#937 Fastidious

June 24, 2023Scott Benner

Jason has type 1 diabetes and uses T-Slim.

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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 friends, and welcome to episode 937 of the Juicebox Podcast

Jason has type one diabetes, he's an adult, he's having great success on control IQ but he doesn't really completely understand why you go over his settings have conversations. He eventually sent me a note where I'm going to don't forget to read his note into the end and he switched on the pod five and I was having a great time. Boom, boom, what are we going to call this one? Is very amenable. Festivus call it Festivus. While you're wondering why I'm calling it that, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. We're becoming bold with insulin, save 35% off the most comfy sheets towels and sportswear I guess like joggers and stuff like that. Yeah, that I've ever worn. Cozy earth.com Go there, load up your cart, put in the offer code juice box at checkout and you'll save 35% off your entire order

this episode of The Juicebox Podcast is sponsored by two devices that my daughter has been using forever. The first one, the Dexcom CGM right now Arden's wearing the Dexcom G seven but you can get the G six two at my link dexcom.com forward slash juice box and orange juice the Omni pod dash right now. But this podcast episode, since it's sponsored by Omni pod, I'm going to tell you that you can get the Omni pod dash or the Omni pod five at Omni pod.com forward slash juice box use the devices that Arden has been using since she was a little tiny kid.

Jason 2:08
Hi, my name is Jason. I'm 46 years old. And I was diagnosed type one, three years

Scott Benner 2:17
ago, three years ago when you were 43. Wow. Any any reason to think you would have diabetes like a parent or someone else in your family has it?

Jason 2:28
I had a great uncle that had it. But other than that, no, no, no diabetes. I've got one of those. on mute. I guess it was unusual. But now it's sounding more normal that it's the same kind of diagnosis that a lot of older people are getting. In April to third 2013 I was diagnosed as type two. I had a one C of 8.1. And I had all the normal symptoms. I was losing weight, I was thirsty was getting up to pee all the time at night, four or five times at night. And I went in and I said oh, you're tight to

Scott Benner 3:11
give you medication from there. What do they do? Yes,

Jason 3:15
they started me on Metformin. And then a month later, my agency was down to 5.4. I had started exercising and eating better. And they took me off Metformin. And then I think three months later, they put me back on Metformin. And somewhere in that six year time span, they added insulin. I was taking over long. I was checking my blood sugar four times a day. And they got me a sliding scale that I still have a copy of I kept of how much insulin we give it meals. And then they put me on Invokana as well.

Scott Benner 3:56
Just you were misdiagnosed as a type two for six years. By a general practitioner.

Jason 4:05
I worked for a city and we have a city clinic. And I went in there. And they were the ones that tested me and the doctor at the clinic actually said you have one of the antibody markers, but you don't have to so you're type two.

Scott Benner 4:24
You work for a city. That's the first time anybody's ever said it that way to me before.

Jason 4:29
Yes, I work for a city. I'm a senior chemist at a wastewater treatment

Scott Benner 4:32
plant. Oh, no kidding. Oh, yeah. Jason, you probably shouldn't have told me that. I have a lot of questions about water trough.

Jason 4:42
I got to hear you say water.

Scott Benner 4:44
Yes, you did. And it's gonna happen again. So let me I'll divert for just one second. The picture we all see online from New York City have a giant ball of fat in the sewer. Is that real? Yes. Okay. All right. So do you You put enzymes in the water to break up the fat? Or how do you handle that?

Jason 5:06
Well, I don't do any of that I work in the lab and they bring us samples and we test them and give them their data. And then they go out and do whatever they do.

Scott Benner 5:17
But do they do? Like, how do you handle something like that? Like, I guess let me re ask the question then based more on your on your perspective. What are you looking for? And why are you looking for it?

Jason 5:34
We're cleaning out the the water that comes through the sewer, so that we can clean it up enough to pump it back into a river.

Scott Benner 5:43
Okay. And what are you taking out of it? Like what what happens when the population uses it that it needs to be cleaned? I know medications I remember reading a story about somewhere near Oh, Wisconsin, or Chicago or something where there was so much Metformin in the water, it was starting to impact wildlife. And that they said was because the population was using so much that it was passing through in their waist. Is that kind of how that works? Oh, yeah. Wow. That's weird. It makes so much sense. And yes, and yet, I don't think anyone would ever consider it. So you need to clean it also good.

Jason 6:25
They also can find COVID and wastewater and track it

Scott Benner 6:29
that way. You can tell how, how much a virus is in a particular place. Is that may I ask Jason, does that come through the Poopoo? Or the PP are both? Both? Both? Interesting. Oh, my goodness. And then we want it it's one of the marvelous things about this country, isn't it? The way we can provide clean drinking water and and usable water for people? It's, it's a marvel of like society, I think, I don't know. Nobody thinks about it here. I wouldn't imagine but this many people, this much the volume of water that must get used? I think it's I think it's marvelous like that it works that way. I imagine it doesn't feel magical to you anymore, but it does. Not so much. You don't you don't feel like you're involved in a, in an amazing process. I do. Just to you know, Jason, between you and I think what you're doing and the people you do it with? It's, it's pretty amazing. So anyway, all right. So you've done this your whole life? Or is this a like, how do you apply a chemistry degree?

Jason 7:39
I've been doing it for 17 years. I originally got it who read environmental science, he just wanted to help the environment and stumbled on this job.

Scott Benner 7:49
Nice. It's, it's I think it's definitely important work that I don't think anybody pays attention to. So I do. I'm constantly amazed by it, just so you know. And I'm very careful. Like if I fill up a container to give, you know, my dog's water, and there's a little bit left in it, I will go out of my way to put it in a plant or somewhere like I would never consider going back to the sink and just dumping it out again. I don't know I'm, I'm I don't know why it strikes me that way. I don't know what someone said to me when I was younger, but I don't know. I think it's amazing. Alright, forget all that. They tell you your type your type two for six years, you're living on Metformin, eventually, obviously, you're not type two, so they have to start adding insulin. How do you and then you have a doctor tell you you have a marker for type one, but that still doesn't move it so how do you end up figuring out you are

Jason 8:53
going into the city clinic I can't remember now if I was sick or had an injury, but I went in and he's like, Hey, we haven't done bloodwork in a while. Let's do let's take let's take some blood work and see how you're doing. And so when they took my blood work, I was 7.1 Okay, and I was still losing weight. I was down 260 pounds. I think

Scott Benner 9:21
how much weight had you lost in total?

Jason 9:25
Over the six years I'm five nine I think I went from around 200 to 160

Scott Benner 9:32
do you think 160 Is the correct weight for your frame or were you too small?

Jason 9:38
Oh my wife is telling me obviously skinny Okay.

Scott Benner 9:41
When she just might be a chubby chaser Jason I don't know about health wise not your wife proclivities, you know, I'm saying but, but you felt undersized. Okay. So so you're you're wasting away but slowly and you're using enough insulin I guess to Do you think it's Lada? Do you think it was a slow onset? Or do you think you were like full on type one, and you were just using enough insulin to help yourself?

Jason 10:10
I asked my CDE back in June. And she said, You know, I don't really know. But it doesn't really matter. You hear type one now and you need insulin now. So

Scott Benner 10:22
your CD was your CD was deflecting Jason

Jason 10:27
actually didn't know all that whole backstory. So he wasn't involved in that.

Scott Benner 10:32
It reminds me of when Cole was born, and he came out and the doctor held him and I was going to cut the umbilical cord, and there was a knot tied into the umbilical cord, like tight. And I pointed to the knot, and I said, Is this a problem? And he held call up an extra inch and went, apparently not. And then I. And I was like, that's not a real answer to my question. So anyway. Okay. So once you figure out your type one, how does management switch?

Jason 11:06
I started to go see an endo. I saw an endo. And I guess November and I walked out with the libre. And I went back. Well, I mean, obviously, they put me on long lasting and short acting, MDI, okay, and they said, come back in January, I came back. And they're like, You should start thinking about getting a pump. Is that something you think you want to do? And I said, Well, I've never really thought about it. And I said, Sure, why not? Let's get a pump. And I started pumping in February of 2020.

Scott Benner 11:46
Okay, so can you tell me a little bit from a psychological perspective? What was it like to go into that office thinking you had type two diabetes, and probably being like, you know, the way people think about type two all the time, it's like, you know, lose weight, it'll get better. And you've lost a significant amount of weight to the point where you think there's something wrong with that. And it hasn't made an impact on it. So you have this thing you believe you're doing the things they tell you, it's getting worse, not better. And then someone just does the Presto change along you and tells you that no, it's not this. It's that. Is that hard to swallow? Or were you able to just roll with it?

Jason 12:27
I mean, I've never looked into type one. I didn't know a lot about it. I didn't know anything about it. It was kind of a shock. And what's funny is the the doctor was like, Oh, this is good news. You have the good diabetes now. And I'm like, that doesn't sound right. How can I don't think anyone can be

Scott Benner 12:47
good. Exactly. There's not a good version. Yeah.

Jason 12:57
I told my dad that on the way home, I talked to him on the phone and he's a doctor. He's like, No, that iPhone is not the good version.

Scott Benner 13:03
Did your dad say? You got the bad kind of a doctor?

Jason 13:10
I'm sure he was thinking that.

Scott Benner 13:11
What kind of physician is your father? He's an OB, Jin. Oh, okay. No kidding.

Jason 13:19
Yeah, he was a originally he was a naval doctor. And

Scott Benner 13:24
then he moved down to the Medina. Thank you,

Jason 13:29
man. Thank you, man.

Scott Benner 13:32
Jason, I gotta tell you something. We can stop now. If you want. He moved from the navel to the vagina. Um, good. I don't think it's gonna get better than that. You know what I mean? Man, I was really proud of that. Just uh, you're all aware. Yeah. I'm sorry, crack myself up. Okay, so. So you, you leave for the libre, you go to MDI. I love how they asked you. Do you think you want to pump as if you have any idea what any of that means? Or, you know, like, why not? You don't I mean, man, like, why wouldn't somebody say to you, hey, an insulin pumps an option. Here are some benefits of an insulin pump. What do you think about what I've just said, instead of going, Hey, you want an insulin pump? I know you don't know what it is or what it does or any reason why you would want it but it's now on you to decide. But you went with the idea. Right? Once you did go with the idea you decided to do it. Yeah,

Jason 14:35
sure. Let's let's try it out. I mean,

Scott Benner 14:38
Jason, you're incredibly easy to get along with why is that? A part of the country? You're from? Texas. Like northern southern east west.

Jason 14:49
I grew up in South Texas, but now I'm in Dallas.

Scott Benner 14:52
Okay. You just you're very amenable through the story with with not with me. You're very difficult with majors but no, no, I'm just kidding. You're very, you're very amenable, like in the conversation with the physician. And even earlier before when people aren't going to hear that we had some trouble technically getting set up, you. You err on the side of like contrition during the thing, even though you weren't doing anything wrong. So it's interesting. But so you start pumping, how long does it take for you? Or did you ever get things under control?

Jason 15:28
The interesting thing was I was the first patient in the office to start control like you.

Scott Benner 15:33
Really? How long ago?

Jason 15:37
2020 Right before COVID I snuck in an appointment before COVID started looking

Scott Benner 15:41
to really hit. And is that is control like you the thing that brought things around for you like how were you doing prior to that?

Jason 15:53
You mean, between my diagnosis and

Scott Benner 15:55
then? Well, between the time somebody hands you needles and said you have type one. And when you got a pump? How long was that time?

Jason 16:04
That was from that state, November 1 to February 12. I went from a 7.1

Scott Benner 16:16
to a six, just on MDI and then you move to a pump very soon after a few months after I gotcha. Okay, did the pump then make another I would imagine another adjustment to your outcomes.

Jason 16:32
I stayed. On January, I was six. April, I was 6.3. And then, in August, I was 4.8. I remember I was sitting on the field watching my kids practice soccer. And I was looking at Facebook and I was in a diabetes

group. Someone's mentioned that Juicebox Podcast, and I was like, Well, I'm almost done with the podcast and listen to I don't have anything else to listen to well get the juice box and try and see what that's about.

Scott Benner 17:12
And now you realize you'll never get done with this because I make too much content you'll you won't be able to finish.

Jason 17:18
You keep me entertained at work.

Scott Benner 17:20
I'm doing my best. Oh, am I helping to support the cleaning of water? This makes me feel very good. Yeah, of course you are. How do you listen? The liquid that you drink that comes out of the faucet? What do you call it? Water water. When I say it like that? Am I saying what you're saying water? Does that sound like though? See, it's hard to tell, isn't it? So when I say Yeah, I hear you say water. Are you hearing me say it correctly when I do that? Say it again? Water. That's normal. Okay, and when I say water, you hear like WT t er. Yeah, gotcha. Hey, when you're watching your son play soccer. Are you thinking I wish this kid was playing football or baseball? Be honest with Jason.

Jason 18:14
I'm not I don't want him to get a head injury. And I find baseball born.

Scott Benner 18:19
That soccer ball could hurt though. You get that worked in your head. It's not good. I'm telling you. Maybe field hockey. That's for girls. Even that. Even that balls hard badminton? Nobody's getting hurt. And badminton. I bet.

Jason 18:32
Well, now he's switched over to taekwondo. So

Scott Benner 18:34
oh, oh, that's interesting. Good for him. All right. So you found the podcast? did? I mean, listen, I want to try to take, I'm gonna take credit for your 4.8 and one see if I can. But if I can't, like, how are you accomplishing that?

Jason 18:52
Before listening to your podcast, nobody had ever mentioned Pre-Bolus. That's just check your blood sugar. Give your insulin and start eating.

Scott Benner 19:03
What are you eating? Jason? What's your diet?

Jason 19:08
I eat just a normal American diet. No restrictions.

Scott Benner 19:13
Get out of here. So you're using you're using a fast acting insulin in a pump. You have a CGM. You're using control IQ. So you must have moved from libre to Dexcom. At some point, is that right? Yes. Okay, so you have a Dexcom G six, you have control IQ. You'll learn how to Pre-Bolus and you have a sub five a one C and describe to me what an American diet is to you like what are a handful of things you've eaten this week?

Jason 19:39
Let's see. Well, last night was just grilled chicken corn on the cob and a salad but the night before I made pizza. We've had tacos as we spaghetti. We do a lot of grilling and smoking. Because we're in Texas. That's what we do. There's

Scott Benner 20:01
no drawing with your with your smoking. Those aren't wet rubs in Texas. They're dry rubs, right? Yeah. Right. But you're, you're taking in carbs? Do you avoid processed foods completely?

Jason 20:19
Um, I don't eat a whole lot of processed foods. I'll eat chips. But I say no restrictions, but I don't really have a sweet tooth. I don't eat like cookies or candy or cakes. Okay. But I didn't stop my want to eat, I'll eat it. Chinese food.

Scott Benner 20:41
How many carbs do you think you take in a day?

Jason 20:46
Hmm. It's hard to say because I kind of quit counting carbs. I kind of do like you. I just looked at the plate. And I'm like, Well, that's about 10 units of insulin.

Scott Benner 20:59
Wow. Why are you so good at this? Maybe? Jason, maybe you do have the good kind of diabetes. But No, but seriously, why do you think you're doing? Like, I mean, I guess I should ask first. Are you having a lot of lows? No, no, you don't have hours at a time where you're 65? You don't do something about it? Nothing like that? No,

Jason 21:25
no, I actually actually looked at my clarity report before coming on here is no that the endo wants the range set at 70 to 180. So that's what I declared. He said I was 94% in range with like, 2% low. And point 2% very low.

Scott Benner 21:45
what's your what's your What was your percentage High and High means over 180 In this scenario, but

Jason 21:51
let me see if I can pull that up. Would you because I'm

Scott Benner 21:53
fascinated.

Jason 21:54
High as 2.7% Very high 0.2.

Scott Benner 22:00
Holy hell. What? Huh?

Jason 22:04
My average glucose is 109. power efficient 25.7. Standard deviation play

Scott Benner 22:12
your deviations pretty good. And everything's good. Alright, so, Jason, I mean, you're three years at this. Can you contextualize for me why you're having the outcomes you're having?

Jason 22:27
I think I just pay proactive on it. If I'm gonna eat a high carb meal, I'll change my Basal rate. I'll double it from point seven, five 1.5. And I'll leave it there for till it peaks and starts coming down. You know, and I just make corrections. If I get over. My alarm is set for 140. So if I hear it, I start looking. Do I need to make an adjustment to why did I miss on my basil? Am I going to need more? You ever had to stay on top of

Scott Benner 23:05
it? Yeah, that's what I was gonna say you're you're ahead of it. And if it tries to get ahead of you, you jump on top of it. Push it back again. That's it. Yep. You know, Well, I'm glad about that. But you know, not everyone listens to Jason, which is why you're freaking me out a little bit. So, in a very good way. Don't get me wrong. You're not a Cowboys fan. Sorry. Yes, we are. I don't know how we

Jason 23:30
were more college fans. Oh, perfect.

Scott Benner 23:33
Let's not mention the Cowboys. Okay. I've learned growing up in Philadelphia, that Eagles fans believe that the Cowboys are their bitter rival but the Cowboys don't feel that way about the Eagles sack true.

Jason 23:53
No, I think. I don't know. Like I said I'm not the hugest Cowboy fan.

I know we don't like the Eagles. We think our people down here think the Eagles fans are awful.

Scott Benner 24:05
I'm an Eagles fan. Jason, what do you think? Wow. You being awful. Thank you. It's perfect. Although, let me tell you a story that might change your mind. Then we're gonna go back to your your management

I just got nervous because I forget what story I told to highlight. Anyway. I guess we'll find out together in a second. But first, Omni pod.com forward slash juicebox at my link, you can get the Omni pod dash or the Omni pod five. Now, all the AMI pods are tubeless they're all delightful. They're all just that little thing you just put on no tubing, nothing to be tethered to no reason why you can't just jump like in the lake or in a pool or your tub. Right? You don't have to take it off first. Anyway That's maybe just the tiniest little bit of why we love the AMI pod in our house. But here's the thing, there's two Omni pods, you can get the dash. If you just want to make all the decisions yourself, like put in your settings, then you know, you're like, Well, I'm gonna put in this many carbs and you know, my blood sugar is going up, I'll make an adjustment that's going down and make an adjustment. But if you get the AMI pod five, when it's coupled with a Dexcom, G six, you have an algorithm that's making insulin decisions for you. Yes, you still tell it, I'm gonna have this many carbs. But then man, it starts making decisions by itself. It's pretty amazing. Omni pod.com forward slash juicebox. It's at least worth you checking out use the links, please, it helps support the podcast, you can type them in a browser or click on them in the show notes of your podcast player or at juicebox podcast.com. As long as you get the my link, you're supporting the show, whether you're interested in Omni pod, are ready to buy Omni pod.com forward slash juice box. Now another link to please just treat exactly the same dexcom.com forward slash juice box Dexcom, G six and Dexcom G seven both available there. Arden is rockin the g7. Right now she loves it. But she wore the G six for years. And it was fantastic. So whatever you're looking for, whether it's a G six, or the G seven, head to dexcom.com, forward slash juicebox. To check it out, you're going to be able to see your blood sugar in real time. Its speed and direction. That's like, is it going up? Is it going down? Is it going up? Three points a minute, two points a minute. Is it 98? Next time it takes a reading? Is it 110? Is it 70 It shows you right on your smartphone, Android or iPhone or on the Dexcom receiver. I don't want to call it magical because I think I'm not allowed to. But it's amazing. And I love it. And if you came to my house and tried to take it, I'd get a stick and beat you back out the door. dexcom.com forward slash juice box you can't have origins Dexcom you can't ever Omni pod. But you can get your own use the links support the show. That was slick when I was like he can't have hers. Like I set that whole thing up. Like can't come to my house and take my daughter's stuff, but you could get it. Anyway, I was pretty impressed with myself as I do those things on the fly and don't pre write them. Support the podcast, please, by supporting the sponsors. I'm not saying go by Dexcom if you don't want one, but if you're gonna get one, please use my legs. Thank you so much. Let's get back to Jason and whatever horrible story I'm about to tell.

I grew up being taught to like, yell and scream at sporting events, right? I'm not I'm not a big yeller and screamer anymore. And I can look back in hindsight and see that I don't that, you know, athletes are not people who you get to yell at just because they're, you know, being paid to play a game in front of you. However, when I was much younger, I don't know exactly how young, my early 20s Maybe we were at a Phillies game and a visiting team. I think it was the Cardinals and I want to say that the guy was Lance Berkman, but hold on. And let me check. And anyway, this guy was playing left field. Was it Lance Berkman? Yeah, I think it was. I apologize the LANSON in advance if he ever hears this. I don't imagine he will. He had recently lost a lot of weight and in honesty look terrific. He's coming out of left field. We're at the Phillies game. And so he's coming down the third base line, I'm sitting on a third baseline. And, you know, sometimes at a sporting event for reasons that you can't figure out like just all the sound dies, like nobody makes noise for a minute. So it's dead silent. And I yell Lance, Lance, and he looks up. And I said, You look better fat. And he I don't know why I said that. Again, I was the young man. And he like he looked up. I feel bad telling the story. He looked up like, oh, look, somebody's calling my name. I will wave and as he was getting ready to gesture, I said what I said and his hands in his head just went forward and he just slumped down into the dugout, and then an entire section of the stadium burst out into laughter as if the best thing that ever happened just happened. And I in the moment, was incredibly proud of myself. And now 30 years later, or however long ago it was now actually I might be dating myself. I have no idea when it was it was the end of his career, I believe. I feel I feel badly for doing that. So our Phillies and Eagle those fans bad people. All I can tell you for sure is that 300 People thought that Lance Berkman story was hilarious. So, maybe we are. So anyway, Jason, I, here's what I'll tell you about Philly. If you're walking down the street in Philadelphia, when I was growing up, and you tripped and you fell, everyone would laugh at you. And then they would all make sure you're okay and help you. That's, that's how I think of Philadelphia. Like, you're not gonna get out, you're not gonna get away with anything, but no one's gonna leave you behind. So, there's something about sarcasm, and picking it people you love that seems intrinsic to this area. I don't know why that is. Anyway, Landsberg was a perfectly fine guy. And I don't, I'm sure I was happy for his health changes. I just thought of the first bizarre, hurtful thing that I could think of and blurting it out loud. And I couldn't begin to tell you why. Anyway, all right. What do you think Jason in my bag? I know. You think Landsberg would like me?

Jason 31:12
I think if he heard the story, if he remembered it, he might think it's funny now looking back, but

Scott Benner 31:18
I don't know. Jason, I have to tell you if he remembers that. It would be one of the proudest things I've ever accomplished. I would go places and tell people anyway. So you're you said I said it's such a strange turn. But okay, so you're using insulin? You're on this control like you. Are you consistently under five or was that just a fluke?

Jason 31:44
I looking back, five is the highest I've ever been. In August, I was five. But we went on three vacations this summer. And I had COVID like two weeks before that appointment. So

Scott Benner 32:02
Jason, this is a verified agency from a lab or this is like your app telling you this?

Jason 32:07
No, this is from the CDE I've I've kept all those little stickers they print out when they do a want to see

Scott Benner 32:12
wow and in for for your money. This is about understanding the timing of insulin and staying ahead of arise and nothing else. Yeah. Are you are you maniacal about it like you would never let a high blood sugar go.

Jason 32:38
I don't I don't know if I'd say maniacal but you know if it gets the 180 I'm pretty mad.

Scott Benner 32:44
I wasn't proud of the word when I pulled it. Jason just so you know, I think my my internal thesaurus let me down. I was I think I was gonna say Festivus. And then I thought that's not a word people use.

Jason 32:58
I was picturing someone staring at their just looking at it like with mean eyes like, I'm going to do something.

Scott Benner 33:08
Well, I think I meant half of that. But not the mean part. Just the just just the intensity of not letting it go. You know, fastidious was the right word. I shouldn't have been embarrassed that. I knew that word. I should have just one word. Yeah. Okay. Weird spelling by the way. But great word. FAS T ID IO us. fastidious, it's a great word means showing or demanding excessive delicacy or care. I'm not I'm not embarrassed by my. But I actually I dumbed myself down just then Jason. I don't usually do that. Why did I do that? Is it because you're from Texas? I'll figure it out. As I don't want to be using fancy words when we're talking about Texas and barbecue and yelling Atlanta. Fancy words to hey, how bizarre is it that I'm the guy who yelled you looked better fat at Lance Berkman. But I thought I knew and use Sidious. And I'm a paradox, Jason. We're not going to people know what paradox is right? I don't have to define that. We're good. So we got that. Yeah. So what made you want to come on the podcast?

Jason 34:29
I guess just to share my story. I don't know. I think every podcast has got something valuable. And then I thought maybe I could add something to it. My goal was to come on if I was diabetic for a year, but then I waited around and then wants to do schedule it. It's pushed out so far.

Scott Benner 34:53
I'm amazed every day when there's somebody on the line when I push the button, Jason. I'm like this person signed up to do this six months ago. I had a lady sign up the other day. It's September 2022. Right now. And I got an email that said that this person just chose August 23 2023 as their recording date. Wow. Almost a year. Yeah. And I was like, Huh. And then I'll record with them. And I'll put, it'll take me six months to put up. But I tell that story because it makes the, it makes the advertisers very comfortable because they know there's content. So you were going to do it under after a year, then you sat on the idea for a little bit. And then by the time you did it, it takes as long as it does to get on. Do you think you've learned anything in that time? Like, how much different? Are you as a person with diabetes right now than you would have been two years ago, for example?

Jason 35:49
I think I've gotten better at, you know, taking out doses for meals for sure. Like, you know, he kind of eat the same things over and over again. And you can look at it and say, well, six units wasn't enough last time. Let's try seven or seven was too much last time. Let's try backing it down a little bit and see what happens.

Scott Benner 36:11
Are you incredibly active? No,

Jason 36:15
no, I think my activities probably aren't working. That's about it.

Scott Benner 36:19
No kidding. Did you put a bunch of did you put much of that weight on after you were diagnosed? correctly? Put it back I've come back to

Jason 36:27

And I'm just kind of hovering right at 180.

Scott Benner 36:31
So you're probably in a very healthy weight right now for your size. In your mind. Yeah. Your wife happy again?

Jason 36:37
Probably I could. I could probably lose five or 10 pounds but okay.

Scott Benner 36:41
Is your wife happy again? I know she wants something to grab onto. Yeah, she's happy I'm still here. Is that how you measure your marriage whether or not she makes you leave? That's how I measure my Jason That's why I was asking. Oh my god. I don't I'm amused by the idea of your wife being like once you put some weight back on, get that thing shaken for me again. But I'm also used by the idea of saying it to you because it seems so out of character for you. That I feel like it makes you uncomfortable. I think my Lance Berkman things coming back Jason off the stop that. So okay, so you're back at a good weight. There's nothing Jason I can't tell you like this is crazy. Like, you don't have you're not incredibly active. You're You're swagging your meals by going I think it's about this much insulin, you are eating repetitively. So you're learning and getting better and better and better. I mean, you're past the age where I imagine you'd be having any weird hormonal shifts. So you're not seeing an impact there. You're not a woman, you're not having a menstrual cycle, like nothing like that's happening. It almost feels like this is as easy for you as someone could hope for.

Jason 38:09
Yeah, I, you know, I feel bad for the kids who have it and who go through puberty and their fight and all those changes. You know, that seems like it's a lot rougher. And for me it just kinda it's just another thing to do during the day.

Scott Benner 38:27
Yeah, it's really it's super interesting. So what about like, I don't know Are you do you take any supplements do you? Like I'm trying to figure out something you might be doing that other people aren't doing that we wouldn't maybe initially attached to this.

Jason 38:43
Now I don't think any other medicine except insulin.

Scott Benner 38:46
No kidding. I don't know what to say even you what's your what's your like lineage? What's your background? Western European mud. That's got it. English, Irish, Swedish. English Honors. So you even have a blend of European and you that's, that leans towards people who I see it. How about other autoimmune is there? Do you have any other autoimmune issues? Do your kids your family members?

Jason 39:20
No. Not as not as far as I know. No one's ever said anything about thyroid or celiac Hashimoto, or just in your ear bipolar.

Scott Benner 39:31
You're a unicorn Jason. Very interesting. How many you have kids? How many kids?

Jason 39:42
I have one kid. He's seven will be eight and December.

Scott Benner 39:45
Are you thinking of more or is one where we're stopping?

Jason 39:50
One and done?

Scott Benner 39:51
I agree with this. Yeah, I mean, you've run the risk of him being like a snotty little brat when he's older but you can knock that out of him and in his early 20s Probably But but but I, oh, smart because also college very expensive. Yeah.

Jason 40:09
We went through a lot of IVF to get the one and

Scott Benner 40:12
Oh, I see we

Jason 40:13
tried a couple times after and then just didn't never take so

Scott Benner 40:18
interesting. So while you were Oh, he seven. So you were trying to have a baby while you had diabetes? Yes. Wasn't what did you ever wonder if that was the cause? Like, were you ever concerned? And did you look into it from your perspective versus hers?

Jason 40:37
Oh, no, it was all her

Scott Benner 40:43
it was very directly like that. I was everything. Sperm perfect. It was. So well. That's tough. So your wife went through a lot then to have your your son? Yes,

Jason 40:55
it was very emotional. Very rough on us on her.

Scott Benner 41:00
Yeah, no, I imagined terrible. I'm sorry that she had to go through that. I'm glad it worked out for you. And I understand why you wouldn't be up for it again. So you, you're your own condom. Basically, Jason, you don't even have to worry about it. You know, it's gonna happen, right? Like, you'll be 52 And she'll come into the room and be like, I'm pregnant. You're gonna be like, no, no, no, no. She'll think that

Jason 41:23
would be well, that would be something else. Yeah,

Scott Benner 41:26
you gotta be careful. Jason. Are you being careful? Oh, that's it. No, I'm gonna take that as a no. Jason. Okay. It's,

Jason 41:38
there's an issue with two stuff. So it's not possible.

Scott Benner 41:42
You really okay. It really It can't happen. All right, right. All right. Listen, if it ever happens, please call me back. Please be like, so Scott. Listen. We went to a wedding. Then after the wedding, we went home, acted like kids for a couple of hours. And I don't know. I don't because if you ever heard of people like I noticed it's not the same thing. But people have had like their Oh, I can't think of the name of vasectomy. I almost said there. I almost said their balls clip. But mastectomy? And then they you'll hear about it like it going back or something? I've

Jason 42:21
I've heard those stories before. Yeah, terrible stories. JSON. They're

Scott Benner 42:25
terrible. Like a horror movie. Seriously? Wow. All right. Well, listen, let's that'd be is there anything you want to talk about that? I don't know to bring up because I'm baffled by you. I don't even I'm not 100% sure where to go with this?

Jason 42:43
Oh, yeah, I was kind of wondering if we wouldn't go anywhere with it. Because I didn't know what how this conversation was gonna go.

Scott Benner 42:50
Thank you. You're flipping me out. So like, it's I mean, I guess Tell me a little bit about, you know what, let me let me dig for a second. So your, your hunt 180 pounds, you're in your you're in your 40s? What's your Basal set?

Jason 43:11
Well, I just, I just listened to your on the pod series. And I heard that your Basal should be 40 to 50%. And I'm using less space on that. But I bumped it to point nine.

Scott Benner 43:24
Well, that's on on the pod five on the pod five, when you're first setting it up is desirous of your basil Bolus being pretty balanced, that it makes the learning process smoother. And I and you know, to dig into that a little more. I think people often get to the right, the right result the wrong way. Meaning maybe their Basal is very low when they're over bolusing food and corrections to stay above it are there Basil is too high, and they're eating to feed the basil like that kind of stuff. And so not that it's some sort of rule that it's 5050. But for reasons that are explained in the on the pod five episodes, which people should feel free to go try. They when you're starting on the pod five, having your settings near 5050 is advantageous. So but where were you at? Tell me I'm sorry, you were at point seven, five now and you moved at 2.9? Did you then change your carb ratio or your correction factor or anything like that? No, I didn't see you got stronger with your Basal but didn't change insulin to carb or your correction factor and you're not getting low? Correct. You're just keeping so where do you sit stable away from food and BOCES?

Jason 44:51
Oh 100 Arlington.

Scott Benner 44:55
Okay. And the point nine is the 100 110 where we Were we sitting prior to that? And were you seeing control IQ was consistently giving you insulin. And now you've made up for that with the Basal

Jason 45:09
control IQ. Yeah, it's taken away my Basal even though I had it set at point seven, five A lot of times it would look like it was point three an hour.

Scott Benner 45:18
Then why did you move at 2.9?

Jason 45:21
I don't know I listened to you.

Scott Benner 45:24
Just like our slides. Just just you might be like, just like dumb luck in this this diabetes thing? Who knows? But,

Jason 45:31
well, I I've gotten no advice from my CDE they don't they don't. They never look at my settings. They never told me to adjust anything. And they're just like, hey, you're doing great. New prescriptions have family. What's going on in your life?

Scott Benner 45:44
How's the family? I heard that kid stop playing soccer. God bless. Soccer cannot be a sport people love in Texas. Am I right?

Jason 45:55
There's a lot of soccer players. I mean, not played for eight years. When I was a kid.

Scott Benner 45:59
Oh, no kidding. Oh, that I'm misinformed. I think of I think of Texas as a place where everybody plays football in high school and everyone lives and dies with that might be because I watched that TV show. Oh God. Now I'm realizing Friday lights, which I did enjoy. I don't think I've ever seen the movie though. That who cares? Alright, so what are you what's your? Alright, so what's your correction, your insulin to carb ratio for meals?

Jason 46:30
Oh, gosh, let me look at even if

my correction is one 254. My carb ratio is one to 10.

Scott Benner 46:48
One to 10. One unit moves, you're 54 points, point nine Basal. All of a sudden? Do you find that to be right? Do you ever go out of automation and try your settings to see if they work? No, I've never done that. Interesting. But you notice that it's taking basil away most of the time? Yeah. Do you eat frequently throughout the day?

Jason 47:21
Just three meals a

Scott Benner 47:22
day, you're a three meal person. So So you Bolus your meal? And is that when you see it take basil away? Or is it taking basil away? Even? Overnight? Or?

Jason 47:36
Yeah, I don't take it away overnight.

Scott Benner 47:43
Because the weight control IQ works, it is it is utilizing the Basal rate that you put in there. So whatever you tell it, it's deciding. I'll take some of this away, I'll leave it where he put it, or I'll add to it. And you were at point seven, and it's taking it away. You made it point nine it's still taking it away. Is there ever any time on your graph where you're actually using the point nine? Yeah, right now, you are right now okay. Because there's part of me that wonders if your Basal like I see you're trying to get lower like stability? I did you consider making the the correction factor stronger, instead of the Basal stronger? Have you ever tried that?

Jason 48:37
No, but now that you've mentioned that, I probably will give that a shot.

Scott Benner 48:41
Again, you're very amenable. And so so let's tell people for real quickly. Nothing in here that Juicebox Podcast should be considered advisement or otherwise, I'm just talking out loud. So like if so did moving your Basal up lower your the place where you said stable or no? It would? I don't think it did. That's what I'm asking

Jason 49:02
now. It's still

Scott Benner 49:05
it's still the 101 10 Yeah, pretty much. So my thought is because you're not spiking it meals, right?

Jason 49:15
Everybody goes up, I go up. I mean, sometimes see. lunch yesterday, I hit 182.

Scott Benner 49:23
Okay, how long for how long until you were back down again? And did you have to correct it yourself?

Jason 49:30
Yeah, I did add some corrections. That was I think that was fat and protein though, because the rise came

Scott Benner 49:37
later again, while later we don't want to count that and I know everybody's blood sugar goes up when they eat but for the most part, it sounds like you're more of a 140 person. Okay, which I'm comfortable with. Not that you care what I think but so. Yeah, I mean, I don't know if I don't put the Basal back to where it was. and try making your sensitivity. Would you say it was one to 54? Like, move it to like, oh, no, I'm just I, you know, where would you move? It's 50

Jason 50:15
I don't know, I've never moved it before. Yeah,

Scott Benner 50:17
I might just move it a couple points and see what happens, like, make it 52. And see, and see if that starts bringing down that, that stability. And if it does, then keep nudging it one at a time, until you get to where you want to be. And pay attention to what the algorithms doing with the Basal like the in a perfect scenario, that you have chosen a Basal amount that the algorithm does not need to frequently take away from or add to that would be an indication that it's well set. And then you're giving the algorithm the ability to be more aggressive by making the the sensitivity stronger. And you know, the lower the number, the stronger the number, right. Yeah, okay, so and then, I mean, I I'd make very small adjustments to that to see what happens. And then if you start and then see if that doesn't also impact your meals. And then if that's amazing, though, Jason like your See, you might be see you can't really over Basal, though, because you have an algorithm. So, so you're where are you? How are you fixing? I think you need less insulin than you think you do. What's your total daily insulin? Can you pull that? I'm gonna get a calculator while you do that. By get a calculator, I mean, I'm going to open up an app on my computer that's a calculator

the lady that left the review the other day that said my interviews don't have enough diabetes in it. She's gonna love this. And also this is for her Jason cover years. There. Okay, now. He just talked to her about being a stripper. It was interesting. Okay. Jason cleans. Wait, hold on water. Water. Jason cleans water, which is I can't say that makes me feel uncomfortable. All right, go get your total daily insulin, making some notes here.

Jason 52:35
Where's that average? It's usually about 3035 a day.

Scott Benner 52:42
30 to 35.

Jason 52:45
On a 30 day average. 35.61 units a day.

Scott Benner 52:54
Alright, so we're gonna go with 35. And then tell me this. You eat about three meals a day. What's your total Bolus a day meal Bolus? Average? Does it show you that should right 23. All right. So then Jason, we have as OJ said, when he was running up the highway a problem because think about this, okay. If your total if your total daily insulin is 35, and your average meal, insulin is 23, that means 35 minus 23 is 12. Okay, and if you divide that by 24, that means your Basal is would be about point five an hour. And you were at point seven, and it was taking it away. So I would write all my settings down first of all, Jason, because I don't want to mess you up. Right? But I would wonder if you made your basil first of all point five an hour. I don't expect you would notice any difference in your care at all. You're just not. And then from there. How much of the of the rest of the insulin so your meal insulin is about 23 What about correction insulin? Can you see your corrections?

Jason 54:30
I just actually didn't have screen. Correction when good or did it go? 0.15. So I guess that's the correction Bolus that control IQ is given

Scott Benner 54:49
well then let's think of it this way. How frequently do you go into the pump and add insulin once a day to the tune of a couple of units not even mighty, point five or one. Okay, so pretty, not a lot, not a lot of corrections going on. Yeah, I think I would probably make your Basal point five an hour, and then watch it for six hours, I'm amazed, I'm assuming you're not going to see anything changed because the algorithm has been taking your basil away to begin with. And then I would probably, I would probably give you a little more insulin sensitivity power, and see if that doesn't make your stability lower. That would be kind of my first step there. And not by a lot like not 54 to 44 or something like that. I might go 54 to 52. Watch it for a few hours, see what happens. You know, if you notice a little bit of a decrease, then I I'd ride it for a little bit to see if it's, you know, consistent. And then if it is make a decision if it you know, 51 would be better. But you think one unit moves you 54 Does one unit does one unit move you 54. And you're always automation, right? So you're not sure.

Jason 56:26
You know, as we're talking through all this and working through all this, I should tell you that Tuesday, I just got approved for Omni pot size.

Scott Benner 56:33
Well, that's Listen, that's good. Because you're very, if you're going to try it, you're you're very consistent with the 35 units a day, as your total daily insulin on the pod five cares a lot about total daily insulin. And so if you do 35, I'm just going to split it in half 17 and a half divided by 24. Ah, that'll put your Basal at point seven. So, if you do start on the pod five, I would tell it, I would first of all, figure out what your insulin sensitivity is, right? Now you can get that straight. But if your total daily insulin is about 35, when you set up on the pod five, I would tell it that your Basal is point seven an hour. Okay, and that'll that'll be at 5050. That gives it the best chance to do its thing. But I think there's no harm in figuring out this other stuff for you. Because I think that it's possible that once you go down to maybe around point five an hour for Basal, and get your insulin sensitivity straight, you'd probably be able to shut off control IQ and sit in manual mode and be pretty stable. And then the only thing left to do if that's the case would be to look at your insulin to carb ratio. And see if there's any any space in that at all, one way or the other. Because you know, you want to you want to spike as little as possible without ever experiencing a low later. So, you know, like I just made, we just changed Arden's insulin to carb ratio last night from like, it's gotten weaker, since she's gone off the birth control pills, which I haven't talked about on the show yet, but I think we took it from like 5.5 to 5.3 Last night, like moved it very, very, just a little bit. Because I was noticing or I was noticing the algorithm, she's looping at this point. And I was noticing the algorithm working too hard after her meals. So I was like, let me get some of the insulin out of the, you know, out of the hands of the algorithm and into the carb ratio. Yeah, dude, I would do that. I would try it, then I would try it and manual and see if you stay stable. And that's it. But then and the other thing is I'd write all this down. Because if it gets wonky, you can always just put your settings back and say, Oh, the thing that guy said didn't work. You know? That sounds Does that all make sense? Or have I been unclear about anything?

Jason 59:13
No, it makes sense. It makes sense to me. I mean, I've just never had anyone really talk to me about it. Walk me through it?

Scott Benner 59:21
Well, I think it's, I think it's interesting to do. And I think it's, I think it's necessary, especially moving forward where more and more people are going to use CTRL IQ and on the pod five and whatever Medtronic puts out next. People are going to be using them. And it's not a fear of mine, but it's a concern of mine, that we're going to get farther and farther away from people who actually understand their insulin. And they're leaning on the algorithm so hard that they don't know what they're talking about. I mean, like you're such an interesting story because you have an agency around five I have. And other than the things you do, which are amazing, you know, Pre-Bolus stay on top of high blood sugars, which is a lot of it. You don't really know why you're having this success. You're having the algorithms doing it for you. Yeah, the algorithms doing it. Yeah, yeah. Hey, listen, I don't. Why are you switching pumps? If you're having such good success with control IQ?

Jason 1:00:25
You know, just because Omnipod five learns, and control like, he doesn't learn. And honestly, when I reached out to Omnipod, I was just trying to see if a if I was eligible for it. And I never talked to anybody. I finally got a phone call on Tuesday. They're like, Hey, we got it together. We're ready to ship it to you. I'm like, what?

Scott Benner 1:00:50
That faster?

Jason 1:00:51
Yeah, you know, I always thought that, what from what I've heard, you have to be on a pump for four years. But I haven't been on a pump for four years now. And so the warranty ends up expiring.

Scott Benner 1:01:02
I believe. If you listen to my ads from the pod five, you will hear me say something like, Hold on, let me pull up my ad reads. On the pod five. Yes, I read a line that says this. I'm sorry for all of you who sometimes I make it up. But you know, on the pod five is also available through the pharmacy, which means you can get started without the four year Durable Medical Equipment contract that comes with most insulin pumps, even if you're currently in warranty with another system. So that's something I say during the ad. So that's why you were able to switch is my guess. Hey, for legal reasons, just to cover my butt here. Jason, can you just let me say something real quick. For full safety and risk information, a list of compatible phones as well as clinical trial claims data on Omnipod. Five, you can go to omnipod.com forward slash juice box even though this isn't an ad, I wanted to make sure I wasn't doing wrong. Anybody. So there's my there's my legalese. Okay, well, okay. So how are we going to figure out, you got to email me in a couple days and tell me if this worked. And I'll add like a little like, I'll add your email to the end of the episode. Okay, would you do that?

Jason 1:02:20
So as soon as I when I get it, and I've used it for a little while and let you know how it's going?

Scott Benner 1:02:24
Well, no, I was thinking about the changes to the control IQ. I'd love to know how that goes. Yeah, yeah. Thank you. Yeah, I would really appreciate that. Just because I'd love to either, you know, I'd love for there to be a gap here. And some music play. And then people hear me go. Alright, Jason wrote in, he's like, Hey, your settings messed me up completely. Or, you know, like this worked or that didn't, or I ended up doing this or that, like, I'd love to hear the end of it. So your deficit is not going to go up for a while. So if you have an answer in a few days to a week or so I'd love to know what it is. Sure, sure. I'll do that. Thank you. I really appreciate it. All right. Is there anything else you want to talk about?

Jason 1:03:06
Oh, man. No, I can't really think of anything. I think we've covered it.

Scott Benner 1:03:11
Thank you.

Jason 1:03:13
I think we've done a good job here.

Scott Benner 1:03:15
I appreciate that. Thank you. I appreciate you coming on and sharing. And I mean, it's, it's funny, because I think that people could listen to this and think Jason is just like locking into this, it just works. But what I hear is, algorithms are really valuable. And so much so that you're living a fairly unencumbered life with an amazing agency. Like to me, you're the holy grail of this conversation like this is because what I think is, if you weren't great about Pre-Bolus thing, obviously your agency would be higher, you'd have more spikes they last longer, etc. But I mean, how much worse could it get? You're at a five a one C or lower? You could, you know, I don't know, like I can, I don't know there are going to be people who don't know how to do any of this, who still might end up with sixes, mid sixes are seven a one sees for somebody who previously could have very well been in the nine to the 10s. It's an astonishing improvement for someone's health. And I think you're proving it out by your story. That they can be valuable for anybody. And if you're willing to put in extra work like you're doing, which, by the way, I mean, how much it's not that much extra work, I don't imagine right Pre-Bolus Singh, etc.

Jason 1:04:41
No, no, I mean, you just glance down at your screen. Look in 30 seconds that takes about some even that.

Scott Benner 1:04:48
Jason, you've got the attitude that I think would make Jenny very happy and you're making me happy. Yeah, seriously because, you know, it's so easy to You hear I heard somebody talking about the other day like, I have trouble this, this person said, I have trouble hearing the beeping and willing myself to do something about it. And you don't? That's not you at all, is it?

Jason 1:05:16
No, you've got to be willing to do something about it. I mean, if it's beeping, it's beeping for a reason either. Fan ignore you

Scott Benner 1:05:23
have to fix it. Yeah. What is it about your personality? Do you think that leads you to that?

Jason 1:05:31
I guess that's just how I'm wired. Yeah,

Scott Benner 1:05:33
it's no, there's no answer to these questions. It's they're fascinated to hear spoken out and talk through. But I because I agree with you, I hear the beeping. And I think we'll do something now. And then we won't have to worry about it later. But a lot of people hear it and go, Oh, I'll get to it. And then their blood sugar goes 131 4151 80. And they're like, Oh, I can't believe this. My blood sugar is a mess. And they make a big Bolus they get low later than they're upset about that. And all I can think is, you could have just done something three hours ago that would have required such a small amount of insulin, there's no way you would have gotten low afterwards, and you wouldn't have this higher blood sugar. And that just makes sense to me, and I understand doesn't make sense to everybody or that everybody's not wired the same way. But I do like them hearing that. If they were more. I don't want to say proactive, although I guess that's I was gonna say proactive. Was my head. Yeah, yeah. But it's it right. If you're more proactive, it takes less time, and comes with less hassle than putting it off and then having to deal with it later. And I guess if that makes

Jason 1:06:38
easier to fix, it's easier to fix a 140 than it is to fix a 180 or 200.

Scott Benner 1:06:43
Jason, you really believe that the stuff I say on this podcast, and it's working for you? I do. Thank you. I appreciate you sharing that. I mean, it really, it's validating for me, so thank you.

Jason 1:06:56
I will say though, that if you're Disneyland or Disney world chasing around a seven year old, you probably don't need to Pre-Bolus

Scott Benner 1:07:04
Right, right. Well, that's a good point a bag of Skittles. Are your variables very similar every day?

Jason 1:07:13
Yeah, usually. Okay.

Scott Benner 1:07:14
So when you so interesting, so you go over to Disney. Your blood sugar starts to fall.

Jason 1:07:21
Yeah, we walk 12 miles in that one day we were there from when the gates open. And we left at like 1030 at night.

Scott Benner 1:07:29
How did you handle it with your blood sugar's just were you just kind of offsetting with candy.

Jason 1:07:34
Skittles, Skittles, one scale equals one card. So

Scott Benner 1:07:38
were you on control? Did you consider going to exercise mode? You know that. If I'm not with you, you're lost. I I'm gonna have to I'm gonna have to come down there, get in your pocket. And we're going to talk some more. Yeah, I wouldn't be interested. Like I don't not interested enough for you to spend countless 1000s of dollars to go back to Disney again. But if you're in a situation like that, again, I'd be super interested if exercise mode would have helped you.

Jason 1:08:08
Oh, we went skiing a couple years ago. And I did use exercise mode for that. That worked out pretty well.

Scott Benner 1:08:13
Interesting. That's great. Well, listen, man. You're doing terrific. Nobody needs to tell you anything. So but but if you do it, and please don't feel any pressure. But if you do make little bump around changes, I'd love to hear how they went. I will I promise, I appreciate that, hey, keep cleaning the water. I will such a big deal. Chasing the hallmark of a great society is is functioning sewer and the delivery of clean water. It's, it's, it's it's the basis of everything. Really,

Jason 1:08:52
I'll tell you something that you probably never thought of and your listeners probably have never thought of. If you live on a river, trace that river up to another town and think those people have already drank this water and picked it out. And now we're drinking it.

Scott Benner 1:09:07
I remember the first time my kids said something about that the toilet goes somewhere different than the sink and I said no it doesn't. There's just one pipe in the bathroom in the basement. It all goes down into that pipe. And they were just like frozen. They're like what I mean seriously like, what a what an accomplishment to take wastewater and turn it into drinkable water. It's an it's a massive it's a massive accomplishment of humanity. It really is. What What's the is there a river somewhere in China Hold on a second, where they make blue jeans nearby and the river runs blue. Have you ever seen that? Let me see if I'm making that up or not?

Jason 1:10:04
I have not heard that. I wouldn't be surprised, but I'm not up on my Chinese news.

Scott Benner 1:10:12
Why? Why Jason? Are you busy with that? Having a kid and everything and? Yeah. So these stories are mostly from like 10 years ago, so but yeah, I guess you can like from from space, taking a photo you can actually see the darkness the blue that comes down this river into a body of water. Is that an actuary? When that happens? Look at me. Yes, you were estuary. Very good, Jason. You're paying attention in college. Sometimes I was saying an actuary somebody who like deals with like, managing uncertainty. Listen, nobody listening knew but you. estuary the tidal mouth of a large river where the tide meets the string. All right. Well, everybody can go look that up on their own. Jason, thank you for doing this. I appreciate it very much.

Jason 1:11:14
You sure thank you for having me on. I enjoyed it.

Scott Benner 1:11:17
As my pleasure really was. I want to thank Jason for coming on and sharing his story. I want to thank Jason for coming on and sharing his story and I want to thank Omni pod and Dexcom for sponsoring the episode dexcom.com forward slash juice box and Omni pod.com forward slash juice box go yourself a Dexcom G seven a Dexcom G six Omnipod five or an Omnipod dash. Get your gear as they glow up? Is that what the kids call it? glow up your Gear game Dexcom and Omnipod. Thank you so much for listening. If you hang on for a minute, I'm going to read Jason's email for you. Don't forget to check out the private Facebook group Juicebox Podcast type one diabetes and don't judge all Philly fans by me.

All right, talk about transparency and honesty. Let me read you Jason's email. There's two emails, actually. The first one said, Hey, Scott, I tried to make any adjustments to my Susa might cease. I was like, to my T slim that you suggested. But they didn't really work out for me. The new Basal rates wouldn't hold me steady. And I would just continue to creep up. But thank you for the suggestions. I started the only pod five last Thursday so far. Blah, blah, blah, it goes on and on Omnipod trainer, they changed his Basal rates, blah, blah, blah. And here's the follow up. This is

since a few months after that email I just read through sorry, while I was counting months in my head. Jason says again. Hey, Scott, Friday, I went to the editor to get my first day one see since being on on the pod five, and it was 5.2 with a standard deviation of 27 and 93% and range. I mean, let's go up from five on the T slim, but the time period was over Thanksgiving and Christmas holidays and a week long trip. So I'm not disappointed. We made a few adjustments at this past. We made a few adjustments this past weekend. Overall, I'm pretty happy with it. The lack of tubing not having to take it off or showering and not having to change it. Thank you for everything you do. All right. That's uh, that's it. I'm done. I have to be honest with you. I am tired and I gotta stop. So I hope you're enjoying the podcast. It's late at night here when I'm doing these ads and bumpers and everything. And Scotty got asleep. I'll talk to you tomorrow.