#618 After Dark: Sex Worker

Mila is a 30 year old stripper who was just diagnosed with type 1 diabetes.

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Hello friends, and welcome to episode 618 of the Juicebox Podcast.

On today's show I'll be speaking with Mila, and she's had type one diabetes for just a few months. Mila has a story and a job that fits very well into the after dark episodes. So here we are, again with another after dark. While you're listening, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. I'm just going to tell you up front case you usually listen with your children. Mila is a stripper, and she's going to talk about her job very candidly. So all the things you imagine. We're going to talk about those. If you don't want to hear about sexual encounters, alcohol, drugs, philanderers and other such things. Don't listen. Also, when Mila talks about her breasts, she calls them peace. I bleeped it out. But a lot of these in this. Having said all that, she's a lot of fun. And this is a good episode, I'd hang out

say hello to dexcom@dexcom.com forward slash juice box the Dexcom G six continuous glucose monitor is it's the bomb diggity. It's the bestest ever my opinion. And it's possible that you can get a free trial of it. So why don't you head over to dexcom.com forward slash juice box and say hello to Dexcom. The podcast is also sponsored by Omni pod makers of the Omni pod dash and the Omni pod promise. I'll tell you right now, in this moment that you may be eligible for a free 30 day supply of the Omni pod Dash. And the only way to find out is to go to Omni pod.com forward slash juice box. Later in the show. I'll give you more details tell you about the promise and other such things. I hope you're ready for Mila because she's ready for you. One more time. Tastes gonna happen a lot. Gird your loins.

Mila 2:28
Hi, my name is Mila. from Minnesota.

Scott Benner 2:32
Zach. Good, but I don't know. Are you happy with people thinking of us? Mila from Minnesota? Yeah, yeah, we're good. Yeah, yeah. How? How old are you? I'm 3030 How long have you had type one?

Mila 2:48
Um, I just I just got diagnosed on May 6 of 2021.

Scott Benner 2:53
No kidding. Yeah.

Mila 2:55
So crazy.

Scott Benner 2:57
In May of 2021. It's January of 2022. Right now, just for context. You've had it just for like seven months, and you're 30 years? Yeah. anyone in your family have type one diabetes?

Mila 3:10
I guess. Yeah. My mom said that. Like I a lot of people on her side of the family, I guess, like have it. But I don't know. She said like my uncles and I have that. And I guess like, yeah, my uncles and stuff. I don't know.

Scott Benner 3:24
Yeah. Okay. Well, yeah. But people you don't know. firsthand, right? Yeah, like

Mila 3:29
people. I don't know. But I guess I get I guess it's runs in my family. But I guess it like skipped my mom and dad though.

Scott Benner 3:35
Okay, just not something people have spoken about. How about how are other autoimmune stuff? Like do you have a thyroid condition?

Mila 3:44
No, no, I don't have like, anything else?

Scott Benner 3:50
Celiac? Anybody? Like your grandma had celiac or something like that? Nothing.

Mila 3:55
I have no idea. My grandma, my grandma definitely had diabetes. And I don't know what else. I don't know what else she had. She had a bunch of issues.

Scott Benner 4:05
It's kind of a weird question. Because people either are very aware of it. Or they, they're they're like, I don't know, my grandmother's medical history. You moron, you know So, but, but your grandmother type one or type two, or did you do not

Mila 4:17
know? Um, I feel I think she was type two. Type Two.

Scott Benner 4:21
Okay, so how were you diagnosed? What happened and what sent you to the to the doctor?

Mila 4:27
Oh my gosh. Well, for for the longest time. It's so crazy because like, oh, yeah, I got diagnosed in May. In January. I was like in Mexico, but I could not stop peeing. Like literally pee, like peed my pants. And I just thought I thought that I thought I had like a loose pee hole to be honest. So I just didn't I didn't like check into it or anything and I just was like, drinking a lot and I remember getting really sick. I got like strep throat really, really bad. And then I came home and I just like was just like drinking a lot peeing a lot. And I got strep throat again. And then I like couldn't breathe. Like, I was just like out of breath like even just like talking, having a conversation. And my friends came over to like help me put together some furniture because I just moved. And they're just like, are you okay? Because like you should call the doctor. So I called the I called the doctor. And the nurse was just like, she was just like really concerned because she was like, did you just like run a mile or like why? Like you like I need you to get an ambulance right now. But my friends just drove me because I live like I live downtown. So I'm like, around the corner anyways. Yeah, so they drove me there. And I don't know, they brought me to the ER. And then. Yeah, the doctor came in and just like asked me like, Have you been like eating and drinking? And I was like, Oh my God. Yeah, she's like, Yeah, we're pretty positive that you have diabetes. Wow.

Scott Benner 5:57
30 years old. Hey, listen. This is just a friendly reminder to people. I just tried something. I don't think you should ever Google the words loose P Hall.

Unknown Speaker 6:08
So Oh, no.

Scott Benner 6:10
I was like, maybe she had a medical condition. I was like, No, that's not what that was. Okay. Don't do that.

Mila 6:17
Oh, my gosh, just get a bunch of points.

Scott Benner 6:19
Yeah, it just didn't. It didn't go the way I was expecting. I like I was trying to be ahead of the conversation. I'm like, I wonder if there's like a medical condition like that. And I was like, Oops, no, that's my fault. I shouldn't. Yeah,

Mila 6:30
I literally thought it was like broken. I was just like, maybe needs to be tightened up. I don't know. Like, and I had Google too. I was like drinking a lot peeing a lot. And it definitely said diabetes, but I was like, oh, Google's just trying to scare me. Do you think Google is right this time?

Scott Benner 6:47
Let's just be clear. For a second Milla. You don't believe that? Google's after you write? What you don't think Google's trying to like, you don't literally think of Google as a thing that's trying to get you do you know, Oh, no. Okay. Great. I just want to make sure that, you know, you weren't paranoid. I mean, if you're, it's fine. I just want to know what I'm dealing with.

Mila 7:07
You know, like when, like, I guess I unless you like, if I'm sick or something I like, I'll Google it. And then it's just like, it'll be like, you have a brain tumor. Like something crazy. Yeah. I usually just don't listen to it.

Scott Benner 7:19
Right. There are a lot of symptoms that point to a million things. And if you can't find one of those things at fault, there do become more serious issues that those those, those specific symptoms actually point to as well. But people usually do jump right to the thing told me I had cancer, you know, like so. Yeah. You have a loose tendon. Yeah. Alright. So, um, you go into the hospital for this, or

Mila 7:45
Yeah, yeah. So they checked me and I was in ketoacidosis. They told me they're like, yeah, you definitely, like super like you didn't slip into a coma because I live by myself. So I guess I was like, got there and then make a time. And then I was there for six days.

Scott Benner 8:01
Now. What about the what happens next? Like when when they get you kind of balanced out? And they're gonna send you home? Did they send you home with an insulin pump or with needles or pen?

Mila 8:13
Yeah. So that well, they had to talk to an educator. And then they sent me home with two pens, and Mike, the computer and like strips and stuff. And then I had to, when I went when I had my appointment with my educator. That's when I got on the Dexcom. I don't have a pump yet. Because like I was, at first I was just like, No, I did not want that. But I just, I actually just met with my Endo. And I was just talking to him about the Omnipod. Because I feel like I'd probably be better at it if I had that.

Scott Benner 8:46
So what was your first? Like, you were okay with the Dexcom. But you were thinking no to Apollo, like, what was your thinking there? Well,

Mila 8:55
it's well, it's just like my job. Like, I'm a dancer. So I just like was like, I don't want like too many things. Like, like on my body. But now I'm just like, Okay, I don't really think it matters, actually.

Scott Benner 9:09
Well, and so you're going to be comfortable with it now.

Mila 9:13
Yeah, yeah. Well, yeah, because I'm just, it's just too much work like having like, these, these pens and just like having I eat out a lot. And just like having, like, I don't like I'll pull it out and stuff. I just think it's just like a lot of extra work kind of here. You know, it's actually a lot of extra work.

Scott Benner 9:31
Like, carrying things keeping insulin cool. I guess stuff like that.

Mila 9:35
The whole entire thing? Yeah, it's just like, it's just like, I have to think all the time. It's ridiculous.

Scott Benner 9:41
Gotcha. So you said a second ago that you're a dancer. That's actually why you're on the show, right? Yeah. Mille Mills Mills here to make an after dark episode. Is that correct?

Mila 9:53
Oh, yeah. Yeah, yeah, dancer, stripper. Yeah.

Scott Benner 9:57
So I don't know. I'm trying to like work. my way through this, but I think you sent me a note on Instagram saying like the podcast has been helpful. Was that about right?

Mila 10:08
Yeah, yeah. Well, yeah, cuz you have like this good episode with like, Well, I mean, they're all good, but like, Yeah, this one that like she was talking about like doing cocaine, and I was like, was it? Wait, am I allowed to swear?

Scott Benner 10:20
You've um, you've said don't worry. I'll just I have to. I'll edit it out later. You're fine. Okay.

Mila 10:25
Yeah, to be saying that right. Um, but yeah, so I was just like, Oh, like that, like, I don't know, just like resonated because just Yeah, I do it all the time. So.

Scott Benner 10:36
Okay, so you use cocaine? Well, yeah, right. And then you So you saw that you're like, huh, this is a representation of my life right here.

Mila 10:45
Yeah, yeah. Cuz like, I don't know, I just have like a very much party lifestyle. I suppose you would say,

Scott Benner 10:51
Okay. How long have you been dancing?

Mila 10:55
10 years. Wow.

Scott Benner 10:57
They give you like a, like a metal or something?

Mila 11:01
They should. Yeah. I'm like a veteran now though, sir.

Scott Benner 11:05
So my first question about this is gonna probably surprise you, but are you like a contractor? Like for your taxes? Do you like?

Mila 11:12
Yeah, okay. Yeah. 1099? Yeah. Not, not like not all clubs, do it. Like, you can be an employee if you want to be but they're just like, take your money. So,

Scott Benner 11:21
so are you like, uh, do you have one place that you dance? Or do you have a few places? Or how do you do that?

Mila 11:27
I just have one place because it's just like my home club. And I love it there. But I mean, a lot of a lot of people like traveling and stuff. Like I you could work wherever you wanted to. Okay.

Scott Benner 11:38
So now my, not my confusion, but my real interest when I kind of like, you know, when people messaged me, I click kind of through to see who they are. And I think you describe yourself as a sex worker. Is that right? Yeah. Yeah. What does that term encapsulate? It could be a lot of different things, right?

Mila 11:56
Sure. Well, yeah, I just think is like anybody, like anybody who like works in the sex industry, like ask for strippers, camera. People who work outside, basically, like, you know, porn stars, anybody who just like works in this, like, in the sex industry? Sounds like sex basically. And like, doesn't like necessarily mean like, have, you know, like, like, like having sex, but I mean, it can?

Scott Benner 12:24
Sure. It could include that. But it doesn't necessarily mean that right? Yeah. In your case, it doesn't necessarily mean that.

Mila 12:33
I mean, I could have somebody who's paying for now. No, just a stripper.

Scott Benner 12:39
So, so no one has has offered you that upgrade yet. But if they owe everybody options, Oh, really? Okay. Oh, yeah. Here we go. So

Mila 12:50
I've actually never met a more single man than a married man that's

Scott Benner 12:54
never met a more single man than a married man, like single in their head.

Mila 12:58
Oh, yeah. Yeah, sure. Yeah. When they're out on business. They're naughty boys.

Scott Benner 13:03
Should be a comforting episode for married ladies everywhere. So he's cheating. So where does the how does the floor work? Is there is there kind of like a main stage where people cycle through and then you kind of go down on the floor and look for lap dances, stuff like that. Private dances?

Mila 13:23
Yeah. Yeah. I mean, yeah, like you go on stage, just and then you just go on the floor and talk to people and see if they like, want to do VIP or do dances. And then yeah, I said, Well, have you been to a strip club?

Scott Benner 13:34
I mean, I'm old now. But I have been in the past. Yeah. I mean, but but the older guys? Yeah, I don't know. I'm, I'm pretty old. Like, I just My knee hurts. You know, they mean? Like, if if you came down and like sat on my lap, I'd be like, Oh, my God, my knee. Mila. Like, you'd be like, you want me to rub you? And I'm like, only if it's going to be my knee. So yeah, I mean, but so you're saying that when you get when when you head off into a private room? Give me Give me the breakdown out of every 10. Guys, how many of them? Want some sort of actual contact?

Mila 14:13
Oh, out of every 10 like way out of every 10 Who wants to go to VIP?

Scott Benner 14:17
Yeah, everything guys that you're in a private room with? How many of those 10 How many say to you, Hey, what is the next? Oh, how

Mila 14:24
many like asked me to go to their hotel room? Right? I would say like nine out of 10.

Scott Benner 14:30
And they want you just to do it. They don't want to they're not like, Hey, I have a business transaction for them. They just think that they're Oh no,

Mila 14:36
like they like they want they want to pay but it's just like, you know, like, I'm trying to lose my job. So it's just like, I'm just like, why don't you just you know, get another hour.

Scott Benner 14:46
Right? We'll see if that's sort of part of the I don't want to call it a game but is that sort of part of the business? Like just get them very excited, but then keep them they're spending money?

Mila 14:59
Oh, yeah, for sure. Sure, I mean, you know, I always tell them like, you know, there's no sex in the champagne room. But guys are very, I don't know, visual

Scott Benner 15:12
creatures, and they can get very single minded. Yeah, you put

Mila 15:17
a T in the dude's face and you really ain't thinking about my job. That's just empty their wallets pretty quick.

Scott Benner 15:26
And they do you think that they believe that there's going to be some sort of a more personal ending to this? Or do you think

Mila 15:33
I've seen dudes like, like, proposed to girls and VIP like guys? Some people get very delusional.

Scott Benner 15:40
Do they ever come back an hour later? And they're like, I didn't mean to do that.

Mila 15:44
No, these are like regular so like, they haven't seen a girl like forever. I used to have a guy who's like bring me in mac and cheese all the time and pizza because he knew I loved like cheese. And he liked that he was my boyfriend, but I never seen him outside the club but in his head. Like I was just girlfriend. Yeah, just

Scott Benner 16:04
interest. How does that how does that all manifest on your side? Like you don't think he's your boyfriend obviously. And and you're not asking him to bring you macaroni and cheese. But once he does it, I love that Macaroni Cheese example. And that once he brings you your mac and cheese, you're like, Huh, you ate it?

Mila 16:25
Yeah. It's like he would bring me the Babita boxes it so take it home like he is. When I lived in Guam, he was just

Scott Benner 16:35
throwing the shaky box at you. And he was like, Hey, honey, all you need to do is add water and you've got a meal.

Mila 16:40
Yeah, they bring in like a whole grocery bag for me. Yeah.

Scott Benner 16:43
And do you think that that alone, in his mind, he thought you were going to like, translate out of the setting into real life with him? Do you think he thought that was gonna happen? Or do you think he just likes the idea that he's got someone to talk to?

Mila 16:59
Oh, I mean, I think that he for sure thought that I was his girlfriend and that because by he because he would always be like, well, how come you don't see me to the club? What come to my dad tells like just weird things. Like, I mean, you know, it's he definitely thought so. But not all got like most guys like No, like they know what it is. But some of them get a little confused. Yeah, gotcha. Does it that's fine. Now, you know, I was just friend.

Scott Benner 17:25
Yeah, no, I understand. Yeah. And you don't see it as you don't see it as a one sided affair. Right. Like both both parties are getting something out of it. Oh, for sure. Yeah. Okay. Like you don't feel like you're taking advantage anybody?

Mila 17:40
Oh, no. I mean, he's got my old D in his mouth. He's having a good time.

Scott Benner 17:44
It's a fair trade.

Mila 17:47
I think so.

Scott Benner 17:49
So now you got me thinking? Like, what would I trade for a box of macaroni and cheese on my end? You're right.

Mila 17:56
Oh, wait, no, he also gave me money.

Scott Benner 18:00
You wouldn't just meal. It's like, Listen, if you ever figure out who I am pleased to not show up just with canned goods and try to get with me. That isn't gonna be enough. What's an hour cost?

Mila 18:15
an hour at my club costs 600 an hour. Wow, that's crazy. But it usually ends up being like, like I tell most guys, I get lease you're gonna at least spend like 800 Cuz that's just for me. And you got to tip the waitress too. And then if you get a bottle of champagne, it's gonna be much more because we usually get like, good champions. So it's usually like 800 to $1,200 for the bottle.

Scott Benner 18:41
How many people do you think in a shift? How long is the shift? First of all?

Mila 18:46
How long was the shift? I usually got the at nine and then I'll stay until like two or three.

Scott Benner 18:53
How many people can you see in those five hours?

Mila 18:57
Huh? I think it just depends. It just depends how busy it is. But if I'm really like, I'm just trying to find like one guy to bring upstairs.

Scott Benner 19:05
Okay. How much of the 600 How much do you keep?

Mila 19:12
I keep 500 and 100 for the table. Okay, um, yeah, and then usually asked for 100% Tip So do they do that? Oh, yeah, these guys because the guys that might like my club like these guys are like, like they wipe their ass with money. Like they're like rich so I don't have a problem being like, Give me all your money.

Scott Benner 19:33
I see that. So it's not like you're not taking like little Johnny's like inhaler money.

Mila 19:38
No, I'm I'm j&j His

Scott Benner 19:40
dad's money. That's funny. And Johnny is the CEO of

Mila 19:43
a company.

Scott Benner 19:44
I gotcha. Okay. Yeah. Interesting. You think it's, um, do you think it's about sex? Who do you think it's about power? Do you think it's about loneliness? Like, what do you I mean, how much time do you think spend thinking about the psychology of what's happening?

Mila 20:00
I think that it can be like, just, I guess, like, a bunch of different things. It really just depends, I guess like what the person wants when they come in. Because a lot of times we like to say like, we're basically like naked therapists, because guys will come in and just be like, complain about, like, the families and our wives. And they'll, like, pay us to do it. While just like a teaser out, so yeah, we're basically naked therapists most of the time, but a lot of times sometimes, too. I guess. It's just like, two parties. So then it'd be like, yeah, about sex. Like, they just want to see some buddies and have some drinks. You know, super fun time. Sometimes it's about business. A lot of business guys take like, their partners in to like, show them a good time. So like, sign the deal later, whatever.

Scott Benner 20:43
I have to tell you, as you're saying this, it occurs to me, I've never had a bad time with boobs. So I think yeah, I mean, I'm sitting here really hard pressed to think of a time where there were boobs available. And I was like, Oh, this is terrible.

Mila 20:56
Yeah, like, no, yeah, hot girls boobs and booze. Like, you really can't.

Scott Benner 21:01
It's a mix. Now, you said earlier that you use coke. So do you do it as a way to? Like, is it functional? Like you do it to work? Or do you do it? Personally?

Mila 21:14
No, it's just like a party thing. I actually I don't even buy it like, people just like I feel like like, not even just in like this, like the sex industry. But like, in like the like, in like the bar industry. And like the restaurant industry, like all these, like, all the way just isn't all the bartenders like there are they're all on cook. Most of them. And I don't know, it's just like, I just gets offered to me. And if I'm drunk, I'll do it. It's not something like I guess I don't if I'm sober. I'm Mike. Actually, by my cue, gross. I get that away from me. But if I'm drunk, I'm like. No, it's just it's my, I guess it's like, I would say it's like a social thing, like smoking a cigarette. Like I say, yeah, it's just there. It's always there.

Scott Benner 22:04
And now I'm going to do some use some words I don't have any context for but you're talking about, like, what I guess would colloquially be considered like a bump you're not or a line or like, yeah, not all night. Kind of thing.

Mila 22:18
No, no. Yeah. I mean, I mean, I knew years to get home at 8am. But, you know, besides No, yeah. I'm not like, doing an eight ball tonight or anything. I'd be dead.

Scott Benner 22:30
Yeah. I mean, I don't know what that means. But I agree with you. So oh, that's a lot. It's a lot. Okay. I mean, I'm, I'm in my mind, I'm imagining an eight ball on a pool table. Right about?

Mila 22:44
Yeah. Is that the vibe? Yeah. It's like an AP was like $250 worth of coke, which in a gram is like 80 bucks. So an AP was like three grams Basal.

Scott Benner 22:56
Or, like, 2.5. And you're not paying for it?

Mila 22:59
No, no, no. No, honestly, people just like, it's just crazy. How many people do it? Like? And like, I always think like, people who like don't do coke or like, never touched it or like, think it's like, like taboo or like scary. But like, in my like, to me, I'm like, i i every so many people do it. Like mind boggling.

Scott Benner 23:24
Yeah. In your world. You see it constantly. Yeah, like Yeah, yeah. Do you ever worry about like fentanyl?

Mila 23:31
Yes, yeah. There was well, especially after like, what happened? I can LA with those comedians, like they'll like died? Yeah. But yeah, I guess there was a bad batch going around Minneapolis, like a, like a month ago. And I definitely got a couple text messages like a like, don't don't do anything. But um, yeah, that's scary.

Scott Benner 23:53
Crazy question. Does your job offer a 401k plan?

Omni pod makes the Omni pod Dash. And they also make the Omni pod promise. And here's what that promise says to you. If for some reason, you start, let's say, let's make up a story here. Let's say you hear this today. And you go, Oh, that guy's compelling. I'm gonna get me that Omni pod Dash. And you reach out to Omni pod and find out you're eligible for a free 30 day supply of Omni pod dash and you do it right. You use it for 30 days. And at the end, you're like, you know what? Darn it. I'm gonna keep doing this dash thing. I love it. So you call them up. You're like, hello, Dexcom. And they're like, hello, because they're polite. And you say I'm gonna keep going with this dash thing. Right? And then let's say, Yeah, I don't know. A few days later. There's a big announcement. And Omni pod is making something new, something exciting and you're like, Oh, I wanted that new thing. You're not stuck with the Omni pod dash, not by the way that you'd be stuck with it as it's pretty darn terrific. But I'm saying if you wanted to upgrade to something else to the next new thing, you can, that's the Omni pod promise. The Omni pod promises, it's something written down on a piece of paper. You don't have to pinky swear when you get your dash, nothing like that. Just if you want to move up to the next big thing, and it's covered by your insurance, you can. That's simple. Omni pod.com forward slash juice box head over there today. Find out about this tubeless insulin pump they call the Omni pod. See how wonderful it is. Find out if you're eligible for the 30 day trial, the dash, get started. Live a life on encumbered. get control of your blood sugar's with the greatest pump I've ever laid my hands on. Hello, Dexcom Hello, hello, hello. Hello, hello, hello, hello Dexcom. Maybe you're eligible for a free 10 day trial of the Dexcom G six continuous glucose monitor. Here's how you'll find out. You'll use your fingers. You'll put them onto your phone, where the buttons are. We're on your computer, like I have a computer in front of me right here. Let me show you. What not show you. But I mean, I'll do it. And I'll explain what's happening. dexcom.com forward slash juice box that pushed enter and then pops up in front of Blue Magic. Actually, it's not magic. It's the internet. We're all used to but Oh, before you go, it says it felt me wanting to leave the webpage. And it says before you go interested in a free Dexcom G six sample. And there's a question mark like, Hello, are you interested? And it says our 10 day trial empowers you to make more informed decisions and delivers a new level of diabetes management Hello Dexcom. And then you just hit request a sample. Well, that sounds easy, doesn't it? dexcom.com forward slash juicebox. Everyone can click on the words request the sample, it's easy. When you get it, you're going to get yourself a continuous glucose monitor that tells you if your blood sugar is rising or falling and how fast it's doing that. It's also going to tell you what your blood sugar is. Like, I know my daughter's blood sugar is on its way down from a little bit of a high blood sugar right now let me see when it's 122. And it's stable. But I can tell on the graph that it's kind of drifting lower. That's the kind of up to the date information that Dexcom delivers right to your receiver or smartphone. Do not delay. Head over there today. I almost rhymed. And then I stopped myself dexcom.com forward slash juice box omnipod.com forward slash juice box. Support the sponsors support the show. Again, that was one solid take. I'm on a roll this week.

You can find links to these sponsors. And all of the sponsors of the podcast right there in the show notes of your podcast player. We're at juicebox podcast.com. Now we're going to find out if Mila has a 401k plan and a lot a lot more. I mean, this one's going to don't sleep on this episode. Keep listening. There's a lot there's like,

Mila 28:25
no, no. But we do have like this like this like spike sex worker. Like I know it's like this group of sex workers have like this whole thing. And they're like, talking to the mayor and stuff and they're trying to get like better. Better benefits and stuff like health insurance, like just basic for like dancers because we don't get any of that.

Scott Benner 28:49
Yeah, I mean, it's just so are you. This is a crazy and personal question. I can't believe it. This is the first time I've thought this is too personal to ask, but are you saving money? Yeah. Can you

Mila 29:04
know any other stripper out there like better showed saving their money because a lot of girls just like run through their money so fast because it's just fast money, but I'll save

Scott Benner 29:14
it. You know, oddly, I'm kind of comparing you to like an athlete in my head. Because yeah, it's or like a runway model, right? Because at some time, I mean, to be frank and to use your words at some point, a guy is gonna walk in there, see your TV, see somebody else's bees and yours are gonna look older and they're gonna be like, I'm gonna go with this girl. And then you're just gonna be like, Oh, geez, I get another great like, do you think I mean,

Mila 29:39
I guess if they start like, like, if they start looking ugly at some point, but

Scott Benner 29:44
I'm not saying they do. Let's be clear. And what I'm saying what I'm saying is that like your body is like it's your I mean, it's your product, right? Like so what happens when your body if your body becomes a product that people aren't as You know, desires of happening, you know, and then Oh, sure.

Mila 30:02
And then I guess I don't I I'm not gonna like stay in the business and time like 50. But there are girls that I know that are like in the upper 40s. And they usually make way more money than the younger girls because, like at, like, at the end of the day, like, yeah, like it's about like your body and your knees and stuff. But if you have like a mouthpiece on me, like if you know how to like, talk to a man and talk him out of his wallet and talk to him upstairs. That's really all you need, like a pig in a wig can make money, you know?

Scott Benner 30:34
Oh, well, we're so close to that being the name of your episode, except I don't think you're a pig in a wig. But that's okay, so. So what do you think you'll do after this?

Mila 30:46
I just want to save a bunch of money and like buy a house on the beach and like open a bar. But you know, I mean, and also, like, I do plan on having a rich husband. So that'll help.

Scott Benner 30:59
So this has been in the back of my head for about the last, you know, all but the first 35 seconds we were talking, you're going to make if you if you can find somebody you really like you're going to make, like, from the perspective of getting what you want, you're probably gonna have a fairly good time of being married is what I was thinking.

Mila 31:20
Oh, yeah, for sure. Yeah, yeah.

Scott Benner 31:24
So do you date while you're like, do you have like a somebody in your life?

Mila 31:30
Well, actually, I just got out of like, a five year relationship. I'm such a relationship girl, actually, I'm always in a relationship. But I've been single this past year. And so.

Scott Benner 31:38
Okay, so that's interesting. So you were five years with somebody while you were working? In dancing? Yeah. And

Mila 31:45
yeah, I would never, I wouldn't date somebody who like didn't click had a problem with my job?

Scott Benner 31:51
I don't imagine you could

Mila 31:52
know. Yeah, well, I mean, girls would do it, and then they'll their boyfriends will try to make them quit. Like, I'm just too much money to quit.

Scott Benner 32:01
I think that's a different psychological issue. Trying to save people like that feeling like you're gonna upgrade them or help them or get them out of something is.

Mila 32:08
That's yeah. Which is ridiculous. Because you just if you want them like work behind a desk for less money, that doesn't make any sense.

Scott Benner 32:15
So how did that go? Like, I mean, were trying to imagine like, you're like, Hey, I gotta go to work. And you're his boyfriend. Yeah, and your boyfriend's like, that's great. Get those boobs in somebody's face. Honey, we got to buy the we got to buy food. Like is that like, what? Yeah, no,

Mila 32:33
he used to drop me off every every night and give me just before I went in, and yeah, I would come home and be like, $2,000 and he'd be like, yay. Guys, a good time. It usually like that. Like, usually my boyfriend's be like jealous, like, Wow, thank you for making that much in one day,

Scott Benner 32:51
because it's so much money. It's more than they're making. Yeah, and he's really working his ass. So you think like, there's a, like, there's a lot of respect about the amount of money that you're bringing in.

Mila 33:02
thing, if you have respect for sex workers, then then you can respect the money that they bring in. But if you don't, I guess if you don't have respect for sex workers, then usually like the money doesn't matter, because they'll still be degrading, or some dumb shit. And then go watch porn. So it's just like, Okay,

Scott Benner 33:19
gotcha. So not okay for you. But it's okay for the girl in the video.

Mila 33:23
Right, exactly. So I just a lot of people. I think they're just kind of jaded by like, what society has taught them about like sex work. And it really like it can bring like women out of poverty, like, do a lot for you. It definitely brought me out of poverty.

Scott Benner 33:39
So I want to ask you a little bit about that. And then I have some diabetes questions. So yeah, at some point, we'll talk I mean, you know, for anyone listening, you don't come on here and say you're a dancer. And then like, I'm not gonna ask you about like your Temp Basal for pizza. You know what I mean? So not right away, at least. Do you ever feel degraded? And his his feeling that way? Is feeling that way in your control? Or is it in someone else's control?

Mila 34:09
Well, first of all, no, I never feel degraded. Because like, I'm not ashamed of my job or anything like that. And I feel like if anybody like anybody in the industry does feel that way. They should maybe think twice about being in it. Because I mean, you got to respect what you're doing. And if you do, then nobody can really make you feel like and anybody in any guy who has like, tried to be rude to me, like, I'm allowed to, I can hit you. I can pour champagne on your face. Like I don't you know, I'm not gonna I don't have to sit there and like, take you being rude to me. I can also get you kicked out. Right? And so it's like, I hold all the power.

Scott Benner 34:46
Have you? Have you ever felt bad about yourself?

Mila 34:50
No, no, no, not not. Not as far as like dancing or anything? No, no.

Scott Benner 34:55
And your job before this before you did this, what did you do before that

Mila 35:00
I worked at this bar in St. Paul, I guess nobody else. But um, yeah, I went to this copper actually, it was like a bears slash copper. And then before that I worked at a gas station. But yeah, the bar is what the bar is what brought like the bar is what got me into shipping because this girl came in one time and she was like my age, but she had like a Louis Vuitton bag and all this nation. I was like, okay, she affording this. And she told me she was a stripper and I was like, I'm literally going to my

Scott Benner 35:33
stripper to Let's go. Yeah, like, I swear, I'll get to the next thing. But you keep saying things. What's the interview process? Like?

Mila 35:45
Oh, there's no interview, you just audition. So basically, like you get on stage and they they they want you to do two songs. And then like if they like you, they like you and if they don't the dough

Scott Benner 35:56
and are their home? Or they're all different body types kind of represented in a club?

Mila 36:03
No, no most clubs or castles but some clubs. Yeah, well, like like, like, not just tiny skinny little girls be working. But a lot of places. I remember when I I was like 130 pounds. And this club told me to lose 30 pounds. And I'm five, seven. So it's like insane. So

Scott Benner 36:26
I lost 30 pounds when you weigh 130 pounds. If you're five seven? It sounds like you would Yeah, exactly. I would have been like a skeleton. So they want super skinny girls usually.

Mila 36:35
Some some places some places. Yeah. My place when we had our old manager he like wouldn't hire like anybody who was like, like, even like thick. Like if you had like too much acid it would be like good as a cooler. Oh, zuku Oh, by now now we got rid of him. So we have we have more diversity.

Scott Benner 36:55
Nice. Is there are there any girls that have like, I don't know, like a trick pitch. Like something? You know, I mean, like some guys throw fast balls and sliders. But every once in a while guys got a curveball. Like, you know, is there anything in the business that like, makes you like can separate you?

Mila 37:12
Oh, I don't know. I'm thinking like, I guess I mean, I don't know. I don't know what you mean. Like separate you how like by your looks

Scott Benner 37:23
like you've got like a special talent of some sort like, oh,

Mila 37:27
oh, yeah, I mean, yeah, some girls do like, cool on stage. Not me though. I just have nice boobs. And I'm fun. I'm a fun time.

Scott Benner 37:43
That sounds like a T shirt. Nice boobs. Fun time. I think that that pretty much encapsulates the entire thing. So yeah. Okay, well, that's all I wanted. Like, I was just wondering if there were like, genres of strippers. Do you mean like a stripper? A bad word, by the way?

Mila 38:02
No, no, no, no, I'm not in most I guess unless you're saying like in a derogatory, like way. But

Scott Benner 38:09
I think after half an hour, we can tell that I definitely am not saying in a

Mila 38:12
derogatory way. Right? Yeah, no, I mean, so we do we struggle.

Scott Benner 38:16
I'm trying to decide if I want to tell you the story. I have the brought this thought up in my head. Oh, my God, please do an exam. I was like I was I think we were really young. We were like, in our early 20s. And somebody, somebody one of us was getting married. And so there's a bachelor party and we showed up at this club. And I'm going to admit to you, I'm not very comfortable in that setting. Like, okay, so I'm and I don't drink. So it's, uh, oh,

Mila 38:44
yeah, you don't,

Scott Benner 38:45
it's a weird vibe for me. So now like, you're sort of just like stone cold, sober in the middle of a room with a lot of girls not wearing their tops and guys who are really drunk who are acting more like, you know, you're describing then I'm acting. So I'm just trying to like, stay busy. Like, if that makes sense. Yeah, keep moving, stay busy. So I'm just wandering around looking for people who I know to speak with. And I look up. And this girl is I don't know how to say this. I mean, I guess I just have to say it the way it happened. She's shooting breast milk into the crowd off of the stage.

Mila 39:27
Oh my gosh. And this has happened before guys.

Scott Benner 39:32
So I saw a man and I swear for anybody who listens to this who knows me it was not a person in our group that just saw it and stopped and acted like it was a water fountain and just turn to the stage. And my brain like said to me like, What are we doing here? What are we doing and I was frozen for a minute in this the ridiculousness of what was happening and then I moved on. Oh my god. Yeah, that's But made me wonder like this like can somebody do something weird or like special? Yes,

Mila 40:05
I Yeah, actually there's just one girl who definitely still has mocha. And she was last time we were in VIP. She was screaming and the students face guys just like weird it sometimes like and they love pregnant girls to

Scott Benner 40:18
pregnant girls are popular.

Mila 40:21
Yeah, like they like they will like rub your belly and your feet might give you money. I think that's like, you know, the captain save a ho type vibe, but

Scott Benner 40:28
they love it. Captain save a ho. You slip a lot of fun stuff in, like at the end of the year sentences. I'm just I'm trying very hard to pay attention. So. Okay, so you come back, though. So you're out of work for a while. And did you lose weight when you were diagnosed?

Mila 40:47
Oh my god, I was so skinny. And I just thought it was because I stopped drinking for two weeks. And I was like, wow, alcohol really puts a lot of pounds on you know, I lost. I went from I'm usually 145 I went from 145. Whatever, like 20 pounds. So whatever the math is,

Scott Benner 41:11
okay, once 131 4520 Yeah. Yeah, yeah, you're saving money. I mean, if you maybe you're,

Mila 41:21
if you're I mean, I was only out of work I was only out of work for I mean, those six days that I was in the hospital. Gotcha.

Scott Benner 41:27
Did any of the girls come to visit, you

Mila 41:31
know, because it was friggin cold. Like, I was only allowed to have like one visitor days. Just my sister and my, my ex came to see me. But oh, I was only allowed to have them

Scott Benner 41:41
in my head. It was an 80s comedy with starring Eddie Murphy. And like seven dancers showed up at the hospital. And then for the doctors anyway, none of that happened. You're saying?

Mila 41:51
strippers should definitely be allowed to just like go dance for people in the hospital? It

Scott Benner 41:56
would be an uplifting experience. And yeah,

Mila 41:58
and an old homes to

Scott Benner 42:02
think you're onto something. Why don't you start a business?

Mila 42:06
I don't think it's allowed. I have one customer who he he had one of his girls in his room after he had a heart attack and he got kicked out of the hospital.

Scott Benner 42:18
Do customers flame out? Like do you see them a lot for short periods of time? Then they're gone. And then there's somebody new or do you have people? Oh, yeah, yours?

Mila 42:28
Yeah, yeah. Yeah, people? Definitely. Well, for me, like most of my customers, like don't even live in Minnesota at all. Like they're from like New York or LA or something. And they come here like once a year. So I mean, they'll hit me up like once a year, but other than that, yeah, they all come and go.

Scott Benner 42:45
Well, okay, so you leave the hospital, you get a Dexcom? Like, is like where do you where the Dexcom? Usually?

Mila 42:54
I usually wear it on my arm. I've only worn on my stomach one time.

Scott Benner 42:57
Okay. Do people like the guys? I mean, I guess women come to clubs too, right to see women dance. But do do. You get your like, you can't get them confused and take their money.

Mila 43:10
Yeah. Yeah, I don't really talk to girls when

Scott Benner 43:15
I say so.

Mila 43:18
Guys. Yeah, guys upsets up to me like drunk guys. But like, what is that? Yes. And then like, a lot of them are like, because that birth control.

Scott Benner 43:28
Interesting. Now do you? Do you explain to them what it is? Or do you just ignore them?

Mila 43:34
I just I kill their vibe. And I'm like, it's for my diabetes. Every time we like, oh, but sometimes other people have diabetes to like this one guy who we were like, we were like, wow, objects calm and like we like like, put her arms together. And he got like some dances for me. And we were like diabetes buddies.

Scott Benner 43:52
That's crazy, though. That's kind of nice. Yeah, so people will comment on it, and they'll yell out stuff. You'll tell them what it is. So you're not afraid to tell somebody even in that. Do you know me like that? You don't think that makes you less attractive? You don't have that feeling at all?

Mila 44:07
No, yeah, no, no. No, because like, no, no, that's excellent. I guess. I feel like if you see me naked, you would not be paying attention to my Dexcom Yeah, look at

Scott Benner 44:19
you. Mila. Very confident. Okay.

Mila 44:24
Not that hard.

Scott Benner 44:26
Wait. Oh, difficult, man. aren't that difficult? Yeah. Yeah. I'm assuming these guys are all hard. They're just not difficult. Yes, yes. See, I can do work late, so I'm good at this. Okay, so now you're injecting so what's your goal? Like blood sugar? I guess let me ask you this first. I mean, you've only had diabetes for seven months. Really? How are you making out? Like, where's your agency? Like, what are you able to do? Have you been able to accomplish so far?

Mila 44:57
Um, well, when I went in, it was 16. And I just went in recently and it was 7.4. So my doctor was like, just like, yeah, we'll just like want to bring it like under seven. But um, I don't know, he's like, 16 7.4 That's pretty good. But

Scott Benner 45:17
for first jump, it's huge.

Mila 45:19
Yeah, yeah, that's Yeah, but yeah. And then he sent me an email. He's like, but yeah, like, it's like, get that under there. Right? Yeah, I was just like running high for these past two months. Because, like, sometimes I just really don't know what is going on. Like, you know, I feel like I do everything right. And it just is like, does what I want.

Scott Benner 45:38
Okay, so what kind of diet do you have? Like, do you eat like rarely

Mila 45:42
I just eat out a lot.

Unknown Speaker 45:44
I restaurant foods.

Mila 45:46
Before I had diabetes as like the type of girl to eat. I usually I would eat cake like once a day, like just sorry that I love cake and like ice, I guess sweet tooth girl like Cake, ice cream, chocolate, pasta, all cards. And, and now I'm just not that good at. I just feel like I get the doses wrong. Like are like, oh, like so I just don't need it that much anymore. Because I don't like to deal with it like so. I don't know if I don't feel like injecting or anything. I'll just see like, cheese and meat. But okay, or like stuff with no carbs. And then I if I feel like dealing with it, then I'll do it.

Scott Benner 46:25
So while you're while you're working Do you usually eat while you're working?

Mila 46:30
No, no, no, I usually I only I guess I eat like once a day. I just like I'll snap a snack and like meats and meat and cheese. I'm like a super cheat. Like I'm like a cheese where like, I just love cheese. Like I can have like seven shirring cheeses and like three hours. So good. But um that's where I live off of cheese and dinner.

Scott Benner 46:55
Okay, and and so like, do you ever find yourself having to inject at work? Like, is there a number you want to stay under while you're working? And does dancing? Yeah, I mean, how much of a fallacy is the word dancing? Like? I mean, you're not up there Flashdance. Right, like it's, is it? Uh,

Mila 47:09
no. I mean, I mean, I mean, I'm up there moving. I guess. I don't know. I'm like shaking my ass will do do it's definitely a workout. But um, and it's like, yeah, Tucsonans like, 10 minutes a dancing. But, ya know, I try to Well, obviously, I want to stay under. I guess I tried to be under under 180 I guess. And then above, like, I, I guess I don't want to be like, I guess like, I'd rather be like, above, like 100 At least I guess. Because I just get scared. I don't know. I've been like in like the 70s Before now, sir. And just like drink the juice and sit there and have anxiety.

Scott Benner 47:53
That's what I was wondering. Like, have you ever gotten low while you were dancing? Or have you ever been low when you're with a customer privately?

Mila 48:00
Yeah, well, no, the lowest I've ever been with like a customer dancing is like 70. And that's because I was like doing shots. Tequila. Okay. I mean, I guess it was easy to fix. I guess it's not that scary. When you're at the club. It's when it's scary. When I'm like by myself at home. That's, that's scary.

Scott Benner 48:17
What did your employer have to say? Like the I'm assuming you came back and said, Well, I have diabetes Did did you like Phil? Do people understand what that means? Like, would somebody there know how to help you if you had a problem?

Mila 48:29
I mean, hardly, but I mean, yeah, I just like, I guess if I pass out, like, give me some juice, or sugar or something. But most people have no idea for what is what it is. But in they knew though because like my like, my, my friends and stuff told them and he was just like, they were just checking on me. And I didn't do I didn't use stage for like, the first week that I was back and there just was like, kept asking me like, is you diabetes? Okay? I'm like, Yeah, I'm good. And that's like, but as far yeah. So as far as they know, and I'm just like, I never let myself I guess get to a point where I feel like I really need them to like, help me. I never. I don't know. I never I never really go under. Like, barely go. Well, I've been low like one time that wasn't even it was only like 70

Scott Benner 49:20
Gotcha. Do you carry glucagon with you?

Mila 49:23
No, I have those glucose tablets. And then but I have some I don't really even bring those to work because I just they just have like, you know, juice and pop and stuff.

Scott Benner 49:36
Yeah. Hey, so if you're a contractor, then you don't have health insurance through your job. Right?

Mila 49:41
Right. No, and I actually didn't have health insurance until I got diabetes and then they were like, oh, emergency life changing sometimes like that. So they gave me insurance.

Scott Benner 49:54
What what do you have like Medicaid?

Mila 49:57
I think it's called I mean, yeah, it's like, I don't know. It's like, take medical assistants like under the state. So I'm guessing as Medicaid.

Scott Benner 50:07
Okay. Wait, okay, I'm gonna carry it. I think it depends on I'm not sure.

Mila 50:12
I just have a $3 copay.

Scott Benner 50:15
That's pretty great. And you're gonna be able to get a pump.

Mila 50:18
Yes, yeah, sorry. I have to I'm supposed to make an appointment with my educator about so she can like explain to me that my different choices.

Scott Benner 50:27
Gotcha. And I only want one. Yeah. Oh, what is so you said that drinking can affect your affect your blood sugar? How does it affect it?

Mila 50:38
Well, drinking honestly, like usually. I feel like every time after I drink my blood sugar is just perfect for the entire day. What do you doesn't?

Scott Benner 50:48
Is it harder alcohol or beer? Or? Oh, no,

Mila 50:51
I just drink tequila, and Diet Coke. So it's like, I'm not like shooting up or anything because I don't like mix any sugar with it. So it just it really just brings me down really? But it doesn't bring me like low. I'll just basically, like right now because I'm definitely hungover right now.

Scott Benner 51:12
You're hungover right now. Yes. Do you are there ever nights that you go to work? And you're just like, I'm not drinking? I'm not doing any coke. Like, I'm just gonna I'm just here. I'm gonna, like, take some of this

Mila 51:25
money. Well, yeah, I mean, yeah, like, it's not every time it's just like, a lot of times I go to work and I'm like, No drinks for me. But it's just hard for me to say no. And like when a dude say do on a shot of tequila.

Scott Benner 51:39
Do you see that? Yeah, part of your job? Or do you just want the tequila?

Mila 51:42
No, yeah, I just wanted to kill it. Yeah. A little bit of an alcoholic over.

Scott Benner 51:49
I was gonna do you feel like you couldn't say no.

Mila 51:53
I guess I could if I wanted to. Okay. But I don't know.

Scott Benner 52:00
I don't know what that means either. I was just that's, that's all. This is all just based on your life and your answers. I have no idea about any of this. So far. All I've added to this is that I saw a lady lactating in a strip club 25 years. So I've really I've really added nothing else to the conversation so far. And there's an argument to be made. I haven't added anything at all. Although, I gotta tell you in memory, it was a funny memory. The layer and it wasn't the lady that was the funny part. It was the the person the gentle. Let's call him a gentleman even though let's be honest, I don't think he was but degenerate. It's my cousin. Yeah, it's because it caught him by surprise. Here's was The fascinating part about it. He was not looking at the stage. He was walking past this age he caught what I guess you would call shrapnel. You don't I mean, he got a little on the side of the head. It and in a split second. Even as drunk as I assumed he was he figured out what was happening and oriented his body towards the stage and then in an in a way which I think he was trying to be amusing just tilted his head back and open his mouth. And I'm fascinated to this moment how quickly he was because that's not me. Oh, let's say something. When liquid hits you in the head in public your first thought isn't Oh, that's probably something I can put in my mouth. Right? Like no, no. But he assessed the situation in a split second and went right now you could again make the argument that he should have assessed the situation and jumped on the floor, but instead he went away he went I'm never gonna forget that it could probably be one of the last things that I remember on my death get it? I mean, like, like your life memories are flooded from memory. Oh, yeah, really? I can't wait to share on it I have not made a word of that up by the way.

Mila 53:48
ship the ship cook customers are like super fun like if you ever just want to people watch go on a Saturday night. Have a great time.

Scott Benner 53:57
Can I ask you is there any Are you sort of like a doctor in that it doesn't matter what physical condition the person you're seeing is like or

Mila 54:10
Yeah, yeah, no. Yeah. I mean, obviously it's super nice when the customer is hot. But definitely have had like an old man with like, nasty breath like lick my neck before

Scott Benner 54:27
that's gonna be upset Oh my gosh.

Unknown Speaker 54:31
Now not worth $20

Scott Benner 54:33
I just I just got the craziest chill through my shoulders and up through my neck and then I started sweating immediately on my face. Hold on a second. Yeah. $20

Mila 54:43
Yeah, it was just like a regular dance to I was like no.

Scott Benner 54:48
Oh, I really am upset now. Okay. Oh yes, I

Mila 54:50
finished that dance and ran away so

Scott Benner 54:53
so you don't like you don't discriminate based on like body size style, but I mean, what's the most egregious thing somebody can be? I'm guessing it's smelly, right?

Mila 55:02
Yeah, yeah. If Yeah, if you smell bad, like

Scott Benner 55:08
different tell somebody like it's this isn't worth me You stink?

Mila 55:12
No cuz I might embarrass for them like I can't. I'm just like, I'm just like, I'm gonna finish my dance and walk away like you're not going to get another dance for me and I'm definitely not asking you to go to VIP.

Scott Benner 55:23
Is there anything that you do that you're that you're? It's not great for you like, like, What about like? So you we've discussed the very old guy, a smelly guy. What about a young person? Like, have you ever looked at a guy and thought he's too young to be here?

Mila 55:40
Oh my god. Yeah. Sometimes I'm like, Okay, let me see your ID because

you do not look of age. I gave a dancer guy last night and he was 21. He looked like he was like, 14.

Scott Benner 55:52
Yeah. Did he give you pause it all real? Like, he's gonna see my boobs and it's gonna kill him. You know, like,

Mila 56:00
Well, no, no, I'm just like, you're gonna spend all your money.

Scott Benner 56:05
I gotcha. All right. I listen. I think I mean, I'm not judging you. I hope I mean, you know that, obviously. Oh, no, no, I don't feel any judge. I'm just trying to get to the I'm just trying to get to the ideas here. Do you think that having a pump is going to cause you problems at work? Are you really don't think so?

Mila 56:25
No, I don't think it's gonna cause me problems. Because what I get first at first I thought that like, my darks calm would but like, even with that, like, I still make, you know, the same amount of money. So I guess I was just Yeah, I was worried that it would like, just look ugly. Or like, like, I don't know. But now I'm just like, I'd rather like have better control than not because I live like so in the moment. And I, I feel like I will regret it. Like later when I like have like, complication. Just something.

Scott Benner 56:58
You're worried about your health, isn't it? Yes. Yeah. I'll tell you right now. It's, it's stupid, because you just talked about using cocaine, and you drink a lot of tequila, but you're worried about your blood sugar. Yeah. So you think, Well, now that you did you feel worse? Like

Mila 57:19
it's just, I guess it's just crazy. Because to me like those things, I'm like, wow, everybody loves that.

Scott Benner 57:26
You're like, you're really, I'm enjoying talking to you a lot. Like you're you could possibly not be more opposite of me. But I've never I don't if you if you gave me three, like little cups with liquid in them and told me one of these is tequila, like, drink them and figure out which I would have no idea which one is to kill? I don't know. I've never had to kill in my entire life.

Mila 57:49
I mean, gosh, it's so crazy.

Scott Benner 57:52
I've never been high in my entire life. I mean, you could, that that's it's never even occurred to me.

Mila 57:58
I know. But I guess my question is why?

Scott Benner 58:01
It's never occurred to me. I don't know. I could ask. I think you should at least smoke weed or like taken out a bowl. I know. It's not that I couldn't. I just It doesn't if you put it here right now, if you said to me, Hey, look, here's an edible. You take it at your leisure. I just wouldn't take it.

Mila 58:22
You just keep it forever take it in your deathbed or something.

Scott Benner 58:24
We'd probably watch it and one day look at and go Oh, this looks dried up and I throw in the trash. Like I just I would never make it would never occur to me to do it.

Mila 58:32
I guess at this point, it's like for what for? I feel like an edible. Like you probably like call 911 or something

Scott Benner 58:37
I would call 911. I probably am a lightweight because I had like, oh for sure. Oh yeah. Like they give you this cocktail before you get like a medical procedure. And I the guy, like had this a good the nurse kind of brought it on one second. Sorry, my, my voice just broke. The nurse comes up. He's like, I'm gonna give you this. He explains what it is. And I said listen, before you give that to me, you should know like, I don't drink or smoke or do anything. And he goes, Oh, I'm on. Because I'm only gonna give you half of this then I was like, Okay. I always wondered where the other half of it went. Figured out windows pocket. He was like, Oh, alright, but I just found it. Yeah, like because I couldn't like I didn't need all that. Like I really it's just it's but again, not a judgment. Like I'm not looking at your life and saying why are you doing all this? I'm just saying it's like it's never occurred to me. I've had to access to the things that you're speaking of opportunity. It's never occurred to me.

Mila 59:40
It's yeah, and that's mind boggling to me. But But

Scott Benner 59:46
does it is it ever something you think like, one day I got to stop doing this?

Mila 59:53
Oh, for sure. Yeah. Yeah. Well like not like party and do coke anymore. You Yeah, I guess it's just hard that I guess the day that I like stop, like, going out. Like I they won't get offered to me because I mean, like I said, like I don't I won't buy it always like always smoke weed though. Yeah, Coke. No, that's just like it's just like a party drug. I'll phase out.

Scott Benner 1:00:22
So that's so when people say I know I'm gonna sound ridiculous for a second to you but when people say party, they mean in a building with a group of people who are mostly inebriated and they enjoy doing drugs and drinking and listening to music. That's party.

Mila 1:00:39
Yeah, basically. Yeah. Like I'm at the bar or something or at a party. Gotcha. That pretty much every single party somebody is going to somebody is breaking down some line somewhere, for sure.

Scott Benner 1:00:51
So let me ask you this question. Who this? I'm gonna give you a baby. We'll call him Billy. Billy. Billy's now your baby. And he's yours to raise. Right? Oh, god. Yeah, it's absolutely frightening. Trust me. So if you want to be like the guy look in your neck. That's nothing compared to having a kid. So yeah, so So Billy is on his way out the door one day. He's gonna go out have mom, I'm gonna go out with my friends. Do you say to him? Well, don't forget to drink and smoke and do coke and have a good time, sweetie.

Mila 1:01:25
No, no, honestly, what I would say is, I mean, if you're gonna do any of that, be safe. And like, I mean, call me if you need anything. Like, I'll help you. Because I think a lot of times parents can be very, like naive and thinking like that their kids aren't going to do drugs are going to try it. Versus like educating them and like making sure that they if they're going to do it, then be safe. Because, you know, just being like, don't go to the Billy like, okay, what are the chances really is gonna fucking listen to me. Yeah. Well, so it's like, give them the tools to be safe.

Scott Benner 1:01:59
I gotcha. Do you think your parents knew you were doing it? Oh, yeah.

Mila 1:02:03
I mean, well, yeah. My dad like, I remember the first time you try me smoking meat is like, grounded me. And then he gave me a bag of weed and was like, you can only smoke it in the house.

Scott Benner 1:02:13
Right? So your dad smokes, too. He caught you doing it? How old? Were you?

Mila 1:02:19
Oh, I was 14. When he first caught me. Yeah. And then the first time I did Coke, I was in 10th grade. And then I never did it again. And then in 11th grade, I did it like, every day,

Scott Benner 1:02:30
in what situation in 10th grade was cocaine available to you? In math class, where you

Mila 1:02:35
like hardens? I'm not gonna lie. I have done a line in math class before it in my book when the teacher wasn't looking. Like, I just paid pay more attention to the travel trip. Because we I mean, my friends are some badass kids. And now that I think about it, I'm like, I can't believe all the things that we were doing. That's insane to me. That's but that's why I'm like, not kids be lying. Like people think their kids are well, angels. No. Hmm.

Scott Benner 1:03:01
Interesting. And then in 11th grade, it was happening constantly.

Mila 1:03:05
Yeah, cuz yeah, I just, that's when I was buying it when I was in 11th grade. And like me, and my friends was doing it every day. We also we had this group of guys too, who like sold it who would like come and pick us up from school and like do with us? How people

Scott Benner 1:03:20
get money in 11th grade to buy Coke.

Mila 1:03:23
Where did I work? I think I read like Coldstone. So I was buying ice cream.

Scott Benner 1:03:30
That I just wait, you got to give me a half a second. I'm gonna take a drink Hold on. So I go into the Coldstone to get a cone. And then I'm like, I see a cup there. It's like, hey, leave us the tip. And I stuffed two bucks in it because like, you're like this 16 year old girl working their side job. And you're like, Oh, I'm so much closer to align rail. That's what's happening. I mean, maybe Are you trying to tipping because I think that's what's happening right now.

Mila 1:03:59
No, no, that's so funny, though. But yeah, I don't know. Yeah, no kids too crazy. I thought it was fun.

Scott Benner 1:04:07
I I left a fairly large tip with a waiter one time. It was bigger than it should have been. And he was young. And I looked him in the face and I was like, do not buy drugs with my money.

Mila 1:04:16
100%

Scott Benner 1:04:19
and I was screwing around, but it froze him in his tracks. And now you're making me think that happened? Not because he thought I can't believe somebody said that to me, but because he thought oh, I wasn't gonna buy drugs for that.

Mila 1:04:29
He's like, how did he know? You know, I

Scott Benner 1:04:31
was gonna do that. Now I'm gonna just assume that's what's happening.

Mila 1:04:39
For the most part,

Scott Benner 1:04:39
I mean, in social economic, like lines are blurred in the scenario right? Like it's not like it's not like, just like, Oh no, no prospects and no money. It's people. college educated people like it's, it's up and down the line, right?

Mila 1:04:56
Literally, like I would say every single one of my My aunt loves cocaine. And they're like, yeah, they are. I would call them what is it? Like, what are they called? White Collar? Mm hmm. Whatever the color is where they make a bunch of money, those collar people. Yeah. Yeah, one of my regulars here, actually, I don't know how these people aren't having heart attacks at this point. But I remember he was flying us out to Cayman Islands. And we had a layover in Atlanta. And we stopped that, like, we're in the airport, and he's like, you want to bump and I'm like, wait, you had this in your pocket? The entire flight? Like psychopaths. So yeah, they all do it. And like when I say like, everybody does it like, you would be like, shocked.

Scott Benner 1:05:44
Okay. I mean, I listen. Me, let's be clear. I'm shocked. Okay. You've you've I don't think you've said one thing that I have been shocked by. But it's why you're here to tell me about this thing that I don't know about. So I want to like I just keep imagining like that women are listening to this right now. And they're like, Oh, God, I think that might be my husband. You know, maybe like, yeah, that's a worrisome idea. But at the same time, there's got to be plenty of people who don't do anything like that to you just don't meet them. Because you're

Mila 1:06:18
right. I mean, when there's I mean, yeah. Right. There's good. There's good people out there. They're just not an

Scott Benner 1:06:25
interesting, that's an interesting statement. There's good people, do you see them as not good people?

Mila 1:06:31
No, know, I guess. I mean, you know, I'm just like, I guess like, as far as I mean, like, good people. I just mean, like, like, straight edge, like you. Don't drink Don't do drugs.

Scott Benner 1:06:43
I don't think of that as a thing. Isn't that like, I like if you said to me, you're an example of being straight edge. I'd be like, I don't I don't. I don't know what you mean? Like I just, I can do it. Like I just do what occurs to me. I guess that's what everyone's doing.

Mila 1:06:56
Just like, just rad dog in life.

Scott Benner 1:07:00
I mean, when I was younger, maybe. But now, I'd like to save it for a certain weekend, you know, so I hear what you're saying. Okay. This is okay. Wait a minute. I have to collect myself for a second. This happens frequently to me. Can we talk about diabetes management for a couple minutes? Yes. All right. So you have not had diabetes for very long. It's possible. You're honeymooning? Is that possible? Have you seen that? Have you seen days and times when you just don't need as much insulin? And it's kind of like, kind of shocking how much less you need? Well?

Mila 1:07:35
Well, yeah, well, he was telling me my MO was telling me about honeymooning. And I guess I don't, I don't really understand, like, does that mean like, I could, like eat something with carbs and like I wouldn't shoot out. Because if I fade some carbs like I shoot up. So I mean,

Scott Benner 1:07:51
what can happen sometimes meal and may not may not have ever happened to you, and it may not ever happen to you sometimes. There's almost like, I guess sputtering of like your pancreas working like it stops working, you get diagnosed, and then all of a sudden, it kind of picks up again, and starts making some insulin. So you're now adding manmade insulin, but all of a sudden, your body's like, no, no, I can do it. And now you have, you know, now you have too much insulin. But you would really know that if it was happening. It would present a number of different ways. But one of them might be like your feeding like You're like all day you have to snack or you'll get low whether you're whether you've like injected for a meal or not. Oh, Has that ever happened?

Mila 1:08:32
I mean, yeah, I mean, I've been like, I guess I've gotten low before when I thought I was injecting right but I don't know if it was like honeymooning or if it was just because you got the number wrong. I did something that I wasn't used to like when I went to the state fair in the summer. I had like my mix such a scary low experience. But I thought I'd be fine because I ate all these so many carbs and pasta. And I gave myself seven units because they make one to 10 So I thought like this pasta was like seven days and I had so much more than that to add like mini doughnuts and like all this that I didn't those four. So I thought I only needed the seven. And it like shot me down like to where it just says low and it was like double arrows. And I had to have like, I was like shaking and freaking out. I had to have like, like three had chocolates juices, a bunch of glucose tablets and then finally like went up and then after that was like terrified of insulin go after that. Oh, yeah, like I definitely overdid it because I was like freaking out. So I didn't want to wait because I didn't know like, I was just by myself. You know? Alright,

Scott Benner 1:09:44
I'm gonna say something. Vaguely parental to you. But I don't mean to come off that way. Okay. In between tequila, cocaine, and putting your head in somebody's mouth. I want you to listen to the pro tips of the podcast. Will you do that?

Mila 1:10:00
What? Yes, yeah, I've listened to a couple, I need to, like start from, from the beginning

Scott Benner 1:10:05
or at the beginning, just kind of listen through. Because in the end, what you need is to have your Basal somewhere near correct. And then you need to understand how to Bolus for your meals, meaning that you like some foods are going to need like Pre-Bolus thing that's greater than other times, you're gonna have to learn that the meal meal ratios for different foods are different. So where you might be one to 10 for I don't know, pasta, you might be one to 12 or one to eight for something else. And that pasta, you know it, trust me it I know. And like pasta is a good example. Right? You, you eat it, and it doesn't immediately spike your blood sugar up because it takes a longer time for your body to start digesting it. So if you so see what I'm saying you might need it for the pasta, but you might not need it when you're using it, if that makes sense. So the timings messed up a little bit.

Mila 1:10:59
So then like you just do wait to do the answer. And then like you eat to eat it first.

Scott Benner 1:11:05
There's all kinds of things that you can do in all different kinds of situations. Macaroni and cheese is a good example. Right? So the pasta and first of all, no judgment, but boxed macaroni and cheese is going to hit you harder than if you were to go out and buy some, like good pasta at the store and boil it yourself and put like real cheese in it like it like it's not going to be that much better. But it actually might be easier on your system. So the Oh, you were processed foods you eat, the more true you should find your carb ratio working. Example. But but with the macaroni and cheese as an example, you put it in, your body can't start digesting it right away. And it just takes longer to digest. So the impact from it might come later could come an hour, hour and 15 minutes after you eat it. Also, there's fat in the cheese. And the fat slows down digestion more, which pushes the rise up later. What else could happen protein, you could eat meat. And meat doesn't have any carbs in it, but later when it's broken, but later when it's broken down though your body turns into sugar. So you can see a protein rise. So even people who eat very low carb, if they were to go to if they were to go to McDonald's, and like buy cheeseburgers and throw the rolls away and just eat the burgers, they still might need some insulin 45 minutes later for the protein rice and that's all covered in the pro tips. Like it's all in there. So yeah,

Mila 1:12:35
okay. Yeah, definitely. Yeah, I remember asking my endo about protein in his like, no,

Scott Benner 1:12:40
they call those free. Right? He probably tells you that cheese sticks are free.

Mila 1:12:44
Yeah, yeah. Yeah, but does your blood sugar

Scott Benner 1:12:47
free after you eat that stuff later?

Mila 1:12:51
Hmm. I don't know. I mean, yeah, I guess Sorry. Yeah. Cuz that's like all I snack on and sometimes I wake up.

Scott Benner 1:13:00
Yeah, so you just have to pay attention

Mila 1:13:02
this morning. Yeah, this morning. I was like 240

Scott Benner 1:13:05
steps. Yeah, that time. We don't want that. So

Mila 1:13:08
then I went down to 198

Scott Benner 1:13:11
It's a you woke up at 246. And then it came back on its own to 198.

Mila 1:13:16
Yeah, so I'm guessing I was like, maybe the tequila hitting or something? I don't know. It could be. I don't know cuz I didn't do any insulin. I just, it went back down on its own.

Scott Benner 1:13:27
What time of day? Do you shoot your? Your Basal insulin?

Mila 1:13:31
That's the Lantus. Right? Yeah. At at 8am, if I remember, so I'm

Scott Benner 1:13:37
gonna guess I forgot to do it today. We got to do it. And I got what I would guess is that the Lantis probably is not really lasting a whole 24 hours, like the label says. So maybe you're drifting up in those last 810 hours of the 24 hours? Because the Lantis is not as powerful at that point. Then you put the Lantis back in and starts working again. That makes Yeah, yeah,

Mila 1:14:01
cuz yeah, it started going up at three, C went down at 8am.

Scott Benner 1:14:07
So it's easier to do this stuff, once you start understanding, kind of like what's what's expected to happen. So when you go on a pump, you won't have that problem with Lantis anymore.

Mila 1:14:20
Because yeah, because it just doesn't work for you. Yeah, you'll stop anthesis in the pump, too.

Scott Benner 1:14:25
There's no Lantis in the pump. What will happen is you'll stop, you'll stop taking the Lantis the pump will just have your meal insulin and what are you using? Novolog? Humalog? Yeah, yeah, no. Yeah. So you'll fill the pump with Novolog. And when you want to have a meal, you'll say hey, like I just had 12 carbs. And it'll it'll, you know, based on your meal Bolus give you insulin, but it will also give you tiny little spurts of insulin. All throughout Africa. Yeah, for Basal that'll also be covered in the Pro Tip series. Okay, all right. I want you to listen, I know

Mila 1:14:58
Yeah, I'm just saying To

Scott Benner 1:15:02
know, I know don't

Mila 1:15:03
have it listed on your website course.

Scott Benner 1:15:05
It's everywhere. Yeah.

Mila 1:15:10
Yeah. So um, so how to explore find which ones are the perfect?

Scott Benner 1:15:14
Yep, you could listen to them at juicebox podcast.com. You can listen to them at diabetes protip.com You can find them by scrolling through your podcast app. But seriously, it might take you 2025 hours, you know, over the course of a month. But if you listen through those, I promise you, you will have a better understanding of what you're doing. And oh, yeah, for sure. It sounds like it's important to you don't want to. I mean, you're not looking to have like serious complications 1015 years from now, so you're gonna need to understand all this, you know, plus, we want those boobs to hold up. Yeah. I'm saying so main issue. Can I ask? Are they more like small and perky are kind of big and wonders.

Mila 1:15:59
Question they're not small. No, they're I guess what the Double D is in perky. Oh, my

Scott Benner 1:16:06
goodness. Congratulations. are great. Just did you get them from your mom? Have you ever thanked her?

Mila 1:16:15
Yeah, shout out to my mama. She has like size up though. So Thank God my like stuffed. Wow. Those are humongous.

Scott Benner 1:16:22
stand for huge. You think?

Do your parents listen? This is silly question because I think the answer is yes. But Do your parents know what you do for a living?

Mila 1:16:37
Oh, yeah, for sure. Yeah.

Scott Benner 1:16:38
I ever tried to stop my grandma to wait, your grandma strips. Or your grandma knows.

Mila 1:16:44
No, no, my grandma knows my grandma. Just be like cool. Shakedown. Ask her. Yeah, my family's like, a bunch of like little hippies.

Scott Benner 1:16:51
Yeah. What other time? What background? Are you guys?

Mila 1:16:57
My mom's Right. and Mexican. And my dad was black by native. Okay, actually just passed away. November 12. That's sweet. Wait. Yeah,

Scott Benner 1:17:10
that's what I was saying to you. Okay, so what was your dad using? And he got caught with something he didn't know he had?

Mila 1:17:18
Um, I mean, yeah. So for the longest time he has had like painkillers because he kept his legs really bad in a car crash like 15 years ago, whatever. So then, you know, he got addicted to pain pills. And then he discovered fentanyl. But his girlfriend told me that he had been experimenting with it for six months. But that's all it took. Wow. To take him away from us. So sorry. How old was he? That's actually a good question. I don't know his burden. 63.

Scott Benner 1:17:51
Hold on, we can do the math together. Let's do that. I need a pen. This is embarrassing. And I know you don't

Mila 1:17:57
know I'm so bad at math. In math class. So

Scott Benner 1:18:00
hold on a second. So 1022. He said 6319 83. Now here, let me do some math. So the twos overtop of the three. So we have to move one over. So we take the one from that. Make that to one. Bring that one over. Now we have 12. So there's nine, I got a nine. Now I can't subtract six from one. So I have to borrow again. So now that 19 makes that 11 and 11 minus six is 789 10. And five. Your dad was 59. Yeah, yeah, yeah. Yeah, right. He was. I wasn't high in math. I at least know how to do simple subtraction. Better than me. I still had to write down. It's very

Mila 1:18:41
embarrassing. So I'm gonna just just do my calculator.

Scott Benner 1:18:45
Yeah, but listen, I knew you weren't going to be any help. When you told me you lost 20 pounds. You were 145. And you're like, so I don't know what that made me. I was like, yeah,

Mila 1:18:52
no. This let's thinking alright, so

Scott Benner 1:18:59
what have I not asked you that I should have asked you. Is there anything I missed? Or something that you think people should know?

Mila 1:19:08
I don't know. I don't think so.

Scott Benner 1:19:10
No. Do you have a podcast about this?

Mila 1:19:14
No, I podcast about sex work.

Scott Benner 1:19:16
I know. I miss what I'm saying. Like you. How long have you been doing that?

Mila 1:19:20
Oh, um, I don't know. Just a year. Yeah, just like a year.

Scott Benner 1:19:25
Do I tell people what the bias is called? You can? Oh,

Mila 1:19:28
it's called other words for horror with is an x where the OH is for horror. And yeah, it's an app on Spotify. And I just I interview sex workers from like, all over and we just take shots and touch.

Scott Benner 1:19:41
Wow, you get drunk and talk about this about your job? Yeah, what is the career

Mila 1:19:46
and like, you know, we just try to like, you know, also like, you know, a little bit education in there, like sex workers or people to

Scott Benner 1:19:53
Yeah, no, I understand. Do you? I think that's, honestly listen. I think it's important I'm like, I'm not joking around, like, I've tried to be fun and have a good time here. I try really hard to let all kinds of like, listen, I think it's fair to say I'll you know, this podcast is very well listened to. And I could easily ignore stuff like this and pretend it doesn't happen and make everybody comfortable and happy. But the truth is that there are a lot of people listening to this podcast, who drink who do code who strip who do all kinds of things who like us. And those people deserve stable blood sugars too. And they deserve I deserve to understand what their Basal insulin is doing. And and everything else that goes along with having diabetes, you don't get to not have healthy diabetes. Like, I know this sounds crazy, but you do coke doesn't stop me from believing that you should have good blood sugars. But I think some people would. But I think some people would think that I think some people would think well, she obviously doesn't care about her health. She's doing drugs and drinking. So who cares about the rest of us, but I care? Like the answer is if the question is, who cares? The answer is I do you know what I mean? Yeah. So I wanted to have you on like to learn about your life, because it's, it's uncommon. It's, you know, it's, it's interesting. And I think you should, you know, you should be applauded for finding a podcast about diabetes. I mean,

Mila 1:21:24
yeah, I'm so glad I found your podcast, it's been super helpful.

Scott Benner 1:21:28
I'm glad I really hope you dig into the prototypes, because I think they'll be really valuable for you, I think the pumps gonna be big deal for you. But understanding some of those things, like, you know that your blood sugar could go up in the morning when you wake up, or that you're, you know, some of those older injected Basal insulins don't work 24 hours sometimes, or you know how to figure out the difference between different foods and stuff like that. It's a big deal. Like, it'll, it'll go a long way to you getting your a one C lower, eliminating low blood sugars and eliminating big spikes, which is really what you're trying to do. You're trying to not have big spikes. You're trying not to have frequent lows. And you're trying to have stability, you know, honestly, is close to 8090 95 as you can, which will give you an A one C in the fives. Yes. And you can just go kill yourself with something else, but at least it won't be the diabetes. Damn it

Mila 1:22:25
long as it's such a killer.

Scott Benner 1:22:27
Yeah, listen, let it be the tequila. Not this. Also, do you seriously think you need help with alcohol? Like, should I be telling you to call a sponsor or something like that? Oh, I don't know. Know, where my responsibility ends and all this? You don't know. Alright. Alright, so last thing, you have a daughter one day, she comes to you. She's like, Mom, I'm gonna dance you stopper? Are you supporter?

Mila 1:22:52
Um, I would definitely support her but I you know, educator first. Okay. I would hope I would hope that, like men have my kids. Like, if I ever had kids, hopefully they would not like, have to. Because like most people, like do it to like, get out of like being poor. That's the one. You can make a ton of money though. So

Scott Benner 1:23:13
yeah, no, I mean, it's not just not being poor. Right? Like, I mean, $1,000 Nights a lot of money.

Mila 1:23:19
Right? No, yeah. Once you're in it you're in. So it's just like, but it's not something life's up everybody. I mean, you're my lifestyle is? Yeah, everybody can not even I can keep up with it. So

Scott Benner 1:23:30
Right. Are you? Do you think you're like particularly built for it? Or do you think that for economic reasons? You just didn't have a choice?

Mila 1:23:41
Um, no, I think I think I'm definitely built for it. I mean, I I really having like a boss and like working like a vanilla job. Like it was terrible to me. Yeah.

Scott Benner 1:23:54
Like, if you and I were dating, you'd leave me in like, what like three days? Probably. You'd be like, Oh my God. I gotta go. Right. Like it's why wait, why not looking for super normal, right.

Mila 1:24:10
I mean, I don't know. I feel like I feel like I feel like my, to me. My life is normal. I guess. I don't know.

Scott Benner 1:24:17
Yeah, I guess nor me. I guess it's more of what I meant. Like, just kind of boring. I probably like my life would feel boring to you.

Mila 1:24:25
Yeah, well, yeah, probably.

Scott Benner 1:24:27
No, trust me. It's almost boring to me. So I you know,

Mila 1:24:31
I mean, unless do you go in maybe if you go to Mexico vacation or something?

Scott Benner 1:24:34
I would if I could stop working long enough. But I just I work a lot. So I podcast right. Yeah. Are you kidding? This podcast comes okay.

Mila 1:24:44
Do you have like another job?

Scott Benner 1:24:46
I would not have time for another job. Oh, I was gonna say yeah. I mean, I have kids right there in college, like raising people is exhausting.

Mila 1:24:56
Yeah, I don't think I'll ever have kids. I have a dog and that's enough for me.

Scott Benner 1:25:00
Gotcha. That's good. I mean, I think we should do another one. Like, I don't think people should feel pressured into having children. Honestly. No, no. If it's not for you, it's not for you. And that there's nothing wrong with that. All right,

Mila 1:25:14
yeah. Nobody needs to be underneath my care. Even you hardly

Scott Benner 1:25:23
did the diabetes, things seem unfair because of the lifestyle you live. Do you think, Oh, this is like so unlike? Because it's very regimented. And there's nothing regimented about it.

Mila 1:25:32
It's kind of the most fix up thing that could have ever happened. Yeah, it's just a lot of thinking and a lot of math. And I'm so bad at math. And I hate like, the fact you have to like, think about it

constantly. Yeah, it's just annoying. A lot of work. Yeah. It's like a second job. For no reason.

Scott Benner 1:25:53
Well, it's good reason. It's gonna keep me alive. Yeah, yes. How's your hangover doing isn't getting any better?

Mila 1:26:01
Yeah, it's actually getting better. Good.

Scott Benner 1:26:04
Do you work tonight?

Mila 1:26:06
Yeah, well, I want to I'm just I didn't

Scott Benner 1:26:09
really Oh, is it that? Is it kind of that loose? Not?

Mila 1:26:13
Oh, yeah. We're not on schedule. Because we're contractors. We just come in?

Scott Benner 1:26:17
What if What if everybody rolls in on the same night?

Mila 1:26:21
That That wouldn't happen? Like,

Scott Benner 1:26:24
Oh, I see. You're

Mila 1:26:25
trying Are you trying to get us in?

Scott Benner 1:26:29
That's what I was about to get to. You're saying it's not like everybody's just running. So people kind of like, there's a lot of people who come in, take some money, use it up, then come back and get more again.

Mila 1:26:40
Yeah, yeah. Like, yeah, gotcha. Those girls were in every day. And then those girls who? I don't know, I worked like three days a week.

Scott Benner 1:26:46
Okay. All right. Well, Jesus, I would like to work through this way. That sounds good. Sadly, no one is going to give any money to see my so we're pretty much there. That's not gonna happen. How many times you never know. You don't you never know. Trust me. Let me just say it a different way. I don't want to meet the person who would pay money. Okay, how's that? That's specific. Let's get it over under right now. How many times do you think I'm gonna have to bleep out the word?

Mila 1:27:20
Oh, gosh, I didn't even know how to bleep that out so many times. Yeah.

Scott Benner 1:27:24
I mean, it's gonna be more or less than, okay, like, we might have

Mila 1:27:29
said it, like, 30 times.

Scott Benner 1:27:31
I see. I was gonna say like, 25. Okay. All right. Well, right. After I edit this, I will put the answer at the end of it, so people know. Okay. You're delightful. I really appreciate you doing this very much. Thank you. Yeah, absolutely. If you want to hold on for one second, I'm going to make sure you have access to the to the information you want from the podcast. I'll just make sure you know where it's at. And then I will let you get back to your life Hold on one second.

Well, first, I want to thank Mila for coming on the show and being so open and honest. And I'd also like to thank Dexcom, makers of the Dexcom G six continuous glucose monitor, head over to dexcom.com forward slash juice box and say hello, did X cow. If you're looking for that Omni pod dash trial, that free 30 day trial, go find out if you're eligible, and on the pod.com Ford slash juice box and don't forget about the Omni pod promise. If you got an omni pod dash right now today, and something huge came out tomorrow. Or the next day, you get upgrade as long as it's covered by your insurance. Go find out more on the pod.com forward slash juice box.

Let me tell you a little behind the scenes story. So the day after I record with Mila I record with Tony, Tony's got this young daughter you won't hear her episode for many months but and I could hear her daughter at one point in the background. She had the sweetest little voice. And after she and I recorded I said I'm gonna be forever editing Milos episode, because she said this so many times and she cursed and I'm gonna have to pull out all the cursing and I didn't you know, I love the episode. But as I go, it's gonna take forever. And she said, Maybe you should bleep it out with Arden's voice, same boobs. And I was like, oh, Arden wouldn't do that. But it would be funny. I said actually, what would be funnier is if your daughter did it with her little tiny little baby voice. And later that day I received an email with I think like four outtakes of her little daughter saying boobies and it was just adorable. It turned out to be too much editing for me to slide it in every time. Mila said these, but I wanted to put them here for you at the end so you could hear them. Just before I do that, I want to Say I didn't have any trouble with any of the words that mula used today. And if it was up to me, I would never take them out of the episode. But in order for me to have a clean rating for the podcast so that it can be heard in all different countries. I can't curse on an episode that says it's clean. And if I say an episode has curse words in it, then the podcast will be eliminated from some countries. bleeping and childish words are the answer to that. Movies. Thank you so much for listening. There are a ton of other after dark episodes, go find them in your podcast player, or at juicebox podcast.com. I'll be back very soon with another episode of The Juicebox Podcast. I hope you enjoyed today's episode. I enjoyed bringing it to you. There's much more coming. Make sure you subscribed or you're following in a podcast app or an audio player. Movie movie boom boogie. Do we boo boo

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#617 Glucommander

Katie has type 1 diabetes and she is a new mom.

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

+ Click for EPISODE TRANSCRIPT

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Hello friends, and welcome to episode 617 of the Juicebox Podcast.

Today's show features Katie. Katie is a young mother who has type one diabetes. And we will talk about all things type one diabetes and babies. Babies from a parenting perspective, type one diabetes from a person's perspective. My thoughts from my perspective, you'll listen from your perspective. And we'll all form new perspectives. 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 healthcare plan or becoming bold with insulin. I need you to go to the T one D exchange and fill out their survey. T one D exchange.org. Forward slash juicebox. You have to be a US resident who has type one diabetes, or a US resident who is the caregiver of someone with type one diabetes. If you are those things, your answers to your completely private questions that are HIPAA compliant. We'll help people living with type one, and they'll benefit the show T one D exchange.org. Forward slash juicebox. This show is sponsored today by the glucagon that my daughter carries. G voc hypo Penn. Find out more at G voc glucagon.com. Forward slash Juicebox. Podcast is also sponsored but I just got shot out of all goes. Hold on. Sorry about that. I mean, lighten that up a little bit. The podcast is also sponsored today. By the Contour Next One blood glucose meter, learn more and get started at contour next one.com forward slash juice box. There are links in the show notes. And Luke, look at link what was I saying and links to Juicebox Podcast? Podcast? What is going on? There are links in the show notes and links at juicebox podcast.com. If you can't remember contour next one.com forward slash juice box and G vo glucagon.com forward slash juice

Katie 2:24
box here right now he's like queueing a little bit.

Scott Benner 2:28
I'm gonna record right now. I don't want to miss it. Okay, being recorded. All right. So you are allowing a nine week old baby?

Katie 2:36
Yes, I am. So it has been quite the nine weeks for sure.

Scott Benner 2:42
Really? Well, we'll talk about it, I guess. Yes. We'll just let everybody know that we're hoping the baby's gonna fall asleep and the baby might not fall asleep. And we'll see.

Katie 2:51
Yes, I've been doing my best but you know, babies are unpredictable is what I'm learning.

Scott Benner 2:55
Yeah. You're figuring that out? Are you? Yeah, you

Katie 2:58
know, cuz like when I scheduled this with you, I was still I don't know if I was in my third trimester yet. So I was like, oh, yeah, by then all should be fine. Like, we can do a podcast recording, I was very ignorant to you know, what it takes to take care of a baby. first child,

Scott Benner 3:13
here's when you'll be fine. There'll be a split second before your death, where you'll feel calm. They say.

Katie 3:21
Like, I made it this far, they're still alive.

Scott Benner 3:23
I mean, like, even if it's like 6575 80 years from now, and you're old and weathered. And you're like, Oh, this is it. I'm slipping away. You're still gonna be worried about something or somebody right up until the very moment you go. Oh, wait. Yeah, making a baby is the short way to be worried for the rest of your life. That's for sure.

Katie 3:44
I know. It was funny. Have you seen that movie? The quiet plays? I have? Yeah, it's like all I had watched the first one. Whenever it came out. My husband, I just watched the second one. And I was like, This is not a movie for new parents. All it is is about like the parental fears you have of like, you know, taking care of your children. And I was just like, Man, I also know, I know what it feels like. constantly worried.

Scott Benner 4:09
But they call it dumpster fire. So and it's it's just the magnification of it is something you're not prepared for. Really? Yeah, it's because you've been worried about other things before in your life.

Katie 4:21
Exactly. And you know, gonna start daycares. That's a whole new thing to start worrying about. And then I'm sure it just gets harder. Not easier.

Scott Benner 4:30
Yeah. I mean, I don't want to rain on anybody's parade. But I haven't felt like it easier yet. And my kids are 21 in 17. Yeah.

Katie 4:39
I mean, my parents tell me that about myself or like, we're still worried about you. I'm like, Well, now you should be worried about my child.

Scott Benner 4:46
Because there aren't laws to protect this baby from me and I don't know what I'm doing.

Katie 4:50
I know they, you know, just talk us out of the hospital. They didn't ensure I was a fit parent or anything.

Scott Benner 4:55
It's apparently up to you. Well tell ya tell everyone your name. Tambien get started. Although we're pretty started

Katie 5:03
My name is Katie, and I am a type one diabetic, diagnosed as an adult.

Scott Benner 5:08
How old were you when you were diagnosed? 27

Katie 5:11
And so I had the classic mis diagnosis of type two diabetes. It was very strange. I was showing no symptoms. I actually just went into my yearly physical and the bloodwork and everything. And then like a week later, she was like, your blood sugar's 400 diagnosis site to diabetes. This is all in the portal, by the way, like not like a phone call to like break the news. I was like, What do you think? I was like, This is a lie. I was like, I didn't know anything about blood sugar. I was like, 400 I was like, so I called him I was like, listen, I know, I was supposed to be fasting, but I had like three donuts before. Then I was like, so I think that's why my blood sugar is 400. And like, the poor nurse is like, Oh, honey, like, donuts shouldn't put you at 400 If you don't have diabetes,

Scott Benner 5:55
Oh, honey, three donuts? That's it. Yeah, indication of a different problem, you

Katie 6:00
know, exactly. So like, then I saw I had type two diabetes, I came in again, for like the agency, the agency was 9.1. I'm still like, no symptoms really, like if anything, I had been like, slightly gaining weight, wasn't overly thirsty wasn't going to the bathroom a lot. So it was still just very strange. But you know, the ANC don't lie. So I was like, Okay, I guess I'm type two. And when I'm like super Larco, low carb diet, you know, I was doing finger pricks and no insulin. But then thankfully, my mom was like, convinced me like, you need to get into an endocrinologist. You know, just to see if this could be type one. And I was like, and still at the time, I didn't know much about diabetes. So I was like, no type one is where you get when you're a kid, and I would have known I had this. Like, you know, she persisted in selecting, I'll make an appointment. But ironically, like it was hard to get into the endocrinologist because they were like, oh, like, Are you having trouble, like controlling your diabetes? And I was like, Well, no, actually, now I haven't like really like good on this low carb diet. And it's because I was like honeymooning. And so like, my numbers were looking great. And they're like, well, we don't really like to see patients until like, you've been working with your primary for a while and like, things just aren't going well.

Scott Benner 7:21
Know, the, you're making me think of two things. Okay, first thing, I love that your mom was right. And now you're, you're holding a baby. And one day that baby's gonna look at you and be like, No, I think you're wrong. Lady. You don't know what you're talking about? Yes, that's fascinating. That's the circle of life, in case anybody's wondering. And the second thing is I started thinking, you know, how they say, hear people say constantly teachers are underpaid. We it's an important job, and we should pay teachers more. That's an interesting statement. Because they don't mean we should pay bad teachers more they mean, we should offer more money to be teachers. So we get really, really qualified people to be here. I was just thinking, maybe doctors offices should more value. The the knowledge of the person answering the phone. Yes. And and not not not to say that the people doing the job right now couldn't be coached up and taught. But But maybe, maybe I you know, I listen, I'm the person that makes phone calls for everybody in my house. And I talked to I speak to doctors. And if you want to know the difference between me calling, Dr. BENITO who was on ended the thyroid episode with me and speaking to her. And I experienced I had just last week just trying to set up an MRI for my son. I was speaking to a person at the orthod At the Ortho. That I don't know, understood what I was saying. And when I asked a simple yes or no question, I don't want to add anybody like horribly, I asked a simple yes or no question. I said, Is it possible that your pre certification department, which by the way, my insurance doesn't need a pre certification, but we'll get that let's let that go. My question was, Is it possible that your pre certification department has not yet reached out to my insurance company? That was the only question is it possible that they haven't reached out yet? And I am not lying to you 35 words into her third sentence? She had not come close to answering that question. And she was trying so hard to use big words. And so like she knew what she was talking about. And all of this effort was going into. It felt like her trying to make me believe

Katie 9:33
that she was talking

Scott Benner 9:33
about yes, yes, yes. Yes, Katie. Yes. Okay. And so I'm lucky for her and lucky for me in the world that I've matured, because 30 years ago, I would have been like you're not answering my question, and I would just send it again. But instead I said something very polite. I was like, oh, you know, I think I wasn't very clear with what I was asking. I just want to know, is it possible, blah, blah, blah. And I swear to you, she launched back into that diatribe again. It's like, oh my god, imagine if I were to get mad at her, or feel frustrated. Or maybe I'm not a great communicator. And now we have two bad communicators talking to each other. How often does that happen to people?

Katie 10:13
Oh, I'm sure every day, which is why they, you know, try to use big words make it sound like they're the assertive one knowing what they're talking about, you know? Yeah. For certain sure they deal with all sorts of people.

Scott Benner 10:24
I'm telling you forget to not forget teachers, but we should pay admin more money at doctors offices. Yes,

Katie 10:30
I agree. And I'm sure that like, she, like they always have a full schedule. There's no office, I'm sure. Like, they're told, like, only make appointments for like, you know, certain type of deals and whatnot. But I even had a referral from my primary cuz I went back to my primary, I was like, hey, like, I just want to get more I had to phrase it into a way. I was like, I just want to educate myself more on this, like, can I go talk to an endo? Like, instead of just saying like, Hey, here's my, you know, slip the Gaussian, endo to get this taken care of, like, I really had to like, yeah, sweet talk my way into it. And then I had to convince a woman on the phone. I was like, you know, I just, let's just make an appointment. Let's just see, you know, it was like, it should have been that hard. And all of course, I'm doing this so I can tell my mom, I made an appointment. But like, I could have easily been like, oh, oh, you just need to see if I are struggling with this for a while and then call back in a year. Or when I'm in DK. You know,

Scott Benner 11:21
I want you to remember that feeling. The first time that you're holding is like you do not know what you're talking about. You're lucky to be standing up. I've been watching you since I was a baby. And I don't even know how you're not dead lady. You can't make one good decision. I have the whole world figured out already. Oh, I love that. You made that appointment to shut your mom up. And she was

Katie 11:41
right. Yep. Oh, yeah. She was definitely right. Yeah. Oh, yeah.

Scott Benner 11:45
How you felt you ever if you ever told her this? Oh, yeah.

Katie 11:48
She knows. And like, she was like, really? The lead to that. Like, you know, she was right in that because like, the type two just didn't make sense. Like, I didn't have the characteristics of it. And you know, but then of course, she went straight into worry mode again, because you know, this,

Scott Benner 12:06
really to worry about now. Yeah.

Katie 12:08
I was hoping for type two because I was like, type two seems easy to manage with the diet and everything. I was like this type one is, you know, yeah. Gonna be a lot more learning curve.

Scott Benner 12:17
Isn't it interesting when your expectations start dwindling? What you're what you're willing to reach for? Yeah.

Katie 12:25
okay with being sick, but not you know, that sick or something?

Scott Benner 12:28
I went from living a perfectly normal life for 27 years to wishing for type two diabetes. Wow. Yeah, that's really it's very interesting. How your how your brain starts bargaining with Yes, with whatever, all of a sudden. So how long ago was that? How old are you now?

Katie 12:43
I'm 29. Now, so? Yeah. Well, you married, I am married. And actually, I was engaged to my husband. We've been together for five years. But so he's been through all of this with me. And we got married last August. So we're coming up, actually in a month will be our one year anniversary. Huh? Good for you. When you're diagnosed, you have a three month old baby. If you can do that math.

Scott Benner 13:09
I can do all the math. Don't worry. 30 You just found out you have type one. You've been married very recently. And you don't listen to your mom. I understand. Don't you worry. I'm on top of this conversation. I'm bright eyed and bushy tailed today, Katie, I'm good. So does it huh. When you learn that you have diabetes? Do you ever have the conscious thought? I wonder if this guy's gonna stay with me?

Katie 13:36
Yes, actually, I mean, it's kind of sad, but like his mom has passed away, and she was really sick. And he took care of her through her cancer treatments. And that actually all happened pretty much before we got together. So I got to meet her one time, but like, I didn't know her. Um, and so of course, I had this feeling of like, he had to take care of his mom. I was like, I don't want to feel like he has this feeling he's gonna have to take care of me. And so, you know, that's something we had to like work through. And we've been in a couple of therapies for a few years now. And, you know, something that we addressed and like, I turned that wasn't a concern if it was just myself feeling like, I didn't want to be a burden.

Scott Benner 14:24
Wow, that's interesting. So it wasn't him. You answered yes to the question, but it wasn't him. It was you. It was me. Yeah. So you thought he already went through an illness? You didn't? Did you think he wouldn't want to do another one? Or did you think that

Katie 14:37
I just I think I was more like concerned for him and his mental state of like he already had to go through like an illness where he was a primary caregiver. And then like, so of course his self got put on the back burner. I was like, I don't want him always feeling like he's on the backburner and taking care of somebody else. health purposes, but of course, like that's why we have this commercial and communicate to make sure that like, his needs are being met too. And then we realize like, yes, you know, like right now like, I take care of my diabetes like he's very aware, but it's not like a situation where like, he's like, Wait on Me Hannah butt over, or anything, you know?

Scott Benner 15:13
No, I understand I and so your your knee jerk reaction, although very understandable ended up not really being a concern.

Katie 15:20
Correct? Yeah, no, he's been great with it. Like, he doesn't understand like, you know how much insulin I need for certain meals or anything, but like, he was very accommodating to like, whatever I'm asking for. And then like, he follows me on Dexcom follow. And just yesterday, I had a confession when he called me he's like, you're in the 40s. Wake up. I was like, it's not real. It's

Scott Benner 15:40
fine. Has he been more attentive to it since the baby's warm?

Katie 15:47
I think so a little bit, essentially, it's just, you know, me and the baby at home. He was like, last last thing I need is like, you know, I answer your phone. When I see this ad. I was like, I know,

Scott Benner 15:57
when my son was born, I realized in a flash, that my wife was just a girl, I met her, I was just the guy she met. And that baby was hers. And I felt like that baby was mine. And I was like, we can't let this girl mess this up. And I bet you she was thinking, I can't let this dumb kid I've met mess. Right? All of a sudden, you become very aware of where your attachments are 100% and where they are 90%. And it's a very, very interesting to watch it happen as you build a family. And, and, and I was just thinking he was probably like, Oh, I love Katy. But I don't want her to like pass out and roll over on that kid.

Katie 16:42
Well, he's also saying like, I can't do this on my own, cuz he's told me that. He was like, oh, you should take care of yourself. Because like, you know, he spent an afternoon with him by himself. He's like, I can't do this by myself.

Scott Benner 16:54
I thought that was implied.

Katie 16:57
Yeah, that's Yeah. And I'm his like milk machine. So like, I gotta keep producing that way.

Scott Benner 17:03
If you don't keep this train rolling, he's gonna go broke. Just buying baby formula. Exactly. didn't make sense. From what I hear is very expensive actually. diapers to like, Oh my God. Yes. I remember when we didn't have to buy diapers anymore. And I felt like we got a raise. I bet we should buy something. We have all this extra money now. Have you ever heard Jenny talk about getting low in a store? And while she's holding her baby?

Katie 17:27
Yeah, she like sat down in a dressing room or something and her husband

Scott Benner 17:31
right on the floor in a in a place and started like doing tabs? Because yes, like I'm gonna go down and she just so she's like she got ahead of it.

Katie 17:40
That's how I experienced like that in a store with him. I was pushing the stroller and I was just like, uh, like, reach into the diaper bag and grab my jelly beans.

Scott Benner 17:48
Jelly Beans. Oh, nice. Yeah, doughnuts aren't very portable.

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A few evenings ago Arden's blood sugar began to drop. After she got in bed. I got the little beep beep from her Dexcom I looked at the graph and I thought I think this is right but I want to check so I pulled out her Contour. Next One blood glucose meter. Here's what I did. Got a test strip, you got the meter a little click on the button make the light come on nice bright light in a pitch black room. I was able to use the meter light to see how to put the test strip in and to see where her little finger was. Then I went click click little squeeze squeeze. Use the light again to find the blood drop. Touch beep and seconds later I had confirmation Contour Next One blood glucose meter. It is absolutely my most favorite blood glucose meter that Arden has ever had Arden's had diabetes since she was four. She's 17 Now this is the meter for me. And she seems to love it too. It's simple to carry around, easy to use. It has that bright light the screen is easy to see and light or dark. And it has Second Chance test strips. So if I were to like Miss that blood, get a little bit of it but not all of it. Doesn't matter, I could go back and get the rest and it would not impact the accuracy of the test. And that accuracy by the way, is legit. That thing matched right up with the CGM, I was able to make my next decision with a ton of confidence. Head over now to contour next one.com, forward slash juicebox. To learn all about the Contour Next One blood glucose meter, it's possible that you're paying more now through your insurance than you'd be paying in cash. If you just bought the thing, cash in cash. And the test strips I'm talking about, you got to go find out that the website, it walks you through the whole thing. There's like a little calculator tells you the whole deal. This meter is legit. It's amazing. I know it's hard to talk about a blood glucose meter. Like it's amazing. But this one does the job it does it well. super accurate, easy to carry, easy to use. Great at nighttime viewing. Love this screen. And if you want a place to keep all your details, the data that comes from those testers, those testers that's not a word, but I'm going to keep going. You can download the free app that goes with the meter, you can use the app or you don't have to use the app. It's entirely up to you. But it's Bluetooth goes on your phone, you'll see it's there. Go check it out. It's a great, great little website. Do yourself a favor. Get an accurate meter, you're buying those strips anyway. You might as well get a good one. Contour next one.com forward slash juicebox links in the show notes. Links at juicebox podcast.com. Support the sponsors support the show. That was one take first take baby shoe by a meter just for that. You believe I just did that. Talented

there is nothing written down in front of me. I was off my head

Katie 22:00
me over a year to have a doughnut again. You know, it's a little scary.

Scott Benner 22:03
Oh, I bet you I bet you you were like oh my gosh, look what I did with these doughnuts. Did you know and you have that thought?

Katie 22:11
Yeah. Well, I feel like it was more like just a joke of like, you know, doughnuts give me diabetes. Like I understand that's not the case. But you know, like, after looking at my since I was such a honeymoon phase, like in doing my own readings, like my morning numbers were good. If I hadn't gone in with my fasci Number, it might not have been over 100. So it was actually a good thing that you know, I sparked those. Maybe I made

Scott Benner 22:33
somebody pay attention. i Hey, those donuts may have saved your life. Katie, exactly.

Katie 22:38
We'll go with that.

Scott Benner 22:40
I have to tell you as you get older, and your body tolerates food less than less, which I know is probably hard to like wrap your head around when you're 30. But you know, there'll be a day where you eat pizza. And you're going to get like multiple messages from your body that says, Please don't do that again.

Katie 22:55
I hope not the pizza.

Scott Benner 22:58
That's how I think of sweets now, like if my body would have had the reactions to food, that's not good for me. When I was younger, I'd be completely different person now because now like the idea of having something super sweet like that, like it was Arden's birthday last week, and we got our companies, and they're not just cupcakes, they're like cupcakes from a place where I have to pay for them. You think? I don't think cupcakes should cost this much money. Yeah, like $3 a cupcake was happening. Exactly. Yeah. And there's, you know, there's icing on top of it. It's piled and thick. And though it's not just cake, it's got cookies, and like, you know, it's just a bomb of sugar. And, you know, her friends are over one night and they pull out these cupcakes. And I'm like, Well, I'm going to eat a cupcake because it's Arden's birthday, and I'm going to eat this cupcake. But as I was eating it, I thought, No, I don't particularly want this. So and I just know that if I would have felt that way about sugar when I was younger, I don't know how much different my life would be. or not, but I'm just saying, I can't get it anymore. You know, a little bit of red sauce, you know, like who I should do that earlier in the day. You know, you start having thoughts like that. It's not fun, okay. But the the highlight of it is, is that while that's happening to me, my children that I've put my heart and soul in for my whole life are just sitting around me, supporting me and thanking me for being there.

Katie 24:20
Right yeah. Even tell me that some days.

Scott Benner 24:25
They're just gonna give you crap constantly and test every fence. They're like the Raptors net Jurassic Park film, they just run around touching the fence touching the fence to like and find out how to get through it. And that's the good kids, the bad kids. Literally the bigger house.

Katie 24:38
I know I am. I'm scared. Do you how

Scott Benner 24:41
how were you as a young person? Were you like a reasonable person?

Katie 24:45
I was a teenage girl which I'm sure you know what that's like and it's just you know, the backtalk like I was a good kid as far as like, I didn't like kicked out of school or you have the cops cold in the house or anything but you know, like I would talk back to my parents and just refuse to do anything like That's sad. So I was actually kind of really unfun. Like, I found out we were having a boy. So I was like, I know nothing about boys, like, I'm sure it's still gonna be extremely hard. But I was like, I know how hard I was as a girl. So at least for this first one, I might not have to relive that.

Scott Benner 25:14
Generally speaking, the hard areas just line up differently across the calendar is all so

Katie 25:19
okay. So you balance it out with your boy and girl like different times.

Scott Benner 25:23
They're constantly a problem instead of a problem at the same time. Like little boys, you could get one of those really energetic ones. And they're there or something because they just go Go, go, go go. And they're like, little, like, monsters that punch things. Like if that happens. I mean, I don't know what you're gonna do.

Katie 25:42
But yeah, I know. I have my some friends that their boys are like that. And it just, they Yeah, they run circles in the house just trying to tie themselves out.

Scott Benner 25:51
I think you just save up a little money. You buy something with a fence outside of it, and you just release them like they're federal, basically, you keep them clean, and don't let them speak. And then the law can't say anything to you. And it's fine. So I got that from parenting magazine, October 1980. Well, okay, so let's talk a little bit like you, you've got diabetes. Had you thought about you weren't married yet? So you probably weren't thinking about babies yet?

Katie 26:18
Well, yeah, we were already engaged and had planned our elopement. This is time like Pete COVID. So like, we and I had always wanted to do a little bit anyways, because the idea of like saying my vows in front of 100 plus people just didn't sound like relaxing and like an experience I would like be fully present. So like, I was like, perfect excuses. Like, no, I can elope and so we went out to Colorado and had a gorgeous elopement. But we had been talking about like, kids, and of course, like, now I'm having thoughts of, well, I think I can manage my pregnancy through this. But then it's a fear of like, well, what are the chances that my kid will have type one diabetes? You know, for me, this was a complete shock. No one in my family that I know has it. But my dad was also adopted. So there's like, half the family history that were missing there. And so like, I just did some research on like, what are the chances? And they just kind of had to come to like, understanding and like, comfort with myself of like, okay, like, it could happen, but like, do I want to have a kid more than the fear of Him one day having type one diabetes, right?

Scott Benner 27:29
I gotcha. So how much of that? Did it play in at all? Like, was there ever a moment where you're like, I'm not gonna have a baby? Because I don't want that? Or did you not entertain that thought for long? Oh,

Katie 27:43
yeah. I mean, like, it took like, a couple of months to like, just think about, sorry, he is hearing I might have not wanted a baby. And

Scott Benner 27:54
I knew it. I knew. It was like, it was too good to be true. He's already taking notes about how to get on your knees. Yeah.

Katie 28:03
Yeah. So if I had, honestly, I found your podcast really early on, until like, I had already been listening to like episodes with you and Jenny. And then like, the other series you had done with a woman with type one in her pregnancy. So I had, like, I'm the type of person to that I just dive into research to like, that's how I comfort myself when I'm like, questioning something or just like, need to understand it more. So I just kind of dove in and like, learned a lot. And then I wouldn't say it was too long. I mean, we got pregnant right away after our wedding.

Scott Benner 28:38
Well, I I feel like you said something earlier, you said if you were in a big, like wedding, now isn't something you feel like you'd want to be there for and be fully present. And I felt like thing was you'd need to be a tiny bit and he braided in one way or another to get through that. Oh, for sure. That's what you're saying. Okay, I want to make sure. So, so hearing Samantha's story about her pregnancy and and listening to Jenny, made you feel confident that you could could get it done?

Katie 29:07
Yes. And I had already gotten my a one C down to in the fives really quickly. And that was with like MDI, and we're still honeymoon. So that help, but um, yeah, I was confident in my ability to manage dependencies, and my insulin needs. Because that was my like, I was in control of that. The fear was the things I was gonna be not in control of, like my son's health one day. So it wasn't ever really concerned. Like, I wonder if I can manage my type one diabetes and pregnancy. Now that I have here, I am concerned about any future pregnancies I was like, it's gonna be a lot harder than that. First one was like, I didn't have you know, a kid to take care of and I could like Pre-Bolus the exact time I needed and now it's like, I don't know what I'm going to eat.

Scott Benner 30:00
You don't know what you're gonna do anything. Oh,

Katie 30:02
it's usually noon before I can brush my teeth. Somebody who's

Scott Benner 30:05
showed more concern about having a baby you or your husband

Katie 30:11
with concerns of health Yeah, I think my I did he he was just kind of like if it happens, we'll deal with it boy. Yeah, exactly.

Scott Benner 30:20
plan anything that's that's what I expected to say. I was just I was wondering so how did you find it? Like once you first of all were you just don't like a mad tear after you got married? Like we like did you on purpose make the baby? Let's say it in front of him. Was he? Was he an accident? A happy accident? How do you attribute his his? Well, I

Katie 30:41
was no longer on birth control. So we weren't stopping it. Gotcha. But also, I didn't know like, how fast it would happen because I have friends who have been you know, trying for a while to conceive. And so just like, let's not like look at calendar dates to make sure that we're you know, doing it the right time. But right. Currently we did.

Scott Benner 31:01
You Well, when you're first you're going to hit the time at some point. So Exactly. Yeah. No, I hear you so Okay, so it happens. Yay, raise. Yay. How about your mom? Was your mom like? No? Worries. She Yeah, did she? Yeah. You know,

Katie 31:15
honestly, she she was more concerned from my, my own health. And I think that yeah, she was What's that movie that like I still haven't watched it with a woman like a type one and dies after pregnancy? Yeah, what is? Yeah, yeah. So I think she's like, seen that movie and like, was like instantly afraid. Or?

Scott Benner 31:36
Robert died in the movie once? Oh, yeah.

Katie 31:39
Exactly. And she's still like, this is so new. It's not like she had been dealing with this with me. Because I I mean, I'm getting pregnant, like, basically six months after the official type one diagnosis. So she's still trying to, like, you know, she's not around me. We live four hours apart. So she has not really seen like how well I'm doing with it. I think she was just concerned.

Scott Benner 32:00
How was your doctor? When you were like, how do you when you go to the OB and you're like, Hey, I'm pregnant. And I just got type one diabetes. It's my year getting all kinds of like, did they say

Katie 32:10
yeah, so unfortunately, I Well, I mean, it was fortunate, the very beginning, I had the best OB GYN she was also type one. And I was like, this is matching to heaven. Like she understands like what I'm going through. And then second trimester, she moved to Texas, and I'm not from Texas. So now, I was so upset. I was like, no, like, No, I have to start over with some videos. I understand. I mean, ended up being fine. But yeah, I had actually gotten to her, um, before getting pregnant, just to kind of get some consultation on like, what should I expect with type one and pregnancy? Like, since I'm so new to this, do you think that if I had a pregnancy now it'd be easier versus if I waited a couple years and she was basically like, you know, it doesn't really matter if you wait or have one now like, it's, you're gonna have the same challenges regardless. So she was really good in the beginning, and talk to my Endo. About what my goal should be. So I definitely prepared I just didn't know I was preparing for something that was gonna happen in next couple months. I thought I was gonna be for something next, like six plus months.

Scott Benner 33:13
Yeah, wow, geez. Oh, wait, okay. Okay. So you're pregnant. There's no, there's no going backwards? No. What's, what's the first does your insulin. I mean, you do you? Where's my question? Do you feel like you were honeymooning still? Yes.

Katie 33:30
Yes. I was so crazy. Like, I wonder like now, like, if I'm gone back to honeymooning or it's just like the crazy like hormone changes after pregnancy. But so pre pregnancy. I was like to see about only like three units a day. And then like, I basically had to like beg them to give me mealtime insulin because they're like, well, your numbers are so good. I was like, Yeah, because I'm eating low carb. Like I'm basically on a keto diet. And I don't want to spike because at this point, I've, you know, done my own research. I know how bad that can be for my health long term to have constant highs. So it's like until you give me mealtime insulin, I'm not gonna experiment with food. And then also, I wanted to have a CGM and insurance wouldn't pay for it until I'm on at least three injections a day. So I was like, Well, if you write me the script for mealtime insulin, then I can also get my CGM. And so you know, look at my way into that one.

Scott Benner 34:29
Excellent. So do you see you think maybe if you were to have another baby, it would be a completely different experience maybe? I

Katie 34:37
think so. I think what I ended up going on on a pod by the second trimester just because my insulin needs that like I at the end of my pregnancy. I was on sometimes 200 units a day, like I was going through a full pod. It got to the point where I was actually giving myself manual injections for bigger meals. So that way just didn't have the And tripod like every 24 hours. It was a lie I am and now No, I'm not pregnant. Like there's some days where I

Scott Benner 35:08
don't even hit 10 units a day. Yeah, the breastfeeding has an impact on that.

Katie 35:11
Yes, definitely. I did listen to that episode. I really appreciated that postpartum protip series. Well, I would say it was, like very unpredictable. And now it's just kind of leveled out, which is good, right?

Scott Benner 35:24
I would say thank you. But Jenny was like, We have no, yes. She told me and I was like, Okay, done. Don't worry about I've never argued other ones like, yeah, no, thank you to Jenny for sure. Yeah, thanks, Jenny. Cuz I wouldn't like there's some episodes where I'm like, Hey, Jenny, you should talk now. I say things that pop into my head as she's speaking. But that's excellent. Well, I'm glad it was helpful, too. So first trimester and did ever get really did it go backwards? Because you're saying you made like big, you had to make some big bonuses with a needle to hold on to the the insulin that was in your pump? And did it at the end? Does it trail away again? Or no?

Katie 36:01
No, I mean, the resistance was there throughout all of third trimester, I would say the second trimester, I would go like back and forth, you know, like Daniel mentioned, and I did read her book, the timeline and pregnancy, which is really helpful, because it does talk about how every week, like your body changes, your, you know, embryo, like is changing. And, you know, it gets into a fetus and all those hormones. And so it was like, you nail it by Friday. And by Monday, it's like a whole new ballgame. Like it was constantly changing. But sometimes I would not need as much insulin for meals. So it's just a constant guessing game. And then hope you get it right, which most where I normally did. And then of course, the fighting with my Endo, because she was like, you're having too many loads. I'm like, Okay, but what was she called? So I mean, I wouldn't drop down to like 55. But I would also catch it before, like, I would catch at 60. So it goes down to 55. And then like a few minutes later is back up. And I try to explain to her like, because of my CGM because of the alerts, like, I know this is happening, and I much rather have this low, then fight with the high that's not going to come down, especially with business systems. And, you know, my lowest latency throughout pregnancy was 4.9. And I was so proud of myself. And of course, I just get like this look at disapproval from her. She's like, so many lows and like, it's just like, you want to be like happy and you want somebody to like be like, good job. And then they just say like, Oh, that's too good.

Scott Benner 37:37
So I started off by saying we should, we should get the entire staff up to the level of the doctors, but we should get the entire staff up to the level of somebody who wouldn't make you feel bad for getting a 4.9 a one C while you're pregnant. It's

Katie 37:50
good for you. Yes. And no, there's liability isn't like she probably doesn't want me to be like, she probably knows like, oh, shit, what football she doesn't really know me like, Max in the past few years. Like how much time she spent with me maybe 45 minutes. There are all of my appointments because they barely last five to 10 minutes. So she doesn't know if I'm somebody who's like, Oh, I'm going to push it even farther because of how well I'm doing it. So she's, you know, trying to err with caution. But yeah, I think one of the things that was like, kind of rewarding. And then also like disappointing, same time was in the hospital, which we can talk about the whole labor and delivery thing, too. I had not her on staff as yendo. But somebody from our office, and the other adult came to talk to me. And she was like, Yeah, Dr. Smith, she says you're a rock star patient. And I was like, well, she never told me that. Like, that would have been nice encouragement.

Scott Benner 38:45
All I heard was, well, how much of that do you think is that's what you heard? I not just that turned around for a second. If she thought you were a great patient, but you feel like all she did was tell you what you were doing wrong. Is that? Is there some blame on both sides?

Katie 39:01
Maybe but I mean, honestly, I think like I said, I barely spent any time with her in the appointment. So like there wasn't a lot of like pep talk, like you're doing great, keep it up. And then I would send in my blood sugar weekly for her nurse, and team to like analyze. And that was a frustrating part too, because then they would come back with suggestions on like, how to correct my ratios and whatnot. I'm like, but all you did was look at my graph. Like there was no questions about why this high happened, what I was doing beforehand, how long did I Pre-Bolus Or they look at the lows and like, well, you're lower on this time I'm like, okay, that's because I Pre-Bolus too long. And then but you see it goes immediately right back up and then starts to go high because of my meal. And so there's just so much elements missing that like I personally do, based on like, you know, Jenny's book and like the podcasts and just like what I just have learned Throughout this whole journey, but I was like, You're not really telling me anything like, yes, you're talking, checking off that you're looking at my numbers weekly. But if I would have gone based on your suggestions solely alone, I would not have achieved they went to that I did.

Scott Benner 40:13
Yeah, I understand. Is it? Here's my question, is it harder to be a type one while you're pregnant? Or to be a type one while you have a newborn?

Katie 40:28
Harder in different ways, because while pregnant, it's definitely so much more focused on achieving those really great blood sugars. Now, it's like, okay, well, if I'm high for a couple hours, like, yeah, it's not great, but like, you know, only harming myself right now, I know, it won't be like this forever, once I get back into a pattern in a routine. And then while pregnant, like I mentioned, like, you just change constantly. So like, you think, okay, I figured out my ratios, I know how many units I need for this meal. And then next week, you have to double the money to need. And that part is just constant like rework. But being type one with a baby. I'm not as focused on myself. And I think that is, in general for all new moms, not just type one lunch, of course. And so it is harder to be as regimented as I was. Yeah. But I'll get back there.

Scott Benner 41:22
Good. Yeah, I would think that you just don't want, like you said, until you get back into rhythm. You just want to make sure that the rhythm you get into isn't Wait, hold on. Yeah. So we're halfway through the episode. Is this where you told me the baby's name is Scott?

Katie 41:39
No potential middle name, but it didn't work out.

Scott Benner 41:43
Don't worry. I'll live.

Katie 41:45
No, his name is Miles. That's a good name. Yes. Thank you.

Scott Benner 41:51
And the baby noises he's making are so cute. They are pretty cute. There are many men whose wives listen to this show. We're gonna get lucky tonight because of this.

Katie 42:03
Yeah, I know. It's like, if forget, like how cute they can be when like, it's the middle of night and they're screaming and you get peed on and everything. And then I'll look back on my phone of like the 1000s of photos I already have of him. Like you are adorable.

Scott Benner 42:17
keep flicking so you don't remember that you smell like pee. That's a good idea. I watched cola throw up in Kelly's mouth once? Oh, gosh.

Katie 42:29
I know it's gonna happen. Yeah. Thankfully, knock on wood. He hasn't been too much of the spit up, baby. But no changes. didn't stop

Scott Benner 42:37
him from you know, doesn't stop them from saying this stuff that uh, that you're like, Oh, I can't believe you would say that. I've dedicated my entire life to keeping you happy. It's a fool's errand making a baby. But congratulations. I'm just teasing. You're fine. It'll be it'll

Katie 42:53
be I can't turn back now. Be a little complicated.

Scott Benner 42:58
back now. My gosh, if you ever hear teachers say that, like, you know that they know when they have a certain number of teachers, just like one of the kids is like a little psychopath. Like just just by sheer numbers. You know, you're just it's funny we talked about earlier about your brain, like negotiating with like, Oh, I'll take type two, please. You know, right. Wait a wait, oh, five years from now. We're just like, I hope I don't have the weird kid. I hope I don't have the weird kid.

Katie 43:24
That we had that moment. Right away in the middle of room. We're like, oh, man, we ended up with an ugly one. You know, they come out like real squirmy looking and like, we're just like, Oh, I just hope he's cute. And like, everyone always says your baby's so cute. But no one's gonna say you have an ugly baby. And we were just afraid that we would have a baby only parents who love and turns out he actually was pretty cute.

Scott Benner 43:45
I just tried so hard to hold my laugh. And I wonder if you can if you listen closely, if you'll hear me under my breath, like cracking up. Because their brains that you know, their little heads come out. Yeah, they're not quite the shape. They're gonna be after the little soft part. Except I'm not a doctor. You understand. But they come out a little squish. Because you're huge. And I don't mean to use a technical term here. It's not the size of it.

Katie 44:13
Oh, yeah. And then covering gunk and everything. And

Scott Benner 44:16
oh, yeah. Yeah, it's it's horrible.

Katie 44:21
And I had like a 40 hour labor because I had to be induced being type one. And so I'm so exhausted. It's like almost midnight, and I'm just like looking at him. And I'm like, I feel like I should be crying out of joy. But like I'm just like, looking at him. I'm like, so that's what you look like.

Scott Benner 44:41
All this for that. I'll be done.

Katie 44:45
quickly went away. And that was good.

Scott Benner 44:48
I'm sure you were happy at first. Did you have any postpartum depression?

Katie 44:52
No, not yet. I think I've also I've been taking Zoloft just for my own anxiety. issues prior type one and pregnancy. So I took it throughout my pregnancy as well. And so I think that helps baseline me a little more. I also have heard that like Breastfeeding can kind of taper off postpartum depression. But then once you end up weaning, the hormones change again, and then you can actually be a risk factor again, so she just

Scott Benner 45:23
keep an eye out for it. Yeah, exactly. Oh, okay. Zoloft. You said? Yep. Couldn't take it during the pregnancy, though, right? No, I

Katie 45:32
could. It was actually the one antidepressant that I think is, like recommended if you're going to be on one to take during pregnancy. Interesting. Did your dose change during the pregnancy at all? No, I was already on the lowest dose. And if anything, I probably would have gone up if my needs required it, but I just continued the same dose. And they said the only risk factors for him would that he potentially come out a little more chill. And I was like, Well, I'm fine with that. mean, he might not cry as much for the very first couple days.

Scott Benner 46:06
It gives me a break in the beginning. I'm up for sounds right? Exactly. You are really exhausted when it's over 48 hours. So they induced you, and nothing happened. Yes. So

Katie 46:14
um, it was protocol that type one sonko patch 39 weeks. So on week 39 checked into the hospital of still zero centimeters dilated, my body was not prepared to push out a baby. Like if I didn't have type one and or didn't have to be induced, like I'm sure I would have gone past 40 weeks just because of how not ready my body was. And so they do. I can't even remember all the ones but it's like whatever they try to like soften the cervix. And it stays in for 12 hours. So I check in Monday night, get that next morning, nothing had progressed like still not dilated services and soft enough to like okay, we're going to do another one it is so similar 12 hours. Second one, still not going great. And at this time, I had a nurse I'm pretty sure was training because she had another nurse following her around the whole time. And she made it very uncomfortable for me. Just like pain management wise, because she kind of messed up on this like gel that she is. So my I was in a lot of pain already 24 hours and I had already stopped eating because I had to stop once I checked in I before. So then they were like, Okay, now we're going to do this like pill type thing that they put up your cervix to like those are only four hours. So have a couple of rounds of that. And then finally you start Pitocin Tuesday afternoon after checking in Monday night and then have him at 11:44pm.

Scott Benner 47:54
That's an arduous process. And you think if you just would have waited, he would have just popped out on his own probably at some point.

Katie 48:00
Yeah, I think I would have had like the typical like, Oh, my water broke at home. And after the doctor like

Scott Benner 48:05
I'm not done yet. Yes, you don't need this banana yet. It's got that weird, powdery space. So Wow.

Katie 48:13
It's just like, it was nice to have an induction day because like I could prepare like my parents are able to come into town. And instead of just like, oh, I don't know when this is gonna happen. But I definitely was not a fan of the induction process. Right? And then,

Scott Benner 48:27
yeah, how about afterwards? What was it like? What were your blood sugars like immediately after giving birth.

Katie 48:34
So they definitely went back to pre pregnancy like pretty much right away, because in pre pregnancy, I was more like one to 20 carb ratio. And my Basal dropped back significantly where I was like, almost just stopped getting like I was giving the minimum amount at some points on my Omnipod just like have something going in there. That was just constant up and down. And the so then afterwards, like I'm still in the hospital for like two days, throughout the recovery and everything I'm getting like hospital food, and then I'm on like diabetes protocol where they have to, even though I have my Dexcom they have to check my blood sugar once an hour with a finger prick. And they would only do it before meals I never would do after meals. I'm like, so what's this telling me? And like, in the hospital, I knew that they were not going to like the levels I wanted to be at and so I actually let myself ride higher, just like get myself out of there. I was like, I'm just gonna ride like 120 and there are some meals at like, they would come check it right before it wasn't like 15 to 20 minutes before and I'd be at 140 in the nursery like Oh, good job. They got good number like 140 before a meal. You know, like, I don't think that's good, but like there was just some things I've had to grin and bear and just to get out of there.

Scott Benner 49:53
I'm endlessly fascinated that people give people medical direction based on something random. Somebody told them once and she Like 140 Good job. Yes. And then, you know, are people who don't know? And who sit there and think, Oh, 140 Good job. Good. Yeah, that's good. No,

Katie 50:07
did you and this is before meal, she has no idea what I was after that meal,

Scott Benner 50:11
and the food they feed just so good for you. So that's the other thing.

Katie 50:15
It was bad food. And then they gave me the menu each morning. And so I would like, want all the muffins and carb based stuff because I was like, my insulin needs are hardly anything like Let's carve it up, and it will come back and the piece of paper would say like change for dietary needs. I was like, No, are you telling my dietary needs? Put me on like the diabetic like regimen? So Matt,

Scott Benner 50:37
this and my time, I want to eat a muffin now. And you people are killing people smuggling your food in?

Katie 50:44
Oh, it for sure. I had Pad Thai when I yeah, my husband would go out and get food and everything. And so I definitely ate what I wanted to and controlled and then just was tell the nurses like I gave myself this much insulin.

Scott Benner 50:57
Did anyone pay attention to your Dexcom during the birthing process? Or was it something you used?

Katie 51:03
So I was really adamant going in that I wanted to be in charge of my diabetes care. I was like, I'm here, because you guys are in charge. You're getting the baby out of me. But I'm the one that I want to be in charge of my diabetes care, right. And I talked to my OB, my OB was on board you like I agree, she was like, You should be the one managing it. You're the one with it. 24/7. I'm comfortable that however the hospital policy is that you have to be on insulin drip. And I like was so upset by that. I was like, I do not want to have someone else be in control when they don't know what they're doing. They don't Yeah, exactly. And I talked to my endo who this all is part of the same hospital like center. So like, they all know, the same policies and whatnot. And my endo was not very sympathetic. As far as like, she's like that insulin drip will be fine. Like, she was not trying to like, Oh, let me see if I can write something. So that way you can be in control of this. She kept trying to say like, Well, yeah, you're in control of it throughout the day. But you know, this is like a whole new experience. And like you want to be focused on like labor. I was like, whoa, I'm getting an epidural. So I'm not focused too much on the pain. You know, I think I'll be able to manage this.

Scott Benner 52:14
And it's time to they think you're thinking about your diabetes constantly. You know, like, hey, it's just like,

Katie 52:19
I need to check it. Like every like, my plane then was like every five to 10 minutes, just like check to make sure like, what's the Dexcom saying, like, are we going anywhere. So anyways, I get to the hospital, and I made it very known. I was like, I'm going to be in charge of my Care and Keeping my insulin pump and my CGM on, I even signed documentation saying I wouldn't sue them if something goes wrong. Well, apparently, that did not go over well with the hospital. And they even though I find that they were still very adamant that I needed to be placed on an insulin drip, and have my finger stick every hour, which I was like, Fine, stick my finger every hour. Like, I'm not kind of, like that's inconvenient for me. But I'm not going to say you can't do that. But it was insulin drip I was really concerned about right. And then since I had such a rough 24 hours trying to get some dilation going with all those cervix treatments, I was so exhausted, I had no sleep the entire time. And then a credible amount of pain. And my OB comes in, and she was like, hey, they weren't gonna start the epidural until after Pitocin when it starts to get really bad. She's like, I You're exhausted, you're already in all this pain. Let's start the epidural now. While we continue to wait for your cervix to soften. And Pitocin wasn't gonna start until later that day. She was and I was like, okay, and I felt good. She's like, but if you do this for, like, if I do this for you, we're gonna have to get you into insulin drip because they're not happy about wanting to manage it yourself. And so after 24 hours of no sleep, I just like gave in I was like, fine.

Scott Benner 53:52
You're gonna drug me I'm okay with whatever you say, Yeah,

Katie 53:55
I was like, fine. I was like, I'll she was like, you'll still have your Dexcom on to like, and you'll know what your sugars are. And I actually had a really great team of nurses for the actual delivery, not minus a nurse, I mean, all the pain in the beginning. Where she everytime she did a finger stick and we'll plug it into. So it's called a glue come. Glue commander is the system they called it. I'm not sure if this is in other hospitals. But it's the insulin drip that actually has a drip of glucose in it too. So she would once an hour type in what my blood sugar was, and then it would give a reading of what the Basal should be. And so she knew how stressed I was about this giving over that control. So she would always tell me, she's like, it's telling me I should adjust you from point three to point four. And I would look at my Dexcom and I would like that's the exact same adjustment I would make. So I felt comfortable like she would like not necessarily confer with me that was the right thing to do because I think she would have done whatever it said. The fact that she was like allowing me to be part of it, and then it ended up working really well where I was Within 10 points of 100, the entire time I was like, oh, an active labor,

Scott Benner 55:04
you were like, give me the glue commander forever.

Katie 55:07
Yeah, and I think I've heard you mentioned on a podcast before that. The next like, evolution of pumps are probably going to be like a little bit of a blue strip too. Because when you start to go low, instead of needing to, you know, have a juice box, if it just puts in a little glucose in for you, like it can keep you really steady. And that's basically what this machine did. So I hated to admit, in the end that I was like, happy with it and would do it again. Because I put so much time into like, I told myself, I take this

Scott Benner 55:38
home with me. Yeah.

Katie 55:40
But like it was given the same Basal rates that I would have suggested, based on, you know, how I've been managing. So

Scott Benner 55:47
I'd say first out, I actually just looked it up. It is a, it's a medical device. It's a whole system. Really kind of fascinating. Yeah, you should have probably shut up and taking that, like,

Katie 55:59
I know that I could have gone through all that, like not having to stress and

Scott Benner 56:03
say, Look, I want to take care of this myself, in case unless you have the, by the way, the name is just, I, I'm looking at the name of this thing. And the person who named this must have just been in geek heaven when they came up with it. Because it's G Liu. Commander, it's glue. Yeah, Commander. They must have been so pleased with themselves. They're like, Oh, well call the glue command, or it'll be amazing. But now that's I'd never heard of that before. That's pretty amazing. And yeah, there are places working on pumps that are, you know, considered dual chamber that have insulin and glucagon. I think that. I mean, I don't know anything, meaning nobody's told me something that you don't know. But I think the advent of stuff like GE voc, you know, right, the gun that it's liquid stable is a big step towards that. Because I know that years ago, they tried this with the glucagon that was available on the market, and it didn't last and the pumps had degraded too quickly. So now that it won't degrade. Will people start looking into it more? I mean, maybe I still don't understand about the delivery of it if I'm being honest. But it's got to be worth people looking at.

Katie 57:16
Like, yeah, I wonder what they use this machine at the hospital? Yeah. What if it was just like a glucose like, drip? In general? That was hooked up there. But

Scott Benner 57:27
yeah, they that might have just been giving you glucose and insulin. Well, yeah, it plus it. They're, they're mainlining it to you. So it's way, way more efficient. They're probably using a smaller amounts to move you around. That's really, listen, cool. I'm glad people are working on things. And I'm glad you had a good time. But I understand you want to be in charge of it yourself?

Katie 57:50
Yeah, yes. I mean, you know, I feel like, especially like, everyone who listens to your podcast part of the Facebook group, I know that we all feel like we're a lot more empowered in educated within our own diabetes, routines and regiments, that it's just so hard to like, surrender that sometimes when, especially when you have experiences where like, oh, 144 That's a good blood sugar right before your meal or your 4.9 while you're pregnant, uh, that that's, that's still open agency. So like, you know, let's get some distressed for sure.

Scott Benner 58:24
Katie, I'm going to tell you a secret. Okay. Let's make sure nobody's listening. I think my it's been a couple of years now. So I'm probably okay. But Arden had a little cyst removed from near her fallopian tube, in a person in a procedure that I think, you know, soup to nuts took 35 minutes, I think Arden was only out for about a half an hour. And it took me a couple of nurses had to explain to a couple of different nurses till I hit on one who's like, my friends got diabetes, and then suddenly they're like, yeah, do whatever you want. I've heard those words before. It's very interesting how it worked, you know? But at the very end, I speaking to the doctor, and I was like, Look, this is a automated system, because Arden was using a loop at that point. And I said, it's doing it for like, if it notices her blood sugar going up, it's going to give her insulin, if it notices her blood sugar going down, it's going to take insulin away. Like it's gonna keep her right. She goes, okay. But you know, can you shut that automation off? And I was like, oh, yeah, you can shut it off. I could just give her a constant Basal rate and it won't take away. She goes, let's do that during the procedure. I was like, okay, and then Katie. You didn't I didn't I lied. Yeah. Yes. I was like, a click, click, click click here you go keep this phone near her in the operating room. They put it like this like sealed bag. And they kept her phone near her in the operating room. I said it's, you know, within Bluetooth distance closer, the better. You know, and I even showed them on the screen. I was like, if this gets read, it's not connected. Get it closer to this, you know, I showed him where the Dexcom was the whole thing. But yeah, I left that out. Great. have them run. And for sure her blood sugar was terrific during that.

Katie 1:00:03
So well that's like basically what I would do when I had my weekly blood sugar check in for the endo office, they'd be like, Oh, you're high round here, change this phase over to this. And I just say, Okay, thanks. And then like, still continue to do what I felt was best.

Scott Benner 1:00:17
When we walked out of the room when they took Arden away. And Kelly and I were like, Let's go downstairs and like, we'll get something that we basically went to the cafeteria and stared at Arden's Dexcom, following pretty much what we did. So we're walking down the hall and the nurses are going one way with Arden, and we're going the other way. And it's very tense, you know, cuz, I mean, it's just a little procedure, but stuff happens, you know, so you're really worried. And my wife goes, um, it was cool of her to leave, you know, to understand the algorithm, everything, and I understand her wanting it to be off, and I was like, I didn't turn off. My wife's like, what do you do? And I was like, it'll be fine. Don't worry about

Katie 1:00:56
that. Because if something did go wrong, you could jumped in and turn it off. Well, no, I guess at that point, you kind of know.

Scott Benner 1:01:03
I saw I did have Nightscout. So I could I could have made adjustments to her Basal if I needed to remote remotely. So I paid

Katie 1:01:11
it. There's a 30 minute procedure you said so wasn't Yeah, I mean, but

Scott Benner 1:01:14
they could have gotten in there. And there could have been like a taco truck in there or something. taking longer, right. And did I do the wrong thing? In hindsight? Yeah, probably. But you know, like, but during that procedure, her blood sugar tried to rise, and it stopped it. So did I do the right thing turned out to be, you know, if she was gonna be in there longer, I might have tried harder to talk her into leaving it on. And maybe I would have shown her how to shut it off. But this was a half an hour. I was like, I'm rolling the dice here. So yeah, anyway, this is definitely not medical advice. This part. No doctors. No plus, I know nothing. I mean, people listen closely. My senior year of high school, my senior year of high school, I missed 53 days of school. I, I went to work instead of going to school 53 of the seniors. Those days, you probably shouldn't even be listening this podcast. I mean, honestly,

Katie 1:02:13
you may think there's only like 100 and some days of school anyways. Right? Yeah,

Scott Benner 1:02:17
you're probably breaking a law by listening to me. So what do you think of that? So anyway? Is there anything that we have not spoken about that we should have? And will the baby make any more cute noises? Or Is he asleep?

Katie 1:02:28
He's currently asleep. But I can see those eyes like dancing, squint. Yeah, you know, like, they're darting back and forth underneath the eyelids. So no, I think I just really wanted to like, kind of share, like, how my experience was while pregnant. And then especially the labor and delivery because I think that was the thing I was missing the most, like your podcast, and everything is great. I almost wish there was a subgroup for like, pregnant juice boxes. Because I was in some like pregnant, C, type one diabetes Facebook groups, but like, that's not the same information support you get from the juice box community. And so I'm really thankful that like, you and Jenny had been doing more episodes about pregnancy. So I could like, use the bold with insulin methods. In this new way, it's great.

Scott Benner 1:03:20
That's very cool. Can I ask you a question? Sure. This miles, I would still have a little white dots on them, or is that gone? white dots. No, you know how their skin looks like little pluck chickens at first, like, Oh, yes.

Katie 1:03:32
And all the baby acne and everything. That's gone. Yeah, for the most part.

Scott Benner 1:03:38
I can't believe your kid Coues weed like curses at you.

Katie 1:03:43
With my husband's mouth, that's gonna be like before,

Scott Benner 1:03:46
baby in the face right now and try to imagine that there will be a day when it looks right at you and goes

Katie 1:03:54
Oh, I know it. Yeah, I've actually told my husband I'm like, Hey, like maybe let's practice not cursing so much around him. So that way when time comes like you don't have to just cold turkey. He was like, I have to cold turkey Kersey and I was like, Well, I'd like him not to have his first words. And

Scott Benner 1:04:11
the first ones the bigger. We made the we I made the decision that I wasn't going to change and Kelly was like, You should not be cursing in front of the kids. And I was like, but I love the curse so much, Katie, it's hard to put into words.

Katie 1:04:25
I think that's how my husband is too. And like, I mean, to give him credit. Like he is a very respectable adult in a business plays. It's not like he's just around cursing, like he knows how to act and like, so even though he grew up, like, in his family, like probably cursing and he was I don't know if he was allowed to curse or not, but like, he knows how to act. So like you can teach a kid that like you don't just get to talk like this.

Scott Benner 1:04:45
I want everyone every man to listen, listening to hear how we're spoken about. He knows how to act. Like he's almost like, oh, he won't pee on the rug or for only going for an hour. Don't worry about it. He knows what I like listen, I'm not saying that I'm in the grocery store trying To reach the eggs and you're in front of me, I'm like, motherfucker get out of the way. Right? In my mind, I might be thinking, exactly. But no actually being honest. As I get older that goes away to it must be. It must be testosterone.

Katie 1:05:15
Oh, yeah. Yeah, not as strong. Like,

Scott Benner 1:05:19
I don't feel like I have to kill, conquer or make something pregnant anymore. Like, it's a much cheaper way to be. You just given up a little more, even a give up. It's just like, you don't have these desires to do. Okay, those things like I, you know, I but I can definitely see how people might start talking about you need to find other things to do with your time. Some hobbies? Well, because do you want to be depressed for a second? Katie? I mean, you've got off going, you can handle Yeah. So I'm done. I'm almost done doing all the things I'm supposed to do. Like from a from a nature perspective, right. Like I, I saw a girl thought she was pretty tricked her into having sex with me made a baby kept the Baby Alive. And now you know, more, more, more up to date terms. I'm paying for college, supporting them as they figure things out. Like there's going to be a moment, right where Cole's 21 Like, it's probably going to happen in the next, I'm guessing four years, where he's just gonna, like, have a job and make his own decisions. And when something comes up, he's gonna ask somebody in his life, not me. And Arden's not far behind him. So then what is my purpose after that?

Katie 1:06:39
Well, you wait for the random phone calls you get because I still, I mean, that's true. Like I, once I started, like, my own career, and everything was like, you put on so much less dependent on your parents, but there's still times when like, the dishwasher is broken. You're like, I gotta call my dad.

Scott Benner 1:06:56
That's real world stuff. But I mean, like, Circle of Life stuff.

Katie 1:07:00
Yeah. I'm a grandparent, maybe.

Scott Benner 1:07:03
I don't know what that means. Yeah. I just told you, they're judging everything you're doing. They don't want you. They're gonna be like, Oh, he's gonna screw that kid up. Like, he screwed me up. Exactly what they're gonna think. Yeah, yeah, I, we were so close to calling this Scott makes up a postpartum lady cry, but you you help you handle that pretty well. So I wasn't trying to make as I'm saying, and I was like, I shouldn't be saying this to her. She's probably still flooded with hormones. And I'm like, What's your real purpose? Katie? Aren't you gonna be useless in 20 years?

Katie 1:07:33
I think right now, it's still so far for me to even imagine that, that it's not hitting home yet. Because like, right now, I'm just like, can we get through the night?

Scott Benner 1:07:42
No, I completely understand there's, there's no reasonable way for you to imagine what I'm talking about where you are, if you would have said that, to me, when Cole was three months old, I would not have, I wouldn't be able to conceptualize anything. You were saying I would have thought no, I'm gonna be alive forever. My whole life is gonna take forever, you know? And yeah, it turns out, like, you know, a couple of bad years. Er, and next thing, you know, it's 10 years later, you don't I mean?

Katie 1:08:16
I mean, I understand that I don't understand. Because people would tell me, like, how much changes once you have a baby and like, you know, I wasn't able to picture it. And then it is like this feeling of like, Yeah, nothing could ever prepare you for what changes whenever you become a parent. And so I have no doubt that they'll be plenty more experiences like this as he gets older. That's like, I could not have been prepared for this. Even if you would have told me exactly what was about to happen. Yep,

Scott Benner 1:08:42
you have to absolutely believe that. The passage of time, brings understanding. And that's wonderful. And the passage of time, makes you older, and allows you less time to use your understanding. And that's terrible. Like there are these. Everything in nature is competing, like everything, like we've been joking about it for an hour, but you're gonna love this kid so much, and that kid's gonna know it. And yet, you're going to have conversations where you're like, I don't understand why, why is this even happening? Like, like, Why? Why when your kid hits 22 They suddenly feel like, well, I have to push away from these people a little bit like I have to prove to the world to myself that I can do this thing. And, and as it's happening and it will feel terrible to you. You'll also have this amazing feeling of oh, look, he's becoming independent. Everything's happy and sad at the same time. There's no main line you don't get there's no life heroin, where it's just like pure like, ah, it just, this is probably as close as that comes to that is that baby. So soak it up. It's really really cool. You're gonna like, you're gonna have such an amazing experience and I wish I wish you nothing but excitement and happiness and Hope that kids first words aren't son of a bitch, but they probably

Katie 1:10:04
will be. No, I really appreciate that I am trying to like, take time each day to be like, hey, it's not always fun, but let's enjoy some. Yeah, 30 minutes here and there. The most

Scott Benner 1:10:17
honest and trite words I've ever spoken in my life. And many people speak them as well as it goes by really fast. So you do your best to slow it down, I guess. But try not to slow down the bad parts. Don't let those go by really quick and slow the good parts?

Katie 1:10:34
Yeah, yeah. The 2am Like screamfest right. Yeah, like lacking? Yeah, leave.

Scott Benner 1:10:39
Terrible. Does that happen?

Katie 1:10:42
Yeah, he doesn't like to have his diaper change in the middle of night, which I get but like when you're having a blowout, like it can't really? Yeah, let you sit in it.

Scott Benner 1:10:50
To be honest with you, I've never as an adult food myself in my sleep. But if some lady was to take off my underwear in the middle, and I think that would be fine.

Katie 1:11:00
Maybe frightening if you're still asleep. I'm probably

Scott Benner 1:11:02
thinking of it differently than Myles is too. But yeah, I'm guessing the probably the cold air just hits him It makes him upset I would imagine.

Katie 1:11:08
I think so. Yeah, it's just a startle of like I was asleep and bassinet and I'm on the Champion table. What happens?

Scott Benner 1:11:13
Yeah, no kidding. You flop on up there like a ham like yeah, babies put on themselves. It's great. Oh, yes. All right, Katie, listen, we're gonna end like this. Okay, you never considered even for a second name. I'm Scott once fraid not okay. Never even popped up as a joke.

Katie 1:11:35
No, I did not. But we were stuck on a middle name for a long time, so I shouldn't try to hide it or make it a contender. No,

Scott Benner 1:11:42
no, you should. I just wanted to know seriously if there was a conversation were you ever looked at your husband? When are we under any obligation to name this baby after the guy who made the podcast?

Katie 1:11:54
Yeah, he probably would have you know

Scott Benner 1:11:59
you would think so.

Katie 1:12:02
Yeah, look at us on and be like your name after Amanda. I really have no concept.

Scott Benner 1:12:07
Dog my last name so to that person. Ah,

Katie 1:12:11
that's a good name for a dog close enough.

Scott Benner 1:12:13
I take it I'm done. Yeah, I'm done pushing for these babies. I just really wanted to I seriously, as crazy as it sounds. I just wanted to know if even in passing You were ever at a restaurant you're like you want to name is Scott. If the guy on the podcast he asked about him all the time. And so I'm glad it didn't by the way it shows good mental health on your part.

Katie 1:12:30
Yeah, I don't have some like, what's a syndrome whenever you're kidnapped? Oh, I think the way you like when you like fall in love with her kidnapper type of deal.

Scott Benner 1:12:46
Yeah, I have to Google because my brain just went blank. Hold on. Oh, what's it called? As soon as it pops up, I'm gonna feel stupid for not knowing. Stockholm Syndrome.

Katie 1:12:59
Sakuma syndrome. Yeah, I'm talking to him with this podcast, I need a name

Scott Benner 1:13:03
is a condition in which hostages develop a psychological bond with their captors during captivity. This term was

Katie 1:13:09
I'm listening to you several hours a week. So it might work?

Scott Benner 1:13:15
Should I start like whispering like commands in between words? Do you think that would work? You never

Katie 1:13:19
know. I mean, you do have quite the power if you ever tried to change it.

Scott Benner 1:13:25
Let's try it here. Katie, US residents with type one or caregivers or caregivers of type one sugar to T one D exchange.org. Forward slash juice box and fill out the survey. There you go. I just did that because I get paid for that. I'm just kidding. I also think it's a really great. I let me be clear now that I said it out loud. And we all know I'm not going to edit anything out. I think that the Wendy exchange is really, really amazing organization. And I do want more people to add their data to it so that better decisions can get made for people. Look how quickly I got serious. So better decisions could be made for people with type one. But I do get money when you do.

Katie 1:14:00
I've done it. I want it registered. So I support it.

Scott Benner 1:14:05
You bought me lunch? I appreciate I did. Thank you. We haven't missed anything.

Katie 1:14:11
I don't think so. This is great. I can't wait to hear where you drop the ads throughout this podcast.

Scott Benner 1:14:18
No, you're a listener. Oh yeah, definitely you care. Like I the one I put up today with Chris Dudley.

Katie 1:14:25
So I just started it started automatically playing after my last podcast. I was like maybe not listened to a podcast before interview you know?

Scott Benner 1:14:34
I'm gonna do what he did. But I I asked him what it was like to play with Michael Jordan right before the ad. But I let him answer a little bit before the ad played. And as I was finishing making the ads I said aloud on the on the recording. I was like, There's no way anybody thought I wasn't going to cut him off as soon as I asked the question, but I was like, Sure it seemed mean. So yeah, I I'm a product of the the 80s. I know about cliffhangers. I once had to wait an entire summer to find out who shot Jr. So what do you think of

Katie 1:15:04
that? Yeah. Now Netflix

Scott Benner 1:15:07
is the words that are meaningless to you and most people listening. But hopefully, we'll see that pop up on Google who shot Jr. People will be like, what does that mean? Yeah, anyway, go find out. Also, I wish it had anything to do with your episode because I would totally call the Episode Who shot Jr. But instead I'm leaning towards stuff like it took miles and miles to ripen Katie surface. It's gonna work out but the words cervix ripening are the least attractive words I've ever heard in my entire life. Yeah, you're right. And I imagine they are to you too. Now that you have context for what it means. For sure. Oh, my God. All right. Well, I'm gonna let you go so that we don't start talking about putting a pill in your vagina? Yes.

A huge thank you to one of today's sponsors, GE voc glucagon. Find out more about Chivo Kibo Penn at G voc glucagon.com. Forward slash juicebox you spell that GVOKEGL. You see ag o n.com. Forward slash juice box. You use a blood glucose meter all the time. You might as well use an accurate one that is easy to carry, easy to use, and easy to see it night. Contour next one.com forward slash juicebox. Get yourself a Contour. Next One blood glucose meter. Thank you so much for listening. I'll be back soon with another episode of The Juicebox Podcast. Oh, and a little heads up. There's a big episode coming up very soon. Make sure you're subscribed in your audio app wherever you listen your podcast app, Apple Music, Spotify. Where else might people listen Amazon music? You know, wherever your app is, if you just like you know, I listen when I listen. Hit subscribe or follow depending on your app. Because you don't want to miss what's coming. I promise. I'm holding my hand up like I was in a courtroom on a television show. And I swear to tell the truth, the whole truth and nothing but the truth. So help me God. And there's a big show coming up. If you're subscribed, you won't miss it. Let me be clear. When this episode I'm talking about pops up in the future on the front of your little phone. You see a pop up your little hearts going to skip a beat. You're gonna go what's happening? I got a call out sick. Hello. I can't come to work today. I need to listen to the Oh no, I'm sick. Then you hang up the phone. You're not really sick. Turn on the podcast and you listen, like intently. You probably sit in a dark room with your eyes closed so you can focus because that's the big deal that I'm talking about here. I got stuff coming. What am I saying to you? When I say when I say listen, listen, closer, closer. Subscribe. We're follow in your podcast that trust me. When I'm this close to the microphone. It feels very intimate, even for me. So I'm freaking myself out so I'm gonna go

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#616 Defining Thyroid: Hypothyroidism and Hashimoto’s Thyroiditis

Scott and Jenny Smith, CDE share insights on thyroid disorder.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon Music - Amazon Alexa - Google Play/Android - iHeart Radio -  Radio Public or their favorite podcast app.

+ Click for EPISODE TRANSCRIPT

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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Hello friends, welcome to episode 616 of the Juicebox Podcast.

In 2019, The Endocrine Society said that thyroid dysfunction diabetes mellitus are closely linked. Several studies have documented the increased prevalence of thyroid disorder in patients with diabetes, and vice versa. It is with that in mind, and in the spirit of the defining diabetes episodes. This is the first in a series with Jenny Smith and I, where we will define the terms that you need to understand to deal with thyroid dysfunction. And please, if you're thinking right now, I don't have any problem with my thyroid. Just listen to them anyway, because some of the symptoms mask themselves as normal everyday maladies. Just please listen, they're just a couple of minutes long and you might need them down the road if you don't need them today. It's important. 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, or becoming bold with insulin.

If you're a US resident who has type one diabetes, or is the caregiver for someone who has type one, you could take the survey AT T one D exchange.org. Forward slash juice box in fewer than 10 minutes. When you do this, it will be completely anonymous. They will be HIPAA compliant, you will be helping people with type one diabetes, and you will be supporting the podcast T one D exchange.org. Forward slash juicebox. If you're looking for the defining diabetes series, they're available in your podcast player or at Juicebox Podcast calm. At that website, you'll also find the diabetes Pro Tip series. Ask Scott and Jenny. The diabetes variables episodes, after dark episodes, algorithm pumping based episodes, how we eat series. It's all right there. It's either in your podcast player, or at juicebox podcast.com. At the end of this episode, and at the end of every defining thyroid episode, I will list the symptoms of hypothyroidism, hyperthyroidism, and Graves disease. I think that one of the episodes of the podcast that I'm very proud of, besides the ones that we've done together is number 413. It's the talking about thyroid disease in general with Dr. But I think I'm proud of it because it's complete and thorough. It's easy to listen to. But moreover, I think this is something that might be happening to a number of people and they don't know, or they don't bother to look into it. Or in the case of a person I met more recently, it was in my private life. I forget we were together somewhere. And this person was like I'm always cold. Bla bla bla, like, you know, she just said it a couple of times next time I saw her. I said, Hey, you said the last time we were together, you said I'm always cold hands and feet. And she goes, Yeah, my whole body. Sometimes they said, Do you have trouble getting arrested? And she said, Yeah, and I'm like, no matter how much you're asleep, you just never feel rested. She goes right, right. And I said, Listen, you know, I don't want to be the bearer of bad news. But I think you have hypothyroidism. And a simple blood test would tell you if this is the case. And if it is, you would take this tiny little like hormone replacement, you know, and you'd feel significantly better. And the vibe I got from her was weird. It was there's nothing wrong with me. I'm not sick. I don't, I'm not gonna do this. Right. I thought I felt very sad. Because I mean, three of the four people in my house, take a thyroid medication in the morning, or in the evening, with the case of one of them. It's not a big deal. And it's significantly helps them and I thought I wonder how many people just think, like, I'm older now. That's why I or you know, my life is hard. That's why I can't get rested. And I mean, right, so many people with you know, autoimmune disease, listen to this podcast. I wanted to take a chunk out of the time that I have for people and make sure that they understand, you know, a thyroid condition so that maybe they'll think to take care of it for themselves. Well, and it's

Jennifer Smith, CDE 4:41
really applicable in terms of autoimmune thyroid disease, it's very applicable. If you live with any autoimmune disorder, you are more likely to potentially have another one. Right, right. So and thyroid disorder and type one are very common. commonly linked together. So, again, I think you're also right on the I don't know how many people are undiagnosed, that really depending on what their levels come back like, and or if they're even being tested, right. And you might glance sort of mentioned something in a visit with your doctor. And unless they catch that, or like this person who's talking to you, it says it a couple of times, it may be completely dismissed.

Scott Benner 5:30
If I wasn't me, and this wasn't my job, I wouldn't have, I would have just thought that girl's hands get cold. You know, you don't I mean, like, it never occurred to me. And I think to that. The other problem is that even if you have seen this happen, I was once helping a woman with her child who was in the hospital. So her kid was in the hospital, she had the kid had type one. And she was trying to figure out the insulin because the hospital just wasn't like helping and things were getting worse and worse. Sure. And while we were talking, it became clear to me that the mom, you know, something happened, it was about insulin usage. And I said, does she have Hashimotos? Or, or hypothyroidism? She's like, I'm gonna ask them to test. And they did. And then during the conversation, she said to me, you know, all that stuff you described to me, I feel that way, too. Ah, and I was like, okay, and then she tested and she sent me an email months later and said, I, you know, I have it too. And I'm taking thyroid replacement now. And I was like, you know, I just wonder, I don't know, it's such a simple thing, because then, you know, she got it sorted for herself. But you know, she had trouble with a child, when the child was in the hospital because of the whole, you're in range problem, where you when they they measure your TSH, and then you're like, some, some institutions, if you're not over 1010, they won't give you medication, they'll start me know, maybe around eight, but in this one to 10 testing, you know, zone. We found that my son had significant medical issues when his TSH was over two. And so interesting. Yeah. And so

Jennifer Smith, CDE 7:13
as the reference ranges, much wider, the reference ranges between like point four and like five, depending on what doctor you're talking to, and what you know, lab did the results and gave you the normal range and everything so

Scott Benner 7:27
well. Well, Dr. BENITO manages, but the people in my family to keep their TSH under two. And it's a and they're not hyper. And see now here's the thing, we've been talking for three minutes, we've used words like hyperthyroid, hypo thyroid, Hashimotos, you know, all this stuff, but you know, thyroid replacing hormones, I want people to understand what they are. Right. So my what my hope is that these episodes will be short, digestible, and either make people think, ooh, I might have that, or my kid might have that. Or if they know they have it. I hope it helps them believe. Maybe I'm not being medicated correctly, because I still have some of these symptoms. So I appreciate you doing this with me. Cool. Yeah. Well, where should we start? If you like?

Jennifer Smith, CDE 8:14
Ah, well, I think I mean, if we started with just the list and went down, did you you didn't. I was gonna say, I was gonna ask if you actually like alphabetize these

Scott Benner 8:26
I believe they were in alphabetical order, but I just moved them around. I started sorting them and putting them together. Like for instance, I put, you know, Hashimotos and hypothyroidism together. Right, I started putting TSH and thyroid storm THX testing and thyroid stimulating hormone I put together that kind of thing. So I mean, I'm just trying to think of it functionally for people listening, like what do they want to know? First, we just define Hashimotos. And hyperthyroidism may be in one episode. Sure. Does that make sense? Yeah. Okay, now, I'm going to leave this in so people can recognize.

Jennifer Smith, CDE 9:05
Recognize that we don't pre plan any discussions, right?

Scott Benner 9:08
It's pretty much like a road rally race, like we just got in the car, like we're supposed to go to California.

Unknown Speaker 9:14
Okay, where where's the map? Let's

Scott Benner 9:16
figure it out. So why don't we just start with, you know, the idea that Hashimotos thyroiditis and hypothyroidism while they will, are not necessarily the same thing, and we might even be hammering through some of my understanding. So let's start with hypothyroidism. Tell me what it is.

Jennifer Smith, CDE 9:36
Well, it's essentially a condition where the thyroid doesn't make enough thyroid hormone, right? I mean, that's the easiest definition of hypo thyroid. And so we need a certain level of thyroid hormone to essentially maintain sort of metabolic things in our body, right. They play important roles in weight. temperature management and how strong you are and how you feel energy levels and all of that. So

Scott Benner 10:06
it is hypothyroidism and Hashimotos two different things or does Hashimotos create hypothyroidism?

Jennifer Smith, CDE 10:18
It's kind of like a chicken in the egg right? Well, you know, antibodies tests can be done to determine the hypothyroid like definition. You know, the, the condition right? Hashimoto is is relative to an antibody or an autoimmune disorder. Okay. Whereas hypothyroidism without from what I understand without the antibodies present, hypo thyroid isn't Hashimoto.

Scott Benner 10:51
So a person can have hypothyroidism but not have an autoimmune disease. Yes. Okay. All right. But but if you have Hashimotos, well, let's let's define Hashimotos thyroiditis, then, like I have it as inflammation of the thyroid gland described by Dr. Hashimoto, it is the it is the most common cause of hyper hypothyroidism.

Jennifer Smith, CDE 11:14
Correct. And it's actually eight times more common in from what I remember eight times more common in women than in men.

Scott Benner 11:22
And it's one of those things that anecdotally, from talking to people. So I do this thing, I hope people don't get bored by it. But when I interview somebody, we're not talking about something specific. I always ask about auto immune in their family. And you'll be surprised how many people go no, no, no, there's no auto immune of my family. You go celiac hypothyroidism. And they go, Oh, yeah. And then the more you name, they're like, oh, wait, and then you find out there's 345 autoimmune diseases and their family happens a lot. Yes. You know, so I like to bring it up, because I'm trying to get a I'm trying to make the podcast a repository, you know, for for information. And I think that the one of them that comes up the most it's got to be it's a horse race between celiac and thyroid hypothyroid. Yeah, yes. You know, it's what I hear most from people. So hot. So Hashimotos. And again, go to Episode 413. To get a really deep dive on it. Dr. BENITO will explain it very, very thoroughly. But like, for instance, my wife has hypothyroidism. My son has Hashimotos. Okay, my daughter has type one diabetes, and hypothyroidism. My son has Hashimotos and no other issues, and no other issues. I mean, wow, I should knock on 19 pieces of wood. But, but

Jennifer Smith, CDE 12:51
my desk is made of wood on that guy.

Scott Benner 12:53
I appreciate it. And, and so my son's thyroid was immense imaged, I guess, MRI. And

Jennifer Smith, CDE 13:05
yeah, they do a kind of a scan and or a deeper imaging with dye and Yes, right.

Scott Benner 13:10
And she found some nodules on his, on his thyroid. At his age, I think we figured it out when he was about 21.

Jennifer Smith, CDE 13:19
Well, could she feel the nodules? Or could he feel them as well? Because often, I mean, from an endo standpoint, those with type one, which I know your son doesn't have, but from a standpoint of evaluation, they should be checking that low level in the throat and having you swallow. That's a first more visual sign that something is going on.

Scott Benner 13:41
And I'm just smiling because that happened, but it happened over zoom because of COVID.

Jennifer Smith, CDE 13:47
Oh, yeah. So there was no touching there.

Scott Benner 13:51
He was turning his head and doing weird things and jamming his face up to the camera and, you know, that kind of stuff. But yeah, so. Okay, so Hashimotos disease, when the immune system attacks the butterfly shaped gland of the neck, which is your thyroid, initially, inflammation of the thyroid causes a leak resulting in excess thyroid hormone, so you could get hyper thyroid ism for a little over time the inflammation prevents the thyroid from producing enough hormone hypothyroidism symptoms can include, I'll put all the symptoms I'm gonna put the symptoms in every episode, so we won't have to hear okay, so I I'm still, I'm very much more you know what, this is good news. I've always been a little like I'm not sure. And now I feel very clear. Hypothyroidism could come up in your life without you having an autoimmune disease. Correct. But you

Jennifer Smith, CDE 14:49
know, Hashimoto is is the most common form of hypo thyroid. Yes, but

Scott Benner 14:54
if you have Hashimotos thyroiditis, you're going to you you will then have hypo thyroid All right isn't at some point. Yes. Okay. We did that. That's good. Right? Cool. Yeah. See, see this disease. Jenny and I are just gonna jump right to the next thing. Maybe I won't even edit out all of our banter in the middle. I'll just when they pick up the next week, they'll hear us just go to the next thing.

Unknown Speaker 15:18
Be like those crazy people frequently

Scott Benner 15:26
for more episodes of The Juicebox Podcast and to continue with the defining thyroid series. If you like Jenny, she's for hire. You can find her at integrated diabetes.com She helps people with their type one diabetes, she really good at it. So if you're enjoying the Juicebox Podcast, and you're listening in an app, but you're not subscribed or following, please hit subscribe and follow on that app. And don't forget to tell a friend. Hey, if you find the podcast on YouTube, we started putting up animated versions of the defining diabetes series. They're really cute, great for kids. Very visual. Go find it. Alright, now let's go through the symptoms. We will start with hypothyroidism. Hypothyroidism signs and symptoms may include fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, puffy face hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain stiffness or swelling and your joints heavier than normal or irregular menstrual periods. thinning hair slow heart rate depression impaired memory enlarged thyroid gland. In infants you're looking for a yellowing of the skin and whites of the eyes which is commonly called jaundice. In most cases this occurs when a baby's liver can't metabolize a substance called bilirubin, which normally forms in the body recycles old or damaged red blood cells. You also might see a larger protruding tongue, difficulty breathing, hoarse crying, or an umbilical hernia. As progression happens in infants, you may move on to constipation, poor muscle tone, or excessive sleepiness. Hypothyroidism in children and teens may indicate with por growth, resulting in a short stature, delayed development of permanent teeth, delayed puberty, poor mental development. That list is from the Mayo Clinic. Let's move on now to hyperthyroidism. This list is from the Cleveland Clinic. Hyperthyroidism may present with rapid heartbeat are palpitations, feeling shaky and or nervous weight loss, increased appetite, diarrhea and more frequent bowel movements, vision changes, thin warm and moist skin menstrual changes, intolerance to heat and excessive sweating, sleep issues, swelling and enlargement of the neck from an enlarged thyroid gland. Hair loss and change in hair texture. It would get brittle bulging of the eyes as seen with Graves disease and muscle weakness. Okay, back to the Mayo Clinic for Graves disease, you're looking for anxiety and irritability. A fine tremor of the hands or fingers heat sensitivity and an increase in perspiration where warm or moist skin weight loss despite normal eating habits, enlarged thyroid gland change in menstrual cycle erectile dysfunction or reduced libido. frequent bowel movements, bulging eyes, fatigue, thick red skin usually on the shins or tops of the feet. Rapid or irregular heartbeat palpitations, sleep disturbance. If you your child or someone you love has any of these symptoms, please seek medical attention. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.

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