#175 Not Bold Britt
Scott Benner
Fear of insulin and lows...
Brittany has type 1 diabetes and is struggling with her fear of insulin and low blood sugars.
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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner 0:00
Hey, everyone, welcome to Episode 175 of the Juicebox Podcast. Frequently, you'll hear me talk about having a private conversation with somebody about type one diabetes. Well, on today's episode, we're going to talk to Brittany. And Brittany reached out through email and was just looking for some private consultation, I guess. And I said, You know what, Brittany, you're a perfect person to come on the podcast, because of her background and how long she'd had diabetes and the problems that she was encountering. Britney was scared, she was leaving her blood sugar high. She didn't quite understand how to get off the roller coaster. And I said, You know what, why don't you come on the show. And we'll talk this through just like we would on the phone. We'll see what happens. And she did, which I'm very grateful for. So this episode is going to be called not bold, Brittany. Not bold. Brett. Let's go with not bold Brett. I like that. As I was editing this episode, almost seven months after it was recorded, I reached out to Brittany just to check on her and see how she was doing. And she responded with a short email that I'm going to share with you at the end of the podcast. Hey, you guys bought so many bold with insulin t shirts and magnets that my supply is pretty low. I don't have all the sizes and all the colors anymore. So I've made everything 20% off. Guess sell the rest. Get it out of my house. If you know what I mean. There's going to be a sale that goes on till August 31 20% off when you use the coupon code bold. Your purchases include free shipping within the United States. If you're outside of the United States, just send me an email. And we'll figure out how to get you something. I'm going to save whatever a little bit is left to take on my speaking engagements later this year. So I really appreciate you guys buying them all up and not sticking me with them. Thank you very much. And there's a few left if anybody else wants them. Let's get on with the show. Today's episode of The Juicebox Podcast is sponsored by Dexcom, makers of the G six continuous glucose monitor. And by Omni pod, the tubeless insulin pump that Arden has been wearing for a decade. And you know, I always talk about how long Arden's been wearing the AMI pod. She'd been wearing the Dexcom a really long time too. I wonder how long, I'll figure that out for you and let you know next time. Anyway, if you want to learn more, go to dexcom.com forward slash juicebox. My omnipod.com forward slash juice box links in your podcast player notes or Juicebox podcast.com.
For today's episode, doubly listen to what I'm about to say because it's WWE important. Nothing you hear on the Juicebox Podcast should ever be considered advice, medical or otherwise, always consult a physician before being bold with insulin, making a change to your medical plan, or pretty much doing anything you hear for this silly little podcast.
Brittany 2:57
My name is Brittany, I am 23 I live in San Diego, I got diagnosed with Type One Diabetes when I was seven years old. And and now 23. So that's about 16 years with type one.
Scott Benner 3:08
First of all, thanks for coming on and doing this. This is really great. You are excited. Oh good. I'm glad so Britney's in her card, staying away from her dogs and everything. And she's gone above and beyond to be on the podcast, which we really appreciate. But Brittany is not on to tell us that everything's going great. Or she figured something out. Britney is on to say something that I think is going to be really valuable to everybody so pretty well, you first tell us like how did you find the podcast?
Brittany 3:34
I was trying to find more connections with the type one community I don't really know any adults with type one.
So it's nice to know it was not just me going through this. I did find a Facebook group two, I think they might have mentioned you. But also from your podcast. I ended up getting the Omni pod which I absolutely love. I just want to put that out there.
Scott Benner 4:03
I hope Omni pod is listening. No, but so but so you The point is is that you were looking for some sort of feeling of not being alone. And and you found you found that initially but then I think listening, you kept listening. And then you decided I mean you've had diabetes for quite some time. So at seven years old when you're diagnosed at seven, do you take on any responsibility? Or do your parents pretty much handle
Brittany 4:30
my parents pretty much handled type my type one from seven to 18. And then my parents got divorced. My mom moved out of state and she was a main one doing my type one duties. So when she moved I was kind of thrown out into this big world of this disease that I never really handled on my own. And it's been that 23 from a team for about five years, and I still have no clue what I'm doing I feel like so I'm kind of relearning how to take care of myself because my parents Did it for so long.
Scott Benner 5:01
It almost feels like you're not just relearning it, you're actually learning it. Because if they were, if they were handling it handling, I mean, right up to you were 18. It was almost like a bell went off and your mom was like, okay, so legally, I'm getting the hell out of here. Good luck, Brittany and guy I don't like anymore. I'm gone. And, and so that's not just, I mean, like, like, be really serious for a second, like your parents get divorced, you're still 18 You're still very young. And so that's happening. And as that's happening, somebody looks at you and goes, Oh, by the way, this disease that we've been handling for you, you got this now, goodbye.
Brittany 5:37
Yeah, that was really hard.
Scott Benner 5:38
I can't I can't imagine like it. I'm assuming you didn't? Did you throw yourself into understanding the diabetes? Or did you kind of ignore it for a while? What
Brittany 5:46
was the path, I definitely went the route of ignoring it. And recently, for most nature, podcasts, I started caring more, I also got married in between that time from 18 to 23. So my husband is always like, you need to take care of yourself. And then from him and your podcast. I'm kind of realizing like, I am in control, and I need to do something about it. But I feel like without the guidance from your podcast, I might have not learned that too, like later in life. First of all, I'm
Scott Benner 6:13
glad to hear that your husband likes you. He clearly wants you. He said, and, and we like you, Brittany. So we want you to stick around. So so we're gonna, so the reason you're on today is because you sort of wholeheartedly grabbed on to the idea of like being bold. And but it just, it's not going well. Is that right?
Brittany 6:33
Yep, that's totally correct. I'm the kind of person that you talk about in your podcast that thinks 200 is a good number, just due to the fact that I'm so scared of going low. And I don't know how to get over that factor. Like it's just in my head, way back in there. And I can't really seem to pass. That fear,
Scott Benner 6:53
I guess to speak on p can't get over. So. Okay, so that's a good place to start. Let me just, um, let's break it down a little bit and talk. So you said you have it on the pod. And you were kind of insolence in that I'm in the army pod.
Brittany 7:05
I'm currently on Nova log
Scott Benner 7:07
log, and you have a CGM, by any chance. Yes, I'm on the Dexcom. Okay, so you are set up for success. Now we have to just shove you up over the speed bumps, so you can get on the bright shiny side of it. And, and get off the side with the big puddle and the puddle. So so so I think the what we're gonna do is this podcast is probably going to fall a little more along the lines of what a private phone call with me might sound like. So if you don't mind, I'm gonna, we're gonna ask a lot of questions. And we're gonna talk back and forth and see if we can figure out so let's first say, of course, Brittany, that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before bla bla bla bla bla. And basically what I'm saying is if you listen to anything that I say, and you drop that, please tell your husband not to call me.
Unknown Speaker 7:54
It's good to get that serious. I
Scott Benner 7:58
think the first thing you're bringing up is your fear. And, you know, we you've probably heard me talk about on here is the first thing that I identified is when I when I decided that I wanted to try to help people understand better how to manage themselves and take care of themselves and be healthier. The first thing that I identified as being an issue was going to be to wash their fear away. Because once once you've got that fear, and it's completely founded, you know what I mean? It's not like you're just scared for no reason. Some, some people can push past it, and some people get stuck in it. So So explain to me first, that piece of it when you go to push your blood sugar down, what's the feeling. Um, so
Brittany 8:39
during the day, now I'm getting a little bit better, I kind of stay around like 150, which I know is not very good. It's one of the nighttime lows that I'm scared of. So I will literally, if I'm like 120 before I go to bed, I'll eat a snack to make myself 200. And I don't really feel comfortable going to bed under 200. So push my sugar up purposely just like to have a low overnight, even with the Dexcom I have never really had a low blood sugar overnight. I'm just scared that it would happen. I heard a bunch of bad stories about that. But during the day, because of your podcasts, I feel like I've got a little bit more tighter control during the day. So I know I could fix it easily. As for the nighttime, I'm kind of freaked out by
Scott Benner 9:21
I get that so i think that that sounds to me like your path to losing that fear is probably less based in overnight at the moment and it's more based during the day when you can see it so I would think that once you could see yourself let's see how to say this. So during the day, are you having stability with your blood sugar's are they bouncing? They're like a roller coaster. So then that's really the first step to getting rid of the fear is finding stability because once you find stability, and you can live with that stability during the day, then you can start trusting that what you're doing is causing the stability and then maybe you can get into a position Where you can start trusting overnight that that stability is going to stick around for you too. And, and then from there, I think you have to sort of lean on your husband a little bit and tell them look, you know, I'm gonna need you to listen for this alarm as well. You know, it can't It can't just be me. Because if you do get low overnight, and you know, you might need someone to help you, but but are you afraid of like a little low? So like, let's talk about low for a second. What do you consider? Well, my
Brittany 10:27
Dexcom is at 90 and under.
Unknown Speaker 10:29
Okay? Do you fat
Unknown Speaker 10:31
I start,
Scott Benner 10:32
right when you feel low,
Brittany 10:35
probably around 100. And my sugars are usually around 200 700 fields can start getting shaky and stuff. I feel like it was around 100.
Scott Benner 10:43
Okay, so I'm pretty sure that once you once we can push down your daytime blood sugar's a little bit, that 100 won't feel low anymore. And so, so try to keep this in mind. Nothing bad is going to happen to you like you're not going to become incapacitated at 100 or 90 or 80 or 70. I mean, you might feel really shaky right now, because your body's more accustomed to being at, you know, a 200. But listen, I've seen my daughter have a seizure. And it doesn't happen till you're like under 30. At least for at least for art. Now. Hold on one second. We're gonna do our Yeah, you get to be online for Arden's Arden's bolus. Yeah, she's at school today and she has a half day. And so she doesn't have a full meal. She's got she's just kind of a crappy stuff from the meal. or blood sugar 75. When are you eating? Because I don't really know the the half day schedule all that? Well. She's gonna tell me she has no idea. Because she's gonna try to make it harder. I'm waiting for the confirmation of what I know is going to happen, which is?
Unknown Speaker 11:59
I don't know.
Scott Benner 12:01
But let me think of what's in that bag. Oh, it's a cornucopia of not good stuff. Actually. She got a little mixed fruit cup. She has a small banana. She has a grab bag of Doritos. I believe they're Cool Ranch for those interested. Four or five braided pretzels that are about three inches long and about a quarter a half inch thick. And I think that's what Ooh, Oreos, three Oreos, so Oreos, pretzels chips, 247 banana, eight and a half mixed fruit cup 10. Think 10 units, although a britany. Number. Let's try 10. So she hasn't even gotten back to me yet. So she's in the middle of a class right now with the teacher who's probably not accustomed to her texting about her or her blood sugar. So she's probably being a little more covert. So now I say hello. Then she will answer me back that she's not the flash is what she told me last week, she said. Second, I'm not the flash that I sent animated gifts to the flash adder for a while. So that until that irritated her and then I stopped. I'm going to say that this is about 10 and a half units, she's probably going to eat in about 15 minutes. I love the 75 number has it's a nice steady 75 she's been around 82 all morning. Awesome. She's This is a drift, not a fall. And if I look at the three hour line on our Dexcom right now it's bending the other way. So I'm willing to bet that if we did nothing, she'd probably be back above 80 in the next five or 10 minutes. So let's be a little more aggressive here and actually go with the whole 10 and a half units. That right? Cookies are gonna really kick her in the butt. All I need now is for to answer I Brittany, we're gonna keep talking until she answers but I'm going to type my response to her now which is going to be Bolus. Let's see extend let's say 10 units, I chickened out on the other half. And we're going to do we're actually going to do to zero percent now. And the balance and the rest. Oh actually, she just answered me she's going to be eating in 10 minutes. So zero percent now and the rest over half hour. So that'll give it 10 minutes for the first let's do our rough match, first third of the insulin to go in which is going to be about what three and a half units. It'll start being active. She'll go up till about 90 when the food hits or the rest of the incident will kick in. This might work I might have to I might have to Bolus again in about 45 minutes if the if the cookies that are really fast. Anyway Brittany okay. So So our first I think our first step for you is that you feel low when you're not low. Right. And while I can't tell you exactly when your body is going to, you know, kick over, you know, I can tell you that for Arden, I've seen it twice, it's been under 30, both times, like I've seen her be 30 and be talking. And we of course, don't want you or anyone else in that situation, that information is just to help you have comfort to tell you that 100 You're still really good. So you're not just good, my blood I haven't eaten yet today, my blood sugar is probably 80. And so that's, I think, is your first hurdle. And I think the way you get past that hurdle is by pushing your daytime blood sugar's down slowly until that feeling goes away at 100. So if you're sitting at 150 now, so where's your tummy, your Dexcom lines again?
Brittany 15:53
Um, so as low as 90, and then my highest 180?
Scott Benner 15:57
Okay. So this is simple. It's it's Thanksgiving weekend, we're talking of the day before Thanksgiving. So the first thing you want to do is push your height down to 150. And start addressing your blood sugars when you as you're approaching that. And are you using kind of the bumping and nudging idea of not like because it sounds like you're not. Because here's what I think is happening. I think that you're getting to one at your decks comes telling you your blood sugar's high, your bolusing probably a significant amount of insulin or you're not, or you're just happy to just kind of leave it at 180. And then when it's time to eat, at some point, you have to be aggressive with the insulin, when is it and you're probably doing it before a meal. And then you're getting low afterwards. Is that what's happening?
Brittany 16:41
Yeah, pretty much so it's like really sturdy at 150 he then skyrockets then I'll go well,
Scott Benner 16:47
okay, so you're not Pre-Bolus
Brittany 16:50
I tried to do it 15 minutes before just doesn't seem to be working very well.
Scott Benner 16:55
So what happens? Well, so So first of all, you're starting at 150. So you're a little in the hole already. I would love to see you address the 150 before a meal. So for meals at noon, maybe at 1115 work on pushing the 150 down to 110. And then so just a small bolus or even an increased bazel, right, to push the 150 down so that when you're eating, you start eating more around 110 until you start to feel better at 100. And then, then you should be able to put in a Pre-Bolus. That would be impactful enough to stave off the spike a little bit now. So are you spiking? So tell me about the Pre-Bolus happens 15 minutes later? Are you actually seeing a decrease in the 150? Or is it not moving at?
Brittany 17:48
All? Does it move down? Yeah, just goes up, and then they'll crash later.
Scott Benner 17:52
Okay. So in, I would like to see you wait for the Pre-Bolus to be working before you start. So a diagonal down arrow. You know, if you start at 150, you get diagonal down and all of a sudden, you're right. Are you using the whole amount as a Pre-Bolus? Or not all of it?
Brittany 18:10
Um, usually I'll do like 50% up front and a 6% over the half hour.
Scott Benner 18:17
Okay, so So then, so then think about it this way. You've calculated amount of insulin you need you think you need for the food, you may or may not be right, it sounds like you're probably not, you're probably under estimating. On top of that you have a blood sugar that's in my mind 60 points higher than you want it to be at 150. And so you're not compensating for the 60 points in the bolus, and you're probably under counting the carbs. So you're just not starting with an offense.
Brittany 18:47
Yeah, I definitely. I definitely don't do carb counting. Well, I'll be like, Oh, it's probably 80 and then I'll bolus for like 60 I don't want to go low.
Scott Benner 18:56
Now that imagining that many of you have felt the way Brittany felt or maybe you still feel that way. What you need is some confidence, a backup. You need a partner, like the dexcom continuous glucose monitor. You need to be able to feel like I can bolus with confidence because if I should miscalculate this insolent, I'm going to get a warning well ahead of any kind of a problem that I might have with a low or a high blood sugar. And that's just one of the amazing things that dexcom continuous glucose monitor can do for you. Besides telling you your blood sugar is getting low your blood sugar is getting high. It's rising this fast. It's falling this quickly. What else does Dexcom do for you? Well, I'm glad you asked. How about a share and follow feature available for Android and Apple phones. where someone wearing the dexcom CGM is anywhere in the world really. And you are anywhere in the world and you can see what their blood sugar is. You can follow along with their blood sugar, maybe your child at a sporting event asleep over at school. Perhaps your spouse is a nurse who just worked a long night shift and is now at home sleeping while you're at work. All you do is set the parameters where you want. Now we have Arden set at 70. Right, her low blood sugar threshold on her dexcom is at 70. If she drops below 70, it tells us we have her high set at 130. In her blood sugar tries to go over 130 it tells us and then we can make decisions, insulin decisions that keep things from getting wildly out of hand. You You know, you listen to the podcast, you know, just go to dexcom.com forward slash juice box, the links in the show notes for Juicebox podcast.com.
Brittany 20:43
I definitely don't do carb counting, well, I'll be like, Oh, it's probably 80 and then I'll Bolus for like 60.
Unknown Speaker 20:49
I don't want to go low.
Scott Benner 20:50
Think about it this way. I think this this isn't real simple, real simple way to figure things out as far as that goes, which is if you're bola Singh, we're just going to use pretend numbers. But if you Bolus 10 units for a meal, and an hour later your blood sugar is How high do you see it go to when it when it pumps up?
Brittany 21:14
Like 270 problems.
Scott Benner 21:16
Now you're at 270, how much insulin does it take to get you back to 154 unit. Okay, so those four units belong in the initial bolus. Right, because if it if you put in a certain amount that you think is right, but not being correct, and four more units has to bring it down those four units belonged up front, you needed them. Now, you might end up finding out that those four units maybe aren't all needed if the Pre-Bolus was more aggressive. So if the Pre-Bolus was more aggressive, it's possible those four units might be three units or two units, you might you might actually be using more insulin, because of the way the timing of the you're using it than you would if you if you use more up front, because now you're not just addressing the food, you're dressing the food and the high blood sugar. And and let's remember, you're not actually getting back down to 90. So you're still that's still more in there you could use so there's there's a lot of leeway for you to be more bold to be more bold, I guess. And and and still be on the safe side. Yeah.
Brittany 22:25
Yeah, I get you. I have a question. So I know you're talking about art in the seizures. So how did you get from that point, you think to like how you are now like, how did you stop being afraid? But is there any like, key to that? No, I
Scott Benner 22:40
think the way I stopped being afraid is it took time, and it was a call. It was a collection of ideas. It was first of all, my very first situation was my endocrinologist, nurse practitioner Arden's told me that her biggest hurdle in her job was getting people not to be afraid of insulin. She said that if she could do that, she'd be the most successful nurse practitioner in the world. And so I thought, okay, if she's identifying that as her most important goal, maybe I should make that my most important goal. Obviously, having a dexcom CGM allowed me to be more like free with that idea. Because you really do have a, you know, there's an early warning system to let you know, something's going on. And so I leaned on that a little bit, then it was just sort of my desire from there about health. Right? Like, like, you start thinking about trading now for later or later for now. And thinking like, you know, why am I Why am I living? Why am I letting my daughter's health be? Oh, we'll cross that bridge when we come to it. Because when we get to that bridge, that bridge is going to be some serious, like long term effects from having diabetes, it's not, it's not going to be, you know, a fine ipay at the end, it's going to be, it's going to be any number of scary things that could happen to someone whose blood sugars are high over a lifetime. And so has it in my head, like, I don't want to trade. I don't want to trade today for tomorrow. I don't want to kill her. But I don't want to trade today for tomorrow. And then I think you're gonna find this kind of hard to believe. But the thing that really helped push me over, was talking to will hovers mom, and I don't know if you've listened back to that episode. But we'll pass away. He was at he was at college, he got the flu, I think he passed away in asleep and spoke to his mother about it for an hour. And towards the end of the episode. She just said this sentence that just impacted me. She said my son lived a great life. And I would rather have seen him live, you know, 20 amazing years than 40 just so years. And I thought to be able to say that after you know, they mean like after sometimes it's easy, Brittany just to make these big pronouncements. You're young still right. But you are You'll have this moment where you'll want to have a baby or something like that, and some some silly which, by the way, don't do that. And you want to have a baby, and you'll start having these overwhelming feelings like you would give your life for your child, right? And people have those feelings. But then when the time comes to actually execute, sometimes people back up and go, you know what I said I'd step in front of a bus. But it turns out, I don't want to. You don't mean but we'll take here to here. Linda Hoffer say, after her son had passed away, I wouldn't have done anything different. He lived a great life. I thought that courage. I want to I want to have some of that courage. Like, you know, like the courage to say that I'm gonna live Well, today, the best I can today. And I don't I don't care what happens tomorrow. You know? And when you really stop and think about it, I mean, you live in San Diego, the traffic there is insane, right? Yeah, it is driving a car. Yeah. Every day, you get in the car every day and think oh, my God, I'm gonna die.
Unknown Speaker 26:05
Some days.
Scott Benner 26:09
Brittany, I've driven in LA, I know what you're talking about.
Unknown Speaker 26:11
Yeah, scary.
Scott Benner 26:14
But the point is, is you still do it? So I think that in there is the answer. Like how badly do you want to live a healthy life? Would you rather be Brittany at 45? struggling to, I don't know, be healthy? Or would you rather be you know what I mean? Like, would you rather take the risk and see what you can do? Because you know, there are no, you know, we don't ever talk about this, really. But there's no guarantee that my daughter's not going to have health issues just because they're a one sees low in her blood sugars are well controlled. Like, she could still this disease could still screw with her. And, but this gives her a better shot. And so I just want, I just want to have like a tiny bit of Mrs. harbors courage. And so I used what she said, I used what my nurse practitioner said, I used what I saw, because you're seeing it too, right? You don't want your blood sugar at 200. And so I took all those things. And I thought, okay, damn it, like, let's figure this out. Like, let's really figure this out. And then that's where the rest of it comes in, like, learning how to like land a blood sugar and keep it level so that you don't have to eat when it gets you don't get too low in the FDA, you get off the roller coaster, the roller coasters is one of the next big steps like you, you have to get off. You have to, you have to learn how to bump and nudge your blood sugar so that it's not getting wildly high, you're not putting on a bunch of insulin, and then later you're getting wildly low. Because right now what you're lacking is the balance between the insulin and the blood sugar. I usually explain it to people like overhead projector stuff, but you're pretty young. So we're gonna go the tug of war route with you. Okay, so. So imagine, imagine you've got this, you know, you've got this rope, and there's a flag in the middle. And on one side, the carbohydrates are pulling it on the other side, your insolence pulling but your goal as the as the flag is to stay in the middle, you don't want the carbs are the insulin to when you want them to pull and pull and pull. So they both get exhausted and stop at the same time. So if you start with your blood sugar, where you want it, that flag in the middle, and you come to the realization that the way insulin works isn't instantaneous, and you figure out yourself how long after I Bolus this much does my blood sugar take to start moving and give give that insulin that headstart and that tug of war. And think about how long does it take for the carbs to start moving my blood sugar after I start eating. And just find that timing that balance so that the insolence pulling, but can't pull quite hard enough to move the flag. And just as it's getting strong, the carbs start pulling, and they just are in this fruitless battle, neither of them can win. And then the rest of it is of course to get the food sort of through your system, you know that the impact of the carbs to slow down as the insulin slowing down because all high blood sugar is after a meal is the existence of the carbs in your system. Still, when there is no insulin and all low is is the existence of insulin when there are no carbs. And as crazy as that might sound like sanely difficult. You have a Dexcom it's not like so in the beginning when you don't know what the heck you're doing. Just If I was you, I'd do my Pre-Bolus I'd be more aggressive about it. I would start eating I'd start eating when my blood sugar was, you know, starting to decline and more like 120 then 110 or 120 than 150 and then I would see okay, I put the insulin in at this time. It took this long for it to start to fall. That's a problem. My Pre-Bolus time right there, I started eating at this time. And then the diagonal Down Arrow, the down arrow level out that distance of time between when I started eating, and when the arrow leveled up, that's about the time the carbs take. And then before you know it, you won't think about it like that anymore. You don't I mean, you just yeah, instead, it'll just happen, you'll just, you'll just put the insulin in. And all this timing stuff that seems so important, you'll learn after a while it does, it's not very specific. He just kind of have to get the insulin going, and then put the food in. And if you miss on the insulin, and your blood sugar starts going back up, put some more insulin in. Don't wait. Like I after our needs. If she gets the diagonal up, 130. I start the bolus again. But I just assume I did not put in enough insulin or I miss timed. And if I miss timed it, then maybe she's going to try to get low later. But I'd much rather address that with some quick acting juice or something like that. Then to let her go to 270. This end? Yeah. Does any of that help you?
Brittany 31:04
Yeah, no, it totally does. I'm just on the opposite. I'd rather be 270 than, like going low.
Unknown Speaker 31:10
I don't know why.
Scott Benner 31:12
Let's not say you don't know why. Because it's freakin scary. It's really. Yeah. And and, listen, there's nothing wrong with being scared of it. It makes 100% sense. But it's just that's your goal is to get past that fear. Because? Because you I mean, you know, listen, you reached out to me, this isn't what you want. It's not what you want for yourself. Right? Yeah. So, so what do you want? And how do you think like, can you examine yourself a little bit and think about? Like, what are some of your sticking points that maybe we could alleviate, or talk through?
Brittany 31:47
Um, well, I start correcting for a low when I'm at like, 120. Like, diagonal down, I'll start correcting already, and then I skyrocket to 200.
Scott Benner 31:58
So do you ever just wait and see what happens?
Brittany 32:01
I do sometimes. And it ends up being like 105. But I freaked out. Other times, then I go to like 200. So I have to correct again. And then I go back to that point where it's like, about to go low. I just feel like my sugars are never sturdy. It's always like going up or going down. There's no like steady lines. When I see people with that steady line graph. I'm like, What are they doing? Because mine is always up and down.
Scott Benner 32:24
Here's what they're doing or not doing. They're not correcting a perfect blood sugar.
Brittany 32:31
The bad thing to do,
Scott Benner 32:32
I see 120 diagonal down. I'm like, oh, we're finally getting there. And and if it level off at 105. In my heart, what I'd be thinking is, ooh, this is perfect. Maybe it'll drift down to 85. where I'd really like, you know, I mean, like, yeah, maybe it's just your because you're not, you're not operating in a low spot where you're in trouble. It's not dangerous for you. So it is more about the way you're thinking about the numbers. And so it makes me go all the way back to one of those episodes on if you ever heard it, where there's a mother of a son who she just admitted. I didn't get it out of her just came out of her. She was being honest. And she said, I'm at the point where I think of 200 as being right. And talked myself into believing 200 not too bad. So when we're at 200 I don't do anything. Okay, that's where I'm at. Right, right. And so so I think you just changed the numbers, right? Because you're not Unsafe at 100 and you're not Unsafe at at all your your what you're you appear to be being conflicted by the actual number, suit. So you have to change your opinion of the numbers. And forget the high stuff. Don't Don't worry about the like, scaring yourself stuff. I don't want you to scare yourself. I want you to not be scared. Like, I want you to look at an ad and think oh my god, I won. Not not Oh my God, I'm low and I'm gonna die. Because Yeah, because nothing bad's gonna happen to you when your blood sugar's at 80 knots. It is a matter of fact, it's probably perfect. You know, and so at and falling, obviously. I mean, I guess we can say this at and falling would be a different situation that that would need a correction. But at instead, I mean, listen, you just heard me give my daughter 10 units. She weighs about 96 pounds at this point. I gave her 10 units of insulin while her blood sugar was 75. Do you remember how long Let me tell you how long ago that was that was fish teen have to look at my text. So I know for sure. Now I'm using a different insulin than you are. But I just figured out how it works in her. So we gave her that bolus at 1016. My time it's 1035. So let's call that 20 minutes. When we did it. Her CGM had her at 75. Right. And I told you there was a little bend up at the end of the three hour line. So she's had that insulin and for 20 minutes, we did. I think we did nothing up front. So maybe the first two thirds of the insulin are in now some of its active. What do you think her blood sugar is right now?
Brittany 35:16
I would say low, but I feel like 50 Okay, so that's what
Scott Benner 35:21
I want to get out what you think. Right? So artists are just blood sugar 72. And her her graph line is exactly the way you're talking about it. As a matter of fact, it's been like that for the last six hours. Now, I also want you to know that at 3am, she had a spike. She went all the way to 203. And it's not like Arden's blood sugars are perfect all the time. We do, we don't restrict the kinds of food sheets, so she does have, you know, she does have spikes. We've been over 133 times in the last 24 hours. One time I got it back really fast. One time, it took a couple hours to get back from about 180 to 130. And then the overnight, like I said, spiked up really high. And it actually took a couple hours to come back now. The point is, is that I think what you're seeing is happening, and what you're expecting is going to happen at this point are two different things. So I think you're in that spot where I use this very convoluted sentence to explain it. You have the CGM, you have a Dexcom you can see what's happening. You've been watching it for a while, you know what happens? Like you need to start believing that what you know is going to happen is going to happen. Because right now what you're doing is you are looking at all the data. You see for sure what's going to happen and then you decide to not believe Does that sound right? Did you know the Omni pod tubeless insulin pump has over 300,000 members it's Potter community, Potter with a D and another day today's pa odb er not Potter, like that magical guy in the movies. Potter's there's 100,000 of them and you could become one of them. Whether you're currently using daily insulin injections or a traditional tubed insulin pump to manage your diabetes. The two part on the pod insulin management system can simplify insulin delivery and help you to live your life on your terms. Type One Diabetes Type two gestational la da. They call that Lada latent autoimmune diabetes, you've heard of it doesn't matter what you have the Omni pod system may be the perfect fit for you. And here's how you're going to find out, you're going to go to my Omni pod.com Ford slash juicebox going to click on the links in the show notes or go to Juicebox podcast.com. Those links are there as well. And you get there you fill in the tiniest bit of simple information about yourself. And on the pod, we'll send you out a demo. It's a non functioning demo pod that they're happy to send to your house so that you can wear it, live with it and decide if what I'm telling you about the Omni pod is true. I think you're going to find that it is absolutely fantastic. And you're going to want to know more. It's going to be that simple. Miami pod.com Ford slash juice box. The links in your show notes are at Juicebox podcast.com. Get a free no obligation demo pod today. There is nothing better than free. And there's nothing better than not being obligated. Unless you're a magical wizard. That would probably be better. But I mean, you know, you see for sure what's going to happen, and then you decide to not believe it. Does that sound right?
Brittany 38:50
Yeah, that sounds really right. I feel like when I do like what I actually do, as opposed to that's what I always experienced by Lowe's. So I kind of just don't do what I'm supposed to do. I don't experience those. What's the low? Like first day yesterday, I was like 52. And I actually bought a little bit less for what I ate. And I did my correction I started off but a good number that have been 52 which I didn't give myself the full influence. So it was kind of weird what you
Scott Benner 39:19
do for the 50 to
Brittany 39:23
two cups of orange juice and a packet of Skittles like the small one.
Scott Benner 39:28
The answer I hear from you is I I overreacted to like 50
Brittany 39:31
Yeah, yeah, I really did. I was just feel like it's not gonna go up fast enough. It's just gonna keep going down and
Scott Benner 39:39
what was it What? What was happening on the Dexcom? Was it 52 falling? Was
Brittany 39:43
it 5252 diagnol down.
Scott Benner 39:47
Okay. So your phone you think one or two points per minute maybe? And Okay, so let's say you were scared enough to drink an orchard of orange juice which it sounds like Did you just throw the Skittles in? Because you're like hell in this, I might as well have some Skittles to
Unknown Speaker 40:06
pretty much.
Scott Benner 40:07
Then here's the funny thing if I did that, so I, I've done that, right, but I would I panic a little lower number than you do. But if Arden was like 40 die go down, they might be like, Oh, this is really not working and give her a bunch of stuff. Now here's the difference between you and me. When her diagonal arrow up happens, I would have tested because she's probably higher than the CGM says, right. And if I would see, for instance, in your situation, if I put all that food in, and then I saw a 60, and a diagonal up, I'd probably bolus for two thirds of the carbs that she took in. And why is that? Because you know what those carbs are going to do? Right? Mm hmm. So, so you can't so here's my theory about this. In the course of a month, if you hit 50, a couple of times and type one diabetes, you're doing fine. You might almost expect that, right. But what you can't start living to expect is you can't plan for something to go wrong. You have to plan for something to go right? Because getting something to go right is not easy. And something going wrong is gonna happen one way or the other. Because you're experiencing 52. And you're still keeping your blood sugar at 200. So let's so let's say to ourselves, Look, I know my blood sugar is probably going to get lower than I wanted to sometimes. But I'm not going to let that affect how I handle all the other times because those lows are an anomaly for you. So if an anomaly happens twice a month, why would we take the other 28 days and act like they're happening when they're not? So I always I used to tell artists, schoolteachers, when she was really young, we put all these things in place and everything. And they would always say, so we're going to all these, all these things we're doing this is to keep her from getting low. And I used to laugh and I went, No, no, all these things we are doing is so you can handle it when she gets low. Because she's going to get low. We're not we're not planning to stop below, we're planning to live well. And then when a low comes, we know how to handle it. And so I don't know if that makes it that's convoluted or not, but you can't you can't plan for failure. Because you're gonna get it then. Yeah, you know what I mean? So and 52 set, were you alone? Where was your husband there?
Brittany 42:35
I know I was at work.
Scott Benner 42:38
What kind of work do you do? Like if you don't have to say What? Are you doing something physical? Are you sitting in a desk?
Brittany 42:43
I'm just a nanny. I watched the little kids,
Scott Benner 42:46
not just a nanny. That's a big deal. So now you so you have two little kids with you. So not only are you worried for yourself, but if you pop over those kids are going to probably eat you alive like cats. Yeah.
You don't want to wake up after your liver kicks in and find like a three year old gnawing at your stomach. That's weird. You know, quick, those kids will panic and think they're starving and go right to like, cannibalism. You don't need that breathing. I understand. But no, you have a responsibility. So you have responsibility to yourself. You're responsible these kids. And but let's talk about the rest of it. You drank the out the citrus orchard, you ate the Skittles. Do you ever smash the Skittles together? So you get two colors at once? You're not you're not a factor. Like I see you have that going on? Right? What? And tell me what happened afterwards? Where'd your blood sugar go? And how fast did it go there?
Brittany 43:44
So I actually leveled out at like 130 which I was surprised at because usually when I do stuff like that, it's like 300. So I ended up being 130. And it went up pretty fast or no, I checked it probably 15 minutes later, I was already at 100 so I knew not to correct anymore. So I definitely overdid it.
Scott Benner 44:07
Did it. It did it stay at 130
Brittany 44:10
actually did stay at 130 I was really surprised and
Scott Benner 44:13
this is a good example of this really is an anomalous situation you really did somehow mess up your Bolus. And and or the food didn't do what you expected. Or there's one of those physiological things going on when you know that happens periodically. God knows why it happens. Right? Where where you do everything. T It is worth noting right? Like the things I talked about, like Dude, you have to expect that what's going to happen is going to happen but you have to know that once in a while. It's not like it's it. There's where the diabetes comes in. Like once in a while you're gonna do everything right, something's gonna go bonkers. But then you handled it like, I don't I don't see that you did anything wrong in this situation.
Brittany 44:55
Oh, yeah. Usually when that happens though, I will be 300 after right I definitely raised The braid the kitchen forever, like find.
Scott Benner 45:02
So what would have had At what point after like say it didn't live off at 300? what point would you have done something about a rising blood sugar?
Brittany 45:12
I probably would have let it stay high for a while because I would be really annoyed that I went low. Because when I go low, I feel like I'm honestly dying. Like, I'm like shaking and I shake my whole body's like shutting down. So I probably just let it mellow there for like, a little bit just so I know safe for like a second. Yeah, probably like an hour after I do something about it, which I know is that
Scott Benner 45:36
that's where you're at. You're 270 you're talking about all of a sudden, now you've got this high blood sugar, and it's going to take a ton of insulin to pull it back down. And then then you start roller coaster like that.
Unknown Speaker 45:47
Yep. Right. Exactly. So
Scott Benner 45:49
listen. So in this one specific situation, you did it exactly right. Had it been a situation where that 130 would have kept climbing then at some point. So then think of it this way, if you're too scared to Bolus for the food, start thinking about stopping the arrow on your Dexcom line usually have a diagonal up or a straight up arrow start thinking well, I'm going to at least Bolus enough to stop the rise. Right and, and that concept is the same way you need to stop a falling blood sugar to you don't want to overfeed the fall, you just want to stop it. And and especially before it gets to the point where you have that overwhelming feeling like you need to eat the kitchen. Be you know it could be when it becomes like physiological like this, this drive you want to try to stop that fall before you get to that spot. I've seen it in Arden. Like she could eat the countertop. Like she thought there were carbs in the in the you know in the slab that's on the counter she started. And that's where as a parent, I'm lucky I can stand in between her and go please just let's give it five minutes, you know and see how you feel. Where you don't you don't have that you don't you don't have like somebody who can step in and be the like the voice of reason when your body's going eat everything. And that's that sucks. But you you can make small incremental changes, like I said like so if you're going up a little bit don't Bolus for all of it. Bolus to stop the error. You know, how did you get some quick 252? What did you like? Was it just anomalous?
Brittany 47:18
I think I woke up. I was a breakfast time. So I woke up and that was 220. I don't go to bed under 200. And I corrected for that. And then I also was eating oatmeal at that same time. So I started eating when I was 220 and give myself insulin for oatmeal. But I only did like 20 carbs and it was only like 30 ish. And somehow I went low. I don't know, kids, I guess I'm running around with the kids and stuff. So maybe
Scott Benner 47:45
you had some activity you weren't Yeah, I'm accounting for maybe they'll oatmeal hit you a little slow to that sounds like something that digests kind of slow.
Brittany 47:52
Yeah, it has a lot of fiber. And
Scott Benner 47:54
I think that makes a difference. So okay, so So now just learn from it the next time like I always try to say on here, I don't think of that as a mistake, or you know, an error. Just use it as data like okay, I did this and this happened. So next time, I'll do it a little more like this. And hopefully that this will happen. Because Because you were you know, you're pretty far off there that because the Skittles, the orange juice, you obviously had a lot of insulin going you didn't need. But you handled it really well. And so, but I'm going to go back to something you said previously, when you're talking about the beginning of it, you went to bed at 200. And you woke up at 220 was a really good news. And there is you stayed really stable overnight. Yeah. So imagine how did you go into bed at 120? You would have woken up at 140. All right, so to me, so I think your goal here is to keep pushing down the tolerances. I think that the way I did that, because Arden's high, you know high number used to be at, you know, 225. And then I noticed while I'm really good at keeping Arden's blood sugar stable to 25. So I was like, I pushed it to 200. I was like, Oh, I'm really good at keeping it at 200. So I went to 180. And I went to 170, and 150 and 130. And I'm getting ready to move at the 120. Now, because what I learned was, after I knew how to keep her stable, I just got what I expected, like I and that's set like I set my expectation somewhere because you're working towards a goal. Right now your goal is 180, you're working towards a goal of 180. If you make your goal 150 or 140 or 130, that's the goal you'll be working towards. You'll use you'll use less insulin. And when you use less insulin, you'll get less volatility. It just it is I don't want to say it's simple, but it's kind of simple. Yeah,
Brittany 49:42
I think I over complicate everything sometimes like it's more like an emotional side for me, or I don't want to do what's right. If I just do it, I'd probably be fine. Absolutely.
Scott Benner 49:53
And do you know when did you get to Dexcom How old were you?
Brittany 49:57
I probably got it two years ago so 21
Scott Benner 49:59
Okay. So your mother, I don't know if he talked to your mom or not. But but so your mom doesn't have any experience with it. So she can't really be helpful.
Brittany 50:07
And she's actually following me on there. Her and my husband Follow me on the Dexcom. Follow,
Scott Benner 50:12
but I'm saying she didn't have any previous knowledge about diabetes. Oh, no CGM. So she doesn't really have any. She doesn't have any input that might be valuable from what worked for her previous.
Brittany 50:22
Yeah, she is. She has no clue how to work. That's
Unknown Speaker 50:27
great.
Scott Benner 50:29
Okay, so what do you think we're down into? We're getting into the last little bits here. So what do you think? Like, let's try to pick three things. Let's try to pick three things that put you in a position to be more successful. What did you What do you feel like are your biggest hurdles that that are holding you back?
Brittany 50:53
Probably, I don't Bolus, the right amount. So like I said, it's 80 carbs, I'll leave 60. I never do above probably five units. For any meal ever. I'll just rather go really high. Like it just freaks me out having that much on board. So I know like you were saying, kind of do like a extended the listening that would help.
Scott Benner 51:14
You could also Temp Basal a little bit too. You could, you could if you're using five units, and you think it should be more like what's your basal rate about average? Oh,
Unknown Speaker 51:25
I think it's 1.11. But
Scott Benner 51:27
you're 23? And it's 1.1? Do you weigh like eight pounds? How big? Are you? No, no,
Unknown Speaker 51:32
definitely not eight pounds.
Scott Benner 51:36
nine feet tall and really skinny. So so so maybe try this, right. So if you think about it this way, if you Pre-Bolus, 15 minutes before, and you were to double your basal rate for an hour, 15 minutes before you'd be getting an extra unit of bazel through that hour. Plus a little bit of a Pre-Bolus. Maybe that's a good place to start. I tell you, I find that extra bazel really helps for food. Yeah, I
Brittany 52:02
always hear you talking about that. I'm just never sure how to like, kind of like know how much and how long it took you to do it. So naturally, you're like, I'm just gonna do Temp Basal extra this, you know, for this long,
Scott Benner 52:14
guys could hear the voice in my head that just says more insulin. Like I don't really think about the numbers of it so much. So just blood sugars hot, like so there's that really basic tenet, right? If your blood sugar's high, you've either mis timed miscalculated, or a combination of the both your insulin. And if your blood sugar's too low, you've either Miss time miscalculated, or a combination of both your insulin. So if you're using five and five isn't enough, and you're looking for a way to sneak in, Let's sneak in an extra unit by doubling your bazel. And then look and say, okay, that happened. And here's the other thing. I give this advice to parents a lot, but this might really help you. And of course, it's not really advice, something I say to them. But when I'm talking to them privately, the weekend is a super great time to test these ideas, because you can do this one very boring thing on the weekend. And that very boring thing is, you can serve yourself the same meals two days in a row. So you can pick up breakfast, pick a lunch, pick a dinner, and give it to yourself, I'd start Friday night with a dinner, and give it to yourself over and over again, because you eliminate variables when you do that. So there's less to consider when something doesn't go the way you want. You know, so if you have a bar, you don't mean like so for lunch today, you choose a 15 minute Pre-Bolus. But you go to 20 minutes, and you double your Basal to, you know, 95% increase for an hour and your Bolus, your five units and your blood sugar goes up and it stops at 160. So then maybe the next day, you use the same Pre-Bolus but and you double the Basal again, but you make it six units instead of five units. And then you'll see Oh my god, that time my it only went up to 140. So then what you can really say is if I do the bazel again, and the Pre-Bolus again and add one more unit, I bet you I'm going to be at 120 after this. And then you can start moving around the Temp Basal the Pre-Bolus time, or maybe extending the base a little more and but because you take out all the other variables, you it's easier to see what's happening and make sense of it a week or a weekend or to have the same meal over and over and what's your husband's gonna love. Trust me, you're gonna hate it too. But it but it really helps. It eliminates things to think about when you're trying to make sense of the data. You're saying.
Unknown Speaker 54:36
Yeah, I
Brittany 54:37
think the data is kind of overwhelming sometimes too. Like I see all these numbers, but I don't remember you know what I ate when it spiked and then
Scott Benner 54:45
don't, don't worry. So simplify. It looks like here, I'll let you into my silly brain for a second. I don't think about the numbers at all. I just look at the line and I go Okay, well there wasn't enough there. So more or less sooner because a hard spike like a spike that jumps up. Obviously, I needed the insulin sooner because the food got way ahead. A soft rise that continues up might be a little bit sooner, but maybe Moreover, it's more. So hold on one second. Hold on, I my son is coming in the room. I genuinely asked him. I said, Please don't come in the house before 11 o'clock tomorrow. And he's like, I absolutely won't. Don't worry. You couldn't sit in a car. I bought you for a couple of minutes now. Okay. But, but so that that's another great idea, right? Like a hard spike indicates, wow, I did not give my insulin time to start working. And from there, you can't tell how much you miscounted on the insulin because you're flying up now. Now the insulin that you counted for the food, you're expecting to cover the food and the spike, it can't do that. It's not enough. But a more gradual one could be an indication that I just didn't use enough my Pre-Bolus isn't bad. Like I didn't fly up. But I am climbing. So the food's overpowering the insulin but not the same rate as a tough spike. I don't really think about the numbers. I think about that stuff.
Brittany 56:17
Yeah. Maybe an easier way to think of it.
Scott Benner 56:20
I don't have the mind. I genuinely don't have the mind for that. I really don't. So, all right, Brittany, guess what Arden's blood sugar is now.
Unknown Speaker 56:31
100
Scott Benner 56:33
c 69.
Unknown Speaker 56:35
Oh my gosh,
Scott Benner 56:36
it's probably not if I tested her, she's probably more like 75 or 80. But, but look at what's going on here. We put the insulin and now 2535 40 minutes ago. So she's easily done eating. I either got this really right, and she's going to sit around 70 or 80. Or I messed this up, and that's still not enough insulin, and it's going to cut those cookies are going to the high fructose corn syrup and those Oreos, come get me in about 20 minutes. But if that happens, I'm completely comfortable putting in a little more insulin to stop it. So my goal here is in an hour from now on this blood sugar's gonna be about 90. And think about that I won't be amazing. I'm not even whether I didn't count the carbs. I just went cookies, pretzels. Right. Right. And and I leaned on what I know worked in the past. And and for me, that's something I think you you probably need to do you have to stop worrying so much about the numbers. And think about the last time I did this, this didn't work. So I need more. Or the last time I did this, this worked fine. So I should do that again. You know what I mean? Like? Yeah, I think the numbers are they're sort of meaningless. It's, you know, like, for instance, he said, you drive a car, right? So when you push on the brake to stop the card, you know, how many pounds per square inch you're pushing on the brake. Right? But you don't you can stop the car. Okay. Imagine, imagine if I put that on you. And I said, Brittany, I need you to figure out mathematically how hard to push on that brake to stop the car. Well, you'd run into a lot of stuff because that would be really confusing. And I think we do that a lot with diabetes. I think we put these like these, you know, doctors slap these, these ranges on you. Because they're, you know, because they're safe to give to people. If you get low eat 15 carbs, wait 15 minutes and test again. That's like, Don't die advice that won't kill you. Or that doesn't keep your blood sugar high or low. It just keeps you from falling. So far, something bad happens. Yeah. And then you get stuck. Some people like you get stuck in the math of it. But the math is meaningless. You don't I mean, you're never gonna control diabetes by counting carbs. Exactly. And then using insulin, it's the other stuff. The other stuff that some people call the magic. I call it you know, I break it down into more of into kind of easy to follow things. And actually, I can tell you that I just put an episode up last night called let's talk Turkey. And it's 15 minutes long and it's just me rolling through the the tools I'm going to use for Thanksgiving tomorrow to keep Arden spunk sugar stable.
Unknown Speaker 59:21
Not to listen to that one.
Scott Benner 59:24
It's a rehash of everything we've talked about here, but very condensed and very quick. Okay, so we, you need to start using insulin more, sort of appropriately, a little more aggressively. Maybe we'll call it bold, right? And, and we need to, I think, I think you need to lower your high threshold on your Dexcom so you can react sooner with less insulin. And I think you should start believing that what's going to happen and I'd like to see you move away from a train yard because I don't see how you're getting any sleep
Unknown Speaker 59:59
yeah As your ears
Scott Benner 1:00:01
your know your podcast has the you know usually I think of like background noises noise but yours just has this wonderful ambience behind it that I think but I think those are the three good places for you to start believe believe what's going to happen is going to happen be more you know aggressive and and move your your line down your Dexcom so that you can get like I said less insulin to get the same. I don't that should stop the roller coaster a little bit and try not to over treat your lows so aggressively.
Brittany 1:00:34
My biggest my biggest downfall, what am I used to eat food?
Scott Benner 1:00:38
Well listen, let your excuse to be food your Bolus, just Bolus, honey, I wish I wish everyone could be here, when we make a last minute decision to buy like Chinese food. And everyone's blood sugar is like 140. And I'm like, okay, so order the food. Now, it'll be here in 20 minutes, let's put a unit on to get her 140 moving, I see the food coming in the door, I slammer with insulin, and try to get her to 80 when the when the Chinese really kicks in. So now I've got this aggressive amount of insulin working against this aggressive amount of carbs. But this fight they're having is at 80. And so when it ends, you're just there. And if it starts going low, then hey, a little fast acting just a little bit a little fast acting juice or something like that. And if it starts going high, I didn't use enough for I miss timed it more, and just fight to keep those that line in that in that in that space.
Brittany 1:01:34
Chinese food is the worst, my blood sugars are so, so bad. It's absolutely insane.
Scott Benner 1:01:40
But there'll be a moment where the things we're talking about today, you'll be able to use these things and fight against much bigger carbs than the ones you're trying for now. Seriously, I genuinely believe that six months from now, you could be in a completely different place. So do you have any questions or anything else?
Brittany 1:02:01
What would you put as like the low like for our numerator? Low? 7970. Yeah,
Scott Benner 1:02:07
but it took us a while to get to that. I think you're not. You're at 90 right now. Nothing wrong with being aware at 90. You know what I mean? But I wouldn't start I wouldn't if it was a slow drift. I wouldn't touch it. If it was a diagonal down, I'd nudge it with a couple like maybe five Skittles. Not not the bumping nudge, just remember bumping nudge, just a bump. I'm gonna nudge this line, I'm not gonna slam it. By the way Arden's dexcom just adjusted. She's 79 now, and I'm seeing a bend. And so it's very possible that just like I said, I might be bolusing again, in the next 15 minutes. So what else?
Brittany 1:02:50
I'm trying to think I'm really bad at question. Like, it's like, I have so many, they listen to your podcast all the time. But
Scott Benner 1:03:00
Brittany, write them down, write them down. Don't be scared to like, reach out again. And we could talk privately, or I just, I kind of nudged you towards coming on the podcast, because I want the people to hear who are like that bold with insulin is a great idea. I'm gonna try that, oh, it didn't work. I want you to, like I don't want them to then go. Oh, forget it. I guess that's just something I'm not good at. Because that's not the truth. The truth is, you just haven't kind of put the pieces together yet. So I think it's been really valuable to hear what it is. I mean, I knew I was going to do a lot of the talking in this one. And I apologize for that. But But I knew your questions, were going to be really specific. And I knew they were going to lead us to some good information. So I think you did a great thing for people today and for yourself. So I mean, Oh, please, congratulations. This is not an easy thing to do, to reach out and say, Oh, you know, I can be on a podcast and you weren't you weren't saying that when you emailed me. I was saying he was just like, this isn't working and I was like, come on the podcast. I bet you that her next email was like she was probably don't think and like, that's not why I email.
Brittany 1:04:08
I called my mom I'm like Mom, what do I do? Cuz like you
Scott Benner 1:04:13
tell your mom I said hello. I think it was incredibly brave of Brittany to come on and share like this. Thank you so much, Brittany for doing that. Thank you also to Dexcom and Omni pod for sponsoring the show and giving Brittany a place to tell her story. Please go to dexcom.com Ford slash juicebox or Maya omnipod.com forward slash juice box to find out more. Thank you also for everyone who's been putting up the great reviews and ratings on iTunes. I appreciate that very much. Okay, now I'm going to share with you Brittany's note not word for word because it's personal but the intent of it. Brittany is still struggling with her fear of insulin and low blood sugars. She is very excited to hear herself on the podcast hoping that that might help her make another leap. But she's, in her words worry that the disease is winning. Now, we all know that that's not going to be the case for Brittany long term, she's going to find a way past that. But I wanted to share that part with you, in case the changes that you're trying to make in your life aren't happening as quickly as you would hope. When you're being bold. That doesn't necessarily mean you're winning. I think it's more of an intent and a feeling inside. It's about not giving up. Not about always getting what you want. And Brittany is not giving up. I just I have a very good feeling for I know it's gonna work out. Okay, well now I'm gonna make myself cry at the end of the podcast. This is not a good way to end.
Unknown Speaker 1:05:50
Sorry about this.
Scott Benner 1:05:53
Guys, there's going to be a bonus episode this week. This is Episode 175. I think so there was also an episode 174 if you are multiple daily injections, you definitely do not want to miss it. Look in your podcast player you got to this week.
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