#882 Waffles by the Lake
Malia has two kids with type 1 diabetes.
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Scott Benner 0:00
Hello friends, and welcome to episode 882 of the Juicebox Podcast.
Today on the podcast I'm speaking with Malia, she is the mother of two children who have type one diabetes. Both were diagnosed when they were young, and are like, pre teeny age, just starting their teen years right now. While you're listening, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. If you have type one diabetes, or the caregiver of someone with type one and are a US resident, please go to T one D exchange.org. Forward slash juice box and fill out the survey. completing that survey helps to move diabetes research forward, you can help somebody help yourself help the Show All in fewer than 10 minutes at T one D exchange.org. Forward slash juice box. And you can save 10% On your first month of therapy. With better help. That's better. help.com forward slash juice box save 10% On your first month when you go through that link. This episode of The Juicebox Podcast is sponsored by cozy earth that's cozy earth.com where I got the sweatshirt I wore yesterday. The sheets I slept on last night and I got some towels coming to they make terrific stuff. And if you use the offer code juice box at checkout at cozy earth.com You will save 35% sitewide that's 35% with the offer code juice box at checkout cozy earth.com. If you're looking to start with ag one from athletic greens, my link athletic greens.com forward slash juice box we'll get you going. And you'll also get a free year supply of vitamin D and five free travel packs with your first order fill nutrition gaps, promote gut health and support whole body vitality with Hu one athletic greens.com forward slash juice box.
Malia 2:29
My name is Malia. I have two children with type one Sophia and Wyatt where she just goes by Sophie. Currently they are 13 and 14 years old. But they were diagnosed at five and
Scott Benner 2:44
eight. Okay, Sophie is 13. She's 14 Actually
Malia 2:48
she's the older of the two.
Scott Benner 2:50
How old was Sophia when she was diagnosed?
Malia 2:53
She was she had just turned eight. They're about 16 months apart. And he was first actually he was five years old when he was diagnosed.
Scott Benner 3:02
Is there. I mean, was that completely surprised? Are you like, Oh no, everybody in our family gets diabetes?
Malia 3:09
No, we have no family history. He was first. So when he was five years old, we had gone to Disney World. And you know, it's funny because I do listen your podcast, I feel like our our story is probably not super unique in that sense. Like we noticed all of the classic sons he was, you know, wetting the bed every single night. And since we were on vacation, we were spending 24/7 with each other, and probably noticed it a little bit more than I would have even at home, if that makes sense. We were going to like the 20 Minute Disney shows, and I would take him to the bathroom before and he would still have an accident. So actually on our way home, my husband's college friend is in ufologist. And so he just was like and you know, they're still close. And he said, What do you think? And he never mentioned diabetes. He never said that. He just said, I think I would have that, you know, checked out. So we went to our pediatrician. And she told us on the spot, you know, his blood sugar was about 380, I think. And where we were unique, which I found this, you know, at the beginning, we didn't know anything. So we didn't know this was unusual. But after talking to families that we connected with later, they were like, Oh, this that's I've never heard this, but we were sent home that day, we did not go to the hospital. So looking back on it, it was a little less traumatic, I think in that moment. But you know, as a parent, parents, we went home and started looking, you know, looking at things and so we were terrified, and we were just sent home.
Scott Benner 4:51
So when they tell you in that situation, they tell you diabetes, and you have an answers you're probably like, well at least we know what's going on. And then when they Send your home, it probably doesn't seem that like that much of a big deal at the present the idea?
Malia 5:05
Well, no, you know, we didn't know enough to take care of him. That's what I would say. But we knew enough to be terrified. That's, that's where we were. So they just sent us home. And I was in tears and in denial, like, immediately all the heat, you know, all the different stages of grief, I guess, started to happen. And, you know, we were going back, so they sent us to an endocrinologist, the next morning. And we were just going back daily, like we didn't spend any time in the hospital. So we were just going back each day for education. And, you know, what do we do? And so like, I literally was going through all the stages, like, at that point, I was in denial, because I kept thinking, we're gonna go back today, and they're gonna tell us there was some kind of mistake, you know, and which is so ridiculous to think about now. But I really thought that, you know, we don't have a family history of any kind. And so I thought, this is probably just there's, there's probably a mistake. And I kept hoping for that it wasn't the case, of course.
Scott Benner 6:06
How was your husband dealing with it in that moment?
Malia 6:09
So it's really funny, and that this is the part where we always say, you know, it's, this is such a personal thing. But we are, like, we talk to a lot of, you know, type one families now. And I mentored families through JDRF. I did that for a little while. And we always were like, Okay, it's better if we're just honest about it, you know, how it affected us differently, right? Because I think it helps people feel better. You know, it's kind of painful to say that I was like, I went through two weeks where I just, I really was in a state of depression, you know, and it's hard to say, because you think I had another child that I needed to also just put it in gear for you? No. But he really did. He kicked it in gear. And he was like, and he's mister, like, let's fix it. There's a problem. Let's figure it out. So he was taking care of me too. So it was really probably a lot for him. Yeah. And those first few weeks,
Scott Benner 7:05
I hear that. Oh, my goodness. i I wonder. I wonder if, if everybody gets a chance to look back on it like that. And just take a minute to sort of diagnose what happened in the SEC, because it's very interesting. It's like, you're, you're feeling depressed, and you kind of probably turtled up a little bit. And then he looks up, the kids got diabetes, there's another kid, and you're like, I'm out. He's probably just like, oh my gosh, did you ever talk about it with him afterwards?
Malia 7:38
Oh, yes, we did. We've talked about it many times. I mean, he I can remember this, like it, let me you know, this was years ago, but I can remember sitting in the kitchen and him asking me when the last time I ate was. And then looking back, I thought this is really unfair to my husband, because he's, you know, learning a completely new, you know, this chronic disease that he's got to take care of, you know, that he's handling. And then another kid who's still very young, you know, she was young at the time, it's not like we can tell her just to hang tight, you know? And then me that he's having to ask if I ate today,
Scott Benner 8:10
how long? I guess you said a couple of weeks, but what do you think brought you around?
Malia 8:16
It's really just my personality to just kind of look at myself in the mirror and I'm like, Okay, you need to get it together today, you know, but my mother in law, I went over to her house and she came outside and met me on the porch and she said, hey, it's it's time to get it together. And it really kind of made me realize that you know, she she was right. When that's my personality, too, is is like Okay, it's time to step it in into gear and and deal with what we have to deal with.
Scott Benner 8:45
Malia I didn't like you for my my son and don't prove me right here. Okay, let's get going well, that's lovely a very she probably been through some things that she knows how it all works, you know, and and when you got to seal up a little bit and and even when you don't feel like Yeah,
Malia 9:04
yeah, I think she she also knows my personality and knew that that would that would be a good you know, like, Okay, your time is done.
Scott Benner 9:15
So was your husband Way ahead of you when you came online? Or um, weeks he probably didn't know very much I guess.
Malia 9:23
What Yeah, we I mean, it was no kidding. I mean, what I think probably for what anybody would say what you know, unless you're in the medical world maybe right you are have a history. You probably don't know a lot anyway. I mean, I was I was showing up to everything. I did feel like I was in a fog, you know, the entire time that I was learning things but no, I think I think I was staying focused on how to be a good caregiver. It's just Yeah, I just I just was pretty much denying that it was happening, but we we kind of had the reverse roles when My daughter was diagnosed because it was about 14 months later. And so he was at, he was at a work dinner. And we had taken them shopping. And so she's she kept doing the same thing. Like, I have to go the bathroom, I have to go bathroom. And it was very unusual for her. And so I just brought her home and used his meter and did a finger stick. And she was like, 500. And so I called him and I told him what was going on. And he said, That's impossible not to he didn't say that's impossible, but he was like, There's no way do it again. And I said, I've done it three times, you should you should just come home.
Scott Benner 10:34
Like I'm not coming home, actually, I'm leaving. You were with them when it happened. That's your problem. Now I gotta go. Oh, my gosh, I in that like shopping trip, when she's going to the bathroom or going to the bathroom right away. You're like, Oh, my God. Sophia has diabetes to do you think it right away?
Malia 10:57
It was my first thought to of course, test her. I mean, we left the store early. And, you know, I was like, I didn't want to be there doing it. And so we left because I was like, this is the first thing I'm gonna do. But I'm gonna be honest with you. When I saw that number pop on the meter. I thought, no way. There's got to be something on our hands. You know, like, I may not make it. But I just I just I thought there there can't be this can't be happening.
Scott Benner 11:22
No, no, it seems impossible to me. I mean, I don't even know what to relate it to. Like you, you. You. I don't know. You get a scratcher with your coffee and you win in the next week. It happens again. And you're like, Get out of here. Like, this stuff doesn't happen twice the people. It just Oh, and so close together to Yes. timewise. Yeah. Oh, my God,
Malia 11:43
we were super shocked.
Scott Benner 11:45
What happened? Where did you go through similar situations? The second time? Like, was he like, Don't worry, it's fine. Or did it turn into like, he was like, I'm out of this is killing me. And you were like, Don't worry, I have it like,
Malia 11:58
yeah, so we did we did. We had the reverse roles this time around. So we talked about this later, much later, right? Because, you know, sometimes when you're in the moment of drowning, that's all you're doing is drowning, you know, you're not really focusing on anything else. But I did have kind of the reverse on that one. So I was like, We can do this. It's you know, we know what we're doing. Right? Like, we know we're doing we're fine. You know, let's just move on. Not fine. But it was still certainly a sting. But and he did too. I mean, he's he sees problems ahead. And it's like, let's just fix it. But about a year after her diagnosis, we realized that we hadn't done much other than talk about diabetes. We hadn't gone on a date with each other. We you know, we were just like, what are we doing?
Scott Benner 12:43
Yeah, what's constant? It really is. Did the did Wyatt have any technology by them was using a pump or CGM or anything? By the time Sophie was diagnosed?
Malia 12:54
No, no. And so I, I don't, I never want to make it sound like I. Here's how I'll put it. We the endocrinologist that we were sent to was not very progressive. And remember, that was several years ago, too. But the CGM was there. The pump was there. And we were not doing any of that. So I would ask her about it constantly. And she would say, Well, you know, you still have to do finger sticks. You know, you were calibrating twice a day, I think, at that time. And I said, Yeah, I know. But that's better than, you know, 10 or 12. And I wasn't sleeping. I wasn't, you know, I just my health was probably going to if I kept that up, it was going to kill me and musk about all those things, and we weren't getting it. So let me jump into
Scott Benner 13:42
that. Did that. No have diabetes?
Malia 13:46
No.
Scott Benner 13:47
Interesting. Because you have to fingerstick anyway, back when you had to calibrate your CGM a couple of times a day. That's such a, like an old head type one answer about that. Because yeah, I can see that, you know, and so because I think, you know, based on conversations I've had, my expectation is, is that back then when CGM is required a couple of calibrations a day, people who are testing all the time anyway, were like, well, listen, if it's not going to stop me from testing, then I don't care. I think they saw it as a, like a blood glucose meter replacement. And they didn't. They weren't imagining all the benefits of seeing the speed and direction of the blood sugar at that time. So that was a really common answer. But guess what made me ask so Okay, so you're I'm sorry, so you're not sleeping? Things are going downhill quickly. And won't give you anything to help. When do you think? Well, let me ask you this. Did did the kids have I'm assuming they did. But how did they have different reactions? What sticks out in your head about why it's reaction at five years old versus Sophie's reaction? Eight years old.
Malia 14:55
So he doesn't I mean this even though he was five, this is the only life he He remembers, he doesn't think about life before diabetes and five he was he did I tell you, I'm thinking back on some of the things that he said to me at five years old, and I'll never forget them, it broke my heart. You know, we did adjust his diet immediately. And we, you know, we did all these things. And of course, he's doing all these fingers sticks a day, and his fingers hurt. And I can remember him at five. And of course, he just, you know, it looks just like a baby still had all the, you know, big cheeks and, and I can remember him waking up in the middle of the night and his stomach was upset. So he's like, you know, sitting in the bathroom, and I'm sitting there with him on the floor. And he says, mommy, my fingers hurt. And I have his fingers, his hands wrapped up in a wet washcloth while he's in the bathroom with a stomach ache. And he just looked at me and said, Well, when is this going to end? And that was heartbreaking. Yeah. She's gonna make me cry. Yeah, it was it was it and he would try to put it with an age, you know, he would say, well, when I'm your age, or when I'm popples age. So it was it was hard. He got past it, you know, pretty quickly. For her. She just when she saw that number on the meter, she just immediately bawled. She knew what it meant.
Scott Benner 16:15
Yeah, way different context at that point. She's seen him live with it for what do you say 16 months?
Malia 16:22
About 14 months?
Scott Benner 16:23
14, excuse me 14 months at that point. So she saw the shots and the testing and low blood sugars and you looking frazzled from a distance and all that stuff. And then it was on her tail. Wow. Yeah, yeah.
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Malia 19:14
Good they're good we're in the teenage years and you know I might could use your advice
Scott Benner 19:24
nothing goes right for me either but go ahead what do you got?
Malia 19:28
She does pretty good in the sense of she's neither of them are rebellious about it. I mean, at this point knock on wood they're not like just angry about it. There's there's none none of that. They have not hit the like I don't want to tell anybody or you know just none of that. But to be honest with you and we, you know my husband, I just say it like our son he's his agency was not great last time and we were very upset like he and I were just because we think about long term. And he's there routine and he's just live in a day, you know, day to day. And to be honest with you, a lot of his is just like, oh, I ate and I forgot to Bolus for any of the food that I just ate. And so then we're just fighting the highs and trying to attack those. And so we just, we bet we've battled that for about a year with him. Okay.
Scott Benner 20:20
And he's. So what happens there? Does, I mean, you obviously you sit and you explain it to him, even though you're like, I know, he knows this. But let me just say it again. And then he just doesn't do it. So is it willful? Is it? He's busy? What do you think you have any thoughts about that?
Malia 20:42
I think he's just kind of being lazy about it, you know? Yeah, he's just busy. He just doesn't want to take the time to do it. And I think a lot of 13 year old, so So you know, I'm dealing with two type ones. So it's really funny looking, looking at that, because so many families that I know, every family that I know, is just one and so you're trying to take their personality, and work with that, you know, like knowing what you know about their personality? How can I make this make sense to them? Or make them want to do it? Yeah. And I'm having to battle two different, very different personalities. So I think that you know, my husband, we have to be kind of delicate about how we approach each kid with it. You know, like, how do we make this make sense, and not terrify them? But you know, I think maybe we even use that tactic at some point.
Scott Benner 21:33
I think there's that saying, that's escaping me right now. But the sentiment of it is, as a parent, if you do everything that you say, as well as you can. And even let's just say you do it really well, you do it right. They'll just be something else later that they're like, oh, but you didn't do this. So it feels like a I mean, it's thankless the right word being someone's parents. Maybe it's true. And you just can't, no matter what, I think people go through stages. And I don't know that you can stop them from doing it. I was, I was saying this to Kelly, I think recently, where I see if I can put my thoughts together around this. I see people's happened to us. And I've seen it happen to other people all the time, right? Your kids are diagnosed with diabetes. It's a good example. Because well, you know, the theme of the podcast. But this happens with other stuff. So you get you get diagnosed with diabetes. And your first thought is, I'm going to create a life for my kid that is normal, like, I'm going to shoot for normal. And that's not really. I mean, I don't want to be a bummer Billy. But that's that's hard to get hit. You know, II mean, less sure, absolutely normal you can get, you can hit it in places, like Oh, my kid doesn't think about it very often, which is great, you know, hits them once in a while, but not every day. Or, you know, they, for the most part, take care of themselves and don't ignore things. But like, you know, Arden has been on the podcast, you heard her like, there's things she doesn't do that she's supposed to do that I make up for Kelly makes up for? You know, you say it doesn't affect the other person, the other kid, but it does. Look, there's no way around it. You know, I think I'm a person, for example, who has split their time between their two children as well as possible, and I'm sure that didn't make I'm sure it didn't do what I thought it was gonna do. Right? Like, because no matter what Arden looks like, she's getting more attention no matter what. And so this normal, or this perfection that everybody's shooting for, I don't think it exists. And I actually don't think it would have existed without diabetes either. In our example, I just think I just think that diabetes speeds it up so quickly. Like you have something to blame. You don't mean like you have context, all of a sudden, like, you know, I don't know, it's anything, gaining weight, getting sick. It happens so slowly, you don't notice it happening. And so it can kind of overtake you bit by bit. But when diabetes comes it comes in a wash, and you can ignore that this seems like the reason why everything is the way it is. So I'm gonna guess that without diabetes, why it would just not be doing something else he's supposed to be doing what he's there, of course, probably isn't doing that thing either, by the way, whatever it is, but then we then we point it back at the diabetes, and we're like, we'll see if they didn't have to go through this, then this wouldn't be happening and I wouldn't be upset about it. And you know, but I think the real I think the real end of the story is what you said earlier, which is my husband and I are upset when he doesn't follow us because we think about long term issues. That's really what we're all worried about. You know what I mean? low blood sugars today long term issues later. And then how do you? How do you, as a parent, gracefully manipulate the way people are so that they're more on their side of themselves succeeding and less on the side of themselves failing? And I don't know how to do that. Like, I don't know, you know what I mean?
Malia 25:25
I keep thinking, you know, especially listening to this podcast, and you know, I listen to people who've been on the podcast before, who are 30 years in, you know, as adults, I guess, that say, oh, yeah, I was there. And it just took growing up. It just took me some time. And it's sort of like, you know, this is the way I think of it. It doesn't make it easier in the moment, but I think about, you know, let's just say, like an addict, or anything, really, it's just like, I had to, I had to be there, you know, 10, people who loved me could be standing over me saying, this is the best thing for you. But until I was ready to do it, it wasn't gonna happen.
Scott Benner 26:03
Talk about how frustrating that is.
Malia 26:05
It's very frustrating. But of course, as with diabetes, what we do is we, of course, fill in the gaps, like you said, But, and I, I don't want to say this to my kids, that's exhausting. As for a parent, you know, to do you know, and you're doing full time jobs and, you know, taking care of the other child and running them to practices and doing all the things and so my husband, I say to them all the time, if we could just get a little help, that would be great.
Scott Benner 26:32
Yeah. Oh, wait, wait until they're like, you know, 10 years older, 20 years older, and you having a thoughtful conversation one day, and you're thinking, Oh, it all worked out, like the kids blood sugars are still pretty good as adults, and they seem like they're doing okay, and they turn to you and say, you know, you didn't do enough? Here's where you let me down. Like, yeah, I'll tell you, of all the things. I think of all the things that aren't fair. And of course, that list is very long, but, but one of them is. So it's so frustrating to be there. And be willing, and not just be willing, but be excited to help somebody and have them just completely ignore it. Because they don't have the same perspective as you do. So everything you say to them seems ridiculous. Hence the old like, you know, you'll see one day or you know, what a mom say to daughters, like, I hope you have one just like you or two sons, like, you know, like, you know, so you'll learn, and that one day, I'm just staying alive long enough for you to come find me and apologize. Like, how the hell is that the cycle? You know what I mean? But it's worldwide? And it's, you know, it's? I don't know, it's crazy. It
Malia 27:44
is? It is? I do see, I do I try to find the silver lining and everything. It doesn't always work. But I do see, especially with Wyatt, that he's more empathetic with people. So, you know, and my husband, I've said that we thought, you know, this is something this is actually a gift maybe that he got from that, like he does recognize probably over you know, when most kids wouldn't? Somebody's in a tough situation. So I don't know if that's because of the of what all he's been through. But but there is that Malia
Scott Benner 28:17
that the testosterone is going to hit him pretty hard. Just gonna start stepping over babies to get the video games. Like, I don't care about anything. I don't know. I it's, it's, it's an I see why. You know what, this is what you know, it makes sense. Why sex feels so good. Because if it didn't, why would anyone make a baby? The only it's the trek to get you to do it again. It is the trick, you're right. That's the thing. That's true, you're being tricked by your genitals Moya into making a little person who will not listen to anything that you've learned. And, and when you're young and a parent, you're like, you know how it goes, right? Like, we all think that our parents were terrible. And we figured something out. And I think for the most part, the part of that that's true is that your, your parents start somewhere, they ascend as far as they can. And then you based on what you've learned what you've seen, try to ascend a little farther right in understanding and knowledge or whatever. And you know, how you love whatever, you ascend a little farther. And then you're like, I didn't I want I'm the best have ever been like I saw my grandmother. She didn't give a care about anybody else. My mom and dad, I'm clearly better than them. Obviously, you know, they didn't try. I'm trying you know, all the stuff that you like you fill your head with when you're young. And then you lay it out for your kid and you're just like, hey, here it is like you're lucky because I've called the genius of the world. It's all right here for you. And they're like, you don't know what you're talking about. You're old and you're like, yes. Oh yeah, we get that. Okay, great. And and you just realized, like, this is the cycle, but there's no payoff.
Malia 30:07
There's no, there's not.
Scott Benner 30:10
There's literally no payoff. I assume, I don't mean to make light of this, and I'm not, but this is what rolls in the back of my head, I figure that I will get everybody somewhere comfortable. And I'll take one breath and start thinking about what I'm going to do for myself. And like, a mountain is going to fall on me. I know, right? And I'm just gonna be like, oh, and I'm gonna have enough time to look up and go, Oh, look, landslide. Okay, and then it's gonna be over, we're, we're, I'm gonna, like, get to that point, and my body is gonna break on me. And I'm just going to be stuck in a chair going, this is what I did. This is what I did my legs, my pay off. So the point is, for me, then we're gonna find out what the point is from you, is I just treat life in this regard. I mean, almost the way I treat diabetes, or the podcast or anything, right, like I put my best into it. And I hope that it pays back. And if it doesn't, at least, I didn't waste my time. I did my part is the way I ended up feeling about it. And, you know, I try to listen to the people who listen to the podcast, see what they need, I listen to my kids, I think I'm doing what they need. But the truth is, is that no matter what I do, someone's going to be disappointed. And you're just not going to. I don't know, this is such a bummer. Malia Why did you come on and make me feel like a bummer?
Malia 31:40
I'm sorry,
Scott Benner 31:41
here, here's the message, you can't win give up. No. But that's not true, though. Like, because it's bigger picture than that. Because your kid is going to ascend a little above you. And it's going to keep happening. You have to care about generations that you're not going to meet, to be sure to be a good parent. Really?
Malia 32:03
Do you know our motto in this home? Like we talked because you know, as you have teenagers, right? So you just constantly feel like you're just like, do this do that? Do? Did you do this? Did you do that? And so you know, when they look at you with that kind of crazy look. And I said, What have I always said to you? Like who do I want you to be and they're like, you just want to raise a good human being. So I'm like, Look, that's my, that's just my total end goal. I just want to raise a good person. You know, pass that I'm gonna fail at some a lot of things. Yep.
Scott Benner 32:35
This is it. And it's not even failure, by the way. I mean, I don't listen, you guys know me pretty well, for most of the podcasts, I put a ton of effort into my family. And still like, it's not like, it's not like when I get done here. The house turns black and white. It's like, Leave It to Beaver. You know what I mean? Like every, I have all the same problems everybody else has? Sure, you know, and the only thing that I can model for people listening is do the right thing. Be consistent about it. Do it for the right reasons. And if you're lucky, things will break your way sometimes. Like, I don't know, like, if you're looking for perfection. I certainly don't have the answer to that. But nobody else does either.
Malia 33:18
Now, of course not. Yeah, I gave up on that a long time ago for you.
Scott Benner 33:23
That's perfect. Let's not let go the whole way. You don't I mean, I don't want you mainlining during the day and stuff like that. But but you almost it's interesting, isn't it? Like because you can almost see how it happens to people. Like Like, like big addictions and escapism and things like that, like, you see why? I mean, I don't know, like, I feel okay today, but I don't know how I'll feel next week or what's gonna happen or, you know, when I'm gonna fall apart if I'm gonna fall apart if I'm not, I mean, artists budget, we got low overnight last night. I don't even know how Dexcom alarmed, got right up, went into her. Boom, boom, boom, she's fine. In a couple of minutes. We're back at it. But we're six weeks away from her going to college. Actually, I'm looking at my calendar. We're five weeks away from her going to college. Well, so what am I going to do when she gets low five weeks from now? Because she will write a call on the phone. Like, you know, she's going to be 13 hours by car away with you know, a few girls she met online so far. Wow. So wow, that's the thing that's gonna break me Malia.
Malia 34:41
I met I met a family through JDRF. And it's kind of funny how we got connected with JDRF. But I met a family and he his daughter was away at college. And I said, Oh, you know, I mean, our kids were, you know, six and seven maybe at that time and he said, You know, I was always very nervous. About her going to college. And so he said this was, you know, we had a plan. And I said, Oh, what what was your plan? And he said, Well, I told her that if she got low and the middle of the night, and I called her three times in a row, and she didn't answer, my next call was going to be the to the police department, and they were going to best her door down. He was like, we have an understanding. I was like, oh, that's your plan.
Scott Benner 35:21
We'll see. That's a nice plan, except I walk into Arden's room, and I was like art in Arlen, Arlen, art and art. She doesn't hear like She's asleep. Yeah. So I don't know what to do. And to be perfectly honest with you, I look back. I didn't hear it for the first 15 minutes, like I looked at when she got low. And when the alarm started, and it took me 15 minutes to wake up. And my blood sugar wasn't low. I'm just older than usual. Yeah,
Malia 35:47
yeah. The same thing happened to me last night. Why it dropped to 50. And the alarm had been going off. And I didn't wake up until you know it did until I did. And then I thought, how long did I lay here before?
Scott Benner 36:02
All this happened? Do you ever have a low blood sugar for a kid and fix it? And then think to yourself? Common sense tells me to look at the other one. But I'm just gonna hope and then crawl back in bed and somebody else gets low or high or something like that?
Malia 36:17
Oh, yes. And I I cannot tell you how many times that I have fixed a low, got back into bed and I just exhausted and I like it's one of those feelings where I think as soon as I hit this bed, I'm gonna fall back to sleep. But then I think to myself, is that going to work? Is that just gonna work? Or hey, I didn't look at you know Sophie's number. And so I lay there for a second. And then I think to myself, you have to look. Or you have to stay up and wait 15 minutes. I did that. So it happens to me all the time. Yeah,
Scott Benner 36:48
I did it last night because the juice caught it. But I was like are, it's called it'll be okay. And I went back to bed. And like two minutes later, she texted she's like, I need something to eat. I can feel this. And I was like, okay, so I came into her room. And I was and she's like, I think I gave her three gummy bears and a cookie. And she's eating the cookie. She goes, this is the best cookie I've ever had in my life. She wasn't kidding. I said, Well, I'm glad. And then I just like the way Arden's room is set up. I'm now standing there. I have a T shirt on. I'm in my underwear, the air conditioner, and I don't want to complain about having air conditioning, but was blowing at me. There was nowhere for me to go. And I thought, Well, I'm not going to leave until this thing registers to two checks. So for 10 minutes at 330 in the morning, I was scrolling the news, freezing while and rubbing Arden's back at the same time. She's like, hey, rub my back while you're here. I was like, Okay, great. So I'm doing all that, by the way. This is long past me remembering how good it felt having sex to make Arden. So that's why that's out the window. Bayway gone now. And like so there's nothing to lean on, really, except I like her. You know what I mean? So I'm like, okay, and I get back in bed. And Kelly says, How are we going to send her to college? I was like, oh, that's usually my line. Like, that's usually something I say after stuff like this. You know, I was like, Oh, God, now she's thinking about it. Great. Like, okay, so I don't know what the answer is gonna be. I have no idea. I can tell you. I looked at the low blood sugar. I can't believe she got low. So I mean, it was three hours after a Bolus. And I was just like, a neat, it was one of those things that I would have bet against. And then there it was, anyway. So
Malia 38:44
I don't I have. So I have a question for you just in thinking about all of that. When she goes away? Do you think that you will be less bold with intellect during those nighttime hours, you would make some adjustments just to make you guys feel better see how it goes? Or?
Scott Benner 39:02
Listen, I'm very close to telling her that she can't eat after 9pm Like, like a freaking Gremlin or whatever that movie was? Yes. I know. It's midnight, but I'm going to change it for my for my movie. can't feed it after nine o'clock. So let me I mean, really, that's this is the thing you're guarding against. Right? It's like a low when you're really asleep. So she came home last night from a from a what? It was a like a graduation party. These kids are just all collecting money off of each other at this point because he graduated from high school. She comes home there's a little bit of swimming but not a lot. Her blood sugar was fine throughout the evening. I thought she did a good job with the Bolus she made while she was at the party. She gets home. I don't know what it's like 11 o'clock. Her blood sugar is a little high. It's like 145 or something like that. She's like, Hey, I'm gonna Pre-Bolus this and have some chocolate covered pretzels. I was like, okay, so she did She Bolus she got in the shower. scow, the shower, she created a fall like she wanted, she ate her pretzels she leveled right out. And three hours later, her blood sugar started falling. So yeah, I don't know. I mean, I guess I could move with her but that seems cliched.
Malia 40:21
Well, I think I've heard you say before, you know, all everybody's done this thing before, I think we've struggled with school. Like, you know, things are going at school, and I listened to one where there was a mom, teacher on there, and then you made the comment, you know, hey, everybody's done this before. We're all gonna be good, right?
Scott Benner 40:38
Yeah, well, that's just me being positive and doing the right thing. I mean, you guys like you hear the podcast? Right? Like, you know, I'm really good. Sometimes, like, look, just hope for the best. Point yourself in the good direction. Hope for your bet. I mean, look, I don't know what to say. Most days, most hours. Even most nights, it's not a problem. And then until it is, have your kids ever had seizures? No. Have you ever come close? No. Never never been in a situation like, Oh, this is tilt in the wrong way? No. And but they're a one Caesar hire. You were saying?
Malia 41:13
They really are. Yeah, we've got to get them down.
Scott Benner 41:16
Okay, so you're just you're, you know, you're trading the one thing for the other thing? We are? Yeah, sure. Great. Say I don't I this is the episode where I'd come out and tell everybody, I don't know. Just just give up? No. No, I mean, I don't know. We're trying to be honest. Right? So absolutely. Yeah, it's, um, I mean, you do your best. And it starts with understanding diabetes, that it starts with understanding how insulin works. So you can make the best decisions you can. And there from there, you, you march on forward and hope the variables don't conspire against you. That's pretty much it. And if they do you stand up, pull out the tools that I gave you and beat them back and get level and start over again, like, it's, it's not fair. It's just what it is. So, but if it wasn't this, it'd be something else. So there's That's right.
Malia 42:15
That is right. I do think it's funny, though, when you wouldn't, you know, and listening to this, these podcasts, and then us having this conversation, you know, even our grandparents who want to be so involved with their care, and obviously want to be tremendous, great caregivers, really don't even have an understanding of what this life is like, it's just, you know, and they want to they want to, and they still can't, they still don't really even fully understand it. So I think that it's, there's just so much involved. And I think that most people would not know that.
Scott Benner 42:50
Oh, down the little things like I don't drink to begin with. But if I did, how would I do that? Like, how would I be like, how could I, I don't know, have a couple of at the end of the night and fall asleep in a way that you're not going to wake up till the morning? I can't, I can't do that. Can I? You know, like, I mean, how do you? I mean, how do you do any of it? Like it's and they would never one generation back, they would never think of that. They would have no reason to. And if they had diabetes, that generation back even if you had diabetes as a kid, well, yeah. How old are you? I'm 41. Okay, even if you had diabetes as a kid, you know, it would have been a different situation. Of course. Yeah. So they're mostly. Now they still wouldn't know. I mean, they'd have that's unfair, I guess they would have more of an idea. They'd see loads and things like that. But not those kinds of like crazy. You used to be 110 20 minutes ago, and now you're 50 lows, you know, like that insulin for the most part, I guess, unless you forgot to eat didn't work that way. But I'm just saying, but it was a different world. And I take your point that there's no way they would know. So well. Why did you want to come on the podcast? It wasn't the bummed me out. I know that. Mission accomplished. Anyway, Malia so here's what you wrote ready? preteen teen struggles with type one, issues at school and struggles for yourself as a parent. All right,
Malia 44:18
that does sound like a bummer. All of that sounds very, very.
Scott Benner 44:21
You didn't write anything in here about the flowers blooming or me staying alive to see the next you know, Marvel movie or anything like that. There's all this is all just bummer. So I mean, I think we've gone through with your son, he doesn't Bolus that's great. What is your daughter do? That's a struggle.
Malia 44:39
Um, she does pretty good with so she she has a little bit more of the thinking of long term. So she she does try to make sure she'll tell us hey, I Pre-Bolus this is what I'm doing. She on the other hand is just super forgetful. So we might, you know, make it out the door and we're like, Hey, do you have everything that you need, oh, yes, I do, I do. And then we get to a restaurant or whatever. And we have to turn around and come back home. We've done that many times. So, but she really does think about more of the long term. So their personalities are super different. And in that regard, he's just living in the moment. And she's a planner for the future, but she forgets in the moment.
Scott Benner 45:22
Okay. So, and why he doesn't think in the, well, why he doesn't think about the moment either.
Malia 45:30
And then he looks like he kind of does like, it's funny, because he doesn't think long term, right? Also, I guess in the moment if he's not Pre-Bolus like that, like when we get to a restaurant and she's forgotten her stuff. He's like, looking at her like, are you serious? Oh, my God, almost like he's so perfect. And so we look at each other, my husband and I do and we're like, okay, don't forget you made this mistake yesterday.
Scott Benner 45:49
Malia I don't listen. To sound harsh. If my children ever hear this. I apologize. But what are you hearing when you're talking? Go ahead, say it shouldn't have kids. And not because of the diabetes, just all of it.
Malia 46:08
My husband that we were, we went to the lake last weekend and we're sitting on the boat, just you know, enjoying the day and
Unknown Speaker 46:14
kids are like on board. Okay, hold on.
Malia 46:17
Whatever they're saying, and I look at him and I was like, This was your idea. He was like, This was your idea.
Scott Benner 46:22
I liked it. They're bored. Right? It's amazing. My I don't know about your summer vacation. Like I'm, you know, about 10 years older than you. I'd wake up in the morning, eat a bowl of cereal, watch television, walk outside, stare at my friends, walk back inside. Have a sandwich. It wasn't good. In case you're wondering. It was like fluffy white bread with like two pieces of pretend meat in between it and some mustard. And then I stare at my friends stare at the TV, eat some crappy food. get yelled at Go back to bed. Your kids are at a lake going. What's all this?
Malia 46:58
Yeah, yeah, that's what we tell them. And you know what, though? Like when we did that, like we we entertained ourselves in the summer. I don't know that we did anything more than that. You know, but I was good with that.
Scott Benner 47:09
Malia One summer I taught myself to shoplift, snowboard. I didn't even once I was just like, I gotta I need something to do. So that's amazing. You think you know what, I think that? I can't get arrested anymore. Right? It's a long time ago.
Malia 47:25
I don't think so. There's gonna be a time limit on that. Right.
Scott Benner 47:28
Let's go with that. So there was this. Do you remember at one point, like Walkmans, obviously, but do you remember why they slipped TVs in them? Now, at one point, you could get this little handheld thing that would had like a TV tuner and it had a little screen it was like two inches by one inch and you could watch TV on it. You don't remember that? I live now that was out of a Kmart. I don't know how old I was. It was my shining moment of shoplifting. I don't think I ever did it again after that, that I can recall. And I don't remember now
Malia 48:04
all the cameras are closing. That's probably why
Scott Benner 48:07
you think it's me. Do you want to know what tactic I used? Yeah, do I use I walked out of there like I own the place. Like I was doing what I was supposed to be doing. So I just did it in full field, and just did it at work nowadays. I'm sure there's cameras everywhere and probably not gonna get away with that. But back then, I just picked it up. And I was like, I'm gonna leave with this. And that was my summer I spent my whole summer watching my stolen television. And I felt really bad about it.
Malia 48:43
I was gonna ask you how you felt afterwards? Yeah,
Scott Benner 48:45
horrible. Actually. Thank you. It stuck with me for a really long time. I haven't stolen anything since then. But uh, yeah, I just I took it back to my then you couldn't show with anybody and I had to hide it.
Malia 48:59
You know, it wasn't worth it. It just
Scott Benner 49:01
It sucked. But it eat up that summer. You had your your kids that that like piss me off, just in case you're wondering.
Malia 49:07
Yeah, yeah, right. Exactly.
Scott Benner 49:11
Like, why do you like mash the television show? Mash? And I'm like, boy, let me tell you about the three months I spent in a room watching it because that was my whole life. Because it was on reruns. And we didn't go on vacations or have you know, money. So, so I just sat there watching mash in my formative years. Oh, my gosh, no, I might listen, my kids lives are like you should see the stuff arriving here to take the school with Arden. To the point where I'm like, How are we going to get this stuff to where we're going even? I think we only own two cars. You know, drop ship it from a parachute. Like, what's the plan here? Exactly. She needs that. I was like I'm perfectly sure she doesn't need that. I don't even know what that is. Are you swimming with a kid?
Malia 50:00
They haven't so good.
Scott Benner 50:01
Oh my gosh, she's like, Hey, I got wallpaper from my dorm room. I'm like, I'm sure you didn't like that seems wrong. No, it sticks up and it pulls right down again, let's just for the ball on the back of my bed. And I looked at Kelly, I'm like, what, what are we doing? I was like, I was like, we should be forget all this stuff, we should be fashioning a pot and pans system that is connected to each other by wire. And when her phone vibrates, it makes the pots client like, that's what we should be focusing on right now. But instead, wallpaper that you can take back down again. So anyway, I hate your kids now for complaining about the list.
Malia 50:37
I know. I know.
Scott Benner 50:39
Anyway, so Okay, so regular teen stuff, but it just applies to diabetes. There's nothing special here. Right? You're not having any new experiences that you wouldn't have had with, with regular teens. It's just that they're, they have diabetes. So it comes? Yeah. And
Malia 50:57
I mean, I felt like we were kind of prepped for that, you know, early, early on in our diagnosis, you know, we were, we were told, hey, the, you know, the teen years do get difficult. I will tell you, the one thing I wish I had we had been prepped more for was all of the emotional side of it. We just had to figure that out on our own. So well. I guess the diabetes fatigue, you know, that hits everybody, even parents, and, you know, when you're first diagnosed, you're just learning how to keep your kid alive, you know, and that's all you're focused on. And there's not like your doctor can give you all of the time in the world, right? Like they've all these other patients. So they just need to keep you to, you know, teach you to keep them alive. Right? And then, you know, years into it, there's the emotional side of it. The the diabetes, fatigue is so real. And, you know, and even as parents, you know, we hit it. And I think sometimes maybe if we had known that was gonna hit I don't maybe that's not true. But if we had known that, we would have almost attacked it a little bit better.
Scott Benner 52:09
Well, the fifth, and you're just talking about, like, mentally not being prepared for it and physically being exhausted. Just the
Malia 52:14
mental like, wait, I think that you know, it, the toll that it pulls you down to
Scott Benner 52:20
Yeah. I speaking of jealousy, when I see people who just kind of raised their kids, like, it's all like, kind of laissez faire, like, Oh, it'll be fine. Yeah, I know, we found them in the park drunk, it'll be all right. Like, like that kind of stuff. They just like, let things go. And you realize how much of life doesn't need to be addressed. If it's not going to give you a really low blood sugar and kill you, or give you a really high blood sugar, and like, get to know, you know, cause long term complications. So the other stuff is like, you know, you can skip things sometimes, like, you know, sure, in a perfect situation, you'd be there to kind of parent through everything. But in a normal situation, there's stuff you can ignore. Like, when you're when you're too tired, or when you've just, like, come out of a room having an argument with your spouse that left you thinking like, Why in the hell am I with this person? Like, like, you know, like, instead of having to come out the door, and go, Oh, did you Pre-Bolus With what you want to say is, I'm thinking of, I'm thinking of leaving. And it's just because 20 years ago, you know, like, I mean, when you're having big, existential adult problems, and your kids blood sugar's low, you just throw those things away, and you gotta take care of the low blood sugar. Right? You don't you don't have time to go through your thoughts. Not that you're going to leave, but you don't have time to go through your thoughts you don't have time to, to tend to yourself, or the the problems you might be having, you just keep pushing them off and pushing them off. And you know, what do you think you think like, oh, one day, they'll get it old enough? They'll take care of it themselves? And then yeah, right. And then Billy, you'll be 65. So
Malia 54:00
well, you know, speaking of that, and I, I know it had to have been on one of the early like, forever ago podcasts that I listened to. But I think to knowing in this episode talking about no and some of the mental stress, right like is, is knowing the toll that it's going to take on your marriage. I mean, it's it's crazy to think back on some of our argument every every study argues right, but like to think about some of our arguments, and they either started because of our stress from you know, diabetes, or we let it go to a place where it shouldn't we shouldn't have let it go over over their blood sugars.
Scott Benner 54:35
All of my arguments about my kids.
Malia 54:39
And yeah, it's crazy.
Scott Benner 54:41
For us. It's because we both care about them so much.
Malia 54:44
Of course, of course, but it doesn't feel like that in the moment. No, if
Scott Benner 54:47
one of us was just a Slack, slacker as a parent, I think it'd be fun. I think we'd actually be better off because then one person would just defer to the other person. And instead, we both have pretty strong views about things and we're thing Thinking about them constantly and trying to like, you know, I don't know, like maybe some of that 70s thing where I looked up and realized, like, my mom doesn't even know I'm alive. Like, maybe I maybe I would be nice if I had some of that mixed into me, but I don't. So, you know, you're, you're busy trying to help or advise or handle or whatever. And you're doing it for a person who, generally speaking does not care. Like they care, but they don't really care. You know what I mean? They're like, Oh, it's nice. My mom seems to like me, but they don't see the big picture. Because how could they? And then, you know, you get together privately, like, I mean, the last thing that my wife and I argued about, it wasn't about what was good for the kids. I don't even know what it is. I couldn't even begin to tell you. Right. Maybe we would if we had time. Exactly. I don't know.
Malia 55:49
Exactly.
Scott Benner 55:50
So I'm sorry. You were making a point? I just, I walked all over you. And I don't know what your point was.
Malia 55:55
No, no, I just I just think about that. We Well, my husband, I think about that often, just the and so like after Sophie was diagnosed, we kind of we had to wreck it. We went on for several months where we just probably were like, just living in this. Everything diabetes world. I don't know that we talked about anything outside of the kids blood sugars for several months until we woke up one day. And we were like, we can't we can't go on like this.
Scott Benner 56:19
Now it's depressing. It is it but you
Malia 56:23
know what, when we recognized it, and so like, I think I told you, I mentored a couple of families with JDRF. And I thought that was so important to talk about because, you know, you you, all of us can be just consumed in our kids, right? With everything, even if you don't live in the world of diabetes, but then you throw that in. And you got to remember to be good to each other to you know,
Scott Benner 56:46
ya know, even even if other people are consumed with their kids, but not at three in the morning, usually.
Malia 56:53
Yeah, of course not. Yeah, they actually sleep.
Scott Benner 56:55
Right. Like, I don't understand what your problem is like, Okay, I'm coming for you to this. Yeah, I rested. People make me upset. Like what? It was like they slept so damn, well, maybe problems.
Malia 57:09
I couldn't believe that. So like when we first got diagnosed, I think why we went probably a year, maybe a year and a half with no CGM. And I remember sitting on the couch one day, and so I would tell my husband about it. And we were so new. And we were just going on the advice of our Endo, right, we didn't really have any connections didn't have this podcast, I didn't have anything like that. And so I remember sitting on the couch, and I said, I really want to I really want to get this and he was like, well, but you know, they said it's not necessary for us to do right now. And I just started bawling, crying, and I said, I haven't slept in a year and a half. I haven't slept. And so of course, you know, think about that you would get up and you would do a finger stick. And if he was at, and I say he because we didn't have that diagnosis yet with Sophie. But like if if, if the blood sugar was okay, I had no idea which direction it was going to go. And so I would try to lay back down. And I'd think well, now what? Yeah, and so I was setting alarms, I think it was like every two hours. And I was just I just never slept most of
Scott Benner 58:11
the time when you got up and tested again. Were you happy that you did? Are you ever like, because it's funny, it doesn't matter? Like if they're low? It's not like you're like I was right. And if you don't I mean, you're just like, Okay, take care of it. And if they're steady, it's not like you go, Well, I guess I can go to sleep now. Because the next number doesn't tell you much more than the first one did it. Right. Exactly. It doesn't give you the relief of of I don't know, I guess some people are okay, like, can just let it go. But it sounds like you couldn't.
Malia 58:38
I couldn't. And I think a lot of that was because of just research I had done on my own because, you know, really in the beginning. We weren't told to even do nighttime finger sticks. I mean, that's just the truth. And we just were told to do for a day. And I couldn't make sense of that. Because I was like, if I'm not going eight or 10 hours during the day without doing it. Why would I do that at night. So I just couldn't do it. I couldn't let it go. And I just I never slept and I. After about a year and a half. I just I ended up begging for the CGM. And then we switched endocrinologist. And as soon as we were there, they said we should do this. And I was like, yes, thank you. We should and we should
Scott Benner 59:22
get that labia CGM. It's not even for the boy. It's for her give it to her.
Malia 59:26
She started it first. Sophie started it before he did actually.
Scott Benner 59:30
Well, yeah, yeah. I mean, I take your point about the other thing too. It's like I used to say, if it's important to know her blood sugar during the day because I don't want her to get low. Why isn't an important night? And nobody could ever answer the question. And I was like, Well, it seems like it is. It seems like the answer was well Scott because humans can't stay up for 24 hours a day. So you're gonna have to sleep.
Malia 59:54
Oh, I did i
Scott Benner 59:57
i was not really know I was good at it at one point. I I didn't have to go to sleep until like, I kept it going for a while. Like, I didn't have to go to sleep till to 230 in the morning, and I could still get up at 630 Like I was okay. And then one day, I don't know, if I hit a certain age, I don't know what happened. But I remember thinking, like, I can't do this anymore. Like, I just like, can't
Malia 1:00:23
swim long term I, you know, that's, that's kind of where I was, too. I did it for like, a year, year and a half, whatever that timeline was. And we, you know, our friends would say, I just I don't know how you do it. And I would my response was, you know, I guess my body's gotten used to this right. And so even now, almost nightly, I wake up at like, two, three, just I mean, you know, and I'll glance at my phone and I think it was, you know, the all those years that I set an alarm. I don't know if my body's used to it or not, but in the beginning, I was just exhausted, and then I got used to it.
Scott Benner 1:00:57
I know that is what you tell yourself. I'm used to it now.
Malia 1:01:00
Right? Yeah. Long term. That's probably not good for us. No,
Scott Benner 1:01:03
no, we'll be dead. Like that kids
Malia 1:01:07
will be super ungrateful.
Scott Benner 1:01:09
Oh, yeah. Forget the mountain falling on me. That'll be what happens. Like I'll hear like a you know, like a there's a little wind up kitchen timers. Like you don't even like the you used to have them on our stove. Does anybody remember these? The kitchen? Well, yeah, I thought you were like, I don't know what you're talking about. Oh,
Malia 1:01:25
no, no, I'm with you. So now, with the TV. You lost me on that one.
Scott Benner 1:01:30
Listen, you weren't technologically forward like I was. But I'm thinking now instead of like, everybody's okay. And everybody settled, and a mountain falls on me. I'm just gonna hear like that timer go off in my like, in my chest or something like you look at like thinking, like, Oh, good. I'm done. I, the truth is, is that I'm, I don't even know what to do. I brought this up on the show recently. But we, we Kelly has a like, I don't have a real job. But Kelly does, you know. So like we moved our 401k Like she'd had, she had like two of them from two companies that she'd worked out for a long time. So we put them together with a person who's managing it. And as the paperwork was being done, the guy says, So what do you want to do when you retire? And I thought, like, I don't know, I have no idea. I couldn't think of anything. I just couldn't think of anything. And I felt ridiculous. So I just I said something kind of flippant. And I was like, I'll get back to you. But I can't even think about myself long enough to imagine what I would do when I would be retired. Right? And that's terrible. You know, like, I just was like, I don't know. Like, will the kids need something? Cuz I could do that. You know? I remember I used to like things, but I don't know what they are.
Malia 1:02:57
Oh, I feel like I've dragged us down.
Scott Benner 1:02:59
You really? Did. He beat me up. This is this is your fault completely. So I stalked you a little on Facebook. So I know who you are now. Okay. All set.
Malia 1:03:12
I don't do a lot of Facebooking. But there's, there's some things there
Scott Benner 1:03:15
are pictures here. I can pull it together. I know what I'm looking at. You said you Vaughn, you've talked a couple of times about volunteering and mentoring people and stuff like that. How long were you able to do that before? You're like, why am I talking about diabetes in the five free seconds that I have?
Malia 1:03:31
Yeah. First of all, I will tell you that I think I mentioned that when I filled out all this stuff that you know, like when I would listen to your podcasts like I travel for work. I'm in the car all the time. And so I would listen to the podcast all the time. And I would feel like I was gaining this knowledge. And then at some point, I was like, I have to take a diabetes break.
Scott Benner 1:03:49
So I understand you're saying Go ahead.
Malia 1:03:51
It was kind of like that. When we we said we've been super involved with diabetes. My husband I have we've you know, helped to raise a lot of money. He's, he's actually currently the president of the Kentucky chapter. It's JDRF. And I served on the board and but we it was all by accident. At the time, I worked for my family's business and they would bring JDRF would bring for an outreach event. They bring kids out to my family's business, they have like a pumpkin patch. And so I had worked with that group for years with no connection. And I loved the guy that did the outreach. He was a type one himself. His mom was type one. I knew his story before we ever even you know, had any real life experience with diabetes. And he called me one day and said, Oh, we're you know, I just need to plan my fall event for all the kids to come out and so I'd like about started crying on the phone and I said well I've you know joined your group your family. And he was he's not with the organization anymore, but he was so great at just reaching out just a little here and there. Not an overwhelming amount but it's He, he got us involved with more of the outreach stuff, not really the fundraising. And then over time, about a year later, he said, You know, I think it would be we have this mentoring program, and we have families, we try to connect you with kids, you know, in around the same age. So I started doing that. And I did that for a couple of years. And I'm still, we're still very close with those families, you know, we still see him a couple times a year, and sometimes talk, you know, through text messages or whatever. But so I did that for a couple of years. And I will tell you that right now, where we are with that is we've given so much like we put on a walk, or we did a run, actually, for about eight years, at that same family business, and it was offered, you know, fundraising through JDRF. And we did that for years. And so now we've kind of reached the point where we're like, Okay, we're gonna let a younger family kind of take this over. So we did it for a while, and it can be, it's good. It's all for a great cause. But it can be really overwhelming.
Scott Benner 1:06:04
Yeah, I mean, you describe that you're already overwhelmed, you know? And then you take it on this thing, which is very kind, obviously, but I just thought, like, can't possibly do that forever, right?
Malia 1:06:15
No, no, you can't. And we had to say that sorry. It's actually was just this year that my husband sat down, and we said, Okay, we can't, we just can't keep this up. Like, it's just not good for us, you know, but it was really good in the moment, like, in all these years for the kids to see. You know, they know work that we're fighting for all of our kids probably know, that we're fighting for them, right. We're advocating for them doing all the things, but I think it was good for them to see. Not just with JDRF, but other things that my husband and I would do to involve ourselves and helping other people.
Scott Benner 1:06:50
I think that too. I'm waiting for it to pay me off.
Malia 1:06:55
Well, maybe it'll be paid off in the sense that our chips solid, and they'll do that, too.
Scott Benner 1:07:00
Well, listen, being serious. That's what I think it is. I think it's what I talked about earlier is that they'll, they'll sort of elevate above where I am. And that'll be the new crown zero, right? That'll be the new starting point. And then, you know, they'll do the same thing in the world, somehow, it doesn't mean they're gonna have kids or not have kids just there. They'll put that back in somehow, or they'll go live a happy life. There's part of me that, you know, it's funny, as much as I think like, I hope my kids have kids and like, keep this whole thing going. There's another part of me it's like, I maybe they should just stay single and just have fun. Like, some people have fun, right? Like, why why am I the building block person and other people are the rave people like that happen? You know, I'm saying? Well, you do. Yeah, you damn right? You do? Oh, I do. Why am I trying so hard? And there are other people who were out at? I don't know, just live in their best light field somewhere dancing in a circle on Molly. Like, how why is that happening? Like, how is it possible that I'm the one carrying the water? And they're the one drinking it? I don't know. I'm not bitter at all.
Malia 1:08:12
No, no, I'm good.
Scott Benner 1:08:16
I don't I don't know. You know, in my personality is not like that. Like, I wouldn't have been able to, like, as a young person, just be like, I'm just gonna be by myself and hanging out and I'll ride this thing to the end. I had an aunt and uncle they did it. They were married. They were like, We do not want kids. They did everything they wanted to do. And they still died.
mean, what's the saying? None of us are getting out of this alive. I think that's the one. You know. I don't know. If we helped anybody so far with this conversation? Where do you think we just bumped out a bunch of people whose kids just got diagnosed with it?
Malia 1:08:56
Now I'm really feeling bad about that.
Scott Benner 1:08:59
Listen, the truth is, you go put on another episode of the podcast where I'm also speaking honestly about things and I'll tell you that, you know, do I need to remind them here Malia, Arden, say one scene has been between five, two and six to for almost 10 years now. So you know, it's a there's a lot of good stuff that comes out of it too, about this just sort of setting a course and sticking to it and having long term perspective, not getting too bogged down moment to moment. But I don't know, listen, it might not surprise you. I record this podcast like almost every day. Every day isn't great for me. You might have caught me on one of those things. But I also think it's valuable to be honest with people like it's not you to Yeah, it this thing is, I mean, honestly, that's what you were talking about with mentoring people, right? You said you didn't know how to like, how do you do this? And then you decided to be honest with them. It's, you know, this isn't great.
Malia 1:10:00
Yeah, it's sort of like, you know, when we first had a baby, and you know, the first six weeks, we never slept. And so I, like my husband said to me, after, you know, I don't know, a few months, he said, Gosh, if somebody would have just told us in the beginning, hey, it gets better. Right? He's like, I feel like I would have gone through that first six weeks a little easier. And I looked at that, like, with mentoring families, I thought, you know, you can ask all the tough questions. And, you know, I'm gonna tell you, you might not sleep, some nights and all the things but it's not all doom and gloom. It really isn't. And, you know, we've, we've done okay,
Scott Benner 1:10:34
I believe everything I've ever said on the podcast, for the most part, if you bring me something crazy, I said back, I might say no to that, but but it is really, it's time and experience. And you just sort of figure out what to do. And you do it. And at the same time, you're people's kids are people. They're not like everybody's doing, everybody doesn't grow up to be the CEO of some big shiny company, like, right, like all of our kids aren't going to be professional musicians, or athletes, or whatever it is you're hoping for exactly. As a matter of fact, for most people, that's not going to happen. So it's not. I mean, it's fun to it's fun to expect it. But the truth is, you do your best, you learn things, it gets easier. And you know, when you're really making problems, you course, correct. Like when Malia didn't sleep for a while, she eventually said to herself, I, I need to stop doing this now. So that's it. That's the big stuff, right?
Malia 1:11:30
I don't that's the big stuff. Yeah. Yeah.
Scott Benner 1:11:34
Just Pre-Bolus For God's sake.
Malia 1:11:36
I know, I know. I'm really hoping we'll get there. And that's going to, but I think it's just going to take him deciding on his own, he's going to take more of a the initiative to be a good caregiver for himself.
Scott Benner 1:11:47
What happens if you, like, just climb up his butt? Don't make it happen? Does that get pushed back?
Malia 1:11:56
I think, you know, honestly, I think he would just rather us do it all the time. Have you? You know what I mean?
Scott Benner 1:12:02
Have you considered just taking it for a little while until they get to a different age?
Malia 1:12:07
You know, maybe that's what we should consider. But we were doing the we were doing the opposite. You know, he went into sixth grade last year, he's going into seventh grade this year. And so we were like, Okay, this is, when we were in elementary school, we had the most wonderful experience, you know, ever. And so we were always trying to prepare him for middle school where it would be a little different. And now Sophie is going to high school. So we're prepared. So there's all these different stages that we thought we were doing the right thing, you know, by just preparing them to be more responsible and more independent, which they are independent, but they're not right, because they're not doing the things that they should be doing. So I don't know, maybe that maybe that would be the better thing to do right now.
Scott Benner 1:12:49
Yeah, I don't know. Like, I swear to you. I don't know. I wish I did. Like, the way I think of it is that they're kids, and they're going to not be great at it. Right? So why don't I prop them up for a little bit and hope we can get to a place where they take over?
Malia 1:13:07
I thought they kind of both of them kind of butt heads with the school nurse this past year. And I thought this is this is good. I'm going to use this, you know, and so they didn't want to be pulled out of class, which I don't want them to do either. And that was another nightmare. But they would say, you know, this is just she's just constantly stay standing over me. And so I'm like, okay, yeah, hey, we can fix this. We can fix it. I've got a simple solution. Don't let your blood sugar get out of range Bolus for your food, and she will not come and find you.
Scott Benner 1:13:38
Yeah, that seems easy, doesn't it? And then did it happen? Yes. And
Malia 1:13:44
no. He would tell her especially why he would say I'm independent. You know, you don't have to do this. But then I would have to call her and say, Hey, his blood sugar is 300 What is going on?
Scott Benner 1:13:55
She's like, Hey, he's independent. Independently screwing this up, so let's get going. Yes, exactly.
Malia 1:14:02
That's what what happened, he would eat lunch and just be like, Oh, I didn't. I didn't Bolus I forgot to so
Scott Benner 1:14:09
it might be one of the most common answers from a kid. They're like, I've got this. And you're like, No, obviously you don't like, like, all of our, all of the things that we measure this scenario with? You have not scored high on you failed. Yes. And now you're gonna tell me I've got this. Like, I don't know what that even means. I think I think it means I'm going to ignore this and you should leave me alone. But you know, and I don't even mean just mean diabetes, like on anything, like cleaning the room or something and you're like, hey, I I'm having trouble walking in here. Like I've got it like, Okay,
Malia 1:14:52
what is the eye roll that they give to parents?
Scott Benner 1:14:55
What if you put that stuff in the closet, then I wouldn't be tripping over it. And then If not for nothing, you'd have it. So, you know, like, but it's just it's, it's crazy, isn't it? Like, isn't it? Aren't people weird?
Malia 1:15:09
They are very weird.
Scott Benner 1:15:11
I don't think we're very far past being bugs. If I'm being perfectly honest, I saw some pictures the other day Malia, here's how we'll end. Okay. New NASA photographs of space. If you felt small, knowing that there were a certain number of planets in our galaxy. Wait, do you see pictures of other Milky Way's and things like that, and realize that every little speck isn't a planet or star? It's another like, Galaxy inside of another thing? Am I'm pretty sure we're literally like bugs that figured out how to talk. So yeah, definitely. So there's part of me that thinks that we should just all take our clothes off and run around outside again, like just people do that. Let's stop with these houses. And this idea that we're evolved. Because when, when seriously, when you take one of these things, one of these people, right, and they're there, they seem reasonable. And you say to them, your job is to keep your room clean. And then the rooms not clean. And you say hey, your rooms not cleaning the guy? No, no,
Malia 1:16:17
I got it. Yeah, it's fine. There's,
Scott Benner 1:16:20
there's a real disconnect there. So maybe we should all just I don't know. Let's give up. Let's all go to Bonnaroo together.
Malia 1:16:30
No, we don't want to give up. We don't want to give up. I don't know. I'm telling
Scott Benner 1:16:33
you, I know this is going to happen that the there's going to be this moment, I'm going to take a big deep breath, then I'm gonna get hit by a truck. Just I know it. I just know, there's no payoff for me at the end. I'm living in the moment. Well, yeah, that's
Malia 1:16:48
not, that's not a bad place to be
Scott Benner 1:16:50
not Well, let me just point out, as you heard earlier, I can't imagine what I would do with free time. So I don't know. And that's my mistake, too. I should be doing something with my free time. But I don't know, like, so much happens around you, as you get older, your parents start to get sick. And, and you like I said, like, it's such a throwaway thing, but like, you know, I my meniscus was torn in my knee, which I think happens every person my age at this point. And so you know, like, you know, I'm gonna get this fixed. I know a guy have gotten insurance, blah, blah, blah. And then it's like eight weeks later, and you're like, Oh, I'm finishing up my rehab. And and before you know it, you're like, well, there's like a third of the year is gone, so that my knee doesn't hurt. And then it's you know, and then you're just like, on to the next thing. What's wrong with my mom? What is my brother in need? What are the kids complaining about? Oh, it's a lake. Boring. Great, right? Kidding me? Alright. What are we going to call this episode? Drown them in a lake? Now? That would
Malia 1:17:57
be wrong. It would be wrong with it. We're not doing that.
Scott Benner 1:18:01
Hit him with an hour. No, no, that's wrong. Well, I'm glad you're sleeping.
Malia 1:18:07
I am sleeping. I'm sleeping. And we're actually we're actually on Omnipod. Five. So we just started that. And that's how things come to you. Oh,
Scott Benner 1:18:15
good. Good. I'm glad. I do want you to share with people. You didn't know how tired you were when you were tired. Right? You needed hindsight to look back to see, can you tell them how sleeping change things for you?
Malia 1:18:30
Well, mental clarity that's that is probably the biggest one. It's hard to process anything when you're exhausted. And it's hard to be a good person when you're exhausted. Yeah. I think I would overreact to everything. So just getting sleep helped me to process everything better. I was a better caregiver. I was a better wife. I was a better mother. I mean, I think on sleep, we don't realize how important that is. But once we could figure out how to do that, we were better
Scott Benner 1:19:03
is one of the thing. It's one of the hallmarks of being the parent of a kid with type one is finding a way to sleep.
Malia 1:19:09
It's finding a way to sleep. Yeah, it's and I mean, I hear that with other you know, people that are come on the podcast, and they'll say I'm exhausted. I'm just exhausted. And you know, I think any parent in general can really relate to that. But I mean, if you're, you know, a parent of a type one, you really know what that means. It's hard.
Scott Benner 1:19:26
Yeah. Do you think people listening are disappointed that I didn't make fun of Kentucky?
Malia 1:19:32
They might be. I listen, I travel for a living and visit a lot of different states and the joke's on Kentucky are there there. There are a lot of them.
Scott Benner 1:19:41
Are they unfounded or no? They're not. I've been to Kentucky once. Man I tell my Kentucky story here. Oh, of course. I went there for a wedding. And we Kelly and I actually to give a point like that. I won't be talking about here. So we decided to drive. And we could have flown, it would have been easy. And we're like, instead, Let's carve out a couple of extra days and take, just take it easy and drive. And I've told people before on the way back from that wedding, I said to her, I was like, this is the best time I've had in such a long time. Like, just because we were just not doing anything. You know what I mean? Like, Arden was somewhere with somebody and you know, we could watch your blood sugar well enough, and, you know, that kind of stuff. So we weren't thinking about that too much. I saw some old friends, which was really nice. But one morning, this is gonna sound stupid. I've never been to a waffle house before. I've just seen them. And I if for anybody who hasn't seen one, it's it's a, I'm going to call it a restaurant because that seems like the only way to like quantify what it is. But it looks like a place where you look at it immediately and think I shouldn't go in there. Yes. Right. Like,
Malia 1:20:59
it's a good description. Yeah, you're looking to
Scott Benner 1:21:01
go and exist. And I see people in there. But I know that this is wrong. I know that this is bad. There's no way this is good. It's gonna be scary. And but there was this one morning, it was after the wedding and Kelly and I didn't know where we were. And I was like, this is at Cal. Let's go to Waffle House. Like, let's do it. You don't mean like, this is going to be the time she's looking at me sideways. She's like, I don't know, man. I think this is wrong. It's like now it'll be alright. And so we walk inside. Every table in the place is covered, littered, actually, with old plates and food. There are five people working there. But they're not making any effort to clear the tables. And I look up and the guy says, We're not seated anymore. It's takeout only. Oh, wow. And I'm like, okay, and I started thinking like, well, they don't close for a long time. What do you mean, you're not sitting then I just realized they don't want to clean off the tables. So you can't sit down. I was like, all right. I was like, well, I'll just order supplies to the county. I'm like, Should we eat in the car? And she's like, I we should leave? And I was like, No, I think you're right. But like, we're here. Now we're inside. And so we order the stuff and pay for it. And the guy hands it to me in a bag and I look in the bag. And I'm like, There's no silverware in here. Like there's no like plastic knives and forks. And he goes, Yeah, we don't have those. I was like, I'm sorry, why? And he goes, Yeah, we don't have this. But you told me I gotta go outside and eat. And he's like, Yeah, I'm like, But how am i It's a waffle. Like, what am I going to do? And he just stared at me. And he's staring at me. And I'm staring at him. And I'm like, and Kentucky? Yeah, like, like, here's what I'm thinking. Right. And so, um, I don't need to use
Malia 1:22:56
silverware here, just so you know, you say?
Scott Benner 1:22:59
So. So I'm sitting there. And I'm like, Hold on one sec. I'm sorry. Sorry, I really had to clear my throat. So I'm, I'm at a loss. I'm holding $25 worth of waffles and other sorts of things. I have nowhere to go with them. And I said, Could I take some silverware from the restaurant? And I'll bring it back? And he goes, Yeah. And he pulls two forks and two knives. And he reaches out to me and I said, Alright, great. I said, I'm just eating in my car. I'll be back with him a little bit. He already said. You don't have to bring it back. Just throw it away. And I said, but um, I'm just 20 feet from the door. So when I'm done with it, I could just probably just bring it back. You know, I that's what I'm gonna do. I'm gonna bring it back to you because you don't have to. And I was like, okay, so I went out, we open up the styrofoam. I mean, even if you see the styrofoam, you're like, what are we doing? This is ridiculous. It's the worst waffle I've ever seen in my life. It's not great food. It really isn't how in God's name does a place called waffle house not produce a decent waffle?
Malia 1:24:12
That's eat I've never really thought about that. But they really should work on that
Scott Benner 1:24:16
thin, like the soul of an old sneaker. Okay. Moist, not, not, not airy and crispy. Everything was bad. The sides, the whole thing. My wife and I were looking at each other like she was she had the upper hand at that point, because she's like, well, this is your fault. You wanted to do this. So we finished all up and I collect up the garbage. And I dropped it in the trash can. And I took the silverware back in and I walked in and there are four people behind the counter. And I walked in and I'm standing there and they just don't acknowledge my existence. One of them's looking at me but not saying anything. And so I stood there for a second because I don't know what my polite, I just thought they might have something on their mind or doing something. It took me a minute to realize there's nothing on their minds, and they're doing nothing, and still haven't cleaned off any of these tables. And so I just I held it up in the air and I went, I have your silverware. And one guy walked past me when I said it. And then finally a girl came over and she's like, Oh, thank you. And she took it from me. And anyway, I don't know if that's a Kentucky story or Waffle House story. But
Malia 1:25:31
probably, well, maybe a little of both. But there are some there are some great things here too.
Scott Benner 1:25:37
I listen, a lot of it was lovely. A lot of the trip was really lovely. My Waffle House experience aside,
Malia 1:25:44
that's not a place that we frequent. No, I knew it was
Scott Benner 1:25:47
wrongly you understand that, right? Like it's not like yes, but I just got it in my head. I was like Waffle House.
Malia 1:25:53
Well, you got to experience it, though. So
Scott Benner 1:25:55
well, I have the experience. Now. I know not to do it. As a matter of fact, if Waffle House called right now and said I want to be a sponsor, I'd say I'm sorry. You can't. This is not going to work. There's nothing good I could say about Waffle House. I don't even know what to say it was it was it was crazy. It was insane. And the entire time we were eating the food just for context. There was someone cutting the lawn in front of us very slowly. And I don't know why they were moving so slowly on this tractor, but it was just it was insane. There was garbage on the ground and Malia
Malia 1:26:34
there are some lovely parts of the state.
Scott Benner 1:26:36
Yeah, well, we got the hell out of there right after that. So the wedding was wonderful, honestly, and, and seeing the people was terrific. They like had a barn wedding on all this property. It was very cool. Like the whole thing was really great. Aside from the Waffle House, but okay. All right. I didn't hear you stick up too much for Kentucky just then. So I'm going to let it go.
Malia 1:27:00
It is a great place, but you will find some very unusual things. Also. So
Unknown Speaker 1:27:03
you grew up there?
Malia 1:27:05
I did. Yeah. That's lovely. But it's so funny because I travel. I'm all over the country, you know, with my job and do a lot of work in Indiana. So just you know, an hour away and people will hear me talk and they'll say where are you from? Really? Like an hour from you.
Scott Benner 1:27:23
You don't have much of an accent in my opinion.
Malia 1:27:26
Oh, thank you. I get I actually get that a lot with people tell me I have an accent.
Scott Benner 1:27:31
I mean, you do but it's not thicker, harsher. So colloquial, that I don't know what you're talking about or anything like that. Good. That's good to know. Yeah. Good for you. Look at you, representing Indiana. I like how you're like I'm all over the country. I sometimes go as far as Indiana. Well, I
Malia 1:27:50
just was making the record, like making the reference that I go just an hour away and they say
Scott Benner 1:27:55
you sound so where are you from? Yeah. Hey, how often do you get to see the ocean when you're from the middle of the country?
Malia 1:28:01
We make an effort. Okay. Yeah, we make an effort. We go, you know, a couple times a year.
Scott Benner 1:28:07
Which way do you go south? South? Yes. It's usually like Texas to that.
Malia 1:28:12
No, no. No. Ocean. We don't go to Texas. That's just too far for us.
We usually go to like, Destin, we handle Oh, like destin like Florida. That's not that's 10 hours.
Scott Benner 1:28:26
I don't know where anything is. Like when you said when you said like you go to another state. I was like I don't know where that is.
Malia 1:28:32
We're at least eight hours away from any ocean.
Scott Benner 1:28:36
By by car. By car. Okay, yes.
Malia 1:28:39
So that's why we get to the lake a lot. That's what we do. We just we just fun inland water.
Scott Benner 1:28:44
So your kids can complain about that. They can play the ocean too. By the way.
Malia 1:28:48
I will find something to complain about I'm sure.
Scott Benner 1:28:54
Well, least you're not exhausted anymore. So you're not gonna snap and leave them there or something?
Malia 1:28:59
Maybe not. I don't think so. I don't think so.
Scott Benner 1:29:02
They're staring at the ocean you just look at you're too close
Malia 1:29:05
to the end now. Right? Like at this point, I'm just I'm yeah, we're getting close. Wow. Yeah, you're 1814 Oh, God,
Scott Benner 1:29:12
you have no idea. It's not even. It's not even half over yet. Good luck.
Malia 1:29:17
I was trying to ended on a positive note. I feel like I've really dragged Yeah,
Scott Benner 1:29:20
no, no, no, I think you've made a listen. I've enjoyed this conversation. But anyway, I appreciate you coming on very much.
Malia 1:29:29
Thank you. I've really enjoyed this tool. I'm
Scott Benner 1:29:31
glad Hold on one second. Okay.
Let's start off by thanking Malia for coming on the show and sharing that terrific story with us. And we're gonna thank cozy earth.com and remind you to use the offer code juice box at checkout to save 35% on your joggers, your sheets or towels, whatever. Business don't forget you can get 10% off Your first month@betterhelp.com When you use my link better help.com forward slash juicebox. And you can take that survey AT T one D exchange.org forward slash use box right now take you 10 minutes. help everybody help yourself T one D exchange.org forward slash juice box if you're looking for community around your diabetes, please check out the Facebook group Juicebox Podcast type one diabetes, it has 35,000 people in it I think it grows so much it's hard to keep track of people with type one type two lot of parents caregivers, adults to really complete and lovely place. You should check it out.
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#881 Best of Juicebox: Crush it and Catch It
Originally aired on April 7, 2021. Scott and Jenny talk about how to crush and catch a high BG.
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.
+ Click for EPISODE TRANSCRIPT
DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner 0:00
Hello friends, and welcome to episode 881 of the Juicebox Podcast.
Hello, and welcome again to the best of the Juicebox Podcast. Today we're going to revisit episode 463. It's a defining diabetes episode called crush it and catch it. As originally aired on April 7 2021. This episode is definitely a fan favorite. I don't think a day goes by where I don't see someone in the Facebook group say hey, I crushed it and caught it. While you're listening today, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. Are you a US resident who has type one or the caregiver of someone with type one, please go to T one D exchange.org. Forward slash juicebox. Join the registry complete the survey. When you complete that survey. You are helping type one diabetes research to move forward right from your sofa. You also might be helping out yourself and you're supporting the podcast T one D exchange.org. Forward slash juicebox.
This episode of the podcast is sponsored by cozy earth. Now you can get 35% off your entire order at cozy earth.com Just by using the offer code juicebox at checkout, I'm wearing cozy Earth joggers and a sweatshirt right now these joggers are like the best and our sheets are super duper super, super cool. And silky and soft. Also from cozy Earth. Cozy earth.com use the offer code juice box to save 35% The podcast is sponsored today by better help better help is the world's largest therapy service and is 100% online. With better help, you can tap into a network of over 25,000 licensed and experienced therapists who can help you with a wide range of issues. Better help.com forward slash juicebox. To get started, you just answer a few questions about your needs and preferences in therapy. That way BetterHelp can match you with the right therapist from their network. And when you use my link, you'll save 10% On your first month of therapy. You can message your therapist at any time and schedule live sessions when it's convenient for you. Talk to them however you feel comfortable text chat phone or video call. If your therapist isn't the right fit. For any reason at all. You can switch to a new therapist at no additional charge. And the best part for me is that with better help you get the same professionalism and quality you expect from in office therapy. But with a therapist who is custom picked for you, and you're gonna get more scheduling flexibility, and a more affordable price. I myself have just begun using better help. Better help.com forward slash juicebox that's better help h e l p.com. Forward slash juicebox. Save 10% On your first month of therapy. Hello friends and welcome to episode 463 of the Juicebox Podcast today, Jenny and I are going to define a diabetes term that I made up
don't tell the other episodes. But I quite like the defining diabetes series. What was once just in my head and idea of like, Oh, I'll tell people the definitions of words so they know the tools they're using and what they're supposed to do. But I've come to see these episodes is more than that as time has passed. I think they're their own special little. I don't know, I just like them. It's like a mini pro tip series defining diabetes. They're just good. And they're helpful. Actually, they're made even better with the presence of Jenny Smith, my friend and certified diabetes educator who helps me on these end the pro tip episodes. Today Jenny and I are going to define crush it and catch it. There's a little more to it actually, there's crush it, catch it and you'll find out in a second but I just like crush it and catch it. The rest of its like implied once you understand you'll see in a second. Please remember while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise please Always consult a physician before making any changes to your health care plan. We're becoming bold with insulin. Hey, new listeners. Did you know bold with insulin actually comes from the title of episode 11. I thought I would tell you that because now that the podcast is seven years old, it's possible you don't even know how this thing got started. This episode of The Juicebox Podcast is sponsored by the Contour Next One blood glucose meter. It's the meter my daughter uses. It is the most accurate meter I've ever held my hand. And it's absolutely lovely. Check it out at contour next one.com forward slash juicebox. You know what else? This show is sponsored today by the glucagon that my daughter carries, G voc hypo Penn, find out more at G voc glucagon.com. Forward slash juicebox. I have come to I've broken down the idea of how do I get a blood sugar back down into three simple words I crush it, catch it and start over. Okay, so if I see if I see a blood sugar that's high, and it's stuck, instead of messing with it, I crush it, catch it and start over. Now sometimes I crush it and it catches itself. And those are days when I'm like oh, I really did it. And then there are some days when I crush it so hard, it needs to be caught with some sort of fast acting glucose. This comes up a lot when I'm talking to people because I just feel like I feel like staring at high blood sugars is a bad idea. Now when I used to say this, people say oh, it's not good to bring your blood sugar down too quickly. And I know it isn't. But is it not a good idea when your blood sugar is high all the time to bring it down too quickly. But what about a person whose blood sugar is normally like 85 to 105 and it sits there most of the time, but then you get this big spike from something you messed up or did wrong or bad pump site or whatever? Is there any value in watching it and bringing it down slowly over four hours versus crush it catch it
Jennifer Smith, CDE 7:04
there when I'm glad you kind of brought it up. Because that was like the first thing on my mind to like spit out was it really does depend I mean, somebody who's typically sitting in a nice, beautiful, you know, glucose range that they're happy with. And now oh, you know, grandma's apple pie came along, and I thought I'd only eat one piece. And now I've eaten three and oh, by the Pre-Bolus that I you know all the things that go into a higher blood sugar that happens occasionally, the occasional high blood sugar that you do your little you know, crush it catch it kind of component. Is that detrimental? No, I mean, you're taking care of the high blood sugar, you're bringing it down, you're doing it quickly. I would say that the opposite of that though, you know, for a high blood sugar, that's, that's randomly high. And you're kind of worried about doing that and bringing it down so quickly is there is there trauma, the same way and just leaving it hanging high and come down slower, by just taking a small amount and gradually getting it down? I think they're both honestly about the same in terms of any potential like you know, back in, which I don't see there at all, you know, problems and you either take care of it on the back end or on the front end quick and it comes down. And now you don't have to do with the high blood sugar anymore. Or you end up with a high blood sugar for hours watching. It's like slowly come down. And you may not feel great during that lengthy time. But on the same if you crush it early, and it drops really fast. You also might feel the drop, too. So you know in either of those, I don't think that it's necessarily bad. The long term of consistently doing that, like if you are the roller coaster, and you're constantly crashing highs and on the back end catching them with a load of extra food. They're in something needs some adjustment, right?
Scott Benner 9:07
And so that phrase would not come into my mind if Arden was constantly Hi, I would think oh, there's so many other things that I don't understand. I am really talking about specifically when you just have this, like out of nowhere like right where did this come from? Because I think one of the problems with messing with it for hours is that that runs into another meal. And now you don't have any resolution of the carbs and the the insulin right like there's no like I found myself years ago always saying to my wife, look, we need to get this down, get it level, get this insulin out of her so we can start over again. Because if not you have all these other variables going on. You don't know which ones are impacting and then you go into another meal and it takes years to be able to just on the fly go okay, there's still some act of insulin but the food's gone. now so i'll Bolus this and I'll take away 10 carbs because I know there's some insulin left like you most people can't do that off the top of their head right? So I my my theory has always been get it down as fast as you can. Because the insulin you use to get it down is kind of gone after that, like it gets. I don't know if this is a technical term but it feels like it gets used up dealing with the carbs Does that make sense?
G voc hypo pan has no visible needle, and it's the first pre mixed auto injector of glucagon for very low blood sugar and adults and kids with diabetes ages two and above. Not only is G voc hypo pen simple to administer, but it's simple to learn more about, all you have to do is go to G voc glucagon.com. Forward slash juicebox. G voc shouldn't be used in patients with insulinoma or pheochromocytoma. Visit G voc glucagon.com/risk.
Are you or your child carrying around an old busted up nasty blood glucose meter? Are you not even certain if it's accurate? Does that sound like the situation you find yourself in because if it does, it would be very easy and possibly financially advantageous to check into the Contour Next One blood glucose meter. This is the meter My daughter has been carrying now for a couple of years. It is phenomenally accurate for us, I'm talking about a good old fashioned blood glucose meter that just works. It's got a bright light. So when you're using it at night, you can see what you're doing. The test strips allow for Second Chance testing, meaning you can hit that blood drop not quite enough and go back in and get more without messing up the accuracy of the test or wasting a strip. And it's possible that you could be eligible for a free meter. And you could just find that out right now. At contour next one.com forward slash juicebox. Alright, so go check out that G voc glucagon, the Contour Next One blood glucose meter. Even there's a link in that show notes there for Jenny. It's a lot going on there. You can find these links. Like I said in the show notes to the podcast player. We're at juicebox podcast.com. I don't know if this is a technical term, but it feels like it gets used up dealing with the carbs. Does that make sense?
Jennifer Smith, CDE 12:37
Yeah, I usually say it gets eaten up faster. Yeah, it's like there's so much sugar for it there when you've got a high blood sugar that all that insulin gets sort of used up faster. There's it's kind of like the same concept of a Pre-Bolus is you're getting the insulin action going now to hit what's coming and get it used up. And on the back end. If you've done it right. And you figured it, you should have a smooth landing.
Scott Benner 13:05
It's always it always appears in my mind like a fistfight that just goes to the death that just like when it's over, both fighters just drop over backwards and on their way down. They're like well done, and then they're they're just gone. They ever get back up again, you know? And, and you're right. That is how I talk about and how I think about Pre-Bolus thing, which is to put both people's aggression at the same time make the insulin working while the carbs are working. So that one's not not doing its job without the other one. Because how you get a higher low blood sugar. But so in a bigger idea. I hear it's exactly right, like so what do you do in that situation? Like, how does Jenny handle have a high blood sugar that she gets?
Jennifer Smith, CDE 13:47
She's like, Hey, I like your I like well, one, you know, with using the system that I use for managing. I don't typically deal with that unless I have a pump site that's gone bad and hasn't been dealt with obviously. And for some reason, I haven't paid attention to any alerts and alarms that are going off on my CGM. So there are lots of catching points that obviously I haven't I know a lot of people use similarly, but with high blood sugars, I do the crushing catch it kind of thing more than not think there's I don't want to sit high. I don't like sit and kind of like you with my day the way that it goes. I don't want to have to wait out a high to eat because often my meals are with my kids, and I don't. I don't want to sit there while they're like chowing down and I'm like Mommy's got to sit here.
Scott Benner 14:50
Kelly's not saying she feels that her kids will feel odd if she's not eating. She's saying she doesn't want to watch somebody eat and not
Jennifer Smith, CDE 14:57
be eating at the same time. That's the intro I meant to have a meal together.
Scott Benner 15:01
I think it's abundantly clear why you and I get along about talking about diabetes. So I was like it now for the alternate viewpoint. Here comes Jenny with exactly what I just said. Yeah, I just think that I think it leads to so much more success. Because that staring at highs is stress inducing, and like people are like, well, I don't know, I'll make myself low. And I get that, like, if you're hearing this episode, first, go back and listen to the Pro Tip series. Don't start with this. This is like ninja level, like, I already understand what's going on 1000 times over. And I've got a high blood sugar, you know, if you Oh, sorry, no, no, I was gonna say if you usually have high blood sugars all the time, your basil is wrong, you don't understand how to Pre-Bolus Like, all these other things are first not this. This is not step one.
Jennifer Smith, CDE 15:53
No, no. And I was also going to just sort of go back and say, you know, my, my day to day like crush, it is definitely much more the case. overnight. I mean, my husband will wake up to an alarm. But he is definitely much more the like, sleep through a train coming through the wall than I am now have being a mom and waking up to everything. So overnight, I can say because I am, I am my own manager. I don't have anybody catching or following or anything for me. So if there was a conservative time that I'm going to do less aggressive correction for a high, it's definitely going to be overnight. And it's usually if I've had a highlight that overnight, it's usually like, the pump site is bad, or it's gotten pulled out and like I've got this dangling pot on my body and I haven't obviously gotten insulin, and then it leads to well, how much insulin do I have left? So it's kind of a questionable, and I'm a lot more conservative. Sure, for my own self overnight. Because yeah,
Scott Benner 16:58
I would think that for an adult, it's different than for a caregiver for certain. And I don't want to give anybody the impression that I use, you know, 50% more insulin in the situations needs. And then I just give her like a filet mignon dinner at the end, like, although, I could go into how you can get out of a high and go into a meal by correcting the high end Pre-Bolus in the meal, even sometimes hours ahead of time, and then just introducing the food at the exact right time. Maybe that does fit in here. But we're not talking about that right now. So I don't I mean, I don't want anybody to think that I'm overdoing it over time, I've learned that, you know, I can be really aggressive here and maybe I'm gonna miss by eight carbs worth of insulin, right like just a little bit and you can kind of, you know, add a little bit in I there's an episode called Utah Gen, where I talk about how I, how I help the person over the phone, this is probably not something I should have recorded. But how I helped the person over the phone bring like a seven year olds budget or from 400 to 70 in like two hours. And it involved crushing it and then introducing a meal at the right time. And back kids blood sugar went like 76 I think if I'm remembering it just leveled right out, it was like that was one of my, my most happy moments in my life. Walk around my house with my head. So I was like I did it. And then she ruined it by feeding him. But that's not the point. Anyway, it's a great episode, but not what I was talking about. Alright, Jenny, I'm gonna stop putting his
Jennifer Smith, CDE 18:28
reference to it, though. I mean, in terms of like that introduction of the meal at the right time, I think when you said this is like ninja level. Yeah, I agree. Because over time you have an idea, you have a sense of how much to potentially crush it with. And where, with hindsight, you can tell where you're going to need to add something because it's you're not going to it's not going to catch it on its own. You're going to have to help with the catch.
Scott Benner 18:54
Yeah. So and if somebody's listening to this and thinking, oh, yeah, I try that all the time. And I always mess it up. I really genuinely think go listen to the pro tip episodes, because then you'll get through the little reasons why you mess that up. Because you know, I could go one of them is that people are constantly chasing blood sugar's, they're always like on the wrong timeline. I don't like no one other way to put it other than to say, insulin you use now is for later, but a better way to think of it is that insulin from before is affecting you now. And if you're trying to affect before, now, you're caught in a time travel movie and you're on the wrong end of it. So anyway, try the Pro Tip series. Okay, Jenny, thank you very, very much. Yeah, you're welcome.
A huge thank you to one of today's sponsors, G voc glucagon, find out more about Chivo Capo pen at G Vogue glucagon.com forward slash juicebox. You spell that? G VOKEGL. You see ag o n.com. Forward slash juice box. Have you been thinking about that Contour Next One blood sugar meter? Have you been thinking about that Contour Next One blood glucose meter since I brought it up earlier, this is your time, go check it out. Contour next one.com forward slash juice box, you can find links in the show notes to hold on a second, I'm gonna run out of music. You can find links in the show notes to today's sponsors to Jenny Smith, and all of the sponsors of the Juicebox Podcast right there. In your podcast player. There are show notes in your pocket, podcast podcast, there are show notes in your podcast player, you can click on them from there. And you know the links are there. Or I don't want to get too technical when I say the links are there, or you can find those links at juicebox podcast.com. Allow me to take this moment to thank you for listening to the Juicebox Podcast for sharing the show with other people. And for making last month March of 2021. The most popular the most downloaded month ever in the history of the podcast. I'm not giving away the numbers. But last month did by a multiplier better than the first year of the show. Is that not crazy? Anyway, I have you to thank. So thank you. I appreciate it. Again, when you share the show when you subscribe in a podcast player, when you tell somebody about it, when you leave a review, and you're like, oh my god, I love this podcast as a review, and you give like a really thoughtful reason why those reviews are very helpful. Mostly for listening. That's the best thing you can do for the show, listen and tell someone about it. I really appreciate this. I feel like I've gone on too long about this now, but there's no going back. And I don't feel like editing it out. So I'll see you soon with another episode of The Juicebox Podcast. I'm just gonna keep talking, you can leave if you want to. But some people don't know about the other episodes that I think would be really helpful to them. So I'm going to take a moment juicebox podcast.com is the website for the show. Everything you need is there, there's menus at the top. And you'll be able to find the diabetes pro tip episodes. And the defining diabetes episodes. Under one link is the link that says diabetes pro tip. If you can't remember that you can just go to diabetes pro tip.com, where I've also put those episodes. I know a lot of you find the show. And people tell you Oh, if you listen, this podcast, like your variability will get better and you're able to go down, you'll just have a better idea what you're doing. And everybody's like, why do you do that? I think it's by listening to the show. I think that listening gives you a firm understanding through conversations with many people who are parents of children with type one diabetes, or adults who have lived with diabetes for a long time. Just hearing the conversations, hearing ideas come up, things get spoken about, I find very helpful. It builds your kind of diabetes knowledge. But if you really just want to dig into management ideas, you are looking for the defining diabetes episodes, just like this one, and the diabetes pro tip episodes. So again, diabetes pro tip.com. They're also right there in your podcast player, the thing you're holding right now with your phone. The Pro Tips begin at episode 210. They do not run concurrently. So you have to find them. And I think I say I think but I'm looking so it seems disingenuous. I was buying time the defining diabetes episodes begin at episode 236. There are many of them actually. Probably number in the dozens. And I don't see any end to them as we define. You know, I don't even see them as like definitions. I started talking about this the beginning like it's not just like Bolus means this. It's Jenny and I, we define it but then we talk it through. And now you know what that tool is. It'd be like, I'm gonna be like if you came from another planet, and someone handed you a hammer and a pair of pliers and a screwdriver and told you to go put together a bed. You might not know what the hammer is for. You wouldn't even know what it was called. So if you were helping me and I said pass me the hammer you wouldn't know. So I like for you to know what a Bolus is what Basil is why hydration is important. What's an insulin deficit? is feet on the floor a thing? What is the fat and protein rise a compression low or rage Bolus? Like I want you to? I want you just to instinctively know this is a hammer. I know what a hammer does. And that way when you need the hammer, you won't hesitate to me that's what the The finding diabetes series is about and then while there is no doubt that I would love for you to listen straight through this podcast started first one and listen all the way through. I know not all of you are going to do that. If you did, you would glean everything that is inside of the pro tip episodes. Don't skip the pro tip episodes just listen to them straight through episode 210 diabetes pro tip newly diagnosed are starting over and they go on from there. If you're not an MDI, still listen to the MDI episode. Right if you're on MDI, still listen to the Pre-Bolus episode. If you're on MDI, listen to the insulin pumping episode. If you've never had to CGM in your life still listen to the mastering a CGM episode. Don't miss bumping and nudging the variables exercise like don't just skip one because you think oh, this isn't for me. Those are going to lay down a firm foundation around your diabetes management in my opinion. And they're free So why the hell not right. Okay, thanks so much. Now I'll really see you next time. Bye. Bye. Hit subscribe
thank you so much for listening to this episode of the Best of the Juicebox Podcast. I hope you enjoyed crush it and catch it. It is definitely something we use around here. Would you like to save 35% on this sweatshirt that I'm wearing here? Are these silky joggers? Am I rubbing my legs while I'm saying it? I'm not gonna tell you because it sounds creepy, but they're super soft, cozy earth.com Save 35% at checkout with the offer code juicebox. And of course you can get 10% off your first month of therapy@betterhelp.com forward slash juice box just by going through that link. It's all you have to do. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. If you enjoyed this conversation and you're not in my private Facebook group, it's absolutely free. And I think you would love it Juicebox Podcast type one diabetes on Facebook private group 35,000 Plus members. That's over 35,000 members, tons of conversations, opinions, perspectives, and great conversation absolutely free. Go check it out. If you enjoy the Juicebox Podcast or this episode or any episode, please go into the audio app you're listening in and leave a five star rating and a thoughtful review that will help someone else to understand why you love the podcast.
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The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!
#880 Type 2 Diabetes Pro Tip: Diabetes Technology
A series for people with pre and Type 2 diabetes.
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.
+ Click for EPISODE TRANSCRIPT
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.
- 00:00:20 Technology can help manage diabetes.
- 00:07:03 Understanding glucose monitoring for diabetes.
- 00:12:18 Continuous glucose monitor provides valuable information.
- 00:17:23 Use technology to improve diabetes management.
- 00:23:35 Understanding glucose monitoring is crucial.
- 00:29:00 Be your own advocate.
- 00:34:07 Advocate for your healthcare coverage.
- 00:41:40 Diabetes requires ongoing management.
- 00:47:43 Perceptions of diabetes and insulin.
- 00:54:17 Know your blood sugar's impact.
- 00:54:57 Support podcast by supporting sponsors.
Scott Benner 0:00
Hello friends and welcome to episode 880 of the Juicebox Podcast
well just like that we're up to our sixth installment of the type two Pro Tip series today Jenny Smith and I are going to be speaking about technology, diabetes technology and how I N Jenny believe it will help you immensely with pre diabetes and type two. Please remember today while you're listening, that nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. Couple quick things cozy earth.com use the offer code juice box at checkout to save 35% on everything, clothing, bedding towels 35% off cozy earth.com with the offer code juicebox. Speaking of saving money, if you're looking for therapy at better help.com You will save 10% off your first month of therapy by using my link better help.com forward slash juicebox. And of course if you have type one diabetes and are a US resident go take the survey AT T one D exchange.org. Forward slash juicebox.
This episode of The Juicebox Podcast is sponsored by Dexcom. Now Dexcom makes a G six and G seven sensor. They're both terrific. Check them out@dexcom.com forward slash juice box continuous glucose monitoring that's being able to see your blood sugar like right on your phone or our receiver the the direction it's moving in the number it is and how fast it's moving. Very very important information we're going to talk about it actually in this episode. Not to be confused with CGM BGM blood glucose monitor when you you know, check with a blood drop on your finger. If that's what you're looking for, you want easy to use an accurate you want the contour next gen blood glucose meter contour next.com forward slash juicebox links in the show notes to Dexcom cozy Earth BetterHelp contour all the sponsors, and those links also exist at juicebox podcast.com.
Jennifer Smith, CDE 2:34
Because when that turning it off, I'm just turning the sound down because I've been Today's my birthday. So I've been getting texts all day.
Unknown Speaker 2:42
Happy birthday. Why do I not know that?
Jennifer Smith, CDE 2:45
I don't know.
Scott Benner 2:46
It's three days after my son's really cold just turned 23 I'm assuming you're 25. So
Jennifer Smith, CDE 2:54
my stay at age always, I think would be 37. If I had to pick an age, it would be 37.
Scott Benner 3:01
Do you know the about the number 37?
Jennifer Smith, CDE 3:04
No. What about it
Scott Benner 3:05
when asked to randomly choose a number between one and 137 is the number most often chosen? That's absolutely true. Wow. Hmm. So it would be my favorite age. Anyway, I love that thing. I love that. That. I don't know what yeah. Oh, even it's just so interesting. That's it. Yeah, I
Unknown Speaker 3:27
like little factoids. Oh,
Scott Benner 3:28
happy birthday. We're recording so everyone you're getting Jenny on her birthday. She's gonna be all jacked up from whatever granola cake she's gonna have.
Jennifer Smith, CDE 3:38
I don't know. I asked my husband if he was going to bake me a cake. And he's like, was I suppose
Scott Benner 3:44
that is not written on my list.
Unknown Speaker 3:48
On my to do list for her birthday. Did you request this? I'm like, No, I
Scott Benner 3:52
didn't my Christmas time Kelly said something. Like, did you send a link? I said, if you didn't send a link, I don't see how this is gonna happen. Like I write, I want to be a person who it's a weird time, isn't it, Jenny? Well, you just you don't go shopping the same way anymore? No, you know, not really used to wander around like this looks nice. I bet you they'd like this, you know. And so anyway, I'm well, happy birthday. Well, thank you. Thank you for joining me on your birthday to talk about diabetes technology as it applies to people with type two. Yay. I'm going to I'm going to say that I'm going to start like this. I googled it. I put myself in the position of people listening and I thought okay, someone's just told me I have type two diabetes, what would I do? I would go to Google, or your favorite search engine and I would type in type two diabetes. And now we start seeing what people Google type two diabetes symptoms, diet medications, treatment causes, risk factors. You know what I don't see in the top 10 technology. Nobody's looking for that idea. And okay, so Scott will type in the word technology. I'll bring it along technology for type two, yes, type two diabetes technology is the goo. Right? And we come back to, you know, an NIH article that if you look at is a lot of words, and probably confusing for people. There's a diabetes.org. So the American diabetes Association article, which shows me a picture of a meter and a lance, and then I scroll down, I see an in pen and they talk about a smart insulin pen. And then I see another meter. And then I get to the word CGM, but I don't see an actual CGM anywhere and then an insulin pump at all. I don't see a photo of it is what I'm saying. Wow. Yeah. And so I'm like, Okay, what is this page meant to do? This is a brief overview. That doesn't really. I'm trying to put myself in that position again, like, Okay, well, here's a bunch of words. I don't know CGM don't know what that means. Blood glucose meter. Sounds scary. I don't know what I need an insulin pen for the guy just told me I have diabetes. I probably like it. So I want to go over wind
Jennifer Smith, CDE 6:13
or it sounds scary because insulin? Well, it sounds like that's not what you want. Right?
Scott Benner 6:20
And what I it's funny, we're putting together a list for a different series, about myths about diabetes. And over and over again, people say, I wish people would realize that using insulin doesn't make your body give up. And so, so I realized that people must think that like, Oh, if I assist with insulin, then my body's gonna think I don't have to do this anymore. Which by the way, that's not how things work. But, but apparently, it's kind of colloquially how people think about it.
Jennifer Smith, CDE 6:53
And honestly, you're right, it is and or that it's, it's a failure, right? They've clearly done something incorrect. And this is now Gosh, I'm now on insulin, right? But honestly, to clear up, the first myth is that if you actually start to help your body by supplying some insulin, those beta cells that make it in your own pancreas, are not overtaxed. And so it helps in an in a preservation way to actually use insulin. And sometimes it again, you know, when we'll talk about medications as well, sometimes insulin might get going. And you may actually, depending on lifestyle changes and other meds that might be added as well, you may be able to come off of the insulin, because now your body is at a glucose level. That's better. Yeah. Right.
Scott Benner 7:46
So let's, let's start at the beginning, because I think everyone would type who's gonna get a meter shoved at them in the office, right? They're gonna give them a glucose meter,
Jennifer Smith, CDE 7:55
one would hope that that's what's prescribed at diagnosis, yes, at least a glucose monitor to be able to check with a finger stick. And it was some of in terms of questions as well, in technology, there are glucose meters as well that you can use alternative sites. So I think that's important for people to know when they're considering this, that while they might know they have to poke their finger, let's say you don't want to do that, or you use your fingers for many other things in terms of your job. And you're worried about the impact on that. There are meters that are approved for alternate site testing, palm, like the forearm, the base of the thumb, all of those kinds of places can also be used.
Scott Benner 8:38
So thanks. So it's interesting to talk about. So what my daughter has had type one diabetes for so long, I've been around diabetes for so long. Like I'm trying really hard to put myself in the position of somebody who would be listening to this. And you're right, the first thing I'm going to think is, I don't want to poke a hole in my finger and make it bleed. Right, right. And then the next thing I'm gonna do if I do that, is I'm gonna start having that realization of like, well, okay, well, I tested my blood sugar at 8am. And I tested it again at noon. Now, I just know what my blood sugar was at 8am and noon, and what do I do with that information? Correct? Yes.
Jennifer Smith, CDE 9:15
And so that's where as you said, Well, somebody in the office, they're diagnosed with type two, they're going to get a prescription for glucose meter of some type. An important thing to know is sometimes that that brand might need to be adjusted and something new might need to be prescribed based on what your insurance may or may not cover. But along with that, the doctor might also give you some information about what glucose targets to aim for. When you check your blood sugar. We're looking for numbers between this number on the low end and this number on the high end. So you go home and like you said, you check your blood sugar breakfast, you check it again at lunchtime, you're like great. It's in this range that the doctor told me so. Is it always going to be in that range, because whenever I check it at breakfast, it always looks like it's somewhere in here. And when I check at lunchtime, some days it is and some days it's not. But what does that mean? Yeah. What do I do with this?
Scott Benner 10:13
What you don't know is what's happening in between those times to what happens between those in those four hours? Is your blood sugar staying reasonably stable? Is it shooting way up? Are you using a medication and it's going too low? Like, these are the things you you need to know. So okay, I have a meter. I need to know what I need to know the price, I think the problem is going to be as the doctor is going to tell you to test a certain couple of times now it's going to be at so I think it would be important for people to know why they're testing. It's not just to come up with a number to show somebody, you're trying to see it starting with food, you're trying to see what impact does this food have on my body? Right? Yes. And so maybe you're beginning with no medications at all. You're not even on Metformin yet. Who knows? Doctor says you have pre diabetes, here's a meter. Okay, well, I might learn that eggs and bacon don't seem to move my blood sugar very far. But pancakes do, right, or pancakes by themselves move at one. But it's weird. When I put the bacon with the pancakes, it seems though it's different, lasts longer, it's different. My high blood sugar lasts longer for some reason. So the gold standard here would be pairing your meter with a continuous glucose monitor. So that's jargon for people who don't know, but it's a wearable device that will show you your blood sugar in real time on a receiver or your smartphone. Now, it's not just the number, but the speed and direction that the blood sugar is moving. Correct?
Jennifer Smith, CDE 11:45
Absolutely. And so that in terms of coverage for someone with type two, is something that needs to be evaluated, right? Because depending on what kind of medication you're using, what kind of insurance plan you have. Many times sensors are covered under two different options, either durable medical equipment, or for some people, they may have what's called pharmacy benefit. So it may depend and you may have to look into your insurance plan and see what they cover for you. And if in fact, it's coverable, I would absolutely get your hands on a continuous glucose monitor.
Scott Benner 12:24
No, I think that I can't say enough about what that information brings you. Because, you know, it's charting your glucose constantly. And if you you know, think about one fix, if I don't know, if you just, you know, draw a timeline out in your head on the left is midnight, and on the right at midnight, again, we put 24 hours in between, I could test my blood sugar a couple of times along the day and have a couple of data points. But what if you had data points every five minutes for 24 hours? When you connect them what you get as a graph, and you get to see rises and falls and the harshness of? What do I mean by harshness? Does my blood sugar shoot straight up when I eat? Yes, does it rise slowly. And this information, you're hearing it right now and you're thinking I don't know why I need this. Jenny and I are telling you, it's going to help you so much.
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Jennifer Smith, CDE 16:22
You're right. And if, if you're if your desire is to do as much lifestyle change as you can, right? Like you've told the doc, no, I don't want to take any medications. Okay, then get information to show what lifestyle changes you're putting effort into. Because it is effort, you're trying to make a change a habit that you've not had before. Stick. So if you can go back to the doctor and prove and say, Well, if I do this, and I do this, look at look at the results that I can achieve. Right? I can do this. The other thing that it also is helpful in is if you've done all of this lifestyle shift, and it's worked for two years, or four years or five years, and now your numbers are looking different, and you haven't changed anything. In fact, you find that you're actually working harder, because you started to notice things were shifting, and you didn't know why. So you're like, Okay, I'm going to do a little bit more of this, or I'm going to cut a little bit more of this out, and it's not working. That's your first insight to then go back to your provider and say, Okay, you were talking about this years ago, or a couple months ago, I've put all my effort in. And I don't know what to change anymore. I'm eating lettuce, and still, I'm sitting at a high blood sugar. So clearly, the technology can show you more information, and help you to be the one to then go to your providers. With that
Scott Benner 17:52
it also occurs to me that you could make big changes for yourself. And I mean, it's it sucks to say, but you can be eating food for an example that you really believe is the right thing, and maybe it's not. And then you go back to the doctor and say, Hey, listen, I've really improved my diet, and I don't have any change. The doctor believes you Well, you did improve your diet, and they keep thinking it through. Meanwhile, you chose, I don't know, you thought mashed potatoes were a vegetable. And you're like, you're like, I don't know, I am eating so many vegetables now. And if you had, if you were testing your blood sugar, if you had a glucose monitor, you would see, even though I think this is something this is still impacting me harshly, and I and then you would know, to eliminate that thing or, you know, come back, he would also see how exercise would help your blood sugar. You know, and maybe even that, like, think about putting a bunch of effort into something. And you're still expending the effort, but you're putting the effort in the wrong direction. That's right. You don't want to get so frustrating. Yeah, it is. Yeah,
Jennifer Smith, CDE 18:56
yes. I mean, you know, in all of the technology, I think, and I've said before, if somebody was going to take technology away from me, I, I would not let somebody take my continuous monitor. Yeah, I would not very happily give up by pump. But I would give it up before I would give up my continuous monitor. I would. And I think for some, some people, maybe it's not in the mix. So then what do they do with the numbers that are just coming from a glucose meter years ago? The accucheck meters used to come with sort of a plan of action, specifically in type two education, and we called it testing in pairs. And so if you can test around a meal as we're talking about mashed potatoes, right, this is your vegetable of choice that you're like him eating more vegetables. Let's see what that's doing. If you test before the meal, and you test about an hour to two hours after the meal, that paired testing gives you a visual of where was I? What effect did this meal have. So even if you don't have or can't, for some reason, get a continuous monitor, you can use your glucose testing supplies more accurately to get information. And you may, maybe you only get two test strips a day, maybe you do testing and pears at breakfast, and the next time you do it at lunch, and the next day, you do it around dinnertime, and you get a rotation over two weeks. Again, you've at least got more information for you to use. And for you to go back to your, you know, physician with and say, I do really well at these points, but this part of the day, I can't, I can't do anything the right way or I can't figure it out, right
Scott Benner 20:40
visually. It's just it's going to feel like a lot like something has, first of all, something happened to you. You have a an illness that you're now dealing with. It's not something you expected or want. And it's an extra effort. And then what I love about having the data in front of me is that it's very visual. You don't really need to understand everything to look at a midline and go okay, well, this is where I'm shooting for. And here's where I am. Right, and here's an eight here. Wow, I ate at nine and at 10 o'clock, my blood sugar was high and it stayed high for two hours before it came down. That's easy to interpret. You know, for anybody you don't even need to understand the who's in the wise to see this is what's going on around companies that make these things Dexcom makes the g7 libre will make at this point. The libre three. Abbott Yeah, that makes the libre and that's from Abbott. And then there's a Medtronic sensor. Do they sell it separate of their?
Jennifer Smith, CDE 21:42
They do? Okay, yep. You can get just their sensor system. Absolutely. Yeah.
Scott Benner 21:46
And so I mean, if you
Jennifer Smith, CDE 21:49
there's one more you missed
Scott Benner 21:51
Sen. Sonic.
Jennifer Smith, CDE 21:52
Yeah. Sounds Jana. Yeah.
Scott Benner 21:54
It's implantable.
Jennifer Smith, CDE 21:56
Ever since Yes, ever since makes
Scott Benner 21:58
it right. And that's an they actually implant something under your skin and you hold a reader up to it.
Jennifer Smith, CDE 22:03
You do. So the there's is an implantable. It's tiny, tiny, you know. And it gets implanted in a doctor's visit. So it's not something you do in your own home, right. And then there's a little device, if you will, that pops on top of the patch on your arm that goes over the area where the sensor is implanted in your skin, and then the app if they do have an app, and it allows you to see all of the continuous data in that as well.
Scott Benner 22:40
And how long do you wear it for six months? Something
Jennifer Smith, CDE 22:43
I don't think then I believe the newest one is six months, it used to only be three months. It used to be 90 days. I believe the newest is six months. And I had I had somebody who loved it. The only reason he changed to using Dexcom was because the change in his pump technology required use of only Dexcom. So
Scott Benner 23:03
yeah, and it's ever since but I think a sense he owns it. That's some backroom stuff. But I think the people who make the Contour Next One blood glucose meter actually purchased the small company. I think so. Oh, you know what, here? This is amazing. It's a phone call I've been waiting for for three days it comes now. Great.
Jennifer Smith, CDE 23:26
That's not a good thing. I
Scott Benner 23:27
don't know. We'll get it later. I'll call back. But yeah, okay. So the point is there, there are things that are called continuous glucose monitors. You'll hear people say CGM, and these things are giving you like we're saying the data all the time. There's also a BGM, or a blood glucose meter, which is the finger stick. And I know that all sounds you know it confusing. In the end, you can't have I don't think you can have too much data. Access to see it like you'll figure out what parts of it you need eventually. But just going in blindly like, well, I changed my thing. And then they check they check me once see in a few months, and it didn't go up or didn't go down. Like it doesn't tell you much.
Jennifer Smith, CDE 24:11
It doesn't. I think the other thing with all of that information is that for for someone to start to understand, you have to also know that the variables that life puts in to your day to day are a piece of that glucose graph that you're looking at, right. And unless somebody really gets some good information about what they're looking at, sometimes that CGM data can become frustrating. Right? If they have nobody to go back to and ask about how to read it, or what does it mean when this happens? And that's where education is. It's definitely a second piece to the information
Scott Benner 25:00
because you you see the rise in your glucose. And if you really don't know, you don't know, it just, you know, I, you could have eaten a meal where you had three items on your plate and two of them have nothing to do with it. The third one you don't think of as being impactful, but it is sometimes a mix of foods, you know, impacts differently. So you have to be able to and that's another great thing that this data does, especially with a CGM where you can say, hey, look, this is what happened. I ate this, this and this here. And this happened. Can you tell me why that might have happened? Or do I need a medication? Like is it is my body just not going to handle this? I'm like you said I'm down to salad lady. I need a cucumber, my blood sugar went up. I need help. You know, I need right. Yeah. And that's also going to be a good way to tell you like do I need insulin? Do I need one of these injectables, things we're going to talk about in other episodes? If you do end up using insulin, am I going to use it? Am I going to inject it with a syringe? Am I going to get an insulin pen? Am I going to get a an insulin pump? You know, right. And and I would assume with type two, that has a lot to do with lifestyle and the emphasis the impact that your that your diabetes is having on your blood sugar's are no, I mean, if you have very, I mean, if you're a one sees like a six and a half, can you still wear an insulin pump?
Jennifer Smith, CDE 26:27
Could you? Sure you could. But the biggest evaluation is that if you're keeping a 6.5 right now, with effort on your part and lifestyle and medication that you're using, it's very unlikely that you're going to get prescribed and may not even get covered by insurance because of where you are. That's not a bad thing, right? I mean, you're doing a really lovely job and great right now, you don't need insulin. At some point. If you do and you've been doing everything you can and your glucose continues to creep up and the agency keeps creeping up. At that point, could insulin be being considered? Certainly. And if the variables in your life dictate, you would do better with a continuous insulin infusion? Then yes, an insulin pump could be considered. Absolutely, I mean, it's, it certainly allows a lot more flexibility in terms of dosage. And the decrease in the amount of stuff in a way that you have to carry around. You don't have to keep, you know, insulin vials or insulin pens with you or syringes around with you. The pump is connected to you. So hopefully you don't forget, when you walk out the door.
Scott Benner 27:41
Well, it just seems that with the feedback I'm hearing and conversations I have with people that, you know, there's a hesitancy to bring things into your life, whether they're technology or insulin. And I understand that, like, I get the idea of like, I don't want to do this, or I don't understand what this is. But and then there's that leap right when you you get to the doctor's office, and maybe the doctor's office doesn't understand that well, either we talked about this a lot with type one, you know that you can go to the doctor. And I mean, how was it put most kind of generally speaking, if you have type one diabetes for six months, you likely know as much about it, as your doctor does. If you had it for a year and a half, you now could probably go teach a class somewhere and the doctor would be like, Wow, that's interesting. You know, and so having it is the best teacher. But what happens when you have type two, and you left the office and the guy didn't even give you a meter? Right? You know, and wouldn't and if you said to him, I'd like to have a continuous glucose monitor there, you don't need that. Or your insurance is gonna cover that, or whatever the and then that's the thing you remember forever, right? And
Jennifer Smith, CDE 29:00
so you may need to, as we've talked already, you may need to be your best advocate, you may need to be the one that you do the research, okay, you've gotten this new diagnosis, this new condition that will be there 24/7. And you need to learn more about sometimes some of the best places to learn are going to be asking your questions, and doing your own research. And even if you don't understand then at least you have more information to go back to your doctor and say, but I read this and you didn't tell me about this, or I read about this and this looks like it would fit with my lifestyle. Hey, do you think I could give this a try. And if you don't feel like you're if you're seeing a general, you know, medical practitioner or just a PCP don't expect that they're going to be an expert in type two diabetes. So if you feel like you're just getting the baseline, but you have much more in depth questions about things, there's no reason that you couldn't request even one consul rotation with an endocrine doctor. Yeah,
Scott Benner 30:03
I'm passionate about it. Because there's a person in my life that I want. I want for them to wear a CGM. I think it would greatly improve their situation. And this person, generally speaking, listens to me, I'm a trusted person in their life plus all of this on top of it, I can't get them to do it. Yeah, you know, and I even said, I was like, just, I think back then I was like, just grab a libre for cash, it won't even be very much, and just wear for 10 days. And I think you're gonna see, I will, I'll talk to my doctor. Yeah.
Jennifer Smith, CDE 30:39
You know, outside of this person, that does bring up something, I think that's important to understand, too. Let's say you have a physician who is willing to write you a prescription for a continuous glucose monitor. But your insurance is not covering it. Right. And maybe there's red tape and stuff that you have to kind of navigate yourself through in order to get one but you want it now, right? You know that it's important for you to learn from, you can, it would be out of pocket. So again, you'd have to have the means to be able to buy it yourself. But Costco if you have one of those, and it has a pharmacy, you can have your doctor write a script that goes right into Costco as pharmacy, and you can actually pay out of pocket without it going through insurance at Costco. So those are options that again, you're paying yourself out of your own wallet. But in the meantime, what are you learning from that? If you've got the means to do that, right,
Scott Benner 31:36
a couple of $100. And right now you have enough data to eat also to take that data back to the doctor go, Hey, chucklehead what I learned, I figured something out. I wasn't gonna figure it out without you. Now I'm on talking to my insurance company. Show them this. And there are, listen, it's a rabbit hole about insurance, right. But But insurance companies are set up to say no. And then it doesn't mean that's the answer. You have to prove your case. Right, right. Yeah. And it's just, I mean, it's tough because one of the CGM companies does a sponsor the show, so I would understand if somebody was like, Yeah, this guy is trying to sell a CGM. I would just tell you this. Like don't get a Dexcom fine. Go get a libre, it doesn't matter. Doesn't matter to me. What matters to me is that you have this like information if you if all things being equal, I take a Dexcom over libre, that's fine. That's me. Right? But just get the information any way you can. I can't, I can't. I just can't stress it enough like a meter is going to be like turning on the first. I don't know the first click of a four step light bulb. You're like, oh, well, the rooms a little brighter. But you get to that CGM, the lights all the way up every there's no shadows. Nothing can hide and you know what's going on now and then you can make a decision? You know?
Jennifer Smith, CDE 32:58
Absolutely. I mean, when I when I first started using a CGM, thankfully, I had really good insurance up to that point. And my doctor had written a script for test strips for my blood glucose meter for up to 15 times a day. And I was checking 12 to 15 times a day, because I wanted all of the in between data, but I was still missing so many data points. I mean, without a CGM, and using insulin, which some people with type two will use insulin, so you can take a fear factor out of the picture. If you have the ability to see what's going on. And prior to my CGM, I had an alarm set for two o'clock every morning. Yeah, I got I got up, I checked my blood sugar if it was in a place that was okay, I went back to sleep. And if not, or it was lower than where I went to bed. I was eating something, right. So now with a CGM, I was like, Oh my gosh, I can turn these alarms off. It was lovely. But again, somebody with type two, maybe you are using insulin or you're using some of the meds that can create hypoglycemia or low blood sugar, a CGM would be a huge benefit.
Scott Benner 34:11
So that's sort of a backdoor into getting one if your insurance company is being tough. If the doctor puts you on the medication, you can say, well, I'm scared of hypoglycemia. So I need a CGM, because a beater won't help me at two o'clock in the morning when I'm asleep. You have to it's what I'm saying about the insurance like you have to just kind of thoughtfully work your way through it. Sometimes. You do. Yeah.
Jennifer Smith, CDE 34:33
And there are letters of medical necessity essentially, are statements of medical necessity that a good doctor will be very happy to write for you to further the potential that an insurance company is going to look at and say, Okay, I see these checkpoints, hypoglycemia, risk medications that could, you know, cause hypoglycemia or job risk, right, where you actually really aren't more risk of hypose or the They may be pieces that your doctor adds to the letter in order to get you coverage.
Scott Benner 35:05
And there's a way there's a way to get covered without, I'm not even saying I'm not saying like fudge the truth, like there's no real reasons for it get like a ton of them. I know you said earlier, find people like do your own research, I'm going to put a plug in here for the Facebook group for the podcast. So yeah, it's called Juicebox Podcast, type one diabetes. But the truth is, there's a lot of type twos in there as well. It's, it's basically people who have diabetes. And I would say, it's funny, here's a little back room, I would change the name. But people with type one are more. There, they generally speaking, seem to be more involved in their own advocacy. And so I'm trying to draw people to the page. And if I put the word diabetes in it, and I don't say type one, or I say type one and type two, you'd be surprised. Like, I mean, even this series, Jenny, like to be completely honest, I'm making it hoping that people with type one diabetes, who have family members or loved ones with type two will say, hey, yeah, has helped me with type one. And now they have some information about type two, you should check it out. And so but go there, if you have a question about a CGM, or a meter, or you know how a foods hitting, no one's going to know better than a person with type one diabetes, like if you have type two, I mean, honestly, right. If you have type two, either you're making insulin, and it's not being used correctly. Right? And or sometimes you have also a decrease in insulin production like this is happening. A person with type one diabetes just is not making any insulin, there's none. You know, if you think I couldn't believe when I hit an avocado, I have type two diabetes, that my blood sugar went to 140 for two hours. Just if a person with type one diabetes ate an avocado without insulin, their blood sugar would be like, you know, 400 to five higher? Yeah. And so these people really understand how does food impact me? How did the medications impact me? Like how does insulin work? This is these are people's minds, you can you can pick their brains, and really come away with something. And I
Jennifer Smith, CDE 37:10
would also say in terms of talking a lot around the coverage piece of this technology. I think people with type one have also really learned a lot about advocating within insurance companies and advocating with their practitioners to get things covered the right way. They know who to ask to speak with when they do call their insurance company, who are who can I speak to this is the person to ask to talk to not the general person who answers the phone, right? You need somebody higher up, you need somebody who's going to listen, who's going to actually see, Oh, I see you sent a letter in two months ago. Well, it's sitting on the desk. So
Scott Benner 37:53
there's a person in my group who helps people all the time, and she writes letters to insurance companies that the insurance companies, she's so good at it, they just read it and I go, Hannah, she checked all the boxes, we can argue with this. That's awesome. Are you very good at it? Very good at it. And so, and that's it's Jenny's point is that, you know, you don't know I, you know, I used I say I used to say this all the time about type one diabetes, like, instead of suffering, and saying, Well, I don't know how to do this, or my doctor didn't help me. Go find someone who knows how, and look at them and think, What are they doing? I'm gonna I'm gonna copy them. You know, like, if they're having success, let me figure out what they know that I don't know. And type two. But I know a lot of people with type two diabetes. And I wouldn't think I'm going to try to be fair, but I think if we collected them all in a room and asked them a bunch of questions about their type two diabetes, and how to take care of it, you'd be surprised at how little they know about it.
Jennifer Smith, CDE 38:52
How little and also, I think how different the thoughts about navigating and managing are.
Scott Benner 39:01
Yeah, no, I listen, I have a I have a family member who passed away the other day, at and at 65 years old. And you're going to all you want, you can say, Well, you had this problem, we have that problem. You have this problem. What do you had was type two diabetes. What I don't know what we'll end up with, they'll end up saying, God, him. But his blood sugar has been elevated for 25 years. Right? That's why he died when he was 65. And they might end up saying it was an infection. Or he I don't know, I haven't heard that he had
Jennifer Smith, CDE 39:30
a heart attack or right that
Scott Benner 39:33
he died because his blood sugar was elevated for a long amount of time. And so this is why I'm talking to you all about it. Because it seems like every third person I bumped into says they have diabetes. And then I watched them a little bit and I'm like, they don't act like they have it. You know, and I and I and then I talked to them and I realized like they don't know what to do. Right? Yeah, every time like everyone's Listen, some people I talked to a gentleman recently. He was just very I think I told you this privately. I don't think I said this on the podcast. But I said, Oh, you know what happened? He said, Oh, they gave me an injectable medication. And I said, how the work goes, oh are great. I was like, Oh, good. He goes, I stopped taking. Oh, yes, you did. I do. Remember. I'm like, what now? And he goes, Yeah, he's like, I made my hunger go away. I lost 25 pounds, he says, but my hunger went away. And I was like, so now I'm just, I'm standing there. I interview people with diabetes for a living. I don't know what my next question is, like, what am I supposed to say next? And I went, right. Why did you stop?
Jennifer Smith, CDE 40:36
Right? And I think I remember you saying that he was, he was used to be used to being seen as the bigger like, he was like, a big guy, right? Like, he's the big guy. And like, everybody saw him as like this strength, right? I
Scott Benner 40:50
like to eat. And I was like, fair enough. He said it. I was like, fair enough. And so, um, but my brain couldn't process any of it. I was like, I don't understand. But I but what I recognized when I walked away is I bet you a lot of people feel this way. Like, like, I don't you know what I mean?
Jennifer Smith, CDE 41:08
Like, right? Or they think that it was similar to all the quote unquote, diets, right. And the reason that diets don't work is because you, you make the changes, let's say you really study it, you do it, like this gentleman, he took the medication, it worked. I mean, it worked like it was supposed to work, and he lost weight, a fair amount of weight. And then you're like, Well, it worked. Okay, great. I just, I can stop it. Now. It's over, it fixed me. But fix isn't the right thing. When you have diabetes, you have to continually navigate choices and management and strategies, and you, you may need different medications at different times, different technology at different times. But it will, it will always be something there in the picture for you to consider.
Scott Benner 42:00
It makes me what you just said makes me think of if you ask any doctor, what's the biggest problem when you put somebody on an antidepressant? When it works for them, the biggest problem is they're depressed, you give them the medication one day, they're not depressed any longer. And the first decision they make is, well, I'm not depressed, I don't need the anti depression medication anymore. And they stopped taking it. And then sometimes the depression comes back. And it's just, it made me feel like that when you were talking about that, like, he's like, I have diabetes, the doctor said, This is not a person who's this is not a person who said to themselves, like I need to do something, a doctor told him, he needed to do something, right. And so he did the thing he was told to do. And then he got to a point where it's like, Hey, I lost 25 pounds, but I really would like to eat more. So I'm gonna start taking this now. And the 25 pounds will come back, by the way, for reasons he doesn't understand. But he doesn't understand about insulin resistance, and his body's pumping out insulin like a fire hydrant, but it's not working. And so he's storing more fat and like, you know, that stuff?
Jennifer Smith, CDE 43:02
No, not at all. And at some point, you know, many of these injectable meds also have other beneficial pieces to them, which we'll talk about when we do the medications, but he was not only getting the benefit of weight loss, but that weight loss on the rest of his body, and the long term effect that that has, and all the other organs in the body that could be impacted. He may have had he continued taking it decreased or maybe eliminated the need for insulin someday.
Scott Benner 43:35
Yeah, he couldn't return back to a different place. And the right part of me that thought I didn't say this, because it felt like it wasn't. It didn't feel like it was the right thing to say. Right. But there was part of me that wanted to go, let me just, let's skip over. What what makes sense here and just go to what he wants, like, let's just treat him like a person who's like, look, I don't care. This is what I want to do. I thought get an insulin pump. If you're going to eat at least cover it with insulin like so. You know, because it's
Jennifer Smith, CDE 44:04
more precise. Yeah, absolutely. It's more precise. Absolutely. And so if I mean and those are, those are the big discussions that a practitioner then a clinician then has to have that stepped up conversation, okay, you had this result you had this benefit, it was working, you don't want to do this anymore. You tell me you want to eat okay? The best way to cover the food then is your blood sugar's are going up. No other medication is really going to hit as well to cover what you lifestyle wise are choosing to do. So now we have to add insulin. Yeah.
Scott Benner 44:39
Here's the part that I think gets lost is that a lot of times, you know, a doctor is gonna tell you what, like, well, here are the steps you do these steps this will work. But it doesn't take into account the human part of it. The willingness, the desire, the understanding, like all that it doesn't matter and so if so if I am a person who Who finds myself in the situation, but I've been eating, I don't know, like, like a sweet every day with my lunch, I might go out, I'm not that sick. And I'm okay being 25 pounds heavier, I want to have whatever this is at lunchtime. And it's just, I don't know, like, this is not as easy of a situation as get the right technology. And it'll just work. But you'll be shocked at how much better things will be with the right technology.
Jennifer Smith, CDE 45:32
And well, I think as you bring it in, in terms of the consideration of this friend of yours is the fact that I'm assuming he was not using a continuous glucose monitor, and maybe wasn't even doing finger sticks often enough to make any kind of information or informed decision about what his changes were doing. Had he at least then using finger sticks, you know, testing in pairs or a continuous monitor, he could have seen the very big shift in use of this medication to non use of it. And okay, I can eat more again, but look at what the difference in my blood sugar. Look at this difference. And the aha
Scott Benner 46:14
moment that a lot of people are gonna get out of it. Like, really? Yeah, I don't have diabetes, I've worn a Dexcom there are things that I was like, Well, I'm not gonna eat that anymore. You know, like, like that. I don't like the way that
Jennifer Smith, CDE 46:25
or I'm gonna take a bite. And that's going to be my taste, right? Yeah,
Scott Benner 46:29
I can have a like, I'll tell you I during wearing a glucose monitor, I eat a slice of pizza, no diabetes, my blood sugar doesn't change. And I'm like, I wonder how much of this pizza I'd have to gorge on. Right? But I found the number and it was like three slices. And then my blood sugar went into the 160s and sat there for a long time. All the fat? Yeah. And I was like, oh, goodness, like, okay,
Jennifer Smith, CDE 46:53
so your experience is what? You can do this much. But I shouldn't.
Scott Benner 46:58
I could have had two slices without it hitting me. Three slices was it. And so like, that's, listen, forget the How many slices of pizza is the information and forget that it's pizza. Like maybe you'll say like, Hey, a handful of grapes, I'm okay. A bowl full of grapes, I'm in trouble.
Jennifer Smith, CDE 47:15
For a gentleman like your friend, that information would have been able to show him, hey, I really liked the food that I liked to eat. And I haven't had an appetite for it. But now that my appetite is back, I can eat this much of my favorite. Yeah, but when I eat this much, it doesn't work out so well. So for him bringing in a little bit of change, but not major shift in what he was choosing, in terms of his preferences may have been the big thing that helped.
Scott Benner 47:42
Yeah, I also think that it, it shines a light on what's possible. And I do think that a lot of people could get stuck in the feeling of like, this is my lot in life. Like, I'm not getting out of this. And and it doesn't matter what I do, it's not going to work. I mean, colloquially in the south, right? Like people say like, I have the sugars. Like it's that it's it's that common, like, Oh, does
Jennifer Smith, CDE 48:05
she have sugar, sugar, sugar, diabetes, I hear that a lot.
Scott Benner 48:09
And it's almost like they think it's a, like, it's a family thing they were gonna get like, it's like it's like a it's like an old sofa being passed down to my goal. It's finally my turn to have the sugars and right what am I going to do killed my, my grandmother and it killed this lady in my aunt's gone and like it's gonna, I guess it's here for me. And then you just sort of go with it, you know.
Jennifer Smith, CDE 48:30
And sometimes that's an association too, with what they saw them doing in terms of medication, that the lifestyle pieces weren't considered as, what was creating a bigger piece. It was once grandma was started on insulin, she had her legs amputated, or she started on dialysis, or she had a heart attack, or she had her vision, you know, go down considerably. So it's the insolence fault. And so then there's a fear piece in, oh my gosh, my doctor is now telling me I have to use insulin. That means that all of these things are going to happen just like they happen to grandma. And that's, it's an unfortunate entire myth.
Scott Benner 49:13
Right? Right. It's just it's exactly right. It's people see it happen in that order. And they assume instead of saying which would listen, which would be the common sense thing is that my grandmother has not been doing anything for her diabetes for 40 years. It's gotten so bad now she's in a doctor's office being told take this insulin because we don't know what else to do for you. And then then five seconds later, her head pops off and you go or head popped off because she used insulin. That's not why it's it's a that's not what might be because 40 years ago, this didn't happen. This didn't happen or maybe somebody could have just given her insulin 40 years ago when she would have been okay, like right.
Jennifer Smith, CDE 49:51
And another one too. Oftentimes when insulin is initiated another piece that with higher blood sugars for a sustained time, some But he might have had some shifts that were slow and progressing, especially in their vision. And sometimes when insulin gets added, and you have a very quick shift in response in the body and your glucose level starts to come down again, a negative might be that your vision changes severely. Yeah. And you think, oh, oh, again, here, it's the insulin, I started taking insulin. Now I can't see anymore. My glasses don't work and right. It's not really the insulins fault. It's now your blood sugars are where they were supposed to be. But they were corrected too quickly. And
Scott Benner 50:36
now we have a shift. And, look, I'm just gonna say this at the end. i You said something earlier that freaked me out. You're like, what if their prescription only gives them two test strips for their blood glucose meter a day. And I'm like, Oh, God, that could happen, couldn't it? And then I'm like, okay, so you do the two things to try to give yourself a little point a point B. But I was thinking even with a meter, like just go crazy for a couple of days and test once an hour, and use 50 strips up in two days. But then you can actually I did this with a lady with type one lunch, she couldn't afford a CGM so fine. But she didn't want to like give up. So I'd had her do the thing. I said, draw a timeline out 24 hours, test yourself every hour, and then just sort of take the dots and connect them a little bit. And at least you'll get a feeling of a graph, right a little bit like I was unsure, there's gonna be gaps. And we won't know if you dropped quickly or rose quickly, and we didn't see it. But it'll give you an it actually helped him.
Jennifer Smith, CDE 51:33
Sure. And as long as she was doing the majority of her typical things in the day, cotton, most common meals for coffee every 9am, the drive into work, which was an hour in horrible bumper to bumper traffic, if all of those were the standard of her day, then her 24 or 48 hours of finger sticks was very worthwhile. Yeah.
Scott Benner 51:54
And maybe it's, I don't know, maybe you go to the pharmacy, and it cost you 50 bucks. It's just I can't tell you, I listen, I don't want to be like hamfisted. But then people don't have 50 bucks. So it doesn't matter, like so if you can scrape it together, save yourself, you know, you can pull a couple 100 bucks together and grab a CGM and wear for 10 days. It sucks and all and I'm not saying $200 isn't a lot of money. I'm saying again, you know, what you
Jennifer Smith, CDE 52:23
may learn from it could help you so much farther in to the future.
Scott Benner 52:28
One another way to think about it, is that when I was raising my kids, and people would give them a birthday card, and they'd put money in it $25 Like, you know, some people were like, You take that from them, tell them to put it in the bank, so they can see what it is to save it. And what I thought was, well, I'm gonna tell them that's important. But I want to let them use the money. Because the feeling that comes from wasting $100 You don't forget that. You don't forget, I had $100. And now every day I walk past this thing on a shelf in my room that I don't touch. And that's the $100 right there. Like that shows you value sometimes my point is, is that there's value beyond the money. Do you mean like, and both of my kids now are like, you take them shopping and they pick like I've seen Arden all the time, she picks up three pieces of clothing. She's like, I like these three. And then she puts two of them back. Yes, for my son's moved out on his own now. I made a budget that I'm being careful about this. I'm doing that. Because one day he had 50 bucks when he was eight years old. And then he suddenly didn't have it anymore. And that $50 was worth a lot more than $50. It informs a lifetime of decisions. I'm telling you scrape the money together, beg, borrow steal, throw a CGM on for a couple of days. And man, it'll just it'll it'll put you into a different level of understanding all this. So anyway, did we miss any technology?
Jennifer Smith, CDE 53:58
I don't think I think it because we're going to talk about medications at some point. I think that yeah, I think there's technology within the insulin realm. I assume we'll just talk about it then.
Scott Benner 54:09
Yeah, I think I'm going to start saying at the end of every one of these episodes, know what your blood sugar is, and know what's impacting it. And yeah, that's where you're gonna make great decisions. Okay, Jenny, thank you. Happy birthday again.
Jennifer Smith, CDE 54:20
Thank you. You're welcome.
Scott Benner 54:26
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