#1432 Carter's Tzield Story
You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Google Play/Android - iHeart Radio - Radio Public, Amazon Alexa or wherever they get audio.
Julianna, a dietitian, shares how her daughter's type 1 diabetes, dyslexia, and ADHD shape their active, travel-filled life, plus insights from her work in food service.
+ Click for EPISODE TRANSCRIPT
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
Friends, we're all back together for the next episode of The Juicebox Podcast. Welcome.
Jaime 0:14
Hi. My name is Jamie. I am joining today to talk about my son Carter's experience using TVL,
Scott Benner 0:20
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. 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 Are you an adult living with type one or the caregiver of someone who is and a US resident, if you are, I'd love it if you would go to T 1d exchange.org/juicebox and take the survey. When you complete that survey, your answers are used to move type one diabetes research of all kinds. So if you'd like to help with type one research, but don't have time to go to a doctor or an investigation. T, 1d, exchange, org slash juice box. It should not take you more than about 10 minutes. This episode of the juice box podcast is sponsored by us med. Us, med.com/juice, box. Or call 888-721-1514, get your supplies the same way we do from us. Med. This episode of The Juicebox Podcast is sponsored by Medtronic diabetes and their mini med 780 G system designed to help ease the burden of diabetes management, imagine fewer worries about mis boluses or miscalculated carbs thanks to meal detection technology and automatic correction doses. Learn more and get started today at Medtronic diabetes.com/juicebox
Jaime 2:09
Hi. My name is Jamie. I am joining today to talk about my son Carter's experience using T deal. I have had type one diabetes since I was three years old. I was diagnosed in 1983 so those were the days of no blood test meters at home. So I've seen a lot of changes myself in diabetes treatment over the years. I have two healthy kids, and I'm trained as an epidemiologist. Growing up with diabetes sort of motivated my interest in working in the healthcare field. How old
Scott Benner 2:40
were you when? When 1983 was happening? How old were you? I was three, three. Wow. Yeah, I could figure out how old you are now, or you could tell me, which would you prefer? I am 40
Jaime 2:51
I'm 4444 Okay, thank you.
Scott Benner 2:55
All right, so you're the type one in the family. Married. I'm married. Okay, so there's a four person house, that's what we're talking about. We
Jaime 3:05
have two households. So my son's Dad and I share custody, and then I'm remarried. His dad didn't have any history of of type one in the family. My aunt has type one diabetes on my dad's side. Okay, my mom also has Graves' disease,
Scott Benner 3:20
Okay, gotcha, you just have type one. There are any other autoimmune for you? No, no, all right. How do you manage what technology do you use?
Jaime 3:30
Sure, so I probably use everything there is. But for quite some time, I've used Omnipod over 15 years, and I was excited when omnipot Five came out, and I tried that, and I did not like it, but I really didn't want to stop the, you know, non wired pump. So right now I loop
Scott Benner 3:51
and I love it. Okay, you didn't like what about Omnipod five wasn't for you?
Jaime 3:56
I don't know. I have very different insulin needs at certain times of the day, usually around 3am and 3pm I would have a much lower basal rate, or, you know, or around the 3am and the 3pm for a period of time. And Omnipod just somehow could not sort that out. And I ended up with highs at certain points of the day and lows at other points of the day. I don't know. I adjusted the settings. I couldn't seem to sort it out. I didn't like that. You couldn't change the basal. And I exercise a lot, and I was really comfortable with Omnipod, where you could say, like, a certain percentage decrease, a certain percentage increase, but then you had to turn off the automation. I don't know, with loop, you can keep the automation on and turn on those overrides, you know. So
Scott Benner 4:39
you like having more control with the overrides and everything, yeah, yeah. But the tubeless nature of it meant enough to you that you weren't like, I'm gonna go try a T slim or something like
Jaime 4:50
that. No, I would not. I just, I don't know, never had it. Don't want it. Gotcha, all right, yeah.
Scott Benner 4:55
And then you are wearing a G 6g, 7g,
Jaime 4:59
Six. My son has wore a g7 a few times, and we haven't had a great experience with g7 so far, so I'm sticking with the six. Okay,
Scott Benner 5:07
excellent. All right, so how does your son end up having an experience with T Z? Like walk me through that process. I
Jaime 5:15
knew about screening for antibodies for quite a while, and my son, zad, and I had decided we weren't going to do that, because I figured I would know when he gets diabetes, and there was nothing to do about it for a long time. And then I heard about T Z yield, I think I heard about in the Facebook group. And then I I'm on LinkedIn. I'm connected with a lot of people in the life sciences and med tech industry. So I started seeing posts coming up on LinkedIn, and I'm like, Okay, well, he's yield to her. Like, now we can do something if we find out he's going to get diabetes. So let's do the screening. So I ordered the kits, and then I left the kits in the closet for months. It's like, yeah, I gotta do that kit, but I don't want to do it today. I don't know it's interesting. Like, I've talked to other people, they say they do the same thing, like, you can't actually sit down and do it because you almost don't want to know, yeah, is that
Scott Benner 6:05
it is, what slows you down is that you're just like, Oh, what if it's like, what if they do have antibodies, that's the vibe. Yeah,
Jaime 6:12
yeah, it's a strange block. But anyway, there was a long weekend in January, I think it's Martin Luther King weekend. I was like, Okay, we're gonna do it this weekend. So I sat my daughter down, and it is hard to get the blood out of the finger into that tube, and it went on and on, and we finished hers. She's like, Mom, that was terrible. What do I get for doing that? Like, you can have some ice cream, you
Scott Benner 6:32
know? So you might get diabetes, sweetie, hold on a second. Yeah, just hold on a few weeks. So, and your son's looking over from the corner, going, I'm okay, thanks.
Jaime 6:45
Yeah, exactly. So I packaged it up in the shipping package, and I noticed when I was packaging it up that I put it in the wrong container. I put Ashley's in Carter's container, and you could tell, because of the IDs on a study form. And I mean, this is sort of funny, because I'm an epidemiologist, you're supposed to be, like, protocol driven scientist. Oh my gosh, I can't believe I did that, right? I knew that the study wasn't going to accept them because they're mixed up. Like, that's not how a study works. So I was like, All right, you know, it's too late. I can't call them. I'm just gonna assume we're going to have to do this again, and in the meantime, I said I'm just going to do a fast like a random blood sugar, because I want to see it be normal and I'm going to feel better for the rest of the weekend. So my daughter's like, again,
Scott Benner 7:35
there's no blood mommy.
Jaime 7:39
So I did hers. She was 85 I did Carter's. He was like, 150 something, and they had both eaten lunch at the same time, and it had been about two hours since the meal. And I was like, now I know the screening guidelines for diabetes actually have done research in diabetes earlier in my career. I don't right now, but you know, and I looked up the guidelines at that moment, and I'm like, This is not good, but it's not terrible. So the next morning, I'm like, Hey, Carter, we gotta do a fasting. Alright, Mom, how
Scott Benner 8:10
old is this point? By the way? He's
Jaime 8:13
1414, okay? And at the time, she was 11, all right, I did his fasting, and the first one came back, 126, I'm like, we're doing a second one, something again in the 120 wash your hands. Yeah, right. I know. I'm like, Oh, no. You know, most people with type one are like, that's not too bad. But for screening purposes, you do not want to see something above 100 fasting, yeah. And so I'm like, you sure you didn't eat anything, even when you
Scott Benner 8:41
know your meter might be off a little bit, and you start going, like, okay, let's give it 15% and then you go, Oh, it's still high. Yeah,
Jaime 8:48
yeah, I agree, but still not. I'm not flipping out. I'm not like, oh. So I sent a note in my chart to his pediatrician, and I said, I just did these fasting numbers. Can you please order antibody screening, because we need and another blood test fasting. And she wrote me back and said, I'm going to order the A, 1c, and fasting, we won't order the antibodies right now. The message said, we'll save him some blood. I'm like, No, take all his
Scott Benner 9:15
blood. We won't it's not looking to do it twice, yeah, the
Jaime 9:19
next day, we go to the fasting lab at the actual lab that came back 111 and the A, 1c loaded in my chart. I think it was the next day. Maybe it took a day for it to load, and I saw that it loaded. And at this point I'm 80% thinking Carter has early type one diabetes. Yeah, right. It could be some of our explanation here, but I'm 80% thinking it. So I hovered on that screen. I'm like, Oh my I just like impending doom. When I clicked on it, right, yeah. And it showed 6.4 and I was like, oh, like, oh, no, you know.
Scott Benner 10:01
I knew then, like that moment you're describing Jamie. I had that moment in a 24 hour pharmacy. I stood in front of the meters, and I had the conscious thought, if I never leave here, Arnold Arden will never have diabetes if I don't leave this space. You know what I mean? It's an interesting I understand that. Yeah, today's episode is sponsored by Medtronic diabetes, who is making life with diabetes easier with the mini med 780 G system. The mini med 780 G automated insulin delivery system, anticipates, adjusts and corrects every five minutes. Real world results show people achieving up to 80% time and range with recommended settings without increasing lows. But of course, Individual results may vary. The 780 G works around the clock, so you can focus on what matters. Have you heard about Medtronic extended infusion set? It's the first and only infusion set labeled for up to a seven day wear. This feature is repeatedly asked for, and Medtronic has delivered. 97% of people using the 780 G reported that they could manage their diabetes without major disruptions of sleep. They felt more free to eat what they wanted, and they felt less stress with fewer alarms and alerts you can't beat that. Learn more about how you can spend less time and effort managing your diabetes by visiting Medtronic diabetes.com/juicebox I used to hate ordering my daughter's diabetes supplies. I never had a good experience, and it was frustrating. But it hasn't been that way for a while, actually, for about three years now, because that's how long we've been using us Med, US med.com/juice, box, or call 888-721-1514, US med is the number one distributor for FreeStyle Libre systems nationwide. They are the number one specialty distributor for Omnipod, the number one fastest growing tandem distributor nationwide, the number one rated distributor in Dexcom customer satisfaction surveys. They have served over 1 million people with diabetes since 1996 and they always provide 90 days worth of supplies and fast and free shipping us. Med carries everything from insulin pumps and diabetes testing supplies to the latest CGM, like the libre three and Dexcom g7 they accept Medicare nationwide and over 800 private insurers find out why us med has an A plus rating with a better business bureau At US med.com/juice box, or just call them at 888-721-1514, get started right now, and you'll be getting your supplies the same way we do. So
Jaime 12:50
then she wrote, right away, wrote the pediatrician, said, I've sent a stat order to endocrinology. You know they'll be calling you to set up the appointment immediately. I called Endo. So he's in a very restrictive health plan, like an HMO and a small hospital network. Okay, I know a lot about health insurance, because you have to when you manage prior authorizations with type one diabetes, but his plan, it's his dad's plan, and it's a great hospital network, but it's very restrictive. And in a sense, I didn't mind, because the doctors here are very good, but you can't they usually won't schedule that appointment until the referral is approved. And I'm like, take it first appointment. Like, give me the first appointment. They're like, well, actually, we have one tomorrow at 2pm but you know, you may not be covered because your referral isn't approved. I'm like, I don't care. Just self pay. Just write me self pay. We're coming in tomorrow, so we tell Carter he was at his dad's house. His dad's like, I'm gonna tell him, you know, the results came back and we need to go see a specialist. And, no, actually, it's a little
Scott Benner 13:52
different. Hey, you got a good ex husband. How'd that happen? Most of them would be like, Oh, we get along very well, yeah. He's like, I'll take care of this is a bad thing. I love my kid. I'll tell him, like, Wow. I was like, That's really impressive. No,
Jaime 14:03
and we're all communicating back and forth, I mean, the whole time. And it was actually, I'm very proud of how we did that. Everything was decided together with conversations and discussions. And yeah, no, that day we told him, you're gonna need, that's right, you're gonna need to see a specialist. And he broke down. And my kit Carter is so flexible. Yeah, everyone says, hey, where do you want to go to dinner? He's the only one who wants to go to this one place, and everyone wants to go somewhere else. He's like, That's fine. Never about anything. He's just flexible. He doesn't get upset, yeah, and he got really upset, really, really upset. And I cried. His dad cried, he cried. And we didn't even really know what was going on at that point, but we did sort of know, you know. And it couldn't calm down. It was awful. I said, you know, trying to say some positive things, you know, trying to explain the uncertainty. It didn't help. I'm like, you know? Why? I can go take a shower. Sometimes it helps people calm down. So he did. He sort of took a step away from the conversation, and he calmed himself down. And the next day, he was fine. I mean, he wasn't having a meltdown,
Scott Benner 15:12
right? He wasn't thrilled, but he wasn't then we got it,
Jaime 15:15
yeah, yeah. Then we got a call from the doctor's office, and they said, You guys need to go to the hospital, and we're like, what? And they said, well, any potential type one, the protocol is, you go to the hospital, and I sort of get it, because, you know, most type ones aren't diagnosed in stage two, like he could be in DKA, right, if he's a probable type one. So anyway, we picked Carter up, surprisingly, from school. He didn't know that. Then we were going to go to the emergency room. So we go to the emergency room. They do a whole bunch of tests. And I had read, I was up for hours reading about T Z yield and how we were going to get qualified for T Z yield that night, right? And at the hospital, like, don't do another A, 1c, or or fasting, or OGTT, don't
Scott Benner 16:01
do it, because if he, you need the number they had already, yeah, yeah. I gotcha,
Jaime 16:05
yeah. I'm like, I need that 6.4 if he, if it had been 6.5 it's possible he wouldn't have been eligible. I don't know for sure, but that's the qualification cup point. No one in the trial was above anyone, right? So they didn't. And, you know, it's fast, whatever the random came back high again, and they tested them for celiac that was negative, thyroid was normal. Did a whole bunch of tests, and they ran the antibodies, and they let us know they won't come back for two weeks. And the doctor said, you know, we can't know for sure, but basically, we already know he has stage two type one diabetes. He's eligible for T Z yield. We don't do tea field at this hospital. That same day, we had an appointment member with the at, actually a different hospital, the pediatric endocrinologist, we got the referral to. And I'm like, well, we might as well meet them, because they're probably going to be the ones that figure out the T field situation, not this hospital doctor. So we left and we went to see this other doctor who
Scott Benner 17:03
she's like, Oh, you didn't like this one.
Jaime 17:06
No, I'm no, okay. She She said, Well, you know, it's possible Carter has type one diabetes, but it's also possible he ate a lot of sugary things over the holidays, and that's why his ANC is elevated. Wow,
Scott Benner 17:21
that's a misunderstanding of the human body. Yeah. I was like,
Jaime 17:26
what I mean at that point? I'm like, this, this is our doctor, oopsie,
Scott Benner 17:31
like I knew she's wrong. Are you sure you just didn't have a Mars bar and then eat ice cream and then got a six over a six
Jaime 17:42
days and days every three hours. I mean, what like?
Scott Benner 17:46
So let's say I ate a bunch of sugary stuff and my body still hasn't regulated it. What do we call that? Hmm, let me think. Let me think. Is that diabetes? I don't know. It might be.
Jaime 17:59
Oh, you know, I know kids get type two, but like, he's slim, you know, I
Scott Benner 18:05
Well, how about you have type one? Yeah. I mean, like, come on,
Jaime 18:09
come on. And so I'm like, Well, why was the hospital telling me? Like, this is what's happening. I mean, we're 99% sure, and you're telling me something else that doesn't make any sense. So she leaves the room. She said, I'm going to call the hospital like, okay, so wait. She comes back in and she says, Well, the hospital and I differ on our opinion here. You know, that's all I can say at the time. We won't know for sure until the antibodies come
Scott Benner 18:33
back. Yeah, but I'm super excited to misdiagnose your son, put him on Metformin and watch him and go into DKA. Can't wait to get this going. I love this part of my job. How often does this happen? You know, I don't know. We
Jaime 18:45
get in the car. I'm driving him back to his dad's, and Carter's like, oh, like, I guess it sounds like I might not have diabetes. Yeah. Great.
Scott Benner 18:53
Way to go, lady.
Jaime 18:57
I also said to her, will you let us know the minute those antibody tests come back, because they're going to be in a different system, they don't go into member or two different systems. They don't go into the Yeah. She said, Well, we'll have an appointment in three weeks. I'm like, no, no, no, no, not three weeks. We the second that lab comes back, I need to know, well, I guess you can keep calling me off. I'm like, oh boy. So she's like, the systems don't connect. So then I'm trying to call, where am I supposed to call the hospital emergency room? Like, to get the lab so I I'm like, Okay, I need to get on the my chart of the hospital, because then if I'm on that one, I'll see when the labs come through. And now you're welcome to California law about health records for teens I cannot access his labs. I'm blocked the state of California. Well, this is this hospital's interpretation of the State of California doesn't allow me to view Carter's medical information, so I won't know when they he's
Scott Benner 19:54
14. He could take care of himself,
Jaime 19:58
not only that, Scott, I'm like 10. Mind, then I'll make him an account, right? Or have his account. And I, I was on the phone multiple times with the hospital, like people that manage this record system, and they're like, No, the children can't have access either. They're minors. You don't understand.
Scott Benner 20:13
He's not old enough to have this. He can't have it, and I can't have it. That's great. What kind of system is this? That's great.
Jaime 20:24
So that I call, I find the name of the doctor on the outpatient record. I'm like, I'll call his outpatient office somehow, just to make sure I
Scott Benner 20:31
real quick. Is it Dr Bombay, by any chance is that the doctor's name? Does anyone have a Am I too old? Like, does anyone get my bewitched reference? Right now. It's not a crazy witch doctor. No, no, okay, never mind. I'm sorry. Go ahead.
Jaime 20:45
So I called that outpatient doctor, and they're like, well, he doesn't have a record in the system because you were seen in the emergency room. So I don't know, I can't send a note because there's no record. I'm like, you know, almost crying off on. I'm like, listen, someone needs to be watching for the labs. Like, who's watching for the lab? So that I get the labs, please? I
Scott Benner 21:04
love that she's just willing to wait like, three weeks. Like, what was it going to be a gender reveal? Were you going to, like, hit a pinata when you got there or something? Like, What is she thinking about? Yeah, anyway,
Jaime 21:13
I don't know. So annoying, and I got so annoyed. Then I'm getting annoyed about California health laws. I mean, I was annoyed about enough, you know what? I mean, yeah, after we found out it was actually the day after the eMERGE, the emergency room visit and that annoying post doctor visit, I was like, Okay, I need to figure out every step to get Carter tea sealed. I felt like a warrior. I'm like, it's going to be hard. This is a newly approved drug, right? And it's very expensive, and we're in this limited plan. And from what I can tell, both of these hospitals in the plan will not allow us to get they don't have T cell they can't administer it. It's a 14 day infusion. They don't do it. So I'm like, Okay, so we're gonna have to go out of network. How are we going to do this? Where are we going to go? So I called, and I said, Listen, I called the Health and I need to speak with someone who knows about prior authorization for specialty medications. I need to speak to an expert. And they just connected me with one. And this woman was so nice. She stayed on the phone with me for 45 minutes. We needed an out of network, referral to the facility that could administer the drug. That person who was going to administer the drug had to write a stat prior off, which should have a three day turnaround time. Then, because it was out of network we had, oh, and we needed a referral to that out of network facility with a specified and she told me what had to be in the referral note, like it has to say that we cannot do this at this facility. So that's why we're referring out of this facility, right. There would need to be a letter of agreement between the facility and the health plan, documenting the financial payment terms, because it was out of network. You can't figure that out afterwards, because it's so expensive, so all those things needed to be in place. I'm, like, I got it. We're going to make it happen. I'm going to make all those things happen. And I just, I was so I couldn't stop thinking about getting Carter tea deal. What do we need to do to get teased? But we're we can't do anything until we get the antibody results. Oh, I had to find the facility. So I knew someone at this other facility, nowhere near where we live, and a physician, because I know I know them through looping. I messaged him, and he said, Yeah, we do it here. I'm like, Oh, thank God. So he referred me to the doctor at that facility who did T field. We got an appointment very quickly. I actually wrote the referral letter from that remember that doctor who thought Carter might not have diabetes, I told her what needed to be in the referral letter, the out of network referrals, and I don't trust that she's she's going to know what to do over there, I dropped it off in person like, hi, I need to see this handed to someone who's going to hand it to the
Scott Benner 23:58
doctor case. So I don't know that you're a nutcase. I think you you recognized along the way that there's just too many there's too many pain points, there's too many possibilities for this to go wrong, and then somebody just either drop the ball or just tell you, Oh no, it doesn't work, and not really know the answer. Can I tell you something just real quickly, hold your spot in your story. Okay? You want to hand it to somebody and see them. Hand it to a doctor. Okay, I have to sign something for my bank, and they sent me an email, and it says, Please read this and then sign it, and you open it up and there's nothing there. So I emailed back, and I said, Hi, opened up your document, but there's nothing there. You know, sorry, they resend it, of course, it's exactly the same. I send it back. I say, I'm sorry. It's the same. I opened it up and there's nothing there. I've also now tried three different browsers. That doesn't matter, there's nothing there. They send it back again, no explanation, no like, nothing. Just. Here's a new email. I try it on my phone, it doesn't work. I tried it on an iPad, it doesn't work. I email them back. Now I'm sending them screenshots. This is what it looks like when I open it. Thing that you want me to do isn't there, and she just sends it to me again. And I responded back, and this time I said, whatever her name was. I think I was like Lynette. When I open your document, the thing you want me to review does not exist. I cannot see it. I have looked on my computer, on three different browsers, on an iPad, on an iPhone, it's not there. And she responds back, just click the boxes and hit accept. And I responded back and said, You want me to sign a legal document. But I don't know what it is that doesn't seem like a thing I'm going to do. Here's my phone number. So this morning they called me, and she says, Hey, we just need you to sign that. And I was like, Yes, I know I've been going back and forth with Lynette, but as I explained to her, and I went through the whole thing again, now I'm speaking to a second human being. She says, Well, hold on, we'll resend it to you. And I went, please do not I said, Please, please do not do that. By the way, Jamie, I'm gonna just admit this to you. Okay, because I think it adds to the story, and it happens to be true. I was in the middle of my morning constitutional while I took this phone call. Okay, now I'm like, I'm like, Look, I hold on. This has been going on for two weeks. I go over it with her. No matter where I open it, it's not there. Here. Do you have an email address? I do. Hold on a second. I email her the page. I said, are you looking at that? She said, Yes. I said, That's what I see. There's no information there. And she goes, I swear to God. She goes, just click on the things and hit accept. I said, I'm not signing a legal document that I can't read. First. She goes, Oh, that makes sense. Can you come by? I said, I live 45 minutes from you. I will not be stopping by. And she goes, okay. And I said, if you want, you can mail me a paper copy of it and I will sign that and send it back to you. She goes, Why don't I just tell you what it says? No. I said, You want me to let you read me a legal document, and then me just assume that when I click on these buttons, that's the legal document I'm agreeing to. And she goes, yeah. And I went, you think that's a thing I'm gonna do? And she goes, No. I said, Would you do that? She says, No. And I was like, Okay, now this is a thing, by the way, that someone else had to sign. I'm helping my son with something, right? This is like, very parse, but I'm co signing on something for him, right? And she goes, Well, your son signed it. And I said, he's an idiot. I'm not going to do it, okay? And she's she, and she goes, what? I'm like, He's 24 he'll click on anything you tell him. And I said, Why don't you take this opportunity to send this problem to your IT department? Maybe they can get it fixed. And she says, Well, we've never had this problem before. And I said, it's more likely that you've never sent it to someone before who was like, I don't think I should sign something that I can't read. Yeah, and this has been going on for two weeks. This is signing a PDF with a bank.
Jaime 28:05
Either they're gonna have to get in the car, you're gonna have to get the car.
Scott Benner 28:07
No, no, this is not my point. Jay, that's not my point. My point is those people work at the hospital too, and they work at the and they work at the insurance company, and they work and all I could think while I was doing it was I genuinely I started thinking over the things in my life that involve another person or another entity, and how many times does it actually go well, like smoothly, like the person on the other end understands it? And the answer is incredibly infrequently, you know, right? Yeah, and now you are in the situation where you're like, I'm I'd like to try to get my son this drug protocol that might push off his type one diabetes, you know, diagnosis for God knows how long. And I don't want to leave it up to Lynette at the bank, right? Like, so, yes, when you said to yourself, I was nutty, or whatever you said, I don't agree with you, I think you were probably the exact right level of interested and dedicated. So that's why I stopped.
Jaime 29:05
I mean, I wasn't screaming or crying, you know that's and even then, if you're worried about your kid getting diabetes, you can scream and cry, in my opinion, yeah, I wasn't. I mean, I'm
Scott Benner 29:16
so sorry. You're at the doctor's office. You're holding the document. What happens next? So
Jaime 29:20
they take it. They they're confused. But, you know, no one else just pops up there demanding things like that. But I don't feel totally confident. Then I'm sending my chart messages. Have they seen the file? How quickly is the referral going to be sent below? Like, could you write me back within the next 24 hours? The thing is, this is a time sensitive treatment, right? And I had no idea like but the insurance require another blood sugar check, and then he progressed, and we're too late or something. You know, there's just a lot of unknowns. And this person at the health plan, I won't say her last name, but her first name is Heather. I just in my entire I've had diabetes for 41 Years, and I've dealt with so many prior auths, oh my gosh, especially when everything's gone through medical benefits and not prescription benefits. First of all, that's what prepared me to know what I was doing here, and to recognize that the system is going to be completely messed up. You're going to have to track every single step of the way. But I had this friend, really, at the health plan who checked everything. Oh, yes, I see it in the system. Oh, now it's moved on to the right, and you're going to hear back from this within two days. Hi, Jamie. I just heard back. Here's the result, here's the information, because a lot of stuff would come by mail instead of right, right. Just like a godsend. She even messaged, how's Carter doing after the treatment, just like she's like my friend at this point, Heather. You know, if you have any questions about billing afterwards, I just love this woman. Heather's a good one. If I was just upset, I would call Heather. I'm like, Heather, I can't I'm still waiting. I'm very upset. She's like, it's gonna be okay. Wow. So Oh, finally, at the doctor's office, they're like, we're gonna have someone call you when the antibody results came back. This is the person who's going to call you, blah, blah, blah. I'm like, okay, great. So it was a resident who, that's who we had seen in the hospital, who called me with the antibodies, and he, about a week and a half later, had, that's how long the test takes. Had four antibodies positive, and so he was eligible. You have to have two or more. So everything just sort of worked well for a while. We got the out of network referral approved. We went to the third facility, virtually had an appointment, went over all the questions about T Z yelled Carter during this whole thing, emotionally, is doing fine. He's like, Yeah, we're just trying to see if we can get this drug. And I had a very frank discussion, very long, like trying to understand his feelings, making sure he understood all of the risks and benefits of the treatment. Because his dad and I were like, we want this. There was no question, right? I read the trial results, I read everything about that drug. I read the full label. I understood there were small risks of certain bad things happening, but very rare, usually tolerated really well. But we, I told Carter all of this, there's like, a 1% chance you could have this really weird side effect, that they're going to be taking labs to check it, and you know it's going to delay, but there's not a guarantee it's going to delay. So it's possible that we get this infusion, and it doesn't, it doesn't delay. That could happen, and this is the average delay that was seen in the study, but some people had more of a delay, and some people had less of a delay. What's the average? The study of teas yield was patients who were in stage two, type one diabetes, the people who were in the control group developed diabetes on average in two years. But that's the average. That's not like, Oh, you're going to develop into some were six months, some were five years, right? The average of the control group who didn't receive T yield was two years. The average of people who received T yield was four years. So the delay, it's not a four year delay. It's a two year delay on average. So you won't get the diabetes in two years, you'll get it in four there's a lot of variation. That's just the average, and that's what they're allowed to say on the label, because that's what was found in the study, right? Oh, so I had this in depth conversation with Carter. He asked them questions. I'm like, it's really your decision. You're 14 years old, you know, you don't want to do this. California
Scott Benner 33:19
says, and we're not, I can't see your records, but you're not old enough to see them either. But anyway, we're gonna let you talk about this. Go ahead. What do you think? Did he talk it through with you? Like, what was his process?
Jaime 33:31
Yeah, he asked a few questions. He wanted to know. Like, how does the infusion work? You know, you say infused, they don't. There's actually two options. You can have sort of a permanent thing put in your permanent, I forget what they call it, similar to what you get for cancer treatment, like fistula, maybe, or, I can't remember what it's called anyway,
Scott Benner 33:51
they can put a port in and then every procedure,
Jaime 33:53
yeah, right. And then you don't have to get stuck every day. Or you can, you know, get an IV every day, and you have a choice there, and they'll go over that more at the hospital. And after the whole conversation and discussion, he's like, Well, worth a shot. And that was it. I love it. That's like, Carter's flexible attitude is worth a shot.
Scott Benner 34:16
That's excellent. So he does it. He ends up doing it. Well,
Jaime 34:20
then we get to the real stick, sticky point. Okay, the letter of agreement between the facility and the health plan, everything that went through, all said that was the last thing we needed. And that negotiation went on and on, and I was getting no updates. First, the doctor from that facility, where he's going to get it, was communicating with me by my chart, it's in progress. So like, two days later, I'd be like, Okay, is it done? Jamie, all I can tell you is that it's in progress. I'm like, can you connect me with the person who's actually working on this at the facility? No, we manage the communication with the patient, because we're the doctor. I'm like, That's not acceptable. So I call the infusion center. I want
Scott Benner 34:55
to say also the way he's the way he's managing it is by saying they're telling me it's in progress. Yes, that's probably all they know,
Jaime 35:04
too. The doctors not doing anything. It's billing. People managing this, right? So I call the infusion center, and I get some nurse and they're like, oh, yeah, I know that case is going on, and they're working on it, but you know this, it's really expensive. They got to sort out all these costs that the whole therapy could end up costing a million dollars. I'm like,
Unknown Speaker 35:26
a million dollars. Did
Scott Benner 35:28
they say it like in that cartoon? 1 million. Was it like that or no,
Jaime 35:34
no, it was like a horrified sound. I do believe this went on and on. Finally, I did get connected to a billing person? They're just saying the same thing. I'm like, well, we met again, and we're supposed to meet in two days, and this went on for three weeks. I'm like, what has happened? What have you decided? Are you making? Please explain the progress you're making. Well, we're just meeting. We're just meeting to go over the points. I'm like, This is nuts. So I contacted a friend of mine who's a health attorney, and talked with her for like an hour, and she gave me some tips about what to say, and I said them. Basically, there's a state agency that you can send complaints to when care is being delayed inappropriately, if you think it's inappropriate, right? So first you have to file a grievance with the health plan, a grievance with the facility. And then once you've done that, you can report to this state agency. So they had, like, the billing person's like, manager who it was a very senior title, VP of blah blah blah at the facility, ended up calling me one one day because I was so annoying. They're like, please, don't worry, this is in progress. It's going to be resolved soon. And that was right after I talked to the lawyer. I'm like, listen, I do not believe you that this is going to be resolved soon. That's nice that you're telling me that, but this is what's going to happen if this isn't resolved by Friday, I'm filing a grievance with your facility. I'm filing a grievance with the health plan. And then after the grievance, it's going to go to the state agency for investigation, if it's not done by Friday.
Scott Benner 37:06
Used all the magic words at once. Used them all up.
Jaime 37:09
Yeah, used them, yeah, yeah. And then that's how Teasel got approved. The next day, I got a call. That is it? 24
Scott Benner 37:15
hours later, yes, yeah, I love peanut butter sandwiches. Ah, yeah. No problem. Here it is. Turns out it's not a million dollars Crazy, right? Here you go. Oh, their job to say no to see if you give up, you know.
Jaime 37:31
So then we rented an Airbnb, and we went up there and we got tea sealed. And, I mean, it was smooth sailing. We just got the infused. He didn't want a permanent thing in him. They used something called the J tip on the insertion to numb the area. So he said he didn't even feel when the infusion was going in Nice. He did have somewhat hard to find veins, but they have a special it was a pretty advanced hospital where he got the infusion, and so they had everything. They had some special team that could find, hard to find veins, and he was totally calm. And it was, I look back at it like a medical vacation. We went to a nice area in the morning. We went to the hospital. We played poker, mostly during the infusion. And I didn't get to spend, I don't spend time like that with Carter, like he's 14 years old. He's doing his own thing a lot of the time. It was hours days of just meeting Carter. I was there for the first 10 days, and then his dad came up for the last four and I came home, we did that. And then the afternoons, he felt fine. We went to museums. We went hiking. It was amazing. Nice.
Scott Benner 38:34
That's excellent. After the that process happens, he gets the 14 days of infusions. What's the follow up? Like, like, how do you keep track of this? Did it work? Is it working? Like, agree, how long until you just forget about it and just hope it works for as long as it does, there's
Jaime 38:51
actually no indicator. You can't tell, like, oh, is is it gonna work? There's nothing you don't, like, get a test and they're like, Oh, it worked. It's gonna delay. You just keep monitoring the blood sugar. So his a 1c in January was 6.4 it was done about six weeks after the infusion again, and it was 5.4 with a normal C peptide. Now, the other thing about stage two, it could have been the impact of T seal, but also stage two sort of goes up and down like your your insulin levels get better, get work. Yeah, it's not necessarily, apparently a linear thing, but we're thrilled with the 5.4 he's also taking, I did some research on vitamins that might help delay so he takes those. And his doctor definitely recommended the follow up doctor that we're seeing here now, we found a really good one, and I like him a lot. So he takes fish oil and vitamin D, as recommended by the doctor, and then he also takes zinc and a B complex with C. I decided the C and the Zinc because of immunity. You know, you don't want to get sick like that's part of what kills the insulin cells. You get the flu, you get. Yeah, a cold, yeah, right. Those are sort of to try to keep so he takes those and I trying to limit the carbs. The doctor also recommended a lower carb diet. Some research that may be helpful. It's not super strong, but we didn't really drink, you know, juice or soda. But those are also you there's no sugary beverages allowed, so
Scott Benner 40:20
Well, you might as well try everything you can think of, right?
Jaime 40:25
Yeah, and he wears a CGM, like, one cycle a month, and because it could just boom progress, right? And you don't want to end up in DKA, so that's why you keep doing the a one CS every three months. And he wears a CGM, but he doesn't have to wear it all the
Scott Benner 40:39
time. What's the timeline on this from the time you thought, hey, he might have diabetes, until the infusion started? And how long has it been since the infusions were done,
Jaime 40:50
the end of January, when it all started, and then the infusions were mid March?
Scott Benner 40:56
Wow. You've accomplished all this basically in the last eight months. Yeah, it's been a lot. I imagine he's doing great. Yeah, excellent. Your company was good with you taking time off to go away, yeah. So I took
Jaime 41:09
FMLA, okay, so because it was more than five days in a row, I guess it would have been sick time only less than five days. But because it was continuous for that long, I just had took FMLA, and so I was able to do that. So part of it was unpaid, but that was okay for me, right? Well,
Scott Benner 41:25
the big parts like they, you know, not that they're just gonna fire you, but you know you've got your job when you come back and you know they can't. Oh, yeah, yeah. All that 10 days is pretty short, but FMLA is pretty cool about what it protects people from, especially when you're It is, yeah, fighting an illness like that. Have you guys had any conversations about diabetes now? Or are we, like, just gonna act like it's out of sight, out of mind for now? Like, where are you at with that?
Jaime 41:52
So especially when we were doing the T field infusion, it was like, a lot of focus on diabetes, right? We're here to prevent diabetes or delay diabetes, and so it was just on our minds a lot. So during those 14 days, we had a lot of conversations about diabetes. It was probably pushed more by me. I'm like, I want to get some of this info out there, you know. And one of the most interesting conversations we had, we talked about, like, symptoms of low blood sugars. And by the way, he does have some low blood sugars, but he feels no symptoms. So I'm a little puzzled by that, but that's the doctor said, Yes, you can have more lows in stage two type one diabetes, as well as the highs, because your glucagon production is a little bit off. Your body's releasing too much insulin at certain times. So, but for whatever reason, he feels no symptoms of them. Okay, I don't know, we talked about the insulin pump, like I showed in my loop, you know, showed, hey, this is what I do, and this is how the screens work. And I showed him night scout. Here's some of the data I look at to see how my trends are doing. I'm like, but there's lots of different options out there. And, you know, for many years, I just use needles. Or it's like, I think I want to use that thing. It's cool. You can control it from your phone,
Scott Benner 43:00
you know, like, Wait, it's got an app I'm in,
Jaime 43:05
right? Can I play? The one conversation I really wanted to have with him was about, you know, when teens developed, I Well, really, anyone there can be, like, a rebellious stage or a time period where you're not going to pay attention, and for whatever reason, it's my personality or how my parents raised me, or what I've never had that I never was like, Oh, I'm going to eat this and forget about it. I mean, make mistakes, whatever you forget. But I was never overtly, I'm not going to manage this closely. I was always like, this is very important, and I want Carter to feel that way, right? But how do I make sure that he feels that way? How can I encourage him to feel that way? So I just posed the question to him in this conversational way, like, hey, you know, sometimes, especially teenagers, if they get diabetes, they they don't pay attention to it, and they maybe they don't take their insulin, and they get really frustrated or mad about having diabetes, and they stopped paying attention to it. Like, what do you think about that? And it just allowed us to have a conversation about he's like, why would they do that? I'm like, Well, I don't know. Why do you think they might do that? Well, I guess just because you don't want it and maybe you can ignore it. I'm like, yeah, absolutely, it makes sense. But what's the implication of doing that? Right? That was one of the most interesting conversations I had with Carter, and one of them that I felt was really important to have. Okay, yeah,
Scott Benner 44:32
well, He'll either have it happen to him and he'll be like, Oh, this is the thing my mom and I were talking about. I still don't feel like taking care of this. Or, yeah, it'll creep up and he'll think, oh, okay, yeah, this is a thing to look out for. I'll get ahead of it somehow, and hopefully he'll be able to
Jaime 44:48
it's interesting wearing a CGM, because he can see how certain foods, you know, affect blood sugar. Obviously, when he gets type one, he'll need to take the insulin to match the foods, right? Right, but it's funny, the worst blood sugar, I actually texted his dad. I'm like, hey, what Carter eat at like, three o'clock yesterday? His dad said, blueberries. I'm like, blueberries, sugar. When Carter came back, I'm like, hey, that's fine. Did you notice how your CGM spiked up? He's like, I didn't notice. Like, okay, well, the worst was, like, 3pm the other day you were eating blueberries. He's like, Oh, yeah, I ate the whole container. Also,
Scott Benner 45:23
I am not looking at the CGM, in case you're wondering, right? Well,
Jaime 45:26
his high alarm is off. What's he going to do about it? Right? But it's just interesting to learn that. And so we have a new role of pairing carbs with protein. I'm like, you want to eat the blueberries, you got to have a piece of cheese or the nuts or something
Scott Benner 45:41
to slow this down a little bit, fair enough. And he, and he's, and he's flexible about it. As you go,
Unknown Speaker 45:47
yeah, he seems to be, yeah. Can
Scott Benner 45:49
I ask you? I mean, you're the type one, right? So, and you're of the parents. Do you have any feelings of guilt or strange, like psychological impacts from what's happening to him.
Jaime 46:03
I don't feel guilty at all. I had a thing happen where I was feeling so bad, just bad that Carter. This was happening to Carter, and it was when he got really upset that week. He so he does his own laundry, and I, I did his laundry that week, and he comes home. He's like, Mom, why did you come and dads? He's like, Mom, why did you do my laundry? I'm like, Well, you know, you're, you're getting diabetes. I just, I just want to do something, you know, extra for you. And he's like, Well, you have diabetes too, Mom,
Scott Benner 46:34
you should have said, yeah, do my laundry. Why are you helping me? Like, why have you been doing my laundry? I think the question here is, how come you have not been helping me with the laundry, right? So okay, that was interesting. I get your feel
Jaime 46:45
guilty i And also, like, when I think about my diabetes, I mean, I hate it. I wish it was gone. I'd be thrilled, but I wouldn't be who I am without growing up with diabetes. I wouldn't know who I would be. I it's part of me like it's who I am. And yes, I would get rid of it in a second, but that's how I feel about my diabetes. And I think the reason I don't feel guilty is a little bit because of how I feel okay about having my own diabetes. You know what I mean? And I don't actually feel that Carter will have complications. I have none. I feel very healthy. I'm very active. It's because I take care of myself really carefully and maybe a little bit of luck. I don't worry about Carter's physical health. I worry about his mental health. And I feel that growing up with diabetes now, in a sense, is very, very different than it was when I grew up with diabetes, because of all the constant monitoring we didn't have that. You had no idea what your blood sugar was running around like, you felt low. You ate two candies, and off you went again. Like, so it wasn't in your mind. You were also
Scott Benner 47:54
using regular and mph, right? Regular
Jaime 47:56
and mph, yeah, not too many shots a day. Like, in a sense, it it was in the background more than I think kids and parents anyone with type one lives today. I don't know. And maybe that's just me. Maybe that's me, I don't
Scott Benner 48:09
know. Let me offer a different perspective. You got diabetes at a time where they expected your life was going to be shorter, and this was the best they could do for you, so they didn't really pay attention to it. And then you got lucky, because at the end of the 80s, when the faster acting insulin came, you got scooped up. But if you would have been diagnosed in 1963 what you'd be saying right now is completely different. You know what I mean,
Jaime 48:31
that's true, yeah, that's true. And somehow, I was treated at Jocelyn Diabetes Center as a kid, so I had the best treatment there was in the country, right? Yeah. And
Scott Benner 48:41
still, the best treatment there was in the country was, shoot this in the morning, shoot this at night. And if you get dizzy, have a piece of candy, right, right? What I was going to say then is, the rest of it is, I've seen this over years. I mean, people who are kind of like, you know, have had type one for a longer time, or got diagnosed long ago, or, you know, had a kid that was diagnosed back before there was monitoring and everything. And they always say, like, they say exactly what you said, Oh, we just ran around. If we got dizzy, we ate something. It was fine and blah, blah, blah, but you don't really know if it was fine and it wasn't fine. Yeah,
Jaime 49:15
I'm sure we were high and we were low, but it didn't affect our mental capacity. You see, yeah, maybe yeah, gonna cause complications later on.
Scott Benner 49:23
But Right, right. There would be some people who might call that blissful ignorance. But now you have the opportunity, sense, yeah, yeah. Now you have the opportunity to, if you want to manage this out to the nth degree, if you want to, and then at least it puts it in your hands, and you can decide, I think that's, you know, the option is there for people who can't handle it for reasons of, you know, stress or whatever, they'll find a different way to manage but I like that the opportunity is there for the people who want it. Yes, yeah, that's all. Anyway, I think that's interesting, by the way. I didn't mean to say that. I think you should feel guilty. I. Was just, I've spoken to people who do, and I was oh, no, yeah. I know. I don't. I do feel very I felt sad, yeah, no, of course, yeah. The stuff I feel sad about for my kids, you know that aren't a life altering disease. I still feel sad for things all the time, you know, experiences that they have, but I was like, Oh, I wish I would have went differently for them. Or, you know, I wonder why this couldn't happen. Or, like, Yeah, I mean, that's just being a parent. That part's that ain't going away. Is there anything that we haven't included in your story that we should have? I want to make sure that this is a nice, tight bow for you, and everything's here. I think we covered most of what I wanted to talk about nice. Well, do you want to, like, flip back around for a second and give people a little more? Because when you first signed up, you signed up to talk about FMLA. Oh, yeah. What did you want to talk about? About that? Like, because we can include that here in the last couple minutes.
Jaime 50:52
So I use FMLA for Carter's treatment, right? But I have both type one diabetes, and then I have a neurological disorder called dystonia. Meant a lot of years I had terrible pain in my neck, but I had scoliosis as a teen, you know, founder and screening, I had an injury as a teen my neck, a sweating accident, right in my neck, and then I had a car accident in my early 20s, when I was in college, and about six months after the car accident, terrible pain. And for years that I'd go to the doctor, this pain is so bad and like, well, your muscles relax and take some Advil, go to pt. It didn't, it wasn't making any improvement, like, only a very small improvement. And finally, after this, having this pain for like, 15 years, I was diagnosed with dystonia, which is a very rare neurological disorder, and there's a treatment for it, Botox, and the other similar medications, similar to Botox, that's injected about every 12 weeks into the muscles by a neurologist. For years, my neurologist told me, I don't use it for diabetes, but I just want to explain the situation so other people understand how they may be able to use it for diabetes, for ongoing, chronic health issues, right? I don't feel the need to use FMLA for diabetes, but for my neck pain. For years, my neurologist told me, Jamie, what's going to reduce your neck pain the most is working less at the computer. And I would just sort of laugh, like, that's funny, right? I'm the primary breadwinner in my family. I make two thirds of the income in my family. It was just a funny thing to me, like, what are we going to do move out of our house if I work less than a computer,
Scott Benner 52:23
you know? Yeah, maybe we could eat every other Thursday.
Jaime 52:27
I don't know. I just, I never did it. And then the pain was getting worse, and I was felt like it was really affecting my mental health to be in pain. So, yeah, standing at the computer, I stand and I sit, but the end of the day is the worst, because I've been there for eight hours, you know? And then that's when you interact with your family and you're in a bad mood because you're in pain. And finally, I'm like, You know what? I'm going to try to work less. Now, the type of job that I have, no one works part time. No one, right? It's not an industry where I work for a big publicly traded company, I have a pretty senior job, senior director level. You can't be like, Hey, can I work part time? They'd be like, What are you talking about? No,
Scott Benner 53:09
you could quit or go to hell.
Jaime 53:13
I mean, no, your job's a full time job, but FMLA covers 12 weeks per year of leave, and you can use it intermittently. So I talk, you know my doctor again, Hey, Jamie. I'm like, You know what? Yep, let's do it. He's like, Well, I really think it should be two days. I'm like, that's not going to cover that. I can't take two days a week because the FMLA is going to run out. So you can take one day off a week every year and use FMLA. Okay, so I'm like, well, write it for one to two and off we go. And I talked to my manager, and my manager said, you know, they just referred me to an outside company, you know, reviews the FMLA form. Here's the form. And I debated that too, Scott for so long, just even doing I'm like, I felt like a failure. Like, why can't I work? Why can't I manage this and work full time? And right? Am I limiting my whole career? Like a lot of my identity is, is associated with, like, doing the work that I do. It's very important to me. I like it a lot. It's like part of who I am, you know. So I almost felt like I'm failing, or I'm failing or not able to progress in this important way, like maybe this is going to limit me in the future. But I just ended up deciding I don't care. I can't be this uncomfortable all the time. And so that was it. It was approved in one day. And I don't work on Fridays. Yeah, my calendar is blocked, and that's it. So, you know, for diabetes, it would be the same thing. You can also use ADA for diabetes, because it's covered as a as a disability under ADA. So if you need accommodations in that way. Right? As I understand it, FMLA actually has slightly stronger protections. If all you need is is just one day, which is what I'm using right now per week. You can use it by hours. You can use it to they have to accommodate. If you have to take your kids to a doctor's appointment at 2pm they have to let you go, you know, yeah, you have to. If they're not letting you go, you use FMLA, you have to, right? I've had no pushback at all. And every six months, the form gets filled out again, and off we go. Well, it's interesting.
Scott Benner 55:28
I appreciate you sharing that as well. Thank you. Yeah, this was lovely. I appreciate you doing this. Have you heard from other people who have done t, z yield, like, has the process been as disjointed as yours was?
Jaime 55:40
So actually, I should there's a Facebook group called Tea sealed families, okay, and it's grown a lot. There were a few 100 people in it when I joined in January, and it's grown by hundreds. It's in the 1000s now, I think. And so you can join there and ask questions that people are really helpful about, you know, answering them. People post their their pictures of their kids and the treatment, and, you know, say how the treatments going. People do have trouble. I think I had a lot of trouble because of the type of health plan that we were in. So why is there so much trouble with this treatment? It's an infusion. Endocrinologist, don't do it. Infusions. There's no infusion an endocrinologist does. So this is like, the first time of this type of treatment for the entire specialty. You know, that's weird. It's also 14 days in a row, and most infusion centers are closed on Sundays. They've got to figure out some way around this Sunday closure, which isn't always easy to do. So I don't know. The drug has some challenges in terms of administration and how it works, yeah, yeah.
Scott Benner 56:45
Well, hopefully as time goes on, they'll stream better streamline it. Yeah, that's interesting. Okay, all right. Well, hey, Jamie, thank you so much for doing this. I really do appreciate it. Yeah, thank you, Scott. Well, it's my pleasure. Can you hold on for a second? You thanks for tuning in today, and thanks to Medtronic diabetes for sponsoring this episode. We've been talking about Medtronic mini med 780 G system today, an automated insulin delivery system that helps make diabetes management easier day and night, whether it's their meal detection technology for the Medtronic extended infusion set, it all comes together to simplify life with diabetes. Go find out more at my link. Medtronic diabetes.com/juice box. Us. Med sponsored this episode of the juice box podcast. Check them out at us med.com/juice box, or by calling 888-721-1514, get your free benefits check and get started today with us. Med, 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. Are you starting to see patterns? But you can't quite make sense of them. You're like, Oh, if I Bolus here, this happens, but I don't know what to do. Should I put in a little less? A little more? If you're starting to have those thoughts, you're starting to think this isn't going the way the doctor said it would. I think I see something here, but I can't be sure. Once you're having those thoughts, you're ready for the diabetes Pro Tip series from the Juicebox Podcast. It begins at Episode 1000 you can also find it at Juicebox podcast.com up in the menu, and you can find a list in the private Facebook group. Just check right under the featured tab at the top, it'll show you lists of a ton of stuff, including the Pro Tip series, which runs from episode 1000 to 1025 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 it. You want rob you.
Please support the sponsors
The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!
