#1387 Type I Don't Know
Derek was diagnosed as T2 and then T1 and then T2 and maybe T1.
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Scott Benner 0:00
Welcome back to another episode of The Juicebox Podcast.
Today. I'm speaking with Derek. He was diagnosed as a type two originally, then he was re diagnosed as a type one, but then again, re diagnosed for a third time as a type two, but then he went into DKA after ACL surgery, and they think he might be a type one. You're gonna find out when you listen. It's a lot. 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 healthcare plan or becoming bold with insulin. Hey, if you're enjoying the podcast, there's a couple of things you can do that would really help subscribe or follow in an audio app, like Apple podcast, Spotify, or something like that. You can follow the private Facebook group. You can follow the public Facebook page. You can follow on Instagram, on Tiktok, you know, on social media in general, you can tell someone else about the podcast that would be huge, but mostly subscribing and following that's the way to help. Also, if you need something that we have in an ad, like an omnipot, or, I don't know, ag one a cozy Earth sheet. Doesn't matter to me. If any of that stuff seems attractive to you, using my links or my offer codes really does help support the show. Thanks so much. I'm gonna get you to the show now.
Today's episode is sponsored by Medtronic diabetes, a company that's bringing together caregivers and parents of children with type one. Later in this episode, I'll be speaking with Sarah, Mom of Jackson, who's an active 10 year old boy with type one Sarah is married with two children and a recruiter at a law firm. Thanks to Medtronic Sarah and her family found the support of the Medtronic caregiver community valuable in their journey. 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.
Derek 2:13
My name is Derek. I have been a diabetic since August of 2009 I have spent the majority of my life and my career in the banking industry, and I have a wife and two boys. I love being a diabetic in the sense that it's a mystery that I always have to figure out, but at the same time, it is somewhat of an emotional weight that I've also had to deal with. And I guess I like to talk to others about being a diabetic as well.
Scott Benner 2:53
Oh, they are in the right place. So 15 years ago you were diagnosed. But How old were you? Then
Derek 2:58
I would have been 2929 39
Scott Benner 3:02
Okay, so you're in your mid 40s now, right. Okay, any type one in your extended family,
Derek 3:10
not at the time that I was diagnosed, my mother, I want to say, about a year after I was diagnosed, she was diagnosed with type two, and then after no medicine worked, I believe she was re diagnosed as a type one band
Scott Benner 3:27
wagon jumper. Okay. How old was she when that happened,
Derek 3:32
she would have been around the age of 70. No kidding, 6870
years old, yep. How long ago was this? This would have been 2018 I believe she with us still.
She is, yes, fortunately, she she has a a crazy story about how she discovered on accident through a completely different issue that she had several aneurysms that affected her heart, in and around her heart, and she had to have emergency surgery to to get rid of a couple of aneurysms that the doctors still to this day don't know how she made it, because she was just that close.
Scott Benner 4:18
It was so bad. Did they tell her were, were those aneurysms from diabetes? Or did they not say they said it was auto immune? Yeah, the aneurysms were, yeah, it was. It was an offshoot from something else that was auto immune going on with her. So, yeah, I'm asking the internet, hold on a second. Yeah, auto immune aneurysm occurs when the immune system mistakenly attacks the blood vessel walls. No kidding, yeah, leading to inflammation and weakening the vessels. Yep, vasculitis, yeah, that's what it is. What they called it, huh? Sim. Symptoms of an aneurysm caused by an autoimmune inflammation can vary depending on its location. Common symptoms include localized pain, fatigue and sometimes visible pulsations in large arteries. Oh my gosh, an aneurysm ruptures. Yeah, we know how that goes. Wow. Yeah, no, yeah,
Derek 5:14
the doctors, yeah. The doctors pretty much said, like, all she had to do was just like, cough the wrong way. And the aneurysm could have completely, you know, exploded. The aneurysm was big enough to the point where it completely filled her chest cavity before they did surgery. So
Scott Benner 5:33
pain is how she figured it out. Yep,
Derek 5:35
little bit of pain. However, she went into the hospital for something completely different. They took like X rays, and the doctor comes back and says, Hey, did you know that you have an aneurysm at, you know, close to your heart. And at the very, very top of the X ray, there was, like this, little like aneurysm, bottom of an aneurysm that showed and that led to follow up appointments with a heart doctor. They did more tests, and they were like, oh, boy, you need to, like, go to the hospital, like,
Scott Benner 6:10
right now. So are you saying that the X ray tech caught it by mistake, just a little piece of it? Yeah? Wow, that's some good luck. Yeah? Well, I have to tell you, Derek, I seriously. I think I say this more than I expect to, but you've come on here and said something I've never heard before, and I think you're going to say something later that I've never heard before as well. So this is interesting. Okay, so your diagnosis happens. How? What do you what are your signs? What gets you to the hospital, etc?
Derek 6:39
In the summer of 2009 I started drinking a lot of water, like excessively, and then I started getting cloudy vision, and from there, just kept on getting worse and worse and worse, and then the extreme tiredness. All the time, I would go to work, come home, eat dinner, go on the couch, sleep all night long, get up, go back to work. That that process happened for probably two to three weeks, at least on end. And then I went to the doctor, and I said, Listen, this is what's happening. I want some blood tests. And said, Fine. Then Several weeks later, after I called my doctor and said, Hey, where are these what's going on? And the nurse said to me, listen, we'll have the doctor call you back, we found something like, okay, great. So yeah, the day before I had an appointment with my doctor, I was in a music studio to record a project with a singing group out of my church. I come out from about a six or seven hour session, I find out that my mother is in the hospital with something that almost killed her. I think it was an infection that was close to her brain, so they basically just caught that in time. Came home that that following morning, I went out to my car, found out that my car had gotten broken into, and I had unfortunately left my wallet in the car, and someone took my wallet, tried to charge about $10,000 worth of stuff on it, got away with a lot of it. And then I went to my doctor, and I'm telling him everything that happened to me that day. He's like, Well, I hate to make your day worse, but you're a type two diabetic.
Scott Benner 8:37
I don't even know what to do, other than laugh. That's horrible. No,
Derek 8:41
I look back on it now and it's, you know, it's like, how do you explain? I don't want to turn into one of those people that just, like, tells all of your problems to somebody else, and they go, okay, and like, never, they never want to deal with you again. But it's almost comical, some of the things that, like my family has been through health wise, no kidding, you know. And so from that point on, like I didn't anything that my doctor said after that night, I asked him, like, three times, are you sure I'm a diabetic? And he said, Yeah, my fasting blood sugar was 303. And I have a sneaking suspicion that I probably had some form of diabetes, probably back from my college days when I was in college, because I just remember going to, like a weight room in college, going around campus, and just after, you know, physical exertion, just becoming really, really, really, really tired. And after certain eating, certain things, just becoming really, really tired to the point where I was like, I had to lay down. So that's. That's the diagnosis story. Wow,
Scott Benner 10:01
geez. Getting older means a world of change, but some things still stay the same, like being at risk for type one diabetes, because type one can happen at any age. So screen it like you mean it, if just one person in your family has type one, you're up to 15 times more likely to get it too, and 50% of type one diagnoses happen after the age of 18. So screen it like you mean it type one diabetes starts long before you need insulin, and one blood test could help you spot it early and lower the risk of serious complications like diabetic ketoacidosis, known as DKA. So don't get caught by surprise. Screen it like you mean it, because getting answers now can help you get prepared. The more you know, the more you can do. So don't wait. Talk to a doctor about how to get screened. Tap now or visit screen for type one.com, to learn more. Again, that's screen for type one.com and screen it like you mean it. This episode is sponsored by Medtronic diabetes. And this is Sarah. Sports
Speaker 1 11:11
are his life. He was nine years old. He was just starting to develop his own personality and his own passions and his own independence, and instantly we were afraid that that was going to be taken away. It was a very scary time for me. I would say probably the first couple weekends, there was a lot of fear about what happens if I go low. Obviously, now that we're on the Medtronic technology, what we do managing his diabetes during athletics, has changed drastically. The Medtronic technology that we are using has almost eliminated the fear I have while my child is playing.
Scott Benner 11:44
As far as community goes, have you met other people with diabetes? What's some good advice you've gotten from them? I
Speaker 1 11:50
have met so many people with diabetes. This summer, I had the opportunity to meet others that are using electronic technology, and I feel like we have built such a strong connection because we speak the same language, we don't even have to say what we're going through. I have good friends that are Medtronic mamas that I can reach out to that have been incredibly helpful, and then our Medtronic rep has been phenomenal
Scott Benner 12:18
to learn more about the Medtronic champions community and to find helpful resources and tips for caregivers and families, visit Medtronic diabetes.com/parents-caregivers
Derek 12:29
how do you begin
Scott Benner 12:30
to manage 15 years ago, it's right on the cusp of like, did they talk to you about a pump? Was it MDI? At first, they
Derek 12:38
gave me a meter and gave me Metformin, and said, Let's see how you are in a month, because they thought you were type two, yes, okay, right? And I went through, like, the beginning stages of metformin, how it's wonderful on your GI tract, and it lowered my blood sugar a lot, the point where I was mostly in the upper one hundreds. At that time, I went to diabetes education classes about a month and a half after I got diagnosed, I think honest to goodness, Scott, like the one thing that I took away from that whole thing, more than my carb counting, and like everything else that they tell you there is, like, if you don't treat this thing the right way, you're gonna lose limbs. And so for, you know, the next year to year and a half, I'm almost, like, starving myself, because I'm not, like, I don't want to lose limbs. You know what I mean? So it was more out of like fear than anything else, because it's pretty shocking when they tell you that, yeah, sure, I continued for the next couple of years where I was on an increasing dosage of metformin. Switched doctors because I wanted to go on something else, and my doctor retired, so this new doctor gave me Januvia, I pretty much like it had no effect on my blood sugar. I was in the low two hundreds all the time. And then I was able to go to another doctor's office that was in the basement of the my workplace, okay? And there was like a team of doctors that worked there, and they were like, listen, we gotta get a hold of this thing. Because my a, 1c, was anywhere from probably six at good times to maybe like eight or nine in those in those years. So then I go to this new office that's in my workplace, and they gave me farsiga. It worked at first, but. You know, I just again. I could never. I had some side effects from that where I felt like I was dehydrated, a lot. It never, unfortunately, it didn't bring my blood sugar down to where it should have been. Well, what it is right now, tell me if I'm going too fast or not, or if you have so,
Scott Benner 15:21
if you think you had issues all the way back to maybe college even, and they're like treating you like a type two for years, right? And so you're in, I mean, we can surmise from this, you're in the middle of a 10 year long process of like Lata, just a very like type one and a half slow onset of type one diabetes. Is that what you think looking back?
Derek 15:44
I think so, but that's another story we can develop later on in this conversation.
Scott Benner 15:50
So, yeah, so they're giving you other drugs that are helping a little, but then not for long, it seems like, yeah,
Derek 15:56
okay, yeah, Scott, when I look back at it, I think this is a an important point to make with all of this, is every doctor that I saw was a GP,
Scott Benner 16:11
so they never said, go see an endocrinologist. No, no, I,
Derek 16:15
I think, I think I had a doctor along the way that said we're gonna have to put you on insulin. And it was kind of said with like, a frustration, like, I can't believe you're not compliant. Yeah, you're not doing the things that I'm asking you to do. And he was the guy who said, Listen, if you gotta, you gotta start eating, right? And I, and I was, you know, for the most part, I was, and, you know, he's, you know, at appointments, he's saying, Hey, listen, you know, if you go to a Christmas party, for example, instead of eating six cookies, just eat three. Were you eating any cookies? No, no. I, you know, I'm, I'm more of like a bread eater than, like, pies and cookies and cakes and sweet things. So
Scott Benner 17:08
when they say that to you, do you speak up and say, I don't eat the way you're saying? Yeah. And do you get a response
Derek 17:16
most of the time, I get just like this blank stare like, well, obviously you're not doing what, what we're telling you to do. Okay, between the team of doctors that I saw when I started on far Sega, and the previous doctor with genuvia, and then my first doctor that prescribed Metformin, I just I wonder why no one said, Hey, let's try insulin, you know, or let's, let's go to an endocrinologist.
Scott Benner 17:49
Well, I mean, you can see, but I don't know why they don't say go to an endocrinologist. But when they think they're doing they're telling you the right thing, you're ignoring them. That's why your a 1c is higher, right? So you know, if you're not going to eat, right, then we're going to have to give you insulin to bring down your blood sugar. Because you, you know, you can't stop with the cupcakes Derek and so, like, that's the, that's the progression that they go through, not I wonder if I'm misdiagnosing this or right? If maybe I'm not the right person to be involved in this, right? Yeah, right. It happens. So, I mean, dark, it happens to so many people. Yeah,
Derek 18:22
my wife and I often have a conversation about this, based on what has happened in the last couple couple of years that I guess we'll get to but I just, I feel like, you know, when people say that there's nothing wrong with our healthcare system, or we've got the best healthcare system in the world, like, go to another country, and that, to me, likes comes from someone who has no health problems. You know, usually does not. They've never had
Scott Benner 18:55
to have one of these conversations. They're like, everything works great for me. You
Derek 18:59
know, honestly, along the way for me, I'm a very, very optimistic person. Anyone who hangs around me will tell you that, and I'm almost at the point previous to the doctors that I have right now, I just felt like the harder thing to do was to fight doctors and the healthcare system, rather than diabetes itself.
Scott Benner 19:24
You know, tell me why. Though, like beyond this last story, what else are you find yourself fighting with them about you
Derek 19:31
ask for blood pressure medicine to be filled three times, and you go without it for two weeks because no one can figure out how to put the order through. You know, I have friends who have requested refills for certain things and and it's we're going on, like, a month and a half, and they just have to pay for things out of pocket. Here's a good advertisement for the podcast, like, I'm going to talk about the. K I did not know that that was even a thing before it happened to me, and I learned about it mostly through the Juicebox Podcast. No doctor had ever sat down with me and never explained Hey, listen, if you see these symptoms, you need to get to a hospital like right away, until I had, you know, maybe, like, the fourth or fifth doctor, they never really went into what you should stay away from, or what you should eat, not that I'm expecting, like, a whole menu to take home or whatever, but there was never a basic conversation with a lot of these doctors about what to
Scott Benner 20:41
do. So they just told you count carbs, put in the insulin. That's it. Yep, yep. That's it. No idea that, like, this food might be more difficult on your blood sugar than this food, or, you know, you might need a different Bolus thing strategy if there's, you know, this paired with that, that kind of stuff, yeah,
Derek 20:58
yeah. No one, no one ever explained Pre Bolus thing. I discovered Pre Bolus thing through your podcast. Listen, Derek,
Scott Benner 21:05
I'm going to tell you something. I'm aware of this. Okay, I'm not. This isn't lost on me, but it is such a basic idea. I take that you learned it from here, and I think that's great, and I think you're not the only one. I think there's 10s of 1000s of people who have learned it from the podcast, which is great, but it's not like, I'm not over here talking on some high level, like, you know, like the credit I get is just not commiserate with the information that's that's shared. You know what I mean? Like, I'm just like, look, one day I noticed that if I, you know, put my daughter's insulin in a little sooner, it seemed to work a little better. And then I, you know, worked through the steps of that. And here's the way I've figured out how to describe it to you, yeah, yeah. And I'll take all the credit that's due on that, but at the same time, your point, I think, is, how is that even necessary? Like, how is it possible that I'm getting this many kudos over saying, Hey, you should time your insulin? Well, yeah, that's it. It's almost saying, you know, yeah, to
Derek 22:00
go back to your point about stop eating cupcakes. Derek, like one of my doctors was like, Hey, we got to get you into a diabetic nutrition class. And I told the doctor, I said, Listen, I've already been through two of those before. My experience. I don't know about other places, but the I've been to nutritionists at two different practices, and both of them, like did not make any distinction between good carbs bad carbs. What affects your blood sugar more than this and that just carbs. And here's a recipe, and that's it. So I said to this one doctor. I said, Okay, I have to see how much it's going to cost. And I called my insurance company at the time, and they're like, we're not going to cover it
Scott Benner 22:50
to see the nutritionist. Yep, yeah. See what you're caught in is the it's the hey, this person's a 1c. Has been over this for so long, it tells me now to recommend to send them to a nutritionist. You should see a nutritionist, and then the nutritionist goes and does what they do, you know. And by the way, they're great doctors, they're great nutritionists, but if you don't bump into them, then this is the process you go through. Then the nutritionist says some right exactly half ass stuff to you. They're like, Here, try this recipe. And you're like, Okay, great. Meanwhile, you're walking around the back of your head. You're like, I apparently I eat way too many cookies. But I would imagine at some point you thought I did have a cookie once. Like, is that too many? Am I doing? Like, you know, I mean, like, it just Derek, you know what you're describing, right? Yeah, you're describing the fragility of people and their inability to do the things that they've been tasked to do, yep,
Derek 23:42
yep, like my mother, just not to belabor this. But my mother has been to a nutritionist. He's a nutritionist on on a regular basis because she feels more comfortable with this person at the office where she sees her endocrinologist. This person told her, you can eat whatever you want as as long as you cover it with insulin, right? Okay, for some people, you know, certain things may not bother you, but I just, I can't ever imagine telling someone, Hey, eat whatever you want as long as you're in some insulin covers it like so
Scott Benner 24:20
you know what that is, though, dark, like, it's their platitudes, right? They're like, they're, they're surface level statements, and it's not for a bad reason. Like, I can make an argument to tell somebody that, right? Like, because what they really mean is that diabetes is, in your situation, a lot about making sure that you have enough insulin to cover the carbs that you're eating, and they don't want to make people feel restricted. And I understand that even because, you know, I think probably what they've learned is, is that these people have just been knocked over with a new diagnosis. It's already bad, and if you make them feel restricted, they might run the wrong direction and just not do anything. Yeah, so let's drive home insulin covers carbs, which, by the way. Okay, I think that that is the core of how you manage a good a 1c right? Like, sure, there's more to say after that. Like, you shouldn't eat really terrible food. Yeah, right. But I've learned making this podcast, and I think probably the doctors have learned, and everyone else, when you start telling people how to eat, you get involved in a very contentious argument, yeah, you know. And so maybe it's just like, I can't get them to do everything exactly right or exactly perfect for their health. So let me just make sure that this, because I have to tell you, like, that's kind of where I come from, which is like, I don't I can't tell you how to eat, meaning you're not going to listen to listen to me, even if I did, and so let's at least make sure that your blood sugars are stable and in range by using the amount of insulin that is required by the food that
Derek 25:50
you're eating. Yeah, yeah. I kind of come from a family where we speak plainly and truthfully, even if it hurts, you know, I definitely get that. You don't want to upset people that much. You have to talk the truth, right? Yeah, in some way.
Scott Benner 26:13
Well, may I say this, and I don't disagree with you at all, but if we're caught in a situation where we can't get a doctor to say the right thing, or a nurse to put in the right, you know, blood test or or, you know, medication order. We also have to, I think, recognize that as patients, we're also people with our own frailties and shortcomings. And I mean, that's where this problem is. Like my wife works in a job where she's told me that some of the biggest problems they have with drugs is that eventually people take them, feel better and then say, Oh, I don't need these anymore. They don't say, Oh, I only feel better because I'm taking the drug. So they'll get their blood pressure down, but not change anything else about their life, and say, Oh, my blood pressure is good, and stop taking their blood pressure medication. Medication, yeah, and people do that with, you see people with type two will do it. Type ones can't, because they'll, they'll die. But you know, like, you'll see type twos go my A once, he was great last month. So the next one we give away, and then we'll bring it back down again. Like, it's, it's thought of like, for some people, it can be thought of like that medications, that's one of the problem. Like, I don't know if anti depression medication, like, there's arguments about whether it's necessary for everybody that's being given to or not, but you'll see a lot of people be depressed, take the medication, say, Oh, I don't feel depressed anymore. And then the first thing they do is stop taking the medication, yeah, which might be the only reason why they're not depressed anymore. Like, I don't know, like, but that's the world the doctors are trapped in, yeah, you're trapped in a world where doctors don't seem to know what they don't know, and will if everything's not going exactly the way they think it's supposed to go, are very willing to blame you for something. Yeah, and you're you know, and they're stopped and trapped in a world where people don't listen to anything they say anyway, so they just assume nobody's doing anything. Yeah, yeah, true. It's a vicious, shitty circle, is what it is.
Derek 28:05
Yeah, yeah. I truly believe that the majority of nurses and doctors that I have dealt with over the years are great people, like they're doing God's work. However, when you run into someone in the medical field who doesn't care or just refuses to help, it kind of like makes you jaded a little bit about
Scott Benner 28:32
I mean, it has me, yeah, no, no, yeah, I'm with you. I'll go further and say I don't think anyone's trying to do a bad job, whether it's the person coming for the help or the person that's there to give it again. I just think this is what happens like I think people get tired. They things get repetitive. You know, their resources, their own mental resources, are limited. You know, the amount of time they have, or money or energy is limited that goes for the doctor and the person looking for the help, and everyone just sort of says the first thing that pops into their head, and then, you know, the doctor says something, and then you go home and forget it, or you go home and try it and it doesn't work, and now you think he's an idiot. I'm telling you, man, it's the model's bad, and it's not, it's not the healthcare model, it's bad. It's the communication model that's bad. Yeah, yeah. I mean, I put up an episode just the other day where this 19 year old girl comes on. She's got all these different problems, and her life is spinning out of control. Health wise. She's only in college, you know. And so I said, Listen, let's just take the hour go through all your problems, see if we can't figure out at least what's happening to you, and then maybe put together an idea of what to take back to a doctor, and we did that. Now I'm waiting to hear back from her, but you know, as we're doing this, she's, you know, she's been degrading for years, and no one's helping her. They just keep piling medications on her that are causing different issues, and then it just keeps. Anything like that, like nobody attacked the central problem, and she doesn't know how to attack it, because she's 19, and I think that's happening to almost everybody in these health situations.
Derek 30:10
Yeah, yeah, for sure. That's all, for sure. Sucks. It's, you know, it's sad to see. It's really, really sad to see, yeah, especially when the problem, in a lot of cases, is just so simple, just, you know, treating the root of the problem, rather than just, hey, let's throw more medicine at it. Yeah, no,
Scott Benner 30:31
that's definitely going to be what happens is, because someone's going to say, Me, using this girl as an example, somebody put on a proton pump inhibitor for stomach acid. And then that probably caused a B 12 deficiency, and she might have also been anemic because of that. Then they go, Oh, you're anemic. Take an iron supplement, which does not combat anemia. Very right, very well, right? And then she's anemic, and then she starts to feel like depression, and then they put her on an anti depression medication. I'm like, she get her iron up and see if she feels better. Like, you know, like, so now they've got her on a proton pump inhibitor. She's taking iron supplements, B 12 injections, antidepressants, like, blah, blah, blah, blah, blah. And I'm like, I don't know. Like, maybe you could have just tried to change her diet and see if you could have impacted the stomach acid without the proton pump inhibitor. Yeah. Like, it's just fascinating. You know what I mean? So, yeah, oh, for sure. But then I'll take the other side of it. The doctor could have put her on a diet, and she might have been like, Ah, I'm a kid. I'm not doing that. Like, who knows? You know what I mean? Like, dude, I don't know.
Derek 31:37
Well, you don't know why if you don't know what you don't know if you don't try it, right? Yeah, yeah. I don't want to steal my thunder for the future of this conversation, but like lately, I have been trying to eat as natural as possible while still going low carb. And I'm telling you, my numbers are outstanding, like, better than they've ever been since I was originally diagnosed.
Scott Benner 32:07
Oh, of course, yeah. I mean, the less you tax, like, the less you tax yourself with carbs. And you know is going to be, it's going to be less insulin that you need to use, right? So you're going to see fewer spikes at meals. You're going to see fewer lows from insulin like it settles everything pretty well for a lot of people. So well tell me about that. So when did you make the switch?
Derek 32:27
Let me continue with my personal story, because it'll it'll make more sense. I was on Fauci and for a couple of years, kind of had a one CS between like six and a half and eight. Never really got down where my doctors were comfortable with in 2020 I was having some issues with my right knee. I had injured it when I was in high school all these years, you know, with knee problems, and I finally said to my doctor, like, I need to go fix this. And he said, let's go get, you know, some tests done. And nurse called me back and said, we tested to take a look at, you know, your ACL, we figured out that you have been living at without an ACL for 20 years, and also I had some meniscus tears. Had that surgery done in February of 2020. Stopped far Sega. Continued taking FAR Sega, I think, like two days after two or three days after surgery. As a result of that, the doctors think that stopping it and restarting it threw me into DKA,
Scott Benner 33:50
stopping and starting the varsica.
Derek 33:54
Yep, you
Scott Benner 33:56
what else happened around that time, though, like, what other things can proceed an onset of type one, like illnesses, trauma, anything like that.
Derek 34:06
No, nothing. And and my blood sugar, like, about a week before surgery, was hanging around the mid one hundreds. So I can't say, you know, I was, you know, out of control. Necessarily. They think that there was some small side effect with FAR Sega, where if you stop it and then start it again, it puts you into DK, it's, it's, and it when it, when that happens, it's usually very, very, very fatal. So my my wife, rushes me to the hospital within 45 minutes, I went from like just casually throwing up to completely blue and almost dead. Fortunately, I went to a hospital that had, you know, great doctors and nurses. It got better again over the next couple of days. Saw an endocrinologist for the first time in the hospital, and she said, Listen, I've been looking at your numbers and your history, and it's apparent to me that you're a type one diabetic, and so in the hospital, I started insulin. I got a quick like five minute, you know, primer on what insulin is and what to do and how much to take with a sliding scale, all that stuff, and went home after a week and a half of dealing with DKA. Can
Scott Benner 35:37
I read you something very quickly far seega is not approved for use in type ones due to the increased risk of DK in the population. For people with type one diabetes, the use of SGL, 2t L, t2, inhibitors, like fast ecosystem should be done with extreme caution and only under close medical supervision. So yeah, you were on the wrong medication. Yep. Yeah, yeah.
Derek 35:59
After that, after I started using insulin, it was the solution that I had been looking for, you know, for what, 11 years or so, numbers were awesome. I think my a, 1c went from in the middle sevens to like 5.8 or 5.9 I finally found the solution where I could eat what I wanted, a little bit more than I had been eating before. My blood sugar was thanking me for being on insulin. It was, it was a relief. And then in right after that, right after I came home from the hospital, is when COVID started. I did not have an in office appointment to see my endocrinologist over the course of the next two years, they just said, Hey, listen, just have zoom meetings, and that's good enough for us. While I was in the hospital, they did encourage me to see an eye doctor, because they had noticed some inflammation in both eyes. I went to an eye doctor and they saw the inflammation and said, Hey, let's just keep an eye on this. But you know, you're good to go. Went home. In the following weeks, I had an appointment with a virtual appointment with my doc, my endocrinologist, and I said, Listen, I love insulin, but I'm like, gaining a massive medical weight. Like, I weighed about like 200 pounds, and in like, a matter of mere months, I was at like 215 you know, I needed help. So he was like, Okay, well, why don't we try ozempic? So I went on ozempic for about six weeks, and after week number six, I started having a lot of blood vessels breaking in my eye. Went back to the eye doctor, they said that you have retinopathy. I've had retinopathy. So ever since, maybe, like, I want to say, end of 2020 beginning of 2021, I've had treatments for retinopathy
Scott Benner 38:37
as well. Is that the lasers? Or how do they handle that needles? Yeah, which, oddly, don't hurt, right? You know,
Derek 38:47
honestly, a lot of people say that it hurts. It's more of like the doctor trying to keep your eye open. He's the bigger problem. The needle in, that's the larger issue. Yeah, yeah, yeah. It's straight out of a science fiction horror movie. But one of those appointments, when I was at the the the eye doctor, there was a massive jump in inflammation. He said, have you checked your blood pressure recently? And I said, No, not, not really. I just kind of keep track of my blood sugar. He took my blood pressure and didn't tell me what it was. And he's like, do you have someone to take you to the hospital right now? And I said, my wife is out in the car. Can this way? He's like, no. He's like, if you didn't have someone I would call an ambulance for you. So my wife drove me to hospital, and I waited to see someone you know, to tell me what was going on with, you know, my my blood pressure, and this is what I mean about like, the frustration about. Our medical system, right? I They, they triaged me, and my blood pressure was 235 over 140 okay? And then I sat in the waiting room for four hours before I saw someone. Doctor comes in. He's like, Hey, listen, we need to get this obviously, need to get this treated as soon as possible. Spend a couple days in the hospital. So all that to say, I just I wonder, like, the whole starting insulin thing, like, really pushed my blood pressure to where it should not have been, or whether that was a side effect of ozempic, or because I was eating everything that I should have, and my blood sugar was, you know, my a one, Cs were around, like the lower sixes. Did your
Scott Benner 40:53
blood pressure return without medication? Or did it need to be medicated? It needed to be medicated. Let's go back for a second to talk about the retinopathy. So you started a GLP, and then you had, like, a sudden improvement of your blood sugar stabilization, lower blood sugars. So that could lead to something, I think they call it, like early worsening of diabetic retinopathy. It happens like when the, like, the levels drop quickly after being elevated for a long time, and something about that abrupt improvement in glucose control can stress the the blood vessels in the retina, and that can lead to like new or, I guess, if you already had bleeding, increased bleeding. Yeah, one of the reasons why you they can't just blanket, get glps, you know, through the FDA for type ones. Because what about all those long term type ones who have had elevated blood sugars like you for a decade, right? And then suddenly we whip this on. Here you see this significant improvement in your blood sugar control. And then, you know, boom, you start seeing this problem with your retinopathy, so a rapid reduction in blood glucose can definitely temporarily worsen the condition. Instead of like, you would think, just like, better is better, but it it's not like because there's this this time where your body's trying to adjust. Now, how could that impact your blood pressure? Did they tell you the GLP had something to do with the blood pressure, or is that just your concern? That
Derek 42:25
was my concern, and I, I think the reason why I make that connection, too is because I never, like, even with the most basic, like the starter dose, whatever that is for ozempic, I just felt weird the whole, the whole entire time that I was on it, to the point where I told my endocrinologist, I was like, I can't, I can't do this thing anymore, like I would rather, like keep the weight on, rather than feel like I have just eaten Thanksgiving dinner every day, I have a theory that it's a combination between ozempic and insulin itself. Well, I can
Scott Benner 43:10
tell you this, that everything that I know about GLP and anything that I can pull up here in front of me while we're sitting here, would say that the GLP is going to lower blood pressure, not push it up. I mean, you might have been upset while you were on it, or not, like the way you felt, and been stressed or something the whole time, and that's completely possible, but I don't think that functionally, it would have made your blood pressure go up. Okay, so, like, nothing, nothing that I can see there, yeah. I mean, again, yeah, I'm a guy with a podcast, so yeah, grain of salt, moth, it doesn't make a ton of sense to me. So you felt so they put you on what they gave you, ozempic, so point two, five for four weeks. Right then at the fifth week she they put you to point five, yep. And you felt very full all the time. Were you going to the bathroom on a regular schedule? Yes, you are. You were. You were pooping. Okay, yep, that full feeling. Did you ever even get past the part where it didn't even feel like the food was going down when you ate it like my my food felt like it stopped in my chest at first. Does that description ring true with you, or you just felt very full in your stomach?
Derek 44:20
No, you're right. You're right. It it was weird. It was, it was like, I had all the symptoms of acid reflux without, like, without it feeling like I was it
Scott Benner 44:33
was burning. It wasn't burning. Yeah, no, yeah. It slows your digestion down pretty significantly, yeah, if you keep eat like, did you eat through it? Meaning, like, did you take in a the same bulk of food that you had prior? Yeah? Yep, tell you. That's why you felt like that. Yeah, for sure. Yeah. Did you lose any weight?
Derek 44:52
It was more than just a like, a fullness, though it was almost like a like, it made me nauseous, to the point where. Are you are on the verge of being sick all the time? If that kind of makes sense, I just I did not like the experience. No,
Scott Benner 45:07
no. I've heard that from people, but often those people then tell me that they didn't decrease their eating yet. So it's slowing down your digestion, but it had an impact your hunger, yet. Is that about what was going on. Do you think, yeah, yeah. So, yeah, well, that makes sense to me, yeah, was it helping your blood sugar? No, it was not. You didn't notice any, well, any different needs at all?
Derek 45:32
No, you know, I was eating the same and I my my endocrinologist was like, listen, just be patient. And, you know, eventually, you know, we got to get these blood sugars down a little bit more. You know, I kept on waiting for things to get better, and just never happened.
Scott Benner 45:49
Yeah, no, I don't think you i I'm Listen again. I want to say not a doctor, not advice, but I think if you would have eaten, like, physically, less food, you might have felt better, and then maybe you could have stayed on it longer, until it actually started impacting your hunger. And then maybe it would have, like, cascaded in a better way for you. But I mean, if you were having that much trouble with it, then you know, obviously you know feeling better is the right thing. Did you not have you found another way to lose the weight you went low carb. Did that help? Yes,
Derek 46:23
that definitely helped. And that might be a good segue into, like, the the what
Scott Benner 46:29
I was thinking when I said it.
Derek 46:33
I got to the point where I was like, Okay, well, insulin is the number one thing that will keep my blood sugar where it needs to be. I just need to, you know, like alter what I'm eating, like make different choices, you know, and be a good diabetic. At the end of 2021, 2020, beginning of 2022, I started finding myself. So let me back up. I was on a sliding scale. At the time, when I first started with insulin, I was on a sliding scale of five. And so, like most meals, you know, I would take, maybe, like, I don't know, eight, 910, units. At the end of 2021, I started noticing that I had to take a little bit more insulin than than normal, which I know you talk about like there's a honeymoon period with, you know, insulin, and you know, you may need to use more after, you know, a little while after your diagnosis. But I started noticing that, like the insulin, it was like eight, 910, units did not do anything dark.
Scott Benner 47:47
It sounds to me like you were on like, a decade long, slow drift into type one diabetes. Yeah, yeah. Well, eventually your needs went up to because your beta cells probably stopped helping. That's another that's another point that we can get to as well. So pretty much over the course of the next year and a half, every time I saw
Derek 48:10
my endocrinologist, she was like, okay, more insulin. All right, let's bump it up. I had to switch endocrinologists because I had an issue with prescriptions not being filled by the office great endocrinologist, but the office just wasn't helping out. So I decided to switch something that was closer to where I worked. Anyway, I saw a new endocrinologist, and he's like, okay, let's just bump up the amount of insulin. And sometime in the middle of 2022, for meals, I was taking between 40 and 60 units of insulin, okay, my body, I felt like, was shutting down like now, instead of being on one minimum dose for blood pressure, I had increased to the max dose for four different blood pressure medicines. I'm using between 40 and 60 units of insulin per meal. And I told my wife, I was like, I feel like my body's like, giving up. Like, I honestly, Scott, it was at the time where we were seriously thinking about putting a will together, you know, really, you know. And I was like, okay, better get that done. I felt like I was in a slow motion train wreck. I got to the point where, like, it was difficult for me even to walk up the stairs in my house, all of my muscles hurt, like I could not do anything. It was almost like the reverse was happening, where, before I got diagnosed, I was tired all the time, except I didn't have the cloudy vision, but I was dreaming. Drinking a lot of water, like nothing, no medicine, even the insulin, was working for me, it just felt like, just felt like my body was giving up. So one Saturday morning, I'm sitting there in a chair, and admittedly, you know, I'm, I'm, you know, in touch with my faith, and I prayed, and I said, God, I need you to, like, give me answers, because I feel like I'm dying. And I went to Google, did some research, and at the bottom of the very last article that I looked at, which was 10 reasons why your body may not be accepting insulin as well as it should something like that. Number 10 on the list, 10 out of 10 was you may be struggling with sleep apnea, okay? And I finally realized that this was something that I needed to look into, because my wife kept on waking me up while we were watching, you know, we always watch, like murder mystery shows at night and investigations and stuff like that. She would look over at me like from on the couch where I was, like, asleep, but she would hear me stop breathing, okay, and would have to shake me, like, to wake me up, like, because apparently, you know, I my body just like, wasn't breathing properly, because of, you know, whatever was going on, and I didn't know What was going on. So I reached out to my endocrinologist, and I said, Hey, what do you think about a like, a sleep study? And he said, Oh yeah, that's a great idea. So had that done?
Scott Benner 51:53
I'm sorry, just I'm laughing because I'm like, it's so funny. They never have any advice. But then when you say something like, oh my god, it's a great idea. And then later you'd say, you'd say, I learned this on Google. And they'd go, don't Google stuff. Like, well, you're not having any ideas, but okay. And every time I bring you something from Google, you say, It's okay, as long as I don't say it's from Google. But good.
Derek 52:11
Well, the same guy told me to stay away from Google too, as well. So, but he's a good doctor, but yes, he's actually said those same words, oh, I know it goes good. That's fine, yeah. So he said, Yeah, good idea. Get it done. I did an in home sleep study and found that between 20 and 25
times per hour I was not breathing Jesus and like that scared me half to death. So was your weight higher at that point dark, I was probably around 260 pounds. How tall are you? Nine feet tall, though, so it's okay, right, right. Exactly, yeah. How tall are you? I am 510 Yeah. You were heavy. Like, yeah, right, right. Okay.
To try to explain to a doctor that I really am eating what I should, you know, and have this much of a weight increase. It's like, you know, how can I get these doctors to believe me? But can
Scott Benner 53:20
I ask you a question like, forget the kinds of food calorically, do you think you were eating more calories than you needed in a day? Because this is generally how it happens to people, right? They start using their insulin, they're using enough of it, but they're eating more calories than they should. The insulin, of course, is a storage hormone, and so it is properly packing away calories, as you know, fat and other things, and then they gain weight, and they say, I don't understand, I'm eating well, but they're eating too even if they're eating well, they may be eating too much. Is that? Is that happening to you? Because you earlier said you think you were, like, even the on the we go, or on the ozempic, you were still eating maybe more food than you should have for that scenario? Yeah,
Derek 53:59
yeah, for sure. For sure. I think there's a point that you get to where, no matter what you eat, as far as carbs, if you're eating tons of fat, at least for me, like I can see a huge difference in low carb, low fat versus low carb, high fat, also,
Scott Benner 54:20
low carb is low lower calories too.
Derek 54:23
Yeah, true, true. But you know that all goes back to, like, the quality of food that you eat too, you know, and and being mindful of that, but I don't know, I just, I feel like I was trying to do everything that I should have been doing for the most part. But again, this is one piece of the puzzle that I needed that, you know, I just happened to randomly come across. And it's like, okay, I
Scott Benner 54:51
pulled this information together a couple different ways when you first got on so sleep apnea can significantly impact blood sugar control in people. With type one diabetes, the relationship between sleep apnea and blood sugar management is complex. Here's some of the ways, right? So stress hormone response sleep apnea causes frequent pauses and breathing, which leads to a decrease in oxygen level. The body responds by releasing stress hormones like cortisol and adrenaline to wake the person up, to normalize the breathing. And then, of course, those hormones can trigger, you know, a rise in your blood sugar. There's also impaired insulin sensitivity. The constant release of stress hormones due to sleep apnea can make it harder for the body to use insulin effectively, both in people with and without diabetes. For those with type one, this can lead to unpredictable blood sugar levels and increased insulin requirements. Then there's increased risk of nocturnal hypoglycemia. People with type one diabetes, who have sleep apnea, may experience erratic blood sugar patterns at night, including nighttime lows. The body's response to these lows can be blunted due to poor sleep quality, making nighttime hypoglycemia harder to detect and address. This can lead to daytime fatigue and glucose variability, because we know poor sleep causes, caused by the sleep apnea can also impact your blood sugars. And then the last thing it says is that sleep apnea contributes to systematic inflammation, which exacerbates diabetes related complications such as cardiovascular disease and inflammation can also impair glucose metabolism, worsening glycemic control over time, and, as you know, give your mom an aneurysm on top of everything else. Yeah, so that's what I figured out about that an hour ago. And I've been waiting to, been waiting to read that. I feel like I did a good job. So you figure out about the the the sleep apnea, I'm gonna assume they put you on a CPAP machine, but don't they also want to get your weight down.
Derek 56:39
They do. They do so, you know, I have regular appointments with a sleep doctor. After starting CPAP therapy, I felt so much better. It was like, again, it was almost like being re diagnosed with something again, like that feeling that I had after someone was like, Hey, here's insulin. And then I started using it's like, wow. I just would encourage anyone. You probably have disclosures that you have to read, right? But like, I would encourage anybody, like, if you suddenly see an increase in the amount of insulin or blood pressure medicine that you're using, you might want to take a look at a sleep study to see what's happening. You know, the worst thing that could happen is they tell you, Hey, you're sleeping well at night.
Scott Benner 57:28
So, yeah, right, right. Yeah, that's the worst news you could get, right, or the beer. But listen, when I don't sleep at night, when I stop breathing at night, it's because I think Kelly's holding a pill over my face, but, but every time I wake up, she pretends to be asleep, so I can't really catch her. Yeah, right. Well, I'm glad that that helped you. It really did. So, you know, in the end, your fix was you tried a bunch of different things, right? And what ended up working for you was lower carb intake and the sleep apnea machine to help you with this while you're losing the weight. Is there a feeling that you won't need the CPAP machine at at a certain weight, or what do they think about that? Let
Derek 58:05
me, let me take you, like, a little bit forward. Even though the CPAP thing had increased my quality of sleep and I was on insulin, my a 1c still, like, was not where it needed to be. It was still hanging around in like, the six or sevens. Okay? So I had a conversation with my endocrinologist recently and and I said to him, I said, I've had doctors tell me that I'm a type two and a type one, but they've never gone over the specific tests that tells me, like, what's going on with my body? Can we? Can we please, like, run those tests? And so we ran a battery of tests in June of this year, and it came back that I was re diagnosed as a type two in June of this year. Wait, what? Yeah,
Scott Benner 59:04
they did, what? Like a C peptide, or what did they do? Yep,
Derek 59:07
a C peptide. And a whole bunch of other things that I can't remember, but I am slightly on the type two side of things, apparently, with the the C peptide tests and everything else that they said that they saw. So my doctor put me on at the beginning of June, put me on Manjaro, okay,
Scott Benner 59:35
and dealing with that better than you did with the ozempic.
Derek 59:38
Well, yeah, no side effects whatsoever. Good for you. When I feel full, it doesn't come with like a nauseous feeling. And I had an A 1c go from 8.7 at the beginning of June to five. Point six a couple weeks ago. Hmm.
Scott Benner 1:00:02
So wait. So did you have a C peptide test that showed like high C peptide levels? Yes, due to insulin resistance, is kind of what they think of there. And how about did you do any auto antibody testing? I don't think so. Okay, so are you comfortable that you have type two diabetes?
Derek 1:00:20
I'm good with it.
Scott Benner 1:00:23
That's the funniest thing anyone's gonna say to me this week. You know, it sucks, though, isn't it like that, like you were told type two, then the doctor, I mean, I remember back in the story, the doctor very confidently came in and said, No, no, you have type one, and then here's some insulin. And you think, Oh, that helped. So I probably have type one. Oh, wow, yeah. I hate these stories. They have. Listen. People tell them to me all the time. But, I mean, you could definitely ask for auto antibody testing, right, to see if you have, I mean, I can go over them with you if you want. But, like, it's, you know, there's, like, I think the most common one would be the GAD antibody test an elevated level there would, I think, shows the that there's an auto immune response. But your mom has an auto immune issue, which is, you know, makes it something worth looking into. I would imagine, yeah, there's insulin. Auto antibodies isolate cell. What is that? ICA test, it looks at the insulin producing cells in the pancreas. A couple more I could look them up, and there's a newer one, zinc transporter, something. But, I mean, wait, but are you taking insulin right now?
Derek 1:01:33
At my last appointment, my doctor said to me, let's keep the long acting and get rid of the short acting insulin, because I was having lows all the time about a week before that appointment, and he said, let's just get rid of it and see what happens. And numbers were kind of good for about a week right then about a week and a half after that, I had to start using insulin with meals. So generally, between three and five units total at most is what I use for meals. Now, yeah,
Scott Benner 1:02:14
so I would like, if I was you, I would want the antibody testing. Okay, because I would want to know for certain if I have type one or not. Probably an incredible thing, if you were in a 15 year lot of situation, but at the same time, like if that was your situation, you don't want to wake up one day and just realize that you're not getting insulin that you need, and you know you're in DK or have bigger problems than that, right? So, I mean, I would want to at least know the what I'm on the lookout for. Now, I imagine you're wearing a CGM. I am, yeah. Okay, so you're seeing your blood sugar. So that, that, of course, is, you know, kind of helps head that problem off at the past little bit. But I don't know, man like, I would want somebody to tell me for sure. Yeah, yeah, that's me. I've also had people on here who tell similar stories about Manjaro specifically. I mean, did you hear the one guy, 50 years old, diagnosed type one, six years on insulin. They put him on Manjaro for weight, loses a bunch of weight, completely off insulin. His blood sugar still acts wonky, like he has excursions at meals, but it comes back down on its own. He expects that he's gonna have to get use insulin again at some point, but at the moment, isn't even using any Yeah, I
Derek 1:03:25
heard that episode, and I was like, Wow, that feels like you a little bit, yeah, for sure. I mean, like, I've lost almost 25 pounds since the beginning of June. Oh, good for you. My world is completely different now I look back at like everything that happened, like going from using 40 to 60 units of insulin per meal to now only having to maybe use three to five units is like, wake me up from this dream,
Scott Benner 1:03:57
yeah. But there's going to be more stories like yours, yeah, but this Manjaro, I believe, like, like, moving forward, and I hope that doctors forget, I guess not doctors, but researchers. I hope that researchers dig through it and try to make more sense of it than just leaving a person like you or the guy we were talking about before, just going, like, well, it's working. So, like, you'd all know exactly what's happening, and hopefully that will be what happens in the future. But for now, I'm happy that you're better off. I'll tell you this, I've lost 50 pounds, and I'm five nine. So today I think I'm 185 or something like that. I think that's my weight today. And so I started this whole thing at like, 236 I'm gonna tell you I am not too thin. I am not, like, I haven't gotten lost and, like, losing weight or anything like that. I'm just talking about, like, health wise. And you know what my body looks like? You know meaning, where is it holding fat and stuff like that. At 185 I still have weight to lose. I don't have weight to lose. Like. Like people think anymore, but they're still fat on my body. That just is not healthy for me, yeah. And so I maybe I should say I have fat to lose. I know the 25 pounds is awesome, and it definitely is, but wait till you lose 25 more, and you look back on this day and you think, Oh, God, I was so happy when I just lost the first 25 Yeah, yeah. You
Derek 1:05:21
know, the other thing too, Scott, that is is weird is with CPAP therapy, I got the number of times where I'm trying to think of I'm at a loss for what the the exact term is, but the number of events per hour, basically where you stop breathing with sleep apnea that that went down all the way to five, okay, generally about five with CPAP therapy. But since I've been on Manjaro, on average every night is between one and two times per hour,
Scott Benner 1:05:56
so I feel like you lost weight or since you shot it since Manjaro.
Derek 1:06:04
Hmm, that's crazy. The you know, the other thing that I have in the back of my mind too is like, let's say I have all these tests done that definitively confirm that I'm either a type one or type two. If, if they come back and say, Well, you're a type one. I would hate for my insurance company to say, okay, can't be on Jaro anymore, because my mom actually tried to go on
Scott Benner 1:06:30
Jaro as well, but she's a type one, and they told her no. They told her no, yeah, yep, yeah. I see your fear there. Oh, that makes sense too. Hmm. I'm trying to figure out how GLP could help beyond weight loss with with sleep apnea systematic inflammation. So sleep apnea is associated with systematic inflammation. Maybe that's where it could be, yeah, interesting. I can't wait to find out, uh, even just your neck getting, like, losing weight in your neck would definitely help with sleep apnea as well. Yeah, yep, yep, crazy. You don't realize where fat is until, like, until somebody starts talking to you about, like, oh, that's that fats under your muscle and you're like, what? Yep, getting down by my organs. Yeah, yeah. Oopsie, yeah. Oh, wow, man. Dave, you've had a wild ride. Is this pen passed either you said you had two boys, right? Did your boys have any auto immune issues? No
Derek 1:07:31
other than my my oldest has allergy induced asthma. But like, other than that, they're perfectly healthy,
Scott Benner 1:07:39
so I'm glad, well, this is the part where I ask you if there's anything we haven't spoken about that we should have, because this was great. I appreciate you just kind of unfurling the story for me like this. It was awesome. Thank you. But Did we miss anything? The last
Derek 1:07:53
thing that I think is worthwhile is that I especially for someone who is newly diagnosed. I think one of the things that I did not realize at the beginning of my diabetic journey is that you have to make sure that you're in a right place with how you are emotionally. Because this is a disease that can carry a lot of weight. So make sure that you are well and that you watch you know how you are reacting to certain things, like get around people who will support you and will help you, because it's more than just taking medicine in a lot of cases, like I have a great family, I have a good support system, I have good friends that will ask me how I'm doing and offer help and support. And that's important. I just think that you can't ignore the weight of what type two or type one is, and just say, well, that doesn't really matter. You have to address that, you know, as much as you address, you know, taking medicine as well. Yeah,
Scott Benner 1:09:15
no. I mean, the support piece is huge, and having people around you that can support you is great if you don't have that. Reaching out into community to find people can be very helpful therapy if you can't find that, you know? But I think you're right. There's a, there's a weight that comes with it. You can't ignore it, because one day it'll just, it'll just knock you over. Yep, yeah, no, I appreciate you saying that. Very much. Thank you. Thank you very much. I really, I mean dark. I appreciate you doing this whole thing. We didn't even get to talk about all the some of the cool jobs you've had, but maybe another time. Yep, all right, hold on. One second for me, this was great. Thank you.
Sarah's story so genuinely encapsulates the experiences that. So many caregivers go through on a daily basis. Our Juicebox community knows the importance of caregiver support so intimately, and Sarah's story is just a great example of what caregivers go through on a daily basis. To learn more about the Medtronic champion community and to find helpful resources and tips for caregivers and families, visit Medtronic diabetes.com/parents caregivers. 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, the diabetes variables series from the Juicebox Podcast goes over all the little things that affect your diabetes that you might not think about, travel and exercise to hydration and even trampolines. Juicebox podcast.com, go up in the menu and click on diabetes variables. The Juicebox Podcast is full of so many series that you want and need after dark, ask Scott and Jenny. Algorithm, pumping bold beginnings, defining diabetes, defining thyroid, the diabetes Pro Tip series for type one, the diabetes variable series, mental wellness, type two diabetes pro tip, how we eat? Oh my goodness, there so much at Juicebox podcast.com head up into that menu and pick around. And if you're in the private Facebook group, just go to the feature tab for lists upon lists of all of the series. Always free, always helpful. Subscribing to the Juicebox Podcast newsletter is this easy. You type Juicebox podcast.com into a browser, scroll to the bottom, put in your email address, click sign up. 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. Hey, what's up, everybody? If you've noticed that the podcast sounds better, and you're thinking like, how does that happen? What you're hearing is Rob at wrong way, recording doing his magic to these files. So if you want him to do his magic to you, wrong way. Recording.com, you got a podcast. You want somebody to edit
Derek 1:12:17
it. You want rob you.
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