#1724 Emma's Dad - Part 2

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Chris returns to redeem himself after episode 1600, discussing resilience, family health improvements, AI in diabetes care, and an unbelievable story about inheriting land and a battleship.

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

Scott Benner (0:00) Hello, friends, and welcome to the Juice Box podcast. (0:03) Another year down, another year of helping each other through the highs, lows, and everything in between. (0:39) This is part two of a two part episode. (0:41) Go look at the title. (0:42) If you don't recognize it, you haven't heard part one yet.

Scott Benner (0:45) It's probably the episode right before this in your podcast player.

Chris (0:50) My name is Chris. (0:52) I'm Emma's dad from episode 1,600 Into the Woods, and I'm here to sort of follow-up and redeem myself for all the nasty things she said about me in that episode.

Scott Benner (1:06) If you're looking for community around type one diabetes, check out the Juice Box Podcast private Facebook group. (1:12) Juice Box Podcast, type one diabetes. (1:15) But everybody is welcome. (1:16) Type one, type two, gestational, loved ones, it doesn't matter to me. (1:21) If you're impacted by diabetes and you're looking for support, comfort, or community, check out Juice Box podcast, type one diabetes on Facebook.

Scott Benner (1:32) While you're listening, please remember that nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (1:40) Always consult a physician before making any changes to your health care plan or becoming bold with insulin. (1:53) This episode of the Juice Box podcast is sponsored by the Omnipod five. (1:58) And at my link, omnipod.com/juicebox, you can get yourself a free what'd I just say? (2:05) A free Omnipod five starter kit.

Scott Benner (2:08) Free? (2:09) Get out of here. (2:10) Go click on that link. (2:11) Omnipod.com/juicebox. (2:13) Check it out.

Scott Benner (2:14) Terms and conditions apply. (2:15) Eligibility may vary.

Chris (2:17) Full terms and conditions can be found at omnipod.com/juicebox. (2:22) Links in

Scott Benner (2:23) the show notes. (2:23) Links at juiceboxpodcast.com. (2:26) Today's episode is also sponsored by the Dexcom g seven, the same CGM that my daughter wears. (2:32) Check it out now at dexcom.com/juicebox. (2:37) I saw somebody online the other day asking a question, and they were clearly just trying to get other people's opinions.

Scott Benner (2:43) But they had gone to chat GPT and had a, a conversation about something about diabetes that they did, they didn't understand. (2:52) And I browsed it really quickly, I thought, I think this thing gave her a rock solid answer. (2:57) And, you know, she was able to ask follow-up questions, which I think is maybe where that separates you from Google a little bit. (3:03) Like, you ask the first question, you get an answer back, and you might have more questions, but it's hard to know then where to go from there. (3:09) And then people came in, they were like, this seems reasonable to me.

Scott Benner (3:12) And people were interested in it too. (3:14) So it's gotta be coming a little bit. (3:17) But I don't know how long till regular people who aren't, you know what I mean, digging into stuff like this figure it out. (3:23) Because if you're online, you think everybody's doing this, but that's certainly not the case. (3:27) Yeah.

Scott Benner (3:28) How do you use it at work where the translator helps again?

Chris (3:31) So where the translator helps, like, we're doing an effort with Japan. (3:35) So, you know, we don't speak Japanese. (3:37) So there was there are translators involved, like actual human translators today. (3:42) And then they released this feature into Microsoft Teams, and we all tried it out first by hopping in there and having it translate our voice in real time to Japanese, which none of us could understand. (3:53) But then later, they joined a meeting with the translator, and it was pretty close.

Chris (3:57) And the fascinating thing is it's faster than the actual translator

Scott Benner (4:01) Okay.

Chris (4:01) Because it takes the real translator a fair amount, and the translator is going to to change things. (4:08) You know? (4:08) When it when because when you convert from one language to another, a lot of times, it's not a direct word for word translation. (4:13) Mhmm. (4:14) You have to you have to assume emphasis or whatever.

Chris (4:17) And, know, that that's something that the human is adding and modifying where the AI will be more, more universal and more standardized in in its approach and its responses.

Scott Benner (4:27) Yeah. (4:28) I am right now, while you're talking, I started the agent mode because my transcripts are behind a drop down on each page. (4:36) So you have to click on it to to to make the text appear. (4:39) I put it in agent mode, I told it to go get the transcript for 1,600. (4:43) And I just I'm watching it navigate the the website by itself right now.

Chris (4:48) Oh, that's so cool.

Scott Benner (4:49) Yeah. (4:49) I'm trying to see. (4:50) I don't know if it's gonna figure it knows that the the click box is there. (4:53) It's it's it's trying. (4:54) The cursor's on the screen.

Scott Benner (4:56) It says it's doing it. (4:57) If it hits that drop down and then pulls out that transcript, I have to tell you, I see that as a that's gonna be a pretty big leap. (5:06) You know? (5:07) Oh. (5:07) Oh, it just did it.

Chris (5:08) No. (5:08) No.

Scott Benner (5:08) It just hit the it just it just clicked the

Chris (5:10) That's so cool.

Scott Benner (5:10) It just clicked the box, clicking to expand the transcript. (5:17) Yeah. (5:17) It's gonna copy that transcript out. (5:20) And then I'm and now I may you know, imagine, I'm obviously, I can ask it, you know, what Emma talked about. (5:25) I can ask it about, like, you know, what what were some of the big topics.

Scott Benner (5:29) But if she and I actually spoke about, you know, something technical, like, it could pull it right out. (5:35) Accessing transcripts and preparing to share. (5:37) It is just scrolling through the website by itself. (5:40) The way OpenAI tell is trying to get people excited about it is if you have, like, an online shopping setup where you have your groceries delivered as an example. (5:49) Like, this is an example.

Scott Benner (5:50) In their video where they tried to explain how this might work, they had the guy go on and, like, he's like, know, I pulled up a recipe, and he's like, you know, these recipes, like, they put so much stuff on the page. (6:00) It's always hard to find. (6:01) I was like, that's true. (6:02) And then he just said, like, tell me the ingredients I need to to feed eight people. (6:06) And it told him, and then he looked at it, he's like, well, I need this and this, these two things.

Scott Benner (6:11) And he just said, order the beef and the chicken or something like that. (6:14) And the agent just went through his browser, opened up his account, ordered the food, paid for it. (6:19) It was insane. (6:20) Oh. (6:21) Yeah.

Scott Benner (6:21) Yeah.

Chris (6:21) That that's gonna make that's gonna make things like my job so much easier. (6:25) The things that I have to either delegate or do manually today to be able to just tell an agent like, hey. (6:30) Go do that thing I I had to do last week. (6:32) Right.

Scott Benner (6:32) And in real simple language too. (6:34) Right. (6:35) Not, you know, not specific. (6:36) Well, now the transcript is over in the in the window. (6:39) It pulled the transcript out.

Scott Benner (6:41) Let's do something strange, like, say, translate it to Korean. (6:49) Korean. (6:49) We'll do that. (6:51) Okay. (6:52) Y'all gotta find something to do with your time.

Chris (6:55) I'm sure the government will give you food and money. (6:58) Absolutely.

Scott Benner (6:59) You know, listen. (6:59) I don't this isn't gonna, you know, this isn't gonna stop my hairdresser from cutting my hair, but there is definitely gonna I mean, it's in Korean now. (7:06) I can't speak Korean, but there it is.

Chris (7:09) Yeah. (7:09) I've I've I've got a couple of little topics that she wanted to make sure that I covered. (7:12) She wrote me a note.

Scott Benner (7:13) Go to it. (7:14) Start start up while it pulls out all the crap she said about you.

Chris (7:17) So she wanted me to mention that she's no longer doing gymnastics and that she's she's transitioned almost full time to jujitsu Mhmm. (7:24) And that she's doing cross country. (7:26) So she wanted me to give little give a little update on that. (7:28) She's actually loving loving jujitsu, which I love because it means that as she gets more involved with boys, that she's just going to be able to choke them out if they they give her a hard time. (7:38) It's awesome from a dad's perspective.

Scott Benner (7:41) She told Scott that she loves gymnastics and believes she's way better than her dad at it. (7:45) She joked that her dad tries to copy her routines, watches her closely, and thinks he's this is in quotes, thinks he's so much better than me now. (7:53) And Scott asks what she thinks in her head, but doesn't say out loud. (7:56) Emma replied, I think he's so bad that he will never get it.

Chris (8:02) Oh, that that so the fact that it put it in quotes is awesome because I I just listened to the episode within the last few days. (8:08) And the way she says it is, like, oh, he thinks he's so much better than me. (8:12) Like, it picked up the that sentiment in there.

Scott Benner (8:15) Yeah. (8:15) No. (8:15) This

Chris (8:15) is That's really cool.

Scott Benner (8:16) This is fascinating. (8:17) It really is. (8:18) I I can't wait to pick around with it a little more and see. (8:20) But my point was is that, you know, if I jumped in too quickly with you know, a year ago, it was you're gonna have to finance your own large language model and find a server to put it on, and you're gonna pay tokens for people to use it, and it's gonna cost you tens of thousands of dollars a year to offer this to people. (8:39) And I thought, oh, I can't do that.

Scott Benner (8:40) And then more recently, a few months ago, I talked to somebody who's in the space and they said, oh, you know, in a couple of years, you'll be able to build your own model for a couple thousand dollars. (8:49) It won't be as hard, like, blah blah blah, like, you know, on and on. (8:52) And and and now today, they're like, you know, they're like, hey. (8:55) Here's a browser. (8:56) And I'm like, what's gonna happen in six months?

Scott Benner (8:59) When's it gonna look at my, kid's blood sugar and go, hey. (9:03) Why don't you make the insulin sensitivity a little stronger?

Chris (9:06) Have you seen the Will Smith video? (9:08) Wait. (9:08) Will Smith eating spaghetti?

Scott Benner (9:09) Not the catcher for the Dodgers?

Chris (9:11) No. (9:12) I haven't seen that one.

Scott Benner (9:13) Okay. (9:13) Well, Will Smith is the catcher for the Dodgers.

Chris (9:15) Every time

Scott Benner (9:15) Oh, okay. (9:16) Every time he popped up on television last week, Arden was like, that throws me off every time. (9:20) No. (9:20) Wait. (9:20) There's a video of Will Smith eating spaghetti?

Chris (9:23) Yeah. (9:23) The, you know, the artist formerly known as the Fresh Prince of Bel Air.

Scott Benner (9:26) Mhmm.

Chris (9:26) He, there was early AI. (9:29) And I I mean, what, two years ago? (9:31) I think maybe when Sora first came out. (9:33) There was a video it was sort of a benchmark of this is what AI video can do. (9:38) And it was Will Smith eating spaghetti, but it kinda looked like Will Smith at the beginning and then turned into something that might have looked like like Shrek.

Scott Benner (9:46) Okay.

Chris (9:46) And then it just got really weird, you know, multiple fingers and then the fingers became the spaghetti. (9:51) It was wild. (9:53) Then there was a version two about a year later where it was better, but he still had too many fingers and, you know, sometimes his he'd move and his ear would stay, and it was still a little funky. (10:02) Yeah. (10:02) Spaghetti didn't really look like spaghetti.

Chris (10:04) The one that just dropped last week looks like Will Smith's eating spaghetti and even has him say something like, damn, that is some good spaghetti, and it sounds just like Will Smith. (10:15) Wow. (10:16) So it just shows in two years, this is what we've been able to do. (10:20) Yeah. (10:21) It's really gonna be something to see where it goes.

Scott Benner (10:22) Super excited about it. (10:23) I also I can understand that we've all become more socially conscious, and I think that's great. (10:27) I honestly genuinely think that's great. (10:30) But I just think back to when I was younger, and this stuff didn't exist. (10:34) Like, you're, what, you're probably thirteen years younger than me.

Scott Benner (10:38) Right? (10:38) So but I grew up in a world where none of this existed, and we'd sit around and dream about this stuff. (10:44) Even if I told you that my mom used to sit around and say, one day, they're gonna come out with a pill and people aren't gonna be fat anymore. (10:52) That's my mom's Mhmm. (10:53) Her words.

Scott Benner (10:54) And I'll be damned. (10:56) I live long enough for that to happen. (10:57) Right. (10:58) I swear to you, I I sat down on that stage yesterday and I saw myself in a monitor and I was like, goddamn. (11:03) I look like a person.

Scott Benner (11:04) Look at that. (11:04) Like, it was really like, I was excited. (11:07) You know? (11:07) Like, I was like, this is this is awesome. (11:10) Not I wasn't embarrassed to be up there.

Scott Benner (11:11) I didn't have to kinda think about it. (11:13) And I'll I'll tell you too. (11:14) I don't know if

Chris (11:14) this is right or wrong.

Scott Benner (11:15) I think it's wrong, but I think people took me more seriously because of it too. (11:19) Because I've spoken in the past at things heavier, and I don't know. (11:23) You know? (11:23) I just people just don't take it as seriously for some reason.

Chris (11:26) And I bet. (11:27) Same experience. (11:28) Yep.

Scott Benner (11:29) Really, a terror like, listen. (11:30) That's terrible. (11:31) People shouldn't do that. (11:32) But I also don't think they were doing it consciously. (11:34) Like, I don't think they were giving me more credit yesterday because I'm leaner than before, and I don't think they were consciously taking away from me.

Scott Benner (11:42) I just I don't know, man. (11:43) I just think it's how it's how people's minds work sometimes. (11:45) You know? (11:46) Yeah. (11:46) But with this technology stuff, I swear to you, I've told this story probably too many times in this podcast, but when I was a little kid, I saved up money.

Scott Benner (11:54) I went to Radio Shack, and I bought a computer. (11:57) And it took me two years to save up that money. (12:00) And I brought that computer home, and I had a book with me. (12:03) And I typed code for a day into that damn thing and hit execute, nothing happened. (12:09) And then I went back and went back through the book and back through the code.

Scott Benner (12:12) I found, like, three typos, fixed them. (12:16) I was like, I did it. (12:17) I hit execute and a stick figure did one jumping jack. (12:21) And I took that computer, put it back in the box and I returned it.

Chris (12:25) Yep. (12:25) See, I was the kid who took that computer and then said, okay. (12:29) How how can I make him do more than the jumping jack? (12:31) And I just continued to expand it. (12:33) I would take all those little pre canned games, and I would I would modify them and

Scott Benner (12:38) yep. (12:38) Yeah. (12:39) Not me. (12:39) I was like, this ain't ready for prime time. (12:41) You know, the next one comes out, and honestly, well, was the Commodore 64 was maybe the next, like, leap there, and it really just played games.

Scott Benner (12:49) But at least it was games, and it kept us into the computer a little bit. (12:52) And then there was they tried to do, like, a a desktop thing where you could open drawers and put files in it. (12:58) It was very visual and not very usable, but it still gave you the idea of, like, oh, something's coming. (13:04) I bought my first iPhone. (13:06) I had no use for it.

Scott Benner (13:08) I literally thought, oh, this is a better way to keep my contacts at that time. (13:13) Like, that's how it felt to buy it, but it also felt like possibility. (13:16) People don't realize till if you took all the apps off your phone, it's a cell phone that text. (13:20) And, like, you know, it's the apps that make your phone. (13:22) Right?

Scott Benner (13:23) And so when they first came out, there were no apps. (13:26) Getting the weather was a big deal on your phone.

Chris (13:29) Right.

Scott Benner (13:29) But still, like, you sit there and think, what's coming? (13:32) There's something. (13:32) I can see where this is going. (13:34) Now a lot of it's problem and crap and, you know, is not adding to your life at all. (13:40) But in that phone somewhere is a great tool.

Scott Benner (13:42) This specifically when I see people struggling to get their basal right or to not even know that the their basal insulin is their problem. (13:52) They don't understand settings. (13:53) They don't understand timing. (13:55) They don't understand diabetes in general. (13:57) Right?

Scott Benner (13:58) They can suffer for weeks, months, years, and a lifetime sometimes. (14:02) Like, you have no idea how quickly it can turn into hopelessness. (14:08) And to say to something one day, hey. (14:11) Look. (14:11) Here's my settings.

Scott Benner (14:13) Here's my graph. (14:14) Like, you probably won't even have to tell it what's happening. (14:16) You'll probably just show it your graph and your settings, and it's gonna make suggestions that'll be better than you would be able to figure out on your own. (14:23) Absolutely. (14:23) I don't know if I'm not seeing people doing that already online, by the way.

Chris (14:26) Yeah. (14:27) Right. (14:28) Abs Yeah. (14:28) There's no question about it. (14:29) That that's where it's gonna be insanely helpful is to consolidate all that information, make it really consumable.

Scott Benner (14:36) I don't tell you that it's gonna be right all the time. (14:40) But even that, even the, what's the rallying cry of people who hated ChatGPT a year ago? (14:46) It hallucinates. (14:47) Right? (14:47) And now we're a year later, and I don't hear people saying that as much anymore.

Chris (14:52) Yep.

Scott Benner (14:52) Right? (14:53) Obviously, you wanna hold the feet to the fire when people are doing stuff. (14:56) You want stuff to be safe and effective and valuable. (14:58) Right? (14:58) And I appreciate the voices that yell, hey.

Scott Benner (15:01) It hallucinates. (15:01) Don't use it right now. (15:02) But I think sometimes those people then plant their flag there, and then it moves forward. (15:08) Anything. (15:08) It doesn't have to be this.

Scott Benner (15:10) And it gets a little better, but they still say, no. (15:12) No. (15:12) It hallucinates. (15:13) I know not that that's been decided already. (15:15) I'm not gonna look at it again.

Scott Benner (15:17) Man, this thing is changing so quickly to make a static decision about it is foolish.

Chris (15:22) Absolutely.

Scott Benner (15:23) Yeah. (15:24) Because it's it's coming hard, man. (15:26) I can't wait to see what you guys can do with this for yourselves. (15:30) You put me out of business. (15:31) Man, my podcast will just turn into, like you know, it'll just be a community thing and probably won't talk much about management in the future for for if you're lucky.

Scott Benner (15:40) You know? (15:40) And and then can't they they I sound like my mom. (15:44) My program's on. (15:45) But can't they, whoever they is, think about, like like, why not put, a tiny little specific part of this into your pump, right, that looks at your graph and looks at your insulin and looks at your outcomes and is making suggestions for you. (16:03) And may and then you can change if you want to.

Scott Benner (16:05) But, you know, then we'll see how long till that works so well that the thing can just be like, hey. (16:09) Here we go. (16:09) Can you imagine if your pump asked you if your phone you had an app on your phone that controls your insulin pump, and you told it, like, look. (16:19) I work Monday through Friday at a desk job, but I'm pretty active on the weekends. (16:24) So keep that in mind when you're adjusting my insulin.

Scott Benner (16:27) And then Friday afternoon ran rolled around and your pump looked at you and said, hey. (16:31) Are you planning on playing pickleball tomorrow like usual or no? (16:34) Because I'm gonna make some adjustments if we're going to.

Chris (16:37) Wow. (16:37) Yeah.

Scott Benner (16:38) How would that be crazy?

Chris (16:40) Yeah. (16:40) Awesome.

Scott Benner (16:40) I don't see that as not being possible at all. (16:43) And the one that I brought up from years ago, three pizza places in your town, three different kinds of pizzas, three different kinds of outcomes. (16:51) Why can't your pump remember geographically? (16:55) Your phone knows where you are. (16:56) When I'm at this location and I tell you I'm having forty five grams, this is my insulin need.

Scott Benner (17:01) And when I'm at that location, I tell you I'm having 45. (17:04) That's my need. (17:05) You don't that that doesn't sound reasonable to you? (17:07) It sounds incredibly reasonable to I just watched my goddamn browser browse my own website and click on stuff.

Chris (17:13) Yep. (17:13) Yeah. (17:14) Yeah. (17:14) We're almost there.

Scott Benner (17:16) Yeah. (17:16) Put me out of business.

Chris (17:18) I don't know, but it's the people. (17:20) I mean, I'll I'll be totally honest. (17:22) I listen to very, very few of the management episodes these days. (17:25) Once in a while, I get through the end of the episode, one rolls on, I'll listen to it. (17:29) But for the most part, I'm here for the people.

Scott Benner (17:32) For the conversation, Sam. (17:33) Yeah. (17:33) I love Well, then I'm good. (17:34) Get to keep my job.

Chris (17:35) That's right. (17:36) That's right.

Scott Benner (17:36) I was gonna have to pivot to, motivational speaking, if not. (17:39) And I have to tell you, I I don't wanna be flying all over the place constantly, so it doesn't sound I mean, although may I tell you something? (17:45) Chris, that's all we're doing is talking to each other. (17:47) Right? (17:48) Yeah.

Scott Benner (17:49) Thinking about how we talked earlier about how different people react to things. (17:54) And you were talking about, like, being, like, either super focused or, you know, whatnot and being overwhelmed. (18:00) And what I clung to in that part of the conversation is, like, coming from chaos and knowing how to deal with it. (18:06) I was in a room yesterday, 600 people in the audience, you know, people on stage. (18:11) It was a big production.

Scott Benner (18:12) There was a lot going on. (18:14) And I really was looking around at everybody, and some people were wide eyed. (18:18) You know? (18:18) Like, just being in the room with so many people made them wide eyed. (18:21) Some of the people that were going up on the stage looked pensive.

Scott Benner (18:24) Some of them looked a little worried. (18:26) You know, they some of them looked like you could see them talking through what they wanted to say in their head before they went up. (18:32) Was really interesting. (18:33) And I sat there like a lion in a cage. (18:36) I was like, come on.

Scott Benner (18:37) Let's go. (18:38) And I did think for a minute, like, what is wrong with me? (18:42) Why am I not, like, reasonably nervous or frightened to do this? (18:47) Like, why I'm just like, get to me. (18:49) I I I'm gonna like, let's let's do it.

Scott Benner (18:52) Let's tell stories. (18:53) Let's try to get people thinking about ways to do better stuff for themselves. (18:56) Like like, I sat in that chair. (18:58) I was like, get me up there. (19:00) Yeah.

Scott Benner (19:00) And I do wonder as you were talking, it made me wonder, like, I grew up with chaos. (19:04) Like, I wonder if I'm not, like like, if that's not a comfortable place for me.

Chris (19:09) Yep.

Scott Benner (19:09) You know?

Chris (19:10) I think that's what we do. (19:11) We find those those things that do make us feel comfortable.

Scott Benner (19:15) Yeah. (19:15) I could not have been more at ease.

Chris (19:17) That's that's amazing. (19:19) Well, I don't know. (19:19) Don't know. (19:20) Like, I

Scott Benner (19:20) was worried for myself. (19:21) Like, it it everyone else seemed to be having what I thought was a more normal reaction to to the experience. (19:27) And I was just like, even when they were like, you know, we have this much time. (19:30) Everyone says that whenever I go to something, they're like, you know, we we have an hour. (19:34) Can you fill it?

Scott Benner (19:35) I'm like, an hour? (19:36) Stop. (19:38) I could sit up there all day if you wanted me to. (19:39) I know if anybody would be interested or not, but I'd be okay with it. (19:42) It it really is something.

Scott Benner (19:43) So alright. (19:44) Well, what else did, did your dear Emma want you to tell you? (19:47) She's not doing gymnastics anymore. (19:48) She's rolling full this episode of the juice box podcast, and it features a lightning fast thirty minute warm up time. (19:59) That's right.

Scott Benner (20:00) From the time you put on the Dexcom g seven till the time you're getting readings, thirty minutes. (20:06) That's pretty great. (20:07) It also has a twelve hour grace period, so you can swap your sensor when it's convenient for you. (20:13) All that on top of it being small, accurate, incredibly wearable, and light, these things, in my opinion, make the Dexcom g seven a no brainer. (20:22) The Dexcom g seven comes with way more than just this.

Scott Benner (20:26) Up to 10 people can follow you. (20:27) You can use it with type one, type two, or gestational diabetes. (20:30) It's covered by all sorts of insurances. (20:34) And, this might be the best part. (20:36) It might be the best part.

Scott Benner (20:38) Alerts and alarms that are customizable so that you can be alerted at the levels that make sense to you. (20:45) Dexcom.com/juicebox. (20:47) Links in the show notes. (20:48) Links at juiceboxpodcast.com to Dexcom and all the sponsors. (20:53) When you use my links, you're supporting the production of the podcast and helping to keep it free and plentiful.

Scott Benner (21:00) Today's episode is brought to you by Omnipod. (21:03) Did you know that the majority of Omnipod five users pay less than $30 per month at the pharmacy? (21:09) That's less than $1 a day for tube free automated insulin delivery. (21:14) And a third of Omnipod five users pay $0 per month. (21:17) You heard that right.

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Chris (21:57) Full terms and conditions can be found at omnipod.com/juicebox. (22:02) Yep. (22:03) Yep. (22:03) She's rolling full time and she's in cross country, which is awesome. (22:06) I mean, we've we've got to experience the, having hot lunch and then running for six or seven miles

Scott Benner (22:12) Oh.

Chris (22:13) Within an hour or two later, it's it was, it was interesting adjusting her settings and everything when she first started cross country. (22:19) But she's handled it so unbelievably well. (22:22) She's received a medal. (22:23) She's placed in every single meet this year, and she has her big championship tomorrow.

Scott Benner (22:27) So awesome. (22:27) Hey. (22:28) Well, good luck to her. (22:29) But where were the adjustments that were made?

Chris (22:31) I mean, for the most part, it was getting something in her system after lunch. (22:36) Because what would happen, of course, is she would have a pretty heavy lunch, and then she'd start it would give her a bunch of insulin. (22:43) She would start drifting down, and it Luke just couldn't couldn't catch it. (22:46) She had a little bit too much insulin on board, especially when she's running around like crazy. (22:51) So it was we just started throwing a little protein snack, like an uncovered protein snack in there, and a little bit of drop to the to the basil right after after lunch.

Chris (23:00) And Nice. (23:01) We got her there the last couple. (23:03) She's been totally totally oh, this one this one was actually good, though. (23:06) She was doing her time travel thing, which is at the beginning of cross country, you run a mile and you time it. (23:13) And then at the end of cross country, you do the same thing to see how much you've improved.

Chris (23:17) And I had been watching her graph. (23:19) I'm like, oh, she's going to need something. (23:22) So I'm like, I call her. (23:23) She doesn't answer. (23:24) I'm like, oh, I'll call her again.

Chris (23:25) Then about two minutes later, I I get a text saying I'm all set. (23:29) Then she comes home and she's like, dad, I did it. (23:31) I shaved a minute off my time. (23:33) She ran a mile in seven minutes and forty eight seconds, which is insane at 10 years old.

Scott Benner (23:39) Goodness.

Chris (23:39) Then she's like, oh, by the way, thanks for calling me right in the middle of it. (23:44) And I was like, really? (23:45) I called you right in the middle of it? (23:46) And she's like, yeah. (23:47) But she's like, it's okay.

Chris (23:48) I just I shut it off, and I I grabbed my Smarties, and, you know, I just kept going. (23:52) And I'm like, so you ignored my call and treated it low and shaved a minute off your mile.

Scott Benner (23:59) Yeah.

Chris (23:59) Like, that's

Scott Benner (24:00) How old?

Chris (24:01) That's mind blowing.

Scott Benner (24:02) How old is she now?

Chris (24:03) She's she's still 10. (24:04) She'll be 11 in a month and a half. (24:06) Yep.

Scott Benner (24:06) That's awesome. (24:07) She's got your way about her. (24:09) Does that make sense?

Chris (24:10) Yeah. (24:11) No. (24:11) I know exactly what you mean.

Scott Benner (24:12) Yeah. (24:12) Yeah. (24:12) No. (24:13) She's real chill and kind, and she was funny and sarcastic and smart. (24:19) Oh.

Scott Benner (24:19) She's a really great mix.

Chris (24:20) I I I I gotta be honest with you. (24:23) When she first of all, she told you that joke. (24:25) I don't know if you remember it, the long one with the all the animals and the brick hitting the girl in the head.

Scott Benner (24:29) Yes. (24:30) And the joke was that she made me listen to it. (24:32) Am I right?

Chris (24:33) Essentially, right. (24:34) Because you, you know, it like, you missed the whole thing a lot. (24:36) When she's between that and then when she gave the whole fake disease, do you remember when she mentioned that?

Scott Benner (24:41) That I remember. (24:42) She made up a disease that she had. (24:44) Yeah. (24:44) It strung me along.

Chris (24:46) I literally I fell to the floor laughing when I heard that. (24:49) I'm like and she she nailed it so effortlessly. (24:52) Like, when when she said when you responded and said that she was gonna be on the podcast, I'm like, Emma, you gotta come up with something good. (24:57) You know, I was just trying to make her be more comfortable.

Scott Benner (24:59) Sure.

Chris (25:00) And I was like, come up with a good joke to tell. (25:03) And she's like, what if I tell them that I have pneumonology microscopic silico volcaniconiosis? (25:08) And I was like, you're gonna be able to do that? (25:09) And I said, you gotta do it, but at the end of it, you gotta you gotta really drop it. (25:13) You gotta be like, oh, no.

Chris (25:14) No. (25:15) No. (25:15) I'm just messing with you. (25:16) And the way she just flawlessly dropped the f bomb right there. (25:20) I'm like, how?

Chris (25:21) This kid needs to be a stand up comedian. (25:23) I

Scott Benner (25:23) mean Oh, she's she's really lovely. (25:26) Now if you've raised her on this homestead in Maine, I don't know if she's gonna talk to enough people or not. (25:30) Do you live on that property now or do you is it just a property you own?

Chris (25:33) No. (25:33) We we live about an hour away. (25:35) About a half an hour away. (25:36) We live in in Brewer, which actually, she mentioned that she lived on on a river. (25:40) We live in, we live right on the Penobscot River, which is the big river in Maine.

Scott Benner (25:44) Okay.

Chris (25:45) So, yeah, we we but we live close to people. (25:48) So we're kind of in the woods. (25:49) Like, we've got, a couple acres of property and, like I said, woods and goes down to the river, and we have chickens. (25:54) But we're also, like, ten minutes from the airport.

Scott Benner (25:58) Wait. (25:59) Did you say the Penobscot River?

Chris (26:01) Yeah. (26:01) The Penobscot River.

Scott Benner (26:02) What seventies TV character had that last name?

Chris (26:06) Penobscot?

Scott Benner (26:08) Hold on a second. (26:09) People are like, oh, great. (26:10) Another reference I don't know. (26:12) It's Happy Days or? (26:14) Oh god, what's it gonna be?

Scott Benner (26:16) A Lauren and Shirley mash. (26:19) Was Okay.

Chris (26:20) Mash. (26:20) Damn. (26:20) Mash.

Scott Benner (26:21) Yes. (26:21) Yes. (26:22) Margaret marries a guy named, Donald Panopscott. (26:27) Wow.

Chris (26:28) No way. (26:29) There's gotta

Scott Benner (26:29) be somebody had to have grown up near that river road on that TV show.

Chris (26:32) Well, it it I mean, Penobscot is the one of the the Indian tribes here in Maine. (26:36) Is it? (26:36) I didn't realize. (26:37) Oh, okay.

Scott Benner (26:38) Yeah. (26:38) Alright. (26:38) Well, now we're learning stuff finally.

Chris (26:39) The Penobscot Indians. (26:41) Yeah.

Scott Benner (26:42) Well, now we're learning stuff. (26:43) The people are like, I always learn something new. (26:45) Now you know that. (26:46) I don't know what you're gonna do with it, but God bless you. (26:47) Good.

Scott Benner (26:48) Great. (26:48) What else you got on your list there?

Chris (26:51) So things that I can oh, oh, oh, she mentioned that she had her crush coming over. (26:55) You were asking her about boys and Yeah. (26:57) And and she told you her her sneaky plan to get her her friend to break up with her crush. (27:05) Mhmm. (27:05) And that way that she could slide in and have her chance.

Chris (27:07) Well, I just wanna say that that was that was successful. (27:10) She waited her time. (27:11) She didn't intervene, and it all worked out. (27:14) The crush is now is now her, you know, 10 year old boyfriend, and he's a great kid.

Scott Benner (27:18) She she's a home wrecker?

Chris (27:20) She is well, but but she did she's not because she waited her time. (27:23) She didn't say anything until after they broke up, and then then she went in for her chance.

Scott Benner (27:27) Yeah. (27:28) No kidding.

Chris (27:28) Look at her.

Scott Benner (27:29) Yeah. (27:30) Is that awesome?

Chris (27:30) Yeah. (27:31) She said I could share that. (27:33) And then let's see. (27:36) Oh, she mentioned she mentioned PPODS, which was it's a local, like, diabetes organization in the area.

Scott Benner (27:42) Okay.

Chris (27:43) That's something that she does with with a bunch of her friends, and it's really cool around here. (27:46) So her endocrinologist and the CDE, they're all involved in it, and they they do, like, summer camp events. (27:53) They we had a Brett Michaels concert. (27:55) Didn't know Brett Michaels had type one.

Scott Benner (27:56) Oh, no kidding. (27:57) You didn't know that?

Chris (27:58) No. (27:59) I had no idea.

Scott Benner (27:59) Oh, okay.

Chris (28:00) I I no. (28:01) I I didn't even know he was the lead singer of Poison, though I like Poison. (28:04) I had no idea. (28:05) I I don't follow I didn't follow it that closely. (28:07) But we went there and went to the concert, and right up toward the front of the stage, there was a a group of, you know, a group of us there that were from it was like a type one fundraiser.

Chris (28:17) And he saw her CGM, drag her up on stage, and had a whole thing about type one diabetes. (28:23) And it was so awesome for all of those kids to see this, like, totally normalized and to be able to to to rock out with with all it it was fantastic.

Scott Benner (28:32) Oh, that's nice.

Chris (28:33) I just wanted to throw a shout out for the the PPODS organization here in Maine. (28:37) Absolutely fantastic.

Scott Benner (28:38) Yeah. (28:38) Oh, that's lovely. (28:39) Good for them. (28:39) It's a a local org.

Chris (28:41) Yeah. (28:42) Yeah. (28:42) Yep. (28:42) That's right. (28:43) Isn't that nice?

Scott Benner (28:44) People see, there's plenty of people doing nice stuff.

Chris (28:47) Absolutely.

Scott Benner (28:48) There's a few people who aren't, but that's fine. (28:50) We can overcome that, maybe.

Chris (28:52) For sure.

Scott Benner (28:53) How do you expect her to progress through this? (28:56) Do you imagine there's gonna be a time of rebellion, or what do you think?

Chris (29:00) Well, I don't know. (29:02) I mean, she she does she's really good at caring about taking care of herself. (29:07) She doesn't let it get her down very often, but I imagine there's definitely gonna be times that she struggles. (29:12) You know, sometimes, like, there's the food struggles where she'll she really wants something. (29:18) She'll be like, oh, I'm so hungry.

Chris (29:19) I want, you know, I want a doughnut. (29:20) Let's go get some ice cream. (29:21) And she'll look at her blood sugar, she'll be like, oh, it's too high. (29:25) We can't do it. (29:26) And so one of the things we work on a lot is, like, showing her, like, we know how to use insulin and helping her get through that type of stuff.

Chris (29:34) But I'm sure that at some point, that that's something I I think she'll probably struggle with is, like, that balance of having to do this extra thing that most people don't have to deal with, which is hopefully, as the technology goes grows, that that won't even be an issue.

Scott Benner (29:47) Yeah. (29:48) You know, I talked to a gentleman recently talking about his college aged son, and he said the saddest thing. (29:53) His his son told him, dad, I'm here for a good time, not a long time.

Chris (29:58) Oh. (29:58) It

Scott Benner (29:59) made me sad. (30:00) Oh. (30:00) Yeah. (30:00) It made him I I he looked sad as well. (30:03) Yeah.

Scott Benner (30:04) And I he's like, do you have anything to offer me? (30:06) And I said, I I would maybe try to get him to listen to the Small Stips episodes. (30:10) I was like, they're really short. (30:11) They're like, it's a packed one thing, one idea. (30:15) It should be short enough for a, you know, a teenager to listen to.

Scott Benner (30:19) And I was like, and you're probably paying for college. (30:20) So and just tell him if he wants to keep going to college, you could just listen to these real quick and see if, you know, you can take something from him. (30:25) Because how do you change someone's mindset who just thinks, I'm not gonna live very long because of this?

Chris (30:32) We we know people somewhat close to us that are that are in that kind of boat where they just they grow up in a different time with different technology and a different support structure, and that's that's their general attitude. (30:42) I mean, e even Emma sees it, and she's like, that that's really sad. (30:46) She's like, because I'm gonna live a normal life. (30:48) And I love that she has that perspective of you know, she knows, hey. (30:50) If I take care of myself, hopefully, it's gonna just be something other than diabetes against me.

Scott Benner (30:54) I don't understand the not fighting to be here thing.

Chris (30:58) Yeah.

Scott Benner (30:58) That that that to me is strange. (31:00) I'm I'm doing everything I can to, you know, stay here longer. (31:05) That would seem like job one to me, but I guess not for everybody or maybe there's a little I don't know if there's depression. (31:10) I don't know the kid, obviously, if there's depression mixed in or maybe just had a bad time and just doesn't see the way out. (31:15) You know, I I there's been plenty of episodes.

Scott Benner (31:18) I don't even remember the episode number anymore, but this guy came on one time and talked about how he's great. (31:24) I still I keep in contact with him still, but he was looking for help online and somebody pointed him to me, and we talked privately on the phone. (31:32) And then, you know, things just started getting better for him and, you know, he changed his life and and, you know, back to school to do something else. (31:40) He does something really kind for people now as his as, you know, as his profession. (31:44) But, you know, he comes to the podcast a long time after we actually spoke privately and confided in me, I guess, in everybody listening that he'd had a plan to end his life.

Scott Benner (31:56) He was getting ready to enact a plan to end his life. (31:59) It's not a thing he wanted to do. (32:00) He just had he was hopeless about his diabetes and and everything. (32:05) You know, I just I make the point that I don't you just don't know what people are going through. (32:09) You know?

Scott Benner (32:09) So it's it's easy to say, like, you know, the kids said I'm here for, you know, a good time, not a long time. (32:15) Is he joking? (32:16) Does he feel that way? (32:17) Is he scared? (32:18) Is there something that's going on that the the parents don't know about?

Scott Benner (32:21) Maybe there's something happened to him he's not even aware of. (32:24) You know? (32:24) Right. (32:25) But and try not to judge anybody, but I I do still tell you that I, from my personal perspective, I can't understand not holding on with every last fingertip and searching. (32:37) But I don't know.

Scott Benner (32:37) You know, people's minds all work differently.

Chris (32:39) With you. (32:40) For sure.

Scott Benner (32:41) Tell Emma, I'm gonna try to keep this podcast going for a decade longer so that I can interview her when she's in college.

Chris (32:49) She wanted me to make sure that that she had an invite back again even though you told her very clearly before she had a great time. (32:55) So, yeah, keep keep doing that.

Scott Benner (32:57) Let's wait until she starts to, become a lady and I know what she means. (33:01) Stops talking to you as much. (33:03) And then, like, right in there, when she gets super sure of herself but has no actual content to back up her ideas, that's when I'd like to talk to her next and then in college after that.

Chris (33:12) Fantastic.

Scott Benner (33:13) Absolutely. (33:14) Yeah. (33:14) No. (33:15) It's well, I I there's a couple of people who come on at, like, intervals in their life, and I think it's, it's super interesting to visit back with them sometimes and see where they've gotten to and what's happened.

Chris (33:27) Actually, you know, this girl that was on one

Scott Benner (33:29) of the after darks, she was a an exotic dancer. (33:32) I'd like to have her back on too.

Chris (33:34) Oh, yeah. (33:34) I've heard that one.

Scott Benner (33:35) Wish she'll hear this. (33:37) Anyway, am I leaving anything out? (33:39) How am I doing?

Chris (33:40) Awesome. (33:41) A couple of the things that I wanted to mention is that you guys talked a little bit about the books I have in my toilet. (33:46) And then one of them she said a bunch of them are yours, but, of course, one of them is yours. (33:49) And I just wanted to say that,

Scott Benner (33:51) I love that book.

Chris (33:52) Like, for real, that that's one of that book, in my mind, helped me set the stage for how I am as a dad. (33:59) It's given me a lot of great ideas. (34:01) And the story you tell in there about you and Cole heading to Obama's inauguration, oh, man.

Scott Benner (34:06) Oh.

Chris (34:07) That is I recall that story all the time.

Scott Benner (34:09) No kidding.

Chris (34:09) I just wanted to say thank yeah. (34:10) Thank you a ton for writing that book and talking about it on the podcast because it it it it really is. (34:16) I keep it there on my toilet because, you know, that's that's actually probably what I read the most.

Scott Benner (34:20) Don't sit too long. (34:21) They say it's not good.

Chris (34:22) Oh, yeah. (34:23) No. (34:23) That's that's true. (34:24) Well, it's

Scott Benner (34:24) a You only sit down when you have to go. (34:25) Okay?

Chris (34:26) It's it's a short book. (34:28) Big font. (34:28) So I get through it pretty quickly.

Scott Benner (34:29) There's no deep thoughts in there that, that needed extra words. (34:32) But, personally, that's lovely of you to say, and and I feel honored that that you that you said that genuinely. (34:37) And and you reminded me of something that happened to me yesterday up on that stage when I finally got up there. (34:43) So for the biggest game that I talk and I'm not certainly, I'm not overblowing it, I really was sitting there like, let me up there. (34:50) I know I'm good at this.

Scott Benner (34:51) Like, let me get going. (34:52) Once I get up there and they start laying out my, you know, I don't know what you would even call it, like, you know, describing, you know, the podcast and and things that it's done and people it's reached and everything, I get very I've, the humility hits me really quickly. (35:09) Like, I don't know if it's because I you know, the way I grew up, if I don't feel like I belong in that situation. (35:13) Like, I I you know, I don't don't have a therapist to tell me what it is, but I I'm guessing it's one of these things. (35:19) Right?

Scott Benner (35:19) But, you know, they introduced me and then they asked me to tell him you know, talk about how I got to this spot. (35:27) Like, you know, like, what's the pathway that this whole thing took? (35:30) And I got all done and the one of the gentlemen that was interviewing me said, you know, like, he looked out in the audience. (35:36) He goes, Scott is is being very, very humble right now. (35:39) And I thought, no.

Scott Benner (35:40) I'm not. (35:41) Like, I'm not. (35:42) I I am not doing that. (35:44) I'm not up there, like, consciously trying to be like, oh, no. (35:46) No.

Scott Benner (35:47) No. (35:47) No. (35:47) Like, you know what I mean? (35:48) Like like, or or trying to come off as I wasn't trying to come off as humble. (35:52) I wasn't trying to give them a feeling that it was something that I'm not I know what this podcast does.

Scott Benner (35:58) Right? (35:58) I see what happens in the community. (36:00) I'm really grateful that it worked out that way. (36:04) Don't I feel like I can take credit for it. (36:06) Like, I just think I'm being myself and this sort of happened.

Chris (36:11) And You call that impostor syndrome. (36:12) Right?

Scott Benner (36:12) I guess so. (36:13) Right? (36:14) Yeah. (36:14) Yeah. (36:14) Or but I mean, is that important really?

Scott Benner (36:16) Like, do I is it important for me for you to say that and then I tell you, oh, yeah. (36:21) Yeah. (36:22) I did that's what I did. (36:23) I did that on purpose. (36:24) Like, know what I mean?

Scott Benner (36:24) I wrote that book like that so you'd have that feeling like, I by the way, I did, but I don't feel that way Right. (36:31) If that makes any sense. (36:32) And I know it doesn't. (36:34) Like, it to hear you go go ahead. (36:37) Say respond.

Scott Benner (36:37) I'm sorry.

Chris (36:38) No. (36:38) I was just gonna say, like, I get you, and I I feel the same way, like, in in what I do for a career. (36:44) Like, many days, I don't believe, like, that I do something and I get congratulated for what I did or thanked for it. (36:50) I'm just like, I was either just doing my job or sometimes I'm like, I don't even I don't believe I even really did that. (36:55) Like, how did I do that?

Chris (36:56) Like, I I kind of I think I relate to a similar feeling.

Scott Benner (37:00) Yeah. (37:00) It it's funny because in my heart, like, I'm I'm fully capable of giving myself credit. (37:07) Like, it's in front of other people where I don't want that. (37:10) Yeah. (37:10) Here here's the other side of it.

Scott Benner (37:12) And I have a podcast, so I have to talk. (37:14) Right? (37:14) So everything is happening right now. (37:16) If you're being helped by the Facebook group or the thing I'm trying in the circle group or this podcast or something else that I've done, I want you to know I did it all very intentionally and on purpose. (37:28) I didn't have a plan when I started, but I am really good at seeing where the road is going and running up ahead.

Scott Benner (37:33) And in any time I've done something that's been a failure or not worked out, I just pivot. (37:38) I stay flexible and I go, okay. (37:39) That didn't work or it didn't resonate with them or whatnot. (37:42) Like, I still think the grand round series is awesome, and it doesn't get listened to as much as it should. (37:47) You know?

Scott Benner (37:47) That's not what a mass of people want. (37:49) It downloaded well, but it didn't download the way I think it should. (37:52) Then I pivoted off to something else. (37:53) I said, okay. (37:54) If they don't want that information this way, I'll find another way to get it to them.

Scott Benner (37:58) I'm making a compilation now, and I've been at this for two years, compiling people's struggles. (38:05) Right? (38:06) I'm right now in the middle of just imagining how to conversate around their struggles that will be most valuable back to them. (38:14) Like like, do I break them down into mental health, management, you know, other ideas and then find a partner to talk about each one of those things with and deliver them back like that? (38:26) It would it be better if I mixed it into conversation and just hope that they found it?

Scott Benner (38:30) And I'm gonna figure out what the best way to go is. (38:33) But what I figured out was, is it between talking to people and then watching them online and then outright asking them, I was able to build a comprehensive list of things that people with type one diabetes struggle with. (38:46) And once you have that list, there's a way to help them with it. (38:50) And now I gotta find a way to deliver it in a way that they'll receive better than they receive their grand rounds. (38:55) Maybe even the grand rounds, maybe it was just the name.

Scott Benner (38:57) Like, I don't even know. (38:58) Like, maybe people don't know what that means or or care or maybe it seemed overly medical before they dove in. (39:05) Like, I don't know. (39:06) But that series, it's a how to for doctors and a what to ask for for patients. (39:10) It's for both people, and I think it's really valuable.

Scott Benner (39:13) And I've heard back from people that it's valuable. (39:15) It just didn't catch on the way it should have. (39:17) The small sips scared me too. (39:19) Like, everybody's like, people need shorter form content. (39:22) I was like, alright.

Scott Benner (39:23) You put a ton of effort into distilling the pro tips and the bold beginning series into the small sip series, and I don't see people sharing it the way I expected them to. (39:32) So maybe they are and I can't see it. (39:33) I don't know. (39:34) But, like, I'm constantly, like, working towards that on purpose. (39:39) Oh.

Scott Benner (39:40) But I but if you sat down in front of a group, like, I can say it to you because you can consciously forget for a second that other people are gonna hear it. (39:47) But if you put me in front of those 600 people again and told me to say this, I'd be like, oh, I'm just doing my best. (39:52) Like, that's how it would come out. (39:54) You know?

Chris (39:55) Yeah. (39:55) I mean, it's been great to see where you started and and where you've taken it. (39:59) It's awesome. (40:00) I I hope you keep making it for however many more years because it's, I'll I'll definitely keep listening, and it's it's been very valuable to us and lots of people that we know. (40:09) I mean, I I share it as much as possible.

Chris (40:10) Some people just don't like podcasts.

Scott Benner (40:12) Yeah. (40:13) But By the way, they think they don't.

Chris (40:15) Yeah. (40:16) You're right.

Scott Benner (40:17) I hear two things. (40:17) Right? (40:18) I hear my brain doesn't work that way. (40:21) And I would tell you, I get it, but just listen passively and you'll pick things up you don't even realize, but that's a hard thing to explain to people. (40:29) I did pass an entire psychology class in high school by sleeping through it.

Scott Benner (40:33) I must have heard something while I was asleep. (40:35) That's a great story. (40:36) I feel like I've told it before, but I got the best score on the final and I slept through that class every day.

Chris (40:42) That's amazing.

Scott Benner (40:42) And now I look back and think it's possible I was anemic then too and I didn't realize it. (40:47) But Wow. (40:47) Nevertheless, I think listen passively. (40:50) Don't put your I think some people's brains tell them that they're supposed to sit down, listen, and know a thing when it's over. (40:56) Right.

Scott Benner (40:56) And I just don't think that that needs to be the way. (40:59) So just listen in the background. (41:01) You'll pick stuff up eventually. (41:02) It'll start making sense. (41:03) I teach myself I'm looking at this little tiny lizard I have over here in this little tiny cage.

Scott Benner (41:08) Okay? (41:09) And I know you're like, oh, it's chameleons. (41:10) No. (41:10) There's a couple others. (41:11) It's called a a Sri Lankan pygmy lizard.

Scott Benner (41:15) There's a pair of them in there. (41:17) Not many people breed them. (41:18) And as a matter of fact, I believe they're on a SIDES list now. (41:21) You can't get them out of Sri Lanka anymore. (41:22) So the ones that are here are the ones that are.

Scott Benner (41:25) They breed. (41:26) So I don't have any desire to be in the reptile breeding business. (41:30) I guess unless you guys want my Sri Lankan pygmy lizards, then hit me up, I guess, and I'll I'll ship it to you. (41:35) It would be easier than driving them back to the brooder, which is what I do is I take them back to the guy that made mine. (41:40) And I'm like, look.

Scott Benner (41:41) You know, I know you're gonna sell these and make some money, but right on, like, just take them. (41:44) You know? (41:44) Mhmm. (41:45) I just want them to go out and have other people, you know, enjoy them and hopefully, you know, maybe there'll be more of them one day. (41:51) But there's the guy's got, like, a twenty minute care video about them.

Scott Benner (41:58) So I listen to it once, and then I don't know what I'm doing. (42:02) And I listen to it twice, and I don't know what I'm doing. (42:04) I listen to it three times. (42:05) I don't know what I'm doing. (42:05) If you ask me right now to give you the parameters for keeping this thing, I don't know that I could rattle them back to you, but I am taking great care of them.

Scott Benner (42:14) Right. (42:14) And and I kind I know that sounds strange, but I think that diabetes can be like that to some degree. (42:19) You know? (42:20) Just hear stuff over and over and over again, and maybe just in the moment, you'll do the right thing.

Chris (42:26) Absolutely.

Scott Benner (42:26) If that sounds hocus pocus y to people, I would understand. (42:29) But I think that's real. (42:31) And I think I've interviewed enough people who've said things like, I listen to the podcast. (42:35) I'm not really good with numbers, but I'm doing really well. (42:38) And they don't know why.

Scott Benner (42:39) Or people have said, like, I already knew how to do all this, but listening to the podcast keeps me background focused without being front brain focused. (42:48) I don't know how to explain all of it. (42:50) I just see it works.

Chris (42:52) So that that's actually a really good point. (42:54) So I have an engineering background even though, as Emma would say, I'm terrible at math and I'm a big college dropout. (43:00) The way you broke it down helped me so much because I was so focused on I remember the first time that I'm like, I gave 1.4 units last time, and it worked out perfect. (43:09) And I gave it today, and it didn't work. (43:11) And or, you know, this plate of food is supposed to be this much.

Chris (43:15) Like, I was so tied to rules that hearing the, like, you know, I just look at it, I'm like, it's a unit or it's four units. (43:23) Like, just that sort of swag, that loose way of doing it, that mixed with my wife is much more that way of just, like, laid back when it comes to the stuff. (43:32) Like, let's just try it and see how it works.

Scott Benner (43:34) Yeah.

Chris (43:35) That's so powerful for me. (43:38) Like, that that helped me so much to be able to just not have to adhere to the rules that that, you know, computers and and everything else have to adhere to. (43:47) That it's just be flexible and and figure it out as you go. (43:51) Isn't it

Scott Benner (43:51) funny that's the first time somebody's used the word swag more like swagger? (43:55) And, it made a lot of sense to me when you said it that way.

Chris (43:58) Oh, swag is is scientific wild ass guess in the IT community.

Scott Benner (44:02) I know it is. (44:03) Yeah. (44:03) Actually Okay. (44:03) But that's not my point. (44:04) My point is is that, like, that's how it's always used.

Scott Benner (44:07) And that one time when you said it, I thought it was more like I imagined myself being like, yeah. (44:11) I don't know. (44:12) It's, like, about this much. (44:13) And that almost felt like swagger. (44:15) And I thought yeah.

Scott Benner (44:16) Yeah. (44:16) Yeah. (44:17) And, that's interesting, really, to me. (44:20) I don't know if it's interesting to anybody else listening.

Chris (44:21) Yeah. (44:22) Well well, as as you grow that, it that's kinda what it becomes. (44:25) Right? (44:25) Like, you almost have, like, a swagger of, oh, yeah. (44:27) It's just this much.

Chris (44:28) Just just do this. (44:29) I mean, that's the relationship we have with it now. (44:32) It's just sort of like, we look at it and we're like, I don't know. (44:35) It's somewhere around that. (44:36) And I mean, obviously, a well tuned algorithm helps with that a significant amount.

Chris (44:41) Mhmm. (44:41) But, yeah, that that's kind of how we approach it.

Scott Benner (44:44) A lot of people are gonna know, you I was having this conversation yesterday with somebody kinda off to the side, and I was like, you know, you can't raise a person on this technology and then make it hard for them to get to it sometimes. (44:57) Like, you either give it to them and they can always have it or it's not always available. (45:01) But, like, there are people coming up in diabetes right now, and the extent of their understanding of diabetes is that I put that thing on and that thing on, and the thing does the thing and I'm okay.

Chris (45:11) Right.

Scott Benner (45:11) Right? (45:11) And so going back almost full circle here, you know, your care team telling you it needs to be a year, I think that's what they're talking about. (45:19) We want people to understand it, you know, sticks and stones, nuts and bolts in case it all, like, you know, reverts back that way. (45:26) I just don't think it's actually gonna revert back that way. (45:28) But you could lose your insurance.

Scott Benner (45:30) You could I guess that's how it could end up reverting back, and then you're not gonna know what to do. (45:35) I do think it's possible to teach people what to do when they have the tools, But then maybe you run into a a human limitation where they're gonna say, I don't really need to know this now because the thing does the thing. (45:48) So there's a lot of arguments. (45:49) I find myself somewhere between worried like Jenny is. (45:53) Jenny's like, I'm afraid that people aren't gonna understand what they're doing and hopeful about the technology the way I am.

Scott Benner (46:00) Like, I'm trying to draw myself more to the center on that. (46:03) And I've been doing I've been working on that for a couple of years actually not to just, like, say, no. (46:06) The thing works. (46:07) Like, it'll be great Because I mean, look at me. (46:09) You saw me with the GitHub.

Scott Benner (46:10) I don't know what I'm doing with that.

Chris (46:12) And it works.

Scott Benner (46:13) Yeah. (46:13) Yeah. (46:13) But it works. (46:14) So good. (46:14) And if I really get stuck, you know, I'm lucky enough to be able to reach out to find people who do understand it.

Scott Benner (46:19) But that's not a real answer because if all those people disappear, what am I supposed to do all of a sudden? (46:25) You know what I mean? (46:26) I won't know what to do. (46:27) Now could I figure it out? (46:29) This to me is the last step of that.

Scott Benner (46:31) I think I could. (46:33) Right. (46:33) Could everybody? (46:34) I don't think that's the case. (46:35) I don't think I'm special, but I think you're dealing with all levels of financial support, emotional support, intellectual backing.

Scott Benner (46:43) Like, there's a lot of different kinds of people. (46:46) So I don't know I don't think there's an answer answer. (46:49) I just think these are things that we have to keep in mind while we're trying to help people and while they're trying to help themselves.

Chris (46:55) Definitely.

Scott Benner (46:55) Okay.

Chris (46:57) So one one last thing.

Scott Benner (46:58) Yeah. (46:58) What do you got?

Chris (46:59) So Emma called me a big college dropout.

Scott Benner (47:02) Must have been lovely to hear.

Chris (47:04) It was. (47:05) It was. (47:05) It was absolutely fantastic. (47:06) And, which which I am, and I boasted. (47:09) I and not only did I drop off from college once, but I dropped off from college three different times, so it's really drives the point home.

Chris (47:16) But didn't slow me down. (47:18) Whatever. (47:19) So and then she called me skinny and weak. (47:21) I think you would ask something about, like, is your dad a big strong guy because he's out in the woods? (47:25) And she's like, no.

Chris (47:26) He's actually really skinny and weak. (47:28) So I just had to give my rebuttal. (47:30) So what I have to say to Emma is that, Emma, I'm very, very proud of you. (47:36) You're an amazing young young lady, and I am so excited to see what you're gonna do as you move forward. (47:42) And I'll I'll save the actual ribbing and and and whatnot for the next time we fight.

Scott Benner (47:46) Very nice. (47:47) No. (47:48) You're lovely. (47:48) You're a good dad, man.

Chris (47:50) Thanks. (47:51) I really appreciate it. (47:52) And and and so so are you. (47:53) I've been hearing your stories forever, and they they definitely influence my my dad decisions on a daily basis.

Scott Benner (47:58) I can't tell you how much that means to me. (48:00) It really does. (48:01) Good. (48:02) I'll try to break through the feeling for a second one more time and tell you that I've never been able to kinda quantify it more than to say that things occur to me when crisis comes up, when there's problems, when there's something to get accomplished. (48:15) More often than not, the thing that I think to do works out.

Scott Benner (48:19) I don't know another way to put that because I can't take credit for any of it. (48:22) I don't think things through the way you imagine thinking things through. (48:26) I just look at things and something pops into my head. (48:29) And more often than not, that thing works. (48:33) And even as a younger person, people would come to me for all kinds of advice and I never understood why.

Scott Benner (48:40) I genuinely never understood why. (48:41) I was not a I didn't have money. (48:43) I didn't have any kind of, you know, position in the world, anything at all. (48:47) And yet people around me would always ask what I thought about stuff. (48:51) And they'd come back and say, hey.

Scott Benner (48:53) That really worked out for me. (48:55) I remember one time, my wife was managing a movie theater and there were kids working there that were, like, 16, 18. (49:01) We were probably in our, like, early twenties. (49:03) And this kid was like, I'm I'm always spending all of my money. (49:07) He's like, I just he's like, I I and these ATM machines were a little newer back then.

Scott Benner (49:11) He's like, I'm always going to the ATM machine, getting out a couple of bucks, and spending it before I know it all my money is gone. (49:16) Would you have any advice about that? (49:17) Now advice, well, I didn't have any money. (49:19) I didn't know anything about anything. (49:20) You know?

Scott Benner (49:21) And I said, yeah. (49:22) Only take out $20 when you go to the ATM. (49:25) And he's like, wait. (49:26) Your advice is to spend more money? (49:28) I said, no.

Scott Benner (49:28) My advice is when you go to the ATM, only take out a 20. (49:31) Never take out less than 20 because this wasn't a kid who had a ton of money, $20 was a big chunk of it. (49:36) You know? (49:37) A couple months later, he comes back to me. (49:39) He goes, hey.

Scott Benner (49:39) I've been saving money. (49:40) I'm doing great. (49:41) I was like, oh, yeah. (49:41) I said, how how's it going? (49:43) Like, what what'd you do?

Scott Benner (49:43) And he goes, I just did a thing where, you know, I only take out a 20. (49:48) And I was like, oh, cool. (49:49) And I just walked I was like, that's great. (49:51) Like, I don't really know what to do after that. (49:53) Was like, alright.

Scott Benner (49:53) Right on, man. (49:54) I'm like, go clean up the popcorn, you know, to, like, relationship stuff and, like, everything in between. (50:00) Like, I don't know. (50:01) Like, when something goes wrong, I seem to know what to do and it translated into parenthood for me somehow. (50:08) And then as I try to be reflective about it, the only thing I can kinda come up with is that it just all seems like common sense stuff to me.

Scott Benner (50:16) I don't really feel like it's anything special. (50:19) I read the meditations from Marcus Aurelius recently. (50:23) It it just seems like common sense to me, but, you know, a long time ago. (50:28) Or or, you know, you read a collection. (50:30) There's this collection of Ben Franklin quotes that he he wrote under a pen name and read them.

Scott Benner (50:35) I think they're called poor rich it's like poor Richard's almanac.

Chris (50:38) I've read those. (50:38) Yeah.

Scott Benner (50:38) Yeah. (50:39) It's common sense.

Chris (50:40) A 100%.

Scott Benner (50:41) Yeah. (50:41) It is. (50:42) Now I don't know why some people have it and some people don't. (50:44) I that I couldn't begin to explain to you, but it's not some deep secret. (50:48) Like, like I said to somebody yesterday, they said, well, how come so many people have good outcomes after listening to the podcast?

Scott Benner (50:53) Like, what are you telling them that other people aren't telling them? (50:55) I'm like, nothing special.

Chris (50:56) It feels that way. (50:57) Right? (50:57) Like, it feels like common sense. (50:59) I feel the same way. (51:00) Like, I I don't know how I do most of what I do, but I'm also a person that people often come to for advice, and I'm always confused.

Chris (51:07) Like, why me? (51:09) But like you said, most of the things I've done, like, they just kinda seem to work out. (51:14) Actually, that common sense topic, one of the other books on my toilet is Robert I think it's Robert Fulgum. (51:20) It's Everything I Needed to Know I Learned in Kindergarten Mhmm. (51:23) Which is common sense.

Chris (51:24) The whole thing is literally him talking about how like, all the difficult things in life, it's just use common sense.

Scott Benner (51:29) Yeah.

Chris (51:30) But most people, common sense isn't common as it seems.

Scott Benner (51:33) Yeah. (51:33) I guess that's a saying for a reason, but I would wonder why. (51:37) Yeah. (51:38) Everyone has the intellect and the brainpower to run those their basic ideas. (51:42) Right.

Scott Benner (51:42) You don't even have to remember them. (51:44) You just have to have a a decision making tree that lends that leads you to that spot. (51:49) Right? (51:50) Like, this is happening. (51:51) What do I do?

Scott Benner (51:51) How do I do it spending the least amount of effort, the least amount of time, the least amount of money? (51:56) That's probably the best way to get through it. (51:57) If it's not, then why not? (51:58) Like, what did removing time out of it? (52:01) Is that maybe I should have thought about it longer?

Scott Benner (52:03) Taking money out of it? (52:04) It would have been easier with better materials. (52:06) Like, but that doesn't happen in front of me. (52:09) Right. (52:09) Like, in front of my eyes.

Scott Benner (52:10) I don't see the decision tree. (52:11) I don't hear the words. (52:13) I just I get to the end, and that's the answer. (52:15) And and if it's not right, then you reapply it, and it seems to work the next time. (52:20) Yeah.

Scott Benner (52:21) It is almost like watching that chat GPT go through the the website. (52:25) Like, I don't know exactly what it was doing, but it was taking the steps that it should have and it got to the end and it did the thing it said it was gonna do. (52:31) And I couldn't figure out what it was doing. (52:33) And maybe that's how it feels to people when they listen to You or Me sometimes or why that dumb book I wrote seems so important to you.

Chris (52:40) That dumb book you wrote.

Scott Benner (52:42) Chris, you have no idea. (52:43) I was approached by a publisher to write a diabetes book, and I immediately said, I should not be writing a diabetes book. (52:51) That's ridiculous. (52:52) I was like, I talk about it, and I give people, this is what I think, and they tell me what they think, and it's conversational. (52:59) It's meant to build a community, and then I you know, for people to draw out of it what they want.

Scott Benner (53:02) I'm like, I don't know how to sit down a to b and tell you how to do it. (53:05) You don't want me. (53:07) But I wanted to write a book. (53:08) So I said, could write a book about being a stay at home dad. (53:11) I said, I think that would be really interesting.

Scott Benner (53:13) I've thought about that before. (53:14) And they said, yeah. (53:15) Sure. (53:15) Like, get us a you know, get us an outline. (53:18) And I got off the phone, called my wife.

Scott Benner (53:21) You know? (53:21) I was like, hey. (53:22) This is what they want. (53:23) And she's like, are you gonna do it? (53:24) I said, yeah.

Scott Benner (53:25) I think so. (53:25) And then I just turned to my computer and I sat down and I just every one of those chapters is a thing that I wrote down in five seconds. (53:34) I just was like, this is important to know. (53:36) This is important to know. (53:37) This, this, this, this, this.

Scott Benner (53:38) I don't know if I put, like, 15 or 20 ideas together. (53:41) And then I've said this before on the podcast, but I was done ten minutes after I got off the phone with him. (53:47) I sat on it, like, for the rest of the week through the weekend because I wanted to think I was truly thinking about it. (53:52) And then I just sent it off and they said, this looks good. (53:55) You know?

Scott Benner (53:55) We'll give you a half the money upfront and the other half when you're done. (53:59) And I was like, okay. (54:01) And then I just sat down and wrote out how I felt about being a parent. (54:04) That's pretty much it. (54:06) I don't think I'm a particularly good writer.

Scott Benner (54:08) I'm if it reads even half decent, I'm I'm grateful.

Chris (54:12) Yeah. (54:12) It it does. (54:14) I listen to a fair amount of books. (54:15) Not a not a whole lot of similar topic books to that, but, I mean, it it reads, I think, similar to the way that your podcast listens. (54:22) I mean, you well spoken, and and the ideas are thought out.

Chris (54:26) It's I thought it was excellent.

Scott Benner (54:28) Thank you.

Chris (54:29) I've shared it with non you know, other people that I know, other dads, and I've had similar feedback where they're like, wow. (54:35) This is I've had people actually listen to a few episodes of the podcast with no context about type one diabetes. (54:40) Some of your podcast episodes are great, they're really not all that much about diabetes. (54:44) Yeah. (54:44) They're just about life.

Scott Benner (54:46) I told somebody the other day, I don't think I make a diabetes podcast. (54:49) I think I make a podcast where I only talk to people who are affected by diabetes.

Chris (54:53) Yeah. (54:54) That that's a great way to put it. (54:55) Yeah. (54:56) I and I'd agree.

Scott Benner (54:56) We came out of that that session yesterday, and, there was a lot of people lined up to say hi. (55:01) And one lady just came up to me and she said, you were so well spoken. (55:04) That was such a pleasure to listen to. (55:06) And I thought, no. (55:07) I'm not.

Scott Benner (55:08) I am not well spoken. (55:10) Then you just use the same words. (55:12) Like, I I don't know how to think about that. (55:14) I think I speak like you're watching Pulp Fiction. (55:18) I think you're here and then you're in the future and then you're in the past and then you're in your future and then somehow at the end it all ties together.

Scott Benner (55:24) Yeah. (55:25) Yeah. (55:25) But is that

Chris (55:26) That's good.

Scott Benner (55:27) That's good, though? (55:27) Like, I I mean I

Chris (55:29) it it works for you.

Scott Benner (55:30) Yeah. (55:30) It seems wrong to me.

Chris (55:31) It seems wrong to Like you said, you're not you're not planning it. (55:34) You're not trying to do this. (55:35) It just is who you are. (55:37) Yeah. (55:37) You're

Scott Benner (55:38) just I guess so.

Chris (55:39) Being your genuine self, which is, I think, why why it works so well for you because you're not trying to be something you're not.

Scott Benner (55:45) I'm gonna I'm gonna do something that I think a therapist would tell me is good, I'm gonna say thank you, and I appreciate that, and I'm taking it in. (55:52) And I'm gonna tell you I agree with you. (55:54) So there. (55:55) I'm gonna Awesome. (55:55) I'm gonna take the compliment.

Chris (55:57) Good.

Scott Benner (55:57) Awesome. (55:58) Alright. (55:58) Hold on one second for me. (55:59) This is a real pleasure. (56:00) By the way, you get a two parter out of that because we chatted so long.

Scott Benner (56:02) Congratulations.

Chris (56:03) Awesome. (56:04) Well, thank you for for talking to me and and to Emma. (56:06) It it's it's been excellent.

Scott Benner (56:08) Alright. (56:09) I really do appreciate it. (56:10) Hold on one second for me. (56:18) This episode of the Juice Box podcast is sponsored by the Omnipod five. (56:22) And at my link, omnipod.com/juicebox, you can get yourself a free what'd I just say?

Scott Benner (56:29) A free Omnipod five starter kit. (56:32) Free? (56:34) Get out of here. (56:34) Go click on that link, omnipod.com/juicebox. (56:38) Check it out.

Scott Benner (56:39) Terms and conditions apply. (56:40) Eligibility may vary.

Chris (56:42) Full terms and conditions can be found at omnipod.com/juicebox. (56:47) Links in

Scott Benner (56:47) the show notes. (56:48) Links at juiceboxpodcast.com. (56:52) Dexcom sponsored this episode of the juice box podcast. (56:55) Learn more about the Dexcom g seven at my link, dexcom.com/juicebox. (57:04) Says to forget old acquaintances, but honestly, I'm grateful for every one of you that keeps showing up.

Scott Benner (57:10) Thank you so much for listening. (57:12) Here's to a fantastic 2026. (57:17) Hey. (57:17) I'm dropping in to tell you about a small change being made to the Juice Cruise twenty twenty six schedule. (57:22) This adjustment was made by Celebrity Cruise Lines, not by me.

Scott Benner (57:25) Anyway, we're still going out on the Celebrity Beyond cruise ship, which is awesome. (57:30) Check out the walkthrough video at juiceboxpodcast.com/juicecruise. (57:34) The ship is awesome. (57:36) Still a seven night cruise. (57:38) It still leaves out of Miami on June 21.

Scott Benner (57:41) Actually, most of this is the same. (57:43) We leave Miami June 21, head to Coco Cay in The Bahamas, but then we're going to San Juan, Puerto Rico instead of Saint Thomas. (57:50) After that, Bastille, I think I'm saying that wrong, Saint Kitts And Nevis. (57:54) This place is gorgeous. (57:56) Google it.

Scott Benner (57:57) I mean, you're probably gonna have to go to my link to get the correct spelling because my pronunciation is so bad. (58:01) But once you get the Saint Kitts and you Google it, you're gonna look and see a photo that says to you, oh, I wanna go there. (58:08) Come meet other people living with type one diabetes from caregivers to children to adults. (58:14) Last year, we had a 100 people on our cruise, and it was fabulous. (58:19) You can see pictures to get at my link juiceboxpodcast.com/juicecruise.

Scott Benner (58:24) You can see those pictures from last year there. (58:27) The link also gives you an opportunity to register for the cruise or to contact Suzanne from Cruise Planners. (58:32) She takes care of all the logistics. (58:34) I'm just excited that I might see you there. (58:37) It's a beautiful event for families, for singles, a wonderful opportunity to meet people, swap stories, make friendships, and learn.

Scott Benner (58:49) If you're new to type one diabetes, begin with the bold beginnings series from the podcast. (58:53) Don't take my word for it. (58:55) Listen to what reviewers have said. (58:57) Bold beginnings is the best first step. (58:59) I learned more in those episodes than anywhere else.

Scott Benner (59:02) This is when everything finally clicked. (59:04) People say it takes the stress out of the early days and replaces it with clarity. (59:08) They tell me this should come with the diagnosis packet that I got at the hospital. (59:12) And after they listened, they recommend it to everyone who's struggling. (59:16) It's straightforward, practical, and easy to listen to.

Scott Benner (59:19) Bold Beginnings gives you the basics in a way that actually makes sense. (59:26) If you have a podcast and you need a fantastic editor, you want Rob from Wrong Way Recording. (59:32) Listen, truth be told, I'm like 20% smarter when Rob edits me. (59:37) He takes out all the, like, gaps of time and when I go, and stuff like that. (59:42) And it just I don't know, man.

Scott Benner (59:44) Like, I listen back and I'm like, why do I sound smarter? (59:46) And then I remember because I did one smart thing. (59:49) I hired Rob at wrongwayrecording.com.

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#1723 Emma's Dad - Part 1

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

Chris returns to redeem himself after episode 1600, discussing resilience, family health improvements, AI in diabetes care, and an unbelievable story about inheriting land and a battleship.

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

Scott Benner (0:00) Hello, friends, and welcome to the Juice Box podcast. (0:03) As we wrap up 2025, here's the old friends, new stories, and everything we've learned along the way.

Chris (0:23) My name is Chris. (0:25) I'm Emma's dad from episode 1,600 Into the Woods, and I'm here to sort of follow-up and redeem myself for all the nasty things she said about me in that episode.

Scott Benner (0:40) If this is your first time listening to the Juice Box podcast and you'd like to hear more, download Apple Podcasts or Spotify, really any audio app at all. (0:49) Look for the Juice Box podcast and follow or subscribe. (0:52) We put out new content every day that you'll enjoy. (0:56) Wanna learn more about your diabetes management? (0:58) Go to juiceboxpodcast.com up in the menu and look for bold beginnings, the diabetes pro tip series, and much more.

Scott Benner (1:05) This podcast is full of collections and series of information that will help you to live better with insulin. (1:15) While you're listening, please remember that nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (1:23) Always consult a physician before making any changes to your health care plan or becoming bold with insulin. (1:37) Today's podcast episode is sponsored by Medtronic Diabetes, who is making life with diabetes easier with the MiniMed seven eighty g system and their new sensor options, which include the Instinct sensor made by Abbott. (1:52) Would you like to unleash the full potential of the MiniMed seven eighty g system?

Scott Benner (1:56) You can do that at my link, medtronicdiabetes.com/juicebox. (2:01) Today's episode is also sponsored by the Kontoor Next Gen blood glucose meter. (2:07) This is the meter that my daughter has on her person right now. (2:10) It is incredibly accurate and waiting for you at contournext.com/juicebox.

Chris (2:17) My name is Chris. (2:19) I'm Emma's dad from episode 1,600 Into the Woods. (2:24) And I'm here to sort of follow-up and redeem myself for all the nasty things she said about me in that episode.

Scott Benner (2:32) Well, that you're bringing it right back to me, actually. (2:36) Hey. (2:37) She gave it to you good. (2:38) That was fun. (2:39) Yeah.

Scott Benner (2:39) You you took it in, in good humor, I imagine?

Chris (2:42) Oh, yeah. (2:42) We have a very, I don't know if playful is the right word. (2:46) We have a good relationship. (2:48) We're very open, and, we have a good time. (2:50) So we're always we're always giving each other crap.

Scott Benner (2:52) She was excellent. (2:53) So if you're enjoying Chris, and you wanna hear Emma, she is in episode 1,600. (2:57) It and like Chris said, it's called Into the Woods. (3:00) So well, I'm at an advantage because I, of course, just remember that a little girl came on and busted her dad's balls, and I don't remember anything else. (3:09) So I'll be able to talk to you as if, as if I'm I'm not burdened by the by the backstory.

Chris (3:14) Awesome.

Scott Benner (3:15) I was just at a thing yesterday. (3:18) I was giving a talk at a for, you know, a company, and just kind of a motivational thing. (3:24) They had they kind of had, like, talk I don't know if they were talking, but say questions that they wanted to ask me. (3:28) They definitely weren't talking much. (3:29) There were questions they wanted to ask me.

Scott Benner (3:31) And then, you know, we met for, you know, a couple of times before I went out there. (3:35) You know, what what do you think your answer is to this question? (3:37) I would tell them, and and we get into a meeting, like, you know, a couple weeks later, and they'd say, what are the what you know, let's go over it again. (3:42) We'll transfer that question. (3:43) I'd say something different.

Scott Benner (3:45) And and they'd say, that that's not what you said last time. (3:48) Was like, well, that's what it made me think of today. (3:50) You know, I'm sitting there waiting for them to call me up, and I just kept thinking, like, I wonder what I'm gonna say. (3:56) I never know. (3:57) So we get up there and and I start talking, and and I told them, I'm like, I have an outline here.

Scott Benner (4:03) I said, I know there are people in the room who worked hard on it. (4:05) I I have to be honest with you. (4:07) I don't know how I'm gonna do following it. (4:10) I don't remember. (4:10) Like, standing here right now, I don't know.

Scott Benner (4:13) I have no idea what's about to happen. (4:15) And people looked at me a little weirdly. (4:17) You know, it's kind of a corporate thing where you could tell they had made sure they were delivering the messages they wanted to send from different departments and whatnot. (4:23) It was really well done, really, like, very professional. (4:26) And they kinda looked at me strangely, and and that's when I told them, I don't know who I'm talking to before I record the podcast.

Scott Benner (4:33) And that really flipped people out. (4:36) Anyway

Chris (4:36) Yeah. (4:37) Well, I I I agree with you. (4:38) I I love the approach. (4:39) I mean, I've listened to a lot of a lot of the episodes. (4:42) I think Emma actually mentioned it in her episodes that I stumbled into the podcast way immediately when she was diagnosed.

Chris (4:50) I was away at a work trip. (4:52) I got a call from my wife, and she said that Emma had type one diabetes, and I had absolutely no idea what that meant. (4:58) That's actually what I said. (4:59) I said, I I don't know what that means. (5:01) I feel like I'm supposed to be shocked.

Chris (5:03) I had no idea. (5:04) I listened to a lot of podcasts, so I just opened up opened up my podcast player and searched for diabetes, and yours was the first one. (5:10) So I started listening from the beginning.

Scott Benner (5:12) Isn't that something? (5:13) How that works? (5:13) Yeah. (5:14) Yeah. (5:14) Anyway, I I think this you know, it'll be interesting to to get the other side of it.

Scott Benner (5:18) Do you wanna trash your daughter at any point? (5:20) Like, I mean, how

Chris (5:21) Oh, absolutely. (5:21) I'm still I'm still trying to to plan on exactly how to do that. (5:25) I did ask her before I dropped her off at school this morning if there was anything that was absolutely off limits that I wasn't allowed to talk about. (5:33) So there's a couple things that I won't be able to say, but I don't know. (5:35) Well, I'm sure throughout the conversation, I'll find somewhere to It's very my fair.

Chris (5:39) Comeback. (5:40) Very, very

Scott Benner (5:40) So tell me a little bit about that. (5:43) You're in that hotel room. (5:45) How long were you there for by the time she called, and how long did you have to stay afterwards?

Chris (5:50) Yeah. (5:50) Real quick. (5:51) I'll I'll start with, she had a story about the bees. (5:54) She fell into some bees, and that sort of led to her diagnosis.

Scott Benner (5:57) Mhmm.

Chris (5:58) Just the the lead up to that. (5:59) It was a couple of months. (6:00) We don't know if that's what triggered it or whatever, but she'd been sort of acting out of character. (6:04) She was just always a great kid. (6:06) We have three kids.

Chris (6:07) They're all absolutely awesome, happy, fun kids, and she just wasn't herself. (6:10) She had just started going to daycare, and she was a monster, I guess, is the the way to put it. (6:15) Like, I'm like, I don't know who this kid is. (6:17) We would drop her off, and she would be crying. (6:20) And we felt terrible leaving her because my wife stays at home with the kids, which is awesome that we're able to do for them.

Chris (6:26) And but, you know, she wanted to get her socialized and get her around some other kids.

Scott Benner (6:30) Yeah.

Chris (6:31) We feel terrible that she's just doesn't wanna be there, she's crying. (6:34) And it's so unusual because she's such a great kid who's always laughing and loves to play with other kids. (6:41) So we drop her off and she'd be crying. (6:42) We'd pick her up and she'd be crying. (6:43) And, I mean, we could as we'd pull into the parking lot, we could hear the screams from outside.

Chris (6:48) It was awful. (6:49) Absolutely heartbreaking. (6:51) And she was really tired. (6:53) And my wife and I or my wife and and Emma went on a trip just just a couple days before diagnosis, and I had a work trip planned. (7:02) So I was a couple hours away, and they were in in Rhode Island.

Chris (7:07) And Molly called a couple times and said, I think I might take her to the doctor. (7:10) She's just really tired. (7:12) She's, like, lethargic. (7:13) All she wants to do is is just lay around and and drink juice. (7:18) She loved Capri Sun.

Chris (7:19) So, you know, right up to diagnosis, she was just rocking back the Capri Sun nonstop because she was so thirsty and wetting diapers, like, we had never seen. (7:29) And they were visiting her sister, and they had just got one of those brand new, like, ghost beds, These, like, $3,000 super nice beds. (7:36) And they let Emma take a nap in there. (7:39) And, of course, she peed completely through her diaper and all through that brand new ghost bed. (7:45) That was awesome.

Scott Benner (7:46) Did you have to buy a new one?

Chris (7:48) I don't know. (7:48) My my sister-in-law I I believe she probably did, if I had to guess. (7:53) But she said, holy cow. (7:54) I've never seen a kid pee so much. (7:56) What?

Chris (7:57) Does she have diabetes? (7:58) And we didn't think anything of it. (8:01) But after the diagnosis a couple days later, we thought that was pretty funny.

Scott Benner (8:04) How did your sister-in-law come up with that? (8:06) Do you know?

Chris (8:07) I don't know. (8:08) I think I if I'm not mistaken, I think her mom has type two.

Scott Benner (8:11) Okay.

Chris (8:12) So they knew the signs of high blood sugar being, you know, excess urination and whatnot.

Scott Benner (8:16) That would mean your wife's mom had type two.

Chris (8:18) And not my wife's mom. (8:19) It was my my sister-in-law. (8:21) So my oh oh, but so my let's see. (8:24) My wife's sister is of the other sexual preference. (8:27) So Oh, I gotcha.

Chris (8:29) She has a wife. (8:29) So I

Scott Benner (8:30) I see. (8:31) Also, that wouldn't have meant anything. (8:32) I I did familiar math completely wrong. (8:35) It could have been your wife's brother's wife.

Chris (8:38) Yeah. (8:38) Yeah. (8:38) Somewhere right now.

Scott Benner (8:39) So so

Chris (8:40) some remote family member.

Scott Benner (8:41) Yeah.

Chris (8:42) That's kinda what led up to us being like, alright. (8:44) We need to we need to go to the doctor and figure out what's going on. (8:47) Okay. (8:47) Then I got the call, and I started listening to I think it was episode two. (8:52) It was the the one somebody from Dancing With The Stars, maybe?

Scott Benner (8:56) Oh, yeah. (8:57) Oh, god. (8:57) It's funny. (8:58) I just brought him up. (8:58) He was actually on American Idol.

Chris (9:01) Yeah. (9:01) That's what it was.

Scott Benner (9:02) And his dad no. (9:03) His uncle was super famous.

Chris (9:06) Yeah. (9:06) Yeah. (9:07) I don't remember. (9:07) I yeah. (9:08) I had completely forgotten that.

Scott Benner (9:09) His uncle was Carlos Santana.

Chris (9:11) Oh, that's right.

Scott Benner (9:12) Yeah. (9:13) Yeah. (9:13) Yeah.

Chris (9:13) Adam something maybe.

Scott Benner (9:14) Adam. (9:15) Can't. (9:15) Adam Lasher. (9:16) Oh my god. (9:16) Adam Lasher.

Scott Benner (9:17) You got me too, Chris. (9:18) Thank I Sweet. (9:19) It's so funny. (9:20) Yesterday, I somebody asked me what was the first episode you ever did, I told them that I had this kinda cockamamie idea that I was gonna read my blog into a microphone, and that's what I thought the podcast was going to be. (9:31) And then I tried it and very quickly, like, literally within minutes was I I said to myself, like, I wouldn't even list this.

Scott Benner (9:36) This is terrible. (9:37) And in that time between me trying that and not knowing what to do, I had a podcast that was online and ready to go and no content for it, and this kid pops up on American Idol. (9:49) And I very much said yesterday, I don't know where I got the nerve for this. (9:53) Like, I reached out to him. (9:54) I was like, you wanna be on my diabetes podcast?

Scott Benner (9:55) And I didn't say the rest of it, like, that I've never made before. (9:58) And he said yes. (9:59) And that that's how that very oddly placed interview is at the very beginning of the podcast.

Chris (10:06) Oh, it's awesome.

Scott Benner (10:06) And I

Chris (10:07) mean, you hooked me on on day one. (10:09) So I Cool. (10:10) You know, I listened to that and a few other episodes on my on my couple hour ride home to meet my wife at the what I thought was going to be the hospital. (10:16) Right before I got home, I got a call saying that she they were sending her home. (10:21) So the reason that Emma doesn't remember anything about her her hospital stay was that there wasn't one, which is really cool.

Chris (10:28) So what it what it ended up ended up happening is they brought her into the pediatrician, and where we live, the pediatrician's office and the diabetes pediatric diabetes clinic are in the same building, which is pretty convenient in this case. (10:41) So they went into the doctor, and the first thing that the doctor said was, this kinda looks like diabetes. (10:47) So they went and they they did a, you know, blood glucose. (10:50) And I can't remember how high it was, but her a one c was, like, 14.1, if I remember right. (10:55) So it was up there.

Chris (10:57) And but she wasn't in DKA. (11:00) So they gave her some insulin, and it just turned out to it also happened to be that the diabetes specialist was Molly's child my wife's childhood pediatrician. (11:10) Oh. (11:11) So they had instant rapport. (11:13) You know, she walked into the room and said, oh, Corey, like, I haven't seen you in years.

Chris (11:17) And it just turned out to be that so they had they had rapport. (11:20) Emma responded really well to to insulin. (11:23) They gave her some Humalog rate in the office, and he could tell that that Molly could handle that type of stuff. (11:28) So he gave her just a real basic, like, you know, let's do a 10 to one carb ratio, and here's the don't die advice. (11:34) Stick it up on your refrigerator.

Chris (11:36) Call us if you have any questions. (11:37) And they sent her home, like, three or four hours after being there.

Scott Benner (11:41) Okay.

Chris (11:41) And and then they said, okay. (11:42) We're gonna have to go back in tomorrow, and we'll have some education. (11:46) So we went, and we had that Pink Panther book, of course. (11:49) So I'd, like, stayed up all night and read that Pink Panther book, and, I still don't remember a single word of what was in it. (11:55) I just remember the cover of it.

Chris (11:57) We went to training the next day and and, you know, learned the basics. (12:01) And then I was listening to the podcast at the same time. (12:05) So within a month, I knew I wanted a Dexcom. (12:09) And I brought it up to the the CDEs that were in the office, and they said, yeah. (12:13) You know, you you definitely do want that, but we have a rule here.

Chris (12:16) You kinda gotta go for a year without having you know, just on injections. (12:21) So I ended up calling the Dexcom and Omnipod reps. (12:25) And I don't know exactly how, but they thought that I was some sort of representative or something. (12:31) I'm not really sure what it was.

Scott Benner (12:32) Okay.

Chris (12:32) But they ended up calling the office and talking to to Corey. (12:37) They sort of laughed about the miscommunication thinking that I was looking for supplies to sort of become a reseller or something like that or that I was an educator. (12:45) I guess it made them all have a conversation, and they could tell that that we could handle it, and Emma was a tough kid. (12:50) So, like, I don't know, about two months in, we we ended up getting, getting on Dexcom and and Omnipod.

Scott Benner (12:56) Even if they wanted you to do MDI for year, why couldn't you do MDI with a Dexcom?

Chris (13:01) Probably could. (13:01) It was just that's the way they they were. (13:03) Like yeah. (13:04) I guess so not just MDI, but MDI and manual finger sticks. (13:08) They'd like to make people wake up at 2AM is what I think it is.

Chris (13:11) Yeah. (13:11) Like, to just punish them a little bit. (13:13) Seems to be

Scott Benner (13:14) I understand the concept. (13:15) I think it's misguided to some degree.

Chris (13:16) Oh oh, I yeah. (13:18) I mean, I've I've heard you talk about it many times on here, and I I couldn't agree more. (13:22) Like, I don't really know why they don't just stick a Dexcom on day one. (13:26) Emma sort of talked about the diagnosis of her cousin. (13:29) Like, he was over for Thanksgiving.

Chris (13:31) His girlfriend was talking about, he was peeing a lot and, you know, being grumpy and all that sort of stuff. (13:37) So we tested his blood sugar, it was, like, 500. (13:39) So, it was it was Thanksgiving on a Friday night. (13:43) So, the the hospital systems here are kind of in decay. (13:48) You know, it's every week they're they're talking about shutting down.

Chris (13:52) They've closed most of the ambulatory and walk in clinics. (13:54) Like, it's it's kind of rough. (13:56) So we knew he wasn't gonna get the best the best care if he went in. (14:00) We have mountains of supplies, so, you know, we we kind of and he actually did a paper when he was in college on type one diabetes because of Emma. (14:08) So he's he's sort of, like, been close to it.

Chris (14:11) Mhmm. (14:11) So we just sort of hung out and showed him how it all worked. (14:13) And so in a you know, over the weekend, he got his blood sugar back into range and, you know, I threw a g seven on him, and and he had all that to go into the the clinic. (14:23) And, of course, as you would imagine, he got faced with, we don't think you have diabetes because your blood sugar is in range.

Scott Benner (14:28) Because I fixed it over the weekend.

Chris (14:30) Yeah. (14:30) Yeah. (14:31) So it was a struggle. (14:32) It took, like, I think, three or four months for him to get a diagnosis.

Scott Benner (14:36) What part of the country?

Chris (14:38) We live in Maine.

Scott Benner (14:39) That's right. (14:40) Oh. (14:40) Oh my gosh. (14:41) Are you the story with the you helped the gentleman who's gonna bequeath his land to you one day? (14:48) The Kontoor Next Gen blood glucose meter is sponsoring this episode of the Juice Box podcast, and it's entirely possible that it is less expensive in cash than you're paying right now for your meter through your insurance company.

Scott Benner (15:03) That's right. (15:03) If you go to my link, contournext.com/juicebox, you're gonna find links to Walmart, Amazon, Walgreens, CVS, Rite Aid, Kroger, and Meijer. (15:15) You could be paying more right now through your insurance for your test strips and meter than you would pay through MyLink for the Contour Next Gen and Contour Next test strips in cash. (15:27) What am I saying? (15:28) My link may be cheaper out of your pocket than you're paying right now even with your insurance.

Scott Benner (15:35) And I don't know what meter you have right now. (15:38) I can't say that. (15:39) But what I can say for sure is that the Kontoor Next Gen meter is accurate. (15:43) It is reliable, and it is the meter that we've been using for years. (15:47) Kontoornext.com/juicebox.

Scott Benner (15:51) And if you already have a Kontoor meter and you're buying test strips, doing so through the juice box podcast link will help to support the show. (16:00) Unlike other systems that will wait until your blood sugar is a 180 before delivering corrections, the MiniMed seven eighty g system is the only system with meal detection technology that automatically detects rising sugar levels and delivers more insulin as needed to help keep your sugar levels in range, even if you're not a perfect carb counter. (16:21) Today's episode of the Juice Box podcast is sponsored by Medtronic Diabetes and their MiniMed seven eighty g system, which gives you real choices because the MiniMed seven eighty g system works with the Instinct sensor made by Avid, as well as the Simplera Sync and Guardian Force sensors, giving you options. (16:41) The Instinct Sensor is the longest wear sensor yet, lasting fifteen days and designed exclusively for the MiniMed seven eighty g. (16:50) And don't forget, Medtronic Diabetes makes technology accessible for you with comprehensive insurance support, programs to help you with your out of pocket costs, or switching from other pump and CGM systems.

Scott Benner (17:03) Learn more and get started today with my link, medtronicdiabetes.com/juicebox. (17:09) Are you the story with the you helped the gentleman who's gonna bequeath his land to you one day?

Chris (17:15) Yeah. (17:15) I think that's probably why you called it into the woods. (17:17) Yes. (17:18) Yeah. (17:18) Yeah.

Chris (17:18) Yeah.

Scott Benner (17:18) Oh my god. (17:19) That's awesome.

Chris (17:20) Yeah. (17:21) That's a crazy story. (17:22) Yeah. (17:22) I'll give a little little little short version of it here. (17:24) Right.

Chris (17:25) So I'm in IT. (17:26) You and I talked a little bit last time about, you know, doing some AI stuff and whatnot. (17:29) Right. (17:29) But I've I've done IT stuff forever. (17:31) I used to work at Circuit City.

Chris (17:32) I built these custom computers, so people would come in and Circuit City sold computers, but I would, like, take them apart and drum a hole in the side and put in plexiglass and flashy lights.

Scott Benner (17:42) And, you

Chris (17:42) know, I'd make these gaming computers and upgrade them. (17:44) Mhmm. (17:44) This guy came in one day and he this grumpy old old New York guy, sick accent and he he says, I wanna talk to the guy that built that computer. (17:54) So I talked to him and he says, I I wanna start playing video games. (17:57) I want that computer.

Chris (17:59) But I want it for half the price because you're gonna come out to my house and I'm gonna pay you cash. (18:03) And, I mean, I was, like, you know, 20 years old and I was like, oh oh, okay. (18:07) Sure. (18:08) That sounds great. (18:08) So I went out and showed him how to play video games, built him some computers and helped him with miscellaneous tech stuff.

Chris (18:15) Like, he was really into music, so I'd help him set up different audio systems and showed him how to convert from VHS to DVD and just miscellaneous stuff while helping him play games. (18:26) He was just an eccentric guy. (18:28) He built a battleship. (18:30) He had airplane runway, like, right on his land out here, and he he bought the land for, like, $3,000 just almost by accident back in the seventies.

Scott Benner (18:39) Okay.

Chris (18:39) Just farm farm land, and he built an, runway on it, and he flew his plane in, he built a cabin. (18:44) Then he retired at at, like, 42 and turned it into a bed and breakfast and just built this, like, really cool place and lived out his his days just playing video games and doing miscellaneous hobbies and shooting guns and just a really fascinating guy. (18:59) So I always hung around, but, there was really nobody else in his life, just him and his wife. (19:04) And when he got sick and died a couple of years ago, he sort of said, Chris, I need somebody to take care of my wife. (19:09) You've got a couple of young boys, and, you I was kinda hoping maybe you'd help out.

Chris (19:13) And I, of course, said, absolutely. (19:15) We'd love to help. (19:16) Like, we're kinda caregiving, voluntary type people. (19:19) We do a lot of stuff with animals and whatnot. (19:21) Plus, he has a whole pile of Shih Tzu dogs, and they they loved us anyway.

Chris (19:25) So it just sort of happened naturally. (19:28) He passed away three weeks later, which was just unbelievable. (19:33) So, I kinda went out there and stayed a lot of the time and helped his wife through hospice care and whatnot. (19:39) And then we just continue to take care of the place. (19:42) And then as as Emma had mentioned just, I don't know, a year or so ago, she sort of dropped the news on us that they're leaving the land to us, which is absolutely insane.

Chris (19:52) It's like a like a fairy tale. (19:54) For years, I went out here and looked at this guy's beautiful land, and he'd always look at me and say, boy, isn't this isn't this beautiful? (19:59) Isn't this the place you'd like to live in? (20:01) You know? (20:01) And he'd always just sort of say that stuff, but I had no idea that, like, this grumpy old guy

Scott Benner (20:06) Was measuring you up.

Chris (20:07) Yeah. (20:08) Yeah. (20:08) And that's that's sort of what he said. (20:10) He's just like, you you know you you know how things run around here. (20:13) I understand how your brain works, and I know you're a good guy.

Chris (20:15) And yeah. (20:17) So that's that's the story.

Scott Benner (20:18) Even my wife when I couldn't do it myself, and here's here's the way I'm gonna say thank you.

Chris (20:24) Absolutely. (20:24) How many acres? (20:26) It's a a 102 acres.

Scott Benner (20:28) Wow. (20:28) That's really awesome. (20:30) Yeah. (20:31) It's nice you to tell his story because it could just I like the way he just seems to effortlessly move through his life and make big changes and shifts. (20:41) The only thing I didn't understand about your story was he built a battleship.

Scott Benner (20:44) What what are you telling me?

Chris (20:45) Oh, yeah. (20:45) That that was one of the coolest things. (20:47) It it's still out there. (20:48) He built the the German battleship, the Graf Spey, which I believe was, like, the first battle the first ship sunk in World War two, maybe.

Scott Benner (20:55) Okay.

Chris (20:56) But he just in his in his basement, he I I mean, there was no YouTube or anything to figure it out from back then. (21:02) He didn't have a background in it. (21:04) He just decided he was gonna build a battleship. (21:07) So he started off he was just gonna build a large model, and he ended up building, I don't remember the exact measure the exact size. (21:15) I think it's maybe, like, a one one twentieth scale or something like that, but it was, like, a 18 foot little mini battleship.

Chris (21:23) And he went to the extent of having he had he put all the little guns and the little people on it and all the rigging, but it was big enough that he was actually able to sit in it. (21:33) So he would play, like, what is it? (21:35) Rise of the Valkyries. (21:36) It was, you know, some classical music. (21:37) He'd just blare it while he'd ride around the lakes of Maine in this little battleship with war flags hanging from it.

Scott Benner (21:43) Wait. (21:43) You just Now you're telling me it floated?

Chris (21:46) Oh, it floated, and he drove it and brought it all over all over the state, all over New England, and it's it's in a museum. (21:53) I helped him sell it to a museum up in, up in Canada, and that's where it is now.

Scott Benner (21:59) Yeah. (21:59) Something. (21:59) That's really insane. (22:01) Oh, well, it's lovely. (22:02) So do you live I'm sorry.

Scott Benner (22:03) No. (22:04) Please. (22:04) What were you gonna say?

Chris (22:05) Oh, all I was gonna say is a fascinating side story to that is when we were trying to figure out what to do with this boat, he had me call the place that the ship was actually sunk. (22:15) I think it's called Monte Vaddeo, somewhere down in, like, Central America. (22:20) Mhmm. (22:20) And I couldn't call them, but I I I found their email address for, like, the naval base. (22:24) And I sent them a message, and it explained everything that this, you know, that this guy had built this this boat by hand, and he's looking for a place to sort of show it off so that it it lives out through history.

Chris (22:35) And the response I got that I never shared with him because I didn't wanna I didn't wanna break his heart, they said, the only thing we do with that boat is sink it so it could be right down there next to the other one. (22:45) Oh, I know. (22:47) I was like, wow. (22:48) Okay. (22:49) That's thank you for your time.

Chris (22:51) Yeah. (22:52) Yep. (22:53) Because I'm gonna ask

Scott Benner (22:53) you a question. (22:54) I don't find myself asking men that often. (22:57) Sure. (22:58) This is just my, my remembrance of me making the podcast. (23:01) Why are you such a nice person?

Chris (23:03) Oh, let's see. (23:05) I I think it's because I'll relate it to some of your your podcast episodes. (23:11) I think it's because I, score almost a perfect 10 on the Aces, and I, for some reason, got the resilience side of it.

Scott Benner (23:20) Ah, and none of the other stuff? (23:21) Some of it?

Chris (23:22) Some of the some of the other stuff. (23:23) I mean, none of the other stuff as far as, like, I don't have any of the aces, but I I mean, I have my my mental health demons that I battle. (23:31) And, actually, thanks to your podcast, I got into therapy. (23:34) Like, listening to you and Erica talk, I was like, oh, I would love to talk to somebody like this. (23:40) And that's that's helped a ton.

Scott Benner (23:43) Oh, you're gonna make her cry when she hears that. (23:45) She's gonna be so happy to know that.

Chris (23:47) Yeah. (23:47) Yeah. (23:48) Yeah. (23:49) Well, I I hope so. (23:50) I mean, it really it's it's been insanely helpful, it's helped my I mean, most of my family now.

Scott Benner (23:54) Oh, it's lovely. (23:56) Yeah. (23:56) Chris, for people who don't know, we I think we've done a an episode on it with Eric at some point, but the aces are the the original 10 categories are adverse childhood experiences, and they if you have a certain number of them, you're almost certain to have certain issues as an adult. (24:15) So they're physical, or sexual abuse, emotional abuse, physical neglect, emotional neglect, wasting, witnessing domestic violence, like your mother being treated violently, etcetera, household substance abuse, household mental illness, a separation or divorce with your parents, or someone in the household being incarcerated. (24:35) If if those things have happened in your life, the more you have, it kinda compounds and I can explain a lot of the, I don't know, a lot of the troubles you might be having as an adult.

Scott Benner (24:47) So you you identified some of those and you were like, oh, that's me?

Chris (24:51) Oh, yeah. (24:52) Yeah. (24:52) I mean, even as you're reading it now, I was like, oh, I might go for the I might go for the high score.

Scott Benner (24:57) Yeah. (24:57) Yeah. (24:58) I might be able to score a 10 here. (25:00) Hold on, everybody. (25:01) And so that happened to you, and then what came of it is you not wanting to be like that.

Chris (25:06) Yeah. (25:06) I mean, from from as young as I can remember of my so my mom was an alcoholic. (25:10) My parents split before I was born. (25:12) So I grew up with them just bashing each other constantly. (25:15) My dad went through some sort of midlife crisis and put his job when he was, like, 30, and I was a very late in life baby.

Chris (25:23) From my dad's perspective, I was a welfare baby because I was born just before my sister's eighteenth birthday. (25:30) And Oh, know.

Scott Benner (25:31) Oh, Chris, I gotta stop you. (25:32) I know I know I know people who do who've done that.

Chris (25:36) Oh, yeah.

Scott Benner (25:36) Have babies on a schedule to stay on welfare. (25:39) Right?

Chris (25:40) Right. (25:40) Right.

Scott Benner (25:40) What's that? (25:41) Oh, okay. (25:42) Sorry. (25:43) No. (25:43) Go on, and then I'll come back to my question.

Chris (25:45) It's okay. (25:46) Now here's the here's the the good part of that story is that when my dad died, I was able to figure that out for sure. (25:54) Mhmm. (25:55) And I found a bunch of letters from just probably four months before I was born between my mom and my dad and my sister, and they were happy and they were living together and everything was fine. (26:08) My mom didn't know she was pregnant, but everything was great.

Chris (26:12) And then there was an incident with my sister where my dad he he thought that there was something going on with her boyfriend and that she was lying all the time. (26:22) And, essentially, he kicked her out, my mom said, well, I'm going with her. (26:26) And that was that. (26:27) But it was just, you know, about four months before four or five months before I was born, it meant a lot to me to be like, ah, I was conceived in love.

Scott Benner (26:35) Yeah. (26:35) There were there was a good moment for them, and that's when you were conceived. (26:39) Yeah. (26:39) Yep. (26:40) That's lovely.

Scott Benner (26:40) I'm glad you were able to find that and have that. (26:43) Because otherwise, you I you're gonna come to the conclusion that it was it was time to get paid again. (26:47) So here comes Chris. (26:49) Right?

Chris (26:49) You go. (26:50) Yeah. (26:50) Absolutely. (26:51) That that's what I thought for a long time.

Scott Benner (26:53) Oh, jeez. (26:53) That must have been hard to live with.

Chris (26:55) I don't know. (26:56) It was just everything was so crazy as a child. (26:59) I was so I lived with my mom, but she was an absolutely severe alcoholic. (27:03) I was pretty much raising myself anyway. (27:05) I mean, I remember from a young age having to hide from CPS knocking on the door and having to like, I would, eight or nine years old, I would call the liquor stores in the area and be like, hey.

Chris (27:14) Can you please not sell my mom any alcohol?

Scott Benner (27:17) Uh-huh.

Chris (27:18) You know, she was passed out all the time. (27:20) So when I was, like, 10, my dad was he he worked a couple of hours away. (27:25) I basically called him one day and just begged him to come home because I didn't wanna live there anymore. (27:29) So I had to go to court and had to, like, testify in front of the judge and whatnot. (27:33) But, anyway, I ended up going to live with my dad, which was better than dealing with my mom because my dad just smoked weed.

Chris (27:42) He didn't drink at the time, so it was it was better. (27:45) He was happier, didn't have a job or anything. (27:47) So we were we squatted for a long time. (27:51) I mean, we lived in houses that that he either used to live in or he'd make a deal that he'd take care of a house for a few months and trade for us being able to stay there. (28:00) So we were homeless for quite a while, but it so just everything was so crazy.

Chris (28:04) It didn't didn't really matter. (28:06) So, you know, I I think that's that's where I built the resilience was I'd been through so much weird stuff that just didn't matter.

Scott Benner (28:14) Yeah. (28:14) Diabetes, you're like, oh, jeez. (28:15) This is easy. (28:17) Yeah. (28:17) Shouldn't I shouldn't have much trouble with this.

Scott Benner (28:19) Do you prefer chaos or calm now as an adult?

Chris (28:22) Oh, calm. (28:23) No question. (28:23) I mean, I I I do I thrive in chaos. (28:27) Mhmm. (28:28) But I like to control the chaos, if that makes sense.

Chris (28:32) You know, we're we're very busy. (28:34) We're into a ton of stuff. (28:36) We have chickens, and we foster cats. (28:40) And we we're into robotics, and we do, you know, Amazon a bunch of sports, and my son's in D and D clubs and math clubs, and we're always traveling around and doing all this stuff. (28:50) So we're very busy.

Chris (28:52) It that's the type of chaos I prefer now

Scott Benner (28:55) Yeah.

Chris (28:55) Versus the, like, the sky is falling chaos. (28:58) Like, whenever I got diagnosed with diabetes, that was a a sky is falling kind of chaos. (29:03) Definitely threw me into a funk for quite a while, you know, until I I wrapped my head around it. (29:08) And that's kinda how I handle most everything is, like, there's the initial, like, okay. (29:12) We've gotta figure this out.

Chris (29:13) And I go into, like, a survival mode. (29:17) And then, yeah, once I figure it out, then then it's autopilot. (29:21) And that's how I how I kinda handle everything. (29:23) Like, any issue that comes up, just throw my all into it, figure it out, and then move on.

Scott Benner (29:28) I wanna hear about the funk. (29:29) So tell me about that. (29:30) Like, she's diagnosed and and you fall into a bit of would you call it depression or just

Chris (29:35) Yeah. (29:35) Yeah. (29:36) I think so. (29:37) Just a, like, you know, this is the only thing that matters. (29:39) Just to add to this, I I have ADHD, which I didn't know until my boys get diagnosed with ADHD, and then I it made a whole lot of sense.

Chris (29:47) And this was right prior to me being medicated. (29:50) And one of the ways that it presents for me is either everything's overwhelming and there's a million inputs all at once, or it's just absolute complete hyperfocus. (30:00) And with diabetes, that's what it was. (30:02) It was just the only thing that mattered is making sure that that Emma's healthy, that everything's gonna be okay.

Scott Benner (30:09) Yeah.

Chris (30:09) So I remember when she first came home, and I realized the, like, relationship of carbohydrates to insulin, and and it was right before Halloween. (30:20) So I'm like, is she going to be able to have candy for Halloween? (30:25) And I remember, like, at nighttime, I would we used to have these, like, Dove chocolates that we'd keep in the house, I'd grab one out of the bowl. (30:32) And I remember going to eat it and being like, Emma would have to bowl us for this. (30:37) And it just, like, set me on this, like, sort of mental journey about, like, understanding everything and empathizing with her.

Chris (30:44) Yeah. (30:45) So that that's that's what I mean by funk. (30:47) It just sent me into this, like, overthinking everything and just really only focusing on this.

Scott Benner (30:53) Were you reflective in a good way, or were you thinking about it in an obsessive way?

Chris (30:57) I would say the first one. (30:59) My wife would probably say the second one. (31:01) Probably a combination of the two.

Scott Benner (31:04) Oh my gosh. (31:05) So the candy dish set you on on this path?

Chris (31:08) Yeah. (31:09) Yeah. (31:10) Actually, it it really was. (31:11) It was a it was a piece of chocolate.

Scott Benner (31:12) Yeah. (31:13) That just kind of made you think. (31:15) I I mean, I I imagine any of us who are being thoughtful who have kids with type one have had a moment where we picked up a piece of food and thought, oh, this this doesn't feel fair. (31:24) Yeah. (31:25) Yeah.

Chris (31:25) In a way, like so as far as that, like, obsessive thing you mentioned, I I did I did go the route of I see obsessive, but there's a silver lining. (31:35) There's a positive side of it. (31:37) I really dove into nutrition and just trying to wrap my head around how food works in the body and how insulin works. (31:45) It it was kind of pre a lot of your management episodes and whatnot with Jenny, but about the same time a lot of them started coming out. (31:51) I was also listening to Joe Rogan a lot, and that was back when he had a lot of people talking about nutrition coming on.

Scott Benner (31:56) Okay.

Chris (31:57) I really dove into it, and I I got myself really healthy. (32:00) I mean, at the time, back then, I was probably, like, a hundred and seventy, hundred eighty pounds. (32:04) I'm five seven. (32:05) I'm a nerd. (32:06) Physically active nerd.

Chris (32:08) Like, I I've always been very active, but I always had extra weight on me. (32:13) And I learned pretty quickly that, like, oh, if I just track my macros and understand you know, reduce my carb intake and, you know, add some intermittent fasting in here. (32:22) And within, I don't know, maybe a year, I got myself to a point that I was like, woah. (32:29) I look different. (32:29) I feel different.

Chris (32:30) I have so much more energy. (32:32) And all I did is make these little minor changes here and there in how I eat. (32:37) Like, I I cut out sugar, I just started eating more, like, kind of nothing from a box. (32:42) You know what I mean? (32:43) Just like like a paleo kind of thing.

Chris (32:45) And I got myself into into really good shape, and then that just sort of naturally started spreading to as I cooked and as I, you know whether it was around diabetes or or even just cooking for the family, was just, like, spreading some of that ideas, and it was interesting to watch, like, everything fall in line. (33:01) Like, one of the things we talk about is how Emma's diagnosis, it definitely sort of helped us all become healthier people.

Scott Benner (33:08) Mhmm. (33:08) Did your wife come along with that on that ride with you, or did she come along begrudgingly? (33:13) Or I'm always interested in how one person's change affects the the dynamic.

Chris (33:18) Yeah. (33:19) I mean, I like, I went I went hard into it, so a little too hard probably. (33:24) But, I mean, for their perspective, you know, because she's like, you know, we're still trying to eat all the regular foods. (33:30) So there were definitely times that I was, like, being overprescriptive or whatever, being like, hey. (33:35) Before you eat that, did you know how many grams of carbs are in that?

Chris (33:38) And do you know

Scott Benner (33:39) They're like, shut up.

Chris (33:41) Yeah. (33:41) Yeah. (33:42) Well, I mean so my boys are wired a lot like I am, so they were like, oh, fascinating. (33:47) You know? (33:48) And and and sometimes they'd be like, that's fascinating.

Chris (33:51) I'm gonna go eat this bowl of fudge now.

Scott Benner (33:53) Yeah. (33:54) Fascinating. (33:55) Not stopping. (33:55) And mom is rolling her eyes all the way to the back of her head right now.

Chris (33:58) Absolutely.

Scott Benner (33:59) Hey. (34:00) You didn't get to, like, nootropic gum or something like that. (34:02) How far did you fall down this rabbit hole?

Chris (34:04) No. (34:05) Nothing like that. (34:05) Good for you. (34:06) You know? (34:07) Well, I I got kids to feed.

Chris (34:09) You know? (34:09) There's a limited amount of money that

Scott Benner (34:10) you make in the world. (34:11) Gum.

Chris (34:12) Yeah. (34:12) If I I mean, I might have tried it. (34:15) I I remember trying Alpha Brain for a month and then being like, that seems like expensive pee. (34:19) But, you know, may maybe it did something, but not enough for me to try the second month.

Scott Benner (34:23) I'd like to give you credit for having an open mind and trying something in general. (34:27) So you get yourself in, like, awesome shape. (34:29) Your your kids are interested but not doing it. (34:33) Your wife is listening. (34:34) And then eventually, it just what it just kinda bled over.

Scott Benner (34:37) Just kinda cooked a certain way and didn't give them a a choice?

Chris (34:41) No. (34:41) No. (34:41) Not even like that. (34:42) Okay. (34:42) It was just like a I mean, I don't know.

Chris (34:45) It was like making little changes. (34:47) Right? (34:48) Like, changing out the type of pasta that we use, changing out the type of pasta sauce, and maybe getting a different bread. (34:55) Like, a lot of the stuff that I hear you and Jenny talking about as well, but just, like, mixing in little changes. (34:59) Yeah.

Chris (35:00) But then they they noticed it as well. (35:02) Right? (35:02) Like, my both my boys started noticing, like, oh, like, I'm looking looking much better when I look in the mirror, I feel stronger and have more energy. (35:10) So it just it just sort of happened. (35:13) That's awesome.

Chris (35:14) And yeah. (35:15) Yeah.

Scott Benner (35:16) Dug in pretty early on with the podcast to learn about diabetes and stuff. (35:19) Would you say there was ever a time where you guys struggled, you know, and where what was that like? (35:26) Or you know?

Chris (35:27) Yeah. (35:28) The I mean, the the early days for sure. (35:31) Trying to find that balance between keeping her safe and healthy and not being, like, totally overbearing and having to to to be by her side. (35:42) And I wanted her to be able to choose what she wanted to eat. (35:46) So I actually remember like, you had a podcast episode one time about a kid that wanted to eat some Skittles or M and M's or something along that those lines.

Chris (35:54) And he tried a little bit, tried the bolus. (35:56) That didn't work, and he wrote it down, made an adjustment. (35:58) And I just I remember those chocolates that I was talking about at the beginning, and I love those things. (36:04) And I was like, well, let's let's use that, and let's figure that out. (36:07) So we did that, and we just sort of figured it out one little thing at a time.

Chris (36:12) And then we just rinsed and repeated with that to be able to let her have the things she wants and and have predictable outcomes. (36:20) And then within within just a couple of months, we we we went from, like, you know, 1414 a one c, a diagnosis, to the next visit was a seven, next visit was a six, and then it's been six or below ever since then. (36:33) Just had had her, end of meeting last month. (36:36) It was, like, 5.6, I think.

Scott Benner (36:37) Yeah.

Chris (36:38) We just kept rolling with that. (36:39) And then with the introduction of Loop, and I'm I'm a software engineer anyway, so I remember buying a Mac and and setting up Loop and getting all that done. (36:47) But now with the newer versions, we have this Loop caregiver so we can manage things remotely. (36:52) So that enables us to start sending her to camp and being able to just kinda keep an eye on things and and giving her some of the control, but us still being able to, like, fix things remotely if if stuff goes sideways.

Scott Benner (37:03) Hey. (37:03) The loop caregiver, that's it's the icon with the blue circle. (37:06) Right?

Chris (37:07) Mhmm.

Scott Benner (37:07) Has it not been working for a while for you?

Chris (37:10) Oh, no. (37:11) I use it every single day. (37:12) I guess and I'm looking at it. (37:13) It's a it's a blue circle.

Scott Benner (37:15) Yeah.

Chris (37:15) Blue circle with the CG inside it. (37:17) It's a

Scott Benner (37:18) And your night scout can be in there as well?

Chris (37:20) Yeah. (37:20) Yeah. (37:21) I mean, it it it connects to night scout. (37:23) So that's how it that's how it functions, of course.

Scott Benner (37:25) Can you troubleshoot something for me while I have you here?

Chris (37:27) Oh, yeah. (37:28) Yeah. (37:28) What's up?

Scott Benner (37:28) So it hasn't been working for a while. (37:30) I haven't been able I mean, it's working as much as I can see things, but I haven't been able to send boluses or change targets or anything like that. (37:37) And now I just opened it up to talk to you about it, it says update available. (37:40) A new version is available. (37:41) Four point one dot o is recommended to update.

Scott Benner (37:43) I hit okay, but how do I update that?

Chris (37:46) So, nor the way that I do it is through through a GitHub repository.

Scott Benner (37:51) Oh, I have TestFlight, I think.

Chris (37:54) Yeah. (37:54) So so that that's where it lands. (37:56) It'll land in TestFlight. (37:57) But I don't know if you build your apps or if you have somebody else build your apps, but somebody goes into GitHub and sets up an action. (38:04) So you'd you'd go into GitHub, find the repo, you'd pull down the latest code from the repo, sync it with the source.

Chris (38:10) That gets you the latest version, then you'd build the app Okay. (38:14) Making sure that, you know, all your your Apple stuff is in. (38:17) If you've got another app building that you get through TestFlight regularly, then most everything's all set up and probably just need to rebuild the app.

Scott Benner (38:24) So may I be completely honest? (38:29) Yeah. (38:29) I know what GitHub is.

Chris (38:33) Sure you do.

Scott Benner (38:34) But a lot of what you said after that

Chris (38:36) Okay. (38:37) Alluded me. (38:38) So you you have somebody else that builds your app.

Scott Benner (38:40) Right, Scott? (38:41) So alright. (38:41) So I'm on GitHub. (38:42) I have trio loop oh, loop follow. (38:44) So I do I click on that on the left side?

Chris (38:46) I I don't know if loop follow is loop caregiver. (38:48) Loop follow is a is another one that sort of, is like a more advanced follow. (38:53) It like dexcom follow, but it also gives you pod info.

Scott Benner (38:56) Yeah. (38:56) That's the one I'm using because I don't see anything else there. (38:58) So

Chris (38:59) It it might be it might be similar. (39:00) So, I mean, I assume, yeah, that would be it. (39:02) And then you'd go into that repo.

Scott Benner (39:04) Okay. (39:05) Use English. (39:05) Go into the

Chris (39:06) Oh, okay. (39:07) Are you signed in?

Scott Benner (39:08) Get Yeah. (39:09) No. (39:09) I'm looking at it right now.

Chris (39:10) Okay. (39:10) So if you're into the repo, once you're in there, there should or the repo is the the thing. (39:15) So if you click on the name loop follow, it'll bring you to a sort of a landing page, and then you should have something like sync fork or

Scott Benner (39:23) I see sync fork.

Chris (39:24) Yep. (39:25) So you wanna sync the fork.

Scott Benner (39:27) This branch is not behind the upstream.

Chris (39:29) Oh, good. (39:30) So it's it's already done, which is cool. (39:31) Okay. (39:32) And then somewhere there's a there's an actions tab. (39:35) You'd click on actions.

Scott Benner (39:36) Somewhere there's an actions tab. (39:38) I see it. (39:38) Hold on a second. (39:39) Yeah. (39:40) I appreciate this, by the way.

Chris (39:41) Yeah. (39:41) Of course. (39:42) No problem.

Scott Benner (39:42) Alright. (39:42) Like, build loop follow main is green, but a lot of stuff is red in the past. (39:49) Oh, okay. (39:50) But the the latest one from a couple days ago is green. (39:55) So Okay.

Scott Benner (39:55) Check mark.

Chris (39:56) So that that's good. (39:58) Now the the question is the the way that loop the the way that we I have it set off anyway, and I think it's the default configuration, is that it'll do an auto build. (40:06) So does it say, like, build loop or whatever the the app is? (40:09) Does it say scheduled?

Scott Benner (40:11) Yes.

Chris (40:11) Okay. (40:12) So with the way that it works for ours, we have to manually build to actually deploy the new version of the app. (40:18) Mhmm. (40:19) So if if that number four action succeeded last time, you should be able to just click on that that that action and then click run. (40:28) So I'm on the

Scott Benner (40:29) it says build loop follow main, that's the only thing that's highlighted to click on or main I can click on. (40:33) Those are the two things that are clickable.

Chris (40:35) Okay. (40:36) Is is there anywhere that says, like, run?

Scott Benner (40:38) There's view workflow file, delete workflow, run. (40:41) Those are the clickable things. (40:43) Okay.

Chris (40:43) Let me

Scott Benner (40:43) click on this and see

Chris (40:44) what If you have run, that that should be it.

Scott Benner (40:46) One second, man. (40:48) Oh, why is everything so small? (40:50) That wasn't nice. (40:51) I I clicked on something out. (40:53) Run rerun all jobs?

Scott Benner (40:55) Yeah. (40:55) Check it out. (40:56) Yeah? (40:56) Alright.

Chris (40:57) So nor normally, with with the way I have it set up, if you do a manual run, that's the trigger that that says to actually deploy the application to TestFlight. (41:05) And so if that all succeeds, you know, half an hour or so after the build is complete, you should get an email.

Scott Benner (41:13) Okay. (41:13) And then do you click on something in the email?

Chris (41:16) Nope. (41:17) That's it. (41:17) You'll get an email from TestFlight saying your TestFlight apps are updated. (41:20) And then if you go into TestFlight, right beside the app, it'll say update.

Scott Benner (41:23) Okay. (41:24) Yeah. (41:24) I just saw it run it. (41:25) Now it's queued. (41:27) It's actually doing a lot here.

Scott Benner (41:28) And by a lot, I mean, there's things flashing and spinning.

Chris (41:31) Good. (41:31) So flashy, spinning things, and then as long as they're all green at the end, that hopefully will get that working for you.

Scott Benner (41:38) Okay. (41:38) Alright. (41:38) Can we pivot a little bit here?

Chris (41:40) So No. (41:40) Yeah, please.

Scott Benner (41:41) Like you said, when we set your daughter up to record, you and I chatted for a couple of minutes beforehand.

Chris (41:46) Yeah.

Scott Benner (41:46) And, I was probably talking about some of the stuff about AI that I'm excited about for health care and and maybe for the podcast too. (41:54) Did you see that the other day, ChatGPT released a browser called Atlas?

Chris (42:02) No. (42:03) I did not. (42:04) Yeah.

Scott Benner (42:04) I mean, technology in general. (42:05) Like, there you have to pick a point to jump in. (42:08) Right. (42:08) You you know what I mean? (42:09) And there's times where you're just like, I wanna know all about this.

Scott Benner (42:12) I think this is gonna be cool. (42:13) I can't wait to find out. (42:14) And there's times when you're like, you know what? (42:16) I'm gonna wait. (42:16) Something else is gonna happen.

Scott Benner (42:18) I'm wondering if this isn't something else.

Chris (42:22) Mhmm.

Scott Benner (42:22) So a browser with an AI sidebar in it that makes it feel like to me and I've only watched the the first overview of how it works, but it makes it feel to me that you can go to a website and then have ChatGP start talking like, looking directly at the website very closely while you're there. (42:42) Oh, wow. (42:42) And I'm thinking that most of the problems that I've imagined being alleviated for people, I think this might take care of a lot of it.

Chris (42:53) Oh, wow.

Scott Benner (42:54) Yep. (42:55) And I'm I'm I'm still, like, just beginning to dig into it, really. (42:58) So it'd it'd be unfair. (43:00) But have the things set up on the Circle group, which I don't have a lot of people in on purpose. (43:05) Right?

Scott Benner (43:06) They have, like, an agent in there, and you can load all the the transcripts of into the podcast. (43:11) And the agent you can ask the agent a question. (43:13) It does its best to go into the transcripts and pull out answers, etcetera. (43:17) But one of the things it does that really excites me and this weekend, actually, while I was away, it was a great example of why. (43:25) I had a woman contact me and ask me if it would be okay if she translated some of the transcripts of the podcast into Vietnamese so that she could so she could, share it in a local community, you know?

Scott Benner (43:36) And I was like, yeah, that's that's fine. (43:38) But if you go to that circle group and type a question into the agent in Vietnamese, it answers you in Vietnamese and every other language you can imagine. (43:51) So I've been talking for five, six years about, like, oh, we might have to pay voice actors to remake the episodes and, like and that that's financially impossible for me, but also, like, technically difficult. (44:03) Right? (44:03) Because you you're gonna just have people reading and it's gonna sound terrible and, you know, what are you gonna do and who's gonna pay for it and edit it all together?

Scott Benner (44:09) And I don't speak the languages, so I can't QC anything and just a really kind of a big mess. (44:14) I think this is gonna fill this in.

Chris (44:17) Absolutely. (44:17) We we have something similar for work now where we can enable a translator, and we have meetings where people are speaking different languages, Japanese and English, etcetera, and it just real time translates back and forth in, and it sounds like the person's voice who's speaking it in the other language.

Scott Benner (44:32) Yeah. (44:33) Isn't that crazy?

Chris (44:34) Oh, it's amazing. (44:35) Absolutely amazing.

Scott Benner (44:36) Yeah. (44:37) I I swear I I I think it's getting super close. (44:40) Like, I also understand the rest of it. (44:42) Like, if you wanna be social with me, I'll I could yell and scream about all the power this is gonna take and everything else too. (44:48) Like, I I know, you know, I'm not unaware of the problems.

Scott Benner (44:51) I'd assume I'm not gonna get in front of them, and I'm trying to figure out ways for this to help people. (44:56) So No. (44:57) I didn't. (44:58) I just went to my website, and I opened up I just downloaded the browser. (45:01) This is my first time using it.

Scott Benner (45:03) And I clicked on the chat GPT button at the top right. (45:06) It opens up a basically, like, a mini window inside of the browser. (45:09) I said, what is episode 1,600 like about? (45:13) Oh. (45:13) It says Into the Woods features 10 year old Emma who shares her life living with type one diabetes, everything from gymnastics to MMA, carb counting at school, and even how did she spot her cousin's diagnosis.

Scott Benner (45:23) That's just giving me something that's written on the page. (45:25) Then it says, if you'd like, I could pull a full transcript. (45:28) So pull transcript. (45:30) Let's see what happens there. (45:33) It's a little slow right now, but it's their first version, so I'm not overtly concerned about that.

Scott Benner (45:39) I want to see what happens as it opens up. (45:41) So, I guess my question is is where do you see AI in service of diabetes? (45:47) How do you think it might do that in the future?

Chris (45:50) Oh, yeah. (45:50) I I mean, with the way that it learns, it should be able to be able to look at your insulin delivery, your carb intake, and some any number of other variables and combine that with things like Apple Health and and other metrics. (46:06) And at some point, it should be pretty good at just doing what we do because we're just making decisions based on the data that we see, right, like as humans. (46:15) So this will definitely be able to do something very similar. (46:19) I mean, just watching seeing what it does in in my everyday use of it for work and and everything else in my personal life, it it's incredible.

Chris (46:28) So thinking about how that might apply to diabetes. (46:30) I mean, I talk to Emma about it pretty frequently. (46:32) Like, I think it's hopefully going to reduce her mental load a significant amount before she's at the age where she's gonna have to, you know, take more of it on.

Scott Benner (46:40) Mhmm. (46:40) Yeah. (46:41) Now I saw somebody online the other day asking a question, and they were clearly just trying to get other people's opinions. (46:47) But they had gone to chat GPT and had a a conversation about something about diabetes that they did, they didn't understand. (46:57) And I browsed it really quickly, I thought, I think this thing gave her a rock solid answer.

Scott Benner (47:02) And, you know, she was able to ask follow-up questions, which I think is maybe where that separates you from Google a little bit. (47:08) Like, you ask the first question, you get an answer back, and you might have more questions, but it's hard to know then where to go from there. (47:13) And then people came in, and they were like, this seems reasonable to me. (47:16) And people were interested in it too. (47:18) So it's gotta be coming a little bit.

Scott Benner (47:21) But I don't know how long till regular people who aren't, you know what I mean, digging into stuff like this, figure it out. (47:27) Because if you're online, you think everybody's doing this, but that's certainly not the case.

Chris (47:31) Right.

Scott Benner (47:31) Yeah.

Chris (47:32) Absolutely. (47:32) How do you use it at

Scott Benner (47:33) work where the translator helps again? (47:42) This episode was too good to cut anything out of, but too long to make just one episode. (47:47) So this is part one. (47:48) Make sure you go find part two right now. (47:50) It's gonna be the next episode in your feed.

Scott Benner (47:55) I'd like to remind you again about the MiniMed seven eighty g automated insulin delivery system, which, of course, anticipates, adjusts, and corrects every five minutes twenty four seven. (48:05) It works around the clock so you can focus on what matters. (48:11) The Juice Box community knows the importance of using technology to simplify managing diabetes. (48:17) To learn more about how you can spend less time and effort managing your diabetes, visit my link, medtronicdiabetes.com/juicebox. (48:28) I'd like to thank the blood glucose meter that my daughter carries, the Kontoor Next Gen blood glucose meter.

Scott Benner (48:35) Learn more and get started today at kontoornext.com/juicebox. (48:41) And don't forget, you may be paying more through your insurance right now for the meter you have than you would pay for the Kontoor Next Gen in cash. (48:51) There are links in the show notes of the audio app you're listening in right now and links at juiceboxpodcast.com to Kontoor and all of the sponsors. (49:01) Says to forget old acquaintances, but, honestly, I'm grateful for every one of you that keeps showing up. (49:07) Thank you so much for listening.

Scott Benner (49:09) Here's to a fantastic 2026. (49:11) Please make sure you're subscribed or following in your audio app. (49:15) I'll be back tomorrow with another episode of the Juice Box podcast. (49:23) Check out my algorithm pumping series to help you make sense of automated insulin delivery systems like Omnipod five, Loop, Medtronic seven eighty g, Twist, Tandem Control IQ, and much more. (49:35) Each episode will dive into the setup, features, and real world usage tips that can transform your daily type one diabetes management.

Scott Benner (49:43) We cut through the jargon, share personal experiences, and show you how these algorithms can simplify and streamline your care. (49:49) If you're curious about automated insulin pumping, go find the algorithm pumping series in the Juice Box podcast. (49:55) Easiest way, juiceboxpodcast.com, and go up into the menu. (49:59) Click on series, and it'll be right there. (50:02) If you're looking for community around type one diabetes, check out the Juice Box podcast private Facebook group, Juice box podcast, type one diabetes.

Scott Benner (50:11) But everybody is welcome. (50:13) Type one, type two, gestational, loved ones, it doesn't matter to me. (50:17) If you're impacted by diabetes and you're looking for support, comfort, or community, check out Juice Box podcast, type one diabetes on Facebook. (50:27) If you have a podcast and you need a fantastic editor, you want Rob from Wrong Way Recording. (50:33) Listen.

Scott Benner (50:34) Truth be told, I'm, like, 20% smarter when Rob edits me. (50:37) He takes out all the, like, gaps of time and when I go, and stuff like that. (50:42) And it just I don't know, man. (50:44) Like, I listen back, and I'm like, why do I sound smarter? (50:47) And then I remember because I did one smart thing.

Scott Benner (50:50) I hired Rob at wrong way recording dot com.

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#1722 DKA Has Been a Problem

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.

Pediatric CDCES Roxanna shares her traumatic adult diagnosis, recognizing Type 1 in her niece and nephew, and her philosophy on empowering families through practical diabetes education.

+ Click for EPISODE TRANSCRIPT

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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 (0:0) Here we are back together again, friends, for another episode of the Juice Box podcast.

Roxanna (0:14) My name is Roxanna, and I'm a pediatric CDCES. (0:18) And I've been living with type one for ten years now.

Scott Benner (0:22) Alright. (0:22) Let's get down to it. (0:23) You want the management stuff from the podcast. (0:26) You don't care about all this chitting and chatting with other people. (0:29) Juiceboxpodcast.com/lists.

Scott Benner (0:32) They are downloadable, easy to read, every series, every episode. (0:37) They're all numbered. (0:39) Makes it super simple for you to go right into that search feature. (0:42) In your audio app, type juice box one seven nine five to find episode one seven nine five. (0:48) Juiceboxpodcast.com/lists.

Scott Benner (0:53) If you're looking for community around type one diabetes, check out the Juice Box Podcast private Facebook group. (0:59) Juice Box Podcast, type one diabetes. (1:02) But everybody is welcome. (1:03) Type one, type two, gestational, loved ones, it doesn't matter to me. (1:08) If you're impacted by diabetes and you're looking for support, comfort, or community, check out Juice Box podcast, type one diabetes on Facebook.

Scott Benner (1:18) Nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise. (1:22) Always consult a physician before making any changes to your health care plan. (1:30) The episode you're about to listen to is sponsored by Tandem Moby, the impressively small insulin pump. (1:36) Tandem Moby features Tandem's newest algorithm, Control IQ Plus technology. (1:41) It's designed for greater discretion, more freedom, and improved time and range.

Scott Benner (1:45) Learn more and get started today at tandemdiabetes.com/juicebox. (1:51) Today's episode is also sponsored by the Eversense three sixty five. (1:56) You can experience the Eversense three sixty five CGM system for as low as $199 for a full year. (2:03) Visit Eversense c g m dot com slash juice box for more details and eligibility. (2:09) The podcast is also sponsored today by US Med.

Scott Benner (2:14) Usmed.com/juicebox, or call (888) 721-1514. (2:21) You can get your diabetes testing supplies the same way we do from US Med.

Roxanna (2:25) My name is Roxanna, and I'm a pediatric CDCES. (2:29) And I've been living with type one for ten years now.

Scott Benner (2:32) Ten years? (2:33) How old are you?

Roxanna (2:34) I am 45 now.

Scott Benner (2:35) Oh, you have that young voice.

Roxanna (2:38) Yeah. (2:39) That's what that's what I hear. (2:40) I don't know if I look that way, but

Scott Benner (2:42) well

Roxanna (2:42) or feel that way, but maybe I sound that way.

Scott Benner (2:44) You should start a podcast because on a podcast, people don't get to see that often. (2:48) So it sounds like you Yeah. (2:50) No kidding. (2:50) If you told me you were, like, 16, I'd be like, I I buy it. (2:53) Why is it why is that?

Scott Benner (2:54) Why you feel like, are you not married?

Roxanna (2:57) I I'm not married and have no children.

Scott Benner (2:59) There's something you That's why. (3:01) It wasn't hard to figure out why life hasn't dragged you down yet. (3:04) I was like, oh, okay. (3:05) I see what's going on.

Roxanna (3:06) But I have four brothers, so I feel like that counts for something.

Scott Benner (3:09) Oh, you've had your ass beat a couple of times then. (3:11) I I see.

Roxanna (3:12) Several times.

Scott Benner (3:12) Okay.

Roxanna (3:13) Yeah. (3:13) Absolutely.

Scott Benner (3:14) But you're diagnosed in your thirties?

Roxanna (3:16) Yeah. (3:17) I was diagnosed when in 2016. (3:20) I was 36 at the time.

Scott Benner (3:23) Were you already doing this professionally?

Roxanna (3:25) I was. (3:26) So I was a, a pediatric ICU nurse

Scott Benner (3:29) Okay. (3:29) At the

Roxanna (3:29) time, and I had no idea what hit me. (3:33) I thought I had the flu. (3:35) It's very similar to all other your all the other diagnosis stories I hear.

Scott Benner (3:40) Yeah.

Roxanna (3:41) But I started not feeling well, and I had some other health stuff going on at the time as well that I felt like complicated the picture maybe a little bit. (3:48) But I'd taken care of hundreds of kids in DKA Mhmm. (3:52) And did not recognize it in myself. (3:54) I just knew I felt badly. (3:56) And it was traumatic for me, I'm sure, but similar to what you hear from everyone else.

Roxanna (4:01) But at the time, I was doing travel nursing and started not feeling well. (4:07) I just blew it off because I was a nurse, and it was the weekend. (4:11) And I was like, well, I am new to the city, and I didn't even have a PCP at the time, and I had to start my new contract on Monday.

Scott Benner (4:19) Okay.

Roxanna (4:20) So, thankfully, I my best friends knew I hadn't been feeling well. (4:25) I stopped answering my texts, and they didn't know my address because I had just moved in recently. (4:31) But they knew the apartment complex that I had been placed in for my travel agency. (4:36) So they called to do a welfare welfare check with the with the depart with the city department.

Scott Benner (4:40) Really?

Roxanna (4:41) And yep. (4:42) And they didn't couldn't find me at first. (4:45) And then my best friend called back and said, please, I will like, please just go check on her. (4:49) Something has got to be wrong. (4:51) So she walked them through where the apartment was because, again, she didn't have the address, but she knew what apartment it was.

Roxanna (4:58) Mhmm. (4:58) And thankfully, door was open because it was, like, late at night. (5:01) It's, like, ten or 10:30 at night. (5:02) And they found me down in my apartment. (5:06) I was already in a coma at that point.

Roxanna (5:08) My blood sugar was, like, 1,200. (5:10) I was septic. (5:11) My body temperature was, like, 89, and they pretty quickly he's like, I I don't know what's wrong, but something's wrong with her.

Scott Benner (5:19) Roxanne.

Roxanna (5:20) Went got in an ambulance, was intubated, and maxed out on pressers, and in coma for a couple days. (5:26) Almost died for sure.

Scott Benner (5:28) Wow. (5:29) Hey. (5:29) What kind of gift do you have to get your friend the following year for their birthday after they save your life?

Roxanna (5:33) I know. (5:35) I know. (5:35) I they are amazing people. (5:37) They definitely saved my life that day. (5:39) There was there's three of them, and they were all living in different states at the time, and they just they knew that I hadn't been feeling well and something wasn't right.

Roxanna (5:48) And How

Scott Benner (5:48) about that?

Roxanna (5:49) They were gonna fix it.

Scott Benner (5:51) I would text you once a year and go, hey. (5:53) Do you remember the time I saved your it's like, would definitely definitely do that.

Roxanna (5:59) So every September 11, because that's when it was, September 11

Scott Benner (6:02) Really?

Roxanna (6:02) Text back and forth and say, happy death day. (6:04) I say, you for saving my life.

Scott Benner (6:06) Wait. (6:07) September 11, I I seem to feel like that's a date I should know. (6:11) Wait. (6:11) Wait. (6:12) What year was it?

Scott Benner (6:13) 2015. (6:13) Oh, okay.

Roxanna (6:14) Some '20,

Scott Benner (6:15) Yeah. (6:15) Many years later. (6:16) But still

Roxanna (6:17) Yeah.

Scott Benner (6:17) You almost said you're on 09/11. (6:19) Yeah. (6:19) Yeah. (6:20) How about that? (6:20) Oh, my goodness.

Scott Benner (6:22) Well, isn't that a fun way to start off the podcast?

Roxanna (6:25) I know.

Scott Benner (6:25) So your friends you said you had other health issues going on at the same time. (6:29) Would you share what they are or what they were?

Roxanna (6:31) Yeah. (6:31) So I really started to fall apart. (6:34) I thought when I once after I hit, like, early thirties, it was mostly, like, GYN related, and they my GYN told me I had a hostile uterus, and that was a quote. (6:43) And I had a lot of, like, anemia and bleeding stuff going on. (6:48) Just weird kinda stuff that still unexplained.

Roxanna (6:51) I was on a million different tried a million different things to get the bleeding under control, and it just never worked. (6:59) Just stuff I just wasn't feeling well. (7:00) And I knew now I know that a lot of that was probably tied to, like, the type one diagnosis. (7:06) And when I look back, it was could have been caught probably a year prior. (7:12) I had fasting blood sugars in the two hundreds, and it just wasn't caught.

Roxanna (7:18) You know, they told me to stop eating yogurt.

Scott Benner (7:20) Wait. (7:20) When you had a fasting blood sugar in the two hundreds, they said no more yogurt?

Roxanna (7:24) Yeah. (7:24) They asked me what I what, you know, I had, like, the night before I came in and I said, well, I think I had some yogurt. (7:30) And they were like, well, don't eat that.

Scott Benner (7:32) That's the problem. (7:33) Hey. (7:33) Did you try tranexamite acid for for bleeding? (7:38) That's not one of the things they gave you?

Roxanna (7:40) No. (7:40) They busted it was basically a bunch of birth control pills that they tried, which then lent to me. (7:44) I had some pulmonary embolisms from that. (7:47) Oh. (7:47) From yeah.

Roxanna (7:48) So it was just a traumatic time. (7:51) Those early thirties were rough. (7:52) I was like, is this one getting old as life? (7:54) Because it is not fun.

Scott Benner (7:55) Also, thirties shouldn't be where things start going downhill like that. (7:59) I don't think.

Roxanna (8:00) Well, yeah. (8:01) And that's what I thought. (8:02) But I was like, I guess this is it. (8:04) I don't know. (8:04) I guess you just you're just tired, like, all the time and feel terrible.

Roxanna (8:08) And Best part

Scott Benner (8:09) of the ride's over already.

Roxanna (8:11) That's it.

Scott Benner (8:11) Any other autoimmune in your extended family?

Roxanna (8:15) Yes. (8:16) So now that I know, you know, I've asked. (8:18) My mom has Hashimoto's. (8:19) Mhmm. (8:20) My grandmother had Graves'.

Roxanna (8:22) Grandfather on my maternal side had MS. (8:25) And then two years after I was diagnosed, my niece was diagnosed, and then two years after that, my nephew was diagnosed with type one.

Scott Benner (8:30) Type one was coming. (8:31) Yeah. (8:32) You grew up not knowing your mom had Hashimoto's?

Roxanna (8:35) Nope. (8:36) I mean, I need to So she actually is was raised Catholic.

Scott Benner (8:42) She did

Roxanna (8:42) not raise us Catholic.

Scott Benner (8:43) That's fine.

Roxanna (8:44) But she herself was Yeah. (8:47) Yeah. (8:47) Catholic.

Scott Benner (8:48) Alright. (8:48) I get it. (8:48) I know the vibe. (8:49) I got everything going on here. (8:50) I'm like Chad GPT almost.

Scott Benner (8:51) I have enough data to make some pretty big leaps. (8:55) So Yeah. (8:56) Talk to enough people. (8:57) Your mom had a thing she took a pill for every day. (9:00) How many how many brothers and sisters do you have?

Roxanna (9:02) I have four brothers.

Scott Benner (9:04) Yeah. (9:04) That's right. (9:04) You said that. (9:05) I'm sorry. (9:05) Okay.

Scott Benner (9:06) Mhmm. (9:06) Did they know?

Roxanna (9:08) I still don't think they know, to be honest.

Scott Benner (9:10) Ah, awesome. (9:12) Now I practice know

Roxanna (9:13) that my my two youngest brothers are my half brothers. (9:16) So after my mom and dad got divorced, my dad got remarried, and I have two younger

Scott Benner (9:21) You have two younger brothers that are not your mom. (9:23) Yeah. (9:23) Wouldn't it be weird if they knew and no one else did?

Roxanna (9:26) Well, yeah. (9:26) But that's highly unlikely, Scott.

Scott Benner (9:30) Your mom wasn't keeping up with your dad's new family? (9:33) No.

Roxanna (9:34) No. (9:34) Gosh. (9:34) She barely remembers her names now.

Scott Benner (9:36) Might be apropos or nothing, then I'll find out later if I wasted your time or not and and asked you more than I should have. (9:42) But no, no marriage, no kids, is that on purpose or is that because

Roxanna (9:48) No. (9:49) I get asked this question

Scott Benner (9:50) a lot. (9:51) I imagine.

Roxanna (9:51) Especially being from where I'm from and the expectation, you know, all my best friends were married and, you know, had kids in their twenties, if not earlier. (10:01) Yeah. (10:02) It's never been something that I have dreamed of doing. (10:06) Like, I just it's never been on my to do list, I guess. (10:09) If it happens, it happens, but that's part of it.

Roxanna (10:12) I never was actively seeking it out. (10:15) And then I think part of it was I spent a lot of, like, my those early thirties, like, not feeling well. (10:21) And I traveled a lot. (10:23) Like, I was moving every three to six months, and that's not conducive really to meeting anyone either. (10:29) So I think it was, like, a combination of things.

Scott Benner (10:31) Did you date and mess around a little bit, or were you pretty, like, single?

Roxanna (10:35) Yeah. (10:35) Like, dating, for sure. (10:37) That definitely happened. (10:39) But now I just I don't know whether I'm just too old or just too tired. (10:42) Like, I just I don't know.

Roxanna (10:44) I just don't know if it's in the cards for me. (10:47) Yeah. (10:47) And that's okay. (10:48) Like, I don't that's not something that I have a strong desire to to do.

Scott Benner (10:52) I don't feel like you should. (10:53) I was just asking. (10:54) You you know the movie Scent of a Woman with Al Pacino by any chance?

Roxanna (10:58) I I know of it. (11:00) I don't think I've ever

Scott Benner (11:01) watched it. (11:01) No. (11:01) There's a scene at the end where, he's yelling at some people. (11:05) And, at some point, he yells, I'm too old. (11:08) I'm too tired.

Scott Benner (11:09) I'm too fucking blind. (11:11) Every time somebody says I'm too old, that line runs right through my head. (11:16) Yeah. (11:17) Because it just to me, the the the overall sentiment is I'd love to argue here, but I just don't have it in me. (11:23) The rest of that sense, by the way, is, I'm too blind, too blind to, I'd if I was the man I was if I was half the man I was ten years ago, I'd take a flamethrower to this place.

Scott Benner (11:32) And he's, like, in full Al Pacino mode. (11:34) It's awesome. (11:34) Nevertheless, I'm just interested for reasons that may end up being useless, and I I don't know. (11:41) Like, it it it might help the story come together, and it might have nothing to do with anything. (11:44) But I needed to understand this sort of moving forward.

Scott Benner (11:46) So I appreciate you telling me.

Roxanna (11:47) And I think there's some disappointment, like, in my family. (11:50) Like, I

Scott Benner (11:50) didn't Really?

Roxanna (11:50) Have kids and, you know, I didn't get married. (11:53) I didn't go that route. (11:54) I think part of the ones are, what did we do wrong?

Scott Benner (11:56) Well, are you disappointed?

Roxanna (11:59) I'm not. (12:00) But I think sometimes I feel like or maybe not disappointed, just like

Scott Benner (12:05) But you didn't do the thing What that they expected.

Roxanna (12:08) Yeah. (12:09) Like, what happened to that one? (12:10) Like, was it you know, because we modeled it wrong. (12:14) My parents have been divorced for a very long time, but I also don't see very many happy marriages, honestly, Scott. (12:20) Like, I just I don't.

Scott Benner (12:21) Kidding me? (12:22) I just took the trash out this afternoon. (12:24) Everybody looks happy when I do it. (12:26) How old were you when your parents got divorced?

Roxanna (12:29) Oh, gosh. (12:29) I think I was six or seven, and then my mom got remarried once. (12:33) And my dad this is his third marriage, I think. (12:38) But they've been together for a very long time now.

Scott Benner (12:41) Your mom's remarriage took? (12:42) Is he still around?

Roxanna (12:44) No. (12:44) Mm-mm. (12:45) They only lasted probably about a year.

Scott Benner (12:47) Oh, so as a young kid, you saw your original father, your OG dad go

Roxanna (12:52) Mhmm.

Scott Benner (12:53) Then new dad was there and gone. (12:54) Were there, other guys coming in and out, or did she give up after a bit? (12:58) So

Roxanna (12:58) No. (12:58) She was pretty much done.

Scott Benner (13:00) She's like, that's it. (13:02) I I ain't doing this again. (13:03) Well, that Yeah. (13:04) Maybe that's where I mean, maybe that got modeled on top of you somehow. (13:08) Yeah.

Scott Benner (13:08) You know?

Roxanna (13:09) Yeah. (13:09) Maybe so.

Scott Benner (13:10) Well, at least it opened you up to that travel nursing, which from what I understand pays pretty well. (13:14) So congratulations on that.

Roxanna (13:16) Yeah. (13:16) I had a good time doing that. (13:17) I don't do it any longer, but, I kinda stopped during COVID. (13:21) But Oh. (13:22) I definitely had some good experiences and saw a lot of things and learned a lot of things for sure.

Scott Benner (13:26) I bet. (13:27) Are you still a nurse today?

Roxanna (13:29) I am. (13:30) Yeah.

Scott Benner (13:30) Yeah. (13:30) Just doing it.

Roxanna (13:31) I'm a pediatric CBC. (13:32) Yes. (13:32) So Right. (13:33) Yeah. (13:33) I do a lot of I work in a clinic now, mostly outpatient stuff.

Scott Benner (13:37) You told me that. (13:38) I don't know why I didn't remember. (13:39) I'm up. (13:39) It's probably because it's Friday afternoon. (13:41) I apologize.

Scott Benner (13:42) And my wife is texting me about this thing at the same time. (13:44) Plus, I'm thinking about son of a woman now. (13:46) There's a lot going on in my mind.

Roxanna (13:47) Okay. (13:48) I get it.

Scott Benner (13:48) I'm sorry about that. (13:50) Okay. (13:50) So how do you and I end up together? (13:53) Because I feel like somebody hooked us up so that you could be on.

Roxanna (13:57) Kenny Fox is a mutual friend of ours. (14:00) So he kind of said, do you know what you should do? (14:02) You should get on the podcast with Scott Benner. (14:04) I was like, I sure. (14:06) Why not?

Roxanna (14:06) Cool. (14:07) Sounds like a good time.

Scott Benner (14:08) Why do you think Kenny thought by the way, Kenny is in the episodes called Fox in a Loop House. (14:13) I think there's six of them if you wanna know about DIY looping. (14:16) Kenny talks all about it in those episodes. (14:18) But why do you think he thought you were a good guest for the show? (14:25) I have always disliked ordering diabetes supplies.

Scott Benner (14:29) I'm guessing you have as well. (14:31) It hasn't been a problem for us for the last few years, though, because we began using US Med. (14:36) You can too. (14:38) Usmed.com/juicebox or call (888) 721-1514 to get your free benefits check. (14:46) US Med has served over one million people living with diabetes since 1996.

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Roxanna (16:33) I think because the position I'm in, right, as an educator for kids with diabetes, like, I touch a lot of, like, their, you know, diabetes management, and I use the podcast as a resource or recommend it as a resource for a lot of our families, whether newly diagnosed or not.

Scott Benner (16:52) Mhmm.

Roxanna (16:52) Because I have a touching point with every single, you know, kid that comes into our practice. (16:59) So I always recommend it, and he knew that. (17:02) And I have a little binder even that I have, like, you know, I've made that has Juice Box podcast on it with, you know, some QR codes and then all, like, the series that I recommend to the families that, you know, please, like, if you wanna understand it, like, you know, I will talk to you all. (17:18) You need to talk about whatever, but I think this is gonna be more helpful to you.

Scott Benner (17:24) Okay. (17:25) Thank you.

Roxanna (17:26) Yeah. (17:26) And so a lot of families take me up on it, and those families do incredibly well for the most part.

Scott Benner (17:31) Okay. (17:32) So, I mean, you're diagnosed a decade ago. (17:34) Fair enough.

Roxanna (17:35) Mhmm. (17:35) Mhmm.

Scott Benner (17:36) I mean, did you find the podcast before you you like, you and Kenny, like I'm trying to figure out, like, what the the timeline is. (17:42) Like, you find the podcast for you personally or you use it for professionally or, like, how does all that work?

Roxanna (17:49) It was definitely personally at first. (17:52) You know, the first couple of years after I was diagnosed were really rough for me. (17:56) I didn't know what I was doing. (17:59) I was one of those people that had no idea what really diabetes was. (18:03) I mean, I knew what it was.

Roxanna (18:04) Like I said, I'd taken care of lots of kids in DKA, but that was the extent. (18:09) I knew that these kids came in, and they were a lot of work. (18:12) Mhmm. (18:12) Mhmm. (18:13) And they were really sick most of the time.

Roxanna (18:14) And my job was just to because I did pick you. (18:17) I didn't do any of the education aspect. (18:19) I just wanted to get them out of the pick you as soon as possible to the floor where they could do whatever they needed to do, and that was kind of a mystery to me what happened after that.

Scott Benner (18:27) Yeah.

Roxanna (18:27) And when I was diagnosed adults, and this is part of the reason why I started doing what I'm doing now, I realized how bad the education was there. (18:36) It was assumed because I was a nurse that I kind of knew what I was doing, but they essentially handed me, you know, after a week and a half in the hospital, however long I was there, handed me two pens and said, you know, we'll see you in a month. (18:50) Like and I was like, wait. (18:51) What? (18:52) What do I do with this?

Roxanna (18:54) No. (18:54) Thank you. (18:55) Asked me to, like yeah.

Scott Benner (18:56) No. (18:56) Thank you. (18:57) No. (18:57) Out of, like, two things. (18:58) I'm good.

Roxanna (18:59) I was like, I'm was like, I have no idea. (19:02) So I really did miserably. (19:04) I was in think part of it was denial, I think, but part of it was I just didn't know what I was doing, and I didn't get much help from my endocrinologist.

Scott Benner (19:15) Okay.

Roxanna (19:16) Not that they were bad people,

Scott Benner (19:17) but

Roxanna (19:18) I think they are just they don't really know how to help, I think, a lot of the time. (19:23) So I did not do well. (19:26) You know, COVID hit, and I stopped traveling. (19:30) And I think I just realized, like, my niece was diagnosed, and that was kind of like a that triggering point for me to say, okay. (19:38) I've gotta figure this out.

Roxanna (19:40) Like, if not for me, like, for her. (19:42) Oh. (19:43) Because she was only, like, 10 or 11 at the time that she's diagnosed.

Scott Benner (19:46) If it wasn't for her diagnosis, do you think you would have gone on suffering personally?

Roxanna (19:51) I think yeah. (19:52) Maybe not indefinitely. (19:53) I think I would have, like, gotten to feel so badly that, hopefully, I would have turned things around. (19:59) But she was kind of like the starting point for me when I was like, okay. (20:03) Like, I've gotta figure this out.

Roxanna (20:05) And I did. (20:06) I started finding everything that I could about diabetes. (20:11) Podcasts, books, like, just anything I could figure out on my own. (20:16) And, you know, I certainly asked my endocrinologist some to help, but they are busy people.

Scott Benner (20:21) Yeah. (20:22) Can can you help contextualize something for me, best you can? (20:26) Right? (20:26) I mean, you do what you do for a living.

Roxanna (20:29) Mhmm.

Scott Benner (20:29) I guess what I would say there is that you'd think that most people listening would think that this would predispose you to doing well with diabetes. (20:36) So my my first question is, can you explain to those people why your ICU nursing background doesn't help you with your own type one? (20:46) Why would you settle for changing your CGM every few weeks when you can have three hundred and sixty five days of reliable glucose data? (20:55) Today's episode is sponsored by the Eversense three sixty five. (20:59) It is the only CGM with a tiny sensor that lasts a full year sitting comfortably under your skin with no more frequent sensor changes and essentially no compression lows for one year.

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Roxanna (21:51) Diabetes is so undereducated on, I think, because it's really complex, and it's not black and white, and there's a lot of gray in it. (22:01) So I think nursing school does not prepare you for diabetes management at all. (22:09) I don't think med school does either or PA school or a nurse practitioner. (22:13) Like, I don't think that's not gone over, like, in detail at all.

Scott Benner (22:16) Specific to diabetes, what does it prepare you for?

Roxanna (22:20) That it exists, that there's a disease out there that causes high blood sugars and a lot of problems. (22:26) Like, even the difference between type one and type two, like, I wasn't entirely clear on.

Scott Benner (22:31) How long had you been an ICU nurse?

Roxanna (22:33) Oh, close to ten years.

Scott Benner (22:35) If I asked you ten years ago, a day before you were diagnosed, how good of a nurse are you? (22:40) What what would you have said?

Roxanna (22:42) I would have said, I think I do an okay job. (22:45) Yeah. (22:45) As a baby nurse, I mean, I don't I didn't know anything starting out in nursing school either in general. (22:50) I do nothing about anything, much less diabetes. (22:53) But I think I had the potential to be a good nurse.

Scott Benner (22:57) But you had only started with babies. (22:59) There's only a certain amount of information you needed. (23:01) You were doing a good job at that.

Roxanna (23:04) Yes. (23:04) Yeah. (23:04) I mean, like, it was definitely you know, when I started out as an ICU nurse, it's very steep learning curve. (23:10) Like, there's a lot being thrown at you, and there are some sick kids that you're dealing with. (23:14) Diabetes is usually not like an acute know, you unless they're a DKA.

Roxanna (23:18) It's not like an acute you know, where you're gonna see someone in the ICU. (23:22) It's more of a chronic.

Scott Benner (23:23) Let me be more specific with my question. (23:26) If I asked you back then what kind of a nurse you are, you weren't disinterested. (23:30) You weren't just there for the check. (23:31) You weren't also doing, like, crack cocaine on the side. (23:35) You were No.

Scott Benner (23:36) You were, an an earnest employee doing their best with a good education behind you.

Roxanna (23:42) Absolutely. (23:42) Yes. (23:43) Yeah. (23:43) I'm one of those people that's gonna put in the effort to whatever I do

Scott Benner (23:47) Gotcha.

Roxanna (23:47) And do it well.

Scott Benner (23:49) And yet you were in no way prepared to take care of somebody with diabetes being yourself, so you also weren't prepared for somebody else to be doing it. (23:57) The next obvious answer or question, I believe, comes up is that how come this exists in specialty too? (24:03) Like, how come I can get to an endocrinologist who's also not well equipped?

Roxanna (24:08) Well, I mean, I think there are certainly endocrinologists out there that aren't well equipped, and I don't have an answer for that because they, of all people, should be equipped and should have some kind of grasp on what diabetes is. (24:21) But I have certainly met my share of endocrinologists that don't.

Scott Benner (24:28) Okay. (24:29) Like, also, let me say this upfront. (24:31) I imagine there are a lot of endocrinologists that are awesome. (24:34) And Yes. (24:35) Yeah.

Scott Benner (24:35) I'm not not

Roxanna (24:36) I work with some amazing providers.

Scott Benner (24:38) Even suggesting that that's not the case. (24:40) But when it goes wrong, do you see any common connectors between the ones it goes wrong with? (24:46) Are they ladder climbing, just there for the money? (24:49) Anything you could, like, say, oh, they all seem to have this in common?

Roxanna (24:53) I mean, maybe, like, just disinterest. (24:56) I mean, because endocrinologist is not they don't just do diabetes. (24:59) Sure. (24:59) Right? (25:00) Like, that's part of what they do.

Roxanna (25:02) So I think that endocrinologists can have their quote, favorites that they like to take care of. (25:09) Like, our, you know, not even just endocrinologists, but, like, our nurse practitioners and PAs too that are in endocrinology.

Scott Benner (25:15) Right.

Roxanna (25:16) You know, some are more interested in growth hormones. (25:18) Some are more interested in thyroid. (25:21) Like, so they all have, like, their their niche kinda, like, groups too unless you're a specific diabetologist, but those are even more hard to find. (25:30) So maybe that's part of it.

Scott Benner (25:32) Would you say that when somebody finds themselves in that situation, like, oh, I prefer, like, you know, you think it's conscious, I guess, is my question? (25:39) Or do you think that they're maybe unconsciously don't give the same effort to the things that they aren't maybe as learned about or not as interested in?

Roxanna (25:47) I think it's maybe it's that they get feel frustrated or, like, it's that they don't they can't understand it. (25:57) Right? (25:57) So they don't feel like they can ever have a grasp on it, especially if you don't have it or caring for someone with it.

Scott Benner (26:05) Yeah.

Roxanna (26:05) Diabetes is a really tough disease to understand if you're not in either one of those positions.

Scott Benner (26:10) Right. (26:10) Maybe they they have, like, impostor syndrome in inside of that to some degree.

Roxanna (26:15) Maybe. (26:15) Like, all they know is, okay. (26:17) Well, I know that this is what you're supposed to do, and, you know, are you doing it? (26:21) And they say yes, and it's still not working. (26:24) And you don't understand why.

Scott Benner (26:26) Okay.

Roxanna (26:27) And that's the same, I think, frustration families get too. (26:29) And that's why I think they lose a lot of faith in their the health care system and their providers because they're doing what their whoever told them to do, you know, their endocrinologist or nurse practitioner or whoever it is said, okay. (26:41) This is x amount of carbs. (26:42) If you just use this simple formula and dose, you know, when you eat carbs, then it should work, and your blood sugar should be fine. (26:51) Well, when that doesn't work, and most of the time that doesn't work because there are so many variables going on, then they're like, this doesn't work?

Roxanna (26:59) Like, what am I supposed to do? (27:00) And then the provider's like, I don't know.

Scott Benner (27:04) I don't know.

Roxanna (27:05) Try this.

Scott Benner (27:06) How the hell should I know,

Roxanna (27:07) Connie? (27:09) Exactly.

Scott Benner (27:11) Okay. (27:11) So I'm gonna take you back to your to your niece being diagnosed, and you start running around looking for information. (27:16) You kinda, you know, catch yourself out out of that fog maybe you're in. (27:21) What do you learn first? (27:22) What's more what's most valuable to you?

Scott Benner (27:24) What allows you to start laying a foundation under yourself and getting going?

Roxanna (27:29) I think the first thing that, you know, just even started me on the right path was just knowing that there were people out there that could do this, that were achieving. (27:38) It wasn't just something that's completely out of my control and unmanageable, which is kind of what I thought it was. (27:43) I think that gave me a lot of hope, and I just wanted to figure out what those people were doing. (27:48) And those people being, you know, like people I heard from on the podcast or, you know, I read Think Like a Pancreas and a couple other books. (27:57) Just anything that I could find to help me understand and understanding how insulin works.

Roxanna (28:03) I think that was, like, the first piece that, like, taught me, okay. (28:09) Now I know how insulin works. (28:11) Then I can match it to what other variable I have, understanding what it does to, like, my blood sugar. (28:18) And that, I think, was my first real understanding of diabetes, and a lot more has come. (28:25) And I still learn something new every day.

Roxanna (28:27) Right? (28:27) But I think that was the first piece that really helped me understand.

Scott Benner (28:32) I have a question that'll feel self serving if you don't like me. (28:35) If you do like me, it'll just sound like a question where we get to an answer. (28:38) The idea of understanding how insulin works being the basis for moving forward. (28:43) I mean, that's how I talk about it. (28:45) So do you think it because I told you to think it, or do you think it because you heard a bunch of stuff and that was your natural decision?

Roxanna (28:53) I think you certainly helped lead me there, if not, you know, if we're at the the starting point for it.

Scott Benner (29:00) Okay.

Roxanna (29:00) I don't know. (29:01) It just I think it just came to me. (29:03) Like, I was like, okay. (29:05) Well, this is how insulin works, then I can figure it out from here. (29:10) And I don't all the time, but at least I understand why, it's not working most of the time.

Scott Benner (29:16) Right. (29:16) I ask I I wanna be clear about why I asked because I'm trying to decide, is this the right answer, or is it just one of many right answers and you went with it because you heard me say it, and then it worked out for you. (29:30) Because when I started saying that out loud, I didn't I wanna be clear with everybody. (29:34) I didn't really a 100% know if that was right or not. (29:37) I just for me, I was like, this feels like to me, it all starts with understanding how insulin works.

Roxanna (29:42) Mhmm.

Scott Benner (29:42) And then if you don't have that, then not only are you incapable of covering food and and needs and etcetera, you don't understand why you're getting high. (29:51) You don't understand why you're getting low. (29:52) You can end up with a fear of insulin. (29:54) You don't use enough of it. (29:55) Like, it it snowballs.

Scott Benner (29:56) But you understand that, like, I I hope everyone listening understands, like, I didn't go to college. (30:01) Like, I don't have any background in this, like, like, professionally. (30:05) No one told me these things. (30:06) It all just started coming to me, like, as I was living through it. (30:10) So I was interested to know if you if there was a delineation between, like, the information and your understanding or if it if it all kinda blended together.

Scott Benner (30:18) But I appreciate your answer, but thank you. (30:20) I just wanted to make sure you understood why I was asking.

Roxanna (30:22) Yeah. (30:23) I do remember the first podcast I listened to of yours was the newly diagnosed or starting over because just by my searching, well, that's what popped up. (30:30) Right? (30:31) And I don't remember even exactly, like, what it said, but that kind of was what started me on, I can figure this out. (30:38) And from there, it just it just anything I could get a hold of, I wanted to know.

Scott Benner (30:44) Awesome. (30:44) Well, I'm glad. (30:45) I'm I'm glad it got you there. (30:47) So how long after you fix fix yourself up, do you offer this information back to your niece or do you like, I mean, do you guys become like a partner in crime here on this or how does that benefit her or did did it not?

Roxanna (30:59) My niece is pretty sure that I gave her diabetes. (31:02) Oh,

Scott Benner (31:03) but at thanksgiving would you hug her at thanksgiving or something like that? (31:06) Get your cooties on her?

Roxanna (31:07) Gone to I'd come home for Christmas. (31:10) I was there visiting, and we had gone to the movies and with my mom and my brother who it's her dad.

Scott Benner (31:16) Mhmm.

Roxanna (31:17) And she was sitting next to me, and she had gotten a box of Sour Patch Kids. (31:22) And she had had a big thing of water too. (31:25) So we went and saw this movie. (31:27) I don't remember what the movie was. (31:28) It wasn't a very long movie, but that girl, she ate her box of Sour Patch Kids and went through her water, my water, her dad's water, everyone's water, and had gone to the bathroom countless times.

Roxanna (31:39) And we left that movie theater, and I said, I think we need to check her blood sugar.

Scott Benner (31:46) Oh, you said it that fast.

Roxanna (31:47) She lost her mind.

Scott Benner (31:48) Yeah. (31:49) Well, say, honey, you just drank $24 worth of bottled water, so we're gonna have to check on this. (31:53) Okay?

Roxanna (31:54) She was so mad, and I was leaving the next day for my next contract. (31:57) So, she just was and my mom was like, you know, let's not make a scene. (32:02) Let's just go home. (32:04) Think about this. (32:05) And I was like, okay.

Roxanna (32:07) Like but I think we should check her blood sugar. (32:09) Like, she looks thinner. (32:11) I I felt like they didn't have that perspective because they see her all the time. (32:14) Was coming home. (32:15) I hadn't seen her in six months or

Scott Benner (32:17) You saw it.

Roxanna (32:17) You know, longer at that point. (32:20) And she was so bad at me. (32:22) She refused to say goodbye to me the next day. (32:24) She wouldn't come near me because she was afraid I was gonna poke her finger. (32:27) And then that was right before Christmas, and I went to do my next contract in, which was about three hours away.

Roxanna (32:34) And about two weeks later, I was working in the PICU, and the charging nurse came up to me and said, I just wanna let you know that your niece is being here in severe DKA.

Scott Benner (32:43) So I have a couple of questions. (32:45) First of all, when you said it, do you think they were like, oh, this one's got diabetes. (32:49) Now she thinks everybody has diabetes. (32:50) Was that there a vibe there like that? (32:53) Okay.

Roxanna (32:53) My brother told me to quit being dramatic is what he told me.

Scott Benner (32:56) Ah, hold on a second. (32:57) He must owe you a good birthday present too. (32:59) Yes. (33:00) And then my next question is more on a, like, a psychological difficulty level. (33:05) How hard was it knowing what happened to you leaving there, being sure she had type one and nobody was listening to you?

Roxanna (33:13) Yeah. (33:13) You know, looking back, like, I am mad at myself because that could have been prevented. (33:18) She was very sick.

Scott Benner (33:20) Right.

Roxanna (33:21) And it was it was just sad. (33:24) She, you know, rolled in and her and I was working at the time. (33:27) Right? (33:27) So she rolled in from the helicopter with my brother, like, right behind her, and my brother's just looking at me like and it took all I had in me not to say I told you so.

Scott Benner (33:36) No kidding. (33:37) Because she is half dead Or would it because it would have been inappropriate. (33:41) But you were thinking, you Oh, thank I told you this was gonna happen, and and no one listens to me. (33:47) And Yeah. (33:48) Do oh, I would have had all those thoughts I was

Roxanna (33:50) furious he let her get that sick and feel that badly. (33:52) I was I was mad. (33:54) That was definitely, I feel like, the starting point, you know, of it all. (33:58) And then, you know, a couple of years after that, when my nephew was diagnosed, who I was actually working here at the time at the same hospital that he came to, my brother called me and said, we're on the way to the ED. (34:09) And I said, why are you on the way to the ED?

Roxanna (34:12) And he said, well, I think, you know, has COVID or the flu or is sick, and he might have type two diabetes.

Scott Benner (34:19) And

Roxanna (34:20) I said, type two diabetes?

Scott Benner (34:22) How old?

Roxanna (34:23) He was 14, I think, at the time.

Scott Benner (34:26) Okay. (34:27) Wait. (34:27) Same brother or different brother?

Roxanna (34:29) Same brother.

Scott Benner (34:30) Same brother.

Roxanna (34:32) Yep. (34:32) And so I was like he's like, well, you know, we checked his blood sugar at home, and it was reading high or 400 or something. (34:41) I said, Jonathan, he has type one diabetes. (34:46) He was like, no. (34:46) I don't think so.

Roxanna (34:48) He really thought it type two, but gets there. (34:51) He's also in, you know, severe DKA, and he gets life flighted also too.

Scott Benner (34:55) Your brother's a little thick. (34:57) A little a little, like, in the head? (34:59) That's

Roxanna (34:59) the thing. (34:59) He's an incredibly smart guy. (35:01) Like, he he knows, like, and I think he knew, like, in his mind, as well. (35:07) I think he was just kind of hoping that it was that's not what it was.

Scott Benner (35:11) Can I say sometimes sometimes I let the stories tell the lesson, and sometimes I like to go back and point so that I make sure you guys don't miss the lesson in the stories? (35:22) I think and I don't love that as a podcasting thing. (35:26) Like, I was actually just listening to a podcast today where the guy explained to me what he was gonna tell me before he told me, and I said, you could've just told me. (35:32) I would've figured it out. (35:32) That's how I thought about it.

Scott Benner (35:33) But I think this is important to maybe highlight for a second. (35:37) Your brother, who you're describing as a bright person, right, who clearly loves his children Yes. (35:43) Is told by his sister, who's an ICU nurse who has type one diabetes, hey. (35:47) I think your daughter has type one diabetes. (35:49) And not only did he not listen, but it took him two weeks and an illness that was so unavoidable to actually come to grips with it.

Scott Benner (35:58) And then it happened to him again, and he had the same experience. (36:02) So I'm underlining that for everybody who finds themselves blaming themselves for not figuring it out sooner.

Roxanna (36:08) Mhmm.

Scott Benner (36:09) Like, because your brother didn't have to figure it out. (36:11) Someone told him, and he still couldn't bring himself to to make that leap. (36:17) Yeah. (36:17) So I wish people wouldn't hold themselves at, to such a high standard on this one. (36:23) I think it's an incredibly difficult thing to come to grips with or to figure out.

Roxanna (36:27) It really is. (36:28) And after my niece was diagnosed, you know, I am a firm believer in screening and that we should be doing it and hopefully one day at a general population level. (36:37) But at least, you know, now with, if you have family history, that it doesn't have to be that way. (36:44) It doesn't have to be like a traumatic diagnosis. (36:46) And I made everyone that was eligible to get testing at the time through trial net get, their antibodies tested, my my siblings.

Scott Benner (36:54) Well, yeah, you had a lot of power by then.

Roxanna (36:56) Yeah. (36:58) And the only one that did not get their auto weighted bodies tested was my Oh,

Scott Benner (37:03) sorry. (37:04) I was just I thought John I thought your brother John for sure was the one that was gonna be like, no. (37:08) I'll I'll remain hard headed on this. (37:09) By the way, your nephew didn't?

Roxanna (37:11) Yeah. (37:12) And I get it that he he also has Down syndrome. (37:14) So he is a little bit challenging for sure. (37:17) So getting him to

Scott Benner (37:18) He didn't want to do to

Roxanna (37:19) that would have been challenging, but ironically.

Scott Benner (37:23) I just interviewed a lady the other day who has, whose child has Down syndrome and type one.

Roxanna (37:28) Yeah. (37:28) He's hard. (37:29) He you know, my brother has his he works hard with them. (37:35) It's that's hard.

Scott Benner (37:36) It's a lot. (37:37) Yeah.

Roxanna (37:37) Yeah. (37:38) It's a lot. (37:38) I can't get him to wear a CGM or anything. (37:40) He's just living his best life.

Scott Benner (37:43) Okay. (37:43) Wow. (37:44) Alright. (37:47) You're like an oracle in that family that no one listens to.

Roxanna (37:50) Yeah. (37:50) I know. (37:51) That's what I say all the time. (37:52) So

Scott Benner (37:55) when I said to you, do your friends ping you once a year to say, do you remember when I saved your life? (38:00) I assume they don't because they're not related to you. (38:03) But I bet you're up your brother's ass all the time about this.

Roxanna (38:06) Yeah. (38:06) I try to keep it in check, but

Scott Benner (38:08) sometimes I just Yeah. (38:12) Sometimes you gotta, like, whip it out, I would imagine. (38:14) Right?

Roxanna (38:14) Yes. (38:15) But he has certainly helped me out with a lot of things myself. (38:18) So, I mean, he's he's an incredibly bright guy.

Scott Benner (38:22) Yeah. (38:22) He

Roxanna (38:22) really is. (38:23) He just, I think, it's just hard.

Scott Benner (38:25) I million percent think it's incredibly difficult to just make the leap.

Roxanna (38:28) So Yeah. (38:29) Screen. (38:29) Everyone should screen.

Scott Benner (38:30) Yeah. (38:30) No kidding. (38:32) But but what was I gonna say? (38:33) Oh, okay. (38:34) So now you have all this information.

Scott Benner (38:35) You got family members. (38:37) You're doing better, I imagine, at some point. (38:40) When do you make the shift in your profession? (38:42) Like, when do you say, hey. (38:43) I think I could teach this?

Roxanna (38:44) I think after I realized that I mean, if I can do this, like, surely anyone could do it.

Scott Benner (38:50) Yeah. (38:52) That's what you said. (38:55) You're like, well, I did it. (38:56) So by the way, that's what I say when I make the podcast. (38:58) I'm like, I figured it out.

Scott Benner (38:58) You guys should easily be able to do it. (39:01) Yeah. (39:01) And I just kind of it just kind of

Roxanna (39:03) fell on my lap, honestly. (39:04) I was COVID. (39:06) I decided to stop doing travel nursing and I was at home visiting and I was laying on the couch at like 02:00 at night, like just scrolling through possible job opportunities because I knew I didn't wanna travel anymore. (39:21) And there was a position for an educator at our local children's hospital. (39:27) And I was like, I think I could probably do that.

Roxanna (39:29) Like, I think that sounds like something I could do and, like, I would have a passion for.

Scott Benner (39:33) Mhmm.

Roxanna (39:34) And, I applied and, I think at, like, 2AM, and they called me at, like, 8AM, like, the next morning saying, can you come in for an interview? (39:43) Because I don't think anyone else wanted the job, quite frankly.

Scott Benner (39:46) They came in in the morning like, hey. (39:48) We got a sucker on the line. (39:49) Hold on a second.

Roxanna (39:51) That is exactly how it how I imagine this happened. (39:55) And I was hired very shortly after I went through a few interviews. (40:00) And, I don't think there was any other option. (40:03) So

Scott Benner (40:04) I was just talking to a nurse yesterday who was asking me about if I could put resources together for her to give to people because she shares the podcast with all people a lot. (40:13) She's like, could you make a printout or something that I could print out over and over again? (40:16) And we kinda talked back and forth about what it was. (40:18) And I chatted I was on the phone with her. (40:19) And I chatted with her for a couple of minutes.

Scott Benner (40:21) But what's going on? (40:22) She's like, oh, it's we're pretty rural. (40:24) And, you know, we did get an endocrinologist finally, but he filled up so quickly that it now takes a year to get an appointment with him.

Roxanna (40:32) Oh my.

Scott Benner (40:33) Like, that fast. (40:34) As fast as he got there, the the place was basically closed to new to new clients. (40:39) Like, just just like that. (40:40) Yeah.

Roxanna (40:41) We have actually had some luck, recruiting some good providers to us. (40:47) So we are we there was a time when it was really hard to get in, but now I feel like we are in a much better spot in terms of

Scott Benner (40:53) A little better.

Roxanna (40:53) Offering provider spots.

Scott Benner (40:55) Let me ask about the timeline one more time. (40:57) So you're diagnosed ten years ago ish? (41:00) Mhmm. (41:01) Okay. (41:02) Around COVID time, you maybe kinda pull it together a little bit, figure things out.

Scott Benner (41:06) Right?

Roxanna (41:07) Mhmm. (41:08) Yep.

Scott Benner (41:08) And now at that point, you have the podcast as a as a tool for yourself. (41:13) Mhmm. (41:13) Okay. (41:13) Yep. (41:14) You start doing this job how much later?

Roxanna (41:16) I mean, was around COVID. (41:18) Like, when I I got this job during COVID, that was, what, 2021?

Scott Benner (41:23) Okay. (41:24) Okay. (41:24) Yeah. (41:25) So I'm gonna ask a question again. (41:26) It's gonna sound self serving.

Scott Benner (41:27) I don't really mean for it to be, but I've been saying for years, maybe more privately than on the podcast that, like, one of my goals is to kinda help be part of putting a new, I don't know, generation of educators out into the world who are thinking more boldly about how to use insulin and stuff like that? (41:45) Like, is it fair to say that, like, not that you need me, but you're a protege of the podcast out there in the world kind of thing?

Roxanna (41:51) I would say yes. (41:53) I mean, I get a lot of my management, approach to how the podcast approach to diabetes.

Scott Benner (42:03) Okay.

Roxanna (42:04) Because that is kind of how I learned. (42:06) So, that's kind of how I

Scott Benner (42:08) How you teach?

Roxanna (42:08) Evolved into my own teaching and education.

Scott Benner (42:12) Okay. (42:12) So you learn that way, you manage yourself that way, you talk to people that way. (42:17) Are they having outcomes similar to yours? (42:20) Guess, so my question is is that we put all this I could be setting myself up for a big no here that I guess will make me cry. (42:26) But is that helping people?

Roxanna (42:30) I yes. (42:31) Sure. (42:32) Absolutely. (42:32) I think if they actually take the time to figure it out, and I'm not saying it's easy, but it does take effort on the parts of, like, the families. (42:44) I can't teach them everything.

Roxanna (42:47) I mean, I wish I could, but, you know, everyone's diabetes is also a little bit different. (42:52) And I hope that what I give them is the, like, impetus to, like, them to go further.

Scott Benner (43:00) Mhmm.

Roxanna (43:01) Because they spend, you know, what, point o 5% of their they come see even at coming seeing us every three months, they spend, like, point zero five percent of their lives with me and with the with our clinic. (43:13) My hope and what I want the families to know is that to, like, them to feel like empowered, I guess, is the right right word Mhmm. (43:23) To understand that diabetes doesn't it's always there. (43:26) Like, you can't come to us once every three to four months and expect to make us to make one change on your basal rate and to be okay.

Scott Benner (43:35) That's gonna be the whole thing. (43:37) And that is some people's expectation.

Roxanna (43:39) Yeah. (43:39) And that and that's what I really hope that families understand that they as long as they understand what they're doing and why they're doing it and doing it safely, like, they don't don't ask permission to change your carb ratio

Scott Benner (43:55) Right.

Roxanna (43:56) Or your basal rate. (43:57) Like, that's what I we are here to help you get through those questions. (44:01) But really, it's I want them to know that this is how diabetes is gonna work. (44:06) Okay. (44:07) That I want you to understand why you're doing it and how insulin works and all those things and the possible variables that could be in there.

Roxanna (44:14) It's going to be a lot on the family, and that's not fair. (44:17) But that's how diabetes is. (44:19) It's one of those rare diseases that, you know, you're kinda making decisions on your own. (44:26) We're not telling you how much to take or when to take it.

Scott Benner (44:29) It's you.

Roxanna (44:29) For the most part, it's on you.

Scott Benner (44:31) So this obvious doesn't need to be perfect, but one out of ten, two out of ten, three, four, five, six, seven, eight, nine out how many out of 10 families do you think have an outcome that makes you say, hey. (44:43) They get this and they're putting it to practice?

Roxanna (44:47) Oh, I would say, let's go with 60%.

Scott Benner (44:52) 60%. (44:53) Okay. (44:53) That's pretty great. (44:55) Do you think the other 40% get it at some point, or do you think there's another barrier that your interaction with them can't help with?

Roxanna (45:05) Oh, yeah. (45:06) I mean, I think they're certainly barriers. (45:09) I mean and I think some people, like, even myself, like, it just takes them a while to figure it out

Scott Benner (45:16) Right.

Roxanna (45:17) Or to want to figure it out. (45:19) Because you can talk until you're blue in the face to someone, and then tell they're ready, they're not ready. (45:25) Right. (45:25) And there's not really much you can do about it. (45:27) All you can do is offer them you know, continue to encourage and support and, you know, be there to answer their questions.

Roxanna (45:35) Mhmm. (45:36) Generally, like, threats or, you know, scaring kids

Scott Benner (45:40) No. (45:41) That's gonna

Roxanna (45:41) work. (45:41) Or families doesn't really work well. (45:43) Yeah.

Scott Benner (45:44) I mean,

Roxanna (45:44) there are some teenagers that it works well with, but, typically, it's not gonna work. (45:48) And there's nothing you can do to enforce that, at least nothing that I found that that works. (45:54) It just doesn't.

Scott Benner (45:55) Of those, like, 40% of people, do you still think some of them are gonna get it at some point?

Roxanna (46:00) I do. (46:01) Yeah. (46:01) I mean, I'm case in point. (46:02) I didn't get it at first.

Scott Benner (46:04) Right.

Roxanna (46:05) And I eventually got there, but it did take it did take a while of acceptance and learning and and all those things to get me where I am.

Scott Benner (46:15) Mhmm.

Roxanna (46:15) And not that I am perfect by any means, but I certainly, you know, am not

Scott Benner (46:20) Pretty far along.

Roxanna (46:21) Where I was. (46:22) Yeah. (46:23) Where I would literally just go to work and be like, oh, forgot to put my pump on after that shower. (46:29) Oh, well.

Scott Benner (46:30) Are there people that for whatever reason, financial, educational, intellectual, whatever, are there people who you've I gave you a million dollars and I made you bet, you'd bet against them ever figuring it out? (46:43) And do those people have anything in common that you can identify, if so?

Roxanna (46:48) I think that there's always a way. (46:51) It may not be a way that you expect or the traditional way. (46:54) I think a lot of it has to do with, the health literacy

Scott Benner (46:58) Okay.

Roxanna (46:59) And the way that it's approached. (47:02) Because we, you know, we approach everything, like, the same way, and every family is a little different. (47:07) Like, you know, some families do really well with they want all the information up front, and they're you know, why didn't you tell us this from the very beginning? (47:14) And some families need a slower introduction

Scott Benner (47:17) to

Roxanna (47:18) things to not feel so overwhelmed and, like, burdened by it and just throw their hands up immediately and say, this is impossible. (47:24) And they makes them give up right then and there. (47:27) So I think it's also about, like, sealing out families a little bit. (47:30) Right? (47:31) Like, everyone's kind of individualized in how they learn.

Roxanna (47:35) I think there's always help for families. (47:38) You just have to find what works for them, you know, whether that's

Scott Benner (47:44) I agree with you, by the way. (47:45) I think there are very rare instances where there's people who just couldn't get it.

Roxanna (47:51) Yeah. (47:51) I I mean, I agree.

Scott Benner (47:53) There's a way to reach up, I would say, most of them. (47:56) Yes. (47:57) My is my anticipation. (47:59) But that's also it's not like you have a podcast. (48:02) You can't talk into the rear five times a week and and make them listen.

Scott Benner (48:06) Right? (48:06) You have them for what? (48:08) A short amount of time quarterly?

Roxanna (48:11) Yeah. (48:11) I do one big class with all of our new kids that come in. (48:15) That's about three hours. (48:16) And then, you know, I'm there as needed kind of after that.

Scott Benner (48:20) How do you get that covered? (48:21) Because my my idea that I've now heard other people say, not only have they wanted to do the same thing, but, apparently, there are studies that again, this is one of these things that I thought I thought of and then I realized I didn't. (48:33) But why can't once a year why can't you take the whole practice? (48:37) I don't know how many people you see in the practice. (48:39) But, like, let's say it's, you know, let's say it's 500 families.

Scott Benner (48:42) How come you can't split them up into, you know, five days of a 100 and do, like, one, like, day long session with all of them to kind of, like, up I know it's a hard thing to bill. (48:54) Right? (48:54) But how do you but how are you doing the one session with the newly diagnosed kids? (48:58) Because you're billing for that too.

Roxanna (49:00) Well, as they can they in order to see a provider, then they have to go to the class first, whether that's being transferred in or whether they're a new onset. (49:08) Mhmm. (49:08) So they have to have a touch point with me before they're even see the provider. (49:14) And that a lot of families get upset with that or not upset. (49:17) Maybe don't understand, I guess, why.

Roxanna (49:19) They've had diabetes for ten years. (49:21) Like, why are we making them go to this, you know, class before they see a provider?

Scott Benner (49:24) Okay.

Roxanna (49:25) But it's a good way to, like, level set. (49:27) Right? (49:27) Like, to I don't know where they came from. (49:30) They could have had been bait not seen anyone for a while and be managing really well or would or have no idea what, you know, long acting insulin and versus rapid acting insulin.

Scott Benner (49:40) Yeah. (49:40) You have to start somewhere. (49:41) You have to get a baseline for everybody.

Roxanna (49:43) Right. (49:44) Yeah. (49:44) And just kind of introduction to how we think about diabetes and, you know, how we manage diabetes Sure. (49:52) And kind of assess where they are and, you know, what they need. (49:56) But that's

Scott Benner (49:58) Does my idea not carry water for you, or did I not articulate it correctly? (50:02) Like, I go speak at touch by type one, right, as an example. (50:05) There's a day there where there's somebody speaking. (50:08) Actually, there's, like, usually four people speaking every hour and you can pick a class to go to. (50:12) Like, is there not a world where you could bring everybody in, keep them there for, you know, a whole day, give them a a a symposium, have them sit through a number of different things, and and level them up in one day instead of trying to level them up fifteen minutes a time, four times a year?

Roxanna (50:30) I mean, I think in theory, yes. (50:32) That's great.

Scott Benner (50:33) Mhmm.

Roxanna (50:33) I don't think you would ever, just based on what I see here, get that level of engagement. (50:39) I mean, they don't even wanna come to the class most of the time. (50:44) Now most families afterwards find it very helpful, and some that's not I'm you know, I'm generalizing here. (50:49) Yeah. (50:50) Some are want to come, and they're very engaged, they're ready to ask questions.

Roxanna (50:54) But most are like, why on earth do I need to come to a class for three hours on diabetes?

Scott Benner (51:00) If you spend the three hours saying, you know, shoveling crap to them and comment it and send stuff that, like, you have to really, like, dig in and tell them something. (51:10) You know? (51:10) Like, you have to make them I mean, that's been my expectation and my finding when I do these public speaking events. (51:15) And I'm I'm certainly not throwing shade at anybody, but somebody's gonna feel that way. (51:20) I've seen sessions that I thought, oh my god.

Scott Benner (51:22) I'd get up and walk out of that. (51:24) Like, I I don't know why anybody's sitting in there. (51:26) Right? (51:27) And I don't just mean to touch, but I I gotta be honest with you. (51:29) I've every place I've ever spoken or been to, I've stuck my head into a room or sat in a room and thought, oh god.

Scott Benner (51:36) What a waste of time. (51:37) And, you know, and when people come out of my sessions, they're like, wow. (51:40) That was great. (51:41) Thank you. (51:42) Like, you know, so, like like I mean, you have to help them at that level.

Scott Benner (51:45) You can't just repeat stuff they've heard already or put them in front of somebody who's speaking who doesn't know what the hell they're talking about or is new to it or is gonna recite the, you know, the company line or something like that.

Roxanna (51:58) Yeah. (51:58) I I agree.

Scott Benner (51:59) I think I'm seeing the problems.

Roxanna (52:01) And I try to make my classes engaging, like, you know, I I do. (52:05) I try to, like especially these new kids that are coming in, and they don't they're easier, I feel like, because they don't know anything typically. (52:13) They don't know what, you know, pre bolusing is or either how insulin works. (52:19) They were sent home from the hospital with very black and white guidelines. (52:21) Like, you you know, you let your kid eat three times a day and free snacks in between, and, you don't correct, but, you know, this amount of times.

Roxanna (52:30) And, so I feel like the class, I hope, in part, it's like, you know, kinda opens their eyes a little bit about you don't have to be so restrictive. (52:40) Like, timing of insulin is important, and we talk about variables and, you know, technology and how important that is and glycemic index and glycemic load. (52:50) Like but some of it, you have to read the room a little bit too, if you know what I mean.

Scott Benner (52:54) Like Sure. (52:55) No. (52:55) No. (52:56) I do. (52:56) I understand.

Roxanna (52:56) Families aren't. (52:58) There are some families that have much better or coming in with much better health literacy than others. (53:03) Mhmm. (53:03) And then it gets really challenging when you put two of those families together or more than that, and they're all on different levels, and you're trying to engage all of them.

Scott Benner (53:10) Health literacy is a polite way of saying what?

Roxanna (53:14) Like, they don't understand how to count carbs or, like, their math skills are just not there.

Scott Benner (53:23) Gotcha.

Roxanna (53:25) Like, that's, I feel like, the polite way of saying it.

Scott Benner (53:28) Are we not slapping, islet pumps on those people? (53:31) Is that not a good idea?

Roxanna (53:33) Yeah. (53:34) We are very pro islet here. (53:35) We do a lot of islet pumps. (53:37) And not necessarily for just kids that were like, oh, they are never gonna figure this out. (53:43) Like, just for kids that are, like, burnout too

Scott Benner (53:45) Yeah.

Roxanna (53:46) And aren't gonna do anything. (53:47) Like, they're not doing anything now. (53:49) And I'm like, if you will just put this pump on and keep it charged and keep it filled with insulin, that's all I expect from you. (53:54) I don't even care if you're bolus. (53:55) Don't bolus.

Roxanna (53:56) Whatever. (53:57) Yeah. (53:58) Just put it on, and those kids do, really well.

Scott Benner (54:02) You're seeing good returns for that.

Roxanna (54:03) What is better.

Scott Benner (54:04) Well, what does that mean, like, a one c

Roxanna (54:06) wise? (54:07) Seven well, like, you know, their a one c's are hanging out ten, eleven, and they go down to a seven, seven and a half.

Scott Benner (54:12) That's hard to argue with, isn't it?

Roxanna (54:14) Yeah. (54:14) With, like, no effort on their parts as long as they are you know, the care and feeding of it is what they call it. (54:20) You know? (54:21) It charged. (54:21) Keeping it charged keeping it on.

Roxanna (54:24) That's all I can ask of them, and that's those teenage years are are tough enough. (54:29) And so I feel like that has helped kids get through

Scott Benner (54:31) I imagine.

Roxanna (54:32) A lot.

Scott Benner (54:33) Yeah. (54:33) I'm a proponent. (54:34) I am a specific use cases, I mean, I I'm I wanna just say, like, unless some things change, like, I wouldn't ask my daughter to wear a pump where she couldn't adjust her insulin or anything like that.

Roxanna (54:44) But Mhmm.

Scott Benner (54:45) For people in that situation, boy, it seems like a slam dunk to me. (54:48) You know?

Roxanna (54:49) Yeah. (54:49) I tried it. (54:50) I tried it for a while. (54:51) I mean, I've tried I've tried all the pump systems

Scott Benner (54:53) Mhmm.

Roxanna (54:54) For the most part, since I've been diagnosed anyway. (54:57) I tried to try them all, and it was not for me for sure. (55:01) Right. (55:02) Right. (55:02) I could see the utility in it, and how helpful it could be.

Roxanna (55:06) I mean, it wasn't horrible by any means. (55:08) Like, I I did okay, just not I'm way too much of a micromanager, I think, to have let that control, though.

Scott Benner (55:13) Right. (55:14) Hey. (55:14) Listen. (55:14) In fairness, I think they're the only palm company that doesn't buy an ad from me. (55:17) And I'm telling you, I if in this use case, I think it makes sense to wallpaper people with them.

Roxanna (55:23) Yeah. (55:23) Yeah. (55:23) Yeah. (55:24) Especially if they're in you know, most people with diabetes aren't even managed by endocrinologists. (55:28) A lot of them are managed in primary care.

Roxanna (55:30) So that's like

Scott Benner (55:30) Different issue.

Roxanna (55:31) A perfect kind of scenario for that situation.

Scott Benner (55:34) Right. (55:34) Because the doctors also double don't know what they're talking about in that in that scenario. (55:38) So you have people who

Roxanna (55:39) They're terrified. (55:40) Right? (55:40) Like, they just wait. (55:41) All I gotta do is put a weight in this thing. (55:43) Great.

Roxanna (55:43) Put it on.

Scott Benner (55:44) Yeah. (55:44) Yeah. (55:44) I I would imagine that's an interesting subset. (55:47) Those are and by the way, I would also imagine that that subset's a lot bigger than you and you might believe while you're listening. (55:53) But there's, people who are not having good outcomes, who don't have, for whatever reason, the the ability to do better, and they've got a doctor who's basically just like, here's insulin so you don't die.

Scott Benner (56:06) And they're like, I get the insulin from the guy so I don't die. (56:09) And that's the extent of their care. (56:10) Right?

Roxanna (56:11) Right. (56:11) Yeah. (56:12) Exactly. (56:12) And that is what most people in The United States, how they receive their diabetes care is in that that exact manner. (56:19) Not enough endocrinologists or, you know, their majority of people with diabetes are being managed by primary care.

Scott Benner (56:26) Yeah. (56:27) Well, you know, there's probably a world where you could make about a five episode podcast series that maybe wasn't more than about twenty minutes long a piece and just, like, email it to people in that scenario, and it it could easily help them understand why an eyelet pump would be a good vibe for them. (56:47) I wish I wish eyelid would reach out to me. (56:49) Feel like we could help those people. (56:50) Not that I'm sure they're doing fine on their own, but I really feel like there's an opportunity there.

Roxanna (56:54) Yeah. (56:55) Yeah. (56:55) I think they it's a great it's a a great option for for a lot of people.

Scott Benner (57:00) Yeah. (57:01) No kidding.

Roxanna (57:02) For sure.

Scott Benner (57:02) What's your a one c right now? (57:03) Can I ask you? (57:04) Put you on the spot.

Roxanna (57:05) I I mean, I maintain, like, a low to mid fives.

Scott Benner (57:09) Look at you. (57:09) Any special, special eating style?

Roxanna (57:13) No. (57:13) I kind of you know, I I mean, I try to eat healthy, quote, healthy, but I certainly eat Oreos every now and then and, you know, everything in, like, moderation is kind of my motto, but I'm definitely not low carb or Yeah. (57:27) You know, I do kind of naturally follow, an intermittent fasting just because I'm not a breakfast person.

Scott Benner (57:32) Mhmm.

Roxanna (57:33) But other than that, I kind of do what I want, eat what I want, but try to eat healthy. (57:41) Okay. (57:41) I have lots of fruits, vegetables, you know, protein kinda situation.

Scott Benner (57:46) Has your niece come to you for help yet, or does she still think you gave her diabetes and

Roxanna (57:49) Oh, heavens. (57:50) No. (57:50) I mean, I make her like, every once in a while, I make her come down, and I'm like, okay. (57:54) Let's look at your Dexcom, like, report because she was one of those kids that did not wanna pump. (57:59) She cried for four hours trying to get a Dexcom on her, and now she wouldn't live without it.

Roxanna (58:03) But every before when she was MDI doing injections, we'd sit down and look at her Dexcom report, and I'd make her go through it. (58:10) So she gets a pretty good idea of, like, what she's doing now. (58:13) Yeah. (58:13) And right now, she's doing she did actually get on a pump just this past summer. (58:17) She did Mobi and is really doing amazing on it.

Roxanna (58:21) I think her a one c is better than mine, honestly.

Scott Benner (58:23) Awesome. (58:24) Good for her.

Roxanna (58:25) Yeah. (58:26) She does she does great. (58:27) She is very independent and takes care of herself and knows what she's doing. (58:31) And I like to think that some of that came from me, but, you know, she's not gonna say that.

Scott Benner (58:36) Yeah. (58:36) No. (58:36) Okay. (58:36) And if everybody listening wants a pump and this is talking into it, in the show notes, you're a podcast player. (58:41) There are links to every pump company except for except for Eyelet.

Scott Benner (58:46) I'm pretty yeah. (58:47) Twist is in there. (58:49) Omnipod, Medtronic, Tandem. (58:52) Yeah. (58:53) I got them all.

Scott Benner (58:54) Go in there. (58:54) And even, CGMs. (58:56) By the way, Dexcom, the implantable Eversense. (59:00) I'm working really hard maybe in 2026 from you here and from, the good people at Libre about their CGM, so it might work out.

Roxanna (59:09) Yeah. (59:09) I'd love to try that twist twist pump in the Eversense, honestly.

Scott Benner (59:13) We

Roxanna (59:13) don't have it available in our area yet. (59:16) It's not quite out. (59:17) But

Scott Benner (59:18) It's twist pump is just loop

Roxanna (59:20) Yeah.

Scott Benner (59:20) Or in a new a new form factor.

Roxanna (59:22) It's not as good as loop. (59:24) No.

Scott Benner (59:24) It's loop it's loop that adjusts with Basal. (59:27) Right?

Roxanna (59:28) Yes. (59:28) It doesn't have the, the auto bolus

Scott Benner (59:30) Yeah.

Roxanna (59:31) Branch on it. (59:32) And I think that's coming, but it's it'll have to go through, like, the FDA, which I hear shouldn't be too painful. (59:37) But it doesn't have you can't do all the custom presets from what I understand. (59:41) Like, there there are two, like, set presets

Scott Benner (59:44) Mhmm.

Roxanna (59:45) That you will lose that kinda The functionality that you have with loop

Scott Benner (59:49) Well

Roxanna (59:50) right now.

Scott Benner (59:50) Once they get the auto bolus version out of it, I would I would say that's makes it even more valuable and more and I and I've heard the same thing that it's it's not fast track, but it's not it's certainly not something they're ignoring, I wouldn't say. (1:00:02) Right. (1:00:02) Yeah.

Roxanna (1:00:03) It's Yeah. (1:00:03) Coming. (1:00:03) I think it has has great potential. (1:00:05) As soon as it is in our area, will certainly give it a try

Scott Benner (1:00:09) Mhmm.

Roxanna (1:00:09) Before, we start doling it out to our children.

Scott Benner (1:00:13) What happened here? (1:00:14) Kenny relocated. (1:00:16) He and his family relocated. (1:00:18) They end up I know. (1:00:19) They end up at your children's hospital.

Scott Benner (1:00:21) So tell me the story.

Roxanna (1:00:22) Well, I just I I mean, I knew I knew of his name just from Loop because I am familiar with, like, looping. (1:00:30) I started well, I knew what looping was, but I started looping myself this past summer.

Scott Benner (1:00:34) Mhmm.

Roxanna (1:00:35) So I recognized the name for sure. (1:00:37) And I was like, what? (1:00:38) I don't think that there's no way. (1:00:41) Like, why would he be here of, all places? (1:00:44) And sure enough, it was him.

Roxanna (1:00:46) We connected, and he sat down and helped me with, like, some loop settings, because I had recently just started looping when he came through.

Scott Benner (1:00:55) Okay.

Roxanna (1:00:56) But, yeah, he saw the JuiceBox binder in class and was like, do you mind if I send a picture of that to Scott? (1:01:04) I was like, sure. (1:01:05) Why not? (1:01:06) Yeah.

Scott Benner (1:01:06) That's so nice.

Roxanna (1:01:07) So he did us in he said, I think this is great. (1:01:09) And he, you know, he had to he came to the class. (1:01:12) And, you know, if there's someone that knows a lot about diabetes and how insulin works, it's Kenny Fox. (1:01:18) And so he thought, you know, the class was at least you know, I think he I don't know if he loved it, but I think he thought it was useful.

Scott Benner (1:01:30) Hey. (1:01:30) That's a win. (1:01:31) Inside of a inside of a health system, that's a win.

Roxanna (1:01:34) I know. (1:01:35) Yeah. (1:01:35) Yeah. (1:01:35) And he was he was a lot of fun to do class with. (1:01:38) I think he was there were several other families in there.

Roxanna (1:01:41) And so we had a good time learning, and he was, you know, he's a very natural educator himself. (1:01:47) So we had a good time. (1:01:49) And he said, you know, he's like, you should before you you should reach out to Scott and do a a podcast. (1:01:56) And I said, why not? (1:01:57) And, actually, our our section chief did a podcast with you.

Roxanna (1:02:01) Name? (1:02:02) A couple years ago. (1:02:04) Doctor John Oden.

Scott Benner (1:02:06) John oh, John's in the, he's in the grand round series.

Roxanna (1:02:10) Yes.

Scott Benner (1:02:10) Yeah. (1:02:10) He was very impressive.

Roxanna (1:02:12) Yeah. (1:02:13) He's a very smart man.

Scott Benner (1:02:14) Yeah.

Roxanna (1:02:15) And has type one himself and takes really good care of our kids.

Scott Benner (1:02:19) No. (1:02:20) I remember thinking when he was done, everybody should have this guy for a doctor.

Roxanna (1:02:25) Yeah. (1:02:26) He's great. (1:02:27) So we are lucky to have him here for sure.

Scott Benner (1:02:29) How does that help the practice when the top thinks about it a certain way? (1:02:34) Does that actually reach everybody, or does that

Roxanna (1:02:37) Yes. (1:02:37) I think that is certainly very influential on how we manage diabetes because it you know, every protocol or practice or how we manage diabetes in the hospital kind of they look to our, you know, our department and therefore our section chief to say how we should do that. (1:02:56) Like, you know, what's the age cutoff for, like, prevola scene and, like, how how we manage, you know, sick day and ketones and that, you know, he's certainly a a voice of leadership, I'd say, in how we do all those things.

Scott Benner (1:03:11) That's awesome. (1:03:12) I'm having a problem here. (1:03:13) This is very embarrassing. (1:03:15) There's a rogue cricket in the room. (1:03:17) K.

Roxanna (1:03:17) I hear it.

Scott Benner (1:03:18) You can hear it. (1:03:19) Mhmm. (1:03:20) What am I gonna do about that?

Roxanna (1:03:22) I think just leave him.

Scott Benner (1:03:23) He's fine. (1:03:24) No. (1:03:24) But it gets in the recording, and now Rob is very upset somewhere. (1:03:28) You understand? (1:03:29) Like, in the few if in the future, Rob is like, what who am I working for?

Scott Benner (1:03:32) Is what he's thinking right now. (1:03:35) This guy can't keep a cricket out of his goddamn office. (1:03:38) I'm so careful with him.

Roxanna (1:03:40) Maybe, yeah, did he escape out of the

Scott Benner (1:03:43) I don't know. (1:03:43) What do

Roxanna (1:03:43) we do?

Scott Benner (1:03:44) Thing. (1:03:44) Yeah. (1:03:45) Well, listen. (1:03:46) I appreciate that you listen. (1:03:47) I that's very nice here.

Scott Benner (1:03:49) Alright. (1:03:49) Give me one second to see if I can figure this out. (1:03:52) I'll be back in two seconds. (1:03:54) I think I've isolated where he is.

Roxanna (1:03:57) It got silent, so you must have done something.

Scott Benner (1:03:59) The the key is to tap on the enclosure. (1:04:03) And once you tap on the right one wherever it is, it stops. (1:04:07) Yeah. (1:04:08) Yeah. (1:04:08) He won't stop for long.

Scott Benner (1:04:10) And then there's another trick where you can kinda, like, crack the door to change the air pressure in there, which kinda throws him off for a while. (1:04:16) So I've done my god. (1:04:19) Look at my life has come to. (1:04:21) I'm not gonna apologize, damn it. (1:04:23) I really like these things, and it's a very comforting part of my life.

Scott Benner (1:04:26) So you guys can all I I need something to take care of my kids got older. (1:04:29) Okay? (1:04:29) So leave me alone.

Roxanna (1:04:30) I'm I'm fine. (1:04:31) I was just gonna ignore I'm very good at tuning things out.

Scott Benner (1:04:34) I but what problem is is when I start talking, you'll hear it behind me. (1:04:38) Like like, Rob will cut out the gaps where you're talking and I'm not talking because that's the only place it's is recorded is on my mic. (1:04:45) So he can just chop that up. (1:04:47) But when I started asking you a question, as soon I open my mouth, you'll hear the chirping behind me at the same time. (1:04:52) Anyway, did you know it's not their legs that make the noise?

Scott Benner (1:04:54) It's they get wings as they get older?

Roxanna (1:04:57) And that's what they rub together?

Scott Benner (1:04:58) Yeah. (1:04:59) And that's what makes the noise. (1:05:00) And

Roxanna (1:05:01) I don't I think I thought I definitely think I thought it was their legs, but that makes sense.

Scott Benner (1:05:05) That's probably from Disney. (1:05:06) You thought that with Jiminy Cricket.

Roxanna (1:05:08) Probably so.

Scott Benner (1:05:08) Mhmm. (1:05:09) Mhmm. (1:05:09) Probably so. (1:05:09) They lied

Roxanna (1:05:10) to You're right.

Scott Benner (1:05:11) Wonder what else they lied about. (1:05:12) No. (1:05:12) Just kidding. (1:05:13) I I have nothing against

Roxanna (1:05:14) the this. (1:05:15) Camera. (1:05:16) Took a turn.

Scott Benner (1:05:17) Let's talk about Walt Disney, shall we? (1:05:21) I hear his head is mounted on a coffee can in a freezer somewhere. (1:05:24) Have you ever heard that?

Roxanna (1:05:26) I've heard all sorts of conspiracy theories about poor Disney.

Scott Benner (1:05:32) Poor poor Walt Disney's head and where it might be or where it might not be.

Roxanna (1:05:35) Yeah. (1:05:35) Just just somewhere. (1:05:36) It's probably somewhere in the park.

Scott Benner (1:05:41) That'd be awesome. (1:05:42) Wouldn't it?

Roxanna (1:05:44) I would.

Scott Benner (1:05:45) Under something in a freezer, nobody even remembers it

Roxanna (1:05:48) Where's Waldo?

Scott Benner (1:05:49) That's crazy.

Roxanna (1:05:50) Send people out to go find it.

Scott Benner (1:05:52) Finally, I'd go back to Disney again. (1:05:55) I'd be like, listen. (1:05:56) I'm on the I'm on oh, a head hunt. (1:05:57) I'd be on a head hunt. (1:05:58) Look at that.

Roxanna (1:05:59) Oh, a literal head hunt.

Scott Benner (1:06:00) Yeah. (1:06:00) Exactly. (1:06:02) When you came on, did you have any expectations or has this gone pretty much the way you expected?

Roxanna (1:06:06) No. (1:06:07) I just came on to I don't know. (1:06:09) Just be on it. (1:06:11) Yeah. (1:06:11) And, you know, Kenny kinda put me onto it and just about, I think, education and and screening, those are kind of my big the big things that I that I talk about.

Scott Benner (1:06:24) Yeah. (1:06:24) Trying to push people towards. (1:06:25) Mhmm. (1:06:26) Screening, obviously, is a really big deal right now because and I feel like I can just say this. (1:06:30) It's a big deal right now because my listen.

Scott Benner (1:06:34) This is from my perspective. (1:06:35) Okay. (1:06:36) Sanofi bought TZealed from Provention Bio. (1:06:41) And the only way they can get you to use it if they know you need it, so there's a big push for screening right now. (1:06:47) And I think that has something to do with the $3,000,000,000 they paid for TZeal.

Scott Benner (1:06:50) That's my thought.

Roxanna (1:06:51) Oh, yes. (1:06:52) And there is certainly Santa Fe is a big pusher of screening for that same reason. (1:06:57) But Mhmm. (1:06:58) You know, I see it more as TZILD is just the tip of the iceberg. (1:07:03) Like, we are moving in a direction where, you know, there are gonna be, like, cell therapies and, islet transplants that you have to like, you need to be screened, you know, if you want the benefits of these They of a lot of these therapies.

Scott Benner (1:07:17) Yeah. (1:07:17) They need to identify who you all are right now, right, and figure out better ways to do it, etcetera, and so on.

Roxanna (1:07:23) Right.

Scott Benner (1:07:23) They're the reason that you can't stop seeing Chrissy Teigen on things, in case you're wondering. (1:07:28) Yes. (1:07:28) Yeah.

Roxanna (1:07:29) Yeah. (1:07:29) So That was a huge boost, wasn't it?

Scott Benner (1:07:31) Yeah. (1:07:32) They were like, oh

Roxanna (1:07:33) Chrissy Teigen.

Scott Benner (1:07:33) Whose kid got diabetes? (1:07:35) Someone write her a check and let's get her into People Magazine. (1:07:38) That's pretty much Yeah. (1:07:39) My expectation on what happened there.

Roxanna (1:07:40) Exactly.

Scott Benner (1:07:41) So you'd like to see people get screened?

Roxanna (1:07:44) Yes.

Scott Benner (1:07:44) I mean, isn't that a difficult thing to pull off, like, talking I mean, you couldn't get your like, well, you did. (1:07:49) You got your family members to do it, honestly. (1:07:51) Overall, like, you did a good job. (1:07:52) But, like, for the average person, like, hey, my kid just got diagnosed with type one. (1:07:56) You call your sister and say, think you and your kid should get screened for diabetes.

Scott Benner (1:08:00) I'm thinking it'd just be like, oh my god. (1:08:01) You're such a pain in the ass, then that's the end of it.

Roxanna (1:08:04) Yeah. (1:08:04) I I do think it is hard. (1:08:06) Like, lot of times it is. (1:08:08) There are families that are ready to go and they wanna do it, but there are a lot of families that are hesitant. (1:08:14) And, like, it, you know, it does bring a sense of, like, anxiety.

Roxanna (1:08:18) I think it'd be anxiety provoking too Mhmm. (1:08:20) For a lot of these families. (1:08:22) And I completely understand that it's still like a very much a personal decision whether you wanna get them screened. (1:08:29) And a lot of families think, oh, well, I already have one kid with type one. (1:08:32) I will know.

Roxanna (1:08:33) Most of time, you don't know. (1:08:34) Yeah. (1:08:34) And I will tell that from experience.

Scott Benner (1:08:36) What was what was the gap of time between your brother's kids?

Roxanna (1:08:40) Two years.

Scott Benner (1:08:41) He forgot.

Roxanna (1:08:42) About two years.

Scott Benner (1:08:43) Yeah.

Roxanna (1:08:43) Yeah. (1:08:43) He forgot. (1:08:44) Yeah. (1:08:44) You know, a lot of people think that, oh, well, just the the PCP can do a a finger stick. (1:08:50) A finger stick isn't really the answer.

Roxanna (1:08:51) If they're already 300, you've missed the boat. (1:08:54) Right. (1:08:55) You wanna catch them early. (1:08:56) That's the whole point of early detection. (1:08:58) Right?

Roxanna (1:08:58) Is you prevent DKA. (1:09:00) That's the primary goal of, like, screening is prevention of DKA. (1:09:04) And then comes immunomodulating therapies with the new T cell that was, you know, that was FDA approved now if they qualify for it. (1:09:12) You know, offering them clinical trials is another big deal that we could that we can offer these families if we start screening them. (1:09:19) And I think in the future, it will be general population screening.

Roxanna (1:09:23) This will just be something that when your kid goes in for their well child checkup or for their lead screening or whatever, that they're gonna start checking for these autoantibodies so they can catch them, and prevent DKA. (1:09:35) DKA is a huge problem. (1:09:36) It it's not just like, oh, I had an episode of DKA. (1:09:39) It, you know, has lifelong impacts on a child or on an adult. (1:09:43) Yeah.

Roxanna (1:09:44) And if we can prevent that, let's do it.

Scott Benner (1:09:46) Hear that episode recently, that girl that had the dead skin tissue in her digestive tract from her DKA, that that's a life

Roxanna (1:09:52) that, like, vomited up or

Scott Benner (1:09:54) something like that. (1:09:55) Yes. (1:09:55) Problem now. (1:09:56) But listen. (1:09:57) What I'm gonna tell you is I'll be a little cynical.

Scott Benner (1:09:58) Now there's some money behind it. (1:10:00) Now you're gonna get the testing because DKA has always been a problem, but they haven't moved on it like this. (1:10:06) Like, so No. (1:10:07) Yeah. (1:10:07) So now there's some onus on them to be able to identify these people so they can use these newer drugs, and now you're gonna see yeah.

Scott Benner (1:10:15) Somebody gotta get off their ass now and figure it out.

Roxanna (1:10:17) There's this whole and I can't remember the name of it, but there's, like, a whole, like, I don't know, like, checklist that you have to go through to make something, quote, screenable in, like, The United States. (1:10:28) Right? (1:10:29) Like, there has to be an easy way to identify it is one of the things, and there has to be a treatment for it is one of the things. (1:10:35) And, like, there's, like, this checklist. (1:10:37) And I think all the things that were missing in type one was an actual treatment for it.

Scott Benner (1:10:41) Oh, I see.

Roxanna (1:10:42) So now that there's, like, TZL I think it's called the younger and who I can't remember. (1:10:46) I don't wanna mistake. (1:10:48) But now that they had TZL that's FDA approved, they've kinda hit that last checklist. (1:10:53) Right? (1:10:53) That last check on their list.

Scott Benner (1:10:55) Yeah. (1:10:55) I mean, again, that's now something we can sell because there's a treatment for DKA. (1:10:59) It's called insulin. (1:11:00) So you know?

Roxanna (1:11:01) Yeah. (1:11:02) Yeah. (1:11:02) So what if you prevent DKL to begin with?

Scott Benner (1:11:04) Right. (1:11:04) Right.

Roxanna (1:11:05) Right. (1:11:05) The point. (1:11:05) Yeah. (1:11:06) Like, you don't wanna get to that point. (1:11:07) You wanna introduce insulin initiation before they get to that metabolic, like, you know, emergency that they're they're in because that affects them for the rest of their lives.

Scott Benner (1:11:16) Yeah. (1:11:16) Yeah. (1:11:17) For sure.

Roxanna (1:11:17) So you wanna hit that up before it happens. (1:11:19) And then they don't have to have this traumatic, like, introduction into diabetes with spending two days in the hospital. (1:11:26) You could be life flighted somewhere in ICU. (1:11:28) Like, avoid that. (1:11:30) Like, that doesn't have to happen.

Roxanna (1:11:31) That you have to be screened and then monitored after and have this gradual introduction to education that doesn't hit you like a a baseball bat to the head where you're trying to learn how to keep your kid alive in two days in the hospital. (1:11:45) Yeah. (1:11:45) No. (1:11:45) I I listen It doesn't have to be that way.

Scott Benner (1:11:47) I'm a little cynical about why they're doing it, I'm happy it's being done. (1:11:50) You know? (1:11:51) Yeah. (1:11:51) Yeah. (1:11:51) So

Roxanna (1:11:51) Yeah. (1:11:52) I mean, yeah, I guess I don't really care why it's being done. (1:11:54) I just want it done.

Scott Benner (1:11:55) You just want it done. (1:11:55) Yeah. (1:11:56) And then just the idea of getting out, educating people, and giving them good information so they can hopefully make better decisions for themselves, grow their understanding, and maybe over time get to a point where they can say, this isn't too bad. (1:12:08) I'm doing okay. (1:12:08) Got a good a one c.

Scott Benner (1:12:10) My variability is not bad.

Roxanna (1:12:12) Mhmm.

Scott Benner (1:12:12) Yeah. (1:12:13) That's a it's a great purpose. (1:12:14) Do you think you'll do this for the rest of your career?

Roxanna (1:12:16) I think so. (1:12:17) I mean, picking nursing was not somewhere I was gonna stay forever. (1:12:21) It just wasn't you know, I learned a lot and, you know, I'm glad I did that, but I didn't really have, like, a passion for it. (1:12:29) And I don't until I was diagnosed, I don't think I would have had a passion for this either, honestly. (1:12:35) But this is definitely where I'm supposed to be

Scott Benner (1:12:38) Yeah.

Roxanna (1:12:38) In helping what I well, I hope I'm helping families and these kids. (1:12:44) Just know that this is they can do it. (1:12:47) Like, this is something that is absolutely, like, possible, and their kids can have long, happy, healthy lives. (1:12:53) They just have to figure it out.

Scott Benner (1:12:56) Yeah. (1:12:57) Do you see any need or value in you continuing your education? (1:13:05) Is there anywhere that you see yourself going from here? (1:13:07) Do you like the level you're at? (1:13:09) Do you think it it suits your your goals well?

Roxanna (1:13:12) I think I'm happy where I am. (1:13:14) I don't you know, I've I know I could always go on, you know, get, you know, my master's and maybe do nurse practitioner, but I sometimes think it's it's more stress. (1:13:26) And I get to spend more time with these families in the position I am. (1:13:31) Our providers don't get to spend time like I do

Scott Benner (1:13:33) Yeah.

Roxanna (1:13:34) With these families. (1:13:35) So I think for what I wanna do and what I like to do and where I think I'm most helpful is having that flexibility to actually spend time with families.

Scott Benner (1:13:45) Okay.

Roxanna (1:13:46) Our providers don't do, you know, three hour classes or have the availability to sit down with the family when they just don't understand how to bolus for a meal or to sit down and look at their DexCom graph and say, okay. (1:13:59) What is happening here? (1:14:00) Like, what does this mean? (1:14:02) You know, how to make adjustments on your own. (1:14:04) Our providers don't have that kind of time to do that.

Scott Benner (1:14:07) Have you tried to and this isn't me saying to try to do this. (1:14:11) I've seen people do it. (1:14:13) Have you tried to put graphs into AI, ChatGPT, the Google one, like, or whatever, and say, hey. (1:14:21) What do you think? (1:14:22) This is a person using type one diabetes.

Scott Benner (1:14:24) What do you think they need to do? (1:14:25) Have you tried doing that yet?

Roxanna (1:14:27) I have not personally, but families have because they'll send the messages saying, hey. (1:14:33) This is what ChatGPT thinks I should do.

Scott Benner (1:14:36) Right. (1:14:36) And I think it can be

Roxanna (1:14:38) I mean, I am I am pro AI. (1:14:41) Like, I can't wait till we can unleash DexCom graphs on AI for actual knowledge on progression of, like, early type one. (1:14:50) I think that's where I would really like to see it go. (1:14:53) Yeah. (1:14:54) I think it can be actually pretty helpful and insightful.

Roxanna (1:14:57) I mean, not perfect, but I think it can give some pretty good insights assuming you let it know all the variables that are going on.

Scott Benner (1:15:05) Mhmm.

Roxanna (1:15:05) I think that's the key. (1:15:06) Because even when I blindly look at a Dexcom graph, I don't know. (1:15:10) I see a flat line overnight. (1:15:11) I don't know that they're up feeding their kid Smarties every, you know, forty five minutes just to keep their blood sugar at 80. (1:15:18) I just see, wow.

Roxanna (1:15:20) They're doing great. (1:15:21) And so I messaged back, I'm like, you guys are doing great. (1:15:23) No changes.

Scott Benner (1:15:24) And They're like, are you sure? (1:15:26) Because we don't sleep anymore. (1:15:27) Well, then they yeah. (1:15:28) They gotta give you the rest of the information. (1:15:29) I just I saw a a lady kinda shared her entire chat, and she's basically sat down and had, like, a conversation with it.

Scott Benner (1:15:38) And it it gave her a lot of valuable insights. (1:15:41) So Yeah. (1:15:42) That, you know, I was like, I wonder wonder how much longer it's gonna be before if that's not a thing you start talking to people about, like, start conversating with the answer machine and see what it says. (1:15:53) You you know? (1:15:54) Like, I don't know.

Scott Benner (1:15:55) Like, I have no idea. (1:15:56) I'm just I'm wondering when you're gonna see that happen or not happen or if it will or won't.

Roxanna (1:15:59) No. (1:16:00) I think AI is gonna play a large role in in helping people manage their diabetes. (1:16:06) I mean, even with, like, like, Guru where you can take a picture of your food and it kinda estimates the carb, we use that one a lot as a a good recommendation for our families because carb counting is hard. (1:16:19) It is an art and not a science, and, you know, no one really does it well. (1:16:23) It all becomes about estimation for the most part and more about, like, the meal composition.

Roxanna (1:16:29) And I think that is, you know, that is definitely AI at it at it at its best, helping families learn. (1:16:36) And so I think with Dexcom graphs and even, like, research stuff, like, you know, them putting, you know, these, like, digital twins in there and being able to get answers much quickly than they would in an actual research study because they have that ability to kind of simulate things, right, on a actual and versus, like, doing a clinical study that takes twenty years to complete. (1:17:01) So I think AI is important, and I think it will it's gonna tell us a lot about diabetes management and help a lot of people much better than endocrinologists can, honestly.

Scott Benner (1:17:10) I mean, I think that's maybe my bigger point. (1:17:13) It's not it's not like some people are I mean, oh, I guess, you know, some people have access to really great care, but even that really great care is limited to a certain number of times a year, limited ability for them to understand what's actually happening. (1:17:27) Like, you know what I mean? (1:17:28) Like, it's still it's still falls on the user. (1:17:31) And the and the people who don't have that great care or the understanding or a number of the things that we've talked about here today, they're just left to languish in, you know, basically in failure and, you know Yeah.

Scott Benner (1:17:42) And health health concerns that keep mounting. (1:17:45) I mean, I think you'd be better off sending the door prompt and saying, ask your questions here. (1:17:50) See if it makes sense. (1:17:51) Or maybe it'll even help you come back with ways to talk to me about what's happening or what whatever. (1:17:55) Like, I think it's gotta be worth trying, honestly.

Roxanna (1:17:59) Yeah. (1:17:59) I don't I don't disagree. (1:18:01) I think AI definitely plays a role in a helpful one for the most part.

Scott Benner (1:18:07) Yeah. (1:18:07) We'll see where it all goes. (1:18:08) Okay. (1:18:09) I really appreciate you doing this. (1:18:10) It was lovely speaking with you, especially on a Friday afternoon.

Scott Benner (1:18:12) Felt relaxed.

Roxanna (1:18:13) Yeah. (1:18:14) Yeah. (1:18:14) Same.

Scott Benner (1:18:15) You know, it isn't fair to say here you're a professional person, but I know who you are. (1:18:19) I know what you look like. (1:18:20) You're adorable. (1:18:21) Do we need should I do want me to send the boys over, or is that not what you're looking for? (1:18:25) Or, like, you

Roxanna (1:18:25) know No. (1:18:26) I don't know. (1:18:27) Maybe. (1:18:27) I don't know. (1:18:28) Maybe one day I'll be ready.

Roxanna (1:18:30) It's gonna have to be it's gonna have to be someone very nice though and who just does, I guess, whatever I want.

Scott Benner (1:18:38) Okay. (1:18:39) Well, if you're very nice and obedient and you're

Roxanna (1:18:43) you're looking sounds terrible.

Scott Benner (1:18:45) You're looking for a lady in her forties who's not up for bull maybe, go find Roxanna. (1:18:52) Yeah. (1:18:53) I'll be here. (1:18:55) That's awesome. (1:18:56) Well, I appreciate all the good work you do and that you took time coming on here to do this.

Scott Benner (1:19:00) I really do I do thank you a ton for adding your your voice to the podcast. (1:19:04) And I and I'm thrilled generally speaking that the podcast was valuable for you and that even if it's just your vibe that's made it into your practice, and your professional life, it means a lot to me that that happened. (1:19:16) So, thank you for telling me about that.

Roxanna (1:19:18) Yeah. (1:19:18) Of course. (1:19:19) Thank you for all you do.

Scott Benner (1:19:20) It's a pleasure. (1:19:21) Hold on one second. (1:19:22) Okay?

Roxanna (1:19:22) Okay.

Scott Benner (1:19:29) This episode of the Juice Box podcast was sponsored by US Med, usmed.com/juicebox, or call (888) 721-1514. (1:19:40) Get started today with US Med. (1:19:43) Links in the show notes. (1:19:44) Links at juiceboxpodcast.com. (1:19:48) Head now to tandemdiabetes.com/juicebox and check out today's sponsor, Tandem Diabetes Care.

Scott Benner (1:19:55) I think you're gonna find exactly what you're looking for at that link, including a way to sign up and get started with the Tandem Mobi system. (1:20:02) The podcast episode that you just enjoyed was sponsored by Eversense CGM. (1:20:07) They make the Eversense three sixty five. (1:20:10) That thing lasts a whole year. (1:20:12) One insertion.

Scott Benner (1:20:13) Every year? (1:20:14) Come on. (1:20:15) You probably feel like I'm messing with you, but I'm not. (1:20:18) Eversensecgm.com/juicebox. (1:20:21) Hey.

Scott Benner (1:20:22) Thanks for listening all the way to the end. (1:20:23) I really appreciate your loyalty and listenership. (1:20:27) Thank you so much for listening. (1:20:28) I'll be back very soon with another episode of the juice box podcast. (1:20:32) Hey.

Scott Benner (1:20:33) I'm dropping in to tell you about a small change being made to the Juice Cruise 2026 schedule. (1:20:38) This adjustment was made by Celebrity Cruise Lines, not by me. (1:20:41) Anyway, we're still going out on the Celebrity Beyond cruise ship, which is awesome. (1:20:45) Check out the walkthrough video at juiceboxpodcast.com/juicecruise. (1:20:50) The ship is awesome.

Scott Benner (1:20:52) Still a seven night cruise. (1:20:54) It still leaves out of Miami on June 21. (1:20:57) Actually, most of this is the same. (1:20:58) We leave Miami June 21, head to CocoCay in The Bahamas, but then we're going to San Juan, Puerto Rico instead of Saint Thomas. (1:21:06) After that, Bastille, I think I'm saying that wrong, Saint Kitts And Nevis.

Scott Benner (1:21:10) This place is gorgeous. (1:21:12) Google it. (1:21:13) I mean, you're probably gonna have to go to my link to get the correct spelling because my pronunciation is so bad. (1:21:16) But once you get the Saint Kitts and you Google it, you're gonna look and see a photo that says to you, oh, I wanna go there. (1:21:23) Come meet other people living with type one diabetes from caregivers to children to adults.

Scott Benner (1:21:30) Last year, we had a 100 people on our cruise, and it was fabulous. (1:21:35) You can see pictures to get at my link, juiceboxpodcast.com/juicecruise. (1:21:40) You can see those pictures from last year there. (1:21:42) The link also gives you an opportunity to register for the cruise or to contact Suzanne from Cruise Planners. (1:21:48) She takes care of all the logistics.

Scott Benner (1:21:50) I'm just excited that I might see you there. (1:21:52) It's a beautiful event for families, for singles, a wonderful opportunity to meet people, swap stories, make friendships, and learn. (1:22:02) If you're looking for community around type one diabetes, check out the Juice Box podcast private Facebook group. (1:22:09) Juice Box podcast, type one diabetes. (1:22:12) But everybody is welcome.

Scott Benner (1:22:13) Type one, type two, gestational, loved ones, it doesn't matter to me. (1:22:18) If you're impacted by diabetes and you're looking for support, comfort, or community, check out Juice Box podcast, type one diabetes on Facebook. (1:22:27) Have a podcast? (1:22:28) Want it to sound fantastic? (1:22:30) Wrongwayrecording.com.

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