#297 Ask Scott and Jenny: Chapter Nine
Answers to Your Diabetes Questions…
Ask Scott and Jenny, Answers to Your Diabetes Questions
Let’s talk about the benefits of rotating sites.
What are the pros and cons of using a temp basal increase versus a bolus?
How long does it take for a temp basal increase to start working?
Let’s talk about how an extended bolus works.
Let’s talk about how temp basal works including how to create a black hole.
You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Pandora - Spotify - Amazon Alexa - Google Play/Android - iHeart Radio - Radio Public or their favorite podcast app.
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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
Hello everyone and welcome to Episode 297 of the Juicebox Podcast. Today's episode of Ask Scott and Jenny is brought to you by the Contour Next One blood glucose meter. This is the blood glucose meter that Arden has been using for coming up on getting closer to year and a half now. Absolutely fantastic. Wonderful. Actually, let me tell you why. First and foremost, in my mind the Contour Next One has remarkably accurate testing demonstrated proven accuracy with the Contour Next One meter, and Contour Next One test strips tell us that the smallest error range demonstrated by the Contour Next One meter system was determined to be 95% of results met. Right? That's like plus 8.4 milligrams per deciliter, or plus or minus My gosh, there's a lot of information here. Hold on a second. Wow. I might not be smart enough to tell you about this. I'm reading it and I'm not sure if I'm smart enough. Hold on a second. Anyway, the things really really accurate. But Contour Next One wants you to know that I'm going to read it again meter system was determined to be 95% of results met plus or minus 8.4 mega boy versus reference for glucose values under 100. per deciliter or above 100%, respectively. For subject fingers testing is Alright, listen. I think here's what you're gonna need to go to Contour Next. one.com read it for yourself. See if you have better reading comprehension than I do. You know, me, I just dumb things down. I know the Contour. Next One is incredibly accurate. I've seen a lot of testing, it comes right up at the top of every chart I've ever seen. And you know what? A listener just reached out to me like 10 minutes ago. No lie on one second. But this is an ad. Hmm, this is what the company was looking for when they throw in with me. really concise ads like this. was like it's gonna go with the episode. Hey, Linda reached out right? She's telling me about a little bit of about the podcast asked me for somebody to come on if I could. But but in the middle of her note said, let's see what she say, Oh, I wanted to let you know a tidbit about the Contour Next One app. So the app that goes along with the Contour Next One, it works with voiceover users on iPhone for the blind and visually impaired. Isn't that great? Thank you, Linda for telling me that. Okay, well Contour. Next One, if you know, they're still advertisers, next week, after hearing this go to Contour Next one.com. There's links in your show notes and Juicebox podcast.com. The meter is incredibly affordable, covered by many, many insurance companies. And Arden is just having a great experience with it. As Am I let's put it this way. The Contour Next One is a million times better at being a blood glucose meter than I am at reading an ad about the Contour Next One blood glucose meter following that. Okay, listen, this isn't ask Scott and Jenny. I don't want to give it away. But I leave a little bit of like preamble Jenny and I talk sometimes before you get to Harris. And Jenny brought up something about a Reilly link for loops. So I left that in. I thought that was interesting. We talked a little bit about site rotations. And you know the importance of being prepared. We will even remind you to change your smoke detectors at some point and then we're going to get into some basal insulin talk. It's a little more deep dive. And that comes from questions from you guys. Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise. And always consult a physician before making any changes to your health care plan. We're becoming bold with pencil.
Ask Scott and Jenny are questions directly from you the listeners that Jenny and I answer Jenny, of course, is Jenny Smith, who works at integrated diabetes.com. And you can always go there and check out what Jenny does. You know, you could you could pay Jenny and she'll help you with your diabetes. She's She's good like that. It's her job. You know, I mean, it's not like you, like weird or anything like that. Jenny is a contributor to the podcast. For those of you who have not heard this before, and she's just absolutely amazing. So check her out. Jenny Smith had integrated diabetes.com Let's jump right in.
Unknown Speaker 4:36
Hey, no.
Unknown Speaker 4:37
Hi.
Scott Benner 4:38
What happened your Riley link died died like gone.
Jennifer Smith, CDE 4:41
Yeah, like this morning for 13. So my Oscar he's got a cold and he woke up coughing this morning at like 430 so I went in and gave him some cough medicine, some water and whatever. And I noticed that I always have my like Riley link and my pot my phone right next to my bedside. table and I noticed that my Reilly link was like the green light was not solid It was like green. Green.
Unknown Speaker 5:09
Little Blinky.
Jennifer Smith, CDE 5:11
Like, that's not right, you're not supposed to be doing you know. So I turn it off I turn it back on and then there was no green light. And then now I have like this, like I just I I unplugged everything to like try to plug it back in. I like did all this like trying to figure out it's like this flashy Christmas blue, green, blue, green, blue, green, blue, green. And like, That's not right, as I go to the website and look at you know, like Riley link like errors on the get Riley link. And the only things that I can find, seem to indicate that I have if I have like a solid blue, and it stays on that the board might be dirty. So it says to unplug the battery, clean the battery thing out, well, I don't have like one of those little air can do it with. And I don't have an old toothbrush. They've all been like in somebody's mouth in the house. And so I'm like, screw it. I don't have time for this. Today, I will just use my PDM and figure it out later. I think I have a feeling that it's just that it's just gonna work because I I took the old battery from my Medtronic, Riley link. And I plug that in, and I get the same response. So I have a feeling it's the Riley or that it's actually the motherboard that it's has nothing to do with the battery or the connection. I think something's dirty. So I don't know. I mean, I just ordered it in. April. I don't know if I should send a message to Jeremy and be like, Hey, I haven't I've only had this like six months, would you replace it? Or if I should just go ahead and buy a whole new one.
Unknown Speaker 7:00
So
Jennifer Smith, CDE 7:01
this is what I get for not having a backup.
Scott Benner 7:03
I was gonna say in a very unlike me fashion. About two months ago. I just ordered another one. And I thought if I never it's sitting right over there in a box. I thought if I never take it out of the box, I guess I don't care. And then every time hers acts a little wacky, I'm like, ah, I don't care if this breaks. I have another one. Right?
Jennifer Smith, CDE 7:24
Exactly. And right now it doesn't look like there any holdups as far as like getting another one quick. So hopefully I can just get one and get up by next week again.
Scott Benner 7:39
I got a note from a woman this morning, it said that she moved to loop because of the podcast. And then oh begged me to do a follow up. She's like, I need a best practices podcast for loop. And I was like, Yeah, well, as soon as I know what the best practices are. I'm happy to tell you what they are. And I think I'm close by the way we are. We're in a good spot. Hey, I just finally, after a long time of trying. I finally got Arden to try a different site. Okay, the one thing
Jennifer Smith, CDE 8:14
what she what she had, what had she been using?
Scott Benner 8:18
Arden was thighs. And she's belly canula pointed towards her belly button. And she does not like me. No, no, no, no, no. Like, you know, if you said like, Hey, you should try your arm. She looks at you. Like you said, Hey, you know what we should do? Let's shave your head and your head bald, paint a face on the back of your head and make you walk backwards. Right? Right. Like really looks at you weird. Because when she played softball when she was little, and it was on her arm, she could feel the pod wiggle around when she threw her arm. So she got in her head at a young age. That that's not good. Yeah. And Arden is really, for all of the amazing things that she is. Every insertion of every pump is treated like It's never happened before. Even though when it's over, she's like, it doesn't hurt. It's she it's hard to put into words. But as it's clicking, she just tenses Oh, my god until she's almost at a ball. And then when it gets to the fifth click, if it doesn't happen, she goes. There's a little shake it. It's It's It's not funny, but it is yeah. So she's just like, it's she's just incredibly the Dexcom she doesn't do the thing because there's no click. Yeah, I know. That's what it is. It's her. It's her hearing the clicking and it's ridiculous. And she knows it's ridiculous. Like if you had her here, she tell you. I know. It's not a real fear. But my goodness. So. So what she's done is by keeping the same couple of sites, she's a little numb to the insertion, right? So it feels different on a new site. And but I got it To finally I mean by the by God or I don't know what I might have like, I might
Jennifer Smith, CDE 10:05
have thrown Mercer a read for.
Scott Benner 10:08
So she spun the pod on her belly 180 degrees the canyon was going the other way now. And it works so much better because her her thighs were really like we don't have propped up. Oh, no, I don't know, they just don't work well, like like, because we try all different places I never have
Jennifer Smith, CDE 10:26
my thighs have never worked.
Scott Benner 10:28
So better blood sugar is not on her thighs. And I told her, she's like, well just use my belly. And I was like, you only have two spots. And even when I say to her, like very up and down, she moves it like a quarter of an inch. Right? Like our night a little farther than that. Yeah. So anyway, I got her to move. And finally, it was not without some tense moments, but it's done now and her blood sugar's are way better. So
Jennifer Smith, CDE 10:54
Wow. So you can speak to the benefit of rotating site. Yes.
Scott Benner 11:02
This is gonna seem disjointed. But Jenny and I jump back to talking about the Reilly link for a second. And the bridge we got back to it with wasn't interesting. So this is me telling you little more about Riley link. And then we jump in ask Scott and Jenny. At the very least you haven't had it that long.
Jennifer Smith, CDE 11:19
I haven't. And that's the thing. I mean, if I had had it, like two years, I wouldn't even ask, I would just order a new one. But I haven't had it for very long. And I feel like I mean my other one, the one that I have had for Medtronic, the battery still works, I can still turn it on. It still connects, it works perfectly. And I never replaced that one. So and I've not done anything different. Like I'm not like cleaning out attic spaces with whole bunches of dust in my Riley lane. Collect all the dust you can you know, I like
Scott Benner 11:51
sometimes just stop swearing. I actually, you know, we had a smoke detector that started like chirping. And I just was like, you know what the thing seven years old? Like, I just throw it out and put another one up. You know, I
Jennifer Smith, CDE 12:04
actually recommend replacing them every three years.
Scott Benner 12:06
Yeah, so I had just done a bunch of the other ones in the house with these. There were these two that were like, they were going strong. And I was like I'm writing these out. And then when they started because you know, as an adult, what's the worst thing is to spend money on stuff like that, right? Like, I always tell people the worst part about owning a house is that I once had to have a tree cut down. I had like, like, there was this day that I had 1500 dollars in my bank account and a tree. And when the day was over, I did not have 1500 dollars. And I did not have a tree and that I had less than when I started. Not even like I had a new and improved tree, or you know brakes on my car or even when it was just one of those like the money's gone and the thing is gone. Being an adult is terrible.
Jennifer Smith, CDE 12:50
Yes. adulting is hard.
Scott Benner 12:52
Not fun. All right, you ready? Sure. All right. So it's hard to know where to start when there's this many. So I think the top is probably where to start. I'll go with Stacy who says pros and cons of using a Temp Basal increase versus a Bolus. She says that she tends to do extra boluses if her son doesn't have any insulin on board, but her husband tries Temp Basal as more often. Now, I think this is more of a situational thing. Mm hmm. You know, because there are moments where, and this would feed right into another question. But there are moments where I don't have time to wait for Temp Basal to start, right, right. It's a timing issue. So if it's, if it's after a meal, and there's a creep, right, like, it's just like 85 becomes 89. But there's never an arrow and then 10 minutes later, it's 93. And all that, then maybe I would be like, Ooh, this is so close. Maybe I'll try to tamp it for a little bit to get away. Yeah. But if this was a diagonal up arrow, and it was, you know, 115 to 121 to 130, I would think I need the more immediacy of a bolus correct. So I think that's the
Jennifer Smith, CDE 14:07
right way to think about it. I mean, it's a bolus is going to go in, it's a big depot of insulin right there right now, it's, I mean, it's still gonna take some time to get absorbed, there's a large amount of it at one time to get absorbed. The only caution to that is, especially for those who have really big boluses at a time to begin with, if you just bolused 10 units for a meal. And now it's 30 to 40 minutes later, and you see these arrows going up, and you're gonna bolus, you may, in fact, really not, you may not reap the benefit of an additional extra bolus to offset that on top of the large amount of insulin sitting under the skin already, because it's still absorbing especially if you didn't give enough Pre-Bolus timing, you know, all of those other considerations. So there are, there are lots of variables to both uses. I think
Scott Benner 15:06
I think too, it's what it comes down to a lot of like, again, timing. So if you if you have a quick rise, like you said, but it's happening 45 minutes an hour later, and you Bolus You're so off time now that maybe you'll cut something out of that rise, but you probably most definitely make a low later, right. That's why I like to get as much of the insulin upfront as possible, because at least at least when that battle happens between the carbs and the insulin, you know, you're gonna know there's not a ton leftover afterwards
Jennifer Smith, CDE 15:39
at the end. Exactly, yep. And that's the whole purpose of the Pre-Bolus, as well as more of like that super bolus consideration is up front loading of insulin, gets the insulin connecting with the sugar that it needs to connect with to get used. So in the back end, there's less of it.
Scott Benner 16:01
I'm sorry, I know you couldn't hear that. But that's okay. I was getting a phone call from my doctor's office. And for some reason, it came through my computer too. Could you repeat that really wanted to reach you, I'm a guy bounce through everything I own just oh, my gosh. But But would you say that again? I apologize.
Jennifer Smith, CDE 16:20
No, I was just, I don't even know exactly what I just said, Ah, oh, yes. So the larger amount up front, it's, you know, if you if you do a big Bolus up front, and you do it with more, just because you see a rise, or if you initially do like a Pre-Bolus in your front loading, or you do that super Bolus concept, where your front loading with a lot of insulin with the meal as well as the bazel behind it, you've got more action in the beginning for the insulin to connect with the sugar and to prevent that rise so that in the back end, majority of that insulin should be kind of used up that back end impact isn't as heavy. So
Scott Benner 17:09
I think the bigger response to Stacy's question and by the way, Stacy did not get her question as first because she bought a bunch of gear from the merch store today. Just because hers was at the top. But But I think the answer is it seems like early on, you probably had success with your Bolus, your husband had success with Temp Basal. And now you both think it's a tool that works best for you. But the truth is, in certain situations, it's one or the other. It's not like it's not like one. It's not like two tools that do the same thing. And you prefer one and he prefers another? I think that it's there are two different things because of the timing aspect. And this rolls right into another question. Another question that I'll let you here in just a second after I tell you again about the Contour Next One blood glucose meter. Okay, so I did a pretty poor job at the beginning of telling you that it's really accurate, but it's super accurate. You can go to Contour Next one.com to see how they figure that out. It also has something called Second Chance sampling. This prompts you to reapply blood if the first sample is insufficient to take a reading, it helps to avoid lancing a second time. And more importantly, maybe wasting valuable test strips works terrific. Other top features of the meter that you can add events to your readings. You can record events such as diet activities, medication, also add photos, notes, or voice memos to help put your results in context. Hmm, now we're talking right? voice memos, photos. So wait, I could take a picture of a plate. Oh, now you're getting that right, and put it into the app and say this was the meal I had. This is how much insulin I used this but my blood sugar was when I started watching see what the Bolus does how it works. Next time, got some Delete on their smart alerts, you can get alerted when your blood sugar levels are at a critical high or a critical low level with the Contour. Next One. It's very cool the way it does it was sort of colors and lights and everything you'll see. You can also easily share your results with your doctor in person to before your checkup, you are getting a lot out of a tiny little meter accuracy, alerts, reminders, an app that you can interact with, it'll actually help you with your blood sugar's And best of all, this meter is teeny tiny, but not too teeny tiny. So it's not a pain to carry. And it's not a pain to use Arden and I love it. Go to Contour Next one.com where the links in your show notes. Were the ones that you'll find at Juicebox podcast.com. People wanted to know about how long it takes for a Temp Basal increase to start working. And even though I told him like, Look, we've I feel like we've answered this a bunch of times but it'll it'll but right up nicely with this question. So Let's start with the idea of I bolus insulin. And it takes whatever 15 or 20 minutes to start working for, you know, whatever your your your truth is five minutes, 30 minutes. That's going to, of course, vary depending on your hydration, how high your blood sugar is, like all these different ideas. So okay, so let's just say it's 15 minutes. And that's a pretty consistent thing for you. But what if in that same scenario, my blood sugar's 95. And I suddenly do a Temp Basal increase? How long do I see before it starts impacting? I know, you're gonna say 30 minutes to an hour, probably right? Or even longer?
Jennifer Smith, CDE 20:40
Well, it's, it's interesting, because, you know, as we started with the Temp Basal increases a slower creep up in dosing and amount of, of more right of more insulin. So as soon as you increase by using Temp Basal, you do have to wait for the next pulse of bazel that the pump is going to deliver out for it to incrementally adjust that up. So with the next pulse of bazel, that comes out, it's going to be boosted up in the temporary amount you told the pump to increase by, but that pulse, then that initial little extra pulse is still going to take time for that larger amount in it to get noticed in the circulation and to start impacting the blood sugar. So as you do a temporary bazel increase, you may get more, if I'm talking about just Omni pod, in general, the pulses go out as point 05 pulses, right? So the more or the higher your basal rate is over the course of a one hour time period, the more point 05 pulses, you get to deliver a bazel. So if your bazel is normally at point zero, or point five or point six, you get 12 pulses over the course of an hour, right? If you do an increase to that point six, and now you're getting 1.2 units an hour, you're going to get more pulses over the course of an hour to drive that temporary increase that you've told the pump to provide to you. But it's still going to take time for each one of those pulses to get circulating. As far as absorption. So it's, it's kind of hard to define exactly when you should start to see an impact. But I would say some of its dependent if you've got a load of insulin, again, from a bolus sitting under and you're doing a temporary bazel increase. Sure, you might see in in, you might see a change in blood sugar faster, especially if you're doing a really huge temporary basal increase. If you're doing just this minor little temporary bazel increase, and you don't really have any insulin on board at all, it's probably going to look like it takes a lot longer for that temp increase to make an impact.
Scott Benner 23:01
Interesting, because I think this is one of those scenarios where people really do want a concrete answer. And I don't know that there is a concrete answer. I find that when especially when I'm speaking and so you're in really in front of people who are, you know, really trying to figure out something new. They there's always someone who's like, how long how much when, you know, my head, listen, you know, I can, I don't know,
Jennifer Smith, CDE 23:26
the definitive cut and dry and there is no definitive cut and dry
Scott Benner 23:29
exactly how long would I do a Temp Basal increase while I started seeing an impact? And the truth is, you know, so situational and personal and, you know, where's your site, get a good site, you got a bad site, got an old site, get a new site, like there's so much going into it. The other thing that I wanted to mention here that I find shocking, and, and not because I would expect people to know because anybody would tell them. But I don't want to insult anybody, but it seems like a common sense thing. The amount of people who believe that a basal rate is put in once every hour, like if your basal is one unit an hour it like that they think at like 12 o'clock, you get a unit and then one o'clock you get again, that if you really stop just for a second Think about it. That doesn't make any sense. But I guess it does, if no one's ever explained it to you like why and unfortunately
Jennifer Smith, CDE 24:20
at pump training, it isn't often explained to how that bazel rate is delivered. I think it's it's expected as an underlying under understood but not specifically stated. You know, yeah, it's just not it's not commented on unfortunate. In fact, it kind of also relates to an extended bolus. I don't know how many people I've had asked me or kind of explained me Why give this extended bolus. And I gave 50% now and then I did the other one in two hours. So you know, but then I cancelled it an hour later, so I didn't really get any of that that extra drove that I extended for two hours. I'm like, Nope, that's not how it works. Yeah. As soon as you're up front part of that, let's call it a dual wave where you get some now and some extended. As soon as you get that your pump starts delivering in drip, drip, drip drip over the amount of time you told it to extend it, it's dripping in that second part of the Bolus. told it. You need it longer.
Unknown Speaker 25:23
Yeah, right. Yeah, no, it's
Scott Benner 25:27
if you extend to Bolus, and I know this isn't the first question, and let's just use round numbers, that's understandable. Using 10 units, and you want 50% up front and 50% over two hours, then five units goes in, when you push the button, and the other five units gets broken up evenly over those extended amount of hours. It's, it's, you know, it's whatever that ends up being, if it's point two, five every 15 minutes, or I don't know what it ends up being, I'm not doing the math on it right now. But he just breaks it up evenly over the over the amount of time you tell it to extend it out over. And I don't know, I guess for a lot of people, that's just not something that anyone's ever brought up to them, and they can be confused about it. I've been talking about temp basals like, you know, the idea like I got a message the other day, somebody's like, you know, I just realized that what Scott says about like turning off bazel sometimes to catch like a, like a real drifting low work so well. But they were talking about that they can only do it for a certain amount of time they figured out or they'll close the highlighters. It's great. They're figuring it out.
Unknown Speaker 26:28
Yeah.
Scott Benner 26:30
When I was in Kansas City, I was up on stage. And I said something that I'd never said before, because I was like, Look, think of turning off your bazel as creating a pothole in the future that your blood sugar is going to hit. Right. And then someone from the audience said a black hole and Oh, that's so much better. Like let's say that. Okay, so, you know,
Jennifer Smith, CDE 26:53
good. Yeah, I think better one because
Scott Benner 26:55
it's because it's just a complete, it's a vacuum, right? So, so you've got this layer of, you know, one unit an hour of Basal and so on, that's, that's exists in you. But if you shut your bezel off for an hour at noon, and say it takes an hour for your bazel to go out of you, that means around one o'clock, there's going to be this vast nothingness of bazel right and so if you had a drifting blood sugar, and it hit that black hole, it would all of a sudden it would be weightless, right? It wouldn't have anything pulled the gravity would be going down and then you can hit that spot and stay level. And I so like I got done saying it and I celebrate a little bit and I could see a person down front looked at me and I'm like, I just thought of that just now. So I'm it's a good example and I'm just happy with myself. Just give me a second.
Unknown Speaker 27:47
A little celebration, we're gonna move on it's gonna be fine.
Jennifer Smith, CDE 27:52
You know, we should have we should have those little What are those? Those little popper packages, right where you can like pull apart, like, explode like whenever you go to your kind of your conferences, you should bring those along. And if you have those, like aha moments, you should pull one it surprised the audience. You're like, I
Scott Benner 28:08
just had a moment I think the surprise would be they'd stopped coming. They'd be like, this guy's like, doing Gallagher up here. It's gonna it's gonna break a watermelon since there's an old reference, nobody's gonna get.
Unknown Speaker 28:20
I get it.
Scott Benner 28:21
Jenny really does get it doesn't she? You know, she gets education. Jennifer actually holds a bachelor's degree in human nutrition and biology from the University of Wisconsin. She's a registered and licensed dietitian, a certified diabetes educator, a certified trainer on most make some models of insulin pumps and continuous glucose monitoring systems. She's an active member of the American Diabetes Association, American Association of diabetes educators, and Team Wild. She is also a contributing author for diabetes sisters. What isn't Jenny? What isn't? She? I don't know. If he even likes cooking, did you know that? Alright, luck. Now I've basically just read you like what they write about genuine integrated diabetes. If you want to hire go there, look for that information and click on email, Jennifer. There's also a link in the show notes of this episode, where you can email Jenny directly. She really is terrific. I appreciate her coming on. What else do I appreciate? I think you know, I'm gonna say the Contour Next One blood glucose meter. Give it a try today, at least go check it out. Please use my link if you do. If you can't use the link that's in the show notes or Juicebox podcast.com. Right on just type in Contour Next one.com into your browser. How about a little bit of an announcement about where I'm going to be upcoming in case you want to get some tickets and show up and be like, yo, that's Scott, the guy from the podcast, you can do that. On February 16. I believe that's a Sunday for the greater Dallas type one nation event. If you want to find that without googling, you can go to my Facebook page and go to events or go to Juicebox podcast.com. Scroll to the bottom and click on events. There's links there so that's the greater Dallas type one nation I'm only doing one hour there that They not the whole Juicebox Podcast extravaganza like you're gonna get on February 29 in Georgia at the type one nation event. You guys are really gonna love this one. I'm doing an hour on my own and then a second hour, you know who comes to join me? Jenny Smith in that cool Jenny's gonna go off do her own thing. I'm gonna do a little talky talk, and then as mine and she's gonna roll in, we're gonna do a q&a together. Now, that's exciting. If you're in the Atlanta area, forget me. Honestly, meeting me is quite a letdown. But Jenny Hmm. That's what you're looking for. That's at the Georgia Tech hotel and Conference Center. Actually, I'm sorry. The one in Dallas is in Irvine. The Irvine Convention Center is at Irving. I don't know what you guys say in Texas. It's spelled Irvine, it might be said Irving. shimmy OSHA Maazel. I don't know. After that on March 26. Speaking of shimelle show Maazel in Appleton, Wisconsin, Tickets are available now for that too. That's a three hour build with insulin talk on a Thursday night, I think 530 to 830. Straight through great conversation q&a with me all about stuff you hear on the podcast, if you're out in Appleton, Wisconsin, or somewhere nearby, or you have a sled dog, and you can get to it, really would love to see you there. Those three events are all jdrf sponsored events. Very cool for them to have me out. stuff in the future. I don't know if you can get tickets for yet. Maybe you can maybe you can't touch by type one in May the end of May, in Orlando, Florida. And on August 22, to type one nation event in Richmond, Virginia. I am currently talking to people about doing something in October somewhere I won't mention yet. Might be a couple of them coming in October. But anyway, these are my events. I hope you can check them out. They're wonderful. And I'm not just saying they're wonderful, because it's me and I believe they're wonderful. Other people say they're wonderful too. So I obviously I think they're wonderful. Because, I mean, what I really show up and say something that I thought like, Ah, this is just okay. It would be silly. I am not you. I don't know me that well. But I am not getting on a plane flying somewhere to do that's just okay. We're gonna deliver the goods when we show up. Okay, you're gonna leave with some info.
I'm comfortable saying that. A because obviously, I have a narcissism that allows me to do that. I'm kidding. For those of you who will now leave reviews and says, this guy's really narcissistic. He even says it on the podcast, how wonderful of you to pick up on that. Those of you who don't seem to understand sarcasm, and the but the real reason I can say that is because I just got back from Oklahoma, and I saw messages online, one of them was really touching. It's like a vlog a vlog for you older folks is when people blog, but with video, you get it vlog. It's really Oh, anyway, and this person put a vlog out that was just touching about the talk that I gave. So I'm there to motivate. I'm there to inspire. I'm there to answer as many questions as I can to try to set you on the ideas of the podcast. And of course, to take an incredible amount of selfies that make me feel self conscious. That's why they call them selfies. Thanks very much for listening to the Juicebox Podcast this week for leaving the really cool reviews that you guys left on iTunes recently, the social media posts, you know, that I see on Instagram and Facebook, for your participation in the private Facebook group where people are trying to help each other both adults and parents of children with type one, I really just appreciate the support overall. The reason I bring that up is because when I go out to these public events, I meet a lot of different people, different ages, different situations, different agencies, different goals. And I can tell you that when I leave, a lot of these people are better off than when I got there. And when you see some of their situations, it's hard to it's just hard. Not everybody's having the same success. So to be able to go around the country and find people who wouldn't find a podcast. And to be able to help them or get them started or move them in the right direction is an incredibly and this is overused by people all the time, but as an incredibly humbling feeling. And the fact of the matter is that I would not be in that situation, to meet those people to potentially help them if it wasn't for the success of the podcast. So every time you tell someone else about it, and the lore of the podcast grows and it gets more downloads that motivates people to ask me to come out and talk. So for the really good feelings I've had recently meeting people in person, and for the private notes that I've received afterwards from those people after they see improvements in their health, I thank you for them. I thank you for myself. I really appreciate the listen. And I did a pretty good job of ending this episode on a real bummer. So let me say something happy at the end. And it's personal. But still, my son is still home from college. He actually goes back in a couple of days. And I was sitting at my desk late last night, getting this episode together a little bit, getting ready to edit it today. And he came in and he sat with me for a little bit. We got talking about a bunch of other stuff. And he asked me what I was reading. And I was reading an email from one of you. And it's lovely and personal. But my son got to see what I do, which was very nice. He doesn't know really, you don't I mean, like, he knows I have a podcast, he knows it's about diabetes. But he got to hear from a person who said, some really kind things about the podcast, and I think he was proud of me. So that was really nice. You guys did that to keep sending the emails, keep being bold. You're all going to do fine. It's going to get better if it's not going better. And if it's going great sky's the limit. Keep going. I'm proud of all of you. I'll see you soon.
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About Jenny Smith
Jennifer holds a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin. She is a Registered (and Licensed) Dietitian, Certified Diabetes Educator, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. You can reach Jenny at jennifer@integrateddiabetes.com
The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!
