#1122 Zinc Transporter

Doug has type 1 diabetes, anxiety and depression.

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

Scott Benner 0:00
Hello friends. Ooh, what happened to my voice there? Whatever. Welcome to Episode 1122 of the Juicebox Podcast

when you go to the doctor with back pain, you don't expect to leave with diabetes. But that's what happened to Doug. He was diagnosed two years ago. And today we're going to find out all about it. I have a note here for myself to call this episode zinc transporter. I wonder what that's about? I really don't remember. Nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. Don't forget to save 40% off of your entire order at cozy earth.com. All you have to do is use the offer code juice box at checkout. That's juice box at checkout to save 40% at cozy earth.com. When you place your first order for ag one with my link, you'll get five free travel packs and a free year supply of vitamin D. Drink ag one.com/juice box. Don't forget to check out the Juicebox Podcast private group, public page Instagram account and tick tock it's all at Juicebox Podcast you'll find it you notice search. If you've been listening and enjoying but you aren't subscribed, you're following in an audio app. Oh evey is mirror you have to follow and subscribe. How did you like my English? I don't think it was good. Today's episode of The Juicebox Podcast is sponsored by the contour next gen blood glucose meter. This is the meter that my daughter has on her person right now. It is incredibly accurate and waiting for you at contour next one.com/juice box. This show is sponsored today by the glucagon that my daughter carries. G voc hypo pen. Find out more at G voc glucagon.com. Forward slash juice box. My

Doug 2:04
name is Doug. I'm 41 from Central Jersey and I was diagnosed about two years ago with type one.

Scott Benner 2:11
I don't usually like to do this, Doug, but could you and I'd be doing this in person.

Doug 2:15
We probably could. I'm near like the Pennsylvania border. I moved I'm from North Jersey but I kind of got tired of like that. Super fast paced, very angry sort of, sort of vibe up there. So I moved down to like Central about a year and a half ago and I'm loving it. There's like I got a bison farm down the street. You would never think this was jersey. It's crazy.

Scott Benner 2:35
People make fun in New Jersey. I gotta be honest, I guess it's because all the pharmaceutical companies, but I don't. I don't know why. It's gorgeous here.

Doug 2:45
They don't know this area. I think they think of like the Turnpike, like Newark Airport, you know, all that kind of stuff. Yes. Like, they would never think this jersey. So it's like a little hidden gem? Yeah,

Scott Benner 2:56
no kidding. Do you ever think just going a little farther into Pennsylvania and saving all the taxes? You

Doug 3:01
know, it's funny you say that I've been I've been looking at that exact thing because they just keep raising the rent because they tell me that like a lot of people keep moving here from the north. And so the demand is just getting busier and busier. And so I was just looking in like Allentown to see you know, the price and the prices are significantly lower.

Scott Benner 3:18
Well, the and the taxes are significantly lowered when my wife and I are getting out of here as as possible.

Doug 3:23
The one thing I would say is you gotta watch out for the roads over there, though. There's potholes everywhere. It's like, your car might explode, but you'd be paying less taxes

Scott Benner 3:29
I can I can I can regain tax money and then lose it again on an accident. Exactly. It's incredibly interesting, because what you just said, people come from the north. The north is basically people who work in the city. Those people make exorbitant amounts of money. And then they move a little south and they see a house that's, you know, a million dollar house and they go oh my god, I didn't know this was gonna be so cheap. And you're like, my house is not worth nearly this much. But I'd Yeah, I'd be happy to sell it to you. Yeah, that would be. It happened a ton during I knew a realtor that during COVID made his lifetime during COVID Because you're so busy. I mean, oh, because New Yorkers were coming down south buying $200,000 houses for eight $900,000 Because they wanted to get out of the city that badly. And the money didn't mean anything to them. That's amazing. Yeah, people in the rest of the country right now are like what the hell yeah, it's, it's also keep in mind that a bagel in New York City is $15 So you got to make a lot of money if you want to live there. Did you live? What was that? I was just gonna ask did you live right in the city or were you in Jersey?

Doug 4:45
I was in Jersey I was in Hackensack and Bloomfield. Okay, so just close enough to like, all the prices but then not really close enough to like, do fun stuff in the city very easily or date people in the city. So it's kind of just the worst. I Out of all worlds, and I don't need were you there for work? Well, I work for a hospital system in North Jersey, so I was there. But like most of my job, I have a couple jobs. But most of my day job is mostly remote. So I didn't need to be there. It was more just like my family is there like my brother, sister, mom and dad and stuff. So I had just been there kind of my whole life, but I was never really happy there. And I had a couple of friends that actually lived down in this area. And they used to come here on weekends. And I was like, this is like a vacation. Yeah. And so you know, I just rent, I don't own anything. So when my lease was off, I was like, you know, screw it. Let me just try something. And I will say, I'm happy I did it. It's just, my friends give me a hard time because I'm 41. And I'm single. And they're like, So you moved to an area from an area with like, all the people you could ever meet to an area with no single women. And so like they call that like a duck decision. In logical that I do

Scott Benner 5:54
so well, Doug, when you're more relaxed and have extra money, the ladies will flock to you.

Doug 6:00
I'm gonna I'm gonna hope that's the case. Don't

Scott Benner 6:02
forget to go outside or that won't happen, by the way. But you have. I have sort of two thoughts and then we'll move on one. Anyone who's ever heard my friend Adam Needleman on the show, who's who's a pediatrician. We'll finish this episode. Really put Doug's voice in your head, then go listen to Adam. Okay, you guys have a very kind of classic Jersey accent? Do we really you and he sounded almost exactly like it's freaking me out. Actually. I'm

Doug 6:32
gonna definitely listen to that. Because I feel like I've listened to almost all your episodes, and that one doesn't ring a bell. So I'm gonna go back and check it out.

Scott Benner 6:37
I swear to God, it's he was on talking about a couple of things over the years. One time it was COVID. I don't know how much of that will even be accurate now, because it was like as COVID was happening, and people were like, What should I do, but it's just a fascinating anyway, um, but it's always interesting. I'm going to try not to call you out. And while we're doing this, that's that Michael won't take offense 25 years ago. The other thing I want to tell you is that my wife got a job in Manhattan. She we never lived in Manhattan, she didn't stay in Manhattan very long. She didn't like it. We looked at an apartment. There we were kids, you know, and the apartment. I don't know a way to say this. If you put a king sized bed in the bedroom, there may have been a foot and a half at the foot of the bed to the wall, and three and three feet on one side of the bed to the door and the other side would have been up against the wall. Then you'd walk out into another room that was a little larger than that, that encompassed your living space. And a kitchen where the toilet was in the kitchen. And 25 years ago, that apartment cost $1,100 A month.

Doug 7:48
25 years ago. Holy

Scott Benner 7:49
cow. Yeah. And my wife, I grew up in the suburbs. We were like, we're not doing this. And wait. We like how long did you live there for we never moved into the city. We could not bring ourselves to spend that money. Okay, for that same amount of money. We bought a condominium in New Jersey. And we were like in our early 20s.

Doug 8:11
I can't believe that that long ago it cost that much. Yeah, that was insane.

Scott Benner 8:15
And then by the way, the condo appreciated like two years later, and we bugged out and made money.

Doug 8:19
So you don't you're not you don't regret that you didn't move in there.

Scott Benner 8:24
I think I'd be broke. Living in that apartment still and my children would be feral. That's what I was concerned about. So like, you're right,

Doug 8:31
you might have like, torn an ACL trying to get out of bed at some point, though, because there's just no room absolutely

Scott Benner 8:35
insane. Anyway, it was holy cow Craziest thing. And now, listen, now apartments overpriced. My son's, my son's in Atlanta. Now he won't be there very long. So I can tell you that because by the time I you hear this, he'll probably be gone. But his apartment is $1,300 a month. And it's probably three times as big as the one in New York that Kelly and I saw those years ago. And I'm still going to tell you his apartments and credibly overpriced.

Doug 9:06
Yeah, I can relate my mind is to the same deal. It's just I like to actually increase mine last year by like 600 bucks who said to nowhere, it's like what? Yeah, what can you do? But yeah, it's it's tough.

Scott Benner 9:18
I'll tell you that. I mean, Cole's not, you know, he's not raking it in or anything like that. And still, we're putting him in touch with a financial planner to try to get him to a point where you can own a house. Because otherwise, I mean, 15 1314 1500 is gonna go to 3000 in his lifetime. You know what I mean? Oh,

Doug 9:40
I think that's a great advice if you guys can help him do that early on. So

Scott Benner 9:43
I don't know what how it's gonna work out because like I said, he's not making that much money, but I figured, like, put him in that direction, maybe all figured out as he gets older now.

Doug 9:50
You know, I was wondering because I listened to all your stuff. So I know he's done with baseball. Is he? Is he missing like kind of a having a competitive outlet or did he find something new to do as Uh, you know, an athletic pursuit.

Scott Benner 10:02
He is playing pickup basketball in the city. Oh, cool. Yeah. So he, he's in a really tough situation like he's home right now, just for a couple of days. So it's the all star break while we're recording this. And because of that he had a few days off. And then he tacked on a couple of days to it and made himself like a little five day break where he could come home. Nice. So what I'll tell you is that he moved to Atlanta to take a job, and it was a job that's going to build his resume. It's great experience. I mean, you couldn't have turned it down if you were him coming out of college. But he moved to a place where he's completely and utterly by himself. Like, that's hard. Yeah. And so his buddies are all still here. They're all still getting together. He's watching them over like text chains like do things. And he is like he's by himself. And he gets to the job is not surprising to me. But over producing for them, so they move him out of the job that he was brought there and give him a higher up job. But because of that his schedule is completely different than all of the other people his age that came into the company. If you take insulin or sulfonylureas you are at risk for your blood sugar going too low. You need a safety net when it matters most. Be ready with G voc hypo pen. My daughter carries G voc hypo pen everywhere she goes, because it's a ready to use rescue pen for treating very low blood sugar and people with diabetes ages two and above that I trust. Low blood sugar emergencies can happen unexpectedly and they demand quick action. Luckily jeuveau Capo pen can be administered in two simple steps even by yourself in certain situations. Show those around you where you store G vo Capo pen and how to use it. They need to know how to use G vo Capo pen before an emergency situation happens. Learn more about why G vo Capo pen is in Ardens diabetes toolkit at G voc glucagon.com/juicebox. G voc shouldn't be used if you have a tumor in the gland on the top of your kidneys called a pheochromocytoma. Or if you have a tumor in your pancreas called an insulinoma. Visit G voc glucagon.com/risk For safety information. That contour next gen blood glucose meter is the meter that we use here. Arden has one with her at all times. I have one downstairs in the kitchen, just in case I want to check my blood sugar. And Arden has been at school, they're everywhere that she is contour next one.com/juice box test strips. And the meters themselves may be less expensive for you in cash out of your pocket than you're paying currently through your insurance for another meter, you can find out about that and much more at my link contour next one.com/juice box contour makes a number of fantastic and accurate meters. And their second chance test strips are absolutely my favorite part. What does that mean? If you go to get some blood, and maybe you touch it and I don't know, stumble with your hand and like slip off and go back, it doesn't impact the quality or accuracy of the test. So you can hit the blood not good enough, come back get the rest without impacting the accuracy of the test. That's right, you can touch the blood come back and get the rest and you're gonna get an absolutely accurate test. I think that's important because we all stumble and fumble at times, that's not a good reason to have to waste a test trip. And with a contour, next gen. You won't have to contour next.com forward slash juicebox you're gonna get a great reading without having to be perfect. So even the people he met at work is scheduled doesn't line up with them.

Doug 13:59
And it's like a result of working so hard because that was like his main focus because he was kind of by himself.

Scott Benner 14:05
I think it's a result of he's a really bright kid. He picked it up really fast. And they saw that they had brought him in for like a low level task. And they were like we can give him a lot more to do. So he was supposed to go down there and kind of have like this, you know, Vagabond lifestyle where he'd show up at work at like two in the afternoon and work till 10 at night or show up at five and work till midnight. And the next day it might be like 1pm till 8pm is going to be all over the place. He's going to work a couple of baseball games every day like pro games, and instead they gave him an office task that needs to be partially completed before the day starts. So my my 23 year old son who has never had a job before, is getting up at five o'clock in the morning starting at six and he's done it too. So not only is he exhausted when he gets home because he is not going to bed to get up at five o'clock in the morning. But he gets home everyone else He's working all night that he knows. And he's by himself in this apartment. So, yeah, that

Doug 15:05
does suck, but he's gonna I mean, it's such a good experience at the same time. It's a double edged sword, I guess. Yeah,

Scott Benner 15:09
no 100% Like, I know that and he's gonna get out of there. I'm actually taking him to the airport later today, where I'm going to, I'm going to talk to him before he goes and just tell him like, look, it's almost over. You know? Yeah, it was like, it was like a year posting the job. And he's got enough experience now that he can look for something closer to home that, you know, will will again build on to his experience. He's like, I can't stay here. He's like, they're not going to give me up fast. And often. I'm now just doing a task. So well.

Doug 15:37
It's amazing that he's he's done it and like that's kind of in the past now. And no matter what he does in the future, it can Becky I started off with busted my ass.

Scott Benner 15:44
Yeah, the really cool. Yeah, no, I think so too. As to your initial question. Because Cole is such a task oriented person. He was playing baseball to play more baseball. So when playing more baseball wasn't a goal. And I do I do honestly mean like he, he wanted to, you know, he was trying to diversify his talents. And he was pitching at the end. And I guess I've said it on here before, but his fastball was up to like 90 to 93 miles an hour. Wasn't really Yeah. And but he just was never, like, you know, his story is, is is simple. He grew late, he grew the rest of the way in college. So when he was recruiting, he looked small. He looked really skilled and small. And so a lot of places passed on him, he ended up going to a smaller school because of that. And then in his freshman year, pops up, gets more height and puts on a bunch of weight. And you don't see it as much, right. And so now all of a sudden, he's six feet tall, he's carrying 200 pounds while he's playing. He's pumping a baseball like crazy. And nobody sees them. He's in the middle of nowhere at a little school. And then the politics come in. And then kids whose parents make a donation to something are standing in your position while you're sitting on the bench. Because nobody cares about baseball here. It's not a thing. And, and then he's starting to talk about like, well, maybe I should transfer. But he's also a really good student and a bright kid. And he's taking a tough degree that you can't just get anywhere. So while we were trying to figure out putting him in the portal and getting him somewhere where he could actually continue that degree, but play better baseball COVID happen. Yeah, so just awful time. And then they shut down college sports. So while everybody else was sitting around, Cole was training on his own, and continuing to get better and better. And then they came back for his junior year, but they came back to this abbreviated like, 12 game season. And he said, if I go back for that, I lose a year of my eligibility. And I only played 12 games. So I'm gonna go back as a senior play a full season, and then hold two years of college eligibility afterwards. Except then during that time, he got hurt. Got it, then he had to spend all that time coming back from being hurt. And by the time he came back from being hurt, he got the play half of his senior season, where he was electric, like, amazing. And then it ended. And he didn't have enough time on the field to attract somebody at a big enough place to make it feel worth his while. So all of the grad school offers he got we're still at. They were medium sized schools now. Like they looked at him on tape. And they were like, Yes, please. And then they'd be like, send your stats. And then he's like, look, I only played like, half the season. And then like, Oh, that's not enough stats for us to go on. He said, Well, there it is. He's like, here's the video, I recorded everything I did for half the season. And he just couldn't get interest in a place where he thought he had an opportunity. And so and so then the rest of this is, I can't believe we're talking about this stuff. One day, he'll hear this when I'm dead. And he'll be like, that is what happened. So then he starts looking for jobs out of college decides I'm not going to go play in grad school. And he's trying to get jobs in Major League Baseball, which eventually becomes obvious, he just doesn't have enough experience for that they're hiring even at really low level people are being hired with a lot of experience. So so he's like, Well, I'm gonna have to go get the experience. But before you figure that out, he had applied and had moved through three rounds with the Phillies. He had moved through something with the Yankees. He was in the middle of moving through something with the Tampa Bay Rays when they gave him a task to do on his own. Okay, and the task that the rays gave him was look at the Rule five draft coming up and pick a pitcher and a position player that you think we should take in the Rule five draft Oh, wow. So cool. Has to examine the entire league, you know, by stats and his own have theories, he comes up with his options for them, he turns them in, he actually ends up choosing the position player that they took in the Rule five draft, which was amazing, but didn't matter. They didn't contact him about the job. But the thing that wasn't

Doug 20:15
enough of like a successful guess, task complete now, because

Scott Benner 20:18
he's 23. And he didn't have any experience. And they're literally hiring guys in their 30s, who have been piling up experience in other sectors in data. And then yeah, it's just they it's a cream of the crop situation, there are 500 people applying for like an entry level job that pays $15 an hour. And so like, they just have too many options. So anyway, that's what he figured out and he went, got this shot. But while he was doing that thing for the raise, he, like, kind of called me over one day, and he said, Hey, look at all these pictures. And he laid them out in front of me. And he's like, they throw just as hard as I do. And I'm like, right, because they're my size. It's like, some of them are taller, but I haven't I'm carrying enough body, like, right, he has, they all throw secondary pitches as well as I do. And I'm like, Alright, he's like, I've been looking at video of them, like all this stuff. And he goes, and nobody cares about them. They're on a trash heap, and they're already in the league. And I was, and I'm like, right, he goes, I don't have a chance. And I said, I mean, like, you know, I'm, I'm a dad, I'm like, I don't know, call doesn't mean you don't have a chance like blah, blah. Meanwhile, you know, if he's listening back to this, then I'm gone. And he misses me. And he's 40 years old. Like, what you probably didn't have a chance, you know, but I wouldn't told him that if he wanted to go do more training, I would have helped him do that. Like all that stuff. Like, I didn't have I have a tiny bit of success in my life. Part of what I do with it is I allow my kids to follow their heart. You know, it's really refreshing. Yeah. So but anyway, the problem ends up being is that he's so like, intellect like his, the way his intellect works. He suddenly was like, oh, there's no path with an ending that I desire. And that then just immediately became not an option to him anymore.

Doug 22:04
What an interesting way to come about that. He saw it himself and kind of acknowledged it. That's really interesting.

Scott Benner 22:11
I thought, it's one of the more proud moments I've had as a parent that I've never even said out loud to anybody. That yeah, he any. And it's not that he didn't miss baseball. But he just said, Okay, well, then I can't waste my time doing this thing that doesn't have a real opportunity to work out.

Doug 22:28
It's such a healthy way to, like, approach it. Good job. I

Scott Benner 22:33
am. Yeah, no kidding. It was crazy. And and I spent a little bit of your time telling that story. Because I think that's that's the that's the podcast story right there. Like, you know, understanding and not beating like he's not wasn't not willing to do the work. He wasn't not willing to take a risk. He was not willing to put that much effort into something that had such a low chance of working out. That's really great. Yeah. So anyway, thanks the Tampa Bay Rays. I appreciate it.

Doug 23:02
Well, nice start by you by instilling that like ability in him, you know, not everybody can recognize that kind of thing. So something you did raising him, taught him to think that way. So that's cool. I

Scott Benner 23:13
have no idea, man. But I was just like, I was heartbroken, by the way, because I watched it come over his face. Yeah, like, and I don't mean about baseball. Like I watched him realize, oh, there's a thing I love. And it's not going to work out. Right here. Yeah, it was really something. So. Anyway, diabetes,

Doug 23:32
Doug, how that happened. diabetes. Well, my my diagnosis story. Yeah, please. Sure. Well, everybody's interesting. So like, I remember, it's funny, because everyone I signed up for this. It was like, what, a year ago or something. And I haven't had this very long. So it was all so new at the time. But um, I. So I'm 41. And when I was, I guess 35. I started on a career change. So I am a web developer right now. And I still am full time. But I went to, I started going to school, on weekends for occupational therapy. And it was like a three or a four year program. And I had to do a bunch of prereqs. And I was working myself because I was working like crazy at my day job. And then I would study during all the weeknights, and then I would go to school on Friday night, Saturday, Sunday. And that kind of progressed for three years. And then I had to eventually when I graduated the academic part of my program, I had to quit my day job and do an internship, like a clinical internship to different spots for three months each. So I'm going through all this stuff, and it's really stressful. I'm a pretty anxious person as it is and so I also was really just trying to do a very good job because for years I had been struggling like what am I gonna do with my life? Like I'm a very, I like to help people and I never really felt like I was doing enough of it. And that's kind of where the return to school came from. So I was like, Alright, I'm not going to screw this up. I'm gonna really bust my essence and do well so I put it lot of pressure on myself. And so, long story short, I eventually graduated. And I took a job in the Bronx and was working at Montefiore. And it's like, I was commuting from, like I said, North Jersey into the Bronx every day, which is stressful in of itself. And then I'm working in a hospital and just seeing some crazy stuff and putting all my experience to work. And I'm loving it, because I'm like, finally get the chance to help people in doing this really important, sometimes scary stuff. But that's when I start to get really sick. And so you know, I don't know anything about diabetes at the time, I started actually having like a backache, because as a therapist, a lot of what you're doing is getting people out of bed in the hospital. And I'm like, I can't lift these people, like I'm gonna fall over, and then I'm gonna make them more injured. So I eventually go to the doctor, for a back back issue, thinking I'm just gonna get some pills or whatever, and I go take a urine test. She sees my results, and she sends me right to the emergency room. And then I you know, have like, 800 blood sugar. And they don't they don't tell me that I'm a dickhead, because I ended up going home that same day, but I remember like, the, the emergency room doctor being like, Oh, you don't have diabetes, because and I was in shape. And I didn't realize it, I had like, lost a bunch of weight by this point, maybe like 20 or 30 pounds. And long story short with that part is they ended up diagnosing, diagnosing with type two. And so this is I just gone through schools switch my career, and I'm doing this new thing. But now I'm like, Okay, I got health issues. So I'm doing something wrong. So I tried to get my diet even better. It already was like, really, really good. I tried to start exercising like crazy, which I already did. And it's not getting better. In fact, like, my vision starts to go, I lose more weight. I'm about to 15 right now. And I was down to like, 160. And I was just, I felt it was funny, because like, at first I'm like, I'm getting ripped. But then I was like, Okay, this is this is not right. So I had to it was really kind of defeating because I had done all this work to get a new degree and start a new career and essentially started a new life. And what I came to the conclusion was of was that, at least with the new career, I couldn't, couldn't do it and maintain my health, because part of it was like the routine was very inconsistent, like I didn't really have time to like, eat at a consistent basis, I was really, really stressed. And I knew that was affecting it. And like, I would always check my blood sugar via fingerstick. And it was just like, way too high. I'm like, I'm eating salads, like, what is this? Yeah. So I went on like that for three years. And then I so I left that job, I'd gone back to my old career, I was just doing rehab part time. And then about, I guess it was a year and a half or two years ago, I had another agency check. And again, like my diet had been unbelievable. And I was exercising like crazy. And at that point, I was so healthy. Like, my, my routine was so healthy, that I wasn't even checking blood sugars. Because I was like, how could it be bad? And so I went back to get a one C and it was 12. And that's when they were like, alright, we're giving you the antibody test. And so,

Scott Benner 27:54
Doug, how long? How long was that before you tell me about the antibody test? How long from you couldn't pick people up in the hospital till now, in this story? Three years, where you lot of you think at least? Yeah,

Doug 28:07
I think so. I was I found like a dietitian. And I switched my whole diet around. Because again, like thinking that it was type two, there was periods in there that I had good agencies like sixes. But I've always been such a structured, rigid person with all that stuff. So it's just very weird. And then I guess a lot of thing I was thinking also, because when I went in, I ended up getting the antibody tests, like the first one was negative, because I think the first one they do, there's like five antibodies, and the first one that they typically do, because it's a little bit more affordable. It's like Gad, 65, and whatever the other ones are, that are more common. Yep. And so I was negative for those. So I go, what's going on? So then they gave me the one for like, I think it's zinc transporter, and I did have that one. And then they gave me the C peptide test. And it was like point five, so like, Okay, you have type one, or you no adult onset type one. So yes, it was, you know, it was annoying, because I was like, Well, why can I gotten this test years ago. And now I advocate very strongly for all that with anybody that I know that has even somewhat relatable symptoms. It just makes no sense that they don't test that stuff right up front. But yeah, I remember. I remember when I first got the positive zinc thing I can remember just being like on Google all day long being like, looking for outs, you know, being like, is there any way that this doesn't mean I have type one, like, Could it just be a false positive? Could I just somehow get by without needing anything? Because I was terrified of being type one. Because that was like, you know, it's a big it's a big shift. And I don't know if I'm rambling or not, but

Scott Benner 29:39
don't Don't Don't worry about that. You're doing terrific. And you named the episode with that you don't know. Now, totally going to be called zinc transporter.

Doug 29:49
I like that.

Scott Benner 29:52
Makes me think of that bald guy in those movies that like, oh my god, what are those transporter movies?

Doug 29:59
I am a bald guy. So that works was perfect.

Scott Benner 30:00
The Transporter Bobby's with what is his name? Oh, Stata. Yes, Jason states exactly what I thought of when you said it. I was like, that's fantastic. All right.

Doug 30:09
I like that association. I can work with that.

Scott Benner 30:14
Well, give me a second, though. So, sure. Three years, you have you have type one diabetes for three years, and you're salivating and exercising your way through it. So obviously, it's a lot of because it hasn't hit you would you would have been dead by now. Like, yeah, so you're getting some help from your pancreas? Are they giving you any medication or they have you on Metformin or anything like that? I

Doug 30:37
was on Metformin and glipizide for a while, okay. And unbelievable amounts of exercise. Like I'm talking like, even after eating a salad, I remember, like, go into the bathroom of work and just doing squats until I feel like I had to sit down because I was so exhausted. And, you know, like, couple mile walks after lunch and stuff. And I remember like, coming back and check my blood sugar, like 250? Or how's this even possible? I didn't eat more than 10 carbs. So it was driving me crazy. So I was like, on the one hand, I was devastated that I, you know, had the positive antibodies, but on the other I was like, well, at least I actually know that it's going to help. Like, I need it. My body's just not making it but it wasn't any easier. And then, you know, at first, I got the it was just basil for maybe a month and had a bunch of lows, because you know, you're super sensitive when you just started insolence, like your body like, Oh, what's this insulin like? Now I can actually, like process all this stuff. Like, let me just do it really, really well. So I felt like I couldn't even move it first. Because, you know, taking a 20 foot walk felt like it was going to bring me love. So I'm

Scott Benner 31:43
saying you are miserable during this time, right? Like physically,

Doug 31:48
completely miserable. I mean, I, I could not see I've had LASIK. And I went back to glasses and even with glasses, like I couldn't see a thing. You know, the you know, the thing is that drives me the most crazy is a I was I was going to the bathroom all the time. But the biggest thing is like the hunger. I've heard other people on your podcast talk about it. It's like this insatiable hunger. Because when your body has no insulin, like it can't process the nutrients that you're eating, so you're never satisfied. So you just eat and eat and eat. And it's like this, this pain in the pit of your stomach that just can't be resolved. And it's awful. You can't sleep. I can't even think straight because I was so freaking hungry all the time. And that actually, you know, it's hard to not eat the wrong things when you're starving. Awesome. So, yeah, it was miserable.

Scott Benner 32:31
You started this whole, like story by telling me you're anxious. So yeah, has that gotten any better? Since you're on insulin? Well,

Doug 32:41
it's funny you say that? I would say no, but I understand it better. It's, you know, with Dexcom. And all that stuff, you get really good insight into like, what hormones and behavioral things are doing to your body. And I see significant spikes from from, from stress or, like, as an example. Like I've even like, like, even the news affects me like really, really bad. So I've tried to, like, isolate myself from a lot of things, because it's just like, you can see the cortisol spike, you know, you see something on the news and all sudden, you're, you're going straight up two hours, and I thought, gee, so I've, I've made a lot of lifestyle behavioral adjustments to sort of manage now that I know my body a lot better. Yeah. But it was in that first few months, where you're just like, you go through, I think the stages of grief, really, because you're just like, Alright, my life's over. Like, I can't just do whatever I want. I have to depend on this thing. I think that was the thing. It's like, depending on this external substances a little bit scary to like, tie your own life to something that you need a prescription for. Yeah, it's just a weird mental shift. But I had some really good connections at first that actually led me to the podcast. So the first one was my sister's fiance, or his, his brother is a pediatric endo at CHOP. And so I spoke to him and he kind of just gave me the lay of the land. He's like, Yeah, look, you're going to need mealtime insulin, not the end of the world, you're gonna eventually even want to pump just kind of gave me a sense of like, what to do, or what to expect. He also gave me the name of this guy that was starting this like meditation group for people with type one. And I joined that, and that actually really helped me it's like a zoom based meditation. And then I think I found I think I found your podcast on my own because I am. Like I said, I was doing a ton of research on like, type one. And once I eventually accepted the fact that I did have it, I was like, well, I need to learn about this. Because, you know, I like science. And I like understanding what's going on. So I eventually found your podcast and it was, it really was like a savior at first. I was binging it just binging it just episode after episode because I think the information you find online is scary and it's like clinical and dry and so you need like a voice to it and especially hearing other people that have it, you know, to learn about what what they've experienced and also like the way that that you and Jenny talk about how to do certain things like mechanically was really helpful, because that's not information I got from my Endo. So I had that your little intro song was like the most comforting thing ever. Back when I first got diagnosed, I would just like, that song would come out a bit, I would feel like my heart rate dropped a little bit and in a good way. So thank you for that, because it made a gigantic difference. And I feel like I'm an expert in type one. Now I feel like and I think it's a lot, you know, to thank for your podcast, as what started it. And now I try to tell everybody I meet about it. And I try to also share the information because I just think it's wild that it just should be default info, like type one diagnosis, find the podcast, you know, the endo should give you the podcast like

Scott Benner 35:44
I'm with to do that. Well, you're very welcome. I really do appreciate that you It was touching to hear you say that. Honestly, I actually made me think of a woman who told me recently that she finds my voice soothing, which I told my wife and my wife laughed. She's like, I hear you talking, I get pretty upset. I'm like, okay, but, but I didn't understand it. And I think you maybe just gave me more context into what she told me. It's comforting.

Doug 36:08
And how did how did you come up with that little intro song? Did you do that yourself?

Scott Benner 36:12
I met a man who worked in social media for a pharma company back when I was writing a blog about diabetes. He was the first person to tell to tell me that I was a caregiver. Like he said, he's like, we're interested in you because you're a caregiver of a person with type one. I never even thought of myself that way. Like just in that tone. And I think I ended up at some farm a meeting one time for bloggers, and I got to meet him. And I learned that he played music. And many, many years later, when I was making the podcast, I thought, oh, I want theme music. I wonder if Rob couldn't make me theme music. And I contacted him. And he said, Would you mind if I did it with my daughter? And she was like, gosh, she was like eight or nine at that time. She's in college now. It's crazy. And so his he sat down with his daughter, and they made the theme music together. That's awesome. Yeah. And she picked she picked the beats and stuff like that they put they put it together, he made a little ad bed for me and some outro music. And then I think like five or six years later, I sent them another email. I was like, Can you update this for me? And they sat down and they did it again. And they updated it. It's what it is now. I actually was just thinking for 1000 episodes. I wonder like, I wonder if I should update the music again? Not sure. But yeah, I mean,

Doug 37:41
I love it. No, I

Scott Benner 37:42
won't touch it, then I'm on you. Save me Save me time and money just now was what you did you order this,

Doug 37:48
I think you'd like, at least for me, maybe for the people you look for like some, like constant. That's like a reassuring, like comforting place where you can get information that's helpful. And like, that's what the podcast was. And I think that's what the music like, queued my brain into it's like, alright, this is like a, like a calmer, like, just, it's a good environment. And it just it always just like mentally reset you when you hear the music. So I was all for it.

Scott Benner 38:12
I also think that when people come on, even when they're telling like hellacious stories, they are still alive at the end of the story. And you know, exactly, and it's helpful because you're like, okay, so they went through this really bad thing. Like, they are some of my favorite things like the after darks. When you start listening. It's like watching Titanic, like you forget in the middle that the boats gonna sink, you know, right. And, and I think when you're listening to them, you can forget that their votes, not thinking like this person is on here to tell their complete story. And even though how it started was terrible. And what happened in the middle was sometimes insane. At the end, they are normally here to say like, Well, my agency 6.1 now and I'm doing so much better. And like, here's the things I've learned. And I find that really helpful. And Exactly, yeah. Anyway, I, I find it helpful. I don't I don't have diabetes, and I listen to these people. And I'm like, wow, like life is possible. You don't I mean, so? Well, that's really cool. Man. I'm, I'm so happy. I have a couple of questions before we move. Because if we move forward, I'm gonna lose my questions. Tools for your anxiety, you learned things you said to make it better? Can you describe what your anxiety is like first and then tell me what you did to help it? Well,

Doug 39:28
I have an overactive internal dialogue, that's for sure. And it's usually negative. A lot of it is stemming from like a fear of failure. And so I don't really have a good answer for that. That's, that's just there. It's always been there. I just, I work to like, try not to act out that those sort of things, you know, like, it's been a good factor in my life. It's made me successful that I think because I don't, ultimately I don't want to fail. Like I used to be a sports guy too. And I remember like, like before baseball games, like if I was pitching I would just throw up before every game you know. or everything I've ever done, it's been like that I can put a ridiculous amount of pressure on myself. And it leads to good things. But it's, you know, it takes a toll on your health. Sure. And ironically, we know that like nothing is ever certain with this type one. But when I was talking to my endo about, like, how does this happen to me like as an adult, and they're like, Well, you know, a lot of people have the genetic markers, in addition, like environmental stimuli that triggers it. And in my case, they said, it was probably like the prolonged stress from the work on the school. And so I think it's almost like sometimes a life lesson like, alright, well, I can't keep doing that. Because like, look what can happen. And so I think behavioral or like, structural things, like I said, like avoiding, like, the news or like, triggers of things that I know, sent me off is really helpful. I think, the meditation group that I'm a part of has helped me quite a bit, I'm terrible at meditating. But like, it helps even just to put down the phone and try to quiet the mind sometimes, or just accept it. I honestly feel like the best when I'm doing stuff for other people. So like, when I'm volunteering, or teaching, I'm like, kind of out of my own head. So like, the more things I can do to get out of my own head, the better. And then a lot of different physical activities, you know, like I exercise every day, I try to box I try to golf. But like, when I'm actively engaged in something like that, it's almost like something that, you know, once I'm into it, my brain can sort of, you know, ignore the pretty persistent negative thoughts, you know, like I was on all sorts of SSRIs for years and stuff, but I hated the side effects. I never really felt better anyway. And so I just kind of stopped that stuff. So I don't really have great answers, but I tried. So it's like, what I guess they teach us as you know, as occupational therapist is also a lot of like, our, our thoughts are a result of just what we're actually doing. So like, it doesn't have to be like a mindful thing all the time. Sometimes it can be just the way you structure your routine. That helps.

Scott Benner 41:46
Yeah, I I think it's very helpful the way you explained it. So don't apologize, please. Yeah, I, I'm, I'm just interested in anxiety, because of inflammation. Oh, yeah. And I wonder, that's kind of the connection, or like, I wondered if you have you so you've had it your whole life. The thing about the, like, the kind of negative mindset, you should just marry my wife like, she'll beat that. Right.

Doug 42:16
Because I don't know, it's pretty deeply ingrained.

Scott Benner 42:18
I don't know. She's, she's pretty vicious. So I have in the past had a no mentality. Like, no matter what you would ask me, I the way I describe it, as I started know, and work backwards from now. So can we should we know? We shouldn't? It's dangerous, it's expensive. It's blah, blah, blah. And then I work backwards from it till I find a path to it. That's okay. Whereas some people just go Yeah, let's do it. And then they'll get into it and find out. Oh, I shouldn't have done this. I liked it. Yeah, yeah. Right. It's actually made me that's maybe where my son got the thing with the baseball where it was like, Oh, this won't work. So no, it's over.

Doug 43:02
Like, he's just thinking about that in my mind. Yeah, it does make a lot of sense. So

Scott Benner 43:06
I start everything at No. Should I make a podcast? No, I shouldn't. Why? Well, I don't know about the microphones. I don't know about this. I'm not good at that. But Katie Couric said, I'm good at talking to people, I could probably learn about a microphone, I'll sit down and see if I can figure out the microphones. I sat down and figured out can I afford them? I can, you know, like that. And that's sort of, but my first thought was no, I'm like, I should make a podcast. No, I shouldn't. Boom, done. Like, I'm not going to and then I move backwards. From there. The problem is when you're doing it in a personal situations, it's your kids going can we should we might it's my wife saying we need to get a and I'm like, no, no, no, no, no. And then financially, I grew up broke. So I'm always defending money. Right? Like, so if I had $5 I would defend it. Like it was, like it was all the money in the world. Because I grown up in a situation where nobody had $5. And so it is to me even now, in 2023 If I hear somebody say it's just $20 it almost short circuits my brain to trigger I'm like, I'm like, $20. That's a lot of money. Like, it's some people don't make $5 an hour. That's a half of somebody's day. Like, like, you know, like, that's how it feels to me.

Doug 44:20
Yeah, no, I hear Yeah,

Scott Benner 44:22
I don't know if that's negative. So my reason for bringing that up is are your thoughts actually negative? Or are they just probably pragmatic, they're not, they're negative. Okay. You're

Doug 44:31
okay. But like, also, you know, it's also like a physical thing, but I think the physical part actually bothers me more. It's like I get, it's just like a, like a full body tension and like, it almost feels like you're having a low a low blood sugar, you know, you're kind of just jittery and I hate that and a lot of times the exercise will beat that out of your, you know, maybe maybe an edible here and there to help out but, you know, it's, that's the annoying part and I see it now. Wearing a Dexcom I lit really just can watch it happen like driving. Now, it's not really a stressful environment, but I think your body's a little bit geared up. So you just see your blood sugar spike. Yeah, then you have to be, you know, negative, it can be excitement. And I know that's always been a thing. It's like sometimes people will say, like relabeled, the term anxiety to just, you know, excitement because it really is just your body being geared up. It's just when you don't want it to happen. It's very frustrating. And it has an effect on blood sugars, and you can see it so it's, I'm very into that stuff, too. It's just, it's interesting. I just wish that wasn't you kind of wish it didn't affect you. So directly,

Scott Benner 45:33
of course, yeah, yeah. Or something you could turn on and off when you need it not?

Doug 45:37
Yeah. Because sometimes you consciously know that you shouldn't be anxious, but your body is bound up anyway. That's, I would say when it's the most annoying, you're like, Come on, I'm not nervous. Like, why does my body have to be so? So tight and rigid right now?

Scott Benner 45:48
Yeah, no, that makes a lot of sense. Meditation was my last question. That that helps even over zoom.

Doug 45:55
It's not even so much than meditation. In my case, it's the fact that it's all people with type one. And we talk about whatever we're doing are experiencing like, before and after. Like, if I'm being honest, like, during the meditation, I'm thinking about a million other things like, I'm not really meditating, I'm just kind of wandering around. But after we finish, it's nice to just, I think the bottom line is just that I crave knowing other people with type one. And so again, that's why the podcast is great. That's what I get out of that meditation group, because everybody else has it. I know that other people experienced this, but like, when you're out and about, and you just see somebody with a Dexcom, you instantly want to talk to him. Or at least I do. And you have these like great conversations, because it's, it's like you're in the secret club, like nobody else knows what you're dealing with at all. And so when you find the people that can relate to it, it just feels so good. Because there's so much in common with other people. It's, it's really great from that perspective, honestly, you know, because I feel like I've always looked for like a community, and I don't, I don't want this community but like, now that I'm a part of it, I do feel like there's just unbelievable support and connection with other people who have it. So like, I've made some relationships that I never would have had otherwise. And they're, they're great. And I really, really value them. So from that perspective, it's amazing. Nice.

Scott Benner 47:10
I actually saw a woman with a libre on her arm the other day, and I felt comforted by it. Like I really did. Yeah, like, there you thought I thought like, Well, I started with, there's a person who understands, like, exactly know that. I'm not even gonna speak to them. Doesn't matter, but they I know, they understand. And then there's the other half of my brain that makes the podcast it's like, Oh, I hope they're okay. Like I want I wonder if she really does know what she's doing. Right? You know, that kind of thing. I obviously didn't bother one way or the other. But he's just imagine if I walked up to her and I was like, hey, looks like a card in their pocket or sometimes, I guess. Yeah, podcast you should listen to. That would be weird. But no, I was really. I was really just helped you, lady. Listen, how'd you like to have a one seeing the low sixes no trouble. I'm going to talk to you and you're here for a while. And this is going to just happen. I can't explain to you why that's true. It just is. Don't worry about it. Trust me. Trust me. Doug told me said it's fine. But seriously, like very like an app peace feeling just watching her help somebody get out of her car. And then she got back in and went and parked her car. I never saw her. Yeah, I was like, Oh, that's really cool. So yeah, I'm always

Doug 48:19
wondering like, Yeah, I wonder how they manage. I wonder. I see it a lot like the gym. And I'm always thinking about stuff. I wonder what their blood sugar's out. Like, I wonder what they did to prepare for this beforehand. Like, I wonder if they're looking at their watch every two seconds. Like I'm to make sure that they're in a good spot. Like it just there's a million questions that you want to ask. So

Scott Benner 48:37
here's a question for you. You spent those three years fighting through not having a diagnosis, you don't come out of that feeling like wow, look at what I did, like I could do anything. No, that's me listening to your story. What you heard was, I was frustrated, and someone should have helped me. And they didn't do the right test. And I was doing squats in the bathroom and eating salad. None of it worked out and I'm hearing you were out alone in the Arctic, and you live through it. Like, that's amazing.

Doug 49:12
That's the healthy way to look at it. So I can like appreciate that. I probably should look at it like that. And I'm not like a negative person. I think I'm just, I think when I when I kind of look at it, harshly what I say to myself also is that, hey, look, I just spent a ton of money and a ton of effort and time going back to school for this new career. And then it sort of fell apart, right when I started and so I've reverted back to my old life like, and I gave myself and uncurable condition. When you look at it from that context, it's like gosh, like question I've done that. But yeah, I mean, now I'm, honestly now I'm fine with it. I've adjusted it's just in that those first few months. It's sort of shocking to the system and I was telling one of my other friends who has type one the other day like, I've only had it for a couple years but like I I honestly can't remember life without it now, like, and so I fully adjusted, I've no problem with it now. Like, it just is my life. And I'm content. It's just that initial transition I think was negative at first, but now I feel fine. It's just, it's wild how much your perspective changes once this is your day to day because you're so consumed by it that like, I just I can't even remember like sitting. You know, it's funny, I'm thinking back on it like before I got that initial, like when I went for that urine test back when I was still a therapist. I remember, like, the day before I went there, like my dinner for some reason was like, a bacon egg and cheese bowl flavored like Gatorade, and like two chocolate chip muffins. So I'm like, of course, my blood sugar is gonna be out of control. But like, I can't even imagine eating that stuff. Without having a concern afterwards. It just, it seems like a different lifetime entirely.

Scott Benner 50:53
Right? It's also hard to hear you talk about it now and realize, like, I have a I have a modicum of guilt when I hear you say that, because I don't eat very much. I couldn't eat that much food if you paid me probably. But, but if I ate it, my blood sugar wouldn't go up that much.

Doug 51:08
I know it. I actually that will never not shocked me. It's funny because like, even around like my family now. Like, we'll eat like, a big dinner or something. I'll eat whatever, but will like, I'll make them test their blood sugar. And I'm like, I just can't. It blows my mind how well the human body normally works. Like the fact that a pancreas can actually process all of the stuff that we throw in it blows my mind. Yeah, well,

Scott Benner 51:32
for as long as I can. And then one day for a lot of people. I mean, if you look at the numbers, type two, like eventually, I mean, we are living long enough. And eating foods that are so processed, that it's really taken a toll on people. You know, it's so yeah, it's crazy. Even watch

Doug 51:50
like one of those like a YouTube like, Can I finish this meal challenge or whatever. And they're eating something that's like the size of the whole table. And I'm thinking like, how does their body processes? How does this work? I

Scott Benner 52:03
was at lunch with my family yesterday and I got a glass of water and everyone else drank two glasses, and I was stunned by that. I get so much liquid and amazing. Blue glasses. I swear that's partially why I don't understand beer drinking. Well, because it's the volume. Yeah, the sheer volume of it. I don't I don't like where does it go? I don't get it. I can't do it. So I'm a big baby. I definitely can't do it. I'm going through your notes here. Do you have actual depression?

Doug 52:35
Oh, yeah, I was diagnosed depression, like when I was 18 and never went away.

Scott Benner 52:40
Okay, and you're not taking SSRIs now though?

Doug 52:45
No, I'm dying. prescribed them but I don't I don't take them. I don't like them. They just make me feel lazy lackadaisical and make me worse, worse at the gym doesn't help my anxiety. So I just don't take them. I've tried like everyone else give me stomach issues. But yeah, ever since I was 18 I was prescribed you know, we went through Paxil, Lexapro. Basically, every every brand you could try. And they all had different side effects. They all didn't really alleviate the anxiety. And so, you know, I was seeing a therapist for a while too. And I didn't, I didn't get a ton out of it. But more or less. I mean, I'm pretty happy. I don't want to project like a negative image. I just, I think I just think negatively, more so than I project like a negative demeanor.

Scott Benner 53:30
Are you depressed? Or did your parents tell you you were depressed?

Doug 53:33
That's what the psychologist told me. Yeah, I think I was I mean, this all started when I was, you know, like I didn't, I was very, very quiet. I was a good athlete growing up, but I was very, very quiet introverted. And like I said, I always had a fear of failure. I was always, you know, making myself sick by how much I worried about stuff. And, you know, I didn't really have a plan for the future at the time, you know, going into college. And so that's where it got sort of diagnosed, but I do definitely feel depressed, or depressive symptoms

Scott Benner 54:01
in your family, as or more depression or autoimmune.

Doug 54:06
Um, so my cousin has type one. Depression. I don't know, I think I think that's a harder one to know. Like, some people maybe say they're depressed, like, like we talked about. So I don't really have, like nobody that I'm aware of is like, consistently going to therapy or like honest surveys or other medications or things like that for depression. I'm sure people have depressive episodes and stuff, but I don't think too much clinical depression.

Scott Benner 54:34
Do you see anybody with your personality?

Doug 54:37
Yeah, I'm just like my mom. Your mom. Okay. Yeah, we're just, you know, she was a labor and delivery nurse. She's like a very empathetic, caring person. I think that a lot of that stems into it. You know, we're just worried about like, what other people are feeling or thinking. And she's, she's a thinker as well, but she's the best. It's just, she tends to get anxious and depressed sometimes.

Scott Benner 54:58
Alright, so you're managing dai for how long after they finally decide you have diabetes? How long are you how long you doing? Just multiple daily injections? What Basal insulin are you using?

Doug 55:08
I was I was doing an MDI for maybe three months. And then again, thanks to your podcast, actually, that sort of was what prompted me to move from MDI to like a pump as I reached out to integrate it. And I didn't get to work with Jenny, but I worked with Katherine. And she kind of just taught me like, at the time, you know, I was very sensitive because I was still honeymooning. And so I was just going low. And I was afraid to do anything. And that's where we started to talk about like, well, if you're not injecting the basil in particular, every day, so you have a little bit more flexibility to play with to give and take when you don't need it. And when you do, and so I would say it was probably three months that I was on, basil. And it was time to even think I got on to Stephen but like, my insurance didn't cover that. So it was like a trial. I was on whatever one was before that. And we were so we were playing around with like the dosages because I tended to process it pretty quick. So I was doing like two injections a day, like one in the morning, one in the evening. Because the you know, the peak wasn't consistent for me. And then I was doing Humalog at the time with the pen. And that was nice, because at the time, I really liked the you know, the half unit increments and stuff that was very helpful. When I was honeymooning, it didn't take much insulin. When I first started, it was like, the progression was like six units of basil a day and no mealtime insulin. And then it was like eight or 10 Basil. And then like they I ended up I was not happy with like it was just kind of like a base pay take two units for each meal. That was way too much at the time. So that's where I started to go to integrate it rather than my end up because I just I asked all the questions, but I wasn't getting good answers. And I was just annoyed. Because I knew there was I was listening to the podcast at the time. So I was like, Well, I'm not getting the detailed information that I would get from somebody who was more suited for this sort of thinking. And then eventually I migrated over to the the Omni pod. So I'm on the on the pod five now in the Dexcom. And, okay, pretty happy with it, honestly, it really does. Like, it's amazing to think all of like the little, I'm constantly checking. And I'm constantly correcting. And I'm just on top of it, because I like it to be in a good spot because like you've talked about a million times, like when it starts trending in the wrong direction, just harder. And it's just more of a headache. So you might as well just stay ahead of it. And comparing the ease of doing that with a pump and just plopping it into little, the little app versus going to take a shot. Every time I want to correct or something. It's just, I'm still just completely grateful for how much better it is. Yeah.

Scott Benner 57:36
I just want to ask you a quick question. Yeah. It's like a business thing. You've got an omni pod? Because you heard about it here. Yes, I did. But you didn't use my link. You just told your doctor, right.

Doug 57:47
I think it was before the five was on. I think I had just heard your did that like three part mini series with whoever it was from? I think it was actually the Barbara Davis Center.

Scott Benner 58:00
Right? Yes. With cat quarry.

Doug 58:03
Which is funny because I actually I'm in a study out there not with her. But I go to Colorado every month for a different type one study. Wow. But yeah, it was I did not use your link because it went through my we use optim R x, which is like that mail in pharmacy. So it just went through it from there. Yes.

Scott Benner 58:20
It's all done. I just you know, sometimes, and this isn't directed on the pod, but all the people who advertise sometimes they forget, I do the hard work. And then you go into the doctor's office and get yourself a new. Right. So So thing, and then later at the end of the year they go I don't know, I don't see the clock. So I'm like, Yeah, let's go to the doctor and get it. I need

Doug 58:41
like affiliate analytics to like, somehow prove that, like, that's how the information got shared, which it is, which is true.

Scott Benner 58:48
I know what I do. Don't worry. I just like other people to hear it sometimes. And I was like, That was a good person that was telling me what happened here because I think I know what happened. But

Doug 58:56
it was through that it was through that for sure. Because I don't I would never use personally, I would never use a pump with like a tubing because I'm just really, really active and I just don't want

Scott Benner 59:05
that. I want to be clear a lot of companies including Omni pod understand what I call like an umbrella effect. Actually, I think that's what they call it marketing. It's not. But it's there are some people who don't get it. Like, you know, when you're in a doctor's office and someone says I need a blank. You say, Oh, do you have the blank? Because you heard it here? Right? And somebody somebody's had a good experience with it or something? And then technically I have sold whatever. No, nobody knows. And then

Doug 59:38
I mean because if you think about it, like if you if you didn't have any access to podcasts or other information like you're going to the doctor, you don't really even barely know what type one is. I don't think there's any way you would know what brand of pump to ask for. You just be like, yeah

Scott Benner 59:55
I need a pump. Yeah, you can hear it and people's voices by the way. How Don't many people say, Oh, I got the pump. Like that's a magical entity. You know, it's the pump. It's not the pump, there's four of them.

Doug 1:00:08
It's funny, we're talking about this now, because I'm thinking about it. I remember my endo saying that I was the first person on on the pilot she had, which I was surprised that because it's not a small office, a big office. Yeah. It just, I really, I really was frustrated with my Endo, not because like, they were friendly, but they just didn't have like the knowledge. It was shocking. Like, I swear, I could go there tomorrow and do a much better job than them in terms of like, helping people understand what their options are, what they might want to do, where to go for, like more help, like, just, I think mindset that they mostly get with type two. And that was why but still, like you're an endo, you should know how to give people proper information when they're just starting out on their type one journey. I

Scott Benner 1:00:51
had a medical person told me one time, if you had access to a prescription pad, I'd let you be my endocrinologist. Yeah, totally. Like, that's lovely. Thank you. But sad state of affairs. Also, uh, you know, it's funny. Maybe it's not their fault. Meaning that the delivery system for their information, I have it, they don't have it. Like I have the delivery system that does all the things that you've described over the last hour. Yeah, they don't have access to that they also have a brain to become a doctor. I don't have that. Like, if you sent me to medical school, I would sit there and go, Oh, my God, I hate this. Get me out here. Yeah, you know, and I would fail miserably at it. And they don't have the, I don't know, I'm just gonna say the gift of gab. But it makes me sound like it's 1940. But it's, it's difficult to have information and be able to communicate it in a way that's interesting to listen to acceptable by the person hearing it. It's dumb luck. Like, yeah, it's not lost on me that the first 10 minutes of this episode, are me telling you a story telling all of you a story about a person you don't know. And the thing you haven't been involved in, that you probably don't care about. And yet, you were probably listening to it and going, Oh, that was really interesting. Yeah, I don't know why I'm good at that, Doug. Like, I didn't go to school to learn how to tell a story. I like

Doug 1:02:19
it's like, you know, communication skills. And that's something that doctors are taught. I mean, I work for a hospital system. I know, like, I was actually part of like, the, like, I was on the education team previously, and like, I know that these doctors are, are taught how to pull information from patients, or how to give them like the lay of the land. So like, I don't understand. I know that also, like they have restraints, you know, like, they have a medical system that they're within the confines of where they have a certain amount of time with each person. But like, I just think that it, there's no reason that they shouldn't be able to, like, empathize a little more, or say like, Okay, what you're coming into is a new world. And there's a lot that you're going to need to learn. And we're not going to cover it all right now. But like, let's give you some basics that are gonna keep you safe, and some parameters that are actually reasonable for your first few weeks or months and, and they'll tell a plan to like, speak with you down the road, as you get more familiar and comfortable. Like, the fact that none of that is done is a very large gap. Because like, it might sound like insulin is just so much stronger than a typical oral medication, or really anything else you're gonna give somebody. And so when you're given somebody that something that strong, I think that it warrants, like a diversion from the regular way that they administer information to patient,

Scott Benner 1:03:33
no 100%, I just think that the rate limiting factors humans, and that it's not that they're limited, it's that, you know, just because when you're 18, you decide like, I'm going to be a doctor, it doesn't mean you're a good communicator, or it doesn't mean that even when they teach you in school, how to communicate with people that you're going to come off not like a robot, or you know, that you're even going to understand the thing you're telling people about, I don't even know how to explain to you. Like when I really start talking about, like, if we got on here at the beginning of this episode. And you just say you cornered me and you you said, Scott, just tell me everything you know about diabetes, I don't want to talk I, I would start slow. Because as I tried to access what I understand about diabetes, intellectually, it's not easy. But if I can, as I'm talking, I go away in my head. I don't know another way to say that. And I have access to my knowledge. And I almost it's like a faucet. Right? I can turn it on and get it flowing in a way that I'm not sitting there consciously thinking go get this thought and hand it to Doug and now that you've spoken about basil move to this. Like I don't think I don't think that way. Like I just open up the diabetes faucet and I go even if you go back and listen to me tell the story about coal. I made a decision that I was going to tell that story And then I, I get semi unconscious and tell the story. Like, I don't know what other I don't know another way to put it like those details and that timeline there. All right. But if you ask me right now to sit down and write it out, I would struggle to write it out. So I don't, you know, anyway, that's not a thing you can do when a 15 minute doctor's appointment is what I'm trying to say. No, yeah. And also, it also doesn't make it in conscionable, that they let you out of there. Without the information you need.

Doug 1:05:29
Yeah, I mean, I think I heard you say this, they, they basically want you to not lie. Right? And so they give you like, very, I don't know, like, just safe, or, you know, not aggressive guidelines or information. And then it's kind of on you to figure it out from there. And that's fine. Just, I, I definitely think that, like you said, like, if you're in there, you could give better information to patients right off the bat. And I think I could do and I actually would love to do that some days to at least volunteer in space. I try to, I try to help out as much as I can. Because I just think that a lot of people don't know. And it's almost sometimes kind of to your point about like how to provide information. Sometimes it's easier when somebody has a particular question. Or like when you know, they're in a certain part of the journey, rather than just like blurting out all the information. It's like, Oh, right. What are you actually going to do when you go home? Like, how are you going to navigate tomorrow, and then we figure it out together? And like, that's where they gain all the information about exactly how to do that.

Scott Benner 1:06:26
It's also difficult to, you don't realize that when people come to you with questions, they often don't really know what they're asking you, right? And when they try to give you examples of what's going wrong in their life. They're sometimes the worst people to ask. So they start leading you down these paths of stories, you're like, This is meaningless. Like, I don't need this information, like is this what you're focused on? No wonder you can get your basil, right, like, this is what you're thinking about. Right? And they they just don't know. And I'll tell you the other thing, the one thing I think I have that is maybe sorely lacking in this time period, is I know what I know, I am comfortable that I know it. And I don't apologize for saying it. And so not that I'm saying some horrible things that are hurtful. But how do I mean this? People spend so much time apologizing for what they're saying just in case it's offending you. They never really fully with a full throat say what they mean. They're always holding back and giving you half of things because like, well, I don't want to be too, you know, and then meanwhile, all the notes I get are thank you for making an honest podcast. Thank you for speaking about this, honestly, like that kind of stuff instead of just going well, I don't know. Like, you may feel this way. But some people don't. And, you know, it's okay. If you don't invite like, No, it's not, it's not okay. Like, I listen between you and me and everyone listening. If a seven and a half a one C is the best you can do. I think that's terrific. But you can't sit there and pretend that you're done. And that this is okay. Right? It's not I don't care what the ADA says about a seven a one C. I don't normally say that out loud. That's too high. You know, like, if you have to be there for a year while you figure it out. There's no shame in that game at all. But don't get the seven and a half, like, oh, that's close enough to seven. I'm good. We

Doug 1:08:27
need people like with your attitude, because I struggle with that. Like it's hard not to be sort of too nice in a way and just be like, Alright, great job. You know, I think it's really good that you do push like that. So I think that's, that's really appreciated.

Scott Benner 1:08:42
But and then the other thing I that I've done is that I don't say it that directly. But I don't also hold back I say things like, Don't stare at a high blood sugar. If your blood sugar is 140 Correct it like like don't don't live all day at 140 and got so close to 90. You know what I mean? Like, that's the kind of stuff that gets your a one C lower that lowers your variability. Yeah, that puts puts your insulin in the right places during the day. So you're not getting super high or super low all the time, and you're still using enough insulin to get an agency that is going to be healthy for you. Totally. Yeah, but anyway, like a doctor is gonna say seven great, great job. And they by the way, everyone, no matter what your agency is, I mean, this, someone should be telling you, you're doing a great job because it's hard. You are you are doing a great job. But let's do that job with the amount of insulin you need for your seven to be a six and then once you figure out how to do that status, let's see if we can't make it a five eight or something like that. You know,

Doug 1:09:43
I mean, kind of just to back up your point like the kind of community that you cultivated it is refreshing and sort of like, I don't want to say better but like it's just like, it's got it's got more knowledge. I feel like it handles different situations like particular I'm thinking of like the Facebook groups like, the questions and answers I see there versus other type one forums. It's just, it's better information. You know, it's not like random complaining with no actual solution. It's like, Alright, here's the thing happening. And then a bunch of people say, Okay, here's how you can actually do so like, I think, to your point, you've created a community where people tend to do that, I think, more than elsewhere, and it actually leads to good solutions, which is ultimately what people need. So that's, that's great. Yeah,

Scott Benner 1:10:27
I mean, my I was talking about this with my son the other day, that idea, because he's just into the working world, right. And so we're talking about some of the things he's learning and seeing being around a lot of different people, personalities, that all have a task to perform. And he's like, There's this one guy. And he's amazing at pointing out what's wrong.

Doug 1:10:51
Seinfeld character, exactly,

Scott Benner 1:10:53
right. Like, like, the guy is just amazing at being like, this is the problem and calls like, great, what's the answer? And I was like, Yes, you are asking the question that very successful people ask all the time, or that some leaders in major industries will tell you don't come to me with a problem come to me with a solution. Right, you know, come to me and say, Hey, I noticed that this is wrong. And here's what I think we can do to fix it. But when your personality leads you to Oh, my God, oh, my god, it's so wrong. So I'm having this conversation with my son, my brother's with us. And he goes, we fired a guy for that. And I was like, what he goes, he did great work. And I was like, right, he goes, but it was exhausting to be around him. Like, he's, uh, he just ran around yelling, like, the sky is falling, the sky is falling. And he's like, and then eventually, he'd stopped the sky from falling. And we kept saying to him, we know it's falling. Can you just fix it more quietly? And eventually, he said, it was such a distraction. They moved him out of the thing. I think they moved into another part of the business. I

Doug 1:11:54
don't think they fired him. But I can understand that for sure.

Scott Benner 1:11:59
It's just, it's fascinating. And I think that I bring that up, because I think that people with diabetes, or any health issues, can find themselves in that situation. You know, this hurts. This happens when I do this. My blood sugar spikes every time I blah, blah, blah, okay? Some people's blood sugars don't spike, when that happens. It is not because they have a magically better kind of diabetes than you do. Right? They know how to use their insulin, they understand the impact of that food. Like that's what they're doing that you don't do. Don't just tell me, oh, gosh, that's just diabetes. I guess I die sooner than everybody else. Like, that's not the answer. And I still I got a note from somebody the other day was online, from a person who listens to this podcast, and they were extolling the podcast, and then spent a paragraph talking about how they're a brittle diabetic and I'm like, Oh, my God, like you listen to me. And you still think that?

Doug 1:12:54
Well, you know, it's funny you say that. I thought I would have said I was brittle in the beginning, too. Because that's like what my doctor said. But really what it wasn't there just honeymooning and I was very sensitive to insulin.

Scott Benner 1:13:07
Yeah, so that's funny. Yeah, what a terrible world word to tell somebody. You know, you're just brutal.

Doug 1:13:13
It just implies like, what am I falling apart? I don't want to represent it. Well,

Scott Benner 1:13:17
yeah. Man, in my mind, it's a picture of 150 year old rice paper, and I pick it up and it just disintegrates in my hand. So that's what I am. I'm rad, delicate, terrific. There was

Doug 1:13:29
a period. I mean, I definitely felt that I guess, me being like, newer diagnosed, I try not to like, judge anybody else. Because I'm like, I know, like the mental burden of it. And so like, I can only imagine, like a lifetime of it. And so like, sometimes I feel like some people just need to vent. And I'm like, alright, that's completely understandable. Because it's exhausting. Like, you just wish you could take a break. But yeah, certain things like when it's actually just not brittle, you maybe just don't understand how to do certain things. That's like, I think to your point, like a few minutes ago, like that's where it helps to sort of like, stop them from allowing to keep saying that and be like, well, let's just actually try to fix this. Because I don't, I don't want you to think that you're brittle. Because that can lead you to do the doing less than than feeling worse about yourself and then having a tougher time. So like, let's, let's actually figure out what's going on in this particular case and try to help it. Yeah.

Scott Benner 1:14:17
Yeah, that all makes sense. I know some of you've been told you're brutal. And I know some of you see your blood sugar's jumping all over the place. And that's what you think, Oh, look, I'm Berta like, yeah, a little bit this way, break a little bit that way, that number of breaks, etc. That's just you not using insulin. Well, I mean, somebody might be brutal. Do you understand that? But overwhelmingly, that is not the situation. Oh, it's

Doug 1:14:40
also like, sometimes it's Dexcom. Sometimes it's changing. Like, for example, I think it's easy to mistake making your brittle. I struggle with this. Let's say you're sitting around working for a couple hours and your blood sugar's at 150. You get up a lot of times, you're taking a couple of steps, your blood sugar's dropping to 121 10 In two seconds, you might think that you're brittle, if that's the case, but really, it's just you've had no circulation circulation, you know, insulin is just not going to do anything and you're sitting around. So there's some things that are just knowledge based, I think I could be mistaken for a brittle diagnosis. Or it could even be you know, maybe your Dexcom is acting up and lectins are jumping and you think that actually means your blood sugar is dropping. Like there's a whole variety of things that could lead to a label and maybe sometimes it's okay. I

Scott Benner 1:15:30
don't know if I love you because you sound like a friend of mine. But I was, I had teed up in my head before you said that. I said to myself, I'm going to explain to people like what if you're dehydrated, and you put a bunch of insulin in your blood sugar doesn't move and then you mindlessly chug a water eventually, and all of a sudden your blood sugar starts falling you say, Oh, my God, look, I'm brutal. I sat around all day, I gave myself all this insulin, nothing happened. And then for no reason, all cuz you're not going to see the water is like the, the connection there. You didn't know enough about it. But that would lead somebody to say, Oh, I'm so brittle. All this insulin didn't do anything. And then all of a sudden, later I the insulin was out of my body wasn't out of your body. It's sitting in there not circulating because you're dehydrated. And then you basically reanimated it with the water and like, whoo, here we go. Totally. Yeah, I don't know. I

Doug 1:16:18
mean, other examples like driving, even if you're driving around your neighborhood, like for me, there must just be a minor cortisol, cortisol spike when I'm driving, because I'm locked in and I'm paying attention. And so like, I'll take a bunch of insulin, it seems like it has no effect. Once I get wherever I'm going, my blood sugar is going to tank that doesn't mean I'm brittle. It just in that particular case, it means that like, my nervous system isn't all amped up anymore. So like now, I'm sort of functioning like I normally would be, say, might apply for like, a date, you know, you're all excited to get there and you're doing your thing at the end of the day, and blood sugars, maybe hide dinners, you go home and you relax, like your blood sugar tanks, like. So there's like sometimes environmental things that you're doing. And your body may be doing things that you just don't realize that are impacting your blood sugar, but it does not mean that there's anything wrong or even necessarily didn't eat them, or it's just like, sometimes this is the way things work. 100%

Scott Benner 1:17:07
That's exactly right. All right, Doug, you're amazing. Is there anything we have not talked about that we should have?

Doug 1:17:13
The only thing I was gonna say is I well, I feel like most of the people on your podcast are not single, especially the guys. Like I've heard most of the guys being like married or girlfriends, whatever. The one thing I say is that I do find dating hard as with this, because the you know, if you think about it, like a lot of times the setting for a date is like dinner. And so you're sitting there, you're getting foods that you may not normally eat, the hardest struggle that I've had with all of this is like staying mentally present with the other person went by blood sugar is going out of control, because I'm not really prepared. So I don't know where I'm going with that. I just feel for anybody else who's dealing with that, because there's been times that I've been on a date. And again, like I like to have a really strict under control blood sugar. And so you know, whether you like it or not, sometimes you're out at dinner and your blood sugar, just not acting the way that you want. Because you're you're a little bit stressed or excited, you're eating something you don't normally have. And you're sitting there with a 220 blood sugar, trying to not let that aggravate the hell out of you while being attentive and actually being present with the person that's across the table from you. And I feel like that can be very hard. Like I've had some some situations where I just had it impossible for me to be be present with the person. And I've probably missed out on opportunities because of that. And that's been really frustrating. And so there's ways around that, obviously, you can go for a walk, or you don't have to go to dinner, it's just, there are certain circumstances that I feel like, you have to navigate in a unique way until, I guess until you establish something for somebody so they can understand it. Because the other piece of that is that in dating, I've not really met anybody who understood what type one was. They all think it's type two. And so like, the amount of granularity and stuff that I have, have to pay attention to is, is foreign to them. So that's been tough. And then yeah, it's always funny. Like, they call me like the beeping guy, you know, because I would get like alarms going off or like things beeping or whatever. So like, what is this, but there's just different elements that I think you have to address somebody with type one who is like, dating and not really with an established partner that I think are unique, and you know, anything that people can do to sort of support each other with that or stay on top of it. I think it just helps because it's a little tricky,

Scott Benner 1:19:26
right? Yeah, no, I think your point you're, you don't know the person yet. And they don't understand anything about your type one. And you're in an awkward situation. And any little weirdness might make a new person go I'm not up for this, like, you know what I mean, like and if you start staring out in the space, because you're thinking I am going to get low, I'm about to get low. I don't want to get low, like like, you know, we're whatever. Yeah, and then if you get like, if you think like oh, this is going well, like we might head back home like you get excited now you need a bunch of insulin right I think it's yeah. Or they're like,

Doug 1:20:01
you know, let's take a walk after you're like, Well, I've got five units mixed. Let me I don't know if that's a great idea for me right now, like little, little stupid things like that definitely tend to raise your head. But it's not a huge deal. It's just Yeah, but otherwise, I would just say, like I said, I've completely adjusted type one, I don't like it. But I do find it fascinating. And I like contributing to the space. So I want to help out as much as I possibly can, like I'm doing that study, I'm trying to like, I'm actually going to try to start like a business where I can help educate people, like I joined at CES to try to become an educator myself eventually. Because I feel like I've always liked teaching people, I have a lot of empathy. And I can understand more so than with any other condition, other people who have type one, like what they're going through. Yeah. But I also really, I really appreciate what you're doing with the type two community too, because one of the interesting things that I've seen, I'm sure you've seen this as well, but like, I tried to shut this off on myself as much as possible, but I do feel it. And it's like, there's sort of like a, it's not looking down. But like, when you hear people complaining about type two, there's like, there's a piece of you deep down, it's like you don't have anything to worry about, like stop whining, like your pancreas works. But I think we have to get over that. Because it it's an equally, like dangerous condition, if you don't treat it, you know, it leads to the same complications, it's not as dangerous in the short term, but long term, it has just as many complications. And so, you know, I guess that's for anybody with type one, like, it's, we have to try to do our best not to, like looked down upon any other condition, just because they don't require insulin to survive. You know, like, it's, I wish they had different names, I think is where I'm going with this, because I think both both groups tend to get a little bit defensive when, you know, they're lumped in with the other one. So it's just something that I think I'm grateful that you're doing that type two stuff, because getting those people out there and hearing their stories. And also for people with type one that may not realize that people with type two sometimes do use insulin, like I think that's like a good bridge to understanding the conditions as well and what they go through.

Scott Benner 1:22:02
It's funny how rigid people can be. Because I get about once a month, somebody on the Facebook group will say, I thought this group was for type one diabetes. And I was like, well, that's for everybody with diabetes. And they'll say, Well, it's called Juicebox. Podcast, type one diabetes. Now, Doug, I don't have time to explain to these people that I had to call my podcast, Juicebox Podcast, type one diabetes, so that search terms would work out when people search for a type one diabetes podcast. So I'm like, yeah, it's just a name. And it's meaningless. Like, it doesn't matter. Well, it's, it says, it's for type one, I'm like, Oh, my God, you must be tortured in your life. Like, it's for type one. And it turns out that people with type two diabetes, it's all the same, like, like, it's, you know, like, once you're using insulin, it doesn't matter if you're type two or type one, the rules are all just kind of apply the same, right? And, you know, and if you're pre diabetic, you could come in and learn a lot about, like eating food in a certain order that help lessen your spikes. Or maybe you can learn about a different medication that people are using that are helping or, you know, I mean, I'm, I'm gonna move more conversations towards semaglutide. You know? Yeah, like what I'm seeing a do for people, they're like, like, we're gonna keep bringing it in. I just interviewed a woman yesterday with type one is using ozempic At the same time, and it's significantly decreases her insulin needs. That's amazing. Yeah. So I'm like, rant, she lost weight on top of all that, like, hey, you know what I mean? And so like, I'm just like, I sit back. And I think, how do you not see the bigger picture? What do you care what they have if the information here is helping them right on? By the way, it's such a small fraction. I have, like you said it earlier, I didn't want to like agree with you, because I sound like a douchebag. But I have done a really good job of setting up a space that really helps people. Yeah, you know, and but every once in a while, you'll hear one of those voices, and you have to go explain it to them and say, Look, you know, it's cool, like, just chill out.

Doug 1:24:08
Yeah, I mean, I think I get it because at the end of the day, I think managing type one, databases is a lot harder, because you have more granular decisions, and you're taking insulin and so but at the end, but the bottom line is that we type one and type two need good blood sugar management, otherwise, there's complications. So, you know, that's, that's a pretty, like, important central meeting point.

Scott Benner 1:24:33
If you put me in the position of defending a type two in this conversation, I could easily tell you a ton of things that would make you go you're right, that is hard. Yes. It's just not hard. Like your thing is hard. It's

Doug 1:24:45
just Well, I mean, I guess having managed it for a bunch of years, like I kind of know what's involved. It's just I think it's maybe not as scary. It depends on insulin. Insulin, I think is the thing. It's like, I feel like a type one person can say like, well, I make one wrong decision. and I just could not answer well, today, whereas like type two, it's like longterm, mostly depending on what they're taking,

Scott Benner 1:25:07
I also find myself in between the thought, because I am a, I am a personal responsibility person, like in my thinking, like, I do think you have personal responsibility for your decisions, your actions, I also think that there are things that can happen inside your brain in your body that stop you from being able to make the decisions that you would make if you weren't being stopped. Like, you know, I mean, you talked about anxiety, anxiety is a great example. Like you, you have reactions to things because of your anxiety, that if I just let your conscious mind decide it wouldn't do those things. And when you see that, how hard your hunger was impacted, right? And so how is it not the same for a type two person who maybe just can't stop eating a certain thing that they wish they could stop eating as an example? Or how is it not the same thing? If someone's knee is hurt, and they need to go for a walk, but they can't, because when they go for a walk, their knee swells up? And it hurts, right? Like, there might be different reasons, but it doesn't matter. Yes. I think in the end, if everyone could just remember that the hardest thing you've ever done is the hardest thing you've ever done. And stop judging your heart thing against somebody else's hard thing. What you would see is that people all have issues, just because one of them is cancer. And another one is, I don't know, a sore back doesn't mean that the person with a sore backs not suffering.

Doug 1:26:36
Yeah. And I mean, I think one of the things that I would suggest for like anybody type one that's maybe a little bit resentful of type two is like, you're you're helping our community, right? Like all the information has really helped people with type one live a better life. And like that same information is going to help people with type two live a better life. And there's way more people with type two. So like, why wouldn't you want as many people to get help as possible? So like, I just think getting it in front of type two is opening a gigantic new door that could dramatically help so many people. So yeah, it's like, how could you not want people to get good information? Yeah,

Scott Benner 1:27:12
good information is good information. I don't care where it comes from. And that's that, like, to me, that's the answer. You know, in the beginning, I took stuff from people who were like, well, you don't have diabetes, I can't listen to you talk about it. I was like, Well, I know more about it than you do. So maybe you should eat like, what do you care that I don't have it? Like it's fast. It's fascinating. You know, you go buy a new car, and a guy shows you how to drive the car. And then he goes and gets in a different car and goes home. He doesn't have your car. You don't go but you don't drive a Toyota, you're in a Honda. What do you tell me about Toyota is for you go okay, that's fine. That guy's job isn't telling you about the car must be the might be good. Might be good. It's a good analogy. It's ridiculous. Like, oh, yeah, your doctor doesn't have diabetes. They're doing a terrible job of explaining it to you. Like, you know, I don't know, read a review of the podcast and say, I'd like to feel like that one day. Like, oh, yeah, Doug, please. We had a nice conversation. Let's not get me upset. Okay. So

Doug 1:28:08
you're doing a great job. So thanks for the stuff that you're doing. And I hope you keep it up, you know, permanently.

Scott Benner 1:28:14
I have no plans on stopping. So don't worry about that. Right. That's great. I'll tell you, I'll share something with you that only you and I will know for like at least six months. I wanted to make my next series with Jenny, like a next gen Pro Tip series. Because I think that Jenny and I are just better at talking about it than we were in the past. And so I'd thought about like, well, let's add to the Pro Tip series. And then I'm like, Well, why don't we just make it more conversational and dig deeper into like, have more conversations about topics instead of anyway, that was my idea. But I might slide that idea back a little bit on my calendar, to do a, like a grand rounds series for doctors. Oh,

Doug 1:28:57
that's a really cool idea.

Scott Benner 1:28:58
Why don't Jenny and I explain to a doctor or a person in medical school, what's going to happen? And what appropriate responses are and what people really need to know versus what you're telling them.

Doug 1:29:14
And I was like, that's fantastic. That would be an unbelievable idea that

Scott Benner 1:29:16
is on the whiteboard. And now it is on the whiteboard. It has to happen.

Doug 1:29:19
Please do it. Yes, a lot of people would benefit from

Scott Benner 1:29:23
that. So I have to finish the myth, the MythBusters I really can't say myth. I have to finish the MythBusters then I'm gonna go to Grand Rounds, then I think I might slip into finding celiac in the middle there. Then I'm gonna go next gen pro tips. And then after that, I think I'm gonna do supplements and nutrition. So that should keep me going for about three more years. Dogs. Don't worry. I'm good.

Doug 1:29:44
That's all really good stuff, too. So can you can you speed those along?

Scott Benner 1:29:48
I'll just I'll stop living and I'll start recording 24 hours. All right. Thanks, doc. Oh, hold on one second. A huge thank you to one of today's sponsors G voc glucagon find out more about Chivo Capo pen at G Vogue glucagon.com forward slash juicebox. You spell that? G VOKEGLUC AG o n.com. Forward slash juice box. A huge thanks to the contour next gen blood glucose meter for sponsoring this episode of The Juicebox Podcast. Learn more and get started today at contour next one.com/juice box. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. The episode you just heard was professionally edited by wrong way recording. Wrong way recording.com

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#1121 Super Focus

Tacee has type 1 diabetes a great story that includes a GLP medication.

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

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

Scott Benner 0:00
Hello friends, welcome to episode 1121 of the Juicebox Podcast

today she'll be speaking with tasty she has type one diabetes diagnosed in 2021. She was misdiagnosed with type two diabetes before that. Since then she switched doctors learned to push back and is taking control. Please don't forget that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. When you place your first order for ag one with my link, you'll get five free travel packs and a free year supply of vitamin D. Drink ag one.com/juice box don't forget to save 40% off of your entire order at cozy earth.com All you have to do is use the offer code juice box at checkout that's juice box at checkout to save 40% at cozy earth.com If you're looking for community around type one diabetes, check out the Juicebox Podcast private Facebook group Juicebox Podcast type one diabetes. If you know someone who would make a great guest on the cold win series, please send them my way you can email me through juicebox podcast.com.

US med is sponsoring this episode of The Juicebox Podcast and we've been getting our diabetes supplies from us med for years. You can as well. Us med.com/juice box or call 888721514 Use the link or the number get your free benefits check it get started today with us med 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.

Tacee 2:08
Hi, my name is tasty. I obviously have type one diabetes and I live in Texas, Texas.

Unknown Speaker 2:15
Yes. Is it hot?

Tacee 2:18
It's very hot right now. It is 86 degrees. And it's 938 in the morning.

Scott Benner 2:23
Oh yeah, that is

Tacee 2:25
that's not supposed to hit 104 today.

Scott Benner 2:27
Oh my goodness. Do you? I do live there on purpose. Or did someone abandon you there or something like that?

Tacee 2:35
No, I've actually lived in Texas, my entire life. And I really love living in Texas. I much prefer the heat to the cold. Yeah,

Scott Benner 2:43
well, I do agree with that. The heat to the cold thing makes a lot of sense to me. How old were you when you were diagnosed?

Tacee 2:50
Um, I was I'll let you do the math because you're good at it. I was diagnosed in 2021. Okay, and I will be 37th of October. Well,

Scott Benner 3:01
this is not hard at all. It's it's two years. And you were about like 3435 years old, depending on when your birthday was? Oh my god, I can subtract two from things all day long. Tasty. Don't even test me. Okay, watch this. 98 minus 296. It's crazy.

Tacee 3:20
And the relationship, my husband is the math person and I am the words person,

Scott Benner 3:25
I can do it with larger numbers. 1,800,057 minus two, 1 million blah, blah, blah. You know what I mean? You just take two, it's very simple. I would have done it for you just them. But I forgot the number that I made up. So. All right, what makes you want to come on the podcast?

Tacee 3:42
Um, so last year, you were looking for people that were on Omnipod. Five, I had just been on Omnipod. Five, actually for like a couple of weeks when you posted something. And so now I've been on Omnipod. Five for a while now. And I'm actually not even using automation mode anymore. I'm running it in manual mode, because it wasn't that great. So

Scott Benner 4:12
you were having trouble. This isn't a good, good. Let's dig through this. I like this. Okay, so first of all, let's find out a couple of things. You've had diabetes for a couple of years. You started out with what kind of management

Tacee 4:24
when I very first started I was MDI so long last seen at night, and then a shot of fast acting for meals. Okay.

Scott Benner 4:34
So you were doing Do you know, do you remember what your Basal insulin was back then?

Tacee 4:43
Yes, because it has significantly changed. Um, when I first started, my Basal was about 20 units, okay. And my carb ratio was like one to five, one to seven or so. And it was a lot of trial and error. figuring things out, I think my situation was slightly different than most other people because I was mistakenly diagnosed as type two prior to getting the official type one diagnosis. And I was so proud of myself because I was doing all of the things. I went full blown, like keto, low carb. Why don't they really keto, because it wasn't doing super high fat, it was mainly just really extremely low carb. And I suddenly started losing all this weight. And I was so proud of myself. But my blood sugar's were still in the 200, even after eating lettuce, and the doctor I was seeing at the time was like, Oh, you're not trying hard enough. That's pretty normal. These numbers really aren't that high. And I'm like, I'm really uncomfortable with all of this. Can you please send me to an endocrinologist? So right away, they were like, Yeah, you have type one, and your agency is 10.5. And we need to work on that. What?

Scott Benner 5:57
What made you so sure that you should go to an endocrinologist right away? Like, do you know something about diabetes? Before you got it?

Tacee 6:05
So I did have gestational diabetes with both of my pregnancies. And so they were so strict with that about like, any number really higher than which I think is funny now, because they use like one ad, they wanted everything to be under one ad. And now I'm like, Oh, my gosh, one ad so high. They wanted all the numbers to be under one ad. So I was consistently having these numbers in the two hundreds 250s. And I knew I wasn't eating anything with carbs in it. It was kind of weirding me out. And I think everything just kind of aligned because at the same time that I was struggling, my numbers were so high. My mom was like, Oh, by the way, your uncle was just diagnosed with this thing called lotta like type 1.5. I don't really know anything about it. Do you think that that's what you have. And so that was really the pushing factor to be like, my numbers are really high. This doctor is telling me that I'm not trying hard enough and that I'm cheating when I know for a fact that I'm not right. And so that was kind of the pushing factor. I'd

Scott Benner 7:08
love to talk to your manager, please. diabetes comes with a lot of things to remember. So it's nice when someone takes something off of your plate. US med has done that for us. When it's time for art and supplies to be refreshed. We get an email rolls up in your inbox as high origin. This is your friendly reorder email from us med. You open up the email, it's a big button it says click here to reorder and you're done. Finally, somebody taking away a responsibility instead of adding one. US med has done that for us. An email arrives we click on a link and the next thing you know your products are at the front door. That simple. Us med.com/juice box or call 888-721-1514 I never have to wonder if Arden has enough supplies. I click on one link. I open up a box. I put the stuff in the drawer and we're done. US med carries everything from insulin pumps, and diabetes testing supplies to the latest CGM like the libre three and the Dexcom G seven. They accept Medicare nationwide, over 800 private insurers and all you have to do to get started is called 888-721-1514 or go to my link us med.com/juicebox using that number or my link helps to support the production of the Juicebox Podcast. If you take insulin or sulfonylureas you are at risk for your blood sugar going too low. You need a safety net when it matters most. Be ready with G voc hypo pen. My daughter carries G voc hypo pen everywhere she goes because it's a ready to use rescue pen for treating very low blood sugar and people with diabetes ages two and above that I trust. Low blood sugar emergencies can happen unexpectedly and they demand quick action. Luckily G voc hypo pen can be administered in two simple steps even by yourself in certain situations. Show those around you where you storage evoke hypo pen and how to use it. They need to know how to use Tchibo Capo pen before an emergency situation happens. Learn more about why G voc hypo pen is in Ardens diabetes toolkit at G voc glucagon.com/juicebox. G voc shouldn't be used if you have a tumor in the gland on the top of your kidneys called a pheochromocytoma. Or if you have a tumor in your pancreas called an insulinoma visit G voc glucagon.com/risk For safety information. Is there someone above you I can speak with? Looks like I've gotten all I can get out of you. That's beautiful. I'm I'm really impressed that you were able to make the push that quickly And that's pretty terrific actually. So you you go along with MDI for how long?

Tacee 10:05
So I did MDI for about nine, nine months.

Scott Benner 10:12
Okay? And I'm sorry, the brand of Basal insulin. Do you remember it?

Tacee 10:16
basaglar? Okay, that's a glare on Novolog. All right,

Scott Benner 10:22
cool. So, when you decide to move to a pump, do you go right to an algorithm? Or do you go to a no,

Tacee 10:30
I went to the dash. Okay, so no algorithm. Yeah, I was really fed up with doing shots. And I was having a lot of trouble getting everything to be consistent. And I knew it was because I needed to tweak my basil, which is I was having a difficult time with on MBI that, and so I knew if I got on a pump, I could make more immediate changes. Yeah,

Scott Benner 10:54
no, I understand and have have more control over everything. The finer controls. I have a question though. Yeah. Before switching to the pump. What was your day one, see, what was your variability? Like? What What are your outcomes like day to day on MDI?

Tacee 11:10
So my aliens see when I was doing MDI was 6.3. By the end, I don't remember the specifics. But the the, like the standard deviation? Yeah. Was really large, was really large.

Scott Benner 11:28
You bounce you were bouncing up and down and having a lot of lows. Yeah,

Tacee 11:32
I was having a lot of lows. And so then, I was still learning and trying to figure out what the heck I was doing. And so I would overcorrect. So then I would go back high. And it was just like a ping pong and just really made me overall feel pretty crappy. Yeah,

Scott Benner 11:47
you were bouncing around. Okay. So you had probably an artificially lower a one see your standard. When you say a big standard deviation? Do you mind telling people so they get a feeling for it? Was it in the 60s?

Tacee 12:01
I think it was closer to 75, honestly. All right.

Scott Benner 12:06
So is that because of the education you received? Were you not like, what do you think was happening back then?

Tacee 12:14
Yeah, so honestly, everything that I now know about diabetes, I have learned from Juicebox Podcast, and that the Facebook group, especially seeing what other people are posting, because I didn't know about like the standard deviation. And that, you know, that we're looking for it to be like a pretty smooth thing as opposed to the lake. We're looking for waves, not cliffs and valleys, which I was definitely getting. And also just about like actually, like not being scared to use insulin. That was something that they told me they're like, Oh, well, you can't eat. You can no longer eat bananas, you can no longer eat. Like you have to limit watermelon. And all these things. And I'm like, so you want me to replace real food with these artificial leaves, flavored our you know, sweetener things. And that just didn't sound very logical to me.

Scott Benner 13:07
Good. Good for you. And so you were chasing your blood sugar around? Is that fair to say? Yes. Yeah, it was going high. You were going I don't want to use too much insulin and then eventually thinking I got to do something crashing down low overcorrecting, because you're scared Bounce, bounce, bounce. Yeah.

Tacee 13:23
And then it got to the point where I just like, I'm just not going to eat because I don't want to do another shot that's going to be followed up by another shot.

Scott Benner 13:30
Yeah, no, no, because I'm all over the place. It's a pretty quick ride to that thought, like, you know, to start having the unreasonable thought of like foods, the problem, and, you know, obviously, using the insolence correctly would be would be very valuable. So okay, so you, Well, you seem inquisitive. So when, when you see this bouncing around, you finally get tired of it. I'm going to think not just tired of it, like, Oh, I'm sick of this, but like, exhausted by it, I'm guessing. And then how do you? How do you make the leap to think there's information somewhere, but I don't know where it is or how to get it. So

Tacee 14:06
I started doing research what I didn't know at the time. Earlier this year, I was diagnosed with ADHD, which explains a whole lot of things in my life that I didn't previously know. But one of those things that I call my ADHD superpower is hyper focusing. And so I just went on this type one hyperfocus rabbit trail and just started reading everything that I could, listening to a bunch of the podcast, reading transcripts for the podcast, because sometimes I get distracted. And listening is not super productive for me. But for some reason, I can read the transcript and be like, okay, yeah, I know what's going on.

Scott Benner 14:46
Casey, is that because my voice is intoxicating? How do you get lost in it? Exactly. I'm just kidding. So

Tacee 14:54
I get distracted by other things like so I'll be listening and then I'll be Like, Oh, look, I need to wipe up that mess that my kid left on the table. And then I start thinking about that, and then realize that I have not listened to the past three minutes. And I have no idea what is being said anymore. Gotcha.

Scott Benner 15:14
I understand. Okay, so you can I ask how you find the podcast? You find it through Facebook? Or does somebody recommend it?

Tacee 15:20
I found it through Facebook.

Scott Benner 15:22
I'll tell you what, Facebook is great for the podcast. It's, it's amazing how, how many people come into the private Facebook group? And say, there's a question. It's like, where did you hear about the podcast from? And the amount of people who say like, your doctor, or this group, or that group is lovely, but the ones that always stunned me is everywhere? I don't know, I hear about it everywhere. Like, Oh, good. You know, so the word gets around. So you get through Facebook, that seems reasonable. You get into my Facebook group that helps you find the podcast, you find a balance for your ADHD between listening and reading? Or do you go into the, like the management series? Because that's what you're interested in most when you get there, right is trying to figure out? Yeah, which one? Do you know? Do you know which ones you used? The

Tacee 16:08
basics are the ones that I started with?

Scott Benner 16:10
Well beginnings, beginnings. Yeah. Okay. By the way, I'm doing market research while I'm also interviewing you. Okay, so you get into those, they lead you what? Into a mindset that's different.

Tacee 16:23
Oh, absolutely. Because interestingly enough, I started. So as soon as I had an inkling that I might actually be type one instead of type two, like I was told, I went on Facebook, and I looked for every group about type one. And I just started like blindly joining. Shameless plug yours is honestly the best. I actually ended up leaving almost all the other. I'm one Texas pipeline group, I think is the only other group I'm in. Because yours was just the most helpful and the most realistic, and just the best community.

Scott Benner 17:00
Thank you. I'm glad. That's wonderful. I appreciate you saying that. And I'm glad you found that to be like that. Thank you.

Tacee 17:04
Because I like everything that I learned, I learned from watching what other people were posting from listening to the podcast. And I was so mad that I found out about it so late, because all of these things if I had known when I was pregnant, my pregnancies would have been so phenomenally different betas, because the information that I was provided was like, You have to eat this. You have to eat 60 carbs for dinner. You have to and you have to Bolus this much no matter how many carbs you're eating. And I'm like, Man, that's fake news. I wish I had known otherwise.

Scott Benner 17:41
So you were eating when you were pregnant? You were eating food you didn't want?

Tacee 17:45
Oh, absolutely. More so with my first pregnancy, because I was scared. Because it was my first one. It was you know, my very first pregnancy and then to be told, like, oh, well, you have this thing that could affect your kid. I did exactly everything that they said. And I felt horrible. Sorry. When they make you meet with the like the educator, and it was a group study. And so there was like five other women, all different stages of pregnancy, all with gestational diabetes. And they were talking about things to eat. And she was like suggesting these meals. And I was asking about quinoa. I really enjoy eating quinoa. And she had never heard that Decatur had never heard of quinoa and had to look it up. And she's like, Well, why don't you just have some some white rice instead. So

Scott Benner 18:39
I don't think those are the same thing.

Tacee 18:41
And I'm like, um, and that's when I knew that something was off. That, you know, you're you're telling me to eat white rice for my dinner, or instead of quinoa, when Keen was much more nutrient dense. And so the whole thing was just very bizarre to me. But again, I was scared. So I mostly did what they said. And every time I went to an appointment, they were like, did you have more carbs than you're supposed to? Because your numbers are high. And I'm like, No, I actually had less than or like, I don't know about that you probably just counted. It was just the whole thing was so dismissive

Scott Benner 19:19
and dismissive and being the the what it felt like the asylum was being run by the lunatics that kind of feeling. Yeah, yes. Yeah. Yeah, I tasty. I'm a nice person. So I'm not gonna say this very specifically. But I know a lot of people who have a lot of different jobs, and if you put me in charge of the world, most of them wouldn't do that. So don't be like No, that's not really for you. Your brain doesn't work that way. You shouldn't be doing this. You have no knowledge whatsoever. It's interesting how we ended up listening to people because of the job they have. And I don't get to. I don't get to know how they came about that job, you know, yeah. So, you know, you could be sitting in a room with a person who barely got through their education. And then whose mom knew a person at a place that got him a job doing a thing. And now you're sitting there pregnant, listen to them about what the, you don't know how it happens. And I don't I don't mean to be distrustful. Like I'm not saying that there are plenty of people who do an amazing job and medical places and everywhere in the world. But I mean, we, I don't know I said this to somebody the other day like you go to the tire shop, you expect people to like know about tires, and when they not when they don't like you should get in your car and drive away. Not not go. I hope this works out. Okay. So yeah, good for you. By the way. Is this always your personality? Or did you find the balls for this when you got diabetes?

Tacee 20:52
I think this has always been somewhat my personality, but getting diabetes really highlighting that I'm not going to do what somebody says just because you're, quote, a person of authority, if I don't agree with what you're saying, because with my second pregnancy, I did not do any of the things they told me to do, and had a much better pregnancy and a very healthy baby. Wish you could

Scott Benner 21:16
see me, I'm holding my hands over my head in celebration. I feel lovely. It's my birthday. Did you know that tasty, you get? Thank you, I'm older. And I just just hearing you talk like that, and knowing that you're a person who started where you did, and so quickly got to where you are like to be like, aggressive about caring for yourself. I feel like great for you. It's just I hope everybody listening is thinking I should do that too. I should take over and, and and take control of what's happening to me. I really just that I felt elated. While you were saying that I really I'm thrilled for you. Thank you. No, no 100%. So okay, so you're on I'm sorry, I'm jumping around. But your ADHD brain probably loves this. So who cares? She's like, finally someone talks in my flow. So you're on the dashpot now, not now. But back then. And you're you're bouncing around, you're starting to figure it out? Do you ever get into a spot where there's stability and you're not chasing? Your blood sugar's around?

Tacee 22:23
Yeah, so I get to a much better place on the dash. My biggest problem is having a few overnight lows. But everything is so much better. I am feeling so much better. Yeah. And feel like okay, like, Hey, I kind of have a handle on this and kind of know what I'm doing now. I'm eating the foods that I normally eat and enjoy like quinoa, and watermelon. And you know, and things are good. But then I started seeing ads for the Omnipod five. And I had heard about like algorithm and looping and stuff. I had actually started looking into doing a DIY loop. And then I got a little I don't want to say scared I got a little nervous. Because it sounds it's a lot like to get it set up and to get it built out. Sure. And then like if it doesn't work and what if I do something wrong? And what if it What if it malfunctions, so I was a little hesitant to do DIY looping. So then when I heard about Omnipod five I was like, Oh, this will be great. This will solve all my problem. I get the best of both worlds it's going to be like more controlled and helped me not go low and an all these things. So got switched to the Omnipod five and my numbers all went up.

Scott Benner 23:49
Okay, what do you mean by that? So your agency went up your standard deviation like what moved the

Tacee 23:58
standard deviation wasn't so bad but my aylen definitely went up and I was running way higher than I would like to even doing like and I was correcting all the time. How

Scott Benner 24:10
long how long did you did you Oh, I guess my first question should be Did you sounds like you might have but did you listen to the overview on the pod episode about how to set up your on the pod five did

Tacee 24:24
okay. And I even like started over because like okay, well maybe something you know, maybe I didn't do it right the first time or something was off and like I wiped it and started over and it's still was not great. So

Scott Benner 24:39
where are you seeing? What like could it I'm trying to figure out how to pick through this. spikes at meals. Was that a thing? Like

Tacee 24:50
that meals bike like where I had my my nighttime stuff pretty figured out before getting on the like with the exception of a couple of random nighttime lows for For the most part, I was pretty stable overnight, especially if I like, did the same things and like a at a specific time and then went to bed, etc. Now all of a sudden, I was running really high at night. Can you put a number on that for me? Like 181 90? Okay. And this is at like 3am.

Scott Benner 25:21
Gotcha. And before you were more, you were lower than that. Where were you before that? Before

Tacee 25:29
I was averaging up between 90 and one ton, okay.

Scott Benner 25:34
And your Basal insulin, when you were 90 or 110? In manual mode was what? Overnight just about?

Tacee 25:43
I'm trying to remember because it honestly has changed. What

Scott Benner 25:45
is it now? Because you're running on the pod five and manual. So what's your Basal now? So

Tacee 25:50
my Basal rate now for like, just like my basil for the day, I'm at 5.05 units per day now. Really? Five? Yeah,

Scott Benner 26:01
it's a basil day. And how much do you can I ask you how much you I'm sorry? No,

Tacee 26:08
not at all. I went 155.

Scott Benner 26:12
So if five years ago, interesting, are you? What's your insulin to carb ratio?

Tacee 26:19
Oh, one to 10? No, I think I'm I went to 12 right now.

Scott Benner 26:23
Are you eating very low carb?

Tacee 26:25
Depends on how you look at it. Um, for actual, like, low carbon? No, but for the rest of the world, probably. But, like, last night, I had a little Debbie's withdrawal, because that is my advice. Um, you know, we all have them. So yeah, I do eat regular thing. It's,

Scott Benner 26:45
it's possible this episode will be called on a swiss roll. Like, so. Okay, because it wouldn't let

Tacee 26:55
me add some color though. Because I'm being to have. So when, when we first book this episode, I was just type one on a Omnipod. Five. So and I think we booked this like a year ago, I have been anxiously waiting, by the way, counting on the date.

Scott Benner 27:15
I apologize. But thank you.

Tacee 27:17
And so things have changed. So obviously, I'm still type one. In November, my endo starting me on ozempic.

Scott Benner 27:27
Okay, that's a good, that's a good bit of information. Okay.

Tacee 27:32
I can I can see the wheels turning on, you're like, wait a minute.

Scott Benner 27:36
Does that make sense? You're not using enough like, there's not enough insulin here for your body weight. I'm like trying to figure out where it's happening. I thought maybe you were like, over crazy barley. Like, I thought you were gonna say something like my insulin to carb ratio. Scott is 123. And and I would have been like, oh, we should maybe get some more of it into your basil and like, maybe you'll be a little better. But you're on ozempic. Okay. Oh, okay. Hold on a second. All right. How long have you been on this epic?

Tacee 28:02
I've been on ozempic. Then the September, September, September of 20. Jump

Scott Benner 28:09
December. I'm counting January, February, March, April. Oh, like 11 months? Okay, I probably could have a lot. Go ahead. 35 pounds. Wow, good for you. Congratulations. Yeah, we're going to talk about that. And then we're going to loop back round and see if we can figure out how that's impacting during Soma. So because you're the first person I've spoken to, who's, who's type one and using ozempic? Are you out of pocket? By the way for? Do you pay in cash?

Tacee 28:40
I am not. I have no idea how b&o got

Scott Benner 28:44
don't want me to cover me or something, I will create

Tacee 28:48
my I'd be interested. So I have it's like Anthem Blue Cross Blue Shield, but I'm on the High Deductible thing. And it as a type one, it is probably the best insurance I could ever have. I get it through my job. So I don't pay a premium. I just have to pay my deductible, which is $3,000. Which as a type one, I meet my deductible in January. Oh,

Scott Benner 29:10
are you kidding? Like usually January 15. I'm like God, we're clear. It's good. Takes like one water or pods or decks columns or something like that. And I'm like, oh, it's all good. Now I've given away all my money. Yeah, yeah. But okay, so I have to go back to the beginning. I feel like this is a like a Quentin Tarantino movie. And now people are alive that were already dead. But we're live previously. I feel like we're going backwards. Who asks about ozempic You are a doctor.

Tacee 29:38
So the doctor had been talking to me about my weight that my endo and I'm like, Look, these are all the things that I'm doing. I am trying all of the things the only time in my adult life that I have been able to lose a significant amount of weight right before I was diagnosed as type one and that is looking back that weight loss Probably had nothing to do with me. Yeah. Probably DK Yeah. Going into DK. And so I was just like, look, this is what I'm eating, this is what I'm doing. I am not losing weight. I also have Hashimotos. I'm doing all these things like, what else should I be doing? Are there supplements I need to be taking, like, what do I need to be doing? You know, it's like, and she's like, Well, do you want to try some Olympic? I don't know if we could get it approved or not. But we could try it. And I'm like, sure, at this point, I will do anything because everything that I'm trying is not

Scott Benner 30:33
working. Okay. Hey, real quick. What's your TSH?

Tacee 30:35
My tip currently is that the one thing I didn't write down? I made like all these notes. I have this whole word document of all these notes. By

Scott Benner 30:47
the way, I appreciate everybody who's prepared for the podcast. Can you guess?

Tacee 30:51
Hang on one second. I'm almost to my. My tsp. Yeah, my TF H. M. So right now it's 3.46. But those lab results are from May, and January, through about March, April, were very weird months. For my family. My mom in February, my mom got bacterial meningitis. Oh my gosh. And she's fine. Okay, amazing. She's a walking talking miracle. Um, but she was in the hospital for a really long time. And when she first started in the hospital, she was she lives about 150 miles, two and a half hour drive for me. So she was in the hospital in another town. So I was driving back and forth while she was in the ICU. And then my siblings and I got her transferred to hear to San Antonio, to get her into a better facility. And that made all the difference. She has, like, hardly any deficits. It is yeah, it was one of the most probably the like, so I'm an adult. I've had two children. And watching my mom go through that was probably the hardest thing I've ever done in my entire life. But she, she's good.

Scott Benner 32:10
Cool, but why? What does that got to do with your 3.46? TSH?

Tacee 32:14
I was not taking my meds. I was not eating. I was not sleeping. Daisy, Daisy, Daisy, just

Scott Benner 32:19
a little pill once a day. I feel like I'm talking too hard. Now. Just put it in your mouth when you wake up. Yeah, I know. I know. It works. But so you think the 3.46 is because you weren't taking your meds then you got a blood test? Yeah. Okay. Because that's too high. You know? Yeah. Yeah. Okay. Yeah. All right. I was gonna say, Please tell your Endo, you'd like to manage your TSH under two. But, you know, you want to be I mean, you want to be as low as you can be without being hyper. And, you know, one point something, you know, in that range is amazing. I think sometimes people think it's low, because it's under the bottom of the range on their blood test. Do you know what I mean? Like the Yeah, so Okay, so you know that you're taking it again, please.

Tacee 33:08
I am. So this is what I don't understand. And maybe this is on my brain. Because with type one, I have never met. Even when I was doing like me, I never missed a shot. I never anything I was so like, but with the thyroid pills, it's like, oh, I have to take them within I feel so good when I'm taking them consistently and my TSH is lower. And then I go, I go through these cycles, I'm really working on it. I am taking them regularly now. But I'll go through these cycles where I'll forget. And I won't pick them at all for a really long time. And then they will feel like complete and utter trash. And I'm like, I don't know what's wrong with me. I'm so tired. I'm so and then I'm like, oh, I need to take my pills.

Scott Benner 33:48
Yeah, my thyroid doesn't work. So I've seen people do it. I mean, doctor tells Arden, take it in the morning. So Arden used to be this person who was like, Look, I can't remember to take it in the morning. So I'll take it before I go to bed. And it and what we thought at the time was at least she's actually consistently taking it. So we let that happen. And then as she's gotten older and visited the doctor by herself, you know a little more or been, you know, a little older when she's in the appointments, the doctors like I really wish she would take it in the morning. And she's like, Okay, I will and she switched. So now she gets up in the morning. It's like by her bedside, she wakes up takes it with water. She's done. So I think it's about I think it's planning Pacey is what I was trying to get at, like, I just think you have to have a plan. Like even I'll talk about this a little later. But anyway, get a plan get your take that pill every day please. Because that that impacts your your insulin, how your insulin works to not just how you feel so but anyway, so now we're I'm sorry, we are really jumping around but It doesn't feel like jumping around to me either. So I'm good. So the doctor offers you exempt that somehow your insurance company does the opposite of what insurance companies usually do. And just as like, sure we'll help you, and you and you ramp up on his epic, you've been using it for 11 months is a long time. Are you still losing weight? Or has it plateaued?

Tacee 35:20
It has plateaued, okay?

Scott Benner 35:22
Are you doing anything extra like exercising, which by the way would work better if you were taking your Synthroid, but go ahead. You took care of your mom, you took care of your monta. So you know, I'm gonna take care of you.

Tacee 35:37
Though, um, I would like to exercise I'm gonna be improving, yet. So. So when I started taking ozempic I was taking all my stuff regularly, I was exercising, and I felt so great. And then we all got COVID did not feel super great, super tired. And so then I was like, okay, like, we just need to get through the holidays now. And I'm gonna get everything back on track, got through the holidays, was just starting to get things back on track, then everything happened with my mom. I'm still trying to get back on track from that, because this is what life look like I understand.

Scott Benner 36:19
So yes. How has it impacted your hunger? So I think of it today. So you listen to this podcast, right, but I'm taking week Ovie Okay, I just took my last 1.7 weego V yesterday. So I have all my empty pens in front of me Hold on a second. So we go V is ozempic. It's the same exact drug. It's branded differently. They bring it we go V for weight loss is epic for type two. So it looks like I have had for eight. Well, I've taken 16. And I've been on the 16 weeks. That's what I was trying to figure out. I've lost 25 pounds. And it's legit, the greatest thing that's ever happened to me. Because I was not an overeater I was not a person who ate incredibly terribly. I wasn't really a food person. I just always would go through life. Like telling people, I don't know how to explain it, it feels like my body doesn't work, right? Like, yeah, that's how it always felt to me, I was like, I could eat. Like, you know, I can eat low carb, and I would lose water weight, like, you know, I mean, like, I could drop 10 pounds. And I've looked at myself and see that I'm not like as swollen or something like that. But then if I kept eating like that, it just didn't keep happening. You know, it just it never sort of went away. I'm hearing now from people that they're starting to look at research that says it's possible people could be like GLP deficient, almost almost like you are with your thyroid, right? Like maybe maybe you just aren't making enough thyroid hormone, or maybe you're not using it correctly. And maybe that could be the same for GLP for people. Because I don't know how to explain it. But I lost weight very quickly, like the doctors like hey, you're gonna use this, you're not going to lose any weight. In the beginning end of the first week, I was like, I've lost four pounds. Like, you know, and but it did hit me in my mind. So I think of hunger now in two different ways. I think of hunger in my head and hunger in my stomach. And like so a physical hunger and a mental hunger. I do not have either of those anymore. Do you have any of that impact? Yeah,

Tacee 38:20
um, one of the things and I think maybe this was more because of the type one because I was reading about the the GLP stuff with type one that that basically your your your because of your pancreas and all that whole situation, I'm probably not going to explain this very succinctly, but that your body doesn't know that it's cool. And so I would eat a lot. And I remember at one point, my husband and I talking about it, because when we were dating and in college, we could go in splits like a triple hamburger, and a large fry. And we would both walk away before and now I like prior to all this I could eat the triple hamburger myself and still be like I'm still a little snacky Yeah. And I knew that that wasn't right. For my body that the fact that I was eating like, but also I am not very good about eating like consistently like the whole like have breakfast, have lunch and dinner. I would be more like I'm not going to eat all day. And then now I'm so hungry. I need to eat like everything on a bridge.

Scott Benner 39:32
Yeah. Well, I still need a deficit, a caloric deficit to lose weight like the last I'm going to tag on to what you said earlier. So the last few weeks of my life have been strange to my mom passed away a few weeks ago. And so I've been on planes and you know, visiting people and people have been coming to my house and everything's different but when I get up in the morning, and I have a yogurt and an egg and you know maybe like a little rap or something And then have like, a little light lunch have a super dinner, I'm mindfully trying to keep my calories down. Because what I've learned about the the week over here, was that big the, you know, the semaglutide basically, is that it my brain doesn't think it's hungry. Like, I'll never think I'm hungry. My stomach never feels like rumbly or like, oh, like hollow. Like, I don't have that anymore, right. But if I want to eat, I can. And I can eat more than I thought I could. When I started on we go via, like at the beginning if you feel full right away, but then you start learning like, oh, it's fatty food that makes me feel like this, or, or dense stuff. Like there are ways to eat things that your body can process a little simpler. And so you could eat more. So you still have to stop yourself from overeating. You mean because Yeah. I mean, I've been alive today. I've been alive 52 years, almost exactly. Almost every hour. I know that people overeat, like, not just me, like we eat when we're not hungry, for reasons that, you know, I think we all know. But so I have to mindfully do that. Like, we had a bunch of people over we made food. And I just like, Well, I'm not going to eat a ton of this. You know, or like cookies, the refresh cookies in the house, because we're a bunch of people here. And I thought, Oh, I could keep eating these. Like I could, but I don't. I don't want to also has the flavor of food changed for you at all.

Tacee 41:28
It's not so much the flavor. But seeing that also like now I do get heartburn sometimes. Which that never happened before. Like I

Scott Benner 41:38
because your digestion is slower. Yeah. Do you get it? Yeah.

Tacee 41:42
And it's heartburn late the next, like, the middle of the night, early the next morning from something I had like late afternoon. Yeah,

Scott Benner 41:49
oh, I've definitely figured out that eating after six o'clock. I can't I just almost can't do it. Or it has to be like a very simple, like food that breaks down quickly. Because if I try to eat something heavier at night, even if I feel fine the whole time. As soon as I lay down, I guess I could get heartburn. So I figured out how to get a I was getting heartburn in the beginning of this. I figured out how not to do it cut like any fatty things out like that kind of stuff. Even like, protein at night. beef or chicken. Like that's it needs to be earlier in the day. Yeah. And but my biggest problem, your taste, you will really talk now. Did you get constipated at any point?

Tacee 42:30
Oh my gosh. Yes. So like everybody was saying that, that you would have like, diarrhea and nausea. And I didn't have any of those things. But I did get constipated. What also I was not drinking nearly enough water. Okay.

Scott Benner 42:44
Yeah. Because it's also it's a little hard to do that even. Like you have to mindfully drink and eat because your your body is not telling you in any way, shape or form. Hey, you're thirsty, or you're hungry. Yeah, I was using for the first 12 weeks, I was using magnesium oxide. And that was keeping everything moving the way I wanted it to. But in the last couple of weeks on this 1.7 I was like, it's not working. So I'm trying to drink more water. And I was taking I'm taking a little bit of fiber too, because because the minute the minute you get constipated on this, if I don't I don't know another way to say this. It feels like I can't believe I'm gonna say it's like this. But it feels like your sink is backed up and the food's coming out the top. Yeah, yeah, that's right. Right. Like, like you can feel fall in the middle of your chest in a way that you didn't like, you're like, is it stopping in my like esophagus. I don't think that's what's happening. But it feels like it just feels like it's getting too high, like the food inside of us get into and you're not eating very much, which is kind of fascinating. But anyway, I've lost 25 pounds in 16 weeks, I have a bone chip in my toe. I don't know why I'm bothering you with this. But if it's free floating, and sometimes it gets into the knuckle of my toe and feels like lightning is surging through my body. So I'm going to a doctor to have that removed in a couple of days. And then right back to my to my exercise routine. Because I did notice even if I just went for a walk for an hour, or I rode a bike, or I went outside and worked in my yard, I would wake up a pound lighter the next day. Yeah, yeah. Like I think the exercise is the next step of this. Definitely, yeah, for certain like I think for certain if I did consistent exercise, I would drop another 10 pounds in two weeks. It's but but my body is trying to hold on to this weight. And it doesn't make sense because I'm I'm eating nothing at this point. You know what I mean? Yeah, I just don't, some people are lucky. And some people's bodies don't work as well. So but when you go on as Empik 20 minutes later, like how I just sorry, 20 minutes later, you go On his epic, how much do your insulin needs go down right away and how much they go down as your body weight falls.

Tacee 45:07
So when I was epic, and within two weeks, I had to drop all my numbers in Tennessee, if I have any historical information, I should have looked up, I should look this up in your phone call or something. Yeah, I had to drop all my stuff. And then I actually at my last appointment, I asked, I was like, Is it possible, I'm using too little insulin? Because like this whole five units, five to six units of basil is like kinda weirds me out. I think it's the ozempic. Because it's like, I think everything just works. Better now like that, yeah, that I need so much less. And like where I would have like, where my carb ratio was like one to five. I'm like now one to 12, one to 10 to 10 to 12, depending on the time of the month, which that's another thing that's like, so bizarre is that since I started on ozempic, I use even less when it's that time of the month than I did before. Yeah, like I could almost like not like I don't like there's things that I'd normally would have to Bolus for that I can eat and not Bolus for.

Scott Benner 46:15
Okay, I think we're figuring out the reason why the the algorithms having trouble too, but so my brother has type two. And I was like four weeks into this, we go V and I'm on the phone to him. And I'm like, dude, go to the doctor, Tom ozempic. Make him give it to you. So now he's been at it for a couple of months now. He's starting to lose weight. 20 pounds, maybe he's getting up to. And But that aside, he is looking at me and going, Hey, look at this, I checked my blood sugar like an hour after I eat. It's 98 He's like, it's never, it's never like that. And he's like, he's like, I can't wait to go find out what my agency is after this. He's like, I'm starting to feel better. And his blood sugars are way way better. It's it really is terrific. Like, it's fascinating how well it works. And I mean, yeah, like, look, there's things about it, like we just talked about, like it feels like foods coming up out of my throat sometimes, or I can't poop. But you just have to learn to live with it. Like not live with it, like take it but like there's ways to do things that lessen those feelings. Like I'm not walking around feeling uncomfortable all the time. Like actually the opposite. I feel much better than that. I've lost weight. Yeah, no, absolutely. It's terrific. But I think this is going to keep happening. Like I think these are this injection, injectables, this the semaglutide. I think you're going to start seeing people with type one get it? Because I can't say who told me this because it would be like a patient confidentiality thing. But I know somebody who's helping someone who is cash paying for ozempic Like, like literally like $1,200 a month out of their pocket at but and their type one, their insulin needs have gone down 20% And they're losing weight on top of everything else. Like they are just getting healthier in every way that that's measurable in this situation. But it also makes sense. Are you at the highest dose on his epic?

Tacee 48:25
I'm actually not. So right now I'm at the one milligram did you go? Well, I'm gonna go up at the next my next appointment and August. You should be all the way up by now though. I think they offered at my last appointment for me to go up. But because of everything that happened at the beginning of the year, and I knew like, I wasn't like, I wasn't like I wasn't eating well. Like I just felt like that that set me back. So I'll just like I'll just stay here till my next appointment.

Scott Benner 48:53
Okay. All right. Okay, so I just meant time like she should have been higher. So you're still moving up? You don't even know where this is going. I'm using more than you're using. Yeah, okay. Oh, wow. You might still have do you. Would you be comfortable losing more weight? Oh,

Tacee 49:06
yeah. Yeah, I think I think I could easily lose like another 1015 pounds.

Scott Benner 49:13
And did you think that before you started, or did you think like, is the weight you've lost? Now like a year ago? Would you have said, Oh, this is a good weight for me? Or did you always know 10 or 15 more pounds was the way to go for you

Tacee 49:27
know, when when like a year ago, I was trying to set my goals very small. So like a year ago, I was like, Man, if I could just lose like 10 to 15 pounds, things would be better. But I didn't think it was realistic because I had always struggled so much. And like losing weight was such a struggle. Like I could do all the things I could work out twice a day I could I was training for a triathlon. And I was not losing in any way I was not. It's not just the whole like well, while you're building muscle So you're not actually like lose weight, like no, it's like nothing was happening. Nothing was changing in measurement. Why like, and so like a year ago, I was like, Oh man, if I could just lose 1015 pounds, that would be like, so amazing. And now I'm like, Oh, well, like, last 35. And yeah, like, if I could, you know, do another 10 to 15. That would be, that would be excellent

Scott Benner 50:20
to see, I must have been lying to myself for half of my life, where I was just like, I just need to lose 20 pounds. And then I lost 20 pounds. And I looked in the mirror and I went, Oh, well, that wasn't right. That number was not large enough in my mind. And like, I guess I lost 20. And I'm like, Well, this is better. Like, don't get me wrong. It's better in every way. My body is shrinking kind of everywhere. But I still this is not a good way for me. I should weigh less. Yeah, yeah, I was 208 this morning. And I was like, hmm, I should maybe be, my body should maybe weigh like 180 pounds. And I started this tasty at 233. And that was, it's hard to talk about, because I took pictures of myself before I started. And then I saw a photo of myself yesterday, and I look significantly better. And not good. Does that make sense? Yeah, yeah. It's a little upsetting, actually. But I'm not like, I'm not giving up. I'm thinking of this as like a long, long term situation. And I don't know what this drug does. I honestly don't even care if I grow a tail next month. I don't care. I'll be like, yeah, I gotta tell, but I lost 25 pounds. So whatever. But it's, it really is making a huge difference for me. It's

Tacee 51:43
well, and I think it's not just about like the actual weight loss. I think it's about how much better you feel.

Scott Benner 51:48
Yeah, like physically the like, yeah, that you don't realize, like, I'm not as tired. I don't wake up achy, My back doesn't hurt nearly the way it used to. It's getting better and better all the time. You know, my knee feels better. Like my joints feel better. I'm not carrying around 25 extra pounds on you, for you. 35 pounds. And by the way, how tall are you?

Tacee 52:10
I am five, four and a half. Yeah,

Scott Benner 52:13
you're a little person. And you know, 35 pounds is a lot. You know what I mean? Yeah. Yeah, that's very cool. I just think that you're gonna see more and more people on these. And they may be they're going to be lower doses, like, just enough to help with because you brought something up earlier that I glossed over. But that like insatiable hunger for type ones. That's real. And I and I've been watching people kind of talk about it in the medical space for a decade, and they never do anything about it. You know what I mean? Like, it's just like, yeah, that insatiable, I'm always hungry. It's got to be something to do with blood sugar, right? Like, Oh, absolutely, yeah. Yeah. It's just I don't know, it all makes sense to me. And by the way, don't run out right now and ask your doctor for ozempic? Because, like Tacey, should probably never let her insurance company hear this? Because I don't know how the hell you're getting it.

Tacee 53:07
I don't Yeah, I don't know how it was approved. Yeah, just, but it's really helping

Scott Benner 53:11
Oh, 100% head down, don't say anything, until they get a change. And it is, I genuinely think it's gonna get changed. So like, this could be an easy maintenance drug for type ones. Like just imagine a once weekly injectable that curbs your hunger slows your digestion, which helps your your blood sugar, and is and because of that less than your need for insulin by I mean, imagine if it was 20% that you'd be you're less likely to get low, less likely to see spikes, like it would be an overall health better when I

Tacee 53:46
started on the dash, they, they were my prescription was for one pot every two days, because it couldn't hold enough insulin. And now, I barely put in like 100 unit for three days. And usually I have insulin leftover.

Scott Benner 54:06
Yeah. That's crazy. So the algorithm didn't work for you. But now that we've had this whole conversation, why do you think?

Tacee 54:14
I think it's a couple of things. One, I think it that the algorithm naturally, is not as aggressive as I would like to be or as you know, somebody that is bold with no one would be and so where it's like, oh, yeah, you're you're cool. At 140. And I'm like, the one that that's, that's high. My Dexcom is that, like, high is any like, when I hit 135 I have an alarm and then like very high as 140. And so I think part of it is that it just wants people to be a little bit higher because of their safety or whatever. And I think also, it couldn't keep up with like my cycles.

Scott Benner 54:53
Oh, so you think it was having trouble with your periods? Yeah, yeah. And you You are see the other thing I was thinking is the as you're introducing the ozempic, it's also changing your insulin needs. And you're not telling the algorithm that there's no functional way for you to tell the algorithm Hey, I've taken an injectable now that it's gotten to, like less than my bubble bond changed my digestion and like, like, none of that can happen. Like, I wonder if I don't know. Like, I wonder if you don't get the ozempic to a maintenance level, like get it up to where there's stability and how much you're taking, and then reset the algorithm one more time and try it. That's my Wonder ants is like, I wonder if you could like if the changing of the ozempic wasn't changing your scenario so much. But we're not telling the algorithm that is changing. Does that make sense? No, that yeah, it doesn't know that. Right? And I mean, I get that your needs are higher, like when, like, before your period, or after? When do you say Right,

Tacee 56:03
right before right before it goes higher? Like I get higher, right before and then when I'm actually on it. I like dip super bad. Yeah.

Scott Benner 56:10
So you're like art and like artists got those like four days prior to the event that are difficult. And then four or five days before the event that are difficult, and then her needs go backwards during the during the event? I don't know why I call it the event, because I don't want to call it bleeding, or what and I don't know the right words. That's fading. Yeah, sure. That's a weird word for me to say. I mean, that is the technical parents are more comfortable with the event. But thank you.

Tacee 56:37
You're welcome. Glad to help.

Scott Benner 56:39
Do you have any other issues around your periods? You have PCOS? Do you have acne? Do you have stuff like that?

Tacee 56:47
I don't. Um, at one point, my endo asked if I possibly did have PCOS. That was like when I was early on diagnosed? I I don't think I do. But the only I think the only reason she was asking that was because of I had a very difficult time both pregnancies getting pregnant and because of the weight. But I don't think like from what I've researched and read I don't think that is true of me. I think they are like independence. situations.

Scott Benner 57:21
Okay. Okay, good. Yeah. I mean, I was just asking. That's all. All right. Casey, is there anything we haven't spoken about that we should have? By the way? You brought good, good story today. Thank you. Oh, you're welcome. Are you good? Yeah. The whole is epic twist. I was like, I felt like, I felt like it was the 80s. And I was watching Dallas and Jr. was like getting shot in the shower. Oh, my God, we've taken a turn,

Tacee 57:44
say really? dimension it earlier. And then

Unknown Speaker 57:48
I started having happen. Yeah.

Tacee 57:52
And then I saw that I heard I could I could mentally picture the wheels turning when I was like, oh, yeah, I'm only using five to six units. And I'm like, wait.

Scott Benner 58:01
Wow. So is there a way and so you're eating kind of low carb. See, I'm trying to figure out the algorithm for you. Because the algorithm because Omnipod fives not trying to keep you at 140? Right. So it doesn't have the settings, it's not able to hit you right with the settings. You shouldn't be one of the ad overnight. Like, I'm wondering if, like how you couldn't tell? Because if you're you What do you think your daily total insulin uses? I don't think think I think you know, actually, what is your daily. So

Tacee 58:30
like right now for the like My average day actually pulled up gluco, while you're taking my average for the past 90 days, is seven 19.7 units.

Scott Benner 58:42
So 20 units a day, but you only have five of it coming from basil. Because you are on ozempic fairly low carb, and you're good at bolusing for your meals.

Tacee 58:57
That's the it's 7.7 units for Basal and 12 units for Bolus. But the 12 units for Bolus is not accurate, because that thinks that that's everything. I'm boasting for meals. And that doesn't take into account correction corrections, right?

Scott Benner 59:13
So you're using 20. So so the 12 is boluses meal balls is plus corrections for 12.

Tacee 59:23
Let me go to let me go to Oh, no, that's even worse. I was like, let me go to two weeks and see if that's better. But that that those ratios are be the first time I really looked at it from this aspect. So yeah, if I go to two weeks, my average is 6.8 units per day and 15 point for basil and then 15.1 for Pre-Bolus.

Scott Benner 59:42
So my thought is and I don't know that you need to do anything you're doing really well. What's your one say?

Tacee 59:47
My last a Wednesday that I'd gotten me was 5.9 which is high. I prefer it to be lower.

Scott Benner 59:53
But yeah, I mean, there's a world where maybe you could get to two units. By the way. Nothing here on the Juicebox Podcast should be good. SideRed advice, medical or otherwise, always consult a physician to maybe you could get two units into your Basal out of your corrections. Okay, maybe that would help you there. Does that make sense? Yeah. So I'm not saying be 5050 Because that's what people say. But I'm saying if you're making corrections, and they're throughout the day, not just around meals, than they might not just be you missing meals, maybe it's just that your Basal is a little deficient. And I mean, seven units 7.7. Hold on, I have a calculator. It's built right into my machine, my computer thing. The lady so if your 7.7 a day divided by 24. I mean, your Basal is like point three. That doesn't seem right. Still. I mean, okay, your lower carb, okay, those epics there. But if you just added if you just took it to 10, I'm just using 10. Because it's round number. I mean, you really just be going to point four, one or point four, two. You know what I mean? Like so one point 4.45. Basil versus point three, five. Gets you those two units throughout the day? And? Yeah, I don't know. That's what I would try if I was you. Yeah. That's a shot. Are you ever disappointed? You didn't try looping?

Tacee 1:01:22
Yeah. You

Scott Benner 1:01:24
think you could? Yeah,

Tacee 1:01:25
I've actually been thinking about it about like, he can't go back to the dash so I can try Lupien?

Scott Benner 1:01:32
You might. Yeah, I don't know. Also, I don't know that you can't get out on the pod five to work for you either. Like I'm not sure. Like, they're all different. Like, on the pod five being newer now reminds me of when control IQ came out. And for a while people were like, this thing don't work. And I was like, what doesn't work, they're like control like you it doesn't work and blah, blah, he talked to him for a while and you see their settings were off a little bit. And they'd figure it out. Or like, there were a lot of like variability for like kids, for example, like my son plays soccer one day, and then he doesn't the next day, and, and I but I do get the idea to about Omnipod. Five is working off those last couple of days. And so if your last couple of days are, you know, right before your period, and then your needs drops significantly, I can see where it could struggle with that too. Because it's such a stark shift in between, in between those moments. So I mean, listen, you do you should do whatever works for you. million percent. You don't I mean, yeah,

Tacee 1:02:30
for now, I'm gonna stick with what I have. I would be willing to go back and try the Omnipod five again, but I'm waiting. I would wait until they link it with the G seven because I develop an allergy to the adhesive on the G six

Scott Benner 1:02:49
so I'm sorry to hear that G seven is great. Artists been using it for a while. Yeah.

Tacee 1:02:53
I've really been enjoying it. I haven't had I know some people complain about it. But I haven't had any problems. Every time I do a finger stick to check. It's always like, spot on. I haven't had it like be really awkward or had any problems. But yeah, like, the adhesion was so bad. I did all the things the skin tag the tag, like, and it was bad. I have scars. I'm sorry.

Scott Benner 1:03:19
Like,

Tacee 1:03:21
chemical burned my skin you can't win,

Scott Benner 1:03:23
right? Like they. The companies like forget Dexcom like the companies are like, well, people are like, Hey, I'm getting like, you know, adhesive allergy. And they Okay, well, we'll make it better. So it doesn't do that. So they like then people can see it falls off too easy. Oh, yeah. Yeah, we're sticking things to our body. It's not natural. We're doing our best here is like, I feel like if the companies could actually say what they were thinking, that's what they would say. Like we're trying. We're trying. Alone. It's a lot. Yeah, I'm sorry that happened. But I'm glad that g7 helped you. That's really terrific. It's so small and fantastic. And like, like right now Arden's g7 is expired. But we're in the 12 hour grace period. Yes. And she's still getting numbers. And all she's going to do is like, I'm gonna go talk to her after this. She'll put the new one on, leave it on for a couple of hours. Then when the other one expires, switch over and then the other one will be pre soaked and be working better when she turns it on.

Tacee 1:04:21
Yeah. Oh, yeah. I love being able to pre soak them. Oh, it's fantastic.

Scott Benner 1:04:24
It really is. So it's a wonderful step. Alright, tasty. It's my birthday. I'm gonna go to lunch. Happy birthday, thank you enjoy your lunch. I'm gonna hang out with my wife and my kids. My wife took the day off. And my son came home for a couple of days. He had a little break he was able to make in his new job. So we're all here. We're going to hang out today. Celebrate me being old, and then he's gonna fly home tomorrow. So

Tacee 1:04:52
that's wonderful. Family Time is truly the best. Very

Scott Benner 1:04:55
cool. All right, you did a great job. I really appreciate you sharing all this with me. Is there anything We didn't say that you have on your spreadsheet that you wanted to say. No, I

Tacee 1:05:04
think we covered everything. Very cool.

Scott Benner 1:05:06
I appreciate this very much. Can you hold on one second? Of course, thanks.

A huge thank you to one of today's sponsors. Je voc glucagon. Find out more about Chivo Capo pen at G Vogue glucagon.com Ford slash juicebox. You spell that? G VOKEGLUC AG o n.com Ford slash juice box. Today's episode of The Juicebox Podcast is sponsored by the Dexcom G seven, which now integrates with a tandem T slim x two system. Learn more and get started today at dexcom.com/juice box. The episode you just heard was professionally edited by wrong way recording. Wrong way recording.com. A diabetes diagnosis comes with a lot of new terminology. And that's why I've created the defining diabetes series. These are short episodes where Jenny Smith and I go over all of the terms that you're going to hear living with diabetes, and some of them that you might not hear every day, from the very simple Bolus up to feed on the floor. Don't know the difference between hypo and hyper. We'll explain it to you. These are short episodes, they are not boring. They're fun, and they're informative. It's not just us reading to you out of the dictionary, we take the time to chat about all of these different words. Maybe you don't know what a cool small respiration is, you will when you're done. Ever heard of a glycemic index and load haven't doesn't matter. You'll know after you listen to the defining diabetes series. Now, how do you find it, you go to juicebox podcast.com up top to the menu and click on defining diabetes. You'll be able to listen right there in your browser. Or you'll see the full list of the episodes and be able to go into an audio app like Apple podcasts or Spotify and listen to them at your pace. Download them into your phone, and listen when you can. The defining diabetes series is made up of 51 short episodes that will fast forward your knowledge of diabetes terminology. The podcast is sponsored today by better help better help is the world's largest therapy service and is 100% online. With better help, you can tap into a network of over 25,000 licensed and experienced therapists who can help you with a wide range of issues betterhelp.com forward slash juicebox to get started, you just answer a few questions about your needs and preferences in therapy. That way BetterHelp can match you with the right therapist from their network. And when you use my link, you'll save 10% On your first month of therapy. You can message your therapist at any time and schedule live sessions when it's convenient for you. Talk to them however you feel comfortable text chat phone or video call. If your therapist isn't the right fit for any reason at all. You can switch to a new therapist at no additional charge. And the best part for me is that with better help you get the same professionalism and quality you expect from in office therapy. But with a therapist who is custom picked for you, and you're gonna get more scheduling flexibility, and a more affordable price betterhelp.com forward slash juicebox that's better help h e l p.com. Forward slash juice box save 10% On your first month of therapy

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#1120 Black Hole Kitchen

Mitchell  has type 1 diabetes and had a heart attack at age 26.

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

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

Scott Benner 0:00
Hello friends, and welcome to episode 1120 of the Juicebox Podcast.

Michel is 33 years old he's had type one diabetes for 19 years diagnosed at 14 years old. And he had a heart attack when he was 26. Mitchell's a once he was high until his 30s, and now he takes his diabetes much more seriously. And now his agency is 6.6 Mitchell uses a do it yourself algorithm and my editor's notes here say there's some good comedy at the end of this one. I have to admit, I don't remember. I'm going to trust Rob at wrong way recording wrong way. recording.com. Please don't forget that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. When you place your first order for ag one with my link, you'll get five free travel packs, and a free year supply of vitamin D. Drink ag one.com/juice box. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode.

This episode of The Juicebox Podcast is sponsored by the insulin pump that my daughter wears Omni pod. Learn more and get started today with the Omni pod dash or the Omni pod five at my link Omni pod.com/juice box. My

Mitchell 1:49
name is Mitchell and I've been type one diabetic for 19 years. What are you measuring? 33

Scott Benner 1:57
in 33? That's you're working 14? Yeah. Wow. How about that? Okay. Interesting age. Any other type one in your family?

Mitchell 2:10
And not that I'm aware of?

Scott Benner 2:13
Do you have any other autoimmune issues?

Mitchell 2:15
No, not that I'm aware of? that I'm aware of. But I don't know long down the family tree. I don't know about that.

Scott Benner 2:24
But how about you yourself?

Mitchell 2:25
No, me? No.

Scott Benner 2:27
Okay. All right. So you're kind of a an island in this family. Is it a big family or not really?

Mitchell 2:34
Medium? I guess not. Not huge, but not small.

Scott Benner 2:38
That is definitely what medium means perfectly. So what do you remember about getting type one?

Mitchell 2:45
I remember. I was in grade eight. And I was supposed to play in a band concert because I played the saxophone. And my dad was like, You're not going. Okay. And because I lost a bunch of weight. I'm so thirsty. The typical signs. And so I had a doctor's appointment after school one day and they had to chase me around the doctor's office to poke my finger. Then I ended up in the hospital for two weeks at Children's Hospital. And yeah, that was my 14th birthday present from the world. It was five days after my 14th birthday. That was

Scott Benner 3:30
that they kept you in there for two weeks. Were you in DKA?

Mitchell 3:33
Yeah, I, I believe so. My blood sugar was like 2028 or something. Okay. Your blood sugar. Where do you live? I live in Surrey, British Columbia. And 28

Scott Benner 3:48
that threw me off for a second. I'm looking here. Hold on one second. I have on my website. A one cm blood glucose calculator conversion tool. It's free. Anybody can use it. Yes,

Mitchell 4:02
I have used it. Oh,

Scott Benner 4:03
thank you. And I'm going to use it right now. Oh, 504 was your blood sugar? 20 Okay, yeah. Oh, nice and high. Canada. changes it. They start you with what kind of insulin?

Mitchell 4:18
I was on. cumulant are in England. And

Scott Benner 4:22
how long did you use those?

Mitchell 4:24
Oh, probably. Eight years.

Scott Benner 4:28
Wow. Okay. What was the first change from that to what what was your next step?

Mitchell 4:34
I went to a pee draw. And Lantus. Peter

Scott Benner 4:43
and Lantus. How about that? You might be the first person who's ever said to me, I went to a pager. I'm not kidding. Yeah, I am not kidding. I don Arden uses a pager. We love it. We've used it for years. I do not hear a lot of people say we use a pager.

Mitchell 5:00
Yeah, I thought it was anything is better than human aren't and but I thought it worked well for me at the time. Yeah. What are you using now? Human log you 200

Scott Benner 5:12
Oh, did your needs go up?

Mitchell 5:15
I've used Omnipod. So the regular strength was not allowing me to use the pump for the full two and a half to three days, whatever. So my endocrinologist was like, well, we can do this. Perfect.

Scott Benner 5:29
Beautiful, how long have you been doing that?

Mitchell 5:32
Sure. Maybe a year, and you're in a couple of months? I've been wonderful. Alright,

Scott Benner 5:38
so what's it like? Growing up with older, like an older management system? I mean, I'm assuming you were just shooting once or twice a day. Is that about right?

Mitchell 5:51
I was actually injecting like, four to five times a day, really? At meals. Yeah. So I do my, because I split my long acting. So I do that. And then I would do correction doses, and then I would also do meals, and then corrections on top of

Scott Benner 6:10
that, so Okay, all right. You so you were covering your meals and correcting with your, with your hands.

Mitchell 6:15
Yeah.

Scott Benner 6:16
What were your outcomes? Like? How were you tracking your, your health?

Mitchell 6:21
I was using the Dexcom app to enter in my insulin. And what I've been taking, but other than that, I didn't really, at that time, I didn't really do anything else I wasn't really curious might sound weird, but I didn't really have great endocrinologist. Through my years. Finally, I do have one who actually explained since me and how they will affect you. But

Scott Benner 6:45
nice. Mitchell, I don't think I was clear a second ago. So I want to apologize. You were just telling me about your care with a pager. Right? Not with your first insolence, when you were first diagnosed?

Mitchell 6:56
Correct. Okay,

Scott Benner 6:57
sorry about that. I was, I wasn't clear, I realized that as you're answering. I'm like, I didn't ask that correctly. So that's eight years in your, like, 22. When you start doing that? Yes. Okay. Prior to that, in the beginning, then you were just shooting like twice a day.

Mitchell 7:20
I remember how I would take it. I think I would do like it was 10 units of accumulation. And and then I think it was like 10 and 10. I would take Okay, at each at each like in the morning and then at night. So

Scott Benner 7:35
back then how are they measuring your success? Was it an agency or was it just they wouldn't say Do you know what they were already have any idea?

Mitchell 7:44
I don't know. Exact numbers, but I knew I know. They weren't great. I was over 10 For sure. Most of my child diabetic journey.

Scott Benner 7:54
Wow. From like, 14 into your 20s.

Mitchell 7:58
Yeah, actually into my 30s Oh,

Scott Benner 8:01
okay. Oh, you're just, you're just coming around. What? What a doctor say to you as a child, like, what's your like, I know, you're not going to remember the words, but what's the enduring feeling that you had going to a doctor's visit? It

Mitchell 8:14
was if you don't get your agency under control, you're gonna you're gonna die or you're gonna, you know, lose some limbs or all that kind of thing. That's what my, my first endocrinologist said

Scott Benner 8:26
to me. Do you remember what that did? To you?

Mitchell 8:29
Do you remember what sorry, say that again?

Scott Benner 8:32
Those words from the doctor? How did they impact you? Today's episode of The Juicebox Podcast is sponsored by Omni pod. And before I tell you about Omni pod, the device I'd like to tell you about Omni pod. That company. I approached Omni pod in 2015 and asked them to buy an ad on a podcast that I hadn't even begun to make yet. Because the podcast didn't have any listeners. All I could promise them was that I was going to try to help people living with type one diabetes. And that was enough for Omni pod. They bought their first ad. And I use that money to support myself while I was growing the Juicebox Podcast. You might even say that Omni pod is the firm foundation of the Juicebox Podcast. And it's actually the firm foundation of how my daughter manages her type one diabetes every day. Omni pod.com/juicebox whether you want the Omni pod five, or the Omni pod dash using my link lets Omni pod know what a good decision they made in 2015 and continue to make to this day. Omni pod is easy to use, easy to fill, easy to wear. And I know that because my daughter has been wearing one every day since she was four years old, and she will be 20 this year. There is not enough time in an ad for me to tell you everything that I know about Omni pod, but please take a look Omni pod.com/juice box I think Omni pod could be a good friend to you. Just like it has been to my daughter and my family.

Mitchell 10:07
It made me not want to go there. And I was just like me, I'm not going. So I didn't go to back to him, I went to a different endocrinologist. And then she also looked better. She basically spent five minutes with you. And she later on, it's like, Well, what did you? What did you learn about me? Or how to help me? So?

Scott Benner 10:29
Wow, that's terrible. And was this parent went with you? I imagine. But my dad, yeah. Do you remember? Like then how that impacted him. And what he then said to you, who

Mitchell 10:43
basically called the first one, as well as well. So like that was happy. But, you know, you got to wait through the public medical system to find another one. Right. So it takes take some time.

Scott Benner 10:59
So your dad knew enough? That That wasn't helpful what the doctor was saying? Correct? All right. So he was on your side? Yeah, that must have felt good. At least. It's, it's interesting, isn't it? That someone would say to you, you are in a predicament. And if you do not get out of this predicament, I might cut off one of your limbs like they is a pretty, pretty crazy thing to say. And then not then not follow up that statement with here's how we're going to get out of the predicament. Just you exactly. You 1516 1718 1920 year old Mitchell, you go out in the world and figure it out. That was it. Yeah, yeah. Do you think they didn't know?

Mitchell 11:43
I don't know. I mean, I feel like if you're an endocrinologist, you should you should know hopefully, probably know what you're doing.

Scott Benner 11:55
Our conversation is happening on a really strange damage. So because I obviously don't know where what you and I are going to talk about is going to lead. And this morning, I'll share something with you. And you'll be the only one who knows about it for six months. How's that sound to you and make your own little secret? Perfect, Jenny and I are going to make a series that I am thinking I'm going to call Grand Rounds. And we are going to build a syllabus about how we would teach doctors to talk to people with diabetes.

Mitchell 12:32
So brilliant, brilliant idea.

Scott Benner 12:35
I figured nobody better than Jenny Right? Like she does it all day long. She helps people constantly much, you know, and with a ton of success. And then you know, I'll do like that thing where I come in. And I'm like, all folksy and I make it easy to understand. Perfect. So that's my partner's I go oh, is what you mean this. Then everybody goes, I just heard something really technical followed up by a dummy who made it simple to understand. I'm the dummy. I guess. Yeah. I'm the little

Mitchell 13:07
it takes takes multiple people to make, make it explainable. Right. Everyone can explain it. But do people understand it?

Scott Benner 13:16
Yeah. Well, to give you an idea that, you know, Jen and I are talking about this, obviously, privately at the moment, but I'm also looking for input from listeners. And so I posted on my private Facebook group one hour ago, okay, it's a post that you won't be able to find six months now when you're listening. But that's not the point. Here's the point. All it says is grand rounds. juicebox. Now, what do you want your doctor to know? What do you wish your doctor would have told you? What Doesn't your doctor know that they should? I'm putting you in charge of Grand Rounds. Your comments may be used in an upcoming Juicebox Podcast series. One hour ago, it has 42 comments already. Already, I can see that. Yeah. Because people know, they know what they weren't told. And they and they know where that lack of information led them to they're the exact right people to ask this question to. So you're going to ask the questions of them. Jenny and I are gonna put together kind of a syllabus. And then we're gonna meld the two kind of collections of information together and then put them into conversational form. So hopefully doctors will listen in their cars or laying in their cots or whatever they do when they're learning to be doctors.

Mitchell 14:28
Anyway. Yeah, that's a great thing to do. Hopefully they utilize it. Yeah,

Scott Benner 14:35
and I speak and in Canada, they speak Canadian and American so they'll be able to listen to perfect Yes. Once in a while during the series. I'll go Oh, and that way, I'll keep everybody engaged. Just throw it in a or I'll bring up ice hockey people go oh, okay. I love okay. And then that'll be it. Yeah, I love it. Okay, so I'm going to fast forward you a little bit in your in your story. That's a long time, right? If you're 33 now and you're telling me you didn't like, pull this together until until you were in your 30s then I want to know what got you there? Well,

Mitchell 15:17
when I was 26, I had a heart attack. Battle

Scott Benner 15:24
can get you there, Mitchell. Holy shit. God, hold on, mother. I gotta keep writing down where I cursed. I'll just write lots of curses. That took me by surprise. Go ahead. I'm sorry.

Mitchell 15:37
Yeah, it was March 11 of 2016. And I had, you know, pain in my butt in between my shoulder blade and like my spine, I guess. I ended up in emergency. And I was different nine hours. And they couldn't find anything wrong, until I was just about to walk up the hospital door. And they're like, actually, can you just come sit down here actually just getting this bed? What the hell's going on? And I guess from the blood tests that they took, they found troponin, and that kind of what gave them that, but I waited nine hours before they determined what it was. And yeah, had a stent put in and that was on a Friday. I was out by Monday. Make

Scott Benner 16:28
sure you You took me by surprise. I'm, I'm crying a little. I'm sorry. Hold on a second. I didn't expect this. My mom passed away recently. I think I'm like, extra emotional.

Mitchell 16:39
Oh, yeah. But the thing Yeah.

Scott Benner 16:42
I just started thinking about Arlen. And you're 26 and I thought I don't know what I thought exactly. I felt kind of grateful that I was able to figure it out. You know, and, and I felt really terrible for you. I'm so sorry. Okay. Why don't I try to be a tiny bit professional. I'll pull myself together. That guy took me by surprise. You're like I had a heart attack. The tears came out of my eyes. By myself in a room Mitchell. It's ridiculous. Oh, okay. Well, anyway, God damn, how long were you in the hospital for the heart attack and the stent

Mitchell 17:22
that was put in Friday, and I was discharged on Monday?

Scott Benner 17:26
How do they explain to you that you have a blockage when you're 26? They

Mitchell 17:30
weren't actually sure. Until they did the procedure. They said it's either your, you have a blockage or the fluid around your heart is inflamed, and that's what's causing the pain when I said, okay, and then they rushed me to one of the top Kardi cardiac hospitals in Vancouver, and they had to go through my groin and put in a stent. And that's how they told me basically, that there was a blockage. And then they kind of give you like a piece of paper that you get when you leave the hospital that basically shows exactly where your blockage was, and how blocked it was. So I was 100% blocked in my proximal RCA.

Scott Benner 18:24
And this is from diabetes, I imagine. Yes. Yeah. You know, when you you started to say cardiac a minute ago, and you kind of stumbled through and you went cardi, and my brain said Cardi B impersonator? Which I thought, that's probably not what he's gonna say. No, they sent me to a cardi and I went Cardi B impersonator? No. Why would that be? My next thought was Cardi B wasn't even famous back then. Scott. This is silly. Yeah, you're done. That's true. I'm a little all over the place. Mitchell. I'm sorry. Correct me? I don't know. By the way, it cracked me up. None of the rest of you heard it. If I don't tell you about it, then I'm just giggling over here through your cardiac story, which doesn't seem right. So I had to tell you what happened. Okay, so this is what happens like for everybody listening, too much sugar in your blood rubs, rubs, rubs causes a whole your body patches the whole, too much sugar rubs, Rob's rubs causes a whole your body patches the whole eventually the patch is blocked the pathway and heart attack. That's high blood sugar. That's what high blood sugar can do. When somebody tells you they died from a cardiac arrest from diabetes, this is very likely what they're talking about damage done to the muscle, the surrounding area that your body just couldn't keep ahead of any more and that damage usually leads to a blockage. You got it when you were 26 Oh, wow, you're shooting 10 and 10. Maybe you should have been shooting more

Mitchell 19:59
ah approval at that time I was I was on a Peter. No.

Scott Benner 20:02
But I mean, back in the day when you lived all Oh, yes, yeah. All those years is that and people are telling you, you're okay. Or they're just hustling you in and out in five minutes in a doctor's appointment not helping you telling you, you're gonna lose a limb. Oh, wow. But people suck. Well, so is that a Scared Straight moment for you? What happens next?

Mitchell 20:24
Yeah, I kind of took it more seriously. I tried to, you know, understand when how much insulin I'm supposed to give myself because nobody ever told me what a insulin sensitivity factor was, or a car ratio or any of that I had no idea. What is that? So I was able to get myself like under the 10, just with NDI. But it wasn't until I was turning 30 or 31 When I got in with GOP, DC diabetes, and they helped me get to where I am now with understanding what and I have stuff is carb ratio, and they helped me get on the pump and Dexcom all that. And starting looping. And I just recently got 6.6 something. Let's see. Wow, congratulations.

Scott Benner 21:24
That's wonderful. I'm, I'm still stuck back on it took them 12 years and a heart attack to help you. But you know, I'm gonna I'm gonna look forward with you. Because I think that's probably a more positive way to take this conversation. That's wonderful. I'm so glad you met somebody that was able to do that for you. Do you think it was just the transition from the old like, the old ways, like shoot couple times a day, and that's that and then you moved into a faster acting insulin, but you didn't really know how to use it. So you just sort of kept? Like, somebody probably just told you back then Well, now you can, like, you know, shoot for your meals. And if you have a high blood sugar, you can put in insulin, and that was probably the extent of your direction back then. Right?

Mitchell 22:05
Yeah, for for cumulate. RNN look, definitely. But for like a Piedra and land test. It was I was taking like 45 units of land test. And then it was like, take 10 units every time you eat. Clearly, that wasn't enough. So that was kind of the instructions I got. But just you know, that's not the way it works. Yeah.

Scott Benner 22:31
Rob, if somebody tells you that's what you do, then why would you think differently? Yeah, yeah. Wow, they're part of me feels like every doctor's office should recall every one of their patients using insulin right now. Call them in and sit them down in a big room and go, Hey, listen, it is possible that some of you got bad advice. Let's start over. Here's the math to figure out your insulin to carb ratio. Let's do that all together. Now get out a piece of paper, shall we? Like that's? Yeah. Wow. How about that? It's terrible. Oh, wow. So you're looping?

Mitchell 23:03
Did you say? Yeah, well, I'm on IEP s right now. No

Scott Benner 23:08
kidding. May you May or so. Okay, so you get moving in that right direction. And really the big, the big thing here for you is, you need to understand, I don't know what I'm doing. Like, so did you think you knew what you were doing up until that heart attack?

Mitchell 23:24
Kind of the kind of, I don't know if hard to explain. Like, I was just doing what was instructed to me. But I knew my numbers weren't good. Just and then I got set up and kind of stopped checking my blood sugar up before before the heart attack. Yeah. And yeah, cuz I was just frustrated. And I mean, kind of get to a point where you're like, Well, I don't know what to do. Because like, you feel crappy, because your blood sugars are high, but you're just following the direction that you were given. And then I mean, I also think a lot of people don't understand how insulin works. And there they are afraid of it. I can be afraid of it. But I've learned not to me. And I'll be honest, some of it was to do with your your podcast episodes about you know, not being afraid of insulin but understand the seriousness of it. Okay,

Scott Benner 24:22
well, I wasn't trying to get to a to a plug for the podcast, but I appreciate

Mitchell 24:26
you. No, no. Yeah, that's honest truth. I I used to be always like mealtime insulin. I was like, Well, if I give myself too much, but But seriously, it didn't help. No, I'm

Scott Benner 24:41
glad. Thank you for telling me. Also, I would imagine if you're afraid to give yourself too much. The specter of what happens if you don't, never feels real, but the heart attack makes makes you go oh, this is what happens. And now I'm afraid of having a heart attack. Yeah, yeah. So you found something you were more afraid of? That makes sense. But it wasn't having your leg dismembered. Isn't it interesting? Like you had to have a real life. My point is you had to have a real life experience to feel the impact, like just someone saying it to you even trying to be scary. Like, yeah, that didn't scare you that just said, I'm gonna stop listening to this person. Yeah, yeah. Okay, well, that makes sense. Your Dexcom G six now? Correct? And how, like, tell me now about looping? Do you understand it? Or does you just have it set up? And it's working for you? Like, I'm trying to figure out like, how far did you go into this whole? Like, I need to understand this thing. So you get somebody to set it up for you, and it works and you're happy? Or do you did you dig way in.

Mitchell 25:55
So I did, I did build loop myself just on a free subscription. I was about to spend $100 on it if I couldn't do it, and I was able to successfully build loop. And then for a couple weeks I was building every week because you only have the seven days whatever with a free membership for the Apple developer accounts. And then I got in with PC diabetes actually set me up on loop. They built it for me and all that and gave me my settings, whatever. And then they were like, came out with supporting iepf I guess was free APS free. PSS next generation was what they called it at the beginning. And then now it's called I IPs. And they kind of give you the your base settings, but I definitely have tweaked it to my advantage. Because I mean, everyone Yeah, everyone has a base. But that doesn't mean it's going to work for you. Of course, hey,

Scott Benner 26:55
you keep saying BC diabetes. Is that like a? Is that like a cash pay doctor that you go to?

Mitchell 27:01
No, it's publicly funded, but it's just like, it's a specialist, three endocrinologist in there. And they use, they have like, we call them. I can't think of the name. There's a bunch of case managers. So that's, it's just, you get in faster, and you actually get way better care. I've never had that kind of care from an endocrinologist ever so?

Scott Benner 27:28
Well, I mean, the model seems like it's working really well for you. They're obviously up to date on the information they have. And you're up. You're doing so much better. I wonder why this isn't more widely adopted across the country?

Mitchell 27:40
Yeah, I don't know. I only know that of this place in BC, though, I don't hope other provinces in our country have something like that.

Scott Benner 27:55
Well, that would be great. I mean, you've heard the podcast, right? Like, the more north you go in Canada, that seems to be the less maybe help you get. I mean, that's anecdotal at best for me talking to people. But that's sort of seems how it feels, then there's some provinces that I'm, I'm sorry provinces. And there's some of them that. And there's some of them that are still giving out? Like old timey insulin to people?

Mitchell 28:21
Yeah, I don't understand it. There's so much so many other influences that are way more advanced, I guess you would say, yeah, for

Scott Benner 28:30
sure. Now, they listen, they work faster. They're getting closer to actually being faster acting insulin and yeah, yeah. I mean, it's a modern way of, it's a modern way of managing. Like, I just, I don't understand why somebody would be handing out what you got. I mean, listen to what happened to you. Yeah, you know, so and, and you found somebody who knows how to explain it to you. And now look what happened. You say? 668126 months? Oh, wow. It's so good. Great, man. That's really great for you. Make sure you married your date. Do you have a person in your life?

Mitchell 29:03
I just got married a month. Later a couple of weeks ago. Oh, congratulations. Thank you. No kids. No pets.

Scott Benner 29:16
How do the weddings work there? Did she write in a polar bear? Or how do you do it?

Mitchell 29:23
No, no, she she walked down the aisle like normal. Yeah.

Scott Benner 29:26
It's boring. But okay. snowmobiles with tin cans tied to the back when you left anything at all Canadian. Nothing.

Mitchell 29:35
Very Canadian. Anyway,

Scott Benner 29:36
did anyone get stabbed at the at the party afterwards?

Mitchell 29:40
No,

Scott Benner 29:41
no. No way to left down the country?

Mitchell 29:46
Yeah, someone's gotta right. Yeah,

Scott Benner 29:48
right. Gotta break away go your own way. Still a stabbing would have been nice just to keep a Canadian. I think it would have been like, you know, just an upset fight in the corner between two people. Even a butter knife would have been alright for me. Anyway. I haven't mentioned that in a while but people in Canada stab each other. It's it's the preferred way of fighting

Mitchell 30:14
Yeah, I don't know. Not not there. I live. It's usually guns to be honest.

Scott Benner 30:20
Oh, you're out west, right? Oh, yeah. Yeah.

Mitchell 30:24
I'm very far with your like, we're

Scott Benner 30:26
very Americanized. We shoot people here. Yeah. Well, anyway, most of the there's this great. I haven't said this in a while there's this fits a Twitter account called scan, scan BC or scan something is that it can be seen. Yeah. And it just like, it does like these things that happened with the police. I don't know if you guys call them police. Or if they're Mounties, or I don't really care. And but they overwhelmingly filled with stabbings is just That's how I feel about it. When I say it. Just always people are just like, there's like, and then I imagined, like the voice on the radio. You know what I mean? And they're saying things like Provence. And, you know, it's happening behind the Tim Hortons a and he stabbed him. And like, that's,

Mitchell 31:11
that's it. I'm just impressed. You know what Tim Hortons is?

Scott Benner 31:15
I know everything. Don't worry. I love Canada. I've never been there. And I'll never go, but I'm enamored. Why? I don't know. How am I gonna get there? You guys don't let people out when they come in.

Mitchell 31:23
Or you don't want to leave when you come in? Okay.

Scott Benner 31:27
I trust me, someone's gonna drag me to Canada at some point. So I'll be there. And then I won't make any of these stupid jokes or do any of those bad impressions because somebody will stab me probably.

Mitchell 31:40
No, no.

Scott Benner 31:42
Your, your your new wife? How long have you did you date her before you got married? Four and a half years? Okay, and how much does she understand about your diabetes? And how much of your transformation has to do with you dating her?

Mitchell 31:58
She doesn't really? I don't know. She doesn't really under Dan, like when a pump doesn't want to Dexcom does. Okay, because she gets mixed up all the time. I tried to explain the turn and educate her. But yeah, it's it's slow, slow progress.

Scott Benner 32:20
Do you want her to do you want her to understand? And does she want to understand?

Mitchell 32:25
Oh, I most definitely want her to understand because I mean, if if something was to to happen, she should know what to do. She understands, you know, low blood sugar, that alarm from Dexcom. And she's got, you know, juice boxes scattered all through the house. But yeah, it would be. She's if she had a little bit more education about diabetes.

Scott Benner 32:51
Be probably good. Yeah. And is that something you guys talk about? Or is it just something you kind of slip in when you get a chance? I'll be talking about it. Okay, and she's open to it. She's just having a little trouble picking it up.

Mitchell 33:03
It's like I honestly, I did tell her to listen to your podcasts because she would it would help her understand this. But she just hasn't got there yet. Which is fine. I'm okay. Right now.

Scott Benner 33:14
No, that's I was just interested. I'm always interested in how people share it with significant others actually. Oh, yeah. What kind of work do you do? I'm not asking you where you work. But like, vaguely,

Mitchell 33:26
I am a supervisor at a grocery store.

Scott Benner 33:30
Okay. And does that impact your day to day work?

Mitchell 33:35
Um, no, I wouldn't say it does. I kind of don't let it you know, sometimes, you know, low blood sugar. I had to go eat some food, but that's probably be the extent of it. Okay.

Scott Benner 33:48
Yeah. So it doesn't get in the way too much is your job not particularly physically demanding.

Mitchell 33:56
And be? It's just it's, it can be a lot of physical but it can be a lot of mental as well. I'm just being on your feet for eight hours straight.

Scott Benner 34:07
And the loop keeps up running around. Luke keeps up with it pretty well for your I'm sorry, you're using I know they just changed the name of it. Tell me again. I'm gonna write it down in front of myself. Iaps

Mitchell 34:15
Iaps. Yeah. It it does pretty good. Sometimes it'll bring me a little bit low and then I just cut my days 50% And for you know, half an hour and then it's fine. Watch

Scott Benner 34:31
the art. I watched art. And last night we had like a it was the fourth of July. That's a holiday in America. You probably don't know. Yes. Yeah. And and we were at a thing like a picnic thing. So as we got home 930 10 o'clock. She was drift just starting to drift lower. And she wanted to get like a shower. And then she wanted to eat. She's like, I'm really hungry. And I'm like, okay, she goes, but I want to get shower first. Okay, she goes but I'm not going to Make her through the shower. Like without eating something she does so many eat this cookie, so I don't die, then I'm gonna get shower, then I'm gonna come back down and eat something. And I went. Now again, it was just very interesting to see how it's sort of, it's just part of her life. Like, she didn't say like, oh, this is ruining my evening or I really want to get in the shower first or, you know, I'm going to eat it. She just she's like, this is how this goes, sometimes. I'm not going to let it stop me from doing the things I need to do. But I'm going to do I'm going to do this thing first I need to do and she didn't want the cookie. Like she, you know, she wasn't looking for a cookie. And she's like, but I'm just gonna eat this. Not gonna die. I'm gonna take a shower and come back and I'm gonna eat like, okay, right on. And did she just did it? Like she's home from college for a couple of months, like, during a route? And I was like, wow, I don't know, I thought it was very cool. How? Like, you just imagined you at your job. Just, you know, get a little down like blood sugar a little low and doing something just keep going. I'm like, kind of warms your heart a little bit to think of it happening so seamlessly. Well,

Mitchell 36:06
he kind of back to you, right? Yeah. Can't let it consume your whole day.

Scott Benner 36:11
Well, I don't know if you have to, because Mitchell, you weren't doing it before. And you know, you just were didn't know what you were doing and riding that train to like a health problem. And, and I wonder how many people are doing that right now? Who are saying, well, I don't want to have to eat a cookie before I take a shower so I can eat. So I'll just leave my blood sugar 200 And that'll be fine. Except, you mean? Yeah, it damn right. It's not you know, better than anybody. How do you bring that up while you're dating? Hey, I had a heart attack when I was 26.

Mitchell 36:44
I don't really remember how I Oh, remember, I told her.

Scott Benner 36:49
Like, while you were watching the trailers before a movie or something like that? Yeah, no. She was like, you're like, hey, tell me something about yourself. And she's like, I'm not good at remembering the difference between mechanical devices and you're like, Oh, okay. I had a heart attack when I was 26. And they like, Can I have some popcorn?

Mitchell 37:07
Gotta go like that. I don't remember. Yeah.

Scott Benner 37:09
Weird thing to have to say to somebody, I guess is what I'm thinking. But you don't remember it? So maybe not. Oh, you're very easy to get along with. You know that about yourself?

Mitchell 37:22
Yeah, I guess now I feel like I

Scott Benner 37:25
owe over where you're not in the past.

Mitchell 37:29
I can be a bit of a hassle sometimes.

Scott Benner 37:34
I was I wanted you to say saxophone snob to do a call back but it's always fun to do Do you notice a difference in your personality now that your blood sugar's anyone sees are lower and more stable?

Mitchell 37:51
Oh, 100% Yeah, I'm not as irritable. I feel like I don't want to kill people as much as I used to want to.

Scott Benner 38:02
Would you have stabbed them or shot them?

Mitchell 38:05
I don't know. Either one could be

Scott Benner 38:08
poisoned their groceries. I mean, a lot of effort, though. Yeah, yeah. Do you guys have like regular food in Canada? Right. Like stuff like I know about? Yes, God. Yes. We do. Grapes.

Mitchell 38:24
You have grapes? Yes. Yeah, that red and green. Wow.

Scott Benner 38:28
Do you have the ones about the seeds? We do. Yeah, that's insane. That's crazy. It's amazing. Do you feed into penguins? No, right? No. Penguin Penguins of the Arctic Circle. They're not Canada.

Mitchell 38:42
Yeah, penguins are like, up north, like, like north north. Okay.

Scott Benner 38:48
You are making me think of something right now. I interviewed this like young girl. Like, I swear, I don't remember how old she was. She's like nine or 10. She had diabetes. And she was from Canada. And she was just on the cusp of not quite understanding my sarcasm, but getting some of it. And in fairness to me, I did not know I was recording with a child that day. Like, I think the mom pulled like a bait and switch on me. But it was fine. Like I was okay. And she, like it got a little slow at some point where I was like, she didn't have a ton to say. And so I started to ask, I started realizing she was younger. And I was like, Hey, real quick question. Like you live at the place where Santa lives, right? And she's like now, and I was like, oh, Santa doesn't live in Canada. And she goes, No one is like, Where does Santa live? And she's like, the North Pole. And I'm like, You're not at the North Pole. And she goes now and like she's just very like earnest about it, you know? Like, just like, how could you not know these things? And at some point, she says that there are cars in America and I say, Well, have you ever been to America? And she goes, No. And I'm like, Well, how do you know there are cars here for sure. And she goes there are I'm like, Are you sure? She says yes. And I'm like, but you've never been here you don't really know. And as we were having that little conversation, which I said to her, are you in a room with a closed door? And she said, Yes. I said, Is there a clown on the other side of the door? And she goes, No. And I go, Are you sure? I don't know why. She goes, I guess not as like, Alright, there's your thought. There's your lesson and critical thinking for today. And later, my wife is like, do you think she sat there? Like scared there was a clown on the other side of the door? I'm like, I don't think so.

Mitchell 40:39
Maybe, yeah, maybe

Scott Benner 40:39
she seemed fine. At the end. She was happy. It's all it mattered. Anyway. I don't know why I told you that other than I'm starting to think I have to dig that episode out and put it up sooner than it's supposed to come up, because I want to hear it back. Now. I'd like to, I want to hear the moment where she, by the way really resigned herself and said I like I guess it's I'm not sure if their cars in America and I've never seen them. I was like good for you. And I said there are.

Mitchell 41:08
But you know.

Scott Benner 41:11
Oh, my gosh. Your parents talked about your dad earlier. Is he still around? Yes, he is. How much of this transformation and this journey is he aware of? Well,

Mitchell 41:24
my dad is actually going to take you diabetic that takes insulin as well. So I tried to bring it up into that.

Scott Benner 41:34
Mitchell, did you just walk into a tin can?

Mitchell 41:38
No one just walked around my house. Oh,

Scott Benner 41:40
stop doing that Mitchell. Run back to the place that works. You have to do something. Am I stopping you from like getting a juice or something like that?

Mitchell 41:50
Well, I was walking towards my kitchen. And my kitchen is like a room? Not like a yeah, my kitchen has a door. So it's very tiny. But

Scott Benner 42:02
that's okay. Is there a cloud in the kitchen? No,

Mitchell 42:06
no clown.

Scott Benner 42:08
You I can't begin to tell you how like poor your auto audio quality got just now. I'm sorry. I couldn't hear you. You're completely gone away.

Mitchell 42:15
Are you okay? Okay.

Scott Benner 42:17
Okay. All right. So your dad, your dad has type two diabetes. He manages it with insulin? What does he know about the this whole journey you've been through? Is he still involved at all?

Mitchell 42:27
No, when I wouldn't say he's involved. He asked me the questions like, oh, what's your agency and that kind of thing? Not not involved in in the management part at all. So

Scott Benner 42:39
if I said to you, if I grabbed your father and I said, Hey, your son uses Iaps. He would not know what that meant.

Mitchell 42:45
He he would? Because I kind of trialed him on it for a couple of days. To see if it would work for him. Which it would you did. And then I got I recently just emailed PC diabetes. And they set up an appointment to kind of get on the same path, because it's even C is 6.8. But it could be better, I guess. And he he likes the fact that he wouldn't have to, you know, inject multiple times a day, he can just put an Omnipod on and move on with his day. Right? Do you like that? He asks you how you're doing? Oh, yeah, I do. Okay.

Scott Benner 43:33
If he needed help with his diabetes, would you be able to help him? Like when PC sets him up? And everything Do you think you guys would talk about or do you think it's not a thing you would like talk about on that level?

Mitchell 43:45
No, we would talk about it. For sure. Do you have a mom? I'm sorry? I do. Yeah.

Scott Benner 43:51
Was she involved with diabetes growing up? Not

Mitchell 43:55
too much. Because my parents were divorced. Okay. And I lived with my dad. When I was diagnosed, so not too too much. It was me my my dad who had the involvement in it. I see. Does she ask you about it? Oh, yeah, she absolutely. Let me see here. And you know, what? Your blood sugar at that kind of thing. But not too in depth about it.

Scott Benner 44:20
Your dad understands it much better. Yes, right. Okay. Did they have since they got divorced? Did they have other children after they were divorced? No.

Mitchell 44:31
Okay. What is?

Scott Benner 44:35
I mean, if you had to really think about it, and talk to people who are living in a different time with their management, like, what would you tell them about learning modern ways and moving forward?

Mitchell 44:47
I guess. Don't settle for what a doctor tells you to do. Find out what works for yourself. It's probably the best advice I could probably give. Yeah,

Scott Benner 44:58
yeah. I mean, it really He is simple, right? Like, if but how do you know though Mitchell like how boob if, like we all he all don't get as lucky as to have a heart attack and change our lives and we're 26 months old. So if you don't have that heart attack, do you think your management is better now?

Mitchell 45:14
I don't know. I would like to say yes, but I really don't know.

Scott Benner 45:19
There's no way to know. Yeah, I'm trying to figure out like, I'm asking you an unfair question that you don't have the answer to. But I'm trying to figure out how do you take someone who is stuck in a subpar situation? Doesn't know it's a subpar situation, but is only going to find out when they have a health emergency. That may be, you know, it may be too late by the time they get to it, like how do you reach that person and tell them? Hey, I know you think this is okay. But it probably isn't. And that's, that's, you know, tough.

Mitchell 45:55
I feel like you reach that person by explaining things more in depth, not just the, you know, the standard, whatever the standard may be, right, like, I didn't know what it is. That was I didn't know what a corporation was. And truthfully, if I had those, if I had an understanding of those, those things, I'm pretty sure my management would have been a lot better building because I didn't even understand, you know, how much one unit takes care of in my blood sugar? I had no idea. I was like, well, so I'm pretty sure that would have would have helped me and I probably wouldn't have gotten to, you know, having a heart attack? Yeah, I don't know. But I would assume, hopefully, that I wouldn't have had that. If I had the proper

Scott Benner 46:43
tools, built building blocks, tools, even a basic understanding that allows you then, to see the world around you. And then apply the bit that you know, and say, Oh, wow, like, I see how this would help that. And you know, I have a hammer, but I don't have a screwdriver, I'll go find one. Because I'm seeing that I shouldn't I shouldn't nail in this screw, I should turn it in, like I'll go find more tools. So that self exploration that you would get to take if you just had enough information to get into the game. Wow. You mean sure you don't know how weird it is that you like to hear from another perspective, because your perspective is, of course your own. But how strange it is for me to hear that you had this thing given to you this type one diabetes, and all that we all know goes into needing to needing to do to take care of it even on a basic level, and that you were just existing in it without any of that knowledge is fascinating.

Mitchell 47:45
You don't I mean? Yeah. It sucks that I wasn't given the full opportunity to be in control.

Scott Benner 47:57
Yeah, it feels it feels like they it feels like, I don't know, it feels like we went out into the future into Star Trek times when there was just peace and prosperity. And we picked somebody up and brought them back to Europe in World War Two, and started just drop them in the middle of a battlefield, and just let them walk around in a completely alien place where everything's trying to kill you. And they don't know that's what's happening. And you somehow, like wandered through it for a long time before a mortar caught you. Oh, that's crazy. It really is not like I don't know, another way to like to communicate how insane that feels to me. And, and I feel bad saying that to you. Because I'm assuming that it can make you feel badly. But I don't mean for that to happen. But it's just it's just, you know, they're still doctors doing this today. Is my point now. Yeah.

Mitchell 48:54
Yeah. boggles my mind. And it's like, Oh, yeah. It's 2023. Like, tell people what they need to know, in order to manage themselves properly.

Scott Benner 49:04
Which I will say, I'm not sure I'm not it's not a brag, but this podcast is reaching more people with diabetes, probably than any other thing that exists, right? And I still only reach a small fraction of the people who use insulin in the world, in the country, even in the country, like take, take your like pretend country out of it. Just think of America for a second, right? Like, if, like, I'm only reaching a small percentage of the 1.9 million people, I think the number is that have type one diabetes. And this podcast is reaching more people than anybody else. Like so the point is, like, all those other people who are in some version of wandering around in Normandy, and thinking they're in 20 23,050, or something like that. It's just it's terrible, and it's so fixable. I mean, we know who everyone is they all go to doctors, like doctors know who everyone is, was type one diabetes for the most part, right? I know, it's probably not many type ones that don't see a doctor. And so how can they just let them walk around like that? Yeah, I?

Mitchell 50:20
I don't know. I don't, I don't understand it.

Scott Benner 50:27
It's upsetting. And because of what I told you earlier, this thing that we're talking about behind the scenes is like, it's right in my mind today. You know, and then you come on and tell that exact story. And I'm like, see, this is how prevalent it is right here. I mean, sure. You're from Canada. And you know, I mean, your doctors wearing a hat made out of a beaver pelt, but doesn't mean they didn't go to medical school.

Mitchell 50:49
Well, no, no, no.

Scott Benner 50:50
I have a tendency

Mitchell 50:51
to think they wouldn't go they didn't go to medical school. Just

Scott Benner 50:56
let's forget talking about this diabetes. Mitchell. I'm gonna help you set up this trap. We're trapped. We're trapping sir. Yes, yes. We're gonna get a bunch of pellets. And then we're gonna sell them in town and buy whiskey. Okay, perfect. Perfect. Human imagined I hear there are cities in Canada, but that's how I imagined it when you think of

Mitchell 51:19
the doctors were kinda like a like Vancouver is like, similar to like Seattle. Yeah, it seems like a lie. Yeah, come to Canada and find out.

Scott Benner 51:33
I can Google it and everything. But again, they're just pictures. They can doctor the pictures. I don't know if you've heard of AI or not. But I have Yes. Yeah. Hold on. I'm gonna Google Vancouver city right now. Just gonna say Vancouver city. Oh, well, yeah, but there's a mountain in the background. Yeah, it's probably

Mitchell 51:50
like Mount Seymour or Cypress mountain.

Scott Benner 51:56
Yeah, it looks like SimCity like somebody built a city next to a mountain because they thought it was pretty. It is pretty by the way. Yeah, it is. It's a whole article here about what it would be like to move to Vancouver. I'm not gonna read it. Anything longer than a 10 minute drive is considered far. Is that a fair thing?

Mitchell 52:19
Oh, yeah, I would agree. I don't want to drive that long. There

Scott Benner 52:23
is traffic but it's always moving. There's no standstill traffic.

Mitchell 52:28
Oh, no. Last year. So it's like, bumper to bumper.

Scott Benner 52:31
weed is everywhere. Yeah. You smell it walking around. Sometimes, yeah. Smoke weed. It's all you want to say on the podcast? No,

Mitchell 52:45
I'm not really into smoking weed. I like eat gummy. It's like CBD. gummies. For relaxation or to get high. Just relaxation. I feel like I'm past the point of getting high. I just need to

Scott Benner 52:59
sleep. It's just like I did my 30 Scott. I don't have any time for fun. Just I just need eight hours of sleep. Well, that's what I'm getting old. Feels like Mitchell right there. Yeah, well, more percent. Like I'm not looking for fun. I just need to rest. But the new wife she's loaded, right. She can't remember the difference between a Dexcom and an omni pod.

Mitchell 53:23
She gets so confused.

Scott Benner 53:26
She gets so confused. Less than eyes of people I'm Arden's life for decades. Almost. And they still are like this. You know? She's low. Do you need insulin? Like you know, like now? Yeah, sorry.

Mitchell 53:40
It's quite the opposite, actually.

Scott Benner 53:42
Do you think she wouldn't like me? Is that why she won't listen to the podcast?

Mitchell 53:46
I mean, she we have listened to it like both of us together when we're driving somewhere. But she hasn't like started from the beginning like, actually listened. Fully. Tell her I have

Scott Benner 53:59
bills. And if she would have downloaded on a new phone, it would be another listener for me. And then everything she listened to I'd get another download for and then I could continue to sell ads. And it was just like, issue like a common sense person. Like,

Mitchell 54:13
go Yeah, yeah, she's she's common senses get Yes.

Scott Benner 54:18
Hit her with that, then make her feel bad for me. Maybe that'll get her to say, look, this guy's starving. Just turn your phone on. What do you do? And I'll pitch it to her. Get her on the phone right now. I'll talk. I will say something pejorative about Canada, and then I will just be like, God now. Well, is there anything we haven't talked about that we should have?

Mitchell 54:39
Oh, I don't think so. I think 10 is good.

Scott Benner 54:44
Yeah. Are you happy with how our conversation went?

Mitchell 54:47
Yeah, I didn't. I don't know. I've never been on a podcast so I wasn't sure what

Scott Benner 54:52
to expect. Was this about what you imagined?

Mitchell 54:56
It's what I imagined the guests for being on your cast, just because I've listened to a lot of probably like 80% of your, your full hit library, I

Scott Benner 55:06
guess, Mitchell. Thank you. Thank you very much. I appreciate that. So yeah, sincerely. Yeah, that's not NPR. I'm not here today we're speaking with Mitchell. He's had type one diabetes and she was 14 years old. It's going to tell us a story today of his heart attack his new marriage. And Vancouver. Yeah, I don't I don't. If I heard something like that. I'd shut it right off. I'd be like, Oh, I can't I can't hear Yeah, yeah. I want to pass

Mitchell 55:33
that has some some substance to it, I guess. Yeah. Little

Scott Benner 55:36
chit chat. Right. Talks about beaver pelts. I wore a rabbit lined hat once. Set my body on fire was so warm.

Mitchell 55:46
Up rabbit lined hat. Yeah,

Scott Benner 55:48
like so the hat like it was an outdoor hat for, like the cold. And it came from like, I don't know where, I mean, I think my wife got it for me for Christmas, because it looks stupid. And she wanted me to look stupid. That's basically where I think this purchase came from. Sounds about right. Like, you know, you're outside like shoveling snow and stuff like that. And you're always cold and I never wear a hat. So I get this hat. It's like, I don't know what the outsides made of. It's kind of waterproof, but the inside is lined in rabbit fur. And if you put it on your head, and don't immediately go outside in the cold, you'll like overheat and pass out. I don't rabbits must be so warm as what I'm saying. I would hate that. Yeah, it's not fun. Like even outside. You almost have to take it off. Like it's freezing cold snows blowing around all over the place. Like I'm too warm from this hat. Cool. No, thanks. No, it's amazing. And you look really good. I don't know what you would look like it actually might be a handsome man. But I look good. I I look ridiculous at it. So although I have lost weight, Michel, maybe I should try it again next winter.

Mitchell 56:53
It's not too far away. Right. So don't say that.

Scott Benner 56:56
I hate winter. And you'll but you live in Canada. It's

Mitchell 57:01
It's not cool. It's not snowing and minus temperatures for more than, you know, half a year. All right. Where we do get sun and 30 degree weather.

Scott Benner 57:15
I don't know. I don't know Celsius.

Mitchell 57:18
I just I just thought about that. I'm like, Oh, he probably is like, what is that?

Scott Benner 57:22
I got its hold on. 30 degrees Celsius to Fahrenheit and 86. Okay, six. Yeah. So like summer weather. I gotcha. If you move anywhere, would you move within Canada or outside of Canada?

Mitchell 57:33
I would stay in Canada. Yeah. Okay. Yeah. You're Canadian. Through and Through. Yeah. God bless. I love coming. I love going to America, but it's like, you know, short trips.

Scott Benner 57:43
When you come to America. Where do you go? So

Mitchell 57:46
we go to port Roberts a lot. We go to Seattle, or I go to Vegas a lot. So, Mitchell.

Scott Benner 57:53
Any luck in Vegas? No. So what stays in Vegas is your money?

Mitchell 57:59
Pretty much. Yeah. Oh, I've never been there. You've never been to

Scott Benner 58:06
Vegas? No, no, I just make this podcast mental. This is what I do. I make this podcast once a while I complain to my wife about stuff. That's pretty much it.

Mitchell 58:16
You know, you could find a way to do like, you know, Juicebox Podcast on the road?

Scott Benner 58:20
Yeah. Do you think anybody would give a crap if I was recording it somewhere different than I'm recording it?

Mitchell 58:26
Well, I don't know. You could do it live live in the real person. All right, Michelle,

Scott Benner 58:30
I'll tell you what, if this thing hits a million downloads a month, this is off the top of my head so nobody can hold me to this. If this thing hits, except you if this thing hits a million downloads a month, the whole show. I mean, not just one episode. If one episode hits a million dollars, you're gonna see you're gonna see me in Vegas, like throwing money around like, it's a rap video from the 80s. But if, if, if I get to a consistent million a month and I met a half a million now. I think it's possible that I could get sponsorship for a mobile recording thing. And maybe I could drive around and record with people in the van. What do you think?

Mitchell 59:22
Yeah, I'm sure I'm sure you'll hit a million downloads. While not if you don't get your life and I'll get I'll get around it. Yeah,

Scott Benner 59:29
I mean, geez, I didn't want to say in line because it's not 1965 You get that lady that you married in line. It's not what I was going for. I just got caught in between the word and then I was like, Oh, it sounds like I was gonna say get your wife in line with my Mitchell when I met, I'm afraid my wife heard that just now. I'm not even sure if she's in the in the house to be perfectly honest with you. I'm like viscerally scared. I was I did this talk somewhere, I'm gonna let you go in a second Mitchell, I did this talk somewhere. I don't think they want a lot of their details out but big group of people, and they basically hired a Shusher. So someone that if the group got loud, would stand up in the front and just be like shish shish everybody so that I could keep going, because we have a really big group. And I turned to the girl at one point when she did that, and I was like, I'm going to try that at home on my wife. And she looked at me super seriously. And she went, Oh, I don't think I would do that if I was you.

Mitchell 1:00:36
Yeah, those are probably very good words that she spoke to you. Can you

Scott Benner 1:00:39
just imagine that? So like, if you're if you're in a middle of a conversation with your brand new bride, and she was upset, and you trying to be funny, just when she thinks she like throw a pan at you or something like

Mitchell 1:00:55
I've eaten dead?

Scott Benner 1:00:56
Oh my God, my wife would definitely stab me. Like, we're not even in Canada. And she would definitely, you know, they mean, my God. beaver pelt, I'd be upheld, but it was over. For Scott. We turned him into a hat that I wear now when I'm shoveling snow. doesn't keep you warm, but it makes me laugh. All right, Michelle, you're terrific. Give me a second. Okay. No problem.

In 2015, I needed support to start making this podcast and Omni pod was there. They bought my first ad in a year when the entire podcast got as many downloads as it probably got today. Um, the pod was there to support the show. And they have been every year for nine seasons. I want to thank them very much. And I want to ask you to check them out at Omni pod.com/juicebox. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. The episode you just heard was professionally edited by wrong way recording. Wrong way. recording.com Thank you so much for listening. I'll be back soon with another episode of The Juicebox Podcast.

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