#1364 Eversense 365 Overview

November 21, 2024Scott Benner

Eversense 365 overview with John Bradford.

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

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

John Bradford is the head of Global and US CGM marketing at essenzia, and he's on the podcast today answering listener questions about the ever since 365 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. When you place your first order for AG, one, with my link, you'll get five free travel packs and a free year supply of vitamin D drink. Ag one.com/juice box. 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 Juicebox at checkout to save 40% at cozy earth.com you don't forget, if you're a US resident who has type one or is the caregiver of someone with type one, visit T 1d exchange.org/juicebox right now and complete that survey. It will take you 10 minutes to complete the survey, and that effort alone will help to move type one diabetes research forward. It will cost you nothing to help.

Did you know if just one person in your family has type one diabetes, you're up to 15 times more likely to get it too. So screen it like you mean it one blood test. Can spot type one diabetes early tap now talk to a doctor or visit screened for type one.com for more info. Today's episode of The Juicebox podcast is sponsored by the contour next gen blood glucose meter. This is the meter that my daughter has on her person right now. It is incredibly accurate. And waiting for you at contour next.com/juice box.

John Bradford 2:09
Well, hi Scott and all the listeners at Juicebox. My name is John Bradford, and I am the Global Head of Marketing for ever since CGM awesome. I

Scott Benner 2:18
appreciate you joining me today. Thank you.

John Bradford 2:20
My pleasure.

Scott Benner 2:21
What are we gonna talk about today? John, well, we're gonna talk about the 365 right? We guys call it ever since 365 is that how you talk about it? Well, if

John Bradford 2:29
we call it the what we call brand police, right? Scott, we would call it ever since 365 but I'm okay. If you call it 365

Scott Benner 2:36
I'm gonna say three. Okay, thank you. I appreciate that. Sure. And let this be a lesson to other people I work with not to be such sticklers. They know who I'm talking about. But you have type one diabetes as well. Is that? Right? John,

John Bradford 2:49
I sure do. I have type one diabetes. I was diagnosed 55 years ago. I'll actually have my 56th diversary Coming up on january 26 like I know the exact date, all right. Scott, John, how

Unknown Speaker 3:02
old are you? Oh,

John Bradford 3:03
do I have to answer that question? Well, no, no, instead,

Scott Benner 3:05
tell me old you were when you were diagnosed. Oh, yeah. Okay,

John Bradford 3:07
let's back into it. Um, I'm 62 Oh, No, kidding. You

Scott Benner 3:11
have such a youthful voice. Oh, thank you. I know how important that can be. I have dark hair, and I'm 53 I cling to my dark hair like, it's like, it's everything, like, please, please don't go away. Wow. So if I asked you, what you remember about your diagnosis, you're not going to remember anything. But what do you remember about growing up with type one? Oh,

John Bradford 3:30
I remember my diagnosis, actually. So Scott, I come from, yeah, a family with diabetes. I have a an older brother who has type one, and an older sister has type two. So I was the third of eight children, or I was the third of a family of eight kids. Three of us were diagnosed with diabetes. I was the third one to be diagnosed. So I'd already seen syringes, you know, urine test tabs, reactions in the middle of the night, seizures, appropriate food, etc, from the time I was a little kid, wow. So when I started having to pee a lot, my mom and dad took me to the Endo, and sure enough, I was diagnosed with type one diabetes. Are you? Did

Scott Benner 4:13
you start with beef and pork insulin? Yes, I

John Bradford 4:16
did. Wow. I started with beef and pork insulin. My syringes, my father boiled syringes and distilled water every morning, so I woke up to the sound and smell of nice glass syringes boiling and then my father obviously would make sure those were all dried out. We would drop the insulin using pig insulin, as I like to call her pork, and that's what I got my one shot a day. Scott, how

Scott Benner 4:40
long do you think you did that for, until you went to, I'm guessing, really

John Bradford 4:44
long time. Yeah, long time. Clear and cloudy next, then clear and cloudy. Exactly right, clear and cloudy and Scott, it's not even just the instant for me. It's how we monitored our glucose levels. I mean, I started with a test tube. In my bathroom. And, you know, every morning and every night, I had to get into a little cup, put a few drops into vial, and drop in a clinic test tab and see what my residual sugar was in my pee. How was your health today? My health is great. I'm very blessed. So I have no long term complications from diabetes. Scott, I think I just natural aging with my eyes. So I've had no retinopathy, no neuropathy, no kidney disease, no cardia disease, etc. So I'm actually doing very well, and I attribute that really to my parents.

Scott Benner 5:40
How so did they help you with, like, sticking because I'm assuming you ate on a schedule back then

John Bradford 5:45
we ate, that's correct, we ate on a schedule. And my parents were great. So Scott, I'll try not to get teary eyed when I tell you this part of the story. But my father, engineer, brilliant man, very even keel, kind of the opposite of me, very even keel. My father would always say, Hey, kids, the most important thing with your diabetes, it is manageable and it's going to be cured in your lifetime. So the challenge that's put in front of you is, how do you protect your body so that when your diabetes goes away, there was no residual ever. Nobody would ever have known you had diabetes. Scott, that's the philosophy my dad used with us as we were raised. Yeah, take care of yourself, because it will be cured in your lifetime. And you know when it is cured, great,

Scott Benner 6:35
but until then, you're as healthy as you could possibly be,

John Bradford 6:38
absolutely so as I said, grew up in a family of eight kids. My mother and my father are amazing cooks. We just ate so well. We grew up out in the farmland. We ate so well and so well taken care of all. Went to school together. Everything was just great. But in our house, basically we all ate the same food. It was all basically for healthy diet. I mean, Scott, it's so amazing that 55 years ago, what my mother and father did is basically what's being recommended now by all of the societies around treating obesity, treating good, long term public health. My parents basically had the entire family eating well, Sugar was a minimum, salt was a minimum, everything was about good, whole, healthy, fresh food that didn't spike your glucose?

Scott Benner 7:22
Yeah, I don't know where you fall on those eight kids, but are your siblings all like, did they live healthy lives like you? Yes, yes. Like, did it translate? You know what I mean, to like, because it's a that's a big group of people to like, put a an idea into their head. Does that make sense? Oh,

John Bradford 7:37
yeah, yeah, absolutely. Well, first of all, my entire family, it's my passion. My entire family cooks beyond belief. Cooks bakes, everything really well. My family really grew up with the whole thing about great, clean food. I mean, we were, that's just the way we were raised. So it had great impact. You know, now, Scott was not disclosing too much about my family, but I will tell you, it is so interconnected. I have other family members that they don't have diabetes, but they do have other autoimmune Uh huh, diseases that they're managing.

Scott Benner 8:05
What do you got? Some hypothyroidism, celiac, anything like that.

John Bradford 8:09
Exactly right. Crohn's, yep, yep, and others, yep.

Scott Benner 8:13
A lot of people have been saying lupus to me lately, too, when we talk about extended family.

John Bradford 8:17
And that was the that was the next one. Yes, look at me, exactly right.

Scott Benner 8:21
I'm like a soothsayer over here.

John Bradford 8:22
I know, I know you are a soothsayer. Look at you.

Scott Benner 8:25
I just, I just talked to a lot of people have type one diabetes. That's all Okay, so you've got a plan. What I want to talk about, though, is how you transition through technology. Because in my mind, insulin is a biological technology, and then, you know, so you transition through that. What happens? First you get a meter first, like an at home meter, is that, like the first thing you get?

John Bradford 8:47
Oh, Scott, you're making me smile, because, you know, for all of my type one peers out there, I want to say I'm not an early adopter. Oh, okay, I'm also not a laggard. I'm kind of in the middle. I'm a Libra, so I'm kind of in the middle. Scott, okay, I'm not going to be the first one to jump and go, just so you know, all right, I got you. I think the big critical points my diabetes were as a kid, really, underneath the guidance of my family and my parents in particular, you know, going to diabetes camps, eating, well, really, having a good, strong parental influence towards healthy lifestyle and good diabetes management. Scott then, like everyone else, once I became college age, I kind of went off and did my own thing, right? Probably didn't follow the good principles of diabetes management. Had a couple bumps here and there, and finally, had a day of reckoning where I said, You know what, I don't like the way I feel. I don't like some of the things that are happening to me as a result of not great, ideal diabetes management. So I went and found a new endocrinologist, an adult endocrinologist and a phenomenal diabetes educator, and I will tell you, Scott, those two individuals turned my life around. Wow, that's awesome. Big technology fans, of course, and this was. About the time that blood glucose monitoring was taking the forefront, Scott in particular, with the one touch meter. And so I was very lucky. I actually was hired right out of college to work for Johnson and Johnson, their diabetes division, and I sold the one touch brand for many years in my career. So that was my introduction to blood glucose monitoring. Wow.

Scott Benner 10:21
Oh, so you got a freebie at work. Is that how?

John Bradford 10:26
Maybe, no, you know what? Those doctors,

Scott Benner 10:29
right? They put you in into position that's correct. Okay, sorry, go ahead.

John Bradford 10:34
No, I was gonna say, Scott, it's actually great. I mean, I am really fortunate in my life that both my personal life as well as my professional life have intermingled. Some would say, Oh my gosh. Do you really want that? Absolutely, I knew from a very young age that I was committed to the diabetes community. I wanted to be part of the diabetes community. I wanted to help the diabetes community. So it was actually a really easy fit for me, and again, my diabetes educator, my partner, my diabetes educator, my doctor, everybody really said to me, go into diabetes, do it. So I did. I'm really glad I did. Scott, okay,

Scott Benner 11:10
your whole career has been spent around this space. I would

John Bradford 11:13
say, through my professional career, 95% of it has been in diabetes, whether that's blood glucose monitoring, continuous glucose monitoring, insulin delivery, digital health, some exploration and division care for diabetes as well. That's been the majority of my work. Scott, I did take us a minor detour, and I actually got to work in another very interesting space called drug recovery, drug rehabilitation. And it was amazing, Scott, how many people with type one diabetes I met in that community as well. Really,

Scott Benner 11:46
that's interesting. Now, being around that technology at work, did that turn you into more of an early adopter? Did you stay pretty much should I say Libra esque? By the way, I looked up the traits of Libras, just in case I needed them later. I have them right here in front of

John Bradford 12:03
me. You have them to use against me. Okay, I would say I became a little bit more of an early adopter. But Scott, I'll tell you, I'm just fascinated by my friends, you know, who were the early loopers, my friends who were really the early drivers and trying technology. I mean, just it's amazing, I guess, comparatively, Scott, I'm nowhere near close to those people I respect so much. But I think others might say I am an early adopter. There's a nice, vague response for you. The

Scott Benner 12:31
contour next gen blood glucose meter is the meter that we use here. Arden has one with her at all times. I have one downstairs in the kitchen, just in case I want to check my blood sugar, and Arden has them at school. They're everywhere that she is, contour next.com/juice, box, test strips and the meters themselves may be less expensive for you in cash out of your pocket than you're paying currently through your insurance. For another meter. You can find out about that and much more at my link. Contour next.com/juicebox contour makes a number of fantastic and accurate meters, and their second chance test strips are absolutely my favorite part. What does that mean, if you go to get some blood, and maybe you touch it, and, I don't know, stumble with your hand and like, slip off and go back, it doesn't impact the quality or accuracy of the test. So you can hit the blood, not get enough, come back, get the rest, without impacting the accuracy of the test. That's right, you can touch the blood, come back and get the rest, and you're going to get an absolutely accurate test. I think that's important, because we all stumble and fumble at times. That's not a good reason to have to waste a test trip. And with a contour next gen, you won't have to contour next.com forward slash Juicebox, you're going to get a great reading without having to be perfect. Type one diabetes can happen at any age. Are you at risk? Screen it like you mean it. Because if just one person in your family has type one, you're up to 15 times more likely to get it too. So screen it like you mean it. One blood test can help you spot it early, and the more you know, the more you can do. So don't wait. Talk to your doctor about screening. Tap now or visit screen for type one.com to get more info and screen it like, You mean it interesting? Okay, well, I appreciate learning about you, but now I want to learn about the product. So I have to admit, like I got to learn a lot about it over the last year, because you know that you guys have been sponsors of the podcast, which has been very good for me, because I had an outsider's perspective of it. When it started sort of just like, oh, I don't know. That sounds I don't know. Like, you know what I mean? Like, it just, it's one of those things where, like, I'm not sure what to think about that. But then you start meeting people who are using it, and you're like, they just talk about it as normally as could be. So absolutely, yeah, it's, it's awesome. Like, right? Just to see people trying new things and having different experiences. I guess the way, the reason that makes me so happy is because I think that the adoption of new technology and moving forward and staying reasonably current, like I'm with you, like you don't have to be the first one, you know what I mean, but keeping up with things, I just think it's important with diabetes, specifically, to never look up and realize, Oh, I'm doing something the way they did it 10 years ago, and no one else does it like this anymore. Because I equate that to valuable management, I guess, like, I want people to be healthy and and have their best, happiest life. I personally think that comes from knowing where your blood sugar is and how fast it's moving, and, you know, not having kind of the emotional and psychological impacts be as heavy as they could be, I don't know this is kind of the way I think about it. I

John Bradford 15:49
completely agree you gave me goose flush, Scott, listening the way you talked. You know, I always like to draw the analog back to the very first iPod. Who knew we needed that technology? Well, you know what? We are warriors in diabetes, Scott, we've lived through so much, right that I think sometimes we take it for granted that there can't be better. You know, a very good professional and personal friend of mine, Kelly, close, who I think is a very well known name, probably one of the premier diabetes advocates in the world. Kelly is just amazing. And Kelly's whole thing is about we deserve innovation. We deserve innovation every day of the week, because what we have learned to manage ourselves with diabetes the rest of the world isn't having to deal with we are. So why don't we dissolve? Deserve equality, and that's always been Kelly's mantra. And I completely agree with her on that, Scott, and that's why I love technology. Yeah,

Scott Benner 16:41
listen, John, if we make it to the end with time, I'm going to tell you my favorite Kelly, close story, okay, but I love that. Doesn't fit here, but it's an awesome story. I have any favorite Kelly close story, Scott, so get ready. Okay, well, maybe yours will be better than mine, and we'll find out. You know, I asked my Facebook group for questions for you, and we kind of pared them down to some, like, core ideas and things that we could talk about. So one of the things they wanted to know right away was, hey, this thing seems great, but I use a an A ID system. Like, is it going to integrate with pumps and a ID system? So where are you guys at with that,

John Bradford 17:14
right? Well, so the great news for everyone is that we do have I CGM indication. We actually received icgm indication with ever since e3 earlier in 2024 so when we received the 510, K clearance from the FDA for ever since 365 it also Scott came with I CGM. Now, Scott, what does i CGM mean? I CGM means, from an interoperability standpoint, the FDA perceives you to be of superior performance and be able to be a core part of an intelligent system to deliver your insulin. So we have met those standards. Scott, so that's great news for us all right, and we have the I CGM designation attached with ever since 365 Okay, so that's half the story, Scott, the other half of the story, then, is to actually work with the partners, pump partners, smart pin partners, etc, to actually integrate our technology into theirs. And Scott, I just want to give the whole community confidence. We have been working on that for quite a period of time. We're in full negotiations, discussions to make this happen. And you know, Scott, sometime soon, in 2025 I hope to start making announcements on which systems that we are integrated with

Scott Benner 18:23
that's exciting. Now I'd be remiss here if I didn't ask, because you brought looping up early. Is that a thing? Do you think loopers will be able to use 365 so

John Bradford 18:33
ever since e3 was part of a clinical study and published with beta bionics before. So Yes, Scott, there are, there are loopers using our technology today.

Scott Benner 18:44
Wow. Okay, I didn't know that. Hey, look, I learned something today. Finally, no, I'm just kidding. I learned stuff constantly on this podcast. Well, that's awesome when you say conversations with everybody, like right down to islet like, newer devices, right?

John Bradford 18:56
So now, to protect negotiations and discussions, we actually don't have disclosure to say any names

Scott Benner 19:04
publicly at this point. Okay, well, then I will never ask that again. Is that okay if I put just a little roadblock on that one? No, it's fine. No, I don't want to listen. I'm not trying to get I want this to work. I'm not looking for you to get in trouble. Heck yes, yeah. God,

John Bradford 19:16
here's where I have confidence. My boss's name is Brian Hanson. Brian actually came to us. We're really very lucky. Brian came to us from tandem. So Brian helped change the whole course of insulin delivery and also a ID systems. So I think we should have great faith and trust that we have Brian Hanson at the lead, leading negotiations for

Scott Benner 19:38
us. Awesome. Let's get you to break down how the system works, like, from, like, the nuts and bolts stuff, like, how do I put it on? How to, you know, what's the doctor's visit? Like, to, day to day stuff. Because I think it's gonna sound really different to people, and I don't want to butcher the language, so I go to my doctor and I'm like, hey, I want to get this what happens next? I. Absolutely.

John Bradford 20:00
So you want to talk about the process first, then we can talk about the product itself. Does that work? Yeah, please. Sure. So the process is very straightforward. You speak with your doctor. You receive a prescription. We are a prescription product. At that point, you'll be speaking with our diabetes Therapy Associates. They're an ever since expert who will take you through to find the right distributor for you have your benefits investigation done, all of your paperwork done, right? Scott, has CMM, all those typical things that happen with CGM, and then that'll be processed. The product will then ship from a distributor to either your doctor's office or to a designated in searcher. And we can talk about that in just a minute, Scott, they will conduct that brief office visit with you to do the placement of the sensor right underneath the skin, make sure that you then get connected to the app. Everything's done, then off you go to your day to day management.

Scott Benner 20:54
So funny, I forgot you're not Canadian, just because the person I talked to is Canadian about ever since, and I thought for sure you were going to say, and Bob's your uncle at the end of that, which is, I can't believe that's where my brain jumped to. Nevertheless, I find the doctor who does the insertion. And let's be really clear for people who might not understand, right? So I'm going to go to the doctor and they're going to make a small incision in my upper arm below my shoulders,

John Bradford 21:19
correct, right? That's correct. So a small incision is made in your upper arm. The sensor is placed right underneath your skin, and then steri strips or glue are used to seal that. There are no stitches. There are tagoderms placed over the top, Scott, and it takes approximately five days for that site to heal completely.

Scott Benner 21:39
Okay? And now I've got this little pro. I don't know what do you guys call it? Sensor, sensor. Okay, so the sensor is under there and it's reading interstitial fluid. That's what it's doing.

John Bradford 21:50
No, actually, it's using fluorescent technology instead. Scott, it's actually reflecting through light to determine the glucose level. Wow,

Scott Benner 21:58
how come? I don't know about that,

John Bradford 22:02
Scott, it's what I call the secret sauce. Part of the secret of some of the stuff you are going to talk about, why I think the product is so amazing is because the fluorescent technology itself, so it's not using fluid, so it doesn't have some of the challenges that fluid can present, such as compression loads. And we'll go there in just a couple of minutes, if that's okay with you.

Scott Benner 22:21
Oh, please. I'd love to know about that. So, okay, how much technical background do you have on this? Like, what are you what are you talking about? Like, is holding, like a little flashlight up in there, and it's what's it looking at? What's it? How do it know

John Bradford 22:31
that's actually a really, that's a really good I like that visual. Scott, a lot. That's a great one about it is, like a flashlight. So the sensor has what we call redundancy in it. So there's four different circles on that that's resting underneath your skin. And what it's doing, it's constantly looking at the glucose, and then every five minutes, it's transmitting that glucose reading to the transmitter, which rests atop your skin. And then the transmitter is then what actually connects the readings to your mobile device.

Scott Benner 22:59
Wow. Where does the sensor get power from?

John Bradford 23:04
You ask the tough questions. I love it. Currently, the sensor gets its power from the transmitter. So the transmitter both receives the results, moves them to your mobile device at the same time, the transmitter is actually powering the sensor. Hmm, is

Scott Benner 23:19
your dad still with us? He

John Bradford 23:20
is not. Oh, I'm

Scott Benner 23:21
so sorry he must. He would have been thrilled by this. No, oh, absolutely. I'll

John Bradford 23:25
tell you the team that developed this technology. Brilliant, brilliant, brilliant engineers, yeah, brilliant.

Scott Benner 23:33
Who made me think your dad, when you when, when you were talking about how

John Bradford 23:36
I know, right? I, yeah, I, Scott, I have tell you, part of the fun part of my career has been getting to interact with engineers and learning to speak a whole new language. So I speak like a marketer, engineers don't, so it's been a really fun learning for me. Scott, how to translate the voice of our customer people, diabetes back to the engineers. It's been amazing. You know

Scott Benner 23:59
what's interesting? John, I don't want to go down a weird road, but general manager of the Philadelphia Phillies has type one diabetes. Yes, he's been on the podcast a couple of times, and when I asked him to explain his like his job to me, he said, basically, he goes to the analytics department because he's got a I'm pretty sure, of mathematics or economics degree from Stanford, and played professional baseball for almost a decade, and so he took the technical stuff from the analytics department and he turned it into baseball talk yes for the players. So he's like, the in between, right? And I almost like, I almost think of you as like, Well, yeah, you're a marketing background, but you grew up with an engineer in your house. You must be a good in between for that

John Bradford 24:38
absolutely. And Scott, I have to tell you, it is. It's a whole skill about what we call insights, and insights, which I do want to chat with you about, about what I make, think makes ever since 365 so unique and such a tremendous benefit to people, diabetes is really very much insight based. Okay,

Unknown Speaker 24:56
how so? Scott, this

John Bradford 24:58
kind of like a pop quiz. Mm. So four most common complaints, or also another way said reasons why people take breaks from continuous glucose monitoring, which is kind of frightening. Scott, isn't it to think that people would actually take a break wake up in the middle night, low maybe not wake up in the middle night, because they're not being alarmed, right? So I mean, I'm all about CGM and the benefits to me on CGM, but patients to take breaks.

Scott Benner 25:23
Can I guess what the four things are? Well, I

John Bradford 25:25
want you to, because they're both intentional and unintentional. Take a guess. All

Scott Benner 25:28
right, hold on a second. Now, I please for anyone listening, we did not set this up at the let me just think. We did not. I'm gonna go with it gets knocked off. Adhesive allergies, false readings, compression lows, okay, there's a fourth one, damn, damn, hold on a second. Is it? Is it? Just tell me, John, is it the most obvious one, and I've just missed it?

John Bradford 25:56
No, it's actually close to your very first one. Scott, so the four most common, I would say, complaints, or what I call pain points, because the pain points that we experience with CGM, short term CGM utilization, the first is, Scott, that you missed, is the sensor fails before it's supposed to, oh, it

Scott Benner 26:15
doesn't make it the full time. Doesn't

John Bradford 26:16
make it its full labeled life. That's issue number one for people, my sensor, my sensor. People Speak directly, my sensor died before it was supposed to. What am I supposed to I don't have a backup. I wasn't planning for it. Do I go to my doctor's office? Is insurance going to cover it? Do I have to pay $400 out of pocket for, you know, all those things, right? Scott, as you said, the emotional, physical disruptions in our lives that we really don't need when we're trying to manage our diabetes and, as importantly, manage our full lives. Okay, okay, yeah, so sensor failing before it's supposed to. Sensor getting knocked off. And that comes for a variety of reasons, right? Scott, that can be sports, exercise, bumping into a door jam, knocking into a car, a frame construction workers, we hear this all the time from construction workers. I'm an HVAC worker, you know, I'm a plumber. I'm getting into tight spaces. I knock my CGM off, right? So those are the common ones we hear. To your point, this whole thing about I am woken up, or my loved one is woken up in bed, or the people that I have as my emergency contacts to be notified when I'm experiencing a severe low are being disturbed in the middle of light because of a false alert. So Scott, you nailed that one. And then the other one is, is skin sensitivity, right? And how does Scott get giving you quizzes? I know you're interviewing me. Hey, Scott. There was a study done in France a few years ago about type one patients over 800 using CGM devices as well as insulin delivery devices. Do you want to know what the reported frequency was from that patient base? I am experiencing skin sensitivity, skin irritation, skin reaction to my adhesive. You want to guess how high it was. I

Scott Benner 28:02
don't know, but I have to imagine, for people who already have autoimmune issues that skin irritation is not uncommon. But I don't, I can't guess a number, almost

John Bradford 28:11
30% so Scott, one out of three people are reporting frequent episodes with skin sensitivity issues caused by the adhesives off of devices. Yeah,

Scott Benner 28:22
now, and you're lucky if that's not your case, but, and now, how does 365 fix that? It's because, sure, yeah, tell me about that.

John Bradford 28:29
Well, let's go to the four key pain points. Okay, so the first pain point was a sensor. Basically, I use the word dying or not making its full labeled life. So I put something on a short term. CGM, I think it's going to last 10 days. It only lasts eight Okay, so I just lost two days. All right, how does Eversense? CGM, pass it off, Scott, we're actually in the plus 90th percentile lasting the entire life that we publish. Okay, so it means for our one year wear product, we're in over 90 percentile on the sensor making its full life. Scott,

Scott Benner 29:04
how? So, it's amazing. How do you how do you like, okay, I guess my question should be, when it doesn't make it, what happens? Because I'm putting myself in other people's positions, like, if my, if my other, if my other one gets knocked off, and I pick up another one, I put it back on again. But if the one inside my arm stops working, what do I do? Right

John Bradford 29:20
then at that point, we would do a process and have a new sensor inserted for you. But again, Scott, it is so minimal compared to short term CGM, so minimal. Yeah, yeah. If it gets replaced, does it go in a different arm? Yes, that's correct. So our labeling recommends Scott that you alternate insertion sites, so you'll start, you know, whichever arm you pick, and Scott, you just, it's a really simple process for the doc and the patient. Patient reaches across their arm, shows where they can touch their tricep, where they can reach on their forearm comfortably to apply and remove the transmitter. And that's where the sensor is inserted. And then you just rotate. Yeah, now your

Scott Benner 30:00
transmitter sticks to the person too. So how come they're not having adhesive interactions with you? Really good

John Bradford 30:07
question. So let's go back to those pain points. So the second pain point was really skin irritation, as you've been talking about. So Scott, we actually use a silicon adhesive. Okay, so And Scott, we actually have through a two year study, less than 2% of patients ever experienced skin sensitivity issues with our gentle silicon adhesive. Wow. So compare that 2% to 30%

Scott Benner 30:32
I think I know this part like that adhesive goes on like a new piece goes on daily. Is that right?

John Bradford 30:37
That's right. So Scott, I know we're going to jump here a little bit. But what we didn't get to cover is what I like to call my iPod analogy about this. So maybe Scott, what we could do is go back to how the system works. Yeah, however,

Scott Benner 30:49
it's more comfortable for you to talk about because I will, I will jump around. So stick with what you're doing, and

John Bradford 30:54
we'll actually good. So let's do this. We're going to leave and we're going to come back to those next two pain points in a moment. But I think Scott, what's most important for me is the questions that I see online, the questions that I see in social media, all these really engaged people wanting to learn more, I just kind of want to share in a really simple, straightforward discussion. There are four components to the system, okay, the first is the sensor. The sensor is placed underneath your skin once a year. Second is Scott, then you have a gentle silicon adhesive that is changed daily. And what happens on that daily? It's a double sided sticky part of its the one side sticks to your arm. The other side is what the transmitter sticks to, right? And now, Scott, I do want to go to the transmitter, because we're going to need to do some more work here as a marketing team to really make sure people understand how the system works that's on us. Just you know, for your community, that's on us. But thank you for the core questions, because it lets me know what we're not communicating well, Scott and we'll get there. Okay, so the transmitter itself, Scott is fairly small. It's only about two inches in length and only about a little over an inch and a half in width, and it's flat as a pancake. Okay, so that transmitter, Scott, the smart transmitter, is really the brain power that's moving things back and forth between the sensor and your app. What I want to make sure people know is we got to break out of the thinking. This is the iPod thinking. There is no cannula on our smart transmitter, right? So it's held to your arm by the adhesive. That's why, Scott, if ours gets knocked off, for some reason, the transmitter gets knocked off, you can pick it right back up and put it right back on. If you want to take it off, to take a shower, you can take it off, take a shower. You can charge it up while taking a shower. You can peel off your adhesive. You can wash fully underneath that skin. Make sure your skin is nice and lovely, etc. Reapply a new adhesive, and then put that smart transmitter right back on top. So Scott, it has this tremendous flexibility to it that it has nothing that goes into your skin, because it's communicating back and forth with the sensor that's underneath your skin, right? So it's a radically different thought, Scott and you keep talking about engineering, it's a radically different thought, how the transmitter works. I still see a lot of question people. They say, Well, how does it get knocked off? You're not wasting a device. You're not because it lasts for a year, and it just comes riding off with that a double sided adhesive, yeah,

Scott Benner 33:23
knocked off, almost the wrong it's almost like, dropped, like, Oh, it came off. I'll put it back on. What?

John Bradford 33:27
And you can, yeah, how

Scott Benner 33:28
frequently and for how long do I have to charge the transmitter? About five

John Bradford 33:32
minutes a day. Will work. Scott, oh, no, kidding. Okay, yeah. So again, what we find, and I know you've talked to a lot of people who've used the ever sense systems you'll find what most people do is they just plug it in when they're taking a shower.

Scott Benner 33:46
Yeah, and, but if they don't want to, can they swim with it or shower with it? Oh, absolutely.

John Bradford 33:51
We have labeling for the product. Can be worn in the shower if you don't want to take it off, absolutely. And can be submerged in water. We have our designation for length of time, submersion and water for length of time, sure, but same

Scott Benner 34:04
problem being submerged as anything else, right? I'm assuming it talks back to the app through Bluetooth. So water blocks Bluetooth signals.

John Bradford 34:11
Water Blocks Bluetooth signals and correct and Scott, the other thing I want to be really clear on, because I always believe in full fair disclosure to answer people's questions. When you do take the transmitter off, information is not transmitted back to your app.

Scott Benner 34:27
Okay, so the app goes blank. It's not get anything from it, and that's right. And you're going to tell me, as soon as I put how long after I put it back on, do I get information again

John Bradford 34:35
within five minutes? Okay, but it doesn't backfill. Scott, so you you'll have a gap on that data. Okay, but Scott, let's talk about when that might happen. I always say to people, make sure glucose is stable before you choose to take your transmitter off. You should talk to your doctor about that. PS, by the way, Scott, or use your own diabetes management knowledge and expertise, right? We have people that tell us they take it off for a shower. Scott, I'm trying to save this a sense. Positively as possible. We have people who say they take it off for intimate moments. Okay? We have people who tell us they take it off because they're about to speak in front of a public event. We have people who say, I'm at a really spectacular moment, and I just don't want people to bombard me with questions about my diabetes at the moment, so I want to go with just a clear arm, right? So all those things work. And Scott, I always say, negotiate that with your doctor. Know what's right for you and your diabetes management. It's available to do that. But again, that little break I recommend only you know, I would recommend that you align with your doctor about when and why you take it off, what's

Scott Benner 35:40
the accuracy like between that and other popular CGM, between 365 and other popular CGM? Great

John Bradford 35:46
question. So we have exceptional accuracy for 365 days. And Scott, that's what matters. We have exceptional accuracy for 365 days. Imagine that. This is what I call the magic of this product. The engineers were so brilliant that they were able to figure out how to keep it accurate. Scott, we actually have a claim versus other systems. We are the most accurate at low glucose values. What's that range?

Scott Benner 36:10
When you say low, below 70, below 70, most accurate there. Okay, yep. And I mean, obviously, I mean, if you're going to get distinctions where you can use it with other systems, then it's going to fall within the range that's acceptable to the FDA, just like the other CGMS are that work with those pumps. You got

John Bradford 36:31
it. Scott, and again, remember, for I CGM designation, the FDA sets the bar very high for what your accuracy performance needs to be so. Scott, in nerdy terms, that's called marred, although that will be shifting soon from an outside perspective. But Scott, all of our Mard data points are all less than 10% which is considered exceptional accuracy. Oh,

Scott Benner 36:53
okay, not paying for it. Like is this a thing my insurance is going to cover? Sure

John Bradford 36:58
is so ever since 365 is covered by the majority of commercial health plans today, Scott, and it's really easy. You're interested. Your doctor is interested. Give us a call, Scott, into our diabetes therapy team, and they will conduct a benefit investigation for you, and they'll let you know through that what your co insurance or co pay is based on. You know what? Everything that's happened already for your diabetes and other medical supplies for the course of the year. So no

Scott Benner 37:26
different than anything else. If my insurance covers it, it's covered, but then it's yeah, how much my insurance covers is my personal issue, right?

John Bradford 37:33
Bingo. Now. Scott, one difference between us versus other systems on the market, the short term system Scott is that we do require the placement by a trained health care provider. So that's the key difference. The other difference Scott is we do actually have two costs involved with our system. One is the product and one is the actual insertion itself, because typically there is a office visit cost associated with the insertion as well, and again, but those can all be reviewed by our expert team of individuals who have in depth knowledge of this, and confidentially, with the patient's agreement or person's agreement, can go in and look through records and let them know what their exposures are, financially. Oh, it just

Scott Benner 38:15
occurred to me. I don't know why this just occurred to me, there's no waste once it's in the transmitters. The transmitter all year. It's not like I'm tossing it every number of days or weeks or something like that. So there's nothing for me to buy after the initial buy. Is that right?

John Bradford 38:28
That is correct. So Scott, Scott, I'm smiling on my face right now because a couple things I want to make sure I get across. I always use the analogy. And this is through Dr Fran Coffman, one of the most brilliant endocrinologists that has ever lived, just tremendous. Fran always uses the example with me. She's like, so John, she said, just think of everything green. I was like, okay, Fran, tell me more. So Scott, with our system, the sensors placed once a year, the smart transmitter lasts for a full year. And then you have your app. But then Scott, you have 365 adhesives that are provided to you. You can use one per day. So theoretically, Scott, you can carry around with our product. You can carry around a year of supplies in a plastic baggie. Yeah,

Scott Benner 39:18
I don't know why. It just occurred to me like that. For some reason I was like five. I never thought of that before, right? All right, awesome. Let's see one of the questions that people hit me with, and I think it's probably because the past iteration of the product required pretty consistent calibration. But has that changed? That's changed with 365

John Bradford 39:36
though, right? Scott, this is a magnificent change for us, and it's driving tremendous excitement with healthcare providers, as well as with people with diabetes. So Scott, after day 13 from a calibration standpoint, it's just one calibration per week.

Scott Benner 39:55
Okay, so for the first 13 days, it's what

John Bradford 39:59
one. One, and that's to get the system calibrated, what I call personalized to you, to make sure that the accuracy has been optimized to

Scott Benner 40:06
you. Scott. And then, once a week finger stick calibrate. That's it. Once

John Bradford 40:10
a week calibration, finger stick calibration after that. And Scott, if you look at DQ and a which is, I think, the largest registry in the US of diabetes, patients with diabetes, people diabetes, type one, type two. We do know that, on average, patients sometimes question the results are in conducting finger sticks anyway, with factory calibrated products. So we are actually personalized calibrated, right? It's calibrated by you to the system, to the system, and you. So to me, one calibration per week. Really is not any change to behavior that we're seeing with a lot of type one people already who question their results and do a recheck. No. I

Scott Benner 40:50
mean, I have my daughter test her blood sugar all the time. I'm always like, I check that before you do anything. I say that a lot. So that makes complete sense to me. All right, so some questions that are from the group, but I have to admit, pops up into my head too. What about risk of, like, infection, like once? Because that's got to be something people are wondering while they're listening to this, absolutely,

John Bradford 41:10
absolutely So Scott, we have excellent, excellent safety information. So just so everyone is aware, we actually have a study from our previous system, ever since e3 that actually was a two year study around these topics. And actually, Scott, the study for the submission to the FDA for ever since 365 Scott, since it's a one year product, the study lasted about two years. Scott, because we have to follow people through the full year, right? So let me tell you about safety results. Scott, I can say it in one word, excellent.

Scott Benner 41:44
Okay. I mean, how do you is there a way, you guys, yeah, how do you quantify that?

John Bradford 41:50
Sure that's quantified by what are called adverse events, so, or what we call AES. There were no unanticipated adverse events on the two year study with ever since 365 there were no device or insertion removal procedure related severe adverse events, which is an escalation. Scott, so there were no and no skin infection, because I know you had asked about that ahead of time in our post approval studies. Scott, point three, 1% let me say it again. Point three, 1% mild skin infection. That's pretty awesome, actually. And skin irritation from adhesive we talked about it, it's less than 2%

Scott Benner 42:29
well, people who are, like, aware of, like, an omnipotent for example, like, how would you compare the transmitter for 365, to, like, the size of an Omnipod? Oh, really

John Bradford 42:39
good question. Similar in the OmniPods. Most free Omnipod five, yes, okay,

Scott Benner 42:44
similar to that size?

John Bradford 42:46
Yeah,

Scott Benner 42:47
gotcha. Okay. How about weight?

John Bradford 42:49
Scott, I'm holding it in my hand right now as we speak, I'm holding both the sensor in one hand. I'm holding the transmitter in the other. The weight a feather.

Scott Benner 43:00
Do some people put a hold down on it, or put a wrap on it when they're running, or something like that? Or does that not seem necessary?

John Bradford 43:06
You know Scott, I think it's a good question to ask someone that I know you. You've spoken with Chris Rudin as well, who's Mr. Super athlete. So I think it's a great question for Chris. Or what I have observed with patients is the silicon adhesive is enough to keep the transmitter in place securely. I have heard cases Scott, where some people are saying I'm going to be doing something, where I just think I'm going to have tremendous amount of moisture, you know, water, humidity or something. Maybe do an overlay, but we actually don't recommend it. That's actually as needed by the patient. Okay, you know, Scott, there are some short term adhesive. There are some short term CGM that actually in their labeling. They actually part of the system is the overlay.

Scott Benner 43:53
Okay, okay, yeah, no, I know they're starting to come with some things in the box, right? Because they know people. They know people are requiring them. MRI, can I get an MRI, you sure can? Oh, all right. How come it doesn't come flying out? Or is that a CT? What am I thinking of? No. An MRI, right? Yeah.

John Bradford 44:11
MRI, yes. MRI, yes. TSA, yes. Oh,

Scott Benner 44:14
nice. I don't have to get the pad down. Finally. Nope, nope. I'm just looking through, it's so funny. I'm looking through people's questions, like, like, just how they kind of sent them in raw. You've covered this one, but somebody just said, Wouldn't it start to smell? And I thought, Oh, why would they ask that question? Like, oh, because they think that adhesive is on there for a full year. That's the assumption. Oh, I get it now. Until you explained earlier, like, you were so clear about, look, you get one of these every day for 365 days, you take it off, you throw it away. Do another one. Because I kept looking at the list and going like, Why did someone ask that? But now that makes sense.

John Bradford 44:48
You know what? Scott, we get that question all the time on social media, and I think it's a really fair question, Scott, that's just back, Scott, to the marketing team here, Scott, you know what? We're. Truth. We're honesty. We're all about protecting, helping people with diabetes, Scott, we need to do a better job of making sure this is a new technology for people to understand how it really works. Yeah, I would understand why somebody would think, Oh, how gross, stinky, like you're using the same adhesive for 365, days after seven days, mine's peeling up. Smells as dirty as grody. No, you have a fresh one every day. Yeah,

Scott Benner 45:22
I did get an I got a question from a very thoughtful person who says they went through, I guess, let me see, this is for, oh, apparently this was back for your 90 day sensor. But they said that they saw that you can't get a massage near the area. Is that a thing still

John Bradford 45:38
during healing process? I would recommend No, Scott, I know there's questions on dislodgement that have been asked before, which we have not seen evidence, but Scott, would you be okay? Since that's a medical question, if I would check with our medical department, I could send you an email afterwards. Is

Scott Benner 45:56
that okay? Wonderful. I'll put it at the end. That'd be awesome. Yeah, I appreciate

John Bradford 46:00
that these are good, all good, fair questions, and I want to make sure they're answered accurately.

Scott Benner 46:06
Okay, what about age like? How old do you need to be to get this 18 plus. Is that a thing you're working on for younger people? Absolutely.

John Bradford 46:14
So our partners, sensionics, who is the really the engineering brilliance behind the whole ever since platform, they are actually actively involved in studies for additional age groups. Scott, but I don't have that to announce yet, but you know, if you go to now, if you go to study sites, you'll see those where those studies are being conducted. Yeah,

Scott Benner 46:36
no, it's not just the thing you're thinking about. It's you're actively, actively

John Bradford 46:40
involved. Scott, you know what I love you're asking this, I love that. Your listeners, viewers, the community, is asking, we're actually working on, you know, additional age indications. And to your point, we're actually working actively. We already have a clearance for it on the A, I d integration.

Scott Benner 47:00
Oh, awesome. Here's the sad quote everyone will always ask this question, am I ever going to get this in Canada? Poor Canadians never get anything. Is it coming to Canada? Available in Canada? Where else can people get it?

John Bradford 47:10
So sure, currently the products available in seven markets and six European markets as well as the US. Not currently available in Canada. I know there were always some questions in Australia as well, not yet, Scott, really, we are at the point of wanting to make sure we demonstrate tremendous success in markets before we expand. Scott and that, and Scott, I'm partially responsible for that. So you know, Scott, because to me, I want to make sure we're able to have full success before we expand globally,

Scott Benner 47:42
what are the markets that it's in now, though, because I'm pretty worldwide, so can you shout out Absolutely?

John Bradford 47:46
So the second, what we would say the second largest market for many Diabetes drugs and diabetes devices were in Germany as well, Sweden, Switzerland, Spain, Poland and Italy, we actually have a tremendous business in Italy. Scott,

Scott Benner 48:03
awesome. Okay, oh no, it's great. No plenty of i I'm often genuinely gobsmacked by how far and wide this podcast is listening to. So I'm glad you brought it up. And same for those people in those countries. Go to your doctor, ask the question, blah, blah, blah.

John Bradford 48:17
That's right, exactly the same now. Scott, ever since 365. Is currently only available in the US. We actually expect to receive news in 2025 about launching in Europe.

Scott Benner 48:30
So right now, in those other places, it's the six month system.

John Bradford 48:33
It's right, ever since e3 so the six month system correct. We

Scott Benner 48:38
talked about this earlier. I feel like I want to try to ask a more specific question about the cost of the insertion. Does that fall to people, or does it go to their insurance? Generally,

John Bradford 48:47
it depends. Scott, it can go either way, depending upon what the patient's already paid for office visits, etc, for the year. But

Scott Benner 48:55
it's not going to be a thing where they're like, Oh, this is $5,000 you pay this part. It's like, your insurance covers it if it covers it, and then whatever your co pay is, or whatever your negotiated price with your insurance is, is how it goes,

John Bradford 49:07
right? So, Scott, there's two to be really technical about it. Scott, there's two aspects to it. One is the product cost. The other is the procedure cost. Okay, okay, yeah. So they're they're covered differently by health plans. They're managed differently by health plans. That's why, you know they say you've seen one insurance company in the US, you've seen one insurance company in the US. They all operate differently,

Scott Benner 49:28
right? So, so just check and find out what your situation is. Now can find out for sure. Okay, what am I not asking you about this? John, that I should have

John Bradford 49:36
I think for me, you would ask me, what do I see as the four key benefits of the product you didn't maybe ask me that. Okay, good. Well, so to me, we are the longest lasting CGM. We last for 365 days. We are the least system likely to fail. Okay, yeah, number one. Number two, no more wasted CGM, so, Scott, you talked at the very beginning about the. Getting things knocked off. Guess what? You can't knock our sensor off, our sensors underneath your skin. So you knock for transmitter. You simply pick it up and reapply it. There's no waste, and that's a key thing that I say. The other is accuracy, and we didn't really dig into it, but compression low so Scott, because of all fluorescent technology, we do not have the compression low artifact, as that's called, so you can sleep directly on our transmitter, Scott, and not have false alarms caused by compression lows. We are the only CGM system that does not trigger compression loads.

Scott Benner 50:33
I wonder if people understand. I do try to mention this once in a while. So other CGM are measuring interstitial fluid. So if you That's right, you lay on it, it actually disperses the fluid away from the sensor. And so the truth is, is that if your blood sugar is 120 and super stable, and you lay on your CGM, and then all of a sudden it's like, oh, you're 66 it is actually accurately reading the glucose. It's still around the sensor, except you've dispersed so much of it that there's not as much glucose at the sensor as there is actually in your body. So that's what compression loads mean. It's like you lay on it, it pushes the fluid away. The sensor can't read the fluid accurately, exactly,

John Bradford 51:12
exactly, right? You know, the really fancy guys and gals out there that really know this topic. Call it compression artifact. Such a nice engineering work, right? Scott, but Scott, you described it beautifully. It happens with anything that's using a cannula inserted sub q to read interstitial fluid. It's a potential, okay, and it does impact some patients more than others, especially side sleepers, right?

Scott Benner 51:37
No, no, I trust me, I've seen it. I've been woken by it before. I've I've had to teach myself how to visually understand that that's what it is when I'm looking at it, if that makes sense, right?

John Bradford 51:46
And Scott, we all know in the community, Scott, our favorite thing, because we hate to be infantilized, right? Scott, our favorite thing. And I'm saying that jokingly, facetiously, none of us like hearing our CGM alert us in the middle of the night, three o'clock in the morning, right? Waking us up with screaming noises, baby noises, whatever you use to wake you up, to get you out of deep sleep. And you know it's also disturbing your partner in bed and potentially other people, right? When that happens, we want it to be true, not false, right? No. Fair enough. My last one is maximum comfort, and that's our gentle silicon based adhesive is changed daily and cause almost no skin reaction. Scott, I'm making some very decorative statements about our technology. You heard me say, no, no. I mean, these are pretty amazing things to people with diabetes who are experiencing false compression lows. This is really important to people who are are facing skin irritation, skin issues with adhesive these are really important for people who, for whatever reason, lifestyle, etc, activity, knocking their sensors off. And it's really important, Scott, for people who actually, for whatever reason, have sensors that die before they're supposed to. No so I

Scott Benner 53:00
agree. I John, I have to tell you that I have spoken to people privately and on this podcast who had to stop wearing a CGM because of skin irritation, and it was heartbreaking to them. They wanted that data absolutely and having to walk away from it, I hope they find out about this. Is what I'm saying. Yeah, no, for sure, I listen. My daughter's 20. She's had diabetes since she was two. I can't imagine her not having CGM data. It just doesn't like I don't know how to wrap my head around that completely. So,

John Bradford 53:28
you know, Scott, you you said this. And you know, we've heard this through multiple diabetes innovations over the years, with insulin delivery, with CGM, etc, the thing that touches my heart the most, and what wakes me up every morning and keeps me so committed to the our community is when people who use ever since 365, has said to me, why didn't I do this earlier? I'm

Scott Benner 53:51
glad do. Do people continue with it after they try? Do you have data on like, like

John Bradford 53:55
we sure. Do? You sure do 84% continuation rate Scott. And actually, Scott threw that placement underneath the skin, which we used to call a procedure, I just say, an in office, simple procedure, to place a sensor underneath your skin. Scott, 84% of patients there said that, no problem, they would do it again.

Scott Benner 54:14
Oh, that's awesome. And how quick is that procedure? Like, not long, right? It's like, like, what do they give you, like, a little local so you don't feel it, and then you get

John Bradford 54:22
a little local, that's right. And then there's a small point five millimeter incision made the sensor slipped underneath the skin. Steri strips are put right back on Tiger derms laid over the top, so you have a good healing process. And then five days later is about five days later, the steri strips should be out and you're good to go. Awesome. How long does it take? Scott, it really depends. Scott, like everything else, on the patient themselves, but also the provider doing that. Scott, but what I say to people is you can go get it done on your lunch break.

Scott Benner 54:53
Oh, exactly. So it is a quick thing. Okay, all right.

John Bradford 54:56
Scott, this is one thing for me. You know, because in diabetes. We've all been exposed to so many different things. You know, our eye screening processes, our foot screening process, you know, all these things that can sometimes feel very laborious to us. What I want to make sure people know is this is a very proven procedure that can be done very quickly. Okay, very quickly for the person with diabetes, this is not disrupting your day. You can ask, when you speak with Chris Rudin, and I know you've talked to Mary about it, you know, Mary will talk about she goes and gets the procedure done, then she went to the playground with her son. So I just don't want people to think this is like a massive surgical procedure. It is a minor, minor procedure, right? Okay, minor, minor procedure. So we got a break free of the thought of, this is a massive, a massive medical procedure that's going to have me sitting in my chair recovering today.

Scott Benner 55:48
Also, you know what I didn't ask you about, and I want to make an ask, and maybe you guys are doing this already, but so we didn't talk about the the on body vibe. So, like we did not, the transmitter can vibrate to tell you what your blood sugar is without being audible, which I think is awesome, but it's the transmitter vibrating. Tell me when we get to the sensor vibrating. Is that a thing that you could do? Because that would be crazy.

John Bradford 56:11
Well, to be fair, for the audience, you are correct. We didn't talk about on body vibratory alerts, or as I like to call them, on body vibe alerts. The smart transmitter will, if you are experiencing high or a low, will give you a different vibration sequence to let you know it's very quiet. You can feel it. That's really ideal to not wake up a loved one in the middle of the night, if that's what you want. Scott being at church so you didn't, don't disrupt the preacher, right? Or being somewhere else, presenting like you know you do all the time, presenting in front of groups. You don't want a screeching phone sounding at you. So the on body vibe alerts are pretty darn amazing. It is done through the smart transmitter. And to your point. Scott, yes, lots of thought processes about the future. Scott, all the way from having the sensor itself vibrate, Scott, all the way to how do we make the transmitter go away completely?

Scott Benner 57:03
Really? Oh, cool. Yeah, I'm looking Imagine that. No, I listen. I when I was first told about it, I misunderstood it, and then I because I thought the sensor vibrate. And I was like, that's magical. How the hell did they do that? But then I started thinking, like, I wonder if that could be a thing that they're thinking about or working on in the future. Anyway, I always like to say to people like, please keep pushing and trying. And I know everything's not possible, but a thing under your skin is already kind of magical. You know what I mean? Like, it just, it really is crazy. Oh, I remembered my random question from earlier. Is there a limit on how many people can follow a user? Scott, I

John Bradford 57:39
need to get back to you on that. I

Scott Benner 57:40
believe it's 12. Okay. All right, okay,

John Bradford 57:43
let me follow Let me follow up on that one. Scott for you. Have two follow ups for you, okay, all right, perfect. And Scott, what I did want to say is just two things. These are my plugs, guys. These are my marketing plugs. I hope you bear with me. Feel free to go to ever since cgm.com there's really great education. There videos on there, George, we call him, who's great, who shows in real life, what's happening with some of these frustrations, Scott, that we talked about. And the other thing is, if people are so interested, you can follow us on social media, on Instagram, on ever since CGM really great content there from actual users, Brand Ambassador Scott, that are telling you The Good, the Bad and the Ugly on a daily basis. And I just adore their stories, because they're humorous at points, but they're also there the truth about pain points, Scott and I just love our ambassador community and all the work that they're doing to keep us real. I

Scott Benner 58:40
think people should check into it too, but I think John was a little wrong there. Let me just say it's ever since cgm.com/juice box. John, that's Scott, that's right.

John Bradford 58:49
Let me play that back. It is ever since cgm.com/juice box. That's exactly where we want you to go. Yeah. I

Scott Benner 58:57
mean, I want you to use whatever CGM works for you. But I think this is well worth looking into, but if you are going to look into it, let's keep paying my electric bill. That's all I'm saying, John. So I agree. I agree, sir. All right, you want my Kelly close story. Do you have to go? No,

John Bradford 59:11
oh my gosh, I'll probably see Kelly this week. Okay,

Scott Benner 59:15
so she's not going to remember this, although I've said this out loud once or twice, so maybe she's heard it. I was at like a blogging conference with her. There were a lot of people there, and I happened to be seated next to her, and I didn't know her at the time, and she had a laptop in front of her. And we are sitting in a big kind of conference table. There's got to be 20 people in that room. We're having a pretty heady conversation about how to help people with diabetes. And she's, you know, typing constantly, like just typing, typing, typing, writing something, not not just like filling in, like, you know what I mean, like she's writing. And I noticed that through this entire conversation, she's writing, and at some point she has a question, and she asks her question, but to my amazement, while asking her question about this heady idea. And offering her feedback on it, she never stops typing. And I am just transfixed by this, so I very rudely lean over her shoulder and look she's typing about something that has got nothing to do with what we're talking about. And it blew my mind. John

John Bradford 1:00:22
Kelly is brilliant. No kidding, absolutely brilliant. And I'll tell you the coolest office space in San Francisco, an old Victorian home Scott her team of people committed diabetes, many of them with diabetes, many without many planning to go to medical school, they're the future of diabetes. Scott, it's so amazing. It's just, it's my heart is just like, I feel like the Grinch. My heart has grown four times its size just thinking about what she's done for our community. It's amazing. I'm

Scott Benner 1:00:57
just telling you, I have never in my life seen somebody hold a full conversation audibly while typing out something that has nothing to do with it. At the same time, it was I thought, Oh, my God, this lady's brilliant. That's exactly what I thought when I was sitting there. So then I at lunch, I started talking to her. I was like, hey, exactly, my God, you're smart, John. I can't thank you enough for doing this. It really is lovely. I've learned a lot about 365 and ever since, in general, since you guys have been sponsors. And I just, I keep thinking, Man, I don't know if ads are enough to get this through to people. So, you know, I said I'd love to have somebody on the show to really lay it out for you and and even though you're coming from a marketing perspective, and I think people could feel that as selling, I just think you're the right person to tell it, because you know now they can dive in and find out if what you said is good for them or not. But I really think you laid it out very completely in a way that will at least give them a path to to check more into it. So I really do appreciate your time well.

John Bradford 1:01:53
And Scott, thank you and Scott, thank you for all you do via Juicebox and you just you yourself, or all of us with diabetes, we so much appreciate it, and I do want to say a huge shout out, and thank you to your followers. Scott, just such honest, genuine, intelligent questions, and just keep them coming. Guys, let this the only way we're going to keep driving innovations and diabetes. So just keep those questions coming. Be as tough as you want. I can take it, and I actually appreciate it. Scott, so thank you so much.

Scott Benner 1:02:25
It's my pleasure, John. I hope you have a good day.

John Bradford 1:02:27
Thank you.

Scott Benner 1:02:34
Your kids mean everything to you, and you do anything for them, especially if they're at risk. So when it comes to type one diabetes, screen it like you. Mean it because if even just one person in your family has type one, your child is up to 15 times more likely to get it. But just one blood test can help you spot it early. So don't wait. Talk to your doctor about screening tap now or visit screen for type one.com to get more info and screen it like you mean it. Arden started using a contour meter because of its accuracy, but she continues to use it because it's durable and trustworthy. If you have diabetes you want the contour next gen blood glucose meter. There's already so many decisions. Let me take this one off your plate. Contour, next.com/juicebox if you or a loved one was just diagnosed with type one diabetes, and you're looking for some fresh perspective, the bold beginning series from the Juicebox podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginnings 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. Hey, thanks for listening all the way to the end. I really appreciate your loyalty and listenership. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox podcast. The episode you just heard was professionally edited by wrong way recording, wrongway recording.com. If you're looking for community around type one diabetes. Check out the Juicebox podcast, private Facebook group. Juice box 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.