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Podcast Episodes

The Juicebox Podcast is from the writer of the popular diabetes parenting blog Arden's Day and the award winning parenting memoir, 'Life Is Short, Laundry Is Eternal: Confessions of a Stay-At-Home Dad'. Hosted by Scott Benner, the show features intimate conversations of living and parenting with type I diabetes.

Filtering by Category: Dexcom

#492 Grace Under Fire

Scott Benner

Grace is an adult type 1. Today she battles a low to tell her story.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon MusicGoogle Play/Android - iHeart Radio -  Radio PublicAmazon Alexa or wherever they get audio.

+ Click for EPISODE TRANSCRIPT


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 0:11
Friends, you're listening to Episode 492 of the Juicebox Podcast. And today, my guest is grace. Grace has had Type One Diabetes for quite some time. And today she does a real kindness, she tells her story. But while she's doing so her blood sugar gets low. And we continue to record as she treats, responds and rebounds from the low blood sugar, you're going to get to hear the whole thing. It's incredibly interesting. Grace. Thank you so much for sharing this with us. Please remember, while you're listening 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. I just want to say one more time. Because when we were done talking Grace was like, I'm afraid that would be boring, or I didn't. It's just it's incredibly interesting. And it's a kindness for grace to share this with us. So enjoy the conversation. learn something from the low blood sugar, and then have a great day.

This show is sponsored today by the glucagon that my daughter carries g vo Kibo pen. Find out more at G Vogue glucagon.com forward slash juice box. The show is also sponsored by the Dexcom g six continuous glucose monitor and you can learn more and get started@dexcom.com forward slash juicebox.

Grace 1:50
I'm Grace, and I live in the North Country of Wyoming.

Scott Benner 1:56
That sounds pretty. Why do I think that sounds pretty? Yeah, because I've been I've been watching TV shows that take place in Wyoming during this entire COVID-19

Grace 2:07
heard your interview with someone talking about that there was a younger man that you interviewed a while back. I listen to your podcasts. And he's from landers, I think. Sure Wyoming. Yeah.

Scott Benner 2:23
Well, I've been watching I I've powerwatch Yellowstone. So that oh, I very much enjoyed. I also just got done watching longmire on Netflix, I seem to be in a modern Western phase. And so I just finished I finished longmire on Netflix. And now I've jumped at justified which is available right now on Hulu. But the I seem to be in some sort of a modern Western phase and Wyoming comes up a lot and all of them except for justify which is more like Kentucky. I think that's not the point. The point is grace. It sounds it sounds remote and lovely. Where you live. And I find that appealing a little bit but you're not there right now you're in California said

Grace 3:06
yes. I'm just not a big city, lots of traffic kind of person I don't. And although it's kind of on the outskirts of the major town, traffic where my mother resides, it is annoying for some little country girl like myself. And it's just challenging to drive and deal with, you know, the beep beep in Hong Kong. So I'm going to cut you off and get in your lane and you need to have a nice day. You're not

driving on an Indy Indianapolis 500 Speedway right. Now, there was a time in the day when I did do that. But I just not up myself from most of those stresses. So tell me a little bit about how old were you when you were diagnosed? I just turned eight. You were eight years old? How old? are you now? old enough to know better but too young to care about it. I'll leave that at that for a second.

I'll tell you I'll be 50 I'll be 59 in a couple of weeks. Okay.

Scott Benner 4:17
Alright. So you're 59 you've had you've had type one for 51 years. Correct. Wow. And how old your mom 80 something changes with changes. She's 8383 No kidding. Wow. And you're you just you're you're somewhere where she is now helping her? Correct. Gotcha. Okay. Well, how did you I have to ask first I guess how you found the podcast because you you fall outside of my age demographic a little bit for listeners.

Grace 4:50
But yeah, I know that in that fun. Um, let's see. How did I find you? Oh, I just been looking. I can Did my phone to listening to subjects of interest, right? Um, and somehow, I think I found you on Instagram first. Okay, and that's how I found you. And then I started squinting to read and look in and out, I just need to go on my laptop and see if I can make this work more easily for myself. And I found it. And then I connected your podcast, listening to my phone, cuz I'll run around the house doing household stupid stuff, and set the phone in a decent location, and just listen. And sometimes I'll actually sit down and listen to your podcasts, and I found them informative, and yet not so much. Because it's some of its new on the individuals and how they went about, you know, learning to manage. And because I was raised in a military home, I was just handed the insulin, you know, it was I was not allowed to leave the hospital until I was giving my own injections. And this is how you manage it. And this is how you take care of it. This is what you have to do. It's your disease, you take care of it at the age of eight. And so it was really different for me than what I'm hearing these protective parents and, you know, different types of women. There's a few out there that are a little more liberal with their kids. And but when they're diagnosed at two, then that doesn't work. No. Well, so well, I just,

Scott Benner 6:39
I'm sorry, to cut you off.

Grace 6:41
No, no, I just find it interesting the different ways that people were learning about how to manage take care of it.

Scott Benner 6:49
So is that what do you find? Or how do you find the more? Like, not simple? It's part of the of the conversations, the management stuff? Is it nearly the way you do it? Or how, like, when we talk about Pre-Bolus thing, and and you know, I'm

Grace 7:08
learning that there are times when I do need to Pre-Bolus and there are times when I absolutely don't, for myself as an individual with 51 years of Type One Diabetes from the old glass syringes, two vials of you know, long acting insulin that never worked for me, put me into shock or DK a, I was all over the map for a very long period of time until I went to pumping. So there are times when I do need to Pre-Bolus a little bit on being bold with insulin was something I've always done.

Scott Benner 7:47
You just always that was being aggressive. Yeah. Well, so there's a lot here that I'm super interested in. I'm glad I'm glad you're on. Do you wear a glucose monitor now? I do. Yes. Which one do you have?

Grace 7:59
I just moved to the Dexcom. Six, about 60 days ago, I was on the library. And it was just giving me too many low blood sugar readings compared to finger sticks. So Dexcom working it out. Gotcha.

Scott Benner 8:18
So now that you have a CGM on that you can see continuously, where where does your blood sugar? Does your blood sugar sit stable, or does it jump around all the time?

Grace 8:30
Um, yeah, it's still pretty. It vacillates to a certain degree. It It depends on my activity, you know, activity. There's three things that manage me. That's activity, medication.

Unknown Speaker 8:47
And so, right.

Grace 8:49
However, I can go for a 45 minute walk. And I maintain a certain levels stay at 116 to 110. And then 20 minutes after my walk. I bought them out at like 35. So

Scott Benner 9:06
okay, so what insulin are you using? I'm just using noval Auto blog in a pump. And you have CGM. Okay, what may I ask your current a one c ish?

Grace 9:19
You want to tell me exactly I believe it was a 5.9 Ah,

Scott Benner 9:26
okay. lifetime. Were you able Where were you keeping it in your 40s for example, a decade ago or more?

Grace 9:37
A little higher. I was in this mid 70s. When that was what I've been on a pump for 17 years okay. And I didn't want to go on when because they were huge and bulky. Originally on they were just like oh my gosh, cumbersome. I've never gone on that for eight years. The greatest endocrinologists I ever had, which I still love and would see him if, you know, I needed to this this is not geographically desirable, because he's in California and I'm in, you know, Wyoming. But um, he suggested it. He said, Well, I'm glad you waited until the technology got better. And I said, Well, I think it's time and I was in the 15th and 16th, with my agency at that point,

Scott Benner 10:32
and back, then you're using just some some sort of a fast acting instance, I'm sort of a slow acting insulin or were you like, mph and are an are like

Grace 10:42
it? Yeah, I was you using regular insulin. And a single to double, we tried single dose of NPH, we tried double dose of NPH. And for some reason, because it took them six months to diagnose me. Okay, we were in transition in the military life that I grew up in, I'm transporting relocating been to 35 different schools probably moved 14 150 times a minute. You broke up a little bit there. What

Scott Benner 11:25
did you say? Was your father a general?

Grace 11:28
No, no, but we did relocate frequently. And it was a lot to do with family family dynamics. I'm the youngest of three. I'm the only one that's ever had, you know, any medical problems, and we just lost my sister, she passed away unexpectedly. So that's why I'm here. I'm here to help. You know, my mother manage different things in her life.

Scott Benner 11:57
I'm sorry. You're just your sister passed recently. And she had been helping your mother?

Grace 12:03
Yes, somewhat. Mom is very stubborn, very independent. And I'm going to do it myself. And we only recently convinced her that she didn't need to be driving.

Scott Benner 12:16
She stopped going for a ride in California.

Unknown Speaker 12:20
Wow. Oh, so this

Scott Benner 12:22
is this is really something because you lived in a completely lived in manage your diabetes in a completely different technological time. And now you're, I mean, you're as modern as you could possibly be right now with your care. And your it's Are you having a lot of lows that are keeping your a one c lower? Like, are you under

Grace 12:44
probably a few more than desirable, but I took all my devices, I took my PDM and my controller into the doctor's office while I was at the blood lab. And that's in Colorado, and dropped it off while they downloaded and uploaded. And then I went back to get it. And so he was like, congratulations, she says, looks like you're doing he says I like your current settings. Because I too have that stubbornness. I'm gonna do it myself. And you can just write the prescription, please. You know, it's like, he asked me one time, I told him about, you know, your podcast, he says, You're not becoming bold with insulin, are you and we just laugh, because, you know, come on. Well. Alright, so the the military doctor that once they finally diagnosed me, he said, yeah, it's just don't deprive her of any, you know, food values or going to a birthday party or whatever. He said, to just give her a little more regular insulin. So that was how we managed, you know, 50 years ago. Why should that change now? Right.

Scott Benner 13:55
Are you telling me the doctor, when you told the doctor about the podcast, he was aware of it? Correct? Oh, I want to take a moment to thank all the people who tell their endocrinologist about the podcast. Thank you. That's really crazy. This was in Colorado. Correct? Nice. I'm huge in Colorado, Utah, too, in case you're wondering.

Grace 14:14
Um, I noticed that you know, you're you've pre international my friend you really got it going on?

Unknown Speaker 14:22
Yeah, well, I'm

Scott Benner 14:24
really thrilled that you like the podcast because it says a lot to me that someone who's lived through many different iterations of type one diabetes, and who I mean and I don't mean this insultingly obviously but you're on the other side of pod listening to podcasts in general, age wise, that you found it and that you enjoy it means a lot to me. It really does like it that's a very good sign to me about the show that you specifically can listen to it, find something interesting or helpful about it is really a is wonderful. I'm so happy They were talking today. I'd love to know a little bit about, I mean, have you been married through your life? You have children, like, what's a little bit of your background?

Grace 15:11
Okay, so I did the married thing once. And we're no longer married, I was unable to have children. And the I've been a parent. I semi adopted and an open adoption for boys. So they're a major part of my life. So I'm there. If you want to know the truth there, I'm there go to girl. Things are going, Hey, Miss corpus with other relationships in their life. And, you know, we talk about it. And I listened to them. And I worked with Exceptional Children for 20 years. And so that's kind of my background with that. The marriage didn't work out because I didn't like getting beat up and tossed around. And it was just not a good situation. And I don't tolerate that very well. So

Scott Benner 16:08
that's good for you What man is like in what part of your life were you married? What age were you?

Grace 16:14
I got married at 43.

Scott Benner 16:16
Okay, choo, you are a trailblazer in a lot of different ways. And this guy was a jackass. And you were like, that's when I'm not doing this?

Grace 16:24
Well, yeah, I waited and waited, and I let him make that decision so that the financial responsibility fall into his lap race. You wait, you

Scott Benner 16:33
waited him out? For money reasons that you are a tough lady?

Grace 16:39
Not really, I'm fragile, but I don't want to admit it. You know,

Scott Benner 16:44
I'm sorry, that that's terrible that, um, that anybody would lay their hands on you like that?

Grace 16:50
Well, he did it in such a way that well, you know, when you are of his type, a government official, let's just put it that way. You could get away with things that weren't obvious.

Scott Benner 17:07
Okay. So he was a type of person who, who nobody would have thought that or would have gone after had they thought it and so he had a little autonomy to be to hurt you. Without without any repercussions? Correct? Yeah. I'm sorry.

Grace 17:26
Well, it took me a while to figure out that, you know, I was not in a good enough situation. But the funny thing is, is is that, you know, I you know, my father basically raised me, my, my mom was, you know, had raised her two older kids and was deeply and heavily involved in their life, and she had returned to school to get her medical license finished up. And I was what my dad was getting ready to retire from the military. So he raised me for the most part. And Be that as it may, I've always enjoyed guns and outdoors and horses and you know, riding the rains with motorcycles and dogs. And so it was just like, and then you know, of course, I do know how to dawn, the dressing the tends to go to a banquet, or whatever. So when I met this gentleman we met. And we talked for hours on the internet. And finally, he revealed to me what he did and who he was and had to have my background check. He had to have me background checks just to date me. So that mean, yeah, I was like, Huh, interesting. And when I told my dad, I said, I must have done something, right, because I passed with flying colors. But there was another manipulation that I wasn't really aware of.

Scott Benner 18:57
making you feel important and Exactly, yes, exactly. increase. I'll tell you, I've recorded like 500 of these and still people surprise me all the time with stories that I've just never heard before that that's going to be one of them. How long were you with him before you got out?

Grace 19:18
From dating to let's see. 13 years? Oh my gosh, yes, sir. 13 years. Oh,

Scott Benner 19:28
how did you handle like with all that going on? diabetes come into the picture, or did he? Was he basically unaware of it?

Grace 19:37
Oh, yes. Oh, yes. I've been open about my diabetes because I am. Um, I easily. My blood sugar shifts like it shifting now and I can feel it. Sometimes I don't feel it at all. So sometimes I'm a little too bold with insulin. So my I don't think I would ever be a candidate for the horizon, or the loop system, because I'm manipulate my dosage according to what's going on with me. What do you think constantly?

Scott Benner 20:15
Okay, well, so I'm sorry. So I have two questions now because I use the wrong word before but what I meant was while you were married, would you just manage your diabetes on your own? He was not involved in it.

Grace 20:27
Oh, yeah, pretty much and he would, you know, throw temper tantrums because, you know, he didn't understand why why would be taking some insulin when you know, I had drink 40 ounces of juice to come up from a low blood because the gastro precice right. So that's why it takes a while for me to respond to getting my blood sugar backup.

Scott Benner 20:55
If it drops you have gastro you have gastroparesis, too. And, and I mean, honestly, like, I'm thrilled that you found all the technology you found but if you had a one sees in the double digits through a larger portion of your life, that's what I was going to ask you. Have you had any repercussions of it? So gastroparesis is one Do you have anything else?

Grace 21:14
Um, yeah, I've had multiple eye surgeries, hand surgeries. That, you know, with the triggering fingers. I have neuropathy in my feet. pretty severely at times, you know, I get rested. I take Tylenol for the discomfort and once in a while and gabapentin but I'm not fond of that. Because it just makes me so what's the word I want? puts me into lala land and I don't care for the double vision or the side effects are worse than the relief that it semi helps with.

Scott Benner 21:58
I just had a little bit of noise on your end. So I didn't hear the second medication that you're saying you don't like to take what was it?

Grace 22:04
It's called Gabba Gabba pinton It's a neurological it's it's a for pain and it supposedly is to help neuropathy.

Scott Benner 22:18
I see it here anticonvulsant anti-convulsant and nerve pain medication it can treat seizures and pain caused by shingles and apparently gives you double vision and doesn't make you feel good. Is

Grace 22:32
it makes you groggy and it does meet some people. I mean, they take it in the hands for have by handfuls and it's perfectly fine. No kidding. Oh, I

Scott Benner 22:41
see the uses for Scott while he uses restless leg Fibromyalgia or they use it for a lot of different things. sciatica. Okay, sorry, I went down a little rabbit hole there on the internet. I got a little lost. Alright. So what is it like when you've lived your life with a onesies that are higher and and then all of a sudden, you've got this pump? And then now more recently, you have a glucose monitor? Is it like how do you feel physically? First of all, do you feel any differently than you have in the past?

Grace 23:21
Um, yeah, I physically, I still feel pretty good. For someone that's had it as long as I have, and you've been through, you know, the traumas and the the changes of control as versus I feel more in control of it than I have ever. That's excellent with the CGM. And the you know, I, I don't know if it's okay to say I'm pretty sure it's all right to let you know that I am using the Omni pod. Dash.

Scott Benner 23:59
I heard you say PDM earlier. So I figured you were using Yeah,

Grace 24:03
right. So and I haven't been using it all that long. I've only been on the on the pod dash for a couple of years. But when you are used to wearing you know the tubing and you have enough accidents between you know, getting cut or caught on something, you're not aware of it and it's disconnected and you all of a sudden you just fall out and they're you know lifting you into an ambulance and you come through and like what happened and very good. It looks like your tubing got good. So that gets to be too dangerous for somebody that remains active. Yeah, as myself. I'm not as active as I would like to be or once was but I just I'm not ready to give up yet. No. It's just not there.

Scott Benner 24:56
You don't sound like somebody is gonna give up to me. But I take your point. It's funny, like, you know, when I when I do the ads um, you know, I'll say sometimes like, you know, you don't get your tubing caught on a doorknob and get it your site ripped out or, but you're even saying that can happen and you just won't know what happened. And then

Grace 25:12
I had it I had it happen a couple of different times in different ways. But yeah,

Scott Benner 25:17
yeah, that's not good, because now suddenly, you do not have any insulin that you think you do. And I guess that that quickly escalates to very high blood sugars. I was talking with somebody yesterday, who had a malfunction with their pump. And they said, like, you know, what'll happen if I just don't take insulin till I get the new pump tomorrow as I get I'm probably dead. You know, like, you can't not have insulin. It's I'm always fascinated by by how little sometimes people understand that insulin they're getting, you know, if it's slow acting through injection is the is the is the thing, keeping them going. You know, like, the minute you take it away. It's It's It's a bad it's bad news, you know, and, but I never thought of it that way. But you lived in a different time with diabetes. That really is interesting.

Grace 26:10
Yeah, we had to boil my glass syringes, right? They had the disposable needle caps that were like 10 Penny nails to an eight year old child was like,

Scott Benner 26:24
little big, those needles weren't as fine as those little ones are now I guess.

Grace 26:28
Yeah. Oh, goodness. No, absolutely not. And, you know, the only way that they could test my blood was to draw intravenously. And that was even more traumatic for me. I was like, that my dad had to just sit me in his lap and wrap his legs and arms around me while they you know, someone else held my arm out for them to draw it. And I'm still I hate that I hate hated I hated

Scott Benner 26:59
blood draw in general just doesn't work for you. Because of all the times when you were younger.

Grace 27:05
And I'm scarred. I'm scarred. I mean, physically. There's scars on my arms. From you know, the drawing my blood. So, yeah, well, military hospitals were not up to date.

Scott Benner 27:19
You were probably just an end. It's a it's a it's a kid of a someone and you have diabetes. And it's got its, I mean, I'm just I haven't even done the math, but 50 years ago. 1970 ish. Is that Yeah, about you when you were diagnosed? Maybe 1969 69.

Grace 27:38
Yeah, it was in March of 1969. I remember like it was yesterday. Because I was sick. I had been sick. Well, we had relocated from the east to the west, literally. And it was you know, I don't know if you're familiar with I got a treat for a little bit low. They

Scott Benner 28:04
can we take a take a U turn for a second? What number you What number are you trading at?

Grace 28:12
It's dropping rapidly. I'm at 70 that's what did it say? It's at 80. I knew I said 71. So I'm gonna go ahead and choose here. Yeah, the puppy already he starts

Scott Benner 28:34
a dog they're way ahead of time. issue a dog there with you or you're getting low and confused and you're talking to yourself which is going on a little bit of both. g Volk hypo pan has no visible needle, and it's the first pre mixed autoinjector of glucagon for very low blood sugar in adults and kids with diabetes ages two and above. Not only is chivo hypo pen simple to administer, but it's simple to learn more about. All you have to do is go to G Volk glucagon.com forward slash juicebox g vo shouldn't be used in patients with insulin, Noma or pheochromocytoma. Visit g Vogue glucagon.com slash risk.

The first time I ever heard about the Dexcom was years and years ago Arden's nurse practitioner told us that there was this device that you could see your blood sugar in real time on and it was called a Dexcom. She said, Are you going to get a Dexcom and I was like, I don't know what that is. So she explained to me that she had a kid in the practice who was super excited to get a Dexcom so that they could learn how to eat their favorite snack, this this thing that they had struggled with constantly with a spike. And they thought that by seeing their blood sugar, you know, they might be able to make better decisions with insulin. And what a What a fun thing to think back on back when that was just like a an idea in someone's head like maybe if you could see it, it would be easier. Oh, what an understatement, huh? Well today, many years later, I can tell you that that absolutely turned out to be 100% true, and a lot more actually. So the Dexcom gs six allows you to see your blood sugar in real time, not just the number, but the speed and direction. And this information is invaluable. It helps me every day to make amazing decisions about Arden's care. It could help you to I think dexcom.com forward slash juicebox alerts where you want them, you want to be alarmed when you go below 90 you can do that. You don't want it to happen until you're below 80. You can do that 70 it's up to you. You want to hear a rise alert. I like mine at 120 on Arden's phone, it's 130 these distinctions are yours to make. And you can decide who if anyone you want to share your data with. So Arden's data is shared with me and my wife. But it could also be shared with up to eight more people, right so Arden can see it plus 10 more people of her choosing. Now if you're an adult, maybe that's your husband, or your mother. If it's for your child, it could be anybody daycare provider, school nurse, it's completely up to you choices yours dexcom.com forward slash juicebox. I'll tell you this, were these results are ours and yours may vary. But my daughter has zero diet restrictions, sheets, a fairly classic American diet. And her a one C has been in the fives for seven years. I think a lot of that has to do with being able to see the data, being able to see where her blood sugars going, and how fast it's getting there. I hope you check it out. dexcom.com forward slash juicebox. There's links in the show notes to that. And all of the sponsors. You can also find those links at Juicebox Podcast comm

Grace 32:23
Well, he he moved himself from one position to the next and came in lay next to me by my feet. And he just kind of groans at me if I'm up and about but if I'm not awake, he scratches me off the bed and he'll sit beside the bed and start barking and let me know.

Scott Benner 32:41
Is he on alert dog? Or does he just

Grace 32:43
Yes, he is. He's, he's a da da diabetic alert dog. As I stepped down my orange juice,

Scott Benner 32:55
do you see are you give like a straight arrow down or diagonal? Or when you're Dexcom? What are you saying?

Grace 33:02
It's a straight arrow. it'll drop even more even after I get the juice on board.

Scott Benner 33:08
Because the gas your prices, you won't pick the juice up as quickly.

Grace 33:11
Correct. And I can always what I typically do now that I've found works is I'll drink my juice and I'll open up for a sugar packet and just absorb that through my cheeks, gums your cheeks, right. So even the gel tubes don't get on board as quickly or something like this. So, how,

Scott Benner 33:35
how frequently do you have to do this?

Grace 33:39
Usually about daily. But I'm just too bold with insulin sometimes because when I see it when I'm rising rapidly, I correct right away and it kind of gives me that opportunity.

Scott Benner 33:55
Get too aggressive at the wrong time. So you have trouble I guess Pre-Bolus and because the gastro priestess you don't always know how quickly the food is gonna get taken up. Right? Yeah. Have you tried? Have you tried Pre-Bolus Singh some but not all, and then putting in the rest as soon as you see the food hitting you.

Grace 34:17
That idea is very new to me. Um, but I've heard you, you know, on your podcast, talk about them here because I thought Hmm, you know, that might be something worthwhile for me.

Scott Benner 34:31
100% So, I'll talk for a second so you can take a break, but like the way I you know, I've said this before, but I had someone with gastro precice contact me privately to try to talk through this idea. And I really didn't know what to say obviously. And as we were talking about it, I thought the closest thing that I imagined to her situation and yours is the idea of a young person, a toddler who people say well, I can't Pre-Bolus because I don't know if they're going to eat or not. So I just changed that in my mind to I can't Pre-Bolus because I don't know if the food's gonna be there or not like working, you know, hitting my blood sugar. And so what I always tell young people, you know, parents of young people is I would put some in, you know, pick an amount that feels safe. And then as soon as you see the rest of it hitting, like, go ahead and put it put it in. And I don't know that that's not a great idea for you to try at least because, because maybe in some situations, you'd notice, well, I don't need it right away. And it could end up being it could end up being in a long amount of time, right before the food hits you. And then other days, it depends

Grace 35:38
on the type of food I'm consuming as well. Pizza versus, you know, vegetables?

Unknown Speaker 35:46
Or is it

Scott Benner 35:48
like this? Or it depends on your system to?

Grace 35:53
Yeah, it does. It depends on the time of day and how much activity and did I go for a walk? Or did I not? Am I packing up my car to go on a 1700 mile trip? How many steps I'm taking, right? And it's the day before, so the activity doesn't normally hit my body right away. I found that to be very interesting as well. And I'm, you know, the gas trio preseason has been happening since I was in my late 20s. It was diagnosed in my late 20s.

Unknown Speaker 36:38
I'm

Grace 36:41
sitting back down because if I'm if if that's a problem with headphones, I tend to be active tend to get a little like, Oh, I need to pace your walk away. And I probably shouldn't because you know, my blood sugar's now at 61. But I don't believe it's entirely that low.

Scott Benner 36:57
Do you want to test out let me listen. To be perfectly honest, somebody's having a low blood sugar on a podcast about Type One Diabetes is content. It's you're not wasting my time. So right now people are like, I wonder what this lady is gonna do. But do you want to test with a meter? How are we gonna do it?

Grace 37:14
No, I'm fine. Sure. Yeah, I don't. It's because of the interstitial fluids. If I'm leaning or tapping, or there's, you know, if I were a tighter sleeve around the CGM. I feel like it's just possibly be that low, but I'm not, you know, passed out or babbling and

Scott Benner 37:40
where do you usually pass out? out? And secondly, do you want to give me your location so I can call 911 for you if you need me?

Grace 37:47
Well, the dog is not blocked the door he won't let me leave the room. He's like, yeah, I'm moving over here. Cuz, you know.

Scott Benner 37:56
So he wants you to stay still and handle yourself now. Yes, he knows that you took in carbs.

Grace 38:04
Yes. And I completely. I went to I have, you should see my PDM you'd love this. What I did when I saw it, I've moved to I'm not hungry. So for an hour, I won't be getting any insulin in a Temp Basal.

Scott Benner 38:25
So you did a Temp Basal decrease, like all the way down like 0% for an hour? Yes. Will that cause the high blood sugar later or not necessarily.

Grace 38:37
What I'll do is I'll I'll cancel and eventually, as I see the new bunch of CGM start to come back up. Yeah. I look at it a lot. Because in my work allows it if I'm working, if I do, if I'm working a contract from home, I can, you know, manage my diabetes better. If I'm out in the field, doing inspections, it's a little more challenging, because I'm more active. And it just, it's just nice to have this. It's just a big help from my lifestyle.

Scott Benner 39:15
Yeah, well, someone like you who's had so much experience prior to this, just being able to basically flip a switch and shut off your Basal insulin. must be pretty exciting, honestly.

Grace 39:28
Oh, it really is. It definitely is very exciting. I didn't you know, because I looked, I studied technology. And I have a couple of degrees in AI but that doesn't mean anything because, you know, data technology, I saw it come into play and just become so dynamic so quickly, so rapidly. I knew I went I'm never going to be able to keep up with set this point. You know, so I'm I'm glad I have that education. But I'm more happy about it being available to treat diabetes type one.

Scott Benner 40:11
No, I agree. I think that it's, it's pretty amazing how far we've come so quickly. And even though we talked about, you know, 50 years is being your lifetime with diabetes, that seems like forever. And it really is for you personally, you know, in, in the grand scheme of things in the way technology moves. In the last decade, things have moved exponentially faster than they did the, you know, maybe the four or five decades prior, we've gone farther quicker. And it Oh, absolutely, yeah, it seems to just, hey, last night, one o'clock in the morning, last night, I got up to let my dogs out. And as I'm coming back upstairs, I get a notification on my phone, that, you know, astronauts are about to enter the International Space Station, and I push a button, and five seconds later, I'm watching astronauts go from, from a spaceship into a space station on my cell phone while I'm walking up my stairs. And I'm Listen, I'm in my late 40s. And I had a computer when I was 12, or 13, probably 13 or 14, I had one of the very first like, two E's from Radio Shack first, and we'd like common words, and you know, and and so being a person who's been right there it computing from the very beginning. I'm still going to tell you that I still had a moment last night where I was stunned that I was looking down at a crystal clear screen watching astronauts float into the space station. I thought oh, my gosh, that is really an exceptional leap that we've made, that they can do that and that I can see it, you know?

Grace 41:47
Yeah, especially because we're watching the after effect on genius, black and white screen TVs that was, you know, one of the best TVs available. You know, we showed,

Scott Benner 41:59
we showed Arden Arden Sala an old console television the other day. She's like, What is? Her first question was why is the TV on the floor in this picture? mounted to the wall? She's like, why is it on the floor? I'm like, it used to be part of furniture. Yeah, then we found like, then we found a piece of a picture where you could see like, inside of a console television, let's hop in the bot and the back. And she was just like, what is all that? Red tube? Right? There were tubes and big like circuit, it was no circuit boards, you know, tubes and all this stuff. And she and now our television is is whisper thin, you know? And it's I mean, I basically have a TV now that's just a it's it's basically a piece of glass with a small computer attached to the back of it. I mean, honestly, that's kind of what it is, you know, with this?

Grace 42:52
Yeah, absolutely. Because the circuit boards are so paper thin. And they're you know, they're made of, you know, copper, and aluminum. And, you know, the circuit boards. I used to work after school. for IBM, I was I worked for an independent contractor that we wired, these, I forget what they're called now. But I would follow this, you had to be able to detect your colors, you need to know what red, yellow and blue. That was it, you know, you could do that you can read the diagrams and follow the wiring, and then switch it. And they were huge. They were big. There was just an after school job I made, you know, like 250 an hour. Right? Yeah. And this was I wouldn't, you know, rope these wires, this wax string together and send these this diagram in multiple directions, and then add the connecting ins to it. And it would go to a different department after I did that in my, you know, my supervisor would come by and he says, I need 10 people just like you that can do this so that we can increase production. I said, You know, I said look at what it's doing to my hands. He said, Oh, we need gloves on you. And I said yeah, something. So a friend of mine wanted to earn some extra money after school too. So I said, Hey, Robin, you want to go check this job out this for me, my employers, my supervisors looking for you know, more help. She said, Sure. So here we are two of us girls, and the rest of them are men and they're these, you know, huge, big, gigantic, enormous guys working around us and like we can't keep up with these young women. They're doing a better job than we was just for extra cash. Yeah. Yeah.

Scott Benner 45:02
Wow, extra cash at 250 an hour. You must have been rolling.

Grace 45:06
Oh my goodness. Oh, yeah. Hey, how are you feeling? Oh, I'm still low, but you know, it's not beeping anymore.

Scott Benner 45:17
What did you Dexcom? Say? I'm 49 it says 49. So now are we at the point where we think if we test you're more like 60? Or do you think you really are 49?

Grace 45:27
I think I'm gonna go ahead and give it a finger stick

Scott Benner 45:29
god, I'm just do it. You're not going anywhere? No, where am I going?

Grace 45:34
Can I walk without falling down? should see the look on the dog's face? Are you crazy moment because when we're out walking, he'll tap me in the knee. Right on the knee. Right? And say, Hey, you know, this is not good. We're in the vehicle. He has a compartment in the back where he rides or this mat and he's tethered in. It's like, they'll start whining. And he'll he'll pout at me from an Aussie. I'm in the rearview mirror. And I'm like, is it blood sugar? Right now pull over a tree. I may have to take another pack of sugar. But let's see what we get here.

Scott Benner 46:33
That's the Contour. Next One meter you have right? If you have it, you got it with a dash. Correct? Yeah, it's good meter. We're gonna get a good number here. Let's see.

Grace 46:52
Yeah, it says I'm 73. So you know that still any? I don't know if it's my scanner, where I put my the transmitter in the sensor?

Scott Benner 47:07
Well, I would tell you that if you were dropping quickly, and I would expect this. So I expected you to be higher than the number on the CGM when you test it. So you're dropping quickly. You caught it with some fast acting sugar, which I think means that your body's that the actual reading inside of your body is going to come up probably five or 10 minutes before the CGM can can really figure it out. Because it's all kind of happening so fast. I don't think you're putting your sensor in a bad place. I just think that you know CGM Technologies a tiny bit behind real time. And you were speaking Okay, like I didn't think you were 49 the way you were talking. I know you probably don't feel great, because you're probably still feeling the low. You haven't gotten the benefit of it coming back up. Yeah. Is that right?

Grace 47:55
Yeah, I'm still. I'm stuttering.

Scott Benner 47:59
Right. Don't listen, unless you listen back to this one day and end up saying, I never worked in a place where I worked with technology and wonder where I came up with that story.

Grace 48:11
Oh, no, you kidding? I grew up with an engineer from Ford aerospace, my, my cousin, my cousin's dad, my cousin, my first cousin, my second cousin, my second cousin, my third cousin, second, third cousins. Yeah, he was an engineer for Ford aerospace. And then my stepfather was a he worked for the skunk team at Department of Defense's, an engineer. So he was a lot of fun. He and I got along great. But he my brother and sister did not like the guy. God rest his soul. But he I understood him and I liked him. And we enjoyed some of the same things. Watching, you know, television and DVDs and you know, yeah, he was brilliant.

Scott Benner 48:58
That's nice. That's Oh, yeah. Well, are you I want to make sure you're feeling okay.

Grace 49:04
Oh, yeah. I feel pretty good. Yeah. Yeah, I'm not running around. I'm sitting down and trying to behave myself. So that.

Scott Benner 49:14
So tell me a little bit about Let me ask you a couple of little interesting questions that are interesting to me. Can you tell me about how much you weigh in what your basil rate is?

Grace 49:24
Yeah, my basil rate is 13.2 a day? Yes. Okay. So I weigh about 110 112 pounds, some five foot 313 divided

Scott Benner 49:41
by 24. Are you getting? point? 5.55 an hour?

Grace 49:47
Just Yeah, about that. Point 5.55 an hour. That's my favorite Basal.

Scott Benner 49:56
What's your favorite?

Grace 49:56
Pick it up, pick up, pick it lower. If I'm going to go out exercising, walking? Or if I'm going to take the dog to the park

Scott Benner 50:05
overnight, how do your graphs look overnight? Are they stable and lower? Um, they vacillate a little bit. How about how much? Just the ability is there? Like, overnight? Are you up and down? Are you in a straighter line?

Grace 50:25
I'm in a straighter line for the most part. Yeah, that's my trickiest moment. You know, right before I get sick, like if I'm going to get the flu or if I'm going to get bronchitis typically late. Winter, I come down with it on a pretty regular basis. I'll have a severe low the day or two before, I'm really sick. Okay. Which is a big indicator.

Scott Benner 51:00
Yeah, the illness is coming. Right? I think Arden has that same thing if Arden gets like a head cold, or you know, nothing like stomach related, but like a head cold, or one of those things where you're functioning, okay, but you don't feel well. She seems to need less insulin during those times, as well. But it's interesting that you get, like stubborn lows, and then then you see the illness. a day or so later. That's interesting. Well, I'm just I'm just trying to understand, like, so you have a couple of different, you know, challenges, obviously, one of them is the gastro priestesses. That is, I would think the biggest one, the idea of how do you stop spikes at meals if you don't know when the meals are going to impact you? Or if they ever well, right? Or if it'll be hours and hours later? And then it sounds like during activity, you can drop pretty easily. Like those Do you think of those as your two biggest kind of hurdles with diabetes? I do. Yeah. You know, I was a swimmer. Imagine that. Like that, you're laughing at the idea that you were a swimmer.

Grace 52:14
You know, I dive and we would practice in a 50 yard pool, lot of flips, a lot of back and forth, back and forth. two miles of exercise is swimming, you're using every body muscle that you possess. And my favorite sport was Polo waterpolo. Because I, I just enjoyed, I enjoyed it, it was fun. So um, but competitively I was, you know, like, on the D team, the slowest swimmer, I, I could do length, I could swim forever. But I couldn't compete because I wasn't fast, I wouldn't stay on the surface. Because when you're swimming competitively The idea is is that you use the water to move through it at the level of the water. That's the idea that there's a lot of resistance, you know, if you're not swimming streamline, so as is for most of us, you can't, you know, teachers become instructors and teachers. If you can't do it, make it work for you, you become a teacher of the art. And that's how I figured it out. You know, and I started working with Exceptional Children in the water to practice my art, because I'm better instructor of it that I am a swimmer of it because when you watch me demo is like, that's a butterfly stroke. It looks like you're you know, you've been hit with stroke lady. You're sure you're not having a stroke in water.

Scott Benner 54:10
I think you misspoke. You're not showing us a stroke, you're having a stroke. And listen, I wonder too, when you were younger with the higher blood sugars, if maybe you physically just weren't able to move as quickly as maybe you could have as well a well could have been very well. Isn't it fascinating? Isn't it fascinating that that so many people and you're just a good example of it right now but who lived prior to this technology and honestly who lived today without it? Our I don't know what to say like I don't know how you would put it but it sounds to me while I'm listening that you were your life was was restricted in ways that probably after a while you didn't recognize where restrictions but that your physical, you're physically and maybe mentally Because of like low blood sugars or high blood sugars, were being held back and you didn't even really know I guess you just doing the best you could with the information you had and, and the way things were done back then, do you look back on it? Is it sad to look back on it? Or you just have

Grace 55:16
that where you are? It's not sad. It's what I knew. Yeah. Okay. So what I think is probably, The disadvantage is that my parents were not educated any differently, either. Right. Growing up on military basis, until I was 19 years old. And then, you know, moving from that? Well, yeah, because, like I said, My father is basically the main parent. He was the main parent in my life for a very long time. And we he let me drive the golf car. You know, that was always fun. I didn't play golf, but he would send me on the putting course you'd say, my daughter's putting for me. You had a bad ankle, you know. And so his, they were just they loved it. They loved that, you know, I could put, and I was pretty daggone good at it. So you know, it was like, okay, you're up there. And I would just straight out there with his putter. I would make the putt and they would be sitting over standing over on the sidelines, making their bets

Scott Benner 56:47
about whether or not you think about

Grace 56:50
Yes. He would say, Hello, no, she sees that roll. I don't think she sees that, that turf the way I'm seeing it because I'm in a different visual advantage. And he would cue me in a little bit. He said, you when you sink this putt, and you know, you can have anything at the clubhouse you want.

Scott Benner 57:18
He said, Look, if I think this but I'm taking half this money, you ain't How's that?

Grace 57:22
Money was never no money. My sister, my sister was driven by money. I've never been driven by it. Yeah, you got it. You got it. You don't you don't. It's just it's never been a force. For me. If the more I have, the more I spent it, any of us?

Scott Benner 57:44
I don't know. I like to try to save some money.

Grace 57:46
Anybody can make money. It's keeping it. Yeah, oh, investing it properly. That's the ticket. That's the hard thing to do.

Scott Benner 57:57
not spending it is a is the thing. They don't tell you that you have to teach yourself. I you know, it's funny, we were just talking to my son the other day. And he asked if he wanted to try investing money a little bit. He had, you know, his a couple of his friends are doing it. And he wanted to try as well. And so for Christmas, he asked for a little bit of money that he could like, instead of a Christmas present, he's like, Can I just have some cash, I want to try this thing. And so he and I were talking about it. And I told him I was like, you know, when you were little, you know, people would give you money for your birthday or for Christmas. And you were our first kid. And you know, mom's first reaction was, well, we'll put it in the bank for him. And I said, Let's let him keep some of it. And like we can put some in the bank. I said, but you know, we'll teach him how to put some aside. I was like, but let's let him have it. Because I found that my concept was that given a kid $20 or $40, or sometimes, you know, $50 that come in a birthday card. And given them the ability to spend it so that he could see what happens to the money once it's gone. Like let him experience having it Yeah, right. And then suddenly not having it and then seeing that, oh, I have this thing now. And then realizing Three weeks later, I don't even know where that thing is right. I'm not as interested in it as I thought I was. But the money's gone now. And if I would have held on to this 50 and put it to this 50 and this 50. And on and on, I could have actually gotten something substantial. So we sort of use that money as a teaching tool. Almost. Yeah, I'm almost imagining that maybe it'll be $1,000 over their childhood, right. And they'll probably lose it, it'll probably be gone. But that the the lesson will be more valuable than the money. And I have to say like both of my kids are very good with money. Like even if you take art and shopping for clothing and she picks out a couple of items. You'll see at the very end of the shopping trip. She looks at it again and she puts some of it back. It's just very like oh you know what, I picked these three things that I like but as I'm living with them here and wandering around, I realize I just want this one thing to put the other two back. It's, um, it worked out like I should knock on something because it worked out really well. Letting them use it ended up being more valuable than making them save it, because they wouldn't know what they were saving it for, you know,

Grace 1:00:16
what I did the same thing with my kids that my dad did with me was like, you come you, you come up with 50% of the cost of the item that you want. And I'll put in the other 50%

Scott Benner 1:00:34
It's nice. When my son

Grace 1:00:35
left, whether it was closed cars, no matter what cameras, it didn't matter, you know, it's like, here's how it works with me. And I still like that principle because it taught me how to manage money.

Scott Benner 1:00:46
Yeah. Now we did that when, uh, when Cole was leaving, like the middle school age, you know, 1314 he was heading into high school. And he, his hands were getting bigger. And he said, I my hands, not gonna fit in my baseball glove much longer. And he wanted to get a new outfielders glove and a new infielders glove, but they were very expensive. And he's like, I can just get a cheaper one I can afford the cheaper ones, say, but I want to get a good one and use it all through high school. Maybe I can even have it for college. So I said, Okay, look, you pay for half and I'll pay for half and we'll get you good gloves. And he an infielders glove that he got when he was 15 years old, maybe 14 years old. He still wears while he's pitching in college. And it still holds up for him because he has he and now he sees I spent a little extra money I got something of a higher quality. And look. Six years later, I still have it. You know? Yeah, I'm

Grace 1:01:47
all about the quality. Forget the quantity. Give me the quality over the quantity any day. I'd rather you know, hold out and get you know this item. pay a little more for it because I know what's going to lie. Yeah, no,

Scott Benner 1:02:04
I call that the dollar store theory. I would rather have one $500 item than $501 items. Yes, any one thing that I can really sink my teeth into. So how are we doing with your blood sugar? What's going on? Now? I hear I hear rappers.

Grace 1:02:19
I'm having a Welch's fruit snack. Oh, yeah, it's still not great.

Scott Benner 1:02:26
So the CGM still reads lower.

Grace 1:02:30
went down and then yeah, it was weird, because then I was riding at 49. Now it's leveling off at 44 went from 49 to 42. And now it's,

Scott Benner 1:02:44
yeah. Now if you do you think if you feel low, or do you feel

Grace 1:02:49
I'm a little shaky, but I know that it's gonna come back up. Because I've treated it's just with the kasriel preseason. It can take me an hour to come back up to like 93 and then right out at 93 to 102 for a while. Right.

Scott Benner 1:03:05
Wow. Yeah, it's and you dude, like, I'm not asking you to do it again. But do you think if you did a finger stick again, you'd be lower than the 70 some that we got the last time

Grace 1:03:17
we can check it out. Don't mind toasting, for the podcast. Well, just for you guys. I call you Scotty i like i like Scotty you

Scott Benner 1:03:26
do refer to me as as Scotty in your private life, even though we

Grace 1:03:30
do yeah, I listen to Scotty. And they're like who you're talking Star Trek or what?

Scott Benner 1:03:38
Hey, I gotta be honest with the grace. It's way better than that app on taking that.

Grace 1:03:46
Well, a friend of mine. I used to hang out in this group of people. But she's still my friend. Her son was diagnosed at the age of two. And he's camping out with some friends over this one weekend. And all of a sudden I get this phone call. Then you come over we need your Oh, we have. We have Andrew for the weekend. His parents are out of town and like, well, don't panic. I'll be over No. Don't panic. Is he still breathing in and out? Yeah, here we are. It's dropped on. It says it's now at 69 when we had originally tested it was 73.

Scott Benner 1:04:43
So you bounced a little and you're leveling off but drifting back again. Yeah, you could feel that enough that you knew to just have the first tax.

Grace 1:04:54
Yeah, so danger danger will Robin I went to Costco like, I got. I think there's 90 packs. Yeah, there's 90 of Welch's fruit snacks. So I got

Scott Benner 1:05:11
that bill socks if you get that big 40 pound box of food snack. Yeah, I think everybody listening knows that box of fruit snacks. Because when you buy him in the grocery store, you have to end up paying $10 for like 30 packs. I'm it's a ripoff. I mean, it really is. It's not even food. It's just like, whatever it is, you know. But it's interesting, too, because, you know, obviously the gastro priestess is at play. Because those things hit really quickly. I mean, those fruit snacks are there like later

Grace 1:05:45
in the day? If I'm out walking? Yeah, they're gonna get on board quicker, because it might, you know, my body is heated up and I'm moving around. It's going to get into my system more quickly. It's interesting.

Scott Benner 1:06:01
Interesting. Well, I have to be honest, this didn't go any way like I thought it was going to and yet I find it really interesting. And I think people are going to enjoy listening to it.

Grace 1:06:11
I like you engaging with questions. Ask Me Anything that you really want. Yeah. Go ahead.

Scott Benner 1:06:19
Well, no, I appreciate I, you know, obviously I've been trying to, to go a little slower because you're because you're doing what you're doing over there. But I guess I guess my biggest thought is what would you tell people who are diagnosed now with this technology? But don't want it but can't afford it? Like, would you say like, if if I put you in charge of the world? Would everyone who has type one diabetes have this stuff? To the world? Oh, my goodness, I give you the magic wand. Grace, you'd be in charge for a second?

Grace 1:07:00
Yeah, I would definitely. strongly encourage them. Yeah, to consider it. I mean, now, I'm well educated in your, you know, podcasts. Right. I was born with a visual problem. Okay, I live with it all my life. So it's nothing new. So I'm very intent listener. When I listen to, you know, podcasts of all sorts, I retain that information much better than I would if I had read it. Okay. So, I would suggest to them and strongly encourage anybody with, you know, type one diabetes. First of all. Find a good endocrinologist, and get a prescription for an insulin pump with a CGM. Just now I see advertising and I don't have TV at home, I just have, I have a big screen and I play dv DS, but I don't subscribe to any internet. I have internet but I don't have, excuse me. I don't watch cable TV. Okay. I've been watching Internet TV for almost 10 years now. And so I would have seen it here because of where I'm staying there. The labor is encouraging type one and type two people to try their device and giving them a free test drive of it. You know, subscribe to it and test drive it and see if it works for you. You know, doesn't matter what CGM. They're all about the same. They do. You know, every five minutes they test they give you a reading, you can swipe, you can use your phone, you can use your laptop, whatever technology there is, at least try that. You know, and then, you know, maybe an insulin pump would help you because some people are so good at what they do on you know, Lantus and multiple, you know, injections daily, that they would not benefit from it.

Scott Benner 1:09:26
Oh, I agree. No, I know a number of people who are MDI that do have amazing outcomes, and they're really on top of it, but having the technology, I just I was just wondering, because you're a person who has not had it. Plus, you didn't even have insulin that worked well, you know, nearly as well as the insulin you have now. I mean, honestly, Grace's, if no vlog existed 50 years ago. You probably don't have gastroparesis right now. Don't you imagine? The nerves and other nerve issues?

Grace 1:09:56
I would imagine. Yeah, I would have had better tighter control. But I was very liable and brittle from the get go. I was in. I was passed out in DK for a very long time. When they finally got me diagnosed, I mean, it was that severe. My parents had taken me into the clinic three times on the fourth time, I was just gone.

Scott Benner 1:10:21
Yeah. Well, you've read other people's diagnosis stories that are similar to yours, right? They go in, they think it's one thing they think it's another thing. Nobody ever checks your blood sugar. And you know, you get on

Grace 1:10:32
even to this day when I had all the classic symptoms, but my symptoms were not all that classic. And here's the, here's the here's an area. That's questionable. Okay. And it happened with my friend's son, too. He was two years old. I was eight years old, immediately following my vaccines. Right. I became sick. Okay. Yeah. And I got sicker and sicker and sicker and sicker. So vaccines have been linked to autism. They've been linked to other things. But changing, you know, the government's idea of is this a benefit? Or is it? Can it cause problems? Right? How many people in friends of mine, I get this phone call. This was in 2006 565 2005. I get this phone call. Now. This man is a triathlete. He has two daughters, that are very healthy and vibrant and a wonderful wife, this family. And they get back from Germany. And I get this phone call. He's like, Grace, how are you doing? I'm doing pretty good. I said, What's going on? Because he was originally talking to my husband and my husband hands me the phone. And he says, Tim wants to talk to you. So he hands me the phone. I said, Tim, what's going on? Cuz I was, you know, I'm in the kitchen, and we're in the motorhome and I'm cooking up, whatever I'm cooking up. And I could overhear the conversation because it's not a very large space anyway. And I'm nosy. I admit it. So I said, What's, what's going on? He says, I've been diagnosed with type two diabetes. And I thought, No, you don't have type two diabetes. I said, That's impossible. Right? I said, I doubt very seriously, it's type two, they're Miss diagnosing you. Well, they put me on and so they put me in the hospital in Germany is at the base, but we inositol they gave me insulin to bring my blood sugar down. And now they've got me on Metformin. And I don't feel right. Right. He's an athlete. Yeah. You know, he was in the army. And now he's, you know, a contractor with the Department of Defense, or it's just a gang of people that we know, we hung out with. And he, I said to him, I said, Make an appointment with an endocrinologist and ask them to do a C peptide serum on you. By the way, please, please. He says, What is that called? So he said, Denise, write this down. She's got his What? So there's this four way conversation going on? c peptide serum will determine what is actually going on with you. And the next day, I get a phone call. He says yeah, I have type one diabetes. With in 30 days, both daughters were diagnosed with Type One Diabetes. Very active young family. The youngest one was first and then the and I was shocked. So I'm on this flight, and I'm coming back. I think I was going coming back from being somewhere. It's hard to see done a lot of travel. And I ended up having a conversation with a service member. And we just engage in Type One Diabetes conversation. He says yeah, he says we're finding out because I'm I've known several people that have been given 100% disability while in the military when they become type one diabetic, right? Because they're not accepting the responsibility of it. But suspected that certain vaccines can wipe out the eyelids of linger hard, which make the insulin for your body.

Scott Benner 1:15:10
So you think these are vaccines that they're giving? The military members? Maybe? overseas and stuff like that?

Grace 1:15:18
Correct? Yeah, that's Yeah. And it's interesting, but there's also vaccines that we get as children that may be causing it.

Scott Benner 1:15:29
Yeah. And so the, I don't know, obviously, I don't know anything, but I wonder if it's the vaccine causing something or if it's the idea that you're getting vaccines that are causing your body to mount an immune response suddenly to something. And then a lot of doctors offices like to give multiple vaccines at the same time. And I wonder how much how taxing that is on your, your system, you know, to give it all these different, you know, things that it has to mount an immune response to? And if it doesn't take people who already have the markers for type one diabetes and throw them over the edge, it's it's all it's all very interesting. And

Grace 1:16:08
what are markers she that's something I'm unfamiliar with? What who already has these markers, and what are they? Yeah, never. So I've heard that use, but I don't know what that means. Yeah, yeah. There's,

Scott Benner 1:16:19
I'm gonna run out in my head. What people are laughing at me now, we've been on the show a number of times. It's a really common set of words, and I'm just flaking out on

Grace 1:16:34
what has to do with the intercom system. It's something that like, Yeah, well,

Scott Benner 1:16:38
so there's this there's this thing called trial net, right. And, and trial that can, you know, obviously, I'm not a doctor, but they they take a blood sample. And they can tell you, if you have certain markers that indicate that you're more likely to get type one diabetes, and I think there's five I think there's five of them. If I'm if I'm getting this right. And, you know, the more you have, I think it's, the more likely it is that you're going to get type one at some point. And then if you know, then it's up to whatever, like, you'll hear some people will, you know, I got inoculated for something. And then I got type one a little while later, or I got really sick. And then I got type one later, my daughter got coxsackie coxsackievirus. And then we noticed like a month or two later, she had, it seemed like she had it again. And coxsackie is not something that should return. So the possibility exists is that she never really got rid of it. Because when she got coxsackie, maybe her immune system just, you know, ran full steam at her pancreas instead of at the coxsackievirus. I have no idea. But I think I think obviously, Arden had genetic markers that made her more likely to have type one diabetes, and this coxsackie, you know, Firestorm kind of threw her over the edge? So I don't know. Like, I think the way you said it, it's like there's something in the vaccine that makes type one diabetes? I don't, I don't think that's the generally understood, like medical idea, I think the medical idea is, is that it your immune system mounts a response. And then you have these markers already. And it goes after, like you said, your pancreas instead of instead of the thing it's supposed to be taken care of. But again, that's a laypersons understanding of it at best. I'm not nearly an expert on it. But it's still fascinating, you know, that that can happen like that?

Grace 1:18:37
Yeah, you sound you sound proactively protective. In other words, that's really a compliment. It's supposed to be I'm heating up some hot water so that I can help get this food on board because my blood sugar is still not really great.

Scott Benner 1:18:59
We've been at this longer than I expected to be. So I'm, I'd like to like, let me let you go and see you can you can manage yourself and get yourself together. And and you don't have to be worried about me.

Grace 1:19:11
Oh, yeah. Well, I do appreciate your time and taking the time to you know, work with me and interview. I like the stimuli of the questions. I just, you know, what? The idea of the markers See that's new to me. And I although there's another word that is at both our tips of our tongues, we're not able to come up with at the moment, which is fine. It's just interesting to me, because how did you know a father and two daughters end up? Because obviously they had to have something in their system, but they had gotten these vaccines inoculations prior to going overseas.

Scott Benner 1:19:56
Yeah, no, I I really believe that could be the thing that That fast forward the whole thing you should check it out. It's trial net.org. They they explained very clearly there, what they do and what they're testing for and trying to

Grace 1:20:10
sound familiar. Yeah, I don't fit any of the, you know, there's plenty of drug testing trials out there. But when I read all the, you know, qualifications, can you be on this drug trial or this trial or that trial? You know, I don't fit the qualifications for some reason, you

Scott Benner 1:20:30
know, this is just this is like Risk Screening, monitoring and prevention studies like that, that kind of stuff. But yeah, no, check it out sometime. But I want you to take care of yourself first. So I appreciate you doing this. I appreciate you powering through a low blood sugar and letting everybody kind of see it happen. I think it was pretty fascinating. So but I'm gonna let you go so that you can see you can get yourself back to where you want to be.

Grace 1:20:54
I appreciate that. And well, I don't know if you'll actually produce this or not, but hey, everybody out there if I can live through it the way I've lived through it, you know, the dinosaur ages for type one diabetes have changed. Incredibly, over the years crazy.

Scott Benner 1:21:12
You think I'm not gonna let people hear this in your mind. You have to edit it to some extent. I'm not editing this. This was amazing. I you, you were 49 and taking care of yourself with gastroparesis while we were being recorded. I think it's fascinating.

Grace 1:21:30
I think I'm at 65 I'm doing is coming up slowly. It just it just takes a while for I was actually surprised. I didn't think that you know, I would drop again. Hold like that

Scott Benner 1:21:41
lower. Yeah. Okay. All right. Well, you go ahead, take care of yourself. And I will I will send you you one day you'll turn your podcast player on you'll be on there.

Grace 1:21:50
Oh, good happen. All right, Scott. Thank you. Have a good day. Thank you to

Scott Benner 1:22:05
a huge thank you to one of today's sponsors. Je Vogue glucagon, find out more about chivo hypo pen at G Vogue glucagon.com forward slash juicebox. you spell that GVOKEGL Uc ag o n.com. forward slash juice box. I'd also like to thank the Dexcom g six continuous glucose monitor, find out more and get started@dexcom.com forward slash juice box and of course, a huge thank you to grace for sharing this very personal look into her life with Type One Diabetes.

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#490 More Julia

Scott Benner

Julia is back!

Dr. Julia Blanchette, PhD, T1D

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon MusicGoogle Play/Android - iHeart Radio -  Radio PublicAmazon Alexa or wherever they get audio.

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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 0:10
Hello, friends and welcome to Episode 490 of the Juicebox Podcast today a returning guest, Julia, Julian, I always have big plans about talking about a certain subject, then we have these lovely conversations. And I don't know if we ever get to the subject or not. But Julie's got Type One Diabetes forever. She's actually got a long list of what they might call the bone a few days. You'll hear in a second. And anyway, she's cool. And this is a great conversation. I probably should have said Julius back. I like Julia, we have a great time talking. Here it is. That is what I should have said. There's too much talking in the beginning. All right.

Please remember while you're listening 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.

This episode of The Juicebox Podcast is sponsored by Omni pod makers of the Omni pod tubeless insulin pump. It is also sponsored by touched by type one checkout touched by type one at touched by type one.org or on Facebook, and Instagram. And while we're at it, I'd like to remind you about the Contour Next One blood glucose meter. It is my favorite meter, the bestest one I've ever held and used, it is super accurate. You'll love it. Contour Next one.com forward slash juice box.

Julia Blanchette, PhD 2:01
I am a Diabetes Care and Education Specialist registered nurse. And I have my doctor philosophy or PhD in nursing science. All right.

Scott Benner 2:13
And you've had hype on For how long?

Julia Blanchette, PhD 2:15
And I've lived with type one actually, for 21 years. I just reached my anniversary last week. You

Scott Benner 2:22
know, well, first of all, congratulations. And secondly, you know you can pass me because you look younger than you are even though you're not old.

Julia Blanchette, PhD 2:30
Yeah, I mean, everyone's always said I've looked younger than I am. So it My mom has good genes. You know,

Scott Benner 2:36
you're in your early 30s, right? No, no, wait a minute. How old are you?

Julia Blanchette, PhD 2:43
I'm in my late 20s. Oh,

Scott Benner 2:46
I like how you made that distinction. Like I'm getting old. So Scott, I'm 31. I'm 29. It's a huge difference when you really think about

Julia Blanchette, PhD 2:58
I'm actually 28. So,

Scott Benner 3:00
okay, so well, then that begs the question. How are you so accomplished at 28?

Julia Blanchette, PhD 3:09
Yeah, so I think a lot of it goes back to my personal story and my own experiences living with Type One Diabetes. And when I was diagnosed, we didn't know anyone with diabetes. And you know, at the time, there wasn't a lot of social support on the internet, because it wasn't really a thing yet. I don't even think Google existed when I was diagnosed. So we actually met a lot of local families who we are still in touch with. And we had a great support system, through kind of the families that we knew from town and then also just from our family, friends and from my friends, and they really lifted me up and I saw the power of community come together. That being said, I didn't have a very traumatic diagnosis. I wasn't very sick. Obviously, my parents thought I was very sick because they didn't have a child with a chronic condition before that, but I wasn't NDK when I went to the hospital is more just to learn how to manage diabetes than to treat me for something really critical. So and then coming out of that I was kind of put into a situation with a great support network. And then from there, I you know, my parents were really supportive in a way that worked on they really encouraged independence, but they weren't pushy about it. And I think I kind of just took everything on myself as I was ready. Don't feel like your child has to do this. I think that part of that is innately who I am. I think I'm a pretty like I want to do things I I get really interested and passionate about things and want to learn how to do them and learn how to help other people and so that kind of led me to my career. career path. So, when I applied to college, I, I didn't know if I wanted to be a nurse because I wasn't thinking I wanted to be a bedside nurse, I really wanted to be a Diabetes Care and Education Specialist like the nurse practitioner that took great care of me and really empowered me to not let diabetes get in my way. And it's really live a normal childhood that my mom and dad provided me. So when I applied to college, I kind of I knew I wanted to go into healthcare, but I wasn't so sure I wanted to go into nursing at first because I knew I didn't want to be a typical bedside nurse. And I knew I'd had to have to go through all that training. And then I knew that the path to becoming diabetes current education specialist wasn't going to be really direct. Like, I know, I may have to take on other jobs in order to get there, you know, turns out Oh, sorry,

Scott Benner 5:56
no, no, let me say that I think it's interesting that we, how we sort of sometimes judge people, right, like this idea, like, this one's not trying hard enough, or that one doesn't want it enough, instead of just saying, some people just aren't wired that way. Right. Like, as you're talking, you wouldn't even know this about your I mean, maybe you'd know it about yourself, but I don't think you'd recognize it, as you heard yourself explaining your life. But you're obviously going to just be kind of balls to the wall, no matter what you do. And that you were, you know, kind of lit up by somebody who helped you at one point and made a decision to go in that direction to help other people. That's, that's amazing. But what I'm saying is, I think that if you if you would have been 12 years old, and gone to the library and been like, this is the most magical place, you'd be the most accomplished librarian in your town right now. Like, like, I don't mean, like you, you have that thing. And, and while that's laudable, and amazing, and the world needs you. I think that if your kid is somebody who gets up in the mornings, like, I want to draw pictures and walk around outside and look at the sky, you can't look at them and say, I wish they were more like this person. I think they're just who they are. And the reason I bring that up, is because I think that that translates into how people manage their type one. And I've been around people long enough just on the periphery, to see that I don't think there are motivated people who really care about their health and unmotivated people who don't care about their health, I think they're just different ways people's brains work. And that applies to everything, even when it's something as serious as diabetes, but I think

Julia Blanchette, PhD 7:38
you nailed it. No, you totally nailed it. I think, like even thinking about the difference between me and my brother, like, he's kind of he's artsy. He's, he's a jazz musician. And I think growing up, like I was very driven with academics. And, you know, you might call me type A, and I think he, you know, he was very not, and I think, if he were diagnosed with diabetes, and neatly, his management style will be a lot different than mine. And that's okay.

Scott Benner 8:07
No, no. And I think it's funny, too, when we hear type A, I think it probably lights up to different parts of people's brains, either you hear typing, you think, Oh, that's a person who's going to be successful at what they do. Or you hear type A and think, Oh, well, there's a crazy person who's going to go to extremes and ruin their lives focusing on minutiae.

Julia Blanchette, PhD 8:26
I'm a Type A not to be typing.

Scott Benner 8:31
I know like you hear people say sometimes, and it always comes off wrong, but I don't think we hear it correctly. I'm glad child a got diabetes and not child B, because child B wouldn't have handled it. Well. I think that's taken wrong. Nobody's nobody's wishing diabetes on child a in this scenario. They're just saying, for as hard as this is, and as well or not. Well, as this is going right now, if the other one got it, it would have gone worse, because they know their personality.

Julia Blanchette, PhD 9:03
Yeah, but I think if you look at it from a different angle, it could have gone differently, right? So someone like my brother, he's not super Taipei, so maybe it wouldn't have impacted his life in the same way. It impacts me, but maybe he would have found other ways to manage like, you know, he uses music as an avenue to kind of keep himself mentally healthy. And so I just think everyone's different. But I'm glad you brought this up. Because this is so my first summer working as a nurse a diabetes camp was what I realized that not everyone had the same diabetes experiences me and when I really my eyes were really open to see that everyone had a different self management style, and different support resources. And that's actually what drove me to apply to do my PhD was when I saw all those differences. And I saw that my experience was so different and that I realized that I Wanting to dedicate my life to this and learn about how to help other people who had greater barriers than me.

Scott Benner 10:08
And I have to tell you that I'm very focused on this to sort of behind the scenes because and he doesn't come up very frequently on the show, but my friend Mike is passed now. And he was diagnosed with type one when we were like 19, or 18, somewhere in there. And he was just a voracious passionate reader. He liked photography, art, you know, he wanted to see cinema, he wasn't, he didn't care about making a lot of money. He wasn't looking to dominate a business, he wasn't trying to be a millionaire. He wanted to get up in the morning, enjoy other people's artistic endeavors. And, and, you know, try to add to them himself. But mainly, he was happy to take in other stuff because he wasn't a voracious reader, like today, I'm going to learn about how, you know, a fulcrum works. He's he wasn't going to read a 300 page book on, you know, engineering, he was reading for pleasure, he was reading for escape, you know, and this was him Well, before. Well, before diabetes, he was always a kid talking about comic books back when nobody talked about comic books. And and he was just a good guy. He was bright, and he was articulate and caring. And when he got diabetes, it wasn't something that he was going to be able to pick apart on the level that I picked it apart, for example, but it doesn't mean that he should have had to pass before he was 50. You know, and I understand that when Mike was diagnosed, it was, you know, regular and mph, and you know, he didn't have a meter and nothing was the same as it is now. But still, I don't know that physicians don't sometimes look at people and go, Oh, well, they're just not going to do as good of a job. And I guess that's what that is. And and I don't think that has to be the case, necessarily.

Julia Blanchette, PhD 11:58
Yeah, I mean, I try to I mean, I don't try. What I do actually is I don't, I don't really look at someone's going to do worse than someone else. Like, I really try my very best to make sure that everyone has adequate resources, and they're given a chance. And I think a lot of times you kind of have to meet people where they are, which may be at a different place. And you really have to consider their life and their factors and figure out how to best support them. And I think Not everyone gets that.

Scott Benner 12:27
No, I agree with you. It's a it's an overused phrase, meet someone where they are, but its intention is, you know, is just as good as saying, you know, when you know, I hate it when people say I think outside of the box. I'm like, if you did you wouldn't say that, but I hear what you're getting it. But no, but I mean, I don't know how else to No, no, no, I agree with you. Yeah, yeah, like meeting someone where they are just means you know, you don't you don't approach a you don't approach a five year old and try to explain calculus to them, you start with what they can take in and, and it's hard to think about people that way during a medical situation, but some people are going to walk into a doctor's office and not have either the capacity, the desire the drive, or maybe even the knowledge of how important it is to apply to when somebody says you Hey, I see you're spiking every morning, tell me what you're eating for breakfast, and you're having three things that compete with insulin, all in different ways. You know, you're having a cereal bar, which is going to hit for forever and hard. And then you're mixing in some sort of like fruit juice, which is going to hit you really fast and spike you up at something and you've now mixed in every difficult food into one thing. And your blood sugar jumps up to 200 it stays there for a while it comes crashing back down. You stop it with some juice, you overcorrected, it goes back up. How many times do I have to tell you, you can eat that for breakfast? Or you have to thoughtfully figure out how to put the insulin in? And how many times do I watch you not do it or not be able to accomplish it before as a practitioner, I think well, I guess this person's just going to do this in the morning. And they're not, they're not motivated to change.

Julia Blanchette, PhD 14:12
And that's where I come in as I show them the data and kind of help them figure out okay, if you really like this cereal, how can we eat it? In a way that won't spike you as much?

Scott Benner 14:23
Yeah, well, but you know, the problem is, and this is off track already, all of our conversations are gonna end up being but um, but I can Bolus for those things. I'm sure other people can too. But there's so many considerations along the line, you have to have a real confident understanding of the insulin so that you're not afraid of it and all this other stuff has to happen. And then then then the X Factor is of course they don't eat it in front of you. So they're doing things that are impacting the outcome that they don't know are impacting the outcome that you can't see because Cuz you're not with them?

Julia Blanchette, PhD 15:02
Yeah, yeah, it's, it's tricky. And I think, with a lot of providers, like, if you don't have time to actually help the person with diabetes, think about all the factors, it's really hard for them to then understand how to make changes. I've helped

Scott Benner 15:17
to separate people in the last 10 days. One of them listened. Wow, one of them is listening, sort of, and you can see it on their graphs. And I don't know how to tell the second person, if you would just stop thinking for five minutes and just listen, this would be okay, you'd see it be okay. And then you'd learn how to mimic it. But they're, they fight against it. It's, um, and I don't mean to fight in like a adversarial way. I mean, that I again, I think they're doing something they don't realize they're doing, it's having a big impact. And because I can't be with them, I don't know how to, I don't know how to stop them. You know, long enough, you know, how like, sometimes when, like, a kid freaks out, sometimes you have to just go like, Alright, everybody stop. Everybody stop. We're gonna start over again. I feel like people's management is like that sometimes. Like, it's like a kid that's out of control. I was gonna say tantruming. But I don't mean it like that. I mean, just like there's craziness and yelling and arms flailing and, and, and sometimes you just got to stop, you know, you have to stop and start over and try to see the bigger picture. I don't know. Well, alright. Julia, I don't know how that happened. You know, I got interested in something that you said. And then I was like, Oh, well, that's got nothing to do with why she's on. But that's interesting. We're gonna talk about two simple things today, I think that are very difficult, but simple questions. And they're questions from the Facebook group, the private Facebook group. A first one is, how do I manage a kid with type one, so they don't also suffer from depression, anxiety, eating disorders, stuff like that? And what do I do if these things happen anyway? So how do you talk to people about those issues? And can be avoided?

Julia Blanchette, PhD 17:09
Yeah, so this is definitely a long conversation, it's not going to be a boom, boom, boom, answer. Um, yeah. So that, you know, people with diabetes, children, adolescents, young adults, adults have a higher risk than the general population of anxiety and depression. And then those eating disorders typically emerge during the adolescent young adult years, which were also at higher risk for. So why do we have such a high risk? So you know, a lot of living with a chronic condition and the extra stressors, definitely contribute to an increase in risk for those mental health comorbidities. But if you go to the roots of it, so you know, there's some people and we were kind of talking about this before that are innately more prone to anxiety. So that's kind of in its own bucket, right. And so, example, like, I'm innately more prone to anxiety, like I have anxiety at baseline. That being said, the anxiety I have isn't particularly related to diabetes, it's related to other things. So somehow, I somehow it doesn't relate to diabetes for me. Um, but I am ready. Right? Isn't that crazy?

Scott Benner 18:23
Is it a driver in your type A personality?

Julia Blanchette, PhD 18:26
Yeah, I'm innately more prone to that anxiety. And I think so what I was about to go into, though, is I think a lot of it has to do with your diagnosis story, right? So I didn't have a traumatic experience. And then I was surrounded by a great level of support and encouragement. And people that lifted me up and helped me feel normal and gave me a sense of normalcy. And my providers increased my self efficacy and self management skills and confidence. And all of those factors are protective against anxiety and depression related to diabetes in a young child, right. So I had resources I had support at the time, my family functioning, was, was high and we were banded together, changed later down the road. But, you know, family functioning in itself contributes to the risk of anxiety and depression in kids with diabetes. And, you know, I really just had that stable support system. And I didn't have a traumatic diagnosis. Now had I had a traumatic diagnosis, the best thing would have been to go right to get psychological help. And I think a lot of the pediatric diabetes clinics as part of their standard care do have the family meet with a pediatric psychologist at diagnosis, and I think that's good practice because, you know, like a kid adjusting to a new diagnosis and changing what's normal can induce a lot of anxiety. So I think that's something that everyone should do if you have the chance to do it. Now that being said, I think anything that's new and different, can definitely lead to those feelings of anxiety and depression. Right. But depression, I think comes with our from the burden. And the burnout related to diabetes. Sometimes it'll happen at diagnosis. But that's usually more for like young adults and adults, it could happen with kids too. But I think with kids, we see more of the depression happening and like the adolescent, young adult years related to just the burden of diabetes, and being different, and having to deal with this and having those blood sugar swings that can also contribute to feelings of depression. And so I think that answered part of it, I have a few factors. One, I

Scott Benner 20:51
want to ask a question. So yes, do you see outcomes? Driving burnout? Like, do people who have amazing, are there two different ways to burn out? I guess, is my question. So let's say that, like someone has the outcome they want more often than not, right? Whatever it is, they're they're aiming for. And does that person get tired of diabetes less than a person who has crazy variability that feels uncontrollable, and everything feels like it's not within their power to affect.

Julia Blanchette, PhD 21:29
So Person B is going to be more prone to getting burnt out. But Person A can definitely get burnt out too.

Scott Benner 21:35
So when you lay right, in focus why,

Julia Blanchette, PhD 21:39
yeah, like, if you don't know how to how to manage your diabetes, and you don't have resources, and you feel like everything's out of your control, that's out of control feeling is going to lead to burnout. But then sometimes you can get, you know, tired and just emotionally at your capacity when you are really intensively doing something like the other type of person that you describe. So it can go either way. But doubly the person that doesn't have the tools, or understanding will have probably have a greater chance.

Scott Benner 22:15
I just wrote a note for myself, because I just found myself thinking that I want to talk to Jenny too, about what it feels like for her when she burns out. Because I if she does, because she appears to be the kind of person who's just got a good disposition. I don't even know how I mean that exactly. But I don't think Jenny gets down for long. But I'm wondering if I'm wrong. And I want to and now I want to find out because if she experiences that, then everybody's going to because she is amazing. At her outcomes. She's She's not burdened by her meal choices, like she's not getting up every day going, Oh, I can't believe I have to eat this. Like she's happy the way she eats. And she understands how to use her insulin. So I obviously I mean, you've listened to the podcast for a while. Yeah, I believe that if you understand how to use insulin, you'll have more frequent stable outcomes. And that'll make things easier for you. I wonder if I don't not think about it as burnout. Because I don't have diabetes, I think about it as aggravation. Like, well,

Julia Blanchette, PhD 23:20
so if you're if you're someone like me, or Jenny, I'm gonna grip myself with Jenny because I, I find that I'm exactly what you just described, like, I'm happy with what I eat. You know, there are times when I get frustrated, like if my blood sugar's higher than usual, and that come down like, yeah, that's frustrating. Yeah, um, but for the most part, I knock on wood, I've never gone through a period of burnout with diabetes. And I think a lot of it is because I, I do understand, and I'm not hurt on my sleeve, even on you know, we have a bay, but I'm not hard on myself with diabetes, because you can control what you can control. And you do your best, and you understand what you understand. And you try to minimize the fluctuations and patterns, and that's your best. And so to me, I don't get frustrated when things go slightly wrong, because they're going to go slightly wrong sometimes, right? If I have a bad site, for example, or if I miss count carbs, and that to me, that's, that is what it is. We're not perfect. But I do think the people that seem to get burnt out, are also people that I find a lot of times they're putting in way more effort than they have to be because something else can be changed.

Scott Benner 24:34
Okay. I okay. So they're working hard. It's like they're beating their head against the wall. They're trying Yeah, the wrong things. They don't realize that they think they're the right so that's my other thing, but you were talking about like getting frustrated about at a high blood sugar. And even that can be dependent on your level of, I think knowledge and skill around using insulin because if a blood sugar appears to just magically get high. That's one frustration, right? That's a frustration that there's magic happening that I'm unaware of and don't know how to control and it's causing this blood sugar.

Julia Blanchette, PhD 25:12
Now, I don't believe in magic. Right,

Scott Benner 25:13
right. I don't either. But I think that's how people feel about it. Let's the diabetes, Carrie has decided your blood sugar is going to be high, right? But instead, that's not why like you. Listen, I'll say it here. And I mean it, I'll defend it anywhere. If your blood sugar is too high or too low, you're using insulin wrong. That's it. And so it there's no more or less to it than that. Yeah. How do you how to use it correctly? There's a lot to but at it's good.

Julia Blanchette, PhD 25:39
I think what I was trying to get at is even like someone like me, and I bet Jenny will admit to this too. Like, I'm not 100% enraged with a flatline all the time, I'm close, but I'm not, you know, I have there are things that I do that I want to do. That'll vary my blood sugar a little bit sometimes. And I just, I don't get frustrated with it, because it is what it is. Does that make sense?

Scott Benner 26:01
Oh, no, it doesn't mean it. 100%. And I agree with you. I don't. I know there are people who feel like it's it that they want to keep their blood sugar at 83 for their whole life. And there are ways to eat the keep it that way. Like you can I'm

Julia Blanchette, PhD 26:14
not that person. Like I understand the science behind it, you know that? You know, there might be people that listen to this that have a different viewpoint. And I understand that. But from my standpoint, there's no point in me trying to lower my agency, like I'm already at a level where I feel is low enough. And that I don't put in a huge amount of effort to get here. And so I'm like, why would I put in more effort to get lower when the data is showing that I'm not, you know, I'm not varying. And my risk of complications with this agency is a one C and really time and range, right? And my variability is quite minimized. So why would I try to make it flatter? Yeah, kind of how I feel. Oh, yeah,

Scott Benner 26:55
I'll give you an example. I just have to open up this app. So Arden's blood sugar right now is 120. It's been addressed, okay, like it's it's we've dr address the 120 with the same you know, veracity that somebody might address a 300 I'm like I have that I'm going to make that 85 again, but looking at Ardennes I have Arden's last seven days here, estimated a one c 5.4. Standard Deviation 30 codo coefficient of variance 28. And an average blood sugar of 107 Arden's a one C has been in the mid fives for years, it's been between five, two and six, two for like seven years now. And right now she's in class. You know, she's in her bedroom in front of a laptop, but still, she's in class. And something clearly happened that made her blood sugar go up a little bit. And I'm not going to over Bolus a 120 and cause her to have to have carbs a half an hour from now. So that the 120 only exists for a half an hour instead of an hour. Do you know what I mean? Like I just that seems okay to me, like I've seen my own blood sugar, and 120 happens. You know? So I think that in the pursuit of stopping a 300 there's this anxiety that comes as soon as you see the blood sugar going up. It's gone to 300 so many times, you're just like, oh my god. Oh my god. Oh my god. If it ever goes up, it's definitely gonna go to 300 but we don't live in that space. Arden's insulin is set up in such a specific way that it's nearly impossible for her blood sugar to go to 300 unless something radical happens like our pump gets knocked off or like something like that.

Julia Blanchette, PhD 28:46
But you know what? I've even noticed when my flight gets delayed when I was actually I can't hear

Unknown Speaker 28:54
you hear me now? Try again.

Scott Benner 28:55
You even noticed when your sight Do you hear me? No, no, you're really low. Hold on. That could be me. It is me. It's not you.

Unknown Speaker 29:04
Hear me now? Give me one second. There's a setting in here that I have to why does it want to do that?

Unknown Speaker 29:13
That is unpleasant.

Scott Benner 29:18
Hold on one silly Second. Okay. All right, got you even

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Unknown Speaker 33:20
Alright, God testing

Scott Benner 33:22
you there. You even you even notice when your site

Julia Blanchette, PhD 33:26
like when my site is bad right now, I will go up to like, I'll start I'll start seeing myself creep up like, you know, above 180. And I know something's wrong. And I'm at the point where if I get into the mid to hundreds I feel disgusting. Like disgusting. Yeah, from a bad site like and it ruins my day. So that that is a point of burnout for me like I had a period a few weeks ago where I had a bad box of infusion sets. And it was kind of dramatic, because you know, I, you know, I train on all the pumps and everything. And I have resources. And I was I tried a couple different boxes. And that was a little frustrating. But even that, like I'm more felt frustrated because I didn't feel well opposed to feeling super burnt out.

Scott Benner 34:07
Well, that is something I didn't bring up that I meant to a little while ago because you alluded to it, you know, when your blood sugar goes up and you're aggravated. You do have to see if you're an aggravated caregiver or an aggravated person with Type One Diabetes. You both have different stressors and aggravated caregivers worried they're hurting. They're the person they're caring for. The person who has diabetes is going to feel unwell because their blood sugar is high, which could lead to aggravation and does.

Julia Blanchette, PhD 34:35
Yeah, and I think it's so important for caregivers and I'm not a caregiver, right. So this is just speaking as someone with diabetes who works with caregivers and people with diabetes, but I think my mom is not an angry person and was always supportive and compassionate. When my blood sugars were going up and down throughout the years. You know when we had the type of people That didn't even have self adhesive on the infusion site or a Bolus calculator, but that's a different story. But yeah, so even when we had like that type of technology, and I had technology failures, my mom was just sweet and compassionate and supportive. And I think that really helped me. And I think when I'm working with people with diabetes, they don't want someone who's going to yell at them. There's so much shame people come in so afraid and embarrassed to look at their data with me. Yeah. And that's not how it shouldn't be people need support. So I Well,

Scott Benner 35:39
two things. First of all, the next time you speak to your mom, you find out for me, and I'll ask you next time, did she smile to your face? And then run into another room and yell into a pillow? or was she just like that the whole time that I want to know. And

Julia Blanchette, PhD 35:54
she's like, not the whole time, I can verify she's not an angry person. Just it's just weird. It's weird. She's a neatly like this magically, not angry, not anxious person, and I don't understand. Um, so that's who she is. She had tips for coping mechanisms, but I don't think she does. I just think innately she was like, this is how it is. And we're gonna do this. But I mean, I think in a way to she had good support. So maybe that's what helped her through it. I don't know.

Scott Benner 36:23
You don't think she was like in the laundry room? She turned three sneakers in the dryer, turn it on, just yell fuck for 20 minutes. And then No,

Julia Blanchette, PhD 36:29
she hasn't swear. I swear, my mom does not she's like, every time I swear in front of her. She's like, I don't know where you came from?

Scott Benner 36:39
Oh, yeah, I guess so she's all sad. And you're like, all wound tight. She probably like what happened? Okay. Okay, so we, again, this is gonna be a meandering conversation, because I don't have the real ability to do anything otherwise. But so. So support is what you're saying. It's I mean, I feel like what you're telling me is that if you're well supported, you're not the kind of person that flips out and causes more anxiety than needs to be and you understand how to use insulin. These are the measures you take to try to avoid the things that we mentioned.

Julia Blanchette, PhD 37:13
Yeah, and I think when we're talking about support, it supports only so helpful when you don't have the knowledge base and self confidence and understanding and self management. So the two are very important together. But you know, also, there's other factors too, like resources. Just think about when I was diagnosed, I went to Yale New Haven Hospital and had a great pediatric endo team, they gave us all the resources, we needed, all of the knowledge that they had to share with us. If you're in a more rural area, or don't have that amazing diabetes team like that, in itself, can change your diagnosis story and what you're thinking and can impact you. I partly

Scott Benner 38:01
love how the podcast works because of geography and how some people just don't have access to the same things that others do. But I am also thinking that maybe, like, when you when you say you need good support, that probably can seem like pre defeated to people, because what does that mean? Like, you know, if I don't know how to do diabetes, I think people might be thinking that support means that someone else will tell you how to do it, which obviously, you need, but I mean, but I think

Julia Blanchette, PhD 38:33
knowledge, right? I think the other person is more of the knowledge base. I'm talking about, like we didn't know anyone with diabetes. And I can tell you, we had any, you know, this is pre COVID times and everything. I had people coming into the hospital, my friends all showed up at the hospital. We danced around at hospital socks. I had, you know, I we painted our nails, we did puzzles, we read books, like this is what I remember that being in the hospital. I don't remember being scared and sick.

Scott Benner 39:01
Yeah, maybe. That's what I meant is that real support is sort of not as much support as it is the lack of stress. Yes. Like you can support somebody by not adding to their burden.

Julia Blanchette, PhD 39:15
Exactly. And you just need people that you can lean on, right. So part of what made my childhood so normal is that we had people that supported us, and really came together to help our family. But they you know, they also like I went to sleep overs. And yeah, probably that was probably something that made my mom really anxious. But we had multiple family friends that were willing to have me over for sleepovers like that is the type of support that made my childhood normal. That, you know, my mom knew that these people were also willing to help care for me. And they just did what my mom said right? So they didn't necessarily have the knowledge. It wasn't necessarily knowledge. It was just having community support people to lean on people to help us make the situation normal. Yeah. And not everyone has that. But I think what I'm trying to get at is, if you have people you can lean on that in itself can reduce the risk of anxiety and depression.

Scott Benner 40:20
Now, I, Kelly sister would have Arden overnight, and she really just didn't know what she was doing really, but she just took good direction. She's like, so I'll tell her here. Um, well, she was willing to be up at three o'clock in the morning to double check things like she just she was she she was willing to create a place for art and to feel like not accepted but not excluded, I think is the Yeah, right. Cuz she was obviously accepted there. It's when the exclusion comes in. Well, I don't want to get up at three in the morning to check your kids blood sugar, so they can't stay while everybody else stays. It's not exciting people. Yeah, excuse me.

Julia Blanchette, PhD 41:02
And the other thing that really helped me to feeling a sense of normalcy was actually going to diabetes camp. So I think before I went to camp, I did not care to show anyone my insulin pump, I kind of, you know, I felt different, even though I had a great support system. And my friends were very nice about it. And, you know, very supportive about me wearing an insulin pump. I just, I didn't really want to show people I didn't know I kind of covered it up. And so going to diabetes camp also gave me another sense of normalcy and support. I'm like, wow, I'm not in this alone. There's all these other kids like me. So

Scott Benner 41:39
I see Instagram do that for people. Yeah, their ability to just show their pomp or put in their bio. I have diabetes. Like I think that's another form of not hiding.

Julia Blanchette, PhD 41:49
Yeah, no Instagram, though. Did you say Instagram you got cut off?

Scott Benner 41:53
I did. Yeah, I just mean a place a place where someone can go out into the world, whether anybody sees it or not, and say, Look, my CGM is on my arm. It's okay. Like, this is a normal picture of me and my friend. And I'm not hiding this thing. It's not that they're not hiding it is that they're, they're expressing that it exists. And and I don't know, like, I also see the value for some people not telling anybody I understand when adults tell me they don't want their Boston or they have diabetes, I get that. Well, that's a different, but that's a different stressor. Yeah,

Julia Blanchette, PhD 42:25
yeah, that's a different totally different situation. It's you don't want to be judged or treated differently, or, you know, not given the same opportunities in the workplace because of it, right?

Scott Benner 42:36
That it's different than just saying, hey, world, look, I have a insulin pump on like, that's not the same thing. But still, they I get we're going to diabetes camp is just fine. You're in a place where literally nobody can hide that they have diabetes, you need to have it to get in. So

Julia Blanchette, PhD 42:56
yeah, yeah, exactly.

Scott Benner 42:59
We don't like kids come here, don't have diabetes, we all have it. And then that, that's just one consideration that's gone. I ever everyone knows, and, and maybe everyone's experience isn't the same, but at least there's, we have a baseline that we all share, I guess

Julia Blanchette, PhD 43:16
I actually think diabetes camp opened my eyes to so many things. So I need friends from all different backgrounds like camp, and that to this day has really shaped who I am. So just a little shout out to diabetes camp camps, in general, really teach kids a lot of skills that you don't get otherwise. So I benefited from camp in general. Um, you know, from my own development standpoint, but also, I grew as a person with diabetes, when I first met more people my age with diabetes

Scott Benner 43:50
camps a funny thing, because I think people have one of two very distinct and different reactions to it, either, it seems exactly the way it seems to you or other who were like, Oh, I am not doing that. And I don't, I would never want to do that. Like I just it's, I think there's there that falls into two basic factions, like you're either this is a great idea, or Oh my God, I cannot think of anything worse than going to a place with a bunch of people I don't know, and sleeping in a cabin with them for two weeks. I

Julia Blanchette, PhD 44:17
was really scared. I was really scared. I actually used to not be an outgoing person at all. And it did freak me out. not lying. Um, but I think it made me more comfortable and kind of helped me connect with people in a different way. And it took me out of my comfort zone and I think that's what helped me grow. Yeah,

Scott Benner 44:39
no, I listen, I'm not saying there's a right or wrong. I'm just saying I think there's a reaction to the I don't even mean diabetes camp. By the way. There are people like you. Oh, yeah.

Julia Blanchette, PhD 44:46
All sleepaway camps. Yeah.

Scott Benner 44:48
If you told me when I was 15, that I would expand myself by going to a summer camp. I would go. I'm not doing that. And that would be the end of it right there. I don't there's nothing about that. that strikes me as a good idea. And I'm not discounting how amazing it is for other people at all. I'm just saying that for me personally, it doesn't. It doesn't make any sense. Okay, so I guess I guess I'd like to know, too, and it feels like it fits in here a little bit. How do I recognize the eating disorder as it's approaching?

Julia Blanchette, PhD 45:24
Yeah, so I actually didn't even have a chance to go into like, the risks for eating disorders and diabetes are a little bit different than anxiety and depression. Why I didn't do much, or Yeah, yeah, I have, yeah, I have some time. Um, I don't really have time, but I have time for you. So. Um, so with eating disorders, you know, someone who is more prone to anxiety innately is at a slightly higher chance of an eating disorder. And then any trauma, like a traumatic diagnosis, or any type of like family trauma, or any type of trauma can also contribute to all of those mental health disorders, and increase the risk for an eating disorder. But with diabetes, eating disorders are actually more prevalent than in the general population, because part of diabetes is this focus, there's two things one is the focus on managing your blood sugar's and trying to keep them in range, when, you know, it's not super easy for everyone to do that not everyone's given all those tools, right. And especially for someone who really wants to control everything, like that lack of control is what really can contribute to the development of an eating disorder. So I think, you know, this will prevent all eating disorders, but if you give your kids just the ability to feel like they're in control some way of their life or their diabetes, I think that may, um, you know, help prevent eating disorders slightly. But that being said, if somebody is really fixated on trying to control their blood, sugar's you know, in a certain range, and perfect it and they can't, that can contribute to controlling weight, controlling something, which would be what you eat, or what you put into your body. And the other thing with diabetes, that contributes to a high risk of eating disorder, higher risk of eating disorders, is just the fixation on everything we're putting in our bodies, right? So the fixation on all of these foods and how they impact our bodies in the carbohydrate content and counting, everything like that can also contribute to a higher risk of eating disorders. And I left out to just the, the feelings that you're not normal and discomfort with your own body because of diabetes is also something that contributes. So there's all those factors, in addition to all of the other psychological barriers and factors that can increase the risk of psychological distress and mental health diagnoses and people with diabetes. So with eating disorders, that's kind of what contributes to them. But the signs and diabetes, you know, are unique, because we have more data to look at. So, in particular, one of the biggest telltale signs is frequent decay episodes, consistent high blood sugars, omission, or not giving insulin, particularly at meals, eating carbs, I'm covered. I mean, some teams are gonna eat carbs, I'm covered, but it's more of like a behavior where you physically can't get yourself to give insulin to cover the carbs because you are trying to keep your blood sugar's higher. So some of those are kind of more in line with diabetes aimia. But, you know, there are people with type one that also have anorexia and so with that, you might see more low blood sugars and those lows might not come up the same way that they would in somebody with glycogen stores. So anorexia, I mean, not to like freak anyone out, but anorexia can be very dangerous too. with diabetes in addition to Dibley, Mia and I think we focus more on diabetes, Lamia, but anorexia is out there too. And the lows

Scott Benner 49:19
are you saying because with the lack of any kind of food in your body or the the the regurgitation of the food, your body doesn't have the ability to store glycogen either. So when you get low, the your liver can even help stabilize your blood sugar. Is that what you're saying? Yeah. Oh, that's frightening.

Julia Blanchette, PhD 49:39
That's great. So yeah, so PSA, if you know anyone who has diabetes and anorexia, if they do go very low, glucagon may not work. So that would be a situation where you have to give dextrose or glucose IV dextrose. If they're unconscious, I was fortunate.

Scott Benner 49:58
I saw someone give Luke had gone on, like they were talking about their low blood sugar incident. And they use glucagon a number of times. And I was like, I don't think they understand how this works. Because they put it in, you put it in once, and your body releases the stored, you know, glucagon. But you're putting in more doesn't it? You're the stuff in the needle isn't the stuff that makes your blood sugar come up this stuff in the needle is the stuff that releases the glucans. And, and that stuff I know, I'm not speaking Technically, the point is using three glucagon is it's no different than using one glucagon. But, yes, I watched this person make that mistake. And this was not a new person to diabetes, which made me want to bring it up somewhere because it did not, it seemed like something they should not have not understood.

Julia Blanchette, PhD 50:46
So sometimes we recommend to give a second dose. But that's like if you have a lot of insulin in the system and need a greater release of stores. Right. But if it's not working, it's not working. Because there's not you don't have the stores. morbid, but but it is a sign like lows that won't come up like that can be a sign of anorexia as well. Okay, so, um, and then there's just the signs of typical eating disorders to like with exercise anorexia, right. So exercising off more than you're taking in, on can be assigned to Wow.

Scott Benner 51:22
And it's interesting to that, as you're explaining it, the idea of wanting to control something is at the core of all these ideas, I'm either going to eat a lot, I'm controlling that, or I'm going to eat nothing, you're controlling the flow of food, right? And so when so these things come when you when the mind can't find any sense of control anywhere else.

Julia Blanchette, PhD 51:48
Yep. And the other thing too, that I didn't even get into is binge eating, binge eating is really common. in adults, I see it a lot in adults a diabetes, and that in itself, it's you're you, you're trying to control something and then you kind of just eat everything right. And that's part of the stress release mechanism.

Scott Benner 52:11
Yeah, and what is what can binge eating look like? Is it constant snacking? Or is it Oh, no, it's sitting down with a mass of food that not no one should take in at one time and just forcing it in?

Julia Blanchette, PhD 52:26
Well, so a lot of people who Benji will do it in private, like, they're not going to do it in front of others, but a lot of times, they don't eat a lot. And then or they're trying really hard to, um, for lack of a better word, control what they're eating, like, eat, like having fallen kind of like a rigid diet, and then they'll just binge on something. Later on, and the things that people binge on are different based on the person. But um, a lot of times it's in private at home, and I can't even tell you because I I don't do therapy with people who Benji, I just know, I, I work with people's insulin management when they have been eating diagnosis. So yeah, a lot of times it's it's eating a lot of food. And it's a stress relief mechanism. Well, Oh, geez.

Scott Benner 53:24
Oh, see, you're, you're you're like you're very upbeat, everything. Everything you bring up is exciting.

Unknown Speaker 53:31
I mean, I think that was my topic. And

Julia Blanchette, PhD 53:35
I feel like anyone that is seeking help, I mean, I look at it from the standpoint like anyone that's coming to me for help with insulin management that's seeing someone else to help with their diagnosis, like they're doing all they can to take control of their diabetes. And I think that's a good thing.

Scott Benner 53:53
Yeah. So what you're describing that I don't know if it's coming out or not, is that while while a person is off, trying to address their eating disorder with someone, you're actually helping them use the insulin to get through the eating disorder? Is that right?

Julia Blanchette, PhD 54:06
Yeah, I do that a lot, actually. Um, so we had a dietician who worked with me who specialize also in eating disorders. And she left. So I took on a couple of her patients, but even before that, I had some experience from diabetes camp throughout the years, with adolescents who had eating disorders of various types. And then, because eating disorders are more prevalent, and people have diabetes, and in the general population, I do have a handful of patients who have eating disorders. So Wow.

Scott Benner 54:39
Yeah. Well, that's really nice work. It's good work you're doing and I appreciate you coming on the show and talking about this. We're obviously going to try to do this more frequently with you. Yeah, so but I

Julia Blanchette, PhD 54:49
apprec I don't think we really had time today to go into like, how do you handle

Scott Benner 54:54
No, no, I think about 20 minutes into you talking I realized that this is not This is not a to be conversation. This is a longer, you know, chat. These are chapters not not just like, you know, bullet points. Exactly. Yeah. And And not only that, but we had a little technical problem in the beginning, that was my fault. And so we were a little shorter on time than usual. But still, I realized an extra 10 minutes wasn't gonna help anything. This is an ongoing conversation. So

Julia Blanchette, PhD 55:23
we could talk for a long time about it. So I will be here to complete the chapters. And we will

Scott Benner 55:28
that's it. So Julie is just trying to stay on the podcast more. She's like, I'll stretch this out a little bit. Now. It was your idea. I know it was. I'm just kidding. Look at you. Look, you got uptight right away. You're like, Don't blame me for this. No, no, no, I didn't do this. One day, we're gonna get into your specific insanity. Boy. I really do appreciate you doing this. And, you know, I really, you know, I'm not going to keep saying it to you over and over again. But your amassed knowledge, and how much you've put into all this already in your life is really impressive. So I'd like to keep this podcast going for a long time so I can find out what else you do. I want to see what like 48 year old Julia does. I'll be like, can you talk louder because I won't be able to hear you right then. You'll be like why are these air pods not working? I'm like I don't know.

Huge thanks Julia for coming back on the show. Thanks to Omni pod for sponsoring thanks to the Contour Next One blood glucose meter for sponsoring and thanks to touched by type one. Now you can check out touched by type one on Facebook or Instagram and of course at touched by type one.org check to see if you're eligible for the free 30 day trial of the Omni pod dash and Omni pod comm forward slash juice box and get yourself more information about the Contour Next One blood glucose meter or get started today. At Contour Next One comm forward slash juice box you may be eligible for a free meter.

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#489 Former Psychopath

Scott Benner

Beth is the mother of a child living with type 1 diabetes and celiac.

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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 0:10
Hello friends and welcome to Episode 489 of the Juicebox Podcast. I want to start today by admitting I am not perfect. This is one of these episodes that got lost in my filing system. I am now beginning to think that filing system is not great. Anyway, this is Beth Beth lives in Wales in the UK. She has two sons, one of whom has type one diabetes, and celiac. Beth is on the show today to talk about the diagnosis, looping and some mental health issues that she suffered with at the beginning of her son's diagnosis. This is a fantastic episode, and they just got it got misplaced in my files, I apologize. Nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, please always consult a physician before making any changes to your health care plan. And I'm going to finish this episode up and figure out a better way to do the things that I do here. Once again directly to you, Beth. I'm very sorry for the time that this took. If you guys can imagine she booked this in mid 2019. We recorded it in mid 2020. So I'm sorry. Enjoy the show. This show is sponsored today by the glucagon that my daughter carries. g vo hypo Penn. Find out more at G Vogue glucagon.com forward slash Juicebox. Podcast is also sponsored by the Dexcom g six continuous glucose monitor. You can get started right now at dexcom@dexcom.com. forward slash juice box.

Beth 1:52
I'm Beth. I'm 39. I live in Wales in the UK. And my son Finn is 11. And he was diagnosed with Type One Diabetes when he was two.

Scott Benner 2:02
Wow. So you've been at this for quite some time already? Yes. Is it feeling normal at this point? Or no?

Beth 2:11
Yeah, I'm obviously jumping ahead a little bit. We've been looping since August of last year. And that's made a huge difference to our well being and the way we live really. So yeah, I think after all this time is finally becoming manageable, then

Scott Benner 2:28
I will definitely get to that because I want to hear about the entire process. But yeah, I'm a little more interested in the moment. You're in Wales. Yeah. I want to know a little bit about what it's like to be diagnosed there. So can you take me back to when that happened? And sort of how it went?

Beth 2:44
Yeah. So Finn was down, he was coming up to three. So this was the January he was due to turn three in the April? And have he just sort of come out of diapers, as you would call them. So he was potty training. But I noticed that he was going to the bathroom a lot, drinking a lot. But then again, you know, you kind of sometimes think Well, yeah, but he's going to the bathroom or not because he's drinking a lot and vice versa. His clothes were a little bit looser on him. But again, he wasn't wearing the diapers anymore. And so, you know, everything has sort of had a reason for it. But it's sort of over a period of a week really, before he was diagnosed, things started to get more noticeable. And one night, the electricity blew in our kitchen. And so I took my two cents out to McDonald's for evening meal when my husband called the electrician, and it's literally a 10 minute drive. So I took him to the bathroom before we left. And then as soon as we got there, which was 10 minutes later, he was saying he needed to go again. So I took him again, he barely finished his food before he needed to go again. And then we needed to go to supermarkets, which is like literally just across the way from McDonald's. And as soon as we got in there, he started saying he needed the bathroom again. So we found a bathroom there. And then on the drive for me was sort of panicked, really, really panicking that he needed to go again. And every time I was taking him he was actually passing quite a lot of urine. So it wasn't the case. He was just worrying. He genuinely didn't need to go. And then the fall I think it was either that night or the following night. He woke up in the middle of the night and called me for a drink. And I had quite a large glass of water on my bedside table and he would normally drink water. And he would drink milk or sugar free squash and he just done this huge glass of water and then just handed it to me and said more. And it was sort of that at that point. Then I think I started thinking that he's got diabetes because my friend in work had type one. So I was my childhood friend. We happen to work together as well. I've known her all my life so I knew the symptoms. And I think I would that night that was the following day. My husband had the day off work and I was Didn't work and was just to go round and round around in my head. And I rang my husband at lunchtime and said, I think Finn's got a type one. And, and he was like, Don't be so ridiculous. He's been wrestling me all day, we've been playing football, he's fine. There's nothing wrong with him. And I thought, I don't know where there was a mother's intuition or anything. But anyway, I decided I had some glucose testing strips at home urine testing strips, because my other son had had a kidney issue prayer. So I had some of these strips left. And so I decided when he went to the bathroom, when I got home from work, I was just going to dip the urine. And I did the urine, and it just went to the dark as level of glucose possible. So we I rang the what we've got is like an out of our syllabus, or when it's after sort of between nine and five, you wring the out of hours and get in touch with them. So I told him that I dipped his urine, and it was really high indicator for glucose. And they were quite sort of dismissive. If I'm honest, saying, you know, are they indeed Do you sure you've deployed properly and even though I told them all the symptoms that he had, they seemed very skeptical of the fact that he was type one, but I kind of knew at this point. So they said, you know, you can take them to the local hospital, but they may not have the care today that you need, or you can bring him to the main hospital, which is only about 20 minutes away. So I decided to take him to the main hospital, I packed a bag, I knew I wasn't coming home. And then when we got there, they called us in and I'll never forget, he was fast asleep. And he had this parka cord, this big theory called dunks it was freezing cold. And they put like a lay him on the bed. And she was still quite dismissive of me. And then she sort of pricked his finger and her face just dropped. And I said, What's the matter? And she said, it won't give me a read any sugar is too high. And I was dead, then it was basically you get to the ward straightaway. When when I did the urine, there was no sign of ketones, which is a good thing. But

Scott Benner 7:03
when we got real quick, I know you were like in a frenzy when this is happening. But when she did the blood sugar, and it didn't work, did you have this feeling like you want to say Are you sure you did it? Right? Because

Beth 7:13
Yeah, it was like you didn't want to be sort of smug about it because I didn't want to be raped. But I was, I guess I do know to defer your instinct. The wrong way to dip a stick into urine, by the way, on my other side, and I explain this because my other son had had post streptococcal glomerulonephritis, about six months prior. So I had to dip his urine every time he went to the bathroom for months and record the inputs and outputs in the readings. It wasn't as if I'd never done it before. I wonder if maybe you had done it wrong. All those other times? Yeah, maybe? Yeah. So anyway, um, at the time, my husband was just in denial. He was I think, I at that point, I was wrong. And my husband was just like, no, this is wrong, you know. And he said, you know, we went for a walk it and I bought him some sweets. Could it be? Could it be that? And she just looked at him and said, No, you know, this should this should high levels of sugar. He's got type one. Our boys great. I know. He always looks at the positives, which is very grateful for in the following weeks. But yeah, we got to the ward. It was it was horrendous the next few hours, because they were determined to try and get a light into him in case he had DK in case he was in DK. And I kept saying, you know, there was no Keaton's on the orange ship. He's absolutely exhausted. He was screaming, crying. He's been through enough, can you just please wait for the Bloods to come back? And if he needs a line, he needs a line. So anyway, the nurse did get a line in eventually, and then He thrashed, and it pulled out and there was just blood everywhere. And, and she laughed in a nervous way. Yeah. But at that point in time, I could have killed her. And I just said, that is enough. You're not you know, I know it was nervous because she was obviously getting all worked up as well. But I said, wait until the Bloods come back, you're not put you're not putting him through that again. So they found this a bed and he had his first insulin injection. And then the Bloods came back, and he had no ketones. We didn't need to lie, which again, I was quite smug about it. Because, you know, I was like, I don't over these things. And so yeah, we were on mixed insulin injections then that back in 2012, he was at the Nova mc 30. So it was like 30% long acting 70% fast acting, or vice versa. I can't even remember now. Yeah. And he just had sort of the one insulin injection with breakfast and another one with tea, even in meal. But it was just, if I were if I was to go back to that time, I think I've gotten involved with quite a lot of parent groups and advice groups and among sort of patient reference groups with the local health authority now and I know speaking to nurses that are training to be diabetic nurses, or just General news is, and that is one of the things I've said his bedside manner is so important because that I know, when when we finally met the DSN, it was sort of, you know, give me an orange and practice inject in the orange. And, of course, it's not the same injecting and oranges injecting your two year old child. But it was, I know, you've got to get used to doing it. But it was just the kind of way it was just we'll just practice on that. And another thing that was said at the time was, I was desperate at this point, and just saying, you know, do you think there's going to be a cure for this? And, and I'll never forget, she actually said to me, yet I think there will be but I hope it's not during my career, because I love my job. No. Well, that's lovely. Yeah, and I love that has always stuck with me, because I and I remember speaking to a lot of student nurses, a couple of months back, and I said, this is something that was said to me, and they faces were full of horror. And I said, I know. But at the time, you just think, Okay, there we are, then. And it was just kind of washed over. But I think there's so much training needed, especially we've got such a shortage of nurses here with the NHS, which specialized in diabetes, things are improving slightly now. And I'm involved with a lot of the groups that are sort of taking place, but I think there's a huge need for a lot of, and I don't mean to be rude on this. But we've got a lot of older nurses who just cannot keep up with the technology. And I think that's a massive issue with the moment because technology is moving so fast. And they and a lot of them just can't keep up with it. Yeah. So yeah, that was how it started. I was I was, once I was in hospital, I was fine. I was quite control because it was next to me. You know, they were sort of taking care of him. And they knew what to do when they were given him the injections. And then it was sort of when I go home then that I kind of went downhill rapidly. And well,

Scott Benner 12:00
hold on. Because you know what, you're sorry. No, no, you're okay.

Unknown Speaker 12:03
Take a breath. You're

Scott Benner 12:04
doing great. By the way, either. That was a really amazing diagnosis story, or your accent just made it fantastic. I can't tell Oh, I hate my accent. No, no. You get used so many different colloquialisms that I loved. I just I was just giggling over here. So

Beth 12:20
I'm trying to use American words. You know what I'm talking about? Oh, don't worry. I

Scott Benner 12:23
know what you're talking about. And if no one else knows, that's their problem. I'm having a good time. No, see, you're fine, honestly. But you're just you know, a lot happened. And I know sometimes you can look up at that hour and think, am I gonna get to everything? Yeah, but but you will Don't worry. So you're back then. What are you in your late 20s or just turned 30? I was 31. Okay. And you had you had both of your children at that point?

Beth 12:50
Yeah, my oldest son, Keon was six, and Finn was coming up to three.

Scott Benner 12:55
Okay. So this all happens. And I want to just dig into the management just for a split second longer. They're giving you that was what was that? Was that what they called cloudy back then? Or that the insulin? Yeah, that's right. Yeah. So you're shooting like once a day for food, or your expectations for outcomes at that point, just completely different than they are in present day.

Beth 13:20
And yeah, I was obsessed. I'm an accountant by my profession. So I'm upset. You know, I and I'm a huge control freak. So this was the worst thing ever. And because no matter what I did, no matter what I tried, which looking back now, with knowing how useless that insulin is, it's no surprise, but it was so hard because he would be high. And I couldn't do anything, because he literally just had these two daughters one in the morning, one in the evening, and I'd be putting him to bed at night. And he'd be like, 17 or 18, which, sorry, that's in millimoles. Now, I'm just trying to think Well, that would be in your reading bird that is extremely high. And I couldn't do anything, because that was he had his doors. And then through the night, he would always come back into range by the morning, but it used to really, really stress me out how long he was actually high, and how long he was taken to come down from that height and what the damage he was doing. And that was something else that I was obsessed with at the time. Yeah, which didn't help.

Scott Benner 14:25
It gets to you were really imagining, like the internal things that were happening.

Beth 14:30
Yeah, yeah. And I was constantly googling the worst case scenarios and the and the the life expectancy of somebody with diabetes as opposed to somebody without and I drove myself insane for a number of weeks to be honest.

Scott Benner 14:44
Do you think I haven't but he doesn't do that though.

Beth 14:47
I think I was just surprised because I'm just so I'm quite a strong person. And I'm quite independent. And I, you know, I'm not one of these people who if I go to a hospital appointment, my husband say what do you want me to come? I'm like, No, you know, I'm fine. I couldn't leave the house for weeks, I couldn't go to work, I couldn't do anything. And I just lost myself completely Well, for a number of weeks until I sort of somehow somehow pulled myself out of it. You know, I was on medication for a little while. And I joined a support group for parents of children with type one, which massively helped. And I think one day, I just thought, you know, you You've just got to deal with this. It's not going away.

Scott Benner 15:29
What were the real implications in your life? So you are, you're obsessively looking into the worst case scenario of having type one diabetes? Yeah, you're you're you're filling yourself with, you know, internet stuff, which of course, the internet is really only good for like four things and one of them to tell you the worst things in the world. Yeah, the other ones porn, by the way, there's not a whole lot the internet. Email. Yeah, that's pretty much it. And so and so you're doing that? And, and at the same time, you're having those thoughts about and I had them too about like, what did these high blood sugars doing to arteries, veins, you know, her body, how she's thinking, it becomes overwhelming. Did you ever go back to your childhood friend and talk to her, I'm interested.

Beth 16:21
This is a standard joke, because my childhood friend rang me every single day. And I literally never answered the phone. I couldn't even speak to her, the only people I could speak to was my husband and my mother. And I just wanted my mother to take me home and look after me. But it's a standing joke with my friends with my best friend now, because she's like, every day you just completely ignored my phone calls until I said, as I as I got a little bit better, I suppose I finally did start sort of speaking to her. And we did go to she said, Look, I'm picking you up, we're just gonna go for a coffee. And the thought of leaving him then was was another massive hurdle. But it was literally a mile up the road. And my husband was saying, you know, you need to go and speak to somebody else you need to get out. And so we went to this coffee shop. And I kept saying to her, you know, he's gonna die 10 years earlier, then Bella, because, sorry, to go back, her daughter was born three weeks before Finn. And so we spent our whole maternity leave together, we did everything together. And they were we always used to say, oh, you're going to get married, you know, and all this nonsense, but I used to say to her, you know, he's going to he's going to die before Bella. Now he's going to die like 10 years before Bella. And she, she just looked at me, and this is something else that sticks in my mind. And she said, Bella could get run over by a bus tomorrow, you don't know that. That's a ridiculous thing to think. And, and it made so much sense when she said it. And I and I just thought, yeah, you're right, you know, I'm googling all this, all this stuff on the internet is based on people who've had diabetes for 80 years, which, let's be honest, is nothing like all the treatments are like now. And I think it was those type of things and which slowly made me sort of come to my senses a little bit and, and made me realize that, you know, I was focusing on all the negatives, and I just really needed to focus on the positives. And that's kind of what I've tried to do since that moment. Really,

Scott Benner 18:18
I have to tell you, Bella, and Finn would be a great title for a Disney Channel show for like, 20

Beth 18:24
years old, and every time we say they're gonna get bothered, they literally want to vomit.

Scott Benner 18:29
It's not gonna happen. Which got annoying, they're not gonna help you keep your friendship together. So I am I want to know in that time period, like that time period of darkness for you, how long was it? Did it last? I was off work for six weeks. How far down the like the rabbit hole. Did you fall like Were you worried about yourself? Did you think you couldn't get back from where you were?

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I find managing diabetes to be much easier with the Dexcom g six continuous glucose monitor. I don't know that I've ever just said it that way but it's incredibly true. Before Dexcom I was not so good at managing blood sugars. But now that I can see the rate direction and Number all in real time, makes decisions much much easier for us. So think about that. I gonna pick up my phone right now and look to see what Arden's blood sugar is. It is 85 and it is stable. That's it. I can see that right there on my phone in that short amount of time. By stable, I mean, her blood sugar is not fluctuating up or down at a rate the CGM sees, you know, I'm saying like it's not moving, it's not going to be 87 or 88 or 90 soon, but if it was, there'd be a little arrow that would sort of just turn up and show me Oh, the blood sugar's moving this way. Those arrows indicate speed, there's a diagonal up arrow, a straight up arrow to arrow straight up. And they all mean different speeds, and you get to know them very quickly. They're also accompanied by little tones that you can set up. For instance, art and CGM will tell me if she crosses 120 going up, or if she crosses 70 coming down. And that's how I make those decisions. in real time. That's how you stop a 120 from becoming a 190. You can just sort of be like, well, we're getting on a range here. And let's kind of bump it back a little bit. And you're right back at it. dexcom.com, forward slash Juicebox Podcast and can actually share her data with up to 10 followers on Android or iPhone. I'm one of the followers. My wife is another and we could pick eight more. And of course, Arden can see everything on her phone, that doesn't count as part of the 10 It's really incredible. Check it out, please. dexcom.com forward slash juice box. There's links in your show notes and links at Juicebox Podcast comm if you can't remember it, buddy, you can just type it into a browser dexcom.com forward slash juice box Get started today. You will not regret it. Were you worried about yourself? Did you think you couldn't get back from where you were?

Beth 21:56
At one point? Yeah. I even thought about killing myself if I'm perfectly honest, it was really dark time. I can't describe how out of control I felt it was it was terrifying. And and when I finally went to the doctors, and they gave me antidepressants, they put me on to higher doors. And so I spent one night having anxiety attacks all through the night. And my husband literally nearly carried me into the doctor's on the following morning. And just because I was like a zombie between being overdosed on antidepressants, and not sleeping. And she just said you should never have been started on a dose this high. Cut it in half. Here you go. And then she gave me something to help me sleep and said you just take one. And then I remember coming to my room and saying Okay, I'll just take the one and I took one and I actually said that will knock you out for like eight hours. And I woke up after an hour and took another one. And then I woke up after another took another one. And then my husband came in and was like, What have you done? And I was like, I just need to sleep. I don't want to be awake and not dealing with it. So he flushed the rest on the toilet. And then Oh, he

Scott Benner 23:08
was wrong about that candy thing. But he got that right. That's good.

Beth 23:12
So, um, yeah, I think you know it, I just had to deal with it. No, the obviously the medication on a much lower dose was very helpful and, and I slowly sort of pulled myself through I guess, and my husband was amazing at the time, you know, he was going through hell, but he and I, he never showed any weakness to me whatsoever. And the amount of times I just sat there sobbing for hours and he just sat there trying to talk positively to me. And you know, it was my mother, I would never have gone through that time. But looking back now I can't ever imagine feeling alone but at the time it was really bad.

Scott Benner 23:49
I have a number of questions. So prior to the diabetes, Had you ever felt suicidal or had depression before that? No, no.

Beth 23:57
And I had slight slight postnatal depression after my first son but it never ever felt like that ever.

Scott Benner 24:04
And is it and I might be generalizing now from romantic comedies so you tell me if I'm being silly, but it is all that emotion uncommon in general.

Beth 24:17
I do struggle with I think only really since the diabetes I struggled with anxiety more than anything as he takes a new sort of path in life so when he changes a school or like when he went on his first residential trip for the weeks and weeks before that I still get really uptight and anxious and worried and I am quite a you know I do get mood swings but i'm i think i don't think that intense or anything they just just melt my husband says all women are slightly crazy. So I suppose I'm kind of fit in the building.

Scott Benner 24:51
Sometimes my kids say to my wife fear that's gonna make you crazy and I always just go are from across.

Beth 24:58
Yeah, he says as well. You You know, what do you mean? Oh, women mental. I'm like, oh god,

Scott Benner 25:03
I just, I just want a warning light. I've always said to my wife, I was like when your mood shifts if just like a, like a, I don't know, like a light glow of a color would come up over your head or something like that. I'm aware of it. I get into the situation differently. But I felt like I was talking to the person from 25 minutes ago. And that's what happened there. I got very confused. I'm so sorry. Yeah, no, listen, I want to be serious for a second. I love women. I don't know what happens to your bodies with all the chemicals and the hormones that are running around on you guys. You're doing a great job. It's not Yeah. Yeah. I'm watching Arden over the last week. Just you know her as her period comes on all the shifts that are happening or stomach hurts and that it doesn't and then she's hungry. And then she's not. And you know, just all of that is, you know, it's just it's the slightest little, like hormonal change inside of you. It's, it sucks. And

Beth 25:57
yeah, listen, I can be the most evil person at that time. You know, I hate everybody. And everybody gets my nerves. And then the next day I wake up and I go, I was a bit yesterday. So yeah. So yeah, it's not fun being a woman, I can assure you

Scott Benner 26:12
know, but I mean, all the political like upsides and and how you're treated in the workplace, that all really fixes it. Yeah. My gosh. So you're in a you take some you're taking the medication, you're it really is when you look back on it no differently than having a really unexpected and tragic death in the family. And yeah, you hear about people needing to be sedated through that for time. And, and that's it, it just, it's more surprising to you, you said because you you thought of yourself as a more as a strong willed person. And by the way, I don't know that there's a correlation between being a strong willed person and not being able to hear that your kid just got diabetes like Yeah, yeah, that's upsetting to everybody.

Beth 26:54
And that's exactly what I said at the time was, I felt like it was a period of grief for the healthy child that I lost, if that makes sense. Yeah,

Scott Benner 27:02
I think so for sure.

Beth 27:06
But during one of my trolls fino, bad news stories on the internet, I found a court and and this has stayed with me as well. And it's something that I've kind of tried to live by since. And it was the person who knows the most about diabetes lives the longest. And, and that's kind of changed my tack, really. And I sort of thought, Well, yeah, that makes sense. And so I, you know, I bought books, and I read about things, I joined loads of groups, and I tried to find out as much as possible. And obviously, that's part of how I found this podcast and everything, because I'm always trying to sort of learn more and, and I think that's what I've tried to do is try to keep up with the most up to date technology, try and get our hands on anything we possibly can to make this easier to manage. And I think at that point, it was when I went from all the bad news stories to think in general, this is not going to ruin our lives, this, this is us, this is where we are. And we've just got to make the best of it. And it sort of went from the really,

Scott Benner 28:01
I've always said that the people who listen to the show, all have one thing in common. They're there, it's it's usually the way they got there. And yeah, it's either the people who are really searching for, like next level ideas, they don't want to just sit in the status quo, or it's someone who's had such bad luck, getting blood sugars together. And then someone comes along as it either happened to me and this podcast helped me. And they're so they're so lost and dying for any kind of information that they're really willing to jump on a podcast and listen to somebody. Yeah, they say something, you know. And I think that's why I think that's why when you see the people who listen to altogether, like I have a private Facebook group. And I you know, I just realized I say that all the time. And I never really put any context to it. And I'm, I'm learning more recently, that a lot of podcasts and other entities charge people to be in those private groups, they make it like a fee or a membership. I don't do that. It's just a Facebook group, where people can talk a lot about management. And when you see all these people together, it's fascinating how much they've taken out of the podcast and other places and how good they are at talking about it. It's Yeah, it's such a different thing. From some public spaces I've seen we're just anybody can kind of trickle into it. And then they end up talking probably from those articles you read online. You know, sometimes it's interesting that there's more fear. It's nice when you get a bunch of people together who feel emboldened.

Beth 29:33
Yeah, I think as well, you know, I found this podcast about I think it was about 18 months ago. And even though I've read the books and you know, you read things online, it seems it's so much easier to listen to somebody talking about things then read in I find and, and even though I'd been obviously, Finn had been diagnosed nearly seven years at that time. It was it was like a lightbulb moment when it was kind of you know, it's easier To treat low sugar and tobacco with a high and I've never really thought about it like that. Because it always be always high, but I've corrected him so he should come down now Why isn't he come down? I'll wait two hours and I'll correct him again. And then all of a sudden it was less like a lightbulb moment. Well, yeah, give him the extra insulin. We've got a Dexcom. You know, we've we've switches, watch the arrows and then treat him and until we started looping was a huge, huge benefit that I adopted and made a huge difference.

Scott Benner 30:28
It's funny, you're you're that's what's where this conversation is going to head because last night, I have you ever heard Have you heard the episodes with Kenny the fox in the loop house episodes? About? Yeah, right. So Kenny and I were talking last night, because when this whole Coronavirus thing happened. And Arden is now at home. It took a few days, but her insulin needs during the day during the time when she was going to be at school significantly dropped. And see I was have gone through the roof. Really? Isn't that interesting? Yeah. Yeah. So we had these, we had these adjustments I needed to make. And I told Kelly one day I said listen, Arden's like her settings on her loop are so messed up at this point, because I was adjusting slowly like I would in a normal situation. And everything just got out of whack. I said, I'm going back to zero. And I'm going to start over again, I'm going to put her at one basil rate, and one ISF you know, and I'm just gonna Yeah, word. And in that moment, I messaged Kenny, and I said, and he and I don't talk super frequently or anything like that. I told him I was doing that. He's like, oh, let me watch your nightscout. So I can say and I was like, Alright, so I, you know, I gave him that. And we've been together, you know, like for the last week and a half or so making these like adjustments. And Kenny showing me about how he's thinks about loop. And it's was different than the way I thought about so whether I end up doing what he does, or with the settings or doing what I do, or what I've been doing in the past. It's just really interesting to see different ideas about how to make the settings work and how to handle basil and things like that. Yeah, so yeah, I thought for a while now. And last night, he and I talked for like an hour, it was the first time we'd actually spoken. We've done all this through messaging. And it struck me just what you just said, he's explaining something. And it to me seems so technical, that I struggle to understand what he's saying sometimes. But he's just he understands it intrinsically just, it's he's more of a math person. He's working off of the numbers. And then I say something that's just painting with pictures, you know, I'm like, does that mean this and I say something ridiculous. And he goes, Yeah, that's the same idea. And I was like, Okay, great. But I can't understand his numbers. And I don't think he ever could have come up with the picture gram that my brain made when he was talking.

Beth 33:02
Yeah, I've got a similar situation in the, the lady who helped me to build the loop. So she sort of talked me through it until two o'clock in the morning, she lives in West Wales, which is about 75 miles away. And she built the loop. And she's been using it for two years. But she talked me through it. And she's just like, some kind of mathematical genius, where she just knows exactly what to change when and her daughter's HB ones are just amazing. But I know and I work with figures day in day out, but I just haven't got the brain that she's got. I need just need to do things differently tweaks here and there. But she just seems to know, we're just by looking at a graph. And looking at my son's graph, what I need to change. And I find that incredibly clever. And I wish I could do it.

Scott Benner 33:47
Well, what I think is that there's there needs to be people need to remember when I say people, I mean, I mean pump companies, and they're in a weird position because their FDA mandate does not let them know flip switches on your pump and say turn this up or turn this down, they can tell you, this is what this setting does. This is what this setting does. Now you're off to go talk to your doctor and figure it out. Except, you know, if you talk to them, you realize that they're worried because doctors aren't going to know how to do that. And there's an entire year you may have heard Jenny talking about it a couple of months ago, she was at a an event where she was talking to clinicians and explaining them how to set up the an algorithm pump because they don't know either. So we're stuck in this weird thing where you have this device that does such a great job. And I think whether it's going to be the base like you from tandem or it's going to be horizon on the pod, I think they're all going to do a really good job for people. But no one's there to tell you a little more a little less now and the people who understand it are the math people and with due respect, they're sometimes the worst at explaining things to Yeah, yeah, they do. Yeah, it

Beth 35:04
is similar because I gave a talk, come back a beginning of the year, I can't remember where now we seem to have been in lockdown for God knows how long. But yeah, I gave a talk at the start of the year to where they asked me to go and give a talk on loop into a number of health professionals from all over Wales. And one of the consultants came on to me at the end and said, you know, do you want to come and work for me, because I just don't understand. I'm supporting these families on on the on this loop. But obviously, it's not approved. So I can't make decisions on what to change. And I look at the graph, and I because I've never been shown how to set this up, I'm in no position to help them. And I couldn't really give him an answer, because I said, well, you're not going to be able to have them in that way. Because if you don't understand how the loop works, you're not going to be able to give them advice on that is a really difficult position to be in. And I think, personally, from my own point of view is if you're going to set your child up on that kind of system, I've had to learn how to manage that and how to tweak things myself with a bit of help from others. But if I go into clinic, I only go to clinic now to get here to be one, you know, they don't change anything, they don't look at anything. They just do as HB one say amazing his level of grip Off you go see you in three months. And it's difficult for I think health professionals to support you with something that's not medically approved at the moment. So of course, it is a bit of a stranger. And really,

Scott Benner 36:27
you know what, when I hear you say that about I really only go in probably for your you know, to get the the a one See, I'm starting to think that I wonder how many people are going to go to telemedicine on with diabetes, because you really don't. There's so much data coming back and so many apps that can tell you really within reasonable accuracy, which anyone say is that, you know, do you need that draw all the time to tell you?

Beth 36:57
Well, that's a good point here. I mean, we don't pay for health care here, obviously. But you know, I can understand if somebody is paying and traveling across the country to go and get blood drawn. And I'm thinking well, you know how you're doing, you know, from the data from your, from your nightscout from your loop, you can run reports in nightscout to tell where you're here to be one r is. So yeah, I mean, we go just to sort of catch up with them. And I do like to get the HV when results. But as I say, you know, we I know what it's going to be roughly before I go there, and it's normally pretty close.

Scott Benner 37:30
Yeah, that's how I feel to that we play a game the Yeah, the nurse practitioners like what's it going to be? And I tell her, and she goes, Okay, and then she pulls away branches it is and I'm like, great. Yeah, we're done. Yeah, you know, but then I need to get prescriptions written. But you don't need that right?

Beth 37:45
No, no. Yeah. Well, where are we kind of do it. We've been funding the Dexcom since 2017, January 2017, up until January this year, so three years, we were funding that ourselves 100% because we didn't have funding from the hospital. But they I put an application in beginning of the year as evidence in the fact that how has helped with this HB one and Finn plays rugby. So he's very active. And so they've they've now agreed to fund that for us. So that is fully funded, but it just gets sent to us every three months. So

Scott Benner 38:19
well the islands got so much more money now that Megan and Harry left, right, so Yeah, exactly.

Unknown Speaker 38:23
that a little bit.

Scott Benner 38:25
I think that's Yeah.

Beth 38:26
But it's quite straightforward. You know, we ring up the pump company, for pump supplies whenever we need them, they get sent to the door. And then our Dexcom guests sent on an automated basis every three months. So the only thing we need to go to the pharmacy for the insulin and the testing strips, but to be honest, I very rarely use testing strips these days.

Scott Benner 38:46
You know, I have to say we don't test a ton with but there are days when you test more than others. Like you'll you'll not test for a couple of days in a row. And then all of a sudden you'll be like I need to know this is 100% right or you know there's a CGM change somewhere the end of us yeah sometimes it's interesting to have you know, you need that you need that great meter when you need it. Just not Yeah, not constantly like you used to if you have you know, if you have Dexcom honestly, the version of Libra that exists now, from what I understand isn't I think you'd still want to be testing if you're using that.

Beth 39:21
Yeah, right. We use the Libra for two years I think before we switch to Dexcom and it wasn't the best accuracy wise for me. I mean, I know other people find it amazing some people are looping with it but I always found say is you know it was always like five or six points which to us is a lot in millimoles Hello higher than what the actual blood reading was and it would over exaggerate highs and lows. I didn't know if he was in range. It was pretty good but anything out of that sort of tiny range. It was never that accurate dress really

Scott Benner 39:56
for people listening earlier. Viewing said Did you know there was a blood sugar of 18? Which would have been 325? And yeah, being the difference between, you know, five points off of an 18 would be what? 325 to probably around 225. It's like 100 points. Yeah, yeah, yeah. Yeah. So I really have to make up one of these charts and just put it on the web, you know, so people I know, it's so hard. I hear there are people who are listening, they have it on paper, and they hear someone with an accent and then they run around grabbing their

Beth 40:29
shirt. Yeah, I do that. I do that because obviously if the other way for me, so when they mentioned in like three to five, I'm like, right. Okay, divide that by this and last millimole. But, yeah, it's the same year Really?

Scott Benner 40:39
Well, I'm gonna make up a chart somewhere that people can download and print out and it'll, yeah, would you want it wallet size or for tabletop? Anyway, we'll figure

you know, you you guys went through a lot of different versions of of care. And, you know, landed eventually with Dexcom. And then and looping. Yeah, I know that this seems weird. But just very quickly, for people who have just stumbled into this episode, at the moment, in May of 2020. The Loop algorithm is an app you download from the internet, it's not made by a company, it's not approved by the FDA, there are some really brilliant people who have written it and continue to update it and make it work. Arden is using it at the moment and with with relative success. And it just makes decisions for you about insulin. Now, there are different versions of it. And there's the master version, which I guess is the the main one right now. And then there's one called Do they still call it pizza branch that actually does Auto bolusing? Do you use the auto bolusing? version or use? No,

Beth 41:57
I we're not actually on loop. We're using the Android version. Okay. So we're on what's called Android APS. So this is something that's been specifically written for Android phones rather than the iPhone or the Apple product.

Scott Benner 42:11
Oh, so you're that's interesting. So you're not actually using the loop algorithm. You're using the the APS the other? Yes. Yeah. Call it loop. Because that's, I guess that's a more

Beth 42:21
Yeah, I call it like a closed loop. DIY. Closed loop is what I call it a people who don't really know what Android APS would be.

Scott Benner 42:28
That's super interesting. So is yours, the one that was made by the woman who was on the show years ago? Um, Dana. Yeah. Yeah. Yeah. Okay. So Dana came on years ago, and was like, I wrote this program, and it keeps my blood sugar state. And I was like, get out of here. And she told me Oh, yeah. And yeah, okay. So, technically, APS is the one you're using is also made by a lovely person who's not a company and it hasn't been FDA approved. There's also one called loop. But the idea of closing the loop or a closed loop system, so that's how you refer to it. Yeah. Yeah. Sorry. No, no, don't be sorry. That's that. I just want to make sure I understand. Yeah. Oh, that's excellent. And you find the same kind of is the saturation in England more APS then loop among people who are using?

Beth 43:22
I don't know, actually, no, I think there's quite a lot of people using loop as well. And I think for me, obviously, we just went for it. Because he's used to Android, his actual phone that he uses to sort of talk to his friends, etc, is an iPhone. But it was just the I knew a lot of people that were using this current algorithm. And so that's how I just bought like a cheap Android phones that is so that is something that he doesn't need to touch that is literally carried around with him, but he's got his own phone. And then for his sort of socializing with his friends, I think that's quite important.

Scott Benner 44:00
I'm wondering how APS works, is it? Is it mostly manipulation of basil and meal insulin, or does it Bolus on its own?

Beth 44:08
Well, there's like there's sort of this three different algorithms that you can choose, and you've got to build it in Android Studio, and then build the APK and download it onto the phone. And then you have to go through a number of objectives over a period of six weeks when you first start to prove that you understand how it all works. And then once you get to the end of that six weeks, you get the most, the most sophisticated system, which is the SMB, which is the micro boluses. So there's a mixture of temporary bezels on and off, they also then provide like tiny little bonuses as well. So the system will give micro policies as well as changing the basil. And that's when we've seen the best results. So if we did something for example, say he's having 50 grams of carbs over three hours, it will do a mixture of the temporary Basal and we'll give these tiny micro Bolus is they'll say For the next three hours, and then we'll just give tiny naught point two or 0.3 is not point fives you know, as and when they see fit based on the trend of the algorithm. That's your a little soft. Your voice got softer.

Scott Benner 45:09
Did you? Oh, sorry. No, they're better. Yeah, just yeah. Get on that microphone. Because Because you're doing knots. And they're my favorite part of anytime somebody from from your part. Because that's all I'm so sorry that you just got really soft for a second. I couldn't hear you. And I didn't know. Okay, sorry. No, no. So, so I think the same thing, by the way, we see the best results with an auto Bolus, because it happens more quickly, then. Yeah, then ramping up Basal insulin. Yeah, right. It's interesting, though. Now, you know, you're never gonna run into this, but loop for Arden, away from her period. So away from hormonal things loop is like magical for Arden. And then it's certain times of the month, it the settings are just not right to handle what's going on with her. And it's more around food than it is around just basil. So you have to be a little more agile, I have to be a little more agile around those times of the month. And so that's a

Beth 46:16
and I haven't got that lovely stage of hormones yet. I'm sure I'll enjoy it when it arrived. Oh, yeah. Yeah. I'm hoping it's not so bad with boys. But who knows?

Scott Benner 46:27
When I hear from parents of teenage boys is that what happens most of them is just sort of when it goes wrong, it ends up being like, it's fine, I got it. And it's not fine. And they don't got it. So

Beth 46:41
yeah, with the other thing that we've got with, which was the other reason I chose this version, I'm not I'm not that familiar with loops, this may have been a similar thing. But with the Android version, I've got an actual app on my phone, because I obviously it was an Android phone called nightscout client. And so I can actually change his profile, or give him gum, enter carb. So the loop activates from my phone, if even if I'm nowhere near him. So if for example, he was in school prior to lockdown when he was going to school, and I was in work, if I could see that he was getting a bit high in the loop wasn't being as aggressive as now, I can just add into my phone, 10 grams of carbs. And that would then give him a little bit more insulin to bring him down. Yeah. So because he's he was quite young. And I wanted to be able to have that sort of option. And there's there's also text messaging, sort of Bolus is that you can give as well, which are all password protected, and you won't have to enter a PIN. I think for a younger child, I felt like this, this gave me a little bit more control from being remotely in, in work, and he's in school. But again, you know, as he's getting older, he's predominantly doing everything himself. And so I just think for people with the like, sort of young, young children, it is quite beneficial. But as I say, we're trying to encourage him now to make a lot of those decisions himself, and he is getting made, and he is quite, you know, he's very responsible to be fair to him

Scott Benner 48:09
right now. So it's a lot to learn, and it takes a long time for them to absorb it all. I don't, you know, I wish I had Arden really understood, you know, when we were doing what I talked about on the podcast, and you know, bumping and being which I use versions of that with with loop two, but when we were doing all that she really started getting it. And I was like, oh, wow, this is great. And then you know, someone said try loop and just so you can try it. And I have to admit, when we first started doing it, I thought this might just be something I need to understand for the podcast. And why not try something new? Yeah. And and now I think, no, I think algorithms are, are the way we're gonna go. You know, moving forward, I am genuinely interested in Omni pods for a couple of reasons. Maybe the biggest one. When horizon comes out, the algorithm will live right on the pod, which may not seem like a big deal to people. But when you're looping, you have a phone, and then a bridge. They call it a Riley link. Arden calls it the thing, right? And so the phone needs to be near the thing that needs to be near the pump. And then that the end and the minute you wander too far away from one of those things. The loop, you know, isn't doing what it's supposed to do. Yeah. When I guess on the pod, you know, was developing their thing. They decided like printed on the circuit board, I guess of every pod is the algorithm. So you don't need to be near your phone for the algorithm to keep working. That's exciting. Yeah. Like Yeah, I'm really, really super hopeful about that. I'm looking to be I think the COVID-19 pushed it back a little bit. They were saying the end of this year, but now I think they're saying the beginning of next.

Beth 49:57
Right. Okay, so that's the end The thing we don't need any any extra software with the with the Android version, so he literally just has the phone. But because he has the extra foreigners Well, he still has to carry the tool. But when he's at school, he's got sort of like a, you know, like a spy Bell type of thing that people were to go run and he just where's that, where's the extra phone in his belt and obviously leaves his iPhone at home. So he doesn't have any he's just got to watch them so he can he can actually ball us from his watch with this APS system. So you can actually enter the carbs into his watch and the watch will deliver the ball. So I think when he goes to high school in September, he doesn't actually do it on the water at the moment because his friends are so used to see us do it all he just gets the fall now, I think maybe when he goes to high school and and he's like a little fish in a big pond, he won't want the attention on him. So I'm hoping that he will sort of valid he will see that as a benefit. Maybe then

Scott Benner 50:50
yeah, of whatever makes them comfortable, I guess. And you know, yeah, he doesn't care about doing it in front of people, then.

Beth 50:57
You don't care about anything. He's the most chilled to that child you'll ever meet. And the happiest honestly. He can teach me a few things. He's just nothing ever gets him down. He's incredible.

Scott Benner 51:08
Excellent. That's really cool. Hey, listen, this is off to the side. But you guys be nice to Adele. Because she looks great. And I'm afraid people are gonna give her trouble for losing weight. And I think that's ridiculous. But I just wanted to be able to sing still. Is that how

Beth 51:22
you feel? I'd like to look like Adele. Yeah, right. Well, my time just growing by the day in lockdown, because I'm just drinking more wine, and having more barbecues and eating more chocolate are not going anywhere. So yeah,

Scott Benner 51:33
chocolate has been my problem. And and I I have not said it out loud. Anybody but I went to bed last night I thought, huh. 36 hour water fast? I'm not. I'm not eating anything tomorrow.

Beth 51:46
Yeah, it's just so I think we'd allow to for daily exercise as part of the lockdown rules. But I think our where we live at the moment, has got the highest rate of COVID infections in the UK. And that's terrifies me. So at the moment, we just stick into the garden. And we're not going anywhere. So I haven't been out for any kind of exercise for about six weeks. So yeah, it's not, it's not great. And I'm drinking wine. And we have a zoom quiz on Friday night and a zoom quiz on a Saturday night. And yeah, and then we've eaten cheese and crackers. It's like 12 o'clock in the night. It's just, you know, I'm going to come out today looking like Dell did before. Not after,

Scott Benner 52:27
this is a zoom quiz code for reason to drink wine.

Beth 52:32
Yeah, no waste. Kay is great. Because we meet up with like, my husband's side of the family and my husband's got older children as well. So we all have a quiz on a Friday and then on a Saturday night is sort of my mother, my auntie, my cousins and, and probably see more of my family and friends now than than I did before. So um, yeah, you know, you got to make the best out of you.

Scott Benner 52:52
Yeah, I don't, there's nothing else to do. My son just finished college the other day from home,

Beth 52:56
you know, out of his bedroom, which I think yeah, it's quite sad, really. But he's, you said it knock domain at the moment. Oh,

Scott Benner 53:03
oh, yeah. Yeah, we're, our restrictions are on, I think, at least till the middle of June. And so I have to be honest, I'm not looking to go back. Like, I don't want to be one of the first people that runs outside. No, no, me.

Beth 53:17
I'm quite happy in my little bubble here. I'm that no, I have no confidence at the moment in the way the government are running anything here. And I don't trust anything they say. And so I'm not going to be part of the little experiment, shall we say?

Scott Benner 53:30
Yeah, yeah. Well, you've got you've got the he looks like the cold miser from that might be a reference you don't get but there's an old christmas cartoon and your guy's hair looks like

Beth 53:41
well, we need a mass at the moment because obviously the United Kingdom is Wales, Scotland, England and Ireland and Wales, Scotland and Ireland have decided to do something different to England because they don't agree with lift near as soon as he is. And so there's so many mixed messages. Now everybody can do different things, and it's just a mess. So I'm just staying in eating and drinking.

Scott Benner 54:01
Dammit, I'm gonna kill myself. I'm not gonna kill me. Yeah, I just gonna die of overeating instead. I'll take care of this on my own. I don't need your help. How did the kids handle being inside? And is it seen?

Beth 54:16
Um, my oldest son is struggling more I think he's, they both play a lot of sport. And so they're missing that because obviously, it would be training two or three times a week playing every Sunday. Obviously, that hasn't happened known since since the middle of March. My oldest son has been going for a run now and again, but I'm just like a nervous wreck until he gets back but I'm allowing him to go. To be honest, Finn has been pretty good as he turned 11 in lockdown, so he didn't see any of his family and friends really other than people standing in the garden. So please took it all in the chimney or we had the big buffet for his birthday. And then we had a barbecue at the garden in the evening and they pretty good. I mean, they've got The ps4, so we speak into his friends on there every day. And I think whilst there can be something you resent on occasions, at the current moment in time is definitely needed for them to keep in contact with each other. And they get in work set by the teachers via either Microsoft Teams or Google classrooms. And so, you know, I can't say they're doing a huge amount of work, but they do and whatever set. So yeah, it's just just become kind of normal. So quickly, you know, you just think that when he first gets announced, it's just like a shock to the system. But now it's the new normal. And I can't imagine going back to before

Scott Benner 55:33
Yeah, it is interesting how quickly you can adapt to something like this. Yeah, we had just something we refinanced our mortgage because the rates got really good. And I was like, Alright, well, I'll take less money out. Yeah, like, you know, so a notary Republic showed up at our house yesterday. And we had to sign a bunch of paperwork. And you know, she's got gloves on and a mask, and she comes into the house and we sit at a table and I disinfected the table. I joked when she came in, I said, I've used this table for stuff like this in the past, I've never disinfected it. I've always wiped it off. Never thoughtfully killed the germs on it before, you know, and and we signed the paperwork. And she left and I said to my wife, isn't that strange? We'll never know what she looked like. Yeah, like, I'll never if I saw that woman tomorrow would know it was her. And it was that I found kind of interesting and odd. Yeah. But I was struck by how I didn't sit there the whole time. And think that lady's wearing a mask and gloves. They could didn't

Beth 56:32
Yeah, it's just become so normal.

Scott Benner 56:34
Yeah. I don't know, though about. So art, and we're gonna finish up in a few minutes. But Arden said something to me, we had to go. She did get an X ray, which ended up being negative during this whole thing. And it was the one time she was out of the house. She's, you know, in a waiting room with me waiting her turn, and she's got a mask on, I have my face covered. And, and she just says, Is this how it's gonna be? You know, from now on? And I said, I don't think so I said, I think maybe one day we'll transition to, like, maybe this will make Americans think, you know what, when I'm sick, I'll cover my face when I go in public, like sort of like they do in China already. You know, like if your cover your face. And I said, that might not be a bad thing. I said, but I don't imagine it's gonna go forever. I said, I think we'll, you know, this will change at some point. And I said, Why? And she said, is it bothering you? And she goes, I just don't like, what's the point? And she's like, we can't see anybody. Nobody's interacting. Everybody looks scared. She's like, what are we doing? And I was like, You mean, like, this isn't living? And she said, Yeah, like that. This doesn't feel like being alive. And I was like, Yeah, that's a good point. So um, you know it. I'm interested to see what's going to happen for sure.

Beth 57:48
Yeah, I know, we're supposed to be coming to Florida in October. We booked 60 nights in a villa in Orlando. And we've booked all the park tickets and we're going to Discovery Cove on Halloween. And well, obviously, none of that's gonna happen now. So right. And that's my foot myself my 40th birthday. So I'm quite mad. Really. I've, we've, at the moment, we've lost about six holidays this year, because we'd plan so much because it was my 40th birthday. And yeah, so we're gone to part. So we are, we don't say from Well, that's the main thing.

Scott Benner 58:20
100% we don't vacation much at all. And so and we stopped, we were going to do one a couple of years ago that we didn't because we're like, you know, we're gonna do instead, my son graduates college The same year, my daughter graduates from high school, that's when we'll go away. And so we're planning towards that. And you know, it's still a couple of it's a year or two off, but you're still like, oh, like is that is the whole world?

Beth 58:42
Yeah, I know. So, you know, it's and it's like my cousin was supposed to have got married last Saturday. And we literally went on the hen weekend on the 13th of March. And everything was fine. It was just carry on as normal. And we got back on the 16th. And it was like, stay in, don't go out, lock down. And it was all of a sudden, just complete, you will just change overnight. And now and and I remember we were on that hammock and she was saying I'm worried about my wedding is ridiculous. You're not going to call the wedding off. And of course, the dead you know, that wedding didn't happen on Saturday. And that was been delayed until October. And now we're even thinking is that gonna happen?

Scott Benner 59:18
We were right in Florida. My son was playing baseball, right as this was going on. And I remember a mother looking at me and going, this isn't going to be a big deal. Right? And I said, it sounds like a big deal to me. You're like, you know, like, I'm like, have you been listening to the news and paying a little bit attention to like the direction it seems like things are going and she's like, no, but this is silly. And I was like I don't think so. I said I don't think they're gonna let the kids go back to school.

Beth 59:42
Or your school's definitely close until September or August to see you go back.

Scott Benner 59:47
Yeah, I don't the my daughter's not going to end up back in high school like that's she's going to finish the year out like this, his college years over already. And now we're just hoping you know, for us personally, Cole's hoping that he gets It's a play. He's in a collegiate baseball league in the summer. And he's hoping they actually play. And you know, then everyone's hoping they're going to go back to school. There's a lot of college kids here in America talking about if, if distance learning happens again next semester, they're going to take a semester off, they're not even going to go back and do it.

Unknown Speaker 1:00:17
Yeah. So

Beth 1:00:18
they talking about you Now, obviously, finish in what we call your sick. So that's the last year before they go to hate the way you would call High School. And they talking about that you group are being allowed to go back for the last three or four weeks of term. I just don't, I don't understand. I don't understand what you know, they say no, you know, they need to transition and they need to see their friends and I'm a governor in fin school with. So I was speaking to the head this week. And, and he said, it's not going to be the same experience. If they come back or four weeks, we can have like five in each class, you know, they're going to be he's got staff that are extremely vulnerable and who can't come back to school. They're not going to have a normal teacher. They're all going to be split up. It's not going to be like they're happy. Oh, here we go by experience that they thought they were going to get whatever happens. And so I just think is taking unnecessary risk. And and I'll be honest, I don't think I'd be sending Finn back even if the schools do reopen, because they've already said the key and won't be going back to school. So he's your name, which is three years old. Three years older in high school. I don't send he wasn't, he won't be gone back.

Scott Benner 1:01:22
Yeah, I don't see it now. Arden's like she loves this. I think she's gonna fight us back home back next year.

Beth 1:01:27
Yeah, yeah, I gotta be honest, I think finished sort of happy enough. He's not bothered about going back as in is the first thing he said, when I said, Look, you know, you may not go back to school this year. And he said, Ah, at least I won't have to do the test. Because we do these big tests before they go to high school. That's all he could focus on was, you know, the positive, which is him all over. Whereas I think pn is Miss missing the social side of school, and I'm seeing his friends in that type of environment. But

Scott Benner 1:01:56
it is what it is Arden likes to she gets done. And then she comes upstairs, she doesn't work out in a rooms takes shower, like she seems like she's living a great life, all of a sudden, her stress is obviously lower because her insulin needs are down so far during the day. Yeah, her Basal insulin went from near two units an hour to one unit an hour.

Beth 1:02:17
Really, it's crazy, because his has gone through the roof. And his not so much is basil. But he's actually Bolus and his carb ratios have decreased massively. And I think it's because he was so active before. So he was doing sports or two, three or four times a week. And he was obviously out out in the schoolyard running around three or four times a day. And now he's just not doing anything. So yeah, it's it's more than the Bolus that we've had to sort of increase the insulin for but you know, it's working and his levels have been, it's been really good. So

Scott Benner 1:02:53
well, you can use the right amount of insulin, but people will kind of incorrectly think of that as insulin resistance where it's not insulin resistance, it's that the activity isn't Yeah, isn't bringing his blood sugar down in different areas. Yeah, yeah, it's interest. So

Beth 1:03:06
we spent the last two weeks we've got builders out the garden at the moment, social distancing, because we just figured, like we've got, we've got six holidays that have been canceled this year, like just UK breaks, rather than the big one to Florida. And we thinking, well, we're staying in, we've been safe. So we're going to get the garden done. So as of Friday, that should be finished. And he's got a 12 foot by six foot football goal waiting to go up. And so I'd be locking him up there a couple of hours a day to get some extra to get some exercise.

Scott Benner 1:03:34
Quiz go outside. That's great. I really appreciate you doing this. We miss anything that you were hoping to talk about?

Beth 1:03:44
No, I don't think so. I think it was just sort of, you know, when when Finn first got diagnosed, I couldn't see a way out. And I think I felt so low that if somebody had told me then what I would have achieved technology wise now and why and how happy and healthy he would be? I would never believe that. And I think it's just, it's nice for people who've just been through what I went through at that point in time. If they feeling low, there is light at the end of the tunnel. And it's not, it's never going to be as bad as you think it's going to be thinking life is over. And you think I see so many desperate posts from people whose children have just been diagnosed and it makes me so sad because I know exactly how they feel. And they just wish that they could see you know that things do get better and it does become the new normal. And you know, I always say that it is life after the type one diagnosis is nail

Scott Benner 1:04:34
Yeah, I just I like to say that. While diabetes doesn't ever get easier, you get so much better at it that it sometimes feels easy. And then yeah, that's the same thing. It's you know, one day you'll just you'll gather up so much experience that you'll look at blood sugar and just know what to do. I somebody was asking me yesterday about they saw some app or I forget what it was and you you know you ask it you say I'm having an apple And it says, based on your, you know, your activity today and bah, bah, bah, like, give yourself this much insulin for the app. And I'm like, Yeah, I don't like.

Beth 1:05:07
Yeah, I know. I think I think that's one of the things from using this API system is this so much more to it than that there's so much more to it than how much carbs is in that Apple. You know, it's only because the Bolus insane you've got on board the Basal and then you've got on board the carbs you still got on board is so much more to think about what your human brain can't compute every minute of every day when we've got our own jobs to do and lives lead and, and I think it's just incredibly clever. And I'm so grateful to the people who have created it and, and then allowing people to use it free of charge. You know, if somebody had told me this would be available 10 years ago, I definitely wouldn't have been such as psychopath at the time. But yeah, it's it's changed our lives and and I sleep every night. I mean, since we'd be looping, I'd say I've got up since last August, I've probably got up around 20 times at night. Whereas I was up every single night for seven and a half years and I think the sleep is just I forgot what it was like

Scott Benner 1:06:11
yeah, it's wonderful. It changes your life

Beth 1:06:13
dad haven't done anything that has changed my life. No, because you saw a reasonable when you're tired and and things get on your nerves more and you get stroppy with people and you know, I'm not saying I'm not stopping my husband would definitely still agree that I am but you know, you feel so much better when you've had a good night's sleep and can't put it into words how much of a difference that made you say it's part of my,

Scott Benner 1:06:35
when I speak in public The last thing I say to people is you have to you have to find a way to sleep or this is all going to fall apart. I don't care how much you understand how to use this insulin. Yeah, listen, you may be mortified to find that. Up until 45 seconds ago, I didn't know what to call this episode. I was struggling I actually was gonna stop the recording and ask you to tell me like some colloquialism that I could like put on it. But just at the very end, you came up with it. This one's gonna be called a former psychopath. Just so you know. Yeah, that's good. I love it.

A huge thank you to one of today's sponsors, g Vogue glucagon, find out more about chivo hypo pen at G Vogue glucagon.com forward slash juicebox. you spell that g VOKEGL. UC ag o n.com. forward slash juicebox. I'd also like to thank the Dexcom g six continuous glucose monitor for sponsoring this episode. Head over to dexcom.com forward slash juice box to learn more where to get started today. And of course, thank you so much to Beth, for sharing her story. I'll be back soon with another episode of the Juicebox Podcast.

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