#1190 Ask Scott and Jenny: Chapter Twenty-One

May 6, 2024Scott Benner

Scott and Jenny Smith, CDE answer your diabetes questions.

• Scott to Jenny: If I gave you a magic wand and you could make everybody with diabetes do one thing, what would you make them do?

• Jenny to Scott: What do you get as the main reason that companies don't tend to hit the whole market of desires for everyone with diabetes? Why does it feel like each one is only choosing a third of a pie?

• Jenny to Scott: How many days do you watch for a trend?

• Jenny to Scott: How do you feel about AI specifically in diabetes? Also, do you think that all the tech, info, apps, and everything is creating more mental health stuff in the diabetes realm?

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

Scott Benner 0:00
Hello friends, and welcome to episode 1190 of the Juicebox Podcast.

On this episode of Ask Scott and Jenny instead of the listeners asking the questions, which we'll get back to in the next episode, I asked Jenny a question and she asks me a few. Please don't forget that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan for becoming bold with insulin. There is an incredibly simple way for you to lend your knowledge to diabetes research without leaving your home. That's right, if you've ever wanted to help type one diabetes research but didn't have the time or couldn't make the commitment. Now you can t one D exchange.org/juicebox. Head over there and take the survey. The survey takes about 10 minutes. They won't ask you one question you don't know the answer to and you should be in and out of there in like 10 minutes, you need to be a US resident who has type one diabetes, or is the caregiver of someone with type one. Go lend your knowledge to the resource that helps them get help, maybe even you and while you're online, go check out the Juicebox Podcast private Facebook group, where you'll meet 50,000 members Juicebox Podcast type one diabetes. 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 gonna 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 and a year supply of vitamin D with that first order at drink a G one.com/juice box. US med is sponsoring this episode of The Juicebox Podcast and we've been getting our diabetes supplies from us med for years. You can as well us med.com/juice box or call 888-721-1514 Use the link or the number get your free benefits check it get started today with us med this episode of The Juicebox Podcast is sponsored by ever since the ever since CGM is more convenient requiring only one sensor every six months. It offers more flexibility with its easy on Easy Off smart transmitter and allows you to take a break when needed ever since cgm.com/juicebox. All right, Jenny. Welcome back. How are you? I'm good. How are you? Excellent. Thank you. I had an idea this morning. Yay, in the shower, and I texted you. And I knew we were going to recoil in the shower. No, I mean, I want to say respectfully I waited till I was dressed. Because I do think that would be weird. Even if you wouldn't know that I was naked when I texted you.

Jennifer Smith, CDE 3:11
I was thinking about the water on your phone while you're trying to do things.

Scott Benner 3:15
You don't do this, like Arden calls us from school from the shower. She facetimes from the shower, all of her friends. They FaceTime while they're showering all the time. The girls do. Yeah, that's bizarre. They put it up high enough that you can just kind of see their shoulders and their head and they shower and talk to each other. Think it's the only time they have time to talk to each other actually, because they're all in college maybe I don't know. But anyway, that's anyway, I just want you to know I was fully dressed before I tech. And

Jennifer Smith, CDE 3:45
you had an idea. Also, I

Scott Benner 3:47
want to say this. My mom has passed on now but my mom had an incredible way of calling me or texting me as I was getting into the shower for years. And she passed away and I thought well, at least that won't happen anymore. Except for Isabel from the Facebook group. She picked right up where my mom left off. Doesn't matter if it's like, if it's like right away in the morning and I'm like get up out of bed and I jump in the shower. If I get up and I mess with the dogs and two hours later I get it doesn't matter. I find myself reaching for that faucet or I just got in and Isabel's Hey, can you look at a post on the Facebook group? Or did you mean for this to happen in the episode today? I'm like, How do you know I'm in the shower?

Jennifer Smith, CDE 4:26
You look around during my meet one

Scott Benner 4:29
moment I get no hot water hits me and I have a good idea like the one I had today for us. So we've been doing some ask Scott and Jenny stuff lately, which we'll get back to the next time you and I talked but today I want to ask each other a question and just see where the conversation goes. Okay, so I texted Jenny and I said come up with a couple of questions for me. And then I came up with one question for you. Only one well, I feel like there's a conversation and so I don't want to eat up too much time and I wanted you to have like something to pick from That's why it was like your you get more. Oh, and I've tried very hard not to consider your answer or what you might ask me today, because I just want it to be kind of free flowing. So anyway, that's the amount of effort that goes into the podcast do you guys love? Can I ask my question first?

Jennifer Smith, CDE 5:15
Sure. Do

Scott Benner 5:16
you want to go first? Do you have like, Oh,

Jennifer Smith, CDE 5:18
good. I came, you said, let's think of five questions. I thought of six. You

Scott Benner 5:23
have six questions. All right. Well, I'm gonna ask my ego first. Well, okay. So you have to listen to the podcast pretty specifically, I think to know this. But the moment that I began to think about getting better at diabetes, started with me asking Ardens nurse practitioner CDE, maybe Which one did I ask maybe the CD?

Jennifer Smith, CDE 5:46
She could have been Bolus? Or he I mean, it wasn't she

Scott Benner 5:49
and I maybe she has both. I don't know. That's neither here nor there. Okay. Anyway, she's definitely a CTA. And I said, If I gave you a magic wand, what would you make people with diabetes do one thing, you'd only make them do one thing. And she said, without much thought, I'd tell them not to be afraid of insulin. And that went on a whole thing. I wrote a six part blog series for back then it was on the pods blog about not being afraid of insulin, but the truth was, I was afraid of insulin. So it wasn't like a blog from like a learned person who was like, here's some tips about how not to be it was me talking myself out of being afraid. And I think it helped Arden immeasurably. And then I think it spawned a lot of what people hear now on the podcast. So my question to you is, if I gave you a magic wand, and you could make everybody with diabetes, do one thing. What would you make them do? This episode of The Juicebox Podcast is sponsored by ever since and ever since is the implantable CGM that last six months ever since cgm.com/juice. Box. Have you ever been running out the door and knocked your CGM off or had somewhere to be and realize that your adhesive was about to fall off? That won't happen with ever since ever since won't get sweaty and slide off, it won't bang into a door jamb. And it lasts six months, not just a couple of days or a week. The Eversense CGM has a silicone based adhesive forged transmitter, which you change every day. So it's not one of those super sticky things. It's designed to stay on your forever and ever, even though we know they don't work sometimes. But that's not the point. Because it's not that kind of adhesive. You shouldn't see any skin irritations. So if you've had skin irritations with other products, maybe you should try ever since unique, implantable and accurate. So if you're tired of dealing with things falling off, or being too sticky or not sticky enough, or not staying on for the life of the sensor, you probably want to check out ever since ever since cgm.com/juicebox, links in the show notes links at juicebox podcast.com.

Jennifer Smith, CDE 8:11
That's a great question. Oh, and I make them do. I mean, I would have referred to insulin had you not already brought it up. But being a dietitian, and not a nurse. Okay. I would. And I don't want this to sound judgy. But I would really write like, there's no judgement. In fact, I say to people all the time, when I'm like, this is like the no judgement zone. I'm here, you know, to help to cover to whatever we're going to discuss. But I would really love for people to truly understand what the impact of food outside of blood sugar does to their overall health. Okay? Because, you know, with diabetes, we're really focused on blood sugar numbers, right. And food is a big part of that. There's kind of three tiers exercise food and insulin and food being a major piece of that. I think we focus too heavily on not being afraid of the insulin. But because of that we sort of lose the overall in, in what is our body really need just from a longevity a health perspective.

Scott Benner 9:21
Okay, so are you saying that, because we try so hard to tell people at diagnosis, this isn't going to change your life. You can do whatever you want. You just count the carbs and put in the insulin right now, of course, knowing that it's not that simple. And that advice never really helps anybody but the intent of it is there is an amount of insulin that covers your food. Yes, but you're saying it takes out the piece. We start considering the impact of the food outside of the blood sugar. Right, right, because I know how to Bolus for Marshmallow Peeps so I can eat them because I can eat them. I can eat whatever I can Bolus for. And so some people might be hearing that and going, I definitely thought Scott would disagree with that. Because he says, I don't care what you eat, just know how to Bolus for it. So this is interesting because it breaks apart like the the sort of tear structure that people who are passing information on to other people have to consider. Because you have to think about everyone you're talking to, like whatever you say, has to work for everybody. It's hard, or in general, like you don't I mean, Jen is a general, yes, but yes, when you're in the public eye, you can't just start saying something that would really work for a low carb person, but not work for somebody else, because then they'll be out there trying to, I just think I don't I don't imagine that people listening would know, the kind of like, back of the brain pressure I have. I can speak for myself about what I say out loud, you know, and so we make this one comment. You can cover it, you can eat it. What's the I almost said stupid, saying, but I'm sure some of you like it. So I don't want to say stupid saying but sorry. What's the saying about? Uh, I can eat anything except poison and cupcakes with poison on it. Have you ever saw that diabetes meme? You've never seen that? I've ever seen that? Yeah, it's in response to Oh, can you eat that? Okay, okay, you have diabetes? Can you eat that? I can eat anything but poison or cupcakes with poison on them? Like that's the response. Right? And, yes, you absolutely can. But it covers the initial problem. Because you don't want people to run into eating disorders. You don't want them to know. Yeah, exactly.

Jennifer Smith, CDE 11:37
And that's a very, it, there's a really hard line to honestly walk. And I think there's a broader, there's a broader issue there. But when you do have diabetes, because blood sugar, and the stuff that we use to manage blood sugar can have effect on overall health. I mean, everybody knows about the complications. That's one big thing that everybody's told about right. But not only does blood sugar impact your overall health, we have nutrients that are a basic necessity of life that we're supposed to be putting in to fuel our body to fuel the energy that gets produced in all of ourselves. I mean, I heard something the other day, which just It struck with me, it was some it was a podcast, someone who was talking about, like the most complex computers, right, and was comparing them to ourselves. Our cells are unbelievably complex, like self driving computers, and the way that they work to keep our body like energized to keep blood flowing, to keep organs working without conscious effort. It's amazing. But what we also put into our body due to our body, the activity that we do with our body, it all plays into that health. So if we're only focusing on managing blood sugar, and covering whatever food we desire, eating with insulin, sure, you may have lovely looking blood sugar numbers. But if you're only eating as your example, peeps all day,

Scott Benner 13:13
there's no nutrition. And so I think it's this kind of like cascading tear, like, you have to take the humanity out of it for a minute. And just think of yourself as a person sitting across from a doctor, their number one goal is for your blood sugar to be stable and low, whether they can accomplish that or not. That's the thing they're thinking of, they want that. And then they don't want you to have diabetes, complications, these are the things they're thinking about. So they're saying learn how to use the insulin. There's no doctor in the world that thinks that, oh, I'm going to talk you into eating healthfully. If you haven't been already, you know, on the day, you were diagnosed with diabetes, right? Like, so that runs into the where I come from, when I say, Look, I don't care what you eat, I want you to know how to use your insulin. I don't mean I don't care what you eat. There are plenty of things I don't think you should eat. But but it's not my job to explain it to you. And it's to me, it's my job to talk to you about how insulin works. So this is like this supercomputer is sitting up there. And it's crunching numbers and doing all this stuff. And then I'm like, You know what, I should try to make this harder. I'll throw a shovel full of dirt on the monitor and pison to the keyboard and see if this thing could still do it. It's still going hold on a second. started throwing the mouse across the room, like can you do it now? And that's where the body is, is really astonishing. Yes, yeah. You can pee into your keyboard for years and it'll keep chugging along and then one day, it craps out. And then what do we do? We always go I don't understand what happened. You know, right.

Jennifer Smith, CDE 14:47
I mean, the body is meant to be again, a self healing machine it it does the best that it can. It's the reason that wounds heal. It's the reason that we can get better from you know, the common cold and all those kinds of things, but If the basis of what it's working off in order to run smoothly that with pianist computer

Scott Benner 15:09
just popped into my head, but yeah, good.

Jennifer Smith, CDE 15:12
Right. So what we put in makes a big difference in the running of that. And we talk about ages, you know, age levels of diabetes are very, very, very young to very old. And so what you start out with in terms of putting in, for somebody who is diagnosed young, can make a really big difference in their long term health. Right? If

Scott Benner 15:35
you think about your cells in your body, or you as a whole person, like, imagine if you were just walking in a straight line forever. And every day, I hung another one pound weight off your back. And you'd be like, Oh, I can do this. I can do this. And then there'd be a day where I just hang one more, and you could not move forward anymore. Sure. I think that's a way to think about poor poor eating choices. Like really, like, you know, I can get away with it today. But then we run into that psychological thing, which I talk about, pretty frequently through the podcast, I think, but people are so hopeful, which is lovely and necessary, I think hope is what keeps you from losing your mind, right? Yeah. And, but that hope, misguided, makes you feel like I could smoke a cigarette today and be okay, like, that's not gonna hurt me, right? I only did coke at a party on Saturday nights in college. Like, like, no kidding. Like, like, I'll be alright, like that. It's gonna be okay. It's just a soda. It's just this it's only a grilled cheese sandwich with bacon. I skipped the french fries. Like like, you know, like, yeah. And so yeah, that coke instead. Yeah. Have you ever, like had a stick of butter out and use it for cooking, and then look back and thought there's a half a stick of butter gone. That's in me now. You know, like, even like deep frying things. You don't mean like you deep fried. I make potato chips here. Sometimes, you start with a gallon of oil and dumped some into the pan. And when you're done, you eat the potato chips. But there's a quarter gallon of oil gone. You don't think about where that's at, you know? Right? Anyway, if you could magic wand everybody listening. So I'm assuming if you could really magic wand them, you'd make them not remember it. And then they would eat kale salads and like all things that were really good for them, and they would just be happy with it. They feel like they were having Twinkies while they were eating whatever god awful things you eat. And then

Jennifer Smith, CDE 17:30
I'm gonna say, Gosh, you imagine that I eat kale salads, like all day long.

Scott Benner 17:35
I think you've washed your keen wild down with fresh something. I don't know exactly what

Jennifer Smith, CDE 17:41
I do like kale. I do. And actually, my boys really like that, honestly, in place of potato chips. I make kale chips. They're very tasty. And they're good for you. So

Scott Benner 17:51
it is a lot about training your tastebuds though to true. Yeah, yeah. So you started your boys early enough that they don't know from anything else.

Jennifer Smith, CDE 18:00
Now that they're older, they're aware of they've been to parties, they've been to kids houses and you know, that kind of stuff, they can definitely identify the differences in what we have and what we allow in our house. Yeah, versus what is available. And what I like to see, the majority of the time if we do eat out like we have a favorite restaurant here, that's, it's like a salad kind of place where you can put your own salad type of dishes together with the proteins and the vegetables and the toppings and that kind of stuff. And I like to let them choose. Because I really like to see, what are they going to put together? Yeah, now of the choices on the bar. There's nothing really that's, quote unquote, bad, right? But I love to see that they choose a little bit different each time. Sometimes they want to choose something that they've not tried before. Like the last time we were there. My little guy chose artichokes, because he was like, Mom, what are those? I'll pick those are artichokes. He's like, delicate, interesting, but those aren't there to

Scott Benner 19:04
get home peeled and are just trying to figure out what to do with it. I would.

Jennifer Smith, CDE 19:06
It starts early. I mean, and if I was on a grand scale, if I could wave the magic wand, not just in the realm of diabetes, but it would be for a much bigger scale change to education. I've always said if I were gonna go back to do something within my degree, but do something different. I would absolutely go back to do something about childhood education about health and nutrition is I think it it's sad that it starts it doesn't start at the right place. And that if they're not getting something at home, they're clearly not going to get it in school because that's not a focus at school.

Scott Benner 19:46
I believe that for many people thinking about food begins when they are in their mid to late 20s and their stomach starts to hurt or they have a kid and they think oh I don't want this kid to eat the way I eat. Like seriously because we don't do a good job of You know, of teaching. And we've talked about this before, but there are plenty of things that people actually genuinely believe are good for them that are garbage. And they don't know it. Absolutely. They have no idea like so. And I've been guilty of that before. I've eaten things and thought like, this is good for me. And I remember I told the story one time if I was eating the veggie sticks, yes. My wife's like, what are you doing? I'm like, There's vegetables. And she was a no, there's not just like MB there, potato chips acuity. And I was like, Oh, I wonder why there was so good. As far as talking about changing your palate, like, my palate has changed slowly. Over the years, I've cut things out. We've talked about it cut out oils, at one point. I'm very, very steadfast about that. But even in this last year, on the GLP, medication, there's just some things now because you feel like it just feels different. Like I was at a party once there was a chip bola and I grabbed two potato chips, and I was eating them. And first of all, they were crappy potato chips. Like, I know you're having a party and you're trying to save a couple bucks. But you invited me to your house like could you give me mean but never neither here nor there? I found a Trash Can I spit them in a napkin? I was like, I don't want to eat these. Right? Yeah. And that's different world for me to some degree. Okay. So you would help people understand nutrition better? I would, okay. But let's say, I'll go back to your initial thing. You're not judging anyone? Like I am. No, yeah, it doesn't matter. I'm gonna go back to the beginning of it. I don't care how you eat. Your body's not gonna have time to urge to reject life because of your poor nutrition if your blood sugars are all over the place. And that's what's when we're talking about diabetes. That's the first step. Correct. If you need to eat a Twinkie, and you can't stop yourself, let's at least learn how to Bolus for it. We'll talk about not eating the Twinkie later, or under percent agree? Yeah. Cool. All right. Well, what's the question for me? I used to hate ordering my daughter's diabetes supplies. I never had a good experience. And it was frustrating. But it hasn't been that way for a while, actually for about three years now. Because that's how long we've been using us med. Us med.com/juice box or call 888721151 for us med is the number one distributor for FreeStyle Libre systems nationwide. They are the number one specialty distributor for Omnipod dash, the number one fastest growing tandem distributor nationwide, the number one rated distributor index com customer satisfaction surveys. They have served over 1 million people with diabetes since 1996. And they always provide 90 days worth of supplies and fast and free shipping. US med carries everything from insulin pumps, and diabetes testing supplies to the latest CGM like the libre three and Dexcom G seven. They accept Medicare nationwide and over 800 private insurers find out why us med has an A plus rating with the Better Business Bureau at us med.com/juice box or just call them at 888-721-1514 get started right now. And you'll be getting your supplies the same way we do. It's important to me that the supplements I take are of the highest quality and that's why for a number of years now I've been drinking ag one. Unlike many supplement brands ag one is researched and developed by an in house team of scientists doctors and nutritionists with decades of experience in their respective fields. For ag one quality isn't just a buzzword. It's a commitment backed by expert led scientific research high quality ingredients industrial leading manufacturing and rigorous testing. At each step of the process. Ag one goes above and beyond industry standards. And that's why I know I can trust what's in every scoop of ag one ag one supports the Juicebox Podcast with their ads and they also support my immune health. So if you want to replace your multivitamin and more start with ag one try ag one and get your free one year supply of vitamin d3 k two and five free ag one travel packs with your first subscription at drink ag one.com/juice box. That's drink ag one.com/juice box. Links to AG one US med ever since and all the sponsors can be found at juicebox podcast.com. Or in the show notes of your podcast app. Using my links help support the podcast production and keeps it free and plentiful. Oh, I'm excited. Do you text people naked in the shower? No, I don't already answer that one. What's the next one?

Jennifer Smith, CDE 24:43
I do not do I turn my phone off. Do you really? I don't take it in that like that's, I just keep it outside because you know I use I mean using loop obviously if be close enough in terms of like keeping things running but I have a watch. I can see where my blood sugar is. I don't need it. Air I don't need visual or noise. My husband is the one who he listens to podcasts. He's always got music going in the shower and like, I like the noise of the people are gonna be like, this is weird, but that's like the noise of the shower. Jennifer,

Scott Benner 25:15
you said you ate kill. You're not going to get weirder for most people than that. So I want you to videos in the shower. I listen to podcast this morning. Oh, yeah, no. Oh my god, you're ready. Hold on. I was a little worried that I left something in an episode that I wasn't supposed to leave in. So I listened to myself in the shower this morning, which is, I don't know if you know the word douchey. But it really is.

Jennifer Smith, CDE 25:39
Well, you were trying to work at the same time to work. Yeah. Yeah, I will say that if I could do something in the shower, which there's no way to do this. Like I love reading, you would read in the shower, I would entirely read in the shower. In fact, I would be the person who would finally realize that this shower is probably too cold. Or you get what I'm reading is lost in reading. That's like

Scott Benner 26:03
waiting in a hot tub. Would you like that? If

Jennifer Smith, CDE 26:07
I had a hot tub, that would be lovely.

Scott Benner 26:09
Let's get Jenny Awesome. That's all the year Wisconsin Cognos, by the way, did it snow like Snowmageddon there this week?

Jennifer Smith, CDE 26:15
It did actually the funny thing, so it snowed on. Was it Tuesday, and then Wednesday, and then it stopped. It was raining like downpour Tuesday morning until about noon. And then I looked outside and it was snowing. And I was like, well, that's

Scott Benner 26:34
my brother's job got closed down. It's snowed so much. And in Wisconsin, that's saying something. So

Jennifer Smith, CDE 26:40
it is especially I mean, you know, we can have snow until the end of April here, quite honestly. But this was definite snow and it was heavy and thick and really wet. But today, like a good probably at least 75% of it's gone. It's sunny. It's like almost 50 degrees outside. And it's

Scott Benner 26:58
beautiful. You know, we had here this morning. Rain earthquake. Seriously 4.8 on the record, feeling I was in here going? Okay. Like everything was shaking. It went on for at least a minute, like so it started, it will get to your question for me a second. Oh, yeah, it was your first question is, have you ever been in an earthquake hazard? Because if so, then we're recovering everything here. At first, I'm like, is the washing machine unbalanced? And then I thought, I don't have anything in the washing machine. And then I was like, Oh, this is an earthquake, because I've lived through one other one in New Jersey like 10 years ago. Like everything, exactly what you think of like, and everything's rattling around. And then at the end is it dies off? Your feet are still vibrating on the floor for like the last 30 seconds. You can feel it under your feet. It's really interesting.

Jennifer Smith, CDE 27:48
I've never been in an earthquake. Well, I've

Scott Benner 27:49
been into, but there are East Coast earthquakes. I don't know if they count or not. All right, I'm sorry. What's your question for me?

Jennifer Smith, CDE 27:55
I'm trying to decide between, they'll get to here that I think would be a good one. Let's see. So, okay. You've, you've talked to a lot of heads of diabetes tech kind of companies. I've heard them, you've told me about them. Right? We've all heard you talk to them. And what do you get as the main reason that the companies don't tend to hit the whole market of desire for everyone? Yeah, with diabetes, right? We see products that aim for safety. But when we look at what the systems that aren't approved, provide safety is already in there. Right? Do It Yourself covers this and it allows for more flexibility and more self adjustment cetera. So why are we still focusing on safe numbers? Who somebody deems safe? When many people I know it's a small percentage of what the big market is really? Why can't they just make products that cover everybody and your desire to sort of streamline it the way that you want? There you go, I

Scott Benner 29:14
have to ask you first did you ask this because you saw people talking about what pumped by in the Facebook group? That's not why you thought of that. Oh, cuz I've been thinking about it. It's so interesting us because I've been thinking about this to some degree for the last two days, there's been two big, like, really like, lots of 130 Comment, like, you know, post, okay, it's a great group, you really should join it. If you're not at where people are like, Hey, I'm about to get a pump give me the pros and cons of all of them. And as I'm reading through them, I had the same thought you did each one of these devices. It's like it chose a third of a pie. Right? How do I mean that? I mean, like, it feels like, I'm just gonna come out and say it, it feels like on the pod tandem, Medtronic and I Guess Island, it's almost like they looked at a pie. The pie was split into quarters, and each quarter was a goal, right. And each one of them picked a goal and then ignored the other three goals is kind of how it feels. Does that make sense? Yeah,

Jennifer Smith, CDE 30:13
that's absolutely what I'm getting at. And then the broader scope, the, you know, the my PI piece, and all the people that I would definitely put in the same, you know, you Arden goals and everything, kind of in the same pie piece of desire and target and independence and wanting to work with your system and have it work to your goals. I don't understand why with the safety that we know how to achieve. We can't get systems that allow people to do all of that in parameters that are personalized, right? Right now, the lowest target blood sugar that's on the market in a system is Medtronic and what's their target? Their target is you can go as low as 100. Is that the seven? ATG? That's the 780 G. Okay. 5.5, if your millimoles

Scott Benner 31:06
what is on the pod five 110 110,

Jennifer Smith, CDE 31:10
which is similar to control IQ tandem, which is 112

Scott Benner 31:14
and a half or 113 and a half, right? Some crazy like that. I love that. Although

Jennifer Smith, CDE 31:18
if you're setting up the pump, it actually is 110. Okay, you don't set it up as one 12.5, which is just it's part of like, somebody explained it to me the other day, and I can't remember exactly what she told me. But yeah, it's not what gets set in the pump as the target, right. But it is essentially 112.

Scott Benner 31:36
And the islet is shooting for an A onesie in the seven, it's

Jennifer Smith, CDE 31:39
shooting for that. And you do have the ability to navigate, low, moderate and high target as one pivotal kind of point. The only other point that you can put into eyelet is your weight. That's it. Those are those are your pivot points.

Scott Benner 31:53
Oh, Jenny, are you saying I could lie about my weight and make it more aggressive? I feel like that's what I just heard you say? You didn't say that. You would never say that. Nothing you hear on that Juicebox Podcast should because I actually don't know that that that works or not. That's just popped in my I want to be very clear, I'm not joking around. I have no idea if that would work. But as I'm sitting here, it makes little so you

Jennifer Smith, CDE 32:13
are thinking about it in the right way. Because it's basing its basing it off of your starting weight that you enter. So

Scott Benner 32:20
I wonder if you had insulin resistance like PCOS, if you could make it. Alright, that's for another podcast. So I drew my pie right in front of me. And I wrote more aggressive and I gave that to tandem. No tubes. I gave that domine pod. low effort. I gave that to pilot eyelet. And I don't know what to call med tronics version because I haven't seen it enough. You

Jennifer Smith, CDE 32:45
know, I would say of I don't know what to call it either. Because I would say it's

Scott Benner 32:51
is it pretty equivalent to the control IQ or where do you would you choose the tandems algorithm over it?

Jennifer Smith, CDE 32:57
For the correct ability feature? I would actually choose Medtronic interestingly, okay, Medtronic correctives are more frequent, its corrective boluses. It also does do Temp Basal increases, similar to control IQ. But based on blood sugar, it also is willing to give corrective pulses, like the standard control IQ algorithm setting. Yeah, but it does it more frequently, which means that you can get around high is much better for some people much better with Medtronic 780 than you can because tandems just slower in its Dilip decision to give you a pulse out,

Scott Benner 33:35
you're gonna see an ad on social media that says Jenny Smith says I would use Medtronic before tandem.

Jennifer Smith, CDE 33:43
Actually, that's it for some reasons. Yes, for some reasons I would actually choose tandem tandem is the only one that's approved that you can actually, if you know your basil is are well said if you're that type of person who has really awesome, you know, settings, and you want the system to just work off of them. Control IQ is a beautiful algorithm because it it takes your settings and adjust up or down off of them. Yeah.

Scott Benner 34:07
So your question back to me. Sounds more. Here's how I was why.

Jennifer Smith, CDE 34:13
What do you think is the reason I'm gonna

Scott Benner 34:15
give you my why in a second. And I could be guessing but what I really feel like you're asking me is how come Omnipod fives algorithm isn't more aggressive, like control IQs? Because that fixes a lot of like your concerns, right? Yeah,

Jennifer Smith, CDE 34:29
it does. Yes. One really big negative to me in terms of Omnipod five, which I think has a host of really wonderful pros. But one of the big cons is that Omnipod five only suspends it doesn't take away slowly, as it sees something happening. That's a drift down under a target that it desires. Okay? Instead it stops and that creates a lot of issues for people with rebound actually with rebounds, especially when you're coming into a meal.

Scott Benner 35:00
Yeah, yeah. Cuz it could tell away coming into a meal because it doesn't know you're going to eat two hours from now if it's trying to stop a low. But if it's trying to drift, you know, I get your point. So, listen, I'm no business executive, that's for sure. If you guys could sit in on any of the business meetings I have with the advertisers, you would do the same thing that I'm sure they do in the meetings and and the cameras go off, I'm sure you would say to yourself, I can't believe he is doing business with those people. I talk just like this in business meetings, people stare back at me like what's happening? So here's the here's the funny thing that we're not talking about. Is that that pie, except for low effort, three quarters of that pie belongs to any of the do it yourself algorithms that exist on the internet?

Jennifer Smith, CDE 35:49
That's my point. Yeah, I don't understand with everything that we have in the do it yourself world, all of the research and the proof in the pudding that they've put together. I don't I don't get why, at the top level, these big companies are not just saying, You know what, this is lovely. It's all put, why don't we just deal with them and put this into?

Scott Benner 36:13
I will tell you something that I said, because the person I think I set it to doesn't exist at the company anymore. But this is gonna have to go back. I mean, four or five years ago, right? So I think everyone knows that Omnipod was a little behind the pace getting to an algorithm, right? Yes. And I think the reason for that is probably an upper management, they were a little unclear about the direction they were going until they brought these people in and got very solidified and decided, like, you know, on the path that they're on now, that's my perspective, having worked with them, you know, a little bit over the years. So they got the management in there that was like, Hey, listen, let's make insulin pumps, and let's go. And then they were behind by them, because tandem was already moving. Medtronic had already been through their first generation, we also don't give Medtronic enough credit for going first in the repeal algorithm market, because you knew they're going to take it the ask because it wasn't going to be perfect. And it was the first time and people certainly gave him a lot of crap over it. But

Jennifer Smith, CDE 37:09
the data that they got in order to move forward and build, yeah, give data to other companies to actually say, what can we improve? On this, right?

Scott Benner 37:17
The Trailblazer doesn't usually get the credit. And I definitely think in retail algorithms, Medtronic took one part for that. But I was sitting with somebody one day on a call. And like I said, These people don't exist it on a pod anymore. So I'm not worried about saying this. And they're like, Hey, we're gonna we're building an algorithm, like we're gonna they were talking about how they were going to go about it and everything and and I said, whatever you're doing, stop. I'm like, stop, put two people who speak Russian on an airplane, find a guy named Ivan, give him a bag full of money, get him a visa, bring him to Boston and let him build your algorithm for you. Please, like, please go get the guy that wrote this code that this loop thing my daughter is using just go get this right now. And, boy, I said it every time I could to anybody who would listen to me now listen, are they going to do that? No. Is that even reasonable? No. But it also like, you can't tell me that all these companies haven't picked through that code. You know what I mean? Like, just correct. Yeah. Make it like that.

Jennifer Smith, CDE 38:28
And you know, the other thing I know, all these companies have people who have diabetes on their teams, right? I know that they do. Are the people without with diabetes, not the ones who are like, are they not able to give feedback? Are they not able to say, Hey, do you see this big group of people? Knowing love? Like, shouldn't we be thinking along these lines? No. I mean, if they ask me crap, they don't even pay me. I'm just going to tell them, I'll give you my opinion. Yeah, it

Scott Benner 38:58
was really offering my opinion, I was like, just do this. And because loop is an example. You can choose a version of loop that makes Basal adjustments to try to stop highs. Or you can flip the switch the other way and decided to let it make larger bonuses like Right, I've always said to people, like set up algorithms the way Adobe Photoshop is set up. There's beginner, intermediate, and advanced. And when you click on one of those tabs, you get more features. Just make your algorithm like that start everybody at beginner tell them you got to be in for six months. And then you know, if you have a certain percentage of under whatever lows I don't care how you do it like to legally Cover yourself. Let them move up to our intermediate, make them take a test let them move up to intermediate. Can you think it would be so sick? I mean, I really believe it would be very simple to do. And so the question is, why don't they? I think that comes down to time. Limitations of humans and money. So, but what limitation is going to be completely out of the limited in my opinion, what

Jennifer Smith, CDE 40:02
are the limitations quite honestly, come on limitations. So keep this

Scott Benner 40:06
here but see your job, see your job is different, right? Your job is everyday you sit down, you look at a person. And if you do a good job helping them do better with their health, you one your employers happy, right? And the people who are paying your happy Chinese, I don't know if my employers are happy, but you understand, like, we all have jobs, okay. But these people are saying, we're going to make an algorithm, for example, it's going to take so many years, and then it's going to have to go off to the FDA, and it's going to take so many years, and then we're actually gonna have to make it and it's going to take so many years, we're looking at five years before we start getting our money back. They gotta spend money for five years, they gotta run that whole organization with no return on on their and what if it fails, like so let's do something we know for sure is going to work. And we'll lean into who we are. And on the pod listen on the pod is tubeless. My daughter's only ever one an omni pod, right? loop works on Omni pod. So

Jennifer Smith, CDE 41:08
in this day and age, I'm not saying years ago, I'm saying at an age, we already have the we already have the information. Nobody needs to sit in a little back room not getting paid for anything and make it up. They're not making anything up. It's already out there. It's it's free. It's freely out there. Jenny,

Scott Benner 41:28
I've heard that this island guy because of the war in Ukraine can't even use he can't even like be involved in making a loop anymore. Like I mean, I think we could have got him out of there for $25,000. And like a can of Coke. You know what I mean? Like here, so I don't know, maybe he probably lives in Dallas. He's probably listening right now. I'm like, s hole. I live in a very metropolitan area. But seriously, like, there's been other people since him. Oh, yes. Like there's

Jennifer Smith, CDE 41:53
there are many, many people in the whole

Scott Benner 41:56
basically people with type one diabetes who know how to code who sit down and say, I want to figure out how to do this and in their person. Like Arden is not even using loop anymore. She using Iaps. Fantastic. Like, just fantastic. And like, I don't know, like and then you saw tide pool. They tried to do it. And I mean, God bless them. But that ain't going nowhere. You really mean like like that at

Jennifer Smith, CDE 42:20
this point. I

Scott Benner 42:21
mean, Holy Hannah, we're gonna be I'm gonna be dead by the time it like, you know, like they told us that driveable pump. Yeah, and listen, and maybe that's even the pump companies saying, maybe we don't want to be involved in that. I don't know, I don't know the business of that. But that Business Plan to Eat taken too goddamn long is what it is, by the time they the time they get that mainstream enough that algorithm is going to be I'm not gonna want it anymore, you know? So yeah. But ya know, your points not lost on me, Jenny. I mean, somewhere between money time, limits of people. And by what I meant by limitations of people is that everybody in their job, they got to succeed every year to get a bonus to get to keep their job to move up. And they can't sit around for five years going. It's common, it's common, because they're looking out for themselves, too. So, yeah, I don't I mean, I don't know, I've interviewed a lot of people. And I generally think they're telling the truth when I'm talking to them, like I really do. But I also think you're only talking about the things that they're willing to talk about, or

Jennifer Smith, CDE 43:21
the things that they know about from a department angle, right? Not everybody is able to share all the aspects of all the things that are going on with a particular product, you have your job, somebody else has another piece of that job. And you may not be allowed to talk about certain features or things.

Scott Benner 43:39
So point, by the way, that code is open source. Like, I'm going to tell you right now, if you made me the king of any one of these companies, I'd go in, I'd sit down and go, Hey, everyone, stop what you're doing. Go get that algorithm, get it into our goddamn pump, because we're going to take this market over we are going to like it would in six months online, people would know, yours was the one. And you know, they all know it. They know because they all talk about like, well, we're this but they're that, like, you know, they do it in their marketing back and forth. But the truth is, is that it's none of them are talking about the real truth, which is that loop is just way better than all of them. Yeah, that's all, you know, but people ask me, What's the best algorithm? I tell them? It's the one my daughter's using right now. And if she's using a different one, six months from now, I guarantee you that'll be the best one because I ain't sitting around. You know,

Jennifer Smith, CDE 44:32
I haven't built on my phone. I just don't I haven't played around ups. Just put. Okay, I haven't played around with

Scott Benner 44:42
lots of things. But it's also scary. Like I'm counting on like a guy named Ivan not to be impacted by a war in Ukraine. Like you don't you mean like is the Ukraine? No, it's Ukraine. Right? And like so. Like, that's crazy. I know. That's crazy. Like I know, that's insane. But I don't know how to tell you that. Like the other night, I watched Arden come back from class and by watched I mean I could see on her Nightscout she got back from class. And I think she just was really hungry and she walked in her dorm room and she ate I think she pushed the button and she ate right. And her blood sugar climbed to like 185. And I watched that algorithm just Bolus and Bolus and Bolus and crushed it and bring it back down and she didn't get low and it was over. And that was it and or we put her on a GLP medication. Jenny knows this Ardens I'm gonna go through the whole thing. But Arden's insulin sensitivity went from one unit moves her 43 points to one unit moves her 90 points. Because of this GLP she's on. I don't have to wait for it to relearn. I gotta call my doctor, I just went to a manual. I was like insulin sensitivity when they just kept I told her I'm like, Just keep moving it until it works. And that's it. That's all we did. That's how technical I like I said, Hey, try one to 53. And then a day later, I said make it 65. And we moved up the GLP medication a little bit. I was like, make it at, like, you know what I mean? So what's

Jennifer Smith, CDE 46:10
funny about this is that that was actually a question on my thing for you was I was gonna ask, how many days do you watch for a trend?

Scott Benner 46:19
Day? So I watch for a trend, I do it till it works. Like I don't know how to like. So there's a weird when going back to what we talked about in the beginning? How would I talk about that in front of other people? So you know, what you and I usually do when we talk is I let you give the very technical answer. And then I just tell people what I do. And then they can figure out where in between that works for them. Sure. Yeah. So Arden injected a GLP medication. She started with point two, five units of ozempic. And her at that point, her insulin sensitivity is one to 43. Two days later, we were seeing low blood sugars already, which is uncommon, like you know, there wasn't it's not even a therapeutic dose of that medication. But here it was right. She felt a little full. She wasn't eating as much. I thought oh, it might just be food. I watched it. She had a low, the algorithm couldn't pull her out of the low. And so I changed her insulin sensitivity. Right. Then the next day, I changed her basil. And I think I had the whole thing set up three days after she three and a half, four days after she injected the ozempic. The first time I watched that work, I made little tiny adjustments like the turned insulin sensitivity, like two more points or made the Basal like point five less than I watched her meals, I made her insulin to carb ratio weaker. And till I didn't see Lowe's before she started eating. And then I left it there and watched it. So I mean, I had the whole thing adjusted out in like five or six days. Right? But how long would I wait? I knew what was happening. There was a variable and play here I had, I had set settings up for Arden and her physiology. And then we changed fundamentally how her physiology worked with this variable and I changed it immediately.

Jennifer Smith, CDE 48:09
Right and you had a variable that you were paying attention to. It's not

Scott Benner 48:13
like out of nowhere, she started exercising I didn't know or something like that. But that's where we started talking about real world stuff. Where if I just noticed on like, on Thursday, she was low. And I was like, I don't know what happened. I'd wait. I wouldn't do anything. If it didn't happen on Friday, I'd go ha if I came back around next Thursday, and it happened again. Then I started being like, Hey, what did you do at school on Thursdays?

Jennifer Smith, CDE 48:35
Right? Yeah,

Scott Benner 48:36
that'd be my first question. What do you do at school on Thursdays? And have you been doing something different running around more blah, blah, blah? Are you eating lunch? Like like is that the day is like something? And then if I couldn't see a variable, there'd have to be one. If you were only low on Thursdays, there'd have to be one. You know what I mean? Yeah.

Jennifer Smith, CDE 48:54
And that's where looking historically at information, which I know that you do, you know, at her information, but I think that's where it becomes really important and trending, to look at some data from the past to spot some of that. Because if you are really trying to make a baseline change, because you sense that something needs to change, then, you know, a couple of days of a trend around a particular time of day, can sometimes give you a foot in the door about okay, I can change it this way. Kind of like you said, I change it the next day. It's not enough, but there was a trend to start with. So I know that incrementally now over the next couple of days, I can make little daily changes. But you have to first start with a trend right I

Scott Benner 49:40
also set up some profiles for Arden when we were with her two weeks ago. She was starting to get low overnight, and it was always happening at like 330 in the morning, which means that she's eating around 10 And that last Bolus is messing her up somehow. And I didn't want to change all of her settings because it was only happening at some points in her menstrual cycle, not the whole thing. So I built a 90% profile and an 80% profile. So she can be like in the bottom of the Iaps app, it just says normal. I think you can touch that and then choose other ones that your program. So I said, Listen, I said, see where you touch this. And then this comes up. She goes, Yeah, I'm like, if I text you 90, touch that touch 90. And she goes, Okay, so I started like, a week and a half ago, I texted her at night, I was like, I just sent her 90. And that was it. And then in the morning, I sent her normal. And so I was kind of practicing overnight, and it stopped the lows. And then I waited to see if she'd remember to do it. And she didn't. So then I was like, Hey, I think we want to do 90 overnight, as long as you're on this injection. And then we'll see what happens after that. But yeah, I mean, how long would I wait? I mean, there's no way, you know what they always say, they always say, wait three days. And then people's responses. If I wait three days, it'll change again, by the time it happens, or it'll go away. Or I think that's what happens. I think people think it's going to go away.

Jennifer Smith, CDE 51:10
And I think that's where spotting. That's why I asked like how many days I mean, in many doctors offices usually actually say let's wait a week, right? That is too long. Right? It doesn't mean though, that you you just let things happen while you're watching for a trend to appear over a couple of days, right? So a bedtime, you're always having a rise in your blood sugar, okay, correct the rise. But if it's only tonight, and doesn't happen for the next six nights, that's not a trend. So you don't have a profile change to make. You need to accommodate around whatever variable created that high to begin with. Versus okay, I'm high, I corrected it. Tomorrow night, I go high again, I correct it. By then it's more like

Scott Benner 51:57
anything, Yeah, something's happening. You're I'm always very careful of not making band aids all over the place. Because you can make so many different little blind adjustments and everything gets so messed up, the only thing you can do is start over. Because you can't even tell what the end that's what doctors are notorious for, is like where you're getting lowered to aim, but will turn your Basal down to aim, you know, a sooner than that. And be like, Look, I guess the way I would want everybody to think about it is the way I talk about all the time, which is insulin for now. Insulin taken now is for later. But more importantly, what's happening now is because something because of something you did previously, right? Yeah. So it's the same idea. But it's a different way of thinking about it. Like when something's happening at one o'clock, please go back backwards hours and look to see what got you there. Do you have time to ask me the other one? Are we done? Are you are you? No, no,

Jennifer Smith, CDE 52:53
I've got about 10 minutes. Let's see. I actually came up with a whole bunch. Which ones do I want to ask though? Well, this one, how do you feel about AI in diabetes specifically? And do you ever think that it will completely 100% hit the mark of people with diabetes? Not really having to think about more than like, putting their pump on? Okay. I mean, I have some thoughts about that. But I was curious what you think, oh, I

Scott Benner 53:25
want to hear what you think, too. So you have two different questions, kind

Jennifer Smith, CDE 53:27
of I mean, it's all within the same framework, though of AI. Right, it'd be the first part. How do you feel about AI specifically in diabetes?

Scott Benner 53:37
I have a company right now indexing the entire podcast for me. Okay, so my goal is that you'll be able to go to a website and ask a website, ask the website a question. And it will only answer based on everything that we've all of us have ever said to each other on the podcast, all 1200 episodes, and it will continue to index into the future.

Jennifer Smith, CDE 54:01
So the be the next question leads into that concept. So that idea, I think that's actually easy for AI to do. Yes. At a deeper human level, though, I think more in terms of like educational, right, not even necessarily the techie part, but like, educationally, when you have someone that you're working with who has like, one concept to manage what happens when now AI is doing the instructional and they have multiple medical things, some of which could actually have completely opposite parameters of management. Yeah.

Scott Benner 54:42
So other things could be impacting that there's no way the AI would even know about

Jennifer Smith, CDE 54:47
right and that takes a human. Do you think that AI I guess we'll ever get to the point of thinking more human like because this takes it takes analysis on a different level than computer Hey, out

Scott Benner 55:00
without input, though, because like, you have to teach the AI, the podcast so that it can answer questions that have been answered in the podcast already. Okay, if you want an app to tell you, Hey, you got low here, like we see your low. I think you should have eaten 15 grams of carbs at this time or four to say, hey, we see a low coming. Go ahead and eat this. I think that's going to exist pretty quickly. Sure. But if you like I actually think that you're well, I don't just think I've been I actually was just it's so funny you how are you reading my emails? Jennifer, what's going on? I've been approached recently by a company, I'm still assessing it. And they want to be partners, like they want to get involved a little bit. And they have an app that is going to look at your pump and CGM data and say things to like, Hey, you should probably have 10 grams of carbs right now to avoid a low. And they've asked me if I want to learn more about it.

Jennifer Smith, CDE 55:59
I wonder if it's tough to tell me later? If you can, I'll tell you right. Now that to me?

Scott Benner 56:06
No, not that one. No. Okay. That's the one that I know about that had to be so frustrating for people listening.

I'm still assessing how I'm going to answer this this inquiry? Sure. I think it can get to it. But the problem is, it's the same problem as Why don't the pumps all do what they should be all doing? Because you need somebody to put that effort into it. And that's where it never happens. Like because yes, I listen, there was a guy on here one time talking about, you know, if you had location services on your phone, and you went and got pizza at Pizza Hut, and you said, Hey, I had three slices of pizza. And this was the Bolus. And here's what happened to my blood sugar afterwards, I needed more insulin and blah, blah, blah, then the next time you went back to that Pizza Hut, the location services would say, I'm at that Pizza Hut, where last time this happened. So this is how much insulin you should use for a slice of pizza. That's very doable. But somebody would have to do it.

Jennifer Smith, CDE 57:11
You don't I mean, somebody has to collect all the data to essentially teach it, how to navigate that you

Scott Benner 57:17
first have to teach it for yourself. But I'm saying someone actually has to go to the trouble of putting it together. And what I usually find is that the end users don't want complicated when it comes to diabetes. So if there's a big setup where I have to always wear a watch, that tells me where I'm going, or I have to remember to tell it, hey, this is Pizza Hut, and that's my local, like pizza place. They're different, like that kind of stuff. No one's gonna do that stuff.

Jennifer Smith, CDE 57:41
I would I would,

Scott Benner 57:43
I'll say something like I've done, I'll tell you something that I've very privately told any person who's ever come at me with a diabetes that and then like, can you tell me what you think of this app? I'll tell them all the time, the same thing? I don't think this is what people want. I don't think people want more involvement. Yeah, I think even if your app does what you say it does, you're not going to be able to get it widely adopted. That's good.

Jennifer Smith, CDE 58:07
I think that you looked at all of my questions somehow. Because that's actually, one of my last questions was, with all the tech and the info and the apps and everything that we have collecting? I guess, do you think it's created more mental health stuff in the diabetes realm, because

Scott Benner 58:26
won't change a goddamn thing. It's like everything else, there's 10% of people who are going to really pay attention to it, they're going to love it, they're going to use it, a small percentage of them, we're gonna go kuko nuts over it. And everyone else is going to just go like, I just shoot my land as it all works out. Like get it. I mean, like, people, again, are always the last speed bump. Right? So you're asking, Will AI get to the point? Like, it isn't a movie for diabetes? And I would say not in my foreseeable future. But here's the caveat, I do have a lot of hope about this. The way things are figured out now for medicine, like, you know, people become researchers, like not every doctor is that is see somebody with a stethoscope, right? Some people work in labs their whole life. Some people work very hard and do good work for an entire lifetime. And they're actually going in the wrong direction. And they don't even know it. They're just going through the scientific process. They're doing what they're supposed to be doing. They get to the end of their career, and they go, Huh, I zigged when I should have zagged How about that? And it's the amount of waste of time it's how it works. I don't see how it's not possible that in the next 10 years, we don't have AI, running tests, and and doing decade's worth of work in a couple of days in short time. Yeah, yeah. And saying, Oh, we tried that path. It didn't work. Throw that away do that or here's what we learned here. And to keep compiling it together, that I actually think is gonna happen

Jennifer Smith, CDE 59:55
as a time saver in research and information and bringing together faster you My

Scott Benner 1:00:00
lifetime, we're gonna see things happen with medicine that we didn't imagine because AI is going to be able to run the lab workforce, like, that's my expectation, and that that I actually kind of believe in. So none of us are gonna have jobs, if that works, we're all going to be button pushers, like or algorithm askers, or something like that, you'll be the vice president of, Hey, Siri, tell me, I shouldn't say that out loud. And so but like, you don't mean like, eventually, you'll just be able to run tests over and over and over again and validate them and validate them and validate them and come up with life lifetime's worth of work in in very short order, and then make some decisions that I'm hopeful about actually. And I don't think that's crazy to say, if I'm if I'm being honest, but these apps the way they are right now, they're gonna tell you, Hey, eat something to avoid a low or right you go for a walk right now for this many minutes, we think your blood sugar will fall this much. I mean, that's,

Jennifer Smith, CDE 1:00:55
again, they still require input from the user. And that's where it's the more factor in a lot of these, that could give you some, I guess, some decision tools, but you have to take the effort to tell it what you're gonna do, or what you've done in order for it to make enough and I guess, to gather enough to tell you what to do next time. And like you said, it's a great concept. But a lot of people it's just it's too overwhelming already know,

Scott Benner 1:01:25
we live in a society now where kids in their 20s Don't have sex anymore, because it's too much effort. Like if you can't put the effort into getting laid Jenny, I don't know how you're gonna put the effort into bringing down your fat rise on your, your pasta Bolus, right? Like, I mean, seriously, like, like, we're very insulated at this point. And people have a very high expectation that things are going to happen quickly, and just happen without a lot of input. And this is always because of all the variables we're talking about all the time. All these variables that impact your blood sugar, that the thing, the algorithm, whatever is going to need to know all these things are happening to give you back good data. And more importantly, companies that make money aren't going to put themselves in legal jeopardy by promising that if you forgetting to tell, if you saying there's 30 grams of fatness when there's really only five is going to give you a four unit Bolus that you didn't need. And then you're going to turn back to the company go hey, you're you're working. You're working on this machine tried to kill me just now. No one's gonna get involved in that. True. That's it. You want to fix people with diabetes right now in a way that is value fix people help people with diabetes in a way that's valuable right now. I'm not kidding. Two guys have briefcase full of money, fly to Russia find Ivan drag his ass back here and have him put his algorithm in your pump. And I guarantee you a year from now I'll be doing ads for your pump and everybody will buy it and that'll be the end of it. I fixed your whole game and I want a piece of that money by the way, damaged by

Jennifer Smith, CDE 1:02:50
give you the idea on a piece or find a piece

Scott Benner 1:02:53
of the money to Jesus, I just lost half my money just like that. All right, thank you. We're gonna do more of these because you and I are. Yay. I don't want to say during the recording because it will sound pompous. But I want to say we're very good at this. And I found this enjoyable. Yeah, we're gonna do more of this. I like okay.

Jennifer Smith, CDE 1:03:11
Yeah. Okay, bye.

Scott Benner 1:03:19
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 in a year supply of vitamin D. That's at AG one.com/juicebox Arden has been getting her diabetes supplies from us med for three years, you can as well, US med.com/juice box or call 888-721-1514 My thanks to us med for sponsoring this episode. And for being longtime sponsors of the Juicebox Podcast. There are links in the show notes and links at juicebox podcast.com. To us Med and all of the sponsors. A huge thank you to ever since CGM for sponsoring this episode of the podcast. Are you tired of having to change your sensor every seven to 14 days. With the ever since CGM you just replace it once every six months via a simple in office visit. Learn more and get started today at ever since cgm.com/juice box. If you're looking for community around type one diabetes, check out the Juicebox Podcast private Facebook group Juicebox Podcast type one diabetes, but everybody is welcome type one type two gestational loved ones. It doesn't matter to me. If you're impacted by diabetes, and you're looking for support, comfort or community check out Juicebox Podcast type one diabetes on Facebook. You have questions Scott and Jenny have answers. There are now 19 ask Scott and Jenny episodes. That's where Jenny Smith and I answer questions from the audience. If you'd like to see a list of them, go to juicebox podcast.com up into the menu and click on Ask Scott and Jenny. Actually, I think there's way more than 90 At this point, but you get the idea. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. The episode you just heard was professionally edited by wrong way recording. Wrong way recording.com