Scott Benner 9/18/23 Scott Benner 9/18/23

#1001 Diabetes Pro Tip: All About MDI

Remastered Diabetes Pro Tip: All About MDI
Scott and Jenny Smith, CDE share insights on type 1 diabetes care

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

Scott Benner 0:05
Hello friends, and welcome to the diabetes Pro Tip series from the Juicebox Podcast. These episodes have been remastered for better sound quality by Rob at wrong way recording. When you need it done right, you choose wrong way, wrong way recording.com initially imagined by me as a 10 part series, the diabetes Pro Tip series has grown to 26 episodes. These episodes now exist in your audio player between Episode 1000 and episode 1025. They are also available online at diabetes pro tip.com, and juicebox podcast.com. This series features myself and Jennifer Smith. Jenny is a CD and a type one for over 35 years. This series was my attempt to bring together the management ideas found within the podcast in a way that would make it digestible and revisit double. It has been so incredibly popular that these 26 episodes are responsible for well over a half of a million downloads within the Juicebox Podcast. While you're listening please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. This episode of The Juicebox Podcast is sponsored by assenza diabetes makers of the contour next gen blood glucose meter and they have an amazing offer for you. Right now at my link only contour next one.com forward slash juicebox free meter you can get an absolutely free contour next gen starter kit that's contour next.com forward slash juice box free meter. while supplies last US residents only. The remastered diabetes Pro Tip series from the Juicebox Podcast is sponsored by touched by type one. See all of the good work they're doing for people living with type one diabetes at touched by type one.org. And on their Instagram and Facebook pages. This show is sponsored today by the glucagon that my daughter carries G voc hypo Penn Find out more at G voc glucagon.com. Forward slash juicebox. How frequently does someone leave a diagnosis with an insulin pump?

Jennifer Smith, CDE 2:31
I would say never part of the reason for that not leaving a hospitalization or a doctor's office with a pump is because of all of the red tape that you have to sort of go through for ordering and you know that kind of stuff. I would say the rare case, this is probably 10% of the time, maybe even less, somebody's pretty quick to get the order written by their prescriber. And in fact, I worked with somebody maybe a month ago that her little boy was diagnosed and had a pump within about six weeks. Okay, but that's pretty quick. It's not typically that fast.

Scott Benner 3:10
Most people are going to get diagnosed with type one diabetes and leave with either pens or syringes or syringes, right? Yes. And so whether you're a person who thinks right away, I have to have a pump and you hammer through insurance and get it six weeks later. Or if you're a person who gets told, we don't give pumps to people until you've had diabetes for six months, or any of those arbitrary times that doctors throw out one year or until you're in perfect control, then you can have a pump as soon as you know how to do this so well that you'll never want to pump we'd be happy to give you one which will never come and so so people are going to need to know what managing with just MDI looks like so multiple daily injections. These people are going to get some sort of a fast acting insulin that they can use at mealtimes and to try to adjust highs and they're going to get a slow acting insulin that's going to be their Basal insulin. Right? Well, so let's start slow with the Basal insulin. There's a lot of them on the market at this point back when Arden did MDI we were using love Amir, and we found that we had to split it half a dose every 12 hours. How how much of that is really good advice about slow acting Basal insulin, specifically,

Jennifer Smith, CDE 4:25
that what you found with the love Amir as a specific brand or type is very common. Okay. While while the you know the makers of love, Amir will say that it is a 24 hour acting insulin. What we find, especially with the smaller doses, is that dosing twice a day or two injections of it works much more optimally because it doesn't carry a full 24 hours.

Scott Benner 4:54
That was absolutely my finding. I think a lot of people find that so that's the first thing to understand. If you Save yourself every day a certain time my blood sugar goes up. And I can't understand why I bet you it's about 18 to 20 hours after you've injected your slow acting insulin. And so the important thing to remember when you if when you make the decision to split your Basal insulin is that it might not be a 5050 split. So say you have your five units or a one unit, it doesn't matter, it doesn't mean you're going to put in a half a unit and then a half unit again, 12 hours later, it might end up being three quarters of a unit or one and then a half later, there's your because your body has different needs at different times.

Jennifer Smith, CDE 5:37
And that kind of goes into understanding the needs of the different age groups, kids and teens tend to have a much more profound increase insulin need in the overnight like literally like as soon as their head hits the pillow kind of thing and through and into the overnight. So splitting doses for you know, multiple daily injections with the Basal insulin, you may have a heavier dose in the evening than you do with that morning time, the heavy dose in the evening carries you through the increase in need overnight, as well as the morning which is a little bit higher resistance as well. And then your dose in the morning kind of carries you through the day when you're more active, right? And you likely will need a lower Basal amount. And so

Scott Benner 6:23
all we've really said here, and I repeat this a lot to people is that setting up your slow acting Basal insulin when you're on MDI is about amount and timing, right? Yes. We're gonna say this in the next episode, but so make sure you get to that next episode, but you have to balance the impact of the insulin against the action of carbs or body function, right. So it's just, it's about a tug of war between those things. And that again, I'll talk about a little later. And that's where

Jennifer Smith, CDE 6:56
watching you know, glucose values, especially if you are privy to getting a CGM early on, which I do encourage over I've said it a million times to people that I work with, if I had, if I had to decide on a technology piece between CGM and a pump. If somebody was going to take one away, I would 100% Keep my CGM, right 100%. Take my pump, I'll figure out my multiple daily injections. As long as I've got the data and the trend of what's happening, I can figure it out.

Scott Benner 7:25
If you are going to I would 100% agree with you. If you're going to say that one thing is more important than the other, which I think is a bit of a you know, yeah, right. I I'm not looking to give one of them away. But am I by any means when you when you lose your pump when you're using MDI, what what that means is that if you want that kind of like, tighter control, I guess you're going to be injecting more. If that doesn't bother you, then right on, you know, like, that's absolutely fine. You also

Jennifer Smith, CDE 7:53
see what my friend ginger does. Ginger Vieira, who I wrote the book with the pregnancy book, which you know, she long term has been multiple daily injections. She uses CGM. She is not scared to give 1216 20 Micro dosing adjustments through the course of the day to keep things tightly managed.

Scott Benner 8:15
So and I think so I always say the same thing. Here's what you gain with a pump. You don't have to inject all the time. And you now have the ability to manipulate your Basal insulin. Yeah. But other than that, there's no more precisely

Jennifer Smith, CDE 8:27
right, right can manipulate Basil with injected basil, we don't, we don't recommend it. Like we would on a POM it's difficult to difficult, it's difficult to manipulate. But you can use your precision to do that on punk. Yeah,

Scott Benner 8:44
the first time I thought about getting on a pump, and I didn't know anything about them, and I went to a pump class at our children's hospital. You know, even back then I didn't realize that, that my Basal insulin would just be fast acting insulin given by the pump, but in smaller doses, like, like, spread out over minutes and hours, right. And I didn't I didn't think about that. It was explained to me in that room. And then I thought I could shut it off. Like because how many times I thought, Oh, I wish this level mir had an off switch right now. Because it turned it off. She's so stable and she's at but I know she's gonna go down because this, this level here, she's gonna keep working in the background. I

Jennifer Smith, CDE 9:22
don't want to feed her three juice boxes just to prevent it right. Yeah, looking for

Scott Benner 9:25
that. I have become adept at manipulating artisans, blood sugar, with Basal insulin through her pump. But that's not what we're talking about right now. But we'll get to it in a different episode

Jennifer Smith, CDE 9:35
leads in it goes very well with MDI, because you can manipulate differently even if you are on MDI.

Scott Benner 9:44
And so, so I guess the first thing, just very basic ideas you're injecting, you need to pick multiple sites, keep rotating your site you can put in so on and over and over in the same spots. It's incredibly important because you you're Your spa your spots will become saturated you can actually what do they call that when that when you can actually see like bumps under this under your skin from Yeah, it's

Jennifer Smith, CDE 10:08
it's really a either a scar tissue development or potentially fatty tissue under the skin that that light lipo hypertrophy, other big, you know, fancy words for it. But really, it's just when you inject in the same place over and over and over and over again, you're damaging the underlying skin tissue. And it can lead to, like I said, either scar tissue or fatty deposits. And unfortunately, then the absorption in those areas is quite variable, variable, if anything at all,

Scott Benner 10:42
and you could lose your favorite place and never be able to use it again. Exactly. So when your doctor or your nurse practitioner tries to scare you with whatever, Jen, whatever Jenny just said they're like or something like that. Just think to myself, just think to yourself, Well, that sounds scary. What she meant was rotate your sights,

Jennifer Smith, CDE 10:58
rotate your sights, and there you know, there's so many places on the body to use mean the backs of the arms, the lower back the upper, but the legs, the tongue, the tummy, the sides of your tummy. I mean, you've got a lot of places to use. So I think with little kids. That's always a it's a question with parents, you know, mainly because little kids are, there's so little, I mean, Arden was too, right. So it's, it's like it's finding the place on such a little body.

Scott Benner 11:30
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Jennifer Smith, CDE 15:15
absolutely. Absolutely. And that's, you know, even pump sites, then, you know, same thing with rotation. Yeah, yeah, they all need to be rotated. And that becomes the, I think it as an as an omni pod. Plus, there are so many more places that you can put that pod. And easier, especially from the kid standpoint, or anybody who has dexterity issues or whatnot. You know, because there's no tubing, there's no tubing, and you can pop it on. And that's even easier than an injection.

Scott Benner 15:47
I've seen people put them backs of arms. Arden, where's hers, you know, the left of the right of her navel on her stomach, and you can even and she wears them on her thighs. You can even rotate within a rotation. So you could put it on your stomach cannula facing your belly button. And then the next day turn it and you know, put it the other way like you can. If you have four spots, you have 20 You know what I mean? Because you can just kind of start moving around a little bit of grown grown women who wear them on their breasts like that one, like I show that every once in a while somebody will kind of like pull their shirt down online. I said it's the art and art like I've never doing that.

Jennifer Smith, CDE 16:26
Yeah, I've not tried that myself. Although, you know, this year, Chris Freeman.

Scott Benner 16:32
I was gonna bring Chris off. He wears, he

Jennifer Smith, CDE 16:34
wears it on his chest. Yeah. And I know, he also wears it on like his upper back. And I've seen people on many of the like the Facebook, diabetes groups and whatnot. The places that I mean, people wear them on their calf, I've seen people wearing them on their forearm. Now, although not approved sites. Again, this is where your diabetes will vary. And you've figured out what works for you. But you know, yeah,

Scott Benner 17:02
and for people who don't know, Chris is a four time Olympian and a cross country skier. And there is a picture that he shared years ago that is to this date, the most popular thing I've ever put on my website. So ladies, you might want to look at why you're clicking on things. But it's a Chris without his shirt on. And he has no body fat to speak.

Jennifer Smith, CDE 17:23
And just wear the reason he wears it there he does. And my

Scott Benner 17:27
point is he's still pumping and using a Dexcom. And so if someone tells you, you're too skinny for this, or I've heard it both ways, it's so funny. Oh, you're too your kids, too chubby for that pump. Your kids too skinny for that pump. i There have been I've heard a million different excuses. But okay, so MDI, so rotate our sites, what are other good practices around MDI.

Jennifer Smith, CDE 17:50
Other really good practices, make sure you are changing the syringe, if you're using a pen, really, really important is syringe itself, as well as the pen needle caps. In fact, one of a very, a very common practice for people to do is reuse the pen cap. And by reusing, they actually store the insulin pen with the needle cap, screwed on to the pen. Really not a good idea, it can introduce air into the pen. And it can change the way that the pen dialing can actually dose the insulin. So if you are going to reuse the needle cap, I don't recommend doing it. But if you are going to do it, take the needle cap off in between those uses. Always make sure that you're wiping the top of the needle or the insulin pen itself, you know, with an alcohol swab, just cleanliness. Those are kind of the basics.

Scott Benner 18:49
Okay, well, what about and I realized to go back for a second you were starting by saying Don't reuse a syringe, which never in my wildest dreams even occurred to me, but you're telling me people do that, too.

Jennifer Smith, CDE 18:59
People do that. Absolutely. And, you know, having worked with people across the spectrum of economic setting, just like insulin is expensive. I mean, even though a box of syringes is not expensive, even off of the shelf, it's not expensive without a prescription. Again, it may be something that people are reusing because it's an expense that they could decrease

Scott Benner 19:27
somewhere, right? You know, so if you can avoid that, please do. So I have a question and here's a good place to put it. I'm probably gonna bring it up again when we talk about pumping. So the quickest story would be that one day I took off Arden's pump and I saw little redness under where the adhesive was. And I was quite literally standing in my house, rubbing my hands together thinking because I was scared oh my god, is she allergic to this adhesive and we can't pump anymore and like my brain was racing, and I'm rubbing my hands together and rubbing my hands together and as I was doing and I thought, Why are my hands so dry? And then I realized I'm constantly touching alcohol. Yeah. And so I do a little research and I find out that in Europe, it is not common practice to clean anything, a site with alcohol. And I was like, huh, so I stopped doing that. And Ardennes never had that problem again, and my hands don't crack as much in the wintertime. And so is that a lawsuit? Decision? Like do you say to somebody clean this with alcohol first? Because every once in a while someone's gonna get an infection? Or why do we teach it and some other places don't?

Jennifer Smith, CDE 20:42
Alcohol itself is not a I guess the best thing that that I can call in layman's terms, it's a degreaser. It literally wipes clean, that area of any grease, any any skin, moisture, any lotions, anything that could be on there. It's it's not antibacterial, okay, it's wiping the area clean. Sure, right. But the real reason for cleaning the site is just to make sure that you've, you've taken care of anything that could be there. And as far as adhesive component, it's very likely, of course, that the adhesive isn't gonna stick as well as if you've got body lotion on it. Or if you haven't taken a bath in two days, and you're putting it on your skin and your skin has done its normal thing, and you've got oily skin. So the adhesive isn't really going to stick as well. What do I tell people, I also do not use alcohol. Oh my gosh, a CDE. That doesn't use alcohol swabs. But I do, of course, have a clean site. And by clean sight, I make sure that I wash the area. Soap and water, make sure that it's clean, dry it and that's what I you know, apply on top of then you're entirely 100%. Right? Alcohol is it will dehydrate the skin and used over and over and over, especially for kiddos little kiddos who have very sensitive skin to begin with. You're just asking for more. I mean, there are skin barriers, if you do truly have, you know, a slight problem. But yeah, even for injections though, making sure that the injection site is just clean. I mean, obviously, if your kids been outside rolling in the mud or in the sandbox or doing whatever they've been doing in the rain puddle, clean the site.

Scott Benner 22:37
We do the same thing, I use warm water, a clean towel, a clean towel to dry it, let it air dry, something like that. It goes on, you know, schedule your pod change around your shower, you know, get out of your shower, pod change. Sometimes, you know, I see some people like they call them naked showers where they change all their gear, they take it off before they jump in, they're free. They're free for a couple of minutes and they jump out and they do it then there's a bunch of different ways to do it. But I think the important thing here is to use your common sense, right like to and that's all I did that day, I thought I'm drying her skin out and then throwing this adhesive on top of her No wonder there's a reaction here. Absolutely. There is a wonderful post on my blog about how to treat real severe at ease of allergies it is is one of the most popular posts over the last five years. And I'll link it in this so that people can find it was written by a mom who devised a infallible plan. And when you see the pictures of the reaction that her poor kid was having, it was an all over body reaction. And she figured out a way for it not to happen and him to keep using this stuff. So that was really good. I remember the first time Arden was in like a thin pair of like yoga pants as like a four year old and or a three year old or four year old and I wanted to give her a shot in her leg. But we were out and I just was like, I'm just going to jab the needle right through the pants. And that's what I was like, Okay, maybe all these rules aren't that important. And you know, and so she was like, Oh my God, what are you doing? And I said, No, it's fine. I brought it up in you know, now I say I've done that in the past and she was mortified. She's like, why would you I was like, listen, we were in the mall, you know, like, like, what do you want me to because I and here's something I really believe. And I think this is a great place to bring it up. I don't think you should hide when you give yourself injections. I think I agree. I think that not just not hiding. But why in a public place? Would you go to what is arguably the dirtiest, the bathroom to open up a hole into your body?

Jennifer Smith, CDE 24:45
Absolutely. kind of goes along with nursing for women. Why should you have to go to the bathroom to nurse when it's the same thing? It's the comfort level of other people. It's not your comfort level that you're worried about? got

Scott Benner 25:00
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Jennifer Smith, CDE 26:25
Level of other people. It's not your comfort level that you're worried about

Scott Benner 26:28
exactly. And so let me tell you the briefest story. I'm in a restaurant one day with my kids. And we're leaving that day and there's this little girl seriously a little girl injecting at her table. And I stopped at the table none of my business I said excuse me. I just wanted to May I say something and they looked up at me in horror I realize now and I said my daughter has type one diabetes too. And I want to say good for you for injecting here at the table. There is no reason for you to hide. You're doing a great job, little girl like last year. I had to do the math. Last year, seven years later, I had to make a phone call about jury duty. And I said look, I would like to skip jury duty because I'm the sole caregiver for my daughter, I help her make her insulin decisions. And if you listen, if you'll let me be on my phone while I'm there, I don't care. But if you don't want me on my phone, I need to ask the skip. And the woman says oh, I completely understand. My daughter has type one diabetes too. And I gave her my name. And she says is your daughter's name Arden and I was freaked out and I thought Yeah, why? And she goes, I read your blog. And I said great. She goes actually you're going to find this strange. You've been a real help to my daughter through her life. And I said why? And she said, Because you bumped into us in a restaurant. The week she was dying. The week she was diagnosed, and you told her she was doing a good job and she shouldn't hide. And she's like, and it's been such a big deal in her life. And I was like, wow, that is so touching. I'm gonna get out of jury duty. Right? And but, but absolutely 100% on a story. Like don't, don't hide, you know, and because Jenny's right it is for other people. It's not for you, and it quietly you'll you feel shame, like it quietly will make you feel shameful about what you're doing. And you should not be ashamed of having type one.

Jennifer Smith, CDE 28:28
Not at all. It's just like, you know, I mean, everybody wears it. I mean it kind of goes along with everybody wears their pump differently. And there are a lot of people especially Omni pod wearers who wear them you know, only in like, unseen locations, man I like I wouldn't buy pods they're get decorated with stickers and I used to like color them with markers and now that I know that you know we have the 3d printer kind of thing. We don't but I ordered a Wonder Woman 3d print pop snaps it snaps over the top. It's awesome. I actually let my six year old pick it out because he was like wow, all those are cool. You have to get wonderful mom You're wonderful. I was like great.

Scott Benner 29:16
But Mommy was gonna get flowers but okay.

Jennifer Smith, CDE 29:19
Exactly one of my favorite places to wear it is on the back of my arm because honestly because it isn't visible. Yeah, not like the other places on my body aren't good. It's just I like to wear it good spot visibly, you know,

Scott Benner 29:32
I would tell you that Arden has in the past seen other people using insulin pumps on the pod and CGM and it she's not the kind of person who runs around excited about it but it has quietly given her a lot of comfort.

Jennifer Smith, CDE 29:45
Yeah, yeah. It's always fun to when you run into die I call it diabetes in the wild. Like you run into somebody at the grocery store who's like, you know, boldly got their pump like hanging off their pants or you know, clipped to their jacket or you know, something like because I've, I always reach out, I'm always like, hey, you know, look, you know, pumps, we've all got pumps, and it kind of starts up a conversation. And it's, I don't know it just because diabetes is so like, it's such a silent unseen. For the most part, it's just a nice way to bring it to have visible

Scott Benner 30:19
and make it make it normal because and here's why that's important. I interviewed a singer a long time ago, a Broadway singer named Kelly. And if you go back and listen to Kelly's episode, which I'll link in the show notes, she hid for a long, long time, and it was not good for her. And when she finally decided not to do that it was freeing. So I'm saying don't put yourself in that position to begin with, you know, just be yourself. And, and this is who you are. And look, I'm not judging you, if you can't bring yourself to do it in public. I'm not saying you're a bad person. Yeah. But I'm saying if you can do it, do it. You know, I think you'll be happy with what happens. So, okay, so what are we not? I haven't, I haven't injected insulin in a really long time. So let me tell you one thing that happens to me all the time, every once in a while when I have to give a needle, I'm not good at it. rd tells me I'm not good at it. And so what what is, like, what should I be doing? Is there a pinch? Is it quick? Is it slow? Like, what's the right way to stick that needle in there?

Jennifer Smith, CDE 31:27
Do it? Yeah, I mean, you know, obviously, the age old recommendation is to pinch up. To put the needle in, when I was initially diagnosed 30 years ago, we were told to inject at an angle almost at like a 45 degree angle. Quite honestly, now the the recommendation is just like most 90 degree pump sets, just straight up, putting it straight in, no angle is needed. A lot of people have question too, about the needle length, and all of the research and studies that have been done. Regardless of body type, and body stop body size. Even those really, really, really micro looking needle lengths, they give you the same, the same ability to put the insulin under the skin in the place that it needs to be, which is the sub q tissue, like the that kind of fatty layer for absorption. So pinching up the skin, putting the syringe or the the needle that's on the the pen straight in 90 degree angle, and then just push the insulin in,

Scott Benner 32:37
that I have to keep the needle in for a second or is that a pen thing?

Jennifer Smith, CDE 32:40
That's for the pens, really, the recommendation is it does vary. I've heard people being told that they're supposed to count to 20. I've heard people say that they're supposed to count to five. When I was initially educated, we were told that to tell people count to 10. So that is what I educate with. And it's interesting because if you have ever given a syringe injection versus a pen injection, you will notice a difference if you pull that pen needle out right after and you don't give that count to 10 the insulin can leak out. Okay. So that's the reason for that count. And whether it's a Basal insulin or your rapid acting insulin or a regular insulin. If it's a pen, you do need to do that count.

Scott Benner 33:27
Okay. All right. Let's see what you think of anything that I'm going to ask you about because I'm at a disadvantage when talking about MDI.

Jennifer Smith, CDE 33:35
Um, I mean, the only kind of, you know, Basal insulin, of course, rapid acting insulin, you know, there are multiple of them on the market. There also is still some use of regular insulin which we called short acting insulin, it had a longer profile of of working in the body, then our rapid acting insulins have, it also didn't work as fast. So again, this is where figuring out what your needs might be, for the most part, the rapid insulins on the market, the three age old ones, you know, human log Novolog, a Piedra, technically, they're all supposed to work pretty much the same way. I can tell you my personal n of one is that human log and Nova log work pretty much the same for me, a pager does not I've tried it, it doesn't work the same for me. Then there's also of course, the ASP, which is faster acting insulin aspart, which is just faster acting Novolog insulin, it does have a faster onset of action, and has, in my experience, having used it for a bit of time, it seemed to have almost a more clean finish to working. It was done and that was kind of the end of its actual Elon by Basal was kind of kicking in and doing what it was supposed to do. But you know, determining what again, works for You insurance wise, many insurance plans have a preferred or a tiered kind of both basil and rapid acting insulin for you to choose. monetarily, if you can go outside of you know, tier one or tier two, most insulins are tier two. If you can go outside of that, they'll usually be a tier three and your copay is just going to be more. But if you prefer one over the other, that might be the course of action you have to do. If you can't, then you're kind of stuck using what the preferred is.

Scott Benner 35:30
Okay? And I'm going to ask you one question, and then we're going to switch to another episode and talk about insulin. So the one thing I've found is that when I talk about Pre-Bolus, sing with people, and you know, Pre-Bolus thing is a pumping word, it just means putting your insulin in before your food, right. So you can you can pre inject you call it whatever you want. But but some, but a lot of times, what you'll hear from especially parents is I don't want to inject them twice at a mealtime. And I say, Look, I understand that, but but if you can't be sure of how much insulin or how much food the child is going to eat, you still need to get some moving first. So if you're on MDI, and you're seeing crazy spikes at your meals, it's because you're not Pre-Bolus thing, I'm guessing, or a lot of other reasons that you'll hear through the next bunch of episodes. But you're gonna have to make that leap in your head like I'm going to if I can't trust he's going to eat all this or she's going to eat all this then I need to put some in now, and some and later, right. Please remember that the Juicebox Podcast wouldn't be possible without its sponsors for today's episode on the pod, and Dexcom Dexcom, the makers of the G six continuous glucose monitor, and of course on the pod is the tubeless insulin pump that Arden has been wearing for over a decade. You can go to my on the pod.com forward slash juice box get a free no obligation demo of the pump sent right to your house. Or you can go to dexcom.com forward slash juice box to find out more about art and CGM. Heck, you could do both. The next episode of my series with Jenny Smith is called all about insulin. And it's available now at juicebox podcast.com. are right there in your podcast app. If you're enjoying the podcast, please leave a rating and review on iTunes and take a moment to share the show with someone who you think it can help. Thank you for listening for being bold with insulin, and for remembering that nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, and to Always consult a physician before making any changes to your health care plan. I want to thank assenza diabetes for sponsoring the remastered diabetes Pro Tip series. Don't forget you can get a free contour next gen starter kit at contour next one.com forward slash juicebox free meter while supplies last US residents only. If you're enjoying the remastered episodes of the diabetes Pro Tip series from the Juicebox Podcast you have touched by type one to thank touched by type one.org is a proud sponsor of the remastering of the diabetes Pro Tip series. Learn more about them at touched by type one.org. A huge thank you to one of today's sponsors G voc glucagon find out more about Chivo Capo pen at GE Vogue glucagon.com Ford slash juicebox. you spell that GVOKEGLUC AG o n.com Ford slash juicebox. Jenny Smith holds a bachelor's degree in Human Nutrition and biology from the University of Wisconsin. She is a registered and licensed dietitian, a certified diabetes educator and a certified trainer and most makes and models of insulin pumps and continuous glucose monitoring systems. She's also had type one diabetes for over 35 years, and she works at integrated diabetes.com. If you're interested in hiring Jenny, you can learn more about her at that link. If you're living with diabetes, or the caregiver of someone who is and you're looking for an online community of supportive people who understand, check out the Juicebox Podcast private Facebook group Juicebox Podcast type one diabetes, there are over 41,000 active members and we add 300 new members every week. There is a conversation happening right now that would interest you, inform you or give you the opportunity to share something that you've learned Juicebox Podcast, type one diabetes on Facebook, and it's not just for type ones, any kind of diabetes, any way you're connected to it. You are invited to join this absolutely free and welcoming community. I hope you enjoyed this episode. Now listen, there's 26 episodes in this series. You might not know what each of them are I'm going to tell you now, Episode 1000 is called newly diagnosed are starting over episode 1001. All about MDI 1002 all about insulin 1003 is called Pre-Bolus. Episode 1004 Temp Basal 1005 Insulin popping 1006 mastering a CGM 1007 Bumping nudge 1008 The perfect Bolus 1009 variables 1010 setting Basal insulin 1011 Exercise 1012 fat and protein 1013 Insulin injury and surgery 1014 glucagon and low Beegees. In Episode 1015, Jenny and I talked about emergency room protocols in 1016 long term health 1017 Bumping nudge part two, in Episode 1008 teen pregnancy 1019 explaining type one 1020 glycemic index and load 1021 postpartum 1022, weight loss 1023 Honeymoon 1024 female hormones and in Episode 1025, we talk about transitioning from MDI to pumping. Before I go, I'd like to share two reviews with you of the diabetes Pro Tip series, one from an adult and one from a caregiver. I learned so much from the Pro Tip series when our son was diagnosed last summer, he'd really helped get me through those first few very tough weeks. It wasn't just your explanations of how it all works, which were way better than anything our diabetes educator told us. But something about the way you and Jenny presented everything, even the scary stuff. That reassured me that we could figure out how to deal with us and to teach our son how to deal with it too. Thank you for sharing your knowledge and experience with us. This podcast is a game changer 25 years as a type one diabetic, and only now am I learning some of the basics, Scott brings useful information and presents it in digestible ways. Learning that Pre-Bolus doesn't just mean Bolus before you eat but means timing your insulin so that is active as the carbs become active. Took me already from a decent 6.5 A one C down to a 5.6. In the past eight months. I've never met Scott But after listening to hundreds of episodes and joining him in his Facebook group, I consider him a friend. listening to this podcast and applying it has been the best thing I have done for my health since diagnosis. I genuinely hope that the diabetes Pro Tip series is valuable for you and your family. If it is find me in the private Facebook group and say hello. If you're enjoying the Juicebox Podcast, please share it with a friend, a neighbor, your physician or someone else who you know that might also benefit from the podcast. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.

#1000 Diabetes Pro Tip: Newly Diagnosed or Starting Over

This is the first episode in a 26-part series called "Diabetes Pro Tip”. Scott and Jenny emphasize the importance of understanding what insulin does and how it works, especially for newly diagnosed individuals or parents of newly diagnosed children with Type 1 diabetes.

You can listen online to the entire series at DiabetesProTip.com or in your fav audio app.

Key takeaways from this episode are available below in English, Spanish and Hindi. Los puntos clave de este episodio están disponibles a continuación en inglés, español y hindi. इस एपिसोड के मुख्य बिंदु नीचे अंग्रेजी, स्पेनिश और हिंदी में उपलब्ध हैं।.

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:04
Hello friends, and welcome to the diabetes Pro Tip series from the Juicebox Podcast. These episodes have been remastered for better sound quality by Rob at wrong way recording. When you need it done right, you choose wrong way, wrong way recording.com initially imagined by me as a 10 part series, the diabetes Pro Tip series has grown to 26 episodes. These episodes now exist in your audio player between Episode 1000 and episode 1025. They are also available online at diabetes pro tip.com, and juicebox podcast.com. This series features myself and Jennifer Smith. Jenny is a CD and a type one for over 35 years. This series was my attempt to bring together the management ideas found within the podcast in a way that would make it digestible and revisit double. It has been so incredibly popular that these 26 episodes are responsible for well over a half of a million downloads within the Juicebox Podcast. While you're listening please remember that nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. This episode of The Juicebox Podcast is sponsored by assenza diabetes makers of the contour next gen blood glucose meter and they have an amazing offer for you right now at my link only contour next one.com forward slash juicebox free meter you can get an absolutely free contour next gen starter kit that's contour next.com forward slash juice box free meter while supplies last US residents only. The remastered diabetes Pro Tip series from the Juicebox Podcast is sponsored by touched by type one. See all of the good work they're doing for people living with type one diabetes at touched by type one.org and on their Instagram and Facebook pages. This show is sponsored today by the glucagon that my daughter carries G voc hypo Penn Find out more at G voc glucagon.com forward slash juicebox. And now I'm proud to present the episode that started the diabetes Pro Tip series. What was originally episode 210 diabetes pro tip newly diagnosed we're starting over Welcome to the Juicebox Podcast. I'm your host Scott Benner. I first interview Jenny Smith, the CDE from Integrated diabetes back in season one on episode 37. At that point, Jenny and I were just talking about different management ideas. But it was then that I realized how much we agreed about type one diabetes, and the management of the disease. I brought Jenny back on and episode 105. And we really drilled down about a onesies what they were and what they weren't. After that second interview with Jenny, I decided that one day I would have her back on to discuss all of the diabetes management ideas that come up on the show, I wanted to break them down into small categories, something that was easily digestible, where we'd stay focused on just one idea. I wanted to create something that you could come back to hopefully learn from and if you found useful share with others simply. And so with that in mind, I give you the first in this 10 part series, diabetes pro tip for the newly diagnosed or for those wanting to start over with Jenny Smith CDE.

Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise. And to Always consult a physician before becoming bold with insulin or making any changes to your medical plan. If you're a newly diagnosed person with type one diabetes, or the parent of someone who has been newly diagnosed, what do you think the first things to understand are?

Jennifer Smith, CDE 4:20
The first things to understand beyond the glucose values are what does insulin do? How does it work? I think that's it's a huge one that is it's under, it's under emphasized, I guess is the best way to put it. Many people, especially adults who are diagnosed are kind of given a this is your insulin. This is the dose to take and kind of go experiment at home. I feel like that's kind of the way that it is and I think insulin is a first most important thing to really understand. How does it work? What's What's the purpose of it? How is it supposed to kind of finish working? And what is the effect for you?

Scott Benner 5:08
Okay, and so what are some, like bare bones ways to come up with those understanding. So I think, obviously, if you have a CGM, it becomes different, right? If you have a CGM, you can get yourself at a stable spot where you haven't had insulin or food for a while. And just give yourself an amount of insulin and see how it moves you. Let's talk for a second about like old school, do you still teach people that they need to do Basal testing?

Jennifer Smith, CDE 5:33
In a general way? Yes, I think especially for pumping is helpful in the beginning, because it does in that basil only time period, it does give you a general idea of how things are being kept with the rate that's at play. I do think that basil testing needs to be more explained, let's say, when we are talking about pumping insulin, though, because there are as you know, a lot of variables that could be at play in that Barrett basil testing time period, especially like from, from a woman's standpoint, it could very much be that it's not the right time of the month to be Basal testing. Right? Right, right. So all of these various are a kid or a teen who is a kid or a teen who is really athletic. Right, and there is consistent effect of activity level. And it may be different on different days, but there could be overlap from a day ago that you had for our practice or a tournament. So Basal testing. As a general idea, yeah, it can be a really good place to start, especially if you think things are really off in a certain place of the day. But is it the end all be all of knowing where your insulin should be? Not 100% of the time

Scott Benner 6:58
and so, so what I ended up telling people when I speak with them, is that, you know, if you're having an issue, and that issue could be anything like you're spiking at a meal, or you're drifting high all the time, or you're incredibly high all the time, you know, any of those things, you have to first look at your Basal insulin. It's it's absolutely far and away the first thing and I have to apologize to your audience texting me and I believe she's trying to tell me, it's lunch. That's okay. Hold on. So lunch question mark. So Arden has been sick the last couple of days and pretty, pretty kind of resistant like this to her insulin a little bit. But we are ahead of it now. So she's 106 and stable now. But to give you an idea, she woke up at 110. By the time she was getting dressed, she was 120. Then there was this diagonal up, I Bolus a unit and doubled her Basal for an hour. And 30 minutes later had to Bolus two more units to get her back to this 106. And what she never got over about 150. But she sees that rise every morning like that, that little bit of a rise. But this morning, I used I'm going to save three units more than I would normally use. Yeah. And it's just because she's not feeling quite well.

Jennifer Smith, CDE 8:11
Again, another reason that basil testing. This is not it's not purposeful. In fact, I think, you know, a lot of people try to overcome that morning time rise with a Basal adjustment. But what happens then when you wake up at a different time of the day, right? Or you have a variable schedule, so a lot of times I actually tell people, you know what, let's look at what the rise is. Don't correct it. Let's let's watch the rise. Let's figure out how much of a rise Are you consistently having, you know what, we can offset it with it with a dose of it of Bolus. Sometimes that actually hits the mark better than trying to incrementally adjust a basil behind the scene that could actually change day to day.

Scott Benner 8:57
Right, right. Okay, so now this is um, this is really interesting. To the way like, tell you what just happened. So this is kind of hilarious, but my wife is here I'm gonna have to walk away for a second and back. Arden's pump only has 10 units left at it, and her and just add her lunchtime Bolus is going to be 12 units. So I just had her do a smaller Bolus as a Pre-Bolus still, and I'm going to send my wife over to like swap. I'll be back. Let me go explain this to my wife. I'll be touched by type one has a wide array of resources and programs for people living with type one diabetes. When you visit touched by type one.org Go up to the top of the page where it says programs there you're going to see all of the terrific things that touched by type one is doing and I mean, it's a lot type one it's school, the D box program, golfing for diabetes, dancing for diabetes, which is a terrific program. Just click on that to check that out. Both are caused their awareness campaigns and The annual conference that I've spoken at a number of years in a row. It's just amazing, just like touch by type one touched by type one.org, or find them on Facebook and Instagram, links in the show notes, links at juicebox podcast.com. To touch by type one, and the other great sponsors that are supporting the remastering of the diabetes Pro Tip series touched by type one.org.

Jennifer Smith, CDE 10:26
So all is okay. Yeah,

Scott Benner 10:28
my wife's it's across the street. Yeah, my wife's gonna run over. She's working from home today. And it really does just go to show, I guess, the fluidly that you have to keep around diabetes because, okay, I'm lucky my wife's here today. If she wasn't, I would have to tell you, Hey, I gotta go. But in the end, there's no panic here. Arden's blood sugar's 107. I wanted, I wanted to do a Temp Basal increase of 50% for an hour and a half. And an extended 12 unit Bolus for lunch. But she only has 10 units. So instead, I had her set the Temp Basal still and do an eight unit extended Bolus. So she's still going to have four units going when my wife gets there, they're going to swap that pump real quick. And then she's going to head off to lunch and be okay. Right? She'll be fine. She's got early lunch. Yeah, on every other day to 1030. And then on the 30, like,

Jennifer Smith, CDE 11:20
what does she get up at five o'clock, the breakfast? Really that

Scott Benner 11:24
she eats? 1030 every other day and the opposite day? She eats at 1130? And she's out of school by two. Oh, wow. Okay, it's all kind of very quick. I don't know if she's learning anything. But so so I Yeah. So anyway, what I wanted to say about Basal is that, I'm sure just like you, I meet people who are having trouble, right, they're either on the roller coaster, and they're going to 400. And they're going to 60 and up and down or, you know, somewhere in that problem. They're high constantly, they're always 180, you know, they can't really seem to do anything about it. And when they get to you, they have all of these theories about why their blood sugar is too high. Right? And I tell them, your blood sugar is too high, because you don't have enough insulin, and it's not timed correctly. And we're going to start with your basil. And they'll inevitably say, Well, what about my insulin department, that doesn't matter? I'm like, you can have a perfect insulin to carb ratio. If your Basal insulin is not right, none of this matters, right?

Jennifer Smith, CDE 12:22
That's right. That's why we call Basal insulin, the foundation of your management, it really is we, we actually tell people, it's like the foundation of a house. If you have a sound structure that you're building on top of everything you put on top of it will work. Even if the insulin, the carbon, the correction factor, and things are a little bit off. If the basil is off, those are going to also look like they're not working well.

Scott Benner 12:49
And it becomes impossible to diagnose what's happening, right. And so what I ended up saying is that you try to imagine we use round numbers for examples, but try to imagine your basil is a unit an hour. That's what that's what it should be. But you have it at point five. And then you have you look at some food and you say, Oh, well that food is two units. So you and let's say you're right about that. Let's say you're 100%, right, that the food takes two units, you put your two units in, all you've done is now replaced the basil that you needed, right? You're so you're resistant, you're high, now you're replacing your basil, it's possible those two units will only go towards impacting the problems your Basal insulin has, right. And then your blood sugar shoots up and you go, I don't understand, I put in the right amount of insulin, I counted

Jennifer Smith, CDE 13:38
my carbs, right, I counted my carbs. I looked at the label and I did everything

Scott Benner 13:42
the doctor told me why didn't this work. And in the end, and you know, through this series that you and I are going to do together I'm going to repeat a couple of things over and over that I've found to be incredibly helpful. But in the end, if your blood sugar is high or low, you've mis timed miscalculated, or a combination of those ideas. And that's pretty much it, you know that I find that to be the core of it. It's not the first step to me. Not being afraid of insulin is the first step. But we're going to talk about that in a different episode. But I think that it's it's timing and amount. And I think there's a million other things that can impact your life with diabetes. But that's the seed of the tree, right? And you could throw away all the leaves and all the branches and everything that comes off of that seed if you'd have that seed timing and amount you're well ahead of the game. Right?

Jennifer Smith, CDE 14:31
Right. Absolutely. And I I would say the that those two pieces actually go very well together as far as not fearing insulin, you know, not being afraid of using it because i i certainly work with many people who that is a major problem it is I just want to eat 200 Because I'm afraid to give the amount my pump is telling me to give or the amount that the doctor told me to give you You know, and I think understanding Insulin is the base of that, understanding it and understanding the timing. And the action of the insulin and how it also individually works for you, helps to dissipate that fear, right?

Scott Benner 15:16
I think that I think that if you can keep your blood sugar stable at 200, then you can keep it stable at 180. And if you can do it at 180, you can do it at 140. And believe it or not, if you can do it at 120, then you can do it at 75. And, you know, and so, because the, the tools that you use to, to achieve that stability aren't different depending on what level your blood sugar is at. It's all the same. It's all the same stuff. Okay, so that's, that is that's excellent. So we'll talk about fear in an upcoming episode as well. I'm newly diagnosed, I go into my doctor's office. Now you are uniquely qualified to tell me this. What do people get told a diagnosis and why do they only get told what is shared with them. The remastered diabetes Pro Tip series is sponsored by assenza diabetes makers of the contour next gen blood glucose meter, and they have a unique offer just for listeners of the Juicebox Podcast. If you're new to contour, you can get a free contour next gen starter kit by visiting this special link contour next.com forward slash juice box free meter. When you use my link, you're going to get the same accurate meter that my daughter carries contour next one.com forward slash juice box free meter head there right now and get yourself the starter kit. This free kit includes the contour next gen meter 10 test strips, 10 lancets, a lancing device control solution and to carry case, but most importantly, it includes an incredibly accurate and easy to use blood glucose meter. This contour meter has a bright light for nighttime viewing and easy to read screen, it fits well on your hand, and features Second Chance sampling, which can help you to avoid wasting strips, every one of you has a blood glucose meter, you deserve an accurate one contour next one.com forward slash juicebox free meter to get your absolutely free contour next gen starter kit sent right to your door. When it's time to get more strips, you can use my link and save time and money buying your contour next products from the convenience of your home, it's completely possible that you will pay less out of pocket in cash for your contour strips than you're paying now, through your insurance. Contour next one.com forward slash juice box for a meter go get yourself a free starter kit. while supplies last US residents only.

Jennifer Smith, CDE 17:53
I think it there's a wide range of what people are told, I certainly think that the younger the diagnosis, especially for type one, the younger the diagnosis, the more education there is, the more information is provided. adults that are diagnosed I think, unfortunately, get the least amount of education again, and it differs system to system and provider to provider. But in the beginning, you know they're taught how to use a glucometer. They're taught how to give an injection they're taught or you're going to be taught essentially the basics of that insulin action. And you're going to be taught carb counting, right. I mean, that is pretty much the gist of what you're going to be taught.

Scott Benner 18:40
Anyone who's been listening to this podcast for any amount of time will know that I call that do not die advice. That's the that's the advice you get so that you don't die. It doesn't keep you healthy. It doesn't help you understand anything. It just keeps you from going home and falling over.

Jennifer Smith, CDE 18:54
Well, and I think another piece of that too is it's very, very soon in that beginning is how to avoid hypoglycemia, how to avoid a low blood sugar because insulin causes low blood sugar. And unfortunately, that's where the fear starts.

Scott Benner 19:12
Exactly. And so that's where it starts where the fear starts, but try to understand it from the clinicians point of view. You are frazzled I say this all the time being diagnosed with a disease that you cannot cure. It feels like someone just walked up to you with a shovel and smacked you square in the face with it and then started yelling, Basal insulin Bolus glucometer. This is a test trip and you're like, wait, wait, why? And so the doctor sees that on your face and can't in I guess in their minds, they don't want to overload you. But the unintended problem is just what you said that you start with fear then everything starts with fear. It would be a simple sentence. It would be it would be Listen, we're going to teach this to you slowly. I know that seems counterproductive but it's not But there's no reason to be afraid. And that's what we're going to learn. Now the question is, do doctors not teach that because they don't have the time, or they don't have the knowledge? Like what like, because there are everyone's going to walk into a different endos office, you're gonna get an 80 year old guy who's been doing this, since people have been boiling their urine. And he and he's just gonna think that if you count your carbs, and inject and go to 300, and come back to 100, that's amazing. And that's that, right, right. And then you're gonna get a guy who's in his 50s, who's just starting to hear about like, this CGM stuff, and you're gonna get different advice from them, you're gonna get different advice from, you know, a woman who's been out of medical school for three years and has diabetes. How do you as the patient know what advice you're getting? When you don't know anything about diabetes?

Jennifer Smith, CDE 20:52
That's a very good question. Absolutely. And I think, you know, with today's technology, honestly, I personally, as people have come to, to work with me, or to work with us that integrated, you know, it's people come because very soon, they realize they're not getting what they need. That's not quite, they're not sure what they're missing. But they know from researching and looking and Googling it, that the information that they've gotten is so just literally the tip of the iceberg, that they're missing so much more beyond and that, you know, that the doctor is saying, Well, you have to be in good control for a year to be able to start on a pump. And most parents or even adults are saying, that's not the case. Right? Does that make sense? That's that's not doesn't make sense. I want to know what I should be doing. I want to know, what is the best for my child or for myself? I want to know, and I think those are some of the things that as a as a newly diagnosed, asking more questions of your provider, even though you may not know exactly what you're asking, when you've Googled it, and you've researched and done some of your home's searching, and even asked, you know, some people I think more and more people are, they're kind of they have acquaintances or whatnot, who might have diabetes. And so they, they will ask them, they'll say, Well, they're doing this, you know, maybe I should ask about this. And I tell all the people that I work with, you know, what, if your providers not able to meet you or can't answer, even those basic questions in the beginning, it's, it's time unfortunately, to find a new provider. It really is.

Scott Benner 22:34
And based off of that idea, I want to say, I want to say the same thing to two different segments. So if you're a clinician, and you're listening to this, or if you're a person who has diabetes, or is trying to care for someone who does, there's a space that a lot of people get into, they're not given enough information up front. And they're, they're paying attention, right, they want to do well, they're paying attention, and they see inconsistencies with what's been taught to them in the doctor's office. But because you're the doctor, or because you're looking at a doctrine, you were raised to listen to a police officer, your teachers and a doctor, you're raised to believe that a person in a white coat is infinitely more intelligent than you are, there's no reason to question them. And so when they give you these concrete laws of diabetes, you go home, put these laws into practice, and they don't give you decent results. This is for the doctors, it puts people into such a psychological bad place. It just wrenches their gut, they feel like they're killing themselves or their children. And they don't understand why. And even when common sense things about their diabetes show up. They can't bring themselves to make the leap, because you've told them or not told them anything about that idea. And I will give you a great example. And it's a very simple example.

Jennifer Smith, CDE 23:52
Or kind of before your example. You know, it's kind of a cut and dry too. As you know, kind of going with what the doctor said, the doctor said to do this, the doctor said I should take my my insulin and eat right away. Well, if that's not working, and you don't, if you don't know that and clinically, clinicians, I think, really do need more information about what really is the real life of diabetes. What's the real life use of insulin and mastering its action and all of that because clinical book does not mean it meets what happens at home. And when your clients come to you and your patients with or people with diabetes come to you and they say, This isn't working. I'm following all of your rules. It's not working. Instead of saying well, you must be doing something wrong because that that happens often whether as a clinician you want that expression to come out or not. It does you make them feel like they're not doing something right. Right. And you don't give him a way to to help you don't explore with them. Say, Okay, I hear what you're saying, I hear that you've tried everything I thought would, excuse me would work. And it's not let's, let's see why it's not working, maybe something is variable for you.

Scott Benner 25:12
And let's have more of a conversation and explain what's happening. So that so that the doctor can glean more from what's going on. I'm at the point now, and I'm sure you're there, too. I can look at a 24 hour graph, and make changes in five minutes that improve somebody's life. immeasurably in 24 hours. I don't know why a doctor can't do that. So I mean, I figured some can

Jennifer Smith, CDE 25:34
Yeah, some are, some are awesome, but some are not gonna know me

Scott Benner 25:37
well enough. Now to know that, you know, I'm not the greatest person in the world. And I can look at it and go, Okay, this is this like this. My example of, of how powerful the doctor suggestion or non suggestion can be to people is that I was speaking with a woman in her 40s, who had diabetes for 25 years. I looked at her graph, she was distraught. And I said, you just need more insulin? And she said, Well, no, no, because in the oceans, like I said, all these reasons why it that wasn't the case. And I said, No, that doesn't make sense. And in a brief 32nd, Explanation, over a telephone call, I could literally hear the light bulb turned on in her head, and she went, Oh, my God, I just need more insulin. And I was like, right? That's it? I mean, can we go now or, you know, but but think about, think about that. A well intended, intelligent, educated person who goes to her doctor's visits, and in 20 years, can't figure out why their blood sugars are the way they are, and no one's ever helped her. Right. So what I'm saying to people who are newly diagnosed, or people who have gotten to that point and want to start over, you have to sort of think different, you have to, you know, if you're, if you're in a situation where you're newly diagnosed, and you've gotten some real, like what I call like old timey information, you need to think differently. And if you've had diabetes for a long time, or have been caring for someone forever, and it's not going the way you want, that's the first thing you have to do. You have to say to yourself, I must not be thinking like flip it upside down, look at it all the time, I have a friend who every decision they make is wrong. And I once said to them, How come when you have a reaction to something, you just don't wonder what's completely opposite of that, and then just do that. I was like, I was like, You're right, you're always wrong, you know, so like, and, and that's what happens every day, you get up and you do this thing with this insulin and this pump and all this stuff, and it always goes wrong, but yet, there you are the next day,

Jennifer Smith, CDE 27:35
doing it over and over and over again, which is a another reason that I you know, working especially with the women through pregnancy that I work with, that's a piece of the variability that I try to encourage them to sort of work on prior to pregnancy. Okay, you know, because if you can figure out, it's why many people with diabetes, eat some of the same things over and over and over again, they have a standard breakfast, I know that it works, I know that I need this much insulin, I knew they need to use a temporary basil for this much or for you know, whatever extended Bolus, and it works for me, it's, that's the reason because once you figure it out, you're like, great, I like little magic, this magic piece right here and I'm not gonna screw it up. Now

Scott Benner 28:21
I'm just gonna have this half a piece of wheat toast two eggs over easy and two tablespoons of avocado for the rest of my life.

Jennifer Smith, CDE 28:28
Right? Exactly. Every morning, if that's

Scott Benner 28:31
happening to you, if you're listening, and that's happening to you, I say this proudly, the there are some low carb people who will get upset and I want to tell them right now you can eat low carb your whole life. I don't care. I'm just saying that if you ended up there because you couldn't figure out insulin. You know, if you're if you're eating something you don't want to be eating, there might be a way to manage this. But I tell people very proudly, that at this point, my daughter is 14 years old when I'm recording this. She has had type one diabetes since she was two. And for the last five years, her agency has been between five two and six two, with absolutely no diet restrictions whatsoever. Anything you can think of Arden eats and eat frequently.

Jennifer Smith, CDE 29:14
And I bet her more important within that I think we talked about this in the A one C discussion and podcast. But more important than even the a one C is per standard deviation the variability which I would estimate without even seeing her information, I would estimate that her standard deviation is very nice meaning she's got these juicy little gentle rolls through the course of the day rather than this major roller coaster because you can have anyone see a 5.4 Yes, but you can have wrong major, you know, standard deviation,

Scott Benner 29:45
and we will talk about that in coming episodes. You can't run around with your six a one C but be at 300 Half the day and 50 the other half of the day. That's you've just tricked the a one C test, right,

Jennifer Smith, CDE 29:56
Doctor? Yeah, because again, that goes back to clinic shins. A onesie is is certainly it's a starting place. It is not the end all be all there is more in depth that needs to be looked at with that a onesie. Yeah,

Scott Benner 30:08
we try very hard. Well, you know, as you go on and listen to these episodes, you'll realize I'm not trying that hard anymore. I figured it out to the point where it doesn't really take that much involvement from us. But Arden's low alarm on her Dexcom is set at 70. On my follow app, it's 120. For the high alarm on hers, it's 130. And so we'll talk about like bumping and nudging later on, but that's my concept is that smaller amounts of insulin as you try to leave a tight range, get you back into that range more quickly. And cause far fewer lows later. Yes. Give me one second here, we'll take a pause. Okay. I'm gonna text art and she's now wearing a new pump. I need to know how much insulin delivered from the last Bolus. And then because it's a new pump, and she's literally going to walk right into lunch. Excuse me, I'm going to double her basil for I was only gonna do 50%. Now I'm just going to double it for an hour and a half. And that way, if there's any slow start with that site absorbing and having action I'm just going to do, I'm going to do something that at some point during these you'll hear me talk about where I call it over bolusing like I just I imagined not just what her needs are now, but the momentum and higher number that I know is coming. When you have diabetes and use insulin, low blood sugar can happen when you don't expect it. G voc hypo pen is a ready to use glucagon option that can treat very low blood sugar in adults and kids with diabetes ages two and above. Find out more go to G voc glucagon.com forward slash juicebox G voc shouldn't be used in patients with pheochromocytoma or insulinoma. Visit G voc glucagon.com/risk. Yep, so

Jennifer Smith, CDE 32:10
that's hard change was one thing that I was always in in. In the beginning, I was very thankful that I had noticed a difference with my animus pump change that I needed that site to just be like, just saturated with insulin to get absorption sooner. So and I was glad because when I started Omnipod in 2006, I started doing the same thing that I did with my other pump sites, you know, just Temp Basal going up by almost 100%. For about it was usually about an hour to two hours depending on kind of where I was at that point. And if it was if I was having to change that pod, especially if it was before a meal, and I was going to need insulin for that meal with the new pod. I actually instead of doing it through the pod, I gave an injection, because I just found that a Bolus with that new pod site. It never went well. Whereas if I did a Temp Basal increase, I took a Bolus via injection for that food that I was going to eat and let the pod get settled in. I didn't have any blood sugar issues. Okay.

Scott Benner 33:26
Yeah, it's everybody's strategy is different, right? But I'll tell you what it what it what that tells me is, again, this is going to be another sentence you hear over and over again, you have to trust that what you know is going to happen is going to happen. Yeah, so if you make a pod change and your blood sugar's 90, you still need to do that. Right? Right. It's okay, hold on, since you got 5.6 units, so I'm gonna do a Temp Basal increase 95% for an hour, and Bolus seven units. All now go eat as soon as possible. So she's got 5.6 units in from 20 minutes ago or so she's still 102. And so I'm not scared of those seven units. She's going to be eating in five minutes. And look, the 5.6 units didn't do anything over the last 20 minutes. So I'm good. My goal here on this Bolus is 75. Diagonal down while she's about halfway through her meal. Anyway, that's again stuff we'll talk about later. Yes. Okay. So

Jennifer Smith, CDE 34:32
and comfort level with you know, will happen.

Scott Benner 34:36
Yeah. And because, and by the way, and this, these, you have to you have to have these experiences like I'm going to leave this in this episode so that you know, that things have to happen that you don't expect, because it's data, right it's, it's, I did this and this happen next time I'd like this to happen, so I'm gonna do sooner or later. More or less, whatever it is I'm going to do. But you can't know that unless something goes wrong. Right, right. And so and so here's a great tip for somebody starting over or who is newly diagnosed. There are no mistakes. There are only experiences that build on for next time. That's it, I see something happen. Instead, you can't get dramatic. You can't get upset. You can't cry. You can't go, Oh, my God, I'm killing her. You can't do it. Right. You say to yourself, Okay, bare bones, what just happened here, I put insulin in here. It went up to there. And then it came down and crashed. I bet you if I would have put that much insulin in sooner and spread it out a little bit like I could have created the resistance that that blood sugar needed. Right and right. But if you're busy running around, wringing your hands, and just you gave away an amazing opportunity, and, and I will use this as an example. This past weekend, I was helping a mother with a five year old four or five year old boy. And while I was talking to her, this kid's blood sugar went to 300 off of some Cheerios. And we talked for 20 years, that breakfast cereal. Oh my gosh, we're talking about 20 minutes or so. This poor kids blood sugar's at 300 It's not moving. And we're getting ready to get off the phone. She's like, he's hungry. I don't know what to do. And I was like, Are you? Would you like to do something that's gonna sound insane. I'll help you. And she goes, I think I'm desperate enough to try something insane. I was like, great. How much insulin Do you think it'll take to bring a 300 to 90? And she says a unit? And I said, How much do you think lunch is going to take and she said a unit and a half. I was like cool. Bolus two and a half units right now. And she said, she's like, what's going to happen? We're going to put his blood sugar into a freefall. And then we're going to add the lunch at exactly the right time. And then with a little bit of fast acting carbs, if we need to, we'll bring it in for a landing. I said, I'll never leave you. We'll we'll text the whole time. We'll talk again and we have to, so she does it. We get diagonal down to 90 to 75 to 52 hours down to 50. She's texting. Oh my god. I'm like, no, no, perfect. Like, a whole lot. I actually texted her a picture of the guys from Star Wars who are trying to blow up the Death Star. Stay on target like just don't don't flinch. Like don't flinch to 52 down to 42 3200. I said, Okay, now's the time to start getting the lunch together. And she laughed. She goes, Oh, it's already it's just here on a plate. And I was like I said when we get the one ad given the food. So one ad to down kid gets the food 10 minutes later. Now isn't this interesting? We're dropping 10 points every five minutes on the CGM. Then he eats. Then all of a sudden the dropping stops. The arrows are still there. But now it takes longer to get to 170 took even longer to get the 160 and she gets the watch this happen 150 Still to down 140 Still to down. I said okay. It's not going to catch the arrows. Do me a favor, give them a few ounces of juice. She says we don't have juice in the house. And I thought to myself, Oh, I just killed a kid over the phone. Give it wrong number. So she said she says we treat Lowe's with jelly beans because they hit him so hard. I said that's great. But do you have any liquid in the house that has carbs in it? That's not soda. And she said oh, we have lemonade. I said that's great. I want you to give them four ounces. Eliminate. So she gives them I said and don't go crazy measuring it. Just give them a little bit of lemonade, right? So she gives them the lemonade boom. goes to one arrow goes to diagonal down. The kid comes in I swear to you 75 Nice and stable. Yeah, it's foods been in for a half an hour. And when it was over, she's like, wow, that was nerve racking. I said, Okay, I know that. Clear your head, and then go back and look at the boluses. Look at the time you put the food in and look at the CGM and figure out how that insulin works in him. Because you just had a Master's class how insulin impacts blood sugar and how food impacts insulin.

Jennifer Smith, CDE 39:14
Absolutely, absolutely. And that's, that's the place that as you know, clinicians, they don't have the time to do that. And it's unfortunate is it's unfortunate in the stance that with somebody something like diabetes, type one diabetes, specifically, you need that hand holding in an instance like that. You need the ability to be with somebody who can say, you're okay, write it out. You're okay. He's going to be fine. You've got jelly beans, you've got juice, you've got honey, you've got something in the house. You've got a mini glucagon that you could use if you need to. You're going to he's going to be okay. She's going to be you're going to be okay. It's it'll be fine. But you do you have to use those learning pieces. I think it kind of goes Along with a really good friend of mine, who has had diabetes a bit longer than me, which is 30 plus years, her, her doctor actually gave her kind of a good little hint for numbers, you know, we we start to view numbers in diabetes as good and bad, right? And that comes with that feeling of frustration then, and oh my gosh, I'm like killing myself, I'm doing something bad or whatever. And he said, you know, the numbers are information. So just like you said, it is okay, I'm here. Why am I here? You know, what can I learn from this? What can I do better next time. And maybe you analyze it, you know, three hours from now, maybe not in the instant, but it's information. So he told her, you know, when the number is going to come up on the glucometer, you put this test strip in, you put your blood on the strip, and you tell yourself, I am awesome. And here comes a number,

Scott Benner 40:59
right? Yeah. Because I just need to be it'll tell me what to do next. And it can't be a judgment, you can't feel judged by it. You can't let you can't, you know, you can't look at it and say bad luck, you can say not what I wanted, not what I was shooting for. But what makes me what gets me to what I'm shooting for. And you know, it's funny as, as you and I are pretty much wrapping up this first thought, right? I have so many people asked me when they're first diagnosed, what are the things I need to know? And I find around diabetes in general, everyone's looking for an amount or a number from you. Just please tell me how many minutes I should Pre-Bolus? Please tell me how many units I should do if his budget is like this. And I tell them all the time, I don't know figure it out for yourself. And you will write like you have to but I can't give you no one can tell you that a 10 minute Pre-Bolus is going to be what's right for you. In any given situation, let alone all the time. I think it's insane that we think that just because we've set a Basal rate of you know, one and a half units at 2am, that we think that that's what our body's going to need every day at 2am. It's, it's insanity to think that it's just the best we have with the technology we have at the moment. Exactly. And so if you listen to this thinking, someone's going to tell me the rules about what I need to do. And I'm starting with diabetes, we did, we told you what to do. It just isn't what you expected. Right? Right. And so I get that, I understand that it's, it's not a pill disease, it's not take three of these a day, and you have to have food with them. Like it's not that easy.

Jennifer Smith, CDE 42:33
And I think as a general too, in the beginning of of learning that comfort level and learning, you're learning what works for you by watching, you also have to take into that the variables, that can mean what you did figure out needs to change because of such and such variable, right. So you know, my breakfast in the morning, if I don't get to go to the gym before or after my normal breakfast, which I just I like it, which is why I eat almost the same thing every single day. And it works nicely blood sugar wise, but I like it. So it's easy. So but I the variables that I had to figure out were pre eating it, exercise, post eating it, exercise there, those are the variables, you know. And so what works in a morning, where I'm not exercising at all, is completely different than the mornings when I have exercise at such or such time.

Scott Benner 43:36
The variables are forever changing, which is why you have to, interestingly, know what they are, and at the same time completely ignore them. And what I mean by that is that you're not a machine, right? So there's certain things that are going to make sense. Like you just said, I know if I exercise prior or post that this changes how this Bolus needs to be. But if you're walking around trying to decide constantly, am I anxious? Did I just bang my knee? Like, like, you know, like, am I going to get a client the thing I see people saying online all the time, like his blood sugar is going up, he's gonna get sick three days from now I'm like, Oh my God, just give him more insulin. Like, who cares if he gets sick three days from now, I and so that's what I think of. When I say be fluid. I just that it's going to keep changing at such a rate that for you to try to apply static rules to it is insane.

Jennifer Smith, CDE 44:30
You've got that piece of of life with diabetes that you can then bring into education, which is why people usually come to us because we understand it from the Living standpoint, not from the this is what the clinical book says should be happening. So do this.

Scott Benner 44:49
I'm incredibly proud to say that I've gotten to the point where if I can talk to somebody for about 45 minutes or an hour they can have a major change in just a couple of days. And that's that's commuter Keishon that's what that is right? Well, that's what I have in mind Jenny for this series. Today we talked about being newly diagnosed or starting over. The next episode will be about multiple daily injections or MDI. We'll do an episode about insulin bolusing pumping CGM EMS and on and on until you and I finish covering every aspect of the things that we talked about on the show. I want to thank assenza diabetes for sponsoring the remastered diabetes Pro Tip series. Don't forget you can get a free contour next gen starter kit at contour next one.com forward slash juice box for E meter while supplies last US residents only. If you're enjoying the remastered episodes of the diabetes Pro Tip series from the Juicebox Podcast you have touched by type one to thank touched by type one.org is a proud sponsor of the remastering of the diabetes Pro Tip series. Learn more about them at touched by type one.org. A huge thank you to one of today's sponsors G voc glucagon, find out more about Chivo Capo pen at G voc glucagon.com. Forward slash juicebox. you spell that GVOKEGLUC AG o n.com. Forward slash juicebox. If you're living with diabetes, or the caregiver of someone who is and you're looking for an online community of supportive people who understand, check out the Juicebox Podcast private Facebook group Juicebox Podcast type one diabetes, there are over 41,000 active members and we add 300 new members every week. There is a conversation happening right now that would interest you, inform you or give you the opportunity to share something that you've learned Juicebox Podcast, type one diabetes on Facebook, and it's not just for type ones, any kind of diabetes, any way you're connected to it. You are invited to join this absolutely free and welcoming community. Jenny Smith holds a bachelor's degree in Human Nutrition and biology from the University of Wisconsin. She is a registered and licensed dietitian, a certified diabetes educator and a certified trainer on most makes and models of insulin pumps and continuous glucose monitoring systems. She's also had type one diabetes for over 35 years and she works at integrated diabetes.com If you're interested in hiring Jenny, you can learn more about her at that link. I hope you enjoyed this episode. Now listen, there's 26 episodes in this series. You might not know what each of them are. I'm going to tell you now. Episode 1000 is called newly diagnosed are starting over episode 1001. All about MDI 1002 all about insulin 1003 is called Pre-Bolus Episode 1004 Temp Basal 1005 Insulin pumping 1006 mastering a CGM 1007 Bump and nudge 1008 The perfect Bolus 1009 variables 1010 setting Basal insulin 1011 Exercise 1012 fat and protein 1013 Insulin injury and surgery 1014 glucagon and low Beegees in Episode 1015 Jenny and I talked about emergency room protocols in 1016 long term health 1017 Bumping nudge part two in Episode 1008 teen pregnancy 1009 teen explaining type one 1020 glycemic index and load 1021 postpartum 1022 weight loss 1023 Honeymoon 1024 female hormones and in Episode 1025 We talked about transitioning from MDI to pumping. Before I go I'd like to share two reviews with you of the diabetes Pro Tip series, one from an adult and one from a caregiver. I learned so much from the Pro Tip series when our son was diagnosed last summer. It really helped get me through those first few very tough weeks. It wasn't just your explanations of how it all works, which were way better than anything our diabetes educator told us. But something about the way you and Jenny presented everything, even the scary stuff. That reassured me that we could figure out how to deal with us and to teach our son how to deal with it too. Thank you for sharing your knowledge and experience with us. This podcast is a game changer 25 years as a type one diabetic, and only now am I learning some of the basics. Scott brings useful information and presents it in digestible ways. Learning that Pre-Bolus doesn't just mean Bolus before you Eat but means timing your insulin so that is active as the carbs become active, took me already from a decent 6.5 A one C down to a 5.6. In the past eight months, I've never met Scott. But after listening to hundreds of episodes and joining him in his Facebook group, I consider him a friend. listening to this podcast and applying it has been the best thing I have done for my health since diagnosis. I genuinely hope that the diabetes Pro Tip series is valuable for you and your family. If it is find me in the private Facebook group and say hello. If you're enjoying the Juicebox Podcast, please share it with a friend, a neighbor, your physician or someone else who you know that might also benefit from the podcast. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.

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Key takeaways from episode 1000 of the Diabetes Pro Tip Series from the Juicebox Podcast

Episode 1000, “Newly Diagnosed or Starting Over

Key Takeaways:

English:

Understanding how insulin works is crucial for diabetes management.
Basal testing can help determine the correct basal insulin rates.
Basal insulin is the foundation of diabetes management.
Timing and amount of insulin are key factors in blood sugar control.
Don't be afraid to adjust insulin doses and experiment to find what works best for you.
Doctors may not provide comprehensive education, so it's important to seek additional resources and support.
There are no mistakes, only experiences to learn from.
Trust your own observations and make adjustments based on your individual needs.
Numbers are information, not judgments. Use them to guide your decisions.
Be flexible and adapt to the ever-changing variables of diabetes management.

These takeaways are sourced from the audio above. It is currently only available in English but when technology allows; more languages will be added. Translations are A.I. generated. Additions, corrects or suggestions can be sent to me by email. Translations are not guaranteed. Please read the full disclaimer here.

Spanish: español

Comprender cómo funciona la insulina es crucial para el manejo de la diabetes.
Las pruebas basales pueden ayudar a determinar las tasas de insulina basal correctas.
La insulina basal es la base del manejo de la diabetes.
El momento y la cantidad de insulina son factores clave en el control del azúcar en la sangre.
No tengas miedo de ajustar las dosis de insulina y experimentar para encontrar lo que funciona mejor para ti.
Los médicos pueden no proporcionar una educación completa, por lo que es importante buscar recursos y apoyo adicionales.
No hay errores, solo experiencias de las que aprender.
Confía en tus propias observaciones y realiza ajustes según tus necesidades individuales.
Los números son información, no juicios. Úsalos para guiar tus decisiones.
Sé flexible y adáptate a las variables en constante cambio del manejo de la diabetes.

Estos resúmenes son obtenidos del audio arriba. Actualmente, solo está disponible en inglés pero cuando la tecnología lo permita; se agregarán más idiomas. Las traducciones son generadas por inteligencia artificial. Adiciones, correcciones o sugerencias pueden ser enviadas por correo electrónico. No se garantizan las traducciones. Por favor, lea el descargo de responsabilidad completo aquí. Disclaimer descargo de responsabilidad

Hindi: हिन्दी

इंसुलिन काम करने का तरीका समझना मधुमेह प्रबंधन के लिए महत्वपूर्ण है।
बेसल परीक्षण सही बेसल इंसुलिन दरें निर्धारित करने में मदद कर सकता है।
बेसल इंसुलिन मधुमेह प्रबंधन का आधार है।
इंसुलिन की समय और मात्रा रक्षा के नियंत्रण में महत्वपूर्ण हैं।
इंसुलिन खुराकों को समायोजित करने और अपनी जरूरतों के अनुसार परिवर्तन करने में डर नहीं होना चाहिए।
डॉक्टर व्यापक शिक्षा प्रदान नहीं कर सकते हैं, इसलिए अतिरिक्त संसाधनों और समर्थन की तलाश करना महत्वपूर्ण है।
गलतियों की बजाय, अनुभवों से सीखने की आवश्यकता होती है।
अपनी अवलोकन करने पर भरोसा करें और अपनी व्यक्तिगत आवश्यकताओं के आधार पर समायोजन करें।
नंबर जानकारी हैं, निर्णयों के लिए नहीं। उन्हें अपने निर्णयों के मार्गदर्शन के लिए उपयोग करें।
लचीलापन बनाए रखें और मधुमेह प्रबंधन के स्थायी बदलते परिवर्तनों को स्वीकार करें।

ये संक्षेप ऊपर के ऑडियो से लिए गए हैं। वर्तमान में, यह केवल अंग्रेजी में ही उपलब्ध है, लेकिन जब प्रौद्योगिकी अनुमति देती है; अधिक भाषाएँ जोड़ी जाएंगी। अनुवाद कृत्रिम बनाए गए हैं। संशोधन, सुधार या सुझाव मुझे ईमेल द्वारा भेजे जा सकते हैं। अनुवादों की गारंटी नहीं है। कृपया यहां पूरी अस्वीकृति पढ़ें। Disclaimer अस्वीकृति

#999 Arden Returns

Arden returns for her third episode.

+ Click for EPISODE TRANSCRIPT

Scott Benner 0:00
Hello friends, and welcome to episode 999 of the Juicebox Podcast

Well today's a special episode for a couple of reasons. First off, it's Arden's returned to the show. This is going to be her third episode. And more obviously, this is the 990/9 episode of The Juicebox Podcast, just a crazy milestone on Monday. For those of you kind of listening in real time, Episode 1000 goes up with the rerelease of the diabetes Pro Tip series, why am I re releasing the Pro Tip series? Well, it's been completely professionally, digitally remastered, the information in the Pro Tip series has always been rock solid. But there were some janky microphones being used back then. But now, through the magic of Wizardry, actually, through the magic of Rob, who is the editor for the podcast. I'll tell you more about Rob later. This stuff just sounds brand new. It's absolutely stunning. And I think you're gonna love it. diabetes Pro Tip series will now run from Episode 1000 to 1026 the entire series all in one place so that you can find it, listen and revisit without having to pick through a podcast that

this episode of The Juicebox Podcast won't have any sponsors because it's already so we want to listen right through. But I will take a moment to remind you that the show is completely ad supported. So if you're looking for a Dexcom at Omni pod, if you'd like to get your supplies from us med if you want G vote glucagon, a contour next gen blood glucose meter. If you'd like to drink ag one, sleep on soft sheets from cozy Earth, learn more about touched by type one.org or get yourself therapy@betterhelp.com. Using my links supports the production of this podcast. You clicking on those links is how I was able to remaster the Pro Tip series. It's how I pay my electric bill, send my kids to college and buy food. When you make a purchase using one of my links, you were supporting the production of the Juicebox Podcast and helping to keep it free and plentiful. So when you can use one of my links, they're available at juicebox podcast.com. They're in the show notes of the audio player you're listening in right now. And I say them in every ad. Thank you so much for being a fan of the show for supporting the podcast and for listening to me for all these years. I look very much forward to making you another 1000 episodes of The Juicebox Podcast. Alright, we're back. You've drank you're good

Arden Benner 2:59
it's back inspire me.

Scott Benner 3:00
Okay. So we're gonna talk right now that microphone, don't forget. How are you? Alright, yeah. This has become a bit of a tradition with us. Right before you go to college. We record a podcast. It's nice, right? It's very nice. Do you actually think it's nice? What do you think?

Arden Benner 3:27
It's time consuming?

Scott Benner 3:28
Oh, please. Were you busy? Yeah. Are you doing on a pack? That is true. You do have to pack? How come you don't pack sooner?

Arden Benner 3:40
This seems personal.

Scott Benner 3:43
Well, what makes you kind of wait till the end.

Arden Benner 3:46
I'm just stressed that I like I don't know, I just,

Scott Benner 3:49
I don't need the pressure.

Arden Benner 3:51
No, I don't need pressure to pack. But I don't want to pack all my stuff away before I leave. Because what if I need it? Which I know I don't but still.

Scott Benner 4:00
Okay. So the concern is if you pack something up, you'll need it and then you won't be able to get to it. But it's mostly clothing right

Arden Benner 4:08
now. I know. It makes no sense.

Scott Benner 4:12
hollows like I have to check something in some headphones. Want to make sure you sound good. My ears. talk again. Hello. Okay. Your voice. Your voice doesn't come up on the audiogram while we're recording. It's really too deep. I mean, my voice is pretty deep and it comes up but you're louder than me. Maybe I could turn your gain up a little and that would help. Try again. Oh. There it is perfect. Okay, so I've tried to have you on the podcast twice. To talk about things specific.

Arden Benner 4:50
I mean, tried. I was here we I don't

Scott Benner 4:53
think we ever got to the thing we were going to talk about no idea what it is we were talking about. No I know and I'm thinking that's fine. Are we going to happen again tonight, but I'm still going to try at the beginning to get a FaceTime call from cool. I'm gonna get a FaceTime call. Hold on a second, everybody, we'll be right back

and try to answer Okay, take two. We just got started, there was a call. Alright, so the first time you came on, what did we talk about? To remember? No, I don't either. Second time, I kind of remember we talked about. I tried to talk about going to school and what you thought was gonna happen at school with your diabetes. He didn't talk about that much. We talked a little bit about your prom, and then other chit chats. But can I ask a question? Like, I'm actually interviewing you? That's why I'm here. That's why you're here. Okay. So I actually think it's interesting to know. First, going away to college for the first time living by yourself for the first time, what was your experience with your insulin management? Like, what? Is your being serious? Like?

Arden Benner 6:13
No, I'm laughing because I honestly, like, I don't have recollection of this. You don't have recollection of when you went to college? But just like, I'm not, I don't know. I'm not like keeping stats or track of any of that.

Scott Benner 6:26
No, I don't mean that. I just mean, like, was it let me ask more general questions. We dropped you off the first night. Were you nervous to take care of?

Arden Benner 6:34
I do not remember being? I don't even remember sleeping there the first

Scott Benner 6:36
night? Okay. How about in the first couple of weeks, like when?

Arden Benner 6:40
I'm telling you? I don't I don't know. It's all just I just, like, if you ask me about it is I just I don't know, I just went to college.

Scott Benner 6:47
Okay. Well, that's good, though. That's an interesting to know, because you don't have any crazy remembrances or bad experiences.

Unknown Speaker 6:55
That's what I know. Okay.

Scott Benner 6:58
So I know, for us, like one of the concerns we had when you left, that's just not a concern, really. But just one of the moments where you're like, I wonder how this is going to be is that when you are here, and something needs to be done during sleeping hours? A low blood sugar to in the morning, that kind of stuff? You do not wake up for that? Yeah, cuz I know that you're here. And that creates like a comfort. No, it's not a comfort. It's like my brain just shuts off. Because I know, I want to take care of myself for like, a little short period of time. Okay. And but when you got to college, I have to say, from my perspective, I thought you were right on top of it.

Arden Benner 7:34
Yeah. Cuz I go to sleep knowing that no one's taking care of me.

Scott Benner 7:39
So do you sleep differently because of that?

Arden Benner 7:41
Yeah. Can you describe I don't sleep as heavy at school.

Scott Benner 7:45
You don't sleep as heavy at school? Yeah, he is. But that's not on purpose. It just happens. It's interesting. So we basically sent you with we basically set you with a five pound bag of gummy bears. And a bunch of juice boxes. Yeah. And did you use many of them? I don't know how you think you did?

Arden Benner 8:12
I know you were the only one I picked up did I?

Scott Benner 8:15
Yeah. I mean, honestly, I didn't think you went through as much of it as I thought you would. There was only a couple of times while you were gone that in the middle of the night. I had to like call you and wake you up. But for the most part, I thought it went really smoothly, honestly, like very, very smoothly. So you don't remember being nervous about it or concerned or anything like that just kind of integrated into what you were doing. Yeah. Okay. Well, that's good to know. Did you? Do you have any apprehension about telling three people you've never met before about how to help you like on like, day one, you're talking to these new roommates and explaining diabetes to them and glucagon and stuff like that? Did that bother you having to do that? No, not at all. Do you think they had any weirdness about it? Or do you think they dealt with it pretty well?

Arden Benner 9:10
Fine. I don't. I mean, I don't think there's any weirdness. And if there was, I wouldn't care.

Scott Benner 9:18
But, but nobody was like, Oh, this is weird. Or don't tell me about this.

Arden Benner 9:23
That's never happened to me my entire life. I don't think

Scott Benner 9:27
Do you think they really know what to do?

Arden Benner 9:31
I'm like, if I'm having a seizure, yeah. Yeah, they know what to do. They used to do. We just, we would do this thing where randomly, one of my roommates she would be like, she'd like, yell out, just like randomly went like, in the middle of the day or something. She'd be like, it's happening. And then they'd all run into my room and like, pretend I'm having a seizure, and I'd have to get on the ground or whatever. And they would like find the test thing and then like, do it We do it like once a month, like when they do like fire drills at school.

Scott Benner 10:04
It's a good idea. Was that their idea? Yeah.

Arden Benner 10:06
Well, I mean, they thought it was funny. So like, we would do it but also, like, ever. Like, each month a different person would get to like, put the thing like me.

Scott Benner 10:15
Oh, like be the lead person. Yeah. It's like, Did it help? Do you think for them to see that trainer pen for the genotype open?

Arden Benner 10:22
Yeah, probably until you sent me the wrong one. And then we didn't have it. So we were

Scott Benner 10:26
hilarious after the first time we did. You had like the wrong glucagon and one of your drawers. You were carrying hypo pen in your bag. But the needle was in your drawer. I think they would have ripped it open it figured it out.

Arden Benner 10:37
I mean, I'm sure I don't think they would have just stood there been like, oh, nevermind. That's how he taught me. So I guess we'll just leave. Do you

Scott Benner 10:45
think the fire drills will continue in your sophomore year?

Arden Benner 10:49
I don't know. Maybe when I don't have my own room. So it's gonna be different.

Scott Benner 10:55
Two of them, or all three of them value on Dexcom.

Arden Benner 11:01
Two of them because of the one who lives in the room. I feel like names are weird, but the one who lives like next to me would just hear what was happening. So she would just wake up

Scott Benner 11:11
on your phone. Did that happen? Did she ever be like on your phone is beeping?

Arden Benner 11:15
She was asleep? The two of you were better chances I would wake up and she would.

Scott Benner 11:21
Okay. And I don't want to use people's names either. But

Arden Benner 11:26
how do we describe them? Give them fake names.

Scott Benner 11:29
You're gonna give them fake names. Okay, so I'll be I'll bleep out their real names later. Who do you want? What do you want to call? Robin? Robin? Okay. So and what you want to call

Arden Benner 11:43
Jules?

Scott Benner 11:44
Robin angels. And is.

Arden Benner 11:49
M um she's, you pick one

Scott Benner 11:54
row, I get to pick. I'm gonna pick a name. I think she would hate Heather. Okay, so Robin, Jules and Heather. Heather doesn't have Dexcom she's in the room with you. Yeah. Robin just set at 55. Right. Her her. Her only alarm was 55.

Arden Benner 12:11
I didn't do the like, if my blood sugar was high alerts for them.

Scott Benner 12:15
Right. So they would So in an effort not to bother them in case you went to like 68 or something like that. You don't want their phones beeping? Yeah,

Arden Benner 12:23
it's just like emergency. Okay. Also.

Scott Benner 12:27
Jules Jones also had an a 55 alarm. Yes. Okay. Now that you're gonna be in a room by yourself, do you think you could get Heather to put an alarm on her phone too? Or do you think it still wouldn't wake her up?

Arden Benner 12:40
There's not even a point in that. So. I mean, she'll do it. But like, there's no point.

Scott Benner 12:45
She's not going to hear? No. Okay.

Arden Benner 12:47
No way. All right.

Scott Benner 12:51
When you first got the school we had, like, we went through all these. I was gonna say machinations. I'm not sure if you know that word. But we went through all these things to get set up. And one of the things we were like, well Arden's gonna, like, you know, your school spread out across the big kind of across the town. And we thought, well, what if Ardennes all the way across town, or pod expires, or errors or something? She's gonna have to go all the way home to get insulin. How's that going to happen? So we did work it out with the past, right? Like you could call security at any time.

Arden Benner 13:23
I never did that. You know what I did? I said, I gotta go. And they're like, why? And I'd be like, I got I got a medical problem. And they'd be like, Oh, don't worry about I mean, it. The whole college thing is a joke. If your professor is fine with it, just say I have a medical issue. And if they're a decent human being, they'll say, okay, no big deal. And you just walk out the door.

Scott Benner 13:46
Okay. But we but it's not wrong, right? You could have called a phone number and had security come get you take you to your room waiting for you to change your pump and come back. I mean, they said that, but I probably wouldn't have even tried it. I know you wouldn't have but we did have it set up. Is that right? Yeah. Okay,

Arden Benner 14:02
I started to just drive my car to class though, at a certain point. So I could have just left it right, but

Scott Benner 14:07
you're not trapped. My point is you're not traveling with insulin to class. You're not bringing extra pumps or Dexcom or anything like that with you to class. You'll just go back if you have a problem. Did that ever happen? Yeah, he just went back and changed your stuff. Yeah. Okay,

Arden Benner 14:25
actually have the hiccups. But I'm also we had a situation where my was it? My one of the devices had a battery in it. And the battery stopped working when I left class, or when I left my room. And so the whole thing is like you got to get on the bus. You have to leave about an hour before your class to get to class because it's like a city. So if I had class at three, I'd be like I leave my room at like to get on them. So 215 get there at 245 Class starts at three, my classes are like three hours, three and a half hours long. So I'm there for like, so long, and then get back home. Like you don't get back home like till like five hours after like you leave,

Scott Benner 15:16
right? Um, are you thinking, by the way, have the Reilly link,

Arden Benner 15:19
maybe something's not working and it needed batteries. So we have like, this whole thing set up and I, I could not miss this class. Like, it was like the end of the quarter or something. And I was like, I needed to be this class. Like, like, I actually had to be there for a grade, I couldn't go back. So I was like, What am I going to do? And it was my first quarter at school, too. So I was like, like, what am I going to do? So I called? I called Robin. And I was like, Are you at home? And she was like, Yeah, I'm here. Why? What's up? And I was like, you know, like, my battery sounds working for this and that, like, are they like, do I have any like, I didn't even know if I had them. And she was like, Yeah, you have some here. And Robin Anna, what's her name, Jules are together. And I was like, okay, like, maybe she can take it. But then I remembered that Heather also had class in the same building as me. And I was like, shooting again, on the same buses me as possible. She's still at home, and she can grab them or whatever. So I was like, I need you to like, run downstairs and see if she's still there and try to give her the batteries. But she was like, gone by then. So and I wasn't gonna make her turn around. Like, I'm not going to do that. Like, if anything, I'll just get on the bus and go back. So I'm trying to figure out what to do. New Character in our life. Justin, Justin is one of our friends. And he also has classes. But so I'm running through a list of people. Now I'm like, Who has class here? So Heather is my roommate. And we had just become roommates, like two weeks prior to this because we had a whole roommate situation. And she ended up moving in, but she's gone. I can't get her to do anything. Now. I'm like, Who else is in this building? I texted another friend who I had class with my new drove there. And I was like, Do you have batteries at home? And she's like, No. And I'm like, Oh, my God, so much. I forgot what to do. And then finally, Justin, the new character that we've just introduced. I was like, I texted him and I'm like, Are you at home? And he's like, yes. And I was like, please stay where you are like, what and he had already been like walking to the bus. And thank God Robin. Speedy, ran downstairs and call them as he was getting on the bus and through the through the back, like literally through them the batteries like in the bus. So he got to the building. I ran outside. I grabbed them from him. I was like, thank you so much. And I went into my room and everything. But that was Oh my god. I felt like I was working like on it like a movie. Like I was like trying to get everything. Yeah, it was crazy.

Scott Benner 17:50
I misspoke a moment ago. It's the orange. It was the orange link. It took two AAA batteries. Yes. And I know that's gone because you're not

Arden Benner 17:56
using it. Yeah, that by the way. That was like a week before you gave me something else. It was really helpful. No, it was awesome.

Scott Benner 18:02
Just try it. Yeah. Yeah. So okay, so So I think the point is, is that you had a problem, and you worked it out. That's it. Like,

Arden Benner 18:12
I was trying to tell a story because it's a podcast, but yes, that is,

Scott Benner 18:15
but I'm just for people listening.

Arden Benner 18:17
I'm not coming at you. I'm just saying I'm trying to get listeners. I liked the way you're talking.

Scott Benner 18:21
Don't worry. I'm just saying I'm re encapsulating what you said, because I think people worry that their kids are going to get somewhere and just be like, bummed Fazal, not know, I

Arden Benner 18:31
mean, some of your kids not me, but some of them. I know a couple

Scott Benner 18:37
but you were you were able to kind of like whip it together and do what you needed to do. And you incorporate other people. So speaking of Robin and Jules and Heather, we were able to keep you all together for next year for next year as a sophomore. So we basically had them designated as how would you put it? Like, what is when people Oh, help them? What

Arden Benner 19:02
are those called? Emotional like emotional support people? Yeah, we

Scott Benner 19:05
basically turn them into emotional support people instead of emotional support animals, so we've got them designated by the school as important to your diabetes care. Yeah. And then they were able to stay together with you when you guys move out of freshman housing into sophomore housing. You guys have a bigger apartment now everybody gets their own room. And that's pretty cool. They don't have to wear a vest with like a logo that says don't pat me or anything they do. Would that be great?

Arden Benner 19:28
Can you imagine I'm like actually she doesn't speak to people don't directly don't directly looked at her. Oh, look at her.

Scott Benner 19:36
She's just she's my emotional support person. But anyway, that was really nice to the school to like, do that. It was not a common thing. But one of the reasons we So you moved into an apartment, it's still it's still housing at the school, but it has its own kitchen which is very important. Because an IV I said this on the podcast a number of times, but I want you to talk about a little bit. I think the biggest surprise about you going away to college was how terrible the food was, and how much of an impact it had on your blood sugar and everything. So when we went on the tour, I remember touring the school and going into that cafeteria that freshman captains guys

Arden Benner 20:22
are sitting there and you talk to them. I remember that. Yeah. And I just

Scott Benner 20:25
never thought, Oh, finally, because Cole went to college and Whole Foods situation was bad. Yeah. And

Arden Benner 20:30
mine wasn't bad like that. But it was just unhealthy.

Scott Benner 20:33
Yeah, so it's one of those things where when you look at it, it's like new and clean, and there's a big selection. But when you really stop and eat it every day, it's just fried food and processed food and crappy food. And it took a lot of insulin.

Arden Benner 20:46
Yeah. And so after you eat, you don't feel like you've eaten anything.

Scott Benner 20:50
Because just empty carbs. Yeah, empty calories. Yeah. I can remember you're not gonna remember this. But you were only there a couple of days. And I sent you a text. I was like, aren't you gonna Bolus because your blood sugar was shooting up? And you were like that? I promise. Like, look, I put in so much insulin for this. I counted the carbs, right? Like this whole thing. And you really you had and I missed a massive amount of insulin. I didn't touch the food. And so you use. I mean, I would

Arden Benner 21:18
change my pods more frequently than they weren't making

Scott Benner 21:21
it three days now. Do you think

Arden Benner 21:25
I ate like, twice a day? Like I do three meals a day? There's days where I only eat once a day, because I was like, I don't even I don't even have time to go eat food right now.

Scott Benner 21:35
If you were like a low carb person, could you have eaten in that cafeteria?

Arden Benner 21:39
I don't even know what you would eat there.

Scott Benner 21:41
I don't know. If you were a low carb person. You don't know what you could? I don't even know. Yeah, I make that point to people sometimes. Like if you're gonna think you're gonna, like, raise somebody very low carbon sent him to college, and they're going to eat on campus, it's going to be hard to find items. But anyway, that was really,

Arden Benner 21:57
I don't even I don't know, I think there's one college I heard of that has, like a good dining hall. And it's UMD. Right? Yeah, apparently their food is like, amazing. And that's all I know. There's

Scott Benner 22:08
one in the Northeast Two that has like, great. Bow Dine, maybe. But I mean, it's like a school. I think it was like $80,000 here to go to. So you would think they'd give you a decent piece of fish. You know, in that situation. But I mean, that was tough, because there was a big adjustment. And I can tell you, like from my perspective, not being there was a little hard because I was like, she needs a lot more insulin. And I had to just trust that you were gonna figure it out.

Arden Benner 22:32
Yeah, like when you didn't trust me on the way home from class on time. You're like, Oh, you're

Unknown Speaker 22:36
gonna know you're getting low. You're really low.

Arden Benner 22:38
i Well, I'm well aware. I'm an adult.

Scott Benner 22:41
It's not so now you. I hope you understand. It's not that I don't trust you. It's not the point. Like Trust has nothing to do with it. You're walking home from class. It's like 730 at night. Your blood sugar's falling really fast. I know how it works. Yeah. And I can't get to you. Yeah, I got it. Like, even if I had to call the cops right, then I wouldn't know where to tell them. You are? Oh, yes, you

Arden Benner 23:02
would. You got you got my location. Oh, I couldn't.

Scott Benner 23:04
Yeah, I guess I could have figured that out. It's still scary. Can you see it's scary.

Arden Benner 23:07
I mean, I did it. But I mean, at some point, come on, like I've had, I've had the disease for enough unknown period of time. Like, I was gonna take care of we

Scott Benner 23:16
adjusted well, mom just sleeps through it. She doesn't if you go you go. But she, but I'm, I'm okay. Actually, I sleep well, when you're at school. I don't have any problems. I actually, I have to say I hear the alarms better when you're not here than I do when you're here. I don't know. Because it feels more important because of the distance. Like because now it's not just me getting up and walking down the hall. It's me having to get you on the phone. And that's, you know, that's scary. Because if I can't get to you, if I can't wake you up, then you got to go start bouncing around to the other girls, and try to wake one of them up to go do it. And that happened like one one time one of them. Like your dad called you have to drink this,

Arden Benner 23:57
I think but it was like, right, I had woken up right? Like they were walking in. But I would always get like text messages and it was like juice juice. I'm like, in the middle of just like class, and I'm doing like ding ding ding ding and my teachers like silence your phones and I'm like, What the heck's going on? Like it's like juice juice. I'm like, it's they're not even like trying to notify me they're just trying to like me. I'm like, like, I know, I know. I know.

Scott Benner 24:23
So your friends are like you're low let's go do something.

Arden Benner 24:26
If I looked up the juice box emoji and like my messages I'd probably have like seven detects.

Scott Benner 24:32
I actually am very hopeful because we just switched your algorithm. I don't think you're going to have as many lows and you didn't have I want to

Arden Benner 24:40
be clear seem to say that sentence quite a lot. I know right?

Scott Benner 24:43
But I don't think you first of all, you didn't have a ton of lows. It wasn't like it wasn't like you spent the whole semester like oh my god, I'm dying.

Arden Benner 24:50
Like what was our amazing when you're about to eat dinner? Why makes dinner better? Low blood sugar makes dinner better. It makes me hungry makes you better had just the food tastes better. No, actually, no, it just makes you more hungry. So it's like, because I'm not really I don't, I don't have like, I'm not like sitting there and I'm like craving eating something. Um, you're not less awesome, really great. I mean something. But I'm not like naturally I'm not like, Oh, I'm so excited to eat dinner. But then when your blood sugar is low, you're like, so excited to eat dinner. Yeah,

Scott Benner 25:22
I got that. So, okay, so overall, good experience. Did diabetes impact negatively your college experience?

Unknown Speaker 25:34
I don't think so.

Scott Benner 25:38
mean, if you're not sitting here thinking it was ruined?

Arden Benner 25:40
I mean, it could have been better without it. But no, not particularly.

Scott Benner 25:47
Okay, that's good. Can you please tell the story of I really hope you'd help. Please tell the story of the British teacher who sees your Omni pod?

Arden Benner 25:58
No, I know why? Because I gotta make a reputation for myself one day. So no, I'm not telling the story because you don't want to do it. Because what if I gotta go back to her and I need something from the source.

Scott Benner 26:10
I think it's lovely. I don't think it's a bad story.

Arden Benner 26:14
I don't think it's like, endearing.

Scott Benner 26:16
I don't know. I just thought it was interesting how I see now I can't tell it. If you should just be brief,

Arden Benner 26:23
then. There's no way to be brief. You just tell the story. You don't

Scott Benner 26:26
okay. But you're so good with her accent.

Arden Benner 26:28
I was I was not going to do we're not gonna do the accent. I was not. Alright.

Scott Benner 26:33
I just so to me the story was, I can talk about it. To me the story is that she sees your pomp. She doesn't know what it is. She inquires about it.

Arden Benner 26:44
No. By the way, after I tell her what it is, she tells me a 15 minute long story about a student she had last year, who was a type one diabetic who designed the whole fashion line for people who have an AMI pod. And I was like, Wait, what are we talking about right now,

Scott Benner 27:04
though, in my mind for humor. The whole story is the first sentence she speaks to you. When she looks at it. She asked me what was wrong with me. But in the accent, it's so much better.

Arden Benner 27:15
The I'm one of the like woman who does our eyebrows asked me that to where we make threaded a couple of weeks ago, she pointed to my arm and she was like, What's wrong with you? And I was like, okay, um, I mean, a couple of things. What were you talking about?

Scott Benner 27:34
By the way, the people who listen know that we get our eyebrows threaded together. Yeah. But you said I have to I have to lay off for a little bit. Yeah, just

Arden Benner 27:41
the person years out a little bit. They made happens to me too. You just have to let them grow in for like a month or two and then go back into shape again.

Scott Benner 27:49
Okay. I'll wait then.

Arden Benner 27:52
Not me. I can just wait like a week. And then I can get my hair grows very

Scott Benner 27:55
so. Very, very quickly. You just call it Arden just colored her hair. And in two days, you could see your roots.

Arden Benner 28:02
Yeah, I like bleach bleach blonde like platinum white. And not you. I don't even think it was two days later. I think it was like 36 hours.

Scott Benner 28:13
It looks like it looked like a little black and was hanging on to each hair on your head. It was that quick. It popped out? Yeah, that's really crazy.

Arden Benner 28:21
Just means we spend more money to get it done. Are you excited?

Scott Benner 28:26
I'm very excited to spend more money to make your hair platinum. Yeah. When you come home, you're here to relax. Like for sure, obviously. But you lose your rhythm on a number of different things. Like your

Arden Benner 28:42
I did two months in the winter to come home and just like, melt into a puddle sleeping bottle. Yeah. Right. And then I get three months in the summer to come home and melt again. So yeah, sorry, I don't have a rhythm.

Scott Benner 29:05
It's so I don't. I do understand because it's a thing that happens to everybody.

Arden Benner 29:10
Also, as I get older, I just don't have the energy to do anything anymore to take care of yourself. Yeah. Like this whole thing that we're doing right now, I bet if you listen to like an interview we did a year ago or two years ago, I was so much more like, upbeat and like, what was that back at you?

Scott Benner 29:33
I don't know. You're, I mean, you're maturing, but

Arden Benner 29:36
I've always been a chore but like I just I can't even so much energy goes into talking. So much energy goes into getting out of bed. So, so much energy goes into taking a shower. I can't do it all

Scott Benner 29:53
at all. So but my question is, is that once a week every time you've come home It's like, it's like you've had a pattern at school like I'm gonna take my tiersen and my T three at this time of night and you do it right.

Arden Benner 30:07
Yeah, every night. I don't think I've like missed the night ever very just like finals week is when I started. I sent you with everything I sent

Scott Benner 30:14
you with vitamins. You took them. I sent you with a basketball you took it I sent you with your terrorists and you TokiToki you die but everything we get home, and it's like you don't remember any of that exists.

Arden Benner 30:23
Oh, no, I know it exists. I know is the thing you're

Scott Benner 30:27
giving away to give yourself a break. Cuz you never you don't ignore your I've never seen you burn out on your diabetes. Like be like

Arden Benner 30:37
that's a life or death situation of vitamins that are gonna kill me. Like, maybe I'm just gonna kill myself today. But let me take my vitamin. So

Scott Benner 30:47
you say you actually do feel like even just you feel burned out from taking the vitamins as an example. Which is so much work. Yeah. But you've never turned that onto your diabetes. I've never seen you like, I'm not bolusing for this or you don't do that.

Arden Benner 31:03
Yeah, I feel like I just had this that's a life or death situation. Do I have to tell you

Scott Benner 31:07
the magnesium helps make poopy. Like, that's not a thing you want to happen down

Arden Benner 31:11
show and I can just not take a poop for today. Okay.

Scott Benner 31:16
But you do have any doubt that we're going to pack your stuff up, send you back and you're going to boom, just jump right back on and have a pattern that you you fall.

Arden Benner 31:24
That's the way things go. Okay. I mean, if I don't then Well, it's nice knowing you.

Scott Benner 31:32
So this is the first time so so far. Every time you've gone to school we've driven you or you've driven with somebody. But this is it like you're going back by yourself in a car by yourself driving all the way to where do I have to tell people you go to school? Remember you were on the podcast one time you're like, tell them I go to Chicago or something like that.

Arden Benner 31:54
Oh, did I let's change it.

Scott Benner 31:57
They know where you go. By the way. I mean, I get emails. I just got an email from a lady. I swear to you three days ago. Hey, I hear there's a storm coming. If Arden needs anything. I'm very close to her school.

Arden Benner 32:06
Yeah, because I go to school in Florida. Obviously, so

Scott Benner 32:12
you're gonna make about a 14 hour drive. Not 15 by yourself. Yeah. And so we're gonna, this is the I mean, you're a good driver. And you've driven distances before you drove from school to where Cole is to visit for hours. That's that's four hours of highway driving. You did fine.

Arden Benner 32:33
Yeah, put on my little, my little Arden bento station. yourself, right? It's for you. Yeah.

Scott Benner 32:40
And but what did you bring with you for, like, low blood sugars when you're driving and having to be like 30 minutes into the drive to so 30 minutes into your ride? You got low.

Arden Benner 32:49
I was like, Oh, what did you do? That's how I felt I opened a juice box. And I mean, it wasn't difficult,

Scott Benner 32:59
but it wasn't like some crazy low. You were just drifting? Well, yeah. Okay,

Arden Benner 33:02
so I took care of it. I went, it's a little dizzy up here. But I'm gonna keep driving, and I'll just start to juice. Is that as far? Whoa,

Scott Benner 33:13
do you think you should have pulled over? No. Safety first. But so this is a big one. Like you're gonna make about a six hour drive, you're gonna stop at a friend's house, a family friends, you're gonna spend the night then you're going to probably cleave off the next eight or so hours on another drive? Are you nervous about that at all?

Arden Benner 33:34
No, I'm actually very excited to make my first stop and get food. So you know, like when you go on a long drive, and you make your first stop, and then you get your like bag of food for the rest of the trip. And it's got like your chips and your candy. And sure some, like terrible muffin. I'm so excited to make that trip, but it's gonna be hard to do. Because how am I gonna like, I'm gonna need to put the chip bag in a good spot to place

Scott Benner 34:01
the car. Now we've I think we've highlighted basically the two big scary things about driving across the country by yourself.

Arden Benner 34:09
Right? I honestly I don't know, what are the two big scary things.

Scott Benner 34:12
I mean, the two worst things that we can imagine your blood sugar gets too low and you're by yourself in your car. That's the one thing we're trying to avoid

Arden Benner 34:19
blood sugar. Just don't let it get low and lock your door.

Scott Benner 34:23
Okay. And then the other things easy. We're worried about. I mean, I'm worried about is, you know, human trafficking, assault things like that. Yeah. Like you being by yourself. Should you have a plan like when you get out of a restaurant, you're going to try to look frumpy? You know, wear a hood?

Arden Benner 34:39
Googly googly. To try to look scary. No, you know really,

Speaker 1 34:43
really? Oh, you just really Googly at them. See if that runs them away.

Arden Benner 34:49
Yeah. It by the way. 100% works. I've had 100% success rate with that. tried it on every person I know at school. They all get stuck. And, and it's enough time to do whatever you got to do you want to punch him in the face. You want to run your I take him on the balls. You can do whatever you want Googly, Googly, literally. I mean, there's a, you don't just say the words verbally, verbally. You gotta do the hands and the voice, but it works.

Scott Benner 35:15
So what did we always joke privately? No one if you somebody tried to grab you to like human trafficking, you would just tell them.

Arden Benner 35:22
You're diabetic. But also, we realized that might be terrible, because what if they're like, Oh, perfect. You're gonna run out of insulin, and you'll just be dead. No time. I won't even have to kill you. Oh, enough to kill you. Yeah, wait. So

Scott Benner 35:33
we've gone back and forth on it. Like, do we just say, Hey, I'm going to be too much of a hassle. You don't want me? Or is that a downside? Yeah, we can't decide.

Arden Benner 35:43
I don't know what I would say. Like, do you do you tell them that you're? Do you tell them that like your dad's a sheriff? Or is that like, are you just automatically dead?

Scott Benner 35:54
Say my dad is Liam Neeson? If you take me,

Arden Benner 35:58
I'd be like, I'm like, who's your favorite celebrity? That is my father.

Scott Benner 36:02
Would you like an autograph? Let's go find the phone. I'll call him for you.

Arden Benner 36:06
Like you don't look Spanish. And I'd be like, Well, I'm adopted.

Scott Benner 36:11
I know. Antonio Banderas is my father.

Arden Benner 36:14
That's actually funny story. That's a funny story ever since my kids.

Scott Benner 36:20
I don't know if you know, but Robert Rodriguez. He directed that he originally made a low budget film called El Mariachi and just get real deep. He is my godfather. So I've been at his house multiple times whenever he makes his pizza from scratch. That's the thing I know Robert Rodriguez does. I don't know why I know that because you do it too. That's not why,

Arden Benner 36:40
by the way, haven't had the pizza from scratch in two years.

Scott Benner 36:44
We didn't do that the whole time. You were home didn't do that.

Arden Benner 36:46
I didn't get my lobster mac and cheese.

Scott Benner 36:49
I can make the pizza for you, though.

Arden Benner 36:52
I am here not the lobster mac and cheese. That's all I heard. And that was

Scott Benner 36:56
the thing you dropped on me two days ago. Can you make me lobster mac and cheese before I go?

Arden Benner 37:00
Okay, t minus four days before exit. You can't make lobster mac and cheese. Oh, I know. What are you super busy? I don't

Scott Benner 37:07
even know if first of all, I make a podcast. And I'm very excited. Sorry. It's a lot of work. It's a lot of work. So we did a thing a little late. We switched your algorithm to something else. But it's working well. And I'd like to stick with it. We can always switch back if you don't like it. Do you have enough comfort with it? Or do we need to go over a little just buttons? I'll figure it out. You'll figure it out. Great. Okay, so you have enough comfort with it that we can go along? The last time you so your your years broken up oddly different than other schools really? So you're gonna go back? Start early September? And then would you like

Arden Benner 37:46
me to tell it? Yeah. How

Unknown Speaker 37:47
does that go?

Arden Benner 37:48
Okay, I'll go back. I start classes on the 11th. And then I will come home like a week before maybe four or five days before Thanksgiving. And then I won't end up going back to school until January like sixth or seventh probably. And then I'll be there. And then we'll get a spring break in like March or April at some point, but it's going to be like not even a week long or 10 days, I guess. But it's like, based on how far I am. 10 days is like too much time to just sit in your dorm room but not enough time to go home. So you just don't end up going home you like find something near you. And then I don't end up going back home until June 1. So I'm there for like six months straight. So for

Scott Benner 38:40
the 10 day guy, we can fly you back.

Arden Benner 38:42
I don't know. We'd rather just drive myself back

Scott Benner 38:46
everything you'd lose three days. Three days

Arden Benner 38:48
a day each way. I can do it on one trip.

Unknown Speaker 38:53
I don't know if that's a good idea. Personally, I

Arden Benner 38:55
think it is. Okay. Also, I probably won't do that. I'll probably just stay Yeah,

Scott Benner 39:02
make friends.

Arden Benner 39:03
Well not

Scott Benner 39:07
just work get your work done. Maybe I'll maybe I'll melt into a puddle.

Arden Benner 39:10
Maybe Oh this is good. You know since I'm in Florida. You guys could go on a trip. Go south. Everyone call it power is gonna go home though.

Scott Benner 39:21
Yeah, well, we'll figure out what you could just fly home. It's a cheap there's a really cheap flight from where you are to here. Like like 100 bucks.

Arden Benner 39:30
I don't I just like planes. I don't the airport thing. I hate that little tiny airport. No, it's not the point. It's not planes. I'm fine on the plane. I hate going through security.

Scott Benner 39:43
Alright, this is a pretty small airport. It's still very slow that has nothing didn't we get here locally? You don't have to go to Newark.

Arden Benner 39:49
Why would we be in your Newark? We don't live near New Orleans.

Scott Benner 39:52
I'll tell people where we live. It's a pretty vague description Don't you think Newark Yeah, cuz

Arden Benner 39:58
we live in a Manhattan 100%

Scott Benner 40:04
not where you think. All right. So you're not concerned you're not worried. The first semester went fine. The biggest thing was the food. Now, one of the things we said we were going to do this summer that we 1,000,000% did not do recipes. Yes, like, pull some recipes together.

Arden Benner 40:21
I can find a recipe on the internet and just make something

Scott Benner 40:23
you'll be okay. Cooking for your son.

Arden Benner 40:25
I'm a I mean, you know, men are cool, but I'm a woman I can make myself. This is what we were made for.

Scott Benner 40:34
I was built because it's 1953. You it's different. Because it's all ingredients. You have to figure out the carbs a little differently. Oh,

Arden Benner 40:45
yeah, got it. I'll be fine. You'll be there's a harder thing to face. Okay, good in life.

Scott Benner 40:49
I like that. I think it's good. How are you enjoying school?

Arden Benner 40:53
Do you mean last year? Yeah. You know, it's it is what it is? And what is it? Here's the thing that you are will learn once you get older. Oh, you young uns out

Unknown Speaker 41:08
there definitely talking to people who are 20 like 62 years old god

Arden Benner 41:11
yeah. Anyways, um I Love Actually, my cousin said this earlier today. She was like, you're very much a person who likes to romanticize real life and make it like, seem more fun. And like big, because I like to do that. Like, my end goal was like to live in New York City and have a fashion company and like, how I mean, how realistic is I mean, it's going to be realistic. That's the goal. But like, How realistic is this whole thing? You know what I mean? But once you just like, I don't know, like, once you just like live on your own, you realize how simple everything is? Like, life is very boring. Right? Which is so sad. Yep. Wish you all the best. But life is so boring. Like it's just repetitive. And you do the same thing every day. And this and that. So I like to sit outside everyone smile for a couple of hours and just look at the trees. Yeah, but we don't know where I was. What did you ask me?

Scott Benner 42:07
I asked you how you're enjoying school? Oh, you said here's the thing.

Arden Benner 42:10
Oh, right. Right. Right. Yeah, let's get to that. Um, so school is fun. So like, you go to art school in Florida, and totally gonna make them think that and you think it's gonna be like this whole thing? Because like, you see all these videos and like what they show you and it is like that. But it's also like, school. Yeah. And so what

Scott Benner 42:33
social media does, they show you like a bite of the best part of it. And that's not nearly the whole thing. It's a couple of experiences you have over a few months,

Arden Benner 42:42
the best part of school or the I would say the best part of going to my school. It like I'm gonna have like the classes and everything, but it's like, finishing a project. But the feeling you get from that, because like, you don't think you're gonna die. Like you finish it and your whole body's like, Huh? And then just like hanging out with your friends. Not even like not going out with them not like going to places or doing anything just literally sitting in a room together and talking that and finishing projects are probably the best parts of college.

Scott Benner 43:14
But you met that handsome boyfriend though. They're playing movie.

Arden Benner 43:17
Miles Teller. Yes. I know when he heard my name, turned around, looked utterly confused and walked away. So you know, whatever

Scott Benner 43:27
famous people did you meet when you were there.

Arden Benner 43:29
I didn't really meet everyone but he was there. Janelle Monae was there. Jenna Ortega was there. Sydney sweet Sweeney was there. I believe you're sending me I don't know that. What do you do? You can look her up later. Okay. You know Jenna Ortega. That person. She's the Wednesday girl. Yeah, that I got you and you know, Janelle Monae.

Scott Benner 43:49
Janelle Monae is that girl who I think of as being a very pretty kind of light skinned black girl who's got her hair pulled back very tight. Do I have her she wears

Arden Benner 43:57
cool hats. Okay,

Scott Benner 43:59
but I got her about right.

Arden Benner 44:00
You ever seen her at the Met Gala? Like she had about like polka dot looking at one time or something?

Scott Benner 44:06
tellers the the boy from the movie from top gun but also from the drumming

Arden Benner 44:11
whiplash but also from divergent but also not to keep going with that. But um, they were there and Machine Gun Kelly was there really? Yeah, I wasn't part of that. I was busy that does Miles

Scott Benner 44:24
Teller actually handsome in person.

Arden Benner 44:27
Yeah, he looks a little like, why am I hear? Not like, not like, I'm upset that he was here but like, but like he could have been in a hotel bed. You know, but he like went on. He was like telling a speech about apparently like our school was like the first school he like when he first got like, known he like went to our event. And it was like 13 years ago or something. And now he's like back here because he just did a movie with like Tom Cruise and he was like, it's pretty cool. Yeah, so Excellent. All right. He didn't want to acknowledge me hear anything

Scott Benner 45:00
somebody yelled out your name move down on my list. What did what did hold on I can do this what the jewels, the elder Miles Teller,

Arden Benner 45:07
she was like, just non stop, by the way, it just kept happening. And she goes, say, Oh, but I just it was so. And this point I was like I actually I don't want him to say it now. Like I don't even want him to hear it anymore like because one day I want to have a name for myself and he's gonna be like, it's that name that I heard in Georgia. That one's in Florida. And I'm and I don't know, I just he did end up hearing I have it on video, he turns back and he like looked at us and he like laughed, and then he walked away. And then jewels ran outside while he's getting into the car. And she was like, miles, I said and just kept going. And I was like, Oh well, what

Scott Benner 45:55
was? Was there a difficult part about being away from home? Like, did you ever feel homesick?

Arden Benner 46:04
Oh, I missed my room so much. That's doesn't have to do with anything, but I missed my room. That was that was honestly my biggest thing. Yeah, I miss my room. And I miss the ability to just go out whenever you want. And it's not like trouble because I'm in a city. So it's like, like trying to get like if you just want to go out one night at dinner like it is an hour and a half. Wait to just sit somewhere and then nowhere to park. You have to like walk. I mean, you can drive but then you got to pay. But then it's an impossible to find a spot so then you gotta walk within your legs hurt so then you can't wear cute shoes. So then what's the point of going out? And that's like a whole thing. So

Scott Benner 46:42
did you like it when we came and visited?

Arden Benner 46:44
No, I hated it. You mean, I

Scott Benner 46:48
meant was it a nice distraction? Like when we came in for a visit once or twice? I mean, yeah, yeah, it was good. Yeah, because you don't want work. We're not trying to you don't I mean?

Arden Benner 46:58
No, I honestly have no I tried to like, like,

Scott Benner 47:01
ruin your thing and make you feel like we you know, but it was we thought it was nice to come and visit. Although we were in that dirty hotel that one time I did not enjoy that. Yeah. Was like such a nice hotel. And our room was

Arden Benner 47:12
so dirty. And this flirt ends.

Scott Benner 47:14
I got that for free. Yeah, I know. Like my best moment.

Arden Benner 47:19
I know. You probably had a lot of fun doing that. I didn't enjoy it as much as you think it's upsetting. Fun yelling at the guy on the phone, though. But your hotel room?

Scott Benner 47:27
Oh my God. That's what I came down for. Okay, so we can talk about that. So you it was like the, towards the end of that five month stretch?

Arden Benner 47:36
Yeah, like, if I go home in June 1. It was like, probably end of April. Like a parents that or something like that. It was Parents Weekend. And by the way. Not one of my friends knew that was a thing, right? None of us knew Parents Weekend was a thing. And then someone said it. We were like Parents Weekend. So

Scott Benner 47:53
you were getting a little frazzled at the end.

Arden Benner 47:56
I hadn't been home in like five months. Yeah, it was

Scott Benner 47:59
the longest you've ever been away from home. And we were talking to you one night. And mom was like, Hey, you want to go down there and hang out with her for the weekend or something? Because she looks a little like, like electric. You look like somebody plugged you into the wall outlet didn't pull it out right away. Like you were just like, talking about school. And you're like, there's a lot going on about bicycle. I don't know. We just come down. I'll get a hotel room and we'll spend the weekend in a hotel and just chill out and have dinner and just relax and everything like that. Yeah. So we did that. And that was lovely. Except when we got I got there. So I flew down. Arden picked me up at the airport. And then we go to go to the hotel and the hotels like we don't have your reservation. That was upsetting.

Arden Benner 48:40
I thought they were gonna be like April Fool's was really we were sitting in the car just like, um,

Scott Benner 48:46
we've like parked in a parking garage we call them and

Arden Benner 48:49
it was my parking garage at school. Yeah. And everyone heard him yelling.

Scott Benner 48:53
Yes. I held on the phone a lot. Yeah, yeah. The people who listened might not know that I

Arden Benner 48:58
I think he's a terrible person.

Scott Benner 49:00
They might not know that I'm a terrible person. No, I don't yell really much at all anymore. When I was younger anymore. I enjoyed yelling a lot. Let

Arden Benner 49:09
me tell you a story about Scott. And

Scott Benner 49:10
so I whipped it out again on the phone. I was like, it just flew here like from across the country and you don't have a hotel room for me. And, and all you can say is we'd be happy to refund your money. And I was like, No, you're gonna refund my money. I think you helped me I'm sick. I'm gonna end up sleeping in this car. And

Arden Benner 49:30
so then I finessed and found a hotel room, which was so expensive. Oh my god. So it was like it was like when you visit this the spot that I had mysteriously go to school in, but you know, you know the family here. Let me let me just explain. You know, the man who this white man, this white man you see walking down the street and a very nice suit and a good watch. And he's a little ugly, but you know No, he's got money. And his wife is like, was very pretty in high school. And she's walked in next to him and like a pencil dress. And they're about to walk into a hotel and she has a clutch under her hand. That's the type of hotel I got us. And yes,

Scott Benner 50:15
it because it was the only thing left. Yes, it was there was literally one verb. I was in so much trouble. So

Arden Benner 50:22
my school like, moving weekend, Parents Weekend, and when you gotta leave, like you need to book in advance.

Scott Benner 50:31
Right? So I'm stuck. I have to take whatever I can get. I booked the hotel that was maybe like, I don't know, like $250 a night or something like that for for you. And I Yeah, and it was nice. And it was all good. But then we get there and it's not there. Now there's nothing left. We're calling around. We're looking on camera, anything artist like I found a room. But it was. What was it? Like? It was right like $1,000 a night or something? Yeah, something like that. Something absolutely insane. Yeah. And so we booked it because what the hell else was I going to do? And then I screamed at the guy from Expedia. And he paid the difference. So,

Arden Benner 51:07
so basically, you end up even paying really for it.

Scott Benner 51:10
I mean, I paid the original, like, whatever I was supposed to pay 250 300 Whatever that was, yeah, I paid that. But then I made them pay the balance of it. Yeah. But I everything works out. Good. Be honest. abusive to the man on the phone? Because he did not want it. Yeah, I

Arden Benner 51:26
mean, like, this is just the job he's got. You're like screaming at him on like a Tuesday afternoon. Yeah,

Scott Benner 51:32
so the best thing I can say, to make this ex because people listen to podcasts pretty much know me, I guess pretty well. That's nice. Are these all your friends? So I don't be there's no reason to be mean. They are my friends. And but I have a couple of like weird superpowers. One of them is I can yell really loud and still make sense. And that throws people off a little bit. I think. So I'm yelling, cursing and making sense. I'm a little ahead in the conversation. And I did badger him into doing it eventually. And he actually did it. I sent him a bill when they refunded me the money. I think we got water is after that. After we yelled at him. We got what arises. Yeah, it's nice. Do you and I say water differently?

Arden Benner 52:20
I say water. You say water water. Like an idiot.

Scott Benner 52:23
I'm trying to say water more. But it sounds weird when I

Arden Benner 52:27
say it like a Brit Wah. Yeah.

Scott Benner 52:29
So when I say what, you know,

Arden Benner 52:31
when British people find someone attractive, they say, Oh, you're fit? They say you're fit. Or I think apparently if you say like you're? You're smart. That's supposed to be like attractive to Okay.

Scott Benner 52:44
Well, when I say water, is that the correct way to say so?

Arden Benner 52:46
It's not that it's actually Water? Water? Yeah, it sounds

Scott Benner 52:50
weird when I say like that. I know it's not. I had a guy with a really thick British accent on this year. He was pretty good. But he was hard to understand. Like I it took me a couple minutes to like, soak him up and like be able to hear him. Yeah, so he also got a good

Arden Benner 53:05
or a bad Brit. Was he a bird that you can listen to? Or Brett you get a headache from No, he was he was terrific. Sometimes they give me headaches. Sometimes they give you actually think they're like the like that and like Australian people.

Scott Benner 53:19
i A lot of people from Australia. Listen to this. Go ahead. Okay,

Arden Benner 53:22
I was kind of compliment them. Go ahead. Alright, that's like my favorite accents. But there's like a certain pitch of British that makes my head ring.

Scott Benner 53:33
What's the difference?

Arden Benner 53:34
I don't know. Like, there's a certain pitch of British and I just like can't like if I'm watching a show. I just can't for too long.

Scott Benner 53:42
Can I call this episode pitch of British? Maybe? Do you know this is going to be the 990/9 episode of the podcast. This is episode 999.

Arden Benner 53:54
It's like the angel numbers as the kids say. Yeah, it's probably an angel number that means something I wouldn't know what it is but I don't think it means anything of your mind. Some people would

Scott Benner 54:07
Okay, let me go back I believe in Angel numbers and if you guys want to diffuse essential oils I think that's good too. You respect angel

Arden Benner 54:15
number and I respect you believe in something you don't believe in Don't be a faker.

Scott Benner 54:21
Whatever I make fun of essential oils, I think people are probably mad.

Arden Benner 54:25
Honestly, I put them on before bed and they do nothing one of them actually smells terrible. But it says it relaxes you but it makes me really upset. I'm like this is terrible. It's supposed to relax me.

Scott Benner 54:42
Alright, well, you seem like everything's okay. The one thing that we got messed up on, was I for sure thought I sent you enough insulin. And then nope, nope. That yeah, but I didn't know about the food. I know how bad it was gonna be So we worked it out, but it but we had to have

Arden Benner 55:06
words over there. But because you know you messed up

Scott Benner 55:09
I mean, I but I did send it if you were eating at home the sentence out it would have been enough if you're eating at home. But it down there it just didn't work out. Yeah, fat ass don't think it's gonna be okay. This time you real? So I guess my real question is do you really think you're gonna cook for yourself?

Arden Benner 55:27
I mean, how are you? Sure hope so. But who knows? It's all in God's hands. Is it? not religious, but this is in God's hands.

Scott Benner 55:39
So you're gonna have to have meals, like food for meals on hand. And at the same time, you might have to supplement it with some of the school's offerings here or there.

Arden Benner 55:49
I don't know what you just said. But I'll just make myself okay. I'm sure I'll figure it out. Maybe I'll go ahead and nice rice bowl, rice bowl. Mom says to me, she goes, we need to get you a steamer. And I was like that. Okay, calm down. I mean, I'm going to college not culinary school.

Scott Benner 56:11
Steam. Are you think of culinary? I think it's just, I mean, just the nice rice steamer.

Arden Benner 56:15
I mean, that seems nice. But it seems like it's over $55 so little too much.

Scott Benner 56:19
You're saying? Yeah. Well, if we sold some of your clothing.

Arden Benner 56:23
I'd rather never ever.

Scott Benner 56:26
I don't think mom's wrong. I think we could get a nice little rice maker be a good idea.

Arden Benner 56:29
I mean, sure. All right. It was gonna be a toaster. Yeah, you need toaster? Actually, I don't know. I don't I feel like jewels, man. I got a toaster. See how quickly I'm come up with these names? Again,

Scott Benner 56:38
I'm fascinated that you were able to give them fake names and use them correctly in these sentences. Yeah, I'm holding on tight,

Arden Benner 56:45
smart people were because that was me and Elon Musk. And Mark Zuckerberg and Bill Gates. Yeah. And Albert Einstein, you'd be able to do and we're in a room together. It's

Unknown Speaker 56:54
crazy. That's how you do it.

Arden Benner 56:57
circle, a circle. And we just talk and part of the devil about all of it. No, no, no, no, no, no, no.

Scott Benner 57:04
Oh my gosh. Do you recognize how much of your insulin management is handled by an algorithm? Like, do you know that if you weren't running an algorithm, you'd be doing a lot more intensive work with your blood sugar? I mean, yeah, I lived with that one for a while. Yeah. So you, you do see the difference? Do you realize

Arden Benner 57:27
that I've had diabetes longer than you think? Not longer than I think you got it when you were two. I know that. But I'm saying at 17. I understood how it worked prior to this.

Scott Benner 57:37
What can I say something like heartfelt to you. I thought you did a really terrific job while you were there. I know. But I'm telling you now he's seen it. So the fans so other people can hear it. I was really pleased your agency crept up a tiny bit. But it was very respectable. And you were doing an amazing job. And I actually think it's going to come back down now. Because it's back down. Now that you're home. I know you don't know that. But

Arden Benner 58:02
it is. I mean, hope it's doing well. Yeah. You just you don't know, though, right? Send it a greeting card. Yeah, I don't know.

Scott Benner 58:11
How did you like dislike etc? What did you think of moving from a pediatric endocrinologist to an adult there? chronologist.

Arden Benner 58:21
If you didn't just say that to me, and I have no idea that happened. Remember, I have no recollection of this happening. And now I do. I understand. Because I said it. Yeah. But um, yeah, well. I mean, but this is prescriptions. Yeah. Yeah. Yeah. Awesome.

Scott Benner 58:42
But that's another lucky thing. That you I don't know how aware you are of it. Like a lot of people have trouble when they moved to an adult Endo. And you were able to go to Addy because, you know, she helps with

Arden Benner 58:53
others. They like people who think they know everything or something.

Scott Benner 58:56
There are a lot of bad adult endocrinologist.

Arden Benner 58:59
This is what you do. If you have one, they start talking you go wrong.

Scott Benner 59:03
But what if you're wrong? What if you're the person and you don't know? And they're giving you bad information? You have no idea? They drive your blood sugar's

Arden Benner 59:12
you listen to the Juicebox Podcast. That's right. You listen. You're welcome. Thank you give me a cut of this episode.

Scott Benner 59:21
A cut of the episode. Is that how you think of the episodes? It's just pieces of money? Yes, I don't think of it that way.

Arden Benner 59:27
All right. Well, i

Scott Benner 59:31
i But anyway, I mean, that was very smooth, but we were lucky because we had a really great doctor and she was very cool. She you know, she doesn't even manage type ones. She did this because she knew you already. Yes, I'm aware very nice of her actually. And how much nicer is that going to her and you sit in a nice chair and you chat and she's actually listening to you and they don't rush you out and all that stuff. And I find it

Arden Benner 59:56
really fun. They put a pad of paper and a pen next to you for notes. Right. She has a therapy but you don't actually talk about your feelings. Never been therapy. Can you imagine if after this is over like none like nothing I said picked up.

Scott Benner 1:00:14
I've done that twice so far recorded an episode and nothing did you bang

Arden Benner 1:00:19
your head against the wall.

Scott Benner 1:00:20
It's really infuriating. I also did one where 20 minutes into the conversation, I realized it wasn't recording. And I had to say to the person, stop, stop, stop, stop. Oh my god, I'm so sorry. And we just started over again. And that's weird, because then you have a 20 minute conversation after having a 20 minute conversation and you're trying to rebuild it, but it doesn't come out exactly the same. So it's confusing. And then once you get past the stuff that you talked about, then it starts to flow better. It's interesting how it works, but one time it was a famous person. Victor Garber, I did not

Arden Benner 1:00:58
only famous person I know it's been on this podcast, other than harbor from Wizards of Waverly Place, right, so we're tight. So yeah, yeah, I see you're on the TV a lot.

Scott Benner 1:01:09
Also, a couple of big like baseball players have been on here. Alright, dollar has been on a couple

Arden Benner 1:01:15
of times. Baby Daddy thing baby daddy guy.

Scott Benner 1:01:19
Chris Freeman's been on a bunch of Olympic athletes very cool. I Oh, no. Wait, I did the shoot. I really liked this girl and I just forgot her name. And now I feel bad.

Speaker 2 1:01:29
What was she when she did Charlotte? What? They that was really broad Charlotte

Scott Benner 1:01:35
jewelry. I don't know who that is. You know her girlfriend is. Remember I did the interview. And then I was like, hey, her after we got done talking her girlfriend came and said hi. And I was like, and I showed you a picture and she you were like, Oh my God. That's the girl from the Olympics that gymnast? You don't remember this?

Arden Benner 1:01:53
I'm sure if I saw another. I didn't remember. Okay, wait, no, it's actually a lot funnier. I didn't. So we scheduled a little insight on my life. I went to the OBGYN while I was home this summer. And we scheduled an appointment for me and my mom did it on the phone because she was also scheduling herself. One. She was just into her number. What is it two birds one stone?

Speaker 1 1:02:16
I thought you're gonna say two holes with one stone? Yeah,

Arden Benner 1:02:21
I mean, that's it. But um, so she's scheduling an appointment, and she keeps telling me that this doctor's name is um, she tells me the doctor's name. And then she was I don't remember. And then I was like, Who is this? Like, doctor? I'm trying to remember her. And she's like, the Indian woman. And I'm like, no way that woman was Indian. I'm like thinking about it. I'm like, she was no way like, I'm really missing something. So it turns out, we actually switched OB GYN like four years ago. And you didn't remember. This woman did surgery on me. I had no recollection. I was thinking of the woman from like, years ago.

Scott Benner 1:03:02
The with a curly kind of Yeah, yeah. No, that is not the number of

Arden Benner 1:03:07
officers a photo of her family in there. Yeah, I could see it in my head. And I was like, no way that woman is Indian. That woman

Scott Benner 1:03:13
is not Indian. She's like Jewish. I think she is for sure.

Arden Benner 1:03:17
Yeah. And I was like, I'm like thinking about it. And I'm like, Am I like really off on something here? Like, do I need to like study

Scott Benner 1:03:23
when you saw I almost Saturday, but when you saw or did you think oh, I know. This lady did that.

Arden Benner 1:03:31
She was in the room. I went oh, but I was also half naked. So I didn't say that. I was like, I know who you are. So I don't I that's. I mean, doctors. They're great. They do a lot and they go to school for a while. But I am not going to remember.

Scott Benner 1:03:47
How did you enjoy your first OB appointment?

Arden Benner 1:03:51
It wasn't fun. I don't recommend it.

Scott Benner 1:03:55
Was it upsetting? Was it unnerving to go to the for the first time?

Arden Benner 1:04:01
Oh, no, you just take your pants off. And you sit there and she goes scoot scoot because you're asked is never allowed enough on the seat. Skirt skirt. She says at least 10 times. And then you finally scoot to the right spot. And then what we'll do you know, some random woman's fingers are in your vagina.

Scott Benner 1:04:20
stuff at random.

Arden Benner 1:04:21
I mean, we don't know each other like that. Right? So yeah.

Scott Benner 1:04:24
Can you tell the story about the about the Oh, the tick tock tick tock aquarium thing.

Arden Benner 1:04:32
So I was on tick tock math and I'm on a lot or anything but I was just you know, stumbled across it one day. And this video came up of a woman and she was like, What is the worst like ad you've ever seen or whatever that like, I don't know, any ad you've ever seen. That's like just kind of terrible. And this woman was saying I'm sure all these people have seen this video because it went viral. But she was saying how there was a billboard put up in her town because an aquarium was coming up So I don't know if anyone has ever been to aquarium but sometimes they do like the little shark tanks with like the small sharks and you do the two finger touch where like you put your to like what is your middle finger in your in your was a pointer pointer finger in the middle and then you put that out and yeah and you just to finger touch the fill your

Scott Benner 1:05:18
thumb in Yeah, like this. You're making a little gun. Yeah, right.

Arden Benner 1:05:22
Well, other things too. And you just to finger touch the fish, very lightly slimy little fish, and whatever. That's it, but the billboard was just showing you that how to do the two finger touch. And it said, Guess what's coming? And we all guessed no one just the sharks. I

Scott Benner 1:05:44
think it's hilarious because it's, it's literally a full size hybrid is so big with this lady's hand. With the two fingers up, it takes up a third

Arden Benner 1:05:55
and then under it was like the aquariums name. And it said something like, let's get wet.

Unknown Speaker 1:06:00
Yes, yeah. It's got to be fake. Don't you think?

Arden Benner 1:06:04
Either someone's a genius or someone is actually an idiot. But either way, genius marketing. Last two weeks ago,

Scott Benner 1:06:11
we've been basically like, saying just what's gone? What's coming and making the two finger thing in the house. Oh, tick tock. It's not just China taking over. It's actually fun.

Arden Benner 1:06:25
Yeah, I love the tick tock. You know, what I love is that after we're done with this, I'm so prepared to eat something. Yeah, get ready for but I don't know what I want.

Scott Benner 1:06:35
This is a bit of problem since you were a child. You deciding what to eat? I don't crave food. It's one of the most annoying parts about you?

Arden Benner 1:06:45
Oh, well. Okay, well, we're gonna start naming all those. I have a couple. Um, let's see, where should we start with you?

Scott Benner 1:06:52
I mean, I don't know where you would even begin. I know where I'd begin. I think being serious. When you so it's really sad when you leave. Like it's it's incredibly that felt so fast. I know. We really should have seen his face when he called. Don't lie to them. It's and Cole has been gone for like nine months now. He's coming back. And yeah, we're all fine here. And you're in at that. It's really sad. And then you're leaving. It's sad. But there's like this little part of my brain that's like, Oh, God, you won't have to do her laundry anymore.

Arden Benner 1:07:23
Like, my laundry is a terrible thing to do. Because I do it now. Not when I'm home because obviously it like turned into a little princess when I'm home. And I just feel like ah, and mild me Jews do my laundry when I need you to feed me and rub me and do my laundry. But also leave me alone. But no, because you know, I have to do my laundry for like nine months of the year too. And it is vicious. I like because there's a lot of stuff. I have to like hang to dry. My whole dorm is like full of my clothes hanging everywhere. And everyone is not like happy with it. But I'm like, hey, just give me 24 hours. Sorry. But now I'll have like a bigger space. So maybe I won't get yelled at it is

Scott Benner 1:08:10
it's the only thing I'm excited about you leaving. That's nice. Because when you were gone, and Cole wasn't here, like mom and I were keeping up with our laundry and putting it away. And it was really like I was like, Oh my God.

Arden Benner 1:08:20
What if it's not that bad? And you're just getting old? Well,

Scott Benner 1:08:22
that's possible too. Because I move slower. You know, I have to wear shoes. When I fold the laundry. I can't stand barefoot. It hurts my heels.

Arden Benner 1:08:29
Actually, that happens to me too. Yeah, but I think oh, no, actually, sometimes wearing shoes hurts my feet more than not wearing shoes.

Scott Benner 1:08:36
I have to wear those ugly slides that you don't like that. I have. Yeah, my bird Crusher slides that are really comfortable by the way. So other ideas before we wrap up? We've talked about doing a we should do a new girl podcast, because the actors are doing it but it's not good. We could do a better job.

Arden Benner 1:08:57
Why would you what if we meet them one day and now they've heard this?

Scott Benner 1:09:00
Well, if they hear this, I want you to know I want to like your podcast but it's just not good. I can't listen to it. And I want to I've never

Arden Benner 1:09:10
I've never listened actually if we're talking about this I want to know as though additional is married, man. Why do you think the builder guy the home renovator was the twin? What makes you wonder about it? It makes me wonder like I mean, she's Zoe Dacian out like maybe she loves him. Oh, well. You could love I mean, I don't think that people have one true love. Okay, so she could find a person. I don't know something about him is off. I definitely know he's committed a weird crime.

Scott Benner 1:09:41
Wait, you can't say that on here. We don't definitely know that he's committed a crime. Oh,

Arden Benner 1:09:45
I we're gonna have to cut that out. Do we know that for sure. No, I don't know that. The look in his eyes.

Scott Benner 1:09:50
So hold on one second. So you're saying By the look in his eyes. You assume he's committed a crime? Yeah, well, yes, that's it. You don't know that he had

Arden Benner 1:09:58
no, no knowledge You should just cut this out for legal purposes.

Scott Benner 1:10:02
I don't know. I think we've cleared it up. Now you're saying that he gives you a crime II vibe.

Arden Benner 1:10:06
A lot of people do and he is one of them. Okay. Well, I mean, to be fair, she could be a sidekick. Like, I could see her doing something like a little devious.

Scott Benner 1:10:16
I mean, what are we talking about the level of like stealing a person or robbing a bank or

Arden Benner 1:10:21
I don't know what it is, but they've done something

Scott Benner 1:10:24
illicit? I don't like to talk about it, but I'm not happy with her plastic surgery.

Arden Benner 1:10:28
What about the golf boys? Cece, though?

Scott Benner 1:10:31
She's still very pretty.

Arden Benner 1:10:32
I wish good things for her. Yes, I do, too. Does Winston do it was them?

Scott Benner 1:10:37
Yeah. Yeah. He's on that podcast, though. It's the three of them. I don't know. It meanders. I apologize. I know I make them just probably people listen to my podcast and think I meander so whatever. But I wanted to like it. I didn't like it. But I never listened. But a rewatch podcasts. I don't like podcasts. A rewatch podcast for new girl would be genius. Like a really good one.

Arden Benner 1:11:02
They did that for One Tree Hill. And by the way, people love it. The three girls they do it. It's called trauma.

Scott Benner 1:11:08
Also, I want to point out that the new girl podcast with those three people is very popular. Yes, I'm not I'm apparently

Arden Benner 1:11:16
so we had this whole conversation because you didn't like I didn't enjoy it. Yes. Who didn't you enjoy on it?

Scott Benner 1:11:21
I don't know. I don't like I don't have a lot of big voice talking. You know what I mean by that she's

Arden Benner 1:11:30
acting while talking.

Scott Benner 1:11:33
Like, if I don't I don't want to be I love new girls so much. And I those people, I am such a fan of that show. I'm not speaking poorly about anybody. But it feels like a bunch of high school cheerleaders know that they're being recorded. And they talk in big voices and they're happy and like, I don't know, I don't it doesn't seem completely real to me.

Arden Benner 1:11:55
Yeah, I don't have a voice to you. You have a you put on a voice when you do a podcast you think I put on a voice you're 100% Put on voice when you do the voice Am I putting on? Like it's like, oh,

Scott Benner 1:12:08
the opens and the closes?

Arden Benner 1:12:10
And the all the way? throughs I don't talk you don't think this is how I talk. This is not how you talk. How do I talk? You don't talk like this? How do I speak? He's a bunch more charismatic with a certain

Scott Benner 1:12:22
word. I'm more charismatic here. That's word that makes sense.

Arden Benner 1:12:25
Um, yeah, but like, Okay, actually, this is a good story. If

Scott Benner 1:12:30
I was like this downstairs, you'd be like, you're not making the podcast right now. Yeah. Okay.

Arden Benner 1:12:34
So anyways, let me tell my story. Just go ahead. Tell your Are you leaving? No, I'm

Scott Benner 1:12:40
just sitting. Okay.

Arden Benner 1:12:41
Um, me and my mother always say how? I'll ask him a question. Like when I finally do ask him a diabetes related question. He will like explain it like, like that. Like, that's, that's what I hear. And then, and then five seconds later, he gets a phone call from someone who's like, needs help with something. And he's like, Oh, yes. Let me tell you step one is to do this. Step two, he's like, written manual about it. And I asked him a question. He's like, Oh, you should know the answer. I don't think you should. 100% you do that to me in mind. So you guys actually, you all say to me like, You're so lucky. Your dad is this guy. No, no, no, no, he does not. He does not treat me the way he treats you lovely people.

Scott Benner 1:13:30
I am definitely nicer to the people that come on the blog. I

Arden Benner 1:13:32
know. I know. I know.

Scott Benner 1:13:37
I was just gonna I didn't know you were gonna tell a story. But I was just gonna tell you that so far the best television show rewatch podcast that I've ever heard. Is West Wing Weekly. I'm sure it is because I'm looking at a poster right now. Well, it's done really well. So anyway, that's neither here nor there.

Arden Benner 1:13:53
See, I can only watch the West Wing because what's his name is attractive. Martin Sheen. No. The attractive one. And not the one you're thinking about Rob Lowe? No. I actually don't find him that attractive. Richard Schiff. Now what? Come on, come

Scott Benner 1:14:09
on Bradley Whitford. Yes. Okay. Yeah, he's great now. Yes, I've

Arden Benner 1:14:13
seen him recently. And he was on that show where he like, I don't like was like that for five seconds at heart.

Scott Benner 1:14:19
Oh, he was he got a nice little NBC sitcom.

Arden Benner 1:14:22
Didn't last Yeah, he's also the dad and Sisterhood of the Traveling Pants. He's in that horribly

Scott Benner 1:14:27
depressing show that lady's like

Arden Benner 1:14:30
Handmaid's Tale. All right. And it seemed like a bad guy in it. I didn't watch Handmaid's Tale, so I don't but, uh, he unpopular opinion he's more attractive than Rob Lowe than Rob Lowe. Yes. Interesting. unpopular opinion. Michelle is more attractive than Schmidt.

Scott Benner 1:14:48
You think? Yes. Okay. We talked about this all the time, about the actors for that show.

Arden Benner 1:14:55
Yeah. Also, I just want to put it out there that there are different types of attractiveness in The World Go ahead. And a lot of people are medium ugly. But no, there's no flat who's medium. Jake Johnson is medium ugly,

Scott Benner 1:15:11
but he's more attractive. But in the more handsome guy, more classically handsome guy.

Arden Benner 1:15:15
I'm sure if he wasn't on a television show, he wouldn't be like, I'm sure I'd see him on the street. And I'd be like, Oh, wow, okay. Yeah, keep walking. I'm sure he'd say the same thing, by the way. But it's like the people who are like, they're like, not ugly, but they're not super attractive. But something about them or their personality is attractive. So you find them more attractive. Like I would say that people probably think Tom Holland is medium ugly. I find him very attractive. The people probably think he's medium ugly. Okay. Joe Curie from Stranger Things medium ugly, but I find him attractive. Who's Timothy? Shalini medium ugly. Don't find him attractive.

Scott Benner 1:15:53
Okay. What about that kid who went crazy? And they let him be in a superhero movie and then he went nuts.

Arden Benner 1:15:59
Is he a transfer? Miller? Yes. I don't find him attractive. Okay. So, actually, nevermind.

Scott Benner 1:16:06
Who's the most attractive, famous person for you?

Arden Benner 1:16:09
Though? That's very difficult. I'll just name all them. Okay. Tom Holland, Andrew Garfield, Chad, Michael Murray, Jesse Williams. I mean, let's just Grey's Anatomy tasks. Like I mean, Mark Sloan and Derek Shepherd gotten them all but Jesse Williams top of the list. James Lafferty along with along with Chad Michael Murray. Help me dad. Who else? Oh, Chris Evans. Chris Hemsworth.

Scott Benner 1:16:37
These are very attractive men.

Arden Benner 1:16:39
These are incredibly attractive. Who you don't find attractive when O'Brien very attractive. Okay,

Scott Benner 1:16:45
and there's two guys you don't think are attractive that everybody thinks are attractive. Or they're go ahead made fun of me about one of them the other night?

Arden Benner 1:16:54
George Clooney George Clooney. I don't think George Clooney. Also he's a lot older than me. Right?

Scott Benner 1:16:59
But what if you look at a younger photo of him? No. Oh, Leonardo DiCaprio. Yeah,

Arden Benner 1:17:03
don't find him attractive at all. Never have even young Leo. Everyone's like, ooh, young Leo. I'm like oh,

Scott Benner 1:17:10
but you don't think Brad Pitt's attractive either?

Arden Benner 1:17:12
I don't think he's ugly. But given the chance. No, thanks.

Scott Benner 1:17:16
Interesting. Who's more attractive? The airplane boy?

Arden Benner 1:17:21
Miles taller Miles Teller or bro? He's medium ugly.

Scott Benner 1:17:24
He's medium ugly.

Arden Benner 1:17:25
Yeah. Or who?

Scott Benner 1:17:26
Brad Pitt are miles taller.

Arden Benner 1:17:27
If you have to take one. I'm gonna take my on Stellar. Okay.

Scott Benner 1:17:30
Is there a world where George Clooney beats anybody?

Arden Benner 1:17:33
No. Oh, sure. Yeah. Oh, you know who else I find attractive. Adam Brody do know who that is. Yes. Yeah. Big kind of. Oh, another on Adam Brody pen Bagley Badgley if you know ever, you know I'm talking about and Nate Archibald character Chase crop chance Crawford. He's a what's his name? And he's the deep.

Scott Benner 1:17:56
The deep. Yeah. Oh, on that, boys. Yeah.

Arden Benner 1:17:59
That's how you would know how Yes, but he was in gosl grow when he was like in his 20s.

Scott Benner 1:18:04
Do you think you'd find guys attractive? Who when you were like 14 1516 you saw on television? No, that's not it? No. Okay. Because there's a lot of One Tree Hill people in here. And I don't know how many people even know who those people are.

Arden Benner 1:18:18
Oh, Dad. The whole world knows. Thanks. So yes, I don't think so. If it

Scott Benner 1:18:22
wasn't for you, I wouldn't know that One Tree Hill exists. Yes, you would know what the closest I would know is that the guy from Walking Dead's wife was in One Tree Hill.

Arden Benner 1:18:31
Jeffrey, Dean Morgan and Halliburton. Please use their names there. But okay, yeah, it's okay.

Scott Benner 1:18:38
So you know, when you come home, and mom says, Did you miss me and you say I missed my room. You break her heart when you say that, right?

Arden Benner 1:18:44
No. First things first. I did miss my room. Second. I have okay. I have this thing. When I'm gone. I don't like I'm not sitting there thinking and not in a bad way. But I'm not sitting there like, Oh, I miss my mom. I miss my dad. I miss my brother. I just miss the essence of being home. Okay, I'm not the type of person who's like longing for someone else's like company. Because I'm very much fine. Just like being alone. Like I don't I really don't need to be with another person. Am

Scott Benner 1:19:19
I the only sentimental person in our family?

Arden Benner 1:19:22
I'm very sentimental guy. Go ahead, but

Scott Benner 1:19:26
you can get your nose. It's fine.

Arden Benner 1:19:27
I mean, I know it's a free conjuring

Scott Benner 1:19:31
just I just burped. You didn't have to say it because Rob would have cut it out. But now people know it's there. So he has to leave it because Rob

Arden Benner 1:19:38
I was Rob long. Oh, my suppose is Rob.

Scott Benner 1:19:43
You're so close. But I don't think we I don't think Rob Rob. Rob wrong. Yeah, Rob. Take your name out if you don't want it. So yeah, yeah, sorry, my bad he's doing the edit. I

Arden Benner 1:19:54
always see your text messages. Always in my car. I get. I mean, I don't do a textbook. I'm there. And then he's like texting you back and I'm like, drive the car and he's like, Ah, well, this matter is really great. And I'm like, Alright, come on, come on, we gotta go to dinner.

Scott Benner 1:20:11
Well, while we're on Rob, let's push his daughter and his wife while they got COVID. They were laid off for a little bit, so we hope they're feeling better. Guess where we're at, though? Oh, about the sentimental thing you said your sentimental, sentimental

Arden Benner 1:20:24
house. So, you know, quietly. Yeah. I don't like to express my feelings. You know that. It's very obvious. Yeah. I'm very much close off

Scott Benner 1:20:35
but you in Kohler like Mom, in that regard? Yeah. But you have my sense of humor. I have my sense of humor. You and I share a similar sense of humor. I mean,

Arden Benner 1:20:47
funny. Um, like to other people in our family.

Scott Benner 1:20:51
The other two are not funny. No, no, they are to some people. Like I'm always like, when close girlfriends like he's so funny. I always think

Arden Benner 1:20:58
oh my god, I think Is she okay. I think that she's been held at gunpoint.

Scott Benner 1:21:03
We just have two very different kinds of funny, like, like, ideas of it. But when we all went together to see John Mulaney,

Arden Benner 1:21:10
we will because he's all the Froot Loops story. And that was hilarious.

Scott Benner 1:21:14
But all of us were thought it was hilarious.

Arden Benner 1:21:16
That no, you know what, there were parts of it. I was like, Ha ha funny. When he told the Froot Loops story at the end. I was like, That is hilarious. What was it like he was super high. And they called him to do like a interview and he drops the drops the spoon. He goes, I'm sorry. I'm eating Froot Loops.

Scott Benner 1:21:34
He went back later and read the interview. And it was like, Oh my God, it was like,

Arden Benner 1:21:37
it was like spoon HITS FLOOR.

Scott Benner 1:21:42
He's that's in this special is that in this specialty? They keep it in, in the Netflix. Did

Arden Benner 1:21:46
you watch it didn't watch. I mean, I saw it and watch it. Okay, so

Scott Benner 1:21:49
anyway, it's good. We saw that live with what, uh, what is his Netflix special now? Which I don't have any above but it was very funny. Okay, so you're sentimental, but you're not overly expressive with your feelings? Not

Unknown Speaker 1:22:00
at all. Okay.

Scott Benner 1:22:02
Do you think that's changing? As you get older?

Arden Benner 1:22:03
No, I actually think that I'm more reserved as I get older.

Scott Benner 1:22:07
Does it bother you? Are you comfortable with it?

Arden Benner 1:22:10
I feel like I should be a little bit more able to talk about my feelings. But that doesn't seem like a podcast episode.

Scott Benner 1:22:17
It's something you're gonna work on your no personal? No, I'm good. Do you want to help? We'll have to talk about it now.

Arden Benner 1:22:24
Like, give me like better help.

Scott Benner 1:22:27
Better help.com forward slash juice box, get 10% off your first month, when you use my link. I have to say of all this. So I have I'm looking at the list of advertisers, I have a big word did that for you. I was gonna give you credit. I'll say this big whiteboard in here that I keep a ton of information on about the podcasts, it kind of helps my brain I walk past every day. And I look at it. And it keeps me focused on like, you know, like, we just crossed off the MythBusters series that I did with Jenny and Jenny and I are going to do Grand Rounds next. And it keeps me all like really kind of focused tells me to pay my taxes. Learn how to backup servers better, like all the weird stuff I do here. But I have a list of advertisers. They're pretty thoughtfully curated. Like I didn't just say yes to everybody, some of these advertisers, I went out and got myself because I knew they'd be good for the podcast, people listening, I knew we use the stuff. So I was comfortable with it. Better help is online therapy. And I thought this is like, I think this might actually be good for people and help them. So I went on to the Facebook group and I said, Should I take advertising from BetterHelp? Would you guys use it? overwhelming amount of people are like, Oh my god, I guess I need to do that. I absolutely would. So I take the advertiser, get the whole thing set up. I sit through their trainings, and I learned how to talk about it. So I don't get in trouble with their lawyers and all this stuff. And then I put it out there. And like six people use it. And I was like, wearing all the people who said they wanted this. So I called the company. I'm like, I feel like I'm failing you and they're like, No, we're doing you're doing fine. I'm like, This is not fine. What are you talking about? They said it's really hard to get people to start going to therapy. And I was like, really? And she said yeah, that's not a thing people want to do. I was like, oh, okay, so anyway betterhelp.com forward slash juicebox save 10% off your first month of therapy when you use my link. Is that the voice that we're talking about?

Speaker 2 1:24:19
Yeah, while we're here, I really need to crack my back up to crack you up.

Speaker 1 1:24:24
Should we do it while people are like I just need to crack Oh, we should do while people are listening.

Arden Benner 1:24:28
Well I need to cut my back right now.

Scott Benner 1:24:29
Okay, hold on. Can we get come over to my microphone? No, I

Arden Benner 1:24:32
need to do it in the chair. Okay,

Scott Benner 1:24:33
everybody because it makes sense.

Arden Benner 1:24:38
I don't actually don't even know if I need to crack that was like nothing

Scott Benner 1:24:45
was their neck. People like hearing people cracking toes

Arden Benner 1:24:57
I don't know. I'm just like really sore. How was more activity I did today?

Scott Benner 1:25:03
Meaning going and sitting next to another school. It was. Well, you're not doing your thing right now.

Arden Benner 1:25:11
Here we go. You're not this is my day, every single day I wake up, and he's like, Oh, see you didn't take your bills last night. Yeah, I was asleep. I supposed to take them on asleep

Scott Benner 1:25:25
or awake during the day? No. Yes. Well, I just love you. And I'm worried about you. majeeda, that?

Arden Benner 1:25:34
sip of my drink?

Scott Benner 1:25:35
So the next time we do this, it'll be like, what, three months from now? No, here when you come back next time, this is how we do it. Oh, yeah.

Arden Benner 1:25:44
I'm gonna do it again next year.

Scott Benner 1:25:46
It'll be next year when we do it. It'll be January No. A year from today? No, we need to do it sooner that you have to have the most popular episodes of the podcast.

Arden Benner 1:25:56
Yes. Quarterback.

Scott Benner 1:26:00
But when that mean, you should come on more often?

Arden Benner 1:26:02
Well for you. But personally, I'm good. I don't need my stats to go

Scott Benner 1:26:08
down. Or you just want to leave them wanting more?

Arden Benner 1:26:11
Yeah. What if your listeners are getting less funny? And then all of a sudden, they don't want to listen to this anymore?

Scott Benner 1:26:16
Do you have any questions for me?

Arden Benner 1:26:18
No, not at all. No. No, I have a question. That's not related to diabetes. That's fine. So I had this idea or this thought, would you note no consequences, you're not going to be hurt in the long run. But you can get shot. You can get shot once and experience what it's like to get shot. You're gonna be fine. After no long term, like problems, you're gonna recover completely fine. Like everything is gonna be fine. But you can experience getting shot.

Scott Benner 1:26:49
Is the question if I could experience being shot, but know that I would have no long term deficits from it. Would I do that? Yes, the answer is 100%. No, I think I would. Well, you're still gonna get shot is scenario. But

Arden Benner 1:27:05
you know, I want to, I want to just experience it seems cool. No, what if someone's like, and if you're gonna experience no long term problems, I keep the bullet, but you're still gonna have pain? No, no, no, you'll be good.

Scott Benner 1:27:21
No, wait when you get shot?

Unknown Speaker 1:27:25
Yeah, no hurt. But

Scott Benner 1:27:27
I mean, I don't think that's I don't need that. No,

Arden Benner 1:27:30
I mean, I don't need it. I also also, I don't actually want it. But if I could experience it, what would that bring? Good story. You only live once.

Scott Benner 1:27:42
You could go to? I don't know. I don't need that story. I see that I see the the idea desire, I understand the question and the whole thing, but I am not interested in that.

Arden Benner 1:27:52
Like, if there's one thing you could do no consequences, but it's like not really that great. Would you do it? Like what is it? Yeah, what is it?

Scott Benner 1:28:02
I mean, the thing just popped into my head. And I have it's funny. It's not a thing that I can I don't think about this at all. Like meaning like, it's not a thing I wonder about or anything like that. But if you told me I could flat out do anything, and I wouldn't have any weird consequences from it. I might try heroin.

Arden Benner 1:28:22
Okay. I don't know what I would do. I don't think get shot would be number one. Um,

Scott Benner 1:28:31
do you think a lot of people are thinking gay sex right now?

Arden Benner 1:28:34
No, actually didn't think that. No, because? Not about you. I

Scott Benner 1:28:37
mean, do you think they're in their car right now gone? I get along with a lady once if I knew nobody. Like, I would try that.

Arden Benner 1:28:44
I mean, I think people would do that. Like, all right, no problem. I have a killer person. You could offer me some money. And I sleep with a woman.

Scott Benner 1:28:52
What about like, kill the person? Like they weren't dead when it was over. But you got to have the whole

Arden Benner 1:28:56
and then they just come back to life? I do that. But how would you tell someone? I have no idea. I'd poison them. Really? Yes.

Scott Benner 1:29:07
How did you come up with that so

Speaker 1 1:29:08
quickly? It's like not messy. Oh, and you wouldn't have to touch them? Yeah,

Scott Benner 1:29:13
I don't think I could touch a person.

Arden Benner 1:29:14
Now when you kill them. Do you call the cops? Or do you take care of the body? I call the cops.

Scott Benner 1:29:19
Why are you getting away? They're gonna stand back up. This is a magical situation. They'll be fine.

Arden Benner 1:29:23
Oh, yes. Right. I forgot that that happens. Now if they're not going to come back to life.

Scott Benner 1:29:28
I call the cops on yourself. Yes. Why?

Arden Benner 1:29:31
I plan it out so that I cannot be caught. Like I would really plan this out. I call the cops because I'd be like, Oh my God, I don't know what happened to them.

Scott Benner 1:29:39
I think that's a mistake. And every TV show when you're too involved, they know it's you. Just like when a woman disappears, it is most often their husband.

Unknown Speaker 1:29:47
It kills them. Well, yeah.

Scott Benner 1:29:51
So you don't want to be too involved in it. I don't know i So

Arden Benner 1:29:55
what if I do this? What if I like there's a third party and I set them up? To be the one to actually hand on the poison.

Scott Benner 1:30:03
I don't know. I wouldn't want to be involved in this. I also this is not a thing I would actually do.

Arden Benner 1:30:07
Yeah, I'm not planning on doing it. But I know this is like I think about this like when I played the game like clue, because you gotta like someone died with the candlestick. Yeah, it's always the candle. So everybody thinks that in the boardroom, and it's always a mustard, mustard. Those are actually the only three things I remember from that game. So that's why I said it. So I

Scott Benner 1:30:28
as I'm trying to imagine, I don't think I could put my hands on somebody and hurt them. I'd have to do it from a desk.

Arden Benner 1:30:33
I don't Yeah, I don't think I could do it either. I

Scott Benner 1:30:34
also don't think I could point it. I've never held a gun. So I don't know that I could point a gun at somebody either. I definitely couldn't stab somebody. I couldn't choke them.

Arden Benner 1:30:45
In the heat of a moment or

Scott Benner 1:30:46
moments. I thought I could choke mom.

Arden Benner 1:30:51
In the heat of the moment, all right.

Scott Benner 1:30:52
I guess you're making a point. If I got upset I could probably

Arden Benner 1:30:57
I don't think I could hurt someone like because I have like a vicious. I could hurt someone out of protecting me. Here's

Scott Benner 1:31:03
a question. You know, in the movies, when someone's being attacked, and they can't get away, and they're losing, and eventually they go to sticking their thumb in their

Arden Benner 1:31:12
eyes. No, I don't think I could do it. I'd be like,

Scott Benner 1:31:14
save your life.

Arden Benner 1:31:16
I don't know what I just got my nails done.

Scott Benner 1:31:19
I every time I see that, I think well, that's game over right there. If that happens,

Arden Benner 1:31:23
I want to learn the pressure point that you put like touch someone to make them.

Scott Benner 1:31:27
Finally try right now. We'll look it up. I'll try to make it if I'm just out.

Arden Benner 1:31:32
Can you still make me food for when I wake up? Yeah, sure. We'll make sure you have it. I need a shower.

Scott Benner 1:31:39
And I said do you know it's not? I know, podcasts I was listening to recently one of the hosts got another host chloroform as a gift. Like that stuff you put on your face and

Arden Benner 1:31:54
pass out from Oh, yeah. Would you do that? Would you try?

Scott Benner 1:31:57
So if Okay, so if you told me I definitely would be okay. I have to tell you that I've been I've just done bed. I've been put out with the Jackson juice a couple of times for some small surgeries. And it's amazing. So I guess maybe, but like they're talking to you. They're like, yeah, so we're gonna do the surgery, and then blah, blah, blah, blah, blah. And then you just open your eyes. And you're in the you're out in the other room. It's It's amazing. It's very restful.

Arden Benner 1:32:26
I don't disagree. No, I

Scott Benner 1:32:27
felt restful afterwards.

Arden Benner 1:32:28
I don't feel restful. After was I feel like I need to take a shower.

Scott Benner 1:32:32
You do feel a little dirty after? Yeah. So let's finish up here. I have a couple of college questions for you. Did, did you get offered drugs?

Arden Benner 1:32:45
So I get offered drugs? Yeah,

Scott Benner 1:32:49
like hard drugs? No. What about the one boy? It was like his date. It was his dating pitch. Remember the kid who wanted to? Oh, yes,

Arden Benner 1:32:58
I did get offered drugs. You're so right. Yes, I was coming back from class. So I was in class and this kid next to me to ask me all these questions. And then he asked me if I could. I had like, I had a like an article or whatever. And he was like, Hey, could you touch that to me? And I was like, Yeah, sure. So I texted him the article. This was a plant. I don't think she wanted the article was hitting on you. He was 100%. I mean, I figured this out after I realized she didn't want article, because then he tried to swim. He said, so when we when you're going to ask me to dinner, that's what he said. And I, I was literally sitting next to him in class. And I turned the phone to him. And I was like, huh, because if you know me, I'm not putting up with that. So he like tried to talk to me after class and I kind of put my I'd like to put my headphones in and walk home. And so I did such a thing. And he came up behind me and sweet kid, like no bad intentions. But then I was like, it's fine. Like, I'll just walk home with this kid from class. It's like a 15 minute walk. It's not a big deal. And we're talking and then he starts telling me about all these drugs. He does. And I'm like, Oh, it

Scott Benner 1:33:59
was the sales pitch. Right? I don't think so. It didn't just tell you how to like get a brown bag. No, no, you just made a story. I don't know. I felt like he was like, Hey, I've got drugs. You should go out with me.

Arden Benner 1:34:09
No. Well, he was just telling me about the drugs. He does. Okay. I was like, Well, that's very nice. But nothing. But I never never offered them to me. He just was I think he thought it was cool. Yeah, he's just trying to come off as cool. Yeah. And I was like, you know, it's super cool if I think at dinner and bring it up to my room, so I kind of drugs was he talking about? Well, I don't remember. I remember one of them being LSD. But I can't there were four other ones and I don't remember what they were. But LSD is like a fun LSD. Like it sounds cool to say that's that's why you think you remember Yeah, because it just reminds me of LED. That's why Oh, like lighting like lighting those lights right there LED? Yeah, exactly. But like, I have never been offered hard drugs. Okay. Nobody was like and you have never even seen someone do hard drugs.

Scott Benner 1:35:00
And you use some of your friends with your club a couple of times. You didn't enjoy that idea you went out

Arden Benner 1:35:05
to hit a club. I hate it like that a lot. No. Gotcha. All right. Awesome. I did not see any drugs. Okay,

Scott Benner 1:35:11
fair enough. Did you try drinking while you were gone?

Arden Benner 1:35:16
I tried to sip of wine. Um, my, actually, I feel like I should not tell this story on here because it should get us in severe trouble it who

Scott Benner 1:35:25
is of your trouble. Oh, Robin and where it happened? Yeah. Okay. You don't have to tell them.

Arden Benner 1:35:31
But I did try a sip of wine. And all I could think of was why then like, like, why don't you do this? I'll try to sip a vodka cranberry. Two and a half bad? Yeah. Like, I understand if you're drunk that you can drink it. Not make sense to me. But yeah, to get drunk first. And I Oh, also, yes, I did try. I tried some sort of liquor. Like a shot a shot of something. And wow, well, we'll never do that again. Also, I did it. Like, I did it out of like to end an argument. Because someone wanted the last shot. And they were fighting over it. So I just took it. By the way, I don't drink alcohol. That is probably the second time my tongue has like, even tasted like, like a dribble of alcohol. And I just took a whole shot. And I was like, oh, okay, let's go. Let's stop fighting. Let's leave. I did that whole thing. So an argument would hit you hard? No, actually, my stomach hurt. Like burn? No, just like my stomach. But okay, you didn't feel drunk afterwards? No, I don't think one shot while so like, five, seven. And like,

Scott Benner 1:36:44
I don't know, I done a shot like, three times in my life. So I don't even know.

Arden Benner 1:36:49
In one night.

Scott Benner 1:36:51
I don't remember. This is a really long time ago. It was like well over 30 years ago, so I don't know. Really. Okay, so, Episode 999. Mike, so my my last last question for you is people used to ask all the time, does your daughter mind that you're making this podcast? Does it bother you at all?

Arden Benner 1:37:15
That you make the podcast? Yeah. Why would I don't understand how that would affect me. Okay, so because I keep myself out of this like this right now what I'm doing. I am forced into this because he is paying for my knowledge.

Scott Benner 1:37:29
You feel forced to make this episode peace

Arden Benner 1:37:31
and love. I don't want to be doing this. But are we having a good time? Yeah, but we could also do this without a microphone in front of our face.

Scott Benner 1:37:37
I know. Yeah. Don't you think our podcasts would be good, though, if we just made a podcast? Oh, my God,

Arden Benner 1:37:41
any podcast I'm a part of would do absolutely incredible. But you don't want to be involved? Yeah. Also, oh my God, I feel like I should say this now. Because I've hit rock bottom here. I officially GIVE UP WITH YOU Instagram people, you will never just not request me. Okay, you're just gonna keep coming to me and requesting me. And you know what it is what it is. And I'm here to say whatever you're giving me followers now. But it is what it is. You're gonna let them follow you. Yeah. And so now if you follow me, you must and I mean, you must buy from my clothing company at some point in my life. That's that this is like, this is where we're at?

Scott Benner 1:38:20
Well, you could design T shirts for the podcast. I won't be

Arden Benner 1:38:23
doing that. I don't want that reputation. But um, yeah, I made my account like public a couple years ago when I posted a photo of Tom Holland because I really was like, wishing he would see it. He didn't. But I just never changed it. And now you all find me. But I mean, whatever it is just up in my status. I guess

Scott Benner 1:38:41
I have way more Instagram followers than you? Well, yeah.

Arden Benner 1:38:45
I hope so.

Scott Benner 1:38:46
I hope so. I know. Right? But so you don't care that the podcast exists. It's not a thing that bothers you? No. All right. Do you like that? It helps people. I think as you get older, it changes for you.

Arden Benner 1:38:59
Wait, here's what I'll say. I don't dislike it. Um,

Scott Benner 1:39:06
hey, it's Scott. I'm jumping in to let you know that the podcast is gonna stop in a second. I know it's abrupt but Arden's blood sugar got low very quickly. She had a higher blood sugar earlier in the day that we adjusted pretty aggressively. And while we were sitting here, neither of us kind of saw it coming. She said she could feel it coming for a while. But she didn't expect it to be this harsh. So you're going to hear her say she's low. We finish up the show, and we're out. But there were a few minutes of the podcast that we're cutting because she just wasn't herself and it's not a good representation of her.

Arden Benner 1:39:42
My blood sugar is getting urgently low. I'm so irritable. Are you really low? Yes. And I can feel it and I'm sweating and I'm so excited to eat after this. Okay, I literally have a bathing suit on and I'm sweating.

Scott Benner 1:39:56
Oh, how can we then how can we didn't say anything?

Arden Benner 1:39:58
Because I was excited to get to a point where I just speak. Oh, okay.

Scott Benner 1:40:02
It was interesting what happened like you got aggressive with your pleasure got louder. I

Arden Benner 1:40:05
know. It was interesting. I did that today earlier today too, because that was around the time I started reading my syllabus.

Scott Benner 1:40:13
Oh, and that's when you started getting agitated. really upset. That's super interesting. Okay, well, let's get you something to go and we'll say goodbye then. Right? Do you want to say goodbye? No, it's just over now.

Arden Benner 1:40:26
I mean, like maybe that's my blood sugar was 40 points higher we could do. Okay, I want to eat

Scott Benner 1:40:31
Okay, well, we're gonna go then

want to thank garden for I mean, everything right? And thank her for coming on this episode of the show to I'll remind you that the diabetes Pro Tip series will be re mastered and re released at episode 1000 through 1026. Please enjoy it, share it. And you can find it like I said in your podcast players or at diabetes pro tip.com and juicebox podcast.com. You can also find lists of the podcast in the private Facebook group under the featured tab. Thank you so much for listening. I'll be back very soon with another 1000 episodes of The Juicebox Podcast