#1623 Camp and Canine Victory

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Eleven-year-old Toby and his mom share his type 1 diabetes diagnosis, camp adventures, and life with a service dog.

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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
Welcome back friends to another episode of The Juicebox podcast.

Toby 0:15
Hi, I'm Toby Gustafson. I'm from Verona, Wisconsin, and I'm 11 years old, and I've been diagnosed for roughly a year and a half.

Scott Benner 0:27
If your loved one is newly diagnosed with type one diabetes and you're seeking a clear, practical perspective, check out the bold beginning series on the Juicebox podcast. It's hosted by myself and Jenny Smith, an experienced diabetes educator with over 35 years of personal insight into type one, our series cuts through the medical jargon and delivers straightforward answers to your most pressing questions. You'll gain insight from real patients and caregivers and find practical advice to help you confidently navigate life with type one. You can start your journey informed and empowered with the Juicebox podcast, the bold beginning series, and all of the collections in the Juicebox podcast are available in your audio app and at Juicebox podcast.com in the menu. Please don't forget that nothing you hear on the Juicebox podcast should be considered advice medical or otherwise. Always consult a physician before making any changes to your healthcare plan, or becoming bold with insulin.

Today's episode of The Juicebox podcast is sponsored by the Eversense 365 you can experience the Eversense 365 CGM system for as low as $199 for a full year visit ever since cgm.com/juicebox for more details and eligibility, this episode of The Juicebox podcast is sponsored by Omnipod five. Omnipod five is a tube, free, automated insulin delivery system that's been shown to significantly improve a 1c and time and time and range for people with type one diabetes when they've switched from daily injections, learn more and get started today at omnipod.com/juicebox of my link, you can get a free starter kit right now. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox the episode you're about to listen to was sponsored by touched by type one. Go check them out right now on Facebook, Instagram, and, of course, at touched by type one.org check out that Programs tab when you get to the website to see all the great things that they're doing for people living with type one diabetes. Touched by type one.org.

Toby 2:41
Hi, I'm Toby Gustafson. I'm from Verona, Wisconsin, and I'm 11 years old, and I've been diagnosed for roughly a year and a

Scott Benner 2:49
half. Wow. And who else is with us?

Brianna 2:52
And I'm Brianna Toby's Mom. Hi, it's

Scott Benner 2:55
cool for you guys to do this with me. Thank you very much. So Toby, you told me that you have a list of things you want to talk about. I think that's awesome. Can I ask you a couple of questions before we get your to your list, though? Yeah, okay. How long have you said you've had type one about a year, about a year and a half ish, okay. Do you remember not feeling well before you were diagnosed? Or how did that time go right before somebody told you you had diabetes?

Toby 3:20
Yeah, really tired. Most of the main symptoms with that show up with type one. And then blood draw, like after school at one point in time, and then middle of the night, went to the like at nine, I got sent to the hospital for it.

Scott Benner 3:39
So mom, you saw something was going on, and took him to the doctor for a blood test.

Brianna 3:44
Yeah, what's kind of interesting is, way back in October, which was quite a ways before he was diagnosed, the following February, he was having some digestive troubles, and so we had done some workups with his doctor, and couldn't quite figure out what it was they thought, based on one of the labs, that maybe he had intolerance to dairy. But the issues continued, and then we noticed he was kind of losing a little bit of weight in February, and it kind of came to a peak when we went for a weekend at the Great Wolf Lodge. Toby. Do you want to talk about that at all?

Toby 4:25
Yeah. So at the time, I was 10 years old, I was at the hospital on February 19, 2024 I was at the Great Wolf Lodge the week before, that's at the Wisconsin Dells. And I was taking a break, and I was super hungry, so I would have known gotten funnel cake. It was, like, big, like, at least the size of your head. It had ice cream, sprinkles, whipped cream, all that other stuff. Yeah, after I'd eaten that, i. It into a sugar coma, and it was just really tired, and I was laying down in the middle of a water

Scott Benner 5:04
park. You ate that thing and it made you so tired you you couldn't even get up and move around anymore. Basically,

Brianna 5:11
no, yeah, you fell asleep and took a real long nap in the water park, right? Yeah.

Scott Benner 5:17
And Brianna, how did that make you? Like, how did that strike you?

Brianna 5:21
Yeah, that made me feel really nervous. I had already scheduled an appointment for him the following Monday. So this happened over the weekend, and I had made the appointment because of the weight loss and the continued digestive troubles, and then when he fell asleep in the middle of a water park as a 10 year old. I knew something was seriously wrong. I didn't know what, and then he just didn't ever recover, really, from that incident in the water park. He had really bad belly pain, and we tried going out to dinner, but he wasn't feeling well enough for that. He slept on the drive home from the water park.

Scott Benner 6:00
Yeah, a lot of high blood sugar kind of issues, right? Yeah, exactly, yeah. You're waiting for the return of the blood draw. When you get it back, they just call the house and say, get to the hospital.

Brianna 6:11
Yep, exactly. And Toby had already gone to bed for the night, so we went down and woke him up.

Scott Benner 6:17
You woke him up, got him together, headed off to the hospital. Did you know that you were at that point? Did they tell you on the phone? Did they say, Hey, he has type one diabetes, or did they say you just have to go to the

Brianna 6:27
hospital? No. What actually happened is his blood test results came back through the My Chart app, and I saw them, and I saw that the suit, he had super high blood sugar. I can't remember. I think it was in the 606

Toby 6:43
and what's that, Toby, I'm pretty sure it was like 670 something. Yeah, that

Brianna 6:49
that could be about, right? And I actually had a friend and co worker whose child was diagnosed with type one a little less than a month before then, and right away, I took a screenshot of it, and I sent it to her, and I said, this has got to be type one, right? You know? What else could it be? And she was like, yeah, that, you know, could be for sure. And then we headed to the hospital. At that point, the clinic didn't actually call us back with the lab results until we were already on our way to the

Scott Benner 7:24
hospital. You saw it sooner, Toby, can I ask you a question? You don't have to be embarrassed, so if you're embarrassed, don't answer. But your mom said you were having digestive issues. Did that mean it wasn't coming out or it came out too much? Came out too much, too much. Okay, all right. Then, once you get to the hospital, do you remember Toby, like, what that was like, or were you kind of out of it at that point, not feeling well, like, what do you remember about in taking in the hospital in the next couple of days that you were there?

Toby 7:53
So right when we got there, we did a finger poke, and I was really nervous about doing it. And there was this other person there. I cannot remember her name. She did tell us her name, but she said that the middle finger doesn't hurt as bad as any of the other fingers. So I just trusted her. And then that just kept on going. So now I have scars on my finger, so now I have to switch to my ring finger.

Scott Benner 8:17
Toby, I have a question, do you think the nurse was trying to get you to give the finger to be funny and to make it a lighter situation for you. Probably, yeah, yeah, right. She was trying to be trying to make it fun for you, because you got to go like this then, right. No, no. Would you do? How'd you would you go to her this way? I just had to stick out my hand. Oh, just stuck out your hand. I mean, do you think that's true? Like, because, Toby, it's interesting, you're, you know, you're young, but I talk to a lot of people who have type one diabetes, and very often something that gets said to them in the first couple of days, that's not always, like, a real rule, you know, ends up being a rule in their head, because they think, like, well, this is the first place that they put it or told me to do it, and then they do it over and over and over again for no real reason. Like, does that feel like maybe what's happened to you? Like, did you just got it into your head, like the middle fingers, the right finger to use?

Toby 9:09
Yeah, yeah. So that, so that just went to the other hand, to the other middle finger, yeah. And then it just kept on going, so that I had to switch to a different set of fingers. How often do you test depends on how my blood sugar is. Sometimes it's not even every other day, but sometimes it's like, I don't know, like, 13 times a

Scott Benner 9:30
day, depending on what's going on. Yeah, yeah. Do you also wear a CGM? I imagine? Yes, I do. Which one? Dexcom, g7 g7 Do you have a pump? Yes. Omnipod, Omnipod five or Omnipod dash five, five, so you're automated.

Toby 9:47
Yes. How do you like that? My blood sugar has been a lot more stable on like when I'm at home. School's been a lot better than it was before, but when I was on shots, because then. Just whenever I poked, I'd be high or low.

Scott Benner 10:02
Yeah, I don't want to put words in your mouth, but when before, when you were just doing MDI, before you had a pump, and you were either high or low, was that exhausting? Was it like a lot? Did a lot of your life feel like it was diabetes? Yeah, yeah, a lot. Can you explain to me, how that how that impacts you.

Toby 10:23
Just made my life a lot more stressful and lot more stuff going on. So I did take more responsibilities.

Scott Benner 10:32
The pump is making that better.

Toby 10:35
Yeah, it's having less it's given me a lot less responsibilities than

Scott Benner 10:40
what I had. Okay, so the whole system is kind of taking up some of the extra work. Yeah, and have you felt that remove stress? For you?

Toby 10:49
Yes, it has removed a lot of stress. That's awesome.

Scott Benner 10:53
That's really great. So let's tell people before we get too deep into this. Toby, how come you're on the podcast today? How did we meet? I guess

Toby 11:00
my mom had entered me into the camp Sweeney raffling thing. You had picked someone else, but then they didn't answer. So then you'd picked again. And I got picked that crazy. And then I got sent to camp. And then I was and then I was, my mom was thinking that we would be able to do a podcast to say how it all went at all. Yeah,

Scott Benner 11:25
it was a great idea, actually, yes. So you guys, I guess, for people listening, you don't know, like, it's not uncommon for people to enter giveaways, and then when you contact them and say, Hey, you won, they just never get back to you, you know, you got to give them a little time, you know, because maybe there's an email in a junk, you know, in a junk folder, or something like that, but after a certain amount of time, like, all right, well, listen, this is your last attempt. Like, you have to answer, and no one answered. And I was like, Okay, I'll just choose again. And it wasn't even me that chose. Toby, you got picked randomly by chatgpt. I fed all the names into it. And I was like, here, pick a winner. You know, I actually gave it a long explanation of what we were doing. And then just, you know, asked it to randomly choose a winner. It shows you. And then, how long did you go to Camp Sweeney for? Like, how long are the sessions?

Toby 12:10
A little bit less than three weeks. 18 days. 18

Scott Benner 12:13
days. Yeah, and you're from the constant and Cam Sweeney is in Texas. Yep, wow. How'd you get there? Drove, no kidding, you make like a little teen hours, a little family event? Yep. Brianna, How was the ride? The

Brianna 12:30
ride was pretty uneventful. Thankfully, both of our children are really good car people. They love, you know, eating snacks and watching their tech and so the drive was pretty uneventful. Toby brought his service dog, who he also won through a giveaway that we found on the Juicebox podcast. Seriously,

Scott Benner 12:54
yeah, oh my gosh. How do you win so much stuff? It's awesome. I don't know. He's so lucky. That's really crazy. It's funny because your last name just makes me think of that movie, so I don't remember it any other way. Grumpy Old Men, right?

Brianna 13:06
Yeah, his dad's name is Jonathan Gustafson, so

Scott Benner 13:11
I just hear him yelling in my head. Is it Walter? Matthau, I can hear him yelling it like in my head. So okay, so you guys, this is interesting. The whole family drives down, and then you gotta leave in there. Now Brandon, he hasn't had diabetes that long, Wisconsin, not close to Texas. I don't assume you lived in Texas for 18 days while he was there, right?

Brianna 13:31
No, we didn't, though I really wanted to, but my husband told me that was silly and we needed to go back home. So we compromised, and we stayed for about five days. So about Toby's first week of camp, almost. And we kind of had a little family vacation down there with his brother, nice. And then we headed back from

Scott Benner 13:51
there, head back, and then just, just one per does his dad just come back and get you? Toby? Your Mom? Dad? Yeah, I did. Okay. Wow. Okay, so, all right, what did you guys do for five days in Texas? Today's episode is brought to you by Omnipod. We talk a lot about ways to lower your a 1c on this podcast, did you know that the Omnipod five was shown to lower a 1c that's right. Omnipod five is a tube free automated insulin delivery system, and it was shown to significantly improve a 1c and time and range for people with type one diabetes when they switched from daily injections. My daughter is about to turn 21 years old, and she has been wearing an Omnipod every day since she was four. It has been a friend to our family, and I think it could be a friend to yours. If you're ready to try Omnipod five for yourself or your family, use my link now to get started omnipod.com/juicebox get that free. Omnipod five Starter Kit today. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox this episode. The Juicebox podcast is sponsored by ever since 365 and just as the name says, it lasts for a full year, imagine for a second a CGM with just one sensor placement and one warm up period every year. Imagine a sensor that has exceptional accuracy over that year and is actually the most accurate CGM in the low range that you can get. What if I told you that this sensor had no risk of falling off or being knocked off? That may seem too good to be true, but I'm not even done telling you about it yet. The Eversense 365 has essentially no compression lows. It features incredibly gentle adhesive for its transmitter. You can take the transmitter off when you don't want to wear your CGM and put it right back on without having to waste the sensor or go through another warm up period. The app works with iOS and Android, even Apple Watch. You can manage your diabetes instead of your CGM with the ever since 365 learn more and get started today at ever since cgm.com/juicebox, one year, one CGM, oh,

Brianna 16:07
we went to lots of parks. We went to a water park. There's this Longhorn cattle drive, okay, that we went to Brianna. How

Scott Benner 16:17
many times did your husband say we can go now? Do you say it every day or No,

Brianna 16:23
I think By day three, he started saying, why are we in Texas in the middle of summer, it is so

Scott Benner 16:29
hot. So tell people though, why? What was your anxiety?

Brianna 16:33
Well, you know, I've never left Toby with anyone overnight, I don't think except for family members. So to think about leaving him so far away for so long, that was really scary. You know, I felt confident that they would manage his blood sugars Well, which they absolutely did a great job of that. I was more nervous about just if he would feel safe and comfortable and be having a good time. And from his stories since he's gotten home, it sounds like it was a wonderful experience.

Scott Benner 17:09
Awesome. Toby, were you nervous about being left alone at camp

Toby 17:14
a little bit at first, but then, just like drifted off and it

Scott Benner 17:17
wasn't there, you didn't think about it again. How long do you think it took before you were

Toby 17:21
comfortable? Maybe day, two days.

Scott Benner 17:23
Okay? And what about camp made you comfortable

Toby 17:27
having multiple other friends there, and one other kid was actually in my camp, and that got drawn from the podcast. Cole Oh,

Scott Benner 17:37
no kidding. Oh, that's great. How many, I'm asking you, but Brianna, I don't know how many kids that end up going through the podcast this year. Was it, like, four or six or something like that? I'm pretty sure it was six. Six, right? Yeah. Oh, that's awesome. I'm so glad to, like, I mean, we just, you know, we, I don't know who he is, but I interviewed Ernie, you know, the camp director, and I remember at the end just being like, hey, you know, if you want to give away a slot, like, I'll, I'll give it away for you. And then they, I think they liked the attention that it brought. So they did it a couple more times. And we actually got people to offset some costs, if I'm not mistaken, Omnipod and US med paid for one kid to go each. And then we had a private donor who kicked in for somebody, and then the camp matched that. I think that's how we got to six. So that's just some random person who loves the camp and wanted to see a kid go to it paid for one person to go, yeah, just a lot of kind people doing kind things. All right, so Toby, what goes on at camp? What were the activities like, how much were you involved in your diabetes? How did they manage your type? One? Tell me the whole thing.

Toby 18:46
There were so many activities. I can't even name them all, but the ones that I did overall were boating and canoeing, water park hiking, adventure course, zip line, rifle range weight and weight lifting. Wow,

Scott Benner 19:03
you shot a rifle while you were there.

Toby 19:05
Yeah, do you hit anything? Yeah, I had a shot a hat, a hat. Yeah, that's very cool. And a rubber duck.

Scott Benner 19:13
Brianna, how does that make you feel like that? He got so comfortable so quickly, and did so many things. I mean, there's probably a lot of things he's never even done before,

Toby 19:21
right? I mean, yeah, rifles,

Scott Benner 19:25
Wisconsin, I'm assuming you've been hunting, but yeah, that's fine,

Brianna 19:28
yeah, yeah. He, he has been hunting before, with lots of family members who are hunters, but I was very surprised about the weight lifting. I think the first week of camp he signed up for weight lifting three times, and he continued to sign up for it throughout camp. So that was pretty cool.

Toby 19:46
Three times a day out of the five session, 545, minute

Scott Benner 19:51
groups to be there's a lot of things to do, and you can kind of go around and put your name on it and go do different things and then say, Oh, I love doing that. I'll do it more. I didn't like that. I won't. It as much, basically, oh, that's pretty cool, actually. I guess I'm gonna have to, like, veer off this for a second. You want a service dog through the podcast? Yes. How did that happen? Brianna, how did that happen?

Brianna 20:12
So you had made a post, I believe, about Louie's legacy scholarship. Oh, my God, that was you. Yes. That was back in April. And so we applied for that, and Annie from medi dogs interviewed us and then selected Toby to receive op so that was super cool. And it's been a lot of work, but really good work, and really good learning of responsibility for Toby too. I

Scott Benner 20:42
think we're gonna have to look to see if, if chat GPT likes the last name Gustafson, maybe like, I'm gonna, by the way, if I do another giveaway and you win, I'm skipping yours and picking the next person, they can't win again. You didn't enter to win a comic book from Omnipod? Did you? No, okay, good, because I'm picking the winners for that this weekend. I'm so scared you're gonna win one. So how do you like having a service dog? Toby,

Toby 21:07
really good. He's been doing a whole bunch of work. So if I he's been doing really good with lows and ties, ties we just started. But lows, he's gotten really good at

Scott Benner 21:23
does he go to school with you, or do you just use him at home? And how do you use him? He's gonna go everywhere with me. Okay, when he's done being trained completely, he's always in training. So, yeah, he's going to school next year as well. And so if I painted a picture, you're like, hanging around the house doing some stuff, and you start to get low, but you don't feel it yet. Does the dog know before you know?

Toby 21:49
Yeah, sometimes yes, he can sense like drops and

Scott Benner 21:53
all that stuff. So how does he tell you he'd boot me with his nose? No kidding. And how do you tell the difference between the dogs being playful and the dog thinks you're

Toby 22:04
low, he'll jump up at me and boop me. Okay? Like he'll try and boot me in the

Scott Benner 22:09
face, and if you ignore him, what happens? He'll

Toby 22:13
just keep booping. If it doesn't work, he'll go to mom or dad. If there's no other people that he trusts, they can go till he'll bark at me,

Scott Benner 22:24
and then once you treat, like say, you grab a juice box, and you hit the juice box real quickly. I don't exactly understand how this works, so, but does he look and go, Oh, he drank a juice box. We're good now. Or does he wait for your blood sugar to come back up before he leaves you alone?

Toby 22:37
So what would happen is he'd boot me. I put my hand out to my side and say, what is it? If it's high, his he'll put his nose over my hand. If it's low, he'll put his nose under my hand, and I'll treat him while he's still in that

Scott Benner 22:53
position, wow. And then he knows you did something about it, yeah. And

Toby 22:57
I'll do something about it. And then I'll say, all done after and then he'll just be like, Okay, I did my job, and then I'm done for now.

Scott Benner 23:05
Wow, that's kind of marvelous, isn't it? Like, really, like, Brandon, that's crazy, right? Yeah, by the only one,

Brianna 23:13
he learns so fast. It's unbelievable. He's so smart, and I can't believe how quickly he picks up on new skills when we teach him. So we're continuing to work with Annie from medie dogs to work on his ongoing training. So Toby and op get together with her twice per week right now, and then, once school starts in September, then they'll just train together once a week, and Toby and op have tasks that they do together in between to practice the skills that he's learned.

Scott Benner 23:48
Wow. And Toby, how are you enjoying? Did you have a pet prior to this? Yes, I do. What else you still do? What do you

Toby 23:56
have? He's a 14 year old golden retriever. Oh,

Scott Benner 23:59
so you have a dog already, yes, okay, but it doesn't. He didn't have a job or do anything. He just eats and poops.

Toby 24:05
Yeah, gotcha. He's just a family

Scott Benner 24:09
dog. Family dog. When your mom first came to you and said, Hey, we want a service dog, were you excited? Or were you like, I don't need that, or how did you feel about it? And how do you feel about it now?

Toby 24:18
So what happened was I had my parents had told me about it, and then we went on a call with Annie and one other person. I can't remember her name, but then we just had, like, a 45 minute conversation about it. But that was also right when my brother had his tonsillectomy, so he was, he was still talking, but not

Scott Benner 24:44
How old's your brother? Seven. Can I ask a question? Brianna, this is interesting. Today is Day How do you count the days? Do you count the surgery day as day one? Or is the second day? Day one? Oh, I don't know. All right, so today's day surgery is Day Zero. Today is day eight of Arden's tonsillectomy,

Toby 25:04
and it's been horrendous.

Brianna 25:08
Yeah, it's terrible. The recovery is awful, especially as you get older. So I'm sure hers is extra

Scott Benner 25:14
bad. Yeah, did they give him, like, narcotics to help him?

Brianna 25:19
No, they didn't. But the surgery is a lot easier recovery the younger you are, so probably by day, I don't know, 910 he was doing pretty well, okay. But I've heard for adults, it can take a month before you're really feeling back to normal.

Scott Benner 25:37
This was really something like not a thing she did lightly. Obviously, it's kind of a big deal, but she just was getting sick so often and getting tonsillitis so often, and actually, the last time, ended up in the hospital to get IV antibiotics to try to get rid of it. So she was like, I'm getting rid of these tonsils. You know, they came out. And, you know, yesterday, she said something like, I can feel the scabs rubbing against my throat, I think she said and but she hasn't spoken like she's whispered a couple of words in the last day or two, but I haven't heard her speak in like, a week. Oh, poor thing. Yeah, it's, it's pretty terrible. So she's at the point where you have to set an alarm to take the next dose of medicine before the pain starts. And if you if she's like, if it doesn't do that, it's just searing pain. And then that pain reflects, I guess, radiates, to your ear. I guess there's a nerve in your this is what I'm understanding. There's a nerve in your throat. And so not only do you have all the throat pain, but you have, like, she said, it feels like we've been talking through whiteboard a lot. And she's like, you know, when you use a Q tip and it goes all the way to the back and slips in and you get that, like, searing poke pain, she's like, that's what it feels like the whole time. And, oh, gosh. So your your son didn't talk about that way,

Brianna 26:54
you know, he's seven, so his description was not very clear. He just really didn't eat for a long time. It took a really long time before he got back to eating. Well, yeah, but he didn't really complain of a lot of pain. We just stayed up on Tylenol and ibuprofen, and it seemed like for him being a little kid, that that worked well enough for him.

Scott Benner 27:20
Yeah, no, this is probably something we should have done earlier. We just didn't, I mean, we honestly, in hindsight, we didn't really know it wasn't as bad when she was younger. But, yeah, it's pretty, pretty bad. Anyway, sorry, it was a good, good way for me to get some information about that. Okay, Toby, so camp was awesome. OP is awesome. Obviously, I must be like a hero in that house type, right? What else did I buy you guys? You better hope I give a car away one day. Be Awesome, right? You guys will be like, Oh, we won the car too. But what else was on your list to talk about?

Toby 27:53
Breakthrough T, 1d Yeah, whatever you want to

Scott Benner 27:55
talk about, you came ready with a list. So tell me what you want to

Toby 27:59
say. So breakthrough T, 1d is a research facility, and they have been a huge part in my life. And I'd be thinking a whole bunch of other kids life as well when I was diagnosed, then they had already, they gave me a stuffed animal called Rufus. It's a bear, probably a foot. It's like a stuffed bear. He wears a shirt and has like, poke sites on his hand, and then the rest of his body just covered up with it, with like, shot sites and all that stuff. I

Scott Benner 28:33
don't have a Rufus, but I do have, I gotta give some credit here to Medtronic. Like, check out this lion. Isn't that great? Yeah, that's from Medtronic. I got that at friends for life. I actually brought it home with me, because I was like, this is a nice stuffed animal. I don't know what I'm going to do with it. I think he's just going to sit on my desk. You just reminded me that he's been on the floor next to my desk for a week, and I haven't done anything with him, so I'll have to move him. So when you're diagnosed, somebody came to the hospital gave you, like, a gift basket or something like that. It had Rufus in it and other things, and that was from breakthrough. Was from breakthrough T,

Toby 29:03
1d. Yeah, I got some I got a backpack for it, for my medical stuff, a few books, nice, some other stuff.

Scott Benner 29:12
Yeah, and that made you feel, how like when you got that stuff, relieved

Toby 29:16
that people wouldn't like, understood what it what type one really is? It was

Scott Benner 29:23
nice to know that somebody understood what you were going through, yeah. What were you going through?

Toby 29:27
A lot of emotions. Yeah, tell me really scared when I got my first insulin injection. Because, I mean, no, 10 year old kid likes getting shots every time they eat, yeah, sure. And poking their finger with needles every day,

Scott Benner 29:44
so you were scared of the pokes, the needles, stuff like that, and understanding that you weren't by yourself, like alone, that other people knew about this was was valuable, yes, and that's the thing you felt on your own, not a thing your mom told you or somebody explained to. You? You felt like that? I just felt like that. Yeah, once you get out of the hospital, you're pretty young, right? Do you understand how to count carbs? Like, what is it like? What's your part in diabetes? And what's your mom's part in diabetes? Your dad's part in it when you're coming out of the hospital, my

Toby 30:18
only part for, like, the first two, three months, was being able to poke my finger on my own, doing all my stuff, just managing my blood sugar at camp. Camp actually just kind of forced me to be able to change my Dexcom on my own. Okay, but I've been able to change my Omnipod on my own for like, two, three months now, camp has been something that has just, like, brought that to me, like it's like, I can't not do it. Like they're making me do it. I have to do

Scott Benner 30:57
it. So you were able to change your CGM at camp for the first time. Yes, awesome. Man, congratulations. That's really cool. How did it feel? Were you proud of yourself?

Toby 31:07
Yeah, but I'd not do it again yet. So

Scott Benner 31:11
you did it at camp. But when you came home, you're like, Okay, listen, you guys can get back to doing this. I'm not gonna do it for now. Yeah, tell me why. What about it? I mean, are you scared of it? Is it just an extra thing you don't want to do? What's the feeling?

Toby 31:25
I'm scared of it. Because, like, I mean, what kid would want to stab a needle into their skin just by pushing a button? It's literally, like a millimeter thick needle. So, but does it hurt? I mean, depends on where you put it. If it hits like a nerve, yes,

Scott Benner 31:45
for sure, it hurts. Okay? And that happens sometimes,

Toby 31:49
sometimes it happens, but it did not happen when I did it there.

Scott Benner 31:53
What's the difference between you pushing the button and your mom pushing the button?

Toby 31:57
I don't have to hesitate about pushing it. My mom just does it,

Scott Benner 32:00
because she's not gonna feel it if it hits a nerve, right? Yeah. She's like, whatever you think. That's how it feels to her. She's like, whatever. Or no, no, no, she cares, right? Yeah, yeah, of course. So, but do you not have the same feeling about putting on the pod? Like, couldn't the pod hit a nerve or or hurt more or less one time to the next

Toby 32:21
the Omnipod just shoots itself in. All I have to do is push a button and then just clicks a few times, and that puts it in on its own. So I don't have to push the button to inject the needle on its own,

Scott Benner 32:34
right? Okay, so because you're but you are pushing a button on your phone, right?

Toby 32:39
Yeah, but it's not like I'm pushing it onto my skin and then pushing the button I

Scott Benner 32:43
see. And so it helps that the Omnipod is already on. And do you pinch when you put Omnipod on? Do you like, gather up a little skin?

Toby 32:50
I actually grab onto the outside of the Omnipod and just pull up a tiny bit? Yeah, because for some reason that helps it, because nerves are usually closer to the surface, so then sometimes that would just make it not hit as many nerves. Okay, so it's like every 10 Omnipod changes I hit a nerve or something like that. How

Scott Benner 33:14
do you find the clicking? Because it clicks right, and it's not always the same number of clicks.

Toby 33:20
Yeah. So I, what I know is that four through nine clicks

Scott Benner 33:26
gonna come somewhere between four through nine. Do you ever like when it gets to nine? Are you ever like, wow, it's taking forever, sometimes, sometimes. And you know what's happening when it injects the when it puts the cannula in? You know how it does it, right?

Toby 33:39
Yeah, just twists a knob and that unlocks the needle, and then there's a spring in there that pulls it back in. So,

Scott Benner 33:47
you know, there's a needle in the Omnipod, yeah, but you don't care about that one. No, interesting. I don't know why. And you did, and you did it fine at camp, yes, because peer pressure, like the good kind of peer pressure, you felt like everybody else is doing it. I should do

Toby 34:02
it too. No, I've just been, I've been changing the Omnipod before. I've had either of my camps. I went to Wisconsin's line camp as well,

Scott Benner 34:10
right? But I'm saying the Dexcom camp, you did it once. Oh, yeah. Did they like, were they like, hey, everybody does their own thing, or did was it like you saw everybody doing it? You thought, well, I should try it too.

Toby 34:21
I just kind of was like, Yeah, I don't, I'm not 100% comfortable with people at Camp doing it. I mean, they're called, they're college kids.

Scott Benner 34:31
So Brianna, is this a control thing for Toby? Is he

Brianna 34:34
absolutely is. So Toby is very particular about how everything gets put on his body. So he likes me to change his pods. He tolerates his dad putting on his pods, and pretty much rest of the situations. He wants to put it on himself. So at school with grandma, he wants to do it himself. I got

Scott Benner 34:58
you said, Toby, you were at that camp, and you're like. I'm not letting these nudnicks Do this. They're college kids. I'll have to handle it myself. Yeah, yeah. I see okay. That makes sense to me. That makes complete sense to me. Actually, what else is on that list there?

Toby 35:10
I have two more things, so I'm gonna just save school for last food choices. It somewhat forced me to eat somewhat healthier, because, let's say you drink like a regular soda, like every day or something, my blood sugar would just spike. So then I limit myself for like, every once in a while to a diet soda or a sugar free

Scott Benner 35:43
okay. How do you find them to be versus the regular one?

Toby 35:47
Regular spikes my blood sugar, diet or zero sugar, if it affects it's maybe 510, points.

Scott Benner 35:56
What about the taste, though? Do you prefer one over the other?

Toby 35:59
Depends on how I'm feeling? I mean, I'm usually drinking more Diet Coke or Pepsi,

Scott Benner 36:04
okay, but you but before diabetes, you drank regular soda, yeah? Like root beer and sprite. I love that you said root beer. Thank you for doing a Wisconsin thing. You know that you said root beer? Yeah? Yeah. My brother lives out there with you people in the constant so he didn't used to say words like that, but he does now sometimes, can you say roof for me, please? Roof? Yeah, that's the thing on top of your house. Yep. What is it called? A roof? What does a dog say? Rough? And if your hands have like stones on them, they are like when somebody works real hard and their hands get rough. Say that word rough. So it's rough, rough, rough, yeah, yeah, excellent. Have you ever been ice fishing? Yes, I know you have. Don't worry. I understand the whole thing. I know what's going on up there. Do you think the Packers are

Toby 36:56
awesome? Depends. Last year they weren't the best. They definitely weren't. You

Scott Benner 37:01
miss Aaron Rodgers in the time when you guys were great. No, no, you don't like Aaron

Toby 37:06
Rodgers, not really. Yeah, my dad does not. For sure, your

Scott Benner 37:10
dad doesn't like him. No, because of football or something else. You know,

Toby 37:16
well, when he lost against the Chiefs before the Super Bowl, he just slammed his helmet down the ground. Yeah. Kind of rage quitting.

Scott Benner 37:24
You think your dad, your dad quit him too in that moment. Oh,

Toby 37:28
he's just quit him overall, because language and all too.

Scott Benner 37:32
Oh, I see what you're saying. They don't like the guy in general. Do you guys? Have you ever been to a game? I've been to three now, awesome in the winter, when it's freezing cold, yep, doesn't bother you. Nope, no. You live in a different place. Was Texas, like, Did it feel like you were like, a whole world away, or did it not really make you feel like you were far from home?

Toby 37:54
After about three days, it just felt like it was normal. But when I came back, I was like, it's cold. It was like, 75 or 80, and I was on a morning walk that day, and I was wearing sweat pants and a sweatshirt.

Scott Benner 38:11
Yeah, you didn't feel like a Wisconsinite anymore. You were like, wow, it's chilly out here. Yeah, you go for morning walks,

Toby 38:17
yes, with my dog and with opened my other dog.

Scott Benner 38:21
Nice. You take them with your parents or by yourself. My mom usually goes with me. Goes with you. Awesome. Are you doing it for exercise or doing it for the dogs both, both. How else do you get exercise? Do you play sports or do anything like that?

Toby 38:34
Yeah, I do martial arts. Oh, nice. What kind um, taekwondo, Korean martial arts.

Scott Benner 38:41
Very nice. That's awesome. What else am I not asking you? What did you want to talk about? About school and diabetes?

Toby 38:47
So with school like, it might seem impossible just to go to school, but really, I don't think it is. You just have to adjust to it. Like, as soon as you get, like, adjusted after the first week or two weeks, like it doesn't feel like anything. When I first went to school and getting shots, I was like, What is this? Why am I living in this world? But then now it's like, it's nothing, like there's no big deal with it. I'll poke on my own. I'll change my Omnipod on my own if I need to. Right?

Scott Benner 39:26
Do you read Toby? Are you a reader? Yeah. I read, yeah. What kind of books do you like?

Toby 39:31
Graphic novels, and every once in a while, I'll read, like National Geographic books,

Scott Benner 39:37
yeah. Do you know how I could tell you were a reader? How you don't know? No, you use words that I wouldn't expect you to use at your age, so I figured you must have read them somewhere. You like reading, huh? Yeah, that's awesome. Keep doing that. Okay, don't get like 13 and think you're cool and stop reading. Yeah, keep reading. That'd be great. What do you enjoy? Doing at school. What's your favorite subject?

Toby 40:01
Either science

Scott Benner 40:03
or math. Okay, do you have any idea what you want to do when you're an adult? Probably neuroscience. Oh, just some neuroscience. Yeah, yeah, that's awesome. What do your parents do? Something like that for work? No, no,

Toby 40:17
my mom, I can't remember. What are you? Mom,

Brianna 40:21
I work in Special Education Administration, and dad is a teacher.

Scott Benner 40:25
Oh, you guys are teachers. That's awesome. And when you're mad at your husband, do you yell Gustafson at him? Not usually. Could you please do it for me one day? Sure, someday, just for you. I'll think of you when I do it, I swear, like in outrage. Just yell the name and then just throw your hands up there and walk away. Don't even give it any context. Be just be gone. Toby. Do you have obviously friends, right? Yes, yeah. Do you talk to them about your diabetes? Trusted friends? Yes, okay, so inner circle people, people who are close with you. Yes. What do they know about it? Like, if you got low, could they help you? Did they understand any of that?

Toby 41:02
Yeah, so one of my friend's mom is a cancer nurse, so she knows, like, all the doctor and things with all of it, because she went through every single thing of the training. So she knows, like, the doctor training and like, she knows how to help with my blood sugar as well. Yeah, so I ate at my friend's house, and I had dosed there because I was going to his little brother's basketball game.

Scott Benner 41:31
And you felt comfortable around her because she was a nurse.

Toby 41:36
I feel comfortable around most of my friend's parents because, like, they're adults that understand, but some of them don't fully understand it. Sure my neighbors, for sure,

Scott Benner 41:50
understand. Okay, you carry glucagon with you? Yes, I do. Which one do you carry?

Toby 41:55
I cannot remember. I think it starts with a T. It's a nasal spray.

Scott Benner 41:59
Oh, back to me. It

Toby 42:01
starts

Brianna 42:02
with the T now, yeah, it's, it's, it's that one. You're right,

Scott Benner 42:06
yeah, yep, back send me with a T. Tax Simi,

Toby 42:11
I bet you said backs in me. I did. That's what it is, babe. I'm just

Scott Benner 42:14
agreeing with you because you're wrong and I was trying to make you feel good because you're young.

Toby 42:18
I was like, I was like,

Scott Benner 42:19
what? Huh, it's a B. It's back to me.

Toby 42:22
I know just sounds so weird. It's a T, but, huh,

Scott Benner 42:26
it's not a T. Okay, you're, you're just misremembering it. That's all when you go look, you'll be like, Oh, it is back to me, although, uh, my favorite thing is that people, some people, call it back squeamy. I don't know. It's such a funny thing. I don't know you know what I mean. Toby, like, if I said to you, it's called back squeamy. Wouldn't you think that's probably not what it's called. It's a weird word. Who would make

Toby 42:45
that word up? Right? I don't know. I don't know what I'd say.

Scott Benner 42:49
Yeah, I gotcha. Movies, television. What do you like

Toby 42:54
if I watch movies? I'd probably watch, like Marvel movies.

Scott Benner 42:58
Did you see Superman? No, did you want to

Toby 43:02
whole bunch of people, all my friends, and whole bunch of like, all of my friends who watched it had said that it's a it's like not, it's nothing like what it they made it sound like they didn't like it. No, it's like nothing. What it looks like at the beginning or sounds like,

Scott Benner 43:23
I don't know. I enjoyed it, though. We had a good time. Now, I have not seen Fantastic Four yet. But have you seen that?

Toby 43:29
No, but I have seen one of the Fantastic Four movies. Okay,

Scott Benner 43:34
okay, well, yeah. I mean, you guys can't afford to go do that. Your mom used up a lot of money living in Texas for five days by the time you pulled out of Texas, did you say to yourself, like, I'm glad I did this, but I didn't need to, or were you happy you did it and thought it was a

Brianna 43:51
good idea? I am still happy that I did it. I think it was the right amount of time. I now feel like staying for the full 18 days would have been crazy, so I'm glad my husband talked me out of that.

Scott Benner 44:02
The right thing for you is that what you're saying, Yep, it would have been too jarring for you to just be like, Hey, get out of here, you crazy kid, and then just leave. Yeah, it was too far away. I got you. No, I completely understand. Would he have flown if that wasn't a consideration, Would one of you just jumped on a plane with him, taking him there, pushed him off the plane and gotten back on and come home like if you did it again. We're

Brianna 44:24
more of a road trip family, though. Toby and his dad did fly home, but yeah, if it was closer to us, then we probably would have just ditched him. That's what we did for the Wisconsin Lions Camp. We drove him there, dropped him off, drove home, but we knew we were only a couple hours away in case something came up.

Scott Benner 44:44
I don't know exactly where you live, and I'm not asking, but like, from my brother, I know you have to fly into one airport and like, Don't you have to go to a small airport to fly to an international airport to fly out? Like, isn't that the whole problem with Wisconsin?

Brianna 44:56
Yes, yeah. Typically you drive down to Chicago. Or fly into Chicago.

Scott Benner 45:01
First is there like a mid, mid, something, airport, Midland, mid. I can't think of it now, yeah,

Brianna 45:07
I think that's further north than us. I can't remember the name of it either. I'm

Toby 45:11
so excited. Yeah, Toby, what do you guys, I mean, we live in the Madison area, so it's not as far away from Chicago.

Scott Benner 45:18
Yeah, by the by the school. Yeah, you guys probably live incredibly close to where my brother lives, actually, oh, like, 20 minutes away from Madison. Yeah, I was only out there once. I don't know what Lake flies are exactly, but they were horrifying.

Toby 45:33
I know, yeah, they're, they're terrible. Up in, up in the up. I love what's the up Lake Michigan area a little bit further up. It's funny, like,

Scott Benner 45:44
could you say things that my sister in law says? Like, you said the Dells earlier. And I was like, I've heard my sister in law say that, then you just said the up. I was like, I've heard that too. I don't know anything about it. I just these are just words that I've heard the Upper

Brianna 45:56
Peninsula of Michigan. That's what it stands for. Up.

Scott Benner 46:00
Yeah, I would definitely call it up the Upper Peninsula of Michigan. Is Not, not a sexy name for anything. Toby, what do you not understand about diabetes that you're hoping to get as a skill? And can you tell me one thing your mom does great about your diabetes, and one thing you wish she would do differently?

Toby 46:18
One thing that I for sure, don't understand is why, why you have diabetes? No, just like why in general?

Scott Benner 46:27
Tell me make that a bigger question. Why? What? Why

Toby 46:30
is it a thing? How is it a thing? How did this all start, and all that stuff?

Scott Benner 46:36
Oh, so not even to you, but just in general. You'd love to know why, why anybody has diabetes,

Toby 46:40
yeah, yeah. Why it even happened in the

Scott Benner 46:44
first place? Right? Do you have any other medical issues? Or do other people in your family have any other medical issues?

Toby 46:51
My mom will be able to explain that with autoimmune diseases, it's more on

Scott Benner 46:55
her side. Brianna, we found something you were okay to talk about. Go

Brianna 46:58
ahead. I guess it's my turn. Toby's dad's side of the family has nothing. They have beautiful health. My side is a hot mess. Express, so both on my mom and dad's side, there's a lot of autoimmune issues. Both Toby and his brother have something called pandas.

Scott Benner 47:16
Oh, that's Yeah, I know what that is. Okay,

Brianna 47:19
yeah. So basically, when they get strep throat, then it causes behavioral changes, ticks, things like that, which that's an autoimmune disease I have had when I was in college. I had something called ITP, or immune thrombocytopenia, cause my platelets to get attacked by my body, and so my blood was not able to clot, and then I have colitis, along with both of Toby's grandparents on my side, and then his grandma and aunt and on on my Ma, like my grand, my mom and Toby's aunt and two relatives on my dad's side all have rheumatoid arthritis. We've got a little hypothyroidism, some lupus.

Scott Benner 48:10
What do you guys like? English, Irish, German, like that mix

Brianna 48:13
more like Danish, Norwegian and Swedish, a

Scott Benner 48:16
little more in that direction. Okay, yeah, all

Brianna 48:19
right, yeah, yeah. So a whole bunch, but there's a lot of auto immune. So, yeah, it's my fault. I get, I take the credit for it. Well, it's nobody's

Toby 48:29
fault, but it, yeah, last name is more Swedish,

Scott Benner 48:34
yeah, no. I mean, it's, it's great. It's incredible. Like, you really are, like, out of a comic book. Is that a common name, by the way, Gustafson. Yeah,

Brianna 48:43
I don't know. I don't think it's super common. I don't think there are any other gustafsons that Toby goes to school with. Gotcha. Okay,

Scott Benner 48:52
well, so the Okay, so there's a fair amount of autoimmune on your your both sides of your family. Yeah. Okay. And do you brand the thing you have? Is that a thing you struggle with to this day, or is it a thing that's been managed? Well,

Brianna 49:04
no, so I haven't had any issues with my platelets since I was in college. They don't really know what caused it, but it is an autoimmune issue, so that's resolved.

Scott Benner 49:18
Okay, well, that's good. Okay. So, so Toby, what's the thing your mom's awesome at, at diabetes, a lot. She's good at a lot

Toby 49:26
of us, like a whole, whole bunch of stuff. Okay, more than I can probably list she can probably list them.

Scott Benner 49:32
We don't either. But listen to me this. This episode is for one thing and one thing only. It's the highlight. What a good guy I am, and that you've won a dog and a trip to camp, I'm just, I'm teasing you. We don't need anybody else getting credit during this hour, okay? But no, your mom's good at a lot of stuff. Is that right? Yeah, that's cool. So you feel very lucky that she's thinking about it involved and everything. Yes, very much. Awesome. Is there anything she does or does? And understand that you wish was different. This is your chance. You could, you can get something

Toby 50:04
straightened out. Not I can think of at the very moment that's

Scott Benner 50:08
awesome. Isn't that great Brianna, to hear that you're awesome at

Brianna 50:10
this? Yeah. I was really nervous to hear his response. I was to a

Scott Benner 50:14
little bit actually, actually, when I asked, I was like, why don't I ask more people this question? This is a great question, but you're happy, yes, yeah. Brianna, what's the thing you wish you were a little more

Toby 50:25
adept at? Oh,

Brianna 50:27
I feel like how to manage blood sugars when you eat trashy food. That's something we're still working on. Getting that just right. You know, when you eat pizza, pasta or Chinese food for sure, mom, yeah,

Toby 50:44
I should tell the story about, like, when we had cookies at the neighbor's house.

Brianna 50:51
Oh yeah, that was really bad. So we frequently have Saturday night dinner with one of our neighbors families, and we had dinner at their house. And you know, we're we're guessing the carb count. We don't know for sure, but we're taking a rough estimate. And so we dose them for dinner, ate dinner, then they had gotten some cookies from a bakery for dessert, and we use chat GPT. We weighed the cookie and put that into chat GPT based on the type of cookie, and used that as our carb count and Toby's when we were picking up to go home, Toby's blood sugar, his alarm went off, his little alarm went off. So below 75 so I think, did we give you a juice? Maybe something we treated it there, had him help clean up. And then we're walking home, and he was just being so goofy. His body was all over the place, and he was like, I can't walk. And he was just being so silly. And he hadn't ever had a really severe low before that. We didn't know what that looked like for him. As soon as we got home, which we lived two houses from them, we did a finger poke, and I think he was maybe 32 Oh, something like that. Super low, yeah. And so then I just

Toby 52:16
threw I went into the 20s after that. Did you that could be still conscious?

Brianna 52:22
Yeah, it could have been high 20s, but so we gave him a bunch more sugar, and he actually didn't feel awful until after he was already starting to come back up. But that was super scary, and we're a little more cautious about our dosing when we don't know our carb count. Yeah, kind of since that experience,

Scott Benner 52:45
how much do you remember? How many carbs it thought the cookie was? Oh, I have

Brianna 52:49
no idea. I feel like it was 50 plus though. Oh, wow, yeah, it was a big cookie,

Scott Benner 52:56
cookie, I have to say. And I've only been to Wisconsin one time, and I'm not painting with too broad of a brush here, but I had trouble eating. Well, in Wisconsin, I don't think it's Wisconsin exactly, but, like, I was there for a number of days, always in a restaurant, like, you know, didn't have an opportunity for, like, home cooked food, because what we were there for, and a lot of stuff. A lot of the offerings were, like, greasy or deep fried, or, like, fatty or that kind of thing. And I was like, wow. Like, wow. Like, this is hard. I found myself thinking, I wonder how people who have diabetes, like, manage this. I also would say that, like, you know, non diet drinks were prevalent, you know, like, it was harder to find a diet iced tea at places. It was, you know, sugar free iced tea. It was, I had that vibe of like when you drive south down the eastern seaboard, usually right around North Carolina, you start having trouble finding just diet soda, even, like at a gas station, it just becomes very, I guess, just, I don't know geographic about how people eat, generally speaking, I know Brianna. You listen to the podcast like I'm stunned, like when I know that sounds crazy, but like when, when a 10 year old says to me, like, I drink soda, like that throws me for a loop. But I know everybody drinks soda, but it's just a thing I don't know, just in a million years I wouldn't do, like, not soda in general, like soda with sugar in it, like before diabetes even it just seems, it seems insane to me, but I know that that's not uncommon for most, you know, places and people and everything like that. I don't know how you handle something like that. I've never, never in my life, tried to Bolus for that.

Brianna 54:28
Yeah, we don't have soda in our house, and we never did, even before diabetes. But when he goes and visits grandparents, they have soda there, or occasionally, if we go out to a restaurant, so that has been a switch. I don't think we've ever tried to Bolus for a regular soda. I don't feel like Toby has had a regular soda since he's been diagnosed. What about

Toby 54:51
Denmark? Remember in Denmark how that pizza place messed up and got me just a regular Coke, and that spiked me into like 300 Parents,

Scott Benner 55:00
yeah, but you weren't true. Your mom saying you weren't trying to, like, I don't think I couldn't do it. Like I can. Bolus for like, Arden went on a boba tea kick for a while, and we figured that out. So that's got to be similar. That's a very sugary drink. She was having one of those, like, every week for a little while. She's like, I'm gonna get boba tea. And I'm like, Okay, this must be awesome. I haven't tried it because it's got, like, balls floating it. Do you know what it is? Have you ever seen it? Yes, I've seen them. Yeah, you drink the you eat. Have you ever had it?

Toby 55:30
Yeah, I've gotten one from icky sticky.

Scott Benner 55:34
Are the balls weird when you drink them? Oh, no,

Toby 55:37
that's hard to say. Usually I save them for last and I pop them in my mouth. I

Scott Benner 55:41
got you. I don't think I could do that. Maybe I'll try the next time she gets that.

Toby 55:46
Okay, if you get it like a fruity flavor, they're not as bad.

Scott Benner 55:49
Yeah, a fruity

Toby 55:50
flavor sounds good, yeah, okay. But like, the bread ones are really weird

Scott Benner 55:57
overall. Let me finish with this. Toby, do you want to go back to camp again? Very much you do. You enjoyed it that much. Gotcha. Did you make friends a lot people you're keeping in touch with now that you're home? Yes, that's awesome, too. Tell people one reason why they should consider going to diabetes camp.

Toby 56:19
You get to make new friends, meet people your age with diabetes. There's a whole bunch of activities that you can do. They give you the cards that you do. You can just, like, like, literally, there's no such thing as diabetes besides trading lows, trading highs, poking and putting on your stuff. Otherwise, like you don't even have to watch your sugars or anything,

Scott Benner 56:44
okay, kind of like a little vacation,

Toby 56:46
basically, just like you don't have to even watch anything. So they'll watch your blood sugar. They'll watch your watch when you need to change your stuff and all that.

Scott Benner 56:58
Yeah, and Brianna, they give you a different phone when you get there at Sweeney, right?

Brianna 57:03
Yeah, that's true. So as soon as we arrived to camp with Toby, they assigned him a camp phone. They turned off all of his follow stuff, they changed his password so we couldn't creep on him, even if we wanted to. I could,

Toby 57:19
though like and it's

Scott Benner 57:20
part of their system, right? I don't completely remember how it was explained to me, but they can track all the phones. Is that how it works?

Brianna 57:26
Yeah, yeah. So Toby shared that his counselor had his follow app, so his counselor was able to follow him, and then at night time, the med staff had the counselors phones, so then they followed the kids

Scott Benner 57:41
I see and Toby. Did you miss your phone for 18 days, or were you didn't mind that you didn't have it? I didn't really ever use the phone in the first place, so you don't use it for other things right now,

Toby 57:52
driving and reading. I use Libby, okay? And then you have games on your phone, yeah? But I don't use them as often as I do with like Libby prodigy, which is a math game. Okay, what's Libby? Libby is a book app where you can rent books from your public library, and then, like, there are holds on it too, just in case other people have them, because there's not an infinite amount of the books,

Scott Benner 58:25
interesting. Oh, I'm looking right now. Libby app.com, cool. Yeah. Brianna, why is he such a good kid? Has he always been like this?

Brianna 58:35
He is. He's so bright and so fun. We enjoy him. We just we're so lucky to have Toby.

Scott Benner 58:41
Toby, your parents love you. Isn't that nice?

Toby 58:43
Yeah, yeah. I think everyone's parents love them,

Scott Benner 58:48
yeah. I think so too. I really do. How about your brother? Who's the better kid? You or him?

Toby 58:55
Depends. Depends. Very much, depends,

Scott Benner 58:59
all right? Well, I really today could be different than tomorrow.

Toby 59:03
Today. Me today. You're on a podcast. No, it could change.

Scott Benner 59:07
Yeah, it probably will. Don't worry. Well, I really appreciate you guys doing this. I want to make sure, is there anything that we haven't talked about that we should

Toby 59:15
have? I don't have anything.

Brianna 59:16
You're good, mom. Yeah, I think I'm good too. Thank

Scott Benner 59:20
you. Awesome. No, it's my pleasure. I can't wait for you guys to win the next giveaway.

Brianna 59:25
We'll take a break from applying.

Scott Benner 59:27
No. I mean, why? At this point it's awesome. Like, just hundreds of people, like, I'm not kidding, right? Like, hundreds and hundreds of people are like, Oh my God, I want to win the thing. The list goes on forever and ever and ever, and it's just you've won, like, two, pretty cool. I mean, not for nothing, but what do you think it saved you? What was the cost of the camp had you had to pay it out

Brianna 59:48
of pocket? Yeah? Five grand.

Scott Benner 59:51
Yeah, yeah. I'm getting a Christmas card right Toby, something, something's gonna come to the house at the holidays for me. Yeah? Send me some of that Wisconsin popcorn. Stepped in the caramel.

Toby 1:00:01
Yeah, but the dog that's like 50 grand. Oh, my God.

Brianna 1:00:06
Well, that might be a slight

Scott Benner 1:00:08
exaggeration. Let me have at least 15. Can I just have this for a minute? Brianna, I've saved your family. $55,000 is what I'm

Brianna 1:00:15
hearing. I think you deserve more than a Christmas card.

Scott Benner 1:00:18
Toby's going to college. On me. It sounds like this is awesome. All right. Well, I'm all, I mean, Toby, is there anything nice you want to say about me right now? There's no pressure at all

Toby 1:00:27
that my parents really do like your podcast episodes, and my mom has listened to almost every single one published. Oh, I'm super happy she's coming up on that.

Scott Benner 1:00:38
I'm very happy it's it's been valuable for you, and it has Brianna, you you're learning through the podcast?

Brianna 1:00:44
Oh, absolutely. I feel like we've learned so much more through the podcast than we've learned anywhere else. And as a result, Toby's a 1c is 6.0 and that is absolutely because of what we've learned from the podcast.

Scott Benner 1:00:59
Toby, good job. Man, that's a lot of hard work. Good for you. Seriously, really well done. Man, that's awesome. Yeah, listen, I'm feeling pretty good about this right now. I feel like, I mean 55,000 in Wisconsin, that's like $7 million isn't it? Practically, yeah, is it cheaper to live in Wisconsin than other places?

Brianna 1:01:16
Probably compared to some places. It also depends where you live in Wisconsin, okay, I just figured, in the north, I think I

Scott Benner 1:01:24
just figured, if you had to put up with that much cold, it has to be cheaper. That's what I thought. I mean, it should be. I mean,

Toby 1:01:31
honestly, yeah, compared to Norway, it's a lot cheaper. Nor wait. Norway is terrible. Wait,

Scott Benner 1:01:37
Norway, like across the ocean, Norway, yeah, not like, there's not a place in Wisconsin called Norway.

Brianna 1:01:44
Well, there is a place in the up called Norway. Is there really? Yeah, but that is definitely cheaper than where we live in Wisconsin. But he's talking about Norway. We went on a family vacation to Europe last summer.

Scott Benner 1:01:58
Oh, oh, I feel like maybe I paid for that. Then that's awesome. I feel like I sent you to Norway and that where you got the pizza with the bad soda

Toby 1:02:05
might have been, but I think it might have been Denmark.

Scott Benner 1:02:09
Denmark, they make pizza in Denmark

Brianna 1:02:11
with french fries on it. Was it any good? What do you think

Toby 1:02:15
I liked it? Do you guys have like,

Scott Benner 1:02:17
like, Mom and Pop pizza there? Or if you go to get pizzas at like, Domino's or Pizza Hut or something

Toby 1:02:22
like that? I don't know. Actually, I can't remember. I think it's like, think it's like, single restaurants, like the it's not a big business, just like, one small place.

Scott Benner 1:02:33
Gotcha, hey, do you guys go to that farmer's market that's in the middle of town? Is it summer? Am I just saying something random, or am I saying something you know about,

Brianna 1:02:41
yeah, Madison farmer's market that goes around the capital,

Scott Benner 1:02:44
yeah? Like, they do, like, they kind of close off a few streets there, and there's vendors and everything. Yep, you do that. Yeah, I've been to that.

Toby 1:02:53
I mean, there's a lot of stuff.

Scott Benner 1:02:55
Toby, let me have it for a second, all right, just give it to me. Say, wow, that's amazing. I can't believe you've been to a farmer's market near my house. We don't live anywhere near each other. That crazy? Yeah, I was trying to connect. Toby, you really ruined it at the end. It's okay. Thank you so much, guys. Hold on one second for me. Okay.

The conversation you just heard was sponsored by touched by type one. Check them out please. At touched by type one.org, on Instagram and Facebook, you're gonna love them. I love them. They're helping so many people. At touched by type one.org, this episode of The Juicebox podcast is sponsored by Omnipod five. Omnipod five is a tube, free, automated insulin delivery system that's been shown to significantly improve a 1c and time and range for people with type one diabetes when they've switched from daily injections. Learn more and get started today at omnipod.com/juicebox of my link, you can get a free starter kit right now. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox Are you tired of getting a rash from your CGM adhesive? Give the ever since 365 a try, ever since cgm.com/juicebox. Beautiful silicon that they use. It changes every day keeps it fresh. Not only that, you only have to change the sensor once a year. So I mean, that's better. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. If you're not already subscribed or following the podcast in your favorite audio app, like Spotify or Apple podcasts, please do that now. Seriously, it just to hit follow or subscribe. Will really help the show. If you go a little further in Apple podcasts and set it up so that it downloads all new episodes, I'll be your best friend, and if you leave a five star review, ooh, I'll probably send you a Christmas card. Would you like a Christmas card? I. If you're looking for community around type one diabetes, check out the Juicebox podcast. Private Facebook group Juicebox podcast, type one diabetes, but everybody is welcome. Type one type two, gestational loved ones. It doesn't matter to me, if you're impacted by diabetes and you're looking for support, comfort or community. Check out Juicebox podcast. Type one diabetes on Facebook. The episode you just heard was professionally edited by wrong way recording, wrong wayrecording.com.

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#1622 Thick Thighs Save Lives - Part 2

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

Laura, 55, was diagnosed with type 1 in March 2024 after months of missed signs, DKA, septic shock, and necrotizing fasciitis. Now on a GLP, she’s honeymooning without insulin. Part 2 of 2

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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.

Speaker 1 0:14
Hi Scott. My name is Laura, and I was diagnosed with type one diabetes at the age of 54 in March of 24 which I didn't even know was a thing. Adelon said, type one until I was diagnosed with it. Who knew?

Scott Benner 0:31
This is part two of a two part episode. Go look at the title. If you don't recognize it. You haven't heard part one yet. It's probably the episode right before this in your podcast player. If this is your first time listening to the Juicebox podcast and you'd like to hear more, download Apple podcasts or Spotify, really, any audio app at all, look for the Juicebox podcast and follow or subscribe. We put out new content every day that you'll enjoy. Want to learn more about your diabetes management, go to Juicebox podcast.com. Up in the menu and look for bold Beginnings The Diabetes Pro Tip series and much more. This podcast is full of collections and series of information that will help you to live better with insulin. 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.

A huge thanks to my longest sponsor, Omnipod. Check out the Omnipod five now with my link, omnipod.com/juicebox you may be eligible for a free starter kit, a free Omnipod five starter kit at my link, go check it out. Omnipod.com/juicebox Terms and Conditions apply. Full terms and conditions can be found at omnipod.com/juicebox us med.com/juicebox you can get your diabetes supplies from the same place that we do. And I'm talking about Dexcom, libre, Omnipod, tandem and so much more, usmed.com/juicebox, or call 888-721-1514, today's episode of The Juicebox podcast is sponsored by the ever since 365 the one year where CGM that's one insertion a year. That's it. And here's a little bonus for you. How about there's no limit on how many friends and family you can share your data with with the ever since now app, no limits ever since. Tell me about your integrative medicine experience, though.

Speaker 1 2:41
Oh goodness, Scott, if somebody would have just told me that what I was going through was perimenopause, menopause, I would have saved a whole lot of money and felt better sooner. What I knew was I was having trouble sleeping. I was sleeping only two to three hours at night. I was having terrible stomach pains that would wake me up in the middle of night, and bad acid reflux, brain fuzz to the point where, Scott, I couldn't remember the make and model of my motorcycle. Interesting, like

Scott Benner 3:12
if somebody asked you, you just couldn't come by the way, what's the make and model if you're in a

Speaker 1 3:17
motorcycle at the time, it was a buoy blast. My current one is a, Oh, geez. And I'm for, am I forgetting it now? It's a V rod muscle. Oh,

Scott Benner 3:29
wow. I used to write a GSX r7 50. Nice. Yeah, go ahead. I'm sorry. So your brain fog, you're having all the classic perimenopause symptoms,

Speaker 1 3:38
yeah, and, and weight gain, and so my gynecologist said, Oh, that's normal. That's all he said. That's normal. Awesome.

Scott Benner 3:49
What does that mean? And how long is this fan gonna be pointed at me while I'm sleeping?

Speaker 1 3:54
Yeah. And if you would have just said that's normal because of this, and this, and here's what we can do about it, would have changed everything. Yeah, so I went to so many doctors. I don't feel right. I'm exhausted, I can't think clearly. So I finally, I don't even remember how I heard about integrative medicine, but I started looking into that and found a practitioner. It's about a not quite an hour drive from me. I started seeing her. She only took cash, by the way, she was a former ER doctor, and decided this was kind of her retirement next stage job. She had lots and lots of supplements to sell. Did blood work once a quarter, and when I finally stopped going to her, it was my prescription for thyroid was running out. It needed to be renewed, and I had three days left in my package with her, and she wouldn't renew it. Renew. My my prescription, unless she knew I was going to re up with her. Okay, that's it. I've spent so much money I don't feel any better. I'm not doing this anymore.

Scott Benner 5:12
Yeah, I'm gonna tell you that I've seen a number of different doctors over the years trying to figure out what was going on with people in my family. And I've used two different integrative medicine doctors. One of them is awesome. She's been on the show Dr Benito, who came on in Episode 413 to talk about thyroid stuff. She remains maybe the I'm drawn to hug her every time I see her, just to say thank you, right? Like she's like, that meaningful. And there was another one who you walk in the office, and there's just a table full of supplements that she's happy to sell you from her online store. Yes. And you know, like, well, we should try this and this and this. And I'm like, I think you're full of like, I really do. Like, I'm not, I don't think supplements aren't I take some supplements too. There's things that I've needed that are helpful. There's people in the house that are using it, but like, they start with, like, well, there's this, and the next thing is just 10 things, and you're $500 deep in this. And, like, have you tried fish oil? Don't, don't just take fish oil. Take this exact one. It has to be refrigerated. It's the best one. I'm like, I don't know. Like, I took your fish oil for like, six weeks. Nothing changed. Like, I don't know. Like, I kept going for the second month, nothing changed. I don't I don't know what I'm doing here. And when you ask them to quantify it, it's never quite a quantification that makes sense. Is was with my experience with this one person. So sounds like something similar happened to you? Yes, now I have to say, I have to ask you, did she try to sell you a water filter for your house? She did not okay, that's the one that got me. I was like, A what now?

Speaker 1 6:47
No, I, I have to say, though she was the first time I felt heard. It was, it was the first time it felt like a doctor was really listening, and they had an answer and a path. She even had this really neat laminated sheet showing how different hormones react with each other and how the body processes it. So she didn't just say it's normal. She said, This is what normal looks like, and here are the things that we're going to do to try to bring you back

Scott Benner 7:14
into balance. And that was valuable, but it was not the sales. I didn't feel better, yeah, but you didn't Well, but you okay. So feeling heard was valuable to you, even though it didn't help you feel

Speaker 1 7:25
any better. That's interesting. Those two things are connected. Yeah,

Scott Benner 7:30
I have to say, I feel lucky with Dr Benito, like she has a great balance of thoughtful. She's willing to look into things, she's accessible, and she's not just trying to make a bunch of money. She seems to just really genuinely care about people, and which is awesome, but I don't know how you find that that's that's just dumb luck. It is just dumb luck that we ran into her, to be perfectly honest. Yeah, gotcha.

Speaker 1 7:53
We talked about judgy providers, but I also want to acknowledge that I've got some really good people on my team now I see pain management, and they've been amazing. They're very compassionate. And, yeah, not just saying, Okay, you're, you're this old, you're gonna hurt. Well, let's, let's actually treat the pain. Yeah, and I'm doing

Scott Benner 8:15
better. It's nice to know that this is maybe normal, but do I have to suffer with it? Is there something we can do? And exactly, yeah, not just told you, like, right? Well, with the 30 pounds all the way back, you're like, Oh, you lost 30 pounds. That's great. Get out of here, right? Yeah, but I have a lot of other issues. I don't know. We're not talking about those today. You got to go,

Speaker 1 8:33
I don't know how that happens, quite large. So my good, my endo is good, and I have a rheumatologist, because, as we know, autoimmune they tend to have friends. Yeah. So we're still trying to work out exactly what's going on, because I'm new to that process, but I am happy to say that while I've had some very judgy providers, I've got some really good, caring, compassionate ones.

Scott Benner 8:58
Now, okay, what are the other things that you're working through that you're trying to figure out, like, what are some of the things you're suffering with that you don't have quite hammered

Speaker 1 9:07
out yet? It's a lot of available personal energy and lots of aches and pains that are not related to the back fusion. So an example is, if I go to an event, which I've gone to a couple events recently, it'll take me a good three to five days to feel like I can get back to my normal routine. Okay, I just don't have the personal energy

Scott Benner 9:33
I have four fingers up. Ready? Have you checked your thyroid? Yes, your TSH is, you know what

Speaker 1 9:41
it is. It is on the low normal end. I just had it checked last week.

Scott Benner 9:46
Okay, under two, Yes, awesome. Do you have any thyroid symptoms? You do

Speaker 1 9:52
dry skin, dry, dry skin, brittle hair, fatigue, fatigue,

Scott Benner 9:57
okay. Have you had a full iron panel? Do you know if. You're anemic.

Speaker 1 10:01
I am not anemic. In fact, I have too much iron. Okay, have you had covid? I did before it had a name. Do

Scott Benner 10:11
you have any I do you think you might have long covid? It's possible. Yeah, the perimenopause. There are some things you could take to, like, kind of help you with your your energy for that as well. Yeah, yeah. Did your hippie doctor with you? Oh, full on your menopause now? Yes, awesome. I mean, those are my thoughts around that, like, I don't know. And did any of this get better with the GLP?

Speaker 1 10:33
Oh, that's a really good question, because I have not, I've not put thought to that. So I was so focused on GLP with the reducing inflammation and supporting my my diabetes, that I don't know I'd have to think about

Scott Benner 10:47
it. I'm only bringing it up because my, I think my wife, firmly believes that the GLP helped with her perimenopause and, Most assuredly, with her long covid symptoms, like probably just inflammation type stuff. If you go out on a Saturday and you're, like, really active, do you have to rest the next day? Yes, yeah, I don't know. It's tough, because all this stuff sounds like nebulous, you know, long covid perimenopause, like, like, you know, how do you, like, put your finger on exactly what it is. But I can tell you right now, if I brought my wife up here right now and said, Hey, do you have long covid, she talked for like, an hour and a half, you know, she has, she's researched the hell out of it, done a lot of different things to help herself, and been generally successful with it. I will tell you that. I think I've said this on here before, but she got sick, somehow, I forget she had sick, and she went to the doctor, and the doctor said, stop taking your GLP for a week. She came home and told me that I was like, I wouldn't do that if I was you. And she was like, No, I'm gonna listen to what he said. So she does it. And a week later, she said I should not have stopped taking that GLP. And it was around her like fatigue and pain and stuff like that. So it's interesting. Anyway.

Unknown Speaker 11:59
Okay, now she

Scott Benner 12:00
knows. Yeah, so Laura, the rest of the time is yours. You want to interview me? You thought you said some stuff before we started recording, I said, stop talking. We'll do it while we're recording the podcast, right? So go ahead. I'm here. You want me to introduce myself a little bit? Hi, I'm Scott. I'm 54, years old. I just had a birthday, and I make a podcast called Juicebox. I'm the father of two. My son is 25 my daughter is going to be 21 in a few days. She's had type one diabetes since she was two, and I've been married to Kelly for a long time, like almost 30 years.

Speaker 1 12:34
Oh, happy birthday, and congratulations on your longevity.

Scott Benner 12:38
Oh, thank you. I just believe that she's too tired to throw me out. But right on, she's, you know, I said recently, I was like, I don't have enough energy to sell this sofa. So you get to say, so do you have questions? I have answers. Maybe. Let's see. Why would you settle for changing your CGM every few weeks when you can have 365 days of reliable glucose data. Today's episode is sponsored by the Eversense 365 it is the only CGM with a tiny sensor that lasts a full year sitting comfortably under your skin with no more frequent sensor changes and essentially no compression lows. For one year, you'll get your CGM data in real time on your phone, smartwatch, Android or iOS, even an Apple Watch, predictive high and low alerts let you know where your glucose is headed before it gets there. So there's no surprises, just confidence, and you can instantly share that data with your healthcare provider or your family. You're going to get one year of reliable data without all those sensor changes. That's the ever sense. 365, gentle on your skin, strong for your life. One sensor a year. That gives you one less thing to worry about, head now to ever sense, cgm.com/juicebox, to get started. I used to hate ordering my daughter's diabetes supplies. I never had a good experience, and it was frustrating. But it hasn't been that way for a while, actually, for about three years now, because that's how long we've been using us Med, US med.com/juicebox, or call 88872115, 887211514, us. Med is the number one distributor for FreeStyle Libre systems nationwide. They are the number one specialty distributor for Omnipod dash, the number one fastest growing tandem distributor nationwide, the number one rated distributor in Dexcom customer satisfaction surveys. They have served over 1 million people with diabetes since 1996 and they always provide 90 days worth of supplies and fast and free shipping us med carries everything from insulin pumps and diabetes testing supplies to the latest CGM like the libre three and Dexcom G. Seven, they accept Medicare nationwide, and over 800 private insurers find out why us med has an A plus rating with a better business bureau at us med.com/juicebox, or just call them at 888-721-1514, get started right now, and you'll be getting your supplies the same way we do.

Speaker 1 15:24
A few months ago, you did an Ask Me Anything on Facebook, and the question that I posted for you was, what are you most looking forward to in this new year? But what I really wanted to ask you is, how are you doing you put a lot of time and and your personal into the podcast and the cruise and all of these other things. I listened to your podcast for hours on end in the very beginning, and it's more sporadic now. Sure, we get glimpses of you and your personality, but I just, I just wanted to know, how are you doing, and take an interest in you as a person, and not just a voice of somebody who says and knows really smart things. Okay,

Scott Benner 16:12
well, I'm gonna try to shut off the part of me that makes the podcast and just answer your question. Generally speaking, day to day, I'm good. My health is much better. My energy is much better. I am happy. I mean, there are things about my life that I wish were different, there were things there are things about my relationships that I wish I would have done differently. I wish that, you know, would go differently. But I see all of that as a process, not as like I would not tell you that anything in my life is broken beyond repair. I wouldn't tell you that anything in my life is sad. I just think that, much like when I talk about the different timelines, like I'm like, Oh, if you're gonna Bolus and then 45 minutes later you're hungry again. You try to think of the boluses on different timelines. I think about, like, all of the all of that the same way, my relationship with my children and with my wife, with people who I'm friendly with, like with my health, like, I think about all that as, like, there's a movie screen size, black sheet in front of me, and all the things I care about and that I'm thinking at are existing on different timelines. Some of them are farther along. Some of them are are newer. There are some things I'm just becoming aware of. There are things that I do differently than I used to do, and everything's a work in progress. Does that make sense? It does. It does okay. So that's all happening for me personally. That's all happening with the podcast. It's happening with the online space, with things I'm trying to accomplish for the future. You know, I have texts here from somebody that's like, look, we have to get going on, like the cruise for next year. You know, I've only been off the cruise for three weeks. I've had new experiences in the last couple of weeks, meeting people in person that has changed me. But at the same time, I can't come home and like, be that like, Oh, I'm, you know, trying to be more thoughtful about maybe this podcast is more just about people's stories than it is about, like, the downloads. But the downloads have to happen so that people's stories can keep happening. There's a lot to balance. I mean, I'll, I would tell you that I'm very happy doing this, and at the same time, I can imagine that when it's over, I'll be very happy that it's done. Does

Speaker 1 18:35
that make sense? I hear you, okay,

Scott Benner 18:38
yeah. But day to day, I'm, I'm happy, like, I'm doing well. I like, we're actually going to go on vacation in a couple of weeks, and that will now be, like, a vacation last year and a vacation this year, which I don't think is something I don't think we've done since the kids were little, like, actually going on concurrent vacations year to year. So we're trying to spend more time together, especially as our kids get older and we get older, I am personally worried about, like, I want to get stronger as I get older. Like, that's the thing I want to put more effort into. I have a little medical issue that I probably wouldn't share here, but I should get taken care of that I need to focus on. It's not like anything. It's not like a big deal. I have a friend who was sick recently that I'm worried about, and they just explained to me their their ordeal yesterday. I'm sad to know that that happened to them, and I'm hopeful that they'll be okay. I think they will be. But much like your thing, like, just kind of out of nowhere, just was okay, and then wasn't. And then that makes you feel like, like we all talk about, like, I could get hit by a car at any time, but like you don't think like at any point, a potato could start growing on my thigh, and it might be flesh eating, you know, bacteria. You become more aware of the world and and what may or may not happen, especially as you get older. I like my chameleon, but when I look at him, sometimes I just worry that he's gonna like, outlive my ability to take care of him. But overall, for me personally, the thing I'm trying to do right now is Arden and I are in the middle of, like an, like an uncoupling about diabetes, which is, you know, obviously, was obviously going to come and and is here now, and we are shifting so that she and I are going to just purposefully not talk about diabetes between us, and if something has to be said to her, we're going to shift it to her and my wife, because we've just gotten to this thing. And I'm sure I'm going to go through it on the podcast over years trying to figure it out. But you know, what starts out as, you know, I learned all about this so that I could help you, and it's really valuable. At some point when kids and I've been talking about this for a couple years, it's not a surprise, like, but as kids get older, like, like, it's very natural, right? Like, they want to push away from their parents. And, you know, normally it's over things that are kind of benign, or, you know, like, you know, I'll go out and stay out if I want to. Or, some kids use drinking, right? I'll drink if I want to. I'll smoke weed if I want to. Like, I'll do the thing. I'll grow my hair or cut my hair. I'll do whatever I want. You're not in charge of me, as I noted in today's episode, talking to somebody in an episode called Catholic guilt. Like, you know, when your kid's looking for something to push away from, like, what better than the diabetes? Like, that's a thing they don't want to be doing. It's not their fault. Nobody wants to be talking about it. I certainly don't want to be talking about it. But we've gotten to a point where, you know, Arden's, you know, getting older, and she's asserting herself as she should be, and yet there's still that balance between, like, health and harmony that you're always trying to strike, it's difficult to strike when you know, I want our relationship be harmonious, but you know, and if we were talking about cleaning your room, then I would just say, hey, you know what kids like a sloppy room? It's, but who cares? Like, let that go, but if it's, it doesn't Bolus for a 250 blood sugar, then I can't let that go, like something needs to be said. But there is a moment where it's, it's over, you just can't do that anymore. And Arden and I are going to have a different relationship moving forward. It's been, like, I said, slowly happening over years, but it just, it's gotten to the point where she just came to me and she was like, I just don't want to, like, I don't want to do it like this anymore. And I was like, right on, like, cool. Like, we'll, we'll find a different way to make sure that there's harmony and health for you. And so we set up a different plan, and we're, we're putting it into practice. Nobody's feelings are hurt or nobody's mad. It's just, it's on that timeline. We're just up to that part now. That's it. Like, the one thing I was sad about as we were talking about it, was, she said, You talk about this too much. And I thought, I don't want to be talking about this at all. And then I and I look at our time, and I really, I really looked at it, I really assessed it as best I could. I don't talk about it much at all, but to her, I think she's gotten to the point where almost any conversation about it is too much, so we're just gonna, like, just shift how we do it now. And I'm sure it'll shift again and again and again. And I'm sure my life will keep shifting, and so will everybody else's, until I throw a potato on my thigh and drop dead. I don't know. That's how I am. 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Full terms and conditions can be found at omnipod.com/juicebox find my link in the show notes of this podcast player. We're at Juicebox podcast.com

Speaker 1 24:29
it does very thoughtfully and sounds like a very challenging stage of your evolution together.

Scott Benner 24:35
It is, I mean, it is, the whole thing is, right? I tried to be reflective about it. I said to my wife, I was like, what if we would have just picked harmony, you know what I mean, like, what if she would have run around with anyone seeing the eights or the nines, and we would have just said, like, it's okay. Like, you know, like that. I was like, we would just be in a different situation right now. That would be unpleasant. It really brings me back to the. Idea that I think that once you once you interact with another human being, you know what I mean, whether you're married to them or dating them, or you have you're the parents of or you're talking to your parents like, everybody's got a different way of thinking. Everybody's brain is different. The interactions create different experiences. And in the end as a parent, I think no matter what you do, and I really do mean this for everybody to hear, no matter what you decide, the person is going to want the opposite. Like, I just think that's a very human thing, like, we want what we don't have. And for some reason, the last person we listen to is our parents at some point. Like, you know, not for some reason, I think it's pretty obvious why it works that way, right? But so no matter what you decide to do, if you, if you're one of those harmony people, and you're just like, Oh, it's okay, we'll ignore the diabetes, and this will be fine, eventually it's going to come back to bite you in the ass. And if you do the other way, where you're like, oh, let's worry about the health, like, eventually it's going to come back to bite you in the ass. Like, if you pick the middle then someone's going to one day say to you, why didn't you do more of this, or why didn't you do more of that? No matter what you do, someone's going to ask you, why didn't you do something else? And I think that's for every one of us in all walks of life. It's not me telling you I'm having some horrible problem in my life. I'm not. I just am trying to be reflective about it. I think you're all going to get to that point where you're going to say I should have done it differently, but if I would've done it differently, we'd just be in a different situation now that I don't wanna be in. So nothing's perfect, maybe, and accept that, except that's not how your kids are gonna see it until they're older, which is why your mom said, Why do you get older and have kids? You know what I mean, like a lot of truth in all those little isms and sayings, etc, all right, well, you're doing well. Do you have more? Do you listen to podcasts I do? Am I going to tell you which podcast I listen to that's interesting?

Speaker 1 26:57
Yeah. What topics do you? Do you tend to gravitate

Scott Benner 27:01
towards, Okay, fair enough. I listened to a few years ago during covid. I listened to and thoroughly enjoyed the West Wing weekly, which was a West Wing re watch podcast with a guy named Rishi and one of the actors from West Wing, Josh, Josh Molina. Josh Molina, who, by the way, I think, has done good work, but was awesome in Sports Night. If you've never seen sports thing, nevertheless, I thought that was awesome. I during covid. I actually watched it along with the podcast, which was really fun, and it was a well done podcast. I thought, I don't listen too much anymore, but think that Kevin Smith is an awesome podcaster, the director of movies like clerks and Chasing Amy and things like that. I would credit him to some level with this podcast, because he was an indie filmmaker who kind of figured out the internet before the internet, and he had a message board where people could talk to him and talk to each other. He was very active with the people watching his movies. And I think a lot of how I do this reflect is reflective of that, because I saw him build like a real relationship with people like I've met Kevin Smith a number of times, and the last time I saw him, he knew who I was when I got there, like he didn't go, Hey, your name is Scott, and all these things, but he looked me in the face, and he went, Oh, hey, man. And then he said something to me that made me realize that he remembered the last time we spoke. Anyway, he was very connected to the people around him, which I thought was good. I've also seen it be hard on him as he's gotten older. So I'm trying to, I try to be reminiscent of that. I think I've said, you know, a million times over on here. I'm a huge fan of Howard Stern interviewing capabilities and the long form way that he talked to people before there was podcasts. So I think all of us have podcasts probably listen to Howard Stern at some point or another. He probably doesn't get enough credit for that. Credit for that. But actual podcasts, I think I've shifted more towards YouTube lately, for like, creators who are still building their thing, but are talking about something interesting to me, I like that. I like to be in that space with them once they're two. And I try, here's the thing, I try to keep in mind for myself, once they're too ingrained in the business and they're just doing their thing, I think sometimes they get repetitive, and I try to be very cognizant of not letting that happen, even though I realize on some level, the things that I think to say are the things that I think to say so I can't be myself and not be a little repetitive sometimes, but I'm comforted by the idea that people don't listen forever anyway. So if you were a person who listened to me from 2015 to 2018 I may have re said those things between 2020 and 2022 but those people aren't going to. Know that because they weren't listening in 2015 so my thought is, is that the way I deliver this? People find valuable, and so I make it because I enjoy making it, and because I think it finds new people all the time. I'm sure that that is the case. I know about how many new subscribers I get every day, and the number is pretty significant. It's kind of crazy, actually. So I'm good with that. Other than that, as I'm older, I don't take in as much content as I used to, especially visually. It was just such a weird way to say it. I don't watch as much TV, is what I should say. If the TV's on in the house, I'm probably watching a baseball game, or it's in the background or something like that. And I'm some things that I enjoy, but podcast wise, I try to be really agnostic about podcasts. So as an example, I guess I've listened to all different kinds of podcasts that if I said the names of them, someone would go I knew he was conservative, or I knew he was liberal, or, you know what I mean, like, like, like, you know, like, I try to have like, a wide range. I try to find people that make that seem like they make some sort of grounded sense about the thing they believe in. And I try to listen to them to see, like, Well, what do they think about this topic that I don't intrinsically like gravitate towards, and is there any real value in what they're saying. And sometimes I'll listen and I'll be like, Oh, that makes a lot of sense. And sometimes I'll listen and think that person's out of their mind, and I assume that's how people are listening to me as well. Not a lot of politics. I don't particularly gravitate towards a lot of politics. I think politics is just like a version of fear porn, which I don't enjoy. I watch content about reptiles, even though I don't have them, because I find that some of the keeping Tips and Tricks help me with my chameleons. You know, I've seen somebody pop up on like a, like a bro podcast that I wouldn't listen to, and I'm like, I'm gonna try that anyway. I What did I recently heard Bernie Sanders on the flagrant podcast, and I was like, this isn't really my vibe, but I thought they did a good job of talking to him. It was interesting to hear him in that and then trying to keep in mind that he's got a thing he's presenting. They have a vibe they're trying to present, like everybody's trying to do a thing, but I thought they did a good job speaking to him. I listened to Joe Rogan interview Donald Trump, I didn't think he did a particularly good job of speaking to him. Speaking to him. I've heard Joe Rogan talk to other people, and I thought he's done a good job talking to them like, you know, I'm sure I've made an episode where people are like, Jesus Scott. That was, man. You didn't ask him any decent questions. And I'm sure you've listened to me and you thought, wow, that was insightful. So even that's interesting to see, because just because you're popular doesn't mean you're good at it. Every time, I actually think I made an episode yesterday that wasn't great, I felt my energy was weird. Now I don't know if it'll come through or not, but for me, I was like, I didn't feel right when I was doing that. There is a political podcast I'll listen to that has one person on one side and one person on the other. And when I'm trying to figure something out, it helps me to hear both of them, because they're both leaning pretty far to their their sides. And so I try to pick through and take out of it what makes sense to me? I don't know, though I tried for a while, here, here's a here, here's the thing. What's the podcast? Smartless,

Unknown Speaker 33:16
right? You know that one?

Scott Benner 33:19
I do not Jason Bateman, Sean Hayes, and the guy with a deep voice, who's the Lego Batman Will Arnett. And individually, I like something about each of them, and I love it when they interact with each other sometimes, and then sometimes I don't. One time one of the people said something that was weirdly political, and it turned me off to it. And one time, one of the guys was like, super mean to the other one, and it didn't feel fun. And I was like, Oh, I wonder if that's real. So I listened more to hear if he really hated the guy or not, but he didn't. And then, like, but that was it. I was okay with that one for a while. I don't listen to it anymore. I don't know. I guess I listen to podcasts the way everybody else does too. Does that make sense?

Speaker 1 34:05
It does. It does. How about you? Mel Robbins has been getting my attention recently, okay, yeah. She's very popular. Inspires in me self reflection of okay, that makes sense. And I've had this thing that I've said for a while. It's not exactly let them, but it is if somebody is behaving on brand, if they're behaving the way that we know they behave and we get upset that's on us, not on them.

Scott Benner 34:35
Yeah, it's a good point. Yeah, I am who I am. If you're listening to me, you know that, and you're still pissed at me, you should just stop listening. Don't be mad at me. I'm just being myself, by the way, the best I can be, knowing I'm being recorded and that, you know, and everyone's doing that, by the way, you can listen to somebody else and go, Oh, they stopped short of saying something there. Yeah, of course they did. Because they're married, or they have kids, or like they were about to say something that they can hear, that you're judging. Ass was gonna pin them down on that. They don't mean, like, you know what I mean? Like, that's even just saying out loud. Like, I've, you know, I've heard Joe Rogan's podcast. Like, some people are like, Oh, I knew you were an asshole. And some people are like, Oh, I knew you were awesome. You know what I mean? Like, so, like, like, what do you do with that? Exactly, like, when, when, no matter what you say, someone's gonna judge you. You got to give people credit who are willing to say things at this point, like, you know, like, I think that's why I'm grateful to have listened to Howard Stern through the 80s, because nobody tried to cancel people in the 80s, nobody heard you say something that they didn't like and said, Oh, I'm gonna, you know, tell my friend not to listen to this or something like that. Like, the guy said what? He said you liked it, or you didn't. You thought it was funny, or it wasn't, and then you went on with the rest of your life. He didn't think about it again. But then we opened up the internet so everybody feels like they have a megaphone and like, well, I feel this way about it, like I have to change it, like I'm gonna fix this. Like, Howard stone doesn't need to be fixed. He's who he is. Joe Rogan's who he is. Like, I'm who I am. Like, Mel Robbins is who she is, right? Like, be grateful someone's willing to open up a microphone and say what they think and record it so that you can be reflective about it and decide that I hate, that I love, that that helped me. It didn't help me. I'm going to stop listening. These people are giving you an opportunity to to be reflective in a life that doesn't really allow for a lot of reflection, but definitely needs it. And so I think that's what podcasts are doing right now for people like I think you can quietly listen to me prattle on about any number of things, and while I'm sitting here, willing to open myself up emotionally for you, I'm not doing that for me. I'm doing that for the podcast, and you are the podcast if you're listening like I'm doing that so that you can think, Oh yeah, that is scary. I wonder if I'm am I leaning more towards harmony, or am I leaning more towards health? And what is going to happen based on that decision I make, you know? And is my 20 year old one day going to say to me, like, please? I mean, I've been talking about it for 10 years. I knew this day was coming. Like, you know what I mean? Like, we've been walking towards it and and thoughtfully. It doesn't make it easy when it shows up for her or for i or for anybody else, instead of me being the person who's figuring it out and recording it, it would have been awesome to listen to this before it happened to me. In the end, this podcast is going to end up helping you guys in ways that it'll never help me, because a lot of the way it helps me is reflectively, and for you, it can be something that you can make a decision about before it happens. So I'm opening myself up and my life and everything for that, so that hopefully you guys can be healthier and happier moving forward, or at least be better prepared, or, I mean, at the very least not a Bolus for pizza, like you know, or what anything in between that it may or may not do for you. But if you're listening to this right now and you don't like me, or you're angered by this. Like, I believe you have a mental illness. Like, I don't know why you're subjecting yourself to that over and over again. Like, let it go. I've listened to plenty of things that I don't like, and as soon as I get done, I go, is that me or is it them? If it's me, I stop listening. And I will always use the example of talked about Howard Stern a lot, but he came into Philadelphia when I was in high school, right as Walkmans that had radios in them were, like, really popular. So everybody had on that, like little metal band over their head with the two foam things their earphones that sucked. You know, everybody could hear them and it had an FM radio in it. So I think I started listening to Howard Stern when I was a junior in high school, maybe 88 8780 8788 I'm not sure exactly when he came, but around that time, and all I know is like he was just saying stuff like, and he was telling you that he was fighting with his wife, and he was telling you when he was excited, or, you know, thoughts he had about sex, or, you know, like he was just telling you how he felt. And I thought that was, like, revolutionary at the time, like, who was doing that? A couple of people, maybe, but as far as I knew, he was the first one. So, you know, I listened and listened, and I watched him change over the years. He would have said something on the daily in 1992 that I don't think he'd say now, and wouldn't mean anymore. And people would come at him and say, Oh, you've changed. And he'd say, like, what would that say about me if I didn't like, what if I was just running around acting like I was, you know, 25 all the time, or 30 all the time, like, we have to keep growing together. Like, I have to keep growing and I thought it was brave that he shared it with people. He told people he went to therapy. You know what I mean? Like, this is way ahead of the curve, like, and then, you know, I think if you listen to any number of like, popular podcasters, they'll all say the same thing, like, I grew up listening to Howard Stern. He was making a podcast before like that show would come on Laura at 6am and it would sometimes not end. Till 11 or noon. He just talked till he was done. They didn't even have like, an end time. The DJs that came on after him were pissed because they'd sit around sometimes for hours into their shift, and he wouldn't stop talking. I think he made the first podcast like that. It just had a bunch of ads in it, and now people are like, Yes, Scott, your says ads in it, too. And to that, I say, if you want to send me a bunch of money, I'll sit here and make a pot. Make a podcast for you, but otherwise I need somebody to pay for it. I don't know where I was even going with that. I talked myself into a circle. I apologize. Do you remember?

Speaker 1 40:30
No need to apologize. You're being in the moment and you were being authentic.

Scott Benner 40:34
Yeah, no, I think that's what these things are. And like some people will listen right to the end of this one, and some people 10 minutes ago were like, oh, Scott's telling us how he feels. I'm good. Seems like the lady's done with their diabetes story. And they off. Then they go do something else. Like, that's fine. Like, that's what it's here for. You know, somebody asked me last week, how do you turn out five of those a week? And I said, The how is not as important as the why. So it's easy. If you're me, it's, I could talk all day, so like, I'm fine. You know what I mean, I'm I'm not encumbered by how I feel, like I'm happy to share, etc. It's the why. It's because this week, five episodes will come out, and one of them is going to strike your fancy and keep you connected to your diabetes. That's my that's my goal, is to keep you connected to taking care of yourself, and if it's through listening to you tell your story, or someone else telling theirs, or an interview with a company, or me prattling on about this stuff like whatever keeps you connected. I'm telling you, I've never done a study on it, but when people are connected, somehow they do better. Their health is better. And it's my goal to keep you connected without keeping you focused. Meaning, I don't want you to burn out on this. I do want there to be a little part in the back of your head that's like, going, like, Oh, I'm gonna Pre-Bolus now. Or I ate two hours ago. I should really take a look at my blood sugar, that kind of stuff. Like, I know I'm going to be low in 20 minutes. I'm not going to wait 20 minutes. I'm going to take, you know, a couple of like, little somethings now, stop this low in his tracks. And I think that's what this does. So I told the person, I said, right to them, I was like, Howard Stern didn't come on on Mondays. I said he gave you five episodes. I didn't listen to every one of them. I certainly didn't listen from six to noon every day, five days a week, and sometimes I did, right? And I don't think I've heard his show in a year. Now he's still making it. I could pop it on right now if I wanted to. I think it's there for you when you need it, how you need it, that's what's important. And then I answered their other question, which is, I record every day. That's how I that's how I stay ahead. I also have a I record ahead. So I don't know what it is right now, but I'm gonna guess I can open up a folder for you and tell you, let's go on Rob's server. I have 123456, there's seven episodes that Rob has done ready to go for me. And there are 25 episodes that he hasn't touched yet, and there are one, two, counting yours, three, four that I haven't sent him yet. So what is that? 2930 37 we usually have, and I'm a little behind right now because I've, I've gone away so much, but we we try to have 40 to 50 episodes that are ready to go all the time. We work from a backlog. And I got that down from I used to when I edited for myself. I used to have my number was 70. I wanted to have 70 episodes that were always done. And that's why people would like not be on till like, six months after they recorded, but now it's more like two months, because Rob's editing. I'm never gonna be in a situation where, like, what if I got sick for a week? You know what I mean? And even if Rob got sick, like, we're ahead, and if he got really sick, I could jump in and do stuff. But when it was just me, I was always worried that I'd be, I'd be screwed up somehow, anyway, other questions.

Speaker 1 44:06
I want to say my part of the the narrative we covered, but you're still part of my diabetes story, so that my questions to you and you being your authentic self here, that is part of my story, and I thank you. You've you've been amazing at providing guidance and perspective from people who have a common situation but uncommon life events.

Scott Benner 44:38
Well, thank you. I appreciate that is another thing that came up this week. While we're talking to people, there's so much time to meet people with type one. They said, how do you think, like, how does it work for like, such a wide kind of collection of people? I said, I think I've done a good job of distilling it and that so that it's these. Like. Like, pieces of a recipe, and then you take it and you go apply it to yourself. From, like, the simplicity of how I talk about pre bolusing, or when I say, like, you know, I don't know any of those, like you said, those small step episodes, right? Like, you know, I'd rather stop a lower falling blood sugar than, you know, fight with a high one. Doesn't mean I want anybody's blood sugar to be low or falling. It just means that, you know, it's easier to work down in those numbers than it is to work up in those numbers. And like you then take that idea and you apply it to your life. And I think the person was a little confused while I was explaining it, but what I ended up saying was, is that, you know, I don't know who I'm speaking to, actually, this person was a C was a was a CDE, that I'm remembering the conversation better now. And I said, you have the opportunity to sit down in front of a person, get to know them. You can look them in the face, you know how they're accepting what you're saying, or confused by what you're saying. I was like, I don't have that ability, so I had to turn what I was saying into something that's so kind of basic that no matter who heard it within reason, they could understand the bigger idea around it. And I said, and I think by doing that, and I originally did it because I thought not to tell you to be honest, like I used to think like, oh, well, there'll be all levels of intellects that are listening, and so you got to make it so everybody can understand it. But in the end, I think that helps everybody. I think even people who are walking around, you know, with crazy IQs and are super bright and have 13 different degrees, still benefit from hearing things in their simplest form, and then they can, like, translate it in their head to how it makes sense to them. So I think people who listen to this podcast and are successful with these things, I think they're using the ingredients I gave them, but I think the cake they make probably doesn't look anything like the cake I make. And that was the thing that was hard, not hard for me to learn, but it was interesting when I learned it, because I used to imagine that everybody was just doing exactly what I was doing, and that's why it was working. And then after talking to people, I realized, no, I just gave them flour, sugar, butter, salt, and they decided what to make with it, and their thing came out, and it was tasty. And so, like, that's kind of how I think about it now. So that that happened for you is really awesome, and I appreciate you telling

Speaker 1 47:19
me yes, to the point where once I finally got my endo appointment that took almost four months to get when I met with the CDE, I'd already been listening to your podcast for two months, and I didn't learn anything from her, and that's because I already had a pathway for education thanks to the podcast. So that's what my one of my notes to you was learning to say thank you to providers. So everything she shared with me that I already knew, I just said thank you for them. Yeah, yeah. No. Need to tell them I already know that. Right, right? They're doing their jobs. Give them the space and the grace and just say thank

Scott Benner 48:01
you. Yeah. You know, as time goes on and on, on a gut roll level, it's disappointing that somebody could go into a provider and not get decent information from them. But it hurts me, you know. But the more of them I meet, the more I think, like it's not their fault, like it's just really is how the whole thing works. It's how their education works. It's how the system works and how insurance works and appointments work, and that their people and your people and all these things together. Everybody always says, like, we have to fix the healthcare system. How? How would you do that? Exactly? And they'll say, like, things like, Oh, the appointment should be longer. I don't know if that's I don't know if that would help anything, you know, like, maybe this is just what it is, and things like this, then end up on the people, unfairly, who are living with them, and they got to go figure it out on their own. And maybe we should just be grateful that the technology exists where people can go listen to a podcast or read a book, or, you know, go ask, I mean, you should see what I'm seeing with people like I'm not saying to do it, but I'm watching people drop graphs into chat GPT, and it's given, you know, in some cases, some great tips for what you might want to look into. So you know that stuff's going to keep happening. I spoke to a number of healthcare providers this past week. I'm just gonna say this here and they'll hear it, and I apologize to them in advance. I had a lot of people say the same thing over and over again. Oh, I tell everybody about your podcast. So helpful to them, blah, blah, blah, and then I would try to say to them, here's why I think the podcast is valuable. They don't see it that way. And so even people who were standing in front of me telling me, I know why the podcast is great, like, I share it with people all the time. As they were talking, I kept thinking, you don't understand why the podcast works. And I tried to explain it to them, and they still didn't understand. And I was like, their experience is just so much different than mine is. And. They don't see this side of people like trying to say, like, you know, a lot of people go into like, I talked to some bright people who are good providers at great institutions, more than one, more than five. And I was like, This is what people need to know. This is how they have to hear it like, this is what you should be saying to them, from my perspective, because, again, I found a way to talk to people at every entry level, at every age reading level, like people, like all different people, and they all report back the same things over and over again about the podcast. There's also some people I told them like that hate me and or don't want to listen to things or whatever, like I'm not saying everybody, but the for the people it works for this is how it works for them. And they don't know what I'm talking about. They only see their perspective of how they do it. And when I said, no, these people are coming to you and they're leaving, and they don't understand any better than when they got there, I don't think they think that like I don't know what it is they think or whether they're able to how honest they're able to be with themselves, or whatever. I'm not exactly sure what gets in the way, but they don't see what I'm telling them, and even after saying it out loud, they don't follow. So I told them, like, you know, like, people need to be comfortable making changes to their settings. So they need to know how insulin works, and they need to understand how to use it. They need to understand how their food impacts that insulin. And I just said to one person, like, just listen to the Pro Tip series. I'm like, That's it. I said, You have no idea. I've lost count of the 1000s of 1000s of people who have said to me, listen to the Pro Tip series. My a 1c got into the sixes. That's not because I explained it perfectly in there. It's because I left bread crumbs all over the place, and they went and took them and and they put it together into their own concoction and made themselves an A 1c but you're not telling them that. You don't explain how insulin works. You don't talk about the connection between this and that. You don't talk about how to Bolus for things. I've been to great institutions when my daughter was younger. No one ever said to me, like fat might need more insulin. Never, ever, once, ever, ever, ever, no one's ever said it to me. And I even found myself talking to a person who I think is lovely and I love, who is Mike Arden's like second MP. And the only thing I didn't say to her was I didn't really learn much from those appointments. I didn't have the heart to say it to her, because she's lovely and really dedicated and a good person. She's helping a lot of people. But for me, I was in there, and I just heard the How are you feeling? Let me see your sights. Have you been low? How low? How are things going? How do you feel? Do you have any questions, like the stuff that they ask over and over again? I was like, not helpful. It just isn't like I had to go out and figure it all out for myself. And you put everybody else in that situation too, but not everybody goes and figures it out. So you know, where are those people? And once you start asking them, like I said this in an episode recently, like asking a person who doesn't know what they're doing if they have any questions about what they're doing is the silliest thing I've ever heard in my life. Like, if they knew what to ask you, they wouldn't have to ask you they don't know enough to know what they don't know, and you're asking them to lead you into what they need to hear about, like you should know what they need to hear about. Their response would be, everybody's different. My response would be, no, they're not on some basic level. We're all the same, and we all have the same issues, and the same 15 or 20 ideas would make a foundation for us that would really lead us to success. That's what I think the podcast is. And I don't think that's the I think that's the thing that a lot of them don't follow, and some of them do, but a lot of them don't follow it, so I don't know Anyway, sorry, that was all from you saying thank you to me, William. I got it today. I can podcast today. Oh, Rob's gonna be so mad. We've been talking for like, an hour and 40 minutes. Sorry, Rob. Awesome. Anything else we good.

Speaker 1 54:00
I just want to give a acknowledgement to how wonderful My husband was through that emergency situation. And he's no longer polite and gentle when he's concerned. He makes his point, and I listen to him, and we take action. He also he was my wound care, my primary wound care for over 100 days. He was changing my dressing, taking care of my wound, sometimes up to five times a day. But the poor guy, so my incision from the surgery went from what they call in yoga, the sits bones on my left leg all the way up to top of my pubic bone, following the seam of the leg. Okay? So the poor fellow had to look at my goods up to five times a day for over 100 days. Thank you, honey, for taking care of me.

Scott Benner 54:52
That's a very kind thing to do for somebody. Also, what was he gonna say? Is he gonna go? No, figure it out for yourself. Yeah, cuz I I couldn't do it. Yeah, no kidding, not, not an accessible place, right, right? Something. Well, I'm so glad you're doing better. That's a crazy story about your diagnosis. Infections are no or no, uh, no joke, it easily could, that infection easily could have gone somewhere else and ended you. It ended up in your thigh. And, you know, seriously, it's almost dumb luck that that's where it landed,

Speaker 1 55:21
yes, and it was an incredibly aggressive variety. The surgeon said that that particular flavor can kill people in one to three days. No kidding. And I had it for a week.

Scott Benner 55:35
Scared the hell out of you, I bet, when they said that, huh? Yeah, yeah, no kidding. God, diabetes would have been the least to your problems, right? Wow, wow. That's so I'm, I'm so happy for you that it, uh, that you found the answer in time. But I do want to implore you, next time you feel sick, like, maybe tell somebody don't be like, this will probably be okay. I'll just tough my way through it. Yeah, invincible, yeah. And I know, I know a few you people. I'm not That's not me. I get sick. I'm like, Hey, someone help right now. I need help. All right. Thank you so much, Laura. Hold on one second for me. Okay,

the conversation you just enjoyed was brought to you by us. Med, us. Med.com/juicebox, or call 888-721-1514, get started today and get your supplies from us. Med, a huge thanks to my longest sponsor, Omnipod. Check out the Omnipod five now with my link, omnipod.com/juicebox you may be eligible for a free starter kit, a free Omnipod five starter kit at my link, go check it out. Omnipod.com/juicebox Terms and Conditions apply. Full terms and conditions can be found at omnipod.com/juicebox Are you tired of getting a rash from your CGM adhesive? Give the ever since 365 a try, ever since cgm.com/juicebox beautiful silicon that they use. It changes every day, keeps it fresh. Not only that, you only have to change the sensor once a year. So I mean, that's better. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. If you're not already subscribed or following the podcast in your favorite audio app, like Spotify or Apple podcasts, please do that now. Seriously, just to hit follow or subscribe will really help the show. If you go a little further in Apple podcast and set it up so that it downloads all new episodes. I'll be your best friend, and if you leave a five star review, ooh, I'll probably send you a Christmas card. Would you like a Christmas card? 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 will 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. Hey, what's up, everybody? If you've noticed that the podcast sounds better and you're thinking like, how does that happen? What you're hearing is Rob at wrong way recording, doing his magic to these files. So if you want him to do his magic to you, wrong way recording.com, you got a podcast. You want somebody to edit it. You want Rob.

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#1620 Thick Thighs Save Lives - Part 1

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

Laura, 55, was diagnosed with type 1 in March 2024 after months of missed signs, DKA, septic shock, and necrotizing fasciitis. Now on a GLP, she’s honeymooning without insulin. Part 1 of 2

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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.

Speaker 1 0:15
Hi, Scott. My name is Laura, and I was diagnosed with type one diabetes at the age of 54 in March of 24 which I didn't even know was a thing Adelaide said type one until I was diagnosed with it. Who knew

Scott Benner 0:33
if you're living with type one diabetes? The after dark collection from the Juicebox podcast is the only place to hear the stories that no one else talks about, from drugs to depression, self harm, trauma, addiction and so much more. Go to Juicebox podcast.com, up in the menu and click on after dark there, you'll see a full list of all of the after dark episodes. Please don't forget that nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. Summertime is right around the corner, and Omnipod five is the only tube free automated insulin delivery system in the United States because it's tube free, it's also waterproof, and it goes wherever you go. Learn more at my link, omnipod.com/juicebox, that's right. Omnipod is sponsoring this episode of the podcast, and at my link, you can get a free starter kit. Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox, the episode you're about to listen to was sponsored by touched by type one. Go check them out right now on Facebook, Instagram and of course, at touched by type one.org, check out that Programs tab when you get to the website to see all the great things that they're doing for people living with type one diabetes 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

Speaker 1 2:30
Hi Scott. My name is Laura, and I was diagnosed with type one diabetes at the age of 54 in March of 24 which I didn't even know was a thing, adult onset type one, until I was diagnosed with it. Wow, who knew?

Scott Benner 2:46
Yeah, this was just a year ago. And prior to that, not even a year, little over a year, little over a year. And never, once in your entire life, did somebody say diabetes.

Speaker 1 2:58
I did have gestational diabetes with both of my pregnancies, but I didn't know there was such thing as an adult onset type one

Scott Benner 3:04
I see, I see, and you didn't know anybody else with type one in your family? None, none. How about other autoimmune issues?

Speaker 1 3:12
My grandmother had myasthenia gravis. What is that? It's an autoimmune that attacks the smooth muscles of the body,

Scott Benner 3:21
okay, how did that affect her through her life? I

Speaker 1 3:25
don't know, because we didn't talk about it, and I didn't realize that was autoimmune. I just knew she was a very loving old lady that I looked like a lot like, and she took a lot of medicine, but she lived into her early 80s, and ultimately, it was strokes that took her

Scott Benner 3:43
out. Okay, early 80s, I could deal with that, I think, you know, unless they change something like awesome in the next 10 or 15 years, where like being older isn't like being older is now. You know what I mean, right? Yeah, it's not a bad run at all. Well, I guess. Are you married? Do you have kids like? What's your family structure look like?

Speaker 1 4:04
So I'm married. Just had my seventh anniversary two days ago, and I have two grown children. They're both in their 30s, and one grandson.

Scott Benner 4:14
Okay? This your second marriage. It is, it is, okay. Well, congratulations on your anniversary. Very nice. Thank you. And your your lovely family, tell me a little bit about being diagnosed as an adult out of nowhere. You know how it showed up, and how did you figure your way through it?

Speaker 1 4:33
Well, the story Scott is, I worked myself to the edge of death, and when my husband took me to the ER I was in DKA, I had necrotizing fasciitis, and I was in septic shock.

Scott Benner 4:47
Wow. So how long do you feel like looking back, how long were you ill before you did something?

Speaker 1 4:53
I was very symptomatic for probably about three weeks. And. Yeah, in the ER, my blood sugar was somewhere around 500 and my a 1c was 12 or 13. I had gone to the doctor a week prior to the ER visit because I had a cough, a long cough that I just couldn't shake. So I went to the doctor, and I told him during that visit that I had lost 30 pounds without trying, and I was concerned about that, but he wasn't concerned

Scott Benner 5:32
30 pounds that you were happy to lose, or that were concerning

Speaker 1 5:37
I was happy to lose. However, it was very concerning. For years, I had tried losing weight and couldn't lose more than three to five pounds at a time, and suddenly 30 pounds just melted off over the course of about two

Scott Benner 5:49
months when it was happening. How did you think about it?

Speaker 1 5:53
I did have diabetes in mind, but I didn't have any concept of how dangerous out of control blood sugar could be.

Scott Benner 6:03
So were you doing? Because other people have said this to me, and it's okay if that's not what you were thinking, but were you doing the like, oh, I might be getting diabetes, but I have needed to lose this weight, so I'll just ride this a little while before I look into it. Or was it not occurring to you like that?

Speaker 1 6:18
Honestly, it crossed my mind a couple of times, but I did seek medical help. I just wasn't I was blown off.

Scott Benner 6:27
Oh, so when you went to that doctor and you said, I've lost 30 pounds, did you say I've lost 30 pounds? I'm wondering if I have diabetes. I didn't say diabetes, okay, but they didn't think it through to that degree,

Speaker 1 6:39
correct? And that's part of my with self reflection. What could I have done differently, or what could I have done better? Because I actually did have a glucose meter, because I worked with a dietitian about a year and a half prior, and she prescribed me one, but my thought processes, they just weren't clear during that time. It didn't, it didn't occur to me that I had a tool that I could check on myself. I see I was relying on a medical professional to say, to take my hand and say, Oh, that is concerning, right? What? Let's do something about

Scott Benner 7:13
it. So when he's he or she's not concerned, does that shut off your concern, or does it just make you think? Like maybe the thing I was thinking, isn't

Speaker 1 7:22
it? It Back burner, the concern, okay, okay, because my mother was diabetic, and one of my sisters too, I see,

Scott Benner 7:29
well, you know, to tell the doctor I tried, I've tried to lose weight throughout my life. It's never worked. That wasn't part of the conversation. Wasn't part of the conversation, okay? So you think the doctor just got fixed on the idea that losing 30 pounds was probably good for you. So we're not going to think not going to think about

Speaker 1 7:43
it any deeper than that, right? And my chief complaint going in was a cough, and he prescribed a very strong dose of prednisone, which apparently will make even a healthy person's blood sugar spike.

Scott Benner 7:57
Yes, actually, it very well could about that. That's all I did. That's interesting. Didn't look to see if you had, like, an illness that caused the cough or anything like that. No, is it just a GP? Nurse Practitioner. Nurse Practitioner. Gotcha. Okay, so that happens, how long before you end up in the hospital? Like, how? Like, when's that doctor's appointment timeline wise,

Speaker 1 8:23
that was on a Tuesday, and the next week, on Wednesday was when I was in

Scott Benner 8:28
the ER, wow, that quickly. And I'm sorry, I feel like I heard you mention that flesh eating disease, yes, when did that? Okay, hold on, because this came on so quickly now that I understand the lay of the land, and it came on so quickly. In less than a week from like, Hey, Doc, something's wrong, I've lost 30 pounds to I'm in the hospital. What does that week look like? Like, walk me through that week. At first, I noticed this on top of this, on top of this. I kept ignoring like, show me the timeline there.

Speaker 1 8:57
So the doctor's visit was on a Tuesday, on Thursday, I noticed some discomfort on the back of my leg, and frankly, I had I had new undergarments, and I thought it was causing just a little friction rub. So Thursday, I started noticing the discomfort. Friday, I noticed that there was a bit of a growth and protrusion at that spot,

Scott Benner 9:26
skin tag. You were thinking something like that, maybe something like that. Yeah,

Speaker 1 9:30
I knew I had a dermatologist appointment the next Wednesday, so I wasn't concerned about it. Oh, just another thing for that doctor to look at. Yeah, Saturday, it looked like a small potato oozing just a little bit, and again. Well, I already have an appointment to see the dermatologist so they can look at it on Wednesday,

Scott Benner 9:52
russet or yellow potato. I'm just kidding. So that thing's growing exponentially.

Speaker 1 9:58
It's growing quickly. Yeah. Okay. Okay, and during this time, I am so exhausted that I can't go for more than an hour without laying down or taking a couple of naps during the day, but, but I had work to do. Scott so as as a career, I'm a corporate trainer, and I was the head of a sales enablement team, and sales kick off, which is the largest internal event of the year for any company that does it for most companies, okay? And I had a team that my predecessor hired really amazing people. Most of them, however, had never done sales enablement or sales training before they were hired. So there was a lot of burden on me to deliver this event. So I was working as hard as I could, non stop, hours on end and and that's, that's the part where I said I worked myself to the edge of death, including doing executive readouts that I didn't have any of money on my team that could do them, so I was pushing myself to get the job done. As I've said for years, pain may slow me down, but it never stops me. So I am working and napping and working and napping and working in napping, had to do an executive readout on Tuesday, Tuesday night, my husband is so concerned. We were out of town for his work. We were driving back, and it's about a two and a half hour drive between where we were for his work. Excuse me, yeah, and our home. I was so tired on the way home that I actually asked my husband to park his truck at a one of his work locations and drive my vehicle home. Scott, I don't let him drive my vehicles.

Scott Benner 11:55
Why not? What? What bothers you about how he drives your cars? What is it? Is it just that it's

Speaker 1 12:01
yours? It's not that it's because it's mine. We have very, very different driving styles, and it makes and I get uncomfortable when you don't

Scott Benner 12:11
like it when he's driving, right? Is it that he stops late, accelerates too quickly? Stuff like that

Speaker 1 12:17
doesn't necessarily stop late, but the way he uses distance and lane usage and speed, yeah, he's an excellent driver, by the way. He has a CDL, makes you janky, makes you feel weird, yeah, just be, just be a little more respectful with my baby, please.

Scott Benner 12:35
I understand you love that car I got you. So point being is, you guys are trying to make this ride. You can't do it, you can't stay awake. You're exhausted. I mean, listen, you're in fairness, you're giving birth to a potato, and that can't be easy, right? Listen, if everybody feels like, I'm now talking to my wife, but not to you, I'm sorry. But, like, what is it about you people that you can't just, like, admit like you're tired, or that, you know, I heard you say something so corporate. It just made me upset. Like you owned it, like, I know you mean you own the process, or you own the thing, like, it's your responsibility. I see my wife, you know, saying stuff like that all the time. Like, why does everybody think that they can just live forever through anything? And nobody ever stops to say, like, I'm exhausted or I can't do this. What do you think stops you? Like, from that business side, what is it that stops you from saying, Hey, I'm in trouble. I

Speaker 1 13:21
go until I can't, and that's that's what I do, not just in corporate life, but good example is, I live in the mountains, in the woods, and our primary heat source is firewood, and so chopping, stacking firewood is a huge task, especially at my age, and I work myself to the point of exhaustion. I go until I can't go anymore. And where did that come from? I really don't know, but it's just it's part of my MO

Scott Benner 13:54
one of your parents real demanding, or never give praise. Are you Catholic, anything like that?

Unknown Speaker 14:01
Neither of them were demanding. They were mostly absent.

Scott Benner 14:03
Oh, okay. You felt like everything was on you. Yes. Ah, we found it okay. All right, okay, so you're gonna kill yourself by ignoring flesh eating disease, type one diabetes and a few other things. So he pulls over. I mean, you act us. Let him drive the car. Where does it go from there. Today's episode is sponsored by a long term CGM that's going to help you to stay on top of your glucose readings, the ever sense 365, I'm talking, of course, about the world's first and only CGM that lasts for one year, one year, one CGM. Are you tired of those other CGM the ones that give you all those problems that you didn't expect, knocking them off, false alerts not lasting as long as they're supposed to. If you're tired of those constant frustrations, use my link ever since cgm.com/juicebox to learn more about the ever since 365 Five, some of you may be able to experience the ever since 365 for as low as $199 for a full year. At my link, you'll find those details and can learn about eligibility ever since cgm.com/juicebox, check it out. Today's episode is brought to you by Omnipod. It might sound crazy to say, but Summertime is right around the corner. That means more swimming, sports activities, vacations. And you know what's a great feeling, being able to stay connected to automated insulin delivery while doing it all. Omnipod five is the only tube free automated insulin delivery system in the US, and because it's tube free and waterproof, it goes everywhere you do, in the pool, in the ocean or on the soccer field, unlike traditional insulin pumps, you never have to disconnect from Omnipod five for daily activities, which means you never have to take a break from automated insulin delivery ready to go tube free. Request your free Omnipod five Starter Kit today at omnipod.com/juicebox Terms and Conditions apply. Eligibility may vary. Full terms and conditions can be found at omnipod.com/juicebox type that link into your browser or go to Juicebox podcast.com and click on the image of Omnipod right at the bottom. There's also a link right in the show notes of your podcast player.

Speaker 1 16:20
So we get home and I'm having trouble with my motor functions. So my husband actually I've had two back surgeries, Scott, I have four rods and 12 screws in my back. And from my back surgeries, I still have a walker from my recovery time. So my husband pulled the walker out of the closet and made me use the walker in the house because he was so afraid I was going to fall Wow. Yeah, yeah, but I had a doctor's appointment the next day, Scott,

Scott Benner 16:51
so we don't need to go to the hospital. This will be fine, even though I'm now a fully mobile person using a walker and can't stay awake. Yes, you hear it when you were talking about it,

Speaker 1 17:00
yes, yeah, okay. At the at the time, not only were my motor functions failing, I couldn't think straight. I didn't know that I was not being smart.

Scott Benner 17:10
I see you thought you were just managing the situation.

Unknown Speaker 17:14
Yes, I got that. There was a plan, that's all I knew. Got it

Scott Benner 17:18
okay? And your husband, is he pushing you, or even retrospectively telling you, like, you know, I thought we should have gone. Or where was he in that moment,

Speaker 1 17:26
he was respectfully expressing his concerns, but not pushing

Scott Benner 17:32
second marriage. In his first marriage, he would have drugged your straight to the hospital. Probably, the first marriage teaches you to be more respectful of people. Yeah, I got you Okay, so he's worried, but he's he's leaving it to you, but he doesn't know that you're not exactly making great decisions, and you don't either exactly scary, right? A scary thinking back on that it

Speaker 1 17:55
is, I am really fortunate to to be alive, Yeah, no kidding. But that's, that's kind of a, it's kind of a weird super power, power. And the women in my family,

Scott Benner 18:05
they don't die. It takes a lot. Yeah, hey, did you end up baking the potato? Did you mash it? Okay, so you go to bed, and then what happens? Sorry,

Speaker 1 18:18
yeah. So in the morning, I'm getting ready to go to the doctor's appointment, but I'm so exhausted, I can't do five minutes of standing just to do my skincare, yeah, brush my hair, get myself dressed. So I had to rest so many times because I was I was out of breath, and I'm very concerned at this point. But again, I had a doctor's appointment. It took me so long to get ready that we were late and the doctor couldn't see me. So my husband just said, that's it. We're going to the ER, your

Scott Benner 18:51
doctor blew you off because you were late, because you were so sick you couldn't get there in time. They didn't know that. Oh, okay, you live in the mountains. Are you telling me? Yes. Also, we're gonna have to get back to that at the end, because that sounds attractive to me, but I wanna make sure that I'm understanding all the downsides. So okay, so you right off the er, sorry, go

Speaker 1 19:09
ahead. Couple of other things that, again, not thinking straight, my vision was really blurred, and parts of my vision were dropping out. I don't know if you've ever had a migraine, but when I get migraines, my vision drops out, but it's replaced by more like white, but this time it was replaced with black. I had frequent urination, which I just thought because I'd had a hysterectomy a few months before. I thought, Oh, I'm having bladder dysfunction because of my hysterectomy. That's what happens when you're an old lady. I was having a lot of digestive distress. I was having a lot of heartburn. Well, Scott, turns out that wasn't heartburn. I was vomiting while I was sleeping.

Scott Benner 19:55
Oh, my God, yes. Digestive distress, constant. Patient or diarrhea, mostly upper digestive upper okay. So you thought, oh, I have heartburn, but you're vomiting into your into your mouth.

Speaker 1 20:08
Oh, my gosh. I just thought it was really bad acid reflux,

Scott Benner 20:13
yeah. So technically, speaking, you were dying.

Speaker 1 20:16
Yes, yes, got it. I even coded on the table.

Scott Benner 20:20
Wait, okay, hold on, so you get into the ER and how did they I mean, you remember how you presented yourself and what they started doing.

Speaker 1 20:29
I told my husband, as we're getting just out of the out of the vehicle, but I couldn't walk in. I needed him to get me a wheelchair. I took a few steps, and it just wasn't working. So he gets me in. I'm in and out of consciousness. I remember answering some of the questions, and they seemed a little accusatory, and saying her blood sugar must have been like this for a very long time. No, it hasn't.

Scott Benner 20:56
Why not that, you know, but you know, they have you pegged as DKA. Is that right? Yeah, okay, so,

Speaker 1 21:05
and then my husband tells them about the the growth, the infection on my leg. Immediately get into surgery, and I remember thinking they're moving too fast. They're going to kill me. Every line, everything that they hooked up to me.

Scott Benner 21:22
I ripped off. You were worried they were doing it wrong.

Speaker 1 21:25
Yeah, that was one of my last thoughts before I went under. You

Scott Benner 21:29
were backseat driving. The was, do you do that while your husband's driving your car

Speaker 1 21:36
too? I stay politely respectful. Look at you. Okay,

Scott Benner 21:40
all right? So you're freaking out in that hospital, feeling like something's wrong. They feel like they're moving too quickly, they're doing wrong things. So you look combative. Then, yeah, yeah, got

Speaker 1 21:50
it, but that's, you know, the fight or flight. That's what I felt in the moment, right? Right? Yeah, wow. And so I had two surgeries. What was the surgery for? It was to cut the infection out of me. Okay,

Scott Benner 22:05
back of your leg, thigh, back of your knee, back your calf, upper thigh, upper thigh. Okay, yeah, you said you thought your underwear was dropping it. By the way, when you said that, it made me super excited that I ordered new underwear and it's arriving today. Oh, yay. I don't know why. Like, I think it's because I grew up so broke like when I replaced my underwear, I feel like I'm really winning. I know that's probably ridiculous, but I love that. I have two packs coming today, nevertheless. So they cut out. How much of your thigh did they have to take away?

Speaker 1 22:31
Oh, goodness, I don't have a number for you, but I can tell you that it was kind of spider shaped because the infection tunneled and it took an entire roll of gauze. So what is that? Four yards that's three inches wide to pack the wound? Oh, gosh, okay, the only time in my life, Scott, that I have been happy that I had a thicker thigh, because it only got into the infection, only got into the fatty tissue, and not into any any muscle or any connective tissue.

Scott Benner 23:12
Wow, that's so you were lucky enough it didn't make it to a place where it could run more deeply. It was in, it was in the fatty tissue at that point. Exactly, exactly. All right, how do you end up with that? Did they tell you later, like, how did you get the flesh eating

Speaker 1 23:25
disease? That's something that we haven't been able to figure out. Okay, well,

Scott Benner 23:29
you do live in the woods. I do. And then you said you had a second surgery. What was the second surgery

Speaker 1 23:34
for the second surgery was to go back in and make sure that they got all of the infection. I see was that days later? That was the next day, the next day,

Scott Benner 23:44
okay? So they did what they thought was like saving, life saving and then get somebody else to come back and be more meticulous about it. Yes, okay, yes. And they're getting you out of DK at the same time. How do they put you into surgery when you're coming out of DK? Is that not dangerous? I have no idea. So you're pretty out of it during this time. Yes, okay, when's the first time in the hospital stay that you start like coming out of it, realizing what's going on?

Speaker 1 24:12
Oh, they had me so heavily medicated. So heavily medicated. Scott, I was, I was hallucinating in anime.

Scott Benner 24:20
Oh, well, that's kind of fun. Yeah, do you watch anime? I don't. Oh, that's awesome,

Speaker 1 24:28
yeah. And then at one point, somebody had come into the room to empty the trash and and whatnots, and I had a conversation and said, You know, I can tell things are getting better now because my hallucinations are more

Scott Benner 24:43
realistic. Geez, did anybody ever tell them back to you? No, no, that's

Speaker 1 24:50
and my husband doubts that I actually had that conversation. Oh, it was probably a hallucination too. That

Scott Benner 24:56
might have been a hallucination also. You were really, you really were close to death, huh? Yeah, yes, wow. I coded. Oh, yeah, oh, I'm sorry. During which one of the surgeries, the first of the second, the first one? Wow. They have to, like, do the thing, like in the TV show where they yell clear, and then they shock your heart, perhaps, oh, you're not sure, oh, I would have definitely asked about that one. Wow. No kidding. When did they tell you that? They didn't tell me. I heard it when they were doing the rounds. Oh, oh, yeah. So somebody said she coded during the surgery, and you heard them, but you don't. But is that possible that that didn't happen to like, how hallucination heavy were

Speaker 1 25:34
you? No, I heard that every day that I was in ICU six days. It's

Scott Benner 25:39
a part of the thing that they were passing from nurse to nurse to make sure that they knew, because they wondered if it was going to happen to you again, probably, and they wanted to use a teaching hospital. Oh, I see, I see, wow. So how long you're in the hospital for? How long after all this, nine days total? Well, nine days. And then does one of the problems supersede the other? Like, does somebody ignore talking to you about your diabetes because they're so worried about the other thing, or vice versa.

Speaker 1 26:02
In ICU, they were heavily focused on the wound and the infection. Then once I got to out of that onto the trauma floor, that's when they very closely. They were ready to release me after the surgery, but not until my diabetes was under control, so that's where I had two extra days in on the trauma

Scott Benner 26:24
floor. Gotcha, wow. So what's your expectations for how to manage diabetes leaving on day one? What do you what do they tell you like? What do you I mean, because you said it was out of nowhere, it's later in life. It's not a thing you were expecting. So you know, when you left, what did you think management looked like compared to what you feel like it is now

Speaker 1 26:42
when I left so I had prescriptions for a long acting and a fast acting, and I had instructions of once a day to take the long acting, but not when they gave me instructions on how to prepare for The injection, how to store the insulin using the glucose monitor, which I had done previously, they sent a nutritionist to talk to me about what my plate should look like. And that was, that was pretty much it, yeah, okay,

Scott Benner 27:16
so start looking into it on your own. Like, I imagine you're exhausted after this experience. So like, you're not like, or did you go right back to corporate, Laura mode as soon as you got home? Like, or did you, I mean, had to have taken you time to recuperate, right?

Speaker 1 27:30
I was in corporate mode before I left the hospital.

Scott Benner 27:33
Okay, Laura, I see so you're already looking into like, how to take care of your diabetes on your own,

Speaker 1 27:39
right? What'd you figure out early on, because I had gestational diabetes 30 plus years ago, I had a bit of a baseline. And then, because I had worked with a dietitian a year and a half prior and already confirmed that I understood nutrition and understood carbs and proteins and all of that, I felt like I was in a pretty good place there. It was more about understanding is, is the insulin, the right insulin and the right amount of insulin and when to take it? So I was just told take it before you eat. So I'd sit down to eat jab and then eat, not waiting the 15 minutes beforehand you

Scott Benner 28:21
have a CGM on at that point, not at that point, not at that point. So what do you how far after the meal? Did they tell you to test again? They usually say three hours, but two hours, two hours. Okay. So what were you seeing at the two hour test? Usually 150 or less. Okay. Do you think you were honeymooning at all? Oh,

Unknown Speaker 28:41
I'm completely honey. Many you are, okay, yeah,

Scott Benner 28:43
all right. So that doesn't seem, I would imagine that doesn't seem bad, right? Like, I gave myself insulin, my blood sugar's 150 a couple hours after, I probably felt like you were doing well, yeah, I wasn't concerned. What happens that makes you feel like I need to understand more and more. Like, how do you start digging into it to get to where? I mean, you are now

Speaker 1 29:01
going back to sales kick off. And by the way, I was in the hospital for 11 days. I only missed, or excuse me, nine days. I only missed 11 days of work. Oh, geez, I had sales kick off to deliver. Yeah. And so in January, flew to headquarters to do sales kick off. And one of the executives, she was one of my keynotes, and when she walked into the room where I was producing the event, I saw that she had a CGM on, and I asked her about it, and told her that I was recently diagnosed. And she just she looked horrified, and she said, You know what? I was 35 when I was diagnosed. It was was scary. It came out of nowhere. And she recommended a Facebook group for me to join and a book

Scott Benner 29:48
to read. Okay, when I was I do audio books.

Speaker 1 29:53
And so after I finished that first one, which was bright spots and land mines, something like that, Adams book. Yeah. Right, yeah, yeah. I was searching through audible for other resources so I could really educate myself. And that's when I found your podcast. Oh, your podcast is, is what gave me the, the complete confidence that, okay, this is, this is the best resource. This is real world, and it's, it's consumable in a way that feels personal.

Scott Benner 30:27
Oh, I'm glad that's awesome. Also, how crazy is it that somebody wrote a book that's inaudible, and that's how you found the podcast? That's, I feel so random. I've been surrounded by random things this week, so I'm paying a little closer attention to them. Oh, that's awesome. Can you help me for a second? Because you're a very clear person. Very clear person. You find the podcast. There's a lot of episodes, I realize that. But how do you figure out what to go listen to? Or do you just start and then eventually hear about like the Pro Tip series and go find it? I'm interested in the process of picking through and getting settled with the show.

Speaker 1 30:59
I started with most recent episodes, and just started working backwards. Okay?

Scott Benner 31:05
And then, did you get to like management series somehow? Yes. Did you find that through the Facebook group, or just by listening through the Facebook group? Okay, because we have them up in the feature tab, and there's like, all those lists up there. Is that how you found out it or because people share them in the group? You don't recall. I'm not recalling at the moment. That's fine. Also, I'd like to tell everybody Juicebox podcast.com/lists, with an S. I've taken all those lists that exist in the Facebook group and I put them online for you so you can find them on a web page too. So if you want to go look at them there, that's where they are, and they're shareable and usable from there,

Speaker 1 31:44
right on. Yeah, by the way, I think that your snippets, your smaller ones, oh, the

Scott Benner 31:50
small sips, they're brilliant, awesome. I'm glad, brilliant. I'm glad, yeah, we're gonna work on how to make more of those. But they were, they were more difficult to make than you might imagine, like, you know, like, take, like a big idea and jam it down into 10 minutes somehow, but it seemed important to do. So glad you like those basically, you found the podcast, you figured out what to do, and you're doing well. Where are you at now? What's your A, 1c how's your variability?

Speaker 1 32:12
My a, 1c is 5.8 and I don't know what my variability is, other than when I received steroid injections for my back in December. I haven't needed insulin since October.

Scott Benner 32:24
Oh, so you're on, like, a honeymoon that where you don't need insulin. I'm also on Manjaro. Okay, hold on, let's pick through that you're using insulin. Then you go to a GLP, and then you don't need insulin again,

Speaker 1 32:39
correct? So when I started, I was on 32 units of long acting and five units of fast acting. And then every time we titrated up for the mangero, my insulin needs reduced. And then once I was on 12.5 that's when I was controlled without insulin.

Scott Benner 33:02
Okay, so for all the people who are gonna say you don't have type one diabetes, now, did you do C peptide? Do you have markers for type one I do. Okay, so you're honey mooning pretty hard. And you know that if you listen to the podcast, just other people have come on and talked about this, you know, in the middle of probably some sort of a latent, like a lot of diagnosis that they jump on a GLP for weight, usually. And then, I've only heard the story a few times, but it's a few people who've come on and told it, and you start to your insulin needs go down and down, and some of them end up on almost almost none or none. But your expectation is, I imagine that one day that's the GLP is not going to be enough, and it's going to it's going to come back the need for the insulin. Is that how you're thinking about it precisely? Yeah, okay, wow. I wonder how long that well, how long has it been going for?

Speaker 1 33:52
Already? We started the bonjoro last year in March,

Scott Benner 33:56
April. Oh, like 16 months now, yes, that's incredible.

Speaker 1 34:04
Wow. We've also reduced my thyroid meds twice,

Scott Benner 34:08
really, after the GLP correct. So inflammation, you think, what do you think? I mean? Is there anybody guessing why that is weight? Has your weight gone down?

Speaker 1 34:18
My weights gone down. So I'm down about 45 pounds.

Scott Benner 34:23
I mean, that's why you less body mass. You need less medication for the thyroid. I would end plus, wait, 45 plus the 30 or 45 total, plus, Oh, so you've lost 75 pounds since the day you started growing a potato, or the couple days before you started growing the potato, a couple months. Yeah, wow. Do you have more to go? Are you interested in losing more you like where you're at? Where does that sit? Probably about 15. Okay. Oh, okay. Can you talk about if, if there have been any other benefits from the GLP that you're that you see

Speaker 1 34:53
massive reduction in inflammation. So the benefits, so, number one benefit. To fit glucose control. So my blood sugars have been improving from the very first shot. I didn't start losing weight, substantial weight, until I got on to 10, the 10 dose, but I lost so many inches because of all of that inflammation.

Scott Benner 35:20
Wow, that's crazy. So you weren't exactly dropping a lot of weight, but your body was, like, tightening, you feel like, like, visually tightening up.

Unknown Speaker 35:29
Yes, okay,

Scott Benner 35:32
that's a good way to say, yeah, yeah, you were shrinking, but not losing weight, correct? Okay, that's interesting. Did you ever, in the past, have any like, GERD or any other digestive issues, or is that just during the diagnosis, part

Speaker 1 35:46
years of acid reflux and a history of peptic ulcers,

Scott Benner 35:50
and how about the reflux? Is it gone? It flares up.

Speaker 1 35:55
And here's one of the things that I want to share as a tip for anybody on a GLP one, if you notice you have anything digestive before the medication, it's probably going to be magnified when you're using the medication. Interesting. So I love barbecue sauce, and especially a tangy one, not a sweet one. But I get heartburn when I have it that's going gone on for years. Okay? Now, if I have anything that I know that previously would have caused a little bloat, a little discomfort, a little acid reflux, it's guaranteed to do

Scott Benner 36:30
it. I had acid reflux and it's gone now.

Speaker 1 36:35
Oh, good, yeah. But food triggers, very specific food triggers. You

Scott Benner 36:40
had specific food triggers. You do. I don't know what mine was, if it was weight or if it was just my poor digestion, like my digestion was terrible. It's so much better for the GOP. I'm not sure exactly what it was. I can still get it minorly. If I eat too late at night, then I might overnight. Notice it, but very mildly. But I used to, like, I used to be it was constant for a while, like I was taking something to try to, like, you know, quell it for quite some time. So that's interesting. Okay, anything else? Sorry,

Speaker 1 37:13
I'm also much more sensitive to sodium. Now, how so extra water retention. I've heard you talk about this when you're doing your your segments on how's it going with your GLP, one and extra sodium. Scale goes up for a couple of days.

Scott Benner 37:31
Okay, yeah. I tried, yeah, chicken wings. I tried chicken every time I tried to eat chicken wings. My I gained, like, water weight. It's crazy. That was pretty common for me to begin with. So that's just one of the things that hasn't gone away. Going away, I'll tell you my the GLP, where it's helped me recently is that I've been traveling more. So I did a cruise with a bunch of listeners, and I was on, you know, it's on the ship for six days, five, six days. I was very busy, like, super, super busy. I just didn't have a ton of time. It's gonna sound crazy if you're not in my situation, but like, you know, when you're just on the cruise, you live your life. You eat, you go to the bathroom and you go to the bathroom, but etc, when you have no free time during the day, you actually do eat. So that you won't be in a situation where a bathroom visit is a surprise. Does that make sense? Like, so, 100% Yeah. So you, like, you probably know, you go on work trips and stuff like that. Like, you get up in the morning, it's more like, Oh, I'll have some fruit, I'll have an egg, I'll have this. Like, you kind of like I was eating, like, hard boiled eggs for my protein, chicken for my protein. More lettuce, like, than I normally have, little more fruit than I usually have, like I was simplifying my diet so that I could decide when to use the restroom. Like Simple, right? But what made it easy was that I was never hungry the entire time I was on that ship. Now, what made it difficult was is that part of me being on the ship was that I had two dinners tonight, because it was my goal to have dinner with everybody that was there. So I would have like, a 5pm dinner with 10 people and a 715 dinner with 10 people, and I was already exhausted, like, so there's so much talking, and I was already beat and everything, but the menu would come and I eventually got like, a rhythm, like this young server, which basically turned into my mom. Like, she'd be like, just get this right now and we'll get you this the second meal. And I was like, that's a good idea. Like, so we were, like, spreading the food out and everything, but that, GLP, like, I would have been voraciously hungry without it that entire time, and I still would have had to have done what I did. It's interesting how it shuts off. I don't. It's not probably the same for everybody, but like, I don't get head or stomach hungry, usually ever. It's very interesting, although on day six and seven, I can eat a lot more than I can on days one through five. With the injection. I don't know if that happens to you. It does. Yeah, exactly the same. I think it's novo. I might. Nova and Lily, but like they're both trying to come up with a daily pill that replaces the injection, but still has the impact that the injection has been having for people. So I'm wondering if that will spread out the impact a little a little better for people in the future. I don't know how long it'll you know, if they actually work it out and get it to work and get it to market, on how long that something like that would take, but would take, but I'm interested in that too. I don't mind the injection, but I want the coverage to be more even, is

Speaker 1 40:30
my goal. I'd also see the benefit for a pill would be shelf stable without

Scott Benner 40:35
refrigeration. Yeah. Oh, is do you have too much GLP in your refrigerator?

Unknown Speaker 40:39
I wouldn't say too much.

Scott Benner 40:42
I mean, my wife and I are using it for weight. We have it here for Arden, for, you know, you know, for, you know what you're talking about, inflammation and blood glucose control and stuff like that. So, like, there's, like, a, he feels like there's a GLP section in the refrigerator. A little weird, actually, but Okay, so the GLP has been really valuable for you. I'm looking at your notes here. Can you tell people a little bit the difference between managing with and without a CGM? How does it change?

Speaker 1 41:10
Oh, it is. It is a complete game changer. A good example is for a quick breakfast. Just had a frozen breakfast sandwich, and I thought I was doing well with that sandwich, because two hours after eating, I'd be under 180 so that okay, I'm golden. Well, once I got a CGM, I had that same breakfast sandwich. Didn't realize I was going up over 200 Yeah, so then I started taking off one piece of bread to make sure I wasn't going over 180 and is it, you know what? I can't do this. This is not healthy enough for me, yeah. So just having that awareness of how how I respond to different foods, yeah, but also knowing I better get up and take a walk, or I better start pedaling on my little elliptical peddler. Yeah, yeah, to bring the numbers

Scott Benner 42:07
down, the CGM is more about you understanding how the food's hitting you and how the insulin and but also how the insulin is working. But what you saw first was, this is not a thing I should be eating. Is that right? Correct? Yeah, yep. How did you change? What did you do to you didn't just keep modifying the sandwich. You changed what you eat for breakfast.

Speaker 1 42:28
I changed so a Greek yogurt with some low carb granola. Or what I did especially early on, the Manjaro with the constipation, chia seeds in a protein drink. Oh, and make a pudding out

Scott Benner 42:44
of it. Yeah, that's a lot of fiber, right? And, boom, yes, yeah, I just went to the magnesium oxide. It's like, I also have gone through, like, seasons on the GLP, my wife and I were talking about this the other day that, like, I think there's a difference between tolerating it but having side effects that are expected and having something serious happen. Like, I want to say there's, I think there's a difference there, but, you know, I've gone through GLP, constipation. I've gone through GLP, like, I wouldn't call it diarrhea, but I would call it like, like, very like, loose stool, and it's not a day or two, like, it's a season, like your body is clearly adjusting to something as it goes along, at least was for me. And now I'm two years into it all that's like, straight now, like, I don't have what you would call like distress, like in the bathroom, unless I go eat something that, like, I know I shouldn't eat to begin with. And for me, that's a lot of, like, any anything fried, like crappy restaurant food, stuff like that is gonna send. It's gonna make my stomach go, oh, I don't know what this is, but I want it gone. And other than that, like, if I go through my normal day on that even on the ship, like people, I know this is crazy, but like, I lost five pounds on that ship. And I know people like, oh, you go on a cruise, you'll gain so much weight. Like, I had to be more careful about it, and it was a little more difficult. But there was good food there. You just had to, like, you had to pick through it, like, you know, everything's not chicken fingers and french fries if you're, if you're careful enough. And then this week, at children with diabetes, I was in a hotel all week long, and I came back, I think I lost a couple pounds that week too. So, like, I you can do it, you can find that food in the world. But like I say, if I, if I just, like, I mean, I think it was a few weeks ago, my wife and I were out one day, and we were both hungry. And, you know, it was Saturday, so we were both at the end of our injections and everything, and we were like, oh, there's this diner we used to like to go to. We went to that diner. I'm gonna tell you like we left that diner, went home, and an hour later, I was like, Excuse me, I gotta go. That food did not jive with me at all. If I eat purposefully, I don't have that problem at all anymore. But there were months at a time where I was. Are struggling with some of the side effects, but I don't know I the way I explain it to people is, I don't know if I'm right about this, but I figured it took me a lot of years to get in this situation. It wasn't just going to change on a dime, and then there was going to be some adjustments, like, literally, like on a cellular level, that have been happening. But in the end, I just, I count myself as somebody who probably just does not have enough GLP in my system without it being added as a replacement with this injection. That's, in the end, what I think is happening to me. Sounds like a fair assessment, good awareness. Best I can do. I've been trying to pay attention. All right. So listen here, I have two things left on your list here, I feel like we've covered we covered judgy providers, CGM, glps, your DKA experience, you just say here, integrative medicine experience, which I want to hear about, but then it feels like you want to interview me at the end, so we'll save that for the End. Tell me about your integrative medicine experience, though you

this episode was too good to cut anything out of but too long to make just one episode. So this is part one. Make sure you go find part two. Right now it's going to be the next episode in your feed. This episode was sponsored by touched by type one. I want you to go find them on Facebook, Instagram, and give them a follow, and then head to touched by type one.org where you're going to learn all about their programs and resources for people with type one diabetes. 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. Summertime is right around the corner, and Omnipod five is the only tube free automated insulin delivery system in the United States because it's tube free, it's also waterproof, and it goes wherever you go. Learn more at my link, omnipod.com/juicebox, that's right. Omnipod is sponsoring this episode of the podcast, and at my link, you can get a free starter kit. Terms and Conditions apply. Eligibility may vary. Full Terms and Conditions. Can be found at omnipod.com/juicebox, 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

my diabetes Pro Tip series is about cutting through the clutter of diabetes management to give you the straightforward, practical insights that truly make a difference, this series is all about mastering the fundamentals, whether it's the basics of insulin dosing adjustments or everyday management strategies that will empower you to take control. I'm joined by Jenny Smith, who is a diabetes educator with over 35 years of personal experience, and we break down complex concepts into simple, actionable tips. The Diabetes Pro Tip series runs between Episode 1001 1025 in your podcast player, where you can listen to it at Juicebox podcast.com, by going up into the menu. 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, but make sure you're not a bot or an evildoer. Then you're on your way. You'll be part of the family. Hey, what's up everybody? If you've noticed that the podcast sounds better, and you're thinking like, how does that happen? What you're hearing is Rob at wrong way, recording doing his magic to these files. So if you want him to do his magic to you, wrong way. Recording.com, you got a podcast. You want somebody to edit it. You want Rob.

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