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Scott Benner 0:00
Hello friends and welcome to episode 1160 of the Juicebox Podcast.

Today I'll be speaking with Beth who is the mother of three children, her 12 year old son, who has a twin has type one diabetes and was diagnosed at nine years old. Beth is a professor of biology, and she used to be a neuroscientist. I think we're going to talk about neurons and brains and stuff. Nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. Don't forget to save 40% off of your entire order at cozy earth.com. All you have to do is use the offer code juice box at checkout that's juice box at checkout to save 40% at cosy earth.com. If you have type one diabetes, or are the caregiver of someone with type one and a US resident, the T one D exchange is looking for you. T one D exchange.org/juicebox. Take it 10 minutes to fill out their survey. It's all they want. They have simple questions about type one diabetes, and your answers can help to further type one diabetes research. P one D exchange.org/juicebox.

This episode of The Juicebox Podcast is sponsored by us med U S med.com/juice box or call 888721151 for us med is where my daughter gets her diabetes supplies from and you could to use the link or number to get your free benefit check and get started today with us met. This episode of The Juicebox Podcast is sponsored by ag one drink ag one.com/juice box. head there now to learn more about ag one. It's vegan friendly, gluten free, dairy free, non GMO, no sugar added no artificial sweeteners. And when you make your first order with my link, you're going to get a G one and a welcome kit that includes a shaker scoop and canister. You're also going to get five free travel packs in a year supply of vitamin D with that first order at drink ag one.com/juice box. This show is sponsored today by the glucagon that my daughter carries. G voc hypo Penn. Find out more at G voc glucagon.com. Forward slash juice box.

Beth 2:41
My name is Beth. I am a mother of three and a college professor and my oldest child has type one diabetes diagnosed in October 2020 2020.

Scott Benner 2:53
How old is your child? Now?

Beth 2:55
He's 12. He was nine when he was diagnosed just going into the fourth grade.

Scott Benner 3:01
Okay son or daughter? Can

Beth 3:02
we say son he has a twin sister. So I have two daughters and a son. Oh, he's a twin. He's a twin. That's

Scott Benner 3:10
identical. Or the other one?

Beth 3:13
No fraternal it's boy girl so identical. You

Scott Benner 3:17
know, that makes a lot of sense. Sorry, hold on a second.

Beth 3:25
I do get that question a lot.

Scott Benner 3:28
I'd understand if everybody shut this off now. Hey, have you listened to a podcast the guy just asked. Boy, okay, hold on. I'm sorry. I'll do better.

Beth 3:40
No, no, it's fine. It's fine. You know, if you don't think about it right away that there boy girl and that, you know, it just doesn't

Scott Benner 3:47
there was a light my eye and I just shut it off. I'm gonna blame that. Keep moving. My gosh. So are they identical? No. I just said one of them's a girl and one of them's a boy. They don't look exactly alike. Okay. Do they look oddly alike? No.

Beth 4:02
You know, all of my kids look very different from each other. And I think that's because my husband is from India and my background as you know, you're Irish Scottish. So blond hair, blue eyes. So we have an interesting mix of traits in our children.

Scott Benner 4:22
I just want you to know that when you said my husband's from and you paused my husband, I thought you're gonna say isn't all their fathers are going at first? I was like, how could this make a difference? But anyway, alright, so he is all their fathers. He

Beth 4:39
is all there but yeah, we're very sure on the on the first two because we we went through some years of infertility. So the twins were the result of in vitro fertilization, so we're absolutely positive.

Scott Benner 4:52
And if I'm not good, I'm sorry. Go ahead. No, no, please.

Beth 4:55
I was gonna say my son is like a carbon copy of my husband but with lighter skin It's

Scott Benner 5:00
so interesting. So all of your husband's features more all

Beth 5:03
of Yes, it looks he looks at people have a lot of trouble understanding what race he is. I don't think I'm gonna say his name on the podcast. It's a very distinctive name. We did give them traditional Sanskrit Indian names. So people are confused, especially if I'm with them and their names, you know, and yeah, they youngest daughter has blond hair, blue eyes.

Scott Benner 5:31
Oh, yeah. No, they definitely think you still those kids, that's for sure. Yeah, exactly. There are people making photos like I'm seeing human trafficking at the Macy's right now. I know for sure. You gotta come now there's a white lady stealing some oddly caramel Indian children. I don't know what's happening.

Beth 5:46
You know what they they're not Carmel. They're white.

Scott Benner 5:50
Oh, wait a minute or so white. Oh, no kidding. Is your so I'm not going to know the names. Although my daughter's friends has them around me all the time. And I don't pick them up right. But is your husband darker or lighter? He's

Beth 6:04
lighter. He's from I guess his mom is from Delhi and his dad is from Gujarat which is a city in northern India. So his sister has hazel eyes. So he does have a lighter skin but he's clearly Indian you know,

Scott Benner 6:19
so we're gonna get off this now but your son looks like I took a picture of an Indian person put it in Photoshop and move the contrast all the way the wrong direction.

Beth 6:28
Yeah, he does have the darkest skin of the three kids but his skin is lighter than what you would expect for an Indian child.

Scott Benner 6:36
Could you make a new drinks good for you? Wonderful. Okay, now I'm going to test myself because I prepared for this a tiny bit. What do you do for a living? If you take insulin or sulfonylureas you are at risk for your blood sugar going too low. You need a safety net when it matters most. Be ready with G voc hypo pen. My daughter carries G voc hypo pen everywhere she goes because it's a ready to use rescue pen for treating very low blood sugar and people with diabetes ages two and above that I trust. Low blood sugar emergencies can happen unexpectedly and they demand quick action. Luckily, G voc hypo pen can be administered in two simple steps even by yourself in certain situations. Show those around you where you storage evoke hypo pen and how to use it. They need to know how to use G vo Capo pen before an emergency situation happens. Learn more about why G voc hypo pen is in Ardens diabetes toolkit at G voc glucagon.com/juicebox. G voc shouldn't be used if you have a tumor in the gland on the top of your kidneys called a pheochromocytoma. Or if you have a tumor in your pancreas called an insulinoma. Visit G voc glucagon.com/risk For safety information.

Beth 7:59
I'm a college professor, I actually teach at a community college I was a scientist for many years. And then once the twins were born, my husband and I both quit our jobs and moved to Ohio to be closer to family. So

Scott Benner 8:14
nice. But what did you do when you were in an industry? And what's your what's your thought when

Beth 8:18
I was doing research? Yeah,

Scott Benner 8:20
what I'm trying to get at what your educational background is, I guess? Oh, so

Beth 8:23
I have a doctorate in neuroscience. So I I spent many years studying the neural circuitry of motivation and addiction. And it's so strange because I actually was trained in an obesity research center. And everyone around me was working on a cure for obesity and also diabetes. Got it

Scott Benner 8:46
right. My hands now Beth, I have to take it after we record.

Beth 8:50
I know. The funny thing is, are you talking about well, govi I'm holding the Go V right now. Yes, yeah. So there was a grad student when I was in grad school, she was working with a GLP one agonist. And I still remember like she was she was investigating its effects and anxiety. We work with rodent models. And I remember the rats were like jumping off this plus maze, which is insane behavior for rats. Okay, so they were it was whatever, I can't remember if she was using something that activated or blocked that receptor. So it was either something like we'll go V or the opposite. But anyway, the rats were jumping off the maze, which meant that this was an incredible anxiety reducer. It needs animals.

Scott Benner 9:37
Oh, I wasn't hurt. Oh, Beth. I'm sorry. I'm cutting you off, but I wasn't following it first. So you took their anxiety away so much. They were like I could jump off of this. Yes. Exactly what

Beth 9:48
explain how plus maze works but I don't think people would be interested in that all. They like to stay in dark places. They do not typically jump off of elevated mazes. Wow.

Scott Benner 9:59
Give them the right thing. They're like, I can't do anything. I'm Superman on my cell phone. Yeah, you don't even have to let them watch a video game, they still thought they could do it. That's excellent. Well, I'll say this, I'm holding my like, I'm at a therapeutic dose now. So I'm using 2.4 milligrams weekly, I'm going to actually inject it, I do a little diary about it. So I'm going to record with you that I'm gonna open my diary up and uncheck this and record the diary. But I'll tell you, I'm down 31 pounds. I started in March, all of my measurables are going in the right direction, with the exception of muscle mass, which I expected because I'm losing weight. Right. And so I'm beginning to add, like exercise in to try to move that in the other direction as well. But it's fascinating. Like, I don't believe that I'm eating that much differently now than I was before I started taking it.

Beth 10:53
So can I ask you something? Because I'm actually really curious about this just based on what I used to. I used to work on the motivational circuits, and I was sort of like the expert in food motivation. Before

Scott Benner 11:05
you ask your question. Let me just tell people a little tease. I don't know if you've ever heard tickle your to the feather. But I'm going to ask Beth a lot of questions about about having low blood sugar and your brain later. So everybody, yes, yeah. Hang on. So good. I'm

Beth 11:20
excited to talk about that, too. But first, they ask and high blood sugar, right? Oh,

Scott Benner 11:25
why not? We're here. Yeah, go ahead. Good.

Beth 11:28
So my question is, do you feel like, do you feel not hungry? So when you take will go V? Do you lack that sore? Are you not getting as much reward from the food that you eat? I

Scott Benner 11:42
guess, yeah. So it's, it's a bit of a process, like because you start on a very low dose, they titrate you up, etc. The hunger piece, hit me immediately. So you don't feel physically hungry. I didn't, I should say feel physically hungry, almost ever, meaning like in your stomach, like a grumble or an emptiness in your stomach, that kind of thing. Never never felt that. Also in your head. Not hungry, like your brain is not saying, Hey, we should eat. In the first couple of days, I had to set timers to eat like like alarms. Because I was getting to like three, four in the afternoon. Like, I'm dizzy. Like, why am I dizzy? And then I thought I have not eaten anything today. So it's

Beth 12:25
so amazing, because that those were the things that I was working on. And my colleagues were working on when I was in graduate school and and during my postdoc, and you get to a point where you tried so many things, and you think none of this is ever going to work unless we're able to inject it directly into the brain. A lot of things just don't work because they can't get past the blood brain barrier. But it seems like they found something and I'm wondering if it actually is going to be useful for other addictions, too.

Scott Benner 12:52
That's what I'm seeing papers popping up about. Is this going to help you with other addictions? Is it going to also the idea that maybe people have GLP deficiencies? Eight Yeah. And that's the one thing that I start leaning towards, because I listen, it's been a week since I took this injection. I've lost like two and a half pounds this week. Okay. In this week, I have eaten crab legs and fries at a at a bar. Now there's like a pound of crab legs. And, you know, I had a couple of French fries. But, but I did that Arden had a moment one night at like 1030 where she goes we should go get cookies. And we drove like across town to this like all like cookie plays about crappy cookies and ate them at like 11 o'clock. Yesterday, I had a big sandwich, like an eight inch turkey roast beef, provolone sandwich, and a handful of Doritos. Okay, and I lost two and a half pounds this week. So it's,

Beth 13:53
it's so strange. It must be affecting, you know, something on the metabolism side as well. So I don't know enough about it. I was just curious about the motivation aspect.

Scott Benner 14:06
I'm holding this in a hit my hand I'm telling you unless this gives me some sort of debilitating disease or it rots my brain from the inside out. I'm gonna take this for the rest of my life.

Beth 14:15
Every everything that I've seen come out and I'm very skeptical when things first come out like this. Everything that I've seen has been positive.

Scott Benner 14:24
Yeah, so my brother's taken ozempic My brother has type two diabetes. We're not related by blood, but he said that his resting blood sugars and his spikes are so much lower on ozempic than they than anything else that he's tried. He's never tried insulin but anything else that he tried and his haste lost like I think he's lost like 40 pounds or something like that. Wow.

Beth 14:47
That's amazing. It's insane.

Scott Benner 14:48
Like I'm I started in March, it's September I weighed 31 pounds less. And I don't think I'm done. By the way. I think I easily I think this stuff easily gets me to 180 At some point, and I started, I started to 34. That's crazy. Yeah, no, I

Beth 15:08
mean, that's great. I'm so happy for you that is, and anybody that's having those kinds of results, it just think about, you know, how that's gonna look for your health in the future. I was just thinking about my husband's pre diabetic, and but He's thin. So I'm thinking what a drug like that even work for him, he forgets to eat on a regular. He just doesn't. He's like missing that part of his brain that tells him it's time to eat. So

Scott Benner 15:33
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Beth 19:05
something about cancer to my God. I don't know. Maybe I'm making that up. I never

Scott Benner 19:10
die Beth. That's, I'm just saying this maybe I could live forever and be thin like a model. Yeah, be pretty, you know, great all around. Yeah, I would have liked a sunken cheekbones. And they'll have to Rouge me up so I look alive now. I'm just kidding. But I am it's and I'll tell you the the thing I've learned more than anything. Is that artists, she showed me a video that she goes oh my god, look at this. Remember when this happened? This just popped up on my timeline. And she showed me this video of me just I don't know, I was doing something stupid in the kitchen. And she's holding it up and I'm trying to listen to the words. But all I can think is Oh my God, look how fat I am in that video. Oh no. I was like, Oh my God. Is that what I looked like last year? And then I was like it was a little like defeating because you learn to be setting, it's like it's like that slow drip water torture like you Next

Beth 20:03
up on, you know, and our bodies are you know, as far as homeostasis of body weight goes we're kind of made to gain about a pound a year, which I that one of my one of the guys I worked for used to say it's a potato chip a day, that's how much we're off like one single potato chip a day 1313 calories, I think is towards the positive side, that ends up being a pound a year. And you know, it's just that's the way we're, that's the way we evolved.

Scott Benner 20:36
So all I can tell you is that I'm all for this now for intervention. I'm going to try I'm trying other things that I'm not even ready to talk about on the podcast yet. And I am fully expecting that in six months, when I go back to the doctor to talk about how this is going. I'm going to ask them for testosterone to build my muscles.

Beth 20:54
Yeah, that's what I was gonna say the one worrying finding is the muscle mass and that, I think for you, it's probably fine. But for people who are older, I mean, having enough muscle mass is is really important. And you know, bones breaking and yeah,

Scott Benner 21:10
I'm just telling you we go V has taught me I can't beat mother nature, so I'm gonna help it awesome out of this. Yeah, man, I'm gonna be I'm gonna look good. For one moment, my life. You guys will know what I'm happy. I will take a photo of myself every 16 minutes. And like, tell all my family and friends like, please just keep these for my funeral.

Beth 21:30
You know, we don't see like, I mean, I see pictures of you. But I don't see you on a regular basis. So I probably wouldn't even know that you'd lost weight. If I saw you.

Scott Benner 21:40
The other really disappointing part of it. Is that so? Well, no, actually, I should say this. It's lovely. Okay, but my kids don't see that I've lost weight. Like I saw my son after I lost like the first 15 pounds. And I'm standing there like it's Christmas morning waiting for somebody to hand me my gift. And my gift is going to be oh my gosh, look, you've lost 15 pounds. He did not notice that I looked any different.

Beth 22:05
Oh, well, you're expecting way too much there. So I could dye my hair purple and no one.

Scott Benner 22:13
I mentioned it to him. And he said, Yeah, I don't think of you as a fat person. Oh, that's nice. Yeah. So and by the way, I didn't think of myself that way, either. Until I lost 30 pounds. And now I look in the mirror and go, Oh, what were you doing? Like, yeah, but not your fault,

Beth 22:30
though. I mean, again, the way that the you know, your genetics and yeah,

Scott Benner 22:35
I mean, I usually preface all this by saying like, if you got a picture in your head of me, like eating like a bag of chips every day. And you know, like handfuls of I don't know what I it's just not who I am. I just my body just held on to weight. Like crazy.

Beth 22:51
So yeah, I mean, if you look at your your adopted, though, right, I was gonna say if you look at your parents, you can pretty much tell what you're going to look like. I was

Scott Benner 22:58
purchased at a at a bargain bin situation. So I they tell me I was adopted, and maybe I was human trafficking. I mean, look at your story from earlier where you stole those white Indian children. So, okay, so Beth, tell me, like, let's just dive into it. Like, let's not talk about your son, or diabetes or anything like that. You, I think possess knowledge we need to get to, because one of the No pressure, one of the most often asked questions that I don't know how to answer is, How low is too low? And what's it doing to my brain?

Beth 23:33
So the reality is that the research on this topic is not excellent, because you can't, you can't do this, the studies that need to be done, you can't take people you know, and make their blood sugar low and see what it does to them. Well,

Scott Benner 23:49
not in this country at this time. Let's just say, right, right. Right. So,

Beth 23:54
you know, and when you read the pay, I've read a lot of papers, because obviously, you know, after my son was diagnosed, I dove into the research. And what I came away with is that being severely hypoglycemic, like having a seizure, you know, below, you know, 50 for like an urgent low, that's not good. For the brain, like the brain needs to have a constant supply of, of sugar of glucose, neurons, that's the only thing that they can use for fuel. And when they don't have enough they're gonna start undergoing like cell death. And once you lose neurons, you know, except for a few places in the brain, you're not you're not going to make any more so it's, it's not good to to have severe hypoglycemia especially repeated.

Scott Benner 24:46
And so what what the severe mean? That's a

Beth 24:50
good question. So you know, it doesn't it doesn't say in most of the papers, they don't define it. Well, I think typically they're talking about severe enough where the person needed help in some way. Either they had a seizure, or they were,

Scott Benner 25:06
you know, so we're not talking about a blood sugar of 65. No. And,

Beth 25:11
you know, I, you can't say that for sure, because there has not been a study where they've looked at long term outcomes of people that, you know, allow their blood sugar to go into the 60s. But I will tell you what I think is just as bad as having those severe hyperglycemia is, I think that blood sugar variability, so the ups and the downs, I think, is actually more dangerous, especially for type ones. I think one thing that people do that that is actually very harmful is to leave there, especially this, this is from a parent perspective, but it could be you know, type one, you know, to keep their blood sugar high, because it feels safe. Because what that does is it causes the brain to adjust the way that it takes in glucose. So if you are bathing your brain and high blood sugar, the brain is like, whoa, that's too much. And then it reduces the number of transporters, so that it's kind of trying to keep out the excess sugar, which is harmful to the neurons to the brain cells. And so it down regulates the number of transporters. And then what happens when that person that individual inevitably will have a hypoglycemia, because, you know, oftentimes, when you're keeping your blood sugar high, you eventually, you know, are yo yoing. And then the hypoglycemia is, I think, more dangerous because you don't have enough glucose transporters because the brain has gotten used to the high blood sugar. And then, you know, you feel you often hear people say, Well, I feel low at 100. And, and you're like, Oh, well, that's not a real low, but it is for them, because their brain is not getting enough blood sugar, because they don't have enough glucose transporters because they've been existing at this higher level for so long. And it is dangerous. And I've read a lot of things where the highs followed by the lows are, you know, the repeated highs followed by the lows are really, really bad. downrange, just

Scott Benner 27:15
Yes. So the bouncing is dangerous, because your brain is like, Alright, you're gonna keep your blood sugar high, I'll adjust and then zoom, it's low all the sudden, and

Beth 27:25
it can't, it can't, you know, it can't change that fast. Like it does have an ability, your cells have an ability to like change how they interact with these things. So it can change the amount of glucose it's taking in across the blood brain barrier, but it can't, you know, the blood sugar. If it falls really fast, it can't adjust fast enough. And then you basically are starving your your brain cells of sugar. And so some people say, Oh, well, I don't want to, you know, keep my child at a normal blood sugar range, because then they don't feel their lows. And they're talking about they don't feel the 60s in the 70s. But, you know, if you look at a normal person's blood sugar, sometimes you're in the 60s or 70s.

Scott Benner 28:05
Yes. See, there was a man named Rick that came on once. Have you ever heard Rick lives on a boat?

Beth 28:10
Oh, yeah, I did listen to that one. And Rick

Scott Benner 28:13
says something to me. Hundreds and hundreds of episodes ago that has never left me. He said, You know, if you test people's blood sugar, who don't have type one diabetes, sometimes their blood sugar's in the 60s for more than an hour a day. And I went, Wait, really? And he goes, Yeah, and I thought, I'm gonna believe right? He sounds smart. I didn't do any research, that

Beth 28:32
there is some research on that there's I forget the name of the article. But the first author was Shaw. And he looked at CGM in non diabetic healthy individuals. And he his argument in his paper was that we should change the, you know, what we call low because it was normal for people who don't have diabetes who have you know, normal glucose metabolism to be in the 60s a couple times a day. And after I read that paper, I you know, put on a Dexcom myself one of the you know, transmitters that was going out, I put it on I'm like, let me see about this. I was in the 60s frequently, not low 60s But I was oftentimes in the high 60s and I would double check it with a finger stick and go fine. So I just you know, to me that 6068 That's not a low blood sugar. To me.

Scott Benner 29:28
The way I think about it, it like is I say it a lot but I'm eight like Arden's budget is she's sleeping right now because she's leaving in two days for school. So I think she's taking up the rest of what she calls her puddle time, which is she comes home and melts into a sleeping puddle and we take care of her again, as she goes. I revert to a princess for three months during the summer. So she's sleeping right now her blood sugar is 85 in any focus that I can tell you, that's my goal, right about 8085 That's what I'm shooting for. I think of it 120 as action time, if it's rising, I begin to think of high as 130. A 150 to a 180. Blood sugar constitutes a pretty big miss for me, as far as like a meal or a spike, right? And then on the low side, I don't care if she sits in the 70s. All night long, est a stable 70 is fine for me a falling 70 I'd be concerned about right. You know, and if she were to I mean, she's using an algorithm if she was in the 70s. And it was to dip into like 65 and branch and the algorithm took away insulin and brought her back up. I wouldn't think twice about that. Quite honestly, like low is, in my heart low is when she's altered, right? But if you asked me what number do you not want your daughter under? I would say 70. Like, so that seems conflicting, but I don't think it is like if she bounces down to 65 and comes back up, I'm fine. If we get a falling low, and we catch it, and she dips into the 50s for a second and comes back up but never feels it. I think okay, well, good. Good job. We caught it. giving an example. Last night Arden and I recorded a podcast together. It's our third podcast we've ever recorded together.

Beth 31:17
Oh, awesome. Yeah, I'm looking forward to that one.

Scott Benner 31:20
You're not gonna hear some of it. I'll tell you why. So. So we're we recorded for like 90 minutes. And we had been out that day and she had had. So here's how the day got mucked up. She spent the night at someone's house unexpectedly while she was sleeping in the morning. Her pod round of insulin, Oh, no. I was asleep. And she was asleep. And we both kind of woke up at the same time. And I was like, hey, her blood sugar has been rising for like two hours. So I texted her, I'm like, where are you? And she's like, I know, I'm on my way home. And I was like, Okay, so like, be clear. She was writing in the 80s for like, 12 hours. We just started a new algorithm. It's working really well. And I was like, I was actually like, and I'm like, Oh, I'm gonna get like a 24 hour graph where she's like, not over 110 and not under 70. I was like, this thing's crazy. Then I wake up and I flip my phone open. And she's 250. And I'm like, Wait, that doesn't make any sense. And I'm looking, I'm like, why is the thing not Bolus thing. And then I'm like, oh, cuz the thing doesn't have access to any insulin anymore. So I, you know, I'm trying to wake her up. She's like, I know, I'm on my way. So anyway, it was kind of bad. She didn't have insulin for two hours. And her blood sugar had up to 320. Before we could fix it and bring it back down. Did it pretty quickly. I mean, she got the new pod on, I think we pushed nine units through it. And by the way, we just went with what the algorithm said, I was like, let's see what happens. It made her it got her down fast, but it couldn't catch it. So we had to catch it with a little carbs. There's no problem. But then we had to eat. So we went into that like low drop, can't really Bolus here's food spike again. 200 gets it back down. And now it's eight, nine hours after this all started. And we're sitting in maybe 12 hours after this all started. And we're sitting in here recording a podcast. And she's we we start her blood sugar's like 110. It's still kind of drifting back down. It's all good. But we're talking for like an hour, hour and 15 minutes, and we're getting ready to wrap up. And neither of us are looking at our phones. Our phones are muted, because we're making a podcast. And I I asked her one more question. And as she starts answering, I'm like, Why is she being so mean? Like no. And like, and none of it hit me. I have to be honest with you. I was like, is she trying to be funny and missing the mark because she's 19 You know what I mean? We're talking and she's like, you know, and she's been like, now she's, she's starting with a kernel of truth, like a thing she believes. But as she's defending it, or explaining it, she's being cruel. And I was like, I'm actually thinking, no one's gonna hear this. I'm cutting this out for sure. Like, like that protect her. But then she goes, Hey, we got to stop. And I'm like, what? She goes on low. And she's like, I don't I don't feel good. And I was like, okay, so we went downstairs, and we got her some food and all this stuff, but it was one of those lows that stuck with her for a while like it didn't come right back up again. Okay, yeah. And then we started talking when she was okay. But as soon as it came back up, her knee started to hurt her ankle started to hurt. Like she got all achy all over, we had to stretch her out and everything and I was like, I think this is from the high low, high low thing today is that I mean,

Beth 34:31
I That makes complete sense to me. I just you know, I don't I there's no research that you can point to or study that that is going to definitively tell you that but to me, the ups and downs I think make you feel like crap. And like just from a you know, looking at my son when we because we have bad days like that, too. I think everybody does it when that happens. He doesn't. He doesn't feel good and he's not him. Self. Yeah, yeah, no. And is it high or low? You can tell from his because he's such a sweet kid. Just so kind and funny and just so just such a great person and if his blood sugar is high, he's mean. Like, if it's above 200, I, you know it, he's not he's not, he's a different person. And if he's low, he gets silly. And then, you know, he can be mean. And two, I think it depends on the situation. But it's

Scott Benner 35:32
fascinating because as she's sitting there going, like, I'm not okay. Like I said, Oh, I just hit stop. She was that was an abrupt way to stop the podcast. I'm like, I don't care about the podcast, like, you know, like, I get up and I turn the ceiling fan on to like, hopefully like to help her as we're moving out of the room. And then it's feels good. And she just sits there. And I thought, Oh, wow, she would sit here and die if I didn't just tell her to move. Like, oh, my God, and we have to get on switch. Because put the fan feels good. I'm like art, and we, you need to go eat something like, let's go. And she wasn't like, I don't know, if she was gonna get through a seizure. I don't think it was I honestly, it wasn't that kind of drop, but it got lower than she should have been. And it hit her. Alright, I

Beth 36:12
wonder if the brain hadn't, you know, sort of, I don't know how long it would take for the brain to acclimate to high blood sugar. I was thinking more of someone who sat in the two hundreds all the time. But you never know. I mean, maybe you're in the two hundreds for a few hours, and it changes your brain chemistry a bit. And then you're more, you know, you're more susceptible to those lows at higher blood sugars,

Scott Benner 36:35
no idea. But all I can tell you about is that she was like Arlen's not a cruel person. Like we like I asked like a question that I thought was gonna make her introspective. And instead, she just took the side of the argument that she agreed with. And then everyone else was an idiot. And I was like, this is not her. Like this. This is not how she talks about how she thinks it's not how she it's not how she breaks ideas down. And it just took me a minute, like to go like what's happening, but I was also trying to like, interviewer, so I wasn't thinking of her as that person with diabetes. I was, you know what I mean? I was like, where's this going? Like, you know, that kind of thing. It was very interesting. Anyway, I'm sorry. So there are high blood sugars. There are low blood sugars, and there is stability. And those are kind of the focuses the way I think of it at least. So let's ask you for a person who's read all these things and has a deeper understanding of them. What's the blood sugar you're trying to keep your son under?

Beth 37:32
Well, that, you know, I would love it. If I could keep my son in the 90s. I think that's where where he sort of is at his best, maybe, you know, below 110. He's on tandems control IQ. So that's not really

Scott Benner 37:48
it's more of a 112 and a half target. Right? Yeah,

Beth 37:52
I mean, we keep him in sleep mode. And that sort of is a little bit more aggressive. His settings are aggressive, that works well for us, I wouldn't recommend that for everyone. But his his average blood sugar is typically somewhere between 105 and 110. So, you know, we do pretty good, if he's when he's with me, and I am bolusing for him, and, you know, doing the bumping and nudging kind of in the background, he's in he's in range 100% of the time, and he just basically is gliding along, you know, kind of like an aeroplane with very little spikes. But when he's away for me, it gets more difficult. And he I don't think I mentioned this, but he is he does have dyslexia. And he has been diagnosed with ADHD, but he's a different kind of type of kid. He's, he he has a very, he has a very high IQ. And they call these kids this sounds terrible, like I'm bragging or something, but it's not bragging at all, because it's actually very challenging. They they labeled these kids as twice exceptional, because he

Scott Benner 39:04
did what they call being in school. academically talented, you know what I wasn't, I was not academically talented.

Beth 39:12
Probably you may have been twice exceptional to You bet.

Scott Benner 39:16
Let's just say I was not academically talented, but I was twice exceptional to write that down. And that's what they should have called me, by the way. Also, you shouldn't tell a five year old they're smarter than other people. That's not a good idea, either. No, it's

Beth 39:29
never a good idea. It's the whole the whole way. They do gifted programming, and at least in the public schools around where I am, it's just a complete nightmare, but I won't get into that.

Scott Benner 39:39
Let's get into it for a second. The lady that was talking to me was a big dummy compared to me. She didn't know how to talk. I'm just kidding. She didn't. She didn't know how to talk about these things. But no, it was um, I mean, I'm old. So it's in the 70s. And they were like, you're academically talented. We're gonna put you in an 80 class and I was like, okay, and the way that it was six Explain to me when I was five word for word is Scott, this man thinks you're smarter than the other kids. You don't use I'm a parent, that's not a thing you tell people. So

Beth 40:09
right, yeah, that's not not a way to get the best data. If that's

Scott Benner 40:13
the thing you think you keep that to yourself. But anyway, so now they're saying twice exceptional. What's

Beth 40:21
exceptional is for children who like he, you know, when they give the, in our school, they give a test for to, you know, figure out whether someone's gifted or not, which is sort of like an IQ test. And both, all three of my children, you know, qualify as, quote, unquote, gifted. I'm not sure how we can tell someone's gifted in elementary school, but what they're not profoundly gifted, like they're not Mozart, or doing calculus or anything like that played a

Scott Benner 40:48
piano with their butt while they're doing calculus with their toes. Yeah, you

Beth 40:51
know, they're not like that, but they have, you know, relatively high IQs. But then my son wasn't, he wasn't learning to read, it was the strangest thing. And you know, he had a twin sister. So she's, she's reading like, chapter books. She's reading Harry Potter in the second grade, and he's not able to read like the easy readers, right? So I'm going up to the school and I'm like, he can't read, like, something's wrong. And they're like, oh, no, his test scores are great. He's fine. And it was just, it was very strange. So, you know, it took three years to get him on what we call an IEP for his dyslexia. And we had to get like outside evaluations. And that's when we learned about his his twice exceptionality, which what it looks like on an IQ test is that he has really high highs and really low lows. So his fluid reasoning is like genius level, but his processing speed is, you know, below average,

Scott Benner 41:51
I can't do anything that you would think of as academic. So but I guarantee you when the monsters come, I'm going to be alive and you're all going to be dead. Because I can, I can on a on a on a

Beth 42:05
pinhead. So my son could build a car engine like today, like if I put if I gave him all the pieces of a car engine and said build this, I have no doubt in my mind that he could build it. But he still can't read very well. And, you know, that's just who he is. He says he's a smart guy. But it did pose a bit of a challenge when he goes to a special school now for kids that have his type of, you know, he's dyslexic, so he needed extra help with reading. So it's a private school. And when he he actually started there, and then the month after is when he was diagnosed with diabetes. So it was kind of a weird timing.

Scott Benner 42:44
I will tell you that. The I think the only thing I'm good at is thinking, Oh, really? Yeah. So when I sit and talk about like big ideas, I can hold on to all of the extraneous impactors. And I can see how they hit each other. Yeah. So if I talk to somebody who's too black and white, and I start explaining an idea, they get focused on an aspect of it. And I'm like, No, you don't get it. I'm just like, there's this thing over here that's impacting this other thing. And then, three years ago, this happened, and that's why this is happening over here. Now. Yeah. So you were

Beth 43:20
academically talented? Because, like you're able to think outside the box.

Scott Benner 43:25
I can't. I can't do algebra. I don't understand. I don't understand science. I so every, everything they were measuring me on I was like, I don't know what this is. But again, like I can think things through really quickly and maintain a vision of other people's perspectives or other impactors. I actually, I never really say this out loud. It's why I'm good at managing the Facebook group.

Beth 43:51
Oh, yeah, you're really good at that. I would be dreadful. Know how you do that. And I just, it's because you know, kudos to you for your ability to cut, like, some of the times you come on there. And I'm like, wow, that was so well said.

Scott Benner 44:06
It's because I see everybody's perspective. And I understand their perspective. I don't agree with them, but I understand them. And I operate on the fundamental idea that everyone's right, and everyone's wrong, and it doesn't matter.

Beth 44:20
Yeah, it's great. It works really well. Yeah, I, I get on there sometimes. And I'm like, Oh, that's not right. You know, or like a scientific perspective. And I'm like, let me share this journal article with you. It's really not the right approach on Facebook. Now,

Scott Benner 44:35
there's a lot of different ideas in the room, you just have to try to keep focused on the goal. What's the goal? Yeah, you know, the goal is that a person needs to leave here with more information than they came with. They need to be comfortable and live a healthier, happier, more productive life from something they took from here. The goal is not for you to tell them how you feel about the thing they asked.

Beth 44:53
Yeah, I mean, I have to tell you, that group I wasn't a big Facebook person before diabetes. I I would post like, pictures of, you know, family stuff for my family, but I wasn't in groups like I didn't do. I didn't have a group thing. And, and I found the Facebook group must have been a couple months after he was diagnosed. And I joined a bunch of the diabetes groups like I joined all of them that I could find, especially the ones that I thought were geared towards parents. And I was in those groups for about two weeks. And this was like, right when he was diagnosed, and I was in a really bad place, as you know, as you are. And I left all these other groups, I couldn't stand them. I was like, these people are crazy. And all the graphs that they're posting, were just giving me like, I don't know, I just felt like everybody was in such a bad place. And it was so depressing. And the juicebox group was the only one where I felt like people were actually giving real advice that was useful. And I don't know, I found it very helpful. Prior

Scott Benner 45:57
to that all you use Facebook for was to put up photos, so that your husband's family would say there are 700 million Indian ladies here and he found an Irish girl. Great. Is that what happened?

Beth 46:09
If you're just talking, honestly, Facebook's really big in India, and I have all these family members that I don't know. And friend me. They have my husband's last name, and they look like my husband. And I'm like, well, that must be a family member.

Scott Benner 46:24
Actually, the podcast is exploding a little in India. Oh, really. It grows and grows. They're constantly it's very, very cool. That's great. Anyway, so All right, you and I are chatting in a good way. It's fun, by the way, because usually a person usually I cringe a little somebody's coming on. And they have like a real scientific understanding of something like Oh, they're not going to be conversational, but you're very conversational. So that's terrific. You're, you're gonna end up back on this podcast if you keep doing such a good job.

Beth 46:51
Well, thank you. I appreciate that. But I don't know this was hard for me to do to be honest. Really? Yeah, it really was because I've not like I I'm not an active bench scientist right now. And I, you know, I've read a lot of papers, but I'm not like an expert on who's

Scott Benner 47:11
an expert on it. Who would be an expert on it. On type one diabetes? Yeah. This this type? No, like, so my point is this, you have this educational background, and you're motivated by your son's diagnosis, and you went and read a lot of stuff. I want to hear what you think. I mean, if you know what I mean. Like, if we go to some person who did research, like, they're not going to know, to say something like, Hey, listen, 65 like, you know, right? Yeah,

Beth 47:38
there is something to be said for when you do when you do have that personal connection to the disease. When you're reading the papers, it's much more engaging. I will say like I, you know, I read, you know, 1000s of articles. i This is a funny story. When my son was when my son was diagnosed. They, he, he went to a, you know, a major university, we're in a city that is known for hospitals, and so he has very good care providers. But I had already pulled up the lancet article on top lism AB, well, he was being diagnosed, and I'm like, we need this. I like this. I'm like, Where can I get an infusion of this for my son? And then, you know, they're like, how do you know about that? And I'm like, uh, we need a Dexcom right now. And, you know, so I don't know, no, did

Scott Benner 48:29
differently, you get treated differently? Because they think you know, something?

Beth 48:32
Yes. And my husband's a physician. So he, you know, we just get treated a lot differently. I think it's not fair. Right. But but we do.

Scott Benner 48:40
By the way, I stopped myself from saying, of course he is because he had no choice. That's what his family told him. It was gonna be right. That's

Beth 48:48
exactly right. That's, you know, what he does is a hobby. He's, he's basically an ID, he should have been an engineer, which is, I mean, that would have been the second choice of career but he he makes medical devices as a hobby. And he has some patents. And he's actually very, he's a very smart guy. Sounds like he made this. So I, I am the one that takes care of the diabetes. I'm like the full time diabetes manager in our house. And so when our son, you know, has a compression low at night, I'm the one that gets up. And we have a bedroom on the ground floor and I have we have a rather large house, and I have to walk up a flight of stairs down two hallways into his bedroom climb up into this loft bed, which I wish we'd never got him but he has a loft bed get hit by a ceiling fan. Oh, this just to roll him over because he doesn't wake up. And so I was, you know, very tired. And I'm like, there has got to be some way we can get this kid to roll over. And so my husband created we call it the buzzer, but he created this device that my son wears on his on his pants and it buzzes me and tells him to roll over. And I think it's a great like invention, really. And he has it patented. I'm like, why? He's like, Well, and you do clinical trials and this and that. And I'm like, Well, I feel like this doesn't need a clinical trial. I think we should just, I think we should just sell it. And we actually live pretty close to the guy that does the sugar pixel. Okay. Yeah. And I'm like, let me just figure out who that guy is. And you need to talk to that guy about, you know, getting this thing out there.

Scott Benner 50:28
I can give you his email address if you want. Yeah, that'd be great.

Beth 50:31
I mean, I could probably, he's on the Facebook page sometime. I've seen him. Yes, yeah. But my husband is. So he's just he makes all these things. But he doesn't, you know, they never go anywhere. Because he just, he doesn't have that entrepreneur. side, one of

Scott Benner 50:47
my brothers in law, he one day, he builds things with his hands. And I'm always like, This is amazing. Like, what are you doing? Like, why do you work where you work, like, get a job with nerf or something, you know? And I don't know, he's like, he's like, check this out. And it's like a, like, I don't know, a gun that shoots like a potato. And it does, like all this stuff. And you're like, that's a you made that. And then I'm like, I don't understand what you get the woody. So I took an old cutting board and I caught and I'm like, wait, you've made this out of a cutting board? I'm like, I don't understand. You know, and he just he but if you said to him, You should go do that for a living or salad. He'd be like, Nah, yeah,

Beth 51:24
that's exactly my husband. You know, I told him. This was when we first when when I was first dealing with trying to help our son manage while I was like lecturing and things I'm like, it would be great if I could just see the numbers on a screen or something. And he built me a whole screen. He all it is is like a wooden box. And it has it projects Nightscout. I mean, we kind of probably could have used, you know, anything else. But it's so nice. And he built it for me. And oh, he's very talented. And that

Scott Benner 51:53
way I can tell me you married him and let him give you babies and everything. So you must have liked him. Yeah, he's

Beth 51:58
a great guy.

Scott Benner 51:59
That's pretty cool. I just I know, I just know a number of Indians. And the idea of like, my mom told me I'm going to be a doctor, or nowadays, it's cybersecurity. Coding, like, like, knowing how to, like, do Python and stuff like that, like that kind of stuff is very popular in in the with kids. My daughter. I

Beth 52:21
mean, it's my my husband has two sisters. One is a dentist and the other is an ophthalmologist. So

Scott Benner 52:29
they're just out there doing it, whether they want to or not. And that's that. That's fantastic. Okay, so I'm sorry, we did not get back to my question. Again, I like you. So you're shooting for a 90 blood sugar people like remember when you asked her about the blood sugar? Can you? You're shooting for 90. The algorithm keeps them more than like the 110. So what's this a one C round? 6162? Normally, it's

Beth 52:54
five. It's I think the last few times it's been 5.5

Scott Benner 52:58
by five. So how are you doing that? Well,

Beth 53:01
I so we keep His settings. So his his total daily insulin. I know what that is, because I can look at the history of the pump about what he's getting every day. And I will set his what what he's getting. And then I'll look at 50% of that. And I will set his basil higher. So that, you know, instead of setting the basil to what he should be kidding, I'm setting it a bit higher. And then that tends to make the algorithm that works for me. I don't want anybody else to take away the idea that here

Scott Benner 53:36
on the Juicebox Podcast should be considered advice, medical or otherwise. So go ahead. Yeah. But yeah, but tell me what you do. You're not telling people what to do. If you by the way, if anyway, you're listening, and like, I'll just do it because Beth said, so. Whatever, do whatever you want, but it's not best fault. And it's not mine if it doesn't work out. So, so you're being more aggressive with his basil. Yeah,

Beth 53:56
so his Basil is pretty aggressive. The correction factor is not as big a deal for us because we don't we don't use the mode that he gets auto corrections, but that is set more aggressive at times when I know he's gonna have these rises like early in the morning. In general, it's a very set I have his settings very simple. They're just you know, one or two Basal rates a day one or two correction factors. But the key for us was really look at what he should be getting, you know, Basil wise, which is around 10 units, 12 units and increase that by about 20% in the settings. And then because we know the pumps going to suspend sometimes, right? The other thing that I do is I A lot of times I'm pretty aggressive with boluses I would rather overshoot it and him need like, like I just texted him this morning. He had a doughnut for breakfast and his blood sugar went from like he woke up in the one And hundreds and he went down to 70 of the Pre-Bolus. And then he went up to one 130. He had a glazed doughnut from the bakery. And I had probably over Bolus a little bit because we were running a little late and he just had to eat to gummy bears to stay in range. That

Scott Benner 55:17
sounds pretty close to me. Good job.

Beth 55:19
Let's Yeah, go kill gummy bears. I feel like if you're off by two gummy bears, you know, some people are like, Oh, they went low. And I'm like, well, two gummy bears. It's not. Yeah,

Scott Benner 55:29
so we should definitely call this episode off by two gummy bears. I'm writing that down. It's excellent. No, I think that sounds terrific. I glazed donut not over 130. And you only had to correct with with? What? Six carbs?

Beth 55:42
Yeah, so that's pretty good. Right. I mean, that's every morning doesn't look like that. But that's, you know, Matthew, calling

Scott Benner 55:49
that pretty good. It's the humblest brag, since you told me all through your kids are really smart. So that's pretty good. It's better than pretty good. That's amazing. It's really terrific. But you're saying when he's on his own? He can't quite accomplish that. Yeah,

Beth 56:01
I It's, and the reason is that he, he relies on me right now. But mainly because when he's at school, I want him to be focusing on learning and not on managing his blood sugar. So he doesn't Pre-Bolus his lunch, which is, you know, that can that can cause problems. His because he goes to this different type of school where there the school is designed for kids with ADHD and dyslexia, they tend to be much more active, like they might take the kids out for like an unexpected recess, or, you know, when they're learning to read, they might be doing something like jumping around in the classroom. And so I never know what his activity levels going to be. So because of that, because I don't know if he's at home, I know he's going to be outside playing basketball, I'll turn his pump down a little but can't do that, you know, when I don't really know what's going on? Sure while he's at school, so it's

Scott Benner 56:53
excellent. I mean, that this is terrific. The good doing so well. Do you know that? Or is it a thing where you're like, Oh, we're struggling? How does it feel to you?

Beth 57:01
Know, I feel like we're doing really well. And I didn't feel like that in the first year. It was a real struggle. So anybody that's listening to this, that's newer, I just want you to know that it is like this is achievable. But it I feel like it takes a lot of trial and error, especially with bolusing. So it took me a long time to figure out how to Bolus for that donut. The timing, like looking at the waking blood sugar and seeing where it is and looking and seeing how much Basal the pump was giving him. And it's like a calculus problem, trying to figure out all these different variables and, and then I just don't go based on the carb ratio anymore. I take into account all those things. And then I put in the number of carbs that give me the amount of insulin that I know will work at the right time you

Scott Benner 57:48
learned that from the podcast, or did you figure it out? Absolutely.

Beth 57:51
I think that is the key to the podcast is is, for me at least was giving me the confidence to go in and do what I knew I should have done anyway. Because this is all like as a scientist, this is what we do, like trial and error is how we work in science. It's like, oh, that didn't work. Let's change this and try it again. And you know, so once I started looking at it like that, and being more flexible it it was it got much easier. Good.

Scott Benner 58:19
That's excellent. I just think again, like I want to like circle back. You're in a unique situation. So I really do just want your opinion. So you're shooting, you'd be happy if he was 90 all the time. You don't like him over 130? Is that about fair? 121 30? And I'm actually

Beth 58:36
good. I'm good under 1/5 150? I think and what do you what are you at school? Yeah,

Scott Benner 58:43
and what do you call low

Beth 58:44
65 is what his settings are. But we you know, I don't generally the goal for me is to not let him get to 65 So no, I

Scott Benner 58:54
understand. Yeah, like

Beth 58:56
the gummy bears that I gave him more when his blood sugar was 85 but I could see that he was going to be heading down so but

Scott Benner 59:02
you you call 60 in your mind. See I'm I'm worried about worried about I'm trying to illustrate how you think about it. So you think of 65 is low? Where are you comfortable with him sit? How long were you comfortable with him stable? Like if he was 70 all day? Would you say a word?

Beth 59:16
Oh, that would be great. I I'm fine with a 70 stable. I mean, that's where my blood sugar was when I had a Dexcom on. Yeah, so I think that's great. You know, that's, that's where that's where a non diabetic person would be. So to be there's really no reason to not be happy about a normal blood sugar.

Scott Benner 59:38
What's the number that makes you go Oh, hell we messed up.

Beth 59:43
Oh, you'd be like a high low. Start

Scott Benner 59:45
with a low first. You see that number? That's not okay. Oh,

Beth 59:50
anytime I see that he's in the 60s with like a diagonal down arrow. Like I can see that I'm not gonna be able to catch it. You No, like I missed it or something, and I could see he's going to be heading into the 50s, that makes me feel really bad. So

Scott Benner 1:00:07
what low number makes you think about all the research, you read and go, Oh, I hope I'm not frying this little brain,

Beth 1:00:12
anything below 50. And that's when that's when it that doesn't happen very often for him. But that's when I anytime I start to notice that he is different. And to me, when the behavior becomes different, that is when the brain has been impacted. So, you know, that's that to me, you know, some people are going to have those symptoms at a higher number. And I would argue that's because their brain has become tolerant to higher blood sugars. So it's, it could just be different physiological differences too. But for my son, you know, anything below, like the low 50s or below that is really not good. So if

Scott Benner 1:00:52
I'm wrong, you stopped me. But do you think that the phrase feels their low has been kind of CO opted by something that people don't understand? Does that make sense to you? What I just said, maybe not.

Beth 1:01:05
I'm sorry, I don't know what you mean by CO opted, but I think people use it incorrectly. Okay. So I, you know, I feel like it's because sometimes I'll say, Oh, I like my son to have, you know, normal blood sugar. And then someone will be like, Oh, it's bad, because they can't feel their lows. And I'm like, but he can't feel slows. It's just his lows are different than, you know. Yeah. So

Scott Benner 1:01:27
that the scale is weird in their head, right? So they are keeping higher blood sugar's so that it's 70. They feel a low because they think if we catch a low at 70, then we can stop it from like being a real like medical emergency. And yeah, and so that idea puts into their head that 70 is low. Yeah.

Beth 1:01:46
And they're also people get they get so stuck on the numbers, when what they really should be paying attention to is the arrows because you know, the number like it, who knows exactly what that you have your Dexcom stuck on your thigh? Or what, you know, it's measuring interstitial fluid, which is the fluid between the cells in, you know, the subcutaneous fat on your thigh? What does that mean to the glucose in your brain? That has always been like a question for me of and even the, you know, the blood that is coming out of the capillaries in your fingers? Like, how is that relevant, relevant to the blood sugar that's going into your brain? So

Scott Benner 1:02:27
it's just the best measurement we have? Exactly.

Beth 1:02:31
It's, you know, it's a correlative. The arrows are really the most important thing. So 70 horizontal arrow, I think that's awesome. I would not touch that with anything but 70 with a down arrow, that is a major concern for me. So the arrows are so important, and I think, especially newly diagnosed people, they get so focused on the, the exact value instead of thinking about the trends and the graphs and the arrows, and

Scott Benner 1:02:57
yeah, am I right? Am I falling? How do I exactly right? Yeah, you almost wish that, again, it's people who think very black and white, and I understand that, but it's the idea of like, Oh, there's the number 68 is a great example. 68 is low, we're in a panic right now. 6868, if you could, like you said, somehow put a sensor in your brain? How do you know the level of glucose in the brain is not 72? And oddly enough, that would make you more comfortable? Yeah. I

Beth 1:03:28
mean, the levels in the brain are very highly considered like the it's, your brain is probably the last thing to go, I would imagine. The body is going to make sure that your brain has sugar

Scott Benner 1:03:40
as best they can. Yeah, yeah. So like, if you're

Beth 1:03:43
if this is, again, I don't have any data to back this up. But I think if the, you know, fat cells are, you know, at 68, your brain is probably a little bit higher. But that would just be my guess.

Scott Benner 1:03:55
And Beth, let's just be clear. You work in a community college. We don't believe you at all. So don't worry. I'm just okay. The community college. Okay.

Beth 1:04:03
Let me tell you this, though, because there's a lot of stigma around community college, you know, I quit my job, which I was on the tenure track. I had a research lab. And you know, I was in state school in Maryland. I was doing really well. And then when the twins were born, my husband and I both quit our jobs and moved to Ohio. And I don't regret that because I so I stayed home with my kids for three years. And then I took this job at a community college, and I make more money. Now, like twice as much money as what I made before and I work less I don't have to work on Fridays. If I don't want to I have tenure. Yeah, they can't fire me. And I love my job because I am. The people that I interact with are absolutely amazing. I teach biology and anatomy and physiology. So I have a lot of pre med pre nursing and it's just it's a very Well, rewarding job. And I have to say everyone that I work with, they all have PhDs, they all left industry or, you know, research in some way. So,

Scott Benner 1:05:08
well, I want to be clear, I barely got out of high school, and I did not go to college at all. I'm not discouraging anybody. I took one community college English slash writing class when I was 23. Maybe I got to like an, you know, a great grade in the class, like an A plus, in the class, I got done. I was like, there and my wife's like, see, you could go to college. And I was like, all this tells me is I don't need to go to college.

Beth 1:05:33
Yeah, I mean, not everybody needs to go to college, a lot of the people in my classes are like, you know, switching careers, or, you know, just,

Scott Benner 1:05:41
it's just a different way of thinking like I was, so I started, you know, I grew up very Baroque. So, I never thought like college was never presented to me by anybody, like, what was presented to me was you make it through these 12 years, and then go get a job. And that that's how life was presented to me that I met Kelly, who'd gone to college and you know, had aspirations about things. And she's like, you know, you're very smart. You could just do this too. And I was like, I don't think I need to. And in her mind, she's like, No, you absolutely have to everybody has to go to college. Like that was her perspective. And mine was, I think I'll be all right. And how well, you've done well, I have a podcast, but I taking that class and doing well on it. Like were it to her, it was like, see, you could do this, you should go do it. I thought, Oh, see, I can do this. I don't need to do this. Like it was a really interesting moment. Like, where I think she was disappointed, actually. And I was like, No, I this just tells me I'm okay. I'm where I thought I was. Yeah, interesting. No, I

Beth 1:06:42
think that's you. You may or may not believe this, but we have very similar backgrounds. As far as that goes,

Scott Benner 1:06:49
Why would I know? Huh? Why would I not believe that? I don't

Beth 1:06:53
know. I mean, you know, people think, Oh, she has a PhD. She must have you know, okay.

Scott Benner 1:06:57
I thought You thought like, maybe I thought you were lying to me. But no, no, no,

Beth 1:07:01
no, no. I mean, I grew up like, I don't think I was poor. Well, I take that back. I mean, we I grew up in Kentucky. And you know, neither my parents went to college, and I was not expected to go to college. So, you know, I, there were people in my family that had addiction issues. And that's kind of what led me on the path that that I went on,

Scott Benner 1:07:27
oh, to learn the look into the brain and addiction, how that works. I was

Beth 1:07:31
going to fix people. Were ready to ready to find a treatment. And I didn't, but you know, I learned a lot of things along the way. So were

Scott Benner 1:07:41
you looking to help them? Or were you also worried that if this happens to me, I might, maybe I can stop this from happening to me?

Beth 1:07:47
Oh, no, I was going to fix them. Was my main goal. Are

Scott Benner 1:07:53
they alive now? Or no? Yes.

Beth 1:07:55
Very much. So doing well. But I yeah, I even I have a paper I wrote in the eighth grade about alcohol addiction. And I found this. I found this really old book in our public school library on the genetics of alcoholism. And I got a really bad grade on that paper because the teacher didn't like what I was saying. But it was you know, I was I was held in to, to figure that out. And, you know, it sounds

Scott Benner 1:08:26
like your teacher was an alcoholic.

Beth 1:08:29
I don't like you know, the town. The town I grew up in it was you couldn't they didn't sell alcohol was a dry county.

Scott Benner 1:08:38
So Well, that just means you have to drive drunk to another county to get

Beth 1:08:41
your booze. That's exactly right. Yeah,

Scott Benner 1:08:43
that's not a great idea.

Beth 1:08:44
Which caused me a lot of problems when I was younger.

Scott Benner 1:08:48
Did they send you for the booth? No. You had to go get them when they were in a ditch?

Beth 1:08:54
No, I mean, it just led to some, you know, some some issues with you know, jail.

Scott Benner 1:09:02
Oh, I don't know. I say, Well, I see why you gravitated towards a smart man. You were like, I'm getting the hell out of this. Not that. I want to say not that smart. People can't be alcoholics. That's not my point. But yeah, yeah. Oh, interesting. I love this. This is great. Okay, so I so I think I have your ideas about highs and lows and what you're thinking. I hope we went enough into the idea that I don't think we did actually they did if you could find a way to disconnect yourself from the number because none of this stuff is like there's no God level absolute about your blood sugar. Exactly. And you have to let that go. It

Beth 1:09:46
just Yeah. You know, people on the on the Facebook group that posts, they're like, this is my Dexcom number. And these are my five meters that I have and you know, they're all there. Yeah.

Scott Benner 1:09:57
Which one of these is right? I'm like, oh, i You're never gonna know. And it's a weird thing because I was lucky enough. I didn't see it as lucky at the time. But I was lucky enough to have that experience in the hospital during artist's diagnosis when they tested her blood sugar with the crappy bubblegum meter, they gave us the take home, and with the $10,000 thing that the hospital uses, and the numbers were wildly different. And I said to the nurse, I don't understand which one are we going to dose off of? And she goes, Well, the one you're taking home and like, what, what I'm like, good. I'm like, give me that one. She was this one cost, like 10 grand was like, I don't care. Like, I'll take that one. Right? And she goes, No, no, it's okay. And I'm like, It's okay. By the way, she didn't know what she was talking about. But the experience made me realize this is what we have. Like, this is the thing I have screw the number. I gotta figure out where the number correlates to how she feels. Yeah.

Beth 1:10:56
And you're so smart for figuring that out. So early on. I, you know, I think that was pretty impressive. Yeah,

Scott Benner 1:11:06
well, guess what, Beth, I knew that. And I couldn't do anything else with it. Because without a CGM, you're just constantly testing and testing and plotting in your head and trying to be like, he was this here and this here, and like, you know, but it was more

Beth 1:11:17
Yeah, I cannot imagine. I remember when we were in the hospital. I'm like, Yeah, we need this thing, this Dexcom thing. Yeah. And they're like, well, we'll send off a prescription. But you might have to wait on your insurance. And I mean, we are lucky that we don't have to worry about that. Because we could just pay out of pocket and I'm like, I, I need you to send this in. Like I can't sleep without having having this data. So we had a Dexcom. Like the instant that we got home. And I am so grateful for that. I do not know how people do it without the constant monitor. I just, it'd be very hard.

Scott Benner 1:11:51
I you know, the the modern conversation is, I don't understand how am I supposed to wear an algorithm if the Dexcom might be wrong. And I actually saw it happened to somebody recently, like their blood sugar was reporting higher than it was. And their, their algorithm delivered insulin. And then they thought I don't feel right and tested their blood sugar, and they were much lower than the CGM said. And that brings in a host of people going see you can't do this. And I'm like, you're thinking about this backwards? In my opinion. Like, like, that's a one off. Like, that's

Beth 1:12:23
a one time thing. Yeah. And if you didn't have it, and you didn't have the algorithm, your blood sugar would be up and down and all over the place, and your brain definitely would not be doing good. So I agree. I, I you know, sometimes there is going to be a disconnect where I, you know, my son's been wearing T slammed with Dexcom for, I don't know, three, almost three years now. And we had that happen one time that I can think of.

Scott Benner 1:12:50
So I mean, I really think I've seen it once or twice. I actually think yesterday was part of it. Like she was coming down from being high it was probably reporting higher than she was and still Bolus thing and she got low from it. But guess what, she also wasn't 300 for five or seven hours, which happens to a lot of other people like so. I'd rather stop a lower falling blood sugar than fight with a high one. I make that into a t shirt, but I don't think anybody would buy it. And

Beth 1:13:13
it's so harmful to to like I think a lot of parents have fallen into this trap of just letting their children hang around and the two hundreds even the high one hundreds at school. Yeah. And and thinking that's okay, and that those children's brains are not functioning, you know, like they would otherwise it's just not okay. It's

Scott Benner 1:13:32
a tough it's a tough decision to make, especially if you're don't have the equipment don't have the stock and don't work the understanding or the time like it. Listen, you just said a very white lady thing that I said what I said a white guy thing this morning and texted Isabel, I just said a very white guy thing here. I'll pull up. I'll pull up the I'll pull up the text. So I can show you. So Isabel text me this morning. She says good morning. She goes, Oh, I hope it was fun recording with Arden last night and I was like yeah, it'd been it was until it wasn't. And then I out of nowhere said hey, did John Lennon coined the phrase life is what happens when you're busy making other plans or did you just use it in the song and she goes, I'm not sure I said I'll figure that out today. And she goes, please let me know. And I'm like, okay, and then she said, Hey, I just want to let you know when you do this, like back. It's background stuff you guys don't know about like, once you do this telling me I'll put up a post about that. I said I will. I told her when I record today, and I said I recorded 11 and at 330 today and Arden's packing for school so I have a lot going on and then I thought about and I said oh my god I'm so white packing and podcasting such a full day I have a Caucasian thing to say I I don't know how I'm going to get through today. I have to record two podcasts and put my daughter stuff in a bag. I

Beth 1:14:48
know you know, I just listened to a like a new duly released podcast by you this morning and the guy was talking about how you couldn't afford insulin and he was having to buy the Walmart insulin and I did I mean, I can't imagine I know that there's a lot of that out there. And I know, you know, in other countries, people don't have the ability to get a pump right away or to get a pump at all or, you know, so it's

Scott Benner 1:15:12
we're in the infancy of spreading this stuff throughout the world. And it's, it's very, it's very, you know, again, it's in its infancy, everybody doesn't have the stuff they need, or they deserve. And it's, but I've just found myself like, laughing at myself, I'm like, did I just complain about having to record two podcasts and help Arden pack today, I was like, What a ridiculous thing to say out loud. And she goes, Hey, by the way, podcast, packing, and podcasting, it's a good episode title. So write that down. But if somebody doesn't have these experiences with this technology, and those people don't go back and prove to their doctors how valuable it is, and those companies then don't make money, and then they can go to insurance companies and make claims and try to push things through insurance. And by the way, that the what many people don't understand is that the way to get your insurance, if you're, if you're a manufacturer of a device, the way to get an insurance car and pre company to cover it widely, is to first get the government to agree to get Medicaid, and Medicare to agree. Yeah, and so it is going to slowly help everybody, it's just doesn't happen as quickly as you know, you would like because people's health is declining as they don't have these things, obviously. But you have these conversations and and you spread it around and and slowly you matriculate towards better. And, you know, maybe it's horrible to say, but maybe a generation from now, it won't matter how much money you have. Or if you have insurance, you'll get diabetes. And somebody will say Here, put this CGM, your

Beth 1:16:44
pump with the algorithm, here's your glucose monitor 100%.

Scott Benner 1:16:48
Like I mean, that really is you're not going to educate everybody. Like some people aren't going to be available to it. And some people aren't going to even know to look and some people might not care. And there might be psychological issues that stop people from doing these things. So why not try to get to a place where you can automate it in a way that will just help their lives. And you know, and forget that they can't like when Arne and I are talking last night, I said to her at one point, you know that without this algorithm, your life would be more intensive. And she was he asked that I know, I used to manage diabetes before algorithms. And I was like, I'm like, Yeah, well, if you really feel it, though, and I realized, she she knows, but she's not impacted by it like I am, because she doesn't have like a 17 year memory of all this. She just knows there used to be more to do. And now there's less to do. And if you you know, that's That's all she knows. Like, and you know what? That's good. Like some people would say, oh, like she she needs to learn the history of this. So you get it. Who cares? Like Like she's trying to live her life not feel bad about the diabetes got easier for you underneath me. Like

Beth 1:18:00
if I could put a system on my son that did like everything for what I was telling my husband the other night is like, why is this system not not smart enough to look at the arrows and tell him like how many carbs he needs to take in to stabilize his blood sugar? You know, like, I don't understand why that it said. It's just like, warning that soon. It's like, This is so stupid. It seems like such an easy thing to put. I don't know, I'm not a computer coder, but I do follow a lot of the

Scott Benner 1:18:30
Yeah, why? Think about it. Yeah, I

Beth 1:18:34
feel like these things can be done. I feel I think in the next decade, these these algorithms are going to be absolutely insane. Especially if AI comes on board. I really, I don't see diabetes management being the hard slog it is yeah, now teach

Scott Benner 1:18:51
that machine to pivot on a pinhead. And then that's going to Well listen, by the way, I think the algorithm to say this is how many carbs I think you should eat right now probably exists already. And I'm gonna guess that like somewhere between the FDA and liability there, it's, you're not going to see it as fast as you want to. But yeah, I mean, that. Again, I know very little about programming, but that seems like a no brainer. To me.

Beth 1:19:14
It's so simple. Like if my brain can figure it out. Yeah. And I feel like a computer should be able to do it.

Scott Benner 1:19:20
When can it start to learn and remember and like exactly

Beth 1:19:23
like, Oh, you took in? You know, you ate two gummy bears last time. And it wasn't enough this time have three?

Scott Benner 1:19:29
Oh, no, it's it's I interviewed somebody recently who was talking about algorithms that are like, even with like, geo locations are going to be able to say, Look, I know you said this is pizza. But the last time you were at this geographic location and ate pizza, it took 20% more insulin than when we were at that geographical location and ate pizza. So when I'm when you're at, you know, I don't know when you're Verdoux cheese. We're gonna go 20% heavier and when you're at this one, you know we're gonna go 20% lighter, or whatever like that's not crazy. Yeah, that is not crazy. So, you know, and listen. Does that mean that there'll be a whole generation of people who don't have my granular level of understanding about managing this? Yes. And if you think that's a bad thing, I can make an argument for it being a good thing, too.

Beth 1:20:18
So yeah, no, I think it's better to just put people on these systems. And, you know, not I don't understand the need to make everybody go, you know, MDI for six months, or whatever it is, I think that's ridiculous. Unless they want to, I feel like it should be a choice, of

Scott Benner 1:20:34
course. But that's exactly right. There are gonna be people who want to understand it like this. But here's the thing that you don't know about me. I don't want to understand this, like this. Hilarious. I just had to, yeah, no, I get it. I get if you think that like, Arden and I were talking last night, she said diabetes for 17 years. If you think 17 years ago, I was like, You know what I'd like to put a lot of my focus on, I want to figure out how french fry fat slows down digestion so that I need another Bolus 90 minutes after our needs. That's what I really want to understand. That's not what I want to understand. I wanted to write movie scripts, by the way, when I was younger, that's not happening at all. Maybe you should start doing it now. Sure. But what I'll do is I stopped making this podcast to write a movie that'll go well, and which I think, by the way that I don't know if I'd be any good at it was just something I wanted to do when I was younger. I tried it once. It's a different story. I'll tell you at the end, but But my point is that like even last night, Arden said you love talking about diabetes, and I said no, I don't. And she goes, Yes, you do. I'll bring mom up here. She'll say the same thing. And I'm like, Oh, God, you guys misunderstand. I don't love this. But you have to write Yeah, you think I love this? Oh, my God, you don't think I could make a podcast about something more fun? And it would be more fun for me? And she goes, I don't know. I'm like, Oh, I definitely could. I mean, right now, I

Beth 1:22:01
have to agree with you there because I actually am a person that listens to podcasts. So I like you know, listening to a lot of science podcasts, and some other ones in there. And you are very, you're I listened to even now and I feel pretty good with diabetes management. I listened to all of your podcasts just because it's enjoyable to listen to. Not so much that I'm you know, looking for management tips or anything. And plus, I think people with type one, or parents of type ones, they just end up having really interesting lives for some reason. I don't know, if you just

Scott Benner 1:22:37
made my day. I and I want to tell everybody, I don't know how mature it is to tell everybody how mature I am. But I want to tell everybody how mature I am now because you started talking and I thought she's gonna say a good podcast diabetes or not, that you're good at making a podcast and I almost jumped in and said, Oh my god, are you gonna say I'm good at making a pocket, but I stopped myself. I just stood here. I clenched my fists. I was like, don't say anything, let her talk. Let her talk. And so

Beth 1:23:04
I mean, you you really are I have other like, My children have other issues like one of them is autistic. And so I I've listened to other podcasts just merely to get information. And, like, really bad patch.

Unknown Speaker 1:23:20
Oh, you know, it makes you tell yourself, oh, the

Beth 1:23:23
sound quality is not good. Or, you know, they're they're just so boring. But I'm listening to it to try to glean some piece of information. For

Scott Benner 1:23:33
I saw a clip on the tick tock this morning. Some lady telling a story about how she like this woman looked like she was in her. Listen, what do I want to say she looked like she was in her mid 50s. But her plastic surgery made her look 48 And she's telling a story about bedding an 18 year old and and how this kid took i don't i By the way, I don't know who this person is. You might all be like, Oh my God, that's I don't know. And like how the kid took a selfie while they were in bed. She didn't have her makeup on. And she was so upset. And she sent it to friends and I don't like my stuff being out there. And I'm like, I'm listening to a woman tell a story about having sex with a kid. 40 years younger than her it looks like and she somehow making it boring. Like, as she's talking like, You're so bad at this. Like if that was my story. We'd all be gathered around the campfire going oh my god, and then what happened? But instead she's telling it and I'm like, Oh, you're terrible at this. Like, like really bad at talking in so it's a I would never call it a skill. I think it's just the thing I'm randomly good at. But

Beth 1:24:40
I do think it is a skill like I feel like it because I've listened to your podcast from the beginning. Like I after I started I started with the technology ones and then those were the only ones I listened to it first and then I started listening from the start and all the way through. And I feel like you've gotten better. I'm getting it but they were always good. But well, listen,

Scott Benner 1:25:03
I started off as a person who if you put me in a room full of people, people would gravitate to me while I was talking.

Beth 1:25:09
Yeah. And yeah, it used to be you talked more, right? You know,

Scott Benner 1:25:13
I'm learning to listen to people.

Beth 1:25:16
Know, you're great at interviewing, I think that you asked really good questions. And you're always good at like bringing the topic, you know, back back on topic, but not, you know, not avoiding the, you know, side topics that are really interesting.

Scott Benner 1:25:31
We were talking about blood sugars in like neuroscience, and somehow I know your family's problems with alcohol in the law. So. So that that turns into that's one of my superpowers that people like to tell me things. Yeah, it happens in my personal life, too. So,

Beth 1:25:49
so you have a lot of secrets, then people

Scott Benner 1:25:51
tell me a lot of stuff. And I'm just like, like, I heard a woman the other night, say, online, she goes, I don't listen to those after dark episodes, because they don't have anything to do with me. And I'm like, you are making a major mistake, if that's how you're thinking about that. Those things are the best one. Oh, they're fascinating. But but she's like, well, I don't have a heroin addiction. So why would I listen? I'm like, Oh, you got that all wrong? You are thinking about that bass, ackwards as my mom would have said. And so yeah, like there's where? I don't know. I don't know. I love talking to people. I am unendingly interested in people and where they come from, but not in a judgmental way. Yeah, my wife and I just had this like, weird conversation the other day where she's like, you're very judgmental, and I'm like, I'm not judgmental. I'm just accurately depicting what I'm hearing. That is

Beth 1:26:41
so funny. I had a conversation, I actually listen to your podcast. Sometimes when I'm cooking dinner and my husband, that's the only time he hears it, because he doesn't listen, otherwise, he's the son of God. There was a girl on there. And she was saying something that was a little bit like, it was scientifically inaccurate. And I could tell that, like you knew, but you weren't, you'd never tell anyone you're wrong about that. And let me tell you how it is. And instead, you let people tell their story in their perspective. And oftentimes, it leads to something, at least for me that I was not expecting about why that person feels that way, or, you know, the what brought them to that opinion. So I just find it very, thank you. I don't know, I think you have good interviewing skills, I don't think I would be able to do that I would stop them and be like, actually, let me educate you on this.

Scott Benner 1:27:32
I think of that very much the way I told you earlier, I think of other things. So that I used to think of it when I was younger as a tree with never ending branches that created more never ending branches. And I don't know a way to, to explain that by I should probably not deep dive into this without being able to explain it to people. But But I think of life as I started in a spot. And I took a step forward. And then I was presented with two branches. And I could have gone left or right. And I went left. And then there were two more branches. And then I went again. And that keeps happening. And so I think about existence and expansion like that. This is going to be I don't have big words back because I didn't go to college. But so my point is, is if I if I would go back to the start and make a right. I don't think I'd be a wildly different person. But I would be a different person. And wouldn't it be interesting to see where that person ended up? Or if you made a left on branch 9 million, like that kind of thing instead of a right. And so when people are talking, I want to hear how they got there. And and why they think this not to tell them they're right or they're wrong. Because the truth is, is that for them, they're right. They believe what they're saying you don't get anywhere telling someone, hey, the thing you hold in your heart. That's not right. Because it's right to them, because they made 9 million decisions that they didn't realize, after they took their first step. And so this is this is their reality. They live in a world where this is all true and right. And you can't tell them they're wrong. I mean, there are some notables, right. Someone picks up a piece of aluminum that says this is cold rolled steel, you know, no, it's not. It's aluminum. Like that's, that's a thing. But when you're talking about people's feelings, and their experiences, it's the only way you're going to quote, unquote, fix the world is if we all understand how we get to where we are. And then somehow in my mind that feeds back into you doing better with your diabetes?

Beth 1:29:35
Yeah, no, I think it's great. That's one of the reasons I like listening to the podcast. So

Scott Benner 1:29:42
I really appreciate it. It's very kind of you to say that I swear to you, you made my whole week. I because because just the fun part of me. I think I make a good podcast. And by that I mean enjoyable to listen to something you want to go back and find again. Yeah, that's how that's how it occurs to me and then I I've said it before, I'll tell you, I think my job around diabetes is to trick you into paying attention to your diabetes and learning stuff about it that you would never learn otherwise, because it's, it's really boring. And who would take the time? Exactly right. So that's my job. I'm here to trick you into taking care of yourself. By saying something funny about you making translucent Indian people, I don't know how I tell I get to that's how I get to the end. You guys can like it or not like it. Honestly, I couldn't possibly give it. So I'm doing this for me. And my kid who will never listen to this. I guarantee she told me last night, but she goes, if you somehow turned this podcast into a $20 million a year organization, I'm like, right? She goes, and you retired and said, Here, take the podcast, you can be the host now she'd go, I wouldn't do that. I was like You motherfucker. Like, like, What do you mean? Like soonish? Yes, you wouldn't. She goes, I wouldn't. Just like it's just not a thing I'm interested in.

Beth 1:31:00
Oh, my God, that sounds so much like my son. He is like, last night at dinner. He He's obsessed right now with climate change and global warming. And I don't know, he's in science club. And he's, he's absolutely obsessed with with solving climate change. So that has led him to an obsession with nuclear fusion. And just talking, I was talking about vertex opening the factory for the stem cells, I'm like, isn't this great? You know, I'm like, I'm like, you know, maybe and you know, a couple decades, there'll be a stem cell, you know, cure for for diabetes, he's like, that doesn't matter. Because diabetes is so insignificant.

Scott Benner 1:31:41
Just like you have diabetes. I have to tell you, I want to say this out loud. The podcast is not worth $20 million a year if it was, you know, because I would probably tell you, I would probably start instead of like, Hello, friends. And welcome to the IB. Like, Hey, guys, welcome back to my $20 million a year podcast. I did it like I'd probably every day say that just so you all know what level of trashy I would probably be if I had $20 million every year. But I was like, Wow, you really wouldn't. And I, you know, in the end, I was proud. I was like, I raised the kid who is interested in what she cares about, and interested in the thing she's passionate about. And this is

Beth 1:32:22
not so like, yeah, they don't have diabetes on their mind. 24/7 I think that's always good. Michael, it's like, if you could just not have to think about that all the time. Yeah.

Scott Benner 1:32:32
I mean, there's part of me that I actually said to her later, because her blood sugar was a little low when she said that, apparently, no, I said it were later on, like, I gotta be honest with you. I think you would do the podcast, because you know, oh, yeah, money. And she goes, No. And I'm like, Yeah, that's 19 year old. You saying that? I was like, Wait a 30 year old you. That's your house? Like, how much is a car? I was like, wait, wait, do you realize that little thing we do you realize that like car payments are like a thing. And then there's insurance, and then you have to gas them. And then they need oil and tires. And that's just your car. When you realize that the house doesn't stay cool by itself, or worn by itself or the food. And like when you get all that in your head? I'm like you. And by the way, here's the other crazy thing that I think if Arden took this podcast over, it would continue to help people in a completely different way. And I think it would keep the management conversations alive so that people could go find them. And but I would definitely be a different perspective, right? You have no idea she'd get on here and be like, What is wrong with you people? And then she would just she just like, I saw you do this online? That's ridiculous. Don't do that. She'd be much she told me last night she goes, you're more. You're not the same in real life as you're on the podcast. And I was like, no, no, I wouldn't imagine I am. And, and I was like, how? And she's like, I don't know, like, you're more like you're like, I'm like, Do you think I'm nicer to the people in the pocket? Because you're definitely nicer to the people on the podcast. And I was like, Oh, I probably am more direct in my real life. Well, maybe we'll do that at the end Beth, where I, where I just get really direct, and blow everybody up for the last couple of years. That's how it will go out. But I don't in the end. I don't feel that way. Like I don't think that's how people learn in your personal life. I mean, you know, I talk obviously, I drag Erica on here to talk about all the time because I'm trying to figure it out. Like we don't people don't communicate well. And I'm, I'm no different. So I'm just better at communicating on this. Anyway, I'm not going to tell you about the time I tried to write a script, and all I ended up doing was getting 20 pages into something that completely resembled a Bridge to Terabithia. Which is which is, which is the saddest, which is a book I had never read. And Oh really? Here's the two minute here's the two minute drill. My early 20s Kelly and I are just married. I make this like proclamation. One. day when I wake up and we're all getting ready to go to work, and I said, I have a great idea for a movie script. I'm calling out sick and writing it. And she's like, go ahead. And because we were young, like now she'd be like, you want to get out there and make some money, leave in your stupid ideas. And so, I stayed home, I put like a 20 page treatment together started writing the beginning of it came home, she reads it. She goes, this is very good. And I said, Thank you. She goes, have you ever read a Bridge to Terabithia? And I said, I don't read books. Probably. I said that. It's funny. I had never read it. And I said, No. Why thinking she was gonna make like some like, oh, you know, she goes, Well, you're writing it right now is a movie. And I was like, Are you kidding me? And that was so defeating to me, Beth, I stopped trying to do it. It was a great movie, though. Well, I this was long before the movie came out. Oh, really? Yeah. This was back when it was just a book. So I had written this treatment about these kids who live in this old creaky house. And there's this property behind them with a fence and beyond the fence is Forest and woods and in the woods were magical creatures that I like, I literally like had that going for 20 pages. I had never heard of that book in my life because I am an illiterate basically. So anyway, that depresses me so much. I stopped writing things. Well, maybe you'll go back to it. I don't know about this podcast pretty popular. I think we should keep doing this for all right. I appreciate you doing this very much. Thank you. Yeah, sure. No

Beth 1:36:24
problem.

Scott Benner 1:36:24
Hold on for me for one second. Okay. Okay. A huge thank you to one of today's sponsors, G voc glucagon, find out more about Chivo Capo pen at G Vogue glucagon.com forward slash juicebox. you spell that GVOKEGL You see ag o n.com. Forward slash juice box. A huge thanks to us med for sponsoring this episode of The Juicebox Podcast. Don't forget us med.com/juice box. This is where we get our diabetes supplies from you can as well use the link or call 888721151 for use the link or call the number get your free benefits check so that you can start getting your diabetes supplies the way we do from us med. I'd like to thank ag one for sponsoring this episode of The Juicebox Podcast and remind you that with your first order, you're going to get a free welcome kit, five free travel packs and a year supply of vitamin D. That's at AG one.com/juicebox. Thank you so much for listening. I'll be back soon with another episode of The Juicebox Podcast. If you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective. The bulb beginning series from the Juicebox Podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CDC es a registered dietitian and a type one for over 35 years. And in the bowl beginning series Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698 In your podcast player, or you can go to juicebox podcast.com and click on bold beginnings in the menu. The episode you just heard was professionally edited by wrong way recording. Wrong way recording.com