Scott Benner 11/27/24 Scott Benner 11/27/24

#1370 Thanksgiving Insulin Strategies

A turkey tutorial in under 20 minutes. Simple tools to make today more enjoyable.

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.

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

Scott Benner 0:00
We are all together again, friends for the next episode of The Juicebox podcast.

Today's episode is quick and to the point it's called Turkey tutorial. This episode is a mainstay on the podcast. If you're new to the show, you might not know it. If you've heard it before, you're in for a treat, because the audio has been completely Remastered. This episode first dropped on November 21 2017 what you're getting is a quick kind of it's a pep talk, and it's a pep talk for HAL to Bolus on a day full of food. I put it up around Thanksgiving for obvious reasons, but the truth is, what you hear inside will work for you every day. 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. When you place your first order for ag one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink. Ag one.com/juice, box, if you're looking for community around type one diabetes, check out the Juicebox podcast. Private Facebook group Juicebox podcast, type one diabetes, but everybody is welcome. Type one, type two, gestational love. This episode of The Juicebox podcast is sponsored by the contour next gen blood glucose meter. Learn more and get started today at contour. Next.com/juicebox next.com/juicebox Did you know if just one person in your family has type one diabetes, you're up to 15 times more likely to get it too. So screen it like you mean it one blood test can spot type one diabetes early. Tap now talk to a doctor or visit screen for type one.com, for more info. Just going to go through a couple of ideas, talk about them very briefly, and then I'm gone. You ready? Let's jump right in. When I'm making insulin decisions for Arden, I have a bunch of tenants, just some basic concepts that I consider each time. So I'm going to mention one, and then I'm going to talk about it for a little bit. Here's the bit. Here's the first one. Do you find yourself of being accepting of high glucose levels higher than you want them to be because you're afraid of the insulin? I understand if that's how you feel, but you need to get over that. You have to get past that part until you dispense with your fear and stop looking at a 200 and going well, 200 is not bad. 150 is not too bad. At least it's not 250 until you can stop doing that in your own head, it's going to be difficult to move on. So you have to dispense with the fear. Fear and diabetes do not go hand in hand, unless you let them. Insulin is like fire in as much as it should be respected, but not feared. It's a simple concept. Sometimes it's hard to bring into practice. Don't be afraid. Be bold. You'd much rather have a lower blood sugar to deal with than a higher blood sugar to deal with, especially on Thanksgiving. I mean, wouldn't you rather have a 60 than a 260 right? Wouldn't you rather be fighting with a 70 diagonal down that might need a little more food, especially on a day when there's so much food around the house anyway, than a 270 diagonal up. You don't want to be fighting with a 300 that's sort of how a day like Thanksgiving gets ruined. You get a blood sugar up. And now the anxiety, the guilt and the insulin you're bolusing, eventually you crack the 300 all of a sudden it's crashing down. You'd much rather just overdo it a little bit with insulin, and then just have to stop a little bit of a low. The next thing you need to consider is action time. How long does your insulin take to begin working, and how does that affect your blood glucose? You need to understand that you're never going to be able to balance the insulin and the carbs together if you don't understand how the insulin works, when the insulin goes in, how long until it starts moving my blood sugar? This is incredibly important to understand, and very easy to figure out, whatever your blood sugar is, right now, if it's 150 and you haven't had insulin for a few hours, give yourself some insulin. When do you see it start to move? Do a little testing, little trial and error. Figure it out. Once you understand how long it takes for the insulin to begin working, that is a key building block for the rest of what you're going to do. Okay, next big thing, big part. Here we go. When your blood glucose levels are high, you've likely mistimed miscalculated, or a combination of the both your insulin exactly the same. If your blood sugar is low, you have mistimed miscalculated or possibly a combination of those two. You've lost the balance between carbs and insulin. But there's no great secret about why your blood sugar is high. We sometimes can get caught up in the whys, like, is it because of my pump is old, or maybe my insulin is too old? You see people all the time going. Through all the myriad of things, why is my kid's blood sugar 250 I can't figure it out. Here's why you don't have enough insulin. The reason you don't have enough insulin really isn't important in the moment, more insulin. It's something to understand in a bigger way, because it has applications throughout diabetes. If your blood sugar is high, you haven't used enough insulin, and if your blood sugar is low, you've used too much insulin. Now maybe that's a balance between the timing and the amount, but still, it's a basic concept that will hold true over and over again. Here's a simple rule of thumb I use all the time. It cannot be overstated. Trust yourself and what your experiences with diabetes have taught you. It's very simple. It's a convoluted sentence that makes the point, you have to believe that what you know is going to happen is going to happen. If I Bolus this much, I know this is going to happen if he eats that but I don't give him insulin until he's done. I know this is going to happen. You have to trust that you know what's going to happen is going to happen, and then you need to do something to stop it from happening. Here's another one that's very important, especially on Thanksgiving. Don't confuse carb counting with carb understanding, because not all carbs are created equal. You can't just say, well, that's 30 carbs. It's going to do this. It needs this much insulin. That's not true. 30 carbs of one food may affect your blood sugar much differently than 30 carbs of another food. It is much better for you to look and say that's two slices of bread. I know when two slices of bread are consumed, it requires this much insulin. Forget that two slices of bread or five carbs less if it's that kind of bread, or five carbs more for that kind of bread. How much insulin is it going to take for those slices of bread? When you look at a pile of stuffing, how many pieces of bread are there? How much insulin is that going to take? Don't worry about the count or the amount or the weight. Worry about what you know, what happened last time when I ate the sandwich. How much insulin did it take? Let's say I looked at a food and I thought, I can't lower my carbs. I said, that's five units of insulin. Then I gave the five units of insulin. I did a reasonable pre Bolus, and still, my blood sugar ended up at 250 and I had to do three more units to bring it back down to where I wanted it well, if it took five units up front and three units to bring it back, you probably needed eight units of insulin. Give it all up front, get rid of the spike. If you really time the pre bowl as well, we're going to talk about pre bolusing in a minute, but if you really time that pre bowl as well, maybe you don't need the full eight. Maybe it's only seven. These numbers are specious. They're not specific to you, but you need to figure that part out. I used this much then this happened, so I needed this much more. I probably needed that whole amount up front. That's the rule. I can tell you, that I Bolus the amount that I think is correct. I really never count carbs. I never worry about what my insulin to carb ratios Tell me. I worry about what I historically know that food is going to require same thing with the high blood sugar. I see a high blood sugar that's stuck and I need to Bolus for it. I don't worry about what the pump says. I worry about what works. Okay, basal rates. For those of you who are pumping, if you find yourself bolusing all the time, your basal rates are probably not correct. You should not need to Bolus just to keep a blood sugar where you want it. Don't be afraid to adjust your basal rates even temporarily. Let's use Thanksgiving as an example. If there's going to be more food, the food is going to be more consistent than usual on Thanksgiving, increase your basal by how much. I don't know. I can't tell you. You can figure that out, but I can tell you that when I make adjustments to Arden's basal rates, I usually move them 30% of the time when she has a growth spurt, I'm starting to Bolus too much to keep blood sugars where I want them, and I raise their basal rate. I raise it by 30% see what happens. So you can use temporary basal on days where you're going to be really food heavy. I think on Thanksgiving, I'm going to talk about what our day is going to be like at the end, but I'm going to start setting temp basal for Arden right away in the morning. Imagine type one diabetes is all about understanding the limitations of man made insulin, having the nerve to be bold when you're using it, and most importantly, acting first when you wait for diabetes to attack you, you will always be on the defense. Act. Don't react. I'd rather Bolus and have something happen, then at least I can say, Okay, I did this, and that happened. Next time I'll do this, it brings up a very simple formula for diabetes. It's the it's the E equals MC squared of the Juicebox. Podcast, I Bolus to half a unit, the blood sugar moved 40 points. I wanted it to move 80 points. So next time I'll Bolus a unit. I Bolus 10 units, but my blood sugar still went up to 150

maybe next time I'll do this much. I did this. This happened. I wanted this to happen. Next time I'll do this, the E equals MC squared of the Juicebox podcast. Okay, let's talk about pre bolusing and the tug of war. More of the carbs in the insulin. I want you to picture a tug of war between the carbohydrates and your insulin. In the middle of the rope is a flag. Now, unlike most tug of wars, the goal isn't for one side to win. The goal is for both sides to pull and the flag to never move from the center. That is the balance of your blood sugar that flag. If you start eating when your blood sugar is 180 you're going to be high. There's not a lot you can do about it, unless you're incredibly aggressive with insulin at the time, and that's maybe hard for some of you to do. So give yourself a chance at these meals and pre Bolus. Now I can't tell you how much of a pre Bolus is, right, but we did talk earlier about understanding how your insulin works. Get that understanding of yourself. Can I give myself insulin 15 minutes before I eat? Can I give it to myself 10 minutes? 20 minutes? It differs for everybody. But what you want to happen when the food starts affecting your body, you need the insulin to already be working so that while the carbs are pulling up on your blood sugar, the insulin is pulling down, and they're fighting and they're pulling on that tug of war rope, but they're not winning. No one's winning because no one got a head start. You give one of them a head start, that's going to be the side that wins. If the carbs pull first, then they're always going to be winning, and you're going to have a hard time to get back into that game, unless you add so much insulin that eventually you'll all go crashing the other way. You don't want that. If the insulin pulls too soon, before the carbs start working, you're going to get really low. And you don't want that either. You want the insulin and the carbohydrates to pull at the same time. And the most important thing is they need to stop pulling at the same time. A low after a meal just means that you had insulin left in your body after the carbs were gone. A high after a meal means you had carbs left in your body after the insulin was gone. It's all about the timing. Remember what I said? If your blood sugar is high, you've either miscalculated or mistimed. And if your blood sugar is low, you've either miscalculated or you've mistimed. A significant pre Bolus, one that allows the insulin to be working when the food starts working is key. If you want to stop a spike at a meal time, that's it. Now, if you didn't stop the spike, don't just wave your hands and go, Oh, I got it wrong. You see a blood sugar that's going up, attack it, especially if you have a Dexcom CGM stop the arrow. But I mean, with a big, carb heavy meal like this, your kid eats test again and a half an hour see where you're at. If you're 200 a half an hour after meal, you miscalculated or missed time. You may need more insulin. How much more is up to you, but you want to stop that rise and get it back where you want it without over treating. And that is really one of the last points you can't over treat. You can't over treat a low. You can't panic and pack in the whole refrigerator for a low, and you can't panic and pack in too much insulin for a high, or you will be up and down all day long. It's about bumping and nudging your blood sugar. If you have a Dexcom, think of that line on your CGM graph as something you're just trying to nudge, just up and down like a little video game, just trying not to leave the lines. And if you're testing and you don't have a CGM test frequently, and bump and nudge and bump and nudge, keep pushing that blood sugar back to where you want and expect good things for yourself. Set a goal for yourself of around 100 of around 80, of around 90, because often you get what you expect, especially with a CGM, please move your tolerance lines to a lower spot. You don't want a high tolerance on your CGM of 200 it's too late by then, put it at 130 react up front. Remember what we said? You're either going to attack or be attacked. You would much rather act first. So see a 130 diagonal up, bump it with a little bit of insulin. See a 70 diagonal down bump it with a tiny bit of carbs, or maybe you could even stop a 90 diagonal down by just restricting your basal for a little bit. You'd much rather do little bumps than giant corrections. As someone once said, high blood sugars cause low blood sugars because you're sending so much insulin and you're bound to get a low later when you bump and you nudge. There's just these tiny little corrections. They don't really have the opportunity to push you too far, one way or the other. So on Thanksgiving morning, we're going to wake up. We're going to follow one of my wife's family traditions of having cinnamon buns. Now I'm going to get up a little bit before my daughter to make sure that her blood sugar is nice and low and steady, so that when I pre bullish for these cinnamon buns, I have a good starting point for the day. There's nothing more important than a good starting point after that, there's going to be food around the house all day. I'm going to be using temp, basal rates increased. I will stop them and start them as need be. When it's time for the meal, I'm going to look at the plate. I'm going to do my best to decide how much insulin this is going to take, and I am going to pre Bolus. I am going to be bold when I pre Bolus, and I'm going to try to time the food in my daughter with the insulin. Beginning to work, to get that tug of war that we talked about, if I miss either with too much insulin or too little insulin, I'm going to make small adjustments. I'm going to keep on top of it during the day. It's going to take a little bit of effort, but not a lot. And I'll tell you what, it's way better than having blood sugar. All day, that make you feel sick to your stomach, that give your kids a foggy feeling, that make them have a terrible time, and give you the guilt that you know you don't want. And if you're an adult living with type one diabetes, trust me, it's much easier to pay attention up front, to make these small decisions that give you good outcomes than it is to be stuck thinking about this all day long. Towards the end of the day, we'll do our best when the pie comes out and the ice cream and all that to keep ahead of it. And if she gets a little low at some points, we'll add a fast acting carb where it's necessary, because it is far easier to stop a low or falling blood sugar than it is to affect the high one. But I'm not going to let this day be ruined by the fear and the anxiety and high blood sugars, I don't think you should either. Please remember that nothing you heard today is advice medical otherwise, I wish you a ton of luck and success on Thanksgiving. Hope that being bold helps you, and if you're listening after Thanksgiving, these things that I do, I do them every day of the year, not just on Thanksgiving. I just thought today would be a really nice day to say Happy Thanksgiving. Here's some of the things we've been talking about in the last 138 episodes of The Juicebox podcast. Please, if you're just finding this episode now, go back and listen. There are hundreds, literally of conversations with people just like you. We talk about type one diabetes, what it's like to live with it, what it's like to try to management. These kinds of tips and tricks are scattered throughout every episode. I think you'll type one. Diabetes can happen at any age. Are you at risk? Screen it like you mean it. Because if just one person in your family has type one, you're up to 15 times more likely to get it too. So screen it like you mean it. One blood test can help you spot it early, and the more you know, the more you can do. So don't wait. Talk to your doctor about screening tap now or visit screen for type one.com to get more info and screen it like you mean it the contour next gen blood glucose meter is sponsoring this episode of The Juicebox podcast, and it's entirely possible that it is less expensive in cash, then you're paying right now for your meter through your insurance company. That's right. If you go to my link, contour, next.com/juicebox, you're going to find links to Walmart, Amazon, Walgreens, CVS, Rite, aid, Kroger and Meyer. You could be paying more right now through your insurance for your test strips and meter, then you would pay through my link for the contour next gen and contour next test strips in cash. What am I saying? My link may be cheaper out of your pocket than you're paying right now, even with your insurance, and I don't know what meter you have right now. I can't say that, but what I can say for sure is that the contour next gen meter is accurate. It is reliable, and it is the meter that we've been using for years. Contour next.com/juice box. And if you already have a contour meter and you're buying test strips, doing so through the Juicebox podcast link will help to support the show if you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective. The bowl beginning series from the Juicebox podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698, in your podcast player, or you can go to Juicebox podcast.com and click on bold beginnings in the menu this one Hey, kids, listen up. You've made it to the end of the podcast. You must have enjoyed it. You know what else you might enjoy? The private Facebook group for the Juicebox podcast. I know you're thinking, uh, Facebook, Scott, please. But no. Beautiful group, wonderful people, a fantastic community, Juicebox podcast, type one diabetes on Facebook. Of course, if you have type two, are you touched by diabetes in any way? You're absolutely welcome. It's a private group, so you'll have to answer a couple of questions before you come in. We make sure you're not a bot or an evildoer. Then you're on your way. You'll be part of the family.

Speaker 1 19:22
You you

Scott Benner 19:29
starting to see patterns, but you can't quite make sense of them. You're like, Oh, if I Bolus here, this happens, but I don't know what to do. Should I put in a little less, a little more? If you're starting to have those thoughts, you're starting to think this isn't going the way the doctor said it would. I think I see something here, but I can't be sure. Once you're having those thoughts, you're ready for the diabetes Pro Tip series from the Juicebox podcast. It begins at Episode 1000 you can also find it at Juicebox podcast.com up in the menu. And you can find a list in the private Facebook group. Just check right under the featured tab at the top, it'll show you lists of a ton of stuff, including the Pro Tip series, which runs from episode 1000 to 1025 I can't thank you enough for listening. Please make sure you're subscribed, you're following in your audio app. I'll be back tomorrow with another episode of The Juicebox podcast. You.

#1369 Pitbull

Trisha has had T1D for 30 years, she is 44 years old and is a high school counselor with 1,200 students and no school nurse on site.

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Scott Benner 0:00
Welcome back friends to another episode of The Juicebox podcast.

Tricia has had type one diabetes for 30 years. She is a high school counselor with 1200 students under her, 12 of them have type one diabetes, and there's no school nurse. We're going to talk about that. And it looks like there's a note here that says, Scott, you go off more than Clark Griswold in Christmas vacation when he finds out his bonus was a membership to the jelly of the Month Club. Seems like I'm going to go crazy in this one lucky you. Nothing you hear on the Juicebox podcast, should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. Don't forget, if you're a US resident who has type one, or is the caregiver of someone with type one, visit T, 1d, exchange.org/juice box right now and complete that survey. It will take you 10 minutes to complete the survey, and that effort alone will help to move type one diabetes research forward. It will cost you nothing to help when you place your first order for ag one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink. Ag one.com/juicebox, if you're looking for community around type one diabetes, check out the Juicebox podcast. Private Facebook group, Juicebox podcast, type one diabetes. The holidays are here, and you would like to give quality and comfortable gifts. I know you would head to cozy earth.com. Use the offer code Juicebox at checkout, save 40% off of your entire order. You'll be saving off of everything, your sheets, your towels. And ooh, look at this. Women stretch knit long sleeve bamboo pajama set. And look at this. They make them for men as well. This episode of The Juicebox podcast is sponsored by the insulin pump that my daughter wears, Omnipod. Learn more and get started today with the Omnipod dash or the Omnipod five. At my link, omnipod.com/juicebox

Tricia 2:10
My name is Tricia, and I have had type one for 30 years. I'm 44 years old. I'm a school counselor, and I have, this year, I have 10 kiddos with type one that I am in charge of, because we don't have a school nurse.

Scott Benner 2:28
What how big is the school? You have 10?

Tricia 2:30
Oh, we have 1200

Scott Benner 2:33
1200 kids. Yep, that's a lot of kids at a school.

Tricia 2:37
It is. It's a high school. And we have, we have a district nurse, but because of funding, and who the hell knows, what else you know, we don't have a school nurse. So

Scott Benner 2:49
I want to know what the Who the hell knows? What else feel like? There's a story there. There

Tricia 2:55
is, but I'm gonna leave it off the air frame.

Scott Benner 2:59
You're like, I have a short list of stupid people, and here are their thoughts. So you're a counselor at that school, not not a medical person, okay, correct?

Tricia 3:10
I'm a counselor. I have no medical training myself. My mom is a nurse, but I couldn't force her out of retirement to come be our school nurse. I've tried, trust me, that

Scott Benner 3:21
also doesn't make you a nurse. So no, my wife is smart, and it's not rubbing off on me at all. Oh, my God. How did you get this job?

Tricia 3:29
I've been a counselor at this school for about six years now, going into my seventh in the fall, and prior to that, I was in another district, and I had I was a counselor there as well. So this year was a little bit weird. Of my 10 kiddos with type one, six of them were freshmen this past school year, and of those six, five had doctor's orders that they either had to be supervised when giving their insulin, or that somebody at the school had to give their insulin. A couple of them are cognitively impaired, so they don't, they don't function at the level of a typical high school kid. They function, you know, a little bit lower. The district nurse said that she couldn't do it, but that she could train a para pro to do it okay, and that worked briefly, and the the person who was doing it just wasn't really great with kids. So I just said I'd take it

Scott Benner 4:31
over. We've got a person now they're bad with kids. Now I know this is a high school, so you're wondering, how did this happen? But how many people do you think, you know, in this business that are bad with kids? One, not a lot, right?

Tricia 4:47
Not a lot. Most people who go into education truly love kids, and that's why we go into

Scott Benner 4:53
this. Gotta be a basic thing. Like, you know, you're not like rolling out of high school thinking, you know, I want to be rich. I think I want to be an. High School teacher,

Tricia 5:01
exactly.

Scott Benner 5:05
Yeah, that's it. That struck me as odd anyway. Well, that's dumb luck, but, but,

Tricia 5:09
but, you know, there's, there's always those people like, you know, I mean, I'm sure that there's a comedian somewhere who was who isn't funny, right? So, like, there's, there's always those people who don't fit their jacks.

Scott Benner 5:19
I've already seen your Netflix special, and yes, I was like, I don't Am I gonna laugh at some point? What's going on here? Everyone else says you're funny. What's going on? I think that about me. People probably like, if my kids, I know, don't think I'm humorous at all. So, and I think most people would think that I have a reasonable sense I

Tricia 5:37
would say, I think you have a reasonable sense of humor. Yeah,

Scott Benner 5:39
thank you. Also, sure it's fair to say on the podcast, I can't actually take the leash off and let it run, you know what I mean? Because it's a podcast about diabetes, right? Yeah, if I was doing something else, and maybe then you'd hear the whole thing, but, but nevertheless, okay, so you, you. So now, now you have functional control over these kids, or they're helping themselves mostly, and you step in if necessary,

Tricia 6:03
mostly, they're helping themselves. I have two kiddos that I'm I'm doing everything. The one young lady actually graduated this year. Super proud of her, but she is blind, not from diabetes, but from another thing that happened in her life, and she's cognitively impaired, so she like she functions at about the level of a second grader. So I'm doing her work. And then the other young man, nothing wrong with his vision, but he's cognitively a little bit lower than her. So for those two, I do the shots. I do the testing. They're not on pumps, despite my efforts to, you know, convince their parents

Scott Benner 6:51
that's a weird line. How do you go about that? How do you how do you walk that line? Well,

Tricia 6:55
with the one mom you know, every time the class has a snack, or they go on a field trip or whatever, and you know, so the day is off from what it would normally be, and she usually goes on those out of school experiences with him to help manage because I can't, I have another 200 kids I'm in charge of. I can't just leave school, you know, willy nilly, but so during the whole time, she'll be calling me, what would you do here? What would you do there? And I'll be honest. I mean, I first started on a pump when I was 20, and I'm 44 now, so trying to figure out how to regulate, like on long acting and short acting insulin, I can do it when it's a schedule, but when there's unscheduled things, my mind has to do a lot of math. And, you know, so I told her at one point. I said, you know, if he was on, you know, say, like a tea slim, or any pump, really, we could reduce his basal if he was doing a lot of activity, and it would make life easier, or go into exercise mode or something like that, I said, but I can't give you medical advice for what, how much long acting to give him, because I'm not a doctor, but here's what I would do type of thing. And she's like, Well, do you think a pump is good? I said, Yeah, I think it would make your life easier. I'll be honest, you know, but, but you've got to do what's right for you absolutely. So she's kind of in the position that her, her or his endo doesn't, and I understand this as well. Doesn't necessarily want to go with a pump like T slim or Medtronic, just because that would give him the ability to play with it himself. And he's a kid who likes to play with computers, likes to play with phones, things like that, and so they're a little bit worried about anything like that's the kid. He's 15, and we

Scott Benner 8:48
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Tricia 10:02
yeah? Because he functions at about the level of a five or six year old. Got

Scott Benner 10:06
it? Okay, yep, yep. So he also makes sense. Then, you know, right,

Tricia 10:11
yeah, right. So that's, that's kind of his doctor's worry. And I can see that, you know, and mom doesn't want to try, like, looping, or anything like that where she could do it because she's scared of that technology, let's say, so I get it, you know, I get it.

Scott Benner 10:28
Is there a chance there'll be a day when the cognitive ability rises that level of this being a possibility? Yeah?

Tricia 10:36
Yep. I think if we could just get him, you know, up to about, like a fourth, fifth grade level, he could probably handle it where he would know enough, at least, not to just randomly push buttons. You know what? I mean?

Scott Benner 10:49
Yeah. What's it like to to feel like you're helping all these kids? Like, like when you stepped in and said, I'll do this. What was your first thought? Like, I just can't leave them with this person? You

Tricia 11:01
know, it's weird, like, my first thought was, well, I understand this, and they're comfortable with me, because they know if they're having a a low, like I'm talking now the kids who manage themselves for the most part, but I'm just there to kind of, you know, in an emergency situation, yeah, you know they're comfortable with me. They know I know how they're feeling because I've had this for 30 years. So I I get what it feels like to be low or to be high or to, you know, guess wrong on how much you're going to eat for lunch and not want it all and pay the results later. I know all of that. And so I was just thinking, you know, these are my people. I can help them. And I still feel that way. I think I got kind of frustrated with with the woman who was going to help them, because even though they were high school, it was almost like a blame game with her, um, you know, why are you low? Why are you high? And she didn't understand that when you're a teenager, hormones and food and exercise and, oh, my God, there's a pretty girl over there, like, for the boys, you know, like she didn't get it that that can cause their sugars to do unexpected things at times, right?

Scott Benner 12:09
Or the girls, Trisha, really doesn't matter. Yeah? No, absolutely no. Well, I

Tricia 12:15
only have one girl in this whole group, so I've been calling them my boys for the most part. Oh,

Scott Benner 12:19
I see. Oh, that makes sense. Yeah. Also boys, probably more so if we're being honest, they would come to her with their issues, and she was busy, like blaming them by saying, What did you do? How did this happen? Those sorts of things. Yeah,

Tricia 12:34
that's not valuable. It's not valuable. And instead, you know, when your blood sugar is 50 with a down arrow, the kid needs to fix that. He can't think of why it happened. Like, give him a chance to fix it so his brain can work again, right? But sugar spoiling,

Scott Benner 12:48
let's stop and be critical thinkers now, right? Yeah. Do you think if you would have eaten three more crackers, this wouldn't have happened? Lady, I'm dead. Yeah. Come on. So you step in, you obviously have more, I mean, you have a ton of experience, right? So how old were you when you were diagnosed, 1414, yep, and yep. That's a long ass time ago, 30 years, 90s. It was six. What was it? 9090? 690-494-9494, yep. What was management like for you growing up, and what were your outcomes like?

Tricia 13:21
Well, when I first was diagnosed, I mean, what I remember is I was, I was a freshman in high school. I'd always been into sports, right? So I was playing volleyball, and suddenly I couldn't serve overhand anymore, like I just couldn't do it. I didn't have the strength, and I couldn't figure out why. And I was like, Well, I'm drinking water all the time. I'm going to the bathroom all the time. Long story short, I got diagnosed, right? Yeah, and I use r and n, those were the insulins I had. And it was all about, like, the exchange meal, like it was, you know, eat this many carbs for breakfast and this much protein and have a snack at 10 and then eat lunch at noon. And honestly, that really didn't work for my life very well. Even back then,

Scott Benner 14:05
I bet you most people wouldn't believe that exchange diet and our insulin, etc, was still 1994 Oh, but it was, it was for sure, yeah, but I bet you most people wouldn't think that. You know what I mean. I'm sorry. Go ahead it didn't work for your lifestyle, because it doesn't really work for anybody's lifestyle. But go ahead. Anybody's lifestyle. But go ahead, right? So

Tricia 14:24
today's

Scott Benner 14:25
episode of The Juicebox podcast is sponsored by Omnipod. Before I tell you about Omnipod, the device, I'd like to tell you about Omnipod, the company. I approached Omnipod in 2015 and ask them to buy an ad on a podcast that I hadn't even begun to make yet because the podcast didn't have any listeners, all I could promise them was that I was going to try to help people living with type one diabetes, and that was enough for Omnipod. They bought their first ad, and I used that money to support myself while I was growing the juice. Box podcast. You might even say that Omnipod is the firm foundation of the Juicebox podcast, and it's actually the firm foundation of how my daughter manages her type one diabetes every day. Omnipod.com/juice box, whether you want the Omnipod five or the Omnipod dash, using my link, let's Omnipod know what a good decision they made in 2015 and continue to make to this day, Omnipod is easy to use, easy to fill, easy to wear. And I know that because my daughter has been wearing one every day since she was four years old, and she will be 20 this year, there is not enough time in an ad for me to tell you everything that I know about Omnipod, but please take a look omnipod.com/juicebox I think Omnipod could be a good friend to you, just like it has been to my daughter and my family.

Tricia 15:55
My mom found a new I don't remember who my first endocrinologist was, I'll be very honest, I don't even remember their name, but she found a new endocrinologist for me who was willing to to work with me more, and who actually taught me, taught me carb counting. Within the next, like, one or two years, I still had the R in the end, but at least I had a little bit more control, because she was willing to let me do like instead of taking all my R at, you know, 7am before breakfast, I could do a shot before breakfast, a shot, you know, half an hour, 45 minutes before lunch, shot before dinner, things like that to just help me out with when I wanted to eat and when I wanted to play sports and when I wanted to do all of that. Yeah, I don't remember when I was, I was initially switched to human log, I think, and I don't remember what year that was, I'll be honest. What I do know is that when I was 19, I was in college, I met a girl with an insulin pump when I was at school, and I was like, Oh, my God. What is that? And how does it work, right? And so I very shortly after meeting her, which to a Medtronic pump in between my sophomore and junior years of college. I think it was human log. Is that what I used in that? But it didn't have a sensor. It didn't have any of that. I mean, we didn't have that technology yet, but at least I had the pump. So I was only on short acting insulin and basal rates, and, you know, all of all of that good stuff, but still manually figuring everything out. I tried one of the very first Medtronic sensors back in my 20s, and I probably tried it at the wrong time. I had it put on two days before my best friend's wedding, and I was made of honor, and it just kept beeping during the ceremony, and I ripped it off.

Scott Benner 17:50
That's not a Medtronic ad that they want. I was gonna say, let us be fair to them. Was that like 2000 ish, like, yeah. I

Tricia 18:00
mean, it was years ago, but I like the idea

Scott Benner 18:02
of you dropping it in the champagne fountain here, like, oh my god, this thing. No,

Tricia 18:07
it was literally like, we're walking back, you know. So they do the ceremony. We're walking back down the aisle after the bride and groom. And the guy was standing up with I had known for years. It was her brother's best friend, and I know on him forever. And I think, Dave, I'm ripping this thing off. I'll be right back for pictures.

Scott Benner 18:30
We're gathered here today be does anyone, anyone who thinks that these two people should not be baby? Yep, I'm sorry. I'm sorry. Was there a lot of everybody,

Tricia 18:44
and everybody was so understanding that I was mortified. Oh, sure the

Scott Benner 18:49
hell no, listen, I think, I think ever since would want me to mention that if you had an ever since implantable CGM, you could have taken the transmitter off and then popped it right back on after the photos. Yeah, it

Tricia 18:59
would have been great

Scott Benner 19:02
ever since.com/juicebox but that's, well, listen, I like you in on technology early. Obviously, those of you who went and got that stuff early on are probably a large part about why. You know it still exists in perseverance today and has gotten better and better, because the message back then, even though it wasn't perfect, and you'd hear people say, like, oh my god, that Medtronic thing. It's like a harpoon, or, like, it doesn't work, or you always have to do this with it, but you the rest of what people would say is, but I wish it worked better, because I love it, right? Yeah, I want this. Yep,

Tricia 19:37
yeah, yep. But, you know, but I'll be honest, that scared me off of CGM for a while. I don't need to be just a beeping, you know,

Scott Benner 19:48
ruining wedding season for sure.

Tricia 19:53
The way I got back to using a CGM and as a result of a better system for. Me on in my, in my, I'm gonna say early to mid 30s, because I can't it was a long diagnosis, but I was diagnosed with Addison's disease, and I was going low for unknown reasons, and, yeah, like passing out and couldn't figure out what's wrong. And and my family was like, you either put a CGM on or you're never leaving the house, you know what I mean?

Scott Benner 20:23
Stop going to weddings, because we don't want you to fall into your head,

Tricia 20:26
right? And so at that time, I got a Dexcom. I was still using the Medtronic pump at the time because it wasn't like out of warranty yet, but I quickly switched to a tea slim, just because I kind of liked the direction. I mean, teesla wasn't, like, hooked up with Dexcom yet, but it seemed like they were going to, you know what I mean. So I got on that path, let's say, and it worked a lot better for me. And then a few years ago, when Omnipod five came out, I went that route, and that's what I'm on now, and I use it in automated so,

Scott Benner 20:58
oh, cool. Hey, guess what? This is interesting. Today you and I are recording OmniPods. Going to announce Omnipod five with

Tricia 21:08
I know I got the email. Yeah, okay, I did. I'm

Scott Benner 21:12
getting the all the low down in the skinny will be sent over to me later today. I think I might make a special podcast episode about it put up on the weekend so people know it's going to be a one of the other situation, though

Tricia 21:21
I know, and I don't know which way I want to go, I'll be honest. Like, I mean, I've been on the g6 forever, and it works great. Don't get me wrong. Like I have nothing against the g6 and I would love to have just one device, because I'm an iPhone person, and one device would be beautiful. Because even as a, you know, 44 year old woman in charge of all of these kids with type one, I leave my PDM behind at times. Not gonna lie, right? So, so it would be great. But on the other hand, having that ability with the g7 to like, do the whole thing where, like, you put on like, you put on the one and let it pre soak so that you don't have any time without readings. Like, that's super attractive to me. Pretty hot. Works great, too. Yeah. And the whole like, transmitter is in the sensor and, Oh, that. It all just sounds wonderful. So I don't know which way I want to

Scott Benner 22:15
go, for people who don't know what we're saying at launch. It's Omnipod five app for iPhone, compatible with g6 or Omnipod five, integration with Dexcom g7 it's one or the other. So if you want to do Omnipod five with the g7 you don't get the iPhone app yet. And if you want the iPhone app, you don't get the g7 yet.

Tricia 22:37
Yes, yeah, which makes it a hard decision. It's

Scott Benner 22:39
a bit of a warrant. One, I So, what do you think I need? Which way does the wind blow for you on this?

Tricia 22:49
So honestly, when I saw my initial was, I'd probably go to the g7 because I like the whole one device. I like the whole you can be without you can always know your readings. I love the whole talk to Apple Watch thing because then I just don't even necessarily need to have my phone on me. You know what I mean? I love all of that, and it's not a huge deal to me to carry the two devices that being said, I deserve the right to change my mind tomorrow. I mean, I'm really torn. I'll be honest. I

Scott Benner 23:28
hear you, yeah, now, well, you do what you'll do, but I mean, listen, if I got the vote, I would g6 with iPhone app. Okay, man. I mean, I Arden's been wearing g7 forever. Yeah,

Tricia 23:41
yeah. I've heard, I've heard, and the thing that kept her away from the five was that she had to carry the two devices. Yeah,

Scott Benner 23:47
I wouldn't go backwards. Like, if, I mean, you're putting me in a I'm putting myself in a false position where I'm deciding. But if Arden said to me, Hey, I want to go back to g6 so I can have an iPhone app, and she was using Omnipod five, and I go, whatever you want to do is fine. But like, for my money, if it was me, if I was already on g7 I would just stay and because I got to assume the iPhone apps coming at some point. And like, that would be, that would be my thinking. I don't know if that's right or not, but that's what I would think. Like, I don't know, and I

Tricia 24:18
might just wait and let other people, like, try it out. Like, try it out. Like, try both them out at first, and then make up my mind, and maybe by that time, they'll have the g7 for the iPhone. Who knows?

Scott Benner 24:27
Yeah, well, sick, okay, or

Tricia 24:29
maybe not. I mean, I'm being overly optimistic there. I

Scott Benner 24:32
don't know it's got it, like, obviously, there's a lot about the process that that we don't understand, right? That's what I think. Because when people are like, Why don't they just or, how come it takes so long, or whatever? Like, I don't know. What do you think they're like, sitting in the office, like, playing ping pong and going, like, should we get back to it? You know what I mean? Like, it's my assumption. Is they're working as fast and as hard as they can, and this is how long it takes, you know? So, right? Who knows? Maybe I'm wrong. People, they're playing ping pong. I have no idea. I'm just saying it makes sense to me, the one way that it's weird to complain about stuff like that, like, as if the company is like, Nah, screw it.

Tricia 25:10
No. I mean, and you know, having type one for 30 years, like, I'm just so thankful that we're at where we're at, like, yeah, it's so much different from, you know, the the days of my exchange diet and R and so I'm just, I'm grateful that that we have these choices now, right? Came

Scott Benner 25:28
pretty far, pretty fast with the technology. That's for sure, absolutely Are you and you're using which pump now,

Tricia 25:35
Omnipod, five you're on? Okay,

Scott Benner 25:38
right? For sure. I it's funny, because even though that's what we've been talking about, like, when you said about the kids, you're like, I don't know, maybe we should get them, like, a tea slim or something. I'm like, it's interesting that you didn't suggest the pump that you use.

Tricia 25:49
Well, here's my reason why, because you have to know their doctor. Their doctors are all very anti Omnipod. Unfortunately, now I have a couple of the kids are on OmniPods, and they're independent, and they're doing fantastic. In fact, one of them, one of my boys, who's actually in hence going into 11th grade. Now, he did not have very good control at all as a freshman, and he switched to the Omnipod five last summer, and he is doing so much better. I'm so proud of him, because he was a kiddo who just didn't want to ever he had to have a private spot to take a shot, a private spot to eat food if he needed it or whatever. And now he's just like, oh, do to do. I'm done. I'm good. I can go, You know what I mean. And so I love it for him, and I love it for my other young man who's on it like they're both doing fantastic, but unfortunately, the kiddos who I really think could benefit from the pump all have one certain doctor in my state who is every time their parents bring up pumps, the only one he mentions is T slim, because I think it's because it's What he's comfortable with, type of thing. Yeah, happens all the time. And, you know, and to me, I mean, both work well, I like both. For me, the Omnipod works better. And so if I had my choice, yeah, I'd be pushing them all to the Omnipod Absolutely. I have better control on the Omnipod. I don't. I had a lot of trouble on T slim. I could never dial in my settings enough overnight, or I would dial them in too much, or, I don't know how to explain it, but like, I would go low at least once a week, to where I'd have to wake up and get something that doesn't happen on the Omnipod. For me, I get sleep. It's fantastic. And I'm not going that high either. You know, I might go up to like 120 but it's not horrible. And I come right back down to around 90 to 110, type of thing, you know. But I'm seeing that in the morning, when I wake up and look at the graph, I don't have to wake up and get myself there talk

Scott Benner 27:49
to people a little bit about how important that is, that you've 30 years in the sleep. Seriously, like the sleep part, like, how has that changed your life? Amazing.

Tricia 27:59
It changed my life. I mean, I'll be honest, it's, I mean, I was never one as a teenager when I was first diagnosed. It's not like my I mean, my parents were very supportive, don't get me wrong, but they didn't wake up and check me at like, 2am or something like that. It was just, you know, hopefully she's okay. As soon as I started wearing a CGM and being a little bit more mature myself and finger pricking more reliably in the middle of the night just to see where I was at. You know, I might be 41 night, I might be 190 another night, and I'd have to either eat or take insulin. Then you don't get that right back to sleep. It's not like you suck down your juice box and go right to sleep, because you have to wait for those numbers to come up, and it's just, it's a sleep is so wonderful. I don't know how to explain it. I function better. I'm able to not have to take a nap after work. I'm able to, you know, cook and clean and work and exercise and play with my dog and all of that without going I just want to sit on the sofa because I didn't sleep last night. Yeah.

Scott Benner 29:06
Anyway, it's really important. And what, and where's your one seat at right now? Like, how are your outcomes?

Tricia 29:11
It's been between like a five four and a five six for about the three years that I've been on Omnipod now.

Scott Benner 29:18
And do you have an eating style that's specific or No,

Tricia 29:22
honestly, no, I'm not low carb, I'm not keto, I'm not I'm not somebody who's going to go to a fast food restaurant every day, because I don't think it's healthy. But I just eat a normal, what I would call a normal diet. You know, I might have some eggs and maybe a piece of toast in the morning and maybe some soup and fruit for lunch and a snack mid afternoon, if I'm hungry, if not. You know, supper is usually like tonight. For supper I made, it's in the crack pot, but it's just I didn't feel like cooking today. It's, it's 90 degrees here in Michigan, so I'm not cooking right now. Yeah. But it, you know, I just threw some chicken and cheese and rice in the crock pot the moraine, and we'll have that tonight so

Scott Benner 30:09
they can do 70 or more carbs a day, no problem. Yeah, absolutely, right, absolutely Well, good for you. What? What, a what. There's an ad for Omnipod, omnipot.com/juice, box. Seriously, that's an Omnipod five ad right there. That's fantastic. What? And your activity level can't be, no offense, can't be great. You're sitting in a school

Tricia 30:27
all day. No, it's not. I mean, I would love to say I exercise, you know, five days a week, I don't, I don't. And what I call my fake job, I do breed and show dogs, which is weird, and I'm not going to get into all of that, but I have to keep the dogs in shape, so I will take them for walks and things like that daily. But we're talking like a mile. Maybe it's not hard running or anything like that. You know, it's not, not anything huge. How

Scott Benner 30:53
many dogs have you had in your lifetime?

Tricia 30:56
Oh, that's a great question. I honestly don't know a lot. Something I was born into. I currently have seven.

Scott Benner 31:03
Okay, let me ask you a question. Yeah, this is gonna feel like a big left turn. Don't bum out on me. Okay. No, you're good. All right. Tricia, hold tight with me. Okay, okay, we have to put our oldest dog down tomorrow. I

Tricia 31:16
was worried you were going to ask me that. Okay, yeah, go on.

Scott Benner 31:19
How do you know you're doing the right thing?

Tricia 31:21
I think if you feel like it's time, you know it's the right thing. If you know that your dog isn't having the quality of life that makes your dog happy, and that when you look at your dog, you feel more sad than happy, then you kind of know it's the right time.

Scott Benner 31:39
That's good advice. Okay, he's over 16 years old, first of all, and he's had a great life, and it's been a fantastic, genuinely wonderful pet, great companion for everybody. And over the last, you know, couple years, walking has gotten harder for him, but in in the last year, it's more difficult. He needs a ramp to go downstairs now,

Tricia 32:01
right?

Scott Benner 32:02
He is incontinent, like he has he has sun downers like in the two cataracts. Can't see, Can't hear you approach him, you're you scare the crap out of him when you're standing next to him and talking to him, and there's no life in his face anymore, like you don't. He doesn't seem to go from happy to sad, to tired, or anything like that. It just stares a lot. Yeah, it's yeah, it's hard. We're

Tricia 32:26
getting pretty close. I mean, this sounds horrible, and it's not to make you upset, but when they get to that point, in my opinion, it's not a day too early, but it could be a day too late. And what I mean, what I mean by that is, if you wait too long, then then they're suffering, right? Yeah, and we're lucky enough to be able to do that for our pets, so that's,

Scott Benner 32:51
I appreciate that. Thank you. And that's the mindset we've taken. We've gotten advice from a number of places, taken all the online quizzes, and then in the end, you start having that thought. Like, like, what you just said, like, if, if tomorrow's too soon, but next Thursday is too late, right? What are we trading Exactly? Yeah, so it's but then it seems like it becomes more about you than them. Yep, yeah. We're trying not for that to happen anyway, we've arranged someone to come to the house and do it. Oh, good, yeah, that we're gonna bury him here on our property too. Okay, are the kids home right now? They are. That's another reason, and that's good. Yeah. We tried to imagine doing this when, like, Arden was in college or something, and it just felt like crazy, like, what were we gonna just call her and tell her we had to put Indy to sleep and like she can't do anything about that? With those feelings? You know, she's stuck there by herself. And it just felt like, even at that, like even if now while she's home, even if he could maybe stretch it out a couple of more months, it might be more detrimental to him and to other people to wait. This is such a strange thing. You know,

Tricia 34:04
it's and it's hard. It's one of those hard decisions. And I think this is going on another tangent, but you stay with me now. So okay, you know my my grandma, who lived with us my whole life, died of cancer when I was in my early 20s, and she looked at me about a week before she passed, and she said, if I was a dog, you and your dad would have put me out of my suffering by now.

Scott Benner 34:31
Oh my gosh, yeah. What a straightforward lady,

Tricia 34:36
but, but, I mean, she was right.

Scott Benner 34:38
I mean, we would have, you know, take all the pencils from her. Then when she said that, yeah, gloves, yeah,

Tricia 34:42
we cleared her bed, you know?

Scott Benner 34:45
Well, I was gonna say something similar, without the anecdote about my grandmother. When my mom was done, I was like, Let's get her out of this as fast as we can. Yep, and for some reason, when it's my dog. Hug. I was like, I don't know he could probably hang on a little longer. And I think the difference in those initial reactions because I've come around on Indy, but I think the difference in the initial reactions is that my mom could could communicate with me, and so I was sure this is right. And whereas with him, I'm like, what if I'm just misinterpreting this? That's the fear. But I'm beyond that. Now I think, I think we're pretty sure we're doing the right thing. Yeah,

Tricia 35:28
take it from me as somebody who, well, this is another change, but I was literally born because a veterinarian figured out how to keep my mom pregnant. My mom had a lot of miscarriages before I was born. For real,

Scott Benner 35:42
your mom like a cocker spaniel or what? What's going on there?

Tricia 35:45
No, my mom's a human being. Makes more sense. My mom, my mom would have miscarriages in her second trimester, which is unusual, right? Like normally, if you get through the first trimester, you're good to go and her OB GYN, could not figure out why, and and she and my dad were heartbroken. And personally, I don't know why they kept trying, like I don't, I guess I'm glad. Don't get me

Scott Benner 36:11
wrong, I'm glad I'm here.

Tricia 36:13
Yeah, I mean, just as a as a woman, if that had been me, I would have just given up and either adopted or just that I'm not having kids or whatever, right? So my dad, at the time, was doing some research with a veterinarian who where dogs were basically, they call it reabsorption in dogs, but it's a miscarriage, right? Like they're pregnant and then they're not, and they never have the puppies. And what they found out in the dogs is that the dogs levels of progesterone were dropping dangerously low, and that's why the puppies were not making it to term. Okay, so my mom went to her OB GYN and I was born at like a hospital that specialized in difficulties, and they gave her more progesterone, and she was able to carry me to term. I'll

Scott Benner 37:04
be damned. That's crazy. I also want to point out that I wasn't saying that we put my mom to sleep. No, I know, but I will say this, and I have no trouble saying this. She was in hospice on morphine, and they give her a certain amount, she was clearly not gonna wake up, and if she woke up, she was gonna wake up to having cancer throughout her body again and like and it wasn't, it wasn't happening anyway, trust me. And when I had to leave where she was, but my one brother stayed behind, and I said to him on the way out, hey, they gave you that button for extra morphine. You're allowed to push it every five minutes. Yep, I was like, push it every in five minutes. Like, I'm so sorry I can't do it. But like, sit here and push that goddamn button all day. Get her, like, get her out of this, you know. And seriously, then I my a year do you know? I can't believe this is happening, but Indy's gonna pass of our choosing on the first anniversary of my mom's passing.

Tricia 38:03
Oh my gosh, yeah,

Scott Benner 38:04
the timing's just insane. Like, I called and I was like, I need an appointment. You know, it should be this week. Blah, blah, blah. Person picks the date. I look on the calendar and I'm like, oh my god, this is crazy. I appreciate it. I'm sorry. It was such a long you great dogs. How lovely.

Tricia 38:21
Give me some advice. No,

Scott Benner 38:23
I would imagine, is it not easy to have for dogs that have sex and make puppies? Or is there something to it?

Tricia 38:30
It depends on the dog, really. So my dogs, my dogs, it's no problem. They're like, I have beagles and Alaskan Malamutes, which I don't breed them together, like they stay apart, but I was born into my all meets, and I got involved in beagles when I was in my early 20s. Yeah, for my particular breeds, it's not an issue, like, you know, the girl comes and he the boy gets excited, and they do what dogs do. But for some breeds, like Bulldogs, for example, they can't do it naturally, because they're not built to do it naturally like the girls. The girls are too small to take the mail and,

Scott Benner 39:10
holy hell, this took a turn. Go ahead.

Tricia 39:15
I'm like, How do I go? I don't know special

Scott Benner 39:16
genre, though, of whatever we're talking about. Yes. So,

Tricia 39:20
so there are certain breeds of dogs that it is not done naturally, and that they don't birth the puppies naturally, because the puppies are like, their heads are too big to come out. A Bulldog is an example of this, right? Yes, a bulldog is an event. Like

Scott Benner 39:35
we stopped breeding Bulldogs. They wouldn't exist in one generation. Well,

Tricia 39:39
it might take a couple. I mean, you might have some really determined ones. Yeah,

Scott Benner 39:43
a real Bulldog, right? Yeah, really not to get in there. I hear what you're saying. Okay, when does it stop being weird? What? How many years into it until you're like, Oh, I'm like, a pornographer for dogs. Like, seriously, when does it just become like, really, like, old hat, not. Talk to you.

Tricia 40:00
It is already, I mean, I was born into it, right? So, like, this is a horrible story, but it's funny. Like, when I go out with my what I call my dog friends, right? Like, if we're at a show and we go out to dinner, or something like that, the poor waitresses are shocked at some of the crap we're talking about. But it's just natural. It's dinner conversation,

Unknown Speaker 40:20
all right? I don't want

Tricia 40:22
to hear it. No, I'm not going to share it with you. You don't

Scott Benner 40:25
have to do anything that they have to do when they breed horses, right? You're not like that involved, are you?

Tricia 40:29
I have been Yes. Oh

Scott Benner 40:30
my goodness, Trisha, thank you for telling me that I appreciate this. I don't know what this episode is going to be called, but I think there's going to be a euphemism in the title. That's for sure. Actually, I don't. I wouldn't know how to do that. I don't think I could get that past the sensors. You know what I

Tricia 40:47
mean? I'll email you some phrases that we use. I don't want to say them on air. I

Scott Benner 40:51
want to say any of them. Give me one, just what's your favorite one?

Tricia 40:54
Give me a minute to think.

Scott Benner 40:56
I don't take your time. I don't know. We'll go back to the diabetes while you're chatting to the diabetes.

Tricia 41:00
That's easier right now.

Scott Benner 41:03
Watch this as I just move effortlessly from what I think is a well, you know, I

Tricia 41:09
had a dog with diabetes there.

Scott Benner 41:11
I mean, I'm getting ready to like, pivot from like. What I think is you telling me about manually manipulating a dog to like. Your note here that says I want to talk about my boys and our school adventures this year.

Tricia 41:25
Oh, that sounds bad. Yeah, I

Scott Benner 41:27
could have probably paced this differently. I apologize, but let's just get past that. It's homecoming. My day started with one of my boys having a low blood sugar seizure at the bus stop.

Tricia 41:36
Oh, god, yeah. What happened this one was this one was interesting. So much happened on homecoming, Scott, you don't even want to know.

Scott Benner 41:45
I think I do want to know, because Tell me. Tell me, seriously, what? What happened at homecoming? So I

Tricia 41:51
was gonna call him D, because I don't want to use his name. D has a seizure waiting for his bus. His mom calls me in a panic because I work in a I work in a school that, let's just say, is not very high socio economic status, right? So, like, parents don't have cars to get to their kids to assist with these types of things. I see, okay, you know, I go driving over there. I dial 911, on the way, because I don't want this kid dying. And, you know, I get there around the same time EMS does, and he's no longer speaking, but he's definitely unconscious. The EMS workers who, who, they're fantastic. Don't get me wrong, like we have some great people in our city here. You know, they're looking at me, and I'm like, he has type one. He's really low. I don't know what his number is, I need to find his phone, but just shoot him with some D 50 now, like, just take my word on it. They get him out of it. I call mom back, let her know he's okay, and she was like, Well, do they have to take him to the hospital? I said, Well, that's up to you here. Talk to the people like they're willing to let him come to school, but they kind of need you to get here. Do you have a way here? You know, legally, I can't drive him back to school. She was able to find a ride from a neighbor, and got there, and he came to

Scott Benner 43:11
but so you were able to get him a ride to school, so we're able to get him to school.

Tricia 43:15
He's doing all right. Meanwhile, another kiddo I had, who we'll call T who was a recent transplant to our school. He came here from another state. Didn't know this kid real well. He was in 12th grade, but he was not well controlled at all. He didn't he didn't have the means to take care of himself. You know, his he had a very sad situation. He moved back in with his mom, but his mom had lost custody when of him. When he was younger, he'd been living with a family member who passed away, so he's dealing with all of that, and his blood sugar was usually high, sometimes low, just roller coaster. We had a pep assembly. It was in the gym because it was raining. I was standing kind of by, like by one of the walls in the gym, watching the kids do whatever they do during pub assemblies, bands and cheerleaders and all that stuff. And so T comes up to me, and he's like, I don't feel good. And I was like, Well, what do you mean? You don't feel good? Well, I think I need to go to the bathroom. I need I might need to throw up. And I said, Okay, so let me go out there with you. So he goes into the bathroom, takes about five minutes, comes up. I was like, why don't you check your blood sugar for me? So he checks, and it just reads high. And I was like, oh boy,

Scott Benner 44:37
yeah, figured that part out.

Tricia 44:39
I said, I'm thinking you have some ketones. I said, When was the last time you took your insulin? Because this is a kid who just would forget to take his insulin, and it's about 1010, 30 in the morning at this point. He was like, Uh, I think yesterday at lunch, when you made me? Wow. Okay, great, great.

Scott Benner 44:57
Jesus. And this. It a pump or an MDI? Yeah. So do we even know that? Does the person even are they even shooting their basal insulin? Probably

Tricia 45:09
right, probably not. Probably not. Oh, geez. So I try to get hold of his mom. Remember I told you she had lost custody earlier in his life, and I call a couple times, and all I'm getting is voicemail, and I'm like, bud, do you remember? Like, where's mom? Is she at work? Where's she at? And he was like, Oh, she she went to a party. Okay,

Scott Benner 45:29
I need more parties during the day. Trisha, I gotta be honest with you, I've never been to a 11am party in my life, but it sounds amazing. It does,

Tricia 45:37
yeah, yeah. I'm like, okay, and it was a Friday, so I'm trying to think the best thoughts, like, maybe she was going to a wedding or something, and they were starting. I'm trying to think positive thoughts about this. Okay, a little

Scott Benner 45:49
this is water in you. I see it. Let's just think the best of people. I like that. I try to ride like that myself. Okay,

Tricia 45:55
so I'm like, okay, buddy, is there some she's the only person on his emergency card. I was like, Is there somebody else? Because school is going to get out in half an hour, and I am not comfortable sending you home because you have high ketones. Your blood sugar is over 600 I kind of want to call 911, but at the same time, I don't want to do that without knowing there's somebody to pick you up when you know what I mean? Yeah. I'm like, and so he was like, well, one of my cousins goes to and he named a different school in town. You can try her mom. I said, Okay, do you have her number? And he's not thinking clearly at this time for obvious reasons. And he's like, Well, I don't know. I said, Well, give me your phone. What's her name. Let me try to find this person so I get hold of like, it would be like his step Aunt, I guess I would say, like, it's not a biological person. And I was like, Look, do you have a way to get hold of his mom to get permission if I 911 I said, I think he really needs some IVs right now. Like, he needs fluids. He needs insulin in and I'm not equipped to do that at this time with his shot. Like he needs more than I can do. I can't give the fluids. I said, Can you like, can you get hold of his mom and tell her that she needs to get hold of me. Like, here's my cell phone, here's my work phone. Help me out. And she was like, Yep, I will. So I wait. I did call 911, I wait like, two hours. The woman finally calls me back and then chews me out because I interrupted her day.

Scott Benner 47:29
Well, she was at a party. Yeah? And you know, once you get that vibe going, I know, I know, it's hard to get it back. Sometimes, you know what I mean, like you feel in the music and you're like, it's right there in your hips, and then somebody, like, comes up and harsh. And harshes your vibe, and then all of a sudden, what are you supposed to do? Just go find it again. It's difficult. Why don't you try thinking about other people sometimes? Okay? Can you imagine I would just be like, Oh no, it's okay. You're welcome, right? No good deed. Thank you. By the way, this day after school, you could be home.

Tricia 48:03
I could be Yeah, but I'm not. You

Scott Benner 48:07
could have been like, Hey kid, good luck. Hope you don't die. See ya, I gotta go watch. The Price Is Right, but not you. No, you're trying to help. I see okay, yeah, I don't know what to say. I do like you telling this story, because I get worried sometimes that some of the people listening could think like, oh, the world I live in where I chase down my five, four, my six, three, A, 1c, and I'm, you know, I didn't know how to do this, but then I found a podcast, and I got better at it, and blah, blah, blah. Like, I think they think that's how everybody is, but most people are the story you're telling with diabetes. It's sad, but a lot of people are living really tight rope kind of lives with their health. And I appreciate you telling the story, and I appreciate you sticking up for the kid and doing something. It's nice, you know.

Tricia 48:49
Oh my gosh. Oh, that's thank you so much. And there we go. And but what I was going to start telling you was, what this did you have to hear this part? Because, yes, it's kudos to you. But so this, this whole homecoming, I

Scott Benner 49:01
don't know I was gonna get some kudos. Go ahead. You're gonna, you're gonna get some kudos.

Tricia 49:05
Scott, so this whole homecoming episode, I went, how am I gonna help these kids? Because I can't live like this. I can't, I can't worry as much as I'm worrying about these children, sure. And so I started making them listen to the podcast during what we call it's like a study hall. I won't say what we call it, because then you might know where I work. But like, we have two days a week we have a study hall. Okay? So my children would come down to my office and I just play them random little podcast episodes. And then we started diving into, like, the ones that are actually educational, but I had to get them with some entertaining ones. First, how entertaining? Well, we weren't talking about, like, dog manipulation. Well,

Scott Benner 49:52
thank God, because I think that gets you fired, if I'm being honest. But I mean, honestly, I like you, and I think I'd have you kicked out if you were doing that. I feel like Trisha seems okay, but she's unstable. Listen to what she's telling the kids. Did they take something from it,

Tricia 50:06
and so most of them did. In fact, one of them kind of funny. So he I feel bad for this kid. And like, this sounds horrible, but in my brain, if he just had, like, parents who at all were more capable of understanding he'd be so much better off. But his parents are a little bit older, and his dad has type two and doesn't seem to really understand the difference between type one and type two. So anyway, take a long story short, this kid went from like averaging about 220 at lunchtime, and about, I don't know, 250 on the bus side home to now he's down to about 130 to 160 so he took it to heart, because he was given the tools, you know, to learn better how to take care of himself. He just, he just wouldn't be Bolus, like, if he had, like, a fat or protein rise his he didn't understand that he needed to maybe take a little bit more when that was happening, right?

Scott Benner 51:11
Wait, so tell me where he started and where he ended up. The beginning

Tricia 51:14
of the year, he was consistently 220, to 250, sometimes even 300 okay, like, and so now, I mean, school is out now for the kids, but you know, a week ago was our last day, very consistently, like 120 to 160 Oh, my

Scott Benner 51:31
goodness, isn't that great? Yeah, yeah, it's awesome. Yep. Shame you can't listen to this because of the filth you talked about in the middle. But I'll just

Tricia 51:39
fast forward.

Scott Benner 51:42
But I'd love to say, congratulations. That's, that's really something.

Tricia 51:45
I mean, they didn't all have that big of a you know? I mean, not all of them, but he really took it to heart. Another one of the kills was a little bit, I shouldn't say, different, but just different from what most people experience. I think he was diagnosed three years ago, and his honeymoon lasted about two and a half years, like it lasted forever. And so he was a kid who, at the beginning of the year, was always taking 1.5 units of insulin for about 36 to 40 grams of carbs, and his blood sugar was always like 90 to 120 I mean, it was beautiful, but it was not where he ended up at the end of the year. So at the end of the year, he just started creeping up, like higher and higher, to some days where he was mid to high 200 and then he would crash. He would go down to about 40, and it was just very much a roller coaster. Um, he's on MDI, but he does have a Dexcom. He was one at the beginning of the year that was like, I don't need the podcast. Like, I'm perfect anyway, right? Yeah. But then when he started coming out of his honeymoon, he would come down to my office, if he got done with his lunch early, and be like, Hey, can you turn on another episode for me of one of those, like, Pro Tip series, because I need to figure this stuff out. But still, and I'd be like, Okay, no problem. How old? How old 14?

Unknown Speaker 53:04
Oh, yeah.

Tricia 53:05
It was awesome.

Scott Benner 53:07
You know, Trisha, you made my day. I took I took it today from the internet, and this was nice to hear. Well, yeah, no, seriously, it's very helpful, because, you know, I listen, I don't listen to people, right? It's fine if they want to say whatever they want to say, right? It's all fine. But somebody in in one of those private Facebook groups, they they keep lying about Arden, they're touching your kid. And I took it for a while, but I was like, I'm gonna swing back now, absolutely, yeah, yes, I put up a little thing today too. I mean, this will be six months old by the time people hear it. So good luck finding it. But, you know, I just made it very clear that, you know, I mean, she gonna lie, you're gonna lie, whatever. It's fine. But like, stay pointed at me. You don't even like Yeah, yeah, I'm your target. You don't like me, which is fine. And I told them, Trisha, I was very eloquent my note, but what I said was I told them that I know they think they're surrounded by their followers, but a lot of those people think they're crack pots, and frequently send me complete screenshots of the horrible things and lies that they say and that I know they think in their little b Facebook group that gets a post or two a day, and there's a couple people in it, they think that that's the whole world. If I expose them to the public, they're gonna understand what the spotlight really means. So this podcast has an insane reach, absolutely and I have every horrible thing they've ever seen said screenshot, and I'd be happy to make it public if they don't stop. I was much more eloquent when I said it right.

Tricia 54:52
I have to go find it when we're done. Yeah, yeah. I

Scott Benner 54:54
mean, I'd read it to you here. I'll tell you what. For fun, I can give you the last bit of it. Give me a second here. Got to make a click on something here. Now it built, by the way, it was very thoughtful at the beginning, and it's really very contextual, and gives a whole, full feeling. And then at the end, it said this, the next person who lies about my kid in their private Facebook group or lies about what I share about diabetes is going to find out what it means to be called out on a worldwide podcast. Trust me, it won't be as low impact as when you talk your slanderous on your beat ass little Facebook group that no one sees you. Think you're in this game, but you're not. But keep you up your shit and you will be and I bet that you can't take it. Take some advice from someone who actually knows what it means to be in the spotlight, your unstable little nut will crack real fast when the public calls you out. Right now, you're in a one sided war. Don't drag me into it, because if you get me started, I'm gonna win. My best advice is to shut your mouth. I know you think you're in some little safe place surrounded by your people, but news flash, a number of them think you're a crackpot, and they send me a lot of screen captures. One day, one of you is going to push me past my significant ability to turn the other cheek. Be clear. I will post your words just as you type them for the world to see. And I actually reach people that wet match of yours doesn't want this flame more. Now I finished here, Trisha, I said, Now crawl back into your whole scumbag and don't mention my daughter again and to your minions. If you leave my group today, I won't include you in this. If it blows up, stay and you're all fair game. You've all sucked the Master's teeth in writing, and I have those screen caps too. Now go off and tell your leader what I said. You hear me clapping? Two pointed, two pointed. Trisha, how'd I do?

Tricia 56:37
Very good. And out of two,

Scott Benner 56:39
you did great. Tired of Mother curse Jesus Christ like and by the way, I want to be very clear to say that it's not 99.9% of people is an is even, like, an understatement. It's barely a 10th of a percent when

Tricia 56:53
you've just gotten somebody's child that's different, that changes all the rules. I mean, yes,

Scott Benner 56:58
but also, like, don't lie. There's plenty of things you could say about me to make your point that would be 100% true. Why make something up? And it's all the time goes back years. I'll never forget this one lady, and by the way, I have your screen cap still too, honey. I'll never forget this one lady who told what they call, I don't know, you know, Yiddish, a Bucha Meister made up a whole story about how they know me personally, and behind the scenes, I quietly take money from people to set up their blood sugars. And I'm like, I've never done that in my entire life. I don't even know what they're talking about. Like, so I read what she wrote to this person, and I swear to you, it's paragraphs of just make believe. Oh, my goodness. And when you really look at what she was doing, and again, this one was yours, right? If you this is not a new this happens to me like, I got, I'm a ducks back. I don't care, like, you know what I mean, like, but you shouldn't, shouldn't mention my kid. And so, like, this stuff goes on and on forever, and I'm used to it. It's, it's, by the way, the same group of people over a decade, I know they all must think that they're the pinnacle of their space, but trust me, there's been lunatics that came before you that are gone and you'll be gone one day too. What I realized when I read this one paragraph was all this person was trying to do was to defame me, to keep this other person in their Facebook group. That's all they care about, is not letting you

Tricia 58:21
out of their group. Because, if you right, well, because

Scott Benner 58:25
if you go somewhere else and find out what a bunch of lunatics they are, you're not coming back and they want they it's some bizarre power move that, like, I mean, and Trisha, there's no power in being the admin of a Facebook group. And if that feels powerful to you. You need a

Tricia 58:41
therapy that powerful. It's just a lot of work,

Scott Benner 58:45
and it's one of the things that I listen I enjoy that community so much. I love what it does for people, and the day I don't have to take care of it anymore. I'm gonna go on vacation. It's such trouble, you know, and not again, not from the good people. It's the tiny percent of

Tricia 59:01
that little percentage I get it. I mean, I Oh, you know, in my dog world, I'm an admin of a Facebook group that does not reach nearly as many people as you do, but I've wanted to quit several times. That's

Scott Benner 59:13
insane. Like, have an opinion. It's fine. Tell me I'm wrong. I don't even mind. Like, come tell me I'm wrong. The problem is, is that when they get cornered and there's nowhere else to go, and the you know, it's you kind of are, like, look, you're being mean to people. Because, you know, Patricia, you listen long enough. I don't care how people eat. I don't care what you do. Take care of yourself, whatever you want to do. I couldn't care less. Here's what I do, if it works for you. God bless. Like, and if you're not interested, like, I couldn't possibly care less. Like, it's fine, just it's fine. But my God, like they want to rant and rave. They want to tell people what to do. They want to make fun of people for the way they eat, and if you don't let them, then they run back into their hidey hole and then tell all their little minions that you kick them out and you wouldn't let them be there. I'm like, I didn't. Kick you out. I just said, be nice to people, and then you over and over again. Couldn't be nice to people, and I eventually had to say to you, please leave. I didn't even kick you out. I said, Please leave. Right? You're never gonna meet a person in charge of a community who tries as hard to include everybody as I do. Absolutely no. I

Tricia 1:00:18
agree 100% Yeah,

Scott Benner 1:00:20
the people in my life who see it like, and I don't just mean family members, I mean people who help behind the scenes are like, Why are you trying so hard to save this unsavable person? And I'm like, I don't know. Like, it just feels wrong to, like, exclude them, and I want it to be everybody. But, man, it's hard, like, in a world where everybody's trying to section you up into a team so you can go fight with somebody, right? Like, I'm the one who's like, everybody, come on in. It's fine, right? You know? And then every time you try to, like, move things forward, can I rant a little longer? Right ahead? Scott, okay, thank you. I mean, you talked about what, you talked about, the dog thing. And I feel like the little latitude here. Now, you know what I mean, every time I try to push it farther a little bit, it starts over again with a new group of people. And what do I mean by that? Like, when I started blogging, I was just like, look, I don't know what I'm talking about. My daughter's having these terrible outcomes. I'm following the doctor's advice. And then I figure some things out, and I start writing, and I'm like, Hey, I think if you do this, happens. And you know, if you put your insulin in a little earlier, before food, and you really find the balance between the the food and the insulin, like, you don't really get a spike and like, like, you can see me in the blog talking it through, right and then, and that blog was dude, that blog got so many millions of clicks a year for years, I never sold an ad on it, because it wasn't that hard. I sat down and I wrote, I put it up. It wasn't a ton of time out of my being, you know, not a lot of skin off my ass. And then so, like, I could do it as a hobby back then, you couldn't even make money off like it was, like Google AdSense, like you'd put this ad up, and like, it was in the way, and everybody hated it. And at the end of the year, at the end of the month, like Google sent you $43 I'm, like, what am I doing? Like I'll go Panhandle $43 if I try hard enough. No, right? I wouldn't do that anyway. The podcast is so much work that I had to start taking ads. Now, it's not my fault. It's popular. Like, like, you know, like, I

Speaker 1 1:02:13
mean, like, people are like, Oh, my God, there's so many ads. Well, yeah, it's really popular. And, like, and, but I still won't put more than three ads on an episode. You know, how many people would? You know? How many people would stack that money? Uh, not me. I stopped at three. I turned three people down this month. All they have is money in their hand and they want to buy ads. I'm like, I'm sorry, I can't put more ads in the podcast. It'll Yeah, right. Anyway,

Scott Benner 1:02:36
ignore that part of the good nature person I am. Like, skip right to the apart where you say you're pushing carbs on people. I'm like, I don't, I don't even tell people how to eat. If you put up a picture of a cinnamon bun in my group and say, how many carbs do you think this is? I'm the crazy person who lets people answer you and go, I don't know. It seems like it might be this many, right? Like, what they want is for me to say you're a horrible person. You shouldn't eat like that, and you're, you're poisoning your kid, and die, die, die, and you should like they just want, they want to admonish people. They want to admonish people they don't agree with. But the other thing

Tricia 1:03:10
is that they don't understand that for kids. And I'm just, I'm I'm interrupting, and I love it, but they don't understand that for kids, especially, I mean, I work with kids every day, right? So kids, in my opinion, if you tell them how to eat, they're going to do the opposite at some point, and they need to know how to cover it, no matter how they go, right? So, and that's what you do. You teach them how to cover it. You know,

Scott Benner 1:03:35
I don't even get into half of those posts like people do it, I don't have to.

Tricia 1:03:42
I could say you, I mean, yeah, Trisha, you're with

Scott Benner 1:03:45
me. Don't worry. You're doing good. And, like, so, like, it's the diabetes equivalent of religion in in so much as that. Like, it's like, this is the rule. Don't break the rule. And I would point out to those people, if we can, like, you know, make the comparison. How does it go when you tell kids, for example, don't have sex till you're married, they're gonna

Tricia 1:04:06
go out and find somebody have sex with.

Speaker 1 1:04:10
Forget kids. How about like, how about people? You think people do well, being told not to do something, and just because you have the answer that worked for you, which, by the way, would work for a lot of people. I'm not also you don't hear me discounting it. Less insulin, fewer lows, fewer lows, fewer scary incidents, fewer times you got to correct with food, fewer times you might get high again. Listen, law of low, law of average, no low numbers, whatever they say they're like, it's hard to argue with like, and you wouldn't catch me arguing with it. I understand it, but you can't just say to people, I found the right way now you do it. That's a cult, right? Like people have what they call autonomy, and they can do whatever they want. And in a world where some of them might have a cinnamon bun, should we really just write them off? Why don't we help them understand how to Bolus for it? Right? Like me. Me, they'll come to the rest of it later, but this is all wasted Trisha, because they're not listening to this podcast. Because if they did, they probably agree with me. Probably they just vilify me so that they can get into one of their DJ battles where they're like,

Scott Benner 1:05:14
you know the guy over at 97 five, he's an idiot. We're the good ones. And then, like it's a it's a false war. It's a one sided false war that they do to try to keep their people feeling like they're on the right side. And what I'm telling them is, and please be clear. Don't drag me into your one sided false war, right? Okay? Because I'll fight back and and you won't just be in this little fun game where you bad mouth me, and you hold on to a couple people in your little Facebook group that nobody's a part of. And I didn't mean to sound um elitist there, but my Facebook group has 50,000 people in it. It gains 150 new people every three days, and yours gets three posts a day, absolutely. So yeah, yeah. Trisha, do you know how many mine gets?

Tricia 1:05:59
I couldn't even count. I don't know. 125

Scott Benner 1:06:03
a day. 8000 like hearts and comments every 24 hours. Do you know the down hours of the group? There are none, because you're working people in there. 20, God damn. Who says that? What's one of that guy who yells worldwide all the time in his songs? Well, what's his name, though? Who

Tricia 1:06:19
is it? Who is it?

Scott Benner 1:06:20
He says his name on. DJ, no wait, no, no, no, no, no, no. DJ, Khaled, not worldwide. Mr. Worldwide. Mr. Worldwide is, um, I'm bad at you. You're not into this, this, I understand. You're very with the with the dogs. You're a lot of your time is taken up, all right. Mr. Ah, how did I not know this? Pit bull?

Tricia 1:06:41
Oh, there you go. I should have known that, right? Oh, my God.

Scott Benner 1:06:45
Trisha, what are we gonna call the episode? Pit Bull?

Tricia 1:06:48
There you go. Pit Bull. We're

Scott Benner 1:06:50
all done. All done. That's it. Take a box. We're finished. Okay, that's it. Also it's a skill and a talent to take completely unrelated things, make them connect to each other, and wrap them up tightly in an hour and 10 minutes and Oh, my God, I'm so good at this. So anyway, my point to those people would be, if you don't like what I'm saying, fair enough you go say your thing, and all the people who agree with you will follow. And what I'm trying to tell you is, is that my podcast has about 20 million downloads and 50,000 active users in its Facebook group, and your thing looks like the people I don't know like nothing like it looks like a tiny percentage of the people that I that I interact with. And keep a bigger picture here I barely interact with a percentage of people who have diabetes, right, right? Like I reach a pitiful percentage of people with type one diabetes. Imagine what you're reaching. No one. It's you and your five lunatic friends, Jesus Christ, speaking of jerking each other off. You know what I mean, Trisha, look at me. I hear you and pulled it together again. God, damn it, my references are tight as hell today. Damn, God, damn I ought to get paid for this. Oh, wait. Oh, wait, I do. All right, if I rubbed it in long enough you think they got it, they got it. I

Tricia 1:08:16
hope they got it. Yeah, you know, Can

Scott Benner 1:08:17
I quote? Will Smith go for it. It seems wrong, but keep my daughter's name out of your mother mouth. There you go. How's that? That's good. That's good. All right, we're having a good time here Trisha. What did we miss? Anything you're like? Please don't drag me into this. I always feel bad for the people who come on On days like this.

Tricia 1:08:37
Well, I'll be honest, because I knew something was going on. Like, before I logged in, I saw that you had posted, just a really long post, and I didn't have time to read it, you know what I mean? I was like, oh boy, it's not gonna be okay for this podcast. And you were great, so don't worry about it. It was fine.

Scott Benner 1:08:51
Oh no, trust me, it gave me good energy. They don't understand how I work. This was good for me. Yeah, you don't want to, like, I would listen. Let me be clear. I grew up poorly, okay? I was not parented. Well, I grew up outside of Philadelphia. Don't with me. I have a gear. You don't have, okay, like, there, that's it. Like, I'm not gonna hurt anybody but, and I'm not gonna defame anybody or slander anybody, but I got your words, and I'm not afraid, so be real careful, is all I'm saying. Like, because if I get pushed over that line, Tricia, I'm gonna tell you right now, I'm gonna go into attack mode, and then it ain't gonna stop. And then you're gonna find out what happens when people who all feel like this podcast has saved their life think you're upset and treating me poorly, right? I've seen it happen before. I want to say this. This isn't a This isn't what's the word I'm looking for. This is not a threat. I've literally seen this happen before. There was this time before I had a Facebook group where someone asked a question in a Facebook group, and I happened to be up one morning and I saw it, and I popped in and I said. Like, Oh, you know about what I said. It doesn't matter anymore. Like, I gave what I thought was my answer, and at the end of it, I said, like, you know, if this didn't make sense or anything, like, let me know, you know, I'll see if I can be more clear. And I was like, the admin banned me off of the comments because at the end I said, like, you know, ask me if you have any follow ups. I think they thought I was asking them to like DM me or something, which I even as a Facebook owner now, yeah, I understand, right? Yeah. So this person just bans me from the group, and I'm like, I don't realize that, because I'm not incessantly checking the group. I just I answered this person, right? Like a half an hour later, I get a message from somebody online, like, they kicked you out of that Facebook group. And I was like, oh, that's crazy. I wonder why that happened. You know, this has got to be like, I don't know. This has got to be 510, years ago. It's longer. It's it's got to be 10 years ago, maybe, maybe before the podcast even, right? And I was like, Oh, I responded the person. I said, That's very nice of you. I don't know what happened, but obviously they have a reason. Like, I just, I'm like, whatever. Like, I don't care. And I said, But you know, thanks for letting me know. I swear to you, I didn't say any more than that. And this is back just when I had a blog, okay, 45 minutes later, I'm not lying to you. I get another DM through Facebook. Do you know who it is? The owners of it's the admin of the group that kicked that kicked me out. And this note says, I wish I had it says, I'm so sorry that my other, like, co admin or something, didn't realize who you were and kicked you out. I'm like, who am I? I'm like, nobody. Like, I don't know what you're talking about. I'm like, and I'm like, what? Like, so I'm looking at this, like, rambling apology, right? I'm like, where is this coming from? Like, who even cares? And so I messaged the person back, and I'm like, Listen, I'm not upset. I honestly didn't even realize I was kicked out of your group till, like, I don't know, 1520 minutes ago, when someone sent me a note, and I just said to them, well, you must have had a reason, because I'm not crazy. And so, like, you know? And I was like, I'm like, I don't know what you're talking about. And she gets back to me, she goes, Oh my God, thank you so much. Would you call me? I'm like, I don't know you, but whatever. So I call the lady. She's lovely and everything, but she's in a panic. And I'm like, what's wrong? And she said, I'm gonna let you back in the group. Can you please stop what's happening? And I'm like,

Tricia 1:12:20
I don't understand what's happening. I

Scott Benner 1:12:22
don't, right? Yeah, I'm like, what's happening? And she goes, your people, they're rioting. And I was like, what? So I'm like, Okay, I guess I'm like, I'm like, Ari, like, I don't want anything bad to happen to your little Facebook group, you know. So anyways, she lets me back in and holy Trisha. All I saw were people are like, you don't know what that guy did for me. Oh, like, like, it was a lot of, right? He saved me, he saved my kid, he saved my a 1c he taught me to do. This was when I was blogging and and I was like, Oh my God, look how. Like, it's misguided. And I put every I was like, Hey everybody, Hi. It's me calm down. I was like, so I did. I asked everybody. I'm like, Look, you guys are very kind to come to my you know, my rescue here. I didn't need rescuing, but I appreciate it. And please, like this, it was just a mistake. And this lovely lady runs this nice group, like, please don't, please don't try. Don't trash your group. And everybody was like, oh, sorry, no problem. And they all backed out on they took out their bubble, and it all went right. My point in telling you that story, which I have never told anywhere before, Trisha, you were the only person right now on the face of the earth that knows this story, besides myself and probably my wife. But

Tricia 1:13:39
Well, now I feel good, right?

Scott Benner 1:13:40
Well, you should, but that was back before I had 20 million podcasts down right, right? I'm saying, if I put up the little picture of what your shit fucking face said, and people can read it for themselves, I don't have to describe it. I can just go look, there's a person talking about me out in the world, and I don't think that's right, and put it up there like that, it will not stop you will spend your life defending yourself absolutely or running Absolutely. It's not a threat. I'm just telling you it's gonna happen because I've seen it happen before. And trust me, the people who are listening right now are like, let's and go, Scott and I'm the only one holding them back, right? Just so like, yeah, that's all. No, that

Tricia 1:14:25
makes sense, because you have, because you have helped so many people. And why would they attack your child with lies? It just, I mean, I'm floored at that. So sign me up for the group. When? When do we go, like, you know? Well,

Scott Benner 1:14:40
you know what the answer is, though, Trisha, the thing they're selling, not a lot of people are buying it, right, and that's probably incredibly upsetting to them. Can I now move to the other side of the courtroom? Yeah, try to imagine. You struggled your whole life with your diabetes, right? You could never figure out what was happening. Four CGMS. You just couldn't get it straight. Every time you ate, your blood sugar shot up. You felt terrible. It took hours to come down. You crashed. You got low. Your family's calling an ambulance for you. You're having a seizure. It's happening over and over and over again, and one day you say to yourself, I'm just gonna stop eating carbs. And everything just levels out. And your a 1c comes into the fives. There's no more lows, no more highs. You get that, like, low carb, like energy that people talk about after the I think there's like a flu that comes, some people say, and then the energy comes, right? Yeah, I've been low carb before. I know what it feels like. You get this, like, you feel good, you know? And like, and so now what happened? You were in this horrible place. You thought you were gonna die, and now you're in this beautiful place, and you found you think you've got the answer, yep. And then what happens? Now it's religion. Now you're proselytizing, and now anybody who doesn't listen to you doesn't understand. They don't know, you know the gospel. You're gonna shove it down their throat. And if they don't take it, then they don't deserve to be here on this beautiful planet with the rest of you who understand. And I guarantee you, if one of them heard that, one of the and I don't mean by the way, I want to be super clear. I don't mean people who eat low carb. I mean six lunatics. Okay, no,

Tricia 1:16:11
you mean these, these people who are running that little group, these specific

Scott Benner 1:16:15
people, is who I'm talking Yeah, if they heard that right now, they wouldn't see themselves in that statement, but from me to you and to them, I guess if they're listening, everyone sees you that way except yourself, and the ones who see me the way you do are just you. So what does that tell you when a handful of people have an idea that so many other people don't hold and so many other people see you as the problem. But try really, really hard not to condemn you. I watch them all the time. People hold their tongues and not say anything, or they'll send me a note. They're like, this lady's being very rude, or this guy's been like, he's being crazy to people like, Can you ask him just to be kind? That's all we do, by the way, is just say, Hey, can you please be kind? That's it. They don't see that as being unkind. They see it as saving your life. It's my interpretation. I could be wrong. Okay, they see it as saving your life. And then that's it. And they jump and they jump and they attack and they attack. So if somebody doesn't want you to save their life, just say, thank you and move on. You don't have to run over them with the boat, because they won't grab the floaty, like, Jesus Christ, like, I sorry, this has been dear. Oh, no, you're

Tricia 1:17:27
fine. I am glad you were able to share. I'm a counselor, remember? So this is natural. Oh, I

Scott Benner 1:17:33
do need to get this off my back. Yeah,

Tricia 1:17:35
absolutely. I mean, that's good. I'm not an Erica, but I am a Trisha, so they'll keep going. You're fine. You like Erica. She's

Scott Benner 1:17:42
good, right?

Tricia 1:17:42
I do? I do. Yeah, she's great, cool. She's great, cool, right

Scott Benner 1:17:45
now, Erica's like, don't bring my name up. Right now. What the

Tricia 1:17:49
You don't Erica. I'm passing him off to you when I get off this call. Okay,

Scott Benner 1:17:51
well, I will remind you the way Erica reminds me all the time, Scott, I am not your therapist. Oh, my God, it's so funny. She's always like, Scott, I'm not your friend. I'm like, No, I know. I'm not. I know. So funny. All right. Well, listen, you're terrific. I'm I've monopolized your time, and I feel badly. No,

Tricia 1:18:14
you have it. It's, it's like talking to a friend, right?

Scott Benner 1:18:18
And it's very nice you to be out there helping those kids. Seriously?

Tricia 1:18:22
Oh, thanks. They're, you know, they're part of the community, right?

Scott Benner 1:18:26
I hope that four people don't decide that you're a scourge and come after you by making fun of your dogs. You

Tricia 1:18:32
know, it's fine, you would. You. You know how people you know how you have those people who are their little zealots and their little group and all that. There's people like that about dogs too, but it's okay. All right,

Scott Benner 1:18:44
by the way, I've learned this year, this is fascinating. May I I go on a little longer? You don't mind keep talking. You're the

Tricia 1:18:50
one who's hungry and who's actually, that's probably part

Scott Benner 1:18:54
of the problem right now, I am really hungry one second. Oh, wow. How can I be so hungry? I was like, Oh, I know how. Because my GOP gets shot on Saturdays. So it's getting towards the end of the weekend. It's almost there. Yeah, about eight months ago. Mike is a long story. I'm not going to give you the whole thing. My kids got me a chameleon. I I have heard that, yes, wanted one my whole life. Never told anybody brought it up. Kids jumped into action at Christmas time. I think my wife pushed them. I think, honestly, they would have not done anything I had my wife not been like, go to that place and buy this thing, right? Turns out, and I knew this, but they didn't. They're much more difficult to take care of than you might expect. And so I had to literally deep dive into their care, because this thing wasn't going to live long if I didn't understand ins and outs of a lot of different aspects of it, right? And so at first I don't know what to do. I'm like, where am I gonna learn about this? Like, you know what I mean? And then suddenly I realized there's gotta be somebody out there who's me, but for chameleons, like, right? If I'm me for diabetes, is there probably not a me for chameleons, like, like, Absolutely. Go find the Juicebox podcast. For chameleons. And you want to know something, there is one. And I found a lovely man who puts a ton of time and attention into passing the good information that he believes worked for him out to other people. And I thought, Oh, my God, it's even the way he talks about it like. He doesn't say this is right. He says, here's what I did, here's the outcomes I had. And I'm like, my god, he's me, like he's literally doing what I'm doing. And then I got to watch as some people came after him for changing, like, ideas about husbandry for a chameleon. And I can use that word with you, because you have dogs, and you know the word means. In any other scenario, I would not say the word husbandry, because I think it would make me sound like a douche bag. But between you and I,

Tricia 1:20:48
okay, but when we're talking animals, it's all good. Well, in all you know

Scott Benner 1:20:51
what I mean, feels like I'm a little too in the cold when I start using the words and so like and this man, you know, not knowing me, having never met me, gave me every piece of information I needed so that I could go through it and find a good, capable way of taking care of this chameleon. And when I got done, I thought, Oh, my God, I this is what I do diabetes for people like I lay out all my ideas. You pick from them, which you like, what works for you exactly, and then you make it work, even though I'm that kind of, like, clear about it, like, I don't care what you do, I'm not gonna tell you how to eat. I'm not gonna tell you what to do. You know, the you need as much insulin as you need. Like, I'm not arguing with you about anything about your life, right? I help people with their mental health, like, like, F like, I'm a full service Stop and Shop. You know what? I mean, you are. And I look up at the guy, and here he is trying to help people understand a better way to hydrate their chameleons. And a small group of people treat him like he's committing a war crime. And I'm like, Oh my God, those are low carbs, and not just people. And again, I want to be really clear. I think if you eat low carbon, you're doing well with diabetes. Like, God bless you. I think if you're doing that and you're online, beating people over the head with it and making disparaging lies about their daughter and everything else that comes with it, well then I think you're an asshole. I want to be very clear, right? Like, and so

Tricia 1:22:18
absolutely, and it's like that. It's like that, no matter what you know. I mean, like, it goes back to what you said at the very beginning. If you were Omnipod, why do you think tea slim for your kid? I think it's that I don't push the Omnipod too much. You're trying

Scott Benner 1:22:30
to be a reasonable, balanced person. Isn't that interesting? Yeah. But anyway, there it was. I was like, Oh my God, this man and I are doing the same exact thing in two completely different places. We're having the same exact outcomes, as far as success, and we're having the same exact troubles, as far as outsiders who are angry with us for reasons that really just seem it's because we're saying something that's opposite of what they hold very true. Not that I didn't know this already, Trisha, but then it just really hit me. I was like, oh my god, this is just a human problem. This is just what happens. It's got nothing to do with chameleons or diabetes percent or a low carb or Apple versus Android. It's got nothing to do with any of that. This is just how people's brains work.

Tricia 1:23:13
Fascinating. No, it is. No, it is, because I think when people find something that works for them, some people like you can understand just because it works for you, it might not work for somebody else, like you understand that, but I think a lot of people haven't reached that point where they can understand that. Like, just because it works for me doesn't mean that there's not another way to do it. It's like when you teach kids math, like, I hate new math. I'll just say that I can't do new math. I can't do what they're teaching these little children nowadays. I'm a very old school math person, but for the kids where it works for Okay, great, we still got the same answer, right? We still got five or whatever, right? What's it matter? Right? Why is it why does it matter how we got there, as long as we're both in a good spot with what we got. Yes,

Scott Benner 1:24:01
see you, and I agree. It doesn't matter how we get there, it's just as long as everybody's okay. All I want from people is for them to be happy and healthy. That's it. However they can get to that, I think is terrific. If I'm not the pathway to that for them, then I did my best, and I'm sorry it didn't work for you. Go. Go go find something else. Go

Tricia 1:24:21
find somebody who you can no

Scott Benner 1:24:23
hard feelings. Learn from. Yeah, no hard feelings. The other way of thinking about it, and I know that this feels like very specific to diabetes, but it's really not. It's just very specific to some people, like some people fall into one category where I don't know, like, the way I see myself is I kind of felt like a caregivers mentality. And I'm very open, and I don't care what I just I think whatever works for you works for you. And I think there are some people who still have that caregiver mentality, but they're very stuck on this is the way, right. And then I do think there are also, like, another section of people who are just trying to be powerful or famous in a space. Or something like that, and they're just, they don't care what they say, as long as it gets clicks and likes and some company notices and gives them a job one day. Like, like, you know what I mean? Like, where they can make some money off it's selling their coaching or whatever it is they're trying to do. I think there are times when people look at me and they're pissed, because I found a way to say, everyone's welcome. I don't care what you do. I don't want you to fight with each other, and I pay my bills with it, right? And they're out there and they can't figure out jealousy

Tricia 1:25:26
out there. I think for some people with you, because they can't do what you're doing, it's distasteful

Scott Benner 1:25:31
if I say it, but I do think on some level that that has to be true. You know

Tricia 1:25:36
what I mean? This is a bad comparison, but in I've learned more this year. Like I will say, like I have. I currently have a great endocrinologist who is willing to kind of let me care for myself, I guess I would say, and she just writes my scripts, and is there if I need her type of thing? Yeah. I was in an argument with one of the district nurses, who was like, if a kid goes low, they need 15 grams of carbs. And I said, But if one of my kids on a pump, on an automated pump, is at 70, I don't care what the doctor's orders say, if I give him 15 grams of carbs, he's going to be up to 180 in half an hour, 45 minutes. Because he doesn't need the 15 grams because the pump shut his insulin off, you know? But, like, Yeah, but she can't get it out of her head. That, you know, the rule I was taught in 1980 was 15 grams. Wait 15 minutes, 15 you know that, that whole rule thing, right? Right? Medical people fell, yeah. And so you have, you know, so you get it in every aspect. You have some doctors who, they're never going to change that medical plan. It's always going to say 15 grams of carbs the minute that kid hits 70, right? Not paying attention to the fact that it's 70 with a straight arrow, and it's been 70 for three hours, and the kid is fine, right? Yeah. Like,

Scott Benner 1:26:49
and even, even at that, like, even though you're no, you're gonna run into that. I was interviewing somebody yesterday, and lovely person, like, really lovely. And they were stuck on this one idea. And they were like, I don't understand why people do this. And I kept saying, like, why does it matter? Like, why do you need to understand? Like, it's working for them? Like, she's like, well, it's not and I'm like, Well, okay, then it's not your business. You know what I mean? Like, you did the right thing, you did the Good Samaritan thing, it didn't work out. And, like, it's not your job. If you can't let go of that, that's your problem, right? Not theirs. Like, right? You're not Jesus, and you're not here to, like, save everybody, and it's, it's not your job, and that you've you did the nice, good samaritan thing. You said, Hey, I think your tire is going flat, and they gave you the finger. And, fair enough. Okay, like now that parks over, you don't drive after him for 25 miles yelling out the window, you're gonna die. Your tires flat, right? Yeah, that's crazy. Okay. Anyway, don't be crazy. Just Oh, that ain't gonna help anybody.

Tricia 1:27:57
The people who are crazy are gonna be crazy, no matter if you tell them that too. Okay, yeah,

Scott Benner 1:28:01
I just realized that that wasn't gonna like, fix the whole thing. It's like, if it's like, I'd be like, you have anxiety. Could you stop it? No, oh yeah, it doesn't work that way. I understand it doesn't work that way. But here's the end result. I'm a nice, kind, measured person, but I didn't grow up. Well, you don't want to drag me into this, right? I will fight really, really hard, and you won't like how it goes. And if you think, Oh no, I can beat you, Scott, I want you to remember that over 100 people have tried to start a diabetes podcast since I started 110 years ago, and about five of them still exist, and nobody listens to them. To this one. Okay, I will win. Trust me, I've got a real competition problem, so I grew up real broke, don't you worry. And on, on top of everything else, just to be super serious for a second thing you're saying, it's not even true. I mean, I guess if you said something and it was true, I might, I'd understand. But like, Why do you have to lie to make your point? Like, just make your point a different way by telling the truth. It's not that hard. I mean, listen to me for the last half an hour, I can be an asshole. Just say that. Just say, like, I don't know, I listen to the guy's pocket it seems like a dick. Like they're fine. That's your opinion. Good enough. Like, there you go. Why you got to say something that's untrue and drag my kid into it?

Tricia 1:29:23
I mean, because, honestly, like when, when you said, I listened to everything you said. Don't get me wrong, but my brain keeps going back to, you're picking on a kid with a lie. Like, that's that's the main point to me. You're picking on a kid with a lie. Yeah, that's wrong, you know, and

Scott Benner 1:29:41
she didn't say it, by the way, and it's not a thing. She said it's a thing. I don't I'm trying not to be too specific with it, because, believe it or not, what I'm actually doing Trisha is trying to make it so that you can't tell who it is that said what, because I don't want to identify them. I'm still defending that fcking asshole. Right now, you're still trying to be nice. Yeah, you know, I just said what you said, then people would know it was you. And then floodgates. And I'm not doing that. And by the way, anybody who's listening to me right now don't do anything, please, like, just be cool. I'm cool. Ducks back. We're all good. You know what I mean? Well,

Tricia 1:30:17
by the time you play this, it'll be six months from now, and they'll have trouble finding the post

Scott Benner 1:30:21
anyway. So, yeah, they're gonna remember. People got long memories. This is true, not me. I'm gonna forget this in like 15 minutes. I swear to God, next week, someone's gonna say to me, if you sent me a note a week from now and said, Do you remember that thing you were all upset about last week, I'd be like, I'm not 100%

Unknown Speaker 1:30:40
sure what you're talking about. I

Scott Benner 1:30:42
anyway, that's my own personal health. All right, I had to pay extra for this one because I went on so long in editing. So, all

Tricia 1:30:49
right, Trisha, don't worry about I was just trying to listen. Scott, I

Scott Benner 1:30:53
appreciate it. Listener today, thank you. I was a good listener. In the middle, you were very smart. At the end, you you

Tricia 1:30:59
were, we were both good listeners. Yeah, good. I

Scott Benner 1:31:01
just talk a lot.

Tricia 1:31:04
That's okay. You need it too, for sure, you're

Scott Benner 1:31:06
so nice. All right, hold on a second. I want to be friends with you. Bye. Bye.

A huge thanks to Omnipod, not just my longest sponsor, but my first one. Omnipod.com/juicebox if you love the podcast and you love tubeless insulin pumps, this link is for you. Omnipod.com/juice box. The weather outside might be frightening, but you do not need to be uncomfortable. Go to cozy earth.com. Use the offer code juice box at checkout. Save 40% your pocketbook will be comfortable. You remember all your bits and pieces will be comfortable too, because they'll be covered with comfortable, wonderful clothing, towels, sheets and accessories. Cozy earth.com, use the offer code juice box at checkout. I just realized I said the weather outside might be frightening, but I should have said frightful, because I was trying to do that song, that Christmas song, the weather out, you know what I mean. Sorry. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. The episode you just heard was professionally edited by wrong way recording, wrongwayrecording.com you.

#1368 All Kinds of Diabetes

Gestational, LADA, Type 2; you name it and this episode has it.

+ Click for EPISODE TRANSCRIPT

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

Gonna talk to Brittany today. 30 years old, diagnosed with LADA in 2022 she's also got a mother with diabetes. There's a lot going on here in this little I don't want to explain all this to explain all this to you. Looks like I got some denial, some gestational you're gonna like it. Just jump right in. Please don't forget that nothing you hear on the Juicebox podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. Don't forget to save 40% off of your entire order at cozy earth.com All you have to do is use the offer code Juicebox at checkout. That's Juicebox at checkout to save 40% at cozy earth.com when you place your first order for ag one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink, AG, one.com/juice, box. Are you an adult living with type one or the caregiver of someone who is and a US resident? If you are, I'd love it if you would go to T 1d, exchange.org/juice box and take the survey. That's it. Just do that, please. Okay, let's a little more music, and then we'll get right in. We'll get right into

it. This episode of The Juicebox podcast is sponsored by the ever since 365 that's a CGM that lasts a full year, ever since cgm.com/juice cgm.com/juice, box. One year one CGM, this episode of the juice box podcast is sponsored by us. Med, us. Med.com/juice, box, or call 888-721-1514, get your supplies the same way we do from us. Med. This show is sponsored today by the glucagon that my daughter carries, G VO, hypo pen. Find out more at G VO, glucagon, com, forward slash juice box.

Brittany 2:12
My name is Britney. I'm from British Columbia, Canada, and I was diagnosed with type one diabetes, or ladder, if you will, in 2022

Scott Benner 2:22
2022 with LADA? Did they tell you Lada that day? No, what they tell you,

Brittany 2:29
I actually had gestational diabetes with my second pregnancy, and then 18 months I had all the classic symptoms. I kind of let it get a little far.

Scott Benner 2:41
You were ignoring it. Yeah,

Brittany 2:44
was it something denial? I think I knew so. Like, my mom has had diabetes for a long time, like since I was two.

Scott Benner 2:54
What Brittany your mom has? I'm sorry, Your mom has type one.

Brittany 2:59
Well, she was diagnosed with type two two years after I was born. When I was diagnosed, I was kind of like she had always really struggled with her management to the point where, like, they wanted to commit her to, like a psych word, because she just gave up at one point, like she burned out so hard, because nothing she was doing was working, and she was so frustrated. And that was, like, a huge thing in our family. I was just like, my mom's diabetes was like, out of control a lot of the times, and so when I got diagnosed, I was like, you know, something isn't right here, because, you know, knowing that my mom had diabetes, I kind of tried to do everything in my lifestyle to avoid, even when they told me I had gestational diabetes, I was like, in a grocery store, my husband and I, we were checking out, and on my midwife phone, and she was like, yeah, like, you know, have the results of your gestational diabetes test, and you know, you know, you have gestational diabetes. And I started sobbing, okay? My husband was like, What is going on? You know, uncontrollably

Scott Benner 4:04
right there in the Tim Hortons. You

Brittany 4:05
were just, it was in the grocery store. Yeah, we were checking out in checkout line. I just lost it. Like, what's

Scott Benner 4:11
that grocery store called? Is it a chain? It was, it

Brittany 4:15
was called a, it's a called wholesale. It's like, I think it's a Canadian it's like, a smaller Costco, type of deal

Scott Benner 4:21
smaller.

Brittany 4:22
They have, like, bulk items and

Scott Benner 4:25
everything. That's a good way to describe Canada, a smaller Costco, smaller, yeah, everything on a smaller scale. So your mom, so let's go back for a second. Your mom has type two diagnosed after you're, like, about two years old, and she struggles with type two diabetes so greatly. What about 36 years ago? Something like that.

Brittany 4:47
I'm 30 so I'm sorry. So 28 years I guess. Where did

Scott Benner 4:51
I get 38 from that? We'll never know. So, so for for a quarter of a century, your mom's had type two diabetes, and she struggled with its. So hard that she burned out so much. They they wanted to institutionalize her. Yeah,

Brittany 5:05
so she told me, like, she just got so fed up that she's like, I'm not even taking my meds. Like she was on, you know, obviously all the oral stuff and then insulin and everything like that. And she was just like, I'm not taking into this anymore, like it's not working. And, you know, I think they just assumed, like, well, you're not doing it right, and, you know?

Scott Benner 5:25
And so that back and forth, can I ask you a question? Is your mom's stability in question? Now that her type two diabetes is okay,

Brittany 5:33
so she actually has, she has type one. Oh, so what? But, like, it's kind of a hard timeline. So, like, it's not, but it's like, you know, diabetes. I was diagnosed in 2022 but like, you know, and when I was a kid, when, like, my mom was diagnosed, she struggled. I struggled because I was, like, holy, like this, you know, diabetes sucks. Like, I don't want to end up like my mom and like, have this massive struggle with my health, like, I'm gonna, you know, to the extreme, take really good care of my body, watch what I eat, you know.

Scott Benner 6:11
And how long did your mom live? Misdiagnosed

Brittany 6:14
that entire time. So until 2022 Wait, what

Scott Benner 6:18
the Are you serious? That's not is that I don't listen. Wouldn't she be dead? I don't understand any of this. Hold on a second. She's

Brittany 6:26
gotten close. You know what? I mean, like, I don't So,

Scott Benner 6:29
so what oral meds did they have her on?

Brittany 6:32
I know Metformin for sure. Like, I don't know too much. Like, honestly, it's just one of those things where, like, I don't really know the details entirely. Like, I know Metformin was one of them for a long, long time, or is she even up into the point where they re diagnosed her at my clinic that I started going to, you know, she was still on Metformin, and then I think she was on something else. I don't remember the name. If

Scott Benner 6:58
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Brittany 8:19
Yeah, but she was on insulin as well. Ah, Brittany.

Scott Benner 8:23
Brittany, I need the whole story. Okay, all right, so you're like,

Brittany 8:28
a gradual like, and the way shakes made it to me, because a lot of it, I kind of have, like, walked out of my memory because it was so bad, like, really, yeah, yeah. She's been through a lot,

Scott Benner 8:39
okay, and it was hard on you as a child as well. Yeah,

Brittany 8:42
yeah, she and, like, now even, like, she has gastroparesis and, yeah, neuropathy, she has, like, the, you know, laundry list of all that kind of stuff. What?

Scott Benner 8:53
What province don't I want to live in? What'd you say

Brittany 8:57
it was Ontario? I grew up in Ontario.

Scott Benner 9:00
Oh, my God. They don't even give you guys a hockey team. They know

Brittany 9:05
they have it. The maple eases Ontario. That's Toronto.

Scott Benner 9:08
I know Ontario is the bigger picture, but you know, Toronto Canada,

Brittany 9:13
that's what they think of as Toronto. Toronto is Canada.

Scott Benner 9:16
Toronto is Canada. I think of it as the Yukon just so, okay, I don't even know what to say. That's not a Canadian thing. I've heard people from America and other places around the world have similar situations. So yeah, they told her she was type two, gave her metformin and and then said, Oh, you're really insulin. You're really resistant. Here's some insulin. Yeah, and so, but she's living as a type two with type one diabetes as an insulin insulin dependent type two and is it your diagnosis that helps her figure out she doesn't have type two diabetes? Yeah,

Brittany 9:51
so at the point of my diagnosis, which was 18 months after I had given birth to my son, you know? And. The crazy thing for me is, like, I went from like, my first pregnancy was totally fine, postpartum with that, I was totally fine, and then, like, bam, the second I got pregnant with my second child, I had gestational diabetes. But not only that, I was they put me on insulin when I was gestational like, it was to the point where, like, you know, normally you can just manage with diet and exercise enough, but they told me, and so that's what I tried desperately. Like, I was like, you know, talking to the endocrinologist during my pregnancy, like, often, because I was like, Hey, I'm trying. I'm trying to have a snack here, because my fasting blood sugars were the issue, yeah, during pregnancy, and I would get up at like midnight to eat a snack, because that's what they suggested. And, you know, I was trying everything with cynics, and they're just like, You know what? We're sorry, but like, you have to go on insulin, and that's just how it is. And, like, I was devastated, but they were like, insulin is a tool, like, you know, and obviously, you know, but I'm they don't understand my background, you know, like with my what I've seen my mom go through, and why being insulin independent was so right, yeah,

Scott Benner 11:11
did you feel like, oh my god, I'm gonna, I'm gonna have her existence now? Or did you think I tried so hard and it still didn't work out for me?

Brittany 11:20
I think both, both, yeah, both of those things I didn't understand. Because I was just like, You know what I mean? Like I said, I've lived a lifestyle with the literal whole purpose of not getting diabetes or having to worry about it at all on any level. So, you know, then I had my son, and I was like, okay, bam. And wipe my hands of this throughout all my stuff, my meter, my pens, I was just like, like, this is I'm good now. Like, because, you know, that's what everybody says, right? You got gestational like, there is a chance that you can develop it later on. But like, everyone was like, you know, you're healthy and active and like, Hey, you're good to go now, you know, like, so I was like, perfect. I'm done with this. I never have any other kids. Like, I don't want to deal with that ever again.

Scott Benner 12:05
And then, yeah, did that experience that you have two kids? So when you had your decide, I mean, did you decide to have a second kid, or did it happen?

Brittany 12:14
We wanted to, yeah, okay, okay,

Scott Benner 12:17
so when you're making that decision, do you think yourself, I'm gonna need to use insulin again, probably during that time.

Brittany 12:22
Well, so I didn't have it with my first. I only had it with my

Scott Benner 12:25
second. Sorry, yeah, okay, okay,

Brittany 12:29
I apologize. I definitely, like I said, we don't really want a third. We have a pretty busy lifestyle, and our two boys are enough, and they're busy too. So, but the also, like, even if I did have that sort of, like, Oh, really nice, there's no way I just was too much for me.

Scott Benner 12:49
Is your mom doing better now? Like, management wise, day to day, she told me that her ANC is, like, the best it's been in like, a decade or more. Do you know what that means? Like,

Brittany 13:00
I don't know, six or seven, then like, oh, wow, good for her.

Scott Benner 13:07
I've just, you know, for everyone, she was always in the twelves, and now it's in the nines, and she's like, it's the best it's ever been. Even,

Brittany 13:13
no, yeah, no, I think when she told me, I believe it was six or seven, and I was even, I was like, What do you still have struggles? I think it's hard for her to learn the new concept of like, I tried to explain to her, like, insulin to car ratio and correction factor. Then, like, I feel like, and like, how to treat a low. Because sometimes she's like, Oh, I'm gonna eat some chocolate. And I'm like, You can't do that. Like, you know, you know you shouldn't do that. That's not really what's gonna help you get your blood sugar up. It's just gonna like you later. And sometimes she, I don't know if she doesn't care, or, you know what I mean, like, how old is she? 5151 Yeah. Oh

Scott Benner 14:00
my gosh. Do you think she'll figure it out? I

Brittany 14:03
hope so. I try to lead by example for her. I give her a hard time sometimes. I try not to, like, I'll be like, you know, we've talked about this. Like, you know, things that are high and fat are going to maybe I'll trigger you up later. Or, like, you know, when you treat like, I don't, you know, I get on her case about it sometimes, but I hope she does. I think it's, you know, at least she has better providers now that can tell her that kind of stuff too. Like, it

Scott Benner 14:27
would be hard to have worse ones. So, yeah,

what's your, what's your level of competency right now? Like, how, how are you managing?

Brittany 14:36
I felt pretty okay. Well, I mean, it's been kind of Rocky, because when, when I was diagnosed, my ANC was 14.5 and I am like a type A, like perfectionist type of personality, so I did a lot of over correcting. Did

Scott Benner 14:55
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Brittany 17:06
Oh, yeah. I, you know, I hate seeing my numbers out of range. It drives me nuts. I've tried to kind of ease off a little bit because now I kind of hypo anxiety. It kind of has the one the other direction. I feel like I honeymoon for a long time. I even still, you know, just feel like my ratio changes a lot. Yeah, I know like variables are a factor, but it just feels like sometimes I never know how much to take, or for the first little while, I definitely struggled with like, aggressively being like, I don't want to be high.

Scott Benner 17:48
Do you think you were honeymooning at all? I must have

Brittany 17:51
been for a while. And so I'll just give you the timeline, like I was diagnosed with the diabetes. What happened was I went to my family doctor and I said, you know, I had gestational diabetes, diabetes in my family, and I have all these symptoms. And she was like, I think you're stressed. Okay, sounds good.

Scott Benner 18:16
So you wait, so you came with symptoms, and they said, We think you're stressed. They said,

Brittany 18:23
What? What? Yeah, and like, and in hindsight, I, you know, I should have been like, No, you're wrong. But I was so tired, and I was so like, I didn't want to face the music either. So I was like, whatever. She's like, what's on you for blood work? And at the time, I was like, well, when can I get the blood work? Because I think I knew it was bad, right? I couldn't sleep. I kept getting woken up by, like, my hands would start tingling, like, every night, and I'd be going to the bathroom all the time, and, like, I saw a low parent pretty often. So I kept being like, well, what if something happens to me? And, you know, my husband's not home or whatever, so I'm like, in the doctor's office, I'm like, Okay, well, when can I get the blood work? And she was like, well, just lie and say that it's urgent, because at the time, we had to make appointment to get blood was done. You couldn't just go up there and get it done.

How long was this going on? For a while,

I had lost a ton of weight, and, like, I started losing my hair, and doctor

Scott Benner 19:20
didn't think it was

Unknown Speaker 19:22
urgent. No, what

Scott Benner 19:25
was this doctor? Bombay from the old bewitch TV show. We

Brittany 19:29
have a an issue with a lot of doctors in our town that, you know, they come here because they have to, and they, you know, they don't. They do, like severe, minimum kind of and I'm okay to say that is

Scott Benner 19:42
it like a penal colony. What's going on? Like, we either they're sending you, like, reject doctors from other places.

Brittany 19:49
Well, they're, they're like, from out of the country, and so there's, like, a certain they, I think my understanding is like they have to go to certain locations before they can kind of move around to the. Rest of Canada, that's my understanding.

Scott Benner 20:01
Brittany, why? Why are you in a place that gets the the tester doctors? I

Brittany 20:06
don't know how I got here. I wish I bought that though.

Scott Benner 20:11
Are you can I ask a Can I ask a tough question? Are you financially disenfranchised?

Brittany 20:18
No, um, our jobs just kind of rely on We live near the ocean, so my husband's a fisherman, and I work for the Coast Guard, so we kind of need to be on the coast. Okay, yeah, our jobs are here pretty much. I can't

Scott Benner 20:35
believe what's happened to the world. I just said financially disenfranchised when I met I was like, I'm like, I'm like, Brittany, are you broke? Are you tied to something? Do you need help? Scott, I live in a place where they send, uh, new tester doctors out to see if they're any good or not, like Jesus Christ, and they're not like, God,

Brittany 21:03
it's unfortun because I feel like a lot of people think of care, and they're like, oh, yeah, free health care. Like, it must be you got it made, you know? Like, everything is so good there. And I'm like,

Scott Benner 21:14
Yeah, I'm American. I don't think most things that are free are good. I think if something's worth something, somebody's charging you for it. Wow, that's I

Brittany 21:25
did go get my blood work done a couple days later, and that, I think it was like a Thursday or Friday when I got it done, and then Monday afternoon, at like, 4pm she phoned me and was like, either they made a mistake on your blood work, or you have diabetes, I'm telling you right now, it's not the first one. Like I was just like, it didn't shock me. Yeah,

Scott Benner 21:52
there's been a mistake made, but it's you and me being together. Yeah, I'm trying to get out of that right now. If I can, were you able to find a different doctor, by the way, or is that your doctor? No, because we're

Brittany 22:04
so limited here. She was very confused. You could tell because she saw me and how thin I was and like, how, you know, and she was very confused by the numbers, because she wouldn't say, like, you have type one or type two. She was just like, You should go back to the hospital and get your blood work done again. And I was

Scott Benner 22:24
like, No, oh, she really thought this isn't right. Do something else.

Brittany 22:29
Yeah,

Scott Benner 22:30
so clearly,

Brittany 22:31
I'm painting you the picture.

Speaker 1 22:36
I went to medical school in a trash heap, and I'm here to tell you, this is stress. I see it on you. Yeah, by the way, not how much weight had you lost? Oh, gosh, probably, like, at least 20 pounds. Were you trying to lose weight? Like, could you at least know? So I was eating

Brittany 22:52
everything at insight, I was on, you know, it I was hungry. Yeah, I'm

Scott Benner 22:58
not a doctor, but if I saw you, I'd be like, hey, you've got cancer or diabetes. Let's find out which it is. And, yeah, something's wrong. She

Brittany 23:04
didn't give me the time of day and but it happens so often here, like it's not, I'm not the first person and probably won't be the last,

Scott Benner 23:12
but vote people wait, what's going on?

Brittany 23:16
They just don't know. They just don't know, I guess is

Scott Benner 23:20
the area you live in? Not very, like, suburban,

Brittany 23:24
I guess you could say that, like, you know, I'm in northern DC, so yeah, we're kind of goofy, well, isolated,

Scott Benner 23:33
yeah, how many moose do you see in a week? Uh,

Brittany 23:36
lots of deer. No, not really very many moose. But yeah, the deer, and they pretty much are my pets, like, they

Scott Benner 23:42
live in the backyard, so they wander around everywhere. This

Brittany 23:45
town's like an hour and 20 minute drive with, like, nothing there's it's just scenery, just there's no gas station. There's no other towns in between. It's just straight highway. Is

Scott Benner 23:55
your jacket made out of a beaver or otter pelt? You would think, No, I definitely would think, yeah. I mean, being that I've never been there, and I'm just making this all in my head, I'm predisposed to believe that you're wearing what I'm going to call penguin shoes. But apparently, some little girl told me one time there's no penguins in Canada. No, I mean, I don't believe that either. So whatever. All right, so you get you, you get a diagnosis, and you're and so what do you I have to understand, like, what's your a 1c right now,

Brittany 24:31
my last one was 5.5 I think it's gone up a little bit just because I was on steroids for, like, an illness that I had. So that was a that was fun, tough

Scott Benner 24:47
time. Yeah, needs a lot more basal and yeah, like, my Yeah, here's the reason I'm asking, like, so it's only been not even two years, right? And you've got an A, 1c, in the fives. You're not honeymooning. Anymore, is that correct?

Brittany 25:00
I don't believe so. So okay, let me get to that. Because so she's like, I don't know. She's like, you have diabetes. I'm going to but because it was summertime and we live, you know, somewhere where it's not like, they're not very suburban, she was like, You need to talk to the diabetes there we have. I guess there's two different things. There was a diabetes nurse and a diabetes educator. So then diabetes nurse was away on vacation, so she's like, I'll give you over to the diabetes educator until that other person is back. And in the time being, here it's a Metformin. And boy, did the Metformin make me feel really sick. And I think there was a combination of, like, my blood sugar is kind of coming down, yeah? And like, just the Metformin in general, where you were in DKA, right? Probably, I mean, that's the thing I was she was never like, oh, you should go to the hospital and get insulin and this. And, like, she never said that. She just wanted everybody. I never, ever, yeah. So actually, the funny part is, like, when she called me, yeah, like, I said it was like, four o'clock in the afternoon, and I was actually just about to, like, my son was going to have his birthday party, and we were hopping on a ferry to go to, like, an even more remote place. She's like, you need to go to the hospital, like, they need to redo your blood work. And I was just like, Um, no, I can't. I'm going on vacation well. And so she's like, if you start feeling sick, I think that's the part where she was concerned about DK, but she didn't want to say, she didn't say that, you know, like, she was like, if you start feeling sick while you're in this place, like, go to the hospital. And like, don't eat any sugar or carbs. We were going to, like, our First Nations, like, reserve, my husband is First Nations, and we were going there for a feast in a pool raising. And I'm like, Okay, so, like, what can I eat? Like, you know what I mean? I'm like, I'm gonna be, you know, there's not gonna be keto snacks on the menu, you know, like, so I lived off of, like, salad

Scott Benner 27:04
and, like, you know, fish and vegetables that entire week. It was miserable. You were there for a week pretty much. Yeah, I don't know. I'm irritated that a doctor just can't be direct with you. It's ridiculous.

Brittany 27:18
I am too, yeah? Like, I mean, I still am processing it, you know, like, I know there was a girl in the podcast a little while ago where, you know, her doctor, kind of, or, you know, she didn't get the proper diagnosis right away, and she was totally at peace with it, but like, I'm, it's not me. Like, I'm ready to go to war every

Scott Benner 27:32
day. Or you're pissed about it, yeah? Hey, I'm sorry. First, First Nations. Can you, like, define that for me?

Brittany 27:38
Yeah, so my husband is Haida. So where in? BC, there's a lot of, like, different First Nation communities and so, yeah, that's just where he's from.

Scott Benner 27:51
Okay, alright, and they're having this event. You go off for a week, yeah? You eat, like, fish and salad. Yeah, looking dust off tables. I imagine stuff like that. You're how close to dead are you by the time you get back?

Brittany 28:09
I mean, I probably pretty close. I mean, at the time I was, I couldn't enjoy myself, obviously, because I was like, should I go to the hospital or here? Like, should I not, like, what did I do? I feel like, even if I did, if I had gone to the hospital at the time, they would have been like, they wouldn't have known what to do. You know what I mean? Like, I feel like, even if they recognize DK, they would have, you don't, yeah, I don't know what they would

Scott Benner 28:32
have done. Is this confusion around medicine, beyond diabetes, where you are,

Brittany 28:36
probably, I think so it's from what I've heard, you know, like, I don't think it's diabetes specific, I think, but I mean, it definitely is, like, really prevalent with diabetes. Like, I just feel like the understanding is so bare minimum. Like a lot of people in the North Don't be an endocrinologist for their diabetes. And I am like, that's not okay. So my she was like, Okay, go see the diabetes educator, until you can see the nurse. When I finally got home for my trip, I do that. And then the diabetes educator tried to tell me I was type two. And she was like, you can eat this many carbs per meal, and blah, blah, this and that try that out. And I was like, This is crazy. Like, sitting there, I was like, Are you sure not that? Like, you know, I went home, and I was like, Okay, I'm gonna try this now. And, yeah, we went through the whole like, oh, no, sugar in the house, blah, blah. And I remember eating a meal, and still, my blood sugars were not great, obviously, and I was very frustrated. And had a therapist at the time, because during my 18 months postpartum, I was I just remember saying, like, my I felt like my nerves were shot, like I felt so dysregulated all the time. I'm sure, obviously, my blood sugar is. Are playing a part in that. And so my autonomy therapist all this stuff about how, you know, all of a sudden I've typed two diabetes. I'm like, I'm taking this medication, but I feel like it's not working, like they're saying I can eat carbs, but when I do, like, I don't feel great and everything. And so she was like, I think you need a second opinion. And then I finally did see the diabetes nurse, and that's when she was like, You need to go to this specific clinic. It's in Vancouver. And she's like, I think you have. She called it louder, like type one and a half, where she explained the whole thing. And I was like, Oh, that made more sense to me. You know, I was like, I was like, Okay, we're on the right track. Now, did

Scott Benner 30:45
that, Brittany, did that feel better for you because you were trying so hard not to get what you thought was type two diabetes? Did it feel better that this wasn't something that you could have gotten in the way of it

Brittany 30:56
made a lot of sense, okay? Like, it just kind of it was like a puzzle piece I was missing in that moment when, when I finally, she put me on the track with this clinic. And she was like, You should talk to them. And they, they were like, Okay, I went there and they did tests for antibodies. And they were like, Oh, we have a clinical trial for people who are newly diagnosed donor honeymoon period. Yeah, it's that the drug is called use map.

Scott Benner 31:34
You stuck in a lab.

Brittany 31:38
You stuck a new Mab. That's how you pronounce it, at it, yeah? Hold on a second. I can't remember. It's also used for Crohn's. I can't remember the like over the counter. Are you googling? Yeah?

Scott Benner 31:56
By get any Oh, wow, Stella,

Brittany 31:58
yeah, that's it. You went with the

Scott Benner 32:01
instead of the brand name you went with, you stuck in a nap that you remembered, you know, immunosuppressive drug. Hey, I have a question. Your doctors can't figure out if someone has diabetes, but they're aware of this.

Brittany 32:21
So this was a new this was a new doc. So finally, after I had seen the diabetes nurse, that was the one who was like, Okay, I think you're type one and a half, there's a clinic in Vancouver who does research, clinical trials, and they do like, they'll take you on as a patient for like, endocrinology, and you know, you need to get in with them. And at the time, yeah, anyways, my doctor had given me a hard time about getting a referral to there, and I know kind of why in hindsight, but so I did get one, and I got in there, and, yeah, my first appointment, they were like, Yep, it sounds like you have type one or ladder. You know, this is what you need to do. You need to take insulin. Now, explain the whole scenario. And then they're like, and also, you know, we have this clinical trial, would you be interested? And I was like, You know what? Yeah, because at this point, like, I've, you know, seen the wrath of diabetes my entire life, essentially. And like, if I can do something to, you know, make it go away, or, you know, help, you know, be a part of some sort of solution, like, count me and kind of thing, tell me about the trial, yeah. So the idea is that it preserves what beta cells you have less, is my understanding. So unfortunately, I don't actually know if I got the drug or not, because two thirds of the participants get it and 1/3 gets a placebo. I actually just got home on Monday from doing like my final appointment, yeah, and I was asking her, like, do you think I got the drug or not? Or like, can you even say and so she they had to wait for my blood work to come back. So like, next week, she's like, just send me a text message and kind of ask me where your beta cell levels are at. Because that was part of, like, the criteria, you had to have a certain amount of cells still remaining. So that's why, like, being honeymoon, being like, you had to be within three months of diagnosis, and you still had to have, like, a certain amount of beta cells. Because the idea is, like, they want to see if it the drug, like, preserved those beta cells. Wow. So I don't actually know if I got it or not. It's hard to say.

Scott Benner 34:37
Will they ever tell you it

Brittany 34:39
was a blind study. So like I said, the only way I could maybe Guess, guess if I got it or not was if my beta cells, like stayed the same or like

Scott Benner 34:52
as my understanding, which I don't know yet. So gotcha Well, I hope you got it, and I hope it has helped. Full, yeah, me too, yeah. So this is sort of like T Z old here in the US. Okay, I think although yours is a monoclonal antibody, I don't know if T z is or not interesting. Well, I mean, it's fascinating that it went from like no information to this information.

Brittany 35:19
Yeah, it was like, zero to 60 for sure, like, but I feel like, by the time I got diagnosed, I was just like, Okay, let's just do it, you know, like I was just like, understand how diabetes worked. I've been around it. And you know what I mean, like, by the point that they were like, hey, you need insulin. I was like, give it to me. Like I wanted it yesterday, you know, like I was about to when I was just thinking, I was like, keep that for keep that away from me. Like, I don't want that, you know, whatever. Like, like you said, it was kind of almost a relief, like that light bulb moment, or like that puzzle piece where it was like, Okay, this makes sense. You know, I feel like pregnancy maybe triggered it potentially, I'm not sure, but yeah. I

Scott Benner 36:00
mean, your mom's got, your mom's got type one so, yeah. So,

Brittany 36:04
like, I went to my clinic and they offered, like, the antibody testing and everything like that. They were like, yep, you have antibodies. Like, that was a another criteria for this study. And then I said to my mom, like, you know what, you should really get tested for antibodies too. Like, they were the thing with type one diabetes, that's clinical diagnosis, right? So, or that's what they say here, okay? But like, you know, my understanding is, like, if you the C peptide is what tells you, like, would it not? Isn't there a test you can do to

Scott Benner 36:40
outside, I like, your mom getting the antibody testing, obviously. I mean, at this point now, it's 20 some years, like, I mean, she's managing the way she's managing, but, yeah, I mean, here you would do it. I mean, to know, or to have, like, better insurance coverage for self or that kind of thing. But, like, you know, for your peace of mind even. But I mean, so once she finds out, does she shift? Because, correct me, if I'm wrong. But like, the the use for insulin for your mom, for type two, was what they gave her basal, was it, did she have a meal insulin? Like, a meal time? Insulin? Yeah,

Brittany 37:13
but I'm not really sure what, how she was using it like, because I, you know, I, when I say insulin to car ratio to her, I don't think she knows. Like, I don't think she had a clue what I was

Scott Benner 37:23
talking about. Also, was she testing her blood sugar. She wearing a glucose monitor.

Brittany 37:27
She had the libre. She had a Libra for a long time, okay, but, like, obviously something she was doing wasn't working. Like, yeah. So, yeah. So then she gets referred to the clinic that I'm at, and they take her on as a patient, and we went down there for a trip, and she got the test, and they were like, you have the antibodies like, you know, this whole time you've actually been type one and you you know, but you've been trying to manage, like, a type two, and that's why you're

Scott Benner 37:56
having so much trouble. What was her, what was her emotional response to that,

Brittany 38:00
I think she was also kind of relieved. Or, you know, she was like, Okay. Like, because she, I know she had been frustrated with her diabetes care team slash management for a long time, yeah. So I think she was just like, Oh my God. Like, finally, it makes sense as well. Kind of like, similar to me. I don't know if there was more to it, yeah.

Scott Benner 38:21
Also probably feels like he didn't do anything wrong. And then there's Yeah,

Brittany 38:25
because, I mean, that was, like, a theme, right for her, like, I feel like a lot of people were like, Oh, you just aren't doing it right for years. You know what? I mean, I can imagine.

Scott Benner 38:33
I want to be clear, that's what I meant. I meant the management, not the type one versus type two, like, the actual management of it, like, Oh, I didn't try to know that maybe we would have done something different. She's, does she have a pump now? No,

Brittany 38:45
so I am starting the process of getting a pump this month, okay, and I'm hoping and encourages her, which I know she's, like, really hesitant to press technology and like, I understand that completely. Like, the clinic that we go to now is very, like, technology oriented, but it really like, obviously, like, they're into clinical trials, into research. Like, I feel like my so, like, it wants to be the first man on the moon with he wants to find the cure. Like, he's very like, boom, boom, boom. Like, clinical trial. Like, I just finished that one, and then he was like, you know, there's the other one. I was like, No, that's great, but I need a break. It.

Scott Benner 39:21
How did you find a better clinic?

Brittany 39:23
I honestly look because, to be honest with you, like that, when I went and saw the diabetes nurse, she for some reason, like and she works in the same building as a diabetes educator. She knew about this clinic, and the other person didn't mention to me whatsoever. And she was like, this is where you need to go. And I was like, okay, like, done. I almost canceled my appointment with that diabetes nurse after having my one with the diabetes educator, because I when she told me I was type two, I was like, you're out to lunch. You know what I mean? Like, I was like, so I was like, I'm sure the diabetes nurse is just going to be the same, you know what I mean. So I was like, very just frustrated and discouraged. And I. So the last person I wanted to see was another diabetes person telling me that, you know, I was type two and this and that one, it just didn't make sense. No, okay, so, like, yeah, I almost canceled that appointment, and I didn't. And I went there, and she was like, oh, no, I think you're Lata. I think that. No, you need to see this clinic. And I think she even knew about the trial. And so I was like, how, like, you need to go talk to your friend.

Scott Benner 40:26
It makes me wonder how many people in that area are walking around with a misdiagnosis. A lot,

Brittany 40:31
I'll tell you right now. I bet you there's a lot, because I've encountered, like, I speak pretty vocally about my diagnosis because, like, there's so many people that don't realize you can get type one as an adult, and physicians, including, obviously, really, yeah, and Oh, so many. And since my diagnosis, I've talked to, well, at least one other person, but someone actually just messaged me, like, recently a family friend, and was like, hey, like, you know, I'm pre diabetic, and I'm like, Whoa, I would look into that if I were you. Like, I was like, you should ask for a C peptide test.

Scott Benner 41:07
Getting that test is not difficult once you ask for it. No,

Brittany 41:10
no. Because what I don't understand is, I'm pretty sure I had one done, you know, like, I don't know if that's after the fact. My like, my family doctor requested one after the fact maybe once she realized, like, what my parents do was, she thinks she did one then. And I was like, Well, if you're asking for one, then don't you know what the COVID is? Like, I was very confusing. But I yeah, I feel like it happened a lot where, like, the physician here don't realize you can get it as an adult, and they because, like, the even my clinic, I voice my frustration every time I go there. I'm like, You guys rely on catching people on their honeymoon phase and being diagnosed properly and on time. Like, how are you going to finish your study? If that's just not happening, it's like, just, you know, they're like, Yeah, we know that's our frustration. And I was like, somebody gonna do it. How does this just keep going, you know, my thing was, like, what really opened my eyes? I was like, Okay, this happened to my mom, you know, 28 years ago, when I, I'm assuming there wasn't very much of an understanding about type one diabetes and like that, there was adult onset, and they thought it was just juvenile. But I'm like, it's, you know, almost three decades later, and nothing has changed. And you guys, you know, like, some people know and some people don't. And like, the you know what I mean, like, I was just very like, how did this almost happen again? How did history almost repeat itself? I was like, no. I mean,

Scott Benner 42:32
it sounds like it's happening a lot, yeah. So you're looking into a pump, hoping your mom's going to get a pump. You use a CGM now I imagine, yeah, yeah. Are there other autoimmune issues in your family, line with your mom, with you, with your husband, anybody else?

Brittany 42:50
I think my mom has arthritis. I

Scott Benner 42:52
don't know if that's I mean, Ra is, but not just arthritis.

Brittany 42:57
I'm not entirely sure about anything else that I don't think there is

Scott Benner 43:02
thyroid, celiac,

Brittany 43:06
no, no, no, no. Diabetes is just like pretty much rampant through my mom's side of the family. I don't actually know my medical history on my dad's part of the family, because my parents use a sperm donor. So I don't know who my daddy is okay. I don't know that whole side of the medical Sure thing for me is just like, unknown completely, which is kind of sucky, but I'm pretty sure all of my, you know, health things don't want to say all, but like my type one diabetes and, you know, comfort my mom obviously Okay,

Scott Benner 43:40
her at the very least, you know? Well, you know about that, and she has it, and there was a lot of diabetes on your mom's side,

Brittany 43:47
yeah, like, I'm pretty sure my grandmother had it. I don't know if my grandfather did or not. I'm pretty sure he did. You know, what Titan my uncle, I'm assuming they were both just type two or, like, that's what they said they were, right, you know, right, yeah, my biggest concern is, like, my grandmother had really bad dementia, Alzheimer's, dementia, all that kind of stuff. I worry about that for my mom, just because I know how bad her blood sugars have been for a long time, because, like I said, she's got everything else, you know, like she's got the neuropathy, she's got gastroparesis, like she has a just a long time, yeah, things that have come from her diabetes, diabetes management just not being what it should be. What made

Scott Benner 44:32
you want to come on the show, like, what prompted you to reach out

Brittany 44:36
for me? Like, I, I like, you know, I just it makes me so frustrated and emotional, like I watched my mom's life pretty much just be ruined, in my mind, by diabetes, because because of one misdiagnosis, and because nobody took the time to be like, You know what? Maybe we should like, listen and reassess the situation. Conversation instead of like, Hey, we should lock it up because you don't want to, you know what? I mean, you don't want to take your meds anymore because you're so burnt out. Yeah, that's fascinating that, you know, like there needs to be a change. Like, I'm It baffles me, because it's like, I'm just a regular person, and I had to understand all this in, you know, like, at the drop of the hat because of my diagnosis. Like, why can't medical professionals do the same? Like, it's, you know what I mean? Like, I just feel like, it's not that hard to understand. People need to know, you know what I mean? Like, I feel like, especially now, because I think COVID, I triggered a lot of autoimmune things. And like, I said, my my family friend that I've known for a long time, again, really healthy lifestyle. And they are like, Oh, you're you have pre diabetes. Like, I'm sure they probably try to tell them he was type two. I think that he mentioned that to me in the in the message that he sent me, and I was like, you should ask for a second opinion, but it's like a lot of people go to their doctor and they just take their word for everything. You know what I mean? Like, I'm not that type of person because of my experiences. Yeah,

Scott Benner 46:05
you have to be. I mean, you just, you just genuinely have to. And I, I shudder to even call it like advocating for yourself at this point. Like, I don't think it's advocating. I think you just have to wonder if, if the person that you're dealing with has you know, your best interest at heart, or if they're just following a plan, or, you know, if, even if they were educated well, or, you know, having a good day, or whatever. Like, I mean, even, like, a great doctor has a bad day, I don't what if? What if? That's the day they see me. And so forget the idea of advocating. Advocating to me feels like forcing somebody to do what they're supposed to do for you. Like, I think you have to take, I mean, I'm looking for another word, but I don't know why. Like, I think you need to take this responsibility. Yeah,

Brittany 46:49
you know, I am. I just remember my mom being the type of person who would be like, Well, the doctor said, and I'm like, it doesn't matter if what you're experiencing is not lining up with what the doctor is saying. Then even

Scott Benner 47:00
if it is you should, you should have more than a cursory understanding of something that's happening to

Brittany 47:05
you. Yeah, yeah. You know, I feel like that's just not, not the case. And like, especially where we live right now, you know, like I said, the doctors are, they don't give you the time of day, and they just want to Band Aid things. And they, yeah, you know what? I mean, they're going to tell you that you're stressed.

Scott Benner 47:19
I was like, you live on the Dark Side of the Moon. It feels like it honestly

Brittany 47:23
does. And it's really stressful. Like, you know, we have kids and I worry about their health, and, you know, our ER, like, closes because we're short staffed for doctors and stuff. So it's like, a very stressful place to live, because, like you said, the closest town is, like, an hour and 20 minute drive away from here. So like, you

Scott Benner 47:40
have an emergency room that shuts down because of staffing.

Brittany 47:45
It's like a recently new development that it's been like that, but it's very stressful. Jesus, can you move? I want to, I do. I really do.

Scott Benner 47:56
But you're there for work, right? Tell me again, what is it you do?

Brittany 48:00
So I work for the Coast Guard. I'm marine communications and Traffic Services Officer. So like we answer mayday call, we regulate marine traffic, like we talk to all the cargo ships and cruise ships and anybody who's of size to transit Canadian waters. Will we give them, like their we process their clearance requests and everything like we're talking to mariners all day long. So very stressful job, but there's only two centers on this coast, and the other center is very it's a very expensive place to live, and it's just not where we want to be. And then my husband is a commercial crab fisherman, so he gone for days at a time. He fishes in the local area. So it's hard to, like, find another it's, yeah, the jobs

Scott Benner 48:45
holding you to the coast and the coast, yeah, doesn't have a ton of people living there, so you get spotty services. Is that about how it works?

Brittany 48:53
Yeah? It's just not a very Yeah. It's not very desirable place to live in some cases. I mean, some people really love it here. You

Scott Benner 48:59
know that people who don't have diabetes, yeah,

Brittany 49:03
oh, yeah, oh. I had a woman message me a couple weeks ago saying, like, I have she has, like, hypoglycemic episodes, but they wouldn't give her, you know, her insurance wouldn't cover CGM because she's not insulin dependent, and so she was really struggling. And so a lot of the doctors here don't like to refer people to endocrinologist. They like to try and manage people with diabetes themselves, which I don't know why. I don't know if it's like, a financial reason, like, they won't, yeah, give referrals. It's like, they gate keeps like crazy. And she was like, you know, my family doctor is leaving. So I saw your post about the clinic that you go to from a little while ago. Like, could you give me some information on that and want to get a referral? And I was like, absolutely. And I had happened to have some extra g6 is that I don't feel like I switched to the g7 and I was just kind of keeping them as backups. I didn't really need them. I was like, you can have these, you know, until you can get what you need. That's ridiculous, that you can't, you know? She was like, I have a son, like, and, you know, I wake up in the middle of night because I have hypoglycemic episodes. I'm like, my doctors don't listen to me, or believe me, or whatever. But it happens so often, like,

Scott Benner 50:22
that's so defeating. Honestly, the entire, the entirety of of this story is defeating. It's just, I mean, you want to think that people have equal opportunities, but it just isn't the case. And I mean, not not that, not that we all don't know that, but it's interesting to hear someone actually say it, you know, and tell a story of living through it, which is, you

Brittany 50:43
know, Jesus, like, it's frustrating, and that's why, like, I any opportunity again, I'm telling people about, like, the clinic that I go to, because they're always taking referrals. And I'm like, you know, I, you know, I have a couple of co workers who have type two and and they were mentioning their frustration with seeing their family doctors about it, and I was like, ask for referral. And one of them did, and it was the same thing, like, Oh, you don't need to blah blah. And I'm like, but they, but they would like to do, you know what I mean? Like, it's not, you know, they, they just don't feel like it's necessary. They don't want to lose the patient or whatever. I'm like, but at the same time, they complain about being overworked and whatever. But it's like, I don't know, like, I feel like they're just trying to line their pockets. They don't really care about people's quality of life, is what it feels like. And, yeah, how do they get paid? Is my question. I'm not sure. Like, they work for our health department, so it's crazy, because they they do, like, they have their practices, right? And then they also work in the ER. So like, they're doing both. They're, they're not getting, you know, they're getting paid pretty well, and they're, you know what I mean. So it's not like they can't afford to outsource someone's at least diabetes management, like you're still going to be their family practitioner for other things. But like, let them see a specialist for their diabetes management. I just feel like, you know, they don't think it's necessary. Like, I think they're just like, Oh, it's just diabetes. So why would you need to see a specialist?

Scott Benner 52:12
You also think it's about keeping you siloed with them. I

Brittany 52:17
think so, part of it. And like, I said, like, I think anytime that I've tried to get a referral from my doctor, it's like, pulling teeth. I'm like, you, you pay out of your pocket when that, when you submit a referral for me, or like, you get, did someone like, take you outside and beat you because you put in a referral? Like, I don't, I don't understand it. I really put

Scott Benner 52:33
in a referral to someone kick your kid. What's happening? That's

Brittany 52:37
honestly how it feels every time I make an appointment. I like, I just dread it because I know I'm like, Okay, I'm gonna have to fight for this and interesting and like, I'm gonna have to make my case, and I'm gonna have to, you know what I mean, like, yeah, like, you said. It's very defeating. No, I

Scott Benner 52:53
hear you. That sucks. It really does. Yeah.

Brittany 52:56
I just feel like, yeah. Like I said. I feel like, misdiagnosed happens so often. I'm in a lot of, like, Facebook groups for like, Lata and stuff, and people like, Oh, hey, I'm new here, but I was misdiagnosed for the last five years. I'm just like, damn. Like, when is this going to end? You know?

Scott Benner 53:11
Oh no, it happens all the time. Yeah, your stories, your misdiagnosis story, is incredibly common. Yeah,

Brittany 53:17
it really is frustrating for me, because, like I said, you can you're running someone's life. No, their health is kind of greatly tougher. Well,

Scott Benner 53:26
you know, I try to make this point all the time, and I imagine that at times I sound like I'm sounding some alarm, but, but it really happened to your mom, yeah, like she lost 20 plus years of her life to this, this diagnosis. It really does happen like that, yeah, and, you know, like, it just takes bad circumstance with a bad doctor, and then you fall into a rhythm and you're sick all the time, or you're unhappy, or, you know, God knows what was happening to your mom, like, her blood sugars were probably all over the place. And then, you know, like, and, and then 20 years goes by, and now she has, she has problems from it on top of all that. So

Brittany 54:05
it's like, now even you know, you're not going to reverse those either. So it's like, now, okay, finally, she has the proper diagnosis. And like, maybe her ANC is coming down, but like, it problems, the you know, I mean, the damage, yeah, yeah. I just remember she was always very, like, you know, not angry, but she would definitely have a temper and like, I'm like, I can you know your blood sugar is high, you're irritable. Like, that's just how it is. But, you know, yeah,

Scott Benner 54:37
why can you just tell because my blood sugar is 425, that's why, yeah, and my brain's not working correctly. Like

Brittany 54:44
I said, my whole childhood, it was just like diabetes was like that dark cloud for my mom, because, you know, over our whole family too, because she had so many health problems as a result. And, like, you know, an emotional like mental, mental health. Almost done it, like I said, to the point where I desperately was like, I'm not going to have diabetes. And I get, well, like, you know, I was like, I'm going to do that complete opposite of everything my mom does. And, like, when I was a teenager, I developed an eating disorder because I was like, I'm just going to eat so healthy. But then I obviously was obsessive and like, I was like, I'm just gonna eat nothing.

Scott Benner 55:25
Well, Brittany weren't, wow, that didn't,

Brittany 55:29
you know, like, so it's this huge, like, intersection for me when, when I get diagnosed, because I'm just kind of like, yeah, I don't know. It's like, all these things that make sense. But now it's like, I don't know, just very hard kind of listen almost, where it's like, I gave my mom a hard time also, because I was like, Damn, I can't just manage her diabetes. Why can't you just be happy? Why can't you just, you know, I mean, like, it's, you know, you

Scott Benner 55:54
were like, you were like, I handle your mom person. And yeah,

Brittany 55:58
I was like, why are you, you know what? I mean, like, I understood she had diabetes. I was like, it can't be that hard. Like, I don't understand. I never understood as a kid why she couldn't just manage it. You know what I mean? It's like, why can't you just get your blood sugar under control? And I was so frustrated with her, like, you know, respect for

Unknown Speaker 56:14
her because of that.

Brittany 56:15
I was like, why can't you just take care of yourself, you know, which I obviously feel bad for that now, because I'm like, it wasn't your fault.

Scott Benner 56:24
Have you said anything to her about it? No, oh, Brittany, come on, you could go tell her

Brittany 56:30
you're sorry. That's a tough conversation

Unknown Speaker 56:33
to have come I don't know.

Brittany 56:35
I don't know. It's just there's a lot, like, I said, we've been through so much, and I give her heart like, obviously, like, so my user story got really bad when I was in high school, to the point where I was admitted to the Children's Hospital in Toronto hospital, and my mom, like, she already was dealing with so much, and then she's going to deal with my BS, like, you know, and I'm not going to say that diabetes was the reason, you know, I was in dance and body image was a thing, and, you know, a very anxious kid, and, like, there was just so many things that triggered me to, like, go down that road, obviously. But like I said, there's a lot of times where, like, flaming, obviously, and being like, well, you eat this food, so obviously that's why you have diabetes. I'm like, you know, you can't manage your blood sugar, so Well, whatever. And, like, I Yeah, give her so much lack and, but that's what I that was the narrative, right? So okay, like, it still is. I'm not

Scott Benner 57:38
going to let you off the hook, though. Hold on a second. Yeah. Why can't you just apologize to her?

Brittany 57:43
Oh, no, I, I definitely understand that, but I we just don't have those conversations like, that's a deep conversation.

Scott Benner 57:53
It's Mom, I'm sorry, Brittany, what else is going on?

Brittany 57:56
It just it feels like there's just so much like that, it would unravel almost, you know what I mean? Like, oh,

Scott Benner 58:04
you're not hold on. You're not afraid of telling her. You're sorry. You're afraid of what happens if you start being honest with your mom.

Brittany 58:11
I think she knows. I mean,

Scott Benner 58:15
you keep the flag.

Brittany 58:18
Just feels like a lot.

Scott Benner 58:20
You go like, Hey, Mom, I want to tell you something. I feel badly about how I treated you back when you thought you had type two diabetes, and I kept telling you to take care of it. And now we learn you have type one and you were really at a disadvantage. And I just wanted to let you know I apologize there. I did it for you. Now I'm just gonna

Brittany 58:36
be like, You know what, Mom, you should listen to this god apologizes on my dad. Is

Scott Benner 58:42
this too deep? Do you not want to talk about this? No, I mean it. It is. What happens next? What do you imagine happens next? All right, ready? Listen, we'll play act. I'll be you. You be your mom. Watch this. Oh, hey mom. It's me. Brittany, hey. And then right. And then I hold on, hey. Thanks. I feel bad. I feel

Brittany 59:05
Brittany bitch. But anyways, continue. Oh

Scott Benner 59:07
yeah, it's like that. And and I brought over, I wrote over here on a moose to tell you that that I just I've been thinking about it lately, and you spent so many years living with type one diabetes, thinking it was type two, and not having the right tools or right direction. And there were times, I know, you know, there were times that I was hard on you about your management, and I just wanted to say, I've been thinking about that a lot lately, and I'm sorry. I hope you accept my apology. Now you be your mom.

Brittany 59:41
I don't know what she can say.

Scott Benner 59:42
What are you afraid she's gonna say? Nothing.

Brittany 59:46
I just think it would be so emotional. I don't think I'm Did you know? Why would that be a problem? Because we're not good at that. We're

not good, you know, we're not like you think she would cry. Crying.

I think there would be, I would cry. I don't think I'm able to get through I'm like, kind of tearing up right now, when you say that, when you made that, like, little speech, like, for me to say that I would cry, I would when's the last time you cried? I cried the other day. I finished a half marathon and I cried. But like, it's not like, it's like a superficial like, I was like, Okay, I'm proud of myself, but like, when it comes to, like, really digging into because it feels like it was a trauma, like dealing with all of that kind of stuff, like for both of us, you know, like medical trauma or whatever, plus, like, so many other things that we went through together that just talking about it like it's gonna turn into,

Scott Benner 1:00:41
like, catching salmon with your teeth. What are we talking about? Like, like,

Brittany 1:00:45
things that we went through, yeah, like I said, the eating disorder was a whole thing. And then, like, my dad, like my parents relationships, like they separated when I was three. But then, you know, nobody told me until I was 16 that, you know, my dad wasn't my dad, like the person who I thought was entirely, I don't know, there was a lot of turmoil, and my mom and I, you know, we have a good relationship, but we don't talk about the things that weren't good.

Scott Benner 1:01:10
Brittany, can I? Can I make an assertion? It's hard to say I have a good relationship with your mom, if you can't tell her a basic thing, like, I apologize, yeah. So I don't like

Brittany 1:01:24
spoken kind of

Scott Benner 1:01:28
that's what people say. You don't want to apologize. She knows it's all right. So let's say she does know. Let's say she does know you guys have a good relationship. She loves you. She's not holding any animosity towards you or anything like that. She knows. What would it hurt? Don't you think she'd just love it if you told her? Would you like it if she apologized to you for things she hurt you for? Yeah, would you hurt your kids and not for her? Well, I don't care about that. Would you hurt your children and then not apologize to them. No, okay, I

Brittany 1:02:03
wouldn't. I wouldn't do that. What

Scott Benner 1:02:05
are we? What have we been talking about? Then, Brittany, just go tell your tell your mom, yourself, write it down.

Brittany 1:02:09
Okay, oh, you know what Mother's Day is coming up. I

Scott Benner 1:02:11
will, Brittany, now you're thinking, in a Mother's Day car, in a Mother's Day card, in a Mother's Day card. I want? Do you want me? You want to write this down, or I think what you say is, I wish I could say this to you in person, and at the moment, I'm not sure why I can't, but I hope that one day I could, boom. I've been thinking a lot lately about your life with diabetes and how you were misdiagnosed, and how difficult it was for you to try to help yourself. I realized how frustrating that must have been, and I've looked back and seen that there were times that I gave you crap about how you took care of yourself, and I am really sorry to have added to your frustration, and I want to apologize. Yeah, there are you crying. Brittany, we're making a podcast. What are you doing? Just cry on a podcast. Poke yourself in the face or something till it hurts. All right? So anyway, you don't have to do any of these stuff. Yeah? You can cheat with the Mother's Day card and she'll think it's great, because you guys are walled off emotionally.

Brittany 1:03:18
Yeah, you want your it's true. Unfortunately, when I moved out, because I was moving to a different province, and, like, I think that was tough for her, because I was always like, stay home forever. And like, I was just like, see you later.

Scott Benner 1:03:32
I'm going a and she's like, Alright, hey, I'll see you later. It was

Brittany 1:03:36
hard for her. So she wrote me a letter she to read at the airport, and it was kind of similar to what you just said, but it was about some other things that I was like, I was crying in the airport, and I was like, okay, so I think that's it. We're just like, we're a letter. What we're gonna write it down? Okay,

Scott Benner 1:03:51
well, then there we go. How's your handwriting?

Brittany 1:03:56
Yeah, type it out. Well, that,

Scott Benner 1:03:58
I tell you right now, we'll take out all of the personal attachment. Good. So emojis. If you put a emoji in that note, I'm gonna go all the way down rather how you are and smack you in the head. Okay, like, so like, I'd love to meet you, though. Well, not like that, because the first thing I'm just saying is, Brittany, did you put a fcking smiley face in a heart in your mom's Mother's Day so just, I would write it out. First you can type it out, but then, like, I'm a big fan of them sitting down and writing it out by hand. Yeah, yeah. I think putting a typed note in someone's Mother's Day card is, is anti what we're trying to accomplish here. Yeah, okay. Are you really gonna do this? Are you just, like, placating me? No, I

Brittany 1:04:44
feel like I should like, so my problem is like, I I feel like I've been so worried about myself for the past, you know, since my diagnosis, because it's been overwhelming for me, you know, like, I don't know. I just feel like I haven't really gotten and I. I I try not to. I want to help her with her diabetes. And I think she realizes, like, you know why it's kind of, like, like I said, because she's I watched her struggle so much. I'm like, okay, mom, like, this is what you gotta do. Like, it makes so much sense now. Like, I don't know if that bothers her or not, because, like I said, I was hounding her about the insulin pump. I was like, you know, man, that'll help you so much.

Scott Benner 1:05:19
And maybe that's the the end of your note. The post script your note is now that we both have this going on, I really think it would be beneficial for both of us if we teamed up and learned as much about this as we could so we can take really great care of ourselves and spend as much time together as we possibly can. That's Look at me. Yeah, I should write this for a living. Yeah, you know, Brit, when I was in my 20s, I thought I was going to start a greeting card company. Oh, it's never too late. I don't think no, because you're no, because then I won't make the podcast. Yeah, I'll be, I'll be busy, but I wanted to start a greeting card company, but with, like, really adult themed, racy, terrible messages,

Brittany 1:06:04
oh, I would love that. I

Scott Benner 1:06:06
thought it was amazing. That's

Brittany 1:06:08
my kind of humor, see, that's the, see, that's if I could be like, you know, kind of make it a dark humor, like, apology to my mom, then, like, that's kind of the level that we're at. Yeah, we don't really get to, like, like, sensitive, emotional. We don't go to those places, really. So that's why I'm like, Oh, I don't even know how to start that conversation. Like, I thought, I mean, like, I feel like, it's just, she sees me,

Scott Benner 1:06:37
that's it. So

Brittany 1:06:38
she's, she's like, Oh, okay. She knows now,

Scott Benner 1:06:41
talking to each other is, is very important. Yeah,

Brittany 1:06:45
yeah. My mom does a lot for me. And, you know, like, like I said, Because I work 12 hour shift so and my whenever my husband's away, like she's here helping with the kids, and we do, like I said, I know it sounds crazy to say we have, like, a close relationship, but you can be close.

Scott Benner 1:07:03
Yeah, no, you can be close without having, like, intimate emotional connection. Like there's close, like physically close, and there's being there for each other and all that stuff. There's nothing wrong with any of that's all lovely. But you know, like to be able to look someone in the eye and say, hey, you know, I did something bad to you, and I feel bad about it. I wanted to tell you, yeah, yeah. And I'm not just here to relieve myself. I'm here to, I'm here to just to validate her, almost, yeah, to validate what you've been through, and to open myself up and be be naked right here in front of you, and tell you, I this up, and I'm so sorry. You know, let me give you a piece of advice. My wife taught me this over 20 years after you apologize, you don't then explain why you did the bad thing, that's that's wrong, not supposed to do that. You don't go but you don't understand. Here's what happened,

Brittany 1:07:59
yeah, like, explain what you're apologizing for, but not like,

Scott Benner 1:08:02
yeah, yeah, but not, but don't start making up excuses for why you did the thing in the first place. Yeah. Well, you are a girl. You know not to do that, but I'm a boy. I don't, I don't know not to do. I'm like, It's not my fault.

Brittany 1:08:15
But, yeah, you don't understand what was

Scott Benner 1:08:17
happening to me at the time. You know, I was having a lot of trouble, all right, yeah, okay. I

Brittany 1:08:22
don't ever want my mom to feel like, like I say that, you know, it affects my childhood or whatever. But I don't want her to feel like that's her fault or like, you know, it's not, it's obviously not like that's kind of,

Scott Benner 1:08:34
let me ask you this last question I'm going to leave you with this lingering thought to torment you. Do you want your kids to grow up and not feel comfortable talking to you like that? No, I would. I would want them to you think that happens magically? Brittany, how do you think that happens? No,

Brittany 1:08:50
I know, and we definitely like, I think feel like I have a different relationship with my kids. Hopefully, like, you know, I just Well, they're little, they're like little people,

Scott Benner 1:09:00
but when they're adults, though, how it gets once you're an adult, is it? It doesn't always go the way you are with them when they were little, because sometimes people just have trouble being open like that with somebody who can really, I guess, understand the conversation, like, when you're like, when you're being really sweet to a kid, it's easy. They're not judging you, right? But once, once you, and I don't even mean judging in a bad way, but you're not being judged and and you know that they're not looking at you and really thinking, like, why is she saying this? Like, what is what is she? What does she mean by this? Like, they, they not having those thoughts yet. So it's easy to be nice to little kids. I'm just saying, if you want that with your kids, you're gonna have to figure out how to do that with your mom, and time is of the essence.

Brittany 1:09:47
Yeah, yeah. I think part of me was just kind of like, you know, the communication wasn't great between my mom and I, and like, I felt like it was kind of a loss, like, not, you know, a. Lost cause. But like, you know, anytime that I've tried to have those conversations with my mom, I feel like she kind of goes into like, defense mode,

Scott Benner 1:10:07
and so you can't have an expectation of her response. No, yeah.

Brittany 1:10:12
I mean, like, I haven't, yeah. I just feel like the communication thing, I try to have different forms of communication with my kids, like I but it's like, you know, a console try again with my mom as well, too.

Scott Benner 1:10:27
This is so nice. Hey, listen, if you guys get into a fight and stab each other, please don't blame me. I had nothing to

Brittany 1:10:32
do. I know that you already made that disclaimer about, like, you know, nothing I say,

Scott Benner 1:10:36
Oh yeah, nothing you hear on the Juicebox podcast. Should you try to expect that I'm responsible for? Yeah, you know we're just talking, but no, I mean, I know you Canadians get stabby, so like, if somebody gets I don't want to, it's not my fault. Okay,

Brittany 1:10:51
I know I think that I would rather get stabbed than get emotional. But

Scott Benner 1:11:01
could you just stab me instead of me having to apologize to my mom? Please? That would be better and hit me while you're at it. It's fine, just don't. I don't want to tell that woman I'm sorry. I really don't. Yeah, well,

Brittany 1:11:14
Happy Mother's Day. Here's a nice like,

Scott Benner 1:11:17
Happy Mother's Day. This is my mother's day. This is my mother's day. Uh, episode. It'll come out like, six months after Mother's Day, but still. Well, yeah, so while you guys are listening to this right now, think back six months ago, what did you get your mom for Mother's Day? Should have apologized. I listen. I thought the other day, I thought to just tell my wife I was sorry randomly. And when she asked for why I'd go I don't know, I must have done something,

Brittany 1:11:41
blanket apology. Yeah,

Scott Benner 1:11:43
I should maybe do it every week. You know what I mean? Like, hey, I'm really sorry for what I'm like, I don't know whatever I did. I honestly I didn't mean it. Yeah, so

Brittany 1:11:52
it doesn't count if you don't know what you're sorry for. All right,

Scott Benner 1:11:54
Brittany, I don't understand why you won't get a job that's not near the water, but that's for another day. I'm gonna let you go. I appreciate you doing this with me very much. Thank

you. I'd like to thank the ever since 365 for sponsoring this episode of The Juicebox podcast, and remind you that if you want the only sensor that gets inserted once a year and not every 14 days, you want the ever sense CGM, ever since cgm.com/juice box, one year, one CGM. A huge thank you to one of today's sponsors, gevok glucagon. Find out more about G vo hypo pen at gevok glucagon.com, forward slash juice box. You spell that, G, V, O, k, e, g, l, U, C, A, G, o, n.com, forward slash juice box. This episode of the juice box podcast was sponsored by us Med, US med.com/juice box, or call 888-721-1514, 87211514, get started today with us. Med links in the show notes. Links at Juicebox podcast com, if you or a loved one was just diagnosed with type one diabetes and you're looking for some fresh perspective, the bold beginning series from the Juicebox podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginning series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698, in your podcast player, or you can go to Juicebox podcast.com and click on bold beginnings in the menu. I can't thank you enough for listening. Please make sure you're subscribed or following in your audio app. I'll be back tomorrow with another episode of The Juicebox podcast. Hey, what's up, everybody? If you've noticed that the podcast sounds better, and you're thinking like, how does that happen? What you're hearing is Rob at wrong way, recording, doing his magic to these files. So if you want him to do his magic to you, wrong way, recording.com, you got a podcast. You want somebody to edit it. You

Brittany 1:14:14
want rob you.