. Because there's not a lot of bad words in it. But there's a lot of clear talk. So unless you want your kids to know exactly where the round peg in the square hole are, I think you should. I think you should make sure they skip that one. I didn't believe a lot of kids listened until recently, but apparently they do. Which I think is great, but not for this one on Monday. So there's an after dark coming up on Monday. Make sure your kids don't hear it. A huge thank you to one of today's sponsors better help, you can get 10% off your first month of therapy with my link better help.com forward slash juice box that's better. H e lp.com. Forward slash juice box. If you've been thinking about speaking with someone, this is a great way to do it on your terms. betterhelp.com forward slash juice box. Thank you so much for listening to this episode of the Best of the Juicebox Podcast. Don't forget, if you'd like to hire Jenny. She works at integrated diabetes.com. Just head over there and ask for by name. As I'm saying goodbye. I'd like to thank you for listening, sharing, subscribing. If you're in the private Facebook group, anything you do to support the podcast, I appreciate. If you're looking for more of ask Scott and Jenny, there's a whole list of them at juicebox podcast.com. Right up in the top in the menu. And there's a list in the private Facebook group Juicebox Podcast type one diabetes up in the feature tab. They ask Scott and Jenny series always has more coming. So if you have questions you'd like to ask Scott and Jenny, find me in that Facebook group and let me know we'll put them on the list and make more episodes with your questions.

#904 Weight Loss Diary: One

Scott is taking Wegovy for weight loss. This is diary number one.

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Hello friends and welcome to episode 904 of the Juicebox Podcast.

Today's episode is going to be shorter and it's just going to be me sharing something that I've been up to. While you're listening today please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. You if you have type one diabetes and are a US resident or are the caregiver of someone with type one, please consider completing the survey AT T one D exchange.org. Forward slash juicebox. When you do, you will be helping to move type one diabetes research forward and you'll be supporting the podcast T one D exchange.org. Forward slash juicebox.

Today's topic is about me. It's health related. It's not scary, don't worry about that. And I thought it may be of interest to some of you so I decided to record it and put it here

this episode of The Juicebox Podcast is sponsored by us med. US med is where we get our Omnipod and Dexcom supplies and they have so much more call 888-721-1514 right now to get your free benefits check or go to us med.com forward slash juicebox us med has an A plus rating with the Better Business Bureau. They accept Medicare nationwide and over 800 private insurers. They carry everything from insulin pumps to diabetes testing supplies, and they have the latest CGM like the Dexcom G seven and the libre three. US med always provides 90 days worth of supplies, and they have fast and free shipping. better service and better care is what you'll get from us med a company who has served over 1 million diabetes patients since 1996. US med is the number one distributor for FreeStyle Libre systems. The number one specialty distributor for Omni pod dash the number one fastest growing tandem distributor nationwide, and they are rated number one as the distributor for Dexcom in customer satisfaction surveys us med.com forward slash juice box or call 888-721-1514

Speaker 2 2:52
Hey guys, it's Scott. I have decided to try

Scott Benner 2:57
we go V for weight loss. So I'll talk more about why later but I'm going to make an audio diary. And this is my first entry so I've never injected it before. This is my first time. Got the instructions in front of me weighed myself this morning

step one.

Speaker 2 3:30
Prepare your injection. Pen alcohol swab gauze pad sharps container wash my hands

Scott Benner 3:41
choose my injection site I'm going on my stomach. Remove the pen cap. Okay

Unknown Speaker 3:50
that looks like this side. Oh this is

Scott Benner 3:56
incredibly similar to the G voc hypo pen the weight works.

Speaker 2 4:01
So pull the pen cap straight off. Inject push the pen firmly against your skin. Keep applying pressure until the yellow bar has stopped moving. Oh this is via this works almost exactly like the hypo pen. You push it firm. Okay, again. That's Jenny texting me. Sorry. We're talking about this. I'll silence my phone. Push it pressure against until the yellow bar stop. You'll hear two clicks during the injection. Okay. Well

Scott Benner 4:41
I've given a lot of injections but never to myself. So here we go

I'm not nervous, but I could have just pushed it by didn't know So give me a second here try to put the pen near the microphone

Unknown Speaker 5:21
Okay, try it one more time I think I got it no

Scott Benner 5:26
sorry it's more of a

Unknown Speaker 5:30
I'll explain in a second

Unknown Speaker 5:48
alright, I think that's it

Unknown Speaker 6:01
yellow bars stopped moving

Unknown Speaker 6:08
I didn't feel anything. So I'm just gonna have to assume it worked. All right, well, here we go V

Unknown Speaker 6:22
was telling Arden about this and she said

Scott Benner 6:28
one day it'll be like hey, you were Am I so we go v where my I forget how she put it she had like like a little like thing. Anyway, point two five milligrams to start once a week for four weeks. I will check back in on this recording every time I have something to add. So here we go. Hey, everybody, I'm back. That was six days ago. Today's Monday. So today's Monday, April 3, I recorded that first little bit where did the first injection on Tuesday the 28th of may wait March sorry, March, March, April, May area. I understand. I understand the months Don't worry. So tomorrow is my next injection. And I'll be back to do that with you. But I just wanted to kind of check in. So almost immediately, keeping in mind that I'm not a person who has a ton of like, appetite to begin with. But I now have to remind myself to eat. And I wasn't doing it at first but it's very important because you don't get hungry classically. So I was getting like woozy my head was like hey, what's going on? I think I need to eat. And I'm not having any trouble eating on this dose. I can't I could overeat but I would make myself nauseous I think so I'm not doing that. I'm purposely not doing that. Meeting a lot of steak and fish this week. Drinking a lot of water, that kind of stuff. No soda, nothing like that. I wouldn't before but I haven't I had an opportunity to have like a diet soda. I didn't do it. I had to have a one little sweets, that kind of thing like a candy because I got up on Saturday morning and I was like well I'm just gonna go grocery shopping and we needed eggs and a few things and I was like motoring around the store and got tired because I realized I'm like oh I haven't eaten anything. So I grabbed a little something to give me like a quick kick almost like a low blood sugar but I don't think my blood sugar was actually low and that helped to got me home I ate something and I felt fine afterwards. Nausea that some people talk about I haven't had like a I know the full feeling like like you'd ever have like a sick stomach where it feels like hollow inside. It doesn't feel like that but it feels like a tiny sliver of that like you know 2% of that sometimes when you're full. I've added more magnesium oxide. I'm taking two a day now instead of one just to make sure things keep flowing. And they are

Unknown Speaker 9:19
and I have lost

Scott Benner 9:22
six and a half pounds in six days. I feel fine. Like I don't have any weird side effects or anything crazy. I didn't eat oddly different than I would have normally. I have dieted before and eaten. Similarly to how I've eaten over the last week, I have certainly not lost six and a half pounds doing that before. So for the moment I'd say that I'm I'm noticing the hunger thing. Very, very diminished, if not completely on what's gone. And I'm looking on I should bring up This app for you, we got a scale Hold on a second, let me get my app open. We bought a scale that kind of measures. Some things to go along with our, our thing here, if I end up loving the scale, let you know which one it is for now. No need. But yeah, I guess I'm gonna use numbers here. So I started we go V on the 28th. And on the 28th, I weighed 233.4 pounds. The next day on the 29th, I weighed 230 2.6. On the 30th, I weighed 220 9.4, on the 31st to 28. Then I had a little issue with I didn't use the bathroom that day, which is when I added the magnesium. So the next day, I weighed myself on for one, and I was to 28 again. And then the next day to 27. So to 27 to 28 to 2930 3132 33, six and a half pounds, I have not weighed myself today. On top of that, my BMI is going down, my body fat is going down my hydration, like body water is going up. See some of the other things that the scale

Unknown Speaker 11:29
measures.

Scott Benner 11:31
Fat free body weight starting to go down, subcutaneous fat went down. very visceral fat went down.

Speaker 2 11:41
super interesting. Muscle mass has stayed the same.

Scott Benner 11:47
bone mass has stayed the same. I don't know how to scale news, all that. But we wanted to track as much of it as we possibly could. Anyway, I kind of am feeling the effects of the injection waning a little bit meaning. Last night, I had an appetite all of a sudden at dinnertime. So but I woke up this morning. And honestly I'm recording this at 2pm. So I woke up this morning, took a shower, manage the dogs, I had a meeting I had to get on soon as the meeting was over. I had to do a recording, I did my recording. And now I'm here talking to you. I'm still not hungry, but I'm gonna go downstairs and eat something right now probably have a couple of eggs. Scrambled, I might put them in a wrap and throw maybe a couple of pieces of steak with it. Or shrimp I'm not sure exactly which. And then I'm going to come back here up here and edit podcasts for you. I will be back soon to tell you what's next. I am back It is Tuesday, April 4, it has been one week since my first injection of weego V I'm on the point two five milligrams dose right now. Again, this is an auto injector pen. So I'm gonna pop the cap off, find a place to inject it, you push down it clicks once there's a window where you can actually I can see the liquid right now that's in there. And hello, we go V I see it right in there. And like a yellow arm comes down and pushes the visual it pushes the liquid in. And then when the yellow arm is completed, it clicks again. And you're done. Did the first time didn't hurt at all? I'm gonna do it again in the same spot on my stomach. And I am going to tell you before I do it, that the last couple of days, I've been thinking like, I don't know how this medication works exactly if the if it becomes less. I don't know impactful as the day is weighing on like you don't I mean almost like you know how you shoot your basil. And like if some of you're using older Basal insulin like Lantus or levemir, like you know, before you get to 24 hours again, you kind of notice it not working as well. Like I don't know if that's happening, but in a week situation where Tuesday, Wednesday, Thursday, Friday, I was like, Oh, I feel that I have this medication in me. But then maybe Sunday, Monday, I started thinking like, I don't think I'm feeling an impact from it the same way. And I did stop losing weight in the last couple of days. I mean, again, this all could have just been water weight. Who knows like I have no idea. So here we go V

Unknown Speaker 14:30
cap off. Cap is off. All right,

Scott Benner 14:36
stand up and put my belly closer to the microphone.

Speaker 2 14:41
Done. Little pinch here, and here we go.

Unknown Speaker 14:57
Okay,

Unknown Speaker 15:04
All right,

Scott Benner 15:05
I was at injection number two.

Unknown Speaker 15:10
I'll be back to tell you what happens.

Scott Benner 15:14
Hey, I'm back, it's been another week. Fastest recap, I've so far done to injections of wheat go V at the point two, five milligrams. Dose. This is the common starting dose, you kind of ramp up as you go. I was warned when I began by the physician that you know, people don't usually lose weight in the beginning, blah, blah, blah, that there can be some feelings of fullness and that some people even experience like vomiting, and diarrhea. I haven't had any of that. Going back to the beginning, I had that that very feeling a very fullness was like for the first three days. And then after that, as a as an actual physical impact that feeling has gone away. Although I am still full, it's hard for me to eat a lot of food. This last week, we ended up going shopping on Saturday and stopped at a diner on the way home. And I got a meal that was Turkey and had a potato and forget what else was with it. A couple of vegetables and I basically couldn't eat very much of it at all. Ate it got full stop. Had a little scoop of like a chocolate cake like honestly, like maybe two spoonfuls not fully been. That was it. I had the same experience this week that I've had so far, which is the first four days after the injection, I consistently lose weight. And then I stay kind of level for the last three days of the of the seven days. So that's where I'm at now, I have lost eight pounds. Since the first day I injected we go V. Now usually when I lose weight, it comes out of my face first. But it's coming out of my midsection first, which is interesting and great because it's where I want the weight to come from. So that's kind of been exciting. And this week was Easter. So I went to dinner. Once, you know on Saturday when we went shopping at this diner and then on Sunday, we went to a you know a family member's house. I didn't overeat by any stretch of the imagination, but I had some ham I had some pork I had what was with it, him pork, there's something with it, there was there was cake, I had a very thin slice of cake. And I had a rice krispie treat. And I still didn't gain any weight. And I'm telling you that historically through my life, just having like a rice krispie treat with a little piece of cake in the same day, I would have been two pounds heavier. Like that's how that's just how my body works. I start retaining water right away if I eat anything. So I've been eating more and lost weight, the first four days stayed stable with my weight the last three days. And I lost another four pounds. So four pounds the first week, four pounds the second week. And I have to be honest with you a couple of days ago, I was getting excited to take the shot and I was like let's go, you know, spoke with the doctor this week told her about the weight loss. She said that's very uncommon to have lost like this much weight right away. You know, it's almost a non therapeutic dose. It's just an amount that's supposed to get you going but it is definitely having an impact on me. And I snuck a couple of things in this week almost a test, it was almost like let me test the week Ovie I got a box of red hots, like those hot candies, I had those spread out over a number of days, I couldn't just like I couldn't work down the box like that would not have happened. But I had a couple here and there over a couple of days, almost just as a test didn't gain weight. And I was very impressed by that. So anyway, I'm excited to inject this and see how Week Three goes. Also, because of how the prescription model works with your insurance. As soon as I inject this, the next thing I do is send an email to the doctor that says I've injected my third pen, because they have to start the process of putting another script through because you're not just getting the same drug over again, although it's the same drug. It's a different dosage. So they have to re prescribe every month till you get up to a place where you stop. So anyway, do this that I send the email just because it's become what I'm doing on this recording. Take the cap

Unknown Speaker 19:44
off.

Scott Benner 19:48
Belly has been working good for me. Little pinch, push you get one click then you wait for the medication to dispense it clicks again until it's done. I like to leave it in another second or longer. So Oh, here we go 123

Unknown Speaker 20:07
I'm gonna wait a couple more seconds just because I don't want to waste any of this. All right, here we go V. I'll see you next week.

Scott Benner 20:21
Hey everybody, I am back with my fourth injection of we go V at the point to five milligrams dose. I didn't need as much this week, I didn't remind myself to eat and I ended up snacking in place of meals and I put two pounds back on. So we'll do that this week. Alright, this is the last shot of point two, five, and then we're going to the step up, which by the way I already have because my daughter is on top of things. And after the third injection, so you get a box of four after the third injection, that doctor asks for an email that says I've just injected my third pen. Then she sent a new script for the step up, which was already waiting for me it's in the refrigerator right now and waiting for next Tuesday. But for now we're gonna get through the fourth pen of the first box and then get to next week. Little pinch here we go

Unknown Speaker 21:30
all right. I'll see you next week.

Scott Benner 21:36
Hey everybody, it's Tuesday again and I have finished my first round of weego v. So the first round was for injections once weekly of point two five milligrams so now I'm moving up to the next level point five milligrams got it right here but I pop it in tell you a little something and I'll be back so this is like an extra point to five milligrams over what I've been doing in the past if this all feel any different going in so far I have not felt any of the injections. ready here we go

Speaker 2 22:25
That wasn't bad. Honestly, a big nothing perfect. Okay. Let me get out my

Scott Benner 22:35
app. tell you how much weight I've lost so far.

Unknown Speaker 22:40
I have

Scott Benner 22:43
gonna need some glasses here for this

Unknown Speaker 22:48
okay um, I need a calculator. I apologize. Hi, my starting weight and today's weight

Scott Benner 23:17
I have lost exactly 11 pounds in four weeks. The weight is coming out of my midsection where which is the place where my body just my whole life has held weight. I might have mentioned this to you before normally when I lose weight by cutting out carbs I lose water weight and it's very obviously comes out of my face first. I have not yet lost my face like it's all coming out of my my chest my sides my stomach my back. And really my stomach hasn't been the small and amount of time I don't I don't even know satiation big part of this I went away this weekend to visit with Arden at college. You know we were constantly in restaurants because of that I you know the menu gets a little smaller because you're like well I don't want to eat anything fried. I don't want to eat anything greasy. I don't want to like you know, you trying to eat like healthier in general because you don't want to feel nauseous. Which I haven't felt.

Unknown Speaker 24:25
But salads.

Scott Benner 24:30
Chicken I still couldn't finish anything. Arden got a cheeseburger at this place. It looks so good. I was able to eat like a third of it maybe. And then I was like well, I'm done. I can't I had a couple bites of her salad. I was like that's enough for me. It's been very interesting. don't crave things. Yesterday, and this is bad. I didn't do this on purpose. I forgot to eat dinner yesterday. It I got up I recorded the podcast. I had a piece of chicken I took Like a couple ounces of chicken, a couple ounces of steak, two eggs, and some lettuce. And I had that for kind of lunch yesterday. And I had it in my head, I was going to saute some shrimp for dinner and put it with a little salad. And I got up here and I started working on the podcast, and I just forgot. I never got hungry, and I forgot to tell myself to eat. So that's important to stay on top of like, continue to eat, I'm gonna go eat right now I just recorded the podcast this morning. wonderful woman from Denmark, which you'll hear one day, and, and then I did my injection with you. Now I'm going to go eat some food. And then I'm gonna come back up here and put together a presentation for a private talk. I'm giving this weekend about type one. So I still go in along here, this is going terrific. I don't know if any of this stuff's going to ramp up with a double dose. But I am prepared to feel fuller to be nauseous if I eat things that you know, don't sit well with me. And I have to really pay attention. I'm literally telling myself right now you have to remember to eat. So I might have to start setting some timers on my phone just so I don't forget, like I did yesterday because that was a that was not something I wanted to do. Okay, here we go. Hey, everyone, I'm back. I'm about to inject my six injection. But I want to give me some numbers before I get going. So I made my first injection of we go V which was at point two, five milligrams on April 28 2023. You've been hearing me report as I go along. I'm also using a scale that measures other things besides body weight. I have no idea how accurate it is. But the results are interesting. So my metabolic age has lowered by one year. It is still six years older than I actually my visceral fat has gone down two points. subcutaneous fat down two and a half points. My fat free body weight has lowered by 2.2 points. My skeletal mass has raised by two points. BMI is down two points. Body fat is down 3.1 points. This is interesting. My hydration is up 2.1. I looked that up. It says that lean tissue holds more water than fatty tissue which results in a drop in body weight. Those who struggle with obesity are more likely to be inadequately hydrated without the proper water balance. That's interesting. And I guess the number you're all kind of waiting for. I have lost a total of 13.4 pounds. This past weekend. I was at a speaking event on Friday afternoon. Saturday, Sunday morning till around two. So there were a lot of catered meals. I had no trouble being around the food. I did not eat all the food I was given. The only thing I had trouble with was they put cheesecake out and I tried to take a couple of spoonfuls of it it did not sit well in my stomach I got a little reflux from that. So I took a Tums and didn't do that again. Other than that, I have nothing to report that it's worrisome. It's still kind of working the same way. The weight loss seems a little more front loaded in the week, although it's been lasting longer. Yesterday, I didn't do anything particularly special with food to limit my food. I just ate two meals actually I had a breakfast and a dinner and I still lost point two pounds overnight last night. Now today I'm going to inject again. Now this is my sixth injection as I said this is the second point five milligram injection think I'm going to release this after I put this injection in so you guys can listen. All right. Still plenty of belly to shoot it into but much less.

Unknown Speaker 29:30
Here looks good. Click

Unknown Speaker 29:37
All done. Okay,

Scott Benner 29:42
so since I'm putting this out let me just say this. My entire life. I've carried weight in my midsection,

Unknown Speaker 29:54
my legs and my arms.

Scott Benner 29:58
No problem. I have no But to speak of my whole life. But I went to a doctor. And I was significantly over the weight that the doctor looked at me and assumed I was then we weighed me proved out the point. And I'm uncomfortable at age 51. Because I've done all the things. I've tried all the things, I've at times proven to myself, I don't do all the things. The only thing I could tell you for sure, is that where I carry my weight leads me to be concerned about a heart attack. And I do not want to have a heart attack. So some of you may listen to this and think I gave up, some of you may think I'm cheating or taking the easy way out to you, I say, please enjoy your feelings. I don't care. I am not having a heart attack. I am living for as long as I can. And if this little clique weight click is the way it's going to happen, then great people say to me, are you going to have to use your rest of your life, I respond back, I have no idea. Maybe, maybe not. Don't want to have a heart attack. It's working. My brain does not ever tell me that I'm hungry. My stomach never hurts and rumbles and grumbles. And when I eat, I feel fuller sooner. Now, maybe more importantly, excuse me, I'll take a drink. maybe more importantly, the weight I'm losing is coming out of places on my body that I don't normally see the weight loss in the beginning. Most specifically, my stomach and my abdomen. The this is gonna sound embarrassing. But the line from my chest to my stomach. When I looked down is now much closer than it used to be. It used to go down and then out. And now it goes down and just out a little bit. Who knows after next week, but I am getting rid of the fat around my midsection. Because I would like to be alive long enough to I don't know, make the podcast more see my children have children enjoy my wife, my family, my life, all of you. Anyway, this has been very interesting so far. I don't think everyone's going to have the same reaction. I've heard people say that their hunger hasn't gone away. But they've tried it. I've heard people say they didn't lose as much weight. All the things. As Jenny pointed out, in another episode that we did, I have adjusted my eating slightly. But by that I'm just taking in more greens, mostly lettuce. I haven't graduated yet to like a real vegetable. But I am eating more lettuce, I guess roughage with my meals. I mean, it's been really great so far. And thankfully my insurance is covering it. And I will mention this here. A lot of people are making the mistake of going to their doctor and saying I want ozempic ozempic at this time is okayed for type two diabetes. We go V is been okayed for weight loss, okay, it means your insurance is gonna cover it. We go V and ozempic are the exact same medication. They have different doses, I think. But for insurance purposes. You go to your doctor. In my case, my BMI was high enough to support the diagnosis. They wrote the prescription for Wiko v. And my insurance company covered it. If you go ask for ozempic and you don't have type two diabetes right now, the way the insurance coverage is set up, you're not getting it. There are other drugs, there's Manjaro. No, I don't know if you maybe can get that. That also, I think right now has a distinction for type two. That's it. I'm not a doctor, this is an advice. I'm just sharing my experience with you. So far. My experience is this. I have lost 13.4 pounds in five weeks. And I'm starting my six week right now. That's pretty impressive. Although, the other day I noticed some of the weight came out of my thighs which is not a place I need to lose weight. And

Unknown Speaker 34:41
that pissed me off a little bit. I was like not there.

Scott Benner 34:45
Anyway, I don't have we go V face or ozempic face. I'm not saying it might not happen. I don't have any other side effects that I can speak of. I mean, I definitely have to be sure not to eat In the evenings before I lay down, that's the one thing I just can't can't and won't do. Like I said the cheesecake bothered me, I do very much. Avoid oil. I have had some popcorn that I've made in the house here, which was made in coconut oil. That's been fine. I make my egg in the morning with about a half a teaspoon, maybe a teaspoon of butter in the pan. That's been fine. Yeah, I mean, for me personally, I don't have anything bad to say. All right. Well, I really appreciate you listening to this. i If you're interested, let me know online. I'll make more of these. But I'm going to keep making these little diaries and trying to keep you abreast of what's happening. And speaking of abreast, I have less of that too. Thank you very much. I'll be here all week.

A huge thank you to us med for sponsoring this episode of The Juicebox Podcast U S med.com forward slash juice box or call 888-721-1514 To get your free benefits check Don't forget us med accepts over 800 private insurers and Medicare in the United States. They always provide 90 days worth of supplies and they have fast and free shipping Dexcom libre tandem Omni pod so much more US med.com forward slash juicebox. And if you have any questions about the weego V. Come find me on the private Facebook group. I'll do my best to answer them. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.

#903 Season of the Witch

Nico has type 1 diabetes and she lives in Scott's head.

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Hello friends, and welcome to episode 903 of the Juicebox Podcast.

Today we'll be speaking with Nico. She is a type one and a group expert in my private Facebook group. Nico is here today to tell her story, but most importantly so that I can find out why she seems to always know what I'm thinking. 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 health care plan. Or becoming bold with insulin. Alright everybody, listen, I need you on this last month we did not do well on our T one D exchange survey we're completions. I was not happy with the number t one D exchange.org. Forward slash juicebox. Join the registry, complete the survey 10 minutes. All you have to be is a type one who is a US resident or a US resident who is the caregiver of a type one. These questions are simple. You can do it from your phone while you're seated on a stool perhaps 10 minutes to help people with type one diabetes and to move diabetes research forward. That's all I'm asking. T one D exchange.org forward slash juicebox please in your mind, say I'm gonna do that and then do it. This episode of The Juicebox Podcast is sponsored by the contour next gen blood glucose meter. Learn more and get started today at contour next one.com forward slash juicebox contour next gen. Actually all the contour meters are amazingly easy to use. They fit well in your hand have bright lights, easy to read screens and they're super super duper super duper Hooper accurate contour next one.com forward slash Juicebox Podcast is also sponsored by touched by type one beautiful organization helping people with type one diabetes. All they want is for you to follow them on Facebook Instagram and check out their webpage touched by type one.org. I will be at their local event I'm not supposed to say when yet but it's this year. Gonna do a lot of speaking there that day. Nice event they actually nice event is an understatement. They put on a beautiful event. You should check it out touched by type one.org.

Nico 2:39
I'm Nico. I am a type one diabetic. But I only found that out maybe in the last six months for sure. And I have two giant dogs who may bark once while we're recording. And I am not an open book but I probably am if you ask the right question in the right way.

Scott Benner 2:56
Okay, well then that puts the pressure on me. It's fine. Miko, how old are you? Oh, gosh. Oh, so it's time for some Scott. I think I'm 4546 this year. You think you're 45? Uh huh.

Nico 3:13
So this year ends in three and the year I was born ends in seven, but I didn't have my birthday yet this year. So I'm 45

Scott Benner 3:20
Oh, okay, you're 45. That's perfect. And you were just diagnosed in the last six months with type one. But you were having what were you misdiagnosed as a two prior something.

Nico 3:31
So thanks to the podcast, I tried to sign up for the radiant study. And they found my antibodies. And so I am officially a type one now. But prior to that, so I went six years, 14 years ago, as a type two, I was on oral meds and extremely strict diet. We could we could talk about my diagnosis story for about an hour and a half at least. But it's really not that interesting. And then, after six years, my agencies were creeping up, and my plate was getting smaller and smaller with only green things and meat on it. And finally, they looked at me and said, You're not making enough insulin. And I said, Thank you. I'm gonna go to him or her now. So that will be eight years this march that I've been on insulin, okay. At that time, they just said I was treated as a type one, but I wasn't diagnosed type one.

Scott Benner 4:26
Okay. Can you move the microphone about a half an inch away from your mouth? I don't know. Is it is it on a headset? The mic?

Nico 4:34
Yeah, I can move it up. I had moved it away from my nose but I'll move it closer to

Scott Benner 4:37
it. Yeah, I think you're, you're when you're breathing out with your mouth. It's it's, it's hitting it. That's all.

Nico 4:42
Are you calling me a mouth breather?

Scott Benner 4:44
No, not at all. I mean, maybe an hour from now. I will be I have no idea. I haven't met you yet. So perhaps okay. So okay, so you live for six years as type two. And then do you? Were you getting insulin at that time or no?

Nico 5:00
No, I was initially on Metformin. And when the Metformin wasn't cutting it, they add, added Januvia. So then I was on Janumet. And then I didn't even remember, but near the end, I was also on something called Prenton. And I wasn't treated like other type twos ever on the podcast, I actually had great education. It just didn't apply to me, obviously. And they kept telling me, you know, do all these things, right? And you'll avoid insulin, you know, the big, bad, scary thing. And oh, my gosh, I wish I had been on insulin so much sooner, because we just kept reducing. I tried everything they said, and took away essentially every carb, every grain, and I literally was eating leafy greens and meat, and couldn't stay under 200. Because my body wasn't making it.

Scott Benner 5:41
Yeah, did you lose a lot of weight during that time.

Nico 5:44
So initially, I did. And that was really the the other piece of my story that may be a little different than others, I weighed 97 pounds when it first started. And you wouldn't think that they would have assumed type two, but I live in a community where everyone is type two. And it's an underserved community. I drive two hours now to an endo. And I had no idea that, you know, juvenile diabetes, of course, so I just believed them. And I went to the classes and I tried harder and harder and harder. And obviously felt like I was failing. And it was actually the complications that developed even though I my agencies weren't terrible. And I you know, you've asked in the group, anyone, this dark group, in your practice, I was a star pupil. For all of my doctors, they loved my agencies, I've had three in the 7.1 to 7.4 range in my entire career as a diabetic and the others were mostly in the sixes with a few in the fives prior to the podcast,

Scott Benner 6:39
but how much weight did you lose off? 97 pounds.

Nico 6:43
So initially, let's so now I'm pretty close to 120. I've gained a little recently we've been working on that, because of my gastroparesis. They kind of want me to keep a little on, but I probably should sit around 114. So 17 pounds, probably. And my family was really concerned they had me weighing in with a psychiatrist. I mean, I was what did we ever figure that out about 30 ish? When this started, and I went a really interesting path. I thought I was crazy. And so I did see a psychiatrist. And that's where we started my my journey was with psychiatry, because mentally I just didn't feel like myself. But I couldn't figure out what's wrong. I was short tempered and moody, and, you know, anyway, but we, I asked the doctors for help. And they started seeing elevated agencies and we followed that path, but it just took a long, long time to get to the right path.

Scott Benner 7:35
Is that disappointing to you?

Nico 7:38
Extremely. Gosh, insulin is not that scary anymore. I mean, even when I first got it, I probably didn't know enough to be that scared. I was just so relieved. I was so hungry. I did put on weight on the oral meds and the diet that I was on. And I almost feel like the gastroparesis may have contributed to that over time, because we don't know why I have gastroparesis. Obviously, I'm diabetic, so they're gonna say that's what it's from. But it developed around the same time that the diabetic diabetes came. And with the food just sitting in my stomach all the time, and I'm telling me eat more high fiber foods because they digest more slowly, and they have lower impact. I kept trying really, really hard plates and plates full of vegetables, and it hurts so much and just sat in my stomach for so long that I think my body just kind of, I don't know, I did get up to about 135 for a while. And so when I finally met an endocrinologist for her to look at me and say, Okay, I have a type two, I'd been treated for probably four years before I met her. And she really, I guess, had no reason to question my diagnosis at that point, because I did weigh significantly more. And I had been treated by other professionals for a long time. But eventually, there was a really cool person in her office her her her Jenny sat down with me and she always loved my food logs and always wanted to know, recipes and loved the things I was eating and wish all of her pain patients ate like me, and then just looked at how frustrated I was that I wasn't succeeding. And first she said, You need insulin. And then one day she listened to me say, you know, food hurts me. And she said, Oh my gosh, you have gastroparesis, and I had never found anyone else who had I started I had an idea but what I always would tell my husband at night is that it felt like I ate rocks. And I actually got to them through physical therapy, which referred me to podiatry and that referred me to endocrinology. So it really was the gastroparesis that eventually got me on insulin. Wow that's crazy. Yeah. Yeah, I did try it No, not at

Scott Benner 9:46
all. Don't worry. I'll talk once in a while. I bet I can. I can see why you were confused by it.

Nico 9:52
Yeah, it was tough. But you know then they gave me the gastroparesis diet when you know and I looked at that is it but you guys have told me to eat you know High fiber foods and colorful things and, you know, whatever anyway. And so I looked at that list and said, I can't do this this. There's nothing on this list that I'm allowed to eat. But I hadn't on the podcast yet. And I didn't really know how to use insulin very well yet, and that was probably still honeymooning, I seem to have had a an excessively long honeymoon. It wasn't like a scary honeymoon, like, like some of the children have no random inputs, but my body did seem to help with hormonal impacts and slower impacts they fat and protein for a really long time. And then it became more real. And now it's it's extra fun with the gastroparesis and trying to be bold, and now I appear to be in perimenopause. And so this is getting really entertaining.

Scott Benner 10:49
Did you try any of the B, digestive enzymes when I talked about that?

Nico 10:56
So I tried them before. And I did try them again. After talking to you and I, I was I so I don't live near a health food store. Because I live in the middle of nowhere, literally. But I got the ones off of Amazon that are being used in another person in the group as a substitute for Korean, the prescription ones. And I did actually prior to starting them get my enzymes tested. And I do make enzymes because we were wondering I had and I've always wondered, I had my gallbladder out around the time that I developed diabetes. I didn't ever have stones, it wasn't inflamed or infected, it just stopped squeezing. And it really hurt to eat food. And so something caused a lot of this, I would imagine, we just never found a doctor curious enough or informed enough to find another patient like me to say, we know what this is. So I'm not sure that knowing any of that would really change anything in my future. Enzymes gonna do anything at all didn't help. Did I've tried a variety.

Scott Benner 12:02
I'm glad you tried something does food still hurt when you eat?

Nico 12:06
If I stick to, I have some safe foods, I have quite a few safe foods these days. foods that are healthy and colorful foods that Jenny eats don't exist in my diet anymore. They did. And I really enjoyed that part of the beginning of my journey, I learned a lot more variety of food. And I really ended up liking a lot of vegetables that I had never eaten before. I just learned that vegetables out of a can are just not good. And that if I actually grow them and cook them, they're actually really good. Yeah, but they're just not safe for me.

Scott Benner 12:42
Your body just can't digest them.

Nico 12:44
Yeah, it's just not squeezing. And I did have a little bit of a trick for a while where I added acidic beverages with my food. And that seemed to really help but it destroyed my esophagus. And so I kind of have a management issue now of but I've figured out a few tricks along the way. And I've have added more and more say foods over time, a lot of them are just really much harder to Bolus for. As you would imagine, you know, I can eat pumpkin bread pretty well. But there's a lot of sugar in there and it goes fast. But I need calories. And if the calories I can get are high glycemic index spoons, baby food, basically, just just one step below baby food because it does really help if I chew, right? If I chew that helps a lot. If I don't chew, if I drink smoothies and things it just I don't know, feels like it's just plugging the bottom of my stomach and not going to ever go anywhere. But if it starts with something that it could be made into baby food, and I chew it, that usually works pretty well. Okay, so there are a few, a few vegetables on that list. Potatoes work just fine. As long as they're soft, you know if I could match them with my fork, pretty much anything that if I can mash it with my fork and feed it to a baby. I can eat it, but I need to chew it before we imagine it and then it usually digests pretty well. So but I still skip fiber. I skip skins, I skip seeds. I haven't really found many fruits that are safe about animal protein. do great with animal protein, as long as it's kind of like Instant Pot crock pot style, roasted really soft. So those tougher yucky cuts that people don't like that are cheaper. They actually work really great for me because I can just cook them until they're like I said, you're really close to be made into baby food and I chopped them up a little bit to chew him up and that stuff works great. The meat that doesn't work well is ground meat. Because I just can't get each little bitty rock chewed well enough right to digest it.

Scott Benner 14:43
So you may have just talked me into making a stew this weekend too. That was interesting.

Nico 14:51
We do I do use the Instant Pot in the crock pot frequently when I don't know but I do live really far from ingredients.

Scott Benner 14:59
Well, I'm I

Nico 15:01
learned to care about ingredients a lot in those first six years because we were trying anything and everything, the level of care that you went through with art and to try to troubleshoot some of the thyroid issues and some of the ovary issues and some of those other issues that she was having in high school. We went to that level for me trying to figure out what was wrong neurology, all kinds of people, we saw everyone. And even the GI doctor just said, Yeah, this isn't a GI issue. And it was, but you know, I don't know if they're just

Scott Benner 15:35
little failures, and they're like, your gallbladder is gone. Your pancreas was is sputtering. Oh, no, there's Yeah.

Nico 15:42
And you may have seen probably around the time, we scheduled me to be on the podcast, I also don't have a uterus. So that makes me really fun. Because the random inputs from my ovaries, my ovaries are still there. They've been there. But my uterus came out before I was diabetic. And so I don't actually have the one clue that says exactly what the uterus is doing.

Scott Benner 16:04
I have to say, I just stopped myself from laughing because you said I don't have a uterus, which makes me fun. And I thought that's not what she means. Scott. Don't laugh.

Nico 16:15
Yeah, it wasn't married yet, either. So yeah, it doesn't make me fun.

Scott Benner 16:18
But how did what why did you lose? So

Nico 16:22
if I had I don't mess at all, like in a whatever year that was, gosh, almost 20 years ago now, then maybe I would be. I would be telling a different story. But I couldn't stop bleeding.

Scott Benner 16:35
Dmitri osis, or PCOS? Or did they not say

Nico 16:38
never found anything wrong? They took the uterus out and never found anything wrong. And I tried the so the only thing that finally stopped the bleeding was, I think it's called Depo Provera. It's used in prostate cancer treatment. And that basically puts a person into chemical menopause. And that finally stopped the bleeding. Wow, I was so severely anemic. And they did the same thing they did to you, when you rename it. They made me go to oncology, like him oncology stuff. And they just they're like, you're making blood. You're just obviously losing it as like, yeah, we've proven that part. Like I know, I know. I'm losing it. I just need to figure out how to get my body to retain it. And it kind of the similar was like origins knows me. I never had nosebleeds but it seemed like the morning like I got, the more my body malfunctioned and

Scott Benner 17:24
lost more blood. Sure. Now that I believe, yeah, sure. Yeah.

Nico 17:28
It doesn't make any sense. I actually

Scott Benner 17:29
have on my short list to take art into an en t. Because often I want to I want to somebody to look at our nose and see what that if they can see where the bleeding is coming from right there.

Nico 17:41
Or thing. Yeah. But then we tried but you know, pre internet, pre all that stuff. And again, doctors two hours away. And so a lot of bleeding in the car to get to the doctors and a lot of bleeding while having blood drawn lots and lots and lots of vials of blood. And a lot of different birth control pills with the same things went through. Wait. Three weeks, three months. Wait, however long you have to wait for us to prove that you failed this one. Yeah. And eventually I just said, you know, this organ you guys are trying to predict like, I don't think I need it. I don't think I'm gonna live without it. I think I think it needs to go. So after a year of bleeding, they finally took it out.

Scott Benner 18:22
Wow. You live like basically where they film tremors right? Yeah, like that kind of vibe. Like, are you so yeah, desert.

Nico 18:30
I'm in the high desert. Currently snowing. So I've been shoveling snow this morning. I've been shoveling snow every morning this week. Except yesterday. You're not going anywhere.

Scott Benner 18:40
Here. Why are you shoveling snow you're not leaving or you know, we

Nico 18:44
walk our dogs every morning. And we have a nice north facing driveway. So if we walk the dogs on the driveway, we will never get the snow off of it. It'll pack down and we have vehicles worked every day this week. I just took this today off to record.

Scott Benner 18:58
Well, thank you as well I'd find job

Nico 19:01
I didn't. I don't have a full time job I have. Well, it's becoming a little more I can tell you that part too. But anyway, I didn't have a job when we scheduled this. And so all I needed to do that. I thought was walk the dogs. And so I sent my mommy to work for me today.

Scott Benner 19:17
Well, let me um, I mean, I have to. I have a lot of questions for you. And I feel like you're not gonna let me like talk. So I have to get them in. Don't be sorry. So how do you find the podcasts? I want to get you to that so I can ask you my questions.

Nico 19:34
So I found the podcast. It could be a longer story if you wanted it to be but it sounds like you have some talking to do so. I found the podcast because I was bored with the Facebook group I was involved in that was not related to diabetes. Okay, and because the pockets that I used to listen to left my podcast player and I needed to find something else.

Scott Benner 19:53
You just needed something else. Yeah, I

Nico 19:57
wasn't working. I've been practically home bound for what a decade now. And I like to give back. And so if the doctors are going to tell me I need rest, I'm going to try to find something I can do with that rest. And for a long time, what I did was teach people gardening. And then the gardening group that I was an admin in, and that I had participated in, you know, for years, became heavily moderated. I really wish that she understood what you understand about Facebook groups that newcomers need to be able to ask questions, and that we need to have those same seasonal conversations over and over again, in order for the group to actually stay relevant.

Scott Benner 20:34
Yeah, when you get frustrated with new people that to me says you're tired of having a Facebook group.

Nico 20:39
It says to me, you should have a a website that they can just visit if you don't want them to actually have conversations about things. And I was really there to help them all. And you know, I, you've probably seen that I'm really willing to answer newbies questions because I have knowledge that I feel can you know, improve their lives? So why not

Scott Benner 20:56
know Nika? Euro, Euro? Euro, which I think like or something like because the whole first person who said that? Well, because so so. Okay, so you found how long ago? Was this when you found the podcast?

Nico 21:08
I think it was at the end of last January.

Scott Benner 21:11
Okay, so about a year. About a year. Have you heard every episode of the podcast?

Nico 21:16
I have heard every episode of the podcast.

Scott Benner 21:19
So okay, so let's go into this first. I guess we could

Nico 21:23
have scheduled this a little bit sooner, but I hadn't heard every episode.

Scott Benner 21:27
That doesn't matter. Here's what matters. No, no, I

Nico 21:29
it was it mattered to me. Oh,

Scott Benner 21:32
are you wanting to get to it? So you could say that you heard the whole thing?

Nico 21:36
Well, I just wanted to be done. Well, you know,

Scott Benner 21:39
I don't know. Because I don't have that in my head. But like I had to finish first before we did this, and I'm like, I don't know what that means. But I understand how you feel. Oh, I know.

Nico 21:49
There are hundreds of episodes I haven't heard. So I didn't really finish yet. But I had to be caught up.

Scott Benner 21:56
Wait, so you haven't heard them

Nico 21:57
all? The ones you haven't released

Scott Benner 21:59
yet? Oh, the ones that haven't? Oh, yeah. Oh, no, I have plenty that haven't been released yet. Plus this one, which now I'm gonna, I'm gonna stop myself on putting out as soon as we get done recording it. But so here's

Nico 22:10
what I tell you about having anxiety. Does that mean I don't have to wait as long?

Scott Benner 22:14
Anxious people don't say that on here. Don't tell too many people. Well see. That's what I'm talking about. Hold on a second. I'm gonna I'm gonna go back to that. I'm writing it down. Anxiety statement from Nico Hold on a second. Okay. So are you. Okay, let me start blessing. Don't Don't just let me let me let me get this out. So I started. How don't even watch this. How long is my Facebook group and going?

Nico 22:38
Oh, about six years? No, I don't know. I don't know. Okay.

Scott Benner 22:42
So good. You don't know everything. That's good. So the private,

Nico 22:45
everything I could tell you pretty quickly.

Scott Benner 22:49
Yeah, I know. You can. I don't know how. It's not that, like two years old, maybe? Right?

Nico 22:54
Oh, well, because that was what I've been listening to recently been mentioning that they thought they were older than that.

Scott Benner 23:00
So so I might have been pushing people to like a public page at one point. Yeah. But I started a private group a couple of years ago.

Nico 23:10
Well, it's been four years. It hasn't really, three and a half, three and a half,

Scott Benner 23:14
three and a half, four years ago. See how I don't know. That's part of that's part of why I'm absolutely fascinated by you. So I started that group. And I've told this before, so I'll say it very quickly. I didn't want to start it. I was prompted by people listening to the podcast, I am not the person who wants to my back then I was like, I do not want to moderate a Facebook group. That sounded horrible. But they really wanted it. I started it. And they were right. I was wrong. There's like 33,000 people in it now. It gets between 70 and 110 new posts every day. And I used to be the only one answering questions. And I would I would just be like, that's this this is that, you know, and I would answer them out long form sometimes, like do this. Try this look here, you know, had to go through the whole thing. I'm not a doctor, like that thing. And then eventually the podcast. I was like, What am I? Why am I not? Like I used to find myself thinking, Oh, this is covered in this episode. And one day, I'm like, I'm going to start answering people with episodes. And that way, hold on one second. And that way I won't. Because I can't type this all out. Like I just can't like I couldn't keep up with everybody. When it was a couple 1000 people and they were all podcast listeners. It was like easy. And then it got to be more and more and then there's this one day. Hold on one second. Okay, I'll tell you why in a minute. Okay.

I'm sorry, my my sister in law is texting me that she's taking my mom to the ER so I Just want to find out why. I think I know I think she's dehydrated my mom.

Nico 25:05
Oh, but I know that too.

Scott Benner 25:09
I'm so sorry. No, don't be sorry. We've been working on this for a week or so. It was just the other day, I have to make a note to myself to get back to this story. Once this happens. I was I texted my son, my mom was now near my middle brother. And my, my younger brother and I are closer into geography. And I texted him the other day. And I said, Yo, man, have you heard from mom? And he goes, No. And I said, I haven't heard from mom in a couple days. Like, that doesn't make sense. Like my mom and I talk like every 48 hours, usually. And I'm like, that seems wrong. So I called my brother who lives near my mom now. And I said, Hey, is Mom Okay? And he goes, I've been working all week. He's like, my brother works like shift work and everything. And I was like, and I said, he goes, why? And I was like, I haven't heard from her. And when I call her she's not answering. And now she lives in an assisted living place. So she's not alone, you know? And oh, yeah. And I'm just like, and I'm just like, it's just very strange for mom not to call me. So we started doing basically, what you did with your health and what, you know, what I did with his health. And I just started like, asking him questions and going through ideas. And it was interesting how they who they haven't been around, or for very long, they were like, oh, you know, like her personalities changing? Like, I don't know, she's just getting crotchety and I'm like, yeah, that didn't seem right. You know what I mean? Like, so did you say UTI? Yeah, that's what that so that's what we got to eventually. And so last night, I got my brother back on the phone. And I'm like, Look, Mom didn't just go from being who she is to telling a nurse to golf. Like, like, that's like, that's a big leap for three weeks. You know what I mean? Like, I just, you know, the last really long conversation I had with her was two weeks ago, and she was fine. And now you guys are saying she doesn't have any energy. She's falling asleep everywhere, like all this stuff is going on. And I'm like, that doesn't make sense. And so you have to stop looking at her. I said, this is gonna sound strange, but you have to stop looking at mom like a like a person, your age, and start thinking of her as an older person. And moreover, as a science experiment, sometimes, like sometimes you just have to look at her and think why is this happening? He you don't I mean, like, what could be taken at face value just can't. And I said anything she says to you is going to be a lie. I don't go down to dinner because I don't like the people means I can't make the walk. Right? I don't want to go out on this on this excursion because it's too cold means I'm afraid I can't get to the bathroom. If I'm gone. Like you have to assume that she's protecting you and her dignity Every time she's speaking to you from an understanding how she's, how she's struggling, and her dignity because she doesn't want to get caught in a bad position. I was like, you have to have to like think about it that way. So I just texted my sister in law back and she didn't answer. So if you don't mind, can we take a break for one second? I'm just gonna push stop. Sure I'll,

Nico 28:09
I'll grab a sweater. Okay,

Scott Benner 28:10
I'm gonna call her real quick just to see what's going on.

Well, before I begin with the ad, I guess I should tell you that my mom is okay. Sorry for that if it made you nervous. Just to kind of happen in the moment. She did have a urinary tract infection. She did have to go into the hospital. She was there for a week. She had to go to rehab after that. It was a holy mess. But she's doing great today. I will put this caveat in here. If you have a parent in a in assisted facility, you have to pay very close attention to make sure the staff is doing what they are supposed to do. All right now from that bummer to bomb anyway. Alright, I'm just gonna do a contour ad I guess. The Contour Next One, and the contour next gen blood glucose meters are legit. Insane, terrific. Contour next one.com forward slash juicebox. Why do you need that link? All right. It's a fair question. At that link, you can learn all about the meters. You can see everything else they have. You can find out about the test strip program. You can buy these things online or in a brick and mortar store. And you perhaps will pay less money in cash than you do right now through your insurance. That's a possibility like a genuine possibility. Check into it. Contour next one.com forward slash use box but Scott, you say it's just a meter. I don't buy meter. What's it matter? I got a meter. Well, it matters. Good meter, accurate meter. Big difference from junky meter don't work meter. You deserve a good meter. You need a accurate test results. I don't care if you use the CGM, or you don't. There's no excuse to be wandering around with a busted up janky meter. Just 2023 people. Contour next one.com forward slash juicebox. Stop living like it's 1800 with your blood glucose meter. Is somebody out there? I think it's right. Okay, let's get a good one, huh?

So the recording, just so you know, okay. Alright, so I talked to my brother. And she's my mom is just kind of out of it. And like having trouble holding herself up and not answering questions. So they're taking her to the emergency room. But I imagine what we're going to learn is either just dehydration from medication that they switched her to. They also my mom asks for sleeping pill. And I'm wondering if she's not a little loopy from the sleeping pill. And then the third thing is, if she has a UTI, then a lot of this makes sense. So yeah, so anyway, we're gonna, they're on their way. And I'll find out a little bit. Oh, good. So to prove that I'm a professional, this, I will now go right back into our conversation. And keep going on

Nico 31:23
in a moment when the podcast group became its own entity of people who aren't all familiar with the podcast. Yes.

Scott Benner 31:29
And that was the moment the first time somebody said, I saw somebody in a post say, What's this podcast people are talking about? And you have to imagine it. From my perspective, I was like, What the hell? I'm like this thing. This isn't the thing. The podcast is the thing. This is a supporting piece for the podcast. And I got, I really had to think through that, as I recognize that the Facebook group had become its own thing. And that it wasn't, it wasn't contingent on the podcast anymore. But there were enough core people in there who listened that the answers that started coming as the questions picked up and got more frequent. So did the answers. And overall like in stunning fashion, the answers were solid. from other people. They weren't like newbies, you know, what happens in Facebook, like new people don't realize they're talking to other new people. And then they start giving each other their their bad information

Nico 32:27
like back, Joe. And that is why you'll see me sometimes answer relatively quickly, and sometimes not with as much detail but with an episode that says, Hey, I've seen a lot of newcomers this week. And I think I see a lot of those little hand waving guys happening. And I see a lot of the outside of the juice box, diabetic community answers coming quickly this week. So this is the week we want to get more podcast answers out, because some of these people are going to believe that oh, well, my doctor says this answers and

Scott Benner 32:59
that's just is how it goes. So to walk you through this more, I kept up with it for as long as I could. Like, I would just and I'm not smart. Like you would think I'd have a document somewhere with links that were like it. Right? Because I but that's not me, like so I every time I'm like, oh, you know what, that's this episode. I'll go online and find it and put the link there. And, and then one day, gosh, it's over a year ago now. Isn't though. What's that? You got Isabel? Yes, I got Isabel. That's exactly right. I get this note from this lady who's like I and she basically is is offering to help me. And Nika. The thing you don't know is it in the past I've had people offered to help me before and it's often not gone well, or it's very short lived. And so I've gotten to that point where I was like, Look, I can't go through explaining all this to somebody for three weeks from now they go I'm sorry, I got really busy. I can't do this anymore. And because everybody has a lot of energy and they think they want to do it. But then it's it's more work than you think. But Isabelle hurt something about her note was so persuasive, that I actually I got on the phone with her. Because I was like, I'm not getting involved with this or she's a crackpot. Like, I'm just not, you know, and she was so lovely and intelligent, and, and moreover, felt like she was in my head that she knows what I'm doing. But even when I do little things, she's she'll send me a text. Did you do that because of this? And I'll be like, yes. How did you know that? She was I just thought you might have and I was like, Okay, I'm like, Wow, that's fascinating. Like, she knows what I'm doing. So then she gets involved. And she's helping me in all these little ways. She's putting up links and she's making lists of pots. She's like, you have all these seriously. She's the one who told me. She goes you know, you have like a compendium of different series in the podcast and I'm like, No, it's just like no, no, she's like they're, they should be put together somewhere in a collection. Shouldn't I'm like, really? Like, okay, like I gave them all the same title. Is that not enough? So they all say bold beginnings. What is so hard? No. So hard to give them all the same time you can write it was, did it I act I can form because

Nico 35:18
one of those could have been called Jenny's. But and it is not. And it should have been

Scott Benner 35:25
about the other moment when Jenny wouldn't tell her what bra size you are in the middle of defining diabetes episode, which should have been not the point.

Nico 35:33
I heard that was that yesterday, and I thought, you know, I don't think I'd really want to be, you know, anyway. Oh,

Scott Benner 35:40
listen, here's the thing. You don't I didn't expect her to share that. I just said it. Well, I'm sure you didn't expect

Nico 35:44
her to. And I know there are some of us who would, like I said, if you ask the right questions, I'll just back myself into a corner and be telling you

Scott Benner 35:52
just start saying things. Well, I have no interest in

Nico 35:55
Jenny. Jenny does a great job. Yeah. She has the restraint that I don't have. Yeah.

Scott Benner 36:00
So So anyway, so she's a professional. That's why Isabelle really helps pull the group into focus. And then one day, I mean, I don't I can't pay her. You know what I mean? Like, so I'm like, I'm like, I'm like, Look, I sent her a note. That was basically like, it basically said, Listen, if you don't want to date me anymore, you can leave like I don't even like, I don't want to be the I don't want to. I don't want you to feel like your feet are bound and I've got you in the bed. What What movie is that? Oh, Kathy Bates puts Oh, yeah. 50 Shades of Grey? No, Kathy Bates.

Nico 36:37
Oh, I don't know Kathy Bates and James Bond, but I haven't seen that.

Scott Benner 36:41
James Caan not James Bond. Oh, James.

Nico 36:46
Usually, you'll say, you know, nobody knows what that is. And I'm like, Oh, I'm old enough to know what that is. But now Now you've lost. This is fast. Now. I'm too young.

Scott Benner 36:56
Yeah, this is fascinating. Because you are. You're like the Dewey Decimal System for the podcast for the podcast.

Nico 37:03
Yeah, I can do that with pretty much anything but not not movies.

Scott Benner 37:08
Isn't that interesting? Because I just thought you would just it's misery. It's a Stephen King book. Movie.

Nico 37:13
Obviously, and yeah, definitely, definitely not Stephen King. I mean, I have stayed at the hotel in Estes Park, the Stanley Hotel, Stephen King. I don't know, Stephen King. But yeah, I don't do horror.

Scott Benner 37:26
It's a thriller. More of a psychological thriller. Rob Reiner

Nico 37:29
doesn't do any of that stuff. Like Dexcom keeps me awake at night. And now that Dexcom is not keeping me awake at night as often my dogs keep me awake at night, and I don't need any any other help. Not sleeping.

Scott Benner 37:39
Gotcha. So anyway, okay. Anyway, so normally use and so anyway, Isabelle says to me a podcast. Yes. Isabel doesn't break up with me. She just says, No, I want to help. And I'm like, okay, great. So she gives anytime she can, it's way more than than you would expect. And one day, I said, I gotta get you some help. Because I started feeling badly about everything. She was doing. Good. She and she's telling me I want to free you up to make the podcast, which she's done. But then I feel like I'm abandoning her doing this other thing. And, and, and I said, we have got to get you some help. Somehow. I said, is there anyone in the group who can do this? Who would be interested, who'd be good at it? And she said, A Nico would be. And I said, anybody else? And she, she made a short list for me. And obvious that I was available. No, I don't think so. That's not it. I know, you probably feel that it

Nico 38:34
was No, I was available. Like I said, I left another group looking for somewhere else to contribute. Yeah,

Scott Benner 38:40
well, I'll tell you. So we just basically made like a, like a little offer to a few people and said, Look, we'd like to make you a group expert, you do a great job of helping people. And you know, we love the way you drop in links to the podcast and how you talk. And if you're interested, I'm gonna give you this this group expert label, but I didn't give you any expectations or really asked you to do anything. I just

Nico 39:02
how that happened on my end was I logged into Facebook one day, and I had a notification that said, you've been invited to be a group expert in Juicebox Podcast, type one diabetes, and I said, Oh, that's interesting. Okay. And I have been a group expert in a couple of other groups, and I might still be one in a few groups. I don't know. So I didn't receive any personal communication. Until I heard from Krista who said, Hey, I missed this thing that happened because I wasn't here for a week and is it Oh, yeah, I don't know. I just accepted. But in the interim, I had been sharing links. I don't want to be the voice in the crowd. That doesn't explain where I'm coming from. i Why would you believe me, you haven't been in my doctor's appointments. You haven't seen my graphs? You don't know my variability. You don't know if what I'm saying has any credence. But if I tell you where I learned it from, then you can decide for yourself if you want to follow that same path or not. Yeah. And so when I'm in a sea of Facebook comments, If I learned it somewhere, I'm going to tell you where. And I was doing that and other groups. And I knew to be cautious because I had heard on the podcast that you could get kicked out of other groups if you do that. And eventually, I stopped going to other groups, because I found the group I wanted to hang out in. And I have a little bit less time to hang out in groups. And so I'm happy where I am. But right around that time I, you made one of your posts, you know, they're infrequent. And they're kind of fun, and often happen when I'm not logged in. And by the time I get there, I'm like, Well, I got to really read this guy in this. This is a little book I need to spend some time with. But it said, I thank you for sharing the links to the episodes when there are episodes that and I said, Wow, okay, now I really have his permission to be sharing the links to the episodes. So I'll definitely do that. Yeah. And if I don't have time to write an answer, I'll say, you know, you're gonna tell me you don't have time for this. But go listen to this episode, because it'll help you.

Scott Benner 40:51
Okay? No, I mean, you're fantastic. Like you are. You are as if someone reached into my heart and mind and made you and put you in that Facebook group. I swear. Like the way you handle yourself in there is exactly right. For my tastes like exactly right. Yeah, no. And but but here's the thing. You appear to know my life better than I do. And that I don't understand. Oh, sorry. No, no, no, no, I love it. I just don't understand that. And that's why you're on I want to understand it. Because like

Nico 41:23
you said, Send chocolate and I said, but the cake pop thing freaked you out. So are you sure you want me to send chocolate? And so I didn't send chocolate. But I mean, I would I don't know, like,

Scott Benner 41:34
little references about the show. I know. Like I listened to a podcast that I like, I don't know that many details about it. And and like you did a thing earlier, right? Yeah,

Nico 41:47
I know. And I'm not trying to give anyone I just I actually am a really like, My husband used to call one of his co workers are nervous Chihuahua. And then I said, But don't you realize you're married to a nervous Chihuahua. And so I do have anxiety. I wasn't trying to give anyone any hints. But I do know that Yeah.

Scott Benner 42:01
No, no, you're misunderstanding me. Like,

Nico 42:04
I know, the anxiety piece that I said, Yeah. You know, I didn't say it to trick you. I said it's because it's true. But I wasn't trying to teach anyone any tricks. No, it's just true.

Speaker 1 42:15
But see, you're talking about it right now. I'm going to explain it. You made. You said if I tell you I have anxiety, well, my episode come out sooner. That's literally a statement or referring to a sentence I spoke in one episode.

Nico 42:30
How do I also know that now we talked about your mom. And so I may not get up for a while because that story may not be one that needs to be out in public yet. So I don't know. I guess we'll see who wins here

Scott Benner 42:42
with how do you know that one thing listeners when

Nico 42:45
and I hope they're gonna you know, I hope there's something and the people in the podcast I? I do, they do need to listen, and maybe not all of it because it's gotten big.

Scott Benner 42:55
No need. They need all of it. I

Nico 43:01
say, download them all. And they can play them all.

Scott Benner 43:04
No, yeah. Even when you're sleeping. You can listen if you want to put the podcast on for your pets while you're gone during the day. I love that. But but no. But so But back to the thing,

Nico 43:14
maybe not the early episodes, because it's crackers. We don't need any help from basil.

Scott Benner 43:18
I know that might confuse him if he heard himself snoring. So early on, I shared with somebody, it takes about six months for your episode to come out. And then I said unless you have anxiety, because then I feel bad about it not coming out while you're anxious about it. And you reference that. So it's such a giveaway, like 20 minutes ago, you were like, Oh, maybe I should say I have anxiety. And then well, I know you do. But your reference you were referencing that statement, though?

Nico 43:49
I know. I was Yeah.

Scott Benner 43:51
You're Miko you. I feel like you're fighting me and you're not at the same time. This is Is this fun?

Nico 44:00
Oh, yeah. So many of you

Scott Benner 44:03
respond to people so swiftly with exactly the right episode. I don't know how you do it.

Nico 44:13
And yet, I still can't find one of the ones that I'm looking for. But that's okay.

Scott Benner 44:17
But how do you do that? Like, what's the whole process? You see a post somebody asks a question, you think, oh, that's this

Nico 44:24
is why I was here. And honestly, it's really not that interesting. You know, how you tell people like that doesn't make an episode. This doesn't make an emphasis. Don't

Scott Benner 44:31
want to know, tell him Okay, so

Nico 44:32
I, the other group I was in I was learning but I didn't really feel like I had the authority to give back to that group the way that I had benefited from it and then didn't feel like my comments really had any credence. So I decided to take the Master Gardener class. And in the Master Gardener class, they taught us how to do research because it's, I don't know, maybe a 10 week class one day a week and it's kind of a college level course but they just can't teach you everything that everyone will ever asked you about gardening, so they teach you how to find information. And so I know how to find information. And for a while I've been well, you almost made it easier for me this week, and then kind of maybe didn't perfectly pick that. And now I know why Stephens episode came out this week is because you followed through with a couple of things that the two of you discussed, and now people should be visiting the website to try out the new search engine, which is much improved, but I liked the one that was there a couple of days ago, more than I liked the one that's there now.

Scott Benner 45:28
I see. But it stopped.

Nico 45:30
I see how things are going. Yeah, I see. I understand. It's reality of life. So if I really, really want to take the time, I can actually just type it into Google and say, whatever I'm looking for what site colon WWW dot juicebox podcast.com. But a lot of times, I just happen to remember, you know, that was covered in a Scott and Jenny and I have the list of Scotland.

Scott Benner 45:55
Understand eco right there. How do you remember that? I don't remember. And I had the conversation.

Nico 46:01
You had the conversation and you had to listen through it again to edit it, but you weren't. You're having the content, you're producing the conversation. But I can't remember it. Like, you know, listening to the conversation, and I'm retaining it because I'm listening. As the patient

Scott Benner 46:16
woman you have my memories. That's what I'm that's what?

Nico 46:20
Well, maybe that's why you don't? I'm sorry.

Scott Benner 46:23
I know. Maybe that is I don't know, like, Is it like the other day?

Nico 46:27
I do live in this like, like, vortex II area if I understood any of that better, you know, like, I mean, if you take Sedona, and I don't know, whatever, all the different mountains around me, maybe maybe I have your memories

Scott Benner 46:38
userland mushrooms. Nico, what are you doing up in those mountains? No, I'm nothing. Because like the other day, somebody asks a question. I I'm gonna get a little wrong. But she basically is like, is there as there ever been an episode with somebody who rides a motorcycle? Oh, yeah. And I read that. And I thought, no, there hasn't been. And then I went, No, wait. Yes, there has been I remember talking to this really deep voice gravelly guy. So now I'm sitting at my desk. I'm editing on this computer, and I'm sitting looking at this computer. And I'm thinking there was there was there was How would I know where that is? And I was like, Oh, I know what I'll do. Hey, Nico. Do we have any episodes with motorcycles? And you respond back and you're like, Yeah, here it is. This one right here. And

Nico 47:26
I responded, you ignored my actual response. Well, no, you're

Scott Benner 47:29
but I didn't like your actual response referenced me to a point that I couldn't understand. That's how deep you are into my mind. And then, and then you were like, you put up another episode. And you're like, Scott talked about riding a motorcycle here. And I'm like, I did. Like, I didn't know I ever brought that up. Except I assume I would have mentioned it in the episode where the guy was riding. But I didn't remember that. And then you found an extra episode where I talked about it and I thought, Oh, my God, I had no idea.

Nico 48:03
Well, your soldier injury came from a motorcycle accident. Motorcycle Accident. Yeah, but you also you talked more in depth about actual motorcycle. And there is another one that I didn't share with him where you talked about why that you know, it was cheaper to ride a motorcycle. So did I really? Yeah, you did your

Scott Benner 48:20
freaking freaking me out, Nico. Are we oh my god, you're freaking me out. Like so you. So I mean, I know that. I don't know if this sounds strange.

Nico 48:33
Retaining that memory and then tracking it down. And the Internet helps me tremendously track down those things. But you still you

Scott Benner 48:40
have enough to go after. I knew I didn't have enough to go after when she just said had someone been on talking about riding a motorcycle. I was like, no, no, not.

Nico 48:51
The other day my counselor from like, LM no middle school, came in and saw me sweeping cookie crumbs off the floor and said, Didn't you go to college? As a matter of fact, I did. And I like selling cookies. So you can What's your degree? My degree so um, my undergrad was psychology and political science. undergrad, you have a master's? I went to graduate school and I got bored around the end of my thesis. Sorry,

Scott Benner 49:21
interesting. You're fantastic. Hey, listen, I'm gonna just ask this in a lovely way. Do you have any mental illnesses? You're not disclosing? I don't think so. Okay, you just like you just have

Nico 49:33
treated. I was treated for mental illness while we were trying to figure out what's wrong with me. Right. But all of that treatment ceased once I got into it. Yeah. Because

Scott Benner 49:43
you were you were looking at all of your, your personality, because I

Nico 49:47
was a psych major. And so what did I know? Calling down? Yeah. And so when my brain was not working, I went to my family doctor and said, I think I have bipolar disorder. And she said You're too kind and too nice to have bipolar. are disorganized and yeah, but like my brain like this is I'm not right. And so you're not with bipolar disorder. What you did? I did. Yeah, I did. I even got myself into a psych ward for a while. And obviously meds weren't helping. And I didn't improve.

Scott Benner 50:18
But do you don't think you're bipolar? Like you're not mad? So no, you are.

Nico 50:23
This is how I am. Yeah. I have energy. Yeah. I mean, this is a little nervous energy. No, I just, I, yeah, I don't get out. Well, I haven't gotten that much in a while. Not everyone did. Well, when COVID hit. Everyone was complaining about being stuck at home. I was like, Yeah, welcome to my world. But I do get out more now. We live in a smaller town now so I can drive a little bit. I just, I don't feed myself nutrients. And so we chase my house for a really long time trying to figure what's wrong with me. And really, I think it just comes down to the fact that I don't eat food. Yeah, I eat. I eat simple carbs. And I don't know, I'm on like a teenager diet.

Scott Benner 51:00
Because I just say I love you know, that's

Nico 51:03
what you're mentioned in the podcast that I've been wanting to ask, you know, okay, go ahead. So, in Arden's lunches in like early high school, she often had pretzels, and I wondered if you made them or if they were store bought in New Jersey,

Scott Benner 51:17
they were store bought. I'm sorry.

Nico 51:20
I just I imagine a world where you can buy put sells in the grocery store.

Scott Benner 51:24
Yeah, that exists here is that you don't have that where you are?

Nico 51:27
No, I have to go to my pantry and get the Potomac or down off of the top shelf. And I gosh, I spent the entire month of December looking for NS and couldn't find it anywhere. So anyway. Yeah. Oh,

Scott Benner 51:38
don't tell me that those exist because there's a world where all by a maker and I don't want that to happen to me. The recipe I'm making art and got me a ninja creamy for Christmas. And I'm making my own sorbet right now. It's so

Nico 51:55
I went through a sorbet phase. Oh, it's gonna be the lotto gelato and sorbet. Yeah, both I had fun.

Scott Benner 52:01
Yeah, I haven't done gelato yet in the machine. So far. I just I made a lemon raspberry sorbet. And I have to tell you, it's fantastic. So

Nico 52:10
I believe I have not yet tried your pizza crust. But I do see periodically people say and I'm like, oh, that's here in the group dog waiting for you.

Scott Benner 52:18
Yeah, I'm thinking about a pizza this weekend, actually. Well, it's like Thursday, right? Is it? No, is it Friday? I'm literally thinking of making a pizza crust when I when I'm done here with you. Okay, cuz that's gonna say you're running late. Yeah. And then I'll make the pizza on Sunday afternoon. Probably. Okay, so. Okay, so back. Well,

Nico 52:38
maybe I will do. Okay, I have the afternoon off my mom's working for me. Why not? How cute is that?

Scott Benner 52:44
That's lovely. And she's selling cookies somewhere for you? Yes. Are the cookies you made?

Nico 52:50
No, I could but honestly. I mean, I do love baking. I don't love cleaning.

Scott Benner 52:56
Are you buying cookies and then reselling them? No, no,

Nico 52:59
no, I have. So my boss will probably hear this. And I don't Yeah, she just joined the group yesterday. Okay. I don't know who that her. And I don't know how, who handles the membership requests. But she her son was just diagnosed over Christmas. And so anyway, but she started storefront for her bakery in November, and she hired me to help run the store. That's wonderful. I have now picked up extra shifts because she is now caring for a type one diabetic.

Scott Benner 53:28
I made some sugar cookies the other day were fantastic. But you'll hear me talk about that on an episode. It was very depressing. I made them I love cooking for my, my family. And right now you make cookies for the kids throughout the year here and there. And then they're both gone right now. And I made them and I'm like halfway through making them and my wife's like, are you okay? And I said I responded. I said it doesn't feel the same. And I was so upset. And she goes what doesn't feel the same? Because she's Irish. She doesn't know. She doesn't know about like feelings and stuff. So I was like,

Nico 54:04
seems like a lovely person. I'm sure

Scott Benner 54:06
she does to other people. No, I'm just kidding. But, but I just I was like, I'm not getting whatever I get out of baking for the kids. I'm not getting it while they're not here.

Nico 54:18
I get that. Yeah, our family had COVID over Christmas. Oh, not us. We had COVID Right after you had COVID. And I joked with you in the group that you were the only person I knew who had COVID at that time. And so I must have gotten it from you through my headphones. But no, we probably got it at a funeral or at an endo visit. I don't know. But we can get my family.

Scott Benner 54:38
You didn't get that I had I had French COVID. So

Nico 54:42
Oh, well. How do I know? Well, I just did an at home test. I don't know what kind of had

Scott Benner 54:46
you don't have an international airport at your house there. Well,

Nico 54:52
a lot of international visitors. Well and like I said funerals so we had a lot of people come from out of from from faraway places, but I don't know if we got friends I have no idea what I got. It wasn't that big of a deal. I did not sound nearly as rough as you sounded. And I am a type one diabetic who takes other meds that don't, you know, aren't kind of my immune system. But yeah, it wasn't too bad. But about a month later, the rest of our family got it. And so we didn't get to see them at Christmas. And so it was a very sad, quiet moment just cooking, baking by myself, and then delivering the cookies to people. It just, it just wasn't the same. I understand.

Scott Benner 55:27
Do you know I just did something on purpose. That's going to be mean. But I'll say that I derailed you on purpose a minute ago to see if you'd get back to the cookies. And you did. That was fascinating to me.

Nico 55:39
Sometimes I will. Sometimes I won't,

Scott Benner 55:41
I pulled you out of the conversation about the cookies and took you towards the COVID. To see if you get back to the cookies.

Nico 55:47
I'll get back to the cookie. And you did love cookies. But I like cake more.

Scott Benner 55:52
There you go. You're trying to change directions. I'm not gonna let you hear. But

Nico 55:57
I mean, there are lots of directions to go. That's what I you know, I did have all the nerves. I really did this. I had no idea what you wanted. I knew what you wanted. I knew that I didn't see how that was an episode. And then, after listening to all the episodes, I wasn't really sure what I had left, that could be an episode. I don't think I'm really like a Nico, you

Scott Benner 56:14
think you help this podcast so much. And you help that Facebook group so much. And people should know that there are other people doing things like that, and you don't like you're not paid for it, you're not an employee of it, you have no responsibility towards it. And you, you take this thing that I made, and it got too big. Like, I can't, I can't wield it by myself anymore, right? It's just, it's too much. And you are helping me to reach so many people on Facebook. And in turn, some of those people are making it back to this podcast, which is growing the podcast and allowing the podcast to continue on. And you're helping all those people. Like when when someone comes on and says, like, you know, somebody will put up a post and be like, I got my agency today. And this is what it is. And thank you, Scott, and the podcast in this group. I get the like, most of the glow goes towards me. And that's not fair. Like it really isn't like, like that person ended up in that group and found the podcast because of the group. And the group is you said it earlier. It's its own entity at this point, like it lives and breathes on its own. It doesn't even need me. The only thing like Isabel will tell me privately, she's like they want you. She'll tell me that I do. Like she'll put a post up. And she'll be like, No one looked at my posts, she puts these amazing posts up, they're so detailed, and they are great for people, and no one looks at them. And then I'll go on and say something completely stupid. And an hour and a half later, it's got 10,000 imprints on Facebook. It's frustrating. You don't I mean,

Nico 57:51
I love for posts, I do. I you know, I know that I know a little a little bit about how the algorithms work. And so I tried to interact with all of her posts, even if I don't always have something incredible to say, I still try to at least interact with them. Because those posts they deserve to be seen by that are wonderful,

Scott Benner 58:07
though, everyone should see them. And I and I feel bad when she puts them up if if they don't get any interactions. And yet there are times that the group is so fast. I don't even see them sometimes. You know what I mean? Like that. That's the one thing about the group, like you have to if you're in the group, and you see something valuable, you have to interact with it. Because if the algorithm thinks no one cares. It just shoves it away. It just disappears. Yeah. And it's gone. Absolutely. And so you have to you have to really and I try my you probably see me at the end of the night, early in the morning, like I tried to interact with as many posts as I can. But the truth is, is that that that would be a 48 hour a day job for me if I was going to do absolutely, yeah. Yeah. Like there's no way

Nico 58:54
there would be no new no new content for us

Scott Benner 58:56
to be wouldn't get a podcast and there just be a Facebook group. And so So tell me some other things like you said something earlier that I really appreciate it coming from another perspective, you like the way I think about managing the group. So tell me why you think that group is successful.

Nico 59:13
That group is successful, because you let it live and breathe. You have you have the podcast if people want something? Well, the podcast isn't stagnant because it's it's evolving in a new episodes every week, but the old episodes are there if people want them, and you have a website if you want them to do that. But that group needs to have new blood that can have old conversations over and over again. And I already do miss the people that were there a year ago when I joined all of the names of the people that I learned to recognize as the voices of reason and the voices of authority. The people who didn't know the podcast and who had been with it a while. I do miss a lot of them and there are a few that I still see. But the newcomers are the reason the group is still relevant, and letting them keep having those same conversations over and over again multiple times throughout the same day. And the group would just stall, if you didn't allow that to happen. And that was what was happening. It was kind of funny, admin assistant was deleting things I was posting, and it was quite hilarious. And I finally said, I'm sorry, but I can't help you with your group anymore. Because the rules have become way too convoluted.

Scott Benner 1:00:24
Like this is your, when your gardening group. Yeah, and my gardening

Nico 1:00:27
group, and I just said, I gotta go find something else to do. And like I said, my podcasts that I like, left my app, and so it just all converged at once with me having some free time. And I do still, my energy is still low. I know it doesn't sound that way right now. That's just my anxious energy that's coming out. But I do. With better glycemic control, I do have more energy, but I still don't get the right calories in at the right time. I'm still pretty malnourished. And so we wandered for a long time, I went through all kinds of different diagnoses. And some of them may be accurate, but I'm just not sure that any of that matters. In reality, I'm not as hydrated as I should be. And I'm not as nervous as I could be. And so I don't have a ton of energy and all the doctors, the one thing they've always told me is that I need to rest. And so when I do need to rest, I can sit down and answer questions online. And I can still feel like I'm giving back. I can still feel like I'm not completely, you know, no, you very

Scott Benner 1:01:27
much. You there's no ego about you. Like that's one thing. One of the reasons when when I we talked about like maybe giving some people like a group expert badge, I was like, Oh, God, like one of them's gonna lose their mind. And I'm, you know, and we pick you and Stephanie, and Krista, and they've been terrific, like really, really, really terrific. And but you specifically, like, I'm not lying, like there are times that

Nico 1:01:55
I joke i She always she says the same things you say about me? And she, we mostly just communicate in the group, but it's the same stuff. And I'm like, Yeah, I'm not a witch. And there's nothing special about me. I just listened and remembered. Yeah, and that's what I do. I just listen, when I'm upright. When I'm washing dishes. When I'm gardening. When I'm baking. When I'm in between customers at work, I listen to the episodes and then I retain that information to relate to others. It's just I practice it

Scott Benner 1:02:21
Miko, it's a special skill there are times I think you're standing behind me. How does she know that? Like? Isabella tends to text me as I'm getting in the shower. Which, by the way, is something my mom does? And I'm like, Oh, I'm getting in the shower right now. Like, how do you how do you how do you know to interrupt me the only 10 minutes for myself, I'm gonna take today in the shower. And, you know, now we laugh about it, but didn't know your, your addition and what you do for? I can't, I can't say enough good about it. Like you're a good person. So

Nico 1:02:57
you've had practice with this. I know how many episodes now of having practice with people talking to you this way. And this part I was not prepared for. And I have not had practice with this. So I'll just sit here blushing at my husband's desk.

Scott Benner 1:03:13
Here's what I can tell you. I've learned a little bit to just say thank you. That's all you got.

Nico 1:03:19
am so happy to help. It is it is. I don't know, the least I could do. I don't I don't have the knowledge. A year ago, I couldn't have created the podcast. But I just can't imagine that if someone does want that information that I could hold it and not let them know where I got it from.

Scott Benner 1:03:37
That's where the motivation comes from. So you feel like I feel like how do I tell that person this I had to? I saw a post the other day, and I didn't have time to respond to it. And that's the feeling I as I left it, I was like, Oh God, I'm gonna let this person down. Like, I know what I could tell them. And so to

Nico 1:03:57
me a lot of times I'm thinking, if it doesn't get answered by not, you know by by someone, me Scott, Isabel Christo, Stephanie, or many of the other people in the group who who have been with you forever and who have listened. It's gonna get answered by one of the other newcomers first. And sometimes those just build momentum so quickly. I just feel terrible when that happens. Yeah,

Scott Benner 1:04:19
they can go there. So it's interesting, isn't it? Like so? How do I do when things get out of hand? Do you think I handled them well?

Nico 1:04:27
So I am not in you know, the admin panel seeing

Scott Benner 1:04:32
Oh, there's nothing to say I do everything publicly.

Nico 1:04:35
Okay, yeah, well, so. Okay. I did see some stuff the other day that seemed like it was weird. And then when Isabel went to look at it later, it was gone. So anyway, but I think those public floggings they're perfect. They're exactly. Think of them. No, no, not at all. But occasionally, occasionally someone deserves one thing. It's one it's really rare, but I saw someone a couple days ago, poking you. And you answered very politely and somewhat succinctly. And then they poked you harder and you're like, Yeah, okay, so, you know, you're poking the bear now, and I'm gonna give you my, my real answer. And here it is. And I totally deserved, you know, and it totally belongs. And the group, the group tone is better for it. You know, it's rare, and people do behave most of the time. There have been a few few people that just feel like just acting up and it just the internet goes in seasons like that. Oh, my

Scott Benner 1:05:35
God, it's so does right as Christmas approaches, everybody loses their minds. Yeah, absolutely. Yeah, it's insane.

Nico 1:05:43
And I saw that in the other group that I mean, I probably was there about six years, and you just have to just know that that's what season we're in, like, I'm expecting, we're gonna have static season right around now, you know, like, it's gonna be pods failing. And people don't realize that that's why as I sit here in a fuzzy blanket, because I don't want my heater to run,

Scott Benner 1:06:02
I have these conversations. Where I, I'll say to Isabel, or my wife, if I'm saying talking about I'll say, there are like five or six people. If I just banned them right now. In the short term, the group would be better off. But I don't want to do that.

Nico 1:06:19
Because that conversation with my husband, too. I was telling him about it on the walk a couple days ago, I said, but if he knows that, if he kicks them out, that they lose, they lose the opportunity to learn, right? And I've seen it and then a few months from now that Yeah, exactly a few months from now. There's one. I'm hoping we'll come back around soon. Yeah, about six months ago, there was one that I've been watching for her to come back. And I hope she does. So anyway. Yeah. What best we could do is just put the information out there and hope, right, I had not banned them all.

Scott Benner 1:06:51
So it's so interesting to hear you talk about like that, to like, that is exactly how I feel because I've seen somebody while I've gotten an email, like a long, like you suck email. Uh huh. And then, like six months later, long, I'm sorry, email. Oh, I was in a bad headspace and blah, blah. Now my agency is this. So what I do is the way I explain to my wife and my wife's like, how do you make these decisions? I'm like, I know what the podcast is. And I know what it does. And if somebody disagrees with it at its basic core, I know they're wrong. And, and but other than that, I listened to people's input. And I tried to think like, am I wrong about this? Or am I not seeing the whole picture? I'm constantly doing that. But at its core, I know that podcasts helps people live healthier. And so if you tell me it doesn't, you have another reason why you're saying that. And I got attacked recently by somebody privately. And then they tried to come at me through the survey, as well, where they and they listened to the podcast intently. And and I guess I said something where I was trying to be flippant about ads. And, and I was I said something like, you know, you got to click on this link. If you don't, I'm gonna end up working at Walmart or something like that, like you I need your support. Right? Yeah. And I am, as I mean, you would tell me if you thought differently, but I am in pletely, transparent about what makes money for this podcast. Like, like, the ads, if I put something online, I'm like, Look, if you click on this, it supports the show, like I'm very, very clear about it. And this person had been a fan for a while, and then all of a sudden, they're like, this is about your ego and money. And I'm like, Look, what am I gonna do? I said to my wife, am I gonna argue with her? I'm like, It's not about that. And I can't. It's about helping people. Does the podcast create a revenue stream that supports my family? It absolutely does. And if you want me to feel bad about that, you're barking up the wrong tree, because I spent my whole life making this podcast. So I'm going to, I'm going to get paid for it. Because if I didn't, I couldn't make it, I still have bills, I'd have to go to something else. And so I don't feel badly about that. I know how many people it helps. I know how it's brought the, the diabetes space forward, I just had a long conversation yesterday with a major institution in diabetes that's going to ask me to come out and speak about something about how I talk to people, they're gonna want me to tell clinicians how to talk to people about diabetes, so I know what it's doing. And, and so you pick through this moment with this person, and you're like, well, there's something happening on their end. It's not about me, this isn't about me. And so I have to let that go. I've become the focus of something. I'm gonna let that go right. And then I'm like, do I block them? Are they going to just like so? Like, because the one thing that people do on Facebook that if you don't know is they they DM behind the scenes, each other like little kids in school? And not everybody but some people do? Yeah, as I wish and I think it's funny. Like for anybody listening who's ever done that, if you think I don't know, you're kidding yourself, because you're telling Somebody you think agrees with you, and that person doesn't agree with you, and then they send me screenshots of your conversations. So it's true, don't type anything, you don't want someone to know. It's so and so. And I've seen it like, I've seen the gamut run. I have, I've only ever kept one of them, because it's so

Nico 1:10:22
a lot of it, you'll see again,

Scott Benner 1:10:25
everything old is new again, in this again, and again, you have to be okay with that, too. But I have one here, I'll never get rid of where the person tells like somebody says, Hey, I don't understand why you deleted my comment about the Juicebox Podcast that started the conversation. And then that that admin lied and said, they knew me personally. And oh, yeah, you mentioned this, and then made up significant lies about me to try to paint the reason why you wouldn't want to go to the pockets. Like, I know, he does this. And I know he does that. And everything they wrote, I'm like, I don't do that. Like, I don't like I don't make money that way. I don't do this. I don't do that. I don't she told them that I counsel people privately and take large sums of money from them for it. I've never done that in my life. But it was fascinating to have. But you didn't listen, I just got to. I just got an email from the Middle East the other day about helping, I think, a fairly wealthy family. And I was like, I don't accept money to help people with diabetes, but I can send you to some episodes, like, like, fly to Dubai and help somebody with their Basal What are you doing? But But anyway, I don't do those things. And then to have somebody come at me and tell me I do. Then you're back into the fate in the internet world, like arguing with them is

Nico 1:11:44
so hard, because I would love to participate more and more of those groups. And I was doing an okay job of giving enough of my own comments, and then periodically throwing in a podcast episode, knowing that if I did too much of what I do in your group, I would shut down other groups. But at some point, it was just

Scott Benner 1:12:03
exhausting. No, it's too much. And from watching them

Nico 1:12:05
suffer and watching them, choose that path. But then really, like I'm actually just busier now. And I would rather make sure I don't miss any of the Yeah, just box group posts that need answers, and then go back about my life. You're wonderful.

Scott Benner 1:12:21
You're wonderful. If my kids weren't grown, I'd make you their godmother. So Oh, my trust me you don't responsibility. But do you think, um, you've heard me talk about in the past about the other groups? Like, it's all about, like, keeping their they want to keep their audience? It's not really

Nico 1:12:40
you have seen so many of them are doing exactly what you said. They're, they're there to make the money.

Scott Benner 1:12:46
And they're siloing everybody, and they don't want them to leave?

Nico 1:12:49
Yeah, and they want the numbers. And it really isn't. If it were about helping people, then it wouldn't matter what information the people were getting, as long as it was just fair and balanced. You know, like, hey, this information is there, you can get this. And then I you know, there are there's so much to it, I'm sure. And I didn't spend very much time there. I joined a couple of groups. I don't even I have no idea. diabetes did get a little bit harder about a year ago, I think my honeymoon probably ended then. And so I didn't know I was looking. But I was looking a little. And then I realized where I could get help. And I didn't need to be there anymore, either. And where do I want to get back? The help is where I got the help from not. But I mean, I still do I go to read it. And and same thing. I answer with my own information enough times that I can then also answer with podcast episodes sometimes, so that they don't look completely crazy. And I don't get kicked out. Yeah, so see, but I don't have to do that in your group. If there's an episode that will help someone. And I don't have the personal knowledge about it, I can just share the episode. And I would rather put a few words with it. But lately, I've been a little busier because I'm working more hours than I anticipated. And I am thrilled to be doing it. I would really love to help this family more. I've I've never had a person in my life who actually had diabetes. And so I mean, I'm not thrilled that he was diagnosed, but I am more than happy to share the information that I have. And so she has looked at my graphs, she was looking at my data the other day, so we had to do that. And it was like it's the podcast was like we should be playing non stop here. I have been Don't you see my headphones.

Scott Benner 1:14:31
Thank you so much. I listened. I'm obviously thrilled that it's helped you but you've now helped more. And it's just I'm the only one stop. I appreciate that very much. I didn't want to say please don't leave me. But

Nico 1:14:50
I don't I am busier. But I don't plan for that to be forever and I you know I do still have some free time and I do still have to sit sometimes. And so if I'm sitting and answer people's questions if I can.

Scott Benner 1:15:01
Do you appreciate the hands off way I deal with you and Stephanie and Krista or do you wish I was more involved? Like you? And you guys have a chat? Right? You and Isabel and the girls will have a chat, right?

Nico 1:15:13
We do. Yeah. And I, I think I treat my Facebook Messenger, like chat section, the way you treat your inbox, and probably less less. So like I really do need to set aside one day a month and go answer messages over there. But I, let's see, we don't write to each other very frequently. And I do appreciate it. Now, when I when I first became an admin in another group I had assumed all along not having ever been one that where there were multiple people on the team. They were all communicating behind the scenes, like you said, Yeah. And then I learned that we weren't once I was doing it myself, I realized that we were just all in our own little space doing our own thing. And the only time we wrote to each other's if we felt like complaining about someone or you know, whatever, having one of those private conversations or just really just felt like having a private conversation. Oh, God,

Scott Benner 1:16:01
never. It never occurred to me. Do you complain about me? No, no, no, I'm

Nico 1:16:06
just assuming people probably think that, that we actually do all interact, and we don't know you have something that needs to be done? And if there's nothing that needs to be done,

Scott Benner 1:16:17
is there a need how everybody's would probably? Yeah, I

Nico 1:16:20
think the group members would appreciate knowing that we're still being our own individuals that we weren't giving any marching orders. We're just people that you trust to help relay your information. Yeah, people with with experience people, you know, with knowledge, and that we're not being told by you what you want us to do at all. We're just helping.

Scott Benner 1:16:42
I'm as hands off with you guys as I am with the whole thing. Like, did you see the note the other day that somebody sent me? And they were like, You need to moderate this group differently?

Nico 1:16:50
Yeah, I saw. No, he doesn't.

Scott Benner 1:16:53
Like oh, that's, that's the wrong tree times tend to bark up with me. I'd prefer to moderate the group less. I really liked the group better when it had one rule. And the rule was, don't be a dead girl shut this whole thing down.

Nico 1:17:05
Yeah. And that was basically how the other group that I was in was it was like, we just talked about gardening stuff. That's fine. Just, you know, don't don't make it political. Don't Don't be a jerk about it. And we'll just all hang out. And then one day, it was like, Yeah, way more specific. And if you ever told us well, I see it both directions. I do sometimes want to share something from a different source, like Integrated diabetes, especially, or somewhere else where I maybe learn something. But I definitely would rather share a podcast episode in the podcast group. If there is one that applies, because listen to us, you gave them to us. And so why would we not give them back to one another? Right?

Scott Benner 1:17:44
It's funny, because I go back and forth with that. Because there are times that like, somebody will be like, hey, I want to know about basil testing, and somebody will like will use this link. And I'm like, that's not the link for the basil testing and the podcast. That's the link for basil testing somewhere else, which I don't care about. If it helps other people. That's the thing I had to get over. Yeah, but it helps people that it's good. But it does make you worry on a micro level, did you just drive someone out of the podcast who now won't make their way back to it? And it's easy to think that Well, there are 33,000 people in there. They all listened to the podcast. But that's not the truth. If everyone in that Facebook group started, started listening to this podcast today. This would be the biggest podcast ever. Like like it would be it would be not just in the diabetes, amazing

Nico 1:18:29
how many podcast listeners that are that aren't in the group? And how many members that are that have no idea that there's a podcast,

Scott Benner 1:18:38
and vice versa and don't care. Yeah, both ways. Yeah. Yeah.

Nico 1:18:42
I do have there's a few times though, that there are people that are just like, No, I don't listen. And I have my, you know, 8.7 ATSC. And I don't listen, and these are the problems that I have. But I've been a member of this group a long time, and I don't listen. And I just I still wonder, like, why not? Is

Scott Benner 1:19:01
that with me, too? She's like, why don't they just listen if they see everybody else, like succeeding? Yes. Like, why would you? Well, I

Nico 1:19:07
mean, because they have Jimmy diabetes, I guess. But I mean, even I have Jimmy diabetes. You know, I have Castro freezes. And I still, I'm not I'm still gonna be bold. I mean, not every single time because occasionally, I'm not digesting that well, and I just have to remember it. And I have hormones that are doing like absolutely ridiculous things to me. Some nights, I use two units of insulin overnight, and sometimes I use six units of insulin overnight. And it's just I have no idea when that's gonna happen. And you know what, I'm still. I'm not gonna give up on tight control.

Scott Benner 1:19:40
You referenced the podcast episode from 28. Yeah, it's one of the best. Is it really?

Nico 1:19:47
Oh, absolutely. Yeah, it was I'm pretty sure I put it on the list the other day when you asked and now you guys are asking me again, both in the group and as well as privately and Jimmy diabetes is is definitely definitely one And people should listen to. Because a couple of days ago, you guys were talking about the B word. You talked about that probably eight months ago, but you aired it a couple days ago. And so you rehearsed it a couple of days ago, probably. And I think that's what they're saying. I mean, to me, that's what Jimmy diabetes is about. It's about people thinking that their diabetes is more difficult than other people's diabetes. And for some of us, it is like, I don't digest food productively. So getting my my prediction curve to match what my insulin is going to do is not easy. And that doesn't mean that I have to have a really hate anyone see, I do have more variability than I'd like. Because I am going to sometimes get swings, and I, I'm just going to keep trying, I'm going to reach out. And if there's an episode that maybe when I listened to it, the first time, I wasn't in the place I am now I'll just go listen again. But I have a couple of people in the group are gonna hate me my loop and I are not entirely friends yet. So that's kind of funny. But I do have a new toy. And I'm really excited about it. So I live at elevation, we talked about that a bit. And you've had some elevation episodes. So I am not Jenny, I am your other people. I don't use very much insulin, but I've always live to elevation. So that's all I know, right. And so I finally got my doctor to let me try a Frezza. And the first patient she's ever prescribed it to and it wasn't easy, but I'm really excited about it. The only problem is it comes in four unit cartridges. And a lot of times I don't use four units for anything, but it comes to be good to practice with your own diabetes and figure out how that four units works. And for me, it's really close to three units of Novolog. But faster, okay, so it's fun. But you know, I can't use it for a meal that has meat in it. Because a lot of my meal Bolus does include my fat and protein. And that's going to be gone by the time the fat and protein are there. So I can use it for well, like yesterday, I missed on my mom's birthday cake. And so the Frezza like, fix that problem real fast. is awesome. I'm in love.

Scott Benner 1:22:05
That's excellent. I do want to, it's tough, because I want to talk to more people who use it, but a not many people use it and be the people who use it are sometimes evangelical about it.

Nico 1:22:17
And so that's why I thought I would at least mentioned that I am using it. Because it's kind of cool. And it doesn't have to be completely terrifying. But I definitely couldn't manage strictly with that. It's just not going to be precise enough. I don't really know how people do that honestly. And they do. But I kind of feel like I'm going back to to whole unit pens again. And having like a magic marker when I really want to pencil

Scott Benner 1:22:44
I want I want so badly to I don't think I don't think Arden would try it. But if she would like to me it feels like for sticky highs.

Nico 1:22:52
Like Exactly. It'd be like a pump site failure. Yeah, get that thing right back down, right or Yeah, sticky high or, you know, don't have a lot of time to Pre-Bolus. But don't really want to deal with an over Bolus like but I know, I can use loop to deal with the pizza part of this meal. But I want to fun drink with this meal. That's gonna hit me a lot faster. Let's just don't even tell the loop about the about the drink. Just tell the loop about the pizza. And the Frizzle take care of that. First, like quick impact. Yeah, that's really fun. Yeah,

Scott Benner 1:23:20
I definitely want to hear more about it. I just can't be from somebody who's like, the hidden he means like they're probably Yeah, yeah. Oh, my God, because they get online sometimes. And they're just sort of like, like, gets the closest thing to a low carb conversation that I've ever seen. Like,

Nico 1:23:36
explicitly, there's no way. I mean, maybe people want to hire insulin needs, but really like, you know, I rely on the point oh, five, like, bumps and nudges. And, and yeah, you can do that, though. Anyway,

Scott Benner 1:23:50
what's your opinion on how I handle the low carb thing? Oh, do you think about it? Do you think about how, like, there

Nico 1:24:00
is, I can't imagine you're handling it any other way.

Scott Benner 1:24:03
That is what I do. I do the same exact thing with it. But it's tough because they try some some very few. But some, like low carb proponents are very much alike. You're doing this wrong. And you shouldn't be doing this.

Nico 1:24:17
But they haven't listened to all of the episodes if they're saying that. Yeah, probably.

Scott Benner 1:24:21
But But I don't want them not to be there. So I'm, like, Isn't

Nico 1:24:27
one that's been missing a little bit lately, and I've been sad about that. Yeah, no, she's got and I would, I was low carb. I did low carb. I had to. And I would do it again. It is easier. I just can't digest that food. So I don't anymore.

Scott Benner 1:24:41
Yeah, no, I just it's interesting that you don't see so you just see any, like waves that are handled as being handled all the same, because I feel that way. But it's tough because people take it personally if it's their wave. Yeah, that's true. It's hard.

Nico 1:24:56
I am not making very many waves and so um, not taking it personally. So I'm just seeing it as an outsider saying, Yeah, you know, you're allowed to talk that way, as long as you're not being nasty about it, then you can bring this up. And if you're being too much of, you know, if you're being a jerk about it, then he's going to ask you to stop it. Otherwise, feel free. It works for you. Yeah,

Scott Benner 1:25:18
it does work. And I find it, I find it very, I actually, I'm super interested by watching people online, because I know if you can step out of the argument, you're like, Oh, well, they're upset about this, or they're trying to make a point about this. Or sometimes they're trying to sell something. And right, and they're trying not to act like they are. And then they'll like, they'll kind of push back harder. I had that recently with a with somebody from a company who was like, you know, I'm just trying to be part of the group. I'm like, Yeah, that's not what you're doing. No, you're driving, you're trying to drive something to a thing you make money with. And, and that is something I feel very strongly about, too. Like, I've collected all these people together. They're not fish in a barrel. You don't just get the market to them. I get tomorrow, I get to tell them about my ads, because the ads don't get supported. You have no idea the pressure it is to, like have advertisers like and they're not mean about it.

Nico 1:26:10
But that's that's why I don't bake for our bakery. It's the cleaning company level cleaning every day for for the baking. I'm not going to do that. No. But yeah,

Scott Benner 1:26:18
yeah, I can't. You have no idea like you've spoken. I

Nico 1:26:22
have no responsibility. I just share the information. And you have all that pressure behind the scenes.

Scott Benner 1:26:27
Nico, you're perfect. I'll just keep eating up the pressure and you keep doing what you're doing. Can I ask

Nico 1:26:32
you, if you want to have a have a conversation with my husband? I'll have a conversation with your wife. Because yeah, he definitely doesn't think I'm perfect.

Scott Benner 1:26:40
Well, you are for me. So I he's

Nico 1:26:43
been really helpful. It's really cute to see him. You know, he doesn't know diabetes, and he is not on Facebook. But he's really excited to contribute a little here and there. Well, he made kind of looking he made. He did make the shortcut.

Scott Benner 1:26:57
Yeah. So you share, like a fat calculator.

Nico 1:27:02
Yeah. And he's working on another one right now that was to do it in Excel for people who don't have iPhones?

Scott Benner 1:27:09
No kidding. I haven't added your shortcut. And I want to and I have to admit, like, I'm so inept at it. Like, I don't even know how to do it. Yeah.

Nico 1:27:16
I wish we knew how but we're that's one thing. Web Design is not something we do for you.

Scott Benner 1:27:21
Yeah, well, it's still very, I see a lot of people get a lot of great use out of it. And

Nico 1:27:25
yeah, and it's been hilarious to see it evolve. It's really funny. There's been some funny uses of it. Like it was being used for brain poop as a meal the other day,

Scott Benner 1:27:36
you know, I've considered having a developer make a podcast app that also has like, Bolus calculators in it and like everything you would need for diabetes all in one place along with the podcast. But I know the problem is, like, just it's so hard to get people to adopt things that I know in my heart, it would fail at the end. So I don't put too much effort. But that's also by the way, that's also an important skill to have if you're in this, which is to know where, yeah, where to point, your energy, when to go. That's a great idea. But it doesn't matter what a good idea is, if people aren't going to adopt it. And experience

Nico 1:28:11
has helped you with that a little bit. I'm sure. Yeah, no, I know. I know. Fortunately,

Scott Benner 1:28:16
I've I've had a couple of good ideas that aren't actually good ideas. Oh, like, because they would be if you could, like depends on how you define good idea. Well, I defined everything by mass appeal. Yeah. Right. By helping if it helps stainability. Yes, if it helps, good, but then it has to be sustainable. And it has to reach a lot of people. Because I can't. Well, I don't mean to say that helping 5g is not important. But but you know, to what you said earlier, like, if it's going to help those people will help more people, and then we need to get it to them and helping people. Yeah, if I can't figure a way to deliver it to them, then it's not a good idea.

Nico 1:28:54
And not every one of them is going to go sharing it once they've benefited from it. Like you said, most of them move on. Yeah, this this is I just I'm not like that. I just can't do that. I can't walk away from something that has given so much to me. Well, I

Scott Benner 1:29:07
think that's perfect about you, and I'm not gonna change change you about that at all. Like you're you're one of the people, I don't want to go anywhere.

Nico 1:29:13
As long as you keep us being just just perfectly moderated. I'll stick around. And when when it gets to the point that I can't share a podcast episode without it getting deleted. i Oh, that

Scott Benner 1:29:24
wouldn't happen at mine.

Nico 1:29:26
I know. But that's what was so weird about it. It was Yeah. So anyway,

Scott Benner 1:29:29
what else can you but when you tried to do it in other groups, they wouldn't let you

Nico 1:29:33
know when I was No, in my gardening group that I was an admin of yeah, there were comments that were perfectly in line with the conversation we were supposed to be having. And random keywords would trigger because

Scott Benner 1:29:43
the moderator didn't want to actually moderate. That's what happens when they get into pressure from other people. When people are like, You shouldn't let people talk like that. I'm like, you're gonna be the one to leave if that's how you feel about this. Because I I, to be clear, those people are adults. They can do whatever they want. If I'm not in charge them, I don't care, the only thing, the only thing you're going to hear from me on is if you're doing something that's hurting the group, then then you're going to hear from me, if you're doing something that's leading someone down a dangerous path, you're going to hear from me about that. If you're being mean to people, if your food shaming people, if you're insinuating that if you eat carbs, you're going to die. Like things like that. That's, that's not gonna fly. And I'll put a stop to that very quickly. But the rest of it,

Nico 1:30:29
like it's very balanced. I feel as though you would also protect a low carb post as much as you would protect a high carb post. Because I mean, if anyone has any questions about that, there's a whole series where you gave everyone a forum to talk about how they eat. Yeah. The people who are they just looking for something to be upset about? You know, or there's that thing that you're moderating the way that other groups are moderating and not really paying attention? That that's not what you're doing at all

Scott Benner 1:30:57
right. Now. I appreciate you guys. I

Nico 1:30:59
think sometimes you just have to look at all the different ways of well, you know, I didn't find that reference. But once you you mentioned, I think, did you say that? You have to pretend like the person in the car, like has a really urgent bathroom need? I think that's what you said that that's like the benefit of the doubt you get the driver that's being a jerk. I tell my husband, you have to pretend like they have eggs or whatever. But I just have to sometimes look and say, what, what is this really about? Because this isn't about Scott, this isn't about this particular post. This is this is something else, right?

Scott Benner 1:31:24
I let I let everything go until it becomes obvious that you have like sinister motivations. Yeah. And then we're done. And that you're not going to get me past I add somebody? And then you're done. Yeah. Oh, then you're done. It's done. Yeah, I had to. And by the way, that's a, a college commencement address from a famous author who's passed away.

Nico 1:31:45
Okay, so there's an episode for that guy. And it's called this as water.

Scott Benner 1:31:49
But in that he decided he describes that, you know, you can see someone speeding down the road and weaving in traffic and choose to think that they're an asset. Or you could choose to think that, you know, they have a really good reason for doing this. And that you're never really going to know why. But it's better for you, if you choose to believe that they have a good reason. It because in that, in that I do that in the moderation of it. But at the end, when people are being absolutely, like, obviously pimping a business, or something like that I'm not okay with like, when, like everyone uses, there are people who use some version of, here's a picture of a T shirt, I just got this t shirt for my type one all the time, and then three, and then like three, you know, statements down, someone goes, oh my god, it's so cute. Where'd you get it? And they're working together to get out there, I'd see link or something like that, you know, like, I'm like, Alright, we're not doing this. But people do that with low carb websites, too. They they infer something to get someone to ask a question. And then once they ask a question, they go, Oh, it's because I don't eat carbohydrates that I'm so healthy. And then it's and then you they're pushing that's proselytizing. That's not okay. And so I stopped the person from doing that the other day, and they're like, I didn't know I was doing that. And I said, privately to Jenny, or Yeah, I was talking to Jenny about it. And I said, like, I don't care if they know they're doing it, or they don't know they're doing it. It's still happening. It's it's not important to me whether they're sinister, or they're just silly. Like, it's what's happening. You know what I mean? And then I have one other question about a Facebook thing for you, you know, the young girl that comes in and drops a horror bomb and then doesn't respond while everybody runs.

Nico 1:33:41
To save her. Yeah,

Scott Benner 1:33:43
I banned that account. The

Nico 1:33:45
uncle has the same name as you. Seriously. Yes. First name?

Scott Benner 1:33:50
Yes, yes. I banned that account. Oh, okay. It hurt me to do it. But oh, you tried. I saw you try. I tried. Well, I sent a private email. And I said, I don't know you. You don't know me. I'm not a doctor. But I will do anything to try to help you. And but you, you can't just keep coming into the group saying something horrifying, and then ghosting the thread. Like, it's like it's not okay.

Nico 1:34:20
And so I'm sure a lot of people will be happy to know what happened there. Yeah,

Scott Benner 1:34:24
I just find it. So I had a back. I tried to have a back and forth. And then they were like everyone says they want to help me. And I was like, Well, I'm actually trying to help you. So just respond to this. And we'll and then they wouldn't then

Nico 1:34:37
there are so many people who would have jumped at the offer that you gave, you know, so yeah, and they wouldn't respond. So if it's not the right moment, and it's not the right moment.

Scott Benner 1:34:45
I just I said okay, I did my best here, but because because I don't because it this was an extreme case, but I couldn't let that keep happening.

Nico 1:34:55
And there was a misconception in the group and all over or Facebook that that person was a minor? And that person is not a minor. So no, no, that does make a difference. Yeah, most people know that this person is an adult. And like you said, that's where you're catering to adults who have the right to choose.

Scott Benner 1:35:14
After about 20 people that choice was made, and did really helpful things like down to like contacting sending food, or will come get you send food offering to help them. I was like, they're not taking any of this help. So this is just either self flagellation, or it's or it's all bullshit. One or the other.

Nico 1:35:32
Well, I'm in the beginning, it was like, okay, is this person now hospitalized? And we'll hear back in a few days. And, and at some point, you know, because I did periodically go check the agency, did, did that person come back and update any of those threads or reply to any of those offers? And, yeah, nothing just always, like you said, ghosting all of us. So there's something

Scott Benner 1:35:50
wrong with it. And in the end, you just can't, you can't keep running into the room and farting and running out again before I'm gonna lock the door. And it basically it started feeling like that. Yeah. Anyway, now the door's locked. But that one, I don't ban people easily. And that wasn't really like, it bothered me. When I pushed the button. I was like, Oh, I hope I'm doing the wrong thing here. But yeah,

Nico 1:36:13
well, you couldn't really do much more, I don't think tried. It was a

Scott Benner 1:36:18
it was a I mean, it was a significantly to one side situation. It was it was off the charts. So

Nico 1:36:28
and it was exactly like you said, I mean, you offered everyone offered. So yeah, I mean, if he had just been the person without actually trying to help, then maybe we could question the decision. But yeah, you have to question you tried,

Scott Benner 1:36:40
you have to have the bigger picture in mind to like that group is there to capture people give them hope, and lead them in the right direction? And if I always think about like, what if this is someone's first post? Like that? They see.

Nico 1:36:53
Yeah, the first thing they see I try the only one they see that it because they only go to their group feed and not to the actual group itself,

Scott Benner 1:36:59
right? Yeah. No, I know. Yeah. You have to go into the group. But anyway,

Nico 1:37:02
so what Wait, you tried to derail me here. So anyone who wants to actually hear you talk about this as water? You talk about it in swimming, Skittles, which is number 451. So

Scott Benner 1:37:13
that was amazing. Thank you. I loved watching it happen in real time.

Nico 1:37:20
Because we had to go to another really serious topic, but yeah, people should hear that episode.

Scott Benner 1:37:25
How can we have it so you walk behind me when I say something? You go? What Scott's referring to is?

Nico 1:37:31
Oh my gosh. So that's like, um, so I can do a little pop culture reference. There was a little short lived TV show with Ted Danson. It he had a little computer a little robot. Well, not a robot. Well, she was a robot, right?

Unknown Speaker 1:37:48
Because life wait. Yeah.

Nico 1:37:52
With Kristen? Yes.

Scott Benner 1:37:55
Yeah. Cable. Yeah, it's good. It's called The Good Place.

Nico 1:37:59
A good place a good place. Yes. Yes. Yes.

Scott Benner 1:38:01
I love that show. It was it was short. It was only four seasons, but it did very well to like wrap itself up in four seasons. Yeah,

Nico 1:38:08
I can get a little robot.

Scott Benner 1:38:09
i There's part of me that thinks Kristen Bell is not a real person, by the way. She wants to think that seems so delightful. I'm like, I can't be wrong.

Nico 1:38:21
Oh, she seems so very real.

Scott Benner 1:38:24
But yeah, yeah, that's what I need. I need I need you to pop out of like thin air and just go Hey, Scott. Can we make that? Well, I'll tell you what. Artificial Intelligence is leaping right now. So we may get to the point soon where you can go to your AI generator and just say, like, literally tell you? Like, what's that episode of The Juicebox Podcast? Where and it'll come? It's Have you seen it? It's fascinating. You're making me obsolete? No, I'm not making you obsolete. I don't have I still have to type it. So we can't do that. I need you. But um, but Okay, so my last question, I'm gonna let you go. Okay. Was it inappropriate that I sent everyone a Christmas present this year? Or was that okay?

Nico 1:39:10
Well, I appreciate it.

Scott Benner 1:39:12
I was so worried.

Nico 1:39:13
That is still I mean, I would send chocolate I promise.

Scott Benner 1:39:17
No, no, no, no, I don't mean that. Like I wanted to send something that you could just use. And I think

Nico 1:39:22
and I am my confession though solution. I really appreciate it. So yeah, I now have a nice foam mattress topper so you bought a chair. I bought a foam mattress topper and it has greatly improved our sleep. Not because we really needed a more comfy bed but oh my gosh. Dexcom and I just aren't great friends. And so I deeply appreciative you have no idea. Yeah, but there's no well that's there are no words. I think I sent some words. You said most honest words I could send I said Honey I don't know what to do it like I this Here's what I want to say. And he said, Well, yeah, I think that's probably what you should say then and so yeah, like, overwhelmed. And honestly, I just, I have to sit sometimes. So when I said I still want to be contributing,

Scott Benner 1:40:13
but you're very nice I just so I sent a gift card, but I I, I labored over. Not too much. Not too little. Too little insulting too much is insulting. It's also an number I can't afford. Like, you know what I mean? Thank

Nico 1:40:29
you. We're headed towards too much. Okay, away then from too little. But you know why they think I was too little back. Don't get me wrong. I didn't know you were you were far far from too little. And I, but I live in the middle of nowhere.

Scott Benner 1:40:44
So Oh, no, I just do you know what I mean, by that, though, like if you

Nico 1:40:47
know, I do know and gifting is difficult. And I always choose to actually buy a gift because I that that world of gift cards. I don't know how to navigate it. I mean, I know how to spend them. days, and I did so I appreciate these

Scott Benner 1:41:01
talking to my wife texting. Isabel, Is this too much is too I don't want to insult anybody I don't want I also don't want it to be uncomfortable. Like you'd want to send an amount of money where you go, God, I can't accept this.

Nico 1:41:11
I can't. I can't speak for the others. So I but I, you are comfortably deeply grateful. So yeah, just Yeah, it really, really, really brightened our holidays. You can you can Yeah, if you I really hope that would convey that because we were shocked. And we were ecstatic. And we were we were really grateful.

Scott Benner 1:41:33
Yeah, no, I'm i I'm thrilled. I'm glad. And you deserve that. And way more I just to be sure that I got what

Nico 1:41:42
I got. I you know, you paid us in advance. You gave us the podcast. So yeah, I have better health. No, I have I have lower variability. I have better timing range. I had no idea. These things were possible. And so why would I? Yeah. Why would I not want that for anyone else who has any interest in having it? Right?

Scott Benner 1:42:06
Well, I'll tell you, I, I'm going to do my best to keep it going. I think I'm doing alright, so far.

Nico 1:42:12
I like the direction you're headed. I made a few posts recently. Just kind of in that same vein, I really, I mean, just in general, but we're working on my husband's glycemic control. Now. The same path I was on early. This is a type two path he's not diabetic, but he is obviously not managing a CGM, as you know, is line does not look like yours. Looks like I missed it, obviously. But I've heard right, how hard you had to work to get numbers that Yeah. Right. So I do appreciate and I do have a lot of type two people in my life. And I love sharing those episodes with them. So I'm really excited that you're here. There's

Scott Benner 1:42:50
gonna be more Jenny and I are gonna put together a whole series of type two stuff. Yeah, I

Nico 1:42:54
had a few ideas that Yeah, I do need to send you and you had you had told me the email, you

Scott Benner 1:42:59
put them in, I want to know I one word, you told me email you one word, and

Nico 1:43:03
I was like, one word zadina for an email. So I have a few more words now that I can add to that email. And so send an email now I

Scott Benner 1:43:11
appreciate it. We're gonna get it done this year. And, and I'm gonna I'm gonna put it in with the podcast. And I'm also if I if the series turns out the way, I hope I might launch a second podcast for type two. And it won't be updated very frequently. But it'll just be a way where the information sits out there and its own place. I don't know. Yeah.

Nico 1:43:33
Terrible that it's intimidating to come to the type one world as a type two, it's sad to me that we have that division. And I see I see why it's there. But I get really, really touched when I guess maybe just because I was there and I would much rather be on insulin be then be on that other path. And those conversations have really, really enriched the podcasts already. So

Scott Benner 1:43:57
I agree. Well, yeah, and I'm not gonna let like one or two people are like, there, they have type two, don't let them in. They're like, Oh, you don't understand. Like, it's if you use insulin you belong, you know, and that's it.

Nico 1:44:07
So and I don't know how many people don't realize that maybe insulin would improve their outcomes. It's, it's seen as such a such a scary place to go. It's seen as like in a defeat like influenza, the last line of defense, and I feel terrible for those people who don't get on it sooner. I have no idea. I wasn't on a CGM until a few years after I was on insulin. So I don't know what my variability was. But I know I didn't go low very often, because I just didn't have a tool that can get me lower safely. And so they just told me not to use the tool, basically. Yeah. But I do know that I did have complications before I had insulin. And I think my best chance at not having them in the future is using the insulin wisely. Yeah.

Scott Benner 1:44:50
No, I agree with that. Thank you. Well, no, it's my pleasure. I I'm thrilled you found the podcast obviously for yourself, but for everyone else, too. Like I know a joke and I was like, it helps To me, it helps me you're helping everybody. And it frees me up to make the show. So I'm willing to try. No, yeah, I'm willing to try. There's nothing you need to change, you're fine.

Nico 1:45:12
Well, you know that one conversation like, Oh, I'll regret that we couldn't succeed. Until I hopefully hear that maybe we did even even that, that, you know, so that's why I know you have that same thing in you that you said that while you were describing the story. And so I still feel like I'm trying because I can't help everyone. But I can try. So.

Scott Benner 1:45:33
And that's, that's what we're doing. So yeah, you

Nico 1:45:35
gave you gave me the tool. So I'll just keep using it as best I can. as I can. You are so delightful. Thank

Scott Benner 1:45:43
you, Nico. I know you didn't want to do this. So thank you very much.

Nico 1:45:50
I do not want to I just didn't really know. I like us. Yeah. So

Scott Benner 1:45:54
you weren't with the wrong thing. You did what everybody else did you thought, Well, I'm not gonna make a good podcast episode.

Nico 1:46:00
Well, no. Well, I mean, I worried about everything. Because I do like, really, really do. I am a nervous Chihuahua. And I was just kind of wondering like, which, which piece of this did you want to talk about? And was it really the boring piece of like, I can press Ctrl F, or was it?

Scott Benner 1:46:16
Presidential love? It's, well, that that is a minimization of what you do, and you shouldn't do

Nico 1:46:23
it. It's funny, because I was talking to my husband about that last night. And I said, Honey, like, I don't know, I think he really just wants to, like, I'm thinking about all these different pieces of my story in which one? Do we want the world to know? Which one do we want to fit in an hour, which we didn't accomplish at all. But then I told him, I said, I think it's really just that he wants to know how, how I'm helpful in the group. And isn't it? That's just not a very, that's not an episode. And he's, he said, Yeah, cuz all you do is just press Ctrl F. So it's funny. Yeah. You should talk to him. I don't know.

Scott Benner 1:46:57
That's funny. You can tell him. It doesn't matter to me. As far as I'm concerned. You're, you're a Nobel Laureate. So?

Nico 1:47:05
Yeah, yeah, I have my well, you

Scott Benner 1:47:09
fit perfectly into the need that that you're that you're handling. I mean, honestly, I am happy to help. No, you for a second. Listen to me for a second. You couldn't be more perfect for this. I wish there were 10 of you.

Nico 1:47:29
Oh, well, I mean, I talk enough for at least a couple of

Scott Benner 1:47:33
the online stuff. I wish there were if there were 10 of you. I know I would, I would I'd start a moderating business. And we, and we'd fix countless Facebook pages, wouldn't we? Yeah,

Nico 1:47:49
I would. Countless Facebook pages. I don't know. Yeah.

Scott Benner 1:47:53
Oh, by the way, it's so soon. It's so easy. All you have to do is it's a little bit parenting. It's a little bit you have to have like no ego about it. You can't like you can't think anything is about you. And you have to believe that everybody is intrinsically good. They're either having a bad day, or a bad reaction, but that my son said to me something the other day he goes, generally speaking, everybody has good intentions. And I'm like, Yes. 600%. Right. And so everybody just wants to be happy all the time. Yeah. When people want to fight. That's when I'm like, no, no, like, or sometimes I just let them fight. So I'm just like, wear themselves out. Let them go. It's hilarious. That's the other thing too, when I like when people think they're being deep, and they don't realize it. Everyone else looking is like, Oh, God, You're such an idiot. It's my favorite part. That's the part that gives me the biggest smile, like everybody thinks they're being like, like, you know, like, they're, they're a great orator, and everyone else is like, is this person okay? And I'm like that. I also think, by the way, you if you're running a Facebook group, here's another tip don't undervalue that people drunk right on Facebook in the evenings. Oh, for sure. Yeah. And that you you have to work around that a little and in the mornings. Yes. And don't don't also like there are some mental illness in the world to where you have to give people some some grace because they're doing the best they can and they're not coming off the way they mean to and and and some

Nico 1:49:26
people are just not that skilled with a keyboard.

Scott Benner 1:49:29
Oh, just bad bad communicators. There are so many times gonna be just like you people. If you were just slightly better at communicating with each other this would have caught so much wouldn't be

Nico 1:49:37
having this conversation because that's not what that was about. And that's not what that replacement either. Yeah, no 100 guys are not having the same conversation,

Scott Benner 1:49:45
or you're, or they're both saying the same thing differently. And I'm like, how do you not Yeah, but you're both saying the same thing. Exactly. Yeah. It's a great social experiment. It really is. Great. Not great. It's interesting, Scott. All right. All righty guy. Hope you have a great day. Hold on a second for me. Okay. Thank you, Scott. Thank you

I'd like to take a moment to thank the contour next gen blood glucose meter and the entire line of contour meters for sponsoring this episode of The Juicebox Podcast. Contour next one.com forward slash juice box head over there now please hit the buy now button if you want to just pick something up online. Super easy. I guess while I'm at it, let me thank the doctors at the emergency room my mom went to and you of course for listening to this episode of The Juicebox Podcast. I can't thank Nico enough and the other people who help her Stephanie, Krista and Isabel they truly hold the Facebook group together and help it to be a more direct and valuable tool for people who listen to the podcast. That group of course is called Juicebox Podcast type one diabetes is a private group with nearly 40,000 members. It's for people with type one, type two, Lada any kind of diabetes, you gotta diabetes. You're welcome in my group. links in the show notes, links at juicebox podcast.com. Please support the sponsors. Of course tell somebody you know about the show. And if you're listening in an audio app, please follow or subscribe