Scott Benner 6/2/25 Scott Benner 6/2/25

#1538 Hypoallergenic Savior

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Lauren’s hypoallergenic dog saved her life during a dangerous low blood sugar—hear how instinct and devotion collided.

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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
Friends, we're all back together for the next episode of The Juicebox Podcast. Welcome.

Lauren Wood 0:15
Hi. I'm Lauren Wood. I'm an entrepreneur, and I have had type one diabetes for 44 years now.

Scott Benner 0:27
Check out my algorithm pumping series to help you make sense of automated insulin delivery systems like Omnipod five loop Medtronic 780, G twist tandem control IQ and much more. Each episode, we'll dive into the setup features and real world usage tips that can transform your daily type one diabetes management. We cut through the jargon, share personal experiences and show you how these algorithms can simplify and streamline your care. If you're curious about automated insulin pumping, go find the algorithm pumping series in the Juicebox Podcast, easiest way. Juicebox podcast.com, and go up into the menu, click on series, and it'll be right there. Nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan. The episode you're about to enjoy was brought to you by Dexcom, the Dexcom g7 the same CGM that my daughter wears. You can learn more and get started today at my link, dexcom.com/juicebox, this episode is sponsored by the tandem mobi system, which is powered by tandems, newest algorithm control iq plus technology, tandem Moby has a predictive algorithm that helps prevent highs and lows, and is now available for ages two and up. Learn more and get started today at tandem diabetes.com/juicebox,

Lauren Wood 1:57
Hi, I'm Lauren Wood. I'm an entrepreneur, and I have had type one diabetes for 44 years now, and it's something that I'm very obsessed with, and love to keep learning about, and love connecting with people who have type one awesome. How old were you when you were diagnosed? I was diagnosed just after my 10th birthday.

Scott Benner 2:24
Okay, okay, I see you're 5444 Wait, wait, wait, did you say you had it for 44 years?

Lauren Wood 2:30
Oh, did I say 40? I might have I'm sorry today, which is not usually me. I'm just so excited about being here with this community. Yeah, I've had it for 34 years. Then, all right. Well, that's because I am only 40 excellent.

Scott Benner 2:42
I was like, Oh, I didn't, I mean, I saw you a minute ago, and I was like, You're not my age. But, I mean, maybe there's

Lauren Wood 2:48
nothing against 50. I'm just not there yet. 40 has been enlightening for me. Listen,

Scott Benner 2:52
I was getting ready to tell you look terrific. I was like, this really working out for you. Now you just look 44 don't worry about

Lauren Wood 2:58
tell everyone.

Scott Benner 3:02
May I tell you that I was paying a medical bill on the phone yesterday, I'm sure, an experience all of us have. And the girl answers the phone like, she's like, Hello. I'm like, Hi, I'm trying to pay a bill. Give her the number, like we're talking back and forth. I'm not saying anything, like I'm not being personable, or like we're just I'm answering her questions, you know. And there's like, a lull, and she says, like, Oh, I'm so sorry. Like, I have to get this straight now before we can move forward. I said, No. I said, you're doing fine. Don't worry about it. I said, this is the most relaxed I've been all day, like, you know, just sitting on the phone with nothing to do. And a couple moments later, she says, Oh, you sound much younger than you are. And I was, of course, in source. I was like, hold on a second. I said, What do you mean? She goes, I just saw your age pop up in front of me. She goes, but you sound like you're in your mid 30s. I said, that is awesome. I said, Do you mind if I tell my wife about this later? And she goes, Why? Ready

Lauren Wood 3:51
to throw it at my husband. She goes, why?

Scott Benner 3:54
And I said, Well, I'm going to embellish and say that you hit on me, if that's okay with you. And then she was like, Haha. And I was like, Oh, okay. So we had, like, a nice little moment. Then I paid my exorbitant bill and was on my way. But anyway, you were telling me you were diagnosed. You seem very excited. Why are you excited to be here? Because

Lauren Wood 4:12
since I was diagnosed, you know, the experience of being diagnosed was very lonely for me, very isolating. I didn't know anyone that had type one child or adult, and then I went to diabetes camp. Oh, and it changed my life. My dad was like, horrified to leave me there, because he's just not an outdoorsy person. Never been to camp, and so to him, he was like, Oh, my God. Why would anyone want to stay here? I cannot leave my baby here,

Scott Benner 4:44
abandoning my child in the woods with their diabetes. Yeah,

Lauren Wood 4:47
exactly. This is not in like, not sure who, how it was all gonna go. But I mean, they picked me up later that week, and I was the happiest I had been in a long time. It just feel. So good to connect with other type ones, and so recognizing that early on, it's been something that I continually seek out and never disappoints. Can

Scott Benner 5:11
you, like, give me a little more context, like, what's an actual, like, real world experience that happens during the connection that that fills you up and and lets you feel good and wants you to come back and do more. Like

Lauren Wood 5:23
I will be at, I was at event with my kids and spotted someone with a Dexcom on a woman with a Dexcom on. So everybody knows when this happens to me, because I will, like, won't zone in. I'm like, I gotta go, and my husband knows to watch the Kid Zone, and he'll do the track mirror. I'll be back eventually, but I go tap that person on the shoulder and like, Hey, I see you. Have a Dexcom I do too. I have type one, do you and how you know? And just start talking to them. And I usually end up leaving with a phone number and an opportunity to connect again sometime, and it leads to some nice friendships. I mean my best friend, which sounds kind of silly, near 40s, with my best friend, but he is my nearest and dearest friend I met at diabetes camp. And so I know firsthand that those relationships where you don't have to say it all, and someone will still be understanding of 100% of it is really special, and that is something that I just continually seek out because of the the ease in that

Scott Benner 6:29
your closest friend in your mid 40s is someone you met at diabetes camp when you were 10. Yes, no kidding, yes, that's awesome. Ross, hi, Ross, hey. Ross, what's up? Man,

Lauren Wood 6:37
he's so special to me. We created a scholarship for our camp to send kids to camp, because when I was a counselor, I had the parent of one of my favorite campers came up to me and said, Thank you for this week. I know she really loves it and values it, but I'm not sure if we'll be able to send her next year. It's really getting exorbitant and out of our budget, and you can hear, I'm still emotional about it today. It broke my heart. Ross and I had been friends for all these years, and we just we've gotten along like a house on fire since we first met, and we just have so much fun together. And we both really valued our time at camp when we were old enough, and, you know, making our own money, and things were going well enough that we could afford to set some money aside. We decided to set our own money aside, and then also to fundraise our friends and family and community. And we were able to send eight kids to camp for a few years. So that was really a beautiful experience. So

Scott Benner 7:36
it's interesting, you bring this up because I've this year, had this experience, and I haven't had it in the past. Somebody came on from Camp Sweeney to be on the podcast, and it's a gentleman that runs the camp, and he was infectious, like, how excited he was about it, and he had been doing it for so long that you realize, like, this is a thing he believes to his core. Or, I mean, he wouldn't be doing it for this many decades, you know, yes. And he says you could give away a spot at camp on the podcast. I was like, oh, that's terrific. So I went to one of the sponsors to us Med, and I said, I'm giving away the spot in the camp. Would you give one away, too? And they were like, absolutely. So I got to give two away. And I was like, that's great. Now, the course of giving away the camp, you know, drew a lot of attention to the camp. So the camp came back and said, Hey, would you like to give away another one? And I said, Yeah, sure. They said, we have just like you, somebody who loves the camp, who wants to send a kid to it, so we have another spot to offer. And I was like, All right. So I called Omnipod, and I was like, Hey, I'm giving away a spot at camp. Sweeney, do you want to give one away? And they were like, Yeah. And I was like, All right, so now, like, suddenly I facilitated four kids going to camp, and then, and then goosebumps, yeah, it's great. And then he came back to me last month, and he was like, you want to do two more? And I was like, right on, so I'm picking the winners today. Oh, that's why I can't believe you said it like that, because it's my to do list today says cruise follow up, because we're setting up the cruise still, and I'm doing some things for that. And then pick the giveaways. Pick the giveaway winners sitting in front of me, make the podcast. I also have to eat lunch. I'm doing other things, but these are the things that I need to get done today. And yeah, I can't believe you said that, but

Lauren Wood 9:18
synergy. So what does that process look like for you, what do you mean? Like, how are you choosing? Oh,

Scott Benner 9:25
well, that's interesting, because, to make it fair, you just wanted to be random, right? So you take everybody's emails, you put it into a document, you feed the document into chat GPT. Don't that way? That's nice, yeah. But hold on, you feed it into chat GPT, and you say, Look, these are entries into a contest. I need you to pick two winners. It needs to be absolutely at random, and then it spits two out. You'd be surprised how many times I send an email and say, Hey, you won, and nobody responds back. It happens more than you think. So the people who won so far don't know it, but only. Two of the four were the first choice. Okay, yeah, so they kind of got double lucky now, but here's why, your question, and I think this is where we're getting to, is that I don't ask for people to tell me, like, why they want to go to the camp, but they send that information when they send in, and then I read them, and then you're like, Oh, well, how am I gonna like, like, I should pick one of these people. And then you start thinking, like, how would I pick, like, the stories are so, like, you know what I mean? Like, they're heartbreaking, Scott,

Lauren Wood 10:30
because that's how ours got. We were gonna send, like, I don't know, four kids initially, because we were, like, that's a lot. We get, like, that's amazing. We would be we're both thrilled to be able to do that. And then the first year, we started reading their their stories. We had asked that they just write a little short essay telling us about, you know, when they were diagnosed, what diabetes is like for them, and what camp would mean for them. And it was just an amazing thing to read through all of them, but we knew then, like no, if eight kids are going to send in applications for this, we want to send all eight. You know, it was, it's just, it does. It tugs at your heartstrings completely. And then it for me, it takes me back immediately to my camp experience and how important it was to me. I mean, it was so important, I used to take off once I had I was older and I was a counselor, which I absolutely loved. Being a counselor that was such a rewarding, rewarding experience, enriching, yeah, oh, I lost my train of

Scott Benner 11:33
thought. Listen, I'm gonna tell you something. I'm reading these emails, and you're like, I don't know how I would be able to pick and listen, it's lovely that you gave away the camp stuff, but I have a significant reach. I'm not lucky to get eight people that want to do it like I'm looking here at hundreds of entries for this giveaway, you know, and each one of them is like, my daughter would love to go. She feels isolated, or my son doesn't know how to take care of himself. I'm really hoping that once he gets there, he'll see other people doing it, like, that's the stuff. And then you read the next one and the next one, you're like, Oh my God. Like every one of these kids should go,

Lauren Wood 12:10
yes, and they all should. They really should. So anyone who's listening who I think if we could just encourage, if you went to camp and you loved it, because I know I got a big group on my chat line that I'm gonna force to listen to this. Hi, guys. Anybody who went to camp and loved it and still has you know we you keep that wisdom with you forever, what you learn there, I would encourage you to call the local camp that you know, or reach out to Scott, or reach out to to me, to whomever, and support these camps, because it is a huge expense. And for families who are dealing with children type one diabetes, like, we all know there's enough expense in all of this. Yeah,

Scott Benner 12:49
it's just it's too much, and and camps expensive too, and for good reason. Like, I mean, I think Sweeney's like, it's weeks long, like, you don't just go for a couple of days. That's cool. I think it's like, I don't want to say and be wrong, but I think it's three weeks. Ours used to

Lauren Wood 13:03
be weeks long and then, but it was like, but it would be like, younger kids the first week and then older kids the second week. Yeah,

Scott Benner 13:09
I don't think camp's for everybody. Like, you couldn't drag my kid to camp, right? Like, she's not looking for that.

Lauren Wood 13:14
Well, right? Yeah, you have to be open to it. That's not, don't just send your kid to camp because you're like, oh, this will help you, because if they don't want to go, yeah, it's not gonna, right?

Scott Benner 13:22
Then you sent them into the woods. But for the people who want it and love it, my God, I don't know. It's just very exciting. And so it's lovely that you were able to do that. And it is, yes, it's just really something so but now you're not the only person you know with diabetes anymore, right? Right. Far from did you make your own group of people that have type one. This episode is sponsored by tandem Diabetes Care, and today I'm going to tell you about tandems, newest pump and algorithm, the tandem mobi system with control iq plus technology features auto Bolus which can cover missed meal boluses and help prevent hyperglycemia. It has a dedicated sleep activity setting and is controlled from your personal iPhone. Tandem will help you to check your benefits today through my link, tandem diabetes.com/juicebox, this is going to help you to get started with tandem, smallest pump yet that's powered by its best algorithm ever control iq plus technology helps to keep blood sugars in range by predicting glucose levels 30 minutes ahead, and it adjusts insulin accordingly. You can wear the tandem Moby in a number of ways. Wear it on body with a patch like adhesive sleeve that is sold separately. Clip it discreetly to your clothing or slip it into your pocket head. Now to my link, tandem diabetes.com/juicebox, to check out your benefits and get started today, the Dexcom g7 is sponsoring this episode of The Juicebox Podcast, and it features a lightning fast 30 minute warm up time that's right from the time you put on the Dexcom g7 till the time you're getting readings. 30 minutes. That's pretty great. It also. Has a 12 hour grace period so you can swap your sensor when it's convenient for you. All that on top of it being small, accurate, incredibly wearable and light. These things, in my opinion, make the Dexcom g7 a no brainer. The Dexcom g7 comes with way more than just this, up to 10 people can follow you. You can use it with type one, type two, or gestational diabetes. It's covered by all sorts of insurances and, uh, this might be the best part. It might be the best part alerts and alarms that are customizable, so that you can be alerted at the levels that make sense to you. Dexcom.com/juicebox, links in the show notes, links at Juicebox podcast.com, to Dexcom and all the sponsors. When you use my links, you're supporting the production of the podcast and helping to keep it free and plentiful.

Lauren Wood 15:52
Yeah. I mean, I Well, I have my camp friends that we still talk. We have a few of us that are really good at getting people together, and they'll hold little events for people to come and, you know, visit with each other. We have a group chat line where we all trade information back and forth. Yeah, it's really nice. Do you have any children? I do. I have three,

Scott Benner 16:11
three kids. And is there any other autoimmune in your family?

Lauren Wood 16:15
Not in my with my children. So far good. They are 11, seven and five, but my brother was diagnosed with type one. Later in life, he was like, almost 30, and my my dad has type two. That's, yeah, yeah. Hey,

Scott Benner 16:34
listen, this is going to be sound strange, but you keep talking, I have to put my shoes on. I'm wearing tans. I can't believe I'm saying this out loud. I'm wearing tan socks, and it's freaking out one of my chameleons. So you keep talking, tell me a little bit about why you want to come on the podcast while you reach for my shoes. I missed that last part of what you said, but I will let me tell you my chameleon is freaked out by certain colors. I'm wearing tan socks, I don't have my shoes on, and he is staring at me like I don't know why you're trying to kill me. But could you stop please? So I'm gonna put my shoes on to cover up my tan socks. Anything about reptiles? Okay, well, this one doesn't like tan or purple. Oh, anyway, interesting. Go ahead. Why did you want to come on

Lauren Wood 17:12
the podcast? Well, I don't want anyone to feel alone in this. Sometimes I'm on the Juicebox Podcast Facebook group. You know, I just see moms on there very often. Type one moms and I, I'm a part of any local type one moms group that I can be, because I learned so much. If you want to get the info, there's nobody who knows better I feel like than a mom who's taking care of a kid with type one right? So they continue to help expand my learning, but and so I don't want them to feel alone. I want them to know like you can have diabetes from a young age and be healthy. Have three I had three children. Being pregnant is not easy, but it's totally doable. I mean, it's like having a part time job on top of everything else that you're doing, but it's possible. Yeah,

Scott Benner 17:55
tell me about being a counselor in camp and how like is that still impacting you, like that experience you had. It feels like you want to keep doing it. Oh my

Lauren Wood 18:06
gosh. I mean, I used to say they will wheel me out of this place. And Ross would always roll his eyes at me because he thought I was crazy, because he wanted to get the hell out of there. Yeah, I don't know. I just I loved it, and I loved everything about it. And the thing that really got me, Scott was when this is like, 10 years ago, something like that. Okay, that my campers, my former campers, sent me messages on Facebook, and like three of them, they were like, we're here for training, and we're just all so thankful that you were our counselor, and you inspired us to be here. And you have the most, the highest number of us here are your former campers, and we're proud of that, and we hope that we can make an impact like you made on us. And I mean, that was just, oh, that was like, one of those full circle moments for me, yeah, that I got so much out of it. And then turns out they did too, yeah,

Scott Benner 18:56
that's really wonderful, absolutely wonderful. How do you continue that now as an adult who's not a camp counselor anymore and doesn't have the same access to people.

Lauren Wood 19:05
Yeah, so for a while, I was pregnant, and Dr Mandy there was a pediatric brain surgeon in Indianapolis who had type one diabetes, and she went low, or she had the flu, and she was home by herself and was passed out. Nobody found her and she died. So that impacted me heavily, heavily. If this brain surgeon who nobody, you know, I think that in our community, so often it's just excuse. It's like, Well, she didn't take care of herself. That was her diabetes. She didn't do what she was supposed to. And I just I hear a lot of people say that, and not with this woman. Nobody looked at her and thought she's not doing what she's supposed to. She's incapable. She's dumb like nobody thought that about her in any regard, she was really missed by her children, her patients, her colleagues and. And it had a real impact on me. So I called up the JDRF, and I said, I'm pregnant, and I like, we don't have a walk here in my area anymore. And this, you know, just happened, and I want to be a part of it. So actually, they came to me, I guess it was so and I said, Yes. And my husband said, why did you agree to one more thing? And I said, well, because they needed the chairperson, and she Mandy died, and I need to honor her. And so I got very involved in my walk. And yeah, you get to know a lot of people in your local community at the walks, and it's a very uplifting space to be and fun space to be. And I find hope in it still that we can get to a cure. And so it's something I've been passionate about for a long time. So that's often been how I run into people, and then, just like accosting people on the street too, when I see them, I have to

Scott Benner 20:51
say that a walk is, you know, listen, I know it's there to raise money and, you know, all that stuff, but if you go to one that's well attended, you show up at a park and you congregate in a parking lot and get ready to head down a path, and there's four or 500 people there. It really does strike you the energy, yeah, also that there's, this is a lot of people, and yet this is a very small percentage of these people. Yeah, that's the thing that gets you. I think it is something. But if I may, like, about the going on the walk part. Because, like, once you're humping through the woods or wherever you're doing this, like that part goes away, and you're just watching people climb up and down hills and over rocks and down paths and everything. And you look up and realize, like, at 10 yards away, I can't tell any of these people have diabetes. And then it made me wonder, it's like, I wonder how many other people I'm walking past have this or going through something else I have no idea about.

Lauren Wood 21:44
See, I never looked at it that way. I more self centered. Scott, I looked around and I'm like, Ah, all these people are here to support me, to support us. And I love that, because I think that. And you know, for the kids with diabetes too, I think that they do feel on those days very supported because, like you're saying, it's just there's so many people there. It's like, okay, not all of these people that are here have type one, but everybody here definitely cares enough about it to show up. Yeah,

Scott Benner 22:12
no. I mean, listen, if you can harangue a friend into showing up at a park on a Saturday morning to wander through the woods with you for reasons that are not exactly clear, then that's a person who cares about you and the thing that you're doing, you know, really something totally, yeah, it's hard to get I mean, you ever try to, like, schedule a softball game or something like that between friends? It's impossible. Good luck, 20 people somewhere, but yeah, hundreds and hundreds of people showing up is pretty awesome. It's really cool. So what do your kids know about your diabetes. If you got sick and got low, what do you think the people in your house would do? Oh,

Lauren Wood 22:45
they are. They're amazing. I think I told you the beginning of this, I'm an open book, and I really do live my life that way. So I learned very early on in my diabetes, like not to hide it. When it comes to my close relationships, I make sure that it's always front and center, so to speak, just in the sense that, like, I don't want us, like thinking about diabetes all the time, but if something happens, I want to make sure that I'm able to get help. I used to be the person that would sit through meetings at work, going low, shaking like I can get through this. I'm tough, is what I used to tell myself, which is the I can't believe that I was ever that dumb.

Scott Benner 23:25
You're trying to tough out a low blood sugar, yes, and

Lauren Wood 23:28
that was before Dr Mandy, too, before she passed. But I with my kids, it's like, okay, I know better. Now. I know how to ask for help. And so for them, for it either looks like they help me get snacks. Sometimes they'll help me treat my low they know where my they know juice boxes are for mommy. They know that like certain candy is not for them. That's for my low treatments. And they're very respectful of that. My 10 year old, she's 11, he's had some scary moments with me. He's a really smart kid. He was like reading, not like he was reading Harry Potter by himself at five. So he's in tune to things that I think a lot of other people might not be. So he notices things in me sometimes when other people don't. We were on a hike, Mother's day hike. My family loves being outside. I'm the one they have to drag there. But it's

Scott Benner 24:21
Mother's Day. Let's do something you don't want to do. Awesome.

Lauren Wood 24:26
I love being with them, and they're all, they all love being outside. It was a nice day, so I acquiesced, and and the excitement of everything had left my low, treatment stuff in the vehicle. We were having a terrific time, and we're just like, wow, I can't believe, like, the baby, like, she's stoic probably three years ago, so she's about two that she's still doing well out here, and we're all having fun, like, Let's go further. And we had just made that decision, when all of a sudden, I was like, Ooh, blood sugar. And I said to my husband, like, oh my gosh, I'm I was, at the time, like, 80 and dropping. So. He ran back to the vehicle with my two daughters, carrying one like dragging another along for honey. And my son stayed with me and walked with me because we were just gonna walk slowly back. And he was so sweet, Scott. He just looked at me and said, Mom, what's going on for you right now? And I told him, you know, like how I was feeling, and you know what goes on, basically, inside your head, when you're going low, you know that you're shaking, that you're scared, things are kind of, it's hard to focus. You sweating a little bit. Your heart's beating fast. You made blurry vision. You know those, all these things are happening. And he just started asking me about camp, because he knows that I love to talk about camp, and it was enough for me to pass the time to get to where I needed to be to meet my husband. When he was bringing the my Juicebox

Scott Benner 25:53
to those two kids, he was

Lauren Wood 25:57
dragging, I think at that point he was they were running. The one was running behind him. He wasn't dragging her anymore. He was just she was running behind him. So I

Scott Benner 26:04
wonder if he thought I'll lock them in the car and then I'll come back. That would probably be, I know you're not supposed to lock your kids in the car, but I'm wondering if, like, by the way, when I say I know you're not supposed to lock your kids in the car, that's not me saying I used to lock my kids in the car, and I know you're not supposed to. I'm just saying. I wonder if in that moment, he thought, yeah, well, how do I lighten my burden to get back to

Lauren Wood 26:25
when you're trying to think fast, because it literally is your wife's life,

Scott Benner 26:29
yeah, yeah, I probably would have locked him in the car. I mean, it's just the park. There's never any creepy people at the park.

Lauren Wood 26:33
No, never. Thankfully, he didn't have to resort to that that day.

Scott Benner 26:37
So you're your oldest has had a number of experiences with you like this. It sounds like so you feel like he gets it on a different level. Do you ever feel badly that he gets it

Lauren Wood 26:49
all the all the time? Yeah, yeah. I mean, I wish that they didn't have to know that fear, and yet, I prefer that they know about it, because I had a extremely scary low incident six years ago, seven years ago now, and my dog actually saved my life right time. So my whole family is in on it. Hold on a second.

Scott Benner 27:18
I want to tell you first before you tell me how your dog saved your dog saved your life, because dogs don't have thumbs, and I don't understand this exactly, but I wanted to tell you that while you were explaining to your son how it felt to be low, I started thinking about Arden, and I got I got upset. Yeah, it's difficult to remember in that moment when your kids like not listening to and you're like, eat this or do that, it just feels like they're ignoring you, but like, if they're feeling all those things that you described at that moment, but they're and they're just powering through and trying to hold it together and and you're like, it's tough not to be like, scared to the point where you're almost angry that they're not acting that makes sense. Oh, okay. And

Lauren Wood 27:57
I can get that from a parent's perspective, yeah. But then also, from the person with diabetes perspective, like I legit feel like I'm dying every time, right? Every time I'm low, I feel like I'm dying. And so if I'm dramatic, you know, not listening how you want me to that used to drive my husband crazy. He'd be like, put some give me something. I'd be like, I don't want that. But, I mean, it's just that's, you know, we're not being defiant. It just really is your brain shutting down and you're doing the best you can. And, yeah,

Scott Benner 28:28
and I know that better than anybody. I've talked to 1000 people, but exactly still, while it's happening, there is part of you that goes like, Oh, I'm sorry. Gushers aren't the right candy, right? You know what I mean, right? You're like, oh, oh, I didn't realize I brought the wrong candy to save your life with. Yeah, that's why I have to be honest with you, I'm a proponent of if you send me for something, I come back with a fistful of options if that's possible. So

Lauren Wood 28:55
yeah, I think that's a great way to go, too. When you're low, it's just like, you never know. I feel like, Yeah,

Scott Benner 28:59
I'm like, here pick it's fine. Anyway, I'm sorry. We were headed somewhere, and I cut you off. Oh, your dog saved your life. What kind of dog? First of all,

Lauren Wood 29:07
oh, my gosh, he's a golden an Australian Labradoodle, I guess. Yes, Labradoodle. Okay.

Scott Benner 29:13
Were you just trying to make sure we all knew you're a white lady when you said that? Yeah,

Lauren Wood 29:17
yeah, totally. Well, listen, and like, I need a designer dog, like a designer No, I don't. It's just I have terrible allergies, terrible and this is, like, the only kind of dog that doesn't make me go crazy. So good.

Scott Benner 29:31
Oh, well, that's awesome. Remind me, after we find out how this dog saved your life, by the way, this better be a good story. It is after that I want to hear about the allergies. And I know you have ADHD, I want to hear about that as well.

Lauren Wood 29:43
Yeah, that's fine. Skipping around so much

Scott Benner 29:44
too. Tell me about the dog.

Lauren Wood 29:46
My husband was away on a fishing trip, so things were different. And anytime I switch things up and they're different, like it does affect my blood sugars a little more. My mother in law came to stay with me because I had just had a baby in May. No, I had her in June. June, and this was, like, July, August. It was early August. So she's staying with me to help out, because my husband's on this fishing trip with his dad and his brother, and I wake up on the couch. I'm passed out on the couch, and I don't know what's going on, and I like, look down and I see a bottle of formula at my feet, and I'm like, Oh my God, because it's something that we kept in the fridge. And I'm thinking, where's my baby? Yeah. And then I just passed right back out. Every time you wake up, you have to get your bearings about you again, you know? And so I would wake up and be like, Oh my god, what is happening? And then look around and be like, okay, you're okay. Am I okay? Like, what do I need to do? And I was like, Okay, I need to scream for help. And then I tried to scream, and it just came out, like I had no exertion. I could not exert any, yeah, anything into my voice. I tried to get up, and I fell. My legs were not working, and I thought, Oh, my God, I'm gonna die here, and where is my baby? And this I passed out like Scott, I couldn't tell you. I mean, maybe it was 10 times, maybe it was four times, maybe it was 10 minutes, maybe it was three hours. I have no idea, coming in and out of consciousness. Yes, I am entering in and out of consciousness. And every time I wake up, I'm so thankful that I woke up. And I'm like, I can't let that happen again, because I don't know if I'll be able to wake up again. So every time I'm like, okay, and I try to get myself back as soon as, like, quick as possible, so that I can figure out what I need to do to save myself and potentially my baby. Because again, I don't know what I did with her. And then I'm on the floor and I can't move. I'm trying to crawl, and I'm falling and like it is, I am feeling I'm a person who has a lot of energy, a lot of excitement, a lot of I can see the good and things. And I started to really get scared, because I was like, I don't know how I'm gonna get where I need to get, which was I was in my family room, which is right next to my kitchen, so it's not, yeah,

Scott Benner 31:52
I don't know how I'm gonna get 15 feet to save my life, exactly

Lauren Wood 31:55
right? So I'm trying to crawl, and I wasn't able to, and then passed out again. And then come to and my dog is right there with me. And I don't know where he came from. Didn't remember him being there earlier, but he went and got under me and got under me, would lift me up, and then set me back down, and then come back through and get back under me. Because it was like he couldn't carry me. I was too heavy for him. He's a big dog, but, you know, I'm like, 140 plus pounds, like he's, there's no way, but He lifted me and was able to get me far enough that, you know, that 10 or 15 feet to the kitchen where I could get my juice boxes. And I couldn't even find that, because you're so low, you're just so disoriented, I couldn't find what I needed. And so I knew there was sugar in the cupboard next to my stove, so I went to get that. I couldn't stand up. I mean, there was just so much in the way. It was crazy. I'm trying to, like, I tried to throw a shoe across the room. I mean, like, the more noise I make, I'll wake my mother in law up. She didn't hear anything. She felt terrible. You know, it was, like, terrible. So I get to the sugar, and I just, like, dumped it into my mouth. I had sugar going all over me, and was just like, I'll clean up later. And just kept pouring sugar down my throat until I started to feel a little bit better. Wow, yeah. I mean, I really don't know, without my dog, without Buster, if I would have been able to make it into the kitchen, because I just literally could not move myself like

Scott Benner 33:24
a little help. What would you call like a hypoallergenic savior? Perhaps, yeah, meaningful,

Lauren Wood 33:29
because I say he's so cute, but so dumb, and my son will say he is not dumb. He saved your life, huh? Yeah,

Scott Benner 33:37
no kidding. I gotta get off this podcast today like I'm tearing up all over the place, like that dog lifted you and pushed you and lift you and pushed you. Yes, Jesus, he

Lauren Wood 33:46
knew. He knew I needed I didn't have to ask him for help either. He just knew I needed it, and he did it. So now in our family, we're not allowed to lie down on the floor without movement, because he gets very anxious.

Scott Benner 33:58
Oh my god, does that piss you off more when he on the floor, because you think he knew to save my life, he knew nothing on the floor. Yeah, a little bit,

Lauren Wood 34:07
yeah. I'm like, come on, he know he gets it somewhere.

Scott Benner 34:11
Well, that's crazy about that dog. How old is the dog? He is eight, nine. He just turned nine. We need to slow time down a little bit.

Lauren Wood 34:19
I know. Oh, no. He's such a sweetheart, too, and he

Scott Benner 34:23
doesn't make you sneeze. What a two for one that is. Let me ask you, though, why you low so much. How long ago was the story? I guess is my question. Oh,

Lauren Wood 34:32
this was like, yeah, no, that's if this happened on the regular, I would be very No, no, that's the worst incident I've ever had.

Scott Benner 34:38
Yeah, I imagine ever What was your management then, were you like on a pump? MDI, were there? CGM at that point, like all that,

Lauren Wood 34:46
I was on a pump. Then I'm MDI, and I just had been MDI for a little bit. I needed a little break from it. I had never been on a break from my pump. I'd been on it since college, and so I was like, I need to give my stomach a little room. So at this time. Time, though, I think I was on, I was on a pump, though at this time,

Scott Benner 35:03
but not an automated system, like nothing, that was trying, no,

Lauren Wood 35:06
this was, this was before that. Yeah, yeah. While you're

Scott Benner 35:09
low and it's still giving you your basal, it's like, oh, here, here's some more. Yeah, right, exactly. No, wait, I'm coming back. Wait a minute. Here comes the other basal. Ooh, gone again. Yeah, right, exactly. Cheese. Gosh, oh, it turned out too,

Lauren Wood 35:22
and my baby was fine. Oh yeah, we forgot to leave that part out. But she was fine. She was in her bed. I had, I think I just grabbed the formula thinking, like, oh well, there's sugar in here somewhere. If I don't know what I was loving, I'm

Scott Benner 35:34
not sure how you got through the formula. Maybe the dog put the baby to bed. Who knows?

Lauren Wood 35:38
Maybe he did. She was safe in her bed, though, so we gotta give him mad props. He was

Scott Benner 35:42
like, This lady's drunk. I'm gonna put this kid away, and then I'll come back and check what's the aftermath of that? Like, how do you re examine your life?

Lauren Wood 35:50
You ask that? Yeah, the aftermath of it was intense. It was very intense for me, because, you know, like I said, I used to be the one who was like, I can get through it. I can tough it out. I'll just tough out this low blood sugar. Like, that's possible. So this, for me, was like, I'm taking so much better care of myself now and in a better spot. And then this still happened. And, you know, after you have babies, your blood sugars are crazy. So it's like, accepting all of that, accepting like, it's okay, it's not your fault. You know, I want to find a reason for it all the time so that I can fix it. I'm a fixer, a doer. I want to fix it. And sometimes there's like, you know, you just got to keep going. And I had to get therapy because lows were very difficult for me after that, and I was in therapy already.

Scott Benner 36:38
Wait, what was that laugh? Or what was,

Lauren Wood 36:41
well, just like, you can tell them a little bit crazy, I need therapy, but I feel like everybody does. I mean, honestly, truthfully, um, I it's not something that I think is a joke. I do think therapy is very beneficial, especially for things like this. Like, I was like, I don't know how to be low anymore, because it scares me so much. And so I did this one motor como therapy where, you know, she, like, reshaped it for me, reframed it for me, so that I could get to the point where and realize that the what was showing up on my Dexcom was just a number. It's information. And I like the information. I like all having all the information. And so use it as that, it's data. And then the next thing she told me to do was distract myself, and so I started doing that. Now, when I'm low, I'm on Facebook and I'll just scroll, because it helps me to focus on something else. When I feel like I'm dying,

Scott Benner 37:33
I'm glad you said that, because we joke. I mean, you know, myself and a small group of volunteers. We manage a very large Facebook group full of people with diabetes. And there are moments where we'll like, say to each other, like, do you think everyone's drunk or low? Or what do you think is happening right

Lauren Wood 37:52
now? I will admit I'm often on Facebook when I'm low, that's my it's my checkout.

Scott Benner 37:57
I swear to you, we have that thought sometimes, like, like, you'll see somebody who you know for years, like, as very reasonable and like, all of a sudden, you're like, Where'd that come from? You know, I see a check with them, and they'll say, oh, sometimes they'll say, I'm sorry my blood sugar was low. Oh, yeah. See,

Lauren Wood 38:12
I wonder how many of us do that?

Scott Benner 38:14
Well, I'm saying on some nights more than others, and also on some nights, like, you know, sometimes it's drink o'clock on Facebook, like, Friday evening. Sometimes, you know, people are a little chippy, and they, you know, I'm like, there's a lot of beer going on right now. I can just smell it with the answers and stuff and the way people are anyway. So you actually had to, like, seek out that kind of help. I asked because, you know, Arden had a seizure a couple of me, it's been, like, three years now. I guess it's been a while now, she was shook by it, for sure. Yes, that shook this. It lasted with her a few days. I think I've told this before, like she had, you know, she was graduating from high school, and like, she slept in our room for a couple of days, and then one day she just, like, we all were climbing into bed. It was like, getting to be like, night for and everybody was kind of looking at each other, like, is this what we do now? She's like, this is silly. I'm gonna go back to my room. But she was really, really frightened, and then she'd let go of it later,

Lauren Wood 39:12
yes, and I commend all of us who have to do that, because it is no easy feat. And again, it's like, it's, it's an invisible disease too. You know that people can look at us and think we're nothing else going on, but there is so much more that's happening for us all the time, physically, emotionally, that we're dealing with. And yeah, so I just, I really appreciate you doing the podcast, because I'm someone who knows a lot about diabetes and just you know, you know how we learn like by default, you learn as you go. And yet, I get so much out of it, so much value out of it, that I really appreciate it. It's good to hear from all those different perspectives. That's

Scott Benner 39:56
awesome. I'm glad you. I'm glad you enjoy it. Yeah. And that very much feels nice to me because I I saw somebody online the other day. It was like, I don't like him. I think they said, I don't remember the wording, but the idea was, is that I'm I got a word for them. I'm showing off all the time about what I know about diabetes. I was like, I mean, I'm just trying to share with you what I what I've experienced, like, you could do whatever you want with it. I guess it might be my I don't know. There are times I think that this I don't know where you're from. I'm not asking, like, I think there's something about the Northeast thing a little bit like, you project a lot of confidence when you're talking and maybe to other people that reads wrong. Or maybe that person's from New York too, and just thinks I'm an asshole. I have no idea. Or maybe they're just really sensitive. It's possible. I have no idea. I also could be a jerk. I'm not saying any of those things can't be true, but, you know, like I'm I'm just out here doing my best and, you know, talking a lot, so you don't expect that once in a while, I'm not going to say something that comes off a little weird or wrong or whatever. You know, you haven't tried talking this much and being recorded and letting everybody listen to it. It's not

Lauren Wood 41:01
easy. No, it's not. I just started it recently. I started a podcast myself a couple years ago. Did you? And yeah? And it's like, yeah, it's a lot harder than people saying to, like, Listen to yourself and watch yourself back. It's like, Oh God,

Scott Benner 41:14
I record probably I'm gonna say, like, at least five hours a week, and nobody edits what I say anyway, if you listen to 1500 hours of this, and you find it even like 50 hours of it where I'm being an asshole, I think that's still not bad.

Lauren Wood 41:31
I think so too. And I've never, I've never listened for a minute and thought you were an ass. Well, I appreciate

Scott Benner 41:36
that. I'm saying I was trying to be like I don't believe I've been an asshole for 50 solid hours of 1500 hours of speaking. But if I had been I still think like, wow, that's not bad. I challenge you to sit down with a person five days a week who you don't know and have never met before, have an honest conversation with them, which I am doing, and you know, not once or twice, say something where somebody could be like, what? Yeah. I

Lauren Wood 42:01
mean, the thing is, right, it's never somebody who's in the arena that's gonna be trying to throw shots at you like that, right? Probably

Scott Benner 42:07
not, yeah, that's fine. It's whatever. I saw it the other day, and it like, I was like, oh, geez, I'm just doing my best. I wish I could meet that person, because I would tell them, like, I mean, first of all, I think if we spoke for a little while, you wouldn't feel that way, but maybe you would, and even if you do good outweighs the bad. Like, you know what I mean? Like, this podcast does a lot of good listener

Lauren Wood 42:28
the podcast, then possible. Do you know your Enneagram number? My

Scott Benner 42:32
what? Oh, see,

Lauren Wood 42:34
crazy. Oh, here

Scott Benner 42:35
comes your crazy. What are you about to tell me, this is my crazy. Your Enneagram number? I don't know what you're talking about. It's making me want to stop the recording. Tell me it's a

Lauren Wood 42:44
type. It's a Personality Typing, like a way of Personality Typing that's been around for like, 1000s of years, and it puts us all there are nine ways of being and looking at things, and so it's like, you know, use like Myers, Briggs and all of that. You'll be the INTJ or whatever. I never, like, resonated with those the Enneagram I read my number, which I'm an eight anyone listening to this probably was like, Who knows it is like, yeah, I get that, which is the protective challenger. And I just identified with it so quickly that I was like, I need to learn more about this now. I incorporated it into my business practice, and because I'm just, like, obsessed with it, which happens with ADHD too, and it's just helps me so much in relationships, and it's just interesting too. Like, as I hear you talking, I like hearing what's important to you a little bit. It's like, Oh, I wonder what. Just wonder what your number would be. So if you ever take, I'll give or take the test, I'll email it to you. It's easy. It's like, 10 or 15 minutes to take, and you just go with whatever your gut answer is, and it'll tell you what your Enneagram number is. And that's not like the way to tell then you read through it and see if that you identify with that, you know, etc. So,

Scott Benner 43:52
yeah, listen, if I find 15 minutes, I'll do it, send it over. Okay, amazing. We just did the one the other day that's floating around right now that tells you where you fall politically. Have you seen that one? Though, it's like the pew, the Pew Research Institute. It's been, it's all over the gonna say the internet. It's been everywhere on the machine. It's like, when my wife says that, like, the kids are like, Look at this. And they go, my wife almost every time goes, Do you know that person? Because my kids are like, we don't know everyone on the internet.

Lauren Wood 44:22
Mom, I know a lot of people, but she's like, I

Scott Benner 44:24
just did I thought you were showing me somebody you knew. And it's always I finally, I said to Kelly one time, like, stop asking that question. But it was interesting because we took it and everyone in the house scored the same, which was interesting because there's younger kids and older people. And then I gave it to my neighbor, who leans a certain way, and he got back to me and he said, I think this more aggressively put me in a direction than I actually am. I was like, oh, it's interesting. So it's just fun to do stuff like that. So I would do it. And also, I believe I know what I think I'm a Gryffindor too. Mm. Okay, because for a while, Arden was big into those quizzes. Also, I wanted to ask you, with your

Lauren Wood 45:06
list is a little deeper than are you in? Griff which house are you in? I

Scott Benner 45:09
don't know. Is it?

Lauren Wood 45:10
It? Is it? Is it dives into each type's core fears and core motivations, which really tells you a lot about a person. And it just helped me like to calm down when I'm dealing with people, yeah, who don't think like me, you know, like, it just makes it a lot easier to realize, okay, this is how they deal with things, and it's all right,

Scott Benner 45:29
yeah, what did it teach you about yourself that it helped? That was helpful? Oh, it helped

Lauren Wood 45:33
me calm down. And, like, I mean, why? Because Enneagram eights are very assertive, very angry. I not very angry. It's just that I'm very comfortable in anger where most people are not, and I'm also assertive. Because if somebody Scott is beaten up on you and

Scott Benner 45:49
you got protective of me, yeah, you got protective of me when I was telling that story, oh,

Lauren Wood 45:54
we'll see. Yeah. I mean, that's just what I'll do. If there's somebody who's like, coming after someone who I know or am associated with, I always will fight for that smaller person, because I'm like, What are you doing? But very often, like interjecting myself like that into other people's business was not always well received. Even by people who really love me, they would be like, What are you doing? Why did you do that? And I would be like, well, you needed somebody to stand up for you. And they were like, well, yeah, but not like that. You didn't

Scott Benner 46:21
do it the way I was gonna do it, which was not by yelling, yeah? Well,

Lauren Wood 46:25
not as I'm just really intense, too. It's just eights have an intensity about us. So it was like learning that that was like, okay, I can back it down a little more and still be very helpful to people, but maybe in a way that they will receive better.

Scott Benner 46:38
Yeah? Oh, awesome. I'm glad it helped you. Any of your other pets done anything magical? Or was it just the dog? I

Lauren Wood 46:44
don't have any other pets that you're talking about, a chameleon or whatever.

Scott Benner 46:48
Listen, you got to know that this chameleon completely relaxed when I put my shoes on. Good, good. Good for the he was frozen in fear staring at my feet.

Lauren Wood 46:59
Bad for that. I do too.

Scott Benner 47:01
I do. His colors completely changed. He was like, he couldn't move fake. Is that thing he's about? He's still growing, but I'd say he's about two feet from the tip of his nose the tail. What? Yeah, he's awesome. He's very gentle and like, and and easy going. Yeah, I think, I guess reptiles are for some people. I want to be clear, if he was like, bitey or flighty or ran around like crazy, I wouldn't care about that at all. Like, I wouldn't want to be involved in that. What I like about them is that they they're very slow and methodical and careful. I genuinely, like, I'll turn and look at him a couple of times a day, and it's relaxing, because he's gonna move, you know, four feet across from one place to another, and it might take 45 minutes. Oh, just nice. And he's chill like he is, not in a rush, and it helps slow me down a little bit too. But oh, well, that's good, yeah. Anyway, I covered my feet his his colors changed immediately, and he went back to his life. He was like, I don't know what about that color gets him, but I have a tan sweatshirt I can't wear into this room. That's

Lauren Wood 48:06
so interesting. I never knew that reptiles. I think he's reptile, right? Reacted,

Scott Benner 48:13
he's a reptile, all right, so I'll take my anagram test if you send it to me, Enneagram, yes, I will get it to you. Also, I wanted to ask you, because of your last name, Do people ever look at you and go wood seeker? That ever happened to no because of Harry Potter? Isn't there a line in Harry Potter where she says, Would seeker like she like tells him he's a seeker in the game they play? I don't

Lauren Wood 48:38
know the book I did, but I like I was once he was reading it on his own, I was like, thank you. I don't have to be in this anymore. All right. Anyway. I mean, I would read with him a little bit, but I'm not down with all of it. I'm sorry. So no, nobody has done that. Done that to me. Yet, if

Scott Benner 48:51
you and I knew each other, every time I thought of your last name, I would think wood seeker. And now people are probably listening. He's probably something else, like a different position. I was going to pick another position. I don't really know it, but really know the rest of them. So how do you manage your diabetes today? Like, what's your setup?

Lauren Wood 49:06
Well, today, I'm currently on MDI, currently, oh, because you wanted to try, you wanted a pump break, yeah. Who needed a pump break? Which Ross does he Well, I lie. He doesn't do a pump break. He was like, That thing.

Scott Benner 49:21
He did a pump stop, gotcha, it wasn't

Lauren Wood 49:23
for him, so he'll be without him. Like, okay, I could do that. But then, you know, from from dealing so closely and helping Arden so much that, like, it's different for a man to be on MDI than it is for a woman,

Scott Benner 49:37
because you a thing, your period and all the stuff. Yeah, it's a thing, that damn thing, yeah, that thing that again, I'm gonna say nature did not do a good job, right? Yeah, there had to have been a better way to do this. But tell

Lauren Wood 49:48
me about Yeah, and the more I learned about menopause, yeah, oh, yeah, awesome.

Scott Benner 49:53
I was listening to a video about menopause last night in bed. Now, you might think that's

Lauren Wood 49:57
odd. No, I think it's fabulous. More men need. Do that. I'm down with it. I could hear

Scott Benner 50:01
my wife's phone, which is why I could hear it. Oh, and the description was, like, horrifying. So, yeah, I was like, awesome. Perimenopause

Lauren Wood 50:09
can go on for 10 years. Yeah, years. So no being MDI in like, being a woman is not I don't believe it to be the best choice for me. So I'm going to be going back on my pump when I see my endocrinologist next month. You're having trouble, yeah, because it is a pain in the hiney. It's a lot more work for me to keep up with during my hormonal cycle, because it's not just the week of my period, as you know, you know, like it's the week leading up to it, it is during it, and then it is recovery, kind of after it. My insulin needs change through the whole thing. Then there's that one great week, yeah, and then that one perfect week. And you know, during that one week, it is fabulous. It's very easy to like. It seems easy to manage. Then listen,

Scott Benner 50:57
Arden is not even 21 yet, and she's railing against being a girl. Almost every time she walks through the house, she's like, you really don't understand what this is like. I was like, I have known your mom for 30 years. I don't know firsthand what it's like. But

Lauren Wood 51:09
then, though, I am gonna argue that it is for women who have type one diabetes, it is a whole new ball game. It's just like being pregnant, like where it adds on a part time job for you that whole week you have, like, another part time job that you're attending to. I wouldn't argue

Scott Benner 51:25
with that for a second. Yeah, you better not. No, I've already figured to stay on your side, because when you're when you're on my side, I'm protected. Yes, exactly. Yeah, I don't need to be yelled at. I've been married a long time. There's a lady taking care of that, you know? You don't have to do that? Yeah, she's got that all actually. When Arden gives me trouble, I go, Oh, hold on, slow down. I take this from your mom under protest, but like, I don't need two people doing this, right? Yeah, I know I'm wrong and I'm stupid. You don't need to tell me. I got the memo. Oh my gosh. But when you go back off MDI, we'll go back to the pump. You had, what was that? I

Lauren Wood 52:06
don't know. I mean, I've been, I was on the tandem with the control IQ, and

Scott Benner 52:11
did you like that? I loved it. But you're not sure that you'll go back to tandem.

Lauren Wood 52:17
Well, I'm just, I am always wondering if there's, I mean, that Moby option looks interesting to me. I mean, tubeless is interesting, but since I started with a tube, I don't know the two of us also seems like, oh, for me, a little

Scott Benner 52:31
interesting. Tubeless seems odd to you because you've had tubing, yeah, interesting. Like, what are your goals? Your a, 1c goals.

Lauren Wood 52:39
Oh my a, 1c goals would be to be like I heard a woman that you talked to, well, her episode here a few weeks ago, I think that she was talking about, you know, she was a six or under a six while she was pregnant. And that's how mine was. I got the, I mean, I got to the lowest salency I've ever had while I was pregnant. So I know it's possible, it's just, it's amazing that it's so much easier to do when you're doing it for someone else's benefit. Yeah, I hate to say that, but, I mean, but my goal was, would always be to be in six. Okay,

Scott Benner 53:10
there's new options. There's that the eyelet pumps out now where you just announce your meals, the eyelet Moby. No, no. Moby is tandem. Tandem. Moby. Okay. Eyelet is what then islets, the one where you just say, I'm having breakfast, lunch or dinner. It's like an average size meal, low, smaller than average or larger than average for me. And then that's it. You don't interact with it at all. After that. That sounds dreaming. There are people who are talking about, they're keeping a 70 1c with it, and there's people who are doing better with it, but that's that's all that has. They're working on a dual hormone pump. I mean, I don't know if they'll ever get it to market, but they're, I think they have a goal to have a dual hormone the twist pump is coming out next month. I saw that recently, yeah, so that's going to be, yeah. I mean, I'm open, yeah. That's the loop algorithm as presented by twist. So it's twist with loop. I think they call it the twist loop algorithm. And there's Omnipod five, there's regular Omnipod dash, there's Medtronic 780, G. You know, all these pumps are, I mean, they're all good. Then they all have benefits that you got to decide which ones, you know, the thing that tips it for you, yeah,

Lauren Wood 54:19
for sure, as far as I need something, I think that's gonna work with my Dexcom, because I've fallen in love with that.

Scott Benner 54:25
Hey, listen, as long as you use my link to get the pump, I don't care which one you get. Oh, you know, that's a great idea. Thank you. And at this point, I think I have links to all but one of them. And I gotta be honest with you, I thought they'd be on board by now, so I'm not sure what happened there. Listen. Just for everybody listening, it'd be omnipod.com/juicebox. Tandem diabetes.com/juicebox. Medtronic, diabetes.com/juicebox. And let me just be the first time I say this out loud, ooh. Twist with two eyes.com/juicebox. Just go check them out with my link, you'll support the show all. That's awesome. That's all. I appreciate this. Thank you, Lauren, thank you. Please enough to thank me while I'm doing an ad in the middle of your episode. Pre No,

Lauren Wood 55:07
I'm thinking, because I appreciate the info, because finding out about pumps, that's what I always did at camp. Oh, it was a year at camp where we went from every but we had one kid on a pump our first year. No kidding, yeah. And it's probably the worst little to put on a pump too, because he was so, like, all over the place crazy, like, he was into everything he could be. He was, yeah, did you say he was the worst little?

Scott Benner 55:27
Is that what you just said? Yeah, probably. Like, if

Lauren Wood 55:30
I had to pick like, one person, like, Okay, if we're gonna put one person on a pump this year, it just would not have been that kid for me. Okay, it would have been, like, one who's a little more subdued. Do you remember

Scott Benner 55:38
the kid's name? Don't say it. But do you remember? I don't trying to decide how much of an impact they made on you. I'm

Lauren Wood 55:45
sure some of my friends will remember, though they'll remind me that's interesting. That was, you

Scott Benner 55:49
were 10 years old at a camp. There's one kid that had no, no,

Lauren Wood 55:53
no, no, the pump didn't come till much later. Really, I was diagnosed in 1991 Okay, yeah, so the pump didn't come make it to camp until I was almost aged out of camp. Really,

Scott Benner 56:04
that's the first time you saw a pump at camp. Was eight years after your diagram, because

Lauren Wood 56:09
it had to have been, that's first time I saw a pump. And like, other people being on it was at camp. And then, yeah, that then we had one that one year where it was just one kid on it, and then the next year we came, and it was all except, like three kids did, MDI and everybody else was on a pump. Big switch over. Happened quickly. Yeah, it happened very quickly, well. And I think when you're in that environment, and it's just like enough kids were able to see, even with that one little what his life was like with the pump. And, you know, you go home and you talk about that, Yeah,

Scott Benner 56:40
no kidding. I just thought of the person who wrote the thing online, because I'm like, Oh, they're gonna mishear this. But whatever I know managing diabetes like the back of my hand. And if you gave me needles and a meter, I could do it. And if you gave me needles and a CGM, I could do it really well. But if you gave me a pump, I could do it well, and it would be easier. And if you give me a pump that has an algorithm in it, well then now suddenly we're sleeping and we're rested, and life feels different. And, you know, I'm not saying everybody has to have a pump, or you're not, you know, no shame for me if you can't afford it, or you don't want it or whatever. But, man, try it one time, and if you can and see, because, yeah, it just alleviates a lot of weight. Oh,

Lauren Wood 57:21
so much that now that, right? Like, I can't wait to get away from currently, like having to have needles with me and my insulin with me everywhere I go. I will forget it, which probably ADHD, but I, yeah, I don't like having all the accoutrement with me. I like just being my pumps attached. I know I'm good. I can do whatever. I feel a lot more freedom.

Scott Benner 57:39
Yeah, tell me when you got diagnosed with the ADHD, oh, okay,

Lauren Wood 57:42
well, that was a late in life diagnosis. Did

Scott Benner 57:46
your dog figure it out?

Lauren Wood 57:49
No, he came to mean, he was like,

Scott Benner 57:52
ma'am, listen, yeah, I have other thoughts besides this one thing I really would like to help you with. But no, no. How did you figure it

Lauren Wood 57:59
out? No, I Well, the slowdown that happened for me kind of with COVID, because I was just running, going, working so much before that, not really paying attention to myself. And so when COVID rolled around, I started noticing things about myself, and then also studying the Enneagram. And I was learning about myself. And one of the things you learn as you study the Enneagram is non judgmental, self observation, and that was something I had never been good at. And so I worked on it, and started noticing myself. And I just started noticing, like, these traits of ADHD that were like, you know, at the time, it was starting to people were sharing their experiences on tick tock and stuff like that. And I was one of those people who was like, Oh, that resonates with me as other women would share their stories. So I started talking to my therapist about it, and I saw a psychiatrist about it for maybe, like 10 minutes, and she diagnosed me as bipolar. That's because that's how she makes her living. Yeah. So that felt like, huge. I'm like, What do I have bipolar? And my therapist, like, I've been working with you for years. You people with bipolar do not attend appointments with regularity or on time, like you are not bipolar, and I know that to be very true. I was like, Okay, thank you, because she does know me very well. And so I went and saw my family physician and just told her what I was dealing with. And she's like, this seems very real for you. Let's give you the diagnostic, I mean, and we'll see where we go from there. And so I did that and got diagnosed with ADHD. And it was like, that was hard

Scott Benner 59:37
to hear. It's probably easier to hear than your bipolar, yeah,

Lauren Wood 59:42
yeah, yeah, exactly. It was definitely easier to hear within bipolar,

Scott Benner 59:45
the lady that told you that, or Amanda told you that you get them out of the penny saver, where'd you? Where'd you find that psychiatrist? Yeah,

Lauren Wood 59:51
no, that was, you're probably right. I mean, it was like, one of those that was just via online. Oh,

Scott Benner 59:57
like, so they saw they. All ADHD and said bipolar. She didn't

Lauren Wood 1:00:02
take a lot of time to get to know me, and then she was asking me questions so fast, and I'm answering them like, Well, wait, is that really neat? I don't know what you're telling I just think

Scott Benner 1:00:10
that that's a crazy thing to say to somebody if you're not certain. You know,

Lauren Wood 1:00:14
right? I mean, well, she was very certain in herself and of herself, so she was not doubting it at all. But I was like, feels like that's what I am. I'm willing to accept

Scott Benner 1:00:23
it, but let's figure out for sure before we start saying it. And right anyone

Lauren Wood 1:00:27
who's dealing with bipolar, because it's just it is an intense thing to be dealing with. And I yeah, just want to make sure that I'm addressing the right issue, right? And, oh, all

Scott Benner 1:00:37
I'm saying is, like, that seems like a pretty quick turnaround from like, Hey, how are you like, you're bipolar. Like, wait, what? And then you go back to your therapist, who goes, I've known you forever. You're not bipolar. You're like, Well, okay, well, what do I do with this information now? Yes, yeah, yeah, yeah. Anyway, I'm sorry. ADHD, what? How do you manage with it?

Lauren Wood 1:00:53
Well, so Well, it just explained a lot of my life. Explained so much for me that it was also a relief to know that it just wasn't that I was not good enough, or, you know, I just there's things that everybody else is able to do, like keep their locker clean, that I cannot do, and anyone who had their locker next to me, Steve, I'm sorry. You know, there's just, like, I'm so sorry to that, because I pouring out of it all the time. I had lunches in there from two weeks ago. I mean, like, it was just a giant mess all the time. And so, like, just finding out that I did have ADHD is like, okay, okay, you don't have to beat yourself up for that anymore. That wasn't just, it was a very real thing you were dealing with, and you did the best you

Scott Benner 1:01:32
could. Yeah, you carried it with you. Like, did you carry like, shame from, oh, that kind of spark? Oh, no kidding.

Lauren Wood 1:01:38
Big time. Scott. Oh, big time. I mean, I was a stellar student. I did really well until I didn't, you know, when I started to get to later in middle school and then high school, really, for me, it was probably high school is actually when, like, sophomore year started to kind of fall apart for me completely, just, you know, like, the homework assignments to take multiple days to complete. Like, good luck, no chance of getting that from me, remembering what the assignment was, you know, and then the shame associated with the grades. And then my parents took grades very seriously, and they knew I was smart. So like, hey, like, A's, you were supposed to be bringing home A's. What are you doing? I was grounded one time for 18 weeks, and it's straight grounded

Scott Benner 1:02:19
for 18 weeks. Yeah, you weren't naked when that happened, and your parents found you, because

Lauren Wood 1:02:25
that's, I don't know, no, oh, my God, I was because of my math grade. Christ, they were serious about math. Oh, anybody who knows the Enneagram? My dad is an Enneagram one, okay, and so he's just very intense there. I mean, I'm intense as an eight, but ones are also very intense, and there's a right way to do everything for them, and I was not doing it the right way. So I was gonna, I was gonna learn right with

Scott Benner 1:02:45
four and a half months of being grounded like did, can I ask you, did it start? Did he look at you and go, I'm grounding you for 18 weeks, or did he ground you for a week and you just kept finding a way to elongate it? I

Lauren Wood 1:02:56
was grounded for nine weeks, nine weeks because my grade was not where it's supposed to be. I was gonna study harder and make it happen in those nine weeks, like, make a change. And that never happened. So then that was like, Okay, that didn't work for you. Then you need nine more weeks.

Scott Benner 1:03:09
You know what? I'll fix this. Nine more I'd love, is your dad alive? Yes, yeah. I'd love to ask him about where he got that from. It's awesome. He probably thought, like, maybe a semester, like, he'd keep you in the house for like, a semester, maybe. And then that's

Lauren Wood 1:03:23
what it was, yeah, like, nine weeks at a time, you know? So that's what the grading period was. And so you're gonna be grounded for that. And then then, like, Okay, once it comes back, then you'll probably, hopefully, you'll be free from it. And it was like, Oh, nope, you had another nine weeks tacked on there. Yeah, geez, so. And then I think they just kind of thought I was hopeless after a while, really, and I felt that way too. Yeah, I mean, Scott, I was like pre med. I wanted to, I went to Duquesne University as pre med, really one. I wanted to be an endocrinologist, because anyone who's from the Pittsburgh area is type one, and had it as a little kid in the late nine, mid to late 90s, knows like there's one specific doctor there, a tiny little lady who just scared the bejesus out of you, made us cry every time that we went, not just me, like I have many friends who left her office crying as children. And so there's just a lot that you're just meant to feel guilty about, I feel like, or that I carried with me and feel guilty about, and, you know, I've picked at my skin my entire existence. You know it's like to walk out, is it in front of people when you have like, you've picked at your face like, incessantly at my thumb. I used to pick incessantly my lip, like, so my ADHD diagnosis at least showed me, like, because skin picking is a symptom, okay, at least, like, it's not just that I can't just can't control yourself, but you can't control yourself, and that's okay. You just need more help with certain things

Scott Benner 1:04:52
skin picking. So like to to, like a sore, to like making it sore, or cut or bleed, or,

Lauren Wood 1:04:58
Oh yeah, bleed. Like. Scabs, yeah, on my face, like I would get a pimple still to this day. I mean, I my face looks better now than it ever has, but that's my goal, is to have a clear face. Because I've never in my adult life had a clear face. I've always been the person get, like, one little one pimple a month, as many women know, and I would pick out of it, and then it would scab over, and then pick, and then pick and then it's there for it's a pimple, but it's there for like, a year then, because I can't stop picking at

Scott Benner 1:05:26
it. Yeah, wow. And that,

Lauren Wood 1:05:28
you think that's ADHD? No, I know it is. You know it is. Oh, no kidding. That is a that's one of the telltale signs. I mean, think about, like, no adult woman wants to walk around with, like, what I have going on in my face right now? You know what I mean? Especially, I work in such a professional setting too, that it was, like, mortifying for me, but I didn't know how to stop it. Like, I didn't know what was going on. You know why I was doing that? And so just the knowing of it, though, is like, very peaceful for me in a lot of regards, and allows me to see things from a different perspective. Like this isn't something I'm saddled with for life. I know better now, so I can do better with it.

Scott Benner 1:06:06
Okay, wow. Well, I'm glad you're finding ways to deal with it. Yeah, and it's not, listen, I'm not a doctor. This should be said, every episode is the skin picking. Does it come and go? No, okay, all right, because it because attached to bipolar, it could happen, but only usually during, like, a mania thing, so, or depression. So I was just checking to see if, like, it happens. Then it doesn't, it goes away for a while, and then doesn't happen. But it's consistent.

Lauren Wood 1:06:33
It's consistent. It's more like, it feels like, like a nervous tic, almost,

Scott Benner 1:06:37
oh, wow, it sucks. I'm sorry. It's enough. You know what I mean? Like, how many things do you need,

Lauren Wood 1:06:42
right? I know, no. And yet I, I have a friend with diabetes who, like, in high school, it was me and him, and he was so cool. He played soccer and this great hair, and everyone loved him. He was so social and fabulous, and he had type one diabetes. And I was like, okay, like, this makes me a little bit cool, and now he's since he, since then, he's just come, there's been so much other he's had to deal with. He's had thrown his way. It just seems like, yeah, like you're saying, like, there's, it gets to a point where, like, Isn't this enough for us? Yeah, you just, you keep going. I'm good.

Scott Benner 1:07:12
Thanks. Yeah, give this one to somebody else. I got my fill. Yeah, well, Lauren, you're, we're great. I really appreciate you coming on and doing this with me. Thank you very much. It's It was awesome to talk to you. Did we cover everything? Or is there anything we missed? I think

Lauren Wood 1:07:26
so. I think we covered a lot. I mean, we covered so much, and I really appreciate the opportunity to be here. I of course, I just type one diabetes is something that affects me so deeply, and I care about it so much because it's been so much of my life. And I really, if there's anyone who could benefit from, you know, somebody to talk to, or anything like that, reach out to me, because I am always happy to talk all things diabetes, and I just don't want anybody to feel alone, because this can be a very isolating disease sometimes, and as we get older, it's hard to find people so well. For certain, are you still in the group? I'm in the group. Yeah. I'm in the Juicebox Podcast group. Of course, put your

Scott Benner 1:08:03
episode up. We'll, uh, we'll make a post about it and tag you, and people can bug the crap out of you. What do you

Lauren Wood 1:08:07
think of that? Oh, fabulous, good. I hope so awesome. All right. Well,

Scott Benner 1:08:11
thank you. Hold on one second for me. Thank you.

Dexcom sponsored this episode of The Juicebox Podcast. Learn more about the Dexcom g7 at my link, dexcom.com/juicebox today's episode of The Juicebox Podcast was sponsored by the new tandem Moby system and control iq plus technology. Learn more and get started today at tandem diabetes.com/juicebox. Check it out. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. You foreign.

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Scott Benner 0:00
Here we are back together again, friends for another episode of The Juicebox Podcast.

Jane 0:15
Hi, I'm Jane. I live in DC, and I've been a type one diabetic for about three years. I am 36 now, but I suppose I was 32 when I was diagnosed, but just so right around maybe three and a half years. But there was actually a window where I was considered not diabetics.

Scott Benner 0:34
The podcast contains so many different series and collections of information that it can be difficult to find them in your traditional podcast app. Sometimes, that's why they're also collected at Juicebox podcast.com, go up to the top. There's a menu right there. Click on series, defining diabetes. Bold beginnings, the pro tip. Series, small sips, Omnipod, five ask Scott and Jenny, mental wellness, fat and protein, defining thyroid, after dark, diabetes, variables, Grand Rounds, cold, wind, pregnancy, type two diabetes, GLP, meds, the math behind diabetes, diabetes myths and so much more, you have to go check it out. It's all there and waiting for you, and it's absolutely free. Juicebox podcast.com, 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. This episode of The Juicebox Podcast is brought to you by my favorite diabetes organization, touched by type one. Please take a moment to learn more about them at touched by type one.org on Facebook and Instagram. Touched by type one.org check out their many programs, their annual conference awareness campaign, their D box program, dancing for diabetes. They have a dance program for local kids, a golf night and so much more touched by type one.org. You're looking to help or you want to see people helping people with type one. You want touched by type one.org. I'm having an on body vibe alert. This episode of The Juicebox Podcast is sponsored by ever since 365 the only one year where CGM, that's one insertion and one CGM a year, one CGM one year, not every 10 or 14 days ever since cgm.com/juicebox, this episode is sponsored by the tandem mobi system, which is powered by tandems, newest algorithm control iq plus technology. Tandem Moby has a predictive algorithm that helps prevent highs and lows, and is now available for ages two and up. Learn more and get started today at tandem diabetes.com/juicebox

Jane 2:55
Hi, I'm Jane. I live in DC, and I've been a type one diabetic for about three years. No kidding. How old are you? I am 36 now, but I suppose I was 32 when I was diagnosed, but just so right around maybe three and a half years. But there was actually a window where I was considered not diabetic, so we can get into wait. So there you're

Scott Benner 3:16
going to try to tell me that something happened. People are like, you don't have diabetes, but you did,

Jane 3:20
oh, exactly. And I complicated out, I'm a physician assistant, and I've been in ER medicine for eight years. And so I, you know, have been treating type one diabetes and DKA mostly for the better part of my career. And so, yeah, it was, it was a whole ride to become type one after them being my patients, I

Scott Benner 3:39
realized I giggled in a weird spot for people, but like, my mind always races ahead to, like, where you're gonna just be like, Yeah, I don't know, Scott, like, I've seen it 800,000 times, but when I had it, I didn't notice it at all, or something like that. But let's we'll get that exactly. Yeah. So how about in your family, any other autoimmune stuff? No, not

Jane 3:56
a single thing. Not in any one of my family is very large, or my extended family is large, nobody. And do you have kids? I do. I have two kids, and I actually was pregnant when I found out I was a type one diabetic, really, yes, so that I actually have never yet been diabetic without breastfeeding or being pregnant. So the entire three and a half years I have been a type one diabetic, I have either been pregnant or breastfeeding, so it makes it really hard to know my baseline, essentially, which is really important when you're

Scott Benner 4:26
diabetic. So you see, you're like, see, that makes it really hard. And what I'm thinking is, well, when the breastfeeding is over, it's gonna be, you're gonna be like, Wow. Why is this so

Jane 4:32
easy? Yeah, I mean, I hope so. I hope so. I'm just like, man, what it would be like to be a male being diabetic, because you don't have to worry about the hormones, you know, the up and down. So, yeah, I know who knows how long that'll take, but I would have

Scott Benner 4:43
to say, You made me pick. I'd say boy type one probably a little easier, although in that growing time, like for the parents who are listening right now, I'm like, Oh, you, you never saw my son come home from soccer practice and, you know, eat everything totally that would be hard. Listen. Here's what I'll tell you. Yeah, I think you'd just prefer not to have type one diabetes. Yeah, exactly. Yeah. I don't think we need to start going, which ones got it harder, totally. But the hormonal thing is, is crazy. Breastfeeding, I know from people tough on you, right? Like, your body's constantly making stuff. You're burning calories, like, I've seen, seen, sorry, I've heard conversations from people where women are like, I'm eating like, Kind bars while the breastfeeding is happening, trying to keep my blood sugar. Yeah, that's crazy. Okay, so what was your first sign of, like, any kind of illness? Yeah, I

Jane 5:30
was about 28 weeks pregnant with my first child, a girl, and I went in for my glucose tolerance test, as you do, between the window of like, 24 and 28 weeks, and I just had and I just happened to hit it on the later side, and I failed spectacular. I was working in the ER when I got a call from the OBGYN office. And I actually was with the midwives at my program. I went to GW or PA school, George Washington University. I live in DC, and they have a really good midwife program. And I was, you know, low risk. I, you know, wasn't yet a geriatric pregnancy, and I had no health conditions. And so I was like, I loved the midwives from learning, you know, working there, and at one point they were like, you know, we're gonna have to kick you off of our program because your glucose came back at 267 I think I was like, in the ER, and I was just kind of stunned. And I went over to my co workers, and I was like, my glucose is 267 like, I've never checked my glucose in my life. Like, I think I had blood work maybe, like, once or twice before. Then I was not somebody, maybe, like most healthcare providers who ever, like, actually went to the doctor, but I, like, you know, didn't really have a reason to. And everyone was like, Okay, this is gestational diabetes. You have it really hard. Because I think at first I was like, Well, should I take it again and, like, make sure it's right? And they're like, well, with how badly that number looks, we don't think you need to take it again. And then, like, sunk in. I was like, Yeah, you're right. Isn't it

Scott Benner 6:51
funny how quickly you become a patient? Like, because if you gave me a glucose tolerance test and it came back 267, I said, We should do it again. That's probably not right. You go Shut up. Even

Jane 7:00
though, yeah, exactly as a provider viewers who tells people frequently they have diabetes. Like, I know a spot check, you know, over 200 for probably my non diabetic friends who might listen to this, like, just automatically means you have diabetes.

Scott Benner 7:13
Shane, stay in this space for a second with me, right? Like, what do you think cognitively happened to you when someone gave you that number. I think

Jane 7:21
I was thinking, wow, pregnancy is nuts. Like, man is my placenta just hate me, you know. Or, like, what's happening? Like, I've never heard of gestational diabetes being this severe unless you're already, like, close to being pre diabetic, and this just flips you more so into it, like,

Scott Benner 7:41
so ergo, I must have type one, right?

Jane 7:45
I was actually, no, I thought I had gestational because I couldn't wrap my mind around it. You'll, I'll get to, you know, like, how I eventually was, like, had to prove it to everyone that I had type one, which was a fight. I was just like, Okay, I just have one of the more crazy gestational diabetic presentations than I've heard of. And so what I was told then by the midwife program was like, we'll need to get you in with the maternal fetal medicine specialists, because now you're high risk being a gestational diabetes diabetic. And here's your instructions, add protein, exercise and don't eat sugar. Thank

Scott Benner 8:19
you everyone. Thank you. I appreciate all your help. Feel free to Bill my insurance for that.

Jane 8:24
Yes, exactly. And I, you know, and they're like, we'll set you up with a nutritionist, you know, which is, you know, interesting, because I am, generally, you know, a pretty healthy person. I love to run. I have been extremely athletic, generally, and eat very well at baseline. So when they're telling me this, you know, they don't know me over the phone. I think they're just like, yeah, I even had somebody who I was trying to talk to say, well, I bet you were, like, pretty diabetic beforehand, and this just like you probably would have gotten type two diabetes pretty soon. You know, anyway, with these numbers, who said that to you? It was actually a nurse practitioner at a a clinic that I went to who I really do respect the clinic at one medical clinic, and I've considered writing a note to them after this all, when I want

Scott Benner 9:07
you to ponder this thought for later. Okay, because I'm not going to ask it to you now. I just want you to ponder it as you're talking. Yes, do you see not just the community of medical people differently today, but do you see actual people that you work with differently 100% Yeah, but I want to know how it literally is for at the end of the conversation, it's gonna be the last thing I ask you, okay, okay, yes, so I'm sorry. No, it's

Jane 9:31
okay. We like. So I was like, okay, my instructions were, meet with a nutritionist, and this was and I was like, Okay, well, I don't know how much I could be doing it better. Like, that's cocky of me, you know. And I realize now I didn't know what now, what I knew about, what I thought I knew about nutrition then, so I've come a long way as well with, like, protein and my like, you know, protein, first carbs, second. Like, I didn't know that stuff. I didn't, nor did I need to, you know, ahead of time. But I was like, I'm generally pretty good on my diet. Like, I don't know how much I can diet more. There, you know. But I was like, I'll meet with this nutritionist. I got my a 1c back. Because then they were like, go ahead and go do some tests. And it was actually, don't think it was that bad initially, because it was like, once again, it was like, right after I got tested, I think it was like 7.6 which, you know, it's just definitely like, okay, that's diabetic. But I was like, had no clue what my base I had never gotten my a 1c tested before, had you felt off in

Scott Benner 10:21
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Jane 12:31
well, like, Yes, I look back. But the whole story for me being so like, a little bit like, gaslighting myself in some ways, like I had never been pregnant before, and I had no idea what pregnancy was, like, you know, so I felt weird. But like, like, for instance, going through pregnancy, I kind of expected getting pregnant. Like, like, I said, I'm I'm an active person. I'm pretty lean. But I thought, like, when I got pregnant, I was like, Yeah, I'm gonna be probably so pregnant. Like, my ears will be pregnant, my toes will be pregnant, my lips will be pregnant. Like, I will look pregnant, you know. And I remember, like, weighing in and being like, I'm not getting enough weight. Like, this is weird. Like, this is just not what I expected.

Scott Benner 13:07
Not even, like, a happily, like, look at me lean and pregnant, but like, maybe something's wrong. Yeah, I

Jane 13:12
don't think I was just like, wow, my body is doing the opposite kind of what I thought. Like, huh? Like, how often do you see people, like, look a little gaunt while they're I could probably have 20 babies, yeah, or just yeah, just like, Huh? You know, up until that point, probably the first six months, pretty normal. And then I started going down the scale, and my weighing was, like, I'd only gained 10 pounds at 28 weeks pregnant from when I was pre pregnant.

Scott Benner 13:35
No one waves a flag for that. Yeah,

Jane 13:36
exactly. My doctor said, Now, by now, I was in the Maternal Fetal Medicine at GW. It is a great program, but I don't think they know what to do with me, because I, like, went from being super healthy to being like, Okay, this is just weird. But he had been like, you need to eat more, but then also eat less. Like, you need to eat more, but I would bring my husband is very into Excel. I started finger pricking, being like, you know, gestational and after, I'll eventually get back to what the nutritionist told me and why I kind of thought I flipped into type one, but he tracked everything I ate and all of my blood glucose readings. And I was like, I know what this means for the baby. Like, I know with my medical backgrounds, like, which is, I think very it was helpful in so many ways. Like, I don't know if I would be alive, or at least would have gone to the ICU if I didn't have my background from how it went for me. Everyone assuming this was gestational, you know, yeah, he had a whole like, everything in Excel, and I brought it to my doctor, and I was just like, I'm eating eggs only, and my glucose is over 200 like, eggs only, like, I don't have like, anything else. And I'll spot check, and it'll be like, 203206 and like, you can look and I think only because I had it all tracked down. And that was, I think, my second visit. Because at first, you know, I was being told, okay, you're not getting enough weight. You should eat more. But then I would, you know, message in being like, Well, my blood sugar is, like, super high. And he's like, Okay, you need to eat less meals. Like. Less, little bit less. And I was like, You don't understand, I could not possibly be eating less.

Scott Benner 15:04
Also, could you stop saying competing things to me that's really, yeah, upset, yeah.

Jane 15:08
And I was like, I am eating like a rabbit at this point because I'm so worried about my blood sugar. And I think he was just like, okay, that maybe explains the weight loss in some way, you know. Like, somehow your glucose is really, really high. You're trying to eat a lot less

Scott Benner 15:21
somehow. Let's think, how could that be? Let's think about it. Yeah, and it's

Jane 15:26
just so weird. I don't know a single other person that has ever gotten type one while they're pregnant. Oh,

Scott Benner 15:30
please, let me just tell you I know like 20 people from making this podcast, but go ahead, yeah, yes,

Jane 15:34
yeah. And I've listened to some of them, but I just mean, like, in my personal life, I hadn't, like, at the time, and then, so actually, when I was meeting with my nutritionist, who was very, very sweet, who just kept going, Oh dear, oh dear. Like every time I'd say something, she's like, oh dear. And I'd be like, Could this be related to COVID? And this was in 2021 I was in healthcare, so I had gotten the vaccine December of 2020 like, right when it came out, and I hadn't gotten, managed to not have gotten COVID until August 2021 when delta was kind of on rampage, my symptoms and like the glucose tolerance test, happened to be four weeks later. Technically, you know, when you would think maybe a virus flipped you into type one with the time frame kind of it's plausible, you know? Yeah, I just had COVID for the first time a month ago. It was so mild I basically had the sniffles, and I just was wondering about the time frame, because I was like, something, and it was the first time, and I started looking up data on if COVID caused any links with gestational diabetes, because I knew it was making diabetes a lot harder to treat and doing things to my diabetic patients. And I was like, could it potentially make somebody who might not have been like, and I didn't really, gestational diabetes, you know, is its own thing for, you know, anyone who doesn't know it's like, the placenta is what is theoretically causing insulin resistance, you know. And ideally, once you like, birth the placenta, your body goes back to normal. You don't have diabetes anymore. So that was the assumption. She was like, I have no idea, but I'm gonna try to figure that out for you. And so we looked up some things, and it was just very new. Nobody had

Scott Benner 16:59
really, I was gonna say you're in the middle of it. It's not exactly full of answers. And I just can't wait from

Jane 17:04
10 to for 10 years from now, for, like, more things to come out on this. Because, like, since then, I have learned about the association, and I'm curious to know if you have with COVID and type one diabetes, specifically when pregnant. Because I have like, you know, through Reddit and other Facebook groups, and even like some friends of friends have, and I don't know if this matches like a regular percent of like people, but like them having, you know, no family history or anything, and getting COVID, and within a month, becoming type one while pregnant, and thinking that was gestational so I think, and I already know, like, from, you know, medical background, like when you're in your second semester a trimester, sorry, when you're in your tri second trimester and pregnant, you're immunosuppressed, and you are more likely to have viruses impact your immune system. Specifically in the second trimester, there's some weird links to

Scott Benner 17:55
when viruses have more impact. Yes, during pregnancy, I

Jane 17:59
remember learning that in school. And I don't know from my research yet, and I haven't really, you know, personally talked to people, but I've, I remember going on Reddit and seeing all these people who were like, Yes, I'm a type one after getting COVID while I was pregnant. And like, all of the people that were like, Yes, me too. Me too. Like, this is definitely a thing. And even, like my cousin knows, like two other girls in their 30s who were pregnant and then got type one. It's just like a weird like, after COVID, like, within a month of COVID. Love for more people to send me information on that, because I'm but I'm fascinated with, like, if there's going to be more to come with that. But I already had thought that there was something weird with the timing and the possibility of that. And, yeah, that's my best guess. Anyway, of so

Scott Benner 18:41
I've spent zero days in medical school, and I want everyone to keep in mind that my real focus of studying High School was baking. I have been making this podcast for a decade now and talking to a lot of people. And I have the experience of my daughter being diagnosed right after Coxsackie. I have the experience of researchers coming on here who are working on new drugs, who have brought up like the Coxsackie virus. There was a gentleman on here that said, I'd love to make a vaccine for Coxsackie, because I think if we could stop kids from getting Coxsackie, we might put off them getting type one diabetes. A virus can often precede a diagnosis. But the idea here is, I don't know, obviously, because I make a podcast, yeah, and I don't believe, based on anything I've heard so far, that a virus just walks into your body and goes, here, let me pull some wires off this pancreas, and it doesn't work anymore. Like, I think it's more like, you know, your body has an immune reaction. That reaction gets misguided, hits your beta cells in your pancreas, you have type one, but that you were very likely predisposed to that to begin with, and probably had auto antibodies pointing to type one diabetes before the virus got there. Yeah, now I don't know if being pregnant makes you more or less, by the way, I did try to look while you were talking, and yeah, I so inarticulately typed it. Our friend here chat, Chief. Game. Said, it sounds like you're trying to ask which I was like, Well, God, how horribly did I type that out. But like, is there a trimester that's more, you know, impacted by viruses? First trimester is a critical period when the embryos organs are forming exposure to certain viruses, Zika, rubella, during this window carry the highest risk of major structural birth defects or miscarriages about the baby, fetal growth and maturation problems are predominant in the third trimester, viral illnesses late in pregnancy or more likely to cause pre term labor, low birth weight, neonatal infections, rather than congenital malformations, the flu they use as an example, influenza infection now in the second trimester, it says organ systems are maturing. Viral infections can still cause problems, growth restrictions, neuro development issues, absolute risk of the major structural anomalies like Zika. But what about for the mother I

Jane 20:53
know curious, and I honestly so bad at using chatgpt, I could probably ask them a lot more

Scott Benner 20:58
if I could go back to college right now, I'd go back to college to learn how to talk to chat GPT. I think it's actually, I think it's going to be a job, yeah,

Jane 21:06
yeah. So I, you know, agree with what you're saying. I'm just curious, like, in terms of like, it flips you into like, yeah, the virus itself doesn't cause it, yeah. I want to be careful of what I'm

Scott Benner 21:15
all saying. Here we go. Hold, on hold. Second trimester maternal risk still relatively moderate. Many women tolerate common viral illnesses fairly well. However, some viruses, notably influenza and SARS, cov two, can begin to show higher rates of pneumonia or hospitalization compared to non pregnant women. What about type one diabetes? This thing's like, oh, yeah, I forgot you make that podcast. Yeah, I should know you by now, although it does, sometimes I ask it a question, and I don't like say what I'm asking it. It's like, Oh, you mean for this, although the overall maternal risk for most viruses remain moderate in early pregnancy, women with type one diabetes, nah, see, yeah, it's not leading me there. Can it? I'm just gonna use the word cause, even though that's not, that's not what I mean. But I'm trying to get it to think that way. And I don't know, yeah, I don't

Jane 22:02
know if anyone's really looking into it yet, you know, like, I just all of my things is anecdotal, based on word of mouth and Reddit, which could be correlation and not, you know. Like, listen,

Scott Benner 22:11
this is chat GPT. This is Oh, three. The the deep research version, some viral proteins share structural similarities with B cell antigens. When the immune system mounts an antiviral response, cross reactive T cells or antibodies may also target B cell proteins. I think that's what I said earlier. They call that molecular mimicry, bystander activation, viral infection of the pancreas or nearby lymph node system tissue can induce local inflammation. Cytokines and chemokins released in the process may non specifically activate, auto reactive T cells that were previously dormant. Certain viruses can infect and directly destroy B cells, beta cells. The resulting release of beta cell antigens can further fuel an autoimmune response that's called direct cytolysis. Isolus, chronic low grade infection, persistent viral infections in the gut or the pancreat islets can maintain a smoldering, inflammatory milieu, gradually eroding BSL mass over months and years. It says here, virus is implicated in type one onset enter a virus. So a key example would be Coxsackie. The second one is rubella. Third, mumps, fourth, CMV, what is that? Cytomegalovirus, yep, rotovirus and SARS, COVID. Two, that's the ones that it listed, and I didn't ask it to implicate viruses that came back with that on its own. So, I mean, listen again, not a doctor, but people get viruses. Their body goes wonky. If they're pre disposed to type one they end up with type one diabetes sometimes. So would you have gotten type one diabetes if not being pregnant you weren't pregnant, if you didn't get COVID, maybe later. I think

Jane 23:53
this is my theory. And like I said, this is just my own and, well, I guess I can't say it's a theory, just my own. Things is I just feel like I was in a state of immunosuppression by being pregnant, and I don't know I, like I said, I don't know enough. I'm not like an immunologist, for some reason I've internalized whether that's true or not, and like I said, I'd love to learn more about it, that if I wasn't pregnant while I had COVID, it would not the double effect would not have. I

Scott Benner 24:19
mean, I understand your thought process. I'll just tell you this. Like, you're probably getting type one at some point. Yeah, I'm curious. Batman's parents get killed in every universe where you hear the Batman story, do you see what I'm saying? I love Yes, totally. At some point, like, I try to think about this for Arden, by the way, this again, is not what we would call technical, but this makes me feel better about Arden, yeah, so it sucks that she got it when she was two, right? Totally. But if she didn't get Coxsackie when she was two, she got the flu when she was four, would she have gotten diabetes then, like, would it have happened when she got, like, another thing when she was 10? Like, like, I don't know, the kids got autoimmune issues. Mm. Get this isn't her only one, you know? So, yeah, I mean, at some point it feels like it makes sense that she was going to get type one. Now, would I have preferred she got it when she was 15 or 30 or two or nine or 35 or 63 like, I don't know, you know what I mean? Like, I just don't think it matters once it's happened, like, it's fun to fun funds, the wrong word, it's interesting to talk about. But like, it's all academic, because getting diabetes type one or type two sucks, no matter what age you are, yeah.

Jane 25:30
And, I mean, well, COVID, you know? Yeah, I'm curious if COVID is what did it for me, which is what I, you know, based on the list of it can you know whether or not I was pregnant or not. It was such a weird virus in the world. You know that I'm curious to know if another virus would have done it. And I guess I'm not convinced of that, but because I already was 32 you know, like, you know. But

Scott Benner 25:50
listen, I interview people every day that are 3330 430-740-4562, they get type one diabetes.

Jane 25:57
And I it could have, I think COVID was what did it for me based on the timing. It could have been something else.

Scott Benner 26:02
You might have a little bit of my magical thinking. I used to think like, if I can make it to this age, then this won't happen. If you get to that age, then that wasn't happening. If you're married for this long, you don't get divorced, if you like the only mean, yeah, do you think like that?

Jane 26:15
It's impossible to really know, but it is fascinating to think through.

Scott Benner 26:19
Can I ask a big question? Totally, why does it matter? It

Jane 26:22
doesn't I just think, like, it's more for educate, like, purposes of educating who I'd love to know the studies, like, I would just love to know, like to understand COVID more, because I think we have so far to go with that, you know. And we were seeing things in COVID that just weren't true for other viruses in a lot of ways. And it just such a weird virus and, you know? And so I'm just like, Man, I have not seen too many people talk about COVID and type one diabetes, but that was I was like, I think even early on, I was like, I think there's a link. Now, could have gotten it later or from something else, very possibly, but at least what I thought did it at that point was the combination of being COVID and I have no other autoimmune issues. Who knows? I'm going to get one? You know, I hope not.

Scott Benner 27:04
But I'll ask a couple of weird, difficult questions here. So when you're having these thoughts for three years, but the world's not letting us talk about COVID, is that hard? Like, because you want No, no, it's you end up on Reddit talking about it, then I don't know,

Jane 27:17
it was a weird number. Like, I said, I have no, like, a weird number of women in my same position. I'm

Scott Benner 27:21
saying, like, if you were at work and you saw a doctor and you were like, Hey, man, we've known each other a long time. Let me ask you a question. You think this COVID gave me type one diabetes? Are you worried that he's looking back at you going, Uh oh, this one I didn't realize she had a tin foil hat. Or no, I

Jane 27:33
was No, no, no, no, and I was No. Well, I had a lot of questions. Like, are you sure it's not the vaccine? And like, you think the vaccine gave you COVID? And I was like, well, it didn't really line up with the just the timing didn't make didn't make sense for it to be the vaccine, if, like, you know, and I'm not anti Vax at all, but just was like, I had the vaccine in December. It wouldn't based on the limited stuff I know. Like, I was like, I don't know. I don't have any clue. But it seems to be that it makes more sense timing wise, with all of a sudden my body shutting down. But who knows how long that was brewing. I'm gonna

Scott Benner 28:00
go out on a limb here and say, I don't think we should be saying anti Vax anymore. Oh yeah, I think there's, like, a way to, like, I don't know totally,

Jane 28:07
and there's dangerous too. There's dangerous to vaccines. I always want patients like, every every medication has side effects, every

Scott Benner 28:13
conversation deserves us to be able to talk about all of the variables without, like, labeling something like, if that was my point. Like, were you worried that, like, somebody would pre judge you? No, I

Jane 28:24
actually never expected to feel judged. Because I feel like I'm very pro, you know, just

Scott Benner 28:30
open mind, trying to figure out what's going on. Say,

Jane 28:32
yeah, exactly, yeah. I was just like, yeah, yeah, no. I actually never thought judgment would come into the picture, you know, because I am a healthcare provider, I, like you generally follow CDC recommendations, and I'm just like, we were seeing all these things. We were, you know, we were like, Okay, we're seeing diabetes get worse and hospitalizations increase, and a lot of other things. And like, I'm not an expert at all with COVID, but I was just like, it just seems to be such a weird timing. And then hearing and seeing some other people in my same position, I was like, weird. Yeah.

Scott Benner 29:03
I mean, I take your point, like, if you fell out of bed today and tomorrow, your legs started hurting and you didn't think, I wonder if this is because I fell out of bed. That would be an odd thing to skip over, yeah. And so it's not. And by the way, maybe that's not what happened, but it would be weird to just ignore it and pretend that it didn't

Jane 29:22
think maybe it's, like the red Jeep theory, like, unless you're looking for it, you're never gonna see it, sure, and so, you know, there's, that's why I just throw it out there.

Scott Benner 29:28
That's why I'm continuing the conversation. Because, like, in the end, you're never gonna know.

Jane 29:32
No, well, yeah, maybe not. I'm very curious. And, like I said, in like, retrospective data in the future, if they're going to, you know, because up until you said that I, like, in like, I do know, in the past, the list of viruses that had caused, not caused, like, careful with the wording, but were more likely to influence a type one response. But I COVID, you know, when I was in the middle of it, they hadn't put that on the list. You know, no.

Scott Benner 29:57
I mean, obviously the stuff about. COVID is still like, Listen, my wife has long COVID. It's horrible. I mean, who knows? Yeah, yeah. Like, it really, genuinely horrible. Like, it's got, you reading? It gets got, I'm reading research. It's like, hey, try now. I actually went to my wife the other day. I said you should try nicotine gum or a patch or something. And she's like, what now? And I'm like, I don't know. Like, I saw a thing, yeah. You know, once you're two years into a problem and nobody's helping you, you're down to, I saw a thing like, why don't we see if we throw this at the wall? Fit sticks? Yeah? And that's a place to be with your Yeah. I mean, at

Jane 30:31
this point I'm just fully type one, and I just am curious as to, like, the No, could I do anything differently? Probably not, you know. And it doesn't keep me up at night. It's just more like a huh? Because everyone asked why, you know, like, why? And I'm like, I had, you know, like, this is all I can point to, of a weird grouping of things I know to be, you know, true, and kind of coming up against me and causing me, anyway, to have this, what they thought was gestational diabetes, right? Interestingly enough, I also wondered if this factored in. I don't think it did, but I had this most severe, like, around that same time I was diagnosed with gestational I had this crazy rib pain, which I think was something called, like, intercostal neuralgia. I'm not sure, but it was like my nerves were trapped in, like this one dermatome, which is like a couple ribs that, like, went from my mid back around to my right, like, side, and my ribs would pop in and out even so, like, it would feel awful, and I was in so much pain, and so I was like, Is there, like, I don't know. Do I have a pancreatic mass or something like that, you know, like that could be causing my, you know, like, because my pain is right there. Can I ask you a question, though?

Scott Benner 31:37
Like, I just realized a little while ago that this was during your first pregnancy, because when you said, I've only ever been pregnant or breastfeeding with type one diabetes, I thought, God, is she breastfeeding a four year old and but I didn't, I didn't say that. And then, because I don't want to be judged, oh yeah. But then I realized you you meant like you were pregnant and then breastfeeding,

Jane 31:55
and then I got pregnant with my second while I was breastfeeding. Yes,

Scott Benner 31:59
yes, that's Yeah. How did that happen? So you had, you were newly type one and breastfeeding. Your husband was like, let's do it again. Yeah? Well, yeah, funny. Well, actually, so like, you didn't run, like, you weren't, like, get away.

Jane 32:10
Well, after I determined, okay, the rib pain was awful. It wasn't because of, you know, like, I had a pancreatic mass. It is some ultrasound and, like, or anything like that. Never really figured out what it was. But it was a little ironic that everyone was telling me to, like, go exercise when I, like, couldn't walk. I'd actually leave my job early. I was in so much pain when I was a brand new diabetic, you know, things like that, my doctor finally believed me. Was like, we're gonna put you on shots. We're gonna put you on injections, because this does seem severe. And then my my instructions, you know, for my injections were, if it's under 15 carbs, don't have to Bolus for it, which I'm sure is might be true for gestational diabetes, but you know, definitely not true for wasn't working out for you that way. Yeah, type one diabetes, exactly. And do a night snack. Don't Bolus for that. But like, before you eat, like, eat something protein heavy, like, mix with protein. But the instructions I was, like, given on, like, in my guidelines, and that I found on like, Instagram was like, mix raisins with nuts. Like, that's a great bedtime snack. You know what I mean? I'm like, now, if I knew now, I knew that was like, I was just like, eating a bag of raisins with nuts. But like, right before I went to bed, and didn't like, Bolus for that at all. Did

Scott Benner 33:13
you love the raisins and nuts? Or were you like, I can't believe I have to eat these. No, I just was, like, doing

Jane 33:16
it because I thought they're like, I'm supposed to control my blood sugar. And then, because I was now on injections, you know, and I was finger pricking, you know, now, knowing now what I'm, you know, like, I'm just like, Oh, thank God, I survived that, because, and my baby survived that, the

Scott Benner 33:33
doctor was trying to keep down big spikes at meals, and did and didn't want you getting low overnight, because that's how he thought About gestational women who he gave insulin to, exactly,

Jane 33:41
yeah, and that makes sense, but it's just like, yeah. You mean, under 15 carbs, your body should be able to handle it, you know. So I would like, I think just my finger sticks were just wildly inaccurate, you know, like, depending on when I checked, like I was following the one to two hour like, postprandial glucose check, like, after you eat, you do your checks, and in the morning and stuff like that. And I feel like I never could figure it out likely, because, like, what I know about my body now is I'm way more likely to spike, like, five to six hours later. I wasn't checking then, you know, he he was really well intentioned, called me even on the weekends, to see how I was doing, which was very nice. I don't think that was like, I think it was just all like, this lady, because I was in so much pain too. Like, I cannot understand, like, that's the most pain I've ever been in my life. So I was, like, in so much pain, couldn't bear barely, like walk, and then I was trying to figure out injections for the very first time. Now that I understand what, like a high blood sugar or a low blood sugar feels like was just wildly different and so much more empathy. Like, I remember being at IKEA and having my first low, because I was just newly on injections, maybe first week, and I took them seriously, but I was just like, well, I can just eat. What I didn't understand with a low is how much your brain slows down to the point where, like, even trying to remind yourself to eat is like swimming through like mud or something like that when you're low. Yeah. Yeah, and I nobody was with me, and I was just, like, very pregnant, and I was just trying to buy some stuff, you know, probably for the nursery at IKEA. And I remember being like, Oh, I feel really shaky. First time ever feeling that way. Let me check my blood sugar. I remember it being like, in the 30s, oh, juice. And being like, I think that's low. That sounds low. I know that's low. Let me see if I can keep checking out of my kitchen, like, I'm in line to check out. And I was like, Okay, I think this is bad enough. I need to go to the cafeteria, because I wasn't bringing snacks by myself. Like, I wasn't really, like, with gestational I guess you are on insulin, but like, I wasn't prepared for really being low quickly. Yeah, I wasn't bringing it.

Scott Benner 35:36
Or how far the goofer Nook is from the cashier at IKEA, I bet that was probably a problem, exactly.

Jane 35:41
So I got a chocolate bar in the line, and I remember sitting down. I don't know, I think I was at the same table for hours, but I remember like, because I just couldn't, couldn't get up. And I do remember being like, put the unwrap the chocolate bar. Like my brain was like, stringing one thought to the next thought, like, unwrap it, put it in your mouth chew it. And I was like, after I bounced back, I was like, Oh my gosh, I understand now how dangerous sometimes it is for you to be alone with low blood sugar, because you are thinking so slowly, like if it gets low enough. Now I you know, can usually nip it in the bud before that happens, but that was just my first ever instance of that happening.

Scott Benner 36:17
Was that fear after you got through that and look back on it. Did you live fearfully after that? No, I

Jane 36:23
didn't know enough to be fearful. What kind of a nurse Are you? Jane, APA, physician assistant.

Scott Benner 36:27
Sorry, you're a physician's assistant, right, right? You're working in you work in emergency medicine,

Jane 36:33
yeah. So I have all my own patients, like they're mine completely. Like, I don't know laws elsewhere, but like, you know, I manage their care, and I treat diabetic patients all the time, you know. And to that point, I just mean, like, it is different, being the person going through it, then being like, yes, I would have seen that number. Another, another point to your earlier question of how it changes. My practice is I would have probably shot that person with D 50, like, you know, dextrose, 50% solution, and spiked up their blood sugar because I was more comfortable with being high, because when we're, you know, in the ER, we're just, we don't want to

Scott Benner 37:03
be a low, yeah, but for people listening who were thinking, how can she not understand this, if that's her job? Like, tell them why that is. It's not because you're like, dopey, or you didn't pay attention in school, or you don't care, or anything like that. Like, explain, like, what the lead into your job is that lets you be so good at so many things. I watch the pit. I know what's going on. Oh yeah, I'm watching that right now. Of course, you are that leads you to be so valuable in people's emergency care. But then you get to something like this that every person listening to this is like, Oh my God, I know that. How does she How did she not know that? But

Jane 37:37
I guess, think back to the very first time, and maybe a lot of people are diabetic when they're kids. But like, nobody else knew more than I. Like, it was the very first time I'd ever used injections on myself, so I just didn't know my own body pattern. Like, I guess in the ER, we're notified of a low blood sugar, and we just treat it with either, like, now I'm much more likely to treat it with just orange juice, or, like, I don't want to make them spike high, so I'm not trying to load them with the sugary stuff.

Scott Benner 38:01
So is it that, professionally, it's a thing you're trying to stop, not a thing you're trying to understand. I don't manage it

Jane 38:07
on a day to day basis either. So that's a difference, you know? Like, I'm not that was a huge difference of being like, No, I'm trying to understand it. I'm trying to say, I guess I don't really understand, maybe I don't understand your question, because

Scott Benner 38:18
I think you've been in this profession for so long, you're not following my question. Like, so like, imagine if you went to get new tires, yeah, and when you were done, your tires were on the ground, not on the car, and your car was sitting on the ground, on its wheels, and the guy goes, you can leave now. Like, wouldn't you think, how could you not understand so completely this simple task of putting tires on my car. I think that's how people with diabetes feel when they're at a hospital and nobody seems to understand what's going on. You mean from the healthcare perspective, like, Why? Why? Like, yes, not. You personally, you professionally. How come you don't understand professionally as

Jane 38:54
a patient when you like, Why hadn't I understood that point that I was type one? Is that what you

Scott Benner 38:59
were? No, no, no, no. Like, I didn't realize I should have snacks to do that I'm walking around. I didn't know, like, all like, all that stuff. Like, I guess I'm putting myself in the perspective of people listening, yeah, I'm thinking that. They're thinking, I don't get how a person in the medical field wouldn't know this. Like, I I know that. Oh, okay,

Jane 39:14
okay. Because I'm like, Well, remember when it was your first week, but yet I am in the medical field. Well, I guess, because I'm never I'm only treating the emergency side, so I'm pretty good at like, I'm not going through people's first weeks of diabetes, I guess, even though I know the base stuff. But with insulin, I didn't take insulin as seriously as I do now, like, I know it can lead to lows, I know it can lead to highs. The lack of it can lead to highs. Too much of it can lead to lows. But, you know, didn't have the ins and outs of all of the insulin knowledge I know now, yeah, and I don't think I and now I know how dangerous of a drug it is. Yeah,

Scott Benner 39:48
I think people who are not involved in health care professionally, yeah, they make a generalized assumption that anything health care related, the health care person is going to understand. Oh, and

Jane 39:58
I that is one of my big takeaways. Is how. Little, little. I mean, at least from the ER perspective, we do not know, Matt, how to manage diabetes or type one diabetes, right? When you come in like we do not.

Scott Benner 40:07
I did a cold wind episode last year where an ER nurse with type one said to me that she'd be safer having a seizure at my house than in the ER she works in an

Jane 40:18
interesting seizure. How come? Oh, like, a diabetic seizure, yeah,

Scott Benner 40:22
yeah. She's like, you would, you would know what to do, handle it better than the people I work with this,

Jane 40:27
yeah? Because in, er, we know, you know, an inch deep and a mile wide, you know, and you know, we don't know the mile deep about diabetes that you get to know when you're diabetic yourself. That's

Scott Benner 40:37
why we're having this conversation, Shane, because you just put it so perfectly. No one's ever said that before, but that exactly highlights my point. We understand things an inch deep and a mile wide. Like, yeah, that really is. Is that a thing people say in the ER,

Jane 40:52
I don't know. Actually, I have thought it. I'm sure somebody has said it to me at

Scott Benner 40:56
one point. Well, guess what? I think that was incredibly valuable for people to hear, like, seriously.

Jane 41:01
And I'm constantly trying to now, like, diabetic patients are my favorite now. And I'm constantly trying to, like, talk to my like, I have my co workers pas or MDs, like, sit in with me going through some and you don't have a time for this, always in the ER, but like, going through what I'm talking to patients about so that they can learn I could get somebody stabilized, fine, but like to actually educate them. I think the problem is, you know, in the ER in which I work in and a lot of years in America, that is their primary care, we are seeing people repetitively, and if we don't do better, and like I said, there's a lot of constrictions with that. Like, it's definitely not all the ers fault, but just like, they're just not getting the tools they need from resources, or, like, knowledge wise, or who knows what to to manage this. And we are their primary care office, so I need to do a better job of trying to, like, you know, give them more tools, you know.

Scott Benner 41:51
I mean, it's awesome that I hate to say this, but, like, people say this all the time, like, oh, like, I wish somebody famous would get sick so they'd fix it. Or, like, hey, it's nice that a person in healthcare got this so now, like, your understanding will continue to grow. You'll work around people, you'll help them understand more. Like, there'll be a lot of good stuff that comes out. Oh yeah, Scott,

Jane 42:07
you'd be shocked at what my coworker said to me, no, go ahead. Even though we treat Type one all the time, they're like, couldn't get it. Like, when I became type one, which I'm sorry I keep like, getting haven't even gotten there. But like, they have been like, Well, does it go away really? A nurse asked you that. Pas, doctors, yeah, oh, yeah. Well, will it go away? You know, let's

Scott Benner 42:27
fast forward, because I'm on a bit of a time crunch today. So let's fast forward to, yeah, by actual, like, just what happened? Because you said at the beginning, like, I had to, like, force people to believe that I had it well.

Jane 42:38
And it's, I guess, just interior, like, how did you not know? Often is like, you know, how did you not know? As a healthcare provider, too, it was a traumatic birth, I guess, and I, like, lost a lot of blood, but anyway, like, my body was doing a lot of stuff in my birth, and so I they did one finger stick, or I did, really, I don't know if, you know, if they checked, but I did my finger stick, and it was 85 and I reported it to them. They're like, great, congratulations. You no longer have diabetes. And I ate like, a burger and fries. And I was like, excellent. This is, like, great life. You know, did you let out all the blood that

Scott Benner 43:05
had the glucose in it? You said you lost so much blood? I figured you lost so much blood. They replaced it with blood that didn't have glucose in it. Then tested your blood sugar. I'm like, Hey, you're 85 I

Jane 43:14
wonder about that too. I can't remember the timing. I was so out of it. I had, like, yeah, I lost so much blood. I hemorrhaged. And it was really true. Yeah, it was really traumatic. I like, could only tell how bad it was going when they called in, like, the ICU team, and then they, like, kept, like, saying, and we're gonna give her TX A which is the blood stopping medication that's really toxic, and then and we're gonna give her some antibiotics, which I know they were only gonna do if, like, I ripped through my rectum, which I did, you know. And I was like, Okay, this is going bad, you know, at least con, at least my daughter seems to be fine. That was the entirety of my diabetes care. I don't even remember if the glucose was before or after the blood, okay, like, I don't remember at what point I'd like, that's like a fever dream, a little bit to me. But I just remember thinking everyone has told me I had one of the hardest gestational cases I've heard of, and when I gave birth, I looked at that placenta and I was like, I'm so glad you're out of my body. This is, I'm done with this. And then why did I not know, like, in the next three months? And I just, you know, my daughter really, yeah, like things I don't know that. I'm curious, you know, maybe I'll chat GPT about it sometime. It's just my daughter had really bad colic. I was up all night, as many newborn moms are, but I just all of the things that you would think I still have diabetes. How can I not figure it out, especially having just had diabetes, it was I was extremely thirsty while I was breastfeeding. I was extremely hungry while I was breastfeeding. I was losing weight while I was postpartum, you know, I am breastfeeding, you know. And I was like, exhausted and tired and irritable. I also had a really hard time breastfeeding at first. I do not know to this day how my body did it like I was on this insane pump. One of my friends is a lactation consultant, yeah, and she had me on this power pumping like 20 minutes for every two hours. For two weeks, I was pumping to try to get my breast supply because I was extremely dehydrated. Now that I know that I was diabetic, like the diabetes never went away, I was still trying to breastfeed. I don't

Scott Benner 44:56
think people give women nearly enough credit, and I think women. Get a lot of credit for, especially around making a baby, but, like, my rectum rips. Everything's over. I don't care. Somebody's like, take care of the baby. I go the baby. My exactly, tore open. Oh yeah.

Jane 45:09
And I bled for three months, and I was wondering why I wasn't healing. And they're like, how do you go to a special they're like, Wow, you're really not healing. I

Scott Benner 45:15
would have been like, you still tried to breastfeed. I would have been like, give that kid a piece of lettuce, see if I can eat that couldn't

Jane 45:20
even, like, sit for a long time because I was, like, trying to heal down there, you know, like, three months of bleeding, and it was like, no wonder I wasn't healing one you know, because my sugar was so high I can't believe my body produced breast milk. I must have put it through the worst states, because when three months, three months took me three months, I finally was like, this is weird. I brought out my old glucometer from under the sink. Three months postpartum, I checked my blood sugar and my fasting was 440 what made you check it? It was the night before I went out to a really nice dinner, and I remember everyone being like, Man, I'm full. And I was just like, I could eat this entire everyone's plates, plus more. And I also was like, we had had a party, and I was like, eating frosting out of a tube. I was like, so hungry, and so craving sugar. Gotcha, you know? And I thought, but my thought was, man, breastfeeding is wild, you know, like, Huh? I'm apparently burning a lot of calories once again, and I am, like, really hungry. I

Scott Benner 46:15
would have stopped eating completely, trying not to go to the bathroom. I just want to say,

Jane 46:21
and yeah. So I just was like, exactly like, all of these things that I'm like, I could just explain that mentally by postpartum, but I was just like, breastfeeding. I still, yeah, my poor, my poor body, and then my, my fasting was 440 and then it was amazing to try to prove to people, even though I wasn't pregnant, that I was type one, because, like, the nurse practitioner at one medical and like I said, I have many friends that work there really like them as a company generally, I just think, wow, you've got ketones in your urine. You're fasting. Your sugar right now is in the three hundreds. It was like, the next day I got in with them. I had an old insulin pen I hadn't actually thrown away, weirdly, so I just injected myself with alantis. Because I was like, Nope, I think I'm type one. And I went in there, and she's like, I think you probably were predisposed to diabetes, and you just it never went away. And here's some Metformin, and come back in three months. And I was like, but this is my blood sugar. I know you could there's no body type, but I was like, I like that. Can, you know, completely be type two or type one or anything. But when she was just once again trying to be like, do a good job with dieting and exercise. I am, like, very small at this point, yeah, you know. And, like, I lost too much weight postpartum. Then you really should, you know? And so, man, I had to. Oh, and that's, man, getting an endocrinologist. I love my endocrinologist right now, but it was at least in DC during COVID. Six of the eight endocrinologists at the GW practice had left. I think they just were exhausted, and like, I was asking people, and they were like, the nurse literally told me they had enough. And so they were like, we're done. So they were rebuilding their entire technology practice. I couldn't get an endocrinologist appointment to save my life, and I even was looking for private endocrinologist. They were like, we've filled our diabetic quota. I was like, I will prescribe this medication on my own if I need to. But I am, would really love some help, because I do not know what I'm doing, you know. And I finally got a friend of a friend, whose co worker used to have an endocrinologist, who now lived in New Jersey, but she's the endocrinologist was still in DC, texted her because she still had her number, and was like, will you meet with my co worker's sister's friend? Because she is like a PA and she can't get an appointment, and like, Would you please meet with her? And she has been the best endocrinologist ever, and I skipped her nine month waiting list. I finally got my auto antibody tests. Was clearly type one, I kind of wanted to be like, Oh man, what a journey me. Just like, listen,

Scott Benner 48:38
I wish that, like, misdiagnosis of all kinds are such a common story on here, I don't even, like bat an eye at them anymore. Yeah, and even just like regular times, not regular times, like, you know, like COVID, not COVID, eight years ago, somebody I texted me personally, three months, three weeks ago, like, it's just it happens constantly. So I guess it's really hard to figure out. Now

Jane 49:01
I tell my patients, I'm like, you know, home, like, Man, this doesn't seem right. Like, this doesn't seem like a type two presentation. Or the problem is, like, they don't, like, we don't order those auto antibody tests from the ER, you know, and I like, they can't. They, just for a bunch of reasons, it's really hard to get an endocrinology appointment. Or their primary doctors don't know how to manage it. And at least in the ER, I like, I'm always like, you need to try to figure out, like, Has anyone told you you could be type one? Because please go and ask to get the testing, because this is fishy, you know, like, there's too many fishy things, and I do that more now than ever. I'm just like, please try to figure out if you're Lata or type one or whatever. Because, like, I'm seeing so many people to manage like a type two, that I just wonder, and their diabetes is like most of the patients I see in the ER, they're, they're, they're not in control, like with their injection regimen or their Metformin regimen. Often they're in the three hundreds, four hundreds, and who knows, for whatever reason, but I'm like, I think you need insulin. I'm not the one to start. You want, necessarily, from the ER, but, or, you know, but I also think you should be looking into these other things, and Does

Scott Benner 50:05
that scare you, sending them off, thinking they might not get that help? Oh, yeah.

Jane 50:09
Like, I have a type one who in DKA last week who, like, doesn't have a Dexcom because of insurance problems. So I'm like, you know, trying to reach out to social work to try to get some help. But just like, Yeah, from the ER. It's like, I can't make follow up appointments, and so anyway, I want to in the future, like, this is really inspiring me. Like, I want to do a, like, I don't know, diabetic management pa job maybe. Like, I know they're they're out there a little bit. My technologist actually would, like, told me she was like, hey, there's a PA job opening at this hospital. I think you should apply. But it was full time. And I still really love the ER, and I'd love to stay in the ER, but then do this, like, maybe part time in the ER, and then part time do diabetic management, because I'm like, what I want to do is not what

Scott Benner 50:48
I can do. What makes the ER attractive to you? So you see a little bit of everything,

Jane 50:51
and that's what I kind of love. And you never know if you're going to get something that's like, really serious, or just like a sore throat, you know, or even a sore something that looks like a sore throat ends up being like emergent, you know, do you have ADHD? No, I

Scott Benner 51:03
just like, wondering if, like, if that feeds that thing for people, I know, because it moves all the time, like,

Jane 51:08
juggling a lot, so I think, yeah, I don't know it actually, when I went into high school, I thought er was awful. I don't really love true emergencies. I was so scared. It's like, I don't know how I wound up here. Honestly, it doesn't fit in my personality completely. Like I don't really love people dying. And honestly, like, I'm in a level two trauma. So unlike the pit, which is like, level one, I don't, I do see gunshot wounds and things like that, but I'm not, like, constantly, people are not falling apart on me every day. You know, it's a lot of like, pancreatitis and, you know, appendicitis and people you can talk

Scott Benner 51:35
to a friend of mine's kid did a year at Hopkins in Baltimore, oh yeah. And then it's like, I gotta leave. Oh yeah, yeah. I asked her why, and she said, I no longer am upset when I see somebody shot, and I'm worried about myself for that reason. Honestly, I understand

Jane 51:50
that. Like, we have a guy I'm training right now, and he's so like, but she's in pain. And I'm like, Oh my gosh. Like, that's so sweet, but, yeah, I'm like, everyone's in pain here. You know, all of the like, veterans look at each other and we're like, man, we're callous a little bit.

Scott Benner 52:02
That's the cow. The cow she, she didn't want to feel callous, so she Yeah, also then she became a travel nurse, and her life is, like, awesome now, as far as I can tell. So yes,

Jane 52:11
that is really nice. Yeah, I made pump setting adjustments like a patient who had never I had a patient who was vomiting even, I think, last week to type one, and I was like, well, let's just, what pump Are you saying? Let's just, like, do you think you should, like, you know, lower your basal right now because you're vomiting, not able to tolerate a lot. Like, you know, let's lower your basal. And she's like, I've never done that on my own. Yeah, she didn't know how to do it. I was like, you've been a dad type one time. She was in her 50s or 60s, and I know, like, that generation of diabetes, you know, have just been through them, probably like, you know, the most change. Yeah,

Scott Benner 52:46
it's not as generational as you would hope, by the way, like I found myself saying the other day in a recording, if you just understood how insulin works, the timing and amount, that's most of it. But if you really want to succeed long term, you have to become comfortable making changes to your settings,

Jane 53:04
yes, and honestly, that's what I feel comfortable doing, that generally, because I think about it through a practitioner's mindset. But I I've learned a lot from your podcast as well. And and, oh, I tell my I told my endocrinologist about your podcast. I tell my patients to listen to it. I'm like, You listening to listen to like, you know that? Like, if you really want to get good, listen to these episodes, you know, things like that. And I'm still trying to get good, you know, at it, but I get frustrated wanting it to be perfect. Still, you know, where's your a 1c at will you share my most recent one was 5.9 I don't know if this is true for you, but I tend to trust my clarity app a little bit more than I feel like I do my blood, which is not probably accurate, you know, but I am like, Oh, I'm, you know. So my clarity is usually like, 6.1 so I go between like, 5.8 6.1

Scott Benner 53:50
Okay, yeah, that's awesome. I mean, and how's your variability? You low all the time, high all the time.

Jane 53:55
And, like, I like, and once again, like, I, I was pregnant for like, over a year and a half of the last three years I'm diabetic, so it's also, like, just trying to figure that out. Like, yeah. Like, so I was more strict when I was, you know, pregnant, than my a 1c now, which is just breastfeeding my let me look up my clarity right now. See what it is, yeah, this is, I'm curious to know what it is recently. I don't think it's been good recently, because I just go, I'm making me log in. I don't remember. Do you feel

Scott Benner 54:20
like you're just learning now, like, or you're through the fog of the pregnancies and the and the breastfeeding and everything, like you starting to feel like a person again? That makes sense. Yeah. I've

Jane 54:31
luckily felt like that for a while. I think I learn more things though every day. Like my endocrinologist, I think is like, wow. You know, people I will see in your podcast are very generally motivated. Like, I'm sure you talk to people who are, like, trying their best, but at least the most of the diabetes I come in touch with, I come in contact with, and my endocrinologist does just from what, what she usually says, she's like, you are doing far better than any of my other patients. I think you need to, like, back off, you know, like, you need to, like, calm down a little bit. I'm like, I want. To do like 13 different pump settings in my you know, which pump

Scott Benner 55:03
are using? Islam, are you using control IQ,

Jane 55:06
yes, I do control IQ, but I like to and I went on, I went on to slim actually, based on, we know what my endocrinologist had recommended. She said the algorithm at the time, three years ago, who knows? She said it was far better. And also the Dexcom at the time didn't have bolusing from your phone, which was important to

Scott Benner 55:23
me, not that, what do you mean?

Jane 55:24
I could Bolus to the T slim from my phone, but you couldn't from what other pump with at the time. If this is true with the Omnipod,

Scott Benner 55:33
Omnipod, yeah, okay, yeah. And I

Jane 55:35
don't think they had, like, the control IQ function yet for Omnipod, right? Like, that's more recent Omnipod

Scott Benner 55:40
five. Is Omnipod five three, you might have gotten there right before it came out.

Jane 55:45
Yeah. Like the Omnipod five came out after I had gotten this pump, so I'm interested in it. But so far, I've liked the T slim. I'm in control. IQ a lot. For a while I was in sleep mode all the time, which I know they've said to do in pregnancy. And just like another one of your podcasters, I listened to who, like, I was like, well, this seems to be smart. Like, why don't just keep in sleep mode all the time? And I realized that control that control is not as good,

Scott Benner 56:03
right? Have you listened to control? IQ, Ninja, yeah, I'm in the middle of

Jane 56:07
doing I'm halfway through those awesome, yeah, yeah. And so, yeah, I'm interested in those. And so I'm in control IQ, but like yesterday, I switched into manual because I was like, oh, what I can't do on the T slim, what you can do on the Omnipod is, I don't love that. I can't increase my Temp Basal when I'm on control IQ. I want both. And now you can, as of, like, just a couple months ago, but I haven't updated it yet, but you can do that. From what I believe on the Omnipod is you can increase your Temp Basal to, like, you know, 120 5% while you're on the control function. Yeah, is that correct? Because you couldn't do that up until very recently on the T slim, they just updated the software. Okay, yeah, they just did it for T slim too, which I'm excited about. But because I would go back and forth all the time between being like, Oh, I'm gonna lower my basal, or I'm gonna increase my basal and do an extended Bolus, or, you know, things like that that you can't do being on control IQ. But like last night, I did that and then forgot overnight to put myself back in sleep mode. So then, you know, I, luckily I didn't spike high, but I was like, woke up being like, why am I 160

Scott Benner 57:07
so you're using the algorithm, but you're you got your fingers in it a lot I do. And my

Jane 57:11
intercultural is like, let's make this so that there's a little bit less work for you. But I'm like, Yeah, but I want to just get better.

Scott Benner 57:18
Do you think you couldn't do that? You don't think you could do a five nine with less work?

Jane 57:21
I think I can. I just think I'm learning. And like, honestly, she like your podcast and hearing from people that have figured it out is more information than I've been able to get anywhere else. Okay,

Scott Benner 57:32
oh, well, I'm glad. Oh, thank you very much. That's awesome. Yeah, listen, you got to keep going through those algorithm episodes, because you'll get better at it. Yeah.

Jane 57:39
And I already have, like, and it's giving me like, I'm already pretty bold, and what I feel like I can do, but I feel like I'm like, oh yeah. Like, this isn't I? Once again, my endocrinologist is amazing. I've she just is so great. But she also, like, you know, is managing everything out there, and she doesn't know the nitty gritty of the things you talk about on your podcast, you know. So that's something she wants me to back off a little more, because often my lows will lead to highs, because I'll they'll suspend my, you know, my and I'm always trying to balance doing too much

Scott Benner 58:07
you're not letting it where you're not letting the algorithm letting

Jane 58:10
it work for me, right? Yeah, and where sometimes I'm like, I should just be on manual, because I almost have an inability to let it go, you know. But those two kids aren't keeping you busy enough. Yeah? I know. I know. Well, honestly, I'm like, man, what was I? Yeah, my brain cells, what it gets devoted to? Like, I'm like, when people would ask me how having kids was, I was like, honestly, diabetes, and trying to manage that is harder than having a newborn. Jane.

Scott Benner 58:30
I have to go backwards for a second. So you have this birth, you find out you have diabetes after the birth, your butthole rips, yeah, you've hemorrhaged, yes. And then how long is it before you're like, you know what we should do? Let's have a second baby, kid.

Jane 58:44
I know. I know what happened. My daughter had turned two when we started trying again. Two, no one. Oh my gosh. One. She turned one. We started trying because I wanted about two years apart. Is this

Scott Benner 58:56
a little bit about you wanting to space them away? But is it also about your age a little bit. Yeah, yeah,

Jane 59:01
totally. That factors in. I was 32 when I got pregnant, and just to turn 33 When I gave birth to my first and then I was like 34 and I just turned 35 just about exactly two years apart, yeah. So yeah, that factors in. I'm trying to think through whether I want a third now, I just don't know. Yes, I know. And honestly, it's like, I'm not even someone who, like, I like, I was like, Maybe I won't have kids. You know, I wasn't like, for sure, I want to be a mom. What happened?

Scott Benner 59:27
Oh, I don't know. How did the butthole thing not stop you? Seriously, I know,

Jane 59:33
right? Luckily, my second so this is what happened. My second child was an angel baby, and he is like, so, I mean, he's a hard, little, hard sleeper now, but, like, my first was like, and once again, I just like, I would love for chat, GPT or somebody to be like, from with a little bit I have researched, I don't believe the high, like, my glucose, I was, or, sorry, my my hyperglycemia was amazingly, like, really impacting my breast. I was like, looking back, I'm like, was my daughter just drinking? Like. Complete sugar in my breast milk

Scott Benner 1:00:02
or something. I was wondering, like, Is this, like, crappy milk she was getting? Like, why

Jane 1:00:05
she is starving in colicky or something like that, you know? Like, does this have any correlation? And I looked at one thing, and I think I was just too stressed to really figure it out at that point time, but I'd love to look into it again, being like, from the one thing I looked into was like, No, somehow your body and the amazingness that it is like, will be able to keep hyperglycemia from really going into like, it's able to separate from breast milk or something. Well, you're

Scott Benner 1:00:32
gonna feel better here, because our overlord says that it doesn't matter. I said, Can? I was really, like, blunt. I said, Can an uncontrolled type one breastfeeding makes subpar milk. I want to say, No, having poorly controlled type one diabetes does not make your breast milk subpar. In fact, even when blood sugars are higher fluctuating, human milk remains remarkably resilient, resilient in its basic nutritional composition. Yeah, that's what,

Jane 1:00:54
that's the little bit I had heard too, and it made me feel so much better. Didn't understand, you know, still understand the colic, but it made me feel so much better that I wasn't like, starving her or giving her something unknowingly for months. Yeah, but like, Isn't it amazing, though, that the body can be that sick, I agree, and also produce Yeah? It says if

Scott Benner 1:01:09
your diabetes isn't perfectly controlled, your breast milk will still provide protein, fat, carbohydrates and immune factors your baby needs. That's just insane. Go, ladies. I knew those boobs were awesome for more than one reason, and he was just

Jane 1:01:22
easier pregnancy. I did not have the pain I would, did not have to go, like, the birth was easier, like, it was all like, if I would have had her second, I'm pretty sure I'd be done. Yeah,

Scott Benner 1:01:30
I see, I see, and your husband's, like, helpful and all. Or do you know

Jane 1:01:35
he's the best, and he also is, like, after one though, he was like, I'm good. Oh, this is you now, if you want a second, great, like, I think two sounds probably good, but especially now, he's like, I'll leave that decision to you. He was like, you can figure that

Scott Benner 1:01:48
out. We got to wrap this up, because I have a meeting soon, and I apologize for that, but that was great. I am 53 I have two kids, and two seems good to me, yeah,

Jane 1:01:57
and I grew up with two, boy and a girl I'm super grateful for. And, yeah, I don't know. I guess a lot of my friends have three kids. Maybe it's just like, feeling like, oh, that's like, what? I don't know. People keep telling me, if I'm on the fence, how

Scott Benner 1:02:09
much did it cost you to go to college? Think about that for a second. Too much. Yes. Now, times that by two, yeah. And then probably times it by 10. For 20 years from now, aren't you hoping,

Jane 1:02:18
though, that it changes? I'm like, I'm like, I know it could just get more sense of part of me. It's like, expensive. Part of me is like, I just can't imagine it can get more sense. As a part of me just hopes

Scott Benner 1:02:27
it just changes. You're still young. I didn't realize how young you were. In your heart, that's lovely. No, it's gonna get worse. Everything gets worse. Yeah. Have you lived through this week with the rest of us? Do you have a 401? K, oh

Jane 1:02:37
yeah. Do I join by luckily? Yeah, I do the medicine. My husband does the finance. So guess

Scott Benner 1:02:43
what? He he's paying attention to it, and you're not. He's quietly banging his head against the floor right now. And to

Jane 1:02:49
top it off, he quit his job a couple weeks ago and is going to start something on his own. So you

Scott Benner 1:02:54
go over to him right now and say, I was thinking we should have a third kid and see if he doesn't throw you out a window. I know. Yeah, exactly. Well,

Jane 1:03:00
part of me did say, you know, I'd really love for you to have a, you know, a stable idea of what you're going to do in the future if we do decide to do this, because I also don't want to kids.

Scott Benner 1:03:09
Mommy left, yeah, yeah. She's at the bottom of a lake at the park now, yeah, yeah. I don't know. Listen, this wouldn't be the time to ask. Is all I'm saying. Like, for anybody, anybody who's watched their money for the last week. It has any kind of an investment. Is not busy going we should do some stuff now without definitely

Jane 1:03:26
wanting to. Yeah, I'm older and I want to space it out more. But I I feel like, who knows? I

Scott Benner 1:03:32
think three kids brings the two doesn't

Jane 1:03:35
good question. I I don't think anything.

Scott Benner 1:03:39
Are you hoarding babies? What's going on? So I think

Jane 1:03:42
three kids might it's my maybe. No, I think I love watching them play together. That's great. No, it brings a lot of heartache. I think you're right. I think it brings a lot of heart. It brings a hard couple years. I mostly this is what, this is what I always said about kids. I don't necessarily want them right now. I want them when they're 20 year on my Thanksgiving table, you know. And I feel like the future projection of being like, seeing that, and being like, Oh, I could just see what another person like does. Sounds appealing to me, but now, now just sounds incredibly hard, because it already is hard. Like, I'm not even, I'm not doing it really well right now, you know, like, it's hard, it's

Scott Benner 1:04:15
interesting. It really is. I mean, listen, I have hindsight. I've got years, and my kids are 25 and 20 and stuff like that. And I like, I can look back and tell you, I don't think another kid would have changed anything. For me, that's good to know. Yeah,

Jane 1:04:27
interesting. Because I think everyone else is like, Oh, if you're thinking of three, just do it. But that's all people have three kids, so who

Scott Benner 1:04:32
knows? Yeah, I'm just saying it's possible that you're using the same collecting mentality as people with fish tanks. And I'm worried for you. They're like, I built this tank, and it's running now, and it's awesome. And I do like looking at it, but it was so much fun building

Jane 1:04:44
the tank. Also, I have a two bedroom apartment in DC, you know, so you

Scott Benner 1:04:48
don't need, you'd need one less kid, yeah, exactly. We

Jane 1:04:51
I'm like, Yeah, my kid, actually, my Yeah, my son, who is a year and a half, is been in my closet for like, the entire time. So that was my gosh. So, like, yeah. Yeah, like, do we have the space? No, we don't have the space. We don't have the space or the money. The

Scott Benner 1:05:04
third one's gonna be like Harry Potter. He's gonna live under the stairs Exactly. At least they're gonna be used to little. Listen, things are expensive. Have two twos, enough. Trust me, you're fine. And

Jane 1:05:14
sure. I mean, man, the takeaway from my type one diabetic, this type one is expensive and insurance is impossible. So, yeah, I don't need more. Also, have

Scott Benner 1:05:21
you, and I hate to say this, but have you given any thought to the idea that could your kids get type one eventually?

Jane 1:05:26
I have. I I've listened to your podcast about one of one, somebody on your podcast who got their kid tested with the new testing that's out there. And I think I would think about that at least. I'll be hyper, and like to see if I can prolong if that, like, you know, if they are type one risk to prolong that, I'm, I'm losing my words of what that is, but the infusion, you know, to try to prolong that. So that sounds in like, I will, I will be interested in, like, trying to do what I can to you

Scott Benner 1:05:58
would consider, like, a tz old situation, if that,

Jane 1:06:01
yeah, that's it. That was the TZ. That was the word I was wanting, Yes, uh huh, a Tuesday situation, or in, like, you know, being aware of their symptoms and stuff like that. Yeah, yeah, no, yeah. Type one. Nobody else in my family has it, so I last I had checked correct me if I'm wrong, like, the risk is, like, you know, like, one to 3% or something like that, if your kid's getting it, and if you're the mom, I

Scott Benner 1:06:19
mean, listen, you your kids might never get type one, like, yeah. I mean, like, in they might, does your husband have any autoimmune on his side of the family? No, nobody like celiac or

Jane 1:06:29
no autoimmune on either side of the family? Yeah. And I have no other health conditions either. So in

Scott Benner 1:06:33
my opinion, just from making this podcast, that should help a little, hopefully. I mean,

Jane 1:06:36
that's what the data says. So I just got to go by so just Yeah. So I my hope is, you know, hope is that not, but also, I mean, I used to think before your podcast, in some ways, I used to think like, that would be my worst nightmare. Is not just having, about having my having, like, my baby habit. And now I just feel like, okay, so many parents can do it like you are more equipped to handle it like, especially now, like, with all the technology and everything, like, they just, it's not as bad as when I first got type one of thinking through my kids getting it, that really

Scott Benner 1:07:08
makes me feel good. Thank you. Yeah, it's true. I'm glad you feel that way. It's awesome. I do.

Jane 1:07:13
I'm like, okay, these moms, like, can do it, you know. So it's not the end of the world.

Scott Benner 1:07:17
Shane, I appreciate that. Thank you for doing this with me. Oh, thank you for having me on it. Did you have a good time? Yes, yeah, awesome. How did you find the podcast? Great

Jane 1:07:26
question. Oh, you read it. Read it. Oh, yeah. And Instagram, Instagram too. And I'm not even, I was not a redditor until this. So it's like, I until just me looking up diabetic things. And I also, like, am not, I'm never on the computer, because I work in the ER and I, you know, never, I'm never like looking on things. So I also never use chat GPT. I never, you know, do things like that. I started just looking at Reddit to see what type one day, how type one diabetes are managing things and and then they were all, like, a lot of people pointed me to this

Scott Benner 1:07:55
awesome well, thank you, Reddit. I appreciate that. Yeah, awesome. All right. Hold on one second for me. Yeah,

I'd like to thank the ever since 365 for sponsoring this episode of The Juicebox Podcast, and remind you that if you want the only sensor that gets inserted once a year and not every 14 days, you want the ever since CGM, ever since cgm.com/juicebox, one year one CGM, the podcast you just enjoyed was sponsored by tandem diabetes care. Learn more about tandems, newest automated insulin delivery system, tandem Moby with control iq plus technology at tandem diabetes.com/juicebox diabetes.com/juicebox there are links in the show notes and links at Juicebox podcast.com. Touched by type one, sponsored this episode of The Juicebox Podcast. Check them out at touched by type one.org on Instagram and Facebook. Give them a follow. Go check out what they're doing. They are helping people with type one diabetes in ways you just can't imagine.

Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. Hey, kids, listen up. You've made it to the end of the podcast. You must have enjoyed it. You know? What else you might enjoy? The private Facebook group for the Juicebox Podcast. I know you're thinking, uh, Facebook, Scott, please. But no. Beautiful group, wonderful people, a fantastic community Juicebox Podcast, type one diabetes on Facebook. Of course, if you have type two, are you touched by diabetes in any way? You're absolutely welcome. It's a private group, so you'll have to answer a couple of questions before you come in. We make sure you're not a bot or an evildoer. Then you're on your way. You'll be part of the family. The episode you just heard was professionally edited by wrong way recorder. Recording, wrong way recording.com, you.

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