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Scott Benner 0:00
Hello friends, welcome to the sips series.

These foundational strategies were nominated by listeners. They told me, these are the ideas in the podcast that truly made a difference for them. So I distilled them down into short, actionable insights. There's not going to be any fluff or complex jargon, just practical, real world diabetes management that you can start applying today. And I know your time is valuable, so we're keeping these short. Another small sip will come out once a week for the foreseeable future. If you like what you hear, check out the Pro Tip series or the bold beginning series for more. Those series are available in the menu at Juicebox podcast.com and you can find complete lists of all of the series in the featured tab on the private Facebook group. Please remember that nothing you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. The questions you have, I guarantee you there's answers to them in the Juicebox Podcast, and it's all free. You Jen,

so another thing Jenny, that I will just I'll bang a drum about for as long as I have this podcast or a way to talk to people with diabetes, is that I used to say that if I only had 30 seconds to explain diabetes to you, I would tell you that everything is timing and amount. It's the amount of insulin, using the right amount of insulin at the right time. If you do that, obviously it's not as easy as it sounds, but if you use the right amount of insulin at the right time, diabetes works out much better, right

Jennifer Smith, CDE 1:58
80% of the time it's gonna work better. Yes, yeah,

Scott Benner 2:03
it's not a listen. Nothing's a perfect system. I've had people come after me before because they're like, you can't say something so definitively, because somebody will get confused and like, I understand that idea. But at its core, managing insulin is timing an amount. It just is, like, you have to use the right amount of insulin at the right time. You can use the right amount of insulin at the wrong time, and that won't matter. Right you could make a perfect Bolus and not Pre Bolus a meal and still get high.

Jennifer Smith, CDE 2:31
I think that's valuable in all walks of nutrient intake or fueling plans that people are choosing, the real low carb eaters, the all fruit eaters, whatever. It's 100% about timing. Even the people who are eating a ketogenic diet are timing that insulin that they're using in the right way to hit and smooth the blood sugar for the nutrients that they are eating. Yeah, same for carbohydrates. If you're going to be a all fruit eater, you know, 800 grams of carp in a day, you still really have to know it boils down to insulin action. When do you need to take the insulin? When does it finish working? When does it hit? Where it want it to hit?

Scott Benner 3:18
I sat at lunches with type ones who are eating no carbs at all, like just taking in protein, but they know they're going to get a bump from the protein later. I'm thinking of an example now where I sat with a person who was just eating the patties out of a cheeseburger, right? Sure. And 45 minutes later, she's like, I have to Bolus now, yep, that's timing and amount, right? Like, if you're like, I don't know keto the right word. Like, if you're super keto, or you're ultra low carb or something, and you're using, I don't know, you're using old time insulin, still right? Maybe using our, our

Jennifer Smith, CDE 3:50
insulin, many people are using our because it hits in a slower pattern, much like the fats and the proteins in the diet, more more fat in the ketogenic diet, truly. But even for those eating more of a high protein diet, you're going to get better impact from our or regular insulin, slower onset, much longer than our today's quote, unquote, rapid insulin.

Scott Benner 4:14
But that's timing. Still it is that's just you're matching up. They go back and take an older insulin because of the way it works, because of the way the timing of the insulin works. Yes, going back to the idea that you could use the right amount at the wrong time, you could Pre Bolus too long and get low, that's the right amount of insulin at the wrong time. But you know, just like in that Eminem story, if you put the right amount of insulin in at the right time, you might not see a blip on your graph ever. I was looking at Arden's graph last night, and I can pull it up now to look at it again, like Arden's over like, this is overnight, right? So here's her overnight graph. You can probably see it enough, yes. Okay, so Arden has been, this is like the last six hours. Arden has not been under 70 or over 120 Me for the last sleeping six hours of her life, and she's 76 right now. That stability in that graph is being controlled by, I mean, Arden's using trio, so she's on an algorithm. She has a GLP going, so like, she's got a lot of things helping her, but in the end, right? That insulin is being put in, taken away by the algorithm. Little here, a little here. Hey, the Bolus is or the basal is, usually point eight, five overnight, but you'll see it go to point five. Sometimes you'll see it go up to point nine, five to one. Like all you're seeing happen is the right amount of insulin being used at the right time, and when it's done perfectly, that's a stable line that you get. You can do that with a meal like you just can't. It might take you a long time to figure it out. I'm not saying on the first try it's gonna go awesome. Like, I'm not saying that if you have, like, a Twinkie sandwich with a cupcake chaser, that it's gonna, like, you know, be as easy. But the truth is, you could eat a Twinkie sandwich with a cupcake chaser and use all I don't know how the hell you'd figure it out. You could put that insulin in the right places, and it would, generally speaking, work for you, sure. And I think that once a person learns how to manage, like, something, you know, with a crazy glycemic impact, regular meals are, you're like, Oh, this is pretty easy. You know what I mean? Like, easier?

Jennifer Smith, CDE 6:19
Yeah, right. And it's the, it's the meals that you regularly eat over and over that then give you a confidence level of trying something maybe a little bit more aggressive for something like, I can't believe you made up a Twinkie sandwich. I know somebody has probably done that, but anyway, that's what you're going to try to do.

Scott Benner 6:39
I want to just tell you, if I'm going there, it's not a Twinkie. I don't I think the cake is weird. I don't like the cream. It's not for me.

Jennifer Smith, CDE 6:48
Anyway. Go ahead, it's all good. It's all about timing. That's it.

Scott Benner 6:53
You can hear more about this in episode 255. Comes up in 223. Something called Johnny's mom took notes. Sounds like Johnny's mom was listening to the podcast and listened and understood and in understanding glycemic index and load in, I think the pro tip episode, so great timing and amount. Again, if I was falling off a cliff and you're like, Scott, help me with my diabetes, ideal. It's all timing and amount. Ah,

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, if 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 if you or a loved one, was just diagnosed with type one diabetes, and you're looking for some fresh perspective, the bold beginning series from the Juicebox Podcast is a terrific place to start. That series is with myself and Jenny Smith. Jenny is a CD CES, a registered dietitian and a type one for over 35 years, and in the bowl beginnings series, Jenny and I are going to answer the questions that most people have after a type one diabetes diagnosis. The series begins at episode 698, in your podcast player, or you can go to Juicebox podcast.com and click on bold beginnings in the menu. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. You.