#969 Saturday Night

August 4, 2023Scott Benner

Danielle is an RN who was diagnosed with type 1 diabetes in her own hospital.

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Danielle 0:00
Hello friends, and welcome to episode 969 of the Juicebox Podcast.

Today I'll be speaking with Danielle she's a nurse who hosted her very own hospital. She was actually scared of carbs, and once had to give herself glucagon in a hotel room while on a work trip. Today she uses control IQ after doing MDI for a number of years. And this is our conversation. While you're listening, 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 or becoming bold with insulin. Don't forget to support the sponsors if you want to Dexcom use my link and on the pod my link us met my link etc. and so on G Bo Capo pen use my link links in the show notes links at juicebox podcast.com. When you click on those links, you are in fact supporting the show. You'll get a free years supply of vitamin D and five free travel packs when you get your first order of ag one with my link drink ag one.com forward slash juicebox

Hey, it's still summertime and there's a big sale going on it. They have and cozy Earth is today's sponsor. So what lucky timing, use the offer code juice box at checkout. When you're at cozy earth.com When you use that offer code at checkout, you'll save 40% off of your entire order. That's off the bestsellers off the bedding off the bath towels, the women's clothes, the men's clothes, the accessories, the new arrivals, Oprah's Favorite Things, even the bundles 40% off cozy earth.com use the offer code juicebox

My name is Danielle. And I have type one diabetes will La da it's just kind of morphed into solely type one I guess you would say. And I got diagnosed at 29 While working as a nurse at the hospital

29 Your nurse Lada still.

So I when I was originally diagnosed, I was diagnosed with type two misdiagnosed, then working at the hospital, I was rounding on patients with one of my endocrinologist, let him know. And he said you're not type two. And I was like, No, I'm pretty sure I am just got diagnosed with it. And he's like, who in your family has type two diabetes and I had no family history. I was not obese, I had a healthy lifestyle. And he's like you're not type two. And so he's like, well check, check your blood sugar. Like I was only checking it like maybe once twice a day at that time. And he had me check my blood sugar with one of the hospital meters and it was in the five hundreds I don't remember the exact number. And I was fasting. I only had bought coffee yet that day. And he was like, Absolutely not. You are not rounding on my patients. You need insulin right now. So he took me in the Med Room and pulled out insulin and gave it to me, right there in the middle of the hospital middle of my day. And then he pulled me from the floor.

See now I thought we weren't gonna get any more unique diagnosis stories, but that was very unique. So yeah, he just he just assumed taking a brief history and seeing the blood sugar. He's like, this is not Yeah, type two.

Yeah, yeah, absolutely. And I had worked with him for for some time. And I think that he, he knew enough about me to just kind of go off of that gut instinct. And he injected me with three units right there. And I was like, sit down. I'm gonna check on you in an hour.

Did your blood sugar move? refused? Wait, hold on, you refuse the insulin?

No, I took the insulin. He wanted me to go to the ER I refuse to be at the ER at my own hospital. And he knew I was pretty strong willed. So he let me sit in the nurse's station.

You know, I don't I've heard that statement from nurses so many times. I think I kind of understand it, but it's been spoken to me a dozen times. I won't go to the ER in my own hospital. What Yeah, what's the vibe behind that?

I think there is this, you know, mentality of a lot of nurses that like we're the caregivers. We don't need the care. We we help fix people And I didn't want to ever be seen by my peers as sick, Ill weak, I would have rather went to a less. I would call like, just less skilled hospital. I've been treated by strangers, then treated by my peers and people I knew it because I'm not a great patient. I know too much to be a good patient.

That's, that's interesting. Okay, I appreciate you speaking more about that for me, because I just that phrase has come up so many times. Okay, so, how long ago was this? How old are you now? Yes.

So I'm 36. Now.

So seven years ago,

seven years? Yeah.

Do you remember? When he came back an hour from then what was next?

Oh, yeah, my blood sugar like barely moved at all. It was, I want to say low for hundreds, maybe high three hundreds. I mean, didn't really touch it. But I mean, nothing. Three units of insulin is not touching a blood sugar of 500. That has been 500 for God knows how long. My agency at the time was? 15.7. Yeah. And so I had lost I actually went to the doctor originally for my original type two diagnosis. Thinking I told my, my PCP that I thought I had a spinal tumor. I was paying all night long, I would get these horrendous leg cramps. But I would only get them at night when I lay down. And I only really acknowledged how much I needed to go to the bathroom at night. And so I thought it was some sort of tumor benign tumor in my spine. Pressing on a nerve making me pee and hurting my leg.

Now you jumped over a lot of other operating options there when you got Yeah, yeah, you sound like I did. I did really did. Like Kelly's, like, what's wrong with my arm hurts. I have arm cancer. It's obviously arm cancer and dying. And this is it and well, so did they put you in the hospital? I mean, if the three units only moved you a little bit, then you need to be like titrated down or

he did not he because I was pretty adamant. And I was like, I'll walk out. I'll go ama I said, give me orders. I will go home and I will get my blood sugar down. And he thankfully trusted me to do so. And I did. He was like I want I want text updates every hour then of your blood sugar.

Are you married?

I am married. Yeah,

this is he does he does He looks tired. Are you?

Oh, yeah, I'm sure he's he's mentally and physically exhausted with me

every day. What's wrong? Yeah, I don't know if that's Danielle. Everything's fine.

It really is. He? Well, and I didn't tell anybody my diagnosis for a long time. Okay. Like I originally, my husband was the only one that knew I didn't tell anyone in my family. I didn't tell. I wanted to have it under control before it answered any questions? Okay, so my mom who's also in the medical industry, I just, I knew that she would lose her mind. If she found out that I had a diabetes. She or be especially like an insulin dependent diabetes, she would just freak out and not know anything but need to know everything. And so I wanted to just have a rhythm developed and have something to wear. I could say, Hey, I got diagnosed with this. But I have it under control. Here's what I did.

How long did that go on for?

It? It took probably about four months before I let anyone in my family know, or friends or anybody at work. I just didn't want to answer questions to something I didn't have the answers to,

you know, do you think I should put the ads here so that parents who just heard that an adult child didn't tell their family for four months that they had diabetes so they can absorb that and cry and all the things like he imagined like the mom of a 12 year old right now going, Wait a minute, they're gonna leave the house and then something like this is gonna happen to them. They're not going to tell me like, like, people are freaking out. I'm freaking out a little bit. I'm like, oh my god, like I like you don't I mean, do you have kids? I'm sorry.

Oh, yeah, I do.

I have an eight year old son. Okay, so you know how any reasonably intelligent parent is looking at their child and thinking, well, they're doing like 10 things that they shouldn't be doing that I don't know about. I can't possibly know what all of them are. But one of them shouldn't be withholding a major illness.

Oh, yeah, I know. They were not happy.

Oh, no, no, I I'm dying to hear the story of when you told your mom four months later that you had diabetes. But yeah, but so I understand the idea that you thought like, let me get it in hand. Right? And then I can tell people and comfort them at the same time with Don't worry, I've got it all figured out already. Yeah, yeah, any part of you just not want to tell people you have diabetes, like at work or anything like that,

you know, a handful of girls knew at work because they were in the nurse's station with me when I got pulled from the floor and sat at the station. And they were kind of my close knit work group, we kind of planned our schedules together and things like that. So that was okay, because they were also a resource, not that floor nurses are very educated and diabetes, to begin with, you know a lot about the disease process, and you know, how to give insulin according to just standard sliding scale orders, but you don't know the, the effects or the signs of low blood sugar, you all you know, is what the meter tells you when you check.

Okay. And that's it? Well, you know, I'll stop you for one second, then we'll get right back to it just made me think of this morning, as I was getting ready to talk to you. I was doing my social media. And I know, you're like, oh, Scott, you should have a social media person. I know I should. But I'm like, I'm trying to go through it. And a message on Instagram, from a doctor, you know, person puts up a post to tell everybody, I don't know how diabetes is going. And she's thanking some people at the end, she says, and the Juicebox Podcast for giving me all of the information I did not get in medical school. And it's just, I mean, I know it's true. And I understand why, like I understand, like, going to nursing school will take 20 years if they were going to dig into everything that you are going to see. But it's still shocking to hear that, you know, a handful of nurses and in a hospital only really know, this is the number give this much insulin where the doctors child will get diagnosed, and a podcast would end up being more valuable than a medical school degree. Like that stuff is, it seems crazy. You know, it's just the

power of shared information. I mean, every I truly believe that every diagnosis and every diabetic is so unique in I mean, we have a lot of common similarities. But yet, the whole diagnosis and the whole treatment and how you approach things, it's just it's unique to every individual. And it's really hard to get that sort of unique approach. In any sort of hospital or care setting or even an office setting.

You would have no way of knowing this, but my my podcast is is slotted as a medicine podcast also on this is ridiculous. Nobody cares about this, but Apple podcasts, there's Apple podcasts, health, which is the kind of the parent category, then there's a subcategory. That's medicine. I'm in medicine, right. So I'm in health, and then I'm in medicine, and my my podcast charts pretty consistently in the top 20, all year long in the medicine category, but it's surrounded by nursing podcasts, which are incredibly popular, where nurses get on and talk to other nurses about things. They're going to see how they handle stuff. It just made me think of what you just said, like it works for diabetes, but it also, I mean, there's five really popular nursing podcasts. So it must it must work great in that scenario as well. Anyway, yeah, absolutely. So anyway, I'm sorry. So you're so here you are, you're at home, do you actually figure it out? Because you have lotto right, so it's,

I do so the very next day, so I essentially manage kind of every few hours checking and I don't really come below 300 And I feel somewhat I feel the low blood sugar effects in the three hundreds as well. So I knew just I mean, as long as I felt okay, I stayed really hydrated, and I fasted I wasn't eating because I had an appointment the next day with my endocrinologist and that's where he gave me love Amir and so I started on lab Amir I think I started at like 30 or 40 units a day, it was a pretty, pretty significant amount. And just the blanket kind of sliding scale of your blood sugars this take this much insulin, none of it was a you know carb ratio. We didn't talk about carb ratios or you know correction factor. All it was was mealtime sliding scale insulin.

And that's just seven years ago.

Yeah, seven years ago. That's

interesting. And what was that was that because I mean because that's a I don't like using terms like a lot but That was more basil than I expected you to say. Like, I'm looking at it. Yeah, I'm looking at a picture of you. And if this is a reasonable representation of you, you're not your slight person, right?

Yeah, yeah. Yeah. And I think part of it was, again, like some of his orders are based off of a one CS. And in those sorts of things. So the higher somebody is a one C was the more love Amir or Basal insulin that he would initially administer. And so I, he wanted me to take some time off of work, and just like focus on it. And he's like, if you're feeling really low, then you know, beat and reduce your Basal. If you are not coming down, then you know, give yourself your your sliding scale. And so I did that for a few days in it worked. Well, I would say I got myself into an average of two hundreds, still feeling really low all of the time. But I was happy that it wasn't I felt out of the danger zone, essentially, out of just walking DKA.

Did you think you had type two?

Well, so it had been about three or four months between my diagnosis of type two to La da, but then prior to type my type two diagnosis, I would say it was probably three another three to four months that I had a spinal tumor in my mind.

So over six months, your blood sugar's elevated, and you're treating it by drinking coffee and nothing else. Is that kind of what you were doing back then?

Oh, yeah, I would drink a ton of coffee, water. And then But prior to Well, when I first got diagnosed with type two, also, I was given Metformin. Okay. So that that would help.

Obviously, it wasn't. So Metformin doesn't work for type one diabetes, amazing. By itself, by the way, some people do take Metformin, I do still take it, I do still take it. Does it help with persistence? It does,

because I follow well, and we can get into how I got to keto diet. I feel like I started a keto diet before I knew what keto was or that being a thing. I just quit eating carbs. But I it definitely helps because I have a higher fat intake. And so I think it helps curb some of that insulin resistance from that increased fat diet.

Gotcha. Okay, so, I mean, I have the luxury of having your what I'm going to call the most complete note anyone's ever sent me about being on the potty. But But I want to, I want to start picking through everything. So this was not a comfortable time for you this sliding scale is happening. Are you scared most of the time, or, like,

at this point, at this point, I wasn't very scared, because I didn't know. I mean, I knew very brittle diabetics, either from highs or lows or extreme insulin sensitivity from just working in the hospital or working in a long term care setting. But I never really viewed myself as sensitive to insulin because I was injecting a lot of it and it wasn't doing much at the time. A lot of that was probably diet as well. And again, just kind of the blanket orders and the mismanagement when initially diagnosed. But no, I was just really determined to like, have to hundreds be my highs, or even low three hundreds be my highs post meal. And my goal was to get my my lows back to the one hundreds, somewhere in the one hundreds. I just wanted to see what the 100 So knowing that, like, I can't, I knew that I can't rush this down. Like I wasn't going to feel good internally. If I went from having an average blood sugar of five hundreds, 406 Hundreds, for months, just back down to 80 to 120. It wasn't going to

feel well. You were feeling low on the two hundreds at that point. Oh, yeah.

Yeah. Yeah.

Can you talk a little bit about like, I feel like working in a hospital. Like I've talked to nurses, not just on the podcast, and they'll say that, you know, everyone I meet with diabetes, generally speaking, is not great at taking care of their diabetes. They're high all the time or they're high and then low and then that yeah, I use the word brittle because I don't know because it means unstable. Yeah. And, and, and then you get this feeling that that's what diabetes is like, almost like I have a friend who's a police officer and Every one that he encounters during his day

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I think initially, yes. I think that that was definitely a perceived thought. Prior to me having it right. Once I got diagnosed, it was like, Oh, my, this is not easy. It's like why does this feel so bad? And I thought, you know, like, I'm smart. I'm a nurse's this isn't a big deal. And I was actually you know, as sad as this is I was actually like it's somewhat relieved that it was type one and not type two. I had this like notion in my head of like, if it's type two, I did something wrong. Like I ate terribly. Like I didn't take care of myself. No one else has it. That means I did I didn't do something right for me. And then I thought to myself, if it's type one, then it wasn't my fault. It's out of my control. And I actually like found comfort in having a type one diagnosis as odd as that sounds.

I don't think I actually think that it's common because yeah, I just got done recording with a type two the other day and I try my hardest to put type two episodes into the show but it's difficult to get them to step forward and one To do it, and overall the vibe is, I don't want people to think I did this. And, yeah, it's just it's a, I think it's just a very human way of thinking about it. Like, you just don't want people to look at you and think, oh, look what you did to yourself. And I understand what you're saying I understand it. So, okay. What happens? Like, do you go back to work at some point? Or how do you get through?

Yeah, I, I had just, I just had a couple of days off, I took PTO, and no big deal was feeling better. I would say by like, the end of my first week, I was in the one and two hundreds, and I was pretty bold, I mean, I, I was not checking my blood sugar as often as I do now, because they still kind of just had this mindset of pre meal, checking it because that's what I knew. I wasn't doing a ton of like post meal checks. So as long as I was back down to to a somewhat decent number, I would say, near the 150s pre meal, I felt completely comfortable, still giving myself as much insulin as I needed, according to my sliding scale. And so I felt like I had it, you know, relatively under control. I got to a place where I wasn't seeing a lot of two hundreds at all, it was very, very rare. In my morning, kind of wake up range was typically 90s. And so it felt like my love Amir was was working well as as well. And I actually slowly HAD, Once my blood sugar and a onesie started to come down. I actually started decreasing my love Amir and I have always kind of managed my own insulin outside of my sliding scale. When it comes to my basil. I kind of always dictated after my initial orders from my doctor, I kind of dictated it after that if my blood sugar was higher at bedtime, I would give myself a little bit more basil. If it was lower, I would I would decrease the amount of units in in was really flexible, right from the beginning, because I felt like he he's not seeing this every day. He's not seeing me every day. I will know when it's working. And when it's not.

That's, and that's a real benefit of your job. Yeah, because so many people spend years not making what they consider, like obvious like they see it right in front of them. They're like, I use this much. And then this happens. I bet you a little more, a little less would do this. And then they don't have the nerve to make the leap because they don't want to override the doctor. But you were just like, I'll change that. No problem. That's yeah,

I think there's probably a little love hate in that when it comes to my physician's opinion. But

yeah, I was pretty beginning. Living with you. They don't they don't say exactly, you know, so.

I mean, he knew what he was getting into when I walked out of the hospital that day.

I would love to talk to him. I wish I had. Yeah, that'd be an interesting, just a 10 minute conversation. Because all of that was so different. Honestly. But, but interesting. Okay. Well, so in your note, you talk about some fear of insulin, but you didn't start Yes. You didn't start with the fear. Now you are you there now? Are you like seven years later? Do you have problem with it now? Or it? Was it a thing that you went through?

Yeah, so it was definitely a thing I went through. So probably a year after diagnosis, I switched jobs. And we came, started working for a dermatology company and was traveling with that dermatology company. And so it was my very first travel assignment, actually. And I got on site, got to my hotel room had picked up my dinner, and my blood sugar was high. And I think it was just kind of from the stress and increased anxiety of traveling all day and things like that. And so I was in the three hundreds, looked at my sliding scale, gave myself my insulin and sat down to eat. And there wasn't much of a you know, doctors don't often talk about Pre-Bolus Or how soon before you eat or how soon you should give insulin before you eat. And so I just give myself my insulin, sit down and start eating. And I'm watching TV, not as hungry as I anticipated. So I don't finish it, but I don't think anything of it, and then blindly cut unknowingly and I don't feel it at this point. But I get an alert on my phone for my Dexcom that says I'm dropping and I've got two arrows pointing down. And I was like, Huh, that's strange. I was like, my food will catch up. All I had was a salad like a Greek salad. It wasn't anything substantial to to catch it by any means. And then it gets to the point to where it's dropping. And it's not stopping. And I look again, and it's 34 with two arrows pointing down, and I was like, This can't be good. Mind you, excuse me?

Yeah, I'm sorry. I'm sorry, you were

hundreds. Yeah, certainly hundreds to my it just said low on my meter. But my last one had two arrows pointing down. My meter said 34, my meter doesn't have arrows. So I checked my blood sugar. Mind you, I didn't check my blood sugar before I sat down to eat, I just went off of my Dexcom also. But I checked my blood sugar, it's 34. And I like instantly get to this like, sometimes you don't, I feel like you don't know your blood sugar's low until your blood sugar tells you you're low. Like you, it takes your body a minute to catch up sometimes. And so I instantly feel the effects of a 34 that's dropping. And I know I am in my hotel room, I'm alone. No one knows what room I'm in. I haven't even talked to my husband since I, I mean, I literally had just checked in sat down and ate. And I have no choice at this point. Like, I know that glucose tabs are not going to do enough. So I get my glucagon out, somehow manage with like this violent shaking of hands, either from the mixture of anxiety and just below itself, shaking, draw up the glucagon and inject it in my arm. And then I wait, and hope that I don't pass out in a hotel room by myself.

Were you capable of thinking I should call 911? Or did that not pop into your head?

You know, so I didn't. And I actually called so one of the other girls that I met at this new company I had started had diabetes, and she's had type one diabetes since she was a child. And she was kind of my like, resource and my lifeline. So my first thing I thought to do was to call her and so I called her and she said, Okay, what hotel are you at? What room are you in? And so she knew to get that information right away? I did not. So I got that information to her. And she just stayed on the phone with me. And she's like, my very first words to her when we got on the phone was at what point? Should you not give yourself your glucagon? or at what point should you give yourself your glucagon? And she's like, Oh, well, you don't ever give it to yourself. It's it's only you know, in case you pass out or, and I was like, Well, I just gave it and she's like, wait, what? Why? And I was like, wow. And I told her the story. And she's like, Yeah, yeah, that's that's a good choice.

Yeah, there's, I mean, there's a lot of opportunities for you to give it to yourself. I think the way you described it was perfect, actually. Yeah. So how low did you lose consciousness?

I did not. I did not, I don't know. So she, I knew that I did not want to check it again. For 20 to 30 minutes, unless I started feeling worse than what I was feeling. I knew that it was going to take some time. And I knew that, just me personally, that sometimes the panic is worse than the number or worse than waiting. So I knew that if I checked it, it very well could have gone lower than 34. But I knew if I checked it, I was going to continue to overreact or get myself so worked up into an anxiety attack that I'm going to my heart rate is going to go through the roof and that it's just going to be worse for me. So I just stayed on the phone with her and waited and waited. And it was probably the longest 20 to 30 minutes of my life.

Did you ever talk to her about it afterwards?

Not really. No. I mean, we, we, I am also her lifeline. I mean, we will go six, eight months without talking. And I know if my phone rings and it's her. She's She lives alone with her young son. And I know that, that now is when she needs me. And I'll answer and she's like, Hey, I'm in the 40s. This is what I'm doing. You know, I just want to like I don't want to put this on my 10 year old son to have to call 911. Here's, you know, and I have her address. And so we're just kind of each other's lifelines. And when I first was diagnosed, she was definitely like my little bucket of knowledge. I would just pick her brain over tons and tons of things. But then, very quickly, I learned what's working for her and what she sees as successful management is not what I want, and it's not what works for me. And so, yeah,

I was just wondering if, like you were coherent or like it, but you know, if you're, if your recollection of those 20 minutes is the same as what It was really happening. That was hers. Yeah, that was what I was. Yeah, but okay.

Yeah, I don't know, after after I checked, you know, in that 2030 minute window. I was in the 50s. I remember that. And I said, Okay, I'm gonna be okay. And I felt good enough because you know, when you're that well, like, it's hard to eat, or it's hard to like, you know, and I didn't have I had glucose tablets, but I didn't have any gel I didn't have and I had like chips. And so I knew I'm gonna go and get a, like a full sugar soda. So I went and got a soda out of the vending machine. And I called my endocrinologist. He called me back and he was like, Well, what's your blood sugar? Now? By the time I talked to him, it was like, an hour later, maybe an hour and a half later. And I was only one like, 160s I don't think I ever I never hit above 165 That entire night.

And that was that the old school? Red Box. Yeah, just the mix it Yeah.

Oh, geez. Oh, yeah.

Yeah, a bit of an adventure.

I stabbed myself in the finger like multiple times, just from the shakes alone.

And y'all I gotta give you props. You stuck that? That big needle in your butt? Is that what you did?

No, no, I stuck it right in my like shoulder like my arm. Really? Yeah, she's and I was like, here we go.

is hard to go to sleep after that. Were you nervous?

Yes. So thankfully, my endocrine you know, I worked a long time with my endocrinologist when we worked at the hospital. He stayed my I've also since made him my PCP. I told them like, hey, if I get the flu, you can get me some medication. Like I have diabetes. That's, that's what I need to see. So he's all my doctors now. But yeah, he knows me very well. And thankfully, he called me like every two hours throughout the night, and he wanted to check on my blood sugar, because he actually had me not take my love Amir that night, he wanted me to take it in the morning. He's like, I, he's like, you're alone. For the first time traveling like this just happened. You need to like play it safe. And that's when I realized that I'm probably a lot more sensitive to insulin than I ever realized. But my food intake was comparable enough. And my correction factor is not what it appeared to be. Because essentially, every time I was giving myself insulin, I thought it was more so for correction, but really, it was correction and food. And so when you add a meal, and that has little to no carbs, and take that big of a correction. It just plummeted me.

You ironically, I mean, we've been talking now for a while. And you just the story mimics that of somebody who really was having their outcomes by mistake. Like, do you know what I mean? Like you don't want to say you didn't know what you were doing. But it sounds like you didn't know what you were doing. It sounds like Yeah, right. Like, it sounds like you were using insulin kind of haphazardly. But you didn't realize it and then know exactly right. So we put on this one day where your blood sugar shoots up probably from travel anxiety, and adrenaline and stuff like that. And then you come in with this big Bolus on top of having a salad which is not going to offer much resistance to begin with. And that's the first time you look and you say, Well, I don't know what I'm doing. Like, like, that's, you know what I mean? That's it's it happens to everybody. I think the podcast exists, because that's true. After talking to enough people, I believe that a lot of people who use insulin are I don't want to use the lucky like that it's going as well as it is that they're just Yeah, I agree. Yeah. It's like they're not making a lot of informed decisions. They don't know how insulin works. Generally speaking, doctors are kind of keeping them in a I don't know, they just you know, they're like, here, do this, do that. Yeah, you're higher than you want to be. But at least you're not injecting yourself with glucagon in a in a hotel room. And then that just becomes the norm. And if you're lucky you get through and but for most people, they end up with stories like yours once or twice a year. Yeah, yeah. So what did you do after that? Because I don't imagine you just sat around you were like, I guess this is my life.

Ya know, so the very next day, I took a mentality of I'm allergic to carbs. And even though that meal didn't contain carbs, I don't know what the switch was. But I mentally made this correlation of people who are allergic to peanuts. Don't run around. only eating peanut butter and jellies and injecting themselves with epinephrine just so they can have some peanut butter and jelly. I'm not going to eat carbs, and I won't need this sliding scale insulin that that tried to kill me. If I can just have a regular stable blood sugar, I'm not going to need that sliding scale. And that was my thinking, my endocrinologist who shared a few few words with me that it was wrong. That was not the correct thinking that I'm not allergic to carbs. But he didn't change my mind

or change or correlate, I understand the line you drew. I mean, I also I have this 124 hour experience that was valuable to me in the podcast, which is I was at the dentist one day. And I was peeing a lot. Like I had to like, no, he was doing work. I mean, in the middle of a procedure, I'm like, I gotta go to the bathroom. And so I got up and went. And at the very end of the procedure, I went again. And then the nurse grabbed the dentist and said, you know, he paid before he came in here before we started. And so the guy pulls me aside and goes, Hey, I think you have type two diabetes. And I was like, Well, I definitely know that I don't. But, you know, what, do you know why you're saying it turns out it was really iron deficient. Like my body was falling apart, basically. But not, not the point. The point is, I went home, and I had to call a doctor and make an appointment. So I called the doctor, I told them, You know what had happened, I'm lucky to live in a place where I wasn't gonna have to wait forever to get an appointment. And I had an appointment 48 hours later to get a physical. But for 48 hours, I couldn't bring myself to eat. Like I was just frozen. It really was I couldn't eat. I just didn't eat for days. And I feel like that's what happened to you in the beginning. And then it's where your brain went here like, well, I won't need insulin if I don't have carbs. So I'm going to not eat carbs. I think that I don't think there's anything I want to be very clear about this. I don't care how people eat, I guess Daniels, but I should say I really genuinely don't. I just want people to know how to use their insulin for whatever they're taking in. I have no opinion about people being low carb or not low carb. I think whatever works for you is terrific. But I do think that a lot of people get to low carb because of that fear and lack of knowledge. Like, you know what I mean? Like, I'm not saying you should be eating 1000 carbs a day or anything like that. But you know, yesterday Arden's home from college and she's, you know, in the afternoon, she says, I'd love a cheeseburger. I was like, okay, so she's like, I haven't had one in like, three months. And we took her out for a cheeseburger. She got some fries and a milkshake. And you know, Arden's a Wednesday is still very respectable. So how many carbs is that? I mean, hundreds, probably, you know what I mean? Like, it's a lot. Yeah. And I know how to Bolus for that. And I'm not saying you should eat a cheeseburger and french fries. I'm saying that people should know how to use their insulin. But moreover, that I think your pathway. I mean, it mimics what happened to me, right? Like, I was immediately like, Oh, my God, well, what I should do is not eat carbs ever again, if I have diabetes. And I wasn't using insulin at the time, it just was like, well, I shouldn't do that. I completely understand it. How long have you been doing it like that? I mean, because you switched to basically keto, right?

Yep. Yep. So I have, I'm still keto to this day. And now I like don't there is no, I think initially, it was really nice because I had lot I mean, I didn't even realize that doing something low carb would cause you to lose weight. And I had already lost some weight from just undiagnosed and untreated diabetes. But then once I got my insulin and started insulin, and I started, you know, using the nutrients that I was putting in my body, I gained weight back. But yeah, once I started low carb, I probably lost about 20 pounds. And I was like, thrilled. I was like, Oh my gosh, who? Why didn't nobody tell me? I think people have probably there's probably lots of things out there that say it but I enjoy pizza. So I didn't stop eating carbs until then. But yeah, I still am low carb. I don't know. I would say I like don't have a desire to eat otherwise, I just find but I don't I don't I'm not like a I'm not making like crazy almond flour things or I literally just eat meat and vegetables. For the most part and that's it.

It's not a nice way to say I'm not those people you see online.

I'm not. I'm not I don't have a cookbook. I'm not making fat bombs, or any. That's it's too difficult. I need easy things and I like vegetables a lot and

start meat. Start your own food. Facebook page where you're putting pictures off of your low carb meals. You didn't do any of that. Yeah.

No, no, no. It's literally just bacon in the microwave.

Unknown Speaker 45:10
Microwave bacon.

Danielle 45:11
Yeah, I did send the Baconator it's great.

I'm coughing now. I blamed the COVID. Yeah. Were you trying to name the the episode? Microwave bacon was you did it?

Microwave bacon? Yeah. I mean, that's it. So yeah, I live, I still live on microwave bacon.

totally gonna be the name of this episode. I just want to be unless you say something absolutely insane in the next couple of minutes. You're right there. And so when that happens, you have to dial back your, your baseline, and all of your

Yes, dramatically. So I got to a place to where I, you know, initially was in like the 3040s. I was taking every day 30 to 40 units. And I got to the place where I was taking, I would say 14 to 20 units.

Wow, wow, that's reasonable. So I mean, that's excellent. Do you pump or MDI or what do you do?

So I did I started a pump in March of this year.

Okay, recently. Are you using an algorithm control IQ? Or?

Yeah, yeah, I have control IQ, which has been amazing, because I would say it, you know, doing low carb and doing all of those things, worked for an incredibly long amount of time. And until it didn't, then in like, October of last year, it just stopped working like I needed. I now needed fast acting insulin for protein, I now needed fast acting insulin to just look at vegetables like it was something I was completely not used to, but yet still knew that I had a decent fear of fast acting insulin because I mean, I hadn't taken a unit of insulin and probably a fast acting insulin in yours. I mean, my blood sugar just didn't go high. Until it did.

It's a lot of combined with the Keto eating. And that Yeah, you did a ton of help. Your body was helping and now suddenly that part's over, I guess.

Yeah. So I had like, my C peptide rechecked, and he was like, Yeah, you your pancreas. It's just kind of absent at this point. You could go without, and

maybe you kill microwaves, Daniel. Yeah. If you had a crappy microwave, you've been standing in front of it for six years.

zapped my pancreas. Amazing,

isn't it that that Lada can take six years to do that, and longer? It's amazing. You know, it really is. So when you started using more insulin, did that trigger bad feelings? It did.

It did. And he knew. So he said, Well, let's switch to from just your theater jobs to the impact. And he's like that way you can give yourself half unit increments. And you can start small, because I told him, you know, otherwise, give me a vial of insulin instead of these pens, and I'll draw it up myself or dilute it drop, do whatever I need to do to take less insulin. I did not want to start with it's strange, though. I didn't want to start with whole units of insulin with my blood sugar in the hundreds. But when my blood sugar back up in October was running in the 250s. I would I called him in the evening and I'm like, I don't know what to do. He's like, take two units of insulin. I'm like, I can't take two units of insulin. I could die. And he's like, just take two units of insulin.

You like five years ago when a hotel room? Yeah,

exactly. And so I would take it and I mean, it would move my blood sugar 20 points. But it seems for me that anything over two hundreds. I am just sticky. Like it takes a lot of insulin. Oh, what I would consider a lot of insulin to move my blood sugar in the two hundreds. However, in the 150s I am super sensitive to insulin.

Yeah. Oh, that's not uncommon, or, I mean, I think most people go through that too. Like it's, yeah, you know, basic idea. You're taking an amount of Basal insulin that keeps you nice and stable. I don't know what you're shooting for. Were away from like food, like in the middle of the night. Where do you sit stable?

Right now we're back then. Oh, back then because we're talking about that. Back then. I would say I was I would go well, so I would go to bed at 190 to 220 and a Just my insulin, my Basal according to that number, and then I would wake up. I mean, it would drop me. I mean, I was still at that point taking too much Basal insulin for for my body, it would drop me to 80s 70s 60s I woke up in the 50s and 40s before and so I before getting the impact and then before the pump, I was like well maybe I need to split my lab Amir doses maybe I need to split this basil and my doctor that's an I was not I did not want a pump for a long time. And he was like, I think that you would be a lot more successful with a pump like you're a control freak, this is going to give you that control you're looking for you can't get this type of control in in fine tuning your your basil needs. Just with with your injections. You want that? I'm sorry,

I didn't mean to cut you off. I apologize. Oh, go ahead. He wasn't helping you by giving you old basil like love Amir either because you were probably shooting it in the evenings. And then 24 hours later, I mean, I don't think live we're living near doesn't really last 24 hours. So nevertheless, six hours of that 24 hours you're going up if you have a meal with more carbs in it. Now the suddenly you're 190 and the you're kind of autonomously deciding to shoot more love Amir because of the higher number. And then maybe the next day you have a little exercise or you don't eat as heavy in the evening. And then you you know, you get ready for bed at 120 and choose a different amount of basil. You were doing that right? Yeah, that's what was yes, I was. Yeah. I mean, if you had a like a new, I mean, like for SIBO as an example, like if you had a modern basil, you might not have run into those problems at all. And no, not for nothing.

There. He tried. He tried to give me to Siva.

Daniel was difficult.

I was just too much of a control freak. And I was like, No, I'm not going to try new things. So thank you. Again, I know I know what to expect with with this insulin. Oh, yeah. I mean, at one point, my insulin tried to switch me just from Novolog to human log, and I like threw a whole stink about it. And I was like, I don't care what it costs. Without insurance. I'm not changing my insulin. I know what this does to my body, you

know, probably wouldn't have mattered, right?

No, yeah. No, it wasn't. But I stuck to it.

Well, I mean, listen, no one can say that. You won't like stand stand firm, that's for sure. Okay, so you're using in pen, by the way, I should say in pen today.com. Unless they're not advertisers in 2023, when yours will come on. And then in that case, please don't go to that link. But if there's still if they're still advertising, go get yourself an embed. Exactly. A great device like, right, like it's given you a ton of functionality that, you know, it's kind of a mid middle ground, like you get some functionality from a pump on this app. And that, and you stayed with that for a long time. It sounds like

So yep, I started the impact in November of last year. And I, I actually used it until March of this year and the in pen between November and December, the amount of insight and like insulin on board that it would show me and that was half units gave me like so much excitement and kind of drove the hope for a pump. And so I had already met my deductible at the end of last year. So I told my doctor, I said, order me a pump. Like, I'm just gonna get it and I'll start it when I'm ready to start it. But I want insurance to cover it. So let's, let's go ahead. And so it got delivered on December 28. of last year

in Penn was kind of your gateway drug to a pump. Yes, it was it was the gateway, you were like, Hey, this is this is valuable. Give me more of this. Did you just not want to wear a pump? By the way? It feels like you don't want

it? No, it wasn't I didn't trust the technology of a device or a third party decision maker. That wasn't me. But I had also come to terms quietly and I would not have shared these with anybody but come to terms with I I'm not doing it right. I'm not doing something right. I'm still uncontrolled in the grand scheme of what I would consider control and maybe the pumpkin help. However, I would never tell my doctor that just because I don't know why they're like to be right. An independent.

Listen, we don't have time to go into why you're like that, but I like it. Basically. You're like a drunk driver. With somebody sitting next to him going Danielle you should let me drive. I haven't been drinking you're swerving. Have guardrails and do you know bouncing over the media? And you're like, I'm fine. And yes, at least I have my hands on the wheel. That's how you felt like I want to be in control this even though you didn't really have any control at all. Exactly. Yeah, that's a therapist. You need not not a podcast. Yeah. Although we could have started the hour that way and probably gotten through it. I'm sorry that we, we did it this way. But so, okay, so Medtronic, the Impend showed you kind of what was available, you move on to a pump. And And I'm assuming to I've been meaning to ask you this for like a half an hour. But now that the Lada isn't helping anymore like the like the long slow goodbye is gone. You seeing more impacts from periods and other hormonal stuff.

So I don't have any periods. I actually had hysterectomy in 2018. So that was a very, very, I'm so I'm just so happy for that. But I don't have to deal with any of that. So I have no like hormonal swings whatsoever.

There aren't many places. So I'll just

in my head.

Well, now you're trying to name this the show again, it's all in my head. What I was gonna say, is there not a lot of podcasts where people would be like, Oh, thank God, I had to have a hysterectomy. Yeah, this is one of them. If you were like, Oh, no hormonal switch was like blood sugar,

I 10 out of 10 recommended.

I didn't think anybody would ever say that either. So you're you're checking a lot of boxes today for things that have never been said on the podcast before. Okay, so you don't have any hormonal swings? The the Keto eating is taken down your overall insulin use, which is exactly what you would expect, are you. My question is, if I, if I held you down and stuck a bagel in your mouth? Would you know how to handle it or no?

No, absolutely not. Okay, so I wanted to try and find out what my carb to insulin ratio was. But my endocrinologist told me, I needed to eat one slice of white bread and inject one insulin, or one unit of insulin and see what happens. And I was like, that's not going to happen. Like, I don't foresee, anytime in the future, I'm going to eat one slice of white bread, I need something I have to find out. My because I don't eat simple carbs like that. And I have no interest in it. Now, if one day my, my mentality on food or my view of food changes, then maybe yes, I should look to find out those things. But for me, I really wanted to know, like, how I wanted to find out more on how the vegetables and the protein or something that's really complex affects it. Like that's the carb ratio, or the protein ratio. That's the ratio I'm looking to find. And my endocrinologist was like, your Listen, you've been doing your own thing this whole time. You're gonna have to figure it out, because I don't know how to help you figure it out.

Does your husband come to these appointments with you?

He used to, he stopped.

He couldn't take the staring between him and the doctor while the doctor was looking at him going, are you okay? And he's like, No, I'm,

yeah, you need to blink if you feel unsafe.

What's your insulin to carb ratio? Right now?

I don't I it's probed programmed, and my pump is one to 10 I do think that I'm super sensitive to carbs. So I think in because of not eating carbs for so long, so essentially, if I get like a low blood sugar, and I'm in the 60s, again, I don't ever drop fast anymore, because I don't have that much insulin on board and I'm not eating something to ask for it. Or I just I'm not super active. I mean, I'm pretty lazy, honestly.

Well, who's gonna? Nobody,

right. But I so I drift down. So if I'm drifting down and I'm, I start to get to the 60s and I know that you know, I need a little bomb. I only have like a half of a glucose tab. And I'll come back up to the 80s 90s so I honestly have no idea what my true insulin to carb ratio is.

Yeah. So you basically you eat a meal and there's an amount of insulin you know, or do you just let the control like you handle it when it tries to rise? What do you do?

The the control IQ handles that right now. So I have like a higher during the day during like eating periods. I have a I guess it's a lower insulin sensitivity that I have programmed in and then At night, early hours of the night, I had a pretty high insulin sensitivity and then early wee hours of the morning, it's a lower insulin sensitivity because I started to rise in the, you know, four hour 4am window. But yeah, I mean control IQ, honestly does a lot for for the management because I'm so low car, how low but occasionally we'll have to Rick, what's that? How

low? How many do you have a day?

of carbs? I mean, it's probably under 20.

Okay. Are you always in ketosis from the low carb?

I don't know, I don't. The only time I've ever looked for ketones is if I've had a really sticky high, but again, like, it wasn't, I didn't ever seek a Keto. Or like a state of ketosis. I just start after no fast acting,

right? Well, I mean, first of all, I applaud you for figuring something out for yourself. I think that's really amazing. That shows a lot of stick to itiveness. Just to find a way through it. Was it difficult to cut carbs out of your life at first?

Yeah, I would say the first. The first two weeks were difficult. But yet they were also really easy because I was driven by fear.

Yeah, you were you were just happy not to be scared.

Exactly. Right. And I had a lot of confidence in it because it worked from day one, day two. And so because I was driven by fear, I felt like making the change was suit was just super easy. Now when I've tried to get my husband to follow a low carb, low carb diet, he will share other feelings on whether that is easy or difficult.

He's like, That's nice, Daniel. I'm having pumpkin pie today.

Yeah, last night, the only thing he ate for dinner was mashed potatoes.

Boys are great.

Yeah, it's like okay, well, let's get after it.

Have mashed potatoes for dinner. Thank you. Goodbye. Yeah. And you don't you don't have a feeling like like, I remember mashed potatoes. They were good.

No, I do joke with my work team and my work family from time to time that I like to eat vicariously through other people are like, I'll go around like I'm notoriously will go around and try everybody's plate at dinner. So if you don't like to share food I'm not wanting to go to dinner with but yeah, like the second my food comes in everybody's foods. Food comes out. Stand up, grab my fork, and I walk around and try and steal a bite.

Did you and your husband decide to get married? Or did you tell him you were getting married?

Yeah, no, surprisingly, he asked. But I really think that he's looking for like that control that he needed.

He likes it a little bit. Yeah, exactly. Man. I say something that I don't know how it's gonna come off. I prefer a girl whose pushes back to honestly. So yeah, I don't know. I mean, and pushes back against what I don't know. It's not like, it's not like I'm out there going, you know, we're gonna do today. Like it's nothing exciting. I just I like, I don't know. I I don't know. I might have to go to therapy dance.

But exactly. Maybe we can get a two for one I

would love to. I was thinking earlier. I would love to. If you ever decide to eat carbs again, like fly me to where you are. I'd love to try to figure it out. Super interesting.

Just watch the watch me try this dive into a bagel. Yeah,

no, I just just the idea of like ramping up your insulin needs for carbs. Like it would be interesting to watch. I also want to tell you how grateful I am for this conversation for reasons that I'll explain right now. I have a really big Facebook page. And big by mean by the amount of people on it. And it's overwhelmingly a really lovely place to talk about diabetes. There's not a lot of the drama that you see in other places people aren't you know, backbiting each other and you know, type twos aren't yelling at type ones and everything. The one thing that's always interesting, is I don't stop people obviously from talking about how they eat either. So there are plenty of like ultra low or low carb people in there. They put up pictures that are food I joked about it earlier, but I that's fine with me. If you decide like Danielle has if you decide that you want to eat low carb, I gots terrific. I think whatever works is terrific for you. But once in a while, a few people do this thing. How do I explain this? Imagine Danielle, if you went on a Facebook page and you said, hey somebody you're in an automotive Facebook page and like, hey, somebody, I was hoping you could help me when I drive my car. I'm hearing a thump from the back left tire. And then a person came in and said, Well, you know you should walk instead that would fix that problem. and you're like, I'm trying to figure out the bumping in my tire, why would I walk, and then this person gets very kind of dogmatic about walking and not driving. And then suddenly another Walker comes in and starts making some case about how your car is bad for the environment. And then a third Walker comes in and they start like, like saying, yeah, and then you wouldn't be using oil and, and you're like, I just really wanted to know about the bumping in my tire, like, how did it get like this? Some people around low carb do that. It's almost like, never see Jurassic Park the way the velociraptors attack? Yeah, they come in from different angles where you're not looking. But I don't know that it's on purpose or not. I like to think Daniel, I'm, I'm a person who believes in people. I like to think it's not on purpose. But there are times a couple times a year where I'm like, this is a coordinated effort to make people not eat carbs. And, you know, one person will come in and say, Oh, well, you know, some say the person's like, well, there's a spike here, does anybody know what I could have done, they give all the information about their settings, and they're looking for help. And then somebody comes in, he goes, Well, you could stop eating carbs. And you're like, not helpful. And then a second person comes and goes, I don't eat carbs. And I love it. It's so happy. And I can't wait. This whole conversation is making me want bacon and eggs. And I'm like, okay, like, they try to like happy up the no carb, which by the way, I don't think there's anything wrong with it, just, it's like there. And then a third person comes in, and then a fourth, and I'm like you, you're the velociraptors that always come and do this, like, would just come in and say, Hey, I don't have any advice for you about this. But I eat low carb. And I know this wouldn't happen to me, maybe you could substitute something a low carb in this situation, or lower carb or you know, lower on the glycemic index. Like there's a lot of ways to be really helpful. But instead it turns into like, this. What feels like coordinated pushing. And oh, yeah, absolutely. You know what I mean? And I've never seen anybody put up and by the way, there's plenty of low carb posts. I've never seen someone come in and say, you know, you might not be so unpleasant if you had sugar once in a while, like you don't I mean, like nobody from the other side of it comes in and pushes them the other way. And it's just really, I don't know, like, it's, it happened today very

much is like a club. That, that see. And again, that's why I, you know, don't keep the almond flour and the cookbooks in my house I don't ever want to be be a pushy, low carb eater. But you know, those similar posts in those same posts. If somebody were to say, hey, this was our meal, this is how much insulin I gave, but they spiked. I, I would have nothing to add. Yeah. So I wouldn't comment. I would read it, I would probably read through the comments, and be like, Oh, well, it looks like good advice and move on to the next post that's applicable to me. Because I have nothing to add, like you. You obviously eat cereal. I can't I can't relate. If you offer any advice, I'm not going to tell you to eat eggs instead of cereal. I don't talk to somebody else who eat cereal,

Daniel, you're an adult. Congratulations. Because because I see that there's a person I'm thinking of right now, who I've seen, you know, they come to they come to tell their story about how, you know, carbs are the devil. And the example is I went out to dinner and I got something that had carbs in it that I didn't realize, and my blood sugar went up to 250. And I couldn't get it back down. I'm like, Are you just trying to tell people you don't know how to Bolus, like like, because that's what this feels like, to me. You don't like you can't manage carbs, which is fine. Like you can either and you don't have any practice with it, which is fine. But it's used as an example of why you shouldn't eat carbs, like, no one should eat carbs. Look what happened to me when I had a drink with some carbs in it. And, and I sit back and I watch it. And I think, you know, people aren't seeing that the way you think. Like, I know that they think they're saying see carbs are bad stop eating carbs. But I think what people see is I don't know what I'm doing. And I think they're making their counter argument when they think they're making an argument. And there's nothing wrong with like, the way you got to low harvest is honest, you know what I mean? And, and a lot of people are going to make it that way. And I'm I guess what I'm saying is, is that if, if people didn't try to trick you into being low carb or push you gently into being low carb, you might just come about it on your own. Like if that person just came in and said, Hey, I don't know how to answer you on this. I'm very low carb. But in this situation, if your kid had a lower carb thing, maybe the spike wouldn't happen and just left. I think that would be more valuable towards getting somebody to look into a low carb lifestyle than it is to do that. The only thing I can compare it to. And the one problem you'll have if you manage a big Facebook group, is there are people who try to sell you things. So I'm gonna use a t shirt as an example. A person who really doesn't belong in the group comes in and they'll put up a picture You're gonna be like, Oh my god, I got this t shirt for my type one. It's amazing. And I just want to show it to all of you. As soon as this happens, one of two things is happening. Either somebody's got a t shirt, they wanted to show people, or they're going to start a conversation that eventually leads to somebody saying, Oh, my God, do you have a link for that? Because they're trying to use the people in Facebook is fishing about to sell these T shirts. And by the way, sometimes there's not even a t shirt. They're just stealing money from people. So I'm aware of how that works. Someone comes in post a picture the t shirt, then another account goes, Oh, it's so cute. Where can I get that? And then the first person comes and goes, let me just give you the link. And it's all it acts like it's all very normal. But it's a coordinated effort to show you the shirt and make sure you know how to buy it. That's what the low carb thing reminds me of. Like, it's a coordinated effort to try to move you in a direction. And I just think that it's it's disingenuous, like just coming in. You know what I mean? Just be like, hey, and also, who the hell wants that advice? There's a bump in the back left tire on my car. Like, what are you telling me? I should look into hitchhiking for? Like, it's just, I don't know, it pisses me off. And it's, I have to deal with it. When I get done with you today. It's the next thing I have to do waste my time explaining to adults how to be adults. And I don't care about their low carb, they could talk about all the freaking one. I don't give a shit, honestly. So anyway, I'm sorry. No, I've been upset about that for the last hour.

Well, and I've met other people who are low carb, and it's almost like this like weird cult, like vibe. I've met other people who are low carb, and two are insanely strict about how much protein they take and how much fat they take in and they are like, strict keto, and even outside of the the diabetes realm. The low carb community, they're just, I mean, honestly, they're crazy. So again, I wouldn't, I'm a fear eater, I'm, that's what we'll call it. I'm not a low carb eater, I just

really don't want to be involved in cars. Well,

I just don't want to get messed up with carbs. I don't even mean

it. Like, it doesn't even matter. Like forget low carb. It's it's just a pervasive, it's a way of thinking that every time I see it in the world, no matter where I see it, I rub up against it, I go, I don't understand why this is the tactic you took, like, for instance, during COVID, you could have turned on any podcast that was manned by a person with a six pack and no body fat. And they would have told you like you don't want COVID to bother you than just being shaped like me. And I'm like, Well, okay. Okay, I mean, COVID is here. Now, I guess I could get my body fat down 2.5 In a week before I go out, like, how would I do that? You don't I mean, like, it's, it's these overly simplistic answers to things like just do this thing, which is fairly. I mean, you know, like bodybuilding is an example that that's a big undertaking. It's a lot of effort, it's maybe doesn't fit into everyone's life. And when you're 25 years old, and you don't have a great job, so you can be in the gym for five hours a day, it's easy to stand up with your shirt off and go look at me, look at how great I look, you should look like this. I don't know how I'm gonna do that. You know what I mean? Like, I'm sure if I quit my job and told my kids, they were on the road and sold this house, I guess I could, you know, but and then it just, it's just a it's a team mentality. Like, I'm on Team bodybuilding. I'm on Team low carb, and there's no, we're not allowed to talk about it. Otherwise, I try really hard to foster a place where people can talk about how they eat. Like, I want to, I want to be clear, there are people who will hear this and know that I'm talking about them. And I don't, and I don't I love them in the group. I love that they share their low carb lifestyle, it I've seen it help a lot of people who are interested in it. It's not a perspective that I can personally share. So I'm thrilled that they're in there. I like them. They're just stopped doing the Velociraptor thing. Like if you're listening, if you don't know you're doing it, it comes off really smarmy. And if you do know you're doing it. Yeah, shame on you. That's my message, I guess. Took me 20 minutes to get to

you don't know that we're talking about you than we're talking about?

I think yeah, I just think that I don't know that they're doing it on purpose. Like, there are people who helped me with the Facebook group or like, this is completely on purpose. And I'm like, I always want to just think that that's the people. But I mean, I know there's a way to share what you do without manipulating people. And that I don't that I'm not okay with the manipulation part is the part that I have problem with. Anyway, I'm gonna go I have to say that online and get yelled at. Yeah.

Yeah, I think the, the, the, the Facebook group just needs to continue to be able to provide a safe place for anybody to ask any question free of judgment, because all they're doing is seeking help. Yeah, they're not you know, if somebody asked ask the question, hey, what could I eat differently to not have this spike? Sure, throw in your low carb, jargon and nonsense as to what's working for you. But if somebody says how do I avoid this spike? This is what we ate. Here's my graph. They don't care about your your low carb vs. Yeah. We want to know how to give the insulin.

My car is not idling Well, which they do. Walk. Okay, great.

Well, yeah, well, Nike.

And then eventually, one of them's gonna come in and say, you know, that slaves make those shoes, right? And I'm like, Oh, my God, like, I don't like the internet,

and then it and then it spiraled.

And I want to be clear, that's not the vibe of the Facebook group. This happens every once. It happens every once in a while. And everyone saw I have to get involved. And I have to be like, Look, you can't do that. Like, don't tell this person to odd. That's not what I'm saying. I'm like, read it. That is what you're saying. And I, I kind of

want to play like devil's advocate and see a low carb post and like, sneak in the comments like, well, you should really eat cereal.

You should say, Oh, my God, I can see your abs. You should have cereal. Yeah. Because, by the way, that's a really good point, right? Like, I know, it sounds silly, but everyone thinks their ways the right way. And for every person who thinks that there's a person on the opposite side who thinks you're wrong. So you know, you might be standing there as lean as could be, you know, with all these muscles popping out everywhere. And there might be another person looking at you going, I don't think that looks good. Now, I don't care what people think. But you have to understand that there are other opinions on all sides of ideas. And for some reason, I've never seen a person who eats carbs. Tell a person who doesn't eat carbs, that they're wrong. But I've seen people who don't eat carbs tell people who do eat carbs that they're wrong. And I and I have philosophize in the past, that it might be stemmed in really what your episode was about today. And fear, like they may be just gotten to a really bad situation. They couldn't find their way out of it. And they decided the only way I can handle this is the way you did which there's nothing wrong with. It's just you know, what's wrong with it is when you when you start just pushing it down other people's throats, it's just it's tiresome. Yeah, you know. Anyway,

no, the only thing the and I mean, I'll still occasionally dabble in. It's our bite of carbs. But again, it's when other people at the table order something that looks good. Yeah. Like, oh, can I just have a little sliver of your your tiramisu.

I felt bad for you. Because you said you like pizza. And then I looked online, I see where you live, and there's no way there's good piece of that.

Oh, I mean, we it's, it's just a different kind of pizza. It's not the thick crust pizza. It's the cracker crust.

And, and you know why I said that, Daniel? Because you like pizza where you live? And look at me acting all like Oh, that's not pizza. This is pizza. That's that's I did it so you can hear it. That's what everybody's saying to each other online when they're like you're not doing it. Right. So just who cares? Yeah, I really, like I said,

microwave bacon Shut up.

i By the way, that makes me do you supplement your diet? Now taken like,

I mean, I probably should I don't take any vitamins. No, I did do to get told I actually just got my lab results back from an appointment I had yesterday side. No, my 81 C is 5.6. Awesome. But no, my vitamin D is low. And so my doctor sent me a note and told me that I should take vitamin D or spend more time in the sun. Both of those don't sound like things I want to do at the moment. I mean, I'll probably go get some vitamin D. I don't want to spend any time in the sun.

Jenny would tell you to get liquid and put it under your tongue. That it works much better with vitamin D. Yeah, that it works much better than swallowing it. Also, I don't know if they'll still be advertisers next year. But at athletic greens.com forward slash juice box if you

you, if you get I think if you get on a I forget what they call it like when it reoccurs What the hell? Why can't I find words?

I think that's called reoccurring.

Subscription. If you get a subscription, I think they send you five free packs of trap five free travel packs and liquid vitamin D on off for a year. And again, that's athletic greens.com forward slash use flex. I'm just gonna start sticking the ads wherever I want them. Anyway, by the way, by the time one of you here is that I'm sure they won't be advertising anymore. And I'll be like, I'll be irritated. clicked on. Yeah, but I actually I actually use athletic greens. So I was wondering if you were taking something that was like, you know, kind of hitting you with vitamins and everything like that, but sounds like you're okay.

Yeah, yeah, it's not bad. Lean. All right, you couldn't ask me to Bolus for a bagel but I mean, I can whip up some mean scrambled eggs and salad.

The bagels around here have about 70 carbs in them.

Oh my gosh, that's like a week of eating

my stomach and they don't they don't really digest right away or anything. Yeah, hit your for like, oh, five hours. It's nice.

My son would be an absolute heaven. I do like to smell carbs is that weird? Like I love to like, as he's making a sandwich I like shove my face in the bag of bread and just take a big whiff. I mean, I think as long as too much information,

walking past strangers and smelling them as they go by I think it's not that weird, you know?

I mean, I probably have done something along those lines and some other days of my life. But well, that's a whole nother episode to

anything that we haven't talked about that you wanted to talk about.

I don't think so. I think we covered just about everything.

Is there any chance you're gonna go to a therapist and find out why you need to be in charge?

Oh, I mean, I don't think so. That would be that would be like relinquishing some control.

No, I just want to just say that so I would I give the control to the therapist. That sounds ridiculous. Anyway, it sounds like you're doing fine. I don't think everybody needs to fix every little thing about them. But it is interesting that you know what about yourself? And yeah, it's, it's cool. I mean, honestly, you were terrific. So I appreciate you doing this

a huge thank you to Danielle for coming on the show and sharing her story with us. And we're gonna thank cozy Earth cozy earth.com

Speaker 3 1:21:45
Go get your sheets, get your towels, get your joggers, get your call food get comfy, cozy, cozy Earth.

Danielle 1:21:51
And don't forget to use that offer code juice box at checkout to save an astonishing a mind numbing a life altering 40% off of your entire order. If you're looking for community around type one diabetes, please check out the private Facebook group. It is absolutely free. It has 40,000 members and there is something happening in there right now that you would love to be a part of read about or just kind of lurk around Juicebox Podcast type one diabetes on Facebook Do not miss it. Doesn't matter what kind of diabetes you have. You are welcome there. Thank you so much for listening. I'll be back soon with another episode of The Juicebox Podcast.