Scott Benner 1/25/26 Scott Benner 1/25/26

#1748 Tandem Kids: Oliver

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Scott talks with Oliver, 13, about growing up with type 1 diabetes, playing soccer, using the Tandem Mobi pump, and how diabetes feels normal—just a little extra work. LIVE from Friends For Life.

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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) I attended my first ever Friends for Life conference in July 2025. (0:05) And while I was there, I interviewed eight children of various ages, all who wear a Tandem pump. (0:10) I wanna thank Tandem Diabetes for sponsoring this short episode of the Juice Box podcast. (0:16) Check them out at tandemdiabetes.com/juicebox. (0:22) Nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise.

Scott Benner (0:28) Always consult a physician before making any changes to your health care plan. (0:35) The episode you're about to listen to is sponsored by Tandem Moby, the impressively small insulin pump. (0:41) Tandem Mobi features Tandem's newest algorithm, Control IQ Plus technology. (0:46) It's designed for greater discretion, more freedom, and improved time and range. (0:50) Learn more and get started today at tandemdiabetes.com/juicebox.

Scott Benner (1:08) You ready to go? (1:09) Hey. (1:10) How are you?

Oliver (1:10) Good.

Scott Benner (1:11) Cool. (1:11) What's your name?

Oliver (1:12) Oliver.

Scott Benner (1:13) Oliver. (1:13) How old

Oliver (1:13) are you? (1:14) 13.

Scott Benner (1:14) 13. (1:16) You have type one diabetes?

Oliver (1:17) Yes.

Scott Benner (1:18) Yeah. (1:18) When were you diagnosed?

Oliver (1:20) When I was two.

Scott Benner (1:20) Two. (1:21) You play any sports?

Oliver (1:23) I mean, play indoor soccer every winter.

Scott Benner (1:26) Indoor soccer? (1:26) Yeah. (1:27) What part of the country are you from? (1:30) I'll help you. (1:32) I live in New Jersey.

Scott Benner (1:33) What part of the country are you from?

Oliver (1:34) Oh, I live in Illinois.

Scott Benner (1:36) Illinois? (1:36) Oh, so you have to play inside cause it's freezing in the winter. (1:40) Gotcha. (1:41) What, position do you play?

Oliver (1:43) Goalie and defense.

Scott Benner (1:44) Okay. (1:45) It's a lot of running?

Oliver (1:47) A little bit.

Scott Benner (1:47) Little bit. (1:48) How do you handle it with your diabetes?

Oliver (1:51) Just gotta check it before I go out, and then every time I come back in, I check it.

Scott Benner (1:57) Yeah. (1:57) Do you disconnect from your pump to play? (1:59) No. (2:00) Oh, you leave it on? (2:01) What pump do you have?

Oliver (2:02) The Moby.

Scott Benner (2:03) Moby. (2:04) Awesome. (2:04) Now how long have you had that?

Oliver (2:07) Since last year after Adventure Life.

Scott Benner (2:10) Okay. (2:10) Did you have a pump before that?

Oliver (2:12) Yeah.

Scott Benner (2:12) Yeah. (2:12) Which one?

Oliver (2:15) Omni five five.

Scott Benner (2:16) Okay. (2:16) And you switched to the Mobi? (2:18) Yeah. (2:18) How come?

Oliver (2:20) I like the wires, the wired ones better than the

Scott Benner (2:24) Okay. (2:25) Tubeless ones. (2:26) You wanted the tubing? (2:27) That's awesome. (2:27) But with the Moby, you can wear it while you're playing still?

Scott Benner (2:30) Yes. (2:31) So do you clip it onto, like, your uniform or do you use the, the whole use

Oliver (2:35) the catches.

Scott Benner (2:36) Yeah. (2:36) That works well for you? (2:37) That's awesome. (2:38) Tell me one thing you love about the Mobi.

Oliver (2:40) It keeps my numbers in range more than the Omnipod and also I come down way faster than when I'm high than the Omnipod.

Scott Benner (2:52) That's awesome. (2:52) Do you notice any times where diabetes is easier? (2:55) Like, if you're more active or your number's better? (2:58) Is it like

Oliver (2:59) It just keeps me in range a lot more than Omnify did.

Scott Benner (3:03) Yeah. (3:03) Good for you, man. (3:04) That's awesome. (3:04) I'm glad you found something you like that's working for you. (3:06) It's really cool.

Scott Benner (3:07) So when you're running around, you're still getting your insulin and Control IQ is doing its whole thing

Oliver (3:13) for you?

Scott Benner (3:13) Yeah. (3:13) Okay. (3:14) Does it, generally speaking, do a good job for you?

Oliver (3:17) Yeah.

Scott Benner (3:17) Yeah. (3:18) And what do you do? (3:19) Like, when you say when you take breaks, you check, you check, like, on a CGM, DexCom?

Oliver (3:22) Check on my phone.

Scott Benner (3:23) On your phone. (3:24) Right. (3:24) Do you ever do a finger stick while you're playing?

Oliver (3:27) Not unless I'm not reading, like, no signal or something.

Scott Benner (3:31) You count on the CGM and the Moby to do their thing. (3:33) Yeah. (3:34) It's awesome. (3:35) Is your mom at your games usually? (3:36) Yeah.

Scott Benner (3:37) Yeah. (3:37) Does she scream like a lunatic? (3:39) Sometimes. (3:40) Sometimes? (3:41) Yeah.

Scott Benner (3:41) What's it like to, like, stop a ball when somebody kicks it at you? (3:45) Is it exhilarating?

Oliver (3:46) Yeah. (3:46) Sometimes.

Scott Benner (3:47) Yeah. (3:47) Do you ever, like, catch the ball and think, I am I'm doing this. (3:50) I'm the man. (3:51) Like, no? (3:54) You don't, like, parade around a little bit?

Scott Benner (3:55) You don't take a half a second to show everybody I've got the ball. (3:58) It's not the net. (3:59) Like, come on. (4:01) Sometimes. (4:02) Yeah.

Scott Benner (4:02) Love it, man. (4:03) That's awesome. (4:04) Do you have any other interests outside of school?

Oliver (4:06) I play bands.

Scott Benner (4:07) Oh, no kidding. (4:08) What what do you play?

Oliver (4:09) Saxophone.

Scott Benner (4:10) No kidding. (4:11) You wanna hear a story?

Oliver (4:12) Sure.

Scott Benner (4:13) I wanted to play the cello. (4:14) They were out of cellos. (4:16) They gave me a saxophone. (4:17) I was terrible at it. (4:18) I stopped playing the saxophone.

Scott Benner (4:20) Are you good at it?

Oliver (4:22) Decent.

Scott Benner (4:23) Decent? (4:24) Do you like it?

Oliver (4:25) Yeah.

Scott Benner (4:25) Yeah. (4:25) They say it's about practice. (4:27) You have to keep practicing if you wanna be good. (4:29) Is that true?

Oliver (4:31) Yeah.

Scott Benner (4:31) You get better as you practice? (4:33) Right. (4:33) Brothers or sisters, Oliver?

Oliver (4:36) Two brothers and a sister.

Scott Benner (4:37) Two brothers and a sister. (4:39) Does anybody else have type one?

Oliver (4:41) No.

Scott Benner (4:42) No. (4:43) Okay. (4:44) Do you remember there's no way you remember anything about being diagnosed, right? (4:49) You were two, you said?

Oliver (4:50) Yeah.

Scott Benner (4:50) Do you know how old my daughter was when she was diagnosed? (4:53) I'm gonna make you guess. (4:56) Four. (4:56) She was two. (4:57) Alright.

Scott Benner (4:57) So you play soccer. (4:59) You enjoy soccer. (5:00) You're in the band. (5:00) You play saxophone. (5:02) Has diabetes gotten in the way of playing saxophone at all?

Oliver (5:06) No. (5:07) Not really.

Scott Benner (5:08) That's awesome. (5:08) Do you feel like when you're around other people, because you've had diabetes your whole life, you don't remember not having it, imagine, right? (5:16) Do you share with other people around you about it?

Oliver (5:18) Yeah.

Scott Benner (5:19) Yeah? (5:19) Friends or anybody?

Oliver (5:21) Normally just friends.

Scott Benner (5:22) Friends. (5:23) Do they have a pretty good, understanding of it?

Oliver (5:26) Sometimes. (5:27) Depends on the people.

Scott Benner (5:28) Yeah. (5:29) Do you have friends that you trust to help you if you're, like, low? (5:33) Would they know what to do? (5:36) Maybe. (5:36) Maybe?

Scott Benner (5:37) Yeah. (5:37) It's do you go on sleepovers?

Oliver (5:40) Not yet.

Scott Benner (5:41) No. (5:41) Is it because of the diabetes you haven't?

Oliver (5:43) Mostly. (5:43) Yeah.

Scott Benner (5:44) Yeah. (5:45) It's what do think that noise was? (5:47) That's crazy. (5:48) It's like a spaceship. (5:50) Did you hear it?

Scott Benner (5:51) It wasn't just me. (5:51) Right? (5:52) Okay. (5:53) Do you wanna go do stuff like that or and it's stopping you or do you not really care?

Oliver (5:58) It's not really stop me. (5:59) It's just I don't really do those go, like, sleepovers.

Scott Benner (6:03) Not a thing you would do, really.

Oliver (6:04) Yeah.

Scott Benner (6:05) Okay. (6:05) Alright. (6:05) I gotcha. (6:06) Okay. (6:09) I'm gonna ask you a different question.

Scott Benner (6:10) I'm gonna pivot. (6:11) The noise got me. (6:12) Took me off my game. (6:14) You know what I mean? (6:15) You ever had that happen?

Scott Benner (6:16) You have a thought that gets knocked out of your head? (6:19) So since you don't remember your diagnosis, can you tell me what it's like to grow up with diabetes?

Oliver (6:25) I mean, it's just like any other, growing up, but it's a little more work.

Scott Benner (6:33) Feels a little it's completely normal to you with a little more work. (6:36) That's not bad. (6:37) What kind of work? (6:38) What do you what do you think the extra things are that you do?

Oliver (6:41) Trying to keep blood sugar in range and not trying to go low or high.

Scott Benner (6:45) Yeah. (6:46) How do you how do you manage that? (6:48) Like, what is it what are some of the things you do to stop those things from happening?

Oliver (6:51) Give insulin or eat something if I'm going low or give insulin if I'm if I'm high.

Scott Benner (6:58) Is it hard to, like, you're doing something, like, I don't know, playing a video game or hanging out with your friends or something and you need to, like, bolus for something or does it is it hard to stop what you're doing?

Oliver (7:11) Not really.

Scott Benner (7:12) It's not a big deal. (7:13) But you just pick up your phone and there it is. (7:16) Right? (7:16) Yeah. (7:17) How do you control the Mobi?

Oliver (7:19) It's just an app on my phone that

Scott Benner (7:22) Okay.

Oliver (7:23) I press bolus and then I put in the carbs or gives the insulin.

Scott Benner (7:29) Is it hard? (7:31) No. (7:32) Something you're and and do you think, are you confident when you're using it? (7:35) Like, you're like, you know you're doing the right thing? (7:37) Yeah.

Scott Benner (7:38) Does your mom or parents or anybody help you with your diabetes or you No. (7:42) Yeah. (7:43) What do they help you with most?

Oliver (7:46) Getting the insulin, like, when I'm not paying attention to my numbers

Scott Benner (7:50) Yeah.

Oliver (7:50) Or when I I don't wake up when my phone beeps, so I have to wake up and get insulin.

Scott Benner (7:57) What's your favorite low snack?

Oliver (8:01) Gummies or juice.

Scott Benner (8:02) Yeah. (8:03) Gummy like gummy bears or Or Like

Oliver (8:05) fruit snacks.

Scott Benner (8:06) Fruit snacks. (8:06) Yeah. (8:06) They work pretty quickly. (8:08) Yeah. (8:08) What kind of do you have a certain kind of do do you have a certain kind of juice that you like?

Scott Benner (8:13) Doesn't matter. (8:14) Do you prefer the juice to be cold or room temperature?

Oliver (8:19) Cold.

Scott Benner (8:19) Cold. (8:20) My daughter will only do it if it's room temperature. (8:23) She doesn't want cold juice when she's low, but you like it cold. (8:27) Alright. (8:27) So you keep yours in the fridge?

Scott Benner (8:29) Yeah. (8:29) Ours are stashed all over our house. (8:31) Do you have juice boxes everywhere?

Oliver (8:34) We do the, bottles. (8:37) So Oh,

Scott Benner (8:37) little bottles? (8:38) I'm gonna embarrass my daughter now. (8:40) My daughter's 21. (8:41) She still does the Bert and Ernie juice boxes. (8:44) You know, the ones I'm talking about?

Scott Benner (8:45) Yeah. (8:45) So those are her favorite ones, and they're, like, a really good size. (8:48) So, like, it's just enough to kinda stop her low. (8:51) Is there anything about diabetes that you find difficult?

Oliver (8:55) Not really.

Scott Benner (8:56) No. (8:56) If you did, what would you do? (8:58) Like, if you hit something that was hard for you, what do you think you would do?

Oliver (9:02) Try to find a way around it.

Scott Benner (9:04) Yeah. (9:04) Do you think you'd share with your parents that you were having trouble? (9:07) Yeah. (9:07) And they're helpful. (9:09) That's awesome.

Scott Benner (9:10) Brothers or sisters, anybody else have type one? (9:13) No? (9:13) Do you have advice for other kids?

Oliver (9:16) Mhmm. (9:17) Mhmm.

Scott Benner (9:17) Like, another kid that had type one. (9:19) Pretend for a second that I am do you think, forty years younger than I am right now? (9:25) What would make me your age? (9:27) 30? (9:28) Why won't you guess my age?

Scott Benner (9:30) Seriously, Oliver, tell me, why won't you guess? (9:33) You don't know. (9:34) Alright. (9:34) It's fine. (9:36) I'm 54.

Scott Benner (9:37) Okay. (9:38) So let's say 40 year younger me rolls up in here, I have type one. (9:42) I say, what's your best use of advice? (9:43) What would you tell me?

Oliver (9:46) Try to keep the numbers in range.

Scott Benner (9:48) Yeah. (9:48) Do you find yourself thinking about it all the time?

Oliver (9:52) Sometimes.

Scott Benner (9:52) Yeah. (9:53) Does it bother you? (9:53) Like, does it make you upset that you have to think about it?

Oliver (9:57) No. (9:57) Not really.

Scott Benner (9:57) No? (9:58) Okay. (9:59) Would you describe growing up with diabetes as something that's taught you something? (10:05) Like, do you have any, like, weird lessons, like, something you know about life now? (10:10) No.

Scott Benner (10:10) Do you think you're a tough person? (10:13) Yeah. (10:13) Do you think it's helped you be tough? (10:16) Yeah. (10:16) I bet you it has, man.

Scott Benner (10:17) Walking around here so far, you've only been here a couple days so far, but you're seeing kids and adults everywhere with CGMs, pumps, right, pumps like yours, different kinds of stuff. (10:27) Does that make you any feel any kind of way? (10:29) Is it is it uplifting or just feels normal to you?

Oliver (10:32) Normal. (10:33) A lot of kids in my school, there's like seven or eight kids that have diabetes at my school, so

Scott Benner (10:39) You all know each other?

Oliver (10:41) I know a few of them.

Scott Benner (10:42) Yeah. (10:43) That's interesting. (10:44) So it's something you're accustomed to. (10:46) Yeah. (10:46) It seems to me like you don't have, I don't know how to put this.

Scott Benner (10:51) You're not bothered by having diabetes. (10:54) No. (10:55) That's pretty awesome. (10:56) Do you know why? (10:57) Is that like your personality?

Oliver (10:59) I mean, I've grown up with it, so Yeah. (11:01) I mean, it's just a part of me now.

Scott Benner (11:03) Yeah. (11:03) It just feels completely just like every other day and every other thing. (11:07) Right? (11:07) That's awesome. (11:08) Do you talk to anybody about it?

Scott Benner (11:09) Like, is it ever hard? (11:11) Do you ever go to your mom and say, like, this is difficult and do you guys chat about it?

Oliver (11:15) Not really.

Scott Benner (11:16) No? (11:16) Do you never feel that way? (11:18) Does she ever look like it's hard for her? (11:21) Yeah. (11:23) As long as the food's in the house.

Scott Benner (11:24) Right? (11:24) And they keep the heat on and everything. (11:26) Yeah. (11:26) Are you having fun? (11:28) You are.

Scott Benner (11:29) That's good. (11:29) I can't tell if you're having fun. (11:31) I mean, you're smiling a lot, so that that tells me fun. (11:34) But are you are you nervous?

Oliver (11:36) Little bit.

Scott Benner (11:37) Little bit still? (11:38) That's okay. (11:38) I don't want you to be nervous. (11:40) Ask me a question. (11:42) I'll answer anything you ask me right now.

Oliver (11:46) I don't know.

Scott Benner (11:47) You don't wanna know if I have a pet maybe or something like that or no? (11:51) Okay. (11:51) You do you have any idea who I am? (11:54) Perfect. (11:55) I'm nobody.

Scott Benner (11:56) Okay? (11:56) I am just the guy sitting here talking to you about your diabetes. (12:00) This is the way it needs to be. (12:01) Alright. (12:02) Tell me one thing you want people to know about type one.

Oliver (12:07) I mean, it's just like any other being a kitten.

Scott Benner (12:11) Yeah. (12:11) There's nothing nothing different or bad for you. (12:14) That's really awesome, man. (12:15) I love that you have such a great attitude, seriously. (12:17) It's awesome.

Scott Benner (12:18) I think we're done now. (12:19) I can't believe you didn't wanna ask me about my pets, though. (12:21) I'm not gonna show you a picture now, just so you know, because you weren't interested. (12:26) You would love it. (12:27) You would have loved my pet.

Scott Benner (12:29) You'll never know what it is. (12:31) Alright. (12:32) I hope you have a great time here today. (12:33) Thank you so much for doing this with me. (12:34) Thank you, man.

Scott Benner (12:35) That was great. (12:37) The podcast you just enjoyed was sponsored by Tandem Diabetes Care. (12:41) Learn more about Tandem's newest automated insulin delivery system, Tandem Mobi with Control IQ plus technology at tandemdiabetes.com/juicebox. (12:51) There are links in the show notes and links at juiceboxpodcast.com. (12:55) If you'd like to hear about diabetes management in easy to take in bits, check out the small sips.

Scott Benner (13:01) That's the series on the juice box podcast that listeners are talking about like it's a cheat code. (13:07) These are perfect little bursts of clarity, one person said. (13:10) I finally understood things I've heard a 100 times. (13:13) Short, simple, and somehow exactly what I needed. (13:16) People say small sips feels like someone pulling up a chair, sliding a cup across the table, and giving you one clean idea at a time.

Scott Benner (13:24) Nothing overwhelming. (13:25) No fire hose of information. (13:27) Just steady helpful nudges that actually stick. (13:30) People listen in their car, on walks, or rather actually bolusing anytime that they need a quick shot of perspective. (13:37) And the reviews, they all say the same thing.

Scott Benner (13:40) Small sips makes diabetes make sense. (13:43) Search for the Juice Box podcast, small sips, wherever you get audio.

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Scott Benner 1/25/26 Scott Benner 1/25/26

#1747 Tandem Kids: Adelaine

LIVE At Friends for Life, Scott talks with Adeline, a confident 10-year-old with type 1 diabetes, about diagnosis, pumps, school, friendships, and learning to manage diabetes with pride.

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ScScott Benner (0:00) I attended my first ever Friends for Life conference in July 2025. (0:05) And while I was there, I interviewed eight children of various ages, all who wear a Tandem pump. (0:10) I wanna thank Tandem Diabetes for sponsoring this short episode of the Juice Box podcast. (0:16) Check them out at tandemdiabetes.com/juicebox. (0:22) Nothing you hear on the Juice Box podcast should be considered advice, medical or otherwise.

Scott Benner (1:06) So we are here in Orlando, Florida at Friends four Life. (1:09) Why don't you tell me your name?

Adeline (1:11) Adeline.

Scott Benner (1:12) Adeline. (1:12) How old

Adeline (1:12) are you? (1:13) 10.

Scott Benner (1:13) 10. (1:14) Okay. (1:14) You have type one diabetes? (1:16) Yes. (1:16) Yeah.

Scott Benner (1:17) When were you diagnosed?

Adeline (1:19) Last year, 2020 January 2024.

Scott Benner (1:21) 2024. (1:22) Okay. (1:23) Can you tell me what happened? (1:24) Like, how did you figure out you had diabetes?

Adeline (1:27) Well, I got into DKA and I was, like, really sick, and then at, like, 1AM in the morning, I went to hospital, the ambulance, and, and then right away, the the paramedics knew that what I had, but they couldn't say it for sure.

Scott Benner (1:45) Yeah.

Adeline (1:45) And then the ER, they made it for sure. (1:48) And then

Scott Benner (1:49) Were you sick for a long time before that day?

Adeline (1:52) It had been a little bit off and on, but from, like, that week that week where, like, I did go to the hospital, it was more

Scott Benner (2:02) You started to feel sick? (2:03) Yeah. (2:04) Were you just, like, laying around and felt yucky?

Adeline (2:06) Yeah. (2:06) And then I couldn't keep anything down, and I just wanted to keep drinking water.

Scott Benner (2:10) You were super thirsty? (2:11) Mhmm. (2:11) Yeah. (2:11) Can I tell you a story? (2:13) One time, a lady came on.

Scott Benner (2:15) She was, like, an adult with type one. (2:17) She was, like, 30 years old. (2:18) And she told me that her mom told her that the way they diagnosed her with type one diabetes, she was a toddler, like, know, like, crawled and could stand up a little bit but didn't walk well. (2:26) They found her drinking out of the toilet. (2:29) That's how thirsty the little baby was.

Scott Benner (2:31) Like, and then you couldn't ask for drinks or anything like Did you feel that thirsty?

Adeline (2:35) Yeah.

Scott Benner (2:36) Yeah. (2:36) Yeah. (2:37) So what were you just constantly drinking?

Adeline (2:38) Yeah. (2:39) And then I had to go to the bathroom a lot, and then I was like, I was full of water, but then I keep I was wanting to drink more.

Scott Benner (2:45) Did your parents notice? (2:46) Did somebody say, why are you drinking so much water?

Adeline (2:49) Well, not really with water but I couldn't eat anything. (2:52) Mhmm. (2:52) And it was like, I had been losing weight and stuff like that. (2:56) Yeah. (2:56) So they figured that out.

Scott Benner (2:58) Figured it out pretty quickly. (2:59) And then how long were you in the hospital for?

Adeline (3:01) I think it was five days.

Scott Benner (3:03) Okay. (3:03) Alright. (3:04) How old are you now?

Adeline (3:05) 10.

Scott Benner (3:05) 10 years old. (3:06) Do you play sports? (3:08) No. (3:08) No. (3:09) So being in the play is is your activity.

Scott Benner (3:11) Right?

Adeline (3:11) Yeah. (3:12) I also do palm at my school, but that's kinda that ends, like, near December.

Scott Benner (3:19) So, like, in What is it?

Adeline (3:20) Palm. (3:20) It's like cheer but with but with dancing.

Scott Benner (3:23) Oh, okay.

Adeline (3:24) And but that ends in around December to make room for the play.

Scott Benner (3:28) Okay. (3:28) So So when you leave the hospital, did they give you, like, needles?

Adeline (3:32) Yeah. (3:32) Yeah. (3:33) I'm pretty sure.

Scott Benner (3:33) Yeah. (3:34) And did you get a CGM?

Adeline (3:36) Not right away, but, like, I think it was, like, a couple weeks later maybe. (3:41) Okay.

Scott Benner (3:42) And then who brings up getting an insulin pump? (3:44) Is that something your parents thought about or is it a thing you thought about?

Adeline (3:47) I feel like I it was more a thing that I thought about for a little longer.

Scott Benner (3:51) How did you did you learn about them?

Adeline (3:53) Well, knowing like, there's other people in my school that are that are in my grade that have pumps.

Scott Benner (4:00) Oh, okay.

Adeline (4:00) Somebody that have diabetes, and so it kinda came up, and then I was just thinking about it because it would be easier than having to take shots all the time.

Scott Benner (4:08) So you have close friends that have type one?

Adeline (4:10) Not close friends, but people in my great town.

Scott Benner (4:13) People who you've seen Yeah. (4:14) With them. (4:15) And that made you feel comfortable enough to, like, ask them if it was something they liked or just to think about maybe this is something

Adeline (4:21) I think should about.

Scott Benner (4:22) To think about it. (4:23) How does it feel walking around here this week and seeing so many people wearing pumps and CGMs?

Adeline (4:28) It feels like I don't know. (4:30) Like, it feels like that, like, there's so many. (4:35) So, like, it feels like that not that I'm not normal anyways, but it feels like that I'm more, like, kinda, like,

Scott Benner (4:41) you know. (4:42) Less last night I know

Adeline (4:44) what you mean.

Scott Benner (4:44) Last night, I went to dinner and there were three girls sitting next to me. (4:48) They were probably, like, in their early twenties, and they were pretty clearly not related, but they all knew each other really well. (4:54) And I didn't notice anything else about them except for that when we sat down. (4:58) And then when they got done and stood up, each of them had a CGM on their arm and I got very emotional thinking about my daughter and how she has a few friends who have type one and it means a lot to me that she knows those people. (5:10) So, okay, so you meet these, you know, you see these people at school, you think, alright, they've got this stuff, let me ask about it too.

Scott Benner (5:16) You go to your parents, say, wanna get a pump, how do you end up getting well, what pump do you have?

Adeline (5:20) The Tandem Moby.

Scott Benner (5:21) You have the Moby? (5:22) Mhmm. (5:22) How did you decide to get that one?

Adeline (5:24) I think once we, like, once we knew more about, like, how to handle type one diabetes and everything, I think we were all more ready to actually get the pump.

Scott Benner (5:36) Yeah.

Adeline (5:36) Because, like, to know instead of getting it straight away when you don't know

Scott Benner (5:40) as Is there something about the Mobi that made you think that's the one I should have?

Adeline (5:44) I think because I think the main reason was because, like, the tubing I can put on my pants and stuff like that, and it's one of the more newer ones. (5:52) Yeah. (5:53) So yeah.

Scott Benner (5:54) Think How are you liking it?

Adeline (5:55) I like it a lot.

Scott Benner (5:57) Cool. (5:57) That's awesome. (5:58) Do any of your friends at school have it or they all wearing different ones?

Adeline (6:02) One one person at school has the tantal Do

Scott Benner (6:05) you guys kinda have, like, a little do you, like, fist bump or stuff when you see each other? (6:09) No. (6:10) Not really? (6:10) It's not

Scott Benner (6:11) that cool?

Scott Benner (6:12) I gotcha. (6:14) So tell me this. (6:17) Like, you you're at school. (6:19) You're seeing kids. (6:21) A lot of some of them have type one, most of them don't.

Scott Benner (6:24) Do other kids ask you about diabetes?

Adeline (6:26) A lot.

Scott Benner (6:26) Yeah? (6:27) What do they end up asking you the most?

Adeline (6:28) They end up asking me because they see it on my arm, my Dexcom, and I'm like, oh, what's on your arm?

Scott Benner (6:33) Yeah.

Adeline (6:34) And I'll try to explain it kinda explain it to them and then they just basically say, okay, and they walk away Yeah. (6:39) Not knowing anything.

Scott Benner (6:39) Are you are you like, is it a thing you try to hide or are you proud about it?

Adeline (6:44) No. (6:44) I'm proud of it.

Scott Benner (6:45) Yeah. (6:45) That's awesome. (6:46) That's really cool. (6:47) Do your friends and you ever talk about diabetes? (6:51) What do you know?

Adeline (6:52) Mostly my closest ones know more about it because I've told them more about it.

Scott Benner (6:57) Mhmm.

Adeline (6:58) But sometimes my other friends, they kinda they ask questions and I try to explain it to them, but they probably don't understand a thing I'm saying. (7:06) Yeah.

Scott Benner (7:07) How do you decide who to share it with and who not to?

Adeline (7:12) I feel like more, like, of my closer friends, like, ones that I feel like would actually understand it more and would actually, like

Scott Benner (7:19) Yeah. (7:20) So when you're hanging out with friends, if you needed something, would they know how to help you?

Adeline (7:25) Some of them.

Scott Benner (7:25) Yeah. (7:26) Some of them would? (7:26) You know, you can you picture the ones in your head right now that you would trust?

Adeline (7:30) Mhmm.

Scott Benner (7:30) Yeah. (7:31) Have you been on a sleepover yet?

Adeline (7:33) Not yet. (7:35) No. (7:35) Yeah. (7:36) No.

Scott Benner (7:36) How do you think you'll how do you think you'll handle a sleepover?

Adeline (7:39) I don't know exactly yet, but I feel like when I'm older, especially, like, I will be able to handle on my own a little bit more better than I can now.

Scott Benner (7:51) I think so too. (7:52) Has having diabetes taught you anything? (7:56) Like, do you have any big revelations, like things you've figured out about the world or yourself or anything? (8:02) Have you been proud of yourself?

Adeline (8:04) Yeah. (8:04) To be able to do I was in a play this year too and I this summer, I went to a music camp. (8:11) Mhmm. (8:11) There wasn't really, like, anybody there that really had type one diabetes, and so to be able to do that, I feel like

Scott Benner (8:19) Felt like you were really accomplishing something. (8:21) Right? (8:21) Because all those other kids, they just showed up and did their thing. (8:24) Mhmm. (8:24) And and what are the what are the things that you had to do for yourself while you were at camp that you were proud of?

Adeline (8:29) That I had, like, I had to, like, keep a check on my blood sugar, and then it was like it was I was like well, just basically, like because it was more it wasn't it was a music camp, so it wasn't like that too exercising, but it kinda was. (8:49) And so to be able to handle my blood sugars while having to do a lot of other things too.

Scott Benner (8:54) Were your parents nervous when you went to camp?

Adeline (8:58) I I think a little bit Yeah. (9:00) But I don't think too much.

Scott Benner (9:02) Gotcha. (9:03) Do you think anything has changed in your relationship with your parents since you've had type one? (9:06) Are they bothering you a whole bunch about stuff?

Adeline (9:08) No. (9:09) Not really. (9:09) That's good.

Scott Benner (9:10) What's your favorite loaf snack?

Adeline (9:13) Probably Smarties or just like fruit snacks.

Scott Benner (9:17) Smarties or fruit snacks. (9:19) Do you have a favorite color of the Smarties?

Adeline (9:21) Probably the more pinkish, reddish

Scott Benner (9:24) Yeah. (9:24) One. (9:24) Do you ever mix the two colors together to get a different flavor?

Adeline (9:27) No. (9:27) I've never done that.

Scott Benner (9:28) No. (9:28) You should try it. (9:29) Then go back and forth. (9:30) I don't wanna say it, but could give you some good mixtures later. (9:34) And and gummies.

Adeline (9:35) Mhmm.

Scott Benner (9:35) Right? (9:36) Okay. (9:37) During the day? (9:38) Gummies at night, when do you

Adeline (9:39) use them? (9:39) Just whenever because I normally use Smarties more because it works faster, but gummies, like, they help, like like, if it's, you're almost gonna go low, but you haven't yet to have a little something. (9:54) Yeah. (9:54) But yeah. (9:55) Daughter uses

Scott Benner (9:56) gummy bears. (9:57) Like, they're good. (9:58) Do you know why that works so well? (10:02) Wanna hear something boring?

Adeline (10:03) Yeah. (10:03) It's really weird.

Scott Benner (10:04) When you're chewing up the gummy bears

Adeline (10:06) Mhmm.

Scott Benner (10:07) The insides of your cheeks are absorbing the glucose, and it acts faster than if you swallowed it and it goes in your stomach. (10:15) So actually, the longer you chew it, the quicker it will impact your blood sugar. (10:18) It's a little tip that you can use while you're eating gummy bears in the middle of the night. (10:24) Do you have any pets?

Adeline (10:25) No. (10:25) Actually, no.

Scott Benner (10:26) Do you want a pet?

Adeline (10:27) Yeah. (10:28) Kind of. (10:28) Yeah.

Scott Benner (10:29) Awesome. (10:29) Let's get it worked out now because your parents are here. (10:31) Like, what what kind of pet would you like? (10:33) I'm I can probably make this happen for you.

Adeline (10:34) Probably, like, a Cordy, like a dog.

Scott Benner (10:38) A dog? (10:38) Mhmm. (10:39) Mom, dad, can we get a dog?

Scott Benner (10:41) Look at you. (10:42) You're getting a dog. (10:43) Can you name it Scott? (10:45) Dog. (10:46) Please.

Scott Benner (10:46) Because I want your parents to remember when they're looking at that dog and they're thinking, like, I did not want a dog and then a guy told the kid he could have a dog and now we got a dog. (10:54) You know what I mean? (10:54) Like and then you're like, here's Scott, and they'll be reminded of it the whole time. (10:57) It's not a good name, is it, for a dog. (10:59) What would you call your dog?

Adeline (11:01) I don't know. (11:02) It depends if it's a boy or a girl, but if it's a girl, I like the name Mirabel.

Scott Benner (11:07) Mirabel? (11:08) Nice.

Adeline (11:08) Then if it's a boy, I do like Biscuit, like that type type of name.

Scott Benner (11:12) Yeah. (11:13) Like a doggy name? (11:14) Mhmm. (11:14) Yeah. (11:14) So it seems like you've been thinking about this for a while.

Adeline (11:17) Yeah. (11:17) Kind of.

Scott Benner (11:18) Have you mentioned it to your parents before?

Adeline (11:20) I mean, kind of, but not really.

Scott Benner (11:22) Mhmm. (11:23) How's the time? (11:24) You know what I'm saying? (11:25) Like, they're gonna be on a big, oh, we just got back from from Florida. (11:28) We went to Disney.

Scott Benner (11:29) Oh, we had such a good time. (11:30) Right? (11:31) Yeah. (11:31) Awesome. (11:32) What color?

Scott Benner (11:32) Do they only come in one color? (11:34) Do they come in one color? (11:36) Do corgis have a lot of different colors? (11:38) Do know?

Adeline (11:39) They're normally, like, orange and white, but I think they can have a little bit more of, a brown black color too.

Scott Benner (11:46) Yeah. (11:46) Do you think you're ready to take care of a dog?

Adeline (11:48) I think yeah. (11:49) So

Scott Benner (11:49) Yeah. (11:50) My daughter is 21. (11:51) She's not ready to do it yet. (11:53) She has a little puppy, sick of French bulldog. (11:56) And yesterday evening, I called her.

Scott Benner (11:59) I was like, how are doing? (12:00) She's like, I'm so tired. (12:01) I like, was what are you tired from? (12:02) She's like, taking care of this dog all day. (12:04) And I was like, yeah.

Scott Benner (12:04) It's a lot of work. (12:06) So anyway, do you have, I know you've only had type one for a little while, but is there, like, somebody out in the world that has type one who you kinda look at and think, not maybe, like, I don't know, a hero, but, like, something to look up to?

Adeline (12:20) I don't know. (12:23) I do like, we watch Dancing With The Stars, and I do, like, Riley Arnold.

Scott Benner (12:29) Yeah.

Adeline (12:29) Boys liked her.

Scott Benner (12:31) Yeah.

Adeline (12:31) She just seems like a good person too. (12:33) So make That's type one.

Scott Benner (12:34) Does it make you feel like that's another example of something I could easily do if I wanted to?

Adeline (12:38) Mhmm.

Scott Benner (12:39) Right? (12:39) Yeah. (12:39) It's awesome. (12:40) There have been gosh. (12:41) I I know a guy named Chris.

Scott Benner (12:44) Right? (12:44) And he is an Olympic skier, and he does, like, that cross country skiing. (12:49) He's retired now, but he's been in the Olympics four times with diabetes. (12:52) Like, just skiing across, like, I don't know how he does what he's doing. (12:57) Also, you're from the South, so you've probably never even seen snow, but snow do you know what it is?

Adeline (13:01) Yeah.

Scott Benner (13:01) You do know what snow is?

Adeline (13:02) Yeah.

Scott Benner (13:03) Have you ever seen it in person?

Adeline (13:04) Yeah. (13:04) A couple times, but it's rare.

Scott Benner (13:07) Yeah. (13:07) But can you imagine racing across it on sticks on your feet? (13:10) No. (13:10) That's ridiculous, right? (13:11) No.

Scott Benner (13:12) Yeah. (13:12) And he just does it like it's nothing. (13:14) These are some yeah. (13:16) He's in such good shape. (13:17) It's crazy.

Scott Benner (13:18) The beast anyway, this is neither here nor there. (13:21) I think that most people who have success with diabetes know how to handle their settings and make changes when they need them because things change all the time, right? (13:29) Yeah. (13:30) Like some days, what? (13:31) Some days it all works out really well.

Scott Benner (13:33) The next day you're like, what's happening? (13:35) And then you look back and you think, oh, maybe I was more active today or I didn't sleep as much last night. (13:40) There's a lot of different things that can impact it. (13:42) It's smart to be able to, like, make your adjustments. (13:44) You've learned that already?

Scott Benner (13:45) Mhmm. (13:45) Yeah? (13:46) Do you know what your a one c is?

Adeline (13:48) Last time, I think it was 6.2.

Scott Benner (13:50) That's awesome. (13:51) Good for you. (13:52) Who who's who helps you more with your type one, your mom or your dad?

Adeline (13:55) I don't know because I feel like it's pretty equal.

Scott Benner (13:58) Yeah? (13:58) That's awesome.

Adeline (13:59) I don't know.

Scott Benner (14:00) Yeah? (14:00) So you don't know which one you're gonna see at nighttime?

Adeline (14:03) Normally, it's my dad

Scott Benner (14:05) Yeah.

Adeline (14:06) At nighttime, but I don't know. (14:09) No? (14:10) I feel like it's pretty equal.

Scott Benner (14:10) It's pretty equal. (14:11) And now did how does it work? (14:13) Do you know a bunch about it and they know a bunch about it, or do they know a lot? (14:17) They're teaching you? (14:18) Are you guys all learning together?

Adeline (14:19) Well, we all know a lot.

Scott Benner (14:22) What you're supposed to be doing. (14:23) Yeah. (14:23) That's awesome. (14:24) How did you learn?

Adeline (14:26) When we went I mean, we're going to the endocrinologist and, like like, diabetes trainers, especially at first, and then with the pump, with, like, a special person that does that.

Scott Benner (14:37) Nice. (14:37) So you just listen to the doctor and you're putting it into play and it's working?

Adeline (14:41) Mhmm.

Scott Benner (14:41) I didn't ask you what what what instrument do you play?

Adeline (14:45) Oh, well, this year, fifth grade does strings up to high school, and so I'm gonna play the violin. (14:52) And then at camp, we played, like, the African drums

Scott Benner (14:56) Really?

Adeline (14:57) And the ukuleles.

Scott Benner (14:58) Nice. (14:58) Have you ever played the violin before?

Adeline (15:00) No.

Scott Benner (15:00) No? (15:01) You excited to do it?

Adeline (15:02) Mhmm.

Scott Benner (15:02) Yeah. (15:03) I wanted to play the cello when I was little, but they didn't have a cello, so I got a saxophone, and I didn't like that. (15:11) So I never got a chance, but I love the cello. (15:13) Do you like listening to violin music?

Adeline (15:15) Yeah.

Scott Benner (15:16) Yeah? (15:16) Does it make you relaxed?

Adeline (15:18) Yeah.

Scott Benner (15:18) Do you notice does your blood sugar change if you're relaxed or excited or scared?

Adeline (15:23) Yeah. (15:23) I feel like it goes higher if I'm excited or scared, but when I'm more, like, calm and stuff like that, I feel like it can say more in

Scott Benner (15:30) the same range. (15:31) You're gonna learn all kinds of stuff like that as you get older, and it's gonna help you while you're taking care of everything. (15:35) Is there anything you wanna ask me?

Adeline (15:38) I don't think so.

Scott Benner (15:39) Is there anything I forgot to ask you that you wanna tell me?

Adeline (15:44) I don't think so.

Scott Benner (15:46) No? (15:46) I hope you have a great time today. (15:47) I really appreciate you talking to me. (15:49) Thank you so much.

Adeline (15:50) You're welcome.

Scott Benner (15:51) Thank you.

Scott Benner (15:52) The podcast you just enjoyed was sponsored by Tandem Diabetes Care. (15:57) Learn more about Tandem's newest automated insulin delivery system, Tandem Mobi with Control IQ plus technology at tandemdiabetes.com/juicebox. (16:07) There are links in the show notes and links at juiceboxpodcast.com. (16:11) If you'd like to hear about diabetes management in easy to take in bits, check out the small sips. (16:17) That's the series on the juice box podcast that listeners are talking about like it's a cheat code.

Scott Benner (16:23) These are perfect little bursts of clarity, one person said. (16:25) I finally understood things I've heard a 100 times. (16:29) Short, simple, and somehow exactly what I needed. (16:32) People say small sips feels like someone pulling up a chair, sliding a cup across the table, and giving you one clean idea at a time. (16:40) Nothing overwhelming.

Scott Benner (16:41) No fire hose of information. (16:43) Just steady helpful nudges that actually stick. (16:46) People listen in their car, on walks, or rather actually bolus ing anytime that they need a quick shot of perspective. (16:53) And the reviews, they all say the same thing. (16:55) Small sips makes diabetes make sense.

Scott Benner (16:59) Search for the Juice Box podcast, small sips, wherever you get audio.

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#1746 Defining Diabetes: Insulin Concentration

Scott and Jenny define "Insulin Concentration" in this Defining Diabetes episode.

+ Click for EPISODE TRANSCRIPT

Scott Benner (0:0) Hello, friends, and welcome back to another episode of the Juice Box podcast. (0:14) Managing diabetes is difficult, but trying to do it when you don't understand the lingo, that's almost impossible. (0:21) The defining diabetes series began in 2019, and today we're adding to it. (0:26) Go to juiceboxpodcast.com up in the menu, click on defining diabetes, and you'll see a complete list of all the terms that we've defined so far. (0:36) If your loved one is newly diagnosed with type one diabetes and you're seeking a clear practical perspective, check out the Bold Beginnings series on the Juice Box podcast.

Scott Benner (0:45) It's hosted by myself and Jenny Smith, an experienced diabetes educator with over thirty five years of personal insight into type one. (0:53) Our series cuts through the medical jargon and delivers straightforward answers to your most pressing questions. (0:59) You'll gain insight from real patients and caregivers and find practical advice to help you confidently navigate life with type one. (1:06) You can start your journey informed and empowered with the Juice Box podcast. (1:10) The bold beginning series and all of the collections in the Juice Box podcast are available in your audio app and at juiceboxpodcast.com in the menu.

Scott Benner (1:19) 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. (1:29) Jenny, we are doing some new defining diabetes topics. (1:34) Hey. (1:35) And I have one here.

Scott Benner (1:37) I'm gonna start today with something that I just wanna say outright. (1:41) I don't understand. (1:42) And even if you don't feel comfortable defining it, like, you let me know.

Jenny Smith (1:46) Okay.

Scott Benner (1:46) But I have insulin concentration, like, u 200 insulin, diluted insulin. (1:53) Is there a way to explain it well enough so that people understand it without going in too deep and to be able to define it for them at the same time?

Jenny Smith (2:03) I think so.

Scott Benner (2:04) Okay.

Jenny Smith (2:04) I mean, if if in general, understand the concentration of anything at a 100%.

Scott Benner (2:13) Mhmm.

Jenny Smith (2:13) Right? (2:14) This is the normal amount of something that you get in the set one hundred percent dose. (2:20) Okay? (2:21) That's our normal and eons old u one hundred insulin. (2:27) That's what we use today.

Jenny Smith (2:29) Right? (2:29) So any of your NovoLog, even our insulin, NovoLog, Humalog, Apidra, they're all unit for unit. (2:38) You get a unit of effect in one unit of volume, meaning how much you draw up into a syringe or dial up on an insulin pen. (2:48) A unit gives you a unit of effect.

Scott Benner (2:51) Okay.

Jenny Smith (2:52) When you talk about concentration, though, and you get more into what are either, again, diluted insulin, which means that you take up the volume you would need, the volume in the number of units, but it's a smaller amount of insulin because anytime you dilute something, right, you make it kind of, like, dispersed

Scott Benner (3:16) Okay.

Jenny Smith (3:16) Almost more. (3:17) Does that make sense?

Scott Benner (3:18) It does.

Jenny Smith (3:18) Right? (3:19) And so if you dilute insulin, which is very common for little littles or people who may be super ultra sensitive to insulin, diluting insulin gives you an easier way to dose a tiny amount in a volume that can be measured, especially in an insulin syringe.

Scott Benner (3:40) Okay.

Jenny Smith (3:40) We dilute insulin. (3:41) Let's say you have, you know, a whole unit of insulin, but you can't deliver point one units with an insulin syringe. (3:52) You could do it with a pump, but you can't do it with an insulin syringe. (3:56) So we actually mix of the diluent, which you can get from the insulin companies. (4:02) Mhmm.

Jenny Smith (4:03) And you would mix that in a certain volume ratio along with the actual u one hundred insulin.

Scott Benner (4:13) So that you can get the impact that you desire and amount

Jenny Smith (4:16) A dose you can draw up.

Scott Benner (4:17) A dose that you can actually measure and draw up.

Jenny Smith (4:19) Yes.

Scott Benner (4:20) Okay.

Jenny Smith (4:20) Correct.

Scott Benner (4:21) So u one hundred insulin is a hundred units of insulin per milliliter. (4:26) Is that right?

Jenny Smith (4:27) Your bottles of insulin, like vials, I think, are the easiest to describe. (4:31) A vial of insulin and we measure I mean, the majority of people call insulin units. (4:37) Right? (4:37) We take a unit of insulin for whatever effect. (4:41) The whole entire vial of insulin has one thousand units of insulin.

Scott Benner (4:46) Okay. (4:47) So it's a 10 vial? (4:49) Got it. (4:50) Okay. (4:51) There's a thousand units of insulin in the vial.

Jenny Smith (4:53) Yes.

Scott Benner (4:55) Okay. (4:55) And the reason someone might want you two hundred insulin is because they're using more insulin, and it doesn't literally fit into the pump or it's a ton of the bolus under the skin and it becomes difficult to absorb?

Jenny Smith (5:10) It's more of an under the skin absorptive issue. (5:13) For some people, yes. (5:14) And, again, it would be entirely used off label if you're using it in a pump with u 200. (5:19) U 200 means that one unit of volume Mhmm. (5:23) Is providing two units of effect.

Scott Benner (5:27) Okay.

Jenny Smith (5:28) Right?

Scott Benner (5:28) Yep.

Jenny Smith (5:29) When you put it in a pump, we have to, again, off label. (5:33) This is not directions for people to do it.

Scott Benner (5:35) Yes. (5:35) Nothing. (5:36) You here on the Juice Box podcast should be considered advice, medical or otherwise. (5:39) Always consult a physician before making any changes to your health care plan. (5:42) There you go, Jenny.

Scott Benner (5:42) Keep going.

Jenny Smith (5:42) Thank you, Scott. (5:43) You're welcome. (5:44) You would have to essentially adjust all of your doses. (5:48) Right? (5:48) Mhmm.

Jenny Smith (5:48) Your basal dose, your insulin to carb ratio, your correction factor. (5:52) They would all all have to be dose adjusted because now you're getting two units of effect in one volume unit.

Scott Benner (6:02) Okay. (6:03) Well, that's

Jenny Smith (6:04) Okay.

Scott Benner (6:04) How did you do that so simply? (6:06) I haven't understood this for years. (6:07) I actually understand now. (6:08) Thank you.

Jenny Smith (6:09) Yes. (6:10) Well and then there's even one even more concentrated. (6:13) It's u five hundred.

Scott Benner (6:14) 500.

Jenny Smith (6:15) Yes. (6:16) So what would that mean?

Scott Benner (6:18) Oh oh gosh. (6:20) Now I said I understood it. (6:21) Now you're testing me. (6:22) It's okay.

Jenny Smith (6:23) Use the u two hundred. (6:25) It's essentially the same thing, just even more concentrated.

Scott Benner (6:28) Yeah. (6:28) So one unit of liquid now has the impact of five units of insulin.

Jenny Smith (6:34) Correct. (6:34) U five hundred. (6:35) Five hundred is a really interest I mean, it's it's action that way that the insulin goes in, gets distributed, and decays. (6:44) It is very different, and you really would need to work with a provider who is very knowledgeable in u five hundred dosing Mhmm. (6:53) Because it's even more different than using u two hundred.

Scott Benner (6:56) You just, I think covered the the only real follow-up question I had, which is why do why is u 100 the standard? (7:04) Like, why you know mean? (7:05) Like, is but the way

Jenny Smith (7:06) That's a good question. (7:07) Honestly, I don't even know the I mean, the answer to that, I I would expect goes way back to, like, what how they formulated in the nineteen twenties, and they're like, hey. (7:17) We solved this problem.

Scott Benner (7:18) This seems to work. (7:19) Good luck, everybody.

Jenny Smith (7:20) To work. (7:21) Yeah.

Scott Benner (7:22) Well, I mean, my expectation is based on what you said. (7:25) Now, obviously, I'm making this up, but what jumped in my mind was if the u 500 works differently, then that means the u 200 works differently. (7:33) Maybe at u 100, this is the most uniformed trackable way they could formulate it so that it was doing what they expected most throughout, you know, a greater number of people.

Jenny Smith (7:45) I could be wrong. (7:46) The math of it. (7:47) Right? (7:47) One equals one helps. (7:49) Yeah.

Jenny Smith (7:49) Like, that's super easy for even basic math understanding from a kid level and under sixth grade sort of reading one to one that you can't really screw that up.

Scott Benner (8:00) Yeah.

Jenny Smith (8:00) Right?

Scott Benner (8:01) Yeah. (8:01) That makes sense.

Jenny Smith (8:02) There's a lot more math to diluting or using more concentrated insulin, and you really have to pay attention and have somebody who's knowledgeable who can give you the right dosing plan in the way that you're measuring insulin again, whether it's with a pump or with a syringe.

Scott Benner (8:18) So when people are doing this with kids, you have to find an endo who's comfortable with it, right, to explain to you how to dilute it. (8:24) Do they let the families dilute it eventually?

Jenny Smith (8:28) You can. (8:28) Yeah. (8:29) Sometimes, pharmacy will do the diluting for you, but each of the pump each of the, insulin companies has a dilutant, essentially to be able to utilize. (8:38) This is not diluting with saline. (8:41) This is not what you end up doing, and there are very defined directions to diluting the insulin.

Scott Benner (8:47) Can't get it from Amazon, you're telling me?

Jenny Smith (8:49) No. (8:49) Please don't.

Scott Benner (8:52) What about do people dilute basal insulins, or does that not end up being a need?

Jenny Smith (8:56) You know, that is not something that I've ever heard done. (9:00) Now, again, I me being the end of not as many people as there are with diabetes and insulin using, Maybe somebody has done that. (9:10) I've it's mostly rapid acting insulins that you would dilute. (9:14) I've never heard of a basal diluting.

Scott Benner (9:16) Okay. (9:17) Did we cover this? (9:18) I feel like we did.

Jenny Smith (9:19) Yeah. (9:19) As a baseline direction? (9:21) Yes. (9:22) Yeah. (9:22) Could we have a much more in-depth discussion?

Jenny Smith (9:24) A 100% we could. (9:26) It's just a defining. (9:27) It's just a defining. (9:27) I

Scott Benner (9:28) wanna say, I'd like to give you a lot of credit. (9:31) As we started talking, I asked my overlord to, explain you two hundred insulin for dummies to me, and I didn't need to look at it. (9:40) So thank you. (9:40) You did a really good job making it Great. (9:42) Making it accessible to me.

Jenny Smith (9:44) Did I sound like the dummy explanation was there?

Scott Benner (9:46) I don't know about that, but this dummy understood you. (9:49) So I think we did a good job.

Jenny Smith (9:50) Good. (9:50) Thank you. (9:51) Yay. (9:52) Sure.

Scott Benner (9:58) Okay. (9:59) Well, here we are at the end of the episode. (10:00) You're still with me? (10:01) Thank you. (10:02) I really do appreciate that.

Scott Benner (10:04) What else could you do for me? (10:06) Why don't you tell a friend about the show or leave a five star review? (10:10) Maybe you could make sure you're following or subscribe in your podcast app, go to YouTube and follow me, or Instagram, TikTok. (10:18) Oh, gosh. (10:19) Here's one.

Scott Benner (10:20) Make sure you're following the podcast in the private Facebook group as well as the public Facebook page. (10:26) You don't wanna miss please, do you not know about the private group? (10:29) You have to join the private group. (10:31) As of this recording, it has 74,000 members. (10:35) They're active talking about diabetes.

Scott Benner (10:38) Whatever you need to know, there's a conversation happening in there right now. (10:41) And I'm there all the time. (10:42) Tag me. (10:43) I'll say hi. (10:45) I created the diabetes variable series because I know that in type one diabetes management, the little things aren't that little, and they really add up.

Scott Benner (10:53) In this series, we'll break down everyday factors like stress, sleep, exercise, and those other variables that impact your day more than you might think. (11:01) Jenny Smith and I are gonna get straight to the point with practical advice that you can trust. (11:06) So check out the diabetes variable series in your podcast player or at juiceboxpodcast.com. (11:12) Have a podcast? (11:13) Want it to sound fantastic?

Scott Benner (11:15) Wrongwayrecording.com.

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