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Scott Benner 0:07
Hello, everyone, welcome to Episode 315 of the Juicebox Podcast. Today's show was recorded on March 20. It is a conversation about Coronavirus with Jenny Smith. At the end of the episode, I've listed some important talking points from the CDC website. Make sure you get to those.

Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise. Please always consult a physician before making any changes to your health care plan, becoming bold with insulin, or anything else that might come up. You know what I mean? Jenny Smith is a registered and licensed dietitian, a certified diabetes educator, and a person who's been living with Type One Diabetes for over three decades. Jenny has the exact same person you hear on the diabetes pro tip series during the defining diabetes episodes. And of course, ask Scott and Jenny. Jenny works at integrated diabetes. And if you want to check her out, or even higher, you can do that. Jenny's email addresses right in the link of the show notes.

This episode of The Juicebox Podcast is sponsored by the Contour Next One blood glucose meter. The Contour Next One is without a doubt the finest most accurate blood glucose meter My daughter has ever used in the entire time she's had type one diabetes, go to Contour Next one.com to find out if you're eligible for an absolutely free meter today. The podcast is also sponsored by touched by type one. When you go to touch by type one.org, you're going to see an organization that is working towards a cure, supporting people with type one diabetes, and putting on maybe one of the greatest dance shows I've ever witnessed. Go find out more about them. They're supporting people with type one diabetes all over the world. You might be one of them, go check them out. And if you don't need that support, and you want to help support someone else, this is a great way. Touch by type one.org is a great way to do that. Get yourself an absolutely free no obligation demo of the Omni pod sent to your house today. Go to my Omni pod.com forward slash juice box. When you get there fill out a little bit of information. And on the pod is going to send you an absolutely free no obligation demo of the Omni pod. You'll be able to try it on wear and see what you think. And of course, find out more about the Dexcom g six continuous glucose monitor the exact same CGM that my daughter wears today. Go to dexcom.com Ford slash juice box. Let's get to the show.

Jennifer Smith, CDE 3:01
Hello. Hey, good morning.

How are you today? I'm

Scott Benner 3:06
we're hanging in there. How about you?

Jennifer Smith, CDE 3:09
Yeah, I'd call it the same. Oh, I would assume calls home from school.

Scott Benner 3:14
Yeah, we didn't even make it through. My gosh, we didn't even make it through is I'm

Jennifer Smith, CDE 3:23
sorry. I didn't realize I was all covered. A little post it notes.

Scott Benner 3:27
I don't want to know what you're doing with your computer in your private time. It's fine. So Cole was in Florida for his college tournament. He got there Friday. We got there Friday. On Sunday. He asked us for Azhar tech thinking that his allergies were coming on the runny nose. On Monday, he asked for another one. Kelly and Arden left on Monday to go home. I stayed behind Tuesday was his day off. And when I picked him up Tuesday, late Tuesday morning to take him to lunch. I was like, are you okay? And he's like now I don't feel right. And I was like, okay, so I took him out to eat. And he didn't look good. So I said hey, go back to my hotel and lay down for a while. So three hours later, he woke up. And he woke up to an email from his coach and said we're having an emergency meeting to talk about the season. So I had to hump him back like a half an hour to his hotel. He was feeling better from sleeping, but, you know, he didn't look magically better than me. Right. You know, and they announced that the season was going to be suspended. That's what they do at the time. And he definitely didn't feel well still. So now he's like ask me kind of like trying to be like, slides like I couldn't have the Coronavirus, right. And I was like, I mean you could you know I said you know what, what are your symptoms at that point he had a sore throat, a runny nose, you know Now you don't have a fever, you know. So, right. So the next day comes Wednesday, he ends up pitching his face off against the number one ranked team in the country. In Division Three, just pitches, these two amazing innings comes out of the game. The game ends, he gets on a bus and goes back to the hotel. I'm supposed to pick him up for dinner, he texts me, he goes, Hey, I'm not gonna go to dinner. But come over here. He's like, I felt like I was gonna throw up on the bus. And so I think he used every ounce of energy, everything he had, and realized that he was sick. So on the way over there, I just stopped at a like a Walgreens. I'm like, let me just get a thermometer. You know? Yeah, stuck the thermometer in his mouth. He must

Jennifer Smith, CDE 5:45
be a dad. Yeah.

Scott Benner 5:46
100.4. I took him right to urgent care. Oh, my God. Now he's an urgent care with a mask on. And they swap him for flu. He doesn't have the flu. And the guy looks at his throat and says, Listen, you have strap? I can see it. You know, he's like, I'm gonna give you a antibiotic. And I said, Are you gonna swap him for it? He goes, man, this is strep throat. And I was like, okay, you know, fingers crossed and all. But I took him out of the hotel where the kids were where the poor kid had to leave his team. Wow, I just basically like shudder, like, just yeah. And the he didn't play the rest of the week, obviously. But the antibiotics did it. That's right. He had strap. Yeah. So but you know, in the moment, it was weird. And when he went back to watch the games, like from outside of the dugout, and the last two days, people were, you know, they're like, hey, how's he doing? Like, you know, we just want to make sure it's all right. It really what they meant. No, they really meant was Hey, got strapped we took given authority has exactly what I was saying. Just like just like, oh my god, are you allowed out of your house? What's the Wisconsin thing so far?

Jennifer Smith, CDE 7:03
So the Wisconsin thing is beyond the like, multiple levels of weather we have happening, like it was raining before and now it's like, fuzzy snowing, sorry, I'm looking out my window. But being trapped in the house. No, I mean, we can go outside. Our kids are out of school. The governor originally had a timeline of like, on April 6, but just two days ago, no, two days ago, we got another email from our school district specifically stating that according to the new guidelines, school is delayed or cancelled indefinitely. We don't know which my husband and I are like, okay, that means that Oscar is just not going back to school this year. That's what I think we will be homeschooling and I mean, the The good thing is that, you know, working from home, I'm here right? But the bad thing is that working from home, I don't have a clinic to go to so I have work that continues which is very good. It's good that people can utilize this type of telemedicine to stay up especially as things change and things happen and there are more questions that come in. But it also makes navigating my day a little bit more interesting.

Scott Benner 8:22
Okay, we're talking about the Coronavirus today. So here is on the pods website if you want to know more about how they're handling Coronavirus. It's it my omnipod.com forward slash Coronavirus. So if you want to get a free no obligation demo, go to my Omni pod comm forward slash juice box but if you want to find out about the Coronavirus and how Omni pod is handling it, my omnipod.com forward slash Coronavirus there they will tell you how insulin is responding to the coronavirus outbreak. They're going to tell you if Coronavirus is impacting insolence ability to produce its products, what sterilization processes are in place to ensure the pods are safe. may talk about reordering. I'm gonna jump through it really quickly. insolate continues to be vigilant monitoring and managing the global impact of the coronavirus outbreak. So that's how they start to talk about their response. They say they also have a comprehensive plan in place to ensure the safety and well being of their employees and they are going to continue to deliver on the pods to those who depend on the product manager type one. At this time. insolate does not anticipate any product supply issues. Pretty cool here. They talk about the sterilization process. Why don't you go check it out if you're interested my omnipod.com Ford slash Coronavirus. Next thing I have to share with you is a lovely email that I got from Rick Doubleday. Rick is the chief Commercial Officer at Dexcom. rick sent me a note and said at this moment, there are not any interruptions to Dexcom his ability to produce and supply product. However, we do anticipate near term delays in both customer service and tech support as we transition more employees to a remote work environment. wait times on the phone will be much longer than usual. We ask that customers Please only contact Dexcom support for urgent requests at this time. Dexcom is committed to communicating with their customers as the situation evolves, and customers should visit dexcom.com forward slash Coronavirus for latest updates. So that's directly from Rick. Now, if you want to get an Dexcom system going go to dexcom.com, forward slash juicebox. If you're already using it, you want to know how Dexcom is reacting to the outbreak, check that out right there. Now, when you start looking around the internet for a little break from all this, go to touch by type one.org. There, you're going to find an organization with the mission to elevate awareness of type one diabetes, raise funds to find a cure and to inspire those with diabetes to thrive. They've got great programs and services, all kinds of stuff. And hopefully, I'll be there and may speaking, if you know, we're allowed to travel again and get together with people. But you know, that's a long way off, I have good feeling about that. Anyway, touched by type one.org. Check them out today. Last but not least Contour Next one.com. That's where you can check out the Contour. Next One blood glucose meter, there's a little yellow tab at the top it says get a free Contour Next One meter today, check that out, see if you're eligible. This meter also has a wonderful app that works both with Apple and Android really helps take your data to a new level. Contour Next one.com. All of these links can be found in your show notes at Juicebox. podcast.com. Alright, let's get back to Jenny.

Jennifer Smith, CDE 11:57
My husband is on medical family medical leave right now from his company. They allowed employees who have family members in home or whatnot that could be at increased risk to take their family medical leave. So he chose to do that. I mean, he sees thousands of people a day at work. And he was like, yeah, I'm

Unknown Speaker 12:16
just gonna be at home with you guys. So I'm sure companies looking for some people not

Scott Benner 12:19
to come in anyway. They're correct.

Jennifer Smith, CDE 12:21
Yeah, yeah, exactly. So you know, that kind of works out for whatever limited time he can use that for? I mean, he'll have to go back to work at some point. You know,

Scott Benner 12:34
we'll figure it out. We're gonna become a socialist nation pretty soon.

Unknown Speaker 12:37
Right? Well, yeah.

Jennifer Smith, CDE 12:39
But I mean, I'm, it's interesting, because, you know, grocery stores and everything, those things are still open. I expect for like limited time. I haven't really looked at the websites to see Are you still 24 hours? I would expect? Probably not. But yesterday, I thought, I got the brilliant idea from actually somebody I was working with. And she's like, Oh, I just, I just go online. And I just ordered all my food. And I just pick it up at the door. And I was like, why did I not think about? Oh, so I went online. And I did that, oh, the next time I could pick up groceries at the grocery store that we most often go to is Monday, March 30. Like, at 6pm. I'm like, I'm out of all of the fresh stuff that I eat every single day. I'm like, I'm not living just on like frozen broccoli. So we picked

Scott Benner 13:27
one person. So one of us goes to the grocery store. Nobody the other person's not going. Yeah, tomorrow, we're supposed to go move cold stuff out of the dorm. I don't even know if they're gonna let us do that. But wait and see. But no, I think this is going to go on for months. I don't think the kids are going back to school this year. And everybody is now seeing, you know, for all the things we talked about that are important. If you can't walk outside without getting sick, nothing else matters. You know, it's really, really something else there. I there's that one model out of England that says between 600,002 point 2 million Americans could die in the next year and a half or something like that, which is it's funny. It's a staggering number, right? And at the same time, my son said to me, because he's, you know, he's younger, and he doesn't feel like he's gonna get sick. Right? He goes, how many people die anyway. And I was like, what, just like before this and I said, about 150,000 people a day worldwide die every day. And he's like, so was 2 million a lot. And I said, it is if it's you. Yeah, you know, there's a way to look at the world personally. And there's a way to look at the world,

Jennifer Smith, CDE 14:40
you know, globally, globally. And yeah,

Scott Benner 14:42
there's two things are they're very different. So

Jennifer Smith, CDE 14:45
we are exactly I see no,

Scott Benner 14:47
I stopped my 20 year old son from going to play basketball. He's like, we're gonna go play basketball like you're not. Yeah, no, you're not PlayStation, that's your dream come true. You can play it as much as you want. So, um,

Jennifer Smith, CDE 15:01
we have everything closed. I mean, other than pharmacies and that kind of stuff. So yeah.

Scott Benner 15:06
Okay, so let me let me first talk with you about this. I think it's just important right now with the timing to put out an episode for as long as it needs to be if it's 10 minutes or half an hour or whatever it has to be talking about how to manage through a respiratory illness. Because, you know, it's gonna happen and we can at least have a baseline idea. We don't know what this you know, what do you call it? By the way, do you call it COVID-19? Or the Coronavirus when you're just chatting about it at home?

Jennifer Smith, CDE 15:35
I've just been calling it the Coronavirus because I just I feel like all of these extra like, names to things just it's confusing in my brain. So I'm like it's the Coronavirus whatever they want to call it beyond that. Fine. Right?

Scott Benner 15:48
We definitely go with Corona here. Because in the you know, in the monsters incorporated movie when the sock touches the thing, and they yell 2319 2319. So when people say COVID-19 Kelly, here's 2319. And it starts the whole comedy routine in the house. So we don't say that like that.

Jennifer Smith, CDE 16:06
That's funny.

Scott Benner 16:08
We go Coronavirus, though. So okay, so we don't see, I've seen I think two people with type one on social media who have had it so far, but haven't really heard much from them. We're starting, you know, you're you're not really hearing from people yet who have recovered from it. Because those recoveries have happened overseas, we're right, you know, we're, we're still in the spot where you're gonna see, I mean, today is the 20th of March, we had a big increase yesterday in diagnosis, and I'm gonna guess it's gonna double today, because we're now starting to see numbers from, you know, people who were tested five, 810 days ago, right. So there was

Jennifer Smith, CDE 16:50
a really good post done, and you might have read it, The Washington Post did a really good article that had graphical of dots interacting with each other, and how, like, you know, no social isolation versus minimal versus extreme socializing, isolation, and how much difference that makes, but you still get a blowout of people, it's just slower, and it decreases that, you know, that you graph essentially, of how many people will potentially get it, I think the problem will be until we have hopefully a vaccination for it at a small level, and I think this is why it draws out how many months we're going to see things closed, and social interaction minimized and things. Because until we have a vaccination, it's just going to keep floating around, just like somebody is always going to bump into somebody that bumps into somebody that bumps into somebody that hasn't had it yet. And you know, they don't, but that being new from everything that I've read, the human body doesn't know what to do with it really yet, or how to form like the antibodies and things that it would normally form for the typical cold and the typical flu and, oh, I see this again, I had this, you know, two years ago. Now I can handle it better again. Yeah. I think

Scott Benner 18:11
a lot of people mistakenly believe that it's gonna have a season like the flu. And it'll just we'll get to a date, and you just won't hear about it anymore. And that I think, listen, I don't know anything other than what I'm paying attention to. But I just had Dr. Adam Edelman on the show the other day, in this episode with us going to go up right after that. He talked, I brought up the Washington Post article, and before I could tell him, it was out of the Washington Post he was was that in the Washington Post? And I was like, yeah, we've all seen that. Right? Yeah. Because it's such a wonderful visual visualization of how you know, spread happens. But I would say, this is gonna last two full Corona seasons, whatever this time is going to be, and then I think there's going to be a break, and then I think it's gonna come around again. And then it'll probably be a normal part of life, like the flu, and, you know, write SARS and MERS, and all that other stuff. But it just spreads so much more quickly. And easily then things in the past have. And so you're just seeing it, overwhelm everything.

Jennifer Smith, CDE 19:13
Right. I think that in terms of, you know, diabetes, I think people with diabetes, or even people with other, like chronic health conditions, where they've become, it's become a habit to be more careful about things like, you know, you change your pump site, or you take an injection, you clean the site, you wash your hands, or, you know, maybe you wash your hands before you do a finger stick or you put your, your continuous monitor site on or those kinds of things. So we we already are a little bit ahead of the curve of just paying attention to hygiene is in it cautiously in that sense, you know, but then, in terms of just management, I mean, the only the only one that I read about online with type one specific was, as you mentioned a guy over In the UK, I believe he was from he had gone on a ski trip in like, December, December, early January or something with a group of friends. And a good majority of the group got have Corona or had Coronavirus. He himself got tested because others in his group, he was positive. And his symptoms actually didn't show up for several days after he was tested positive, and he has type one. And he actually, in his article, he mentioned the fact that it wasn't so much the diabetes management. That was the hard part about it. It was he described it as like uncontrollable respiratory coughing. He said it was just so unbelievable that the only thing that helped was some type of medication, his doctor prescribed him and he went and he picked up steps to stop the actual coughing, but he said otherwise. And of course, this is an end of one experience, right? Everybody's experience with an illness is a little bit different. But I think it gives, it gives good information that if you were fairly healthy outside of just your diabetes, and you have fairly good blood sugar control, which is a huge key in a lot of this, then your management strategy for the illness piece of it shouldn't be that much different. If anything, you're you're gonna likely need I mean, most people with a respiratory illness who have a fever, or an infection, you're going to increase your insulin use. So

Scott Benner 21:35
I Well, it's interesting, because obviously, we this is a new virus, you know, for us and no one's really seen it before, but I've been managing Arden's blood sugar in one way or another for I mean, over 13 years, it's probably coming up on 14 years pretty soon. Viruses don't really change her insulin needs greatly. Now, I've seen it differently for other people, you know, but I just don't see a mass difference. I have to share this somewhere. So I'm going to do it here. So Vicki's been on the show before she talked about eating. What's the thing when you don't have any carbs?

Unknown Speaker 22:15
I can't believe that we're just Oh, like ketogenic ketogenic she was she Yeah.

Scott Benner 22:18
Vicki was on to talk about that. She and I were speaking this past weekend about something different. And she said something just hilarious. She's like, I'm not afraid of this fires. She goes, my immune system has already killed my pancreas and my thyroid. It could take this, it could take this Coronavirus. No problem. I was like, oh, but I think a lot of people with type one feel that way too a little bit. Right. Like, I mean, it's not everybody, but you talked to a lot of people are like, I don't get sick that often. You know, like my immune system is really great. I'm incredibly healthy with the exception of the fact that my pancreas doesn't work,

Jennifer Smith, CDE 22:54
right. I mean, honestly, I was until I had kids who started going that well, one child who started going to school, I rarely had even the common winter cold rarely. But, you know, so and even from that standpoint, I would say when you talk about you know, Arden's insulin needs don't really change so significantly, everybody is a little bit different. And I think the other thing to consider is the severity of the illness. And what At what point you are in illness, right, because I know myself with just a typical cold like the sniffles I might feel a little under the weather. But other than that, I'm going about my normal daily I'm not laying in bed like blowing my nose like minute after minute after minute. That typical cold, I maybe need a little bit more insulin like maybe five or 10% more it's not even as significantly noticeable and if I can remain at least moderately active, I actually don't even notice a difference in my insulin needs. Whereas if I have a really nasty cold my insulin needs will go up 40% from a basal level to start with and then if my post meals still aren't I'll adjust my ratios too.

Scott Benner 24:09
And there are there are illnesses that Arden needs more insulin for sure. It's those ones that are just sort of like she's got a little cough or her throat a little sore or has a little stuffy those don't seem to hit her but when she if she gets like, you know, knocked over by an illness when the body aches stuff happens and when the right rundown thing happens then and then you start getting like you said you start moving around as much you're more dehydrated, like there's a lot of stuff that goes into that

Jennifer Smith, CDE 24:39
well and I think you bring up a good he said hydrated right? It's we've talked about hydration piece just in general before but we talked about a respiratory illness specifically. I'm sure we've all seen the mucin x commercials right it's a little like blob of like mucus like you know haha I'm like in Getting your logs in your nose, and I'm not gonna let you sleep kind of thing. One of the biggest things to do is stay hydrated more. So if you're the person who's like, I drink eight cups of water a day, or I have five water bottles or jugs of water a day, you know what double that, because that fluid will help to move things faster through the system and keep that stickiness down. From the mucus standpoint. Listen, in

Scott Benner 25:27
plain words, if you have fixed not, and you hydrate yourself more thiess not will get thinner.

Unknown Speaker 25:32
That's right.

Scott Benner 25:35
It's just, you know, it's not something that's it's hard to, it's not hard to follow, it's hard to drink the water when you don't feel well. Right. That's the whole thing. It's difficult to maintain these good practices, when you feel like a truck ran you over and then backed up to see what it hit. You know that that really is the problem.

Jennifer Smith, CDE 25:54
There are some other things that are even not like, pharmaceutical, but things. I think that the Tea Company traditional medicinals makes a tea it's called throat coat. There's another one that they make, it's called breathe easy. All of them, they work very well. I've used them in, you know, a respiratory kind of bugs. So beyond going to your local pharmacy and grabbing everything off of the shelf, some of those things to kind of have stocked in your cupboard as a backup, um, peppermint and ginger can help to ease if you've got some stomach discomfort from like, post nasal drip and that kind of stuff. So there are a lot of things that we can do chicken broth, vegetable broth, all of those. I mean, there are there's actually really good research even just into chicken noodle soup when you've got a respiratory illness and the benefit of what that actually does for the immune system. Yeah.

Scott Benner 26:46
Well, you know, it's interesting as this is also new, and I think that it's going to continue to feel new even when we get deeper into it. Just the other day. You know, there's a wash of an article about you can't take ibuprofen if you have the coronavirus, it makes it worse. And I was like Now hold on a second. What just happened here? Like Did you know I started thinking about the podcast a little bit. I was like somebody stuck a pencil in their pocket and robbed the bank and was like, I know what this pencil just made me do. You know? And so and then it didn't take long for I think who to come out and say that ibuprofen is not a problem to take with the Coronavirus, right. It is really one of the problems with with social media, is it just anybody really could say whatever they want it and you know, if a person sees it, and they're scared, you know, they go back. So it's funny, we talked I you know, I talked about having you on for this to talk about management during a respiratory illness. But I mean, what really changes in management? Not a whole lot, right?

Jennifer Smith, CDE 27:47
Not a whole lot, honestly, I mean, you it's an illness. And unless you have another background illness, such as, you know, lung diseases or you know, there are some people with type one who actually have type one because of something called cystic fibrosis, right, which is already a lung disorder. So someone like that would have much more different management needs, even outside of the blood sugar component to it. So but when we're talking just about diabetes management with a respiratory illness, there shouldn't be much that you don't know in your normal Sick Day. packet of no checkoff, I got this. I got this. I got this.

Scott Benner 28:30
So when this all started happening, I thought, I'll put let me put some information out there'll be helpful people, and it was great to talk to Adam because he really did go over what the Coronavirus is and what it is and all that stuff. But as we were talking, and as I've been thinking over the last number of days, I think the most important thing you can do about the Coronavirus whether you have type one diabetes or not is be healthy, right like just be as healthy as you can be because a healthy body does a better job of fighting off viruses, colds and all kinds of things. Rock so much like well, you know, we're all locked up inside. Go back to Episode 210 and start the pro tips over again. It means like like get your blood sugar lower, stable, take out the variability. you'll move around a little bit even though it's probably gonna be in your living room for a while. We're here

Jennifer Smith, CDE 29:24
by the way, we've got lots and lots of online videos now that are free workout options, even my gym my gym like stopped all of our memberships so that we would not like have to keep paying for something and not being able to go but they also sent out a connection link for 150 workouts online that are free for us to use, which I thought that was a really nice thing just from a gym standpoint to do for its members. Um, but their 10 minute workout their 30 minute workouts, there are a lot You've got some equipment at home, you could even use your peloton or whatever it is, you know. So

Scott Benner 30:05
I think it's it's stay moving, stay healthy don't fall into like really poor diet habits because you know, it's going to be easier. And I don't know how easy that's gonna be to maintain over time, I don't know how easy getting food is going to be weeks from now I'm sure it's gonna get a little dicey at some point. Maybe just because you're gonna be scared to go outside, I don't know. But I don't think if you're really paying attention to the day to day numbers, and not listening to political conversations around it, but actually seeing what, you know, the CDC is saying those kinds of things. We are, we are following the bend of that, that Italy was falling, like we're gonna get a really big spike. There are a lot more people here we are spread out further, we have population centers, not just one or two, like smaller countries, too. We have, you know, countless dozens of population centers. This is not ending anytime soon. You know, if I had to bet money, I'd bet my kids aren't going back to school this year. I bet that things are gonna change moving forward, even. Yeah, you might start seeing work from home days for school in the future. And, you know, I think the other thing that's gonna happen here is we're gonna learn a lot about things that we've been afraid to look at. So far, like telemedicine is such a god example, right? You guys, you guys have been, you know, who else is talking to people about their diabetes through, you know, through video interaction, except for you. And now suddenly, every doctor's office in the world is like, this is how you go to the doctor now. Right? Right. Okay, so I think you have type one. Are you doing anything differently? No,

Jennifer Smith, CDE 31:51
I really not. I mean, other than, I mean, in my diabetes management itself. No, I'm not. I mean, we have, you know, all of the Sick Day things in the cupboard that we could possibly need. I mean, we actually went about was like, two weeks ago, before any of these school cancellation and anything of that nature. I was in the aisle just picking up some band aids. And I was like, you know, let's just get some extra things. Just like I could see what was sort of like, coming down the line, right? So I got some extra, you know, like cough medicine and that kind of stuff, just to have got popsicles in the freezer. All that kind of stuff. But other than that, my normal management is it. I'm managing the same way. I'm trying to get exercise every day in my house, or going outside and taking a run with my dog or, you know, whatever. I know some communities even have some restrictions on that, but we don't right now. There are plenty of you. In fact, more people I think I've seen like, I have to get Brashear like, let me out of my house. Right. Fair.

Scott Benner 32:58
Two days ago, Colin, I went to an outdoor cage so he could hit Hmm. And afterwards, no lie. His personality was brighter. He had more energy. He was smiling. Like he just he's not a person who wants to be trapped and sitting around and you have to almost the same as you sometimes can get lulled into being like Oh, 150 is a good blood sugar. 180 is not bad. You know, 200 is not far from 150 you can start getting to the like, Well, you know, Doritos for lunch is fine. Today, three days a week with the Reno's isn't bad, you don't I mean, like I haven't moved around a month, but I've only gained six pounds like you can like

Jennifer Smith, CDE 33:35
you can write, you can sort

Scott Benner 33:37
of just know that and slide into it and not know that it's happening to you. And then by the time that happens, you know, you're having that conversation with yourself like ooh, I've let things get out of hand. And then it's harder to get back from.

Jennifer Smith, CDE 33:50
I do think too, within that. from a management standpoint, we do have to consider some some things that if and when you can get to the grocery store, right? Because you're probably not going every other day or every three days Oh, I just need to pick up the milk today or I just need to do is you're like okay, everything on my list I can get it and I hopefully this will be stockpiled for like two weeks before I have to go back you know running in and out again. So from the standpoint of diabetes management and then making sure your list is full of all those things that you know keep you in line and it might even come down to making some more soups or making some more things that do last a little bit longer. I mean I know fresh fruits and vegetables and we certainly we have to go shopping either today or tomorrow someone in our house you know myself or my husband has to go because we're out of those we've got some frozen stuff but other than that our fresh is gone and I I like living on my frat

Scott Benner 34:50
Yeah, well listen, I am so the the I'm one of those people who usually goes grocery shopping like every few days. I'd much rather like bang in and Because that's how I like to keep the food fresh in the house, you know, I don't want to grab, you know, a ton of vegetables I grab enough to get me through a couple days. That's obviously a little upside down right now and might not be going as well. The other day, we ate leftovers, that I think in a regular situation, I would have been like, you know what, let's toss these out and start over again. But I was like, No, eat this. You know, like, What's another? What's another meal? Like? Let's get another meal. And prior to all of this? I guess not really prior to it. Maybe I just paid attention to it a little sooner. I ordered everything that Arden had a refill for I refilled. I'm starting to think I should have gotten to see but to just in case. She you know, I don't know. I don't know what, just in case three months from now, you know, other stuff starts happening me Meanwhile, pump companies Dexcom they all say like, we don't see this affecting our supply. But what if it? What if it's not them? What if it's delivery? Or, you know, what if it's, what if it's FedEx or, you know, whatever it ends up being. So I got all of our supplies, restocked. And I buy these juice boxes online that come in a big flat, and I was like, I'm gonna get to them, like garden could get low, like, I don't know, 150 times that I'd be okay. Yeah, right. Right, which I don't think she'll get low because you

Jennifer Smith, CDE 36:24
also have a goose box that works very well for her. Yeah, others don't. So you know, what works. And, you know, you kind of stockpile put it away, I know, my my glucose tablets that I really like to use have been out of stock online for quite a while. And so when I went to pick up my last insulin fill at the pharmacy, I grabbed two bottles of the only kind of that pharmacy brand glucose tablet that doesn't have artificial colors or anything in it. I grabbed two of them. And I actually, if I don't hide them, my kids will eat them. Like lip height these way away. So nobody else knows where Jenny's supply. I think,

Scott Benner 37:05
you know, I am not an alarmist person at all. But and I think this is going to be fine. Like I think this is gonna be a natural, it's gonna run a natural course. People are going to die. It's not going to be pleasant. I think we're all going to know somebody who died from the coronavirus next year. But at the same time, I did say to Kelly last night, I was like, let's start thinking more long term around Arden. Like that was the only thing I've said about diabetes so far. Like, I don't know what that means. Exactly. But let's always be thinking months in advance, not days in advance about Arden. And she's like, okay, and I'm like, I'm not worried. I'm just thinking we should change our focus a little bit. Right. You know, I did my best the week or so ago, I put up on my social media. I was like, Listen, if you have refills, filled, do it now.

Jennifer Smith, CDE 37:51
Yeah, absolutely. I know. That's actually one of the things that I also went through even my husband who pretty much leaves my diabetes management to me, I mean, unless I'm like, I need help with this or, you know, can you pinch my skin back here to put the Dexcom in or whatever, for the most part, it's all my management but even came to me is like, sure you're okay, on all of your supplies. You got enough insulin, you got enough of your pods. You got enough, you know everything and I was like yeah, I'm, I'm really good for you know, he's like, how many months? Like, hi, at least four months? I'm pretty good before I'd have like even maybe more than that, quite honestly. The biggest one is sensors, because I can't get more sensors other than what my insurance will cover. Yeah, I can't. The one the one thing to my pump right now is that I'm I'm kind of training on the control like you with hand up. So right now my pads are not being used a little extra,

extra.

Scott Benner 38:58
He's like, I gotta figure this other pump out for my job. So my my pumps are sitting in a pile I'm not gonna use.

Unknown Speaker 39:03
That's right.

Jennifer Smith, CDE 39:04
My Riley link gets a little break. And

Scott Benner 39:06
it's funny. Yeah, yeah, little extra stuff here and there. You know, little stuff off to the side, if you can afford to grab it. It really does make you think about the people who can afford it who are paying cash, or just, you know, that horrible. It's got to be in the back of all of our heads somewhere, right that, you know, if I don't want to be like, I'm not a doom and gloom person. But I do think this and I thought this before Coronavirus society is a paper tiger. It really is just holding together because we all agree to let it hold together. Right? That, you know, I don't walk across the street with a bat, kick my neighbor's front door down and steal his television just because we've agreed basically not to do that. Right. Right. Right. And but you know, it's it's assumed that if you get sick you go to a doctor a doctor helps you even if you don't have insurance. Someone will help you right? Yeah. Now all of a sudden your doctors are like, Look, call us on the phone. Don't come here. You know, the grocery stores always got food right? Now, Wow, well again, but it doesn't right now. And it makes you think, like bigger picture, like would it make you realize is that 10 pretty smart people who were writers sat in a room one day and said, what would it be like if zombies came? And then they wrote what they thought would happen. And, you know, that's probably pretty close to what's gonna happen. You know, it's, it's just where human nature takes us in these situations. The toilet paper is a great example, right? People are afraid, what makes them feel better control. having enough toilet paper feels like control. It seems silly right now. But it's true, like, right, it gives you some feeling of control. I filled Arden's prescriptions and got more juice boxes, and I bought, you know, I got the G vote the kids, you know, like stuff like that, but, and that makes me feel like it's okay. And it is okay. Unless, you know, people just decide to be lunatics. And then I don't know what happens next, you know, and none of us do. And, and that's the real, that's scary for every living person. But more so for a person who has type one or has something else who is who is your ally is reliant on these things working on the on the traffic lights going on, when they say they're going to, you know that that stuff that we just take for granted. So the best thing you can do is be be prepared. And and do your best and not lose your mind. Right, you know, don't go Don't go barging through people's doors with the you know, the bat, right?

Jennifer Smith, CDE 41:45
Give me that. It's so funny.

Scott Benner 41:47
This must have been in the consciousness a month or so ago. Because Because Arden came up to me six weeks ago. And just out of the blue, she goes, Hey, the zombies come? What happens to me. And I was like, so

Jennifer Smith, CDE 42:06
just a random teenager kind of idea.

Scott Benner 42:08
And she wasn't really talking about zombies. She was like, Hey, you know, this stuff gets upside down. You know, with the diabetes, what happens? It's like the first time she ever asked, and I said, I said, well, in truth. I said, If things really got sideways, I guess I would throw my morals away, go down to the corner and overpower as many people as I could and take as much insulin as I could for you. If we're if we're into the apocalypse situation, if that's what you're talking about. I said we'd lower your carb intake, which I don't think would be trouble because I don't think we'd have food. Eventually you I tried to keep the insulin cold. you'd run out of it eventually. And she goes, how long? I'm like, you'd be dead a couple weeks, a month later, probably. And she goes, Okay, that's what I thought. And I was like, I right on. And then we just sort of like, walk around the room. Yeah, it just she she wanted to know. I don't think she'd ever said it out loud. I think she knew, but she never said out loud. Like, what happens if these mechanisms go away? For me? I was like, that's pretty much it. It's like some of the Egyptians stayed alive a really long time. I was like, Oh, yeah, I mean, if you How long do you think you could eat kale before you just gave up?

Jennifer Smith, CDE 43:23
There are lots of ways to cook kale. I like

Unknown Speaker 43:27
that, you know,

Jennifer Smith, CDE 43:28
the other. The other thing to possibly do is maybe you know, get your own pig farm started. And then directions about how to make your own insulin and your you know, pig farm out of the pigs that you're growing in your backyard. Or

Scott Benner 43:41
I'll tell you what, if that kids, if that kids hanging her hat on that on me figure that out, she's in trouble. I could maybe do a podcast about it, but I don't think anybody would care. Right? But anyway, like, I don't think of that as, like, I didn't think of that as a sad thing. She just wanted to understand her reality. She got to an age where she was like, hey, just real quick, like, you know, right? What, what is this about? And it's not something I was talking about. Maybe she was hearing something at school, or like, I don't know where it came from, honestly, but I wasn't gonna lie to her, you know, and I wasn't gonna just be like, that'll never happen. I mean,

Jennifer Smith, CDE 44:16
who knows? We don't know what the future is. in any circumstance. Even without this. We don't know what the future necessarily.

Scott Benner 44:23
And if it if it happens, you're not going to stop it. If it's happening. You know what I mean? Like, it's, you know, and I just I told her, I was like, Look, I said, She goes, do you think it'll happen? And I said, No. And she said, why I said, greed. She goes, what I'm like, we live in a capitalist society. Everybody wants things. The only way they get things is to go to work. They want to go to work, they want to make money, they want to have things. I was like, it's what keeps people chugging along. It's what keeps insulin being made. And insulin pumps being you know, people like they think there was a guy one day who was like, I could make a better insulin pump. I bet you I could do this without tubing and he made it and turn into a business. And it was like, that's what keeps society moving people's desire to do things have things be alive. You don't I mean, I was like everyone's desire to be alive is going to be why you're going to have insulin and pumps and needles and whatever else you need. And, and I said, so while I can, you know, I can think about your little scenario here that you've made up in your head. I don't believe that's gonna happen, you know? No. So we'll say even with this, it's gonna it's going to pass. There'll be a day in the future where you'll say to somebody, do you remember that Coronavirus thing? Wasn't that crazy?

Jennifer Smith, CDE 45:37
Right. Right, exactly. It's, you're right. You're right. But I you know, in terms of even like, your daughter's question, I think you also, you know, you kind of bring we've already talked about like the supply component. But the going back to like, the age old management strategy, like maybe your technology dies, and you can't get a replacement for it. Do you know what to do? To go back to an injection? Do you have pens? Do you have syringes? Do you have you know, your vials? Do you know how to use them? Do you know what your doses are? All of those things are, they should be in your marked down list of I would know how to do this. If this happened, or if this failed, I could go to this parameter. If this fail, I could go down to this like 1940s way of management.

Scott Benner 46:33
I thought about it last night, and we don't have slow acting insulin in the house. And I thought she'd get stuck a lot. But I could do it with just her pager. Like I know I could you know what I mean? Like it wouldn't be perfect. But it would be she'd be alive, he would be alive. Yeah, and in enough time to go get some slow insulin somewhere. Right. But I think I could do it, you know, it's just, you know, there's a certain I'm thinking, I would probably create layers with boluses, like rock, like like just, you know, put in a bolus. Think about where it peaks, probably right at the peak time, put in more and just keep those like dolphins like

Jennifer Smith, CDE 47:15
flying through the muck have to do your own little like graphical chart, I don't sit here it should be done here. I dusted here, it should be done here. We kind of have to keep track that way, mentally, to not drive yourself like insane with a charged brain. But in

Scott Benner 47:31
my mind, if I know when it goes in, I know when it peaks and I know when it crashes, then I can put the next one in and create them

Jennifer Smith, CDE 47:37
for next week at

Scott Benner 47:38
the crash and just keep the peaks covering the crashes. And that should make a reasonably level amount of insulin the whole time. So

Jennifer Smith, CDE 47:46
and that that would work for somebody who has looked at and truly understands the total action time of their rapid insulin. This podcast for a while you're right, you do and I would say you know Scott definitely could do that. If you've not really ever figured that out. probably

Scott Benner 48:05
thinking a lot of people might kill themselves doing it. Yeah, oh, this is definitely one of those episodes where nothing you hear on the Juicebox Podcast should be conservative. But But I was really that's what I was thinking. Right? Like, would there be a way to bump insulin and over and over again, so that she didn't find herself without insulin? Or didn't find herself with too much? Right then? I don't know. I think I could figure it out. But, you know, again, it's because I, I can be like, I can be dispassionate about it. It's not me if I had diabetes, this is what the sound sounds like, Jenny, I don't know what I would do. If I didn't have so I can answer I probably just run around the house, I hit a wall and just passed out, you know, like, so it's, it's an interesting thing when it's for someone else,

Jennifer Smith, CDE 48:48
because you can step back and you can look at it for a second.

Scott Benner 48:51
Wow. And you don't have that Panic of like that your health is on the line.

Jennifer Smith, CDE 48:55
But overall, you should run to the pharmacy. And you should get well Jenny,

Scott Benner 48:58
I'm gonna tell you what I'm gonna. I'm gonna send an email when we're done to Ardennes. And oh, and I'm going to ask for some slow acting insulin. There we go. And I guess maybe two, I don't have a backup. Yeah, that's exactly what I'm going to do. And that's what we should all be doing. Right. It's just preparing.

Jennifer Smith, CDE 49:15
Just prepare.

Scott Benner 49:17
So did we learn today that at the moment with the information that we have, that a person with type one diabetes in the Coronavirus is going to get some level of sick and they're going to manage their type on the way they would if they got any other virus and

Jennifer Smith, CDE 49:32
in a normal illness? Yes, exactly. And I would think, you know, unless you're really newly diagnosed, and you've been a fairly healthy person outside of the diabetes, and you've never really managed an illness with diabetes yet, then sure it will be very new for you, and it's going to be kind of scary, you know, but the biggest thing really is looking at the glucose levels looking where they're going and seeing Gosh, I'm you know, so 7500 points higher than I normally run. Clearly I need more insulin. So

Scott Benner 50:10
Jerry, what's your what's your level of commitment to the podcast? Are you willing to get the Coronavirus? So we can talk about what it's like to have it now.

Unknown Speaker 50:19
Can't get you to go look a couple of handrails or something like that.

Jennifer Smith, CDE 50:23
No, and I can go hang out at UW hospital. Sorry.

Scott Benner 50:28
Gosh, do you think health care workers who are in situations where they may be more susceptible? Do you think they should step back from their jobs? Like, what would you do if you are in a hospital right now working?

Jennifer Smith, CDE 50:43
So, you know, given my profession, I know that my position would have been not necessarily cut, but I would have probably been sent home because I would have been outpatient, I wouldn't have been necessary to be there. Right? If I were a nurse, or a doctor or any other profession that's absolutely needed. And you We need people I mean, what, what would happen with all the sick people, if all the doctors were like, all the nurses were like, nope, okay, I just gonna go hang out at home, I can't get sick. I can't do this, you know. I would have to say that I would, I would do my job. It's even if I had, you know, people at home as I do little kids, a husband, or if I had, you know, an elderly parent, or grandparent or something living, I guess I would just live at the hospital then. Yeah, I wouldn't come home with it.

Scott Benner 51:37
You know, yeah, we're in a situation now where everybody's got a row, the boat, whatever, where they have in their hand they need to use and it's very similar. You know, when you think about police officers, right, or emfs or firemen? What do they just gonna be like how your house gonna fire? I don't know if you have the Coronavirus or not. So we're just gonna have to burn your life. At some point, there are some a lot actually of professions that just you don't get to think about yourself first. Well, that's, you know, what ends up? Kind of,

Jennifer Smith, CDE 52:08
you're doing social good. By continuing to do what you professionally chose to do. It is. I mean,

Scott Benner 52:17
well, when I was speaking to Adam, the one thing I said that was interesting that I've kind of noticed from afar is that we have set up a society that, for the most part for most people, goes the way you want it to go. Do you know what I mean? Like there's not a lot of, like, I remember my parents, you know, talking about getting a car, and it taken them seven years to get money for a car. Do you mean like, we're gonna get a new car one day, they never got a new car, they would always get a newer car, right? But no one ever woke up and was like, I will just take out a loan, and then I will buy this car. And then I don't need the money today, I'll give it to them. Like, like, we've set up a situation where if you have any kind of income and need something, you probably can get it. And that goes for entertainment, as well. Right? Our entertainment are amazing now. Like, we're all at the point now where we're like Disney plus nothing on here. I want to watch it. Like we're a little spoiled. Right? Right. This is the first time in my generation, and definitely my children's where someone said that you're being limited and there's no alternative. Right? You just have to do this. Right? It's very interesting. And people are so far, I think doing a really good job with it. Yeah, I don't see people freaking out or anything like that.

Jennifer Smith, CDE 53:34
I think it's hard. Even from a from the from the child standpoint, though, you know, our kids have gotten so used to social interaction. Right? I mean, very minimal numbers of kids are homeschool. These days. I've got a couple of clients who have I work with Who are they do homeschool their children. And I've actually email I'm like, I bet you're glad that you've been doing the homeschooling you'll know exactly how to do this. I however, do not. So we've been after school or after I'm done with work in the afternoons. Now we've actually just been getting in the car, and going and taking a drive around the city. Just to like physically, like,

Unknown Speaker 54:16
get out, change,

Jennifer Smith, CDE 54:18
and change the visual and change and see that, you know, the world is still there. Everything is still in place. It's just that we've got limited interaction.

Scott Benner 54:28
It really is we're all just trying to stay away from each other so that we don't overwhelm the healthcare system. Right.

Jennifer Smith, CDE 54:34
And for explaining to kids it's also something for explaining to I mean, you know, with a seven and a three year old, they don't really quite understand, you know, why can't we go to the coffee shop and get a flowerless cookie? Why can't we you know, well, they're closed so we drive past the coffee shop. You have to kind of visually explain to many younger kids and well it's closed you know, we can't go and see all the chairs are up. But why Mommy, can't we get a morning muffin. Let's go home and let's make morning muffins. So now we have morning muffins sitting on the counter in the kitchen. Yesterday,

Scott Benner 55:06
I had that conversation with my 20 year old son. I was like, Listen, you can't play basketball. And here's why. Because Do you want to wonder for the rest of your life if your buddy's grandmother dropped dead because you had to go play basketball, you know, like, just go outside, you have a net play by yourself. And that's what this is gonna be for a little while. It's tough because you because it isn't. It isn't hard to look at what you're missing. Like, I watched kids on my son's baseball team and every baseball team who were seniors, who were eight, eight games into their season, be told That's it, you're never gonna play college baseball again, say goodbye to everybody and get back on the plane to go home. Wow, it was hard. It was really interesting. All these kids weren't going to graduate from high school at a ceremony maybe or from their college. You know, that's all total. But like I said, I think at one day, it will just be it'll just be a story to tell people. You know, like, remember the time I'll tell you this. And I mean, this, I said this to Kelly last night, I was like we are parenting through. Our parents never had anything like this, that I can remember that they had to be parents. And my wife's like, my parents just sent us outside anyway, we'd be dead. They'd be like, go outside and play, you know. So I really feel a feel like we're gonna be professional parents when this is over, like really good at it. Because this is just another level Jenny.

Jennifer Smith, CDE 56:22
It's really funny. I said that to Nathan, the other day, I said, this is really kind of a it's a social experiment in teaching people who've been so used to and nothing against it. This is the way that society work. Because moms and dads all have jobs now and you send your child to daycare or you send your child to school. It's teaching parents what it actually means to like spend majority of your time interacting with your child. I wonder if somebody else isn't raising your child? Yeah, somebody is else isn't teaching them. It's on you now. 100%? That's,

Unknown Speaker 57:00
that's hard. Yeah.

Scott Benner 57:01
Yeah, I listen, I've raised two kids, as a stay at home parent, right? That means you get up in the morning, and you're with them 24 hours a day. And it gets long after a while. And you really have to have the fortitude to just push through and find the good and what you're doing and not make it feel like oh my god, this is my whole life like that, that whole thing. But I'm wondering how many people will maybe I wonder how many people will try to go back to a single, like income, like how many people are gonna like this and think, Oh, this is nice, you know, right. I never thought it was possible.

Jennifer Smith, CDE 57:33
I didn't know my kid could do this. Or I didn't know I liked doing this type of thing with my child. Or look how good my child is that like reading and we can read together and we can learn all these things. I mean, I think of all the like, books that hopefully people are reading and the games that they're getting out of the closet that have cobwebs on them and like, Yeah, because especially with kids, you know, specifically, as you know, you have to entertain them up to a certain age, you kind of have to do the entertainment. Yeah, yeah.

Scott Benner 58:06
I've got my pile of books right here. I'm hoping. Yeah, really only five fingers crossed. So okay, so stay healthy. Keep your blood sugar stable. I think the other thing we didn't say that I think is really important is get sleep. And as

Jennifer Smith, CDE 58:19
bunk water.

Scott Benner 58:20
Yeah. And try not to make yourself nuts. Like stress, people don't sleep well. People don't sleep, well don't fight off colds. Well, like the really the things you can really do is, you know, take care of your health, get some sleep, keep your stress down. And you know,

Jennifer Smith, CDE 58:36
and some of that keeping your stress down ultimately is just keeping as much normal in your day as possible. Yeah, you know, you get up every day at seven o'clock, keep getting up at seven o'clock. If you always have tea at nine o'clock. Keep having your tea at nine o'clock. You know, it's just keeping some of those normal scheduled things, helps to keep the stress level down to I think, too, if you're working from home, I know everyone's interested, but don't leave like cable news on 24 hours a day in the background, because they're repeating the same thing over and over again. And it's getting into your brain. So right.

Scott Benner 59:07
Yeah, right, Jenny, I appreciate you doing this. And I hope you guys all stay healthy there. And I hope you do too. Thank you. I hope hopefully this will help some other people do the same. So I'm going to read to you from the CDC website for a second. Older adults and people who have severe underlying chronic medical conditions like heart or lung disease or diabetes seem to be at a higher risk for developing more serious complications from covid 19 illness, please consult with your health care provider about additional steps you may be able to take to protect yourself. The site goes on to remind us to stay home if you're sick. But I think at this point travel bans are starting to go into place as I'm recording this on March 20. So you know that may be that may just be a given at this point. Cover your coughs and your sneezes cover your mouth and nose with a tissue when you cough sneeze or use the inside of your elbow. Throw used tissues into the trash. Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with sanitizer that contains at least a 60% alcohol. If you're sick, you should wear a face mask when you're around other people, even if you're sharing a room or a vehicle with them or before entering a health care providers office. If you are not able to wear a facemask or a sample because it causes trouble with breathing, then you should do your best to cover your coughs and sneezes and people who are caring for you should wear a face mask when they enter the room with you. If you're not sick, you do not need to wear a face mask unless you are caring for someone who is sick and they are not able to wear a face mask. face masks may be in short supply and should be safe for caregivers around the home clean and disinfect. This includes tables doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets and sinks. If surfaces are dirty, clean them use detergent or soap and water prior to disinfecting. The CDC goes on to tell you about disinfecting most common EPA registered household disinfectants will work. Use disinfectants appropriate for the surface. options can include diluting your household bleach. To make a bleach solution. Mix five tablespoons or a third of a cup of bleach per gallon of water, four teaspoons of bleach to a quart of water. Don't forget the manufacturer's instructions about proper ventilation when you're using bleach. And if you're going to use an alcohol solution to kill bacteria or the virus, ensure that it has at least a 70% alcohol content. This is all available@cdc.gov there's guidance from the CDC around the 15 days to slow the spread. Listen to and follow all directions for your state and local authorities. If you feel sick, stay home Do not go to work, contact your medical provider. If your children are sick, keep them at home Do not send them to school well. Think that cats out of the bag to around most of the country contact your medical provider if someone in your household has tested positive for the coronavirus. Keep the entire household at home Do not go to work, do not go to school, contact your medical provider if you're an older person stay home and away from other people. And if you are a person with a serious underlying health condition that can put you at an increased risk, for example, a condition that impairs your lung or heart function or weakens your immune system stay home and away from other people. Okay, so here are my plans for the podcast. Next week. There'll be two episodes that are just stories from people with type one diabetes stuff that's more entertaining. We're going to do some after dark stuff, you know stuff to keep your mind off things keep you entertained. I will come back with Coronavirus information whenever it's necessary. Dr. Needleman we'll come back on Jenny and I'll talk again. But the podcast is going to be here for you. I'm trying to figure out how to do a live chat for us all. So if people just need to feel a little less alone, they can get together and talk. that'll probably happen through the Facebook page. So keep an eye there. Perhaps even Instagram and I'm looking for a way to bring everybody in. Maybe in a third party platform. I'm doing my best on that. The Juicebox Podcast will run as scheduled. It's not going to go away. And I appreciate that you guys are such supportive listeners. I hope this information has been valuable for you. Please just use your common sense. Stay well stay away from people. Don't touch things. Wash your hands. be cognizant of your surroundings. Do your best to stay safe. Do your best to stay healthy. If you feel sick in any way, please contact your physician immediately. I'm going to read you one last thing the symptoms of coronavirus. People may be sick with the virus for one to 14 days before developing symptoms. The most common symptoms of coronavirus disease, the COVID-19 virus are fever, tiredness and a dry cough. Most people about 80% recover from the disease without needing special treatment. More rarely, the disease can be serious and even fatal. Older people and people with other medical conditions such as asthma, diabetes, or heart disease may be more vulnerable to becoming severely ill. People may experience cough, fever, tiredness, difficulty breathing in severe cases. Now having that in your head. Don't forget what Jenny and I talked about today. If you're a healthy person, if your blood sugars are well maintained, you don't fall into that category just because you have type one diabetes. Be healthy, keep your routine going. Keep your mind fresh, get some fresh air. Try not to go crazy in your house a little bit. You're going to be okay. The Juicebox Podcast is sponsored by Omnipod Dexcom touched by type one and the Contour Next One blood glucose meter. You can go to Contour Next one.com touched by type one.org My Omni pod.com forward slash juice box or dexcom.com forward slash juice box to learn more about the sponsors. There are links in your show notes at Juicebox podcast.com. If you can't remember those links, now might be the perfect time to check into some new gear, the stuff you've been thinking about getting, I mean, you got a lot of time to read up, right? I genuinely meant what I said to Jenny earlier, I'm not just trying to get you to listen to the podcast more. If you want to work on your variability if you want to work on keeping your blood sugar's more stable. Go back to Episode 210 of the podcast and listen to the diabetes pro tips again, you can figure it out if you're struggling. And if you knew what you were doing in the past, but you've sort of burned out a little bit. This podcast episodes can help bring you back around again. I want to wish you all a ton of success. I'm gonna see you soon. You guys are going to be okay. I'm gonna be okay. We're all going to be okay.