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Scott Benner 0:00
You're listening to Episode 161 of the Juicebox Podcast. If this episode is not the best part of your day, I'm going to give you your money back, or anything of that

Unknown Speaker 0:11
money back

Scott Benner 0:12
guarantee on a free podcast. Today's episode is sponsored by Dexcom, makers of the G five continuous glucose monitor and soon to be the G six coming very very soon. This episode is also sponsored by the tubeless insulin pump that Arden uses on the pod, you go to my omnipod.com Ford slash juice box to find out more, or dexcom.com forward slash juice box.

Today's episode is really very different. Justin is the husband of Mandy Mandy has type one diabetes, Justin doesn't. But Justin helps with Mandy's type one, he sort of like a caregiver but not for a child. It's very interesting. If you're the parent of a kid with type one, I think you're gonna love the similarities in the lessons that Justin has been taking. If you're an adult who lives with type one might be really interesting for you to hear about what it's like for someone who doesn't have type one to be this involved. Listen, I like all the episodes, that's why I put them on. But this one's got a really sort of different perspective. And I think you're going to quite enjoy it. Please don't forget that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise Always consult a physician before being bold with insulin.

Justin Robbins 1:45
My name is Justin Robbins. I am married to a type one diabetic. We are both in our early 30s. She was diagnosed when she was 14 years old. April 2000. And this is this is kind of our our story. So you reached out.

Scott Benner 2:08
Because I think you have a unique perspective, right? You're, you're an adult who doesn't have type one. Do you have any kind of to tie to? Do you have any diabetes on your life?

Justin Robbins 2:17
No, I have I have no diabetes, and no no history of it in my family either.

Scott Benner 2:22
Okay, so you marry a girl who already had you know, she has type one to begin with? Right? So correct. When you started dating? How far into dating? Were you? Did she tell you on the first date?

Justin Robbins 2:33
was actually when we when we first met. We We met at a a kind of a dance place. And she had she had tubing test hanging out there. She was already on a pump at that point. Right. And we, you know, conversation started and I I just kind of I don't know if it was rude or not. But I said, you know, hey, hey, what? What's this? That Oh, that's my, my insulin tubing. And I said, Oh, okay. And then then we went out on our first date. And she told me all about, you know, being a diabetic and, and basically, you know what I was getting myself into? And I it never, it never even occurred to me that that was a negative thing. Right? She's always been very positive about it. So.

Scott Benner 3:27
So I imagine at first if you I wonder if you thought like, is that tubing? I wonder if it's going to like, What if she has a drink with her somewhere? And she's just like those hats at the football games, which appears in the top right in the struggles that come down?

Justin Robbins 3:39
Well, to be completely honest, I kind of I you know, I didn't have a whole lot of medical knowledge. I thought it was a feeding tube.

Scott Benner 3:47
Okay, even so, is that what you thought before you asked her? Or is that even? Okay?

Justin Robbins 3:52
And yeah, when I first saw, that's what I thought. Interesting, huh?

Scott Benner 3:55
I don't know what I would think it I wish. I mean, I don't, it doesn't matter. But I do wonder if I was completely just disconnected from this completely. And I saw that, like, what would be the first thing you always hear people say, of someone came up to me and asked what that was. And some people are put off by that idea. And some people don't care. And I think we all need to sort of understand that there's no way that somebody outside of this world would have any idea what that is.

Justin Robbins 4:18
Right. And I think it's always kind of in the context of pallets as to she never mind filling people in on on her, or Dexcom or her pop, you know, her pump or anything like that. But sometimes when she doesn't mind if you come up and ask or anything like that, that sometimes people will grab it, or touch it and that's kind of fast. That's a little bit of a put off. Yeah.

Scott Benner 4:44
It's fascinating to think that anyone would come from and touch you in any specific way like that. Are we saying her name? I'm sorry?

Justin Robbins 4:51
Yeah, yeah, her name is Mandy. Mandy, okay. All right. So

Scott Benner 4:54
Justin and Mandy, meet, date, fall in love. Get married. And now, you've described yourself as Mandy's, like kind of primary caregiver like so. I didn't ask you in any kind of notes, because I don't like to know too much before we're talking. But I'm interested in that, like, so you're pretty involved in her kind of moment to moment diabetes life?

Justin Robbins 5:16
Absolutely. Actually, we just had our endo appointment yesterday. And I try to be as involved as I possibly can. Mandy is a TA as an RN, she, she's actually specialized in pediatrics. And so she, she works nights. And during the day, it's kind of my job while she's sleeping, monitor her glucose levels, and make sure that she's where she needs to be. So that way, she gets the right amount of sleep and isn't interrupted by it all the time. I help her change all of her sites I you know, try to monitor what she's eating and reminder to Pre-Bolus. And, and, and we both listen to the the Juicebox Podcast.

Scott Benner 6:14
Is this something that How did that happen? Right did I mean like when you guys meet the first time, you really feel like you have connection with her with her diabetes, and you're involved in it to she asked you do you offer? Does it happen naturally? Does she say, Hey, I'm struggling with this. I need help. Do you just I mean, what's the there's got to be a pathway into that, like somebody you didn't just look at her one day and say, Hey, I can handle a lot of this for you. So you don't I mean, so how did it start?

Justin Robbins 6:41
No, it was actually while we were dating. A while into after dating, we we decided to move in with each other. You know, it became on a on a day to day basis. It was something she was going to have to deal with. And I knew how involved she was with it. Although not always taking the best care of herself. She was always very involved in it with others like she even when we first started dating every summer, she always dedicated time to go to a diabetes camp that she had went to when she was a kid that helped her out a lot. And I knew how involved she was. And I knew that it was it would be important that if I was going to continue on with this girl that I become involved to was it was almost kind of a, you know, saddening one time when I had went with her to one of the diabetes camps, and they were actually they had lost a previous camper. That was my wife's age, like the year before, to a diabetes related death

Scott Benner 7:51
at the end of the camp.

Justin Robbins 7:53
Well, they didn't die at the camp, but they were saying that through there. Okay. Yeah, they had met every year. And then that the following year, when I went with my wife, that person just wasn't there. Yeah.

Scott Benner 8:03
Did that scare you? Or her? Moriah? Thank

Justin Robbins 8:04
me, I think. Because, you know, I care a lot about her. And I just could not imagine that happening to her. And I kind of decided at that moment that it never would, that I would, I would see to it that, you know, her stuff was managed and that that was never going to happen.

Scott Benner 8:25
So Mandy's probably, I'm guessing a caregiver at heart because she's a nurse that's that'd be a tough job to do if you didn't have that feeling. And you did. Yeah. Drivers absolutely taking better care of other people than herself, which I think happens to a lot of people who feel that way. My question is, were you a caregiver at heart before you met Mandy before you had an experience where someone passed away or just something that just got better for you? Or did it transform you at that moment?

Justin Robbins 8:52
It definitely transformed me now I can't say I was a caregiver. Yeah. I come from a family of people in medical school, but I was never myself. So no, I never. I had an instance. I've always been, quote unquote, healthy. I guess. Never. We'll never have to at least deal with this going on. Right? That I just wasn't, you know, it was very new to me. But no, I I knew at that moment that I wanted to help her out in any way I possibly could. Okay.

Scott Benner 9:30
And this is Mrs. I'm sorry, prior to your actual marriage or, or after?

Justin Robbins 9:35
Oh, this is this was prior titles. Well, yeah.

Unknown Speaker 9:38
Okay. Um, well, I

Scott Benner 9:40
don't find that in any way. Surprising. It does really hit you like that, or it hits some people like that. Now, the part that I'm surprised by or not, or interested in, I guess, is that I know a lot of people who are adults who have type one diabetes, who don't let other people even very close loved ones into their management at all. And so did you have to talk her into it? Or do you think she was, she was like, You know what, I could use the help or, like, because that's the next part, like when you start asserting yourself, what's the response from her.

Justin Robbins 10:15
Um, she, she kind of took to it. I mean, she had never had anyone be around that wanted to help her out with it. He she comes from a very, very loving, but old fashioned family, where, you know, she would, uh, when she was first diagnosed, first got on to a pump a year after being diagnosed, or a couple years after being diagnosed, she got into a pump. And even if she were to, like, try to need to take a shot or test, and she was like, at a restaurant with her family, it was kind of expected to get up and go to the bathroom, and test. And so it was one of those things that it was kind of nobody had ever told her, you know, that they minded it, but nobody was really willing to be that helpful with her,

Scott Benner 11:08
either. Okay, so and she's also in that mid teen area, right? She's like, 14 ish, like, right, right. And there's that moment where probably, as a parent, you're like, well, they she, and she's gonna have to learn how to do it herself. And, and then there's that, you know, that underlying feeling sometimes you're like, I don't know what this is. So hopefully she can figure it out. But I hear a point Moreover, and I do think it's an important one, like, psychologically being asked to leave, to take care of it just leave anywhere to go somewhere else, especially the bathroom. For some reason, it really strikes me as insulting. I don't hundred percent know why, but, but being asked to leave psychologically could say to you, no one wants to see this. Right. And no one comes with me. So no one wants to help with this. Exactly. Even if that's not the case. You could feel that way. I mean, right, by pretty easily, I think. Okay, do you think do you think Mandy wanted to be a nurse before she was diagnosed?

Justin Robbins 12:03
Now, she will, she will accredit being a nurse to when she was diagnosed at Children's Hospital, that she, the nurse that actually took care of her, and guided her, the very scary process, and, and everyone that came in and talk to her, other than that nurse was just scaring her think you'll have this your whole life, eventually, this will kill you, you know,

Scott Benner 12:32
just wondering how you're going out?

Unknown Speaker 12:34
It's gonna be this right?

Justin Robbins 12:34
Yeah, just all these awful things. And I finally had a nurse that came in and had a little bit of sense to her and said, No, you know, no, this is, yes, this is something you will deal with your whole life. But it can be managed, you know, through insulin, you can still live a perfectly normal life. It's just something you're just going to have to deal with, you know,

Scott Benner 13:01
I can't imagine I can't imagine being disconnected a little bit from my family, as far as the management goes day to day, and having a nurse Tell me on my diagnosis, you know, in the days of my diagnosis, that this is going to kill you at some point, right? I would have been like, what you don't know, I might get hit by a car. That's hard to wrap your head around. And then Isn't it funny, like so? That experience makes her think, Well, I'd like to be a better influence on somebody when they have their moment. Right? When that when all right. And then and then I don't know if you'll ever balanced the scales, because what it seems like to me is that every person I meet with type one who is in the medical field who says that having diabetes, move them towards the medical field, it's always because somebody said something really stupid to them. And I just I always imagined like we add one but then the next time you add one, it's because you found another one. And they I don't know if you can ever tilt the tilt the scales the whole way. And having said that, there's 1000 you know, good nurses, probably for every bad one. But it just is it's I don't know, it's a very strange idea that someone would even say that. Yeah, absolutely. You know, I, I don't know. I just, it's like a lack of compassion that that is hard to put into words because even if, let's say this was true, right, let's just go for a second say she got you know, Mandy got diabetes, and what it meant was it was gonna kill her one day. Is that good to tell her on like day two, you know, like, while she's trying to figure out the insulin and all this other things, it's an odd, it's an oddity that people want to scare you into doing something instead of giving you a chance to just understand it and do it yourself. Right, exactly. That's really sucks, actually. Okay, so now I'm in. This is so okay, because I've never met somebody who's managed somebody's diabetes, like, with like, because she's sleeping right? So you're actually taking care of so let's go through that for a second. Imagine if she's sleeping. Taking care of it. And you did say she has a pump issue of a glucose monitor. Are you testing her while she's sleeping?

Justin Robbins 15:06
Now she has a glucose monitor. Okay, so the one good thing about us is we've always been kind of with the I guess cutting edge. If it's cheap, she does her research. All the time is all the time telling people things before they hit the market. Always, whether it's parents without this pay for it, I'm more than happy to sit on the phone with them. And just argue with them all day long. Or get up whatever paperwork it is that you say they require from day to day. But whether it be that or pay for out of pocket, we've we've always been good about keeping her in the best pumps and sensors. we've, we've been through just about every type of pump there is literally, and we've been through both types of sensors, but Dexcom just just works out best for us.

Scott Benner 15:59
That's the one that you landed on. How about which what kind of pump does she like?

Justin Robbins 16:03
She has on a T slim

Scott Benner 16:05
He's like, Oh,

Unknown Speaker 16:06
I like that which

Justin Robbins 16:07
people like that. We love green. We love the we love the T slim. The only problem is I cannot find any endocrinologists that have the software that can look up to it. Oh, so yeah, it's apparently their, their vendor support is not great.

Unknown Speaker 16:28
Yeah. Okay.

Scott Benner 16:31
All right. So she's pumping and she's got a dexcom and sort of shot now here. Let's walk us through a moment she comes home from work. She's disheveled has had a long evening at the working comes home. Do you guys hang for a little bit? Or does she go like right to passing out? Like, what's her? What's her like vibe, like when she gets home from work?

Justin Robbins 16:49
Well, actually, it'd be it'd be early morning when she got home. I'm sorry. But But usually when she comes home, it's been several hours since she's, she's eight. So a lot of times either she'll have some sort of snack, which we I always beg and plead or please don't let it be cereal. It is my my job throughout the morning and and even early afternoon is going to be hell. But barely trying to make her some kind of some kind of fairly low carb breakfast. We're not low carb people. But right before she's gonna lay down, I don't want to load her up with pancakes and toast and syrup.

Scott Benner 17:31
Yeah, and it's funny because it's the morning but really it's the evening for you so right what most people would think of is at 10 o'clock at night when I need a snack before I'm gonna go to bed or eight o'clock after dinner or something that I if I start adding all this this conglomeration of carbs, all it really does even if you handle it really, really well, like just even if you're just sort of like a ninja with your, with your balls there, then it's still you still have the opportunity for like, a crazy low later or high that creeps up on you or something like that are just missing and now she's sleeping and your glasses. Interesting. Okay, so, okay, so you give her something to eat your you allow her to eat something that won't mess up your night or your day. And so it's like, it's funny, because I've had those thoughts where Arden's being like, you know, I'm gonna get a snack and you're like, looking across the room. Like, he can hear that he can hear your brain say no, not that please not that. Like, you know, that never say anything because you don't want to, like, you don't want to, you know, I don't want to give her a weird feeling about food and at the same time, like I can tell by what she grabs what time I'm going to go to sleep. Right. And so it's just fascinating. Okay, so, so you guys hang she whenever she crashes? And then do you like do you just stay around the house? Or do you?

Justin Robbins 18:49
I I work also but a lot. I don't work nearly as much as her I only work part time. And so I'm usually around a lot more. And also my job doesn't require me to be there some really early hours I work retail. So I sometimes go in like mid afternoon. So she's she I can usually tell by like the path on Hmm, I mean, shoot, she can't manage it herself.

Scott Benner 19:19
Yeah, I don't think we I guess we should have said that. It Mandy's not like I don't know what to do. She right? You just you're just trying to lighten her load because her schedule is so strange and exactly

Justin Robbins 19:30
right. And she works 12 hour shifts. So her quality of sleep you know needs to try to be somewhat decent because not like me where you know if I go into work and I'm a little tired maybe a printer doesn't get sold but her you know lives are on the line.

Scott Benner 19:46
Yeah, you know it occurs to me too. She works at 12 gets a bad night's sleep because of her blood sugar's still got to go back and work at 12 again. Right now she's 36 hours 24 of them are on her feet working and maybe she Didn't get quality sleep in between that's, and that's a reality. You know, I mean, everyone listening, everyone listening knows that your sleep can get messed up by diabetes. And sometimes you can have like, you can look, as you're going into the evening and think this is going to be the night this is going to work. And then and then it doesn't. And sometimes it just does out of nowhere and you can't plan. It's not like you can say I really have to sleep Thursday. So I'll get straight. So that works. You just do your best. And if it works out, it works out.

Unknown Speaker 20:29
Exactly.

Scott Benner 20:29
So. Okay, so in your note, you said that you feel like listening to the podcast has helped her with with like some of her goals. Oh, absolutely. Diabetes, diabetes wise. So I'd like to, I'd like to get you to tell me about before before you find the podcast. And you know, and get to listen to people telling their stories and everything. What was an average of what was happening, like snacks like meals, like how did it go, usually, I want you to promise me right now you're not going to wait any longer. You're not going to say to yourself, I'll do it next week or when it gets warm out. Or as soon as I get done this project that worked. Just do it right now. Go to dexcom.com Ford slash juice box, click on the link in your show notes, go to Juicebox podcast.com. Click on the link there. I don't care where you do it from. But today's the day you're going to find out more about the Dexcom g five continuous glucose monitor. You're listening to people every week on this podcast talk about the success. And the ease that they're living with do in a huge part, to the information that they receive back from their continuous glucose monitor made by Dexcom. I'm looking at ardens blood sugar right now I just brought it up in front of me on my iPhone. It's 9494 and steady, it's not dropping, it's not rising. She's in a great situation for an hour away from her Pre-Bolus. For her launch, that Pre-Bolus is going to be beautiful. Because of the information I'm getting back from the Dexcom, she's not going to spike after sheets. And she's not going to get low later, she'll spend the rest of day at school with a blood sugar right around here. And then she's gonna get right on a bus and go play softball afterwards. That's the beauty of the dexcom share. Even when I can't be with Arden, I can see her blood sugar. Just say this bowl is for lunch doesn't go exactly the way I expected her blood sugar starts to rise, we can address it, it starts the fall, we can address it, she may need more carbs or more insulin, but we're going to know right away because I'm going to be able to see her blood sugar and which way it's trending. And we can act quickly make a decision. Stay off that diabetes rollercoaster tried today, click on the link in your show notes or go to dexcom.com forward slash juicebox. I'd like to get you to tell me about before you find the podcast and you know, and get to listen to people telling their stories and everything. What was an average of what was happening.

Justin Robbins 22:54
So let me just start off by saying I feel at this, now that I know what I know. I feel kind of ashamed that we allowed what hap was happening to go on for so long. So prior to listening to your podcast, we and it was I won't say it's anybody's fault. We just kind of I don't know, I didn't quite understand the the principles out. So we've had the Dexcom for a while. And we had her parameters that just just ridiculously high. Okay. And it was for the reason of she didn't want to hear the beeps while she slept. Right. And also until listening to your podcast. I always had a death fear of her being low. Like everything I would read all these articles, you know, all well they went low during their sleep and just never woke up. And you know it because bad news travels fast they there was like you always read those articles, but you don't read anything about like the nasty side effects of having high blood sugar all the time.

Scott Benner 24:09
Hard to talk about. Yeah, if people people are not excited to talk about problems that can come up later.

Justin Robbins 24:15
Right. So we always erred on the side of just letting her be high. Because she can handle being high, a lot better than she can handle being low. When she started when she starts to get around. Low, you know, just even like the mid to low 80s. Like she'll say something to me, right where she can ride 100 or 250 all day and never say a word. And that's and that's awful, but we had her parameters set it where the it wouldn't even alarm at a high until like 240 and that was just for her sleeping. You know, like I knew she had to eat so I know she'd go up a little bit and And, and it even got to the point where like when before I would leave for work if, if she was like, you know, I kind of have like a rule of thumb in my head that if she was 180 or a little below, I just leave her like, I wouldn't give her any insulin, because I know that with her bazel she would to drop a little bit and I would be afraid. Put her towards closer to, you know, 120 because I didn't want her to dip low because she would immediately die. And that's kind of like the mind. Yeah, yeah, so

Scott Benner 25:37
blood sugar's gonna hit 70. And then I'm gonna be out looking for another dating situation.

Justin Robbins 25:43
Well, we had a scary incident one time after she had a surgery. And she wasn't able to really eat very much. And she was very weak afterwards. And I was that he told me to go to work. I had already been monitoring her for several days. But then she her blood sugar got low, she didn't really feel it because of all the drugs in her. And then she just kind of just kind of went down. And like my phone went off. Because I get alerts about her from her decks calm right with the shin had had her at like, 45, right. And she wasn't picking up the phone. And it just totally freaked me out. I jumped in my truck and left Blackmer fell through the parking lot as I got home, like a chase scene from a movie. And ever since then, like it just scared me. So I never I never would be bold with insulin, I would always let her be high. And so her a onesies were reflecting that

Scott Benner 26:47
it's funny too, because the the fear of So, so real, because what you're describing is a unique situation that doesn't exist in most of your day. She had had a surgery, she was medicated, you know, like, right, all the stuffs, but you see this 145 blood sugar that then causes you to, you know, for the rest of the year, except like 180 or 250 or something like that, because I don't want to be 45 again, right? It is. It's interesting why I want to I just want to stop you for a split second and go back and say I heard in your voice. The when you said ashamed, you know, you said I feel ashamed that I know, you know that you shouldn't be right, like, right, yeah. Like you don't have the, if you didn't have the tools? How would you know, you know, and then you, you lay the fear on top of it, then you'll lay the reality that you know, someone has passed away on top of it. And you know, and it's someone you love. And it's hard to you, it's hard to make that decision. Like I don't want to, I don't want to trade, you know, today for tomorrow, but I guess I'm going to and and that's that's not an easy decision to make, you know, that the end. And at the same time. It's the decision that a lot of people end up making. And the thing that broke my heart and caused me to want to do this. Because when you said you know she was at 180, I wouldn't correct like in my mind, I think while there's 100 points to take off there. You know, and even when I see my daughter, like that's why our hearts are high thresholds at 130. And as soon as Arden gets some more body mass, I'm gonna move with the 120 you know, as soon as I can, but when I see 130 I'm like, okay, insulin is not a lot, you know what I mean? But it's gonna be some, and then we take care of it. You know, like later this morning is a good example. Like Arden gets up and she's just stuck at 140. I'm telling you, Justin stuck like that, you know, I got up as I go, okay, you know, give her some insulin, doesn't move, get her downstairs, give her some insulin doesn't move center school. She's 145 on the Dexcom. And I'm like, you have to test them if something's wrong. Like I thought for sure. I was pretty sure she was gonna test and be way higher than that, like the CGM was off or something. Because usually when you get that really steady number that you can apply, it's wrong, right? But But instead, she tested in, she was 141. I'm like, Oh, this is really just a blood sugar that stuck. So we cranked up her basal rate for a half an hour. And now she's 102. But it's gonna be it's 15 minutes until I have to Pre-Bolus for her lunch and another 20 minutes after that before she's eating. So I just texted her while you and I were talking like 10 minutes ago, and we decreased her basal rate by 40% for an hour. Because now I'm hoping to catch it right where it's at right now one or two and just let it sit there. I don't want it to get much lower so that I can Pre-Bolus the way I want to. Right. But no one says that stuff to you. When you're diagnosed, you know, Mandy's being told Hey, you're gonna die. You know so but but no one no one's telling you that no one explains how the insulin works. No one understands, you know, I was watching someone online last night speak about, you know, this poor kids graph is just all over the place. And I reached out and I said, Look, you don't know me, but if you call me we can fix this in 10 minutes. And I genuinely mean that, like 10 minutes of talking and we could fix this. And I just I don't know why I mean, everybody's not my problem, you know, they mean like, but it just this one got me it just really kind of broke my heart. And it's, it's just, it's crazy to think that this person's having this stress, this anxiety and this and this shame that you're talking about all these other terrible things. Because someone didn't sit with them for 10 minutes and explain, hey, this is a tug of war between the insulin and the carbs. And you're just trying to keep either side from winning. And here's how that works. And here's how you do that. And again, it's just it's such a, it's it, I get angry about it that right? That that's not the advice you get coming out the door that everybody gets, you know, but so so I mean, talk about that a little bit. So what are you doing, like she's eating and you're probably not using enough insulin at first, and she spiking, but it's high, and it's not so high that you're like, Okay, so you sort of leave it is that was that sort of the

Justin Robbins 31:12
day? Yeah, I mean, basically, if she was, if she was under 200, I'd leave alone, because I kind of went by, not by what she should be at, but how she felt and I knew that if she was under 200, that she would feel fine. And, and so I just kind of, you know, accepted that. And, and, and then everything would be relatively fine, except when we would have our endo appointment, and I would go with her. And you know, we'd get the you know, shame shame. And by the way, we recently got a new endo, because our previous one, every time we would go in, they would just constantly mess with things like we had an endocrinologist who you would see the endo themselves about once a year. And then the rest of time you would see a nurse practitioner, right. And they didn't agree with each other. And they didn't. And they didn't communicate with each other either. So when we would see one, they would put all these weird settings and her pump. And then when she would see the other they would say, Oh, no, that's all wrong and change it all back.

Scott Benner 32:29
Yeah. To try this. Try this. No, right. Nobody knows why or what they're doing or now.

Justin Robbins 32:34
It's all just

Scott Benner 32:36
well intended. bad advice. Right? Yeah,

Justin Robbins 32:40
one of the tricks, one of the truest thing that I ever that really grabbed me from your podcast was by living with diabetes, you know more about diabetes than anyone you will meet. Trying to help you with it doesn't have

Scott Benner 32:58
it. And then there's the frustration. So you go in, you know what's going wrong. You don't have the tools to fix it. The person who probably has the tools to fix it doesn't know what's going wrong. And so they do the wrong thing. And you sit there frustrated, but there's this there's this impediment to stopping it. Like that process goes on and it's everyone's guilty of it at some point, right? Like, you somebody says something to you, you think that's not right. But you know what, they're in a position of power and I got to go home and do the laundry. So they said okay, then it's okay. Doesn't make it okay. You know what I mean? People tell you things all day long that they might be wrong about and and sometimes you're not in the position to know the difference. And sometimes you are but in this very specific situation, you're in the position to know. But a lot of people don't feel in the position to act. And and that's something I used to talk about a lot more that idea that people are you're raised not to question doctors and police officers and teachers are certain people in positions of power that you just assume know more about these things than you do. Or you know, or have this power over you that you can't break free of but that's not true. Except for the police thing. Police says Raise your hands. Justin, I always want to put your hands on other than that, you know it just and that's the tough part you hear people talking about on here all the time. I knew it was wrong. I couldn't speak up. And right and I'm hoping that everyone listening to this when they know something's wrong speaks up. It doesn't mean you have to get into an argument or fight doesn't have to be uncomfortable. You just have to say Listen, my blood sugar is 200 and I hear you telling me that's okay. But it's not okay because here's here you are sitting across from me you don't have diabetes, your blood sugar's probably 80 you know, right 90 or something like that right now as you're sitting here. So you're gonna really tell me that mind being double plus what what the normal average is that that's okay for me. And in the end, and I know I say it a lot but that's don't die today. Advice. That's not what live healthy advice, right? You know you want to live as long and as well as you can not just today, you know that's it breaks my heart. So in the last ad, when I spoke about Dexcom I told Jordan's blood sugar was 94 inch steady. Now it's about 10 minutes later, I'm still editing the podcast and her blood sugar is 90. Still very steady. But it occurred to me You don't know how I got to that? Well, I woke up this morning and Arden's blood sugar was 130 around 6am. So I gave her a small bolus, and I adjusted her bazel. I did I think that 20% Temp Basal increase and a small Bolus, which got her blood sugar down to about 110 she was leaving for school. A few moments after Arden arrived at school, her blood sugar started to drift up, we did another Temp Basal increase, and another small bump of insulin that was handled through a text message or Arden that on her end just pushed a couple of buttons on her on the pod PDM. And it was taken care of. Now we're talking about two increases of basal insulin and two small boluses. Now if you were on injections, first of all, you're not in control of your basal insulin. And secondly, you probably wouldn't give two small injections in the course of an hour and a half. To make this small bump, you might have looked at that 130 blood sugar. And you might have said it'll be okay. That maybe you get to school when that blood sugar goes from 130 to 140. And you still say that not worth injecting. But right now, Arden's blood sugar's 90, that's 50 points better than 140, just with a little bumping and nudging of insulin. And this is all done with a tubeless insulin pump. So it's as discreet as Arden wants it to be, she doesn't want anybody to know she's wearing insulin pump, she doesn't have to let them know, there's no tubing, there's no cable, she's not attached to something, she's not wearing something around her waist. It is magical. Now I want you to consider getting a free, no obligation demo of the Omni pod, they'll actually send you out a pod that you can take a look at and actually wear, all you have to do is click on the link in your show notes. Or go to my on the pod.com forward slash juicebox. And that's the tough part you hear people talking about on here all the time. I knew it was wrong. I couldn't speak up.

Justin Robbins 37:14
He was the appointments, you know, we would go in and they would they would tell us this, this magical number this, this a one c number. Yeah. And they would say, well, that's not good. And I'd say Oh, okay, well, how can make it better? We need to manage better. Great,

Scott Benner 37:33
not advice. Advice.

Justin Robbins 37:35
Right. So how would I how do I manage better? And also, what does this number consist of? Well, it's the scale. Yeah. Yeah, I got that. So how do I help decrease it because you say this higher number, which, by the way, it was it was 8.2. And

Scott Benner 37:58
we just, that's one of those agencies, by the way. And please, no one get offended. But that's one of those a one sees that you hear that we've been tossed into believing that one's fine. Like, it's not a problem. And listen, when you're first diagnosed, it's not a problem. But some point you have to, you know, be mean have to you should try to figure out how to how to cut the out. I hope this is clear to everyone listening, anyone sees not the end all be all of everything. It's just a it's a measurement. But you know, forget anyone see for a second talk about your average blood sugar, if your average blood sugar's 90, most of the time. Who cares what your a one C as long as you don't have crazy lows, that are persistent, or, or that are frequent. And you're not banging up and down, that roller coaster is bad for you, it's hard on your system to go from 80 to 300, and sit there for two hours, then go back 200 and sit there for an hour and then go back to 80. Then Friday and then but that is hard on you. You know the best thing that you if you had an eight, a one C, but your blood sugar was always 140 or whatever it equates to. And I'm sorry to all the people in Canada who are frantically I got a somebody sent me an email last night. I love the I love the podcast, I'm from Canada, but I'm always watched and listened with a calculator because I never know what the numbers mean. That's hilarious. I'm sorry. But, but but you know, if you're nice and steady, and you have an eight, believe it or not, that's much healthier for you than banging up and down and having an eight,

Justin Robbins 39:25
right, which is exactly what our new window was telling us. You know, making sure that you're steady all the time. He said, You know, I'm not going to put as much emphasis on this number because, you know, you could sit low all the time and achieve a low number and that's, that's not not at all what I want.

Scott Benner 39:45
I I'm also afraid that a lot of endos think that if you have a really great a one c it's because you're low and it's not because you figured out how to keep your blood sugar at 90 right but what I always maintain and what you You're probably learning now is and it's not a bad idea if you can find a way to stay steady at 150 Mm hmm. Then you just take everything that you learned and just got I know this sounds so overly simplified for people who are struggling with it, but you just take what all you've learned, and you just move it down to 90. And that's not hard to do. It's just it's the idea of you don't let the spike happen. If you don't want to spike happen, then you never get to 151 50 in my house is Jesus we've messed up. And, and in a lot of people's homes, 150 to them is like, whoo, this is working, you know, and, and so, because people say, Well, well, when I keep it at 100, I get low later. But we don't, because our insolence timed out better. And that's the real goal Justin is is that the timing is I find myself walking around my house thinking of different ways to say things on the podcast sometimes happened to me what happened to me last night, but I still think that one of the best ways to think about it is it's a tug of war. There's a flag in the middle of the rope, the carbs are on one side, the insolence on the other side, you can't let someone pull First, if they pull first, they're gonna have an unfair advantage for the rest of the fight, you need both the pole at the same time, you need him to both Stop pulling at the same time and then the robe re ever moves. It's all about the timing and the amount of the insulin. it's it's it's understanding how the insulin works. And not being scared to use it when you need to use it. You know, is is pretty much the entirety of the thing. Eat right now. And of course, not part of the advertising. But the Dexcom the CGM makes that much easier. You know, there's Yes, there's no doubt about that.

Justin Robbins 41:41
Oh, the CGM is the is by far my favorite thing we've ever purchased for diabetes. I mean, it's just it's been such a life changer. But real quick back to the a one say. And this is and this was actually before we even started going into this new info, so I'm not going to give them the credit for it. We, we started, we found your podcast, started listening to it. And it just, it just helped make things click with you know, stop worrying so much about you know, going low, you know, you could always just eat something real quick and bring it right back up and be you know, more a little bit more bold with insulin. And also just like very impressive, you know, your your thresholds with what you consider high. So we started knocking her her dexcom down. You know, we started going down like every, every week, we would go down 10 more points to what what was high where I told you originally it was like 220 I think we're down to currently like 170. And we're going to continue to keep going down down and down and started making her live within these, you know, because I just knew that if I if I could make her sit at 180 all day, I can make her sit at one 150 all day, if I can make her sit at 150 all day, I can make her sit at 130 all day, and so on and so forth. And on the last appointment we just went to we went from an 8.2 to a 7.3. That's a wonderful decrease. Congratulations.

Scott Benner 43:19
Very, very, very exciting.

Unknown Speaker 43:22
That's amazing.

Scott Benner 43:22
I loved hearing you talk about it just that. I don't let all you people make a podcast, I get stopped doing this because that's spectacular. Really. Congratulations. First of all, tell me in your, in your mind the difference between steady blood sugar at 180 and a steady blood sugar at 120s. What is the difference? Is there a difference?

Justin Robbins 43:40
There is no difference. It's your fear. Right? Right. Right. It's letting go of, of that stigma that the insulin will kill you, you know, because that's, that's what I was told right at the beginning. You know if you give it too much to those who killer, right? Oh, boy.

Scott Benner 43:57
Yeah, and by the way, not not true. just not a good way to live your whole life. Right that you can't you can't have this thing. That is pretty much the only thing keeping you alive. And then have somebody tell you to be really scared of it all the time. Right? Yeah, to find a there's a balance, you know, there's just a happy understanding it really is. It really is the you know, you have to respect fire, but you can't fear it. Like it really it really is that ideas you know, you need this thing it has to work. You have to make this work and just using enough so you don't end up in decay every day.

Unknown Speaker 44:35
Mm hmm.

Scott Benner 44:36
That's not okay for your health. Now, if you're overwhelmed by this fear, and you can't break out of it, you are probably going to have long term complications. And the higher your blood sugar stays, the more consistently it stays at high The sooner those complications are going to arise if they're going to arise, right. You don't want to be the person in my opinion. I'll tell you a story that My dad, my dad, I'm adopted. So my my, my adopted father, but I've never thought of him as anything but my dad, even though he left my mom when I was 13, and I really didn't grow up with him, I still think of him as my dad when I'm thinking back on him, right. So he grew up on a farm. He said that they started smoking, just stuff they found in the field. And I don't mean like, you know, weed I just mean like cat pails, they'd wrap them up and so they were looking to smoke or something my father was, you know, he would be in his 80s now if he was if he was still alive, and so he started smoking stuff right away. And then he started smoking and for smokers or people with smoke in the past I'm telling you, my dad smoked Chesterfield, Kings unfiltered, like you know, and if he couldn't find a Chesterfield, Katie I smoked a Pall Mall unfiltered, my dad was smoking the tobacco that fell on the floor of the cigarette factory like this with some strong crazy cigarettes. And that's back when nobody was regulated, darn thing. And so he smoked and smoked, and smoked and smoked, and my dad smoked two and three packs of cigarettes a day. And so he liked one with the other one, my dad would smoke coming out of the shower, I'm going to die one day from the smoking my dad's probably lucky left, my mom might have saved my life. And so I'm talking about a lot of smoke, okay. never had any health issues from it. Never in his 30s in his 40s in his 50s, never, ever, ever. And then one day, my dad says, you know, he's got congestive heart failure. Well, that's from the smoke, you know, but I'm going to talk to my dad up until the day someone told him he had congestive heart failure, he would have told you, he was the lucky one, he was the special guy who smoking didn't affect because that's what he thought that was the that was what the beauty of being human allowed my dad to think about cigarettes, it's not going to be me. I'm not the one I'm better, stronger, faster, different. You know, we all think we're different. We're not all really that different. You know, so you can't sit here with diabetes today at 25 and say to yourself, I'm just going to leave my blood sugar at 200 all the time, because it's safe, and I won't die today. Because this stuff will it's just scientifically it's going to catch up to you at some point. And and, and not only that, forget that the scary stuff. Your altered when your blood sugar is not in range, you know, you're you're shorter tempered maybe or, you know, easily confused or like there's a bazillion things they could do. And I know you could say, well, that happens when I'm low too. But you can fix a low quickly. You can't face a high quickly.

Justin Robbins 47:38
He? Oh, that's I know exactly what you mean. I can it's it's funny, and she'll she'll chuckle when she hears this but i can i can tell a huge difference in her irritability with now that she's not as high all the time. You know, I don't I don't upset her as easily or she doesn't, doesn't get aggravated by such such small, little consequential things. Right. When she's not high all the time. And I I can't there's there's no way that those two things weren't correlating. Because, you know, sometimes you just be mad that the, the the battery's worse, or old and the remote. Yeah. Well, Mandy, let

Scott Benner 48:21
me just say, if you're listening, I don't agree with Justin at all. I think you're perfect. This guy's obviously a problem. And so No, I do know exactly what you mean. It's, and it's not your fault. Like if your burgers 200. And you're snippy, it's not your fault, your this is not the you know, it's just like if you think back the old cars, and if you make your carburetor too rich, the motors not supposed to run with that much gas coming through. And so it chugs it chops, and because it costs because it's not balanced, right? And just because your body gets accustomed to it, you don't feel that your high anymore, it doesn't mean that the bad parts of being high aren't still happening internally. And I don't know that enough people even understand that. Right? You know, like it's, and then when you stop and really look at what I was able to figure out and what you've been able to figure out and other people too, I got some great notes this morning from people that are really fantastic. But if you can keep your blood sugar steady, anywhere, you can keep it steady anywhere. And that and then you get into that very childish thing that I really genuinely believe with diabetes is that you sort of get what you expect. Right? You know, if you try if you expect 100, I think you can get 100 if you want to understand the balancing of the timing of the insulin, you can get 100 without being low later. Once you are you know once you realize you might get low once this week, and you just say to yourself, I'll take care of it. Right everything gets better. Exactly, you know, so

Justin Robbins 49:51
it's a it's kind of funny, you bring up the whole car carburetor thing because that's actually what I what I do as a hobby is rebuild old cars and So that one, we were talking earlier about what got you interested in her diabetes, she used to have a, an old animist pump, that she had to unscrew the top, and pull out the cartridge and reload the cartridge. And after I watched her do it, I thought I could do this better. And it got to the point where I could actually change her sight on her reload the Animus. And I mean, like, it was, like, from a movie with a gun scene, you know, where like, he can disassemble and reassemble it blindfolded. And, and it was my involvement with that pump that I think really kind of showed her that, wow, this this guy's really, you know, he's really, really into this.

Scott Benner 50:52
And since he can't seem to keep batteries in the remote correctly, we're gonna have to let them do something. So

Unknown Speaker 50:56
right. Yeah, exactly. So

Scott Benner 50:58
you're pretty, you're pretty much into this right now this process of moving her agency down and getting more getting bolder and things like that. Do you see? Is it possible that once the up and down stops, this is going to be interesting for you, Justin, once the you stop chasing blood sugars, and she's stable more frequently. It's gonna require less of your intervention. Right? Well, you lose a little bit of who you are. Do you think or do you think you are? Are there things in your mind that you think Justin would like to get back to some of this stuff that he doesn't do any more because of this? Because I feel like I can't wait to not be as involved in anything but yeah, how you feel?

Justin Robbins 51:40
I mean, yeah, I know I've always kind of been a I've always been independent and did my own thing, regardless, but she's always been my number one priority. Even when I go to work if I see like her blood sugar kind of creeping up. You know, I always wish there was a way I could like bolus her from my phone without her even though

Scott Benner 52:02
remaining slots just

Justin Robbins 52:04
but like I'll I hate to call her and wake her up. But if I see her blood sugar creeping up, I will call her and wake her up. So yeah, it would be it would be nice to not be as I mean, as much of a as a godsend as the Dexcom is, it would be nice to not look to look down at my phone every 15 seconds, I probably look like a teenage girl at work, where I've just like, checking my phone, like mid conversation. I will I will, like look at my phone people like really? Like, I'm not checking for text messages. You know, like, well, this is important.

Scott Benner 52:41
I believe that'll go away for you as as things get better, because I say it on here all the time. I 100% don't believe that people leave me I never looked at my phone. I am if I if if I'm not being told that Arden's blood sugar's outside of a 70 and 130 range. I don't look I when she's at school, I'll look maybe about 45 minutes before she's supposed to eat to see if I have to do any like little bump around with food or insulin to get ready for the Pre-Bolus. But other than that, I never ever ever look at the CGM. So and I think that that will come eventually, because you'll just trust it. You'll just trust that if it's in this range. It's not the CGM. Like take the data aside, right? After you go through these processes enough and enough enough times, you will get what you expect. And you will expect the right thing it won't be guessing anymore. It'll be I know where your blood sugar is. Yeah, I was just I was I think I was doing recording one of these the other day. And I said to a person so I, you know, as we got on, I'm like, I just did this and this and this. And by the time you and I get off her blood sugar is gonna be and I picked the number. And he never looked at the CGM again. And when we got off the podcast, that person said, oh, what's Arden's blood sugar. And I was off by two points. Two, and I was moving a higher blood sugar down, and I still knew where it was gonna go. And that's not I want to be completely careful, everybody listening, that's not me, I'm not special. I don't know, something you don't know, I've just been through it enough times. That I know if we take a BNC and put them together, it's going to equal 102 blood sugar. So you'll get to that point where you'll just trust so completely, that what's going to happen is going to happen, that it won't even occur to you to check on it anymore. And then if it doesn't happen for some reason, something will beep and vibrate and the next thing you know we'll take care of it well before it's an issue. So right. So I mean the technology is I really want to say this Justin and please everyone listen for a second. I do take ads on the podcast for for technology that I am 100,000,000% sure works. And then 100,000,000% short is the key to how I can't make this stuff happen. I would be saying this if they didn't advertise on the podcast. But technology is been the way that I figured out how to do this. And I'll you'll hear from people say I inject and I have a six a one C, and I'll be like, that's great. And that is really wonderful. But you do not have the empirical data from the last 30 days to see how you got to that sex. Right? You'll never really know if your blood sugar was 60. Overnight, every night this week, you know, and and this technology allows this to be easier, and it allows it to be more precise, and up to me and allow us to be much smaller part of your actual consciousness. So I think you get to that.

Justin Robbins 55:41
Well, and also, I mean, before we were on a CGM, or array one sees where we're lower because they getting as much data, you know, the only data they were getting for us from what they could download from our pump, right? And what you know, when she would test, so, you know, with that with that record, and they're only getting, you know, however many times during the day, versus, you know, every couple of minutes throughout the entire day,

Scott Benner 56:11
absolutely. Listen, I could Arden's blood sugar is not always 92 Do you know what I mean? But I could test her blood sugar every day at certain times, and make her blood sugar readings look like her blood sugar's always at one spot, I would know when to test to keep that number down. And sometimes, it's because of where people tell you to test the doctors like that, you know, test three hours after your appeal. Which is to me insane. But if you're a person who three hours after your meal has a good blood sugar, and you always test it like that, but your blood sugar went up to 300 for a while. Right? Well, that's not quality. And some people might say, well, but it ended up at 90. But But I'm telling you, there's a way to stay at 90 without ever going to 300 you just have to reallocate when and where the and how much the insulin this. But it's it's not a hard concept once you see it, but it is hard to get over that idea of like, well, if I did this, and she went to 300, but she came back to 90, then then what else would I do? Because if I used more insulin to stop the 300, then I go past 90 except it's not about more insulin, it actually could be less insulin just has to be timed better. It could be Pre-Bolus. It could be you know, it could be an extended bit mom bolus, it could be extra bazel, less bazel. At certain points. It's, you know, and even that is not nearly as and I'm going to ask you Is it as much work as you thought it was going to be when you heard me say it?

Justin Robbins 57:38
No, no, it's not. Right.

Scott Benner 57:40
It's more work to fight with the highest right?

Justin Robbins 57:42
Oh, definitely. Yeah, finding a high is is the worst. And, and and also, I mean, your your talks on Pre-Bolus. before meals have have greatly greatly helped out with that. We we always Bolus now. Oh,

Scott Benner 58:01
I'm touched. That's excellent. And listen to I just interviewed a guy from novo Todd Hobbs about the the new faster acting in insulin they have come I think they're calling it fast or something or fast, but I'm not sure. But it's very possible that the need for as much of a Pre-Bolus or any Pre-Bolus at all, I'm going to try it when it comes, you know, when it's available in the US. We're going to get it we're going to try it. And and maybe that takes that away a little bit. Maybe doesn't I don't know, but we're gonna give it a shot. But in the meantime, it doesn't matter really. Because right faster actor, a fast acting insulin that works faster than the instant I have now. I'm still going to need to know how to time it, how to stretch it out how to put it in the right places. So it's not going to change anything other than maybe the timing, the timing of it. Yeah. Right. So. But if the timing of it means as I'm sitting down to eat, there's no doubt that thinking about Pre-Bolus and socks, like you don't, right, you don't want to do that, you know, so maybe that'll take that away. Maybe it won't, we're gonna find out, I guess. Arden zendo already said they'd write the script for it. So we're gonna try it as soon as it's available. Just then we are, as I promised, coming up on an hour flew by because you were fantastic. And I just want to make sure that we hit the there's not something stuck in your head that like I wanted to say this, and I didn't say it.

Justin Robbins 59:26
Now, we pretty much covered everything. I just, you know, I just anyone out there listening. And also I work with a couple of diabetics who I've turned on to your podcast. And one guy the other day told me his day when he was 10. And I said, Here, write this down for you. Because it's that important that you you remember to listen to this and go talk to a doctor. Because, you know, I want you I want you to experience the same things we have but anyone listening? Just? It's it's great advice. I mean, we we've dropped, you know, you know, to 7.3 from 8.2, in a matter of three months, just becoming more more bold with insulin. I mean, it's it really is that that simple, just stop overthinking it so much. That's pretty much it.

Scott Benner 1:00:25
It's interesting as simple. The advice is, and of course, Justin, nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making changes to your health care plan. But at the same time, I appreciate what you're saying very much. And, and I'm going to tell you right now, it is much simpler than it seems. And it's, it's tough, because when you're in the throes of it, nothing seems more difficult. Yeah. Right. But then you get the right tools, and then you realize it's not so bad, right? All right job, right, Rachel? What's the saying, I forget, right? All right job. You can't, you can't wallpaper with a hammer. So, you know, once you've got the right stuff, then you're then you're onto it. It's it's it still sucks. It's still diabetes, but it's way easier. And I appreciate you sharing it next time, don't write it down, just take his phone, and subscribe. I appreciate anyone, by the way, listening should just grab other people's phones and subscribe to the podcast with it. I would greatly appreciate this. Justin, you were really delightful. And I have to say that, um, what you're doing is something that I'm thinking a lot of parents of kids with type one right now are listening to and you're mirroring their experience, but with an adult. And they know how much effort it is to love and care about somebody that that much. And I also want to say to Mandy that I think it's really kind of remarkable that she's able to be that free and open with diabetes in a way that I don't think a lot of people could be, you know, and it's leading to good things for which is, I think a lesson inside of the inside of the store to be perfectly honest.

Justin Robbins 1:02:02
Just one less thing about the openness we we actually both have matching, blue, blue ribbon tattoos with a little blood drop on them for for diabetes. So that always always grabs people attention. And you always, you know, we're always very open to explaining how what a big part of it is for our life. And, you know, she at by being a nurse, she's a natural caregiver, so she always wants to help others. Yeah, she's definitely she definitely wanted her her story shared as well.

Scott Benner 1:02:32
That's cool. But the advocacy part is so important just to tell other people about it. And by the way, by the time this comes out, it'll probably be long passed, but I'm gonna see samples of the bold with insulin t shirts I'm having made. So this week, so they'll be out in a week or so I'm hoping maybe maybe two weeks, I'll be able to start just getting them to people selling them and getting other people but I couldn't believe I made this little like, I don't need this little graphic. And somebody was like, I make a great t shirt as you think so and then like 100 people like Yeah, sounds like that sounds like I should make t shirts. So uh, so we're gonna, we're gonna do it. But to figure out the logistics of it later, just because I'm not a mailing house. So I'm not 100% sure how to do all this, but I'm gonna figure it out. And and get one that anybody who wants them, but I think you'll think they're pretty cool when you say, um, so

Unknown Speaker 1:03:18
yeah, absolutely.

Scott Benner 1:03:19
I mean, I really, I really do appreciate you being interested in coming on and, and, and taking our time and doing this. And please give me a hug for me and say hi to her.

Justin Robbins 1:03:28
I will and I really appreciate you having me on as well.

Scott Benner 1:03:30
Now, please. That's, that's what this is. And I just I just sent a note to somebody the other day who's like, the podcast did this for me this room in my talk back and forth for a minute. The last thing I said to him was, you know, one day, you should come tell your story, because your story will be that valuable to somebody else. And I think nobody believes that. But it's, it's 100% true. It's you guys are driving the podcast. It's not me. Like I've never Besides, you know, companies, you know, like, I think I'm doing the Omni pod CEO thing. She she and I are talking next week, besides companies and it's like sometimes famous people and stuff like that. Everyone you hear on this podcast reaches out to me, I don't reach out to them. So it's it You guys are perpetuating your own care in a really interesting way. You know, all I do is answer the email and say that'd be great. And then we do what you and I just did. I have almost the smallest partners.

Justin Robbins 1:04:25
We probably mentioned your podcast probably several dozen people about two months ago, maybe a month and a half ago we were at a diabetes conference in Orlando. And there was a lot of newly diagnosed diabetics there and you know we we kind of hinted around with well you know, it's important to get a good endo it's important to you know, be good with insulin and yeah, pumps important everything, but you're going to want to listen to this guy because he just explained That better. Oh,

Scott Benner 1:05:01
I appreciate it now. That is my only superpower I explained better. Can you imagine in the Justice League that's my power.

Justin Robbins 1:05:12
My people getting into a lot of the trouble that they started out in.

Scott Benner 1:05:21
Thanks so much, Justin for coming on and sharing your perspective. And thank you Mandy, for allowing Justin to talk about your diabetes on the podcast. Thank you also to Dexcom and on the pod for sponsoring the show links in your show notes links at Juicebox podcast.com. Or you type in my omnipod.com forward slash juicebox word dexcom.com. forward slash juicebox. Now the music's gonna stop, but I'm gonna keep talking. I really want to thank you guys again for sharing the podcast. Also, the ratings or reviews on iTunes continue to pile up, which I really appreciate but the sharing is what spreads it out. And I thought you might be interested to know where the podcast was heard just in the last couple of months. So I'm gonna list off some countries US and Canada, United Kingdom, Australia, Spain, Ireland, Sweden, Germany, Switzerland, Portugal, Norway, France, the Netherlands, China, Japan, the United Arab Emirates, Denmark, Iran, South Africa, Australia, New Zealand, India, Singapore, Mexico, Lebanon, the Ukraine, Saudi Arabia, Italy, Greece, Argentina, Kuwait, Israel, Indonesia, Belgium, Egypt, Russia, Peru, Aruba, Romania, Bangladesh, the Philippines, Pakistan, Turkey, Puerto Rico, Korea, Costa Rica, Poland, Guatemala, Croatia, the Cayman Islands, Bulgaria, Europe, the Czech Republic, Kenya, Qatar, the Dominican Republic, Serbia, Vietnam, Belarus, Panama, Zimbabwe, Iceland, Slovenia, Georgia, Slovakia, Armenia, Gibraltar, Finland and Oman. So the next time you feel like you're alone, just remember that there are people all over this planet listening to this podcast just like you living with type one diabetes.