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Podcast Episodes

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

Filtering by Category: Dexcom

#654 Ball of Anxiety

Scott Benner

Kara is the mom of a young type 1. She's here to talk about her challenges.

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

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

Scott Benner 0:00
Hello friends, and welcome to episode 654 of the Juicebox Podcast.

On today's episode of the podcast I'll be speaking with Cara. She is the mother of a child with type one diabetes who has a unique perspective about anxiety and type one. While you're listening today, 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. Are you a US resident who has type one diabetes, or a US resident who is the caregiver of someone with type one? If you are, it will take you fewer than 10 minutes to fill out a survey at T one D exchange.org. Forward slash juicebox that will help people living with type one diabetes. It also supports the podcast when you finish the survey, head over to t one D exchange.org. Forward slash juice box. Join the registry take the survey support people with type one.

This episode of The Juicebox Podcast is sponsored by the Contour Next One blood glucose meter. Head over to contour next one.com forward slash juicebox get a look at that little meter that does so much Contour Next One. If you're looking for the diabetes pro tip episodes of the podcast, they begin at episode 210. They're also available at juicebox podcast.com, and diabetes pro tip.com.

Kara 2:01
My name is Kara. We live in Penticton, British Columbia, Canada and my husband have two kids sleep by and Keon and Levi's six and he's our type one diabetic.

Scott Benner 2:17
When you were saying where you lived it cut out a little bit, but I heard British Columbia. Is that enough? Yeah, we're in Penticton

Kara 2:23
Penticton. Yes, We're originally from Vancouver, but we moved to Penticton, which is like five hours away from Vancouver.

Scott Benner 2:33
How do you make a decision like that? You look at the map and you think what name sounds really ridiculous. I'm gonna go there.

Kara 2:40
Yeah, it was actually after Levi was diagnosed, and we just wanted like a simpler small town kind of life. So yeah, and then my parents are also here. So that's kind of

Scott Benner 2:55
you move closer to some people to Okay. Yeah, exactly. Originally.

Kara 3:00
We're originally from Vancouver.

Scott Benner 3:02
Okay, so your parents found this place and you kind of followed them?

Kara 3:06
Yes. Yeah. Gotcha.

Scott Benner 3:09
I want to start with that if you don't mind what? Sure what precipitated the move.

Kara 3:16
Um, I, we were kind of always thinking about moving away from kind of like the city life like both of us had long commutes. And then when Levi was diagnosed, it just really solidified that we needed to be home more and just have kind of an easier slow paced life. And just like our our hostel hospital that leave I was went to was, like, maybe an hour and a half in traffic on a good day. So just knowing that link where he goes now is like five minutes down the road. And

Scott Benner 3:58
yeah, there's traffic in Canada. Yes, there. Sorry. I learned something new every day. I know. I know that people probably think I'm just at this point, leaning into the idea of teasing people from Canada, but I'm not you said there was traffic. I was like, huh, wow.

Kara 4:16
Yeah, yeah. No, it's It's like a full on city,

Scott Benner 4:21
Vancouver. Yes. Also a major exporter of American television.

Kara 4:27
Yeah, it's like Hollywood north. I think they call it

Scott Benner 4:31
Have you ever been an extra on something?

Kara 4:33
No, but it is pretty common. And there usually is like, parts of different streets shut down for movies and commercials and stuff.

Scott Benner 4:44
Okay. I remember one time I interviewed Victor Garber, who has type one diabetes as an actor. I interviewed him in between shooting a television show that he was making at the time and he was in Vancouver. Oh, right. So yeah, but you're not there anymore. None of this really matters. Yeah. Would you describe where you're at now as like in the middle of nowhere or is it just a smaller place?

Kara 5:09
Yeah, it's just a smaller place like there's maybe 30,000 People in our town. And then it's sort of the bigger town in the area. So it's like small town but not too small.

Scott Benner 5:26
30,000 people Yeah, that's not that's not huge. It I mean, I think I live I think I live would it be nice if I knew I was gonna say like, the the population in my towns maybe under 15,000. Okay, even know how many square miles it is? I don't imagine it's much. It's interesting. I like the idea. I often dream of moving somewhere a little farther from people.

Kara 5:49
But yeah, it's been good. Yeah.

Scott Benner 5:52
So how old is Levi now? And how old was he? When he was diagnosed?

Kara 5:56
Levis? Six. He's almost seven. And he was diagnosed at three.

Scott Benner 6:03
Okay. That's a while. He so he's coming up on four years. Yeah, I guess so. Do not think about it.

Kara 6:13
was trying to think the other day how many years it was, but Yeah, almost four years.

Scott Benner 6:20
How old's your other child?

Kara 6:22
He's two. Oh, you

Scott Benner 6:23
just had him recently? Yeah, gotcha. Okay, so you you kind of got through the beginning of the diabetes thing and then just kind of got back to your plan your your family plan.

Kara 6:35
Yeah, we found out I was pregnant, I think like a month after he was diagnosed. I wasn't exactly planned. Like it would have been nice to have a little bit more time but

Scott Benner 6:49
no more freakout time when you didn't have all the hormones running around maybe? Yeah, exactly. That definitely makes sense plus your side job of skinning Wallace's or whatever it is you do up there.

Kara 7:01
making maple maple syrup. Yeah, it

Scott Benner 7:03
takes a lot of effort, I would imagine. So yeah. So it was his diagnosis, like out of nowhere, or do you have other autoimmune stuff in your family?

Kara 7:13
It was kind of out of nowhere. But we do have some auto immune stuff in the family. And some like type one diabetes, but distant, like my great grandfather. But it was never really on our radar. He didn't have anyone close to us that had it.

Scott Benner 7:35
Yeah, I used to be your your answer used to confuse me when people would say like, No, I was it was completely out of the blue. But yes, there's a lot of type one in our family. But I understand that idea now that really no one believes that this is going to happen to them.

Kara 7:50
Yeah. And I think we never really asked if anyone, like I would never think to ask if any of our great grandparents had diabetes. It just wasn't relevant to us.

Scott Benner 8:02
I was there any other autoimmune in your, in your, in your family, your husband, yourself and your two children?

Kara 8:09
Um, my mom has some thyroid stuff. My grandmother had sclera Derma. But that's kind of it.

Scott Benner 8:18
sclera Darmowe? Yeah,

Kara 8:21
I don't know too much about it. I just know it's like an autoimmune

Scott Benner 8:26
type of localized scleroderma, a group of autoimmune diseases that may result in changes to skin blood vessels, muscles, internal organs. Disease can be localized to the scanner involve other organs as well. symptoms may include areas of thicken skin stiffness, feeling tired, poor blood flow to the fingers or toes with cold exposure. Wow, that's interesting, did it? Do you know did it impact her life terribly?

Kara 8:51
Yeah, she had to have like her joint three point replaced slightly in her hand. And then she just always like she had nerve pain. And I don't think there's too, they know too much about it. But she had a lot of like, different symptoms that they attributed to it. So

Scott Benner 9:12
it's interesting. You did you did you know her? Well, or?

Kara 9:15
Yes. Yeah, we were really close. I lived with her for a few years too.

Scott Benner 9:19
Did it shorten her life?

Kara 9:22
Um, I It's hard to say like she also had lung cancer. So that probably didn't help but I think the Scleroderma was in there as well.

Scott Benner 9:34
Okay. Yeah, that's kind of fascinating. I'm looking at it now online. Just teaching myself that's really interesting. Okay, so your son's diagnosed. You living in Vancouver at the time? Can you walk me through what happened?

Kara 9:50
Yeah, so our whole diagnose going to the hospital experience was really awful not because of Levi but because of the hospital in times of care and our whole process going through that. Levi since been diagnosed with anxiety and PTSD because of medical trauma. And then he's recently diagnosed with ADHD as well.

Scott Benner 10:24
What leads you to get diagnosis and that what's going on in his life that makes you say, this isn't? Right.

Kara 10:31
Yeah, so, um, he every like in the hospital when they had to do an injection or a finger poke. He would act like like his arm was being chopped off, like he would scream and fight and kick, and it would take him a really long time to recover. And the staff just told us like, this is normal. He's young, he'll eventually get used to it. But like months and months later, it was still still happening at home like we would have to hold him down. Usually would take two of us he like broke so many needles are scratched himself with the needle.

Scott Benner 11:18
Pulling away and resisting. Yeah,

Kara 11:21
just like every muscle in his body with fight against getting, like even the finger pokes. It took like months before he was like, okay to do that. Yeah, and he had like, really bad night terrors. And even just us walking towards him, he would kind of jump and be like, What are you doing what's in your hand? They're like, any trust he had towards adults, or medical staff was completely gone. Yeah, and it just seemed like this is not normal. This is not getting better. It's, it's getting worse. So

Scott Benner 12:03
how we kind of gone for before you looked into it.

Kara 12:07
Um, I'm a bit in the hospital, we asked like, this seems a little bit more than what we would expect. And then we came home, we kind of kept pushing this and saying, like, it's not getting better. And we are eventually referred to a psychologist. But they were at the hospital where he was diagnosed, and even just pulling into the parking lot. It retriggered everything for him. And the psychologist wasn't able to do their assessment because he was just so elevated and wouldn't even go in the door. And so I think the psychology

Scott Benner 12:49
actually jump in the car and meet you for a maple Longjiang or something and just do it at nothing. What the hell?

Kara 12:56
I know, that's what you would think. But we had we realized that we kind of had to adapt to their schedule and their agenda and Levi, what Levi needed wasn't really considered.

Scott Benner 13:14
Got a good experience overall. Hey, can you talk a little more about the impact on you and your husband, having to like restrain your son and all the other things that went through that, like, how did that build up on you over time?

Kara 13:33
Yeah. I mean, obviously, it was heartbreaking. And I remember just getting like the injections ready, like feeling this dread. And one of the things that they would tell us is that if you're nervous, he'll feel that and so try and just stay relaxed and don't react to him. So we tried to do that. But yeah, it was hard. And I think one of the things is, as his parents, we were his main source of comfort. But were also the main source of re triggering him and causing all this trauma. So he, there is a shift in our relationship for sure. Like the trust that he had is of being his mom and dad, I think waned a bit.

Scott Benner 14:31
Yeah, so first of all, I don't know enough about the psychology of small children to know if treating them like a skittish horse is the right way to approach if you stay calm, he'll be calmer. Yeah. Did that work at all? No, no, no, no, no, you weren't able to. Hey, we're just hanging out buddy. Everything's fine. I'm not holding a syringe. But prior to this, anything I mean, I realized He's He's super young. And so it's difficult to like, But was he like skittish before this? Or?

Kara 15:07
No, not at all. Like he is, like, Adventurer kid, like just go all the time. No fear, no shyness. So I think that really like there was a huge change in him. Like that hit us like this is this is really affecting him Did anything

Scott Benner 15:27
happen in the hospital that was like crazy out of line? Like did a like a clown with weird makeup in the room at the time or like there's there's something that they stick him a ton with? You know what I mean? What they have trouble finding his veins was? Yeah,

Kara 15:42
like. I mean, not really. But kind of like when they did the IV, he fought them a lot. And so they had to wrap them up in a sheet so that he couldn't flail around. And I think there was probably three or four nurses holding him down. And then one of them was trying to get the IV and so that kind of, I think, like, set the tone for the rest of the hospital visit.

Scott Benner 16:14
He just had a real adverse reaction to that happening.

Kara 16:18
Yeah. Like he saw the kind of like the needle come out and was like, No, this is not happening. And then it kind of escalated from there.

Scott Benner 16:28
So you said he had an adverse reaction to the two of you because he starts relating you to the care. Did you ever have a third party who wasn't a doctor with somebody else? Try to do it to see if it? If he was anywhere, I'm trying to figure out like what you could have done back then. I don't imagine there was much.

Kara 16:45
Yeah, and he was he actually only wanted me to do it. Because like, he needed that comfort. And I think, even though I was the one doing it all, like I was also like, mom, so if anyone was gonna do it, he referred me to. And it kind of still is that way with his pump and his Dexcom like, he usually only wants me to do it.

Scott Benner 17:14
Present day does he still fight and squirm or is that mostly over?

Kara 17:21
It's way better. He is on anxiety medication, which has really helped. But he's still I mean, compared to where he was, it's full 180. But like, we try and do it when he's sleeping, or it's like a bit of a thing. Like he has to be alone, he has to have a few minutes to like pick where it's gonna happen. And he needs a little bit of recovery time afterwards. But it is way better than it was for sure.

Scott Benner 17:52
You or your husband or people in your family any anxiety in the family.

Kara 17:58
Yeah, my side of the family is is pretty riddled with anxiety and depression and like I've dealt with anxiety my whole life so and, and kind of have like, my attitude has always been like, just deal with it. Like I've been to counseling for many years and stuff. So I think that that's probably why I recognized it and Levi as well that this isn't just him being scary like this something a little bit more.

Scott Benner 18:30
So first of all, you've moved me off of Canadian rodeo onto to riddled with anxiety for the episode title. So excited about Canadian rodeo, and I don't know what I'm gonna do. But so you you take medication for anxiety?

Kara 18:50
Yes, I have, like, on and off. Okay, since I was I don't know, like a teenager.

Scott Benner 18:56
So now this is asking you to suppose but do you think if it wasn't the diabetes, something else would have brought this out of him?

Kara 19:04
Yeah, maybe? I don't know.

Scott Benner 19:07
I mean, riddle. Riddle. Riddle makes the assumption that everyone's got to, like, you know, I mean, is there somebody in your family that you all look at and go how is this one not having any anxiety? Or does it? Is it really I'm laughing at you laughing trying to think of a person in your family who's?

Kara 19:26
Well, I mean, my it's mostly my dad's side that we're all a little crazy. And my husband like he is just always like, he's the good at suppressing everything and just sort of like marching on. Yeah, so I mean, maybe it's hard to say probably it's

Scott Benner 19:50
impossible to say I've asked you a question. There's no answer to I just wanted to see what that's all.

Kara 19:55
Yeah, I wouldn't be surprised but but before the diabetes I wouldn't say he was like an anxious kid.

Scott Benner 20:03
But this lit something up in him. Yeah. Is there a plan to take him off the medication at any point? Or do you think this is a long term? situation?

Kara 20:16
Yeah, so the problem is that he still is pretty young. And like he goes to a place therapists pretty regularly. Any he asked to kind of go through the trauma that's happened. But because the age that he's at, that's really difficult, and it takes like a really long time. So our hope is that as he gets older and kind of can have more perspective on what happened and why this had to happen, and all of that. But until then, we're just sort of gonna keep him on it, and slowly work towards that.

Scott Benner 21:03
So you can move them to weed when he's a carrier like I don't mean to like do you manage with any recreational drugs?

Kara 21:13
No, I it just makes me more anxious. Really?

Scott Benner 21:17
Well, lucky. Yeah.

Kara 21:20
Yeah, well, or not? I don't

Scott Benner 21:21
know. That was sarcasm. I know. It's not for everybody, but some people report great. You know,

Kara 21:31
I know I'm jealous. Like, have some have a great sleep like, that sounds amazing.

Scott Benner 21:37
But did you try it and then just go Oh, great. This made it worse.

Kara 21:41
Yeah, I've like we, because it's legal in BC. So like, there are weed shops, like every corner. We will like go into like some of the fancy ones and try some of the gummies and stuff. But every time I just like, I hate it. Okay, so

Scott Benner 21:58
I am not an aficionado. And it is to say that I've literally never tried it. But from what I hear smoking gives you a different situation than eating it. Because of the way your body metabolizes it. So yes, yeah, try a pan or something at some point. Yeah. Yeah. But being serious, do you see that as, like, let me ask you like, how to think about this. If, if I got headaches constantly, and I had a baby and the baby started getting headaches, I would find it to be incumbent upon me to figure out how to manage the headache for myself so that I could pass that to my kid and tell them hey, maybe this do you have that feeling about all this? If you feel like it's your job to figure this out, so that they can have relief?

Kara 22:43
Yeah, for sure. I mean, I like that's how I feel about my own mental health. Like, I need to be really good. So that I can be there for Levi. And then I think just having like a better understanding of it, so I can I help them when it when it starts to come up.

Scott Benner 23:06
Your father give you any advice. Sorry, say that again. Your father. Did he pass any advice on to you?

Kara 23:15
Yeah, my dad's actually a counselor. So he's, he has lots of good advice and tips and stuff like that, but it's also just so different in kids.

Scott Benner 23:27
Okay, yeah. situation. Yeah. Yeah. Listen, an argument can be made that, uh, if I walked into a counselor's office, and I said, How are you doing? Because I'm kind of anxious. I might be like, I'm gonna find somebody else. It's like a, it's like, it's like, it feels like I'm hiring a roofer with the leaky roof in his own house. Yeah. No, it's not fair. Actually. It's meant to be stupid, but I just I do think it would, it would strike me if I was in that situation. I might be like, huh, my counselor seems a little jumpy. But, so his so your dad's advice. I thought maybe your dad's advice was like, sweetie, they make a makeup whiskey and the, the, you know, I don't know, like, you know, because people manage this stuff in all different ways. They manage it with food, they manage it with anger, they manage it with liquor, or they manage it with weed or harder drugs even. Because it's no joke, right? Like, can you give me an example of what that like how it can cripple a day? How sorry. So is there are there examples that you have from your life? That would explain to us what anxiety can do to a day in your life?

Kara 24:41
Um, like for me or for Levi?

Scott Benner 24:44
Well for you, and then we're gonna talk about Levi after

Kara 24:46
Okay. Um, yeah, like, I always feel like if I'm having an anxious day, it's like, you're in a crowded room where everyone is like talking are yelling, and you just can't like, think clearly. But then you're trying to like get all the stuff done, you need to get done.

Scott Benner 25:09
So a noise in your head that doesn't allow you to focus on any one thing.

Kara 25:14
Yeah, or just it's just this like kind of background buzz like intrusive kind of. Yeah, I wish I had a word.

Scott Benner 25:26
That's a pretty good. Do you have ADHD as well?

Kara 25:29
No, no. Okay.

Scott Benner 25:31
So that's how it manifests for you. And then does that just make things? And the Putin does that roll into depression ever for you?

Kara 25:38
Yeah, for Yeah, for sure. And then, when I had both kids, I had postpartum depression. So there's definitely like a hormonal aspect to that.

Scott Benner 25:50
Yeah, no, I mean, obviously, plus the plus the realization that you have to take care of these kids and pay for

Kara 25:56
a little Yeah. And then diabetes.

Scott Benner 26:00
That some smartass rolls around to let you know what college costs are. I mean, you guys. That's University. I mean, but know why you have to be so fancy about it. So this is something for you. How are you?

Kara 26:12
I'm 32.

Scott Benner 26:15
Okay, so then how does the anxiety impact Levi's day?

Kara 26:21
Um, he gets very, like, rigid and stuck. Like he won't like if he has to go to school, he won't want to go to school, you won't get dressed at school, he, like won't kind of follow what the class is doing, or the teachers doing. Like sometimes they'll even just go like sit in the corner and ignore anyone trying to engage with him. And then he also gets like, pretty severe night terrors. Mostly where he thinks that there's somebody coming to like, give him a poke. And so he'll like, try and push you away or try and hide or.

Scott Benner 27:10
Yeah, so he hit does he wake up screaming or how does that happen?

Kara 27:16
Yeah, he'll wake up screaming. Yeah. And then you come in and he gets like, he's aware of that. There's a person but it's he's still dreaming. So he thinks that you're somebody trying to get him.

Scott Benner 27:27
Okay. Yeah. Plus, you're the person who actually does give him the pokes. So yeah, exactly. Have to hire a third party calming person. Just for that. I was thinking I hear my wife yell at night sometimes. Do you think she's coming? She thinks I'm coming to poker. Oh, probably. A different anxiety hair, isn't it?

Kara 27:49
Yeah. Totally.

Scott Benner 27:53
Like, gosh, this poor i Oh, God, I'm gonna curse I get Jesus this it's a lot, you know? Yeah. Yeah. The ever get a break? Does he ever have days where it doesn't impact him?

Kara 28:08
I'm like, we try we, we try and kind of given as much normalcy as we can. And activity is a huge stress reliever for him. So like we back on to basically for us that just kind of goes on forever. So he spends a lot of time out there and running and friends. And so we kind of try and do that for him.

Scott Benner 28:38
I say, so, so that you think that that's being in an unconfined space that helps him? Is this? Is it being away from people like what do you think about just being outside? Do you ever I mean, I don't know how you might not know but what do you guys,

Kara 28:55
I think, when he can be like in control of what he's doing. So like he's outside and he has this whole thing going on in his head of what he's doing and he can like he likes to lead if we're hiking, he'll be at the front and he thinks kind of he's like the expert on everything. He'll explain like, this is this kind of mushroom. And this is this kind of bird and

Scott Benner 29:25
I don't know at all I have to get him a podcast. Yeah, exactly. So is How old is he now? Seven? He's almost seven. Yeah. Is he not ready to be put in charge of his pokes and his broads and things?

Kara 29:39
Um, yeah. So he, he can do a finger poke. And he we actually started looping a few months ago. So in those few months, he's become a lot more independent.

Scott Benner 29:54
And help him does that alleviate his anxiety like taking you the rest of you out of the situation?

Kara 30:02
Um, I don't Yeah, I It's hard to tell. I think he's feeling a little bit of, like the burnout from it, especially at school. Because he knows that he needs to be responsible and kind of like on all the time, so we've noticed when he comes home like he's just doesn't want to engage with the diabetes stuff.

Scott Benner 30:23
Yeah, I don't think any of them do. But yeah, by any of them. I mean, any people with diabetes? Yeah, yeah, I have a question. It's gonna sound accusatory it's not so don't read it that way and answer it for me if you can.

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Have you ever been in a situation where your anxiety makes you put something on his act? Put something on him that doesn't exist? Do you ever get so anxious that you're like he's he's not okay. But he the your husband goes he looks fine to me. Just like no does that ever happen? Or does your husband not have the nerve to say that? Yeah, you do live in the woods and you probably know how to use an axe so I might not say much to you either. But

Kara 33:25
yeah, um I don't know like my I really like internalized my anxiety like it's it's very like physical for me so I'm not like worried about a particular thing. I just like feel anxious.

Scott Benner 33:44
physically sick. Sorry. Will it ever make you physically sick? Oh yeah, for sure. Yeah, stomach issues. Stuff like Yeah,

Kara 33:53
yeah, not for a while but yeah in the past good for sure.

Scott Benner 33:58
Yeah. Vacation did you find that helped you?

Kara 34:01
Um, I yeah, I've taken probably all of them and haven't really found one that works. So

Scott Benner 34:12
all of them and yeah, nothing good. So SSRIs like intake uptake inhibitor stuff like that you you know you don't find much relief from

Kara 34:21
no and if I do it's like for a few weeks and then I it stops working so

Scott Benner 34:28
I'm almost afraid to ask this. I don't want me to ask a question somebody can answer me in a way that even shocked me but what what's your leading in the woods like what helps you?

Kara 34:39
Um yeah, I think just like trying to stay balanced and and everything like not, it's really easy to get burned out. So I try and like not take on too much like a sloth of why we're living where we are and Do you know that balance is really having fun and resting and doing work and parenting and all of that kind of stuff? But

Scott Benner 35:09
is there activity that makes you feel freer? Yeah. Can you not think of one or do you not want to tell me what it is?

Kara 35:20
I just I think it's just like a it's like, a bit of everything. It's not like a particular thing.

Scott Benner 35:26
Being in that place helps you more. Yeah. Yeah. Okay. Yeah, I'm gonna bleep all this out. But like, I'm so worried that one day I'm going to ask somebody a question and be like, Hey, what did we beat your anxiety and someone's just gonna blurt out like, I gank the neighbors. It really, really calms me down, Scott. I'm so worried that one day somebody is literally gonna say something that I'm like, I'm not. You guys will know if I don't know how to answer something crazy happen. Yeah. I won't leave all that out later. Some people will just have to wonder what I said to you. But I do have like a genuine concern that one day something's gonna happen that I'm going to be like, uh, you know, I don't know. Yeah. So when you don't know how to answer, I'm like, she trying to talk around something? Or does she know?

Kara 36:14
I just don't think I have anything like that interesting that I do to help us just sort of like, the boring like, life balance thing.

Scott Benner 36:22
Well, listen, I think you're being a little dismissive because you guys made a big move. You moved yourself to somewhere else to support your mental health. That's a really big deal. And it's, it's thoughtful, because for no reasons. Who cares why, like that Big City Life of Vancouver. It's not right for you. I wasn't saying that sarcastically. Did my tone inflect sarcasm maybe I will. Yeah. Yeah. Like, but you know, like being in a more hustle bustle situation just wasn't right for you. And your job? Yeah, yeah. Are you a stay at home mom? Or did your job like switch okay to that?

Kara 37:01
Yeah. So I'm a, I'm a social worker I work with like, in mental health and substance use. But once Levi was diagnosed, like I've never worked full time, just because I have to kind of be around for him. And it's impossible to get childcare for a type one diabetic.

Scott Benner 37:23
A deer can't watch your children.

Kara 37:26
No, unfortunately, not.

Scott Benner 37:29
But I asked you a question that I asked of every mental health professional who falls into your category again, it's gonna sound accusatory, it is not. Why is there something about people who struggle with mental health that draws them to want to work in mental health?

Kara 37:46
Yeah, I think it's a bit of that. It's like, I love the science part of it. Like, why why people use drugs? Why, like, all that kind of nerdy stuff. And then I think just like, the stigma around mental health, and especially substance use, I've always been kind of, like an advocate and love sort of the political side of that. So it just seemed like

Scott Benner 38:15
fits for you. Yeah, but is there any feeling of like, if I can help them? I get help myself?

Kara 38:23
Ah, yeah, I don't know. I mean, because usually the people I work with like they're living on the streets and like ferry and trenched in drug use and that, so it's, I try not to see myself in that because you can go down kind of like a dark hole that way. Yeah.

Scott Benner 38:44
No, I worry about people who do your kind of work. Yeah. And I've interviewed a number of them. Did you ever hear the episode? Josh has all the fields? Yes. Yeah. Right. So and Josh has been back on since then. I've recorded with him. It's not out yet. I'm gonna tell you that the second time he came on was more emotional than the first time he came on. Oh, my God, by the end, you're like, Dude, where are you? I'm gonna come give you a hug. And it's it, but he's in that he's in that industry. And he, I don't know, like, there's part of me that just thinks like, Oh, my God, like, quit your job and go do something completely different and see if that doesn't help you. Yeah, I don't know. Like, I could be 1,000,000% Wrong. Please, everyone believe that. I believe that. It's just fascinating. You know, like to, I mean, you know, you have one conversation with somebody and you think I spoke with a therapist today who's depressed, or then you're a social worker and you have anxiety Your father has his situation like, you know, Josh described his life the way he did. And on and on and on. It's just really, I don't know people are fascinating. That's for certain.

Kara 39:50
Yeah, I think it's just everyone has their their thing. Like, I don't know if you could find somebody that's completely Lately, mental health free check could do that work? Like?

Scott Benner 40:04
You have to understand that we're all a little bit maybe,

Kara 40:07
yeah, yeah, I think you got it, you have to have gone there a little bit to get it.

Scott Benner 40:13
Where else you end up being me where I'm I'm basically on the verge of going, why don't you just stop? Which I don't think, personally, and this podcast has actually helped me a lot understand, you know, different psychological issues. But I would tell you that I don't have any perspective on it. So it does sometimes boil down into my head to like, just like don't do that then, which I realized, I realized isn't the answer. But it's an indication that I don't have enough depth of perspective.

Kara 40:45
Right. Yeah. I mean, I do agree that there is a level like you need to be solid. And you need to know what, how you're feeling and what triggers you and your boundaries when you're doing that kind of work. But yeah, I think everyone's at least everyone I've met in the field has at least some level of something.

Scott Benner 41:07
No kidding. Yeah, that's good to do. Well, it's like an incestuous circle them because don't therapists, the other therapists? Oh, yeah, we should just move you guys all to an island with

Kara 41:21
a tribe will be really self aware and healthy.

Scott Benner 41:25
You'll be really anxious aware people.

Kara 41:28
Yeah, exactly.

Scott Benner 41:31
Well, I have a ton of say, even though nothing that I've said, but indicate otherwise, I ever have a ton of empathy for you like, because of the conversations I've had with other people. Yeah. It's just it's really something if I if you came into your office and described your situation, what would you tell yourself?

Kara 41:53
Ah, yeah, I see. I mean, I think I just have a lot of compassion for myself like this. It is hard. And so I think sometimes I do get in that, like, I'm not doing good enough has a one C is not low enough. Like he's, we could be parenting better. And so you know, just acknowledge, like, this is hard. And so just, like, do it with compassion and go easy on myself. And you? Yeah, you know,

Scott Benner 42:26
a few 100 years ago, you would just wander away from him and leave him in a cold place by himself.

Kara 42:30
Yeah, exactly.

Scott Benner 42:33
That that horrible joke aside, people used to have 910 kids knowing that some of them wouldn't survive. And they did treat them as expendable if they if they proved to be too much or a problem in the family. Yeah, exactly. And that's how you ended up with I mean, is that where the term survival of the fittest comes from? I have no idea. But But it shows that in a short amount of time, as human beings we've gone from, hey, you broke your leg? Tough luck. Would you like us to beat you with a stick or just leave you? Wolfie. And two, we're taking people who have significant issues and trying very hard to shepherd them through an entire life, that that change has happened in just a few 100 years. Yeah, for sure. Yeah. It feels like we're not up for it yet.

Kara 43:25
Yeah, I think I think our brain is still still a few 100 years behind, how we how we cope and deal with all of that.

Scott Benner 43:34
Yeah, we have these great goals and no tools for them. Mm hmm. You know, that's good, though. I mean, it's, it's good to have aspirational ideas for society, and realize that you're going to hammer your way through like I used to hear people say like, every time I turn on the news, something different eat me, don't eat me, bla, bla, bla, they can't decide. And the truth is, yeah, they can't decide because we keep studying people and then looking at things and men science expands. And, you know, on and on and on, we're still figuring it out. Do you buy into the idea that anxiety in a modern person comes from some degree can come from the fact that our lives are so easy that we don't have anything to worry about really compared to the way our brains and our bodies are built up, you know, run from wolves and you know, exist outdoors and stuff like that.

Kara 44:30
Yeah, I mean, for sure. Like, that's a whole fight or flight thing like we're running away from the lion but there is no lion. And I think like, we we don't get to like complete the stress cycle. Like we're always just stress we never have that relief of, of realizing you're free from the line and you can relax like we're just constantly like at one 100 all the time.

Scott Benner 45:02
Is that what you're that? Is that where your move was hoping to? To help with?

Kara 45:07
Yeah, part of it for sure. Yeah.

Scott Benner 45:11
Yeah, no, that's such a good point. Like, there's always, like, we're always on tilt, basically, right? From the moment you wake up, you know, like, your alarm goes off and you pick up your phone your phones, like, here's your first appointment, or you know, you have to be at work or then you know, you have to be at work and you have to take a shower and you got to get dressed. You have kids and they d those kids are going to get into a car and they're going to drive to school by themselves and you're worried they're gonna have an accident. And are they going to get to college and be in you haven't even like you mean like setup yet? Yeah, no. And then it just piles on and piles on and piles on when you get home. It continues. And I guess right up the pit. Some people are many people have trouble sleeping. Even. Because, yeah, so we are. We're basically like goldfish living in a frying pan. Like we're we're not right for our surroundings. Yeah, exactly. Oh, all right. I'm understanding. Yeah, what do I do care? How to make my life better?

Kara 46:10
But I know that's the golden question. I,

Scott Benner 46:13
I need help from you. What are you talking about? That's going to make you nervous. You're going to be like, right now I feel anxious because I can't help the guy from the podcast. But exactly. Is it um, so for Levi, I guess we're saying that 300 years ago, he would have been great, because we could have just set him out with a stick and don't like bring some food back you a little crazy person. And he would have he would have went out there and been like, ah, and done it probably. Yeah, yeah. Yeah. Hmm. Interesting. I didn't mean crazy person in a pejorative way.

Unknown Speaker 46:43
I got it. Yeah.

Scott Benner 46:44
Did you get it? Like, I'm Canadian, I can handle it. Yeah. Why did you want to come on the podcast?

Kara 46:54
Um, I just thought that, like, I haven't heard many parents come on, talk about the struggle with their kids diagnosed at a young age and how traumatic that can be for them. Because I just any of the comments or conversations were usually like older kids, and that transition and the teaching them and the responsibility, but I just hadn't heard the, the younger kids and like how scary that is, and how that can affect them going home in the months after that.

Scott Benner 47:35
Yeah. Have you ever heard me kind of brusque against the idea that kids are so brave and resilient? Like I always say, like, well, what's the alternative? Yeah, yeah, I know, people like to say they're like, Oh, my God, my kids so brave. I'm like, is he brave? Or is he seven? And there's nothing you can do about it? Because yeah,

Kara 47:52
and people say that to us all the time. Like, oh, you're doing such a good job. Like, the alternative is that he's dies. So

Scott Benner 48:01
you wander away from in the woods and just leave it there. But yeah, exactly. Yeah. There is no.

Kara 48:08
Yeah, like, we don't have a choice. So yeah, and I think too, like we really had to, like push to get any type of recognition that Levi was dealing with this a little bit differently. That like, we felt like we were the only people and like, this was something they've never heard of before. Like, it was many emails and phone calls to the hospital and the endocrinologist just to like, get them to consider that he might need extra support. should ever

Scott Benner 48:47
have to video him to prove it. You guys have cell phones right? Off the video or anything like that.

Kara 48:54
Um, I thought of that, but I just felt like it wouldn't be fair to leave. I like that's a really vulnerable moment for him.

Scott Benner 49:05
dehumanizing, right.

Kara 49:07
Yeah. Yeah, I just didn't feel like that was he would like that.

Scott Benner 49:15
Yeah, yeah. No, no, I appreciate that, too. I was just wondering how far you had to go to to get them on your side plus your health care systems different there. It was that part of the struggle?

Kara 49:28
Yeah, like I'm not sure how it would work in your situation. But like for us, you have to get you can't just go to a doctor, you have to get a referral. And like you, you have to, they're not just like giving out referrals freely like they have to really believe that you are needing the help. So like for us to get referred to the psychologist. It took like, a few months of constantly calling and emailing And just like being that squeaky wheel,

Scott Benner 50:03
do you think that they just thought that you were overreacting and the kid was just being a kid in that situation?

Kara 50:10
Have you ever? Yeah, yeah, I think and I. Yeah, I think they thought I was overreacting and that Levi would just be okay, that he would eventually get over it.

Scott Benner 50:24
I wonder, I wonder how much of them do they know what you do for a living?

Kara 50:30
Um, as few points they did, we actually had to get the social worker to come in when we are the hospital. Because we wanted to take Levi to the playground. And in kind of a subtle way, they told us if we did that they would take away Levi from us.

Scott Benner 50:49
Wait, wait, wait, slow down. When was this?

Kara 50:53
This was during our like Education Week,

Scott Benner 50:56
I said after diagnosis during the time, he said the hospital said, Hey, we're gonna roll out of here and hit the swings for a second like you can. But then we're gonna make him a ward of the state or whatever you guys have up there? Probably. Yeah. So we

Kara 51:09
have like the the ministry of Child and Family Welfare, I think.

Scott Benner 51:19
Sorry, is that a Harry Potter thing? The Ministry of Magic or something? What do you guys do? Your leaders? Yeah, it's

Kara 51:26
kind of it's kind of like that just a lot more depressing. I think

Scott Benner 51:30
your guy is too pretty. It's ruining everything. Yeah. You need a more grizzled person to run things you can't I get when your man pops up on TV. I can't go but a handsome guy. Like it doesn't. Anyway, so So the ministry of something or other like they were going to take your kid from you? Did they say that? Or did they just kind of like, I mean,

Kara 51:48
you say it directly, but they kind of, like danced around that idea. And the social worker said, like, we wouldn't take him away. But kind of like, if you do this, we're going to have to take steps towards that direction.

Scott Benner 52:07
If you do this, if you go outside to the swings.

Kara 52:11
Yeah, because Levi was like, panicking, scared that a nurse is going to come into the room at any moment and give him an injection. And we're at the hospital for like eight plus hours a day doing this education thing. And we're like, he just needs a break. Like we can one of us go out to the playground and they're like, if you do that, then we're gonna maybe take him away from you or put you down as like a non compliant parent or

Scott Benner 52:43
goodness. I thought Canadians were nice.

Kara 52:47
Yeah, so Did I what happened?

Scott Benner 52:50
That's a bizarre story.

Kara 52:52
Yeah, they're they're very rigid, like you have you had to follow kind of their agenda on, on how to do things.

Scott Benner 53:02
So maybe Canada's not as free as I think it is. Is that possible?

Kara 53:08
Yeah, I don't know if it's Canada, I just think it's like the the hospital and the kind of like, the

Scott Benner 53:16
carry, I think it's right for me to take your one experience at a hospital and pay for the entire country.

Well, what a valid statement from you, okay. I won't generalize Canada, which, in my mind is, is like permafrost with a tree in the middle. Oh, my God. Yeah. So, but that's a bizarre story. Like, I mean, that's an overreach in my opinion.

Kara 53:45
Yes. Yeah. They were, like, extremely rigid in how they wanted us to do things.

Scott Benner 53:54
How did you manage that? You just go oh, sorry. Okay, we won't go outside.

Kara 54:00
We eventually got permission to go out for like, 10 minutes. And that was like a huge deal. But it was hard because like, I was on no sleep. And I was like, still in shock that this was even happening. So I wanted to like push more and really, like, this is not okay, and everything, but I just didn't have it in me.

Scott Benner 54:26
Are you pregnant at that point, and don't know it yet.

Kara 54:29
No, I wasn't pregnant then. At that point, okay. No. But and then I saw it like, you know, a few months down the road, maybe I'll pursue this and, and write some kind of letter or something. But yeah, it just was like too, too painful, I think to go through and

Scott Benner 54:50
like when you have a bad experience at a hotel, and you're like, I'm gonna call tomorrow and then you're like, yeah, it was only $100.

Kara 54:55
Yeah, exactly. Yeah.

Scott Benner 55:00
Let the other people find the answer. No, but there's only so much you can do at some point, right? Like, there's so much energy and time. And

Kara 55:10
yeah, it just at that time, like we were so exhausted and like there was just no space for us to start this whole thing. Yeah. Yeah,

Scott Benner 55:22
I hear you. I mean, what is your what are your thoughts for his future? Like, what do you think's going to happen? Do you think he's going to be a kid who 14 1516 years old has trouble managing the things that he needs to do? Or do you think that you're finding your way through this?

Kara 55:43
Um, I that that is the worry that, like, we're always concerned that it's all kind of going to be too much for him. But I mean, at the same time, like, as he's getting older, he really is taking on a lot more responsibility. And he's very, like, proud of his diabetes. Yeah. And like, we're doing every like, he's going in counseling, and we anything we can to give him like this really solid base, as he's growing up. But yeah, I mean, that is a worry, we have for sure

Scott Benner 56:28
you're describing a life that seems a little untenable, first of all, and it also mirrors a person I'm thinking of that I know, listens to the podcast, who's whose child is, you know, maybe a senior in high school, that age has had diabetes for a couple of years, who has a lot of these similar problems. And he does become more difficult when they get bigger and stronger. And, you know, yeah. And they even think a little more clearly for themselves. Well, not so clearly, I guess. But, yeah. I mean, it might be a blessing that you found it about it so early, and you can get ahead of it. Because yeah, yeah, it's it can turn into quite a thing does he ever make you take his gear off? Like me? He's looping? Is he using Omni pod? Dexcom?

Kara 57:16
Yeah, his Omni pod index calm.

Scott Benner 57:19
He's never trouble wearing those.

Kara 57:22
No, he's pretty. He's pretty good with that. Like, I don't think he remembers not wearing at least his pump. He. He's just, it's just kind of always been there.

Scott Benner 57:35
Do they do that rapid eye therapy with him?

Kara 57:38
Yeah, that's it's hard. Because he's so young. But that's we're working towards that.

Scott Benner 57:45
Yeah, firstly. How far back do you remember being anxious?

Kara 57:52
Oh, like, probably? Forever. Like my earliest memories, I think. Yeah.

Scott Benner 58:00
Wild it is. It's really a wild statement to think of, especially like, you know, to think of you as a five year old, you know, being like, ABCD we got to get out of here, man.

Kara 58:11
Yeah, yeah. Yeah. It's just always been been a part of, kind of who I am.

Scott Benner 58:17
That's great. So and you do manage? Okay, like you, if I asked you to quantify your life in on a happiness scale, or do you live well, with it? I guess is my question.

Kara 58:30
Yeah, for sure. i Yeah. i I mean, there's moments where I've struggled more than others, especially when my kids are born. But um, yeah, I think I do pretty, pretty good.

Scott Benner 58:44
Do any plans to have more kids? No.

Kara 58:48
Definitely not. No. We call diabetes like our third kid, because it just takes so much. time and energy. Yeah, and money. Exactly. And then both Levi and our other kid are just like, crazy, like, energy. Yeah. Well, yeah, full boy all the time. From like, 6am to 8pm 100% all the time.

Scott Benner 59:18
Like, you're just gonna look out the window one day, and they're gonna be like riding a squirrel chasing, like another animal or something like that. Yeah, like, Oh, that makes sense. Yeah. Yeah. As your husband like that. Does your husband have a little bit of that like wild streak in him?

Kara 59:31
Yeah, yes, for sure. He's, he can kind of go on forever. Even Even he agrees like he could not handle another child.

Scott Benner 59:42
Another one. He doesn't want any more people like him running around. Yeah, exactly. How did you end up picking this boy with all this crazy energy?

Kara 59:50
You don't think about those things when you're first dating like

Scott Benner 59:55
to get you divorced. I don't want to ask you don't listen. Since God with hindsight, I see what you're saying, but think about the dorky kid who understood science and said, Hey, you're cute and gone that way. Yeah. It says what kind of work is your husband do?

Kara 1:00:14
He's a plumber. Okay,

Scott Benner 1:00:16
so he's got a he's got a pretty, like steady jobs as far as hours go. He could be home at a certain time to help you most of the times.

Kara 1:00:24
Oh, yeah. Most of the time it is. He does like service work. So it is some kind of depends on a day, but where we live like everything's five minutes away, so even if he is late, it's really not that big of a deal.

Scott Benner 1:00:42
I was super excited to hear your toilets. Sorry, I was super excited to hear that you had toilets. Oh, wow. Plumbing. Fancy.

Kara 1:00:54
Yeah, you should really, really come and visit and see for yourself find

Scott Benner 1:00:58
out that I look like I'm in Ohio when I'm there or something like that. Or just like no.

Kara 1:01:01
Like Vancouver is like Portland or Seattle.

Scott Benner 1:01:07
Wizard. Is it got the hippie vibe? Oh, yeah, sure. Okay. Yeah. That's the part of the country. It just makes you feel that way. I guess. Yeah, I was just in Seattle.

Kara 1:01:19
Oh, you should have popped. Oh, I guess cat because of COVID. But

Scott Benner 1:01:22
yeah. Oh, really? You still keeping us out?

Kara 1:01:25
Yeah, I think so. Are there some some type of rules? I'm not too

Scott Benner 1:01:30
sure. I listen, I have to go somewhere with some people pretty soon and I'm looking desperately for a way to get out of it. Yeah, these people are definitely gonna make me sick. But that's really something. Yeah, I mean, I was I only ever been there once. It's a very specific vibe. You're not wrong. And I get it. Like I would see why it was attractive to you. Yeah. And want to do and want to live that way. How was it work when you moved? I'm not joking now. But schooling still okay. Up there. You're like that stuff for your kids feels right.

Kara 1:02:11
Um, yeah. The, the diabetes stuff was school has been really hard. Just they do. They're like do not die care, but not really the managing it and steady kind of lower levels. Like they would be happy if he was, like, just rode high all day.

Scott Benner 1:02:37
He would be okay. That kind of thing.

Kara 1:02:39
Yeah. So we just pulled them out of public school. And he started private school this week. which already has been so much better.

Scott Benner 1:02:52
You guys are doing all right. This plumbing pays okay. Yeah, I mean, wasn't a euphemism for like Canadian mob or something like that?

Kara 1:02:59
No, no. Just close. Okay. Yeah. Well, you're making

Scott Benner 1:03:03
me think I should have become a plumber like, private school for the kid. It's not bad. Yeah. You're like, you're like, maybe not. I mean, is there a big pile of money sitting around?

Kara 1:03:16
No, no, the private schools pretty reasonable. So

Scott Benner 1:03:20
you're able to do it. That's nice. That's really great that you could find something like that. Yeah. Yeah. Do you have anything? Like, is there anything I because I realize I don't know what I'm talking about in this like context that have I taken you so far away from what do you want to talk about? Are we getting through things pretty well?

Kara 1:03:38
Yeah, no, I have nothing I can think of that. I didn't talk about

Scott Benner 1:03:45
so you're thinking I'm doing a good job. Yeah, for sure. That's really what I was trying to get to target. You just, you know, you're doing a great job. Thank you. I mean, she's gonna make me work for my compliment. I mean, I know, I want to make sure that we're not skipping over anything, because I do find a lot about what you said. Fascinating. And I did find a lot about you. Interesting. And I know that's not what you were expecting when you came up. Yeah, yeah. But you I appreciate that you kept going and hung with it. How long have you been listening to this silly podcast?

Kara 1:04:17
Oh, man, like, pretty early on? Probably Probably around three years.

Scott Benner 1:04:24
Yeah. Figure out looping through this through me.

Kara 1:04:27
We did. Yeah. Yeah. And it was it was like, I remember the day that I found it because it was like you were seeing everything that we thought was how we should be doing diabetes. And we're getting all this pushback from the endocrinologist and the diabetes nurse and all of that. So it was like, Oh, my God, yes. Like, we're right. This is like we're not crazy. Like he shouldn't be high all the time. And

Scott Benner 1:04:59
yeah, No, yeah, that's excellent. So what did they have you doing? That's that seemed like wow, this isn't right.

Kara 1:05:07
Um just things like wanting his a one C like around eight and just not being as aggressive with the insulin.

Scott Benner 1:05:22
Have you bolusing like after meals?

Kara 1:05:26
Yeah, yeah. Yeah. Which that like with his school they were only allowed to Bolus after a meal so like every day he would come home super high and then crash out and it was just like a mess.

Scott Benner 1:05:41
So are you seeing better is his his panicky nature better now that his blood sugar's are more stable?

Kara 1:05:50
Yeah for he is a lot calmer with specially with the loop. Like in the night time we get this like super steady low numbers. And even just that I think he's sleeping better. We're not having to wake him up to do a juice or a correction.

Scott Benner 1:06:13
And that's good for you. Not just for him.

Kara 1:06:15
Yeah. Oh my god. It's like slept through the night for the first time since diagnosis.

Scott Benner 1:06:20
Oh, what's your husband dressed up too much? Because he's, he's a professional pipe player. By mistake. Third boy what you know, it's gonna be a boy, by the way, and he'll be as like, you know, energetic as the first two and then yeah, 100% What are you gonna do then? If the strap one of them do a bear and just see what happens? Yeah. Have you ever seen a bear?

Kara 1:06:43
Yes. When's the last time we have bears quite frequently?

Scott Benner 1:06:47
And still you don't move?

Kara 1:06:49
No. Bears are more like past like a raccoon or just bigger. We don't have we don't have like grizzly bears. They're like,

Scott Benner 1:07:02
Well, yeah, like, like Winnie the Pooh, like little bears. Or

Kara 1:07:06
we have like black bears. So they're like, medium smallish bears. They're not really aggressive. I mean, we wouldn't want to go pet it, but you can just tell it to go away. You know, run away.

Scott Benner 1:07:18
Yeah. That's what would happen. You don't think it would hear me crying and come kill me? No. Cuz I'd start crying. And I think it'd be like, I don't usually kill people, but this guy deserves it and then just come get me. Yeah, that's all they really eat honey or No, not really. No, that's disappointing.

Kara 1:07:40
I mean, I I mean, I guess they could if they came across them, but we don't really have like honey hives.

Scott Benner 1:07:48
Have you ever seen a bear walking with a sad donkey? No, never see a lot of what you see on television. It's not real.

Kara 1:07:54
Yeah, exactly. Yeah.

Scott Benner 1:07:56
Don't don't believe what you see. Bears are pests. Mm hmm. You've never once thought I will probably die at the hands of a bear.

Kara 1:08:06
No, never interesting.

Scott Benner 1:08:07
I would think that 24 hours. I would have anxiety. If I came to where you are. You'd be like, come up here. It's really common. I'd get up there and be like, no, no, I'm gonna die.

Kara 1:08:17
We do have like cougars and snakes. Like, so. There are scary things, but the bears are rock. Bottom as less. Yeah, we have rattlesnake.

Scott Benner 1:08:26
Yeah. Are you afraid of those? Yes. 100%. Right. See? Maybe you're not anxious. Maybe you're just being reasonable. Just think of that. Think like maybe if you move somewhere with some concrete on the ground, you'd be like, Ah, I'm probably gonna be alright.

Kara 1:08:46
We do have a house or not like camping.

Scott Benner 1:08:49
No, but I'm saying they think the snake could come in your house, right?

Kara 1:08:53
I guess so. But yeah, never really more like if we're out in the wilderness. I

Scott Benner 1:09:00
don't know. That seems like a lie that you're trying to trick me to come in there and being killed by a rattlesnake is what I

Kara 1:09:05
know. Like we were proper neighborhood and

Scott Benner 1:09:10
Scott, they come and get our garbage.

Unknown Speaker 1:09:13
Don't have a do.

Scott Benner 1:09:14
I don't have to burn it outside.

Kara 1:09:16
No, we have a garbage truck that comes once a week. Super

Scott Benner 1:09:20
fancy. Alright. I appreciate this. One day I'm going to I was gonna say One day I'm gonna come to Canada but that feels like a lie. So not going to say that out loud. Somebody did ask me to speak in Canada once and I think I was on my way to agreeing to it and then you know COVID And now, right? I don't think I'm ever going to speak in front of live people ever again. Yeah. Which may be fine when the the flying the flying is not fun. I don't I don't love that part of it. But if I was to visit Canada, I'm on the East Coast. Where should I try first?

Kara 1:09:57
Um, I like So BC is the West Coast. And the East Coast is like very far away. So we don't really like It's like California and New York.

Scott Benner 1:10:10
Alright, so I mean, I guess I got to just do the touristy thing and go to Niagara Falls or something like that.

Kara 1:10:15
I guess so I I don't really know. Like, it feels I personally wouldn't want to visit the east coast of Canada. It's a lot colder and um,

Scott Benner 1:10:26
are you about the bad mouth east coast of Canada? Go ahead. I those people just trash What are you trying to say?

Kara 1:10:33
No, it's just it's like a very different vibe there than in BC.

Scott Benner 1:10:37
I was joking. By the way, like I just okay, somebody from Manat. Manitoba, Manitoba Z's right.

Kara 1:10:44
Yes, that's like the prairies like very flat and not much going on. They're

Scott Benner 1:10:50
lovely people. Is my point. Like when I was at trashes I can go I was I was literally, I mean, I think it was obvious. I was joking, but I don't know if you all get the sarcasm or not. So sometimes, I mean, we're an hour into it. Now. You got to think that the only people left listening are people who are like, legitimately think like Scott's great. I mean, who would be laughed at this point? Yeah, but Okay, so you don't really know where I should go? No. Have you ever been to Alaska? No. Does that seem like a wilderness to you when you think of it?

Kara 1:11:22
Yeah, it's kind of like service very touristy. So I don't know if

Scott Benner 1:11:29
I interesting gentrifiers to go there. Yeah. See, is there a place that you think of, if I said, move to this place, and you would have the reaction that I'm having about where you live?

Kara 1:11:42
I'm probably like, Wisconsin, or like Utah, or something like that.

Scott Benner 1:11:50
Interesting. Wisconsin. Too cold.

Kara 1:11:53
Yeah, like cold and hot or like, little too conservative.

Scott Benner 1:11:59
Right. And Utah desert? No good for you.

Kara 1:12:03
Yeah, cuz it's like, that's a little Mormon.

Scott Benner 1:12:06
You have a lot of Mormon listeners. We cannot say anything, even a little judgy. about Mormons. By the way. Hold on a second. Let me just put up a disclaimer here. I love you guys. I don't know anything about your religion. But I love all your Mormon listeners. And don't listen to Kara. She didn't just not at all.

Kara 1:12:24
I just don't know enough about it. It would just be like culture shock.

Scott Benner 1:12:28
I gotta tell you the amount of people who I've interviewed who are Mormon who after done interview and say things about being Mormon that Oh, no, no, like, they would say, well, they're being recorded is those numbers are growing as well. Yeah, maybe you're onto something. Maybe you're not. I don't know, I just want people to learn about diabetes. So yes. My last big question, which I should have asked a half an hour ago is, does this anxiety impact? Levis blood sugars at all? Like, do you see issues with that?

Kara 1:12:57
Yeah, for sure. We see that quite a lot. Like if he's nervous or anxious, like he will just spiked up. And pretty quickly, too.

Scott Benner 1:13:09
Okay, so then I can see where the loop would be valuable because it's giving him insulin when he needs it. Whereas in the past, have there been times where you thought like, hey, his blood sugar is 130. But if I come at him to adjust that, then I might drive it up instead of down because the anxiety?

Kara 1:13:27
Yeah, I mean, yeah. You could have, right, yeah. And it's, it's always kind of a guessing game. Like, is he anxious? Is this like, just something D? Like, it adds another level to try and figure out what's going on.

Scott Benner 1:13:45
Okay, now, I would imagine, so the loop and algorithms has been valuable for you, I would guess.

Kara 1:13:50
Oh, yeah. It's been like life changing. Good.

Scott Benner 1:13:54
Good. I'm glad. What would you share as a onesie with me?

Kara 1:13:59
Right now? He's 6.8. Wow, that's really great. Yeah, and that was we were just doing loot for about four weeks when you have that. So I'm excited to see his next agency. Good for you.

Scott Benner 1:14:12
That's excellent. Well, I I really am impressed that even through all this, you just took the bull by the horns and figured out those management ideas. And it's not easy. You know, it's a lot of a lot of initial upfront work to get that thing set up. Mm hmm. Yeah. Good for you. And you. I mean, you you have a computer and everything. It's fascinating.

Kara 1:14:32
Yeah. computer and internet and Yep.

Scott Benner 1:14:34
Yes. You didn't have to plug a pine cone in anything to make that

Kara 1:14:37
work. No, no, just the regular plug.

Scott Benner 1:14:41
You know, I'm kidding, right? Yeah, yeah, but there's enough truth in it that it makes it tolerable. Is that right? Maybe maybe don't get you protecting Canada now. I had no trouble with taking a swipe at Utah but Canada. No, no, no, it's okay. Yeah, Is there anything left that we should talk about that we haven't? Oh, no, I don't think so. I really appreciate you doing this. Yeah. Oh, thank

Kara 1:15:07
you.

Scott Benner 1:15:08
Did your nervousness go away at some point?

Kara 1:15:11
No, but

Scott Benner 1:15:14
you have the same level of nerves now that you had when we began?

Kara 1:15:18
Yeah, I think so. It's just very intense. Like, I probably listened to you every day. So it's very strange. Hearing your voice reacting to mine. Just feels very like, surreal.

Scott Benner 1:15:31
You do have that feeling like people describe to me sometimes that I asked them a question. And it feels like they're like their cell phones asking them a question.

Kara 1:15:39
Yeah, exactly. Yeah.

Scott Benner 1:15:41
I'm sorry about that. That's okay. Is there anything I could have done to make you more comfortable?

Kara 1:15:48
No, I don't think so. It's just, it's just a weird thing like it. You're just like, your voice is a common thing in our house. So

Scott Benner 1:15:57
yeah, that's nice. I mean, that's very nice. Thank you. You should try some narcissism, because that would really help you get through. I did an interview yesterday for a different podcast. So I got approached by, I get approached by a lot of podcasts to be on podcasts. And I just I sometimes I don't even respond, but mostly I say, No, thank you. But I got one. And it was like, Well, I want you to be on the vagina blog podcast. And I was like, yes. I don't even know why you're asking me. But I definitely want Right, right. So I recorded an episode. And, like, I It's no matter what I told myself, like, as it was getting ready to like, I was getting ready to go on, I knew we were going to be connected in a second, like I get in my mind. I'm saying it's her podcast, not yours. He's gonna ask you questions, and you're going to answer them. And then she's going to decide when you move on to the next question. And then four seconds, I don't I just took the whole thing

Kara 1:16:53
for Oh, my God,

Scott Benner 1:16:54
I was like, Oh, I'm so sorry. I was like, I don't know another way to do this, I don't think. But I was incredibly comfortable. And what I'm saying is probably psychologically too comfortable.

Kara 1:17:05
Right? Or you're perfect for the job you have? Well, that's

Scott Benner 1:17:09
a nice way of saying if I think I need about 10% of whatever you have, and you probably trust me, you'll need a couple of percent of what I have would balance your right out. So Right. Like, yeah, look, everything's fine. We're good. Yeah, yeah. Am I from a professional? Perspective? Am I broken? Or?

Kara 1:17:27
Um, I don't know. I, I'm not qualified to say so. But

Scott Benner 1:17:32
first of all, you're Canadian. Secondly, you help people. I'm saying you're qualified. You know, what I meant was, and I'm not going to push you into something you don't understand or don't want to talk. But I just meant like, Is there is there a point where, like, this should make me I've never felt nervous making this podcast once in my life. Right. But like, the first time where this time or if anywhere in between? If you said, if you told me that five seconds from now, I was gonna get off with you. And I don't know that today's show was gonna pop up in front of me and I had to talk about this. I wouldn't even like blink an eye. I'd be like, let me make another bottle of water. Yeah, you know, so I thought maybe there was something wrong with me.

Kara 1:18:13
No, I think you just found your niche.

Scott Benner 1:18:16
Yeah. All right. What's that I can't trust you. You're not afraid of bears, but the.

Huge thanks to care for coming on the show and sharing her story. And another thank you to the Contour Next One blood glucose meter for sponsoring this episode of The Juicebox Podcast. Go to contour next one.com forward slash juice box to get started today, with the best little meter you're ever going to see. Don't forget to take that T one D exchange survey AT T one D exchange.org. Forward slash juice box looking for those diabetes pro tips. They're right there in your podcast player. They begin at episode 210. And you can also find them at diabetes pro tip.com and juicebox. podcast.com.

Not too much else to say I got some really great ratings and reviews recently on Apple podcasts. Thank you so much to whoever left those. I appreciate when you guys share the show with other people. It is how it grows. And you have my heartfelt thanks when you do that, whether you're telling your doctor or a neighbor or somebody you bumped into at the Costco what else? As support the sponsors, please there's links in the show notes of your podcast player and links at Juicebox Podcast comm to today's sponsor, and all the sponsors. I appreciate when you use those links very much. Oh, if you're listening in a podcast that please make sure you're subscribed or following in that app. And if you're listening online Consider listening in a podcast app they're free and they're handy I mean you got your phone everywhere so you don't I mean pretty easy it's pretty much all I've got I'll be back soon with another episode of The Juicebox Podcast


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#653 Step to the Jet

Scott Benner

Janet is the mother of a college aged type 1.

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

+ Click for EPISODE TRANSCRIPT


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

Scott Benner 0:00
Hello friends, and welcome to episode 653 of the Juicebox Podcast.

Today we'll be speaking with Janet. She is the mother of a young man who has type one diabetes, and he has recently left for college. Those things and much more will be discussed over the next hour. 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. Have you taken the T one D exchange survey? It's AT T one D exchange.org. Forward slash juice box. Your answers to simple questions which will take you I'm gonna say fewer than 10 minutes to complete. We'll help people living with type one diabetes. It also supports the show when you complete the survey. You need to be a US resident who has type one. We're a US resident who is the caregiver of a type one to complete the survey 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 by touched by type one, Learn more at touched by type one.org Or follow them on Facebook and Instagram. Touched by type ones mission is to elevate awareness of type one diabetes raise funds to find a cure and inspire those with diabetes to thrive. So that's it whenever you're ready.

Janet 2:11
Okay, I just start talking.

Scott Benner 2:14
This is my favorite part where people uncomfortable tried to introduce themselves. Just Just tell me, tell me whatever you want me to know.

Janet 2:22
Okay. Okay. My name is Janet. I am a military spouse of the been married for 25 years. And 14 moves in 25 years. So that's fun. My son. Leo has been diagnosed with type one he was diagnosed just about a year ago. Well, actually a little over a year ago. I don't know what else to say now. He is we're empty nesters. This time around. We were living in Texas when he was diagnosed. And then we got him all set up in college and then we moved north. So we're now in Ohio. Two kids in college and now we're trying to figure out this whole empty nester thing.

Scott Benner 3:04
Did you get married in 1996?

Janet 3:07
I did. Oh,

Scott Benner 3:09
I was married. 96 is the only reason I know that because I've also been married for 25 years. Okay, how old are you?

Janet 3:15
I am 49. Wow. Yeah, we can come like friends in high school we

Scott Benner 3:22
could have been, and with the fine exception of you were apparently nowhere near me. And but I'm just uh, we were at a wedding this past weekend. And they did some sort of a dance where married couples dance, and they they kind of whittled you away by how long you were married, which I think is a fairly common thing at weddings. And we got to the end and there were three couples left. I was still dancing. I was like, Oh, my God, I'm old. The people who beat us were much older than us. So I was like, alright, well, I guess that's what I'm shooting for. Is that my goal? You know, so it should be you think right. I have to ask you a question before we started about the diabetes stuff. Yeah. Okay, is the empty nest stuff scary.

Janet 4:10
It you know, it's just odd. It's just like, you know, for so long your schedule is built by these, you know, you're sitting in bleachers, or you're driving or you're going to some activity or arranging some activity. And so now all of a sudden, we have to kind of build our own schedule a little bit and so and then the constant of you know, stalking your children when they're, you know, five states away and wondering what they're doing and so we're getting used to it in some of it's really fun. Like my husband went on a TDY which is military version of a business trip a couple days ago, and I'm like, Hmm, I'm just gonna buy my plane ticket and join them because I can't Yeah, so I've never really good Good Goods and positives and but also a little weird.

Scott Benner 4:58
Yeah, I I found myself, I'm beginning to lean into it. Now, even though Arden's just in high school, but school went back and she's very active and things that are happening at the school and she drives now, which is amazing. And you know, so she's sort of in and out of the house and doesn't need me for anything, you know, related to her waking or bathing or anything like that. And I'm just like, last night, it's like midnight, and Kelly's gonna go to bed. I'm again, pretty soon. I don't have to record till noon tomorrow. And so it's like, you know, a little bit. I watched a little something, I fell asleep. I slept later than I usually do. I was like, huh, is this but it's gonna be this isn't bad. Although my imagination tells me that at some point in the next couple of years, Kelly's going to kill me or kick me out of this house.

Janet 5:41
You're gonna need a different hobby. It's my expectation. She's

Scott Benner 5:44
gonna be like, Oh, wow, look at him sleeping while marking. So anyway, that's, that's pretty cool. Is your husband staying in for the I mean, he's obviously a lifer. But how long does he keep going?

Janet 5:56
Well, at this point, the Air Force will tell us, we were kind of at that point where, you know, if the, the job he's either offered and we can say, You know what, nope, that's not for us. Or, how about this? And we say yes, let's go. Well, it's worth another couple. Couple years. So we are at the, at that point where it's kind of a mutual decision between the it's kind of hard to explain, I guess. But I guess we are waiting, you know, for the next job. And if it comes, it comes and if it's not, okay, thank you for your service, you know, kind of thing. So we're at that point.

Scott Benner 6:35
So he's at the point where they may offer him something new that thing, maybe it's someplace else where they may just say we were paying you way too much money? You've been here too long get out of here?

Janet 6:45
Well, no, actually, it will. I mean, we will move if he does get offered another job. And next job, it will be at another location. You know, we don't know how long we'll be here. It could be one year, it could be two, it could be three, we don't know. Such as such as the state of where he is right now. So the the next job? Oh, it's just gets really weird. When you're at his point of his career, you know, the guy becomes really tight up at the top of the pyramid, you know, so

Scott Benner 7:17
we don't know. We'll see when you guys got married. What what did he do?

Janet 7:21
He was in there. He was in the Air Force, actually. He went to the airport Academy. And he had just he graduated and was getting his master's and I graduated. And then he finished school. We got married and hopped in a car drove across the country. And he started pilot training. So yeah, this is all this has been our life.

Scott Benner 7:41
The entire time. He's a pilot. And yes, does he fly jets? Does he fly transports? Like? Yes,

Janet 7:48
well, he flew, he flew F 15 fighters for for the first portion of his career. And then he went over into the instructor pilot training side of the house. So then he was flying the T 38, which is the fighter trainers. So he did that. And now he's currently flying a desk. So

Scott Benner 8:08
the closest I can come to understanding what you're saying is that I am excited for the new Top Gun movie to come out.

Janet 8:14
Oh, am I so I'm so excited. It's so cheesy and so unreal. But I'm so excited.

Scott Benner 8:20
I don't like giving Tom Cruise money, but it has to be done. Because

Janet 8:24
it does in this case. I do. I do.

Scott Benner 8:25
Do. You grew up in 80s? It does. Oh, yeah. Okay, so my last question about your life is if I asked you to rattle off all the places you've lived, do you think you could actually hit them all?

Janet 8:38
I could. Good. Good. Okay. So started off in Columbus, Mississippi. And then we went to Tyndall, Florida. We went to United Kingdom, England, back to Florida. Then we went to Wichita Falls, Texas, then to Leavenworth, Kansas, then to Ramstein, Germany. Back to Texas, and San Antonio, then to Washington, DC, then to another base in England, and then to Belgium, Brussels, Belgium, and then Wichita Falls, and then he deployed for a year so I stayed with Chuck balls, and then now we're in Ohio.

Scott Benner 9:16
Your favorite place overseas to live was?

Janet 9:19
That's a hard one. They all have, you know, different stages of life. Two factors in there. You know, when you're, you know, young no kids, that's it's a different, fun place to do Europe. But Belgium, Belgium was interesting. It was very, very easy to travel from Belgium. So we were also there during the the built in terrorist attacks. So that part wasn't very fun. But the food was great. The people are fun. But towards the end, we were ready to come back to the States.

Scott Benner 9:50
That was a juxtaposition I didn't expect. Terrorist attacks were terrible, but the food was outstanding.

Janet 9:57
We're gonna look at the positives. Right,

Scott Benner 10:00
I'll tell you what you see that on Yelp, you don't know what to do. How about in the States? Where did you enjoy living the best?

Janet 10:08
Um, our family is from Texas originally. So I always kind of like, I've liked that our, our career has been able to send us there a few times. I loved Florida also, I, I joke that you know, we've always lived either in Europe or in the south. So like, this is actually the most northern in the states I've ever lived. And so I'm a little concerned like I'm getting get concerned about the, the weather the winter, but but we haven't we haven't been here too long. So I haven't really explored a lot yet. But so far, people are nice. And it's gorgeous. We've had gorgeous weather since we've been here. So

Scott Benner 10:45
well, we could have done this live a couple days ago, I drove to Kentucky, I went right through Ohio, so we could have done it at a rest stop. would have been way creepy. Yeah. Hi, Janet. Let's do this. We'll do this at a Chick fil A. Anyway, how old are your two kids? So your you have a non type one? Is that your oldest?

Janet 11:11
Yes, yes. So my daughter is 20. And then my son is now 18.

Scott Benner 11:15
At NEC he's, this is pretty much why you've come on today's to talk about this whole thing. So he was diagnosed about a year ago. While he was in high school. My first question, of course, is do you have any type one in the family or other autoimmune issues?

Janet 11:31
Nope. It was totally out of the blue. Okay.

Scott Benner 11:35
Even looking back now thyroid, a sleepy ant? Nothing like that. Nothing? No crazy. Okay. What how did it present?

Janet 11:47
Okay, let's see, we just started he had just started back to school to our being from North Texas, we didn't really lock down as a lot as as bad as a lot of the other country of the country did. So he was bright out about a week in school, we were doing school. And he was just he was just off. You know, of course. Now, all I know, the symptoms. He had completely, you know, classic symptoms. I just didn't, didn't know what they were. But he was just off. And he was, you know, he had started wearing my reader glasses, which he had just had his physical and was you know, 2020 vision, but then he's I saw someone like kind of stealing my readers so that he could look at things and that was weird. And, and the thirst and the waking up at night. And then one Sunday. We were at church, and he was just like, Mom, do you have any water and I'm like, Dude, it's an hour, you can wait until we get home, you know, kind of thing and we get home, he drinks like a gallon of water. And then he goes into work. And then he came home from work and was just laid out on the couch. Just it just he wasn't being himself. And so I'm like, you know, darn it, we've been able to escape COVID I bet that's what it is because I had no idea. So we go to the urgent care clinic, it'd been a Sunday. And they they gave him a COVID test. And they gave him a strep test and a flu test and, and then there must have been something that he said that kind of, you know, prickled, the the nurse and so she's like, hold on a second. So she went back and she she took some blood. And then she left the room. And then she came back in and just looked me dead in the face and said you need to go to the emergency room now. And I I had no words. I didn't know what to say. And I'm like, okay, okay, and she's like, just go now I'm gonna call them and they're gonna be waiting on you, but no explanation whatsoever. So, we get to the emergency room. They're waiting on us. COVID No, you know, we're all messed up, but they wish this back in and they had him hooked up to an IV very quickly. And the next thing I know, there's, you know, they were saying he's a diabetic, and I think his numbers were Oh, no, I'm sorry, I hit the wrong button on my watch. I was trying to silence it. Okay, sorry.

Scott Benner 14:19
That was the opposite of silence.

Janet 14:24
So, yeah, so we're here is number 2800s. At that time, I had no idea what that meant. And, you know, it was just it was just this whirlwind of activity and they're like, Okay, we need to admit them and you know, but he wasn't he was acting fine even though his he was in aid hundreds he was still kind of like cracking jokes and like what's going on kind of thing and which come to find out his peptides were normal. Like his pancreas is still alive and kickin. He's You know, I guess still way, I mean, he's still in the honeymoon. So so that that was a weird thing that they had to kind of figure out what the actual diagnosis because the all the signs for type one were there but there were still signs that as Pancras was alive, so there was that. And then they got us admitted. And this is I guess, looking back on it now it's funny at the time, I was really mad, but I hadn't, you know, my husband's deployed, of course, this things like this happen when your husband's deployed. And so I hadn't been able to get in touch with him. We're an elevator on the way up to to be admitted into the room, and my phone starts blowing up. So I'm like, does, you know all these, you know, like, either Instagram or text? Or are you okay? Oh, my gosh, what are you getting? Let me know if I can help. What do I do? Did it and I'm like, I haven't spoken to a single person. And so I turn around, and I look at Leo, and I'm like, What did you do? Well, he had gone and posted on Instagram already. That you're, you know, here I am in the hospital, I've got diabetes, you know, kind of thing. And so all of his friends who I'm friends with their parents, were just blowing up my phone, and I haven't even told his dad yet. So that was a I was a little upset about that part. But

Scott Benner 16:26
look into kids, he's like, I could probably get followers out of this. Like, get myself up to 500 or 1000. Even. Jen, I'm gonna do something with you very quickly. Before we go on, you have an Apple computer, I'm guessing from the sounds I'm hearing? Yes, the top. You gotta turn that off top left of your screen, you click on the apple, then we're gonna go then we're gonna go to System Preferences. Okay, then we're gonna go to sound

and then there's a sound effects tab, you should be on it already. Halfway down the the dialog box it says play sound effects through and then there's a slider alert, volume slider underneath it, slide it all the way to the left, make it zero.

Janet 17:14
internal speakers? Or did you say something else? Sound effects, sound effects.

Scott Benner 17:17
And then there's my way the left? Yep. And then you just leave that window open somewhere. So you don't forget to slide it back in and that you can quit it when we're finished. And that way your emails and other stuff won't pop through what?

Janet 17:28
Thank you for that, because I was really concerned about that. Right?

Scott Benner 17:31
Listen, anyone else listening to wants to be on the show you have an Apple computer, just do that before you get on and say it again. It'll be perfect. Now, here's the thing that I know from your note that people listening don't know is that your son wants to be a pilot like your husband. Yes. And this makes that not a thing anymore.

Janet 17:51
For the most part, I tell you the, the the minute that I heard the term diabetes, I knew in the back of my head that that was almost a negative percentage chance. But I didn't know how to tell him. And that that actually is the one part that makes me the most emotional. Excuse me. You know, we're sitting it was, I think we're on day, he was in the hospital for five days. And I think it was on day three. And I'm just still haven't gotten up the guests to tell him this. And I just remember the doc walks in and, and he's like, you know, going over the stuff, how are you doing? Are you learning, right? And blah, blah, blah. And then he's like, Well, you can do anything in the world you want to do you know, you just take keep this in control, you're fine, you're going to be good. So what do you want to do when you grow up? And I just froze, because I had been trying to think of a way to bring this up in there. It was laid out right in front of us, you know, and so Leo just looks at him. He's like, I'm gonna join the Air Force. I'm gonna be a pilot, like my dad. And the doc goes, except that

Scott Benner 19:02
wow, what a bedside manner.

Janet 19:06
And, and I'm like, I was like watching a train wreck. You know, I'm, I'm sitting there like, No, this is not happening. This is not happening. And there, there you go. There it happened. And, and that that was what really shattered. My heart was seeing, you know, his face just fell. He had he had he's got he's got such a quirky sense of humor. And he's so he's cracking jokes and already joking about, you know, oh, I got to do this. I don't die, you know, saying all his funny things. And he I was really impressed with them. He had such a great attitude about the whole thing and then all of a sudden has just been there and just cracked. And so, you know, we've had a lot of heartfelt conversations about it. He's currently he's in the College of Engineering. And you know, basically we're kind of like, well, if you can't, can't fly the plane Well, why not design them or do things with them kind of thing. So how ever just a few months ago, the Air Force Academy graduated its first type one diabetic cadet, he fought it and he brought he you know, cuz he was diagnosed when he was at the Academy. And it was basically they medically retire you they make you get out and he fought it. And he actually won. He presented all his, his numbers and his things and he's like, look, I might not be able to deploy that. I can do things. And he actually, they commissioned him just three months ago. So I sent that article to my son, I was like, Hey, dude, you know, look at this, it might be an uphill battle, but someone just cracked a window, you might want to consider, you know,

Scott Benner 20:52
trudging through trying to wiggle through a little bit. Yeah, that's, um, that is really sad. Also, the doctor seems like the kind of guy who would break up with you by going, if you're dating a doctor, raise your hand and then you start putting up your hand goes, nope, not so fast. May I say, John, you and I don't know each other. Well, but that's a douchey move. The way he did that.

Janet 21:14
It was probably a he was he actually was a nice guy. I think it was probably just a reaction of what he can do that, you know, I don't think he expected to hear

Scott Benner 21:24
you don't normally ask a question that has infinite positive answers and one wrong answer. Here, you know, it's like when you make a joke about somebody I don't know. That's something really uncomfortable in front of somebody in somebody like that. That's I have that you're like, oh, geez, sorry. Like, that seems safe. You know? This this guy, your kid? I'm assuming in that little gap of time you like maybe he changed his mind? Is there any way thinking of something else now? I hope he says I hope he says truck driver. You know, which by the way was an uphill battle for a long time and now okay. Yeah, I used to not be able to drive over the road trucks when you type on either

Janet 22:05
No, and I've heard also like the SWAT teams now you can be on a SWAT team and now you can do airliners you can fly airliners now, so the technology is absolutely amazing. And so I so we Hey, dude. This is what you want to do. Don't give up yet.

Scott Benner 22:23
Try to think of his name. But I had the guy on here who got like the first license to to flop to fly the jetliners he. I can't think of his name. I'll figure it out. Yeah, I

Janet 22:34
remember listening to that one. Yeah, I think not the

Scott Benner 22:37
same thing though. Your son wanted to do it through the military. Right. So yeah, yeah. Well, geez, so that's an auspicious start to this whole thing. How did the the the medical side of it go? Has he taken to that reasonably well? And how about you? What did you guys do for management?

Janet 22:56
Well, he is um, I will say that I've heard you know, time and time again on your show about certain doctors not really knowing kind of the thing of how what even type one is and I there was a huge stark difference between the ER doctor and the actual pediatric doctor because Leo was still 17 at the time while we were in the hospital, and the ER doctor was basically like, well, you've got yourself a diabetic that means you can no longer eat ABCDEFG you know, you're going to have to really change your entire lifestyle, you're going to have to do everything and so we're listening to this like going okay, this is a huge life change. Well, it is but you know, the doctor was already was focused on the, the food he can no longer eat anymore. You know, that's basically the first kind of advice we got in the ER. Once we got up to the peat floor and the nurses were talking with us and those doctors were coming in and seeing us they seem to be a lot more knowledgeable about it. And I think I think they did a good job. You know, we were there. Five days. They they had him you know, from the get go I was hands off. I'm like dude, you're 17 I'm not gonna learn how to give you a shot you need to do this and so he took to it right away and in the hospital, it was all vials and syringes. And all I can remember thinking is that for the rest of my life, I'm going to have to be doing math before he eats anything, you know, everything was just for you have to measure this and math and in how many carbs and all the things but then when we got home, they he went home with pins. He had the Novolog pins and Lantus and he did great from the beginning. He was kind of really on top of it. I now I'm the one that you know, cook the food and managed all the things so I was like I had sticky notes. Every time I would make a meal I would run Write out exactly how many carbs was in everything. And I was very, very anal about it. I was just like, oh, no, is this a this is a medium orange? Or is this a large? You know, I was so crazy. And then eventually, I don't know, I just kept getting frustrated with Leo, like, you need to know exactly how many carbs are in this. And he's like, yeah, it looks like about 15 You know, kind of thing. So he was much more laid back about everything than I was I keep I joke that, you know, I'm like, When Harry Met Sally, Sally, that is me. And he's like, laid back days confused. Matthew McConaughey. You know, just like, oh, that's, it'll be alright. Look at that. It's, it's good. It looks, I'll give myself 45. And if I need a bump up, I will kind of thing. So he's kind of really taken to it a lot more. Just easy, an easier approach to it. And, really, this kind of segues a little bit until and into how I found your podcast, because, you know, I guess when you're when your kid gets diagnosed with, with anything, really, people start coming out of the woodwork of, oh, that happened to me, or, Oh, my best friend's son has it or whatever. So, all of a sudden, I found all these people who knew about type one that I didn't know before. You know, they out of the woodwork and and you're this one lady said, You need to listen to the Juicebox Podcast, it'll help you out a lot. And I'm like, I hear the word podcast. And I was like, I don't do podcasts. I've never listened to one in my life. I'm not a auditory person, I'd rather read it or watch it and just listen to it, if that makes sense. And so I was like, I kind of blew it off. And then heard it again from from another random person who someone had given me her number. And so I called and like, hey, you know, such and such picked us up. They said, You have a King College. What's he windy? Can I ask you some questions? Sure did. And right before we got off the phone, she's like, listen to the Juicebox Podcast. And again, I'm like, No, I'm not going to do that. Because I don't do that.

Scott Benner 27:25
You didn't think what are the odds of two people recommending a podcast to me? Right? Well,

Janet 27:32
well, apparently I did. Because I'm like, so I walk a lot. And just to, you know, get outside and walk and kind of when my husband was deployed for the year, that was kind of like my coping mechanism, I would just just walk in and just, you know, go on trails, or whatever. And so I'm like, Okay, I'll try this podcast thing. And so I searched you up, and I listened. And I listened to, like, I was kind of lost. Because I think when I started, you had like, 400 episodes already. So I was like, I have no idea where to even start with this. And then I go, I don't know, if I Googled it, or I did something. Or maybe I think I went to your, your website, I looked at your website first, the Ardennes day. And there was something on there of that. It's like the blue box that has like the top episodes to get started with. Yeah, or whatever. Yeah, I saw that. I found that and I'm like, Okay, well just follow this little list. And so that's what I did. And then I was pretty much hooked. And I haven't listened to every episode. But I've listened to a lot of them. I would scroll through and try to pick, pick the titles. That sounded interesting, but then you can't go by that,

Scott Benner 28:53
because I put no effort into that. Yeah.

Janet 28:57
Like, I have no idea what this is gonna be about. So. Um, so I will say that your podcast really helped me relax, okay. It helped me realize that. It was it was manageable. And here's the tools to how to do it. You know, so I found it relatively quickly. In fact, I started listening to you before we went to our first diabetes educator, person. And I'm glad because I felt like the information was presented to me in a way that I could get it. Whereas before, everything was just very clinical and numbers and you have to do this math and then enter in this code and blah, blah, blah. Whereas now I was like, Okay, now I kind of knew what was going on. I knew what was happening, if that makes sense.

Scott Benner 29:53
Well, not only does that make me feel good, but you've you've saved my week because today is Thursday as we record it on Tuesday. I heard a story about how somebody found the podcast. And then she told me she didn't really like me very much. And I was like, Oh, this is fun for me. Go ahead. Explain why you don't like me. And then she did. And, and then she ended up liking me. And I was like, Okay, thank you. So I told her, that I just think you need to be straightforward about this stuff. And that you need to feel like the person you're listening to understands. And then and that sort of has to do with, like, you have to speak with an authoritative confidence. You know, like, either I understand this, or I don't if I don't understand that, then I'm here to commiserate with you, which is not going to help you, you know, beyond that commiseration. But if you? I don't know, I just I know how to do this. I don't think that that's a bad thing to say out loud. You know what I mean? And I feel confident about it among most of the decisions that need to be made. So anyway, I'm glad cuz I was scared Janet. Church, you said church, she said Texas a couple of times. And I was like, she's not gonna lie to me when she got to the spot. So I was like, I'm all beat up now. My like, now I got my hands up. I'm waiting to get hit in the face. But I'm glad you liked it. I'm glad you listened to those people. And thank you to them. Yeah, seriously, I tell people all the time. The podcast grows because people share it. Like I don't, I don't pay for I couldn't afford to and I don't have marketing. Marketing a podcast is not the way to make it grow to begin with it's word of mouth. And so if people don't take the time to tell someone else, it just kind of languishes. But instead, today, September 30. And this was the most downloaded month in the history of the podcast this month, had more downloads by almost 100% Then did 2018. And it almost this month almost had as many downloads as 2019 In total, crazy yeah, I feel it's crazy to It shocks me every time I say it.

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Later today, head over to touched by type one.org. Check out their programs tab to learn more about what they do. Everything from their annual conference to their awareness campaigns, their dancing for diabetes programs, those DI boxes, and the new golfing for diabetes event that's coming up very soon. Touched by type one.org. So there we are. We're friends. Now I'm your walk. You don't talk to me while you're walking do

Janet 33:18
I'm not walking?

Scott Benner 33:21
I mean, I mean, generally when you're walking and listening, you don't speak out loud to me do

Janet 33:25
I? Typically not? Yeah, but I giggle a lot because that's why I think we would have been friends in high school because your movie quote or you'll say, you know, referencing movies? And I'm like, Yeah, we're totally in the same timeframe.

Scott Benner 33:39
Oh my god, I always just imagine the younger people are like, they just bear down and think they said my a onesie, you'll get better. I'm just gonna make it through this. Anyway, well, that's really cool. But does it translate to your son? Because he's managing himself mainly. And oddly enough, he is sort of has my vibe it is sort of like just use more or something like that. Yeah. So but how do you get the information you're finding to him? And how much pressure Do you feel to do that before he leaves for college? Yeah.

Janet 34:10
He, at the first at the onset, once I started listening to you, he was pretty open to i Listen, when I learned today, you know, and I couldn't get him to actually listen to the podcast. Now on a couple of occasions. If I had him trapped in the car. I would I would put I'm like, okay, hear me out. Let's just listen to one kind of thing and but where I knew that it was getting through to him, because you know, a lot of times I would just get the grunts back like Uh huh. Yeah. Okay, whatever kind of kind of things that when I knew what I was saying was actually seeping in was actually at our first diabetic counselor session. When she made a comment about you know, let's look at our numbers. Let's look at the range. And before I could say anything, he said, I don't want to go over 120 Or I want to set it at 120. And I'm like, oh my god, he was listening to me. Actually, he actually listened to something I said, and then so he might, you know, fight me a little bit on it on the on the surface, but ultimately, he definitely buys in to this philosophy. And I've heard him mentioned before, things like, well, I'd really rather you know, catch a low than battle a high and that sort of thing. So, you know, now that I'm not nagging him all the time, and he's in a completely different state. I feel more comfortable that he gets it now. Does he have all the fine tunings down like, you know, I was listening to your podcasts it aired, I think, last week, maybe with the doctor, was it, Addy, Dr. Salah Gowdy,

Scott Benner 36:01
he was really good, wasn't he?

Janet 36:03
Oh, he was fantastic. But I'm like, Okay, this is the Especially that last half when he was talking about the basil and, and everything I'm like, This is what I need to listen to. Because he that's the kind of stuff he still I think plays a little fast and loose. Sometimes when he's just like, Oh, I'll, I'll just throw more at it later, or whatever. So that's, that's kind of like the more fine tuning that I really want him to get to, so that he doesn't fluctuate as much as he does sometimes, especially. And that's actually one of the questions that I had come on to me during that Dr. oddies. podcast was he was talking about getting it straight throughout the night, that Basal rate straight throughout the night, that way, you kind of reasonably know that you've got it. Right. And, and my thought process was, yeah, but he's in college staying up till 3am eating pizza, you know. So

Scott Benner 37:04
I do you just go to whatever his sleeping time is like, the idea is that, first of all, I have to tell you that when he said that, I was so proud of myself, because I came up with that thought by myself without talking to anybody else. And this guy seemed brilliant. And anything he said that I agreed with, I was like, Oh, it made me feel very good. Anyway, yeah. But yeah, so you just want like, away from Bolus or active insulin? How does he sit stable, and then nighttime ends up being the easiest because, you know, you imagine your stop eating at some point before you go to sleep, and maybe you can even watch it from like, 2am to whatever, you know, your son shouldn't be growing too much anymore. Right. So whatever works in that space is kind of a good jumping off point for other times a day, I think is the idea. But I hear what you're saying. He's probably up till two in the morning. Is he a freshman? Yeah, he's

Janet 38:00
a freshman. Yeah,

Scott Benner 38:01
they don't, they don't go to school even barely. They just, you know.

Janet 38:07
Say, I'm really proud of this kid. He's actually he called me in a panic, like three weeks ago, because he overslept for a class and was late. And I'm like, Well, the fact that you're panicked about that makes me feel good.

Scott Benner 38:21
I'm gonna, I'm gonna crap on your parade here for a second. I got that exact same phone call. When Cole was a freshman. I just woke up, I overslept. I'm really sorry. The class is 10 minutes into it. I don't know what to do. And I was like, Is there time for you to get to the class? He just Yeah, I said walk in and when he makes eye contact with you go, I'm sorry. And then sit down. Or excuse me, I was like, it's not a big deal. I was like, It's okay. And then a couple of days ago, Cole FaceTime me to say he wasn't feeling well. The the entire campus got sick when of course they were all reintroduced to each other after a year and a half. So they all have the same kind of sniffily head cold. And he's like, I didn't feel good. It's exciting. Go to class yesterday. I was like, Oh, I don't hear the same panic in your voice. Did when you when you were freshmen. He's like, I can make it up and I was like, Yeah, okay. Thanks. All my money. Every every dollar I make off an ad from this thing is just over at that college and he's like, I didn't go today. Yeah, that's good. Rest up, buddy. Once you're nice and fresh, don't worry. I'll just keep working. No, but seriously, I was very proud of my son that day to when he made that same phone call. I was like, wow, this is like, you know, either this means something to him or at least he has respect for us. Yeah, yeah. So

Janet 39:48
definitely so Oh, but he's, he's really doing He's really doing good. I think I'm probably struggling the most because I don't have that. You know, I was making I was his little Isn't his food and I was in control of all that. And now I'm not in control of any of it, you know. And so it's, it's, that's the part that gets me the most and he's on Dexcom. But the past four days actually, while we were talking, it just shot back on. For the past four days he had, he hadn't basically called for a few replacement ones that he needed at they had like, either had malfunctioned or whatever. And so he ran out of them. And so he had like one left until he could get his new prescription. And he was just going to wait, hold off a few days before putting it on. I was like, are you okay to fingerstick? In again for a few days? He's like, Yeah, I'm good. I'm good. You know, but me, I'm like checking my phone twice a day hoping. The darn Dexcom back on and sure enough, it just right. As we were talking, I got a high glucose notification. So apparently is back on.

Scott Benner 40:58
That's good. Did he put it back on? Do you think he do you think he was just looking to be autonomous for a couple of days?

Janet 41:05
I don't know. i He, I think that that's a possibility. That's a possibility of him. Just kind of taking a break from mom in his blood sugar kind of thing.

Scott Benner 41:16
So you did indicate earlier that you're tracking him? I'm assuming through Find My iPhone?

Janet 41:21
Yes, yeah. Actually, we have the live 360.

Scott Benner 41:26
Okay, whichever one you're used to

Janet 41:27
find my iphone works. When we get the low notification in the middle of the night. We have had to call him a couple times. And if he doesn't answer his phone, send that then we ping him on Find My iPhone. And that always wakes him up.

Scott Benner 41:41
I've done that to Arden while she's in school. And then I get a text back. What are you doing? That's so loud? I'm like, You should have answered me. I didn't hear it. I'm like, Well, you heard that. So we're all good. Now don't worry about stop yelling at me and Bolus. We haven't done that in a while, of course, because you know, COVID. Well, is his plan. I mean, it's such an unfair question, because he's a freshman. And I still my son's a senior and I don't, he's got a degree in a, he's gonna have a degree in A minor. And I still don't think he has, if I asked him what he want to do for a living, I don't know that he would have any answer for that. So but is your son shifting his focus? Or is he going to put his head down and try to run through that glass ceiling? Or what's he doing there?

Janet 42:25
You know, I don't know. And I don't know if he knows quite yet. I think that I think what he's probably going to do is finish out college and then pursue, if he chooses to try then try for a OTS officer training school and go through that way. I think, I don't think he's going to try and join an ROTC program or anything. But, you know, I'm wondering if this is just where he needs to be. You know, he's always my husband has always been very military and very short hair, and, you know, just fine in the uniform, whereas Leo has always been more of a of a freer spirits, you know, he's got a beard and he's got he's not clean cut, you know, and he's, he's more of his just express myself wearing, you know, taco cat T shirts, or whatever. And so I never really saw him want to be in the military as far as he'd have to shave. And you have to follow these rules. And he's always kind of, you know, he's a good kid. He follows the rules for the most part, but he makes his own way. He definitely has his own way of doing things and they work for him. And so I don't know if this is maybe something that's more than that he'll Jive more to on this end, maybe still working with military but not actually in the uniform kind of thing. Or he could choose to hey, let's I do want to continue to pursue being a pilot. So yeah, no, I think he's, I think he's just kind of feeling it out right now.

Scott Benner 44:12
That's perfect. I would guess too, even if he felt like maybe even if he just felt like a little pressure like this is what we do. Maybe that releases him from that even you know what I mean? So I'm sure it'll be tough he sounds like a great person. So I'm sure it'll be good you agree with me about a lot of stuff so that makes me like you and then that makes me feel good about your kid. So see how easy it is to win me over just the gray that's all so with it so you put all this effort into understanding diabetes and then the diabetes left did right feel more abandoned by the your kid go into college or that task being taken from you?

Janet 44:56
I don't know cuz I still I still listen to your podcasts even though No, I've heard you say before that there's like a six month limit almost when people feel like, okay, I got it. And then they might kind of go, you know, once they feel comfortable that I haven't, I'm not there yet, I still want to learn and in finding, you know, listen to more stories, and I love it when you have the doctors on and the Dexcom CEO, guys, I love those, those are my favorite because I just feel like that's some at least some more information I can pass along to Leo, I feel like I can't kind of mess with his day to day stuff anymore, because he's proven to me that he's still alive after a month of college, and I'm not there. So he's proven to me that he can he can do this. I think. But when I hear from like the doctors or that kind of stuff, and I have like a nugget of hey, guess what's coming down the pike, you know, and he's more receptive to listening to that information for me than he is me saying, Hey, have you Pre-Bolus lately, you know, kind of thing. So. So there's that. And, and another thing that I keep kind of harping on him a little bit is because he's in this extended honeymoon. I mean, he if he goes above 200, I freak out, because he very rarely, if he goes above 200, he just like spikes up there and goes right back down. We have never battled the 300 400 500 that I hear described on your show. We'd never been there once we got out of the initial hospital visit because he was in the eight hundreds at that time. But But since then, we've had loads we've had to lose all the time, because it's like he's he's doing okay, doing okay in range and range. And then his pancreas wakes up and decides to spit some insulin out. And then he dips. So I've always been more fearful of the lows. I've never really been worried about the highs at all, because we just haven't battled them that I know, eventually, they're coming. And so that's kind of my little thing with him. Is that, okay? Remember, what you're doing now won't always be the case. You know, it won't always be the case that a pin will last you over a month and you have to throw it away before because it's, it's expired not because you've finished it, you know, this is insulin needs are still really low. So

Scott Benner 47:25
he's gonna somebody's gonna steal those training wheels off his bike in the middle of the night.

Janet 47:29
Right and that's that's my fear is that he's resting on his laurels because he's got this I got this mom I got this. Well, eventually, they're gonna they're gonna, it's gonna it's gonna change have you?

Scott Benner 47:40
Have you done a good job you think of explaining to him that this is just the beginning and that he's getting help from the pancreas though. Yeah, he knows

Janet 47:49
he, he, he's pretty he's pretty aware of all of it. And he he kind of knows the the biology of it about how his you know the beta cells and all that he kind of he gets it so and he knows that eventually like randomly if he has been kind of trending high a little bit and I'll tell him I was like well do you need to maybe increase your base a little bit or maybe increase your carb ratio he'll he's made comments of I wonder is this it? Is this it? Is my pancreas finally gonna go could put now as this it, but then he'll make some adjustments and it goes kind of back to the way it was. So he's aware of it?

Scott Benner 48:35
Well, that's I mean, all you can ask for it's going to be a shock. Listen, I mean, I've seen people over and over again, they get knocked over by it at first because it's a big adjustment. It doesn't you don't expect the adjustment that's coming even if you're even if you're expecting an end to an honeymoon, you don't expect it to be so drastic, you know, I know for parents of little kids, it's hard for them to go from like point one five an hour to point four. They feel like it's like all the insulin in the world. And for an adult How big is your son?

Janet 49:09
He's a he's a big kid about 181 90 He was a wrestler, he I mean, he's just he just a very big kicks

Scott Benner 49:18
junkie. Yeah, he's gonna need some insulin at some point. And if the amount is if you can stop yourself by being shocked by the number and just meet the need, it's much easier and maybe he'll be okay with that. Maybe he's not going to be put off by the number. You know, just be able to adjust and maybe it'll happen during a break. That would be nice or summer when he's home. That would be nice. Yeah, you could crawl back up his button take care of it

i i cried pretty extensively when I dropped my son off at college, and I'm preparing to just martyr myself when Arden leaves I'm just gonna, it's gonna climb to the top Up the hill and, and well until people come and stone me to that

Janet 50:05
idea that was that was a rough drive and not only were we very good Alright, that was a rough, rough drive because I wasn't we weren't dropping them off at Texas. I felt like you were leaving him we were abandoning my child in Texas and driving to Ohio. That was like a that was tough. That was a really I mean, with my daughter dropping her off. It was hard to of course, she was our first but we lived five hours away at the time. And you know, now I had to jump on an airplane to go down there. And so yeah, it was it was a rough rough drive. Walking away, you know? And

Scott Benner 50:45
do you think you had a little the mother and son thing too? Oh, yeah. Yeah. I can't tell what that is. I don't know what dastardly like wiring isn't a mother. But I mean, I first I thought it was because Cole was older. And then I don't even know what it is. Like, I couldn't tell you like Kelly loves Arden completely. But I mean, I feel like she'd pause before murdering you if you came after Arden. But if you can't, like at least she'd be like, it's gonna be wrong to murder this person. But I have to because they're going after my daughter. But if you came after my son, I don't even think there's a mechanism in her brain to make her think. And I don't even I can't understand what that is. But it seems real to me.

Janet 51:27
So, you know, and I, because mine are flipped because my daughter is my older one. Um, just for us, my daughter and I are very similar. We are similar personalities. We think alike. Because of that we can butt heads. So you know, but also she just she always just she was ready. She was ready to go. I saw that she was ready. It was hard. I cried many tears. But she was there she was she was it. She was doing it. You know, with Leo? Yes. He's always been my baby, of course, because he was the second born. But I think it was doubly hard. Because the whole last year, you know, my daughter was away at college. My husband was deployed. And it was just Leo and I, it we were like roommates, we you know, we kind of developed this in diabetes hit. So we also had that to work through together. So we really developed a very tighter bond this last year and in the fact that that I think that added to it as well. Of not only is he my boy and my baby, but now I have to leave him and abandon him in this place far away from me where I can't keep him alive.

Scott Benner 52:47
Was your husband in a war zone? He Yes, he was. And and oddly, he might have gotten the he might have gotten the happier end of the stick. When you're trying to figure out diabetes, I'm assuming I'm assuming that you had at least one phone call where you told him how hard this was. And he said, I'm I'm flying a jet in a war. And,

Janet 53:09
well, he wasn't flying. It was a kind of flying job. But but you know, I actually felt sorry for him because he, you know, as much as out of control as I feel like right now, with Leo being so far away for me. He, my husband had struggled a lot with being away during this that time. I mean, he really couldn't do anything to help and he could listen to me, but he hadn't been able to immerse himself in the whole diabetic vocabulary. So he was barely hanging on to what I was trying to tell him. And then he in turn, didn't know how to help me. And you know, outside of just letting me cry and telling me he loves me that it's gonna be okay, you know. And so he really felt it was just awful for for him. He felt like he was so far away and he couldn't help us work through this. And you know, when I think it really first hit home when he when he was home and we were actually in the middle of our move from Texas, Ohio. And he was right, Leo's low alarm urgent low, came across in the middle of the night, you know, and, and so I'm like, up like shot and in rest is grabbing the phone and trying to you know, figure out, you know, let's call him He's not answering his phone and, and then, you know, it turned out to be a compression low, but me at the end of the day, you know, he wakes up he's like, oh, yeah, I'm all good. It's fine. I'm going back to bed. And you know, but we're so awake. After Leo goes back to bed and, and, you know, he just looked at me and he was just like, I'm so sorry. You had to do this by yourself. I'm so sorry. You know, because he was just now starting to experience what I had experienced for the whole year. And it was really hard on him. It was really it was really hard on him to deal with that. Because you know, he's, he's my rock, and all of a sudden my Iraq is in Iraq. And

Scott Benner 55:19
you're trying to name the episode?

Janet 55:21
Oh, gosh, no.

Scott Benner 55:24
Because I'm very lazy about this. And I will obviously just go with that if if it needs to be, well, no, I can't. I can't agree with you more honestly, that that helpless feeling exists when you're there. But But putting that kind of distance between it. I can't imagine how that must ratchet it up. Yeah, and, and vice versa, too, right. Like, now you're aware that he feels bad, he's aware that you're struggling, neither of you can help each other he can even learn about diabetes. And then he understands to that time is going to take away and before you know it, your son's gonna be off at college. And he might never have that. That connection of understanding with him. You know, and and probably had to listen to you talk about some guy on a podcast over a scratchy phone call, which I'm assuming was really irritating. I get notes from guys sometimes that are like, you know, I can't take your my wife telling me about you anymore.

Janet 56:27
It's a good problem to have there right.

Scott Benner 56:29
Now for them. They're irritating for them. Yeah, so I just, you know, being overseas like that? I don't know, I have no context for that, obviously. But it sounds just extra difficult. It really does. But he's it. But it sounds like Leo's doing well, it sounds like he's aware of what may or may not happen. Are you concerned about drinking, do you think he's going to drink

Janet 56:55
he's actually, he's got a much better head on his shoulders than I do sometimes about that stuff. He's really good with self control. You know, us actually, as living in Belgium, the drinking age was 16. And so, you know, he's had, he's had a beer, he's, you know, we've, it's, we've never, we've never been a never, never, never, we've always been a, you need to do this, if you're going to do this, you're going to responsible, you have to be responsible, and you have to know how things affect your body. And, you know, sitting on the couch is a lot different than being in a bar somewhere. So we've always just been very realistic, and just know, know yourself and know who you're with, and be responsible. So that's always been our mantra with that, because I I did not follow the rules when I was in college. And so I can't, I have to know in my heart of hearts that they might not either. So we've always tried to take that approach of you need to be careful, always. And he is actually he's, he's very responsible. With it, I I'm not going to hold any, you know, imaginations that he's not ever not going to. But I did have the, the diabetic counselor, walk them through it, you know, like, if you do choose to drink alcohol, you need to do A, B, C, and D. And you need to be very careful, and you need to eat and you need to you know, keep your alerts on and don't turn your phone off and all these kind of things. So we've talked about it, but I definitely say of, of all the members of our family that could would be the most responsible in that aspect. I think he's he's, he's it so

Scott Benner 58:49
I gotta be honest with you. I was hoping you would say the guy flying the plane but I understand what you're getting at.

Janet 58:55
Well, that's what the bottle was throttle rule is

Scott Benner 58:58
that sounds like a thing. Do you it is a thing.

Janet 59:00
It is a thing. You can't drink a certain amount of time before you get into the start the process of the plane, anything with the plane so they call it bottle the throttle?

Scott Benner 59:11
Do you guys have a private plane? Like do you and your husband go out on weekends and things like that?

Janet 59:16
We do not but that is on his bucket list.

Scott Benner 59:21
That's gonna be your retirement is him flying you places and seeing taking a sandwich so you'll get tired of that. Okay, that's not the point. That's

Janet 59:28
the great irony is I'm scared to fly. I do it. But I I'm nervous the entire time.

Scott Benner 59:35
How are you with your husband flying? Did that ever? Does that bother you? Was it something you just give away? Like being a cop's wife or something like

Janet 59:41
it took a long time. It took a long time it when he was back in pilot training. I was always a basket case. And like I wanted him to Well, this was before cellphones, really but I wanted him to like, you know, just give me a quick call when he landed. I was a little more you know, freaked out about it. Then now I've really, I'm, I mean, I trust him. He's a good pilot, I know he's gonna be okay. And I just, you know, I leave it at that. But it was a journey, it took me a while to get there. And there's always little, little, you know, whether they call him when your old house tales, wife kills or whatever, it superstitions, things like that. But you know that we never break their taboos that that you don't do. Like, once he steps to his jet. That's it, I don't call him I don't text him. He doesn't call me he doesn't text me. His brain is solely on his mission. And there, you know, fast forward. Gosh, it was in his last assignment, I was doing a tour with a group of ladies at the squadron. And as we entered into this, I call it the stinky room because that's where all their gear hangs. And, you know, like, it's like a big, massive locker rooms smell you know,

Scott Benner 1:00:56
a car smells when calls home playing baseball.

Janet 1:01:00
And as we're walking through it, I see at the end of the room, I see him and he's he's putting his he's getting his gears, he's got his G suit on, he's putting his getting his helmet all ready to go step to a jet, and we lock eyes. And I like almost had a panic attack. Because once he steps to the jet, you're not supposed to see me or think about me, you think about the mission, you know, and it's always been our little thing. And I spent the rest of the day freaked out like, something that happened is I when he came home, he was like, It's okay, I'm fine.

Scott Benner 1:01:34
That's when that's when it's easy for him to forget about you. He was like, Yeah, that's fine. I won't worry. I'll tell you. We're in Lieberman. I don't know if you know who that is. He's the Pentagon correspondent for CNN. He also has type one. And he's a he's a pilot too. And when he was on the podcast, we learned that his parents and where his plane is very close to my house. And he was just, I think he was being polite. He's like, I'll take you out one time. And I'm like, no, like, I don't want to do that. I don't want to go up in your tiny little plane that you were able to afford on your own. That seems wrong.

Janet 1:02:09
Yeah, he's had to kind of walk me taught me that taught me into it over the years. And he's. So I don't know if you know, financially, it'll ever be feasible. But he's he wants to get his private pilot's license. So that wants our time in the Air Force's is over that that is an option open to him. So he's excited about it,

Scott Benner 1:02:31
I would start flying jets and then just you guys could just constantly be on vacation, you probably could sell your home, you could just bounce around the world for a while. That'd be fun. My last question for you. And then I'm gonna ask you if there's anything we haven't talked about. But my last question for you is how engaged in diabetes? Do you think you're going to be over the next handful of years with Leo?

Janet 1:02:56
Oh, I think as long as he's open to me still being engaged, I can't see myself exiting that at all. I think that at some point, in some minor little way, he appreciates my nagging. Or at least he appreciates me doing all the research and sharing the the nuggets within that. So that he doesn't have to do it himself. I know I'm very anxiously awaiting the, the new the newest Omnipod and Dexcom. So that we can try the whole loop thing. I'm not quite comfortable enough with doing it the do it yourself stuff. I've looked into it. I've researched it, but I'm not that comfortable with it yet. I think I'd rather wait until it's pre packaged for me.

Scott Benner 1:03:51
Yeah. On the five you're talking about? Yeah, yeah.

Janet 1:03:55
Yeah. So I'm looking forward to that. And I, he doesn't really he doesn't have a stigma about the diabetes. I know. A lot of kids do they either hide it or don't want to be very open with it. And, and he's just, he doesn't care. He's like, and he actually hates the term. Or he doesn't prefer the term diabetic, because he's like, I'm not a diabetic. I'm Leo and I happen to have diabetes kind of thing. You know, so he doesn't, he's just like, it's okay. It's just part of me if you see my pod, fine, whatever, I don't care. So he's very good about that. And so I don't think he'll ever kick me off of his Dexcom or anything like that. But I think as we progress and as he matures and grows and my hope is that he does get a little more involved and still continuing to learn about it because because of the the new things that are coming down, you know, right now, it's all me saying, Oh, guess what, guess what's coming or or that kind of thing. And I hope that one day he takes that on. But I really can't see myself really stepping out of it all the way unless he really wants me

Scott Benner 1:05:08
to pushes you away. Yeah. Well, that sounds about like how I would have answered. So I think it's great. I think, I think that I'd love to talk to Leo in a couple years after he's used on the pod five for a while. And that would be really interesting. For a person who's newly diagnosed in college to start on that it'd be, it'd be a good information to have at some point. So Leo, if you're listening, just, you know, hit me up, like in a year or two.

Janet 1:05:35
We'll well tell him to I don't know, I still he's still, I still can't get him to listen, you know, on his own. So maybe,

Scott Benner 1:05:42
listen, I wouldn't if I don't know if I would listen to the podcast, although I have to tell you something. And and then I'll let you go. I know I have you over time. Earlier, you talked to you referred to when I said people seemed like a six month of life. That was something I learned from the internet from social media that I just assumed would translate to the podcast, but it doesn't seem that it has. So yeah, I think there's something about listening to the stories that's entertaining outside of diabetes. And I have to admit that a couple of the podcasts that I listened to were on hiatus this week, and I listened to my own podcast once and when I got done, I was like, This is good. I was entertained by it. Like it kept me It kept my attention for the hour. And so I'm not seeing people drift away from the podcast the way I see them just away from online help. Okay, so that's, I, you know, that's good. I have my fingers crossed. I think that's why the, the numbers grow. Because people hang around to listen to other people's stories, too.

Janet 1:06:42
You're not losing the old ones, you're just adding new ones just adding more.

Scott Benner 1:06:45
So you know, I like that you're listening. And there's people who listen, who don't have diabetes. There's a person I always think of who listens to stay close to their kids. You know, so there's, there's a, there's a lot going on here. So I appreciate that you found it and that your friends, or your acquaintances, actually, I meant to give you props earlier, you did something difficult as he was diagnosed. And I don't know if you realize it or not, but people like offered you a phone number to call like, here, reach out to me ask me questions. And you actually did it. You have no idea how often I get to like a note from a friend that says I gave your cell phone number to a friend of mine, and told her to reach out to you about diabetes, and they never reach out. So it's a big deal that you were that you did that I think I

Janet 1:07:36
wonder? Well, I was I was floundering. I mean, I just you know, I was I just was at that point of, okay, this person can help me. I mean, I call you know, the washing machine repair man, if I needed my washing machine repaired. So I need some help here. And you know, this community has been fantastic. Everyone's been very opening and non judging. And here's what I can offer you and and yeah, it's it's, it's, it's really amazing how many lives type one does touch. I mean, it's like you don't you don't even think about it. And then all of a sudden, they're like, oh, yeah, my daughter, oh, yeah, my son or my aunt, or whatever. And you've known this person forever. And you never knew that. So

Scott Benner 1:08:23
now, I'm just telling you from my experience that you had the nerve or the the instinct to reach out. It's a big deal. A lot of people ignore that when people lend a hand. They don't sometimes take it. So that's cool. I was I was I meant to say it when you were talking about and the conversation just kind of got past me. Also, you mentioned that Leo ran out of decks comms and while we were I wrote down a note for me to call. And because I realized aren't only has two left, like, I have to do that. So I appreciate that as well. Is there anything that we didn't talk about that you were hoping to? Oh,

Janet 1:08:57
I'm sure there are but I don't know. I think that I guess that is another thing that me having to give up the control is Leo is now responsible for calling and getting his own things. And that for me is another difficult thing to let go of. Because I'm you know, I have all my ducks in a row and and he shouldn't run out. He should have called already. He's almost running out. Well, you

Scott Benner 1:09:24
can have my kid if you want. Who sent me a note and said I'm out of this. Get me more not Yeah. Tell me how to find it. That's for sure. Yeah, but now I understand. Are you kind of Taipei to begin with?

Janet 1:09:39
Oh, yeah, yeah, I own it.

Scott Benner 1:09:43
Well, you need something else to tell what to do. Call your daughter. Call your daughter up and fix her life. Did you say were you getting ready to say my dogs don't listen to me?

Janet 1:09:58
No dogs don't listen to me. They're so I need to find I need to find something.

Scott Benner 1:10:03
Do you think you'll ever be able to just let it go?

Janet 1:10:06
Oh, I doubt it. I doubt it. I mean, the Janet, you're speaking to you now and the Janet a year from now are completely two different people I have, I have learned to relax. So much more, but it's still I'm on edge a lot. You know, definitely the Dexcom totally helped help with that. But then sometimes you you know, when you get a low in the middle of the night, and then you call him and he's like, Oh, I just checked, I'm at, I'm at 101, I'm fine. So it's, it's that part of it is what scares me the most, because I want to trust the Dexcom, which I do 99% of the time, but then it'll still wake me up and freak me out in the middle of the night. And then it was a compression low. So and I get it, it's a it's a machine things are gonna happen. But I think me, me having to put so much trust into everyone else. And I have zero control is probably a struggle, I'm probably never going to get rid of completely.

Scott Benner 1:11:07
You might be surprised. Yeah, maybe the g7. I'm hoping that the flatter aspect of the g7 might keep it from experiencing compression lows the same way. I don't know if it will or not, but I'm hopeful about that.

Janet 1:11:20
And it's smaller, I'm liking the fact that it's smaller, because Leo does have some issues with the adhesives, you know, of not sticking on or sometimes he'll say, Oh, is this a thing, sometimes he'll he puts it in too hard or too deep, or it draws a little bit of blood and then that blood will just seep into the surrounding adhesive, and then the adhesive won't last

Scott Benner 1:11:46
I would not think of it as being too deep. He probably just nicked a vein, or a little blood vessel I should say. And that does happen. But once it's once it happens, you can kind of rinse it away before it gets to the before it gets to the adhesive. So we just I wake it out with a tissue like I twisted clean tissue up and just stick it in there and wick the blood away and then the bleeding stops before it gets to the adhesive. I have seen people get more of a gusher and they'll just kind of jump in the shower real quick. And let it like like let water run through it until the bleeding stops. But also Dexcom right now, if you call them he'll they'll send him overlay patches to put over it that work really

Janet 1:12:29
well. Yeah. And we've done that we've done that as well. Okay, it's just gets his skin gets so irritated at certain times. But I think

Scott Benner 1:12:36
if I'm remembering the conversation correctly with the g7, the overlays are just going to come with it. So you won't even have to ask for them separately. It'll just be there. Oh, that's perfect. So that'll be cool, too. And that was pretty much it.

Janet 1:12:48
You don't have to deal with my impatience.

Scott Benner 1:12:51
We were really terrific. Were you nervous? We were okay.

Janet 1:12:55
I was nervous. I was nervous is actually really surreal. Like having you talk to me hear your voice in me actually talking back because I'm so used to hearing your voice talking to somebody else. So it was really surreal. I was nervous. But I'm I mean, I've done a lot of public speaking so I was I wasn't shaking or anything. But yeah, I was I was a little apprehensive,

Scott Benner 1:13:21
either great. I thought whatever level of nerves you had you pretty much held on to the entire time. But they didn't that they didn't seem bad. Like they weren't overwhelming. But that's good. I think you're great.

Janet 1:13:32
That way. Yeah, I do tend to talk fast when I get nervous though. So I don't know if you're gonna have to slow me down or something.

Scott Benner 1:13:40
That's great. Are you kidding? I love when people talk. I'm always slowing myself down thinking like, Oh, don't talk so quickly. And you were going like a mile a minute. I was like, this is fantastic. Plus, I didn't have to talk as much. This is like a like I showed up at work today. And somebody started doing my job for me. So it was perfect. Oh, well. You're welcome. Thank you very much.

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#652 Defining Diabetes: Pump Break

Scott Benner

Scott and Jenny Smith define diabetes terms

In this Defining Diabetes episode, Scott and Jenny explain Pump Break

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

+ Click for EPISODE TRANSCRIPT


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

Scott Benner 0:00
Hello friends, and welcome to episode 652 of the Juicebox Podcast.

Today on the podcast, Jenny Smith and I are going to find a term from your life with diabetes. In today's defining diabetes, we'll be discussing pump break. While you're listening, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. We're becoming bold with insulin

Are you looking for a way to help people with type one? Are you looking for a way to support the Juicebox Podcast, I have a little something you can do that will do both of those things. And it will take you fewer than 10 minutes. Head to T one D exchange.org. Forward slash juicebox. Take the survey. And that's it. You need to be a US resident who has type one or a US resident who is the caregiver of someone with type one. Other than that, there are no rules T one D exchange.org For slash juicebox.

This episode of The Juicebox Podcast is sponsored by two of my longest advertisers, Omni pod makers of the Omni pod dash, head to Omni pod.com forward slash juicebox to get started today and see if you're eligible for a free 30 day trial of the Omni pod dash. The podcast is also sponsored by Dexcom, makers of the Dexcom G six continuous glucose monitor, say hello to dexcom@dexcom.com Ford slash juicebox. You may be eligible for a free 10 day trial of the Dexcom G six, you'll find out the link links to these and all the sponsors are available at juicebox podcast.com. And right there in the show notes of the audio app that you're listening in. Jenny, I'd like to define pump brake. And I have to admit that I don't know enough. I think because I don't have diabetes. This one's lost on me. Right? Okay. From my perspective, I believe that Ardens insulin pump has made Arden's diabetes easier. Sure, because I'm not wearing it. I don't have any reason to want her to stop it. But

Jennifer Smith, CDE 2:50
she's then obviously never voiced a desire to stop it either. Because I think that's a big piece, especially with kids and teens that were parents are really trying to listen to their kid, it's not so much that the parent would for the most part, I don't think 99.9% of parents would ever want to remove the pump, right? I think it comes more from the desire of the child expressing a frustration that they say okay, well, let's try this.

Scott Benner 3:19
So Arden has when she was younger in the past said, you know, I'm going to stop wearing a pump, and I go, okay, that's fine. Here's how this is going to work. From now on, we're going to take a shot of long acid long acting insulin, probably in the morning. Maybe at night, we'll work that out. You're gonna have to do an injection every time you eat. And then she was like, oh, nevermind. It was it was like that. And I wasn't trying to scare. I was just like, that's fine, if that's what you want to do. And she was much younger. She has not mentioned it in many years. I would admit that. But, but I take your point, you know, if the kid wants to take a break from it, I get that I think that's fine. From your perspective, though, as an adult, you've had diabetes forever. Like, have you ever stopped using your pump to take a break?

Jennifer Smith, CDE 4:10
Yes. Um, but not. God, it's been a really, really, really long time since I did that. I mean, it's probably been six to eight years. Okay. And I know that at one point I had done it in the past only because I really just well one in particular was going diving. So I can tell you that I did it for and it was only like a two day because that was just going to be the time period in which we were actually diving where you can't physically like where the pump down. You know it was going to be like a whole pain in the butt to just do it. And since they were on the pad and couldn't just easily disconnect and leave my site connected, I was just, I'm just going to go to injections. So there are some maybe life types of things, too, that people would decide to do that for as well. But another I think, reason in the past that I had done it was just to give it a try and remember what my strategy was like, with MDI. It was more of a learning, not a, I'm really tired of my pump, I just want to be completely disconnected and have nothing on my body. Now, I didn't disconnect completely. Obviously, I kept by my continuous monitor on. So I still had all of that information to use in order to dose with injections and smooth things a lot better. I mean, I, I don't think I've been off of a CGM for maybe more than like, three days because I didn't have enough supplies left maybe. Or I mean, I've been on a CGM consistently for like 16 years. So MDI without a CGM, I don't know that world anymore other than just, I'll just do a heck of a lot of finger sticks. Because I did do that when I was pumping before I had a CGM, right. And I just did. I mean, I think my order for for testers was like, my doctor had written for like 14 test strips a day or something was what back then and I used.

Scott Benner 6:29
We did that with rd. So I would say 10 was like a slow day for us. Yeah. Because you were like, in the morning, before meals after meals, were we at like, basically trying to be a CGM. Before I even knew what one was

Jennifer Smith, CDE 6:45
that time. I mean, I before I had a CGM, I always had a two o'clock in the morning alarm that went off. In fact, many times I was awake just before my alarm went off, because my body was so used to getting up at that time, it was just the norm. Yeah.

Scott Benner 7:00
Do you know back then? Back then, when I was young, if you would have said to me without a clock or a watch, or any way to follow time, if you would have said to me, Scott, right now start and tell me tell me when an hour is, I could almost do 60 minutes to the second because I would think like, alright, Arden just ate in an hour, I'll test her. And yeah, I would set alarms and set alarms to the point where my body knew when an hour and passed, it was right. It was ridiculous. I do not have that skill anymore. And I'm glad glad of it. Well, and

Jennifer Smith, CDE 7:33
I think it's, it's good to bring this all in in terms of going back to just injections coming off of a pump taking a pump vacation, because like I did in the past, it was sort of a trial of do I remember how to do this. So I don't necessarily think it's actually a bad thing to maybe do. If your child is willing, or if that's an adult, you're like, Yeah, I don't I don't know, if all my technology failed, and it was over like a holiday weekend, or I was on some remote island somewhere. And they couldn't overnight me a new pump, you know, what would I do? So it is a good idea to have an idea, you know, to have that back knowledge of where would you go and what would you do? But it also then starts with? How would I go to injections? How would I take what I'm doing on my pump? And transition that into dosing strategy and calculations and everything? To make it work? Well, there's

Scott Benner 8:30
no way with a with an algorithm like there's no way to mimic an algorithm with I guess you could inject yourself 1000 times but even then you couldn't take basil away. You couldn't take yeah, there's no way to do it. I could probably go back to the way before,

Jennifer Smith, CDE 8:45
but just conventional pumping. Yeah,

Scott Benner 8:48
I could get I could probably mimic that with MDI pretty well, but it's a lot of injections. I mean, you're going to be shooting a couple of times in two hours after a meal maybe if something happens, or you're trying to eat something with fat in it, but when you talk to adults who who say I want to take a pump break isn't is that usually a what do you think? Literally? What do you think? What do you see from people? What precipitates the the idea that they want to take a break when it comes from an adult?

Jennifer Smith, CDE 9:21
I think it's a couple of things like I said the one diving that I did it's so it's sometimes it's more like a life thing where they just don't the perceived hassle of pumping part like all of the pieces and whatnot that may be in disruptive to what they're going to be doing or may not just work well with what they're doing. That may be a reason. Another reason that I've had is some people for some reason start to get irritation with the adhesive enough to the point that they just need a break. They just can't imagine putting Another piece of something on their body with, you know, like an outbreak rash that just takes forever to heal as well. So that might be another reason. Usually, for something like that, I say, well, you're using this type of a pump or this type of infusions that let's just without putting it on, let's do the pump vacation. And I'll give you you know, the rules to do that. But let's also at the same time, get a couple extra different kinds of infusion sets, and just kind of pop it on your body. Without it being used. Let's see if it's truly this product, the adhesive? How can we kind of get around it, especially if we work through all of the other under adhesives? With the other product? And nothing seems to be helping enough?

Scott Benner 10:46
It's It's so unfair people who already have an autoimmune issue. You know, it's, it's reasonable that they might have more allergies than other people too. And then you have to stick this stuff on. I probably probably should do an episode at some point about barriers to and how people probably agree. Yeah, cuz I, I'm gonna put that on the list added to the list. Yeah. I'll do it now. Because I think we all know, yes, I'll forget if I don't write it down right now. Okay, so

Jennifer Smith, CDE 11:13
So those are some of the reasons Yes, I

Scott Benner 11:16
would say yeah. Because I think that's, I mean, it's funny because my brain jumps to like, like people being annoyed wearing something. And so they want to take a break. But the medical reasons are, I mean, for the adhesive itself is that that's probably that's probably the biggest one because it's not like you can power through that, like I've seen terrible, like, some people's rashes are terrible yet

Jennifer Smith, CDE 11:40
Correct. I mean, I've got one team that I've worked with for a while now who loved using the pump. But the problems that we saw with use of the pump, he is doing so much better on multiple daily injections than ever was consistent with the pump. And so, you know, in a decision like that, then it's okay, this is how we would take a pump vacation. Will we ever get back to the pump? I don't know, the big thing there was to look at, what kind of management could we get with multiple daily injections versus the issues that the pump was bringing in to the management? And for him, it was a cut and dry. I mean, there was definitely adjustment and stuff once you go back to just injection management. But it's it's better for him,

Scott Benner 12:30
was it sites was he gonna get an absorption,

Jennifer Smith, CDE 12:35
totally inconsistent absorption sites could be fine for three days. And then they could be really bad within 12 hours. Sometimes there was irritation from the adhesive. Sometimes. I mean, it was a host of things that were just, and because of it, like there was no consistency in blood sugar, because we never really could tell how well insulin was really working some days, he'd have these beautiful lines and like the next day be completely sitting at like 300 Like it was it was not doing anything different food wise and this. This guy eats like the same thing. So

Scott Benner 13:12
that's a perfect example of it. Okay, so yeah. Alright, so let's just like high level, you're gonna stop using your pump. Let's see if you made me do this. You stopped me when I'm wrong. Okay, if you said to me, Scott, Arden can't use a pump anymore. I would say I would add up her Basal rates, right and find out what her Basal insulin is over 24 hours. Right? I would probably Hmm. Because she has an algorithm that takes her Phaselis away sometimes. Would I lessen it a little bit? Ooh, interesting question. No, I would probably be aggressive, I would probably add up her Basal insulin and then shoot that much. I would fight with a doctor if they didn't want to give me a more modern Basal insulin. I don't think I'd want to use level mirror or Lantis if I didn't have to like it just because that's anecdotal from what I'm seeing from other people. Correct. You know, like,

Jennifer Smith, CDE 14:06
Yeah, I think you bring up just the point that there are better newer Basal insulins that are definitely much more consistent 24 hour action like a true 100% 24 hours you will get out of this Basal injection,

Scott Benner 14:20
right and I have I have anxiety thinking back on. We didn't use Lantus big. Oh my god, we didn't use Lantus because it burned Arden. Oh, it's not uncommon to hear I did not remember that though. Because she tried to gasp and loom JEV and it burned her to I wonder, Oh, that's interesting. They might not have anything to do with each other. They just never thought of that. It's been so many years. So Arden used Levin

Jennifer Smith, CDE 14:43
and they're made by different companies but who knows what the chemicals in them that might have caused that interesting to be similar.

Scott Benner 14:50
So Arden use levemir we split it and I would hopefully not want to do that. Like this splitting. It's like it's just it's I mean it works but it's a pain. And then from there, I guess I would just, I'd look at her meal ratio, and we'd shoot and Pre-Bolus and see what happens.

short episode short ads Dexcom G six continuous glucose monitor, here's why you want it, you can see the speed and direction of your blood sugar, including the number right there on your Apple, iPhone or Android device. And you could even use the Dexcom receiver, if you like, up to 10 people can follow your Dexcom if you like, they don't have to. That's up to you. dexcom.com forward slash juice box, see the speed direction and number. Right now. Arden is eating Chinese food right now, right now. And her blood sugar is 123. And it's just starting to make that little like me, like maybe we didn't Bolus enough, I'm not quite sure yet. But we're gonna know soon. And with Dexcom, I'm going to use the data to stop it from ever being an issue. We missed on this Bolus a little bit, we'll be able to come right back at it using the data that comes from Dexcom. So aside of all those safety features, like alarms that you set, high alarms, low alarms rise and fall alerts, things that you can use during the day. And while you're sleeping for comfort. I mean, those are all great reasons to have Dexcom. You know, I'm talking about management. But safety and security is another great reason dexcom.com forward slash juicebox there may be no more important thing, if you are using insulin than being able to see where your blood sugar is going, and how fast it's going there. Now, in a moment, when we figure out that maybe we didn't Bolus enough for this meal, we're going to use Ardens Omnipod. To set on I think I'm going to set like a Temp Basal increase here. On top of this, this this takeout or maybe we'll just Bolus again, I'm not sure. But with the Omni pod, we have nothing but possibilities. Temp Basal increases, extended boluses bolusing, without injections, to Bliss insulin pumping. And you may wonder why am I bringing that up here? Because I'm basically talking about some takeout food. Well, what about this in about an hour, Arden is going to need to take a shower, and she won't have to disconnect from her pump to do that. Can you imagine if you had to disconnect from your tube pump while you had Chinese food rolling around in your belly digesting, right your body's pulling out those those little molecules of sugar and sticking them into your blood you need that insulin right then you don't want to have times when you have to disconnect from your insulin pump. That could be bathing, swimming, activities, weightlifting, running, all the places where some people take their pumps off, you were an omni pod, you get your insulin just the way you're supposed to Omni pod.com forward slash juice box. Alright, I'm going to go over everything here real quick. At Omni pod.com forward slash juice box you can find out if you're eligible for a free 30 day trial of the Omni pod dash, you may be@dexcom.com forward slash juice box, you can find out if you're eligible for a free 10 day trial of the Dexcom G six. They're standing here what I'm saying you want to hit these links Get started today with the technology that my daughter and so many other people are using to keep their blood sugar's stable, to keep their lives healthy. And to keep their days safe. dexcom.com forward slash juicebox omnipod.com forward slash juice box. These are our results. And yours may vary. For full safety risk and information free trial terms and conditions you can visit omnipod.com forward slash juice box

there's lots more to this episode. So let's get right back to J. Me but you know, mostly J

Jennifer Smith, CDE 19:20
I think the biggest thing there is calculation. Yeah, cuz then it's all right. It's all self calculation at that point. So you know, then it becomes a lot of daily equations and a lot of daily calculation or tracking of insulin on board, right. So with the way that you manage in a very, like tight micromanaging way. If you have just a breakfast lunch and dinner Bolus going in, you see a definite finish of the Bolus by the next time you're going to eat. But if you are really heavy handed in managing and keeping and that I'm not saying that badly, it's just that If you're heavy handed and managing and it's working really well, then your your little lingering trickles of the end of active insulin from one Bolus into maybe a correction or a snack came into the picture or something like that, which can be very common with little kids with their snaps next snack kind of breezing through the day, then your timer is almost consistently being restarted and your analysis of insulin on board becomes deeper, because there's more there to consider.

Scott Benner 20:30
Yeah, I You just made me feel like like I was imagining in my head like bands of like bands or rubber bands. No, no, no, like, like, how am I gonna explain this? Timelines? So yes, so there's insulin that's running on a timeline from the Bolus for breakfast. And if you're MDI, you put it in at 9am. And that one timeline ends usually before you'd put in more, so you'd be only working in this one linear line. But but with the algorithm or even pumping, you might Bolus 30 minutes later Bolus, again, that's a new Bolus on a different timeline, the first 9am, the second one's at 9:45am. And then before you know it, you grab a snack at 1015. And that's a third run there are all these overlapping, yes, timelines of insulin running concurrently. And they're all starting peaking and stopping at different times. It's almost like a symphony. Really, when you're doing all that, and you don't, you don't so much control it as you just sort of, I don't know

Jennifer Smith, CDE 21:38
with it. Yeah, right. I mean, it becomes, you know, the old term of stalking, that really is why on MDI, it becomes more beneficial to just have a pretty rigid schedule, like you get up in the morning in a fasting state, I think that's the, if your Basal is really well dialed in, and you're waking in a really healthy range, and you've done enough testing that you can fast into like the mid morning, and you know that your Basal isn't allowing you to drop at least not too much or rise at least too much, then could you test out and say, well, morning isn't really my weird place, I can vary when I wake up in the morning, it might be the next boluses down the line, though, that you really have to keep in a I know my active insulin time is three and a half hours. So I'm going to eat breakfast at eight o'clock today. So maybe by noon, I'll definitely be out of that active insulin window enough that lunch will be its true own effect coming into the afternoon. But like I said, if you're stacking, kind of, because you're eating and snacking, and eating and snacking and grabbing and whatever happens through a day. It's a it's a tracking that you end up having to do.

Scott Benner 22:54
Yeah, it's it's so interesting. Like, I wish I wish I could put it together visually the way I see it in my head, just, you know, layers on top of layers floating in their own timelines. And though yes, all right, yeah. If this is a plan thing, contact the doctor. Make sure you have a pen or needles and you know the insulin that you need. And

Jennifer Smith, CDE 23:17
yep, and that, you know, like you were saying before with basil, everybody on a pump should have a basil sitting in the refrigerator anyway, in case of pump failure. That's a good rule of thumb. That if you are a pumper, even if you have a backup pump, again, all things beautiful. Not all of your systems as backups will fail. But in the time or the day that that does happen, you may have to go back to a Basal injected insulin. And sure if you at least have one on order, could you quickly swing by your pharmacy and grab it and come home? Absolutely. But you know what, if it happens at two o'clock in the morning, it's easier to have a basil sitting in your fridge that you can just take and not have to worry

Scott Benner 24:04
like Jenny's trying to make me feel bad. I don't. About once a year Kelly's like do we have Basal insulin in case Ardens pump has a problem. Am I gonna know what I don't know? But every time there's been a problem, it has been at two o'clock in the morning. I'll tell you that.

Jennifer Smith, CDE 24:20
So the example here is don't be like Scott

Scott Benner 24:23
episode with the word Adele in it somewhere. We went to an Adele concert. Arden's PDM died at the Adele concert. She was still getting basil. And so I remember just it happened. And it was Kelly's birthday present. And so nobody wanted to bake Kelly upset. So I just reached over Arden had popcorn. I took it from her and I was like stop eating. And and because we couldn't Bolus and then we got home. And then I got you know, I got told about not having Basal insulin. It was a lovely woman that every married man understands what I'm saying. And I got I got to explain to me that I was wrong. And then I remembered there was a kid in town that used Omni pods. And we literally woke them up and stole their their

Jennifer Smith, CDE 25:10
extra PBM for PDM. Yeah, yeah. I mean, the good thing in the story is, of course, that the pod didn't fail. It was just the PDM that wasn't working. So it was good to know that your pumps still giving you basil.

Scott Benner 25:21
Yeah, it was the old PDM it just died. And she stuck. She kept getting basil. I was positive. That was right. But in fairness, to my anxiety, there were people I was able to text right from the Adele concert and go, Hey, I'm right about this on a she's still getting basil. And they were like, yes, it was like, yes.

Jennifer Smith, CDE 25:39
Yeah, yeah. So yeah, I mean, it boils down to a Basal insulin in the fridge, as you were kind of doing some figuring or calculations. It's what is your current pump delivering in terms of what is your base basil? Even if you have an algorithm driven pump? What is the bass profile supposed to be delivering for you in a day? Now if you're going to get a little bit more nitpicky about it on average? Could you go and see, well, what is your algorithm algorithm on average kind of taking away? What does it averaging out? Mean? In the moment, you're probably not going to do that, go to your base Basal profile, look at what it would give you over a 24 hour time period. And then because pump sites are supposed to be a little bit better at consistency in absorption. That's the reason that if you're coming from MDI, going to a pump, we usually take the Basal down by about 10 to 20% of what your injected dose would be. So if you're doing the opposite, you'd actually take your base diesel in the pump, and you may dial it up by 10 to 20% as the injected Basal dose, okay.

Scott Benner 26:42
Yeah, I think rd would probably it's interesting article, I would probably start Arden around 26, maybe units. And because she but she's so heavy the other way, like like Arden's meal ratios, and meals really heavy. So we're lighter on basil, but that's just because it works on the algorithm, I guess I would learn

Jennifer Smith, CDE 27:08
conversation makes me want to, I mean, not really want to but makes me kind of want to like, get some of my basil out of the fridge and just play around for a couple of days.

Scott Benner 27:19
I mean, Arden's meal ratio is one to four and a half. So I mean, she gets I'm gonna pull up a caucus, she

Jennifer Smith, CDE 27:25
gets big. I mean, and depending on how much she's eating in a meal, I would expect that her basil versus Bolus is probably well off of the your basil Bolus should be 5050. That's

Scott Benner 27:38
probably I mean, if she ate 50 carbs, divided by 4.5.

Jennifer Smith, CDE 27:45
It's getting about Yeah, I was gonna say 10 to 11 units. Yeah.

Scott Benner 27:50
You some people, I tell you what, like some of her like high fat meals. Y'all have a stroke. If you saw that Bolus going. There's plenty of people would be like, how much are you using? And I'm like 19 units

Jennifer Smith, CDE 28:03
of insulin well, and that I mean, that brings up another point. It's like then on MDI, how do you mirror what you were doing? Even not on a even not an algorithm driven pump, but just an unconventional pump, at least you have things like extended Bolus and temporary basil that you have to your advantage on injections, the best thing that you can do is use your hindsight. Where would you have added more insulin for a meal like this previously, and even if it was an extended Bolus, if you're waiting for a rise to Bolus extra for fat or wherever you figured that you usually would have needed more, you're still gonna need another injection. Now, the question is, how much more now? And are you just gonna have to break that? What would have normally been entered into the pump? Do you have to break it up yourself in multiple injection,

Scott Benner 28:54
you're making me wonder if I increased Arden's basil and decreased her meal ratio made it weaker. If we would call it things we maybe couldn't even find stability by making changes like that. I wonder if we could you know, it's a crapshoot because the algorithm will save you try to save you if if the basil is too heavy to begin with.

Jennifer Smith, CDE 29:15
Correct. And you're you're saving on injections is just food, right? Or extra insulin? I guess it's either or right.

Scott Benner 29:25
The one the one high side I could see is that, you know, big boluses don't tend to absorb as well, like through sites. So maybe that is interesting.

Jennifer Smith, CDE 29:33
Yeah. And for boluses, then I mean, the simple math is really just it's two calculations. You have to have a blood sugar calculation and you have a food calculation, right? So you take a current blood sugar, take away the target that you're aiming for, let's say 100. And then you divide it but what by whatever is your correction factor, your ISF, your insulin sensitivity factor? Let's say it's 50. Right. That gives you how much corrective insulin if any, you might need At this mealtime, the second calculation is just carbs divided by your insulin to carb ratio. And that's just the part for food. And then you add them together.

Scott Benner 30:08
So if Arden's blood sugar was 150, and I wanted it to be 100. Yeah, I would take 50 divided by her correction factor extra factor, which is like 45. Maybe. And I would come up with like, one point something, whatever that would end up being I click Yes. 1.1 1.1. And that would be my injection.

Jennifer Smith, CDE 30:27
That would be your injection just to correct, then she's going to eat 60 grams of carb divided by what 4.5 You said is her ratio. I mean, that's 13 units. So now she's getting 14.1 units or 14 because you can't really do microscopic Bolus via injection.

Scott Benner 30:44
I'll tell you, you just took me right back to the anxiety of when Arden was diagnosed doing that math. Yeah, that feeling is the exact reason this podcast exists because I was like, Well, I can't do that.

Jennifer Smith, CDE 30:56
Too much math, all the law that is too much.

Scott Benner 30:59
All right. Well, Jenny, thank you very much for doing this.

Jennifer Smith, CDE 31:01
Yes, of course.

Scott Benner 31:11
Did you know that Jenny Smith works at a little place called integrated diabetes.com and that you could hire her to help you with your type one. It's true. Alright, guys, another great episode, I want to thank Omni pod and Dexcom for sponsoring this episode of The Juicebox Podcast, please don't forget, you may be eligible for a free 10 day trial of the Dexcom je six, you'll know that if you go to dexcom.com forward slash juicebox, you may be eligible for a free 30 day trial of the Alibhai dash. That little bit of information can be found out about that's not English. But let's keep going@omnipod.com forward slash juicebox.

There are so many more defining diabetes episodes, you can find them in your podcast player by searching defining diabetes juice box, or you can find them at Juicebox Podcast calm and at diabetes protip.com. At those same links, you can also find the diabetes pro tip episodes, there are actually a ton of series within the podcast that you may find interesting. The easiest way to learn about them is to join the private Facebook group Juicebox Podcast type one diabetes, go right up to the top of the page after you get in. It's a private group. So you'll have to answer a couple of questions to prove you're a person. But after you do that, you go up to the featured tab. And there's these great lists of all the series that exists inside of the Juicebox Podcast. That little group has over 22,000 members in it. Absolutely a wonderful place to watch people talk about diabetes, to ask your questions. Or if you think you have a little bit of information you'd like to share with others, it might be a great place for you to answer one of those questions Juicebox Podcast, type one diabetes, there's also a link to that at Juicebox Podcast comm if you don't feel me, you get confused between now when you get to the Facebook machine, I don't know. I mean, I've given you a lot to do join the Facebook group. Check on that Dexcom stuff, check on that Omni pod stuff. Don't forget to take the survey AT T one D exchange.org. Forward slash juice box. I mean, it's a solid 20 minutes of stuff you got to do today, but I gave you a shorter episode, so there's plenty of time. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.


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