#1213 Bad Reviews
Kelly has type 1 diabetes and a son with 2 antibodies.
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Scott Benner 0:00
Hello friends and welcome to episode 1213 of the Juicebox Podcast.
Kelly is a 30 year old type one she was diagnosed at 18 and she has a son who is three who has sporadically weird blood sugar tests and is positive for two type one diabetes antibodies. 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. When you place your first order for ag one with my link, you'll get five free travel packs and a free year's supply of vitamin D. Drink ag one.com/juice box. If you're looking for community around type one diabetes, check out the Juicebox Podcast private Facebook group Juicebox Podcast type one diabetes, but everybody is welcome type one type two gestational loved ones. It doesn't matter to me. If you're impacted by diabetes, and you're looking for support, comfort or community check out Juicebox Podcast type one diabetes on Facebook. If you or a loved one has type one diabetes, please go to T one D exchange.org/juicebox. and complete the survey when you complete the survey you are helping to move type one diabetes research forward T one D exchange.org/juice box. This episode of The Juicebox Podcast is sponsored by us med U S med.com/juice box or call 888721151 for us med is where my daughter gets her diabetes supplies from and you could to use the link or number to get your free benefit check and get started today with us met. 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. My
Kelly 2:10
name is Kelly. I've been a type one for 18 years. And now I have a son who has sporadic blood sugars and two positive antibodies. But he's not on any insulin or anything yet. So we're just waiting to see what happens. Oh, wait, let
Scott Benner 2:26
me let me get my notes. Here you are, when I
Kelly 2:30
filled out your form, I was going like super fast that I was like I didn't want to miss the time slot, right. And so I just went super fast and didn't put a whole lot of information because I remembered hearing previously that you don't ever, like look at the form. So I was like, oh, whatever, we'll just we'll just figure it out.
Scott Benner 2:47
I I run my eyes over them before I turn the thing on. I don't read them ahead of time. And you are smart. Because you know, I'm not this is not me boasting. Although I'm not above that. I'm just saying this isn't what I'm doing right now. But I think twice a year, say to people, Hey, you can be on the show if you want to. And usually within two hours, I fill up six months of my year. I believe that it's crazy. And then I curse myself for the rest of the year. Because we're so busy. That Listen, it's nice to say I record the podcast pretty much every day of the week, Monday through Friday, a couple of times a year I slip somebody in on the weekends, if that's what they need. I don't mind that it's an hour and a half. I have like an invigorating conversation with somebody. It's no big deal, right? Like I know how to make that work with my life. It's when something comes up. Where I don't know a company comes out with something unexpectedly or someone sends me a message and they're like, here's my story. I'm like, Oh my God, I need to record with you right away. I literally start doubling and tripling up my days then because I don't leave myself any space that I have to do. But as I say that I didn't do it in 2024. And it's still 2023. So I have to plan ahead for 2025 not to have that happen to me. But I'm also not a great planner. So God knows that probably won't happen. I'm sorry. You've had type one for 18 years. Yes. I
Kelly 4:11
was diagnosed in 2005. Five holding, you know, I am all I'm 30 I have a birthday like next week. I
Scott Benner 4:19
am all 30 birthdays coming up. You're Oh wow. So you've had it for since you were like 11 1011 years old?
Kelly 4:27
I was 12. Yeah.
Scott Benner 4:30
And your son is how old?
Kelly 4:33
He is three. He'll be four next month.
Scott Benner 4:36
How did you know he has anybody's just
Kelly 4:39
kind of randomly tested him one day he had peed through his diaper the night before. And that was not typical of him. And I was like, let's just see. And it was right after he ate and he was like 250 or something around there. And I was like, oh, okay, well, that's weird. And so I had reached out to the pediatrician and he had reached out to the, the endocrinologist the pediatric endocrinologist, he did a few tests and then decided to run the antibody tests. I got a call a few days later. And I picked it up. And it was the doctor, it wasn't the nurse or the or the office staff. It was the doctor and I was like, Oh, crap, I know what that means. So he told me that two of his antibodies were positive. And then we entered into trial net. And so they're following him now to and we see the endocrinologist with him every few months, and we're just watching and waiting and seeing what happens. Telly,
Scott Benner 5:34
you know, I think that some people would hear you say, I tested his blood sugar was 250. And I thought, Oh, that's weird. And they think, and they think, oh, Kelly, you have type one diabetes, you thought, oh, he has diabetes. But I think this is a sign of the hopefulness of human beings. I really mean that. They you saw that and just was like, well, this could be potentially weird, but doesn't necessarily mean he has diabetes. And I honestly mean that I think I think that that hopeful nature, even in the face of things like that, I think that's how we persist. So I'm sorry, that happened. I can't imagine how upsetting it must have been. How long ago was that? That you had this experience?
Kelly 6:16
It was over a year ago? He was he was two at the time. I want to say it was like last summer?
Scott Benner 6:26
Do you look at him and think he has type one. Like when you if you were going to be honest with yourself, like when you think about him? In your mind, he has type one diabetes, or he doesn't, but he will or how do you think of it?
Kelly 6:38
Ah, it's kind of in between, like, I think of it like he kind of does like he's he does have a Dexcom. So we got that all situated. We got it all sorted out. We got insurance to approve it. So he wears a Dexcom. So I see that and that's like, seeing what his blood sugar's are doing regularly where he spikes to 300 but then sometimes they'll drop back down to 40. Right. So he's all over the place right now. And so I'm like, yeah, like he's for sure it got some stuff going on. But he's not. He's not being treated with anything yet. So I'm like, I know that he will. And he kind of does, but I mean, I don't I don't know that I have like a clear answer for that.
Scott Benner 7:19
Did you look at tz old?
Kelly 7:21
Um, yeah, but he's only three is too young for that. Right? Yeah. And also I kind of, I kind of hate the, the in between not knowing when it's gonna happen. And, to me, the TZ yield is gonna prolong that at this point. I'm like, can it just happen already so we can get a tackle on like, get start tackling it and then move on. Because it just it feels like this. This weight on the shoulders just waiting for a top and
Scott Benner 7:49
that's what I was gonna ask you about has the last year been difficult for you?
Kelly 7:53
It's gotten better. It was really hard at first because I see him spiking to 300 I know how crappy that feels. And I'm like, I want to do something about that. That does not feel good for him to be there. But you know the doctors I guess it's gonna come down eventually he's fine and I'm like, oh my god, he feels like crap like that's not okay.
Scott Benner 8:13
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Kelly 10:54
More than likely already he especially if he hits that 300 mark is body overcorrect and he drops to in the 40s. So I can't imagine I mean, I don't know my husband and I have been trying to brainstorm and figure out what there's got to be something that we can do. But I mean, at this point, overnight, he's writing in the 90s, you know, on his own, so
Scott Benner 11:21
does he not always spike with food? I
Kelly 11:24
mean, it depends highly what he eats. But he I mean, we aren't like we don't carb restrict or anything. He's He's three. And if I can get him to eat, I'm happy. So I mean, he'll eat like a bowl of ramen noodles, you know what I mean? And that'll spike him. But
Scott Benner 11:37
where my brain was going on that is, if you got ahead of a spike and stop it from ever happening. Would that not stop your body from trying to bring down a blood sugar? Right? So is it not just the timing? If you used insulin? I'm not saying you should. I'm just I'm wondering out loud. If you use insulin, using it after the numbers big. Now you're doubling up with what the body's like, oh, god, look, I can do something about this. But but if you did it before, and the number will never went up. Would the body react? Yeah. Where does the body still see the food and go, Oh, this is going to create a high blood sugar I need to put in something like I don't know how that would work? Actually.
Kelly 12:15
Yeah, I don't know either. And I've considered just trying it. So he did have my son did have a few days where he was writing. Like, the doctor has the note right now that he if he's over want to say 300 for more than three hours or something like that, like you can give him half a unit. And I'm like, okay, so we had picked up we had filled the human log prescription for him. And so I'm every so often I'm like, what if I just try it and see what happens. But I mean, to be very honest, the reason that I haven't is I'm like, if he has a low and we need help, we need to go to the emergency room, whatever. I don't want to get in trouble or get, you know, get my son taken away because I'm using this where I'm not supposed to.
Scott Benner 13:07
There's a lot of concerns there. Actually, even as I started talking through my idea, I thought, how would the body know that the blood sugar wasn't going to go up? The body is not reading a number, right? It's not reacting to a level. I don't even know now I'm wondering, she's gonna make myself a note how the hell does real insulin work? See ya. Yeah, let's find out about this is
Kelly 13:25
what I'm saying. I wish that his I wish that his antibodies would just take the rest of them and so that we could take over because I know how, you know, I know how injected insulin works. I can do that. But it's like this, this terrible in between that we're dealing with now. I'm like, I don't know how to do it.
Scott Benner 13:41
I don't know. It's crazy. It's terrible. Other children?
Kelly 13:44
I have three Yes. I have two girls. They are five and eight. And then my son is three.
Scott Benner 13:51
And how do you think your your husband's known you the whole time you've had diabetes? Right. So what was his reaction? did he expect this? Was he concerned about it?
Kelly 14:02
Like you mean concern that my? Yeah. Not uh, he was never openly concerned about it. Were you? Um, I mean, it's, it has always, you know, been on my mind, but I don't know that it was like a major concern. Like I just I just knew to you know, kind of watch out for things and that's kind of like what I said when he had peed through his diaper one night. I was like, oh, that's odd. Let's see what his blood sugar's
Scott Benner 14:29
doing. You're ending up other type one in your family. Nope, just
Kelly 14:34
me. I used to call myself the lucky one.
Scott Benner 14:37
Did that get boring? It did.
Kelly 14:39
It feels wrong. Now that like my son has that I'm like, I can't imagine ever saying something like that about him.
Scott Benner 14:45
Funny when it was about you, and that's mean we shouldn't say that. Exactly. Any other auto immune on either side, your husband or yours?
Kelly 14:54
I don't think there's really anything at all on my husband's side. Um, my side I think it's really just me honestly,
Scott Benner 15:05
Kelly, you're Irish?
Kelly 15:07
No, actually. I'm like, I'm like 50% Czech, and I don't know what the rest of it is.
Scott Benner 15:13
Okay, check, please. Can we call this one check? Please? Maybe? That's not a bad idea. Let's write that down. How about on your husband side? What's his background? I have no idea. You married that man. You don't know what he is?
Kelly 15:26
I mean, I know enough. But no, I don't.
Scott Benner 15:32
Really, you're such a lovely person. Okay, so there's no autoimmune on either side that you know of. You're the only one with type one. Got it? All right. I'm clear. What made you want to be on the podcast.
Kelly 15:46
I just I, I had to really listen to quite a bit. And I don't feel like I ever hear about, you know, really small kids are really young kids. And I also don't hear a lot about, you know, this kind of in between diagnosis that we've been talking about where it's like, kind of diagnosed but not really diagnosed and and how to handle it. I
Scott Benner 16:10
guess. I think you're handling it the way you're supposed to handle it. You try not to scream, and then you wait for diabetes to come. Are you prepared with glucagon for myself? In the house just in general? I mean, I have some for myself. Yes. Do you know how to use it on him if he needed it? I
Kelly 16:29
would I mean, yeah, well, it would just be the adult dose because I don't have his but yes, I do.
Scott Benner 16:34
And do you think he feels those lows when he goes to 40. Sometimes,
Kelly 16:38
some of them the other day, it was just a couple of weeks ago, he was low dropping, I have it set, I have his Dexcom alarms on my phone or the follow alarms set that I don't get any alarms until it's 55. Because the endocrinologist said, if his body is naturally creating these lows, don't treat them. And I'm like, okay, that really that's, that's really hard. And so I set it, so it doesn't give me any alarms until it's at 55. And I get this 55 And it's straight down and I'm like, oh boy, it dropped down into the 40s. And all of a sudden he crawls up on me next to the couch, just flat as a pancake and bawling his eyes out just scream crying and I'm like, Okay, I think you're feeling this one. I'm gonna treat it.
Scott Benner 17:27
Oh, God, I'm sorry to even ask this. But how does that make you feel?
Kelly 17:30
I mean, mostly frustrated that I'm not supposed to treat them. Yeah, you might you know what I mean? Like, I'm like, Come on, just give him like two marshmallows at 70 and call it good enough. Like,
Scott Benner 17:41
can I ask you why you wouldn't? I don't know. Because I was told not to. Lie, please. You married a guy without knowing his background. Why are you listening to this thing? Why are you making sense over here and not over there?
Kelly 17:54
I'm just a rule follower. I
Scott Benner 17:55
don't know. I'll give you a new rule. Don't let them get to 40 There's a rule now you can take care of it. Perfect. That's exactly what I needed. Welcome. It's all done now. I mean, in my opinion, anything that's causing him that much distress? I'd want to avoid?
Kelly 18:11
Yeah, usually it's not like that. Most of the time. I don't see the lows. Really at all. It's it's rare that I do see any sometimes I'll just get real cranky with a low and it's not. I mean, I don't who knows if it is or not, he's three. He's kind of a jerk. But
Scott Benner 18:31
he never turns into like a drunk baby kind of video that you'd be like delighted by on Tik Tok or something like that. He's never like dancing with a hat on or something. It's
Kelly 18:40
I don't watch the video. I
Scott Benner 18:42
don't know what you're talking about. Um, and babies that crazy? I don't mean they're really drunk people. First of all, let me be clear, do not let your babies drink if that's what you thought you heard just now, but like when babies like her, you know, like all like goofy and somebody takes a video of him and it's funny like it's never like that. It's either he's crying and screaming or he's low and you don't really notice it.
Kelly 19:01
Yeah, yeah, he definitely doesn't get the goofy lows. Okay.
Scott Benner 19:04
So this is interesting, right? Because you have a firsthand knowledge of what a low feels like for you what a high blood sugar feels like for you. And so most parents when their children go through something medical they don't know what's actually happening so it's easier I would think just to like tell the doctor said this like it's fine but when you really know what a low feels like, that's why you have that Pang inside of you. That's like, I should not be letting this happen. Yeah, I think so. Yeah. Well, that makes sense completely. This has nothing to do with your kid. But I thought you find this interesting. This person has not been on the show yet but I'm in contact with them. I'm just gonna stay vague. A girl around 1314 years old, has had type one diabetes for three years. And about I don't know now nine months ago started taking a week go V for weight loss, and is now from something Like 16 units of basil plus meal insulin down to two units of basil a day and nothing else. No way that crazy. So I don't know what to make of that. Exactly. But her mom sends me graphs. Weekly. I look at them, she shows me where the food is. It's It's insane. I can't that's wild. I can't make sense of it.
Kelly 20:22
I wish I could get my insurance to approve that for you. Yeah, for me.
Scott Benner 20:27
Interesting question. Would you want to GLP for weight for insulin, but would you be what were your well? Okay, well, then you can?
Kelly 20:34
I can't.
Scott Benner 20:35
Why have you got crappy insurance?
Kelly 20:38
I have great insurance, but it's TRICARE. So they're really strict about trying to get through drugs that are not on their formulary.
Scott Benner 20:48
Oh, it's not it's not on there. Well, that could change. Listen, I'm no soothsayer, I am also may not even be a person who can pronounce soothsayer exactly right. But I think that these formularies you're gonna have a hard time keeping GRPs off in the near future. I
Kelly 21:05
did just recently start trulicity like, three weeks ago.
Scott Benner 21:09
Okay. That's a pill, right? No, it's
Kelly 21:12
a
Scott Benner 21:13
that's an injection to? Yeah, I mean, is it working for you? Did you notice anything, I
Kelly 21:19
get full faster. But as far as, like insulin adjustments for the first like two days of the very first dose, I was taking, like maybe 50%. Like, typically, my total daily insulin is like 100 units 220. For those first two days, it was at like 56 to 62, like half like it had. But after those two days, it's really gone back to normal. And back on my normal Basal settings, and my normal normal Bolus settings. Everything is, I don't know, I'll
Scott Benner 21:56
share this with you. Although I don't have enough information about it to be thoughtful yet. But I do have the experience of the last two and a half weeks art and began using a GLP. One, she's done three injections so far. And her last injection was like four days ago. So she's two and a half weeks into it. Maybe her Basal has gone from 1.1 during the day 2.8. And her insulin sensitivity has gone from 42. That's one unit moves her 42 to one unit moves her 68. Like that's a huge, a huge reduction in insulin sensitivity. Yeah, it really was a big number. And on top of that, and again, it's anecdotal at this point, but she just had her first period with it. And her acne breakout was, I'd say 90% less than it usually is. Really? Yeah. And she's lost like eight pounds. Oh, interesting. Wow. So that's two weeks on the lowest dose? And those are the those are the impacts we've seen so far. So did she lose the weight? Because she's not using as much insulin? Maybe? Is she losing the weight? Because she's not eating as much? Probably? Is it hard? Because the adjustment period is difficult. It is like it's not easy. You know, there was, I think, a day and a half when she had her period on top of the the injection where she was just like, I don't think she ate for like a day and a half. And now she's getting back into it again. So she's adjusting to the medication, which takes time. I don't know, it's not for everybody. There's people, you know, their stories all over the place. I don't know. You never know all the information behind the stories like some people tell you like, Oh, I got like, an intestinal blockage. And I'm like, Oh, that's terrible. Like, did you already have an intestinal blockage? Like, you know, like, I don't know, like, what the medication does doesn't do to people like what the side effects are? I've been on we go V which is ozempic for like, since March, March, April, May, June, July, August, September, October 10 months, I've lost 40 pounds. It's fundamentally changed my life. And other things have happened for me to I don't know how to put into words. I have not made an emergency visit to a restroom in like, a year. So I have not been in the situation where like, oh my gosh, I have to go to the bathroom. And if I don't get there, there's going to be a problem. That was the thing that would occur in my life before it does not happen anymore. I used to have really bad acid reflux. It's gone. Like little things like that, that I can't really explain. Anyway, the point about Orton is, is that she's not even on what they would consider a therapeutic dose yet. She's using point two, five and she's having all these like experiences already. So that's amazing. I can't see how it doesn't end up being something but type ones are prescribed in the future.
Kelly 24:49
I really hope that's the case. i I can only imagine how beneficial it's got to be mean. I had great success for the first two days that I took it And I, it's very possible that they'll have to increase the dose and then I'll start seeing that across the board. If it can lessen the load of the, you know, the amount of insulin that a person has to take, that would be incredible.
Scott Benner 25:13
Yeah, or spikes or your time and range or, you know, a number of other things. Yeah, my
Kelly 25:16
spikes have definitely been a lot more gradual. Yeah,
Scott Benner 25:21
right. That's a big deal. And, you know, geez, now, what's gonna end up happening is that people are gonna say, doctors are gonna, like, freak out, they're gonna be like, Oh, your insulin needs are going away, right. And we can't do that, because I don't know how to adjust your insulin. Like, it's been a thing that I've had to pay attention to, like, We purposely did it while she was home from school. Because I don't know that, like, while she was away, I don't know if she could have handled it, to be honest. Like, because it was it was a really quick like, hey, we need to move this basil, we need to move this, like, you know, she was getting a low for like, two nights in a row. And I'm like, Okay, that's it. I'm calling this thing. I'm changing your settings. And now we're back to good again. But still, like, she had a little bit of a rise the other day, like a 120, or something that stuck for a while. And I watched the algorithm push at it. And she got low, like three hours later, and the algorithm wasn't able to stop it. So that means I don't know exactly yet. Like that is one of those things where like, I don't really know what dial to turn to stop that from happening. So I'm still figuring the whole thing out. But anyway, I wish people luck. It's, I'm not saying it's for everybody. And, you know, I'm sure you can google and find out that, you know, there's like a fifth of what's the one article that somebody tried to point to the other day, when people were arguing about this online, there's been a 15 100% increase in calls to poison control because of ozempic. And I was like, let me look at this. It took me eight seconds of googling to find the story. There has been a 15 100% increase, but it's because people are odd on it, not because it hurts them because they use it like the person tried to make it sound like oh, if you put this in you're in trouble. You have to call poison control. But that's not what's happening. People are either Miss dialing the the insulin giving themselves way too much and slowing their motility down their gut motility down so much. They think they've been poisoned. So do you see what I'm saying? So like, ah, yeah. So what we really do is we have a problem with people who don't know how to use pens and or doctors who don't know how to direct their patients, or maybe people who are just like, if point two five made me lose a pound. I wonder how much three would do. Right, right. Like, I don't know, you'll have that. You know what happens? But it's anecdotal information that people point to and then go Oh, see, there's a problem. Like, I don't know if you know all the facts. I don't either, but I'm not sure you do. Anyway. So you got him a CGM, that your insurance company was like, no problem. Your kid who doesn't have diabetes can have a CGM.
Kelly 27:46
We had to fight for it. The endo had requested it once. With TRICARE, it's easier to fill Dexcom through DME, they submitted it for prescription and they were like, yeah, absolutely not. So they had declined it. And then I think I had asked on your Facebook page, and Samantha was able to help me write a letter and formulate a letter and send it in and say like, Hey, listen, this is something that is really, really needed, we want to watch, make sure that he we catch any, you know, problems before this becomes DKA and hospitalization, and that's gonna cost you all this money, right? And so we were able to submit that and are you with insurance and they were able to, we were able to get it approved. Finally, is Sam not magical? He's amazing.
Scott Benner 28:45
He knows how to write those letters, right? It's not her profession, but it easily could be. It should be honestly, like, she's so good. Yeah, the problem is Kelly is like, Where would who pays you if that's your job? That's true. That's the problem. Because the insurance company, of course, they don't want those letters to work. They wouldn't care. I won some years ago. I don't ever remember what happened to it. But I was like, why don't you work for a company? Like those companies need people to get on their products? And insurance companies stand in the way and these letters get get them through? Like, wouldn't it make sense for the company to have somebody on staff that helped people write these letters? And I don't know, whatever happened to that? I mean, I don't know if it was a good idea or not, but it's just the thing I said out loud when I first met her. Sounds good to me. Sounds like a good idea. Yeah. But she's brilliant at that. And she just really understands or is very good at picking through the documentation. Yes, at the insurance company side. I
Kelly 29:41
know when I told her that we had TRICARE she was like, oh, no, we might not be able to make that happen. But she's really good. She's amazing.
Scott Benner 29:50
I didn't know that's what you did. But that's that's really cool. And another example of why that Facebook group is fantastic. And what really lovely person in there who spent by the way, how much time with you do you think until Oh,
Kelly 30:00
you know, it's been a year and a half. I'm not sure. The phone were
Scott Benner 30:04
you going back and forth and writing? Yeah, we were just messaging. And then did she actually write the letter for you? Did she tell you how to write it?
Kelly 30:11
She sent me what I am assuming is more like a template. And then we kind of work together to fill in the details.
Scott Benner 30:18
That's a stranger doing that with you who you didn't pay. That's amazing. Yeah, that's really cool. Anyway, you guys should check out the private Facebook group. There's people like that in there and a lot more. There's also crazy people. But very few, so don't worry. Right, Kelly, the ratio of lovely to crazy in my Facebook group is very slanted towards lovely. Oh, for sure. Most, most are great. Most are great. That's perfect. But a t shirt most third grade? A few make you question your sadly. Fantastic. So you just want diabetes to come? Because of this weird way of putting it. But yeah, you're like, Please get here. I think this is a very common feeling for people who are in a honeymoon situation, which is technically what you are. I mean, your does your son technically have lotto right now?
Kelly 31:06
That's what I feel like I would call it but I mean, he's three. So yeah,
Scott Benner 31:11
well, we should call it something latent autoimmune. diabetes in little babies. It's, well, I can tell you this, I raised the kid from two years old Till so far, almost 20 who had diabetes, she weighed 17 pounds the day she was diagnosed, there was no Dexcom there was no, I love a pen dorso pumping. Like, I didn't have any of that stuff. And it's okay. I look tired. So, don't expect your like 50 year old photos to look fantastic. Maybe. But, um, but it's doable, you know? And do you work full time?
Kelly 31:51
You don't I stay home. I homeschool my my two older kids at the moment. So you know
Scott Benner 31:57
what? Good? Because, you know, I'm sure this fluctuates constantly.
Kelly 32:06
For sure. It's actually helped me a lot to listen through the podcasts and kind of your story and your recall of you know how it was to raise a type one toddler. And it's very different than when I was diagnosed at 12. Oh, for sure. You know, I mean, it's a whole it's the same disease. And yet somehow there's almost no similarities between me at 12 and him with the exact same thing. At three.
Scott Benner 32:31
Is it frustrating that your experiences aren't valuable right now? Kind of Yeah, you think I have all this like knowledge? And it's like, it's almost right for this, but not quite. Yeah, exactly. There's a great episode that went up yesterday, I think it's just called Anonymous guest. And that person talks about how their father's diabetes kind of poorly impacted their diabetes, because the father had it such a long time ago that like, you know, he would say things to her, like, as long as your blood sugar isn't over 250 You know, and now, you know, she has issues like moving forward, but he thought he was giving state of the art cutting edge information, right, all those years ago. I wonder too, he is not alive. But I did wonder like, if you could say that to him, like you were you thought you were giving great advice, and you weren't. Right. Not that you're not you're stuff that you know, right now, because you're moving with it. Right? Like, yeah,
Kelly 33:25
for sure. Things have changed a lot. I mean, I think what Arden was diagnosed 2006 2006 i It was around the same time I was diagnosed in 2005. Okay, so it's been it's it's been just absolutely wild to see the progression. You know, of course, we're all told, you know, when you're diagnosed like, oh, the cure is coming. Right. And so you get that hope for a little while. But it, you know, that fizzles out eventually. And it's been really, really amazing to watch the technology and just kind of the way that diabetes is cared for the way that that is all changed 18 years, like just in my lifetime alone. Yeah,
Scott Benner 34:10
it's been very quick. I mean, I'm sure if we could look back over other 18 year chunks, and put them in context. They'd all feel like they were moving quickly. But this one with the addition of these technologies, and now like some of these drugs, like it's really leaping and leaping forward very, very quickly. Yeah, it's huge. Before Dexcom figured out that if they had people working in Washington to help understand the process of getting stuff through the system, things did not move quickly. And as a matter of fact, it would take sometimes three years for a meter company just to put out a new meter. And you when it came out, you realize that wasn't really any more accurate. Yeah,
Kelly 34:51
it was no different than the last except for maybe the shape and the color. Yeah, they changed
Scott Benner 34:55
the shape and the color had a light now and they were like look, it's brand new and we were all like, Oh my God, look at this, it's happening. They basically put handles on doors and we were like your recap as you come up with this, you know, like, this is the best thing that's ever happened. But Dexcom stepped up, and they were like, okay, you know, we're making advancements, we need to get this stuff through FDA. And then they, you know, I don't want to make it sound sinister. Like it's not like every pharma drug company has people who understand the the FDA process, and therefore the submission process and, and the, you know, resubmissions that happen, sometimes all that stuff, you have to have somebody on site that understands that those things go smoothly. I think Dexcom was the first diabetes device company to take that seriously. I don't know, I'm guessing, but they probably went to the pharma world and picked out a couple of people who understood device regulation, and brought them over. And now the whole thing just moves so much quicker, just that one of those, like decisions that none of us will really ever know about. That made everything kind of leap. And now, it's to the point where people are online. Dexcom puts out a G six. And I say, hey, Dexcom is coming on to talk about G six. What are your questions? Inevitably someone says, What's this? When will the g7 be out? Like as they're still launching the six, you know? And then the seven comes out, I say to anybody have questions for Dexcom, about g7 wins the g8 coming up, like now people have that like cell phone expectation about it, which is pretty crazy, you know, especially given that Arden had a little meter. Oh, I didn't mean to curse, although I did that nice conversation. She had this little like meter that I had kept for so long. I just threw it away the other day. Like, and it was just this tiny little, probably not accurate thing that look, junkie, and I just tossed in the garbage. I was like, oh my god, I left that in the bottom drawer for 15 years. So sentimental. I don't know what a weird thing to be sentimental about. Right. But anyway, so things have changed. You've moved with them? What's your agency right now? And what how do you manage
Kelly 37:07
6.0? Well, it was my last day once a just a few weeks ago, I use the Dexcom J six, and I have the tandem, I don't know, x two, or whatever they
Scott Benner 37:20
call it. That's control like you. Yeah, with tandem,
Kelly 37:23
I was using central IQ for a few years, I've actually turned it off recently, because,
Scott Benner 37:31
well,
Kelly 37:32
I was having trouble where I'm I know that one of my settings has to be off. But it would suspend, you know, it would say you're going to be able to 70 so it would suspend. And then it would suspend for so long that eventually I would shoot up to like, you know, 160, which is not that high. But then you know, the the algorithm was not aggressive enough to bring it back down. And that was usually happening overnight. And so I would wake up at 160. And I might want to start my day in a really crappy place. And I feel like, you know, I want to wake up at like, 90, that'd be great. And so I just I fiddled with it for weeks. And finally I just turned it off. Because without it suspending I can ride 70 overnight, and it's fine. And I gather I know that it wants to leave you you know, 112 and a half or whatever it is. But it's missing the mark. Okay, and it's not getting me I would be fine waking up at 112. But it's missing that and I'm waking up at 160. And I know that something is wrong, and I can't find what it is.
Scott Benner 38:41
So can I ask you prior to your son's issues? Would you have done more than fiddle with it and then shut it off?
Kelly 38:50
I wouldn't have fiddled with it at all.
Scott Benner 38:53
Oh,
Kelly 38:54
wait a minute, I would have been like Oh 160 Cool, whatever. Oh,
Scott Benner 38:59
are you trying to figure out diabetes better for him?
Kelly 39:03
Probably that's when I started listening to the podcast is after he was well I don't know he technically doesn't have a diagnosis. But after we kind of learned all this about him is when I started listening and I mean it has given me a lot of knowledge that you know, at 12 They give you I wasn't hospitalized when I was diagnosed. So I was at my like the family doctor. It was i They checked my sugar it was like 470 something and essentially the the doctor came in was like hey, you're type one diabetic sent me home. And again you'll go to Children's Hospital in the morning. They sent me for the entire day and then sent me home like they just sent me to do you know the the learning the teaching, like you know they teach you everything and they send you home and tell you to deal
Scott Benner 39:55
with it. What a great hospital they were able to teach you everything about type one diabetes and just today Did I
Kelly 40:00
mean we were fine? We were fine. I never died. That was everything that you really know. And you know, I feel like once you're taught things or or you go to a new doctor, right, and they just assume that the doctor before taught you, and so you don't ever learn more things like you kind of learn everything right at that moment. And yeah, the podcast itself has helped just really teach me some of that in between stuff like, like you said, they they taught me everything they know in one day, and then you never really get more information and more knowledge more, like, just stop there. Fine tuning
Scott Benner 40:40
and listen to you, and art. And we're, like you said, diagnosed around the same time. So it's counting carbs. It's insulin to carb ratio. It's will set your Basal and then you'll go back to the doctor if it has to be changed. And this is how you put an injection in a banana. and launch it get out of here. You're silly kids. Like, yeah, right. That's, that was that's what we got. The first time one of the questions pops up into your head. You know, when you the first time you think about a little broader you go, I don't have enough knowledge to make this next decision. Yeah. And then kind of I called the night Arden came home from the hospital. I called the endocrinologist at four o'clock in the morning and woke her up. No. And she's like, You can call me if you need I bet you should meet at four in the morning. But anyway, I woke her up. And I was like, this is Arden's blood sugar, and I want to give her this much insulin. Is that okay? And she was like, Yeah, I guess it sounds right. Oh, my God, this is the level of help. And that's a woman who was willing to give her personal phone number to me. That was still the level of help that she presented. Yesterday me mean, like, it wasn't any grand breakdown of the situation, or like an understanding of bigger ideas. And I don't think that's her fault either. I think the advent of CGM has really opened people's eyes in general to what blood sugars are doing. I know that we like to think that years ago, doctors just weren't telling you everything because they didn't think you could handle it or you didn't have the tools. I don't think they knew either. Yeah, yeah. I think the first time somebody said Oh, it went up to 300 and came back down. You didn't get low. That's fine. I think they meant that. Yeah. You know, and I was one of the you know, I was the person that would said, How do we stop it from getting highlight that, like, couldn't we do that? And they were like, No, bitch, I could. And then honestly, if you've really listened to the podcast, it's not until Arden's nurse practitioner tells us about Dexcom for the first time by telling us a story about another person. They put the CGM on the kid, he was like a 16, or 17 year old kid, I think. And the kid was like, Oh, I'm going to be able to eat my favorite candy again now, because I'll figure I'll figure out how to do this with this data. So it was that kid's mind. Having that thought, telling the nurse practitioner about it. She used it as a story to try to sell Dexcom to people because she thought she was saying you could eat candy. Like she wasn't being like high minded about it. You know what I mean? And then I heard that and thought, Oh, I understand what that kid is saying. What if we just put that on everything? And not just a snack. And then we start talking about it. Nine years later, you, Kelly, have the news about your child, find the podcast, and you're going to be really ready for him. And it sounds like you're doing better for yourself. So I I kind of wrongly assumed that you've been listening for a while. And you're just now here in your here telling me about your son, but you started listening because of him. So go back five years ago, what was your one C then
Kelly 43:47
five years ago? Let's see I have a five year old. So you gotta go back further. Before I had my first kid. I know you talked about it all the time. Right? Like, Oh, you did it because for another person. When I got pregnant with my first my agency was like, 10.1 I think? How old were
Scott Benner 44:07
you then? 2121. Did the math earlier when you said you're an eight year old? So. So you're 21 your agency's in the 10s and you didn't get pregnant on purpose?
Kelly 44:19
No.
Scott Benner 44:23
Sorry, I don't does anybody get pregnant on purpose? Are there just levels of like, I'm not going to try to stop this from happening. Okay, so that happens and you've you go to the doctor who probably flips out I'm imagining.
Kelly 44:40
Yeah, so I went to the OB I was only like six or seven weeks pregnant like very, very early on. My husband. Well, he was not my husband at the time. Yeah, he was out of town. I take my mom with me or
Scott Benner 44:56
she must have been thrilled.
Kelly 44:59
Is If we don't get along, let's put it that way. We're talking to the doctor and she for whatever reason, tells them like, oh, yeah, she hit over, you know, on the I didn't have a Dexcom at the time. So she tells me or she is talking, I had checked my blood sugar on a meter. And it had said, Hi. So it was over 600 which happened in later pregnancies as well just not at 600. But just ridiculous spikes really early on for me. And so she says that in the middle of the appointment in front of the doctor, and they admitted me to the hospital right away. Like all we got to figure this out, this is not okay. And I'm like, well, you're you're right. It's not okay. But like, I'm not 600 right now. Like, it was at like, 95. Right. I was like, I don't need to be admitted last. That's an
Scott Benner 45:49
average. But thank you. Great average, but it's not Yeah, that was my blood sugar's right now, way to tell me you don't know anything about what you're talking about? Yeah.
Kelly 46:00
I did not stick with that doctor's office.
Scott Benner 46:03
But but so you're so you're smacked immediately with that? Oh, wow, I have to bring my agency down by four points to have a healthy pregnancy. Hmm. How quickly did you do that? And how did you do that?
Kelly 46:16
It was really fast. When I say that, like that weekend that they had it. It made me that a hospital it was down to nine point something already. And by the end of the pregnancy, I was at 5.7.
Scott Benner 46:31
What did you do to lower it.
Kelly 46:32
So the maternal fetal doctor that I ended up going to his wife was type one. And so he actually you would go, I would go in about once a week. And he basically became my endocrinologist. He went through my pump settings, and he would adjust every little thing for me. And he kind of did it all for me at that time.
Scott Benner 46:57
So you met somebody who had some expanded knowledge who looked at you, and were like, you're not getting this done on your own? Basically. Yeah. And so was your higher agency mostly because of settings? No, no. Was it food settings not Bolus thing is it that is like the trifecta.
Kelly 47:15
I would say, and I don't know if this has to do with like age at diagnosis, or just my own mindset from probably age 1421 When I was pregnant, like, I didn't really test my blood sugar, like, maybe once or twice a day would just like, if I felt low, I might check. Sometimes I would just treat. And I mean, I would still take, you know, a Bolus or whatever, just to cover the food, but I wasn't really do ever doing corrections.
Scott Benner 47:53
Were you in the situation where you were diagnosed old enough that your parents are like Kelly's a good girl, she can take care of it. And they left you to your own devices? Yeah. Okay. Something like that. And when you said earlier, you don't get along with your mom really? Well, is that because you don't feel like she looked out for you as a child?
Kelly 48:10
Probably. But I mean, I'm sure there's more.
Scott Benner 48:14
Also crack. No, I'm just kidding. I'm sure your mom did do crack. And I didn't mean to say she did. I was just so that I mean, it's very common story. Like it's it's a mistake a lot of parents make. Yeah. But like that kids old enough for this, because they don't really even understand it. And they can come to the conclusion of like, well, we taught them to give the injections. They know how to do that. So that will just tell them to do it. And they'll do it. Exactly. Yeah. But that's listen, if you're thinking about right now, as a parent, I'll come out and say this, you're lying to yourself, or you're an idiot. That's one of the two.
Kelly 48:51
And it was it was really challenging. I mean, a lot of it is on them. Like they should have taken the reins and dealt with it. But I was also 12 I didn't want them to help me with anything. I wanted to handle it on my own. Like I was like, Oh, well, I know just as much as you do. We sat through the same classes together. Like I got this meaning
Scott Benner 49:11
list to me, Kelly, okay. I know, I've been a parent a long ass time. The amount of things I have to say to my kids that I know they don't want to hear from me is uncomfortable. I know why people don't want to do it. But that doesn't mean you get to skip it. I hate to say something to Arden yesterday, as I was saying it I was like she's gonna be pissed when I say that I was like, but it's my job to say it. Right? So what am I gonna do? Now? If she disregards me, she gets older and older and older, and, you know, sets herself on fire and explodes on I tried, but I can't go oh, she's not gonna like it if I say this to me, or she wants to do it on our own. So like, you have to find a way to communicate
Kelly 49:52
definitely like not pointing.
Scott Benner 49:57
And I'm not saying Listen communication, probably the root of most problem seems like people are poor communicators overall. Like I get that it's not specific to your mom or you know anybody else and I struggle with it. And I, I mean, you can make an argument that I communicate for a living now and still in my private life. I'm like, I'm gonna do this wrong. I know I'm gonna do this. You know, like, it still happens. But Jesus, you were a 10 when you were 21? Yeah, yeah. Yeah, you look back. Now, what does that? How does that make you feel?
Kelly 50:27
It just makes me like upset that I wasn't paying attention to it at all. I feel like at that age, you really feel invincible, like nothing's ever gonna happen, like you hear about. You hear about the complications that can happen. And you're like, Whatever, I'm fine. And I mean, I still am for now. But for now.
Scott Benner 50:51
You got to it in time, you know, it means you're pretty young. And hopefully, maybe you're talking about seven years in there, right? With like a double digit day one, say,
Kelly 51:01
when I still lived at home, I think a one sees were seven, maybe eight and a half.
Scott Benner 51:08
And that's a function of your mom being like, Did you test and stuff like that? Probably
Kelly 51:13
not. I mean, maybe I truly don't have a lot of memory of that time. You're
Scott Benner 51:19
probably not cut every mother so deep just now. Because you didn't say, oh, that lady. No, she didn't help me. Kelly, that was something. I took a lot out of those two words. I think I'm right, by the way. Okay, so just maybe because you were in that setting, it was more controlled. Maybe it was just you were following some of your own rules that you knew you had.
Kelly 51:46
Yeah, I mean, even when I am sure. I know that they used to ask me, you know, did you test what's your number? I to this day, I'm very uncomfortable, like I will show you but for whatever for some reason, telling you like saying the words I am you know, 170 Physically pained me at the time. So they would ask and I would probably either lie or just like, throw the meter on the table near them and be like, here, look at yourself. Oh, he's up my ass. Tell me I'm wrong. To bring Steve. I mean, in my head I was but outwardly
Scott Benner 52:33
to go put a second coating of black nail polish on now. Leave me alone. I'm afraid you'll see the whites of my nails if I don't. I hear you listen, it ain't easy. Like right. Like it's not easy to raise a kid who doesn't have anything medical going on? So let's say then this guy knocking you off pretty much saved your life.
Kelly 52:53
I mean, I don't know if you want to give him that much credit. But no, he's he's great. I love him.
Scott Benner 53:01
He's amazing. Yeah. Listen, how can you me you've set your parents at a pretty low bar. So you're I don't know. Honestly, Scott. I don't know if he's great. Or if it's just that he's here and he looks at me. Oh, you're making me reevaluate this. He might be terrible. It's might just be a perspective thing. No, I
Kelly 53:21
will say I have a great relationship with my dad. I love him. He's amazing. And my husband reminds me a lot of my father.
Scott Benner 53:27
Okay, lovely. I'm worried that I just made a bunch of women right now go Oh, my God, I have accepted so much less than I deserve because of how my parents were. Don't all go getting divorced. I'm sure you can fix them.
Kelly 53:38
It's not uncommon for people to
Scott Benner 53:41
Oh, you don't think that's uncommon? Every time you hear somebody say that if one generation of parents just took their jobs super seriously, and they were selfless. It would change the entire world. It's completely true and will never happen. So just too many people. But Bilasa bomber sorry, everybody. So your agency comes down to because you you want to be there for your your first daughter works and then you keep it down or she comes out and you're like, ooh, here I come. 10 What do you do afterwards? No,
Kelly 54:16
it's really stayed down. All of my kids have birthdays in January. So only
Scott Benner 54:21
horny once a year, apparently.
Kelly 54:27
I really enjoy April.
Scott Benner 54:31
I love Easter, Scott. I don't know what to tell you. Alright, sorry. That was inappropriate. I apologize for saying that. Anyway, what were you gonna say? Oh, my kids reporting January what?
Kelly 54:48
I was gonna say it's been nine years since I probably had that 5.7 When I was pregnant with her and I would say the highest that I have seen since then was probably I'm guessing I saw like a 7.8 right after she was born. Okay. And other than that, it's been mostly fives.
Scott Benner 55:14
Wow, good for you. That's really wonderful. I happen to know because you're in the group, but did your thyroid pop after the baby's or did you have a thyroid issue before? No,
Kelly 55:23
I actually got diagnosed with hypo thyroid. The same time I was diagnosed with type one. Oh, well, the same lab work
Scott Benner 55:32
you mind if I quote one of your tweets or one of your posts? Sure. Go ahead. My most recent TSH was 10 ish. Geez. I added site a mil so somebody's not managing your thyroid. Well, either. Yeah. What backwards state are you in? By the way?
Kelly 55:49
Um, we live in Florida right now. I'm
Scott Benner 55:52
sorry. I didn't mean that. I'm huge in Florida. I'm not insulting any of you. I love you guys. So how are you? How long is your TSH been that high?
Unknown Speaker 56:00
This is the only
Kelly 56:02
Well the last time I got bloodwork done was a year ago and it was two or so little under two.
Scott Benner 56:09
Kelly, are you not going for bloodwork every year for your thyroid?
Kelly 56:13
CoreSite? Yeah, what a question.
Scott Benner 56:15
How are you? Um,
Kelly 56:17
I shouldn't be doing it every six months. I usually go once a year.
Scott Benner 56:21
Okay. So you just had a big spike in TSH? It's not that it wasn't well managed before.
Kelly 56:25
Yeah, I've never felt particularly great. They did add the T three, the site ml. And so far, I think it's helping but I also. I mean, who knows? I might just think it's helping. So I don't know, the last time.
Scott Benner 56:43
I love the way you talk. You're like, oh, no, I've never really felt great. You know, when people talk about happy, I don't exactly know what they're talking about.
Kelly 56:57
The last time before now that my T three was checked, and I don't know how accurate like T three bloodwork is. But the last time that I had the T three checked was in 2017. Okay, so they've been checking T four TSH, and I don't know what else, whatever else. But the last time the T three was checked was 2017.
Scott Benner 57:22
They gave you site ml this time. Yeah, that helped anything? I think so more energy.
Kelly 57:29
I do have more energy.
Scott Benner 57:31
You feel more well rested? Yeah, yeah. Yeah. Okay. I love it. I have to say I love it. GLP for you, can we get that? How does that happen? Let's get you out of that insurance.
Kelly 57:44
You know what my husband's getting out of the military in September. I'm so excited.
Scott Benner 57:49
Oh, you see, maybe there's a chance here. There might
Kelly 57:52
be in like, you know, nine Marma.
Scott Benner 57:54
You have a job lined up? No, not yet. I mean, so far, the job of getting you pregnant on a consistent basis. Seems like he's good at that. Because, yeah,
Kelly 58:02
maybe he'll find a job in May.
Scott Benner 58:05
Yeah, when he's all happy. And later. By the way, for everyone wondering, I know, you've heard me say over the years, like, you know, I don't I only let out like a small portion of my sense of humor, because I think if I let it all out, it would just like you guys would all run away. Because I could be clear with you as far as stupid, childish humor goes, not not me as a whole person. But anyway, that that happened to me too quick, like I was already giggling. So my inhibitions were gone. And then you said April, and my, my brain goes Easter. And then it says, say something stupid. That's all that all comes out. Just so you know how it works? In my little head. I'm not apologizing for it. I actually think it was hilarious. But
Kelly 58:49
no, that's all how to present my sense of humor. Like,
Scott Benner 58:52
yeah, I imagine you would have hung up if it was like, and that's where the interview ended. And by the way, if that happened, I would have played it just like that. It just wouldn't come to a dead stop. I would have like in a very serious voice like months from now been like, Kelly left the call and never returned. I don't know what happened.
Kelly 59:12
For some reason we're posting a short episode this Yeah. I
Scott Benner 59:16
don't know what she just I mean, she's no sense of humor on that girl. Anyway, yeah. Okay. I don't know what to do. Now. I'm lost at this point. In case you're wondering. I've lost my way. And I have to record with Erica in an hour. So I'm like, trying to like I stacked my recordings up today before I have to leave. So here's what's happening. I'm leaving. Today. I should say this in the podcast. I am leaving today to go retrieve my son from Atlanta who has now been there for just two weeks shy of a full year. His contract is up on his job. He could have resigned it but he did not want to resign a year long lease. He thinks that he has learned everything he can learn from this position. And that now he is basically just poor forming a task, which there'd be nothing wrong with if that was the job he really wanted. But he was down there to get experience. And he's coming home now to start looking for another job and gain a different experience. He's also considering a master's degree. But anyway, I get to go get my kid. And so when I get done with you, I eat an egg. I record with Erica, I probably get rid of the egg, then I get my car. to Now my afternoon is gonna go I assume I'm gonna go to the bathroom around 1pm. And then I'm gonna head off to Atlanta, and help my son move home. So pretty excited. Anyway, that's my day. Kelly case you. Also, do you think we should apologize to rob for all the cutting he's had to do for the cursing and that other reference and stuff like that? We're sorry, Rob. You
Kelly 1:00:44
know, when I was like mentally preparing for this, I assumed there would be a lot of editing, did you?
Scott Benner 1:00:48
Because you know yourself or because you thought you and I together this would happen at some point.
Kelly 1:00:53
Oh, both. I actually figured I would let some fly too. But I've been I've been preserved.
Scott Benner 1:00:59
Isn't it insane? That the same person who helped you understand diabetes is the same person who said That's stupid. But he's actually find that amazing. There are times when you'll like, here's an example. I was at a gas station once, when a woman walked up to me and was waving her hand frantically in my face. And I put my window down. I was like, Hey, what's up? She goes, podcast. And I was like, Hold on one second. So I put the window back up. And then I finished what I was doing. And I got out of the car. And I was like, Hey, how are you? And she goes, good. I love your podcast. And I was like, Oh, thank you. And I was like, how do you? How did you know me? Like, I'm sitting in a car, you know? And she goes, I saw you out at the traffic light pulling in here. And I was like, Oh my God. That's Scott from the Juicebox Podcast. And I'm like, did you follow me in here? And she's, oh, yeah, maybe. And I was like, that she like, whips her kid out from behind her like, like a Russian nesting doll. She's like, this is my daughter. I was like, holy shit that person come from. She's like, she has diabetes, she starts talking about everything. And it was lovely. By the way, it was a wonderful interaction. And then I got back in my car. And I thought, How am I the person that that's happened to just now? Like, I really I have such stupid thoughts about so many other things. Like how am I that person? It's so weird.
Kelly 1:02:23
I wonder if that's why it's effective. So I feel like so often, like we go to the doctor, and we see them as this person, like up on a pedestal and they're so like, cut and dry. That it's hard, at least for me, like it's hard for me to like really absorb that. And so just being able to like, listen to you as somebody that I would get along with and be able to listen to you and like also have the stories tied into it. It's really effective style of I don't know learning for me, I
Scott Benner 1:02:52
guess you don't think I should over whiten my teeth and talk like a local weather person.
Kelly 1:02:58
Maybe you shouldn't give it a try for one episode.
Scott Benner 1:03:01
Such a headache. If I did that by the time it was over. Yeah, yeah. I mean, I don't put any effort into pretending to be nice or like to shine myself up or anything like that. So I take your point, it's, listen, I know. I mean, there's a person that's popping into my head right now who I won't disrespect by mentioning them. But they're, they're diabetes infos good. They're just not likable. I look at them. And I think, Oh, you're just not a person I'd want to hang out with that sucks because your info was rock solid. But it's that last piece of it in this digital age. It's not enough to just, it's not enough to be right. And you can't pretend to be likable. And by the way, not everyone likes me either. Like there are plenty of people who really don't like that I could read you a couple of reviews right now of people who do not do and that are not going to like the Easter reference either. The same people that left that review call me but will you read some of them? Do you want me to?
Kelly 1:03:57
I really
Scott Benner 1:03:58
do you want me to Alright, so this is how we're going to end Kelly I'm going to read I gotta find them. I didn't know we were gonna do this. Oh God, this is gonna be embarrassing. I've never done this before. One lady I think flat out call me a misogynist. Which by the way I do not agree with how do I get to? You would think I would know. Being the person who does this. I just burped? Could you hear it?
Kelly 1:04:23
I didn't. What a great
Scott Benner 1:04:25
microphone. Mic is amazing. I sometimes cracked my knuckles while I'm doing it. I don't think people can hear that either.
Kelly 1:04:31
I've been popping a I'm holding a highlighter in my hand. I've been popping the cap and I do that
Scott Benner 1:04:36
all day with
Kelly 1:04:37
my I'm hoping that it's not a lot of editing for your editor and he can't
Scott Benner 1:04:41
actually hear it. Okay, I'm scrolling back. Oh, okay. Here's the first one. I'm just gonna Oh, Jesus Christ. I'm just gonna read it. Okay. One star hosts needs to let guests speak. Yeah, okay. We know. I am. Wait, am I the only one that notices how he's talking the majority of the time. I had to unsubscribe, I couldn't take it anymore. He cuts them off all the time. And on more than one occasion he'll make cringe comments that I'm sure. I don't know what she's talking about. He makes cringe comments that I'm sure makes the guests uncomfortable. Were you uncomfortable today, Kelly?
Kelly 1:05:22
No, I'm so much enjoyment. Okay. Well, I'm
Scott Benner 1:05:25
shocked how not enough people have commented on this. Now, interesting enough, this person who left this review about three months ago, I think if you asked me to step out of this, I would tell you that this person has had an experience in their life where joking around things that may be sexual in nature, make her very uncomfortable. And God bless if that's how it makes her feel. I don't certainly don't want her to listen either. I don't know how a person doesn't look at 1300 reviews that are all except for hers and a handful of others five star and say things like my fear and anxiety has subsided. This is a literal lifesaver. This is an excellent podcast. Heavenly best. Like this has been a huge help to me. Like I don't know how you don't look at the other reviews and go i Why am I the outlier here. But now an outlier. Sure but TMI as a diabetic, one star by the way, I by the way, you can't give zero stars where I assume they would. I used to love this podcast as it gave me so many mi two moments of connections with other diabetics out there. But recently, the interviews are peppered with inappropriate content for a podcast about diabetes. Be still a she didn't say be still I said that the poor woman being interviewed must endure jokes about their bodies in their personal and intimate relationships indoor, okay, I can feel the awkward CRINGE CRINGE toys of the guests. If it were me, I might just hang up. Unfortunately, the content has gone downhill. Now. This podcast is nine years old. It's going into its 10th year, it is the largest diabetes podcast in the world. And it is downloaded at the same level as other high level health and fitness podcast, things that are put out by major corporations that have giant businesses behind them. The contents not going downhill. It's not, but it did for her, which is fine. And but by the way, she's actually it's interesting. She's referencing one specific episode, where I know that that this is what this is. And I went back to the person who I interviewed to make sure that I didn't miss something. So here's the here's the layout for how this, this review happens. I'm talking to a girl who's now 22 years old or something like that. And during the course of the conversation, she's telling me how her I think our parents have like a lot of children, right? And her dad works like a bunch of jobs. And I said, Well, yeah, he has to like work a bunch of jobs. He's he's got all these kids, he must have never been home. I'm paraphrasing now, Kelly. But I did say something specifically, like, you must have only known your dad is the guy who came home, swatted your mom on the s in the kitchen, and then went to sleep. And I said that because I thought, jeez, you must be like a real sexualized person have seven kids and only be around each other. Like, it's a lot of kids get up and leg like and I was like, they must just like he's never home. They must either be like, being intimate or sleeping. Like, you know, anyway, the girl laughs and everything. And I think oh, gosh, was she laughing to be polite? So I'm going to make the effort. Because of this review, I was going to make the effort to go contact this person to make sure I didn't make them feel uncomfortable. So I searched my email for them. And what do I find, but an email from a couple of days after we did the interview. And again, I don't know the exact words, but here's the gist of it. Oh my god, I had so much fun doing this with you. I hope that the people listening had as much fun as I did. So this person who left this review, I will say to you as well, your reaction probably has more to do with your personal situation that it does. The person you're listening to on the pious you're making a lot of you taking a lot of leaps here deciding how that poor woman must have felt because that poor woman had a great time and loved being on this podcast. So you know, it's fine with me so I get that that's gonna happen now let's get to the others hold on a second. We're scrolling scrolling. Here's another one about that specific interview said it was creepy. Couldn't you tell she was uncomfortable? She wasn't you just thought she was oh, this ruffled a lot of feathers? Well, that one that one comment about somebody coming in the house and slapping their wife on the button.
Kelly 1:09:53
By the way, do you think it's because you were talking about like her parents and not about her her like her? So
Scott Benner 1:10:00
I think it's because she was in her early 20s. And I talked about her parents, and they probably, I'm gonna guess their parents didn't have a great relationship, or they were watching their parents, like get along in the living room or something like something weird had to happen. You know what I mean? Like they walked in one too many times, while their mom was in weird garter belts or something. Something had to happen. This next one. This one is, I'm sorry, I think this one's funny. One star chauvinist. This is a quote, my wife has two jobs, keep the dog quiet. And think of excuses why not to have sex with me. That is something I said on the podcast that it says safe to say I won't be listening to this podcast again. Now.
Kelly 1:10:48
I don't. But to be fair, just imagine that's like the first episode.
Scott Benner 1:10:53
I'm like, there are times when I say something, I think God if this is someone's first episode, they're not coming back. But so usually, I say, my wife has two jobs, not know when the trash goes out and come up with excuses to have sex with me. But this was a reference inside of an episode, there was a dog, but my dog was barking. And I and I said to the person I was interviewing, I'm so sorry. This is this is my wife's job. She only has two jobs. And I was trying to be funny. By the way, my wife has an incredibly high level job where she helps a lot of people and she's the brightest person I've ever met in my life. But these other two things are also true. So anyway, that person did not like me, either. scrolling, scrolling. Here's one that gave me four stars, and talks glowingly about the podcast. But then says I talk too much. To which I would say to her, this is a podcast. Imagine how it would be if I didn't talk. That's true. And people came on and weren't good at carrying the conversation, which by the way everyone thinks they are, but most people aren't. So this one by the way, the last one that was bad. The call me chauvinist was from Great Britain. This one's also from Great Britain, maybe I don't know well liked. Well, I have I, I have a lot of downloads in the GB but okay.
Kelly 1:12:20
They're just telling all their friends about how bad it is.
Scott Benner 1:12:24
The chauvinist guy talking about diabetes, this one again, one star, I don't think we're at this one. This one doesn't hurt but self centered is the title of this review. I searched out glycemic index on podcasts in an effort to educate myself. Let me say I am not diabetic nor thankfully, are any of my family. Okay? I do however, like to be informed. Like imagine you wake up tomorrow, and you're like, I just really want to understand the glycemic load. Anyway, God bless. I have to say I found Scott irritating and very self centered as he spoke over, this is going to go up, Jenny. While she was trying to make a point, Jenny and I have recorded together about 200 times, we are insanely good friends. And privately that woman has told me that she thinks I'm single handedly saving people with diabetes. This is not in any way reflective of Jenny and my relationship. So I must have just spoken over Jenny mistakenly. And this is what happened when the person heard that. Furthermore, he seemed to boast how when wearing a glucose monitor, he couldn't get his sugar to spike, even though he gorged himself eating two slices of cake. So yes, I wasn't first of all, it wasn't boasting. It was making the point that a person with a functioning pancreas can have two slices of cake and their blood sugar doesn't spike. I'm I'm you understand, well, you have diabetes, you understand? But like she she obviously understand. I left the podcast early. I won't be listening again. 45 minutes of my life, I won't ever get back. And she put a sad face. She's I don't know what to say to that person. You just you you fundamentally misunderstood everything you heard. But in one listening of a podcast felt compelled to go leave a horrible review of it. That part freaks me out. Like I've heard things and seeing things in my life I didn't enjoy. It's never occurred to me to be like, I have to now go tell everybody not to do. That throws me a little bit if I'm being honest, Kelly, are you having fun with this or should we stop? Yeah, I'm good. I'll see if I can find it.
Kelly 1:14:35
Was it my kids aren't here I never have this time.
Scott Benner 1:14:39
By the way, I'm scrolling past I'm not kidding you hundreds of glowing five star reviews to get to these for them. Sort them. What do you think the internet is made for use? Like
Kelly 1:14:49
click on the like, you know at the top like on Amazon or target. It'll say like five stars. 4321 you can click on one it'll give you all the one star reviews.
Scott Benner 1:14:58
I'm the creator. I don't see the internet The same way you do hold on a second, I get, oh, I'm reading. Oh, this person thinks I'm only positive towards paid sponsors products. I don't think that's true. I'm scrolling. This one. I love how matter of fact, this one is two stars helpful information, brilliant information and great tips offered on the podcast. I've gained insight on management, which has resulted in better control of my type one diabetes. And Jenny Smith adds credibility to the material provided. What a great review, right? The host Scott talks too much and cuts people off two stars, hey, how about this brilliant information and great tips offered on the podcast have gained insight on my management which results in better control Jenny Smith adds credibility. Thank you. What about that? Thank you. You know, the
Kelly 1:15:56
guy runs a podcast which he much talk on,
Scott Benner 1:15:59
motherfucker. Just can say thank you and be done with it. Like, oh, you know, this guy. He spends his whole life making a podcast where he takes the breath of his information from the last blah blah blah years have written badminton. And it's helped me immensely I don't love his speaking pattern though. He should go himself you're out of your mind. What a horrible thing. That's all persons this way. Isn't
Kelly 1:16:25
that kind of what you were saying earlier about the other one though, like great information sucks to listen to
Scott Benner 1:16:30
I can't get to the I can't I haven't found the one yet that AI is my absolute favorite one. It's just like I love this podcast. I hate that guy. Can be too much focused on him at times three stars host talks a lot about himself versus interviewing the guests but he can have great content. Pick one you can idiot I'm making the great content you motherfuckers I'm Do you know I interview Kelly. You've been lovely today and most people are but I've interviewed people who are the the entertainment equivalent of dry mud in your Okay. And you don't know that because I made them interesting. You'll never know that they're lovely. You'll never know you won't go back and listen to go this person was not good. I sussed out in three seconds. They weren't going to be good at it and I peppered in more conversation to draw them along. Like you again. Just say thank you. Hold on a second. Scrolling scrolling five stars. Five stars five stars. This one these pisses me off more than anything. This is a glowing review that they they only clicked on three stars. It really bothers me Kelly, I don't know why. Kelly, are you there? Did you die?
Kelly 1:17:42
I'm here.
Scott Benner 1:17:43
Can you hear me? Yeah, no, I can. Well, it's like it
Kelly 1:17:46
doesn't give you what's your like a war overall rating? Like 4.8? Yeah, I'm
Scott Benner 1:17:51
like 4.8 isn't really Yeah, yeah, I'm great. Well, it's a good good. Yeah. This person doesn't like the ads. That's interesting to me. If you don't want the ads, then you're not getting the podcast. So I gotta live to did
Kelly 1:18:05
you get up and running? I thought I had seen in your Facebook group that you are going to be starting a like a subscription one.
Scott Benner 1:18:12
I got it set up. But I hate the idea of it still. It's got right now it has all the pro tips in it with no ads.
Kelly 1:18:20
And I was thinking you're gonna do after dark and it's still
Scott Benner 1:18:24
I decided to do something else this year first.
Kelly 1:18:25
Well, I love the after dark.
Scott Benner 1:18:28
Can I tell you what I'm going to do though? Because by now it'll be out for years, or four months, I'm doing a series called cold wind. And I'm having healthcare professionals on and other people around the healthcare industry. They're speaking anonymously and having their voices changed and they're telling me about their jobs.
Kelly 1:18:45
Okay, just so like endos or just across the board. Anyone
Scott Benner 1:18:50
nurses have an HR professional who talks about how they've been doing how many times they fired somebody over 25 years for having a health issue. Okay, okay, directed by the CEO, stuff like that. This one's funny. There is occasionally some interesting stories or nice tips, but it's pretty much an hour plus long commercial for Omnipod and Dexcom. Omnipod index some of the stuff my daughter wears, so that's probably why that feels that way to you. Because of the words I say
Kelly 1:19:20
Dexcom is also the best there is. I mean, I can't speak on Omnipod I've never used it but Dexcom I just remember ah, it was probably like 2006 or 2007 I was wearing what Medtronic had put out some kind of awful, awful, awful awful sensor. It was not accurate but also like
Unknown Speaker 1:19:45
hard to use and
Kelly 1:19:46
painful. It hurts so bad and then like the you know the transmitter part you would click in it didn't secure in any way except right at the click in part so it would just like flap around. Oh,
Scott Benner 1:19:57
in fairness to them. I've heard really good thing about their new system and their new CGM. So
Kelly 1:20:02
that's great. It was really bad like 15 years.
Scott Benner 1:20:04
I've definitely heard that speaking of like, a long time ago, I've now had to scroll back like four years to get to this bad one. But here is an example of a review that is about you, not me. Okay? Mixed emotions two stars. Overall, I have nothing bad to say about this show, as it does a very good job educating diabetics about new technology and experiences surrounding the type one diabetes life. However, what continues to get under my skin is how much the host continues to talk about it. By the way, I don't like it when people use the same word twice in one sentence, but you don't see me writing can review about it. However, what continues to get under my skin is how much the host continues to talk about his daughter to the point of interrupting, and one upping their experiences. This has at times caused me to become frustrated and turn the show off, as it makes the conversations disjointed and pulled off topic. The show isn't about art, and it's about type one diabetes. I suppose if he wants to be about his child, angle it that way. But as it is right now, it feels arrogant and self focused. Oh, so I will say this. I've seen a number of people in this space do this thing where they're talking about raising a child with something, right? They overwhelmingly make it about their kid all the time. It's it's basically like, here's a pretty picture of my kid, give me clicks give me likes, oh, by the way, and
Kelly 1:21:27
there's also only so much you can say about your own kid. Yeah. Also, like no matter how great they may be, I don't
Scott Benner 1:21:32
do that. I would I would venture to guess that 99% of the people listening this don't know what my daughter looks like. Yeah, yeah, I use my experience of helping her to come up with the ideas that I liked that I talked about, and I and I'm really sharing with you what worked for us, I can't share with you what worked for us without sharing how we did it. And so But moreover, this person just does not like my kid being they think my kids being used to make this thing. And she has nothing to do with this and almost no knowledge of it, to be perfectly honest with
Kelly 1:22:08
you. Speaking of though, are you gonna get her back on because I really enjoy those. Yeah,
Scott Benner 1:22:12
I'll harangue her to doing it once before she goes back to school. Okay,
Kelly 1:22:15
I remember seeing on the Facebook page like somebody will I don't know if it was the last day she's been on twice right? Yeah. I don't know if it was the last time or the time before but they had posted like oh, I cried so much listen to her tell this story while yada yada and I was like I laughed through the entire thing that did not make me the least bit emotional at all. Like
Scott Benner 1:22:42
she's hilarious really love her perspective. That was great. She's pretty cool. This one's like five years old. I once had a guy named Adam Brown on and I was like shot out of a cannon one day and I talked too much like I absolutely did so I can't like I said it later in another episode or even in that episode God I spoke way too much today I'm super sorry like that kind of thing. But this person says this is a one star review disturbing symbiotic relationship through his daughter's type one disturbing use those again set disturbing twice, they really want to make sure that you knew they were disturbed. It is concerning to me that he speaks as if he were the actual type one and not his daughter. That actually I have to be honest with you. It's just a that's a function of speech. Like when you say I when you're trying to make a point or or us or we or that kind of thing. I've actually been over the years very cognizant to try to break that it's not me thinking I have diabetes. It's just I'm trying to get stories out quickly. This is unhealthy in my opinion. It is also disturbing by the way she is now used to serving three times I get at the source it is also disturbing I struggled to block him out and here the guest and info presented this person wants me to go podcast starting go ahead and talk Kelly hobby back in an hour.
Kelly 1:23:57
That would be I would never have requested to be on Yeah,
Scott Benner 1:24:00
guess what you would have done you would have been like I'm Kelly my kid I don't know what to do. So I'm a long term very educated type one I can tell by how many times you use the word disturbing. I am always searching for the most current information he has great knowledge await he has great knowledgeable guests that I want to hear from but he won't stop talking about himself as the type one not as though I am not talking about myself as I've had diabetes. I have never done that. I don't do that. That is the thing. I think again might be a little more about their sensitivity than about what I did but that's fine.
Kelly 1:24:36
But I think that is very personal though because there are some times I'll see whether it's in a Facebook group or I'll just hear people talking and they'll say like, I don't remember like oh yeah, we we took a shot and I'm like no we didn't take a shot. No
Scott Benner 1:24:50
100% Like I know completely understand that but again, that's your sensitivity because you have diabetes you know everything that comes along with it like if I said you we went to KMart, you wouldn't be like no Oh, she went you sent your credit card like like you don't even like, yeah, if I bought something at Kmart, is Kmart even a thing anymore? Who knows? But I
Kelly 1:25:08
don't think it is. But I went when one of them was going out of sale or out of business I got so many good things on sale.
Scott Benner 1:25:15
I gotta tell you something a sporting goods store went out of business when I was in Georgia with my son playing baseball and I got a $70 Golf umbrella for $5 it's still like one of the best things that's ever happened
Kelly 1:25:25
to me. I like golf umbrellas are $70 Not
Scott Benner 1:25:29
when you pay five bucks for me to go in on a business sale. They're not. By the way, here's the end of this review. He even admits his ego gets in the way when interviewing Adam Brown. So if I joked and said something about like, I know, I'm just my ego got in the way. She's like, see? Proof? Yeah, I'm right. Lady to you. And by the way, I know it's one because of the name in the review. Not because I just assumed that only a woman would complain to me, because I'm not sure. But to her I say I don't care what you think. I am gonna give you one more. And then I'm gonna go because I have to I have to go. And we're actually gonna have to end up calling this interview like bad reviews or something like that.
Kelly 1:26:23
No, it's the very end. Well, what
Scott Benner 1:26:25
was the other one? Check? What do I say? Yeah, you said check. Please check. Please check me bad reviews all figured out.
Kelly 1:26:33
Checkmate for bad reviews. Like that's not bad.
Scott Benner 1:26:37
Good info, but bad host lots of good information, but the host never shuts up about himself and and is a complete egomaniac. You guys might not understand sarcasm. He is also an insufferable, elitist, and elitist. Kind of the best and the worst of most resources. So great information, great information, don't like that guy at all. By the way, I want to just say to this person, I love that you had to listen to me and you didn't like me because it just tickles me inside. But this guy's like my guinea one sees five and a half that I really hate this son of a bitch. Alright, I am not an elitist. There are some times I'm like, Oh, I can be judgy about things. And I complete egomaniac. I think that it's possible that I have a lot of self confidence. And I joke around around it. And that those things can get blended and come off that way. And that's fine. Like I it's fine for me the guy again, you know, I could scroll this thing. And just push stop and just go game changing five stars can't say enough about the game changing strategy Scott shares to help lower your or your loved ones no one sees like I can scroll, hit stop. I've been a type one diabetic for 32 years. And I've learned more from this podcast and for many doctors. So thank you very much. They are also from Canada, Russia, America, like Australia. These These reviews are from everywhere. overwhelmingly people like the podcast and I could find up I could easily find reviews of people who say this is not just my favorite diabetes podcast. This is my favorite podcast. I'm incredibly entertained by the show, but there's plenty of those too. I didn't read them. They're not as much fun because that would be egotistical. The other thing I just did is the opposite of egotistical, but I'm sure someone will find a way to say that I did this on purpose to prove I wasn't an egomaniac. So I look forward to that review. And then I will not pay attention to that one either. So good luck. Kelly, you were terrific. I was fantastic. I spoke way more than you did. And I'm sure that'll piss somebody off. But again, I'm not sure what to do. This is how it went. You know what I mean? You okay, Kelly? Everything's alright. I'm good. I'm just laughing the whole time while you were quiet just you quietly laughing under your breath? Yes. Because people are gonna think here's what somebody will say. See, he asked if she was good and she wasn't but she couldn't even bring herself to say
never left
snowflakes Okay, um, by the way, I don't mean that like a political way. I mean that in a way where I'm Judging You
You should all come to the northeast and and get a good dose of sarcasm so you could live your life in a more fun way. Kelly, thank you very much for doing this. I really appreciate Thank you. Yeah, good luck with your son Arden has been getting her diabetes supplies from us med for three years. You can as well, US med.com/juice box or call 888-721-1514 My thanks to us med for sponsoring this episode. And for being longtime sponsors of the Juicebox Podcast. There are links in the show notes and links at juicebox podcast.com. To us Med and all the sponsors. A huge thank you to one of today's sponsors, G voc glucagon, find out more about Chivo Capo pen at G Vogue glucagon.com forward slash juicebox. you spell that GVOKEGL You see ag o n.com. Forward slash Juicebox. Podcast lots of people with autoimmune seem to have trouble with their thyroid. And that's why I've made the defining thyroid series juicebox podcast.com. Click on defining thyroid the menu to find out more. A diabetes diagnosis comes with a lot of new terms, and you're not going to understand most of them. That's why we made the finding diabetes, go to juicebox podcast.com up into the menu and click on defining diabetes to find the series that will tell you what all of those words mean. Short, fun and informative. That's the finding diabetes. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. The episode you just heard was professionally edited by wrong way recording. Wrong way recording.com
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#1212 Dr. Tom Blevins on GLP Medications
Dr. Tom Blevins discusses GLP medications.
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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 1212 of the Juicebox Podcast.
Tom Blevins is an endocrinologist that Texas diabetes and Endocrinology in Austin Texas today Tom is going to come on and share his expertise so that we can better understand GLP medications I'm talking about we go V I'm talking about ozempic, zap bound, mon Jarno and more. Please remember while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan or becoming bold with insulin. You can find out more about Dr. Blevins at Texas diabetes.com If you are a loved one has type one diabetes and you'd like to be involved in research. All you need to be as a US resident and you can head to T one D exchange.org/juicebox. When you complete their survey you are helping with type one diabetes research. You're also be supporting yourself and this podcast T one D exchange.org/juice box. When you place your first order for ag one with my link you'll get five free travel packs and a free year supply of vitamin D. Drink ag one.com/juice box don't forget to check out the private Facebook group Juicebox Podcast type one diabetes with over 50,000 members. This episode of The Juicebox Podcast is sponsored by Omni pod five Omni pod.com/juice box if you have FUBU the fear of missing out on Omni bod. You don't have to have that any longer. Just go to my link Omni pod.com/juicebox This episode of The Juicebox Podcast is sponsored by the only implantable sensor rated for long term wear up to six months. The ever since CGM ever since cgm.com/juicebox.
Dr. Blevins 2:04
Hello, everyone. My name is Tom Blevins. I'm an endocrinologist at Texas diabetes and Endocrinology in Austin, Texas. I work at a clinic where there are about 12 endocrinologist and we have about 12 to 15 advanced practice providers and we see a large number of people with diabetes, especially type one. And we also see a lot of people with type two diabetes. Of course we treat people with pumps and technology and, and even just regular injections. Happy to be here. Oh,
Scott Benner 2:35
I appreciate that very much. Thank you. How long have you been an endo?
Dr. Blevins 2:39
I've been an endocrinologist since about 1986. I finished training and went to Baylor College of Medicine in Houston and got boarded in internal medicine then Endocrinology and Metabolism ultimately got boarded and lipid ology as well. So I've been in practice for about that long. I think that adds up to be about 38 years.
Scott Benner 2:58
What drew you to it initially? And is that the same thing that you do today. Of
Dr. Blevins 3:03
course, back in the 80s, when I was in training, endocrinology was kind of a different space, a lot of diabetes, a lot of thyroid, I really was fascinated by the conditions. And I saw a big potential to help people. You know, interestingly, I really liked the people I worked with who were endocrinologist and, and that attracted me. Now over time, of course, things have changed a huge amount, which is really fortunate for everyone. And diabeetus has evolved from the days of mph and ultra linty. And all that the huge fingerstick devices, which if you've seen it those made, you're probably too young to have seen those but the old iTunes and the the evolution of technology has been just incredible. And then the evolution of the therapeutic agents as well.
Scott Benner 3:52
And that's why you're here, Tom. So can I call you Tom or would you prefer to be called Dr. Blevins or Thomas? Good Thomas. Good. Okay. So you you mentioned something else though you got boarded in Lippa chronology is that right?
Dr. Blevins 4:06
Lipid ology technology. You know, like lipids, interestingly, you talk to people about cholesterol, and their LDL, the good and the bad and all that and that sounds very basic, but really, there's a huge world underneath that there's a board Believe it or not, it's that's when you study for and there's a society of lipid ology, and I'm a fellow of that group. And there was a lot of work done in Houston and that's where I trained with people like to Debakey was there the the surgeon, and the cardiovascular surgeon, then a guy named Tony Gato came in to be the person that did the lipids to help prevent some of that heart disease that they were treating, then a few other people, very smart people came in and I was fortunate to be able to train alongside them. So lipids, part of Endocrinology, really, that's metabolism.
Scott Benner 4:53
Is there any intersection between that and why you and I are talking today your understanding of lipids? No, no and how you came to, like pay attention to GLP is
Dr. Blevins 5:04
not exactly it's another aspect of metabolism. Yes, and that is what endocrinology is about by specialty the board has actually Endocrinology and Metabolism, then there's not a tight link between glucagon like peptide, one mil. It's a GLP. One meds and lipids are somewhat of a loose link, we could talk about that anytime people lose weight, of course, their lipids get better. And the GOP one meds can can help people do that.
Scott Benner 5:27
I see. So let me tell people a little bit about how I found you. For the people listening to podcast, they probably know that for about the last 13 months, I've been taking a GLP medication strictly for weight loss, I don't have diabetes. And I've lost I think 46 pounds at the moment. Since then I started on we go V I moved on from weego V to zap bound maybe a handful of months ago now. Anyway, I think not this similarly to how most people end up doing things. I was about six or eight months into this. And I thought maybe I should understand better what it is I'm injecting into myself once a week. I mean, it's working fantastically. I feel better, everything about my life seems to be better. But I'd like to learn more about it. And I'm starting to see people with type one speaking openly about the successes they're having. So that led me of course, to where any good research would lead a person to YouTube, where I found you, Tom just doing a sit down talking head describing GLP to people and I just thought you were masterful at it. And I reached out and I'm really grateful that you reach back because I think this is a great topic for people living with diabetes.
Dr. Blevins 6:35
Yeah. Glad to be here. Good. Thank you. Nice to work on the on the weight change. Weight loss.
Scott Benner 6:39
Oh, thank you. I appreciate it. The just about three weeks ago, I went to my Endo, who's the one who manages my weight. She was doing my vitals and she kept like mumbling half under her breath and half of my ear like a kid like a kid. These are great. You know about my BP my blood pressure, like just yeah, just just so much stuff that she's like, wow, this is it's incredible. I look like a completely different person. It's my aches and pains are gone and everything else that you would expect to come with weight loss. But then there's also been other benefits. One being that for my entirety of my adult life, without knowing it, I was running around with an incredibly low ferritin level, I was not absorbing iron, and my digestion was always poor and kind of off. And I guess just the slowing of the digestion. My last Burton was 170. And I'm telling you, I've been in the hospital like in the ER with a nine ferritin where I was like almost passing out. And no matter how I supplemented it, I couldn't cut it to come up without iron infusions. It literally is changing my life in ways I don't even think I know yet. Anyway, I sent off a massive list of questions from listeners to you. And you've kind of boiled it down to what you want to talk about here in our first recording. And I think if you enjoy yourself, we're going to do more. So I'm going to try really hard to make you enjoy yourself. But why don't we start right at the top like GLP one. Of course we go V and ozempic GLP one with a GI P that'd be Manjaro. And zap bound. There's others but these are just the ones that are out in the zeitgeist right now. So let's start real basically with what is a GLP?
Dr. Blevins 8:14
Yeah, GLP one that stands for glucagon like peptide one. And, and the gap that you mentioned, Scott is and let me just recommend everybody stick with the gap abbreviation it's glucose dependent insulinotropic polypeptide. Now, okay, stick with gap and actually stick with GLP. One, if you say GLP, I know what you're talking about. Actually, interestingly, people make these hormones in their body, and they make them in the small intestine, and GLP. One is made in cells called the L cells in the small intestine. And when a person eats, carb stimulates the production of GLP one. And gi P has made in the case cells in the small intestine, and in it to is produced after carb, and maybe protein can stimulate it as well. But those normally do is the GLP. One actually goes to the pancreas and can stimulate insulin production. So that's what they do. Normally, this is natural. This is what your body does all the time. So GLP, one stimulates insulin, it also can affect another cell in the pancreas called the Alpha cell. alpha cells make another hormone called glucagon. And glucagon stimulates glucose release from the liver, and actually GLP one that suppresses the alpha cells, it makes them less glucagon the Alpha cell does, and there's less release of sugar from the liver. And so that's those are two things that GLP one does. Now, I'll tell you, I'm going to skip to tip a minute. Tip stimulates insulin production from the beta cell in the pancreas. That's what it does. That's his main role. And we'll talk more about Then a bit, because there's some other things that GeoIP mimicking medicines can do. Like you mentioned mount Jarrow has GeoIP. And of course mount Jaren is up bound to the same thing GLP one does two more things, though, we talked about the insulin to glucagon all that that's good. But what it also does is slows gastric emptying. Meaning this slows your stomach down when you eat. And it slows the emptying of the carb and everything else into the small intestine. Therefore, the carb can't get in as quickly, that lowers the amount of carb that gets in lowers the sugar after you eat is what it does. And what else happens if your stomach slows down. And Scott, you've experienced this, it makes you get full fast and easily, you don't want to eat as much. And so that's one way by which a GLP one time Ed can lower calorie intake, but also it probably has a direct effect on the hypothalamic area that reduces appetite. And gap can reduce appetite a bit as well. And I'm just gonna go ahead and say GeoIP, and meds, that's the amount jarred can also seems that they increase sensitivity to insulin, which is really interesting. And so these meds, do some really good things. It turns out that people with diabetes, type two, make plenty of this stuff. And as far as we know, people with type one, make these two. But the effect in type two is, is reduced of these two hormones. And so therefore, giving people a medicine that mimics that kind of a hormone can really kind of improve things. Of course, people with type one don't make insulin, so you're not going to get that effect. A person with type one would get the lower glucagon, the gastric emptying effect and the appetite effect. I want to just step right in front and say these medicines are not approved to be used in people with type one diabetes at this point, right? They're approved for type two.
Scott Benner 11:59
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Dr. Blevins 14:41
know, the answer is these. Well, to your second question was a good way to enter back into the first part of the question your first part of the question. That is a concern with slowed emptying and suppressed glucagon. And of course glucagon and people type one your alpha cells do make glucagon and go God can help when you get low, of course, and that's what you get by injection, you know, the glucagon injections. And your your alpha cells make that and they help regulate your sugar. So if your sugar gets low, your cells kick out glucagon. Well, if you suppress glucagon, it could increase your risk of low number one. Number two, what you said is right, if the stomach emptying slow down that could increase your risk of of low also. Now back to the first part of your question. These agents have been studied in people with type one. And I'll just briefly tell you, there were two studies a few years ago, we participated in one of them here, we do quite a bit of clinical research here. One thing I didn't mention when I introduce you should have but we do quite a bit of clinical research. And we were really excited about these studies using it was liraglutide, which you know, as Victoza. And that was being studied people type one and there's large studies. And sure enough, in people with type one diabetes, who were treated with, I'm gonna say Victoza because people know this is Victoza. liraglutide is one of the GLP one meds, it's the one you had to give every day, once a day. Yeah, short duration, you have to give it once a day. And we were very excited about this people's agency did drop, you know, around point 3.4. And, and the body weight dropped five kilos or so that's good. But also and the insulin dose reduced, no surprise, but also those people had more hypoglycemia. And also, there was a little bit of an increase in ketoacidosis diabetes related ketoacidosis. And, you know, that kind of caused everybody to pause. And and these big studies were done, and the drug did not get approved for type one. If you look back into those studies, I will tell you this, just just to let you know, the ketoacidosis episodes occurred for typical reasons, it wasn't they didn't look as mysterious when I looked at the studies. And the hypoglycemia was a bit increased. But I think, you know, it's very possible that could have been mitigated with increased change in doses and things like that. Nonetheless, though, those two studies kind of stopped the whole approval process for type one in its tracks.
Scott Benner 17:21
Do you think it needs to be looked at again?
Dr. Blevins 17:23
I do. I really do. And I'll also tell you that another analysis of this whole area, kind of a pooled analysis of, of a number of studies with GLP, one meds and type one showed, certainly there was more gi side effects, we know that's going to be true. And anybody that takes these medicines are competing nausea, vomiting, diarrhea, constipation. I always tell my patients, you know, with these meds, you could get diarrhea, constipation, nausea, vomiting, and usually gets better I tell people you don't get to choose. One of those might have some of those might happen. But if the this pooled analysis showed no differences in ketoacidosis, severe hypoglycemia between the people treated with the Met or the placebo, so yeah, I think it needs to be studied more. I think, anyone that listens to this should, you know, rattle the cage of somebody and say, Hey, we need to study this again and get this so it's approved. Right? That's my opinion. And you know, we're very cautious about this when people talk why and we'll talk about that more.
Scott Benner 18:27
Yeah, no, I appreciate you being candid. I mean, listen, I think people who listen, no, I am getting, I mean, our endocrinologist is giving my daughter GLP. Actually, she's using Manjaro at the moment, which seems to go Jive better with her. I don't know a better way of saying that. Yeah, the decrease in insulin use is insane. Yep. Yeah, I genuinely believe my daughter will use 16,000 fewer units of insulin in the next calendar year, because she's injecting five milligrams of Manjaro a week. Yeah, it's fascinating. And her her excursions, her glucose excursions are flatter. I don't. And now in fairness, she's also wearing a DIY algorithm she's using Iaps. I don't see any more instances of hypoglycemia. As a matter of fact, without the excursions high we're getting fewer Bolus is to bring her back down, I actually think it might be making less hyperglycemia than before, which isn't to say that she had a lot. I've also told you a story and sent you an episode of 15 year old girl who's gone from 70 units a day down to now, seven units a day of total insulin, a type one, my 47 year old brother went from a seven a one C with type two diabetes down into a five a one C without really even changing how he eats and he lost 35 pounds. I mean, I know there are people who are going to have results that aren't like that or that You know, they have some sort of a reason why they have to stop it. But my gosh, like everything I'm seeing just it screams for us to pay attention to this. Yeah, yeah,
Dr. Blevins 20:09
I agree I do, I do want to emphasize that, since it's not approved for people type one, where I don't want to talk about the information for type two interchangeably, it would be using these medicines and a person with type one diabetes, unless they fit certain weight criteria. And we'll talk about that more in a bit. But is off label meaning it's not approved, right. And, you know, insurance, insurance coverage is highly variable, not guaranteed, in fact, likely won't be covered. And so the doctors, your, your treating prescribing doctor can use a medicine off label if, if that doctor or provider feels like it's appropriate, and some will, and some won't. And everybody wants to be very careful, I'm very cautious, for good reason. And these are some great stories like your brother well, and you know, some people do great with these meds, and some people simply can't take them and they can't tolerate them. And I've had a person in this morning to the office who said, you know, I tried a couple of these. And I simply, she simply could not tolerate, and we can we can adjust the dose sometimes and make it work. And we can use a little bit under even recommended dosing to make it work. But they're not for everybody. Yeah, they really are, are wonderful meds for for many, many people. Right?
Scott Benner 21:25
I do wonder if in the future we won't see at boils down to be micro dosing for people with type one sometimes. Because if you're not looking for the weight loss aspect of it, or the hunger aspect of it, although, you know, when you have type one, a lot of people with type one have trouble regulating their hunger and have digestion issues. It's not uncommon, right? But you know, I want to go back before we go forward, you just said, you know, early on, one of the mechanisms of this is the fullness you feel full, go over again, the part where your brain just doesn't tell you you're hungry, because I have both implications. So yes, I get fuller, faster, right, right. That's slower digestion, that's lovely. You can eat through it, by the way, you have to you have to mindfully stop when you feel it. I can eat through it. I should say, I'm sure some people would vomit, or I've heard those stories, right. Yeah, but the part where your brain, like I have to remind myself to eat, I don't get hungry very often. And if I do get hungry, it's almost always in the last two days of the injection when I think the halflife is waning,
Dr. Blevins 22:32
right? Yeah, you know, there's a lot to learn here. We don't know all the answers. But there does seem to be a central effect of GLP. One agonists we'll call them agonist because that's what these meds are they, they stimulate that GLP, one receptor in various places, there does seem to be an appetite suppressant effect, and GeoIP probably does that too. So those two together work well together when it comes to the appetite part. So appetite could be partly regulated by feedback from the GI tract. That may be and so that could be part of it could still be linked to the to the gastric emptying, issue, or change. But also there's a seems to be a central effect. And when I tell people is, you know, you're taking the appetite, I call it Daymond you're putting into a cave, and you're kind of putting a rock in front of the cave, so won't come back out. Because appetite. Everybody has appetite. And, and I'm sure over time, appetite has been a really good thing to keep people eating. And when there's food eat. And when you're not, you're not getting enough calories eat, you know, but appetite these days, kind of throws people into high calorie intake and high carb high anything intake. And so these meds do seem to have an effect a central effect on appetite. Yeah,
Scott Benner 23:48
that's fascinating. I mean, I think not like most people, I felt impacted by it immediately. And my wife's like, Oh, it's a placebo, but I lost four pounds in the first four days. Yeah, recently, I had to go up in my dose, like I was writing the 7.5 milligram dose as long as I could with the Zep pound. And my doctor, I said, Hey, I put a couple of pounds on but I'm not doing anything differently. And she said, Well, I'm gonna move you to 10. Actually, 10 and 12 is where I see the most weight loss. She goes, I just wanted to see how much you could get out of the 7.5. And all of the little things like I was starting to have more sugar cravings. I was hungrier, all that stuff. I swear to you, I shot the 10. Four or five hours later, I said to my wife, oh, I have that feeling of like when I started the first time in my stomach, my body regulated to it. I've been using it for 13 months. So you know, in a day, I felt better. And now it's been four days since I did that. And I've already lost four pounds. Yeah, and I have not I swear to everybody listening. I haven't changed my activity. I haven't changed my hydration. I haven't eaten any differently. I just I'm losing weight now. Oh, it's absolutely fantastic. And to watch it work on my daughter's blood sugar is is magical. She I couldn't get her she's away at college. And so I, as I was switching her to Manjaro, because she was using ozempic. In fairness, we're getting this through a Canadian pharmacy. So everybody understands how it's happening. I had to ship it to her, and it was late to getting to her. And in five days past her injection day, her blood sugar's got completely wonky, we had to make all kinds of adjustments to her Basal or insulin to carb ratio to her insulin sensitivity factor just to get her through the four days. And then she injected it. And I talked to her last night and I said, Listen to me right now put all of your settings back. And we are going to be looking for lows over the next 36 hours just in case now the algorithms getting ahead of it. But as soon as the medication hit her, her blood sugar's all like flattened out and stabilized. Again, it's, it's really, it's crazy.
Dr. Blevins 25:54
That's really interesting, you said a few things are really important. One is it's not approved, so it's not going to get covered, you're getting it from Canada, which which, of course, I as a prescribing Doc, I can't write scripts, and send them to Canada, they have to be, I can write a script that you could take anywhere you want. But and that's one thing. And the other thing is, it's definitely want to be cautious because the you're right, hypoglycemia is possible, and then you treat it with oral carb, and it may not get absorbed quickly. So you know, the stomach slow down. So you got to be really cautious about that. And if a person has had diabetes for a long time, they might have gastroparesis. And that is slowed down empty, and because of some nerve involvement from the diabeetus, and then they definitely would get doubled to slower in and that would be a person who wouldn't want to take it. So we have to be very, the stories are great. And and the results can be really interesting when you're using it. And off label again, I'll say that repeatedly. Because I want everybody to know that's it as a story right now, with type one and vicious I'd be very careful about it and select people properly and can be careful about the and understand the drug itself may make it a little difficult to treat hypose And could create hypose
Scott Benner 27:08
Yeah, and it's going to be such a case by case situation not that everything about diabetes isn't right. But at the same time, like when this becomes more accepted or covered by insurance or everything, it's going to take some real overseeing by people who understand what's going on, because your transition so important. If somebody wouldn't have told me in the very beginning, hey, it feels like your food stops halfway down your chest for the first couple of weeks, you know, which is how I would describe we go via when I first started taking it. I might have panicked if somebody wouldn't have said to me like do not eat crazy. I don't anyway, but but do not eat crazy, fatty or greasy foods you might throw up, I had help moving into it. I had good direction. It's why I was able to navigate it. Because the truth is there's a lot there to navigate. I you know, people ask like what are your implications, and I had diarrhea in the beginning. But I said to myself, I know that when my body regulates this, I have a good chance of this stopping. So I'm going to try to make it through. Because I want the other side of this because Tom, I thought I was gonna have a heart attack. I'm always carrying all my weight and my stomach. I've classically ready to have heart attack, you know? Yeah, yeah. So anyway, we're gonna go back and forth here. But let's talk about the the half life and the dosing. Right. So I don't I'm sure everybody doesn't know what half life means. But you can explain it to them and tell them why it's important with us. Yeah, thank
Dr. Blevins 28:29
you for asking Half Life is you can look at it two different ways. One is the time it takes when you give a medicine for it when you stop it, the time it takes to reach half the level of the dosing. In other words, look at it as the time that it takes to reach the steady state as you give them medicine. So if the half life is a day, that means that takes about a day for the drug when you give a dose to reach 50% of the metabolized, excreted whatever. And, and so it tells you a lot about the duration of the medicine and the body. And then when you're creating dosing frequency, it tells you how often you have to give the dose I mean, if I gave it a medicine that had a half life of a day, would I want to wait two days to give the next dose? No, because you want to give it every day to maintain the level of the Med and we could go on and on about various meds. But the relevance here is that some of these medicines have very long half lives, meaning they can be dosed infrequently, and some of them have shorter half lives they have to dose more often. And for example ozempic would go v semaglutide. And that rebelliousness is the pill version of that that drug has a half life of a week. So it can be given once a week because it stays around for a long time. The medicine like the mount Jarrah And that's also observed bound. Okay, yeah, as you pointed out earlier, that one has a half life of five days. So it can be given once a week to. And we could go on and on about that Victoza has a half life of about 13 hours. So you really have to give that every day to maintain that level. So the beauty of these new meds that we're talking about the ozempic will go V set bound mount Jarrow, those meds can be given once a week, which is very convenient, really in relative to other meds. And so that that makes a difference.
Scott Benner 30:34
It's fantastic. And I know I think Novo is working on a pill, a once daily pill I got, it'll probably be 10 years before you see it. But I think that people are people by people. I mean, researchers, pharma companies, they obviously see what's going on at this point. Like, it's the amount of people who use this don't have side effects that don't stop them and are having insane kinds of, you know, transformations, both health and visually. Yeah, it's gonna be a focus. But you know, it brings me to this point that you put on your list here, like what is overweight and obesity. And I really do want to hear from you. Because what you're seeing right now, in the zeitgeist, right? The way people talk about this is you'll either find somebody who says, well, whatever works for you, that's fantastic. Good for you, which is how I think about it, or you'll hear somebody say, well, work harder, eat better. And sometimes for those people, I say, Okay, fair enough, there are plenty of people who are not getting movement and are not eating well. And they, they're overweight. But I can tell you that from my perspective, I was not eating poorly, right? My entire life. This has been my situation, I used to joke with people. If I ate like you did, I'd gained five pounds. I retain water, like a pregnant lady, I would tell people, right? Like, if you and I went out to dinner and had a normal meal, I'd be three pounds five pounds heavier. The next day, I couldn't tell you why I didn't eat differently than you did. And so can we talk about this a little bit like, you know, just weight and obesity? How you think about it in relation to these medications?
Dr. Blevins 32:07
Yes, you know, there's a lot of data that shows that as people gain weight, certain things happen. And if there wasn't some risk to gaining weight, we wouldn't care. You might not like the way it looks. But it has medical consequences. And that's where a lot of the treatment sort of motivations come from. And it turns out that as people gain weight over their usual ideal weight, then you start seeing things like high blood pressure, high cholesterol, type two diabetes, insulin resistance. And you know, it's well known that people with type two diabetes have insulin resistance, some of that's genetic, some of its acquired, like when people gain weight. And so, you know, it's kind of arbitrary, when you set a cut point to say over a certain amount of weight over ideal, it is a problem because sometimes people would gain five or 10 pounds and things go to pot when it comes to metabolic things like I talked about. But a commonly accepted standard for overweight, that could cause medical issues is a BMI of 27. Now BMI, what is BMI? Everybody, I think when you go to your get a checkup, you get your weight, your height, and those two can be put together into a formula. And his body mass index, BMI, his body mass index, it's an index that takes into account height and weight. So a person who's like, you know, 610 ways to 10, that's probably okay. A person who's five, two that has a weight of up to 10. That's way over. So you takes into account height and weight, BMI. We could go on and on about that, but I'll just tell you the currently accepted standard is a 27. Plus on the BMI over 27, is overweight, and that person is at high risk for things like all those things. I've talked about high blood pressure, high cholesterol, type two diabetes, insulin resistance, and over a BMI of 30 is called obese. And there are other cuts that are higher than that too. But those are the two classics. Again, BMI is calculated by height and weight. If you wonder what yours is, you could go to a table online, when you go see your medical person and you can say what's my BMI because the EMRs calculated pretty much automatically these days. That's an adult's. I do want to talk a little bit about pediatrics a little different. There are various standards for defining obesity in pediatrics. The most accepted one here in this country is obesity and pediatrics is a weight that's over the 95th percentile. So you get out of BMI. You could use BMI a little bit but you get out of BMI. In up we're looking at percentiles that is comparing people to other people their age. There's so much dynamic changes that occur in the pediatric population. So they get older, the height changes, weight changes all that. So obesity and pediatrics is defined as a weight. That's over 95/95 percentile of other comparable people they like age matched. And those that that goes from the ages of two to 19.
Scott Benner 35:18
Is there an increase over decades in young people being overweight? Absolutely. Is that in your opinion? Like, I mean, is it a little bit of everything? Is it movement? Is it what's in our food? Is that how we eat? Is it how often we eat is? It's an amalgam of these things.
Dr. Blevins 35:39
Yes. I mean, I could expound on that. But you nailed it. Okay. It's, it's the diet, its nature, for sure. Genetics determined things, determined metabolic rate. And you can see overweight and families. But it's also nurture, it's the environment we live in. And activity changes over time. And, and what you know, everybody knows what's going on. But it were glued to the computer, or to the phone or something like that sitting still a lot. In the old days, that didn't happen. And we could talk on and on. But you're exactly right about that. Scott.
Scott Benner 36:18
So is the clinician, how do you think about it? Meaning? Maybe I should back up and ask this question. How many times in your career have you told somebody to lose weight? And they've actually done it?
Dr. Blevins 36:28
I'll answer that is many, many times, I think people understand the concepts of calories and calories in calories out. And you know, I'll say, exercise is always important. You mentioned exercise earlier, and your own particular experience. And 20% of weight loss is related to exercise, unless somebody's an elite athlete, or a very athletic and exercises all the time most people don't. So exercise is important. And reducing calories is important. But I'll tell you, I think people respond and are successful, many times, the problem is the long term part of it, people are successful frequently for a while, and on average, they tend to gain it back, we're all busy, we're exposed to calories all the time. Activity is challenging, sometimes because of scheduling or, or just understanding about the amount that you need. So I think people really handle this way on their own. And so people can lose weight on their own to keep it off and do really well then understand the medical part of it. But for the most part, it's really challenging. A lot of it has to do with the environment that we live in. My
Scott Benner 37:36
take on that is in a world where I can't impact the environment, right? I can't just it's nice to say like, I love turning on a podcast or TV show, you hear a rich person say get out and move around. I'm like, Well, you have $9 million in the bank. That's great. You know what I mean? Like, I've got to get up and sit back down and make this podcast all day or I don't get to pay my electric bill. And that's how this works. Right? Right. When that's the environment? Do you have any moral qualms with giving people medication just to lose weight?
Dr. Blevins 38:06
The answer is no. That's the answer. But you know, when I have a medicine that I think is safe, and, and effective, and I understand, then I'm much more comfortable prescribing, we've gone through all kinds of medicines over time. And some of them, we still have, I mean, GLP ones are not the only medicines approved for weight loss. Right. And, and some of them, I feel comfortable with others. I don't like the side effects. And I don't like the idea of long term, I have increasingly come to think and No, and I think most people in this area are similar, that any medicine we use is going to need to be long term. Right? And for example, I mean, let's just go look at other like type one diabetes, it's not like you can take the insulin for a while and and get off of it. And and, you know, various medicines, thyroid hormone, it's not like you can take thyroid hormone for a month or two and then get off and everything's okay. It's a it's a continuing need for treatment, then people call it chronic, chronic condition. So I think the weight loss medicine is going to have to be that way too. Because like you pointed, as you pointed out, you get toward the end of the cycle of these very effective meds and the appetite comes back and tries to come out from the appetite demon tries to come back. Yeah. And you just have to keep it where it is. And so I think chronic treatment is is is the way to go. With this type med.
Scott Benner 39:31
I've heard people describe a food noise in their head that goes away. My wife got a got hypothyroidism and it took us seven years to talk a doctor into giving her medication for it. And in that time, she gained a significant amount of weight which she's almost completely all lost on we go vino. And she describes and I'm going to have her on at some point to tell it in her words, but she describes it she would open her eyes in the morning and be thinking about food before she was even conscious and Then, as she was making breakfast, she'd start wondering what she was going to have for lunch. And she said, It's all gone. It just doesn't happen anymore, which makes it much, much easier. And then her you know, then it impacts the insulin, and that your body's using, keeping in mind, she doesn't have diabetes, right. And then the weight starts coming off, and then the metabolic stuff gets better. And that's in there. I think to me, for me personally, the most significant part is the way I ended up describing it as my body works better with the GLP. I don't really care what that means. And I by the way, I am now more active than I was before, because a I lost weight b I have more energy, my joints don't hurt like I am more active now than I was prior, it was easier to get going, it was easy to pick up weights and go, Hey, I'm gonna lift these now. It's a nice say, go ahead and lift some weights and go for a walk, etc. Except every time I tried to do something, I ended up getting a knee surgery or something like that. Because in fairness, my body was too big. And every time I tried to use it, I'm older and it would break. And so if we can all basically agree that there's stuff in the food we shouldn't be eating, and maybe stuff we're spraying on the food that we shouldn't be eating. And we're microwaving and plastic. And there's 90,000 Different kinds of oils, three of them apparently could be her one of them could apparently be an Industrial Lubricant, the way it's graded out, right. And we're eating this stuff all the time. And over time, people don't even understand what good food and bad food is anymore. In many situations, to say to people, I threw you in the cesspool, and I could pull you out, but at you should climb out. I don't understand that. Like I really don't like what is it? You're saying to people, if you're fighting against this idea now, is this ideal? It's not. But until GLP is make food come out of the ground tasted like candy and being good for you like lettuce. I don't know what else we're gonna do. Because this is where we are now. That's my opinion of it. Yeah, it's nice to hear other people wanting to be helpful for those who are are stuck in that. Also, there are plenty of thin people who are not healthy either. So you know, they're eating the same crappy food to their bodies just aren't reacting the same way as mine did, if that makes sense. Yeah, I think
Dr. Blevins 42:13
that makes sense. Yeah, your body, it was built for a certain amount of weight, your chassis, your skeleton was built for a certain amount of weight, your internal metabolics worked better with a certain amount of weight. And when we load the body with more things happen to the metabolics. And they also you pointed out, you pointed out they happen to the structural part to the knees. Cancers are higher in frequency. You know, I don't have a study that tells you when you lose weight, your cancer risk goes down. I would think that's probably true. But nonetheless, we know that overweight is related correlated to all kinds of things cardiovascular answer, all of that. And then losing weight is actually really important for some people losing 40 pounds is was needed. Some people lose 10. And they do a lot better. Yeah,
Scott Benner 42:59
time. Listen, I didn't even go to college. I have no background in medical whatsoever. I'm better off now than I was last year. Yeah, that my common sense tells me right? I've joked with people if I grow horn out of the middle of my head, and it literally says Manjaro up it. I'll go at least I'm not going to die of a heart attack. You'd have to show me some really tough health concerns about using this for me to think about. I'd be better off 40 pounds heavier. Yeah, yeah. So here's the thing like that. We don't talk about enough. Maybe you could do these medications. They started being researched in the 80s. I might is that story about the heal a monster in the Canadian researcher. Is that true? That's
Dr. Blevins 43:38
pretty true. Yeah. Yeah, they were started. The research started many, many years ago. And there was something in the heel of monster spirit that was kind of similar. And the one of the one of the early medicines that you probably remember was by Ada, which is exemplified, we don't really use it much anymore. He had a very short half life and had to get given twice a day. It was effective. It caused lots of side effects. It had peaks and valleys and peaks and valleys because they had to be given so often. And yeah, these are not brand new. You nailed it. I mean, epic has been out since 2017. Yeah, by eight it was approved long before that. And then we had a long acting by Ada kind of thing. I extended it that was by durian, you probably remember and one or two came and went because they just didn't have enough uniqueness to actually be used very much. And then along came Victoza. And we use that quite a bit that eventually got approved as the drug saxenda that the same thing for weight loss. And then you know, started people start observing, Oh, these are good for diabetes, but they also cause weight loss. And most of the drugs before that we use for diabetes, including the insulin would be associated with weight gain. And we'd say, Oh, that's good weight gain because your sugars are better, but nobody that I know Who is listening? And there's no weight gains good. Yeah, yeah, they've been around for a while.
Scott Benner 45:06
Yeah, it's tough because you lose weight when you're diagnosed with type one very frequently because you're, you know, drifting away from life and you don't realize it at first and then you reintroduce the insulin. And then you get back to the caloric intake that is normal for you, which for some people is more calories than they needed. And then they start gaining weight. And then they say, Oh, the the insolence making me gain weight. And I always try to tell people like, generally speaking, it's the calories you're taking in that help you gain weight. Now, the the insolence putting it, you know, is storing it for you. And do you agree with that generally? Or is there more to it than that? I
Dr. Blevins 45:40
agree with that. Okay, everybody, you know, people, everyone's different. And everyone, not everyone, but in general, it's still safe to say it's a good concept. Everyone has a different metabolic rate. And they deal with calories differently, frankly, calorie burn his genetic appetite is partly genetic attitudes about food are acquired. But, you know, we grew up in our families and in certain attitudes about food and amount of food. People are told, eat three meals a day, and you know, have a dessert. Yeah, we live life in real time. And we eat and so the calories, it would be kind of interesting if everybody had a custom calorie for their particular body. And that can be calculated. But But still, the environment we live in is so easy to get calories one on but you know, a handful of us has lots of calories, go look that up. I use, I use the net. And as many people do in Siri, I just say, Hey, Siri, how many calories in a handful of walnuts or something and you know, it's like, wow. And I still remember when I was in training, we were asked to have a dietician sit down with us. And I would go over to the hospital every day, and grab lunch. Lunch was, you know, an event. And, and we got time off to do it. And I was having a chili dog with french fries and a regular drink. And the dietitian calculated calories for that. And I thought, oh, it's gonna be like 450. But it was like 1000. And I will tell you that kind of feedback was a reality check. And I never had a chili dog again, I'll tell you because I just it just floored me. So if you look at what you actually eat everyone, you've done this, you do this, then you'll you'll find some interesting things.
Scott Benner 47:21
I'll tell you that I had an experience last week where I started eating something I hadn't eaten in a while. And I enjoyed it, and I ate it. And then I injected the 10 milligrams up from the 7.5. And I reached for it on the counter one day. And I actually thought to myself, Oh, I don't want this, right. Like the idea of it nauseated me. Yeah. And I was like, but But five days prior without two and a half more milligrams of this medication. I was like, Oh, this is good. I like this. It's it's it really is fascinating.
Dr. Blevins 47:52
changes your attitudes. And you know, something, there's nothing wrong with that. That's good. I mean, people, do you ask the question earlier? Is that really? Okay? And the answer is, you know, if it works, and it's, it's safe, and you tolerate it, go for it, it's what you should be doing
Scott Benner 48:06
is overweight and obesity, an issue in the type one community more so than in the regular community?
Dr. Blevins 48:11
You know, I've had people tell me, oh, overweight, it's not a problem. The type one is type two. And I look at them and go, No, that's not true. I know that because of the people I see in my office, people with type one diabetes have the same struggles with appetite, and maybe sometimes more. So as the people with type two and struggles with weight. If you look at stats, I can say, Is it 2050 or 80% of people with type one who are overweight or obese based on that definition I gave you earlier. And most people probably say 20%, I think most of the people in the medical world right now would say 50 or more. It's not at all mean, but if 50% of people with type one are overweight or obese, and I'll just say this type two diabetes, people with type two, have not cornered the market on overweight or obesity. And they haven't cornered the market on insulin resistance. People with type one can have genetics that are insulin resistant. And when you gain weight, you get more insulin resistant, whether you have type one or type two. Yeah, so it's a real it's a common issue. It's talked about more and more. And yes, we really do need some good studies, with I hope, this kind of medicine, looking at people with type one, and I'm going to tell you more about I can tell you now and there's a study that's going on, but we need more studies that look at this and people with type one, we need to find ways to mitigate risk. And we can do it. When
Scott Benner 49:34
you say we need studies. Where does that have to come from? Is it a pharma company that has to say, hey, I want to sell to these people. So I have to prove it works? Is it researchers like Who are we looking for to jump in and carry this load for us?
Dr. Blevins 49:46
Yeah. You know, it's the pharma companies. And there were these studies early on that there was a lot of optimism and we all assumed it was all going to be approved and it wasn't they have to go to the FDA and have to show the adverse events associated with medicines, and everybody has to come to an agreement, it just didn't happen. So the pharma company typically would have to put together a sizable enough study, which is very expensive, and then show effect, and then show, you know, manageable side effects. To get it through the FDA. Currently, there are some studies going on. In fact, I'll just jump in a minute and tell you about one, there's been reluctance to proceed. Of course, most people with diabetes have type two. And then there's just people who are overweight, who don't have diabetes at all. And then there are people with overweight who have pre diabetes. And that's where the numbers are. And that's where they're going for. A big part of me says, We want to go on something, and you have type one diabetes, go to the JDRF, and say, hey, please lobby for this because they have an organization. And they know how to do that. And they're really good at that. If I went to a company, and I said, I want to put 50 People with type one on this medicine, and that I probably could get funding to do the study. That's not nearly enough people, though, to get it by the FDA. So it really has to be a large study. Question is what about these weekly meds? That that's those two studies I told you about? That had the ketoacidosis and the hyperglycemia. Were in the once a day drug alert. liraglutide Victoza? What about the weekly meds we don't know, we need studies. Now there is a study going on right now. And I'll just jump in and say something about it's called car mod c AR mot that's just the name of the study. And accompany is studying a medicine such as we're talking about, specifically, in people with type one diabetes, who are either overweight or obese. This is a phase two study meaning it's going to turn into hopefully, if things look good, into a bigger study phase three. Now that's the kind of study that needs to be done. And that is ongoing. That's not from Novar. Lilly, it's a different company. And we are involved in that study, here. And in fact, if anyone is in the Austin, Texas region that wants to be with type one diabetes, who could be categorized as overweight or obese, we're looking for people for that study. So these studies, please, I've encourage everyone to volunteer for some of these studies, as you have in the past. Every medicine that's approved for type one, type two, anything, has people who volunteered to study jump on in there and help those things get approved, or at least at least get them study. They may not get approved. You never know.
Scott Benner 52:34
Yeah, Tom, I'll I'll get some information from you afterwards, I could probably funnel some people towards you that would help with that. And also, let's take a moment to chide Lilly and Novo who both in their charters say that they're around to help people with type one diabetes. So here's your opportunity, spend a little money and help them you know, the big problem here is there's not enough people to sell it to afterwards. That's the bigger problem. Yeah, there's not enough type ones. For them to think of it as a splash. But my gosh, like you're looking at really impacting people's lives. Because, listen, I think you can hear through the raindrops when Tom's talking. If he was in charge, if you were the Wizard of Oz, you'd give this to people, right? You do the study, come up with the protocol and give it to people with type one. Is that fair to say?
Dr. Blevins 53:19
And the answer is yes, I would. Yeah, I would be very, very careful. I would talk about all the things we talked about with the little part of my head saying, you know, there was a study that showed increased ketoacidosis. But then another larger kind of analysis said, probably not, it doesn't make a lot of sense to me that it would cause that I can I can come up with mechanisms. When you look at the studies, you come up with your own impressions. Yeah. And it looks like those people might have developed it anyway. But and then hypoglycemia, that one, I get that one I really do understand. And I know how to mitigate. And what you said earlier, you're you're looping your your daughter's loop. And I mean, and and even the automated insulin delivery devices from all of the manufacturers, since hypoglycemia, or since the progression towards it, and they back off the insulin. So with those devices that lots of people with type one are using, would there be an issue at all with Hypo? The answer is I don't know it needs to be studied. We
Scott Benner 54:18
live in a world where generally speaking, people with type one diabetes don't know how to accurately adjust their insulin to begin with. And often they see doctors who are not much more help it so then to say that we will I'll inject something in you that's going to lower your insulin needs. Who's going to adjust the insulin, like the user doesn't know how to do it, the doctor doesn't know how to do it, you know, like it's, that's where the rubber is gonna hit the road right there you have, you're gonna have to tell people look, we're gonna enjoy when Arden gave herself the first injection of ozempic We spent the next three days changing her settings. It was that significant and that real quick, and then after we got them right, it was fine. And that was it. So you know, anyway, Yeah, sorry, can I say about the DK thing? Yes, I bet you could have gathered all those people up and just check them for DK and came up with similar numbers without the GLP. But that's my guess based on nothing other than talking to people for years about diabetes?
Dr. Blevins 55:15
Well, I will say in those studies, there was a group on placebo and the group on treatment and the people on placebo, that is the comparison and a scientific study where you actually have people who aren't on and who are on and the people who weren't on didn't have the ketoacidosis. I can't say that interesting. And why did it cluster in that particular group? It on treatment, it tended to be the higher dose, so maybe the nausea from the higher dose sort of covered nausea from something else going on, like ketoacidosis. And people were kind of misled. It's possible that the lower insulin dose needed, made people more prone to have keto ketosis because they had less insulin going in. I don't know.
Scott Benner 55:59
And they were still eating regularly because they weren't being slowed down from eating. I wonder there's a lot in there. Yeah, there's, like you said, I think further study might prove out that that's not something to be overly concerned about?
Dr. Blevins 56:11
Well, it's something to be very careful, definitely. And what you said, is, is very important about adjusting for the first three days, the studies studies that are the one that we're talking about the karma study that we're doing, yeah, we have a very clear kind of direction as to how to adjust insulin right off the bat to be very cautious. And so we don't know if person is going to go on the real thing or not. And we adjust the insulin in a certain way. And so these studies should look not only and they are this one study, looking at not not only the effect, and the side effects, was also looking at a treatment kind of algorithm approach to reducing the insulin.
Scott Benner 56:55
Yeah. Do you have any patients of yours type one who you've given them a scrip? And they're paying cash?
Dr. Blevins 57:02
And I'll say I do? Yeah, yeah, you know, I'm writing it off, it's off label. And what I tell people is, I tell them about all the side effects, I say it's not approved by the FDA. And if you look at the approvals, many times, it says specifically not approved for type one. And, and I tell them that and give them a prescription of I think is appropriate, we we start low, we always start low, and then we increase the dose as as appropriate. It is off label. And I'm gonna say that so many times, and and I tell them, it could bring out some major gi problems, and you may really not like it, and you may not be able to take it, you may have to discontinue it. And we're really cautious. But I do have people who are overweight with type one, and I will point out and we can talk more about this later, that actually there are instances in which it could be covered in people with type one. And that would be the obesity overweight obesity indication. And and that would be the main one actually. Yeah. So if somebody and then also with what GAVI there is an indication for using if a person is overweight, or obese, and if they have a cardiovascular disease, so someone has a history of SEO, and a heart attack or stents or bypass or whatever. And if they're overweight, then there's a really, really interesting study that showed a reduction in major cardiovascular events. And people given them a govi. It wasn't that people type one. But there were a few people type one of the studies, it turns out, and they still fit that indication. I hope that made sense. Does
Scott Benner 58:41
Do you think we'll see an approval one day or a study one day for PCOS? Have you seen the people talking about that the the mass amount of women in these Facebook groups who are getting pregnant before they're losing weight on GRPs?
Dr. Blevins 58:54
Yeah, yeah. People with PCO, you know, weight loss can improve fertility and people with PCOS and without, and there are studies that have that are done small studies, there are ongoing studies. Are we going to see an approval? I don't know. I don't see a big study being done. And people PCO at this point, I may not be aware of one that's been done possible, but I think it's really an interesting thought.
Scott Benner 59:21
I think a lot of women suffer with it quietly. Yeah. And it's not looked at and it's
Dr. Blevins 59:26
highly connected to overweight. You said it right. It's highly connected to overweight and insulin resistance. And if you lose weight, the insulin sensitivity improves. Ovulation improves. Really interesting. I
Scott Benner 59:36
am going to share a story that I can't tell you who the person is, but I know them very well. And 20 mid 20s female, not you know, growing up heavy than not heavy, mostly not as an adult through college, and then suddenly in the last year, just gained 60 pounds. They're working out crazy eating as clean as they can gaining weight through the whole Then doctor says you have PCOS. We told her, go back to the doctor, see if they'll give you a week. Ovie something like that. We go, here's that bound doctor gave her we go V. She shot it on Saturday morning, over FaceTime with me because she couldn't bring herself to do it. I had to talk her through it. And she got it in and sent me a text 36 hours later that said, I've lost five pounds. I don't know what that means, or how to measure that. But that's insane. Like is that's not water weight. Do you know what he means? Like, it is probably some of it. But she stopped eating in the past for 36 hours and nothing's happened. And she's eating super clean to begin with. And she's active and everything else. Like, I don't think we have the answer yet. But you can't tell me that there's not something happening here. That's not commensurate to the idea of thyroid stimulating hormone, right? Like you My body's making it but it's not using it correctly. Like, there's gotta be something there making those those GLP receptors light up, that's changing people on a metabolic level like it maybe I'll be wrong one day, but in the moment, this is how I'm thinking about it. Yeah, yeah. Well,
Dr. Blevins 1:01:10
I mean, I'll say 36 hours, five pounds. There's a lot of water there. I think I mean, that or something? Or maybe there was a big blowout, diarrhea, I don't know. But, you know, usually on any diet when a person lowers calories. Typically the first week or two, you lose a lot of water weight for various reasons, part of its decreased salt intake and, and part of it is kind of the ketone formation thing and the less calorie in and all that type. I agree
Scott Benner 1:01:41
with you totally, but she was already doing that. Yeah, there was never a moment whether it was either a Gary has just exploded, and she just that diary, like or whatever it was, that still didn't happen to her when she was eating clean, exercising, and, and etc, and so on. Who knows? Like, I have no idea, I can tell you my daughter's acne is almost completely gone. And she was not overweight to begin with.
Dr. Blevins 1:02:04
Yeah, you know, we have a lot. Well, I will, I will say we have lots to learn. And I will emphasize to the audience, these are anecdotal, please, of course, examples of effect, not that everyone's going to get anything like that. And some people are really not going to tolerate it. And I have some people who simply can't take it as too bad. Can we talk about that people don't have and yet some people don't have as much weight loss as we're talking about either. So life is a bell shaped curve in response to a medicine is to Yeah, and we like to we tend to talk about the real yet exceptional examples. But remember, not everyone gets that that result.
Scott Benner 1:02:42
Talk to me about the not tolerating it when you don't tolerate it, what does that look like?
Dr. Blevins 1:02:46
You know, the main thing is Gi, and it's typically just what we talked about that gastric emptying, change, and maybe even some central effect can induce nausea, vomiting, it tends to get better over time, we always start with the low dose and we titrate or increase the dose very gradually, we if we increase the dose, and then a person gets side effects, we back off. And that's very doable. You have to work with your health care person when it comes to that. And, and so diarrhea, and constipation, the medicines typically slow down the GI tract all the way down, but some people can get diarrhea as well. Commonly, those those effects are tolerable or get better. I had a gentleman in this morning who told me he's taking one of the meds and that at the highest dose, he gets really tight in his abdomen and very uncomfortable. And he's backed it off, backed it off, backed off and I encouraged him to continue to and try to find a happy medium because the GI tract is in the balance here. Some people can't take it and if you look at studies for up to 8% of people on these meds discontinue because of the GI side effects. Now they're those effects can be matched with medicine. I don't like to treat the side effects of one medicine with another but it's sometimes temporary use of like anti nausea pills can help. And you can use medicines or anti diarrheal 's to same concept but that typically are temporary but not always. And so people need to be aware of that. It just happens it's not your fault if that happens. I will say this if you have nausea and maybe Anyway remember that high fat slows the stomach down to so if you add fat plus a GOP one, your chance of nausea it goes right up. So one thing to do is cut the fat back about
Scott Benner 1:04:40
Yeah, no I don't eat high fat to begin with. I don't use any oils almost at all in my life. But I was very careful about that. I also if I don't see myself going to the bathroom I add a little magnesium oxide to my supplementing Yeah, I knew how important it was to keep the process rolling once I started this, like, if I don't see myself going, going every day on this, I hydrate, I take the magnesium like I keep things moving. I know there are some, you know, people love to yell in the media about stuff like this, but have people been injured permanently from it at all that you know of like, I mean, and is that got something to do with who they were before they started? And? Or could it because I think the fear is like randomly you're just not going to be able to like, I don't know, digest food anymore. Like you mean like people get when they hear about it, and you hear them panic about it, they say kind of bombastic things like that, is there a call for concern,
Dr. Blevins 1:05:37
you can ask something, when we talked about half life earlier, I mentioned that, that, you know, the week Half Life means that it takes a week to reach 50%, I'll tell the audience, it typically takes five half lives for a medicine to get totally out of your body. So if a medicine has a long half life, it's gonna take a while for it to get out. So if you have a symptom that you don't like, and you're gonna stop the medicine, it's not like you stop it. And that just goes away with this type of medicine because of the long half life. The symptoms of like the slowed gastric emptying are gonna go on for a while, and maybe they'll go longer than that. But there's really no clear evidence that those go on forever. And some people have underlined gastroparesis, and we don't know. And, and we might bring it out, make it worse. And then after they get off the Med, they may they may get diagnosed. And I may say maybe think Well, I have this now because the answer is I think they probably had it before. And there's still a lot to learn, but there's no clear evidence out of studies that there's there's a permanent impairment. Right. Okay. And, you know, there are other side effects too, we could talk about that. That's, I think the main one that people talk about,
Scott Benner 1:06:48
I would, I would never minimize anybody's experience. But either, yeah, but I want to say this, and I want to leave with that. I've interviewed 1000s of people. And I have access to my Facebook group that has 50,000 active people in it. And so when my daughter at 18 years old, was told by a GI doctor, she had gastro precess, even though her a one C had been in the fives and the low sixes for most of her life. I didn't accept that. And we went and looked at other ideas, and added a digestive enzyme to her process of eating, which made all of her stomach pain go away. I shared that on the podcast. And I have to tell you that the amount of people with type one who I hear back from who just said to me, I thought my stomach was gonna hurt the rest of my life. I thought there was something wrong with me, my body was broken, etc, and so on. Now, I've added this, and it's all gone. It just cleared up. So we don't talk enough about when you get type one diabetes, some people get digestive problems, right. I mean, you know, they used to give Amazon out like it was like candy to type ones. But now if suddenly we don't do that anymore, so we, we ignore the possible digestive implications of having type one diabetes. And then when people talk about stomach issues, they send them right to a GI doc, who just jumps right to you have slow gastric emptying, you have gastroparesis. And I wonder if there's not, it wouldn't be helpful if people were better educated about that and spoke more about that to their patients. Do you find yourself seeing those things? Yeah,
Dr. Blevins 1:08:27
I think it was a really good point. And I think gastroparesis should be diagnosed based on you know, commonly some testing to document what's going on. And I think if anyone goes to their GI doc, please, if you're on a GLP one, tell them about that. Because everyone, you know, we we in the endocrine world, diabetes world, we're, we're all up on it. But not everyone is. And I can't tell you how many people now the GI Doc's I work with are really sharp. And they picked up on this very quickly. But I got some calls early on, from people saying, Hey, I just did an endoscopy on somebody who's on that medicine and they're still fluid in their stomach and they haven't eaten anything since last night. We've learned a lot, we've learned that that can happen. Slow gastric emptying can leave contents there for a while. And you need to be aware of that. If you're a GI doctor, and then this thing about symptoms too. I've had people go through major gi workups. And, and they're told Finally, well, everything's okay. Take these medicines, and it might help. And then they come back to my office, I go, Oh, you're on this medicine that probably cause all those symptoms. And Did y'all talk about that? And the answer is, there's been a lot learned and things have gotten a lot clearer. But But these medicines if you slow the stomach down, what happens? Well, you slow the stomach down, you could get fuller. And, and like my patient said earlier, it felt like his stomach was tight. Yeah, and that's no surprise. You can also have that gastric to juice be kind of pushed up the esophagus because there's more pressure and you could get some a soft vaginas. So it's important to kind of understand the implications of that gastric emptying thing.
Scott Benner 1:10:11
I have to tell you my acid reflux has completely gone away on a GLP. Right? Yeah, good. Is that in common?
Dr. Blevins 1:10:18
All things are possible there. They could get worse. I mean, you said it's got better for you. Yeah. And so the various things can happen. Okay. Most people really don't have any don't have an increase in reflex. Some do. And I can understand how it could get better, too. So there you go. And, and a lot of variability from person to person.
Scott Benner 1:10:39
I think we're coming up on our time. Is that right? We could go a little bit longer the longer Can I ask you about? So two things? So first of all, availability? Are you seeing it get better? I know there was a flood somewhere that slowed it down for a little bit? Like do you think that they just can't keep up with this? Do you think that so many people are using it? What Why are we seeing this? Do you think it'll clear up at some point?
Dr. Blevins 1:10:59
Yeah, availability has been a big deal. And I think part of it is related to some manufacturing difficulties. Part of it, the most of it, I think, is due just as pure demand. I mean, these these medicines are in high demand. And we almost need a pipeline, you know, there's so much that is needed and needs to be distributed. And we've seen those Olympic supply became very challenging, and it's improved a little bit in my experience will go the challenging, and maybe getting better, I keep hearing next month is going to be better. And then the next month comes in, it's not better June next month. And then now now, you know mount Jarrow has had some tight supply zapped bound as well. And of course, we as treatment people, like I want I want my people with diabetes, to have availability to the medicines they need. Right. And I like people losing weight, that's great. And so, you know, people that don't have diabetes, and you lose weight, that's important people with diabetes, big deal. So, you know, there's this this kind of back and forth about, you know, people who really needed aren't getting it really needed, what the definition of that, but that would be, you know, I think most people think those people with diabetes, again, we're talking type two, because remember, these are not approved? Yes. In general, for type one.
Scott Benner 1:12:24
I mean, listen, I, they've got to, they want to make money, right, they've got to figure out a way to get on top of it. I think one of them literally just bought a new place and down south somewhere, or they bought they bought somebody else's building and they're they're manufacturing, they're trying to get set up for it. I don't think it's because they're not trying. To me it lends to the idea of doing studies in other populations, because if it's this popular now, and you're not going to be able to stop taking it. And we have no shortage of people who could use it for diabetes and or weight, or hunger or PCOS or whatever we end up using it for like moving forward, find more people to give it to so you can make excuses to build more buildings and hire more people and produce more. I've heard of people getting it through China, like through China through a Canadian pharmacy into that was happening like that for a while. It's insane.
Dr. Blevins 1:13:13
Your your points well taken? Yeah. I think the demand surprised everyone, the potential the benefit has been embraced. And there's a shortage, which I think will cure in the next few months. Of course, I said that three or four months ago, too.
Scott Benner 1:13:29
Do you think that the demand was surprising is an indication that it works?
Dr. Blevins 1:13:33
I do? Yeah, I do. And I think that, that people understand that people with diabetes, that have the under the indication, benefit, a great deal from it. And that's really a big deal, because lowering the agency reduces risk of complications of diabetes, and helps all the metabolic issues that occur with diabeetus. And we know now that at least a few of these are approved for reducing cardiovascular risk. This studies were done in people with known heart disease, of course, but we know that too, there there are benefits all the way around. And but I think that people who don't have those, the diabeetus. And those risks still want it because weight loss is something people want. And for good reason. I can't blame them at all.
Scott Benner 1:14:19
Can I give you my my big theory? Yes. I think that after a generation of people using GLP medications, and basically learning to eat less and eat better, because they're being chemically kind of directed like that, that we might raise a new generation of people who don't eat poorly. I know that's a big idea. It's a generational idea. But how do your kids end up eating poorly? It's because you eat poorly and you maybe don't even know it. I use this example all the time. My mom who's passed now was told she was pre diabetic a few years ago, and she called me and said Scott i They Say I have prediabetes I'm gonna film to change up my diet completely. So that's great mom. And then I visited her a week later, and I opened up a refrigerator and everything she bought, couldn't have been a worse decision. Because she just didn't know the right things to eat, right. And that's the lady who taught me how to eat, right. And then I taught my kids how to eat except I got lucky, at some point and said to myself, we're doing this wrong, my wife and I were like, we both grew up very blue collar very simply, nobody understood, you know, nutrition at all. And what we consider to be good food was just the stuff we couldn't afford, that we got once in a while is a treat. And that made it good food is really interesting, like how we think about what's actually good for us. So that's my big idea. My big idea is if we take a generation of parents, and write their thinking that they might raise a generation of kids who don't get, I can see in three generations, this completely flipping the other way and forcing Agra to move with it. Because if we're not buying it, they're not going to make it. That's kind of how I feel about it.
Dr. Blevins 1:16:05
I like your idea there. I think starting early, with pretty much anything when it comes to kids is going to have long term consequences. And I think dietary, you know, approaches that early ages that are good, make make things happen. I've actually know some your young children who eat nothing but vegetables and all that all day, it seems. And they really, they do like ice cream and that but they don't. It's a treat, it's not a common, it's not something they expect, but they don't like some of the things that are really what we'd consider it to be high fat. And they're just because their tastebuds are there, they're acclimated to things that are different and, and they're healthy. And I do think you start early, whether it comes to when it comes to food or various things, like Stay away from drugs and cigarettes and all that I think you start early and you teach the kids how to how to go, it
Scott Benner 1:17:00
just becomes kind of second nature. Yeah, I do a Pro Tip series about diabetes with a with a CD or excuse me with a nude, a woman who's got type one diabetes, and is a nutritionist and her children eat fantastically, but So does she. Yeah, and that I think it just is what Liz also, I have to tell you, Tom, if you're willing to do this a few more times, I think you and I are gonna have a Pro Tip series on GLP is together because this is fantastic. I can't thank you enough for spending the time and we still have we didn't even get to the listener questions yet.
Dr. Blevins 1:17:30
So there's a lot to talk about. No, I'd love to. Okay, we'd love to. That's
Scott Benner 1:17:33
great. Kate, listen, do you accept new patients at the practice? Or would it not benefit you for us to share your information like that? I
Dr. Blevins 1:17:41
really don't see new patients. I do supervise a lot of people with advanced practice providers. We have excellent group here, who are really experts on diabeetus. But we have we're a single specialty. We have 12 doctors and three offices here. So though, I don't see any patients. The we as a practice, we see new patients all the time. Okay. In the Austin area, people come from various and we do diabeetus all endocrine so, you know, some listing that would include the practice predominantly
Scott Benner 1:18:14
and no, I Well, for sure. What would tell me the website? Yeah,
Dr. Blevins 1:18:19
it's Texas. diabetes.com. Okay. Yeah,
Scott Benner 1:18:24
I'll put it in the show notes as well. And I'm not kidding you. When you get done. You send me the study information that I can share online. I'll put it in a place where a lot of people say it for you. Okay, I'll
Dr. Blevins 1:18:33
do it. Yeah, we'll do that. Thank you. Yeah, I appreciate that. Oh, my God, let's let's put off the Frezza a little bit, because, first of all, we'll probably want to do more GLP. One first, because there are quite a few things we didn't get to your right. And we need to like the muscle mass change all that stuff. Preparing for surgery, all that very practical, that the impressive thing, American diabetes is late June, and there's going to be I know there's going to be a study presented that will make that discussion more useful. Okay. And I can't talk about the results before them. So anyway, when that's okay,
Scott Benner 1:19:08
can I leave this part in you talking about it? Like that? Yes. Okay. Because what I see here on I'm going to keep recording. You're back with me in two weeks. I think we need that one and one more to get through. GLP. Okay, and, and then do a fourth one on a friends. I think that would be terrific.
Dr. Blevins 1:19:25
That'd be great. Okay, cool. Very good. All right.
Scott Benner 1:19:27
Use that link I gave you and grab a couple more recording dates. I'll do okay. All right, Tom. This has been fantastic. No, you're amazing. Thank you. Bye. It's
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#1211 Poor Richard
Katie was diagnosed with type 1 at 22 years old.
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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 1211 of the Juicebox Podcast.
On this episode of the podcast I'll be speaking with Katie she's 28 years old, she was diagnosed at 22. She has ADHD and we're going to spend a lot of time today talking about her life. Her diagnosis story, which is pretty scary, actually comes at the end of the episode. While you're listening, please don't forget that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan, or becoming bold with insulin. If you or your child have type one diabetes and you're a US resident, please go to T one D exchange.org/juicebox. and complete the survey. When you complete that survey, you're helping type one diabetes research to move forward. You're also supporting the podcast and you may be helping yourself T one D exchange.org/juice. Box. When you place your first order for ag one with my link, you'll get five free travel packs and a free year's supply of vitamin D. Drink ag one.com/juice box. My cozy Earth offer code is going away in June. Well, it's not really going away it's going down it's 40% off when you use the offer code juice box and cozy earth.com until June first and then it goes to 30% So hurry up. This episode of The Juicebox Podcast is sponsored by ever since the ever since CGM is more convenient requiring only one sensor every six months. It offers more flexibility with its easy on Easy Off smart transmitter and allows you to take a break when needed. Ever since cgm.com/juice box. This episode of The Juicebox Podcast is sponsored by the contour next gen blood glucose meter. Learn more and get started today at contour next one.com/juice box. 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.
Katie Scott 2:15
Hi, I'm Katie Scott. I'm 28 years old, I was diagnosed as a diabetic at 22. And it's been a wild adventure getting diagnosed at 22 at a time where you're becoming independent and figuring out your life. But through that I've been able to start my own business Eureka aerial, which is a youth aerial dance company in Minnesota. That has been just the most magical thing. So yeah, that's kind of what I want to talk about today. All right.
Scott Benner 2:47
So let's figure out how you got to this diagnosis.
Katie Scott 2:51
Oh my god,
Scott Benner 2:53
what was the first thing you know? Because 22 You're on your own right?
Katie Scott 2:56
Oh my god. Yeah, I was on my own. I was going through yoga teacher training at the time. I'm not a yoga teacher anymore. But I was like living my healthy life. Right. Also, I was drinking so much water. I was like, This is great. I'm drinking so much water. I'm like hydrated. And you know, whatever. Well turns out like you know, the drinking water would be because I had type one. And I was like just excessively thirsty all the time. So I would say probably I was undiagnosed. I'm really not sure how long it could be anywhere from six months to four months. And it really came to a close when I was just losing weight extremely rapidly. I was down to like 80 pounds because I'm only five feet tall. So like, but also 80 pounds like I was like skeletal the water drinking that I was proud of and ended up me if I would forget my water bottle I was having like panic attacks because I was I was so thirsty. And then I couldn't sleep at night because I was constantly getting up to go to the bathroom. Okay, I had a yeast infection for like, for like four months, a chronic yeast infection that like wouldn't go away and looking back like I kept going to the doctor for it and like you know, getting getting antibiotics what or whatever. And turns out like that's one of the number one signs in women who have type one undiagnosed type one is like chronic yeast infections.
Scott Benner 4:26
Katie, the number of women who have told me they had a yeast infection. It goes into the dozens. So you're not the first person so
Katie Scott 4:32
it's horrible. Yeah. And I was like, me and my fiance. He's my fiancee now but we just only been dating six months. And he invites me out to this wedding and Colorado at the end of the summer. Okay, we're in like the highest elevation point on this mountain. I'm sitting on a hay bale during this wedding and address in the hot sun with the worst yeast infection of my life in Colorado. And I just started dating him. So I wasn't comfortable enough to be like I have a yeast infection. And like, his family was there. So I'm like I have, I'm just gonna suffer in this hot sun on a hay bale with a yeast infection. Like it was, it was honestly, the most uncomfortable I've ever been in my whole entire life. I was like, this is awful. If somebody
Scott Benner 5:20
would have thrown a roll under you, do you think you would have been like that probably fell out of me.
Katie Scott 5:25
Ah, I was like, I you know what? That's reasonable, really should have thought about because I would have been so rich if I created a business out of my yeast production, because I don't think anyone's gonna buy your yeast rolls. But okay, you'd be surprised in this day and age. In this day and age, everyone would be like, Wow, that's super woman owned business. Wow. It's made from and now I could even be like, it's made from a disabled woman.
Scott Benner 5:54
Baker. Disabled to try to. Some
Katie Scott 5:57
people say type one type one is a disability or chronic illness, but it's like it's kind of both you know, whatever. Like
Scott Benner 6:02
you're trying to get more juice for your for your Instagram by calling. Oh, yeah, I
Katie Scott 6:07
should put that in my bio.
Scott Benner 6:08
Can I ask you a serious question? Yes. You're only dating this guy for a short time? Were you intimate with Him? Yeah, it
Katie Scott 6:14
was intimate with Him.
Scott Benner 6:15
Did it occur to you to be like, maybe this guy's not clean? Like, no, no, no, no. So
Katie Scott 6:19
I actually also just get yeast infections kind of anyway. Something you do for fun if someone looks at me the wrong way. I think I can just be like a yeast infection. But his he's very clean. He's very, very clean. But like, yeah, no previous partners. I was like, You need to wash your hands like I get it. But no, like not. He's very, very clean. But ya know, like, we were intimate but like, only when like, my yeast infection would go away for a short period of time from the antibiotics then you were
Scott Benner 6:49
like it's time. Yeah, no kidding. Hey, you know, I knew this is gonna be a fun interview when you said that you were becoming a yoga teacher.
Katie Scott 6:58
Yeah, what do you want to know about that? No. I
Scott Benner 7:01
just want to know if how deep were you into it? If I said mantra and Yantra creates what would you say? If you take insulin or sulfonylureas you are at risk for your blood sugar going too low. You need a safety net when it matters most. Be ready with G voc hypo pen. My daughter carries G voc hypo pen everywhere she goes because it's a ready to use rescue pen for treating very low blood sugar and people with diabetes ages two and above that I trust. Low blood sugar emergencies can happen unexpectedly and they demand quick action. Luckily, G voc hypo pen can be administered in two simple steps even by yourself in certain situations. Show those around you where you store G vo Capo pen and how to use it. They need to know how to use G vo Capo pen before an emergency situation happens. Learn more about why G vo Capo pen is in Ardens diabetes toolkit at G voc glucagon.com/juicebox. G voc shouldn't be used if you have a tumor in the gland on the top of your kidneys called a pheochromocytoma. Or if you have a tumor in your pancreas called an insulinoma. Visit G voc glucagon.com/risk. For safety information. That contour next gen blood glucose meter is the meter that we use here. Arden has one with her at all times. I have one downstairs in the kitchen, just in case I want to check my blood sugar. And Arden has them at school. They're everywhere that she is contour next one.com/juice box test strips. And the meters themselves may be less expensive for you in cash out of your pocket than you're paying currently through your insurance for another meter. You can find out about that and much more at my link contour next one.com/juice box contour makes a number of fantastic and accurate meters. And their second chance test strips are absolutely my favorite part. What does that mean? If you go to get some blood and maybe you touch it and I don't know stumble with your hand and like slip off and go back. It doesn't impact the quality or accuracy of the test so you can hit the blood not good enough, come back get the rest without impacting the accuracy of the test. That's right, you can touch the blood come back and get the rest and you're gonna get an absolutely accurate test. I think that's important because we all stumble and fumble at times. That's not a good reason to have to waste a test strip and with a contour next gen. You won't have to contour next.com forward slash juicebox you're gonna get a great reading without having to be perfect.
Katie Scott 9:46
Oh, I don't know like Hear me out. Okay, let me tell you a little bit about that. I grew up in a dance like I grew up as a dancer, okay. I was like a competitive dancer. It was like my first love in life was my first passion was And I started teaching dance when I was like 17. And I had when I graduated high school I had, I went to community college and dropped out. And then I went back to community college, and I dropped out again, because I didn't learn the first time, which is fine. And so I was like, I didn't really I don't think I'd ever really even done yoga that much at all. And I decided I was going to, I did no research into it. And I found a yoga place offering teacher trainings. And I was like, Yeah, that's what you go to school for. Right? Like, you will learn how to like, you know, do teach yoga, I thought it would be like, an extra thing on my resume, because I was still teaching dance at the time. And, you know, I was gonna be this yoga teacher shirt. What I didn't realize is that like, well, first of all, I was like, one of the like, the youngest ones at the time in the in the room, and it was like, mostly like women 30 to 40 year old mom, 3540 year old moms, and a little older, you know, doing it as like, because they've been doing yoga forever. And they just wanted to deepen their practice and then start teaching, right. So also, I did realize like, I picked one of the most spiritual yoga studios, and I was learning all these like crazy things. I honestly couldn't keep up like, I just wanted to do the splits. And I did I did get into it, though. I did really like it. I did get a little too crazy for me and where it just it did become a little bit culty like, I joke to some people that I accidentally joined a yoga cult. Because I did like it. It wasn't like a fun one. Like we weren't doing like, you know, the fun stuff. Some I don't. It's our colds, fun. I don't I don't know. I just like imagine like, you know, like the hippies, you know, like, taking acid and like, doing whatever they do sharing a toothbrush. Like none of that. Katie,
Scott Benner 11:54
I can't keep up with you. I talk so fast. And you are so much quicker than I am. Like,
Katie Scott 12:00
really? Fail. Calm down. I probably had too much caffeine, but you're
Scott Benner 12:05
not on anything. Right? Like, like on what? Oh, Coke? No, no. Okay.
Katie Scott 12:12
I have to teach later. Today. I teach kids how dare you because
Scott Benner 12:14
no one ever said did you speak quickly? Are you like maybe just jacked up for this?
Katie Scott 12:18
I think I'm I'm definitely having a little bit of an adrenaline rush. And I drink a lot of caffeine.
Scott Benner 12:25
By the way, I'm okay with it. Okay, okay.
Katie Scott 12:28
I'm like, Oh, my God, do I sound up right now?
Scott Benner 12:30
Like, we're gonna tap a whole new market. Like, I have to admit when I watched those video podcasts that are like, you know, two young people complaining about life. And they're going back and forth so quickly. My I'm like, Oh, my God, like, slow down.
Katie Scott 12:44
That's the attention span these days. It's
Scott Benner 12:47
like seven words. And then somebody goes, Oh, my God, and then it moves on to something else. I'm like, Yeah,
Katie Scott 12:52
that's me. Yeah, that's I'm a proud I'm a product of the generation. I'm going to be honest. Oh, my
Scott Benner 12:56
God, that's good. I love that. I love I love that you were like, I'm gonna, I'm gonna learn yoga. I don't know anything about it. Yeah, I
Katie Scott 13:05
was like, I'm gonna I don't know. Like, it seemed like a good idea. And it was, it was interesting, because, you know, I kept not doing it, right. Like the chanting and stuff. Like, I remember like, they brought us through this, like chakra meditation. And like, this girl next to me is just starts bawling. And she's in a fetal position. And is like, you know, like, one person one time was like, everyone was having these like, crazy spiritual experiences in class. And I was like, dang, it's not working for me. I'm like, Am I doing this? Right? Maybe they were pretending. That's kind of what I'm thinking. And then I like, look back. Because my experience now with I've been in the I would, I'll just say creative movement for a long time, you know, growing up as a dancer, and then picking up Arial, which is like, if you guys don't know what Arial is. It's circus, basically. But I don't. It's kind of circus, but I only do the aerial portion of circus. And it's more like dancing, if that makes sense. So you're like, hanging from the ceiling on a sill, or a hoop or stuff like that? Yeah. And I've done a lot of training without stuff like that. Right? What? No, I don't teach Paul because I teach kids that kids don't pull dance. No, I mean, like they could, but I don't think that. I don't think I need to. I think that's self explanatory. Do
Scott Benner 14:22
you think it's self explanatory? Why we don't want kids to pole dance.
Katie Scott 14:25
I would hope that my the parents at the studio would say something to me if I'm like, we're introducing poll now. I would hope that they would say something, you know,
Scott Benner 14:35
your kids know how to arch your back.
Katie Scott 14:39
It's just, ya know, like, I don't know, like, I have a lot of friends that are pulled answers. And they're amazing. And it's not always it's, it really is just another aerial apparatus. And it's not always about, you know, doing a sexy dance or whatever. Like I've seen some amazing ones but unfortunately, it is affiliated with Non kid things I
Scott Benner 15:02
didn't actually mean it that way I meant like i The hanging from the silks and stuff like that like it gives me the same feeling because what you're doing is repetitive in a circle. That's all
Katie Scott 15:11
the way it took to the ceiling. There's a my my Blinky on this right now. A swivel. Yeah, it helps you spin and pull. Dancers also are on a swivel, but it's on the floor.
Scott Benner 15:21
Yeah, no, I know. I've also seen a lot of people do pole dancing for like, wellness and and fitness. Oh, yeah.
Katie Scott 15:28
No, it's a great community. Like, especially I'm in Minnesota, and the pole community here is so loving and nice, but it's just, you know, I don't specialize in teaching poll. I also prefer teaching children over adults. I've done both and I prefer children. And I just what I don't really learn things that I don't wouldn't be able to teach, if that makes sense.
Scott Benner 15:51
Katie, why do you prefer teaching children? Okay,
Katie Scott 15:53
so that's a great question. So I started teaching kids when I was 17. Actually, even before that, like, I was a number one babysitter in my community. I was like, doing all kids stuff. I taught Sunday school for a moment. I started teaching kids dance. And then I taught kids dance from 17 till I was about 24, before he opened up my own studio, and my last dance teaching job. The I had the craziest kids and I just thought I needed a break from teaching kids. So I was like, I'm just going to only teach adults, right. And then I started teaching adults, and I was teaching yoga, I was teaching Arial as well. And bar, whatever fitness classes, and I hated it. I just I felt like I couldn't, I have always had to be like, serious. And I'm just not a serious person whatsoever. And it just was weird to because I was only when I started my business. I was 23 We opened our doors when I was 24. And it just felt like, and I was like always the youngest one in the room most of the time. And it was a lot of like, women in their like 30s or 40s that were like serious about fitness. Or would trauma dump their personal issues on to me, who where it's like you're an adult, you can figure this out like it'll be okay. And they a lot of them got really obsessive about me like almost to a stalker level. Okay, yeah, it was pretty crazy. And I just wasn't, I really wasn't enjoying it anymore. And so we decided to offer a kids aerial class at the studio, and I just fell in love with it again. I was like, Oh, yes, this is much better. Because to be honest, I wait rather hear about why your favorite flavor of Jolly Rancher is cherry for 30 minutes over problems that you have in your life that you can control. You know, I want
Scott Benner 17:53
to know the what's the craziest story, some lady dumped on you in that dance studio.
Katie Scott 18:02
Um, she was complaining. This is just the first one that popped up. She was complaining that her husband hasn't been himself lately, and was just complaining about how needy he's been after he had just had a major heart surgery that he ended up being awake during the whole time for.
Scott Benner 18:19
So this man had heart surgery, and his life is changing. And he's going through something and
Katie Scott 18:26
through the surgery. He was like, sedated, but he was awake and felt everything
Scott Benner 18:31
right. And her complaint is that he's needy now. Yeah,
Katie Scott 18:35
because she had to take care of him after heart surgery and she just was like, I still haven't really processed that one.
Scott Benner 18:43
Were you disappointed to hear that? She didn't care that much about him if she had to do something for him.
Katie Scott 18:49
I don't know if I was disappointed because she was already giving red flags. She was she was really clingy. And an interesting human so I I just was like of course you know, you said that like, and it was just something like where I just kind of the conversation. I just had to like walk away because I didn't really have any input other than like, that's so sad. Like, I hope he's okay, you know, but like it was weird when they come when somebody comes to me or a situation like that out of complaining about their spouse that is needing help.
Scott Benner 19:21
Yeah, this is not the first time I've heard this by the way.
Katie Scott 19:25
I obviously have compassion for people who are like oh, it's been hard you know, he went through surgery this whatever I'm like, All yours listener. I'll help where I can but like it was really interesting how self like just it was just wild. It's like just some just the way people are. How do I say self centered like I don't want to call them a narcissist because I think that gets overused thrown around a little too much. But hey,
Scott Benner 19:51
you want to know what else gets overused? Katie? today's podcast is sponsored by the ever since CGM boasting a six month sensor the Ever since CGM offers you these key advantages distinct on body vibe alerts when higher low, a consistent and exceptional accuracy over a six month period, and you only need two sensors per year. No longer will you have to carry your CGM supplies with you. You won't have to be concerned about your adhesive not lasting, accidentally knocking off a sensor or wasting a sensor when you have to replace your transmitter. That's right. There's no more weekly or bi weekly hassles of sensor changes. Not with the ever sent CGM. It's implantable and it's accurate ever since cgm.com/juicebox. The ever since CGM is the first and only long term CGM ever since sits comfortably right under the skin and your upper arm and it lasts way longer than any other CGM sensor. Never again will you have to worry about your sensor falling off before the end of its life. So if you want an incredibly accurate CGM that can't get knocked off, and won't fall off. You're looking for the ever since CGM. Ever since cgm.com/juicebox. gaslighting? I agree. It's an off with that. Yeah. Listen, I've heard people say, my spouse got sick, and it's crimp in my lifestyle, and I don't like it. But I've actually I've, I've heard people say that, like I had plans, I didn't know I was gonna have to sit around taking care of them. And I'm like, Richard, poor sickness and health that the apart those things didn't my god, were you listening?
Katie Scott 21:36
Oh, no, they weren't listening. They were just doing it because they liked the wedding, they wanted a wedding. You know, they wanted to say Yes to the Dress, something to like, go back. And like kind of like, touch on a few things about that, especially when it comes to type one. I'm very lucky that when I was diagnosed, I was dating my now fiance's Spencer, who is just the best person ever, I'm not gonna get into it too much. But like, he's just an incredible human but, and we've stayed together. And he was my emotional support system, like, my family was not really there for me at all. So he was the only one I had, and it was like six months in, you know, I'm a part of these, like, type one, diabetes support groups on Facebook. And sometimes those are good. And sometimes, you know, I mean, as people are like, there gets to be like, crazy debates on there, whatever, which is dumb, but I have read stories about how people with type one, their partner is just completely like, getting upset if they need to help with a low or literally doing anything like for them to, like, help them through like this. And it doesn't even need to be a ton because like, it's a lot of the times the people that are talking about this, it's they're already like managing diabetes really well themselves. But it's like, you know, you have those like moments where like, you need someone who's supposed to be like your spouse to like, take over and take care of you. And instead, they're treated as needy or, like too much work. And it's almost like their partner makes it about them. And how it's impacting their lives or the fact that like, the person you love is going through something really difficult. And it's, it's, it's challenging. Katie, what
Scott Benner 23:23
you're describing is that it's simple to say you'll be there. It's difficult to actually do it when something unexpected comes up. And yeah, that's when you find out who's on your side. who's got your back, who really loves you like that kind
Katie Scott 23:37
of stuff. And that Oh, yeah. 1,000% Yeah.
Scott Benner 23:39
Hey, where are your parents? Are your parents still together? Are they divorced?
Katie Scott 23:42
Yeah, there's somehow still together like, and my mom's gonna listen to this. So hi, mom. But they can fight. It's crazy. But you know what, the highs are high and the lows are low. And they've been together for? Well, I'm 28. And longer than that to over 30 years. So they've got something figured out. I don't know. It was pretty chaotic, though growing up with the fighting, but they've stayed together. So I think they're meant for each other at this point, you know, and they're both you know, it's interesting when you become an adult, and your relationships with your parents change because you become an adult. And now, I see my parents as who they are as people other than parents, like my mom and dad. And they've become, I consider them like, very good friends. And also I love them as my parents, but like, it's interesting, how the dynamic changes. Yeah, you
Scott Benner 24:36
can start seeing them as real people and not not just your parents. Well, I have to tell you, I think if you're gonna stay married for 30 years, you're gonna have some really great fights. So Oh, yeah, I Yes. I don't know how else to how else to say they change as you get older.
Katie Scott 24:52
I'm looking forward to it. Fighting. Oh, yeah. I'm looking forward to everything that comes with marriage.
Scott Benner 24:59
Well My wife said to me the other day, why do you tease me so much? And I was like, I love you.
Katie Scott 25:06
Yeah. It is. You know, that's, that's actually really funny you say that? Because I mean, me and Spencer always like, we've built a relationship on play, you know? And it's very, very fun most the time, but sometimes it's not, you're like, Oh, you crossline we don't argue like really? About much. And when we do, it stays pretty controlled. And I've paid for so much therapy that if I wasn't regulated, I would ask for a refund at this point. So I'm, I'm confident that we can both get through those arguments with good boundaries and a good head on our shoulders. Yeah,
Scott Benner 25:47
you have to be I mean, you have to be realistic. Oh, yeah. I think that it's important to remember that there are times when you're not going to make sense. And there are times when he's not going to make sense. And then you have to give each other a pass. Because the way I think about it, like you know, there, there are times I just don't like she doesn't mean that, like we've been together for 30 years. She's just upset. Like, I'm not going to take that personally. And, you know, I hope she does that for me in return. I don't think she does. I think she takes but but but I've also I've advocated for her, I said, is there a possibility we could put like a warning light on you. And then when the light is lit, I know that you're going to take everything super personally and never let it go. And then when the lights off, for instance, I know you're gonna be like, you know, I don't want to say reasonable, but you know what I'm saying? And I'm sure the same for me. Like, you know what I mean? Like, there's times you hear something, you just like, you're out of your mind. And you're just like, oh my god, you know, and then there's times just like, that's fine. It's cool. So yeah,
Katie Scott 26:47
I think it's just interesting because with your partner, it's that's the person you're well you're supposed to be like the closest with so they can they really get to see you. So like raw, I guess. I don't know if I love the term raw, but like, you're the most vulnerable around people that you love the most, you know? Yeah.
Scott Benner 27:06
And you're supposed to be but then they can use it against you. And that's when you really find out if you're like when they won't use it against you. Like this person really cares about me. You know, so honestly,
Katie Scott 27:17
Spencer's really not, believe it or not, I'm the more confrontational one in our relationship.
Scott Benner 27:22
Why would I not believe that?
Katie Scott 27:24
I don't know. I'm just you know, it might surprise you.
Scott Benner 27:27
It surprised you.
Katie Scott 27:28
He's very gentle and caring and understanding. So ya know, I just feel like he doesn't, he hasn't really held anything against me like that,
Scott Benner 27:38
ever. Well, you guys are still young and cute. So he's not gonna like, you know, they mean
Katie Scott 27:42
how long we've been together for seven years now. Seven years? Yeah.
Scott Benner 27:46
What are you trying to say? You think he's sick of you? Oh,
Katie Scott 27:49
I think we're both sick of each other. But we love each other. I think that's kind of what that is. Right? Like you. I mean, it is better than when we were first dating because I had a yeast infection all the time. But it's not as exciting. You know what I mean? But like, I mean, we have so much fun together. So and I do genuinely just love the guy.
Scott Benner 28:07
It's gonna morph. It's gonna keep morphing. If you're lucky, it'll keep morphing as you go. I'll
Katie Scott 28:12
keep you updated. You'll have to have me on the podcast again in 10 years, and I'll give you might update.
Scott Benner 28:18
Yeah, I'm gonna get more sleep before I talk to you next time. You know, it's interesting. You want to hear some stuff about yourself? Yeah, when your stream of consciousness, you're, that's when you're going faster. You're good at telling a story when your stream of consciousness, but it's like, it's really fast. But when you slow down, if I asked you a question, and you start thinking about the answer, you get really slow when you're talking. Okay,
Katie Scott 28:41
I'll start thinking more. Do you know that about yourself? Um, no, I didn't know that about myself. Yeah, I mean,
Scott Benner 28:48
I've only known you for 25 minutes. But that's the vibe so far. When you stop to think like, like, for example, if I said to you, do you think you answered my question about why you enjoy kids? As a teacher more than adults? Do you think you actually answered the question?
Katie Scott 29:03
I did a little bit, but I could go into that a lot more. And
Scott Benner 29:07
the answer was, I don't enjoy adults because of all the drama they bring. And I don't like that. You told a story. I liked it. Actually. I like what you did.
Katie Scott 29:17
Oh, thank you. Okay. I wasn't sure where you're going with this. I was like, okay. Yeah,
Scott Benner 29:21
no, you told a story. You were like I said, Hey, do you like teaching kids? And you basically were like, look, they're kids and they're adults. Here's why I don't enjoy being with adults, which was the answer of why you but I don't know if that means you enjoy teaching kids or if you just like it better.
Katie Scott 29:35
Why do I love I love my students ideal. They're just the best. I didn't
Scott Benner 29:39
know if you just meant that you liked it better than those adults who are like, you know, in the middle of their drama and somehow think you're their barber and take it to tell you about it.
Katie Scott 29:47
Yeah, gosh, I should call my hairstylist and send her a thank you now but
Scott Benner 29:55
I realized recently, the same person has been cutting my hair for like ever. She does didn't remember me like any more than, well, here's what I mean by that, Katie. I'm doing this new series, right? And so I've, I've like power recorded like eight episodes for this series for next year. So I've recorded them all in the last four weeks. And I was talking to my editor this morning about something. And he brought up one of the episodes and I was like, I don't remember that. And he goes, dude, you recorded that, like three weeks ago, I was like, I do not remember it. I think my hairdresser has the same thing going on. She sees so many people over and over again, hear so many stories, that when she looks at me, she's like, you're Scott, I know that you have a child, another child, a wife, I cut your child's hair. And I know, like high level ideas about our interactions. But if I quizzed her about things that I know that we've spoken about, she would not know the answers to those questions. Oh,
Katie Scott 30:50
no. I mean, like, Okay, I'm going to weigh in on this for two reasons. First of all, I as a business owner, and I'm teaching kids, and I choreograph, and I choreograph with CO teachers and stuff like that. And a teacher that I'm teaching with will teach a move, and I'm like, Oh, that was really cool. I like that. And they will go, oh, you taught me this. And I'm like, what? You know, I think when you're going through, like, certain motions of the day, you know, it's hard, like, or whatever it is harder, but I will on the other hand, so my mom's actually a hairstylist, and I, okay, so I grew up with hair stylists in my life constantly. And my mom's a hairstylist, her best friend, Mandy, who is, we can maybe talk about this later, but I own my business now on my own, but she was half of my business. When I started out, she's another mom to me, basically. And she owns a hair salon. Okay. And I also worked at that hair salon for a little bit. And those women do jack and Lee care. And they listened the amount of times that my mom has come home, and talks about her clients, like her clients have sent me graduation gifts, I can name a few of her clients off the top of my head. And my mom gets really upset when like, she doesn't have another person come back because she genuinely cares. And that's how it is for a lot of the girls. And that might just be like a man woman difference. Kind of a thing for like, you know, with you have to understand like to like their I don't I can't speak for your hairstylist. But I think you'd be surprised with how much she would say about your life.
Scott Benner 32:27
I know. I imagine. It's just It's funny when you get back together. And you're like, we just talked about this six weeks ago. And she's like, I don't remember that. And I'm like, No, I just feel like she talks to so many people. And I can commiserate because for sure. Like I'm listening to you right now. Like very intently, actually. And I'll remember you all day and and a couple of days from now and then your episode will come out. I'll be like, Oh, I remember talking to Katie. She was terrific. And like, I'll feel all that again. It's just it's so much information. You you can't keep it all. I'm
Katie Scott 32:55
gonna quiz you on something good. Do you remember how many times I reached out harassing you to have me on your podcast? Oh,
Scott Benner 33:05
okay. So a lot of people do that, though. So I've
Katie Scott 33:09
been I messaged you, I think multiple times on both my Instagram accounts and my email and you finally caved. And I was like, I was like,
Scott Benner 33:19
I wonder if you mentioned your business upfront. It made me feel like you wanted to come pimp your business. So maybe once I realized when I felt like you didn't want to do that, then I was okay with it. Oh,
Katie Scott 33:28
yeah. No, I don't want to print my business because I don't I don't have a type of business that like, you can buy a product from me. You have to like come to St. Michael, Minnesota and be a child and go upside down. It's not. Oh,
Scott Benner 33:42
I don't know. I might have some people listening in St. Michael, Minnesota. Okay, well, hello to them. Hi. Oh, now you're all sweet. You're like, Oh, wait.
Katie Scott 33:49
10% off with discount code. juicebox. Your first class?
Scott Benner 33:54
Wait, seriously? Let's do are you willing to do that? What Yeah,
Katie Scott 33:58
if you Okay, so I would love it. Yeah, I want to give 10% off your first like aerial session or like workshop or something like that, for sure.
Scott Benner 34:06
If they come in and mention they heard you on the Juicebox Podcast, I will make a coupon
Katie Scott 34:09
code and I will write it down right now. Okay. And if you type in at checkout, we'll just do juice box pod or all one word. Yeah, okay. But let's just say juice box because that's way easier. And I that's what I usually do. Yeah, let's just do juicebox and let's have it be all lowercase.
Scott Benner 34:34
Okay, if this happens, I want you to tell me I will.
Katie Scott 34:37
I definitely will. Okay, I do have a student that's type one, two, and it's we have more in common she's she's just turned 10 But I have more in common with her than a lot of people.
Scott Benner 34:50
You have a more in common with with a how old girl 10
Katie Scott 34:53
year old diabetic who does aerial? She's. Yeah, she's pretty awesome though.
Scott Benner 34:58
All right. Well, I'm looking here. are in the last couple of, yeah. last few weeks, maybe eight weeks. I have 20,000 downloads in Minnesota. So somebody might hear. Hey, all right. I definitely want to know if that happens. I'm not charging enough for my ads. That's what I know for sure. So yeah, no, yours are free for you. But you definitely have to tell me Okay,
Katie Scott 35:23
I will. I will just read your DMS. Don't ignore me this time. Also,
Scott Benner 35:29
I don't ignore people. I'm busy.
Katie Scott 35:32
I'm giving you a hard time because I think it's funny, but it is. I'll let it go. I'll let it I'm gonna let my eye I'm gonna let it go. Okay,
Scott Benner 35:44
thank you. Appreciate you and I can be together because you're gonna let this go. But if we weren't together, you wouldn't let it go. Right? you'd hold on to it forever and ever. Oh,
Katie Scott 35:54
no, I think I just have a feeling we may talk again in the future. And I'll probably bring it up at some point again, I'm going to be
Scott Benner 36:01
honest, maybe why do you think we'll we'll speak again in the future?
Katie Scott 36:04
I don't know. I just have a good feeling about it. Okay, I'm having fun so far. I'm using my yoga chakra manifestation. Alright, listen,
Scott Benner 36:11
let me ask you about your diabetes a little bit. Oh, yeah. Seems like I should. Why do you know about the podcast? Because if Oh, I love this. If I met you on the street, and talk to you for five minutes, and then you walked away? And somebody said to me, Hey, $50, does Katie, listen to your podcasts? There's no, I'd be like, No, there's no way she cares about me. But why do you know about it? I
Katie Scott 36:35
can't remember where I heard about you first. But it was earlier in my diagnosis. And when I was diagnosed, I kind of said my family wasn't supportive. My mom tried to be, but everyone else kind of ignored it. But my mom tried to do it in ways where like, she was really adamant of me being on the keto diet. And it she didn't realize how much that hurt me were like, for one, like the keto diet, I don't love. And to like, I was like, also just struggling with being a young newly diagnosed diabetic and all the changes of that. And I didn't also want to have to, like go on this extreme diet, and also be different. I just wanted to feel as normal as possible. My mom probably listened to you more than I do. Be. And it's actually healed our relationship a lot, because I got to a point where I was like, you know, like, I can't talk to you about my type one anymore. I don't want you to even mention it, because you don't have the right information. And so I sent her your podcast, and she's been listening ever since. And it's been amazing for our relationship. So, um, was able to, like learn and you know, because people put so much garbage out there. Yeah, about whatever. And she was actually able to, like, really figure out like, learn
Scott Benner 37:54
enough that she could speak to you about it. Mm hmm. Oh, good for her. And congratulations to both of you like for you for speaking up and her for listening.
Katie Scott 38:03
Oh, yeah, no, my, my mom and I are very, very close.
Scott Benner 38:06
Excellent. But it was hard to hear her say things that you knew weren't valuable. You weren't seeing you didn't feel seen. And at the same time, you were trying to figure out your life, which seemed completely upside down.
Katie Scott 38:17
Oh, my God, it was horrible. It was so horrible. Like, okay, so and I'm going to be fair to my family. So when I was diagnosed, I have two older sisters, one of my older sisters was dealing with in a very aggressive alcoholism. Like, I don't know how else to explain it. But she was like, to the point where her organs had failed three times. And as an adult, like we couldn't force her to go into a rehab facility like you have to like, prove that they're going to die. I don't know why I didn't, the first two times her organs failed, wasn't enough proof to get them to get her into a rehab facility. And also, it's harder to get women with addiction issues into rehab facilities because there are less beds for women because men have a higher rate of addiction. So there's more beds for them. Like they're more more in demand, I guess. And so, like, the same week, I was diagnosed, I had to visit my sister like, a few days after my diagnosis, I had to visit my sister in the hospital, where she was just like, on her deathbed. Like it was crazy. And when I was diagnosed, I almost felt like I, my parents were betrayed in a way because I was from what I've gathered, I feel as though like, they were betrayed, because now that they, they had to worry about me or they like, you know what I mean? Like I used to, like have it more together and now I don't right. And it was, it was really lonely.
Scott Benner 39:48
So you said something earlier that I don't know if this combined with what you just said now, but you said that, you know your mom tried, but that other people didn't seem like they did. No, I wonder It just doesn't feel like it's too much.
Katie Scott 40:01
That's kind of where I'm at with it. I think my dad, my dad actually yelled at me when I was diagnosed because he like, first of all, I don't want people to be hating on my dad, because I didn't even know about type one diabetes at all. Like, I also like, that didn't even have any information, really to share with them when I was diagnosed. And everyone was convinced that it was type two. So he yelled at me for drinking too much pop when he found out and I'm like, It's not type two, it's type one. But for some reason, getting diagnosed at 22. Like they can't wrap their heads around it like that it can't not be type two. And then we never really talked about it again. And it's just been, it's kind of weird, like at family, like in my older sisters, really just have not said anything about it, or care.
Scott Benner 40:44
I feel like Katie that sometimes people, if you think about a glass that's completely filled with water, and one more drop, and it'll spill out, I think that's how most people's lives are.
Katie Scott 40:56
I have 1,000% agree with you, I and that's why I'm saying to like, don't hate on my family for this, like they. But it is I will also say it is sad when you're struggling and like the one drop of water would be to overfill their thing would be to have show some compassion and care for you. It was a little hurtful, you know,
Scott Benner 41:16
maybe we could give away some of that space to something less important and have some for you.
Katie Scott 41:21
I don't know, it was really, really strange. But you know, it's I'm working on it. Like we're working on it. I think I don't know, going back to my mom, when she was forcing, not I don't want to say forcing but she was trying her best to get me on the keto diet. I had, like, you know, gained a bunch of weight when I was introduced to insulin again. And then also, I gained more weight during that like a bunch. But I'm just saying like, I used to be like, so stupid saying this, but like, I feel like I was I'm only five feet tall. And I've been like 95 to 110 pounds, like my whole life since then. You know, they mean? Not anymore. And weirdly, I just felt like I was valued for my smallness. I don't know why. And I kind of felt like my mom valued me for that.
Scott Benner 42:09
What have you heard in your life that made you feel that way? competitions with
Katie Scott 42:13
my cousin at Christmas of who has the smaller hands brought on by my aunt, and my mom, like happy that I'm smaller? Why would that matter? And it's just weird stuff.
Scott Benner 42:24
Why is having small hands a thing that we want? I don't know.
Katie Scott 42:27
I honestly like I tried. I like took piano lessons growing up and I never was good. With an I couldn't reach an octave with my tiny pa hand. So it's really more of more of a setback. Couldn't be honest. My tiny Paul, but I think to like my mom, like I'm the youngest. And both in my older sisters are both 5556 You know, and like that's a great like, they're beautiful. They're super beautiful. But like, I just feel like my mom just like really like thought of me as like her baby smallness. You know what I mean? Yeah, and then
Scott Benner 42:58
winning like winning something felt good.
Katie Scott 43:01
I don't maybe I guess I don't know. Like, she wasn't like, like, super happy that my hands were smaller. But it was just like, a weird thing. I felt like that was a little bit more on my aunt, where it was like, why are we even having this competition like, and like, she would like preface it by being like, no hurt. There's no ways read his hands are way smaller. And I'm like, oh my god, what
Scott Benner 43:24
are we all talking about?
Katie Scott 43:27
That's something like at the time, it felt what? Fine. But now looking back, and like that's just really weird. And so when I saw I gained weight through COVID, because I was well stressed. And everyone did also like I don't think people talk about this. But I am like a firm believer that women go through their second puberty is mid 20s. And like my body was changing. Yeah,
Scott Benner 43:47
like, yeah, hips, thighs, that kind of stuff. Right? And I think it
Katie Scott 43:51
was hard on my mom to see me like really looked like an adult. And it felt to like the Keto thing. Not only wasn't my diabetes, but also like, she wanted to get like her like little girl back. Weirdly. So that was kind of a mental. I'm gonna be honest, in
Scott Benner 44:08
your mind. She was like, Oh, I wonder if I can help her with this blood sugar thing. And at the same time, thinner down. Yeah,
Katie Scott 44:14
and for some reason, everyone, like thought that I was like, living this chaotic lifestyle, like not taking care of myself all the time. And that's why because I honestly like I get sick pretty easily because that's because I work with kids, too. Like my immune systems weird. I've gotten better at like taking care of myself. So my immune system is not as messed up the stress of like going through COVID owning your business through that. And then you know, running like just everything in life. Like I was getting sick a lot like I was getting knocked down a lot. And a lot of people were like, just like she was accusing me of basically like not taking care of myself, which is like the worst thing you can say to a diabetic that's trying. You know what I mean? Yeah,
Scott Benner 44:58
no, I Yeah, yeah, you You're describing nobody around, you're really understanding diabetes to begin with. So they think you must have done something insane to get it. And then they start judging everything about you that they can see thinking, well, that if she was doing something crazy like that, I wonder what else she's doing? And yeah, and then you nobody understands nobody's supporting you, your body's changing. There's a lot going on, and you're by yourself. Yeah.
Katie Scott 45:23
Oh, it was horrible. I'm gonna be honest, but like, so everyone listening out there. I definitely 1% Think if you're thinking of starting a business, do it. But I'm going to be honest. It's like having a child
Scott Benner 45:38
that I don't drink is a good miracle. Like, just like you. You guys just hear me make the podcast like, like, have the conversations. The rest of it isn't?
Katie Scott 45:47
Oh, my God, that's the worst part is the rest of it. Oh, my
Scott Benner 45:50
God, you have no idea. Like
Katie Scott 45:51
when I'm not in the studio at my job teaching like, people think I'm not working. And I'm like, no, no, no, no, no.
Scott Benner 45:58
Last night at 11 o'clock, the person who helps me with my private Facebook group sent me a text and said, are you there? And I actually responded, where else would I be? I'm sitting at my desk and making this podcast. It only means like, Where else would I be? I meant it. I meant it funny. She took it that way, too, by the way. Yeah,
Katie Scott 46:18
no, of course, it was funny. Yeah,
Scott Benner 46:20
I'm like, I'm gonna finish this last thing. And then I'm gonna pass out, like, is there anything like that needs my attention, like, right this second, because if it does, like, let's do it now, because I'm almost cooked. You know what I mean? And the pressure about keeping the lights on and making the money, it's just, it's my God, it's horrible. It's never ending.
Katie Scott 46:43
Okay, and that's something I actually wanted to talk about on here is having is setting boundaries as a business owner, with type one, and what that looks like. And just, but also not even just the type one part, like just setting boundaries as a business owner, where it's like, you are so passionate about this podcast, and it's like, your purpose in life in a way, right? It's one of your many purposes. And so if you really, really care about it, I feel the same way about my business, and what it's like to like, get a text at like, 10pm on a Saturday. And not respond also, probably because I'm not in the right. mind frame of mind, you know, what am I doing on 10pm? On a Saturday? I don't know. But also to like, having that like boundary of like, okay, what is it appropriate to contact me? And, and I'm not like, perfect at this. So I'm not whatever. And I'm different with my employees than I am with my clients, I guess you could say. And it's just, it's really hard to balance the like, okay, am I doing too much giving too much of myself right now? And I'm going to end up burning out, or is this necessary for me to respond right away? And what's the appropriate action? Like, how much of myself can I give?
Scott Benner 48:01
Yeah, you want to hear the sad truth? What, take a play off someone scoring a touchdown on you? That's i
Katie Scott 48:07
No, no, no, that's okay. And that's another thing too. That sucks. Because I was going to bring that up as well with like, type one. It was interesting, because I've applied to a few podcasts. And a lot of the email responses will be like, Hey, don't be be patient with us. We're, we're sick. Like it was like a chronic illness podcast or a few different ones. And we're sick. So like, just basically, like, respect us, like we're dealing with chronic illnesses. So we take a longer time to get back. And I wasn't, I think that's great for them to be able to have that boundary and take care of themselves like that. But that's just like,
Scott Benner 48:45
right, go ahead, say what you're gonna say. Unfortunately, that's
Katie Scott 48:49
not how that isn't how it works. Yeah, life works even even with your disability. And I think that's the thing or chronic illness. And that's like, the hardest part about having type one is, the world doesn't stop for you. Yeah. So what does that look like? What does that look like for you? And how are we going to persevere through it? You know, Katie?
Scott Benner 49:08
Katie? Yeah, yeah. So from the from the specifically the business perspective of it. Excuse me, why readjusted my seat? I don't disagree. You have a chronic illness and you're sick right now or whatever, you can't do it. I understand. But you don't have a podcast and you have a hobby.
Katie Scott 49:24
That's so true. Yeah. Yeah, that's true. Nothing
Scott Benner 49:26
wrong with it. Like, no, no, genuinely, right. It's fantastic. But you're not running a business. You're running a hobby. This year alone. There are two stretches of episodes in this year where most people would hear this and go Scott, just take some time off. Like yeah, but there are no there are two stretches in this year where you will listen to me you will have absolutely no idea. I am dying with COVID and one of them and in another one I have. I can't even remember whatever else was wrong
Katie Scott 49:55
with me. Sometimes you just having a bad day. You can't even you know like That's the worst. Sometimes my blood sugar is at 400. And I'm on my period and I have to go into work. I just hate it. Yeah, yeah.
Scott Benner 50:05
And like, but But no, I'm
Katie Scott 50:09
sure you're very nice to the children I am. I'm like, way nicer to my students than I am anyone in the world, I think people are like, not that I'm not a nice person. All the most, I tried to be nice all the time. But right. I just take on a different role of like a very nurturing loving person, you know, especially around my students caring understanding. And with, I guess, with adults, I'm just like, not the same. I'm just a little bit more if
Scott Benner 50:33
you go back in the podcast, and find episodes that are called glucagon stories. I think there's like three or four of them at this point. I recorded them the day my mom was dying. Oh, God, I'm sorry, please, you're very kind. But I and thank you. But I recorded those the day my mom was dying. I knew my mom was gonna die that day. Yeah. And you know what, I recorded those episodes, partly to take my mind off it and partly because there's an they were on the schedule, and it's my responsibility to do it. And you will not listen to those episodes and hear a sad person or a person who's distracted like, because when I was doing that, I was doing my job. And there are four or five episodes that are in this last year, back in 2023. By the time people hear this, where I am like I am COVID fevered, like falling apart.
Katie Scott 51:25
Unfortunately, I can't go in fortunately, actually, I can't teach kids while I'm sick. But it's a little different, though. I'm still doing the back. stuff. What do I kind of the background things? Yeah,
Scott Benner 51:36
I'm just I'm just supporting your point that if you if you have a business, you have a business all of the time.
Katie Scott 51:43
It is like having a child like you can't take a day off from being a parent, you can't really take a day off from being a business owner. And shoot, I'm losing my train of thought again, but oh my gosh, I'm so sorry. I totally just lost that train of thought. Um, give me one second. What were we talking about before?
Scott Benner 52:02
Let me just say words. Yeah. Okay. Responsibility. Business Owner. drawing boundaries. Mm, diabetes. Yep. diabetes, not supportive parents. People don't understand.
Katie Scott 52:18
All right, yep. COVID. Oh, okay. Your mother dying. Okay, perfect. was the one that jogged my memory. They, hey, one of my students, Molly, she told me that when I forget something, I should go back to what I was doing before. And I was thinking about your mother, unfortunately, not fortunately. And unfortunately, with going through, like, hardships like that. And I've recently gone through some, some similar experiences, in a way like you can't, there's definitely like times to grieve, and you should be grieving and you should, your everyone deserves that experience. But also, like, I don't like, the thing about people passing away, that's always just been the most crazy to me is how nothing stops snow. The world doesn't stop. And it keeps going. Like and it will just keep continuing. Like when I was recently one of my students, previous students passed away, like about a month ago, a little under a month ago. And it was it was devastating. And it was shocking. And also having people know in my life that that's what was going on, and how much they still expected me to be the same person. You know, and in a way though, to like, that was hard, but also at the same time, like it is still good to like participate in life during these hard times, even though it's much more difficult to but it is good for you to like, remember that like you're here for a reason and like things are going to keep progressing and moving on. You know,
Scott Benner 54:00
Katie, have you ever seen the Shawshank Redemption? Is that
Katie Scott 54:03
with Morgan Freeman and the one guy that looks like it's Timo
Scott Benner 54:08
is a Bill Murray Tim Robbins. Looks like Bill Murray to you. That's interesting,
Katie Scott 54:11
or was it or is it Tom Hanks? No. Tim Robinson looks like Tom Hanks. Okay, I think or it's, uh, yeah, I don't know you're talking about anyways.
Scott Benner 54:19
Have you seen it? Yes. You remember when he says Get busy living or get busy dying?
Katie Scott 54:24
Yes. Yeah.
Scott Benner 54:25
Have you ever heard somebody say life is for the living? Yes. These are all ways of saying life goes on. Oh, yeah.
Katie Scott 54:32
C'est la vie.
Scott Benner 54:33
Yeah, you have to take a place. I mean, I'm, you're forever changed through the experience, and you'll be a different person moving forward. But your turn is going to come to so you should get to it.
Katie Scott 54:46
And oh, yeah. 1,000% right.
Scott Benner 54:49
It's just sucks it is what it is.
Katie Scott 54:52
I am I am a 1,000% believer in that. Too much positivity can be toxic like toxic positivity, right? And I just really love that you just said it sucks, because it's like, yeah, it sucks. It's nothing good about it. There's really nothing else more to say about it. Other than that it sucks. You know,
Scott Benner 55:08
I used to have this nightmare when I was younger if it's a nightmare now, but it was a dream. And in the dream, there was a cliff. And everybody was lined up to the cliff in my family by age.
Katie Scott 55:24
And oh my god, and
Scott Benner 55:25
I Yeah, and I would, and I would feel how far I was from being the next person to go off the cliff. Oh, my God, that yeah, that's, that's, oh, that's how I, but that's watching too much TV. That's what I think of about, about like, lifespan and dying like, like, you know, when my mom died, I thought, Oh, come next.
Katie Scott 55:48
Damn, that's crazy. Okay, you're
Scott Benner 55:49
too young for that. It doesn't matter to you.
Katie Scott 55:53
But you know, we never we never know, though. Like, it's just kind of always looming. Like it's always a possibility. Yeah, I'm not saying you can't. But you can also think like up today, I might die. Who knows? You can't wake up put that kind of a mindset. Oh, no.
Scott Benner 56:05
You don't want to live like couldn't Minnesota? No, nobody. There's Minnesota Northstar SE. Could that fall on your head and kill you absolutely could. But that's not the point like a plane could drop on your head. But it's probably not going to a North Star. What
Katie Scott 56:17
do you mean a North Star?
Scott Benner 56:18
That's what the hockey team used to be called before they move? Yeah, a hockey player falling on my head. I don't know something could happen. I bet that if they
Katie Scott 56:25
had skates on it, it could be CKT if
Scott Benner 56:28
if a professional hockey player fell on your head from high enough up wearing skates, you would definitely die. Yeah, I
Katie Scott 56:33
definitely would. I just that's just an interesting I just now I have another new fear unlocked.
Scott Benner 56:38
We don't want to plan for that. That's not going to happen. We live our lives. I'm saying if things go about the way we expect my aunts and uncles are dead. Right? Yeah, my mom and my dad are gone. I'm next. So this time is precious. Like I'm done now. Like it's it's fun to philosophize about when you're in your 20s. And you're in your teens. And you know, when you're like 30, and your kids are a few years old, like, that's all well and good. It's real. Now. Like, I'm next. I have as many years as I have left. And I don't know how many there are going to be, I can't spend a lot of time worrying about the rest of this, which is all just academic. In the end. Yeah. While you're living it when you're younger, you're building a morality, and you're building an ethos. But once you're built, and you're now you're coasting at the end, that none of it matters. That's why you see, oh, people just get like, I don't care.
Katie Scott 57:36
Like seriously, right? Well, right. I mean, and another thing too, like, and not not to get too morbid, or anything like that. Part of the living experience of dying, of course. But I think another thing that people don't realize too, is like, how much your impact on this world affects generations? Forever? After you, you know, I mean, they called the I mean, generational trauma is an example. But also there's, there's an opposite to trauma, right? Like, every every impact you make on people are going to then be passed on with other experiences through. Right. And I just think I think that's a really beautiful part about living that even when we pass regardless, if you really realize it or not, like so much of you is still going to be lived on through people.
Scott Benner 58:26
I agree. Absolutely. You know, what I also think about all the time about like, you know, this is very strange, but I think Benjamin Franklin said that I think that a lot. Because Because, because he's been dead. I know you're laughing right on let's find out. Like you
Katie Scott 58:44
just like set it in. There was a pause and I was like, yes, he's
Scott Benner 58:51
gonna find out what he died for you.
Katie Scott 58:52
Okay, thanks for the reminder. By the way, no, I'm sad. Benjamin
Scott Benner 58:56
Franklin died. April 17 1790.
Katie Scott 59:00
Oh my god. That's my sister's birthday.
Scott Benner 59:03
Your sister was born in 1790. No, she was born on April 17. So like, close. Well, that's the day he died. He was born on my wife's birthday, January 17. Oh my gosh, that's weird. Ben Franklin, born in 1706 live till 1790 which in and of itself is insane. He was 84 years old when he died in the 1700s. Right. But this is not my point. My point is, is that he fundamentally changed the world in a number of different ways. Right?
Katie Scott 59:34
And he's still dead. Oh, yeah. No, he's he
Scott Benner 59:38
didn't get to live longer.
Katie Scott 59:40
Like an A list celebrity in our world. He
Scott Benner 59:42
didn't get extra time. Like nothing he still got sick. His body got second he died. And and most people don't think about Ben Franklin. Most people don't. He has. If you go back and look at his writings, most of the colloquialisms that people still live by Today are written down by Benjamin Franklin under a pen name, by the way, he didn't even use his own name. So
Katie Scott 1:00:05
with people not even realizing they're you're being affected by him, everyone. Benjamin Franklin, I love that for him. You've said things
Scott Benner 1:00:13
today that I guarantee you stem from Ben Franklin. Oh, I wouldn't, I would not disagree. And there are going to be people 300 years from now, who are going to say something that stems from something that you and I have done?
Katie Scott 1:00:28
smaller scale, probably? Yeah. Oh, for sure. That's kind of my goal here. Right. I mean, like, I do own a business, but like, I own my business, because I'm passionate about what I do. Right. I'm not like your typical, I don't know, I don't know what a typical business owner would look like, actually, anyways, but like, it's just, I'm really hoping that I can be a positive impact on my students. And that will, like live on through them. Like, I don't need to get Benjamin Franklin level, I really don't need to. But, you know, I think that's an important thing for people to, you know, think about, especially when they're, you know, remember it or grieving or dealing with a loss. It's remembering, like, how much of that person lives on through you. And we'll continue to and you'll be able to do that too. And it's your decision if it's going to be good or bad, honestly. So
Scott Benner 1:01:23
we got way off track here. Hold on. That's my fault. Is it my fault? No, I think it's your No, no, no,
Katie Scott 1:01:27
I very much my fault, too.
Scott Benner 1:01:30
I don't think it matters. I think this is this is what podcast sound like now for young people, by the way. They're like this. Like, all the time, they're incredibly popular. My daughter showed me one the other day of these two guys talking and I was like, I hate this. And she's like, I love it. I'm like, I really, really hate this. And she's like, Why do you hate it? And I said, they're doing a cheap rip off of Howard Stern from 30 years ago. And
Katie Scott 1:01:55
she's like, Who's that? Yes. And
Scott Benner 1:01:57
that's what she said. Your heart broke a little bit. Now she knows who it is. But that's what they're doing. And then I thought, that's what everybody's doing. Like everybody's just doing and Howard Stern was ripping off somebody that he heard on the radio in the 40s when he was a kid, like you don't mean like, like, it's all like, it's all the same that and then you add something to it and add something to it. Hopefully you keep adding to it. There are times when I see stuff just become derivative. And then it's that irritates me, especially when it becomes popular. Because I'm like, oh, people don't know there's better out there than this. But they'll they won't find it. That's okay. I guess.
Katie Scott 1:02:32
Yeah, you know, and you have to just let that go and let people enjoy things for what they are.
Scott Benner 1:02:36
I let it go. I puts it on. I laugh with her. She's like, Come watch this. I sit and watch it with her. I'm there for
Katie Scott 1:02:42
oh, no, it Yeah, you're just you just sound like a dad and I. And I can't judge you too much for that. Because I've been finding that I've been on my way to work. my fiance's truck has Sirius FM, the radio station. And I like flip through like the pop station, like you know, the whatever is popular now. And I spend a majority of my drive like just hating on whatever music is out today.
Scott Benner 1:03:09
I do my best to keep up with whatever my kids say is good. And
Katie Scott 1:03:13
I'm like, Oh, that's terrible. And I like realize I'm like, oh my god, I'm getting old. And I understand you now though, I understand you for being like, there is better stuff out there. Right. Unfortunately, that's, you know, out of our control. But
Scott Benner 1:03:27
sort of back to your your your initial statement, like an hour ago when you said that there's you found diabetes advice in the world. That was terrible. Oh, yeah. But and the problem is that some people won't ever know that what they're listening to is, is either bad advice, or, or could be better or you know, any number of things. It's the thing they found and now there's they're stuck with it now.
Katie Scott 1:03:49
So when I was also diagnosed, it was a really just horrible experience. So I went in, and my primary care doctor that I had had since I was growing up, like really, I came in and I was like, Hey, I think I have type one diabetes is one time I Googled my symptoms, and they were correct, right. The only time she was like, There's no way I was she even weighed me I was like 80 pounds right? I was frail looking, you know, it was like it wasn't like I was so sick. And she like caved in got my blood tested it which was like she begrudgingly did and my agency or not my agency, my blood sugar came up. It was so high I was undetectable. I later found out like it was like almost 700 Right. She freaked out I think because she was I look back now and I realized she was like covering her tracks right? She gave me long term insulin. She didn't give me mealtime and she was like reading the box. is how to do it to like in front of you like to like give me an injection. She then told me she locked me, Gina lock me but I was done just like but after finding out I type one. I just sat in the room. room for four hours by myself after finding out the news. And that's yeah, she just left me alone for four hours waiting for my blood sugar to go down. So I went back and got tested like twice, but I was just like alone. And it still didn't go down. Right? Like I should have been sent to the hospital, honestly. And then I She's like, well, still not going down. I have an appointment for you tomorrow with a dietitian, not an endocrinologist, a dietitian, I just drove home myself. And I found that I type one. And I like was like, it was so weird. And at first I was like, relieved to be like, Okay, I'm gonna like, you know, take a pill and get better. Like, it'll be fine. No, the next day I go to this crazy dietician, thankfully, Spencer could make it with me because they said I should have one person with me. And this dietitian specializes in people who can't read like farmers who can't read that have type two. I'm going through yoga teacher training at the same time. And she's teaching me how to work out in a chair. On this little slice, yeah. And I'm like, What the what? And like, she was, bless her heart. She seemed like a nice woman, but like she was trying to like make the situation light. And she kept being like, you're gonna take a shot and your rump rose and then she like grabbed your button. She's like, I have a huge rump row. And it was like, shoot shoes. Honestly, she's probably very fun to hang out with, but like, it was just so like, crazy. And when I found that I had to like inject as much as I had to like, it was hurt. Like it was just awful. Right? And I don't I don't know. Like why. Why? So I find out yet I find out horrible, life changing news. And like, this lady's just like grabbing her butt in front of me. And she did have a pretty big run, bro. So I'll give her that. Yeah, I can't go to the lake. When I'm like grocery shopping. And I see like a rump roast. I just can't I have a flashback. Take a picture of it and send it to Spencer. So
Scott Benner 1:06:57
I'm, I started to laugh because oh my god, hold on a second what the goal is? No, no, no, because because I've been to physical therapy. And I've seen older people go to physical therapy. And when you're like they work you out a chair is like, Oh God, I know what she's talking about. Because no, I was laughing silently for two minutes. I almost died.
Katie Scott 1:07:20
I'm like, I'm like, I my body is like I'm physically okay. It's my pancreas. I'm
Scott Benner 1:07:24
like God. So anyway, I've watched those people and I thought, Oh, God, this is what Getting old is like, like moving your arm up and down the chair. And people are like, go good. Look at you go Mike. Oh, dear God, that's not okay. So you got me on that. But then as you
Katie Scott 1:07:39
just kept getting worse. Yeah, it's gonna get more worse. I'm just gonna let you know. So
Scott Benner 1:07:43
I felt bad enough that they like somebody was like, I don't know, let's see how much of this insulin we should jam in this girl. Boom, sit here by yourself for four hours. We'll see if it gets better. It was
Katie Scott 1:07:52
horrible. Yeah. And so also my doctor coached me before I left. She said somebody's gonna call you tonight and ask you if you're okay in when they get their labs back. And you need to tell them you're fine. Why would I? Why? I don't know if she was covering I think she made she was covering up some mistakes she made like she It was horrible. So then,
Scott Benner 1:08:11
so I'm doing good. I'm sorry. Keep going. Please. No, it's okay. Yeah,
Katie Scott 1:08:15
I don't know. The whole thing was awful, right. And like, I hear other people's like stories, but like, they got to go to the hospital and get on a pump almost right away. And I was just like, I they're like, here's some novella, and some whatever and have fun, you know, have figured out you know, test strips, whatever. So God bless the dieticians heart. She was she was great. But like, I mean, like, not what I needed. So next time, I went and visited my doctor who had diagnosed me, I said, Hey, I don't want to see this dietician anymore. She's, it's not helpful for me, right? She's like, Oh, well, there's a huge shortage of endocrinologist, and it's likely that you won't get one. So I'll just manage it from now on. So she decided she was going to manage it. My agency was a seven. And that's also likely because I was newly diagnosed I was I think I was still kind of in the honeymoon period, you know, where I was maybe producing a little bit of insulin here and there. She's like, You're doing just whatever you're doing keep doing she told me, which is like, what so I believe her for two years. It was horrible. It was so lonely. I had no idea what I was doing. I felt awful all the time. And I now I've did go to a different ice finally ended up being like by and going to an endocrinologist, which was he was older and he was like, nice, but like, was super like Medtronic forward. And that's a whole story in itself. And now I see my one Endo. I'm gonna give him a shout out. His name is Christopher team Michael at the sharp Dylan and Cox and Elena associates. And he's amazing. So I just wanted to give that a little shout. But um, what's his name again? Christopher T. Martin.
Scott Benner 1:09:52
Alright, Chris. Good job.
Katie Scott 1:09:53
Yeah, Chris. You're great. Yeah, that whole clinic is amazing. Honestly,
Scott Benner 1:09:57
he's not the cold guy though. Well, he's not the guy from Coldplay, though, right?
Katie Scott 1:10:02
I haven't asked. I'll ask him that. Seriously.
Scott Benner 1:10:04
Wouldn't it be amazing if you're, if you're I know was also the lead singer, Coldplay?
Katie Scott 1:10:08
I feel like you know what diabetes is worth it. This is great. I'm Katie, can
Scott Benner 1:10:13
I say something? Can I just make an admittance? I hate Coldplay.
Katie Scott 1:10:18
I like that one song. Of course, sang yellow. Everyone loves that one. I think no, the people have done the, you know, I'm not gonna sing. No, keep going. No, I'm good. No, it's okay. I'm okay. Yeah, no, it was the first No, I went she was really strange. They're like, very much into Medtronic. And they like, got me on this Medtronic. CGM, which was a nightmare. i They say you can put that on by yourself. But like, I, me and Spencer. Were doing it together. And it was just impossible. The steps you had to go to and you still have to check your blood sugar to calibrate, which was what's the point of a CGM, then you know, I hear you there. Like we want it to be more accurate. You
Scott Benner 1:10:56
know, I'm gonna say that they've made a massive improvement with their new CGM. Yeah,
Katie Scott 1:11:01
I believe that no, no, this is okay. And I will say I'm not hating on them now. But like this was in 20 while ago Yeah, no, I understand. Like, and diabetes technology, it improved so quickly, which is great. But it was really strange. They had me like, as soon as I was on it, like, they had this like event at a hotel where they were like, like a speaking event about getting on Medtronic. And they asked me if I would go speak. And I had been on it for like, two weeks maybe. And I got like a they gave me like a Visa gift card for $25. Which was nice. But I it was just I was speaking to like a room of like 67 year olds with type two about why to get on Medtronic CGM. I met someone there who wanted to make me like the face of Medtronic with my aerial like, have me be on like a campaign or something like that with aerial and using me for that. And then, you know, that didn't really work out. And I'm, which is fine. I stopped using that CGM. And a few months go by like maybe six months and I got reached out again to be like, kind of to do stuff with me being an aerialist and a CGM, like Medtronic where I wasn't wearing that CGM. At the time they convinced me to go back on it. I'm not really sure. It it's a little bit of a blur. But it was a little bit of a slap in the face. Because what they meant, which wasn't clear is that they just wanted to use all of it at this point to I was living paycheck to paycheck because of diabetes, and affording paying for their CGM, right. And they wanted to use all of my content and my stories for free. Like, they just wanted to use me for their marketing for free.
Scott Benner 1:12:45
They didn't offer to compensate you for your time or your effort or anything. No, no, that sucks.
Katie Scott 1:12:49
I know. And I was like, this is a little weird that I'm paying to be on your product. And you're using my content for free. You know, and I wouldn't have asked for much, but I was like I just said, I ended up just saying no, at the end of the day. Okay, that's still that's fair. And then that's when I eventually moved on to the next Endo. Good. It's been pretty good sense. Yeah. All right.
Scott Benner 1:13:09
Well, I'm glad you found that endo that you enjoyed. But, and I. So I don't know much about that world of like, like the influencer thing. Like, I don't know, if they're accustomed to those the people they're working with. They're also trying to build a brand. So they look at it as like free publicity for them. But if you weren't, I'm not sure. And I know a person who does this at Medtronic. I could ask actually, but that's interesting.
Katie Scott 1:13:33
Yeah, it just Yeah. I mean, they could have changed that by now to wonder,
Scott Benner 1:13:37
this is years ago, you're saying it was just a little bit of like,
Katie Scott 1:13:41
okay, so you want to use my aerial photos and my story and like, everything that I've actually, like, put time into creating, you know, and you, you know what I mean? Like, if they could have just thrown me a couple 100 bucks, like, I'm not even asking for like, a ton. You weren't trying to get rich off of it? No, no, no, no, I was just like, anything to like, or like, some free product, honestly.
Scott Benner 1:14:04
You know, like, Yeah, I'm pleased. Yeah,
Katie Scott 1:14:07
something I'm like, okay, you know, but, ya know, so that was a little bit weird of an experience. But like I, I do believe that it's gotten much, much better. But I do use Omni pod index comm now. And it's a great combo. It's working really well, for me.
Scott Benner 1:14:21
I'm glad you're enjoying what you're using. I have to ask you, Katie, if there's anything we haven't talked about that we should have?
Katie Scott 1:14:26
I can't think off the top of my head right now. So I'm sure there are. So I guess I'll just have to come back sometime and say them.
Scott Benner 1:14:35
Can I ask you a couple of questions before we end up before we end? What are your goals for your diabetes?
Katie Scott 1:14:41
Okay, okay. This is a great, thank you for asking this question. You're very good at keeping me on track. I think I
Scott Benner 1:14:46
don't know about that. But go ahead.
Katie Scott 1:14:50
So basically, what I'm trying to get into a little bit more, so I did this a little bit before COVID. So I actually was asked to speak at the Capitol During when Minnesota was trying to pass the Alec law, which is an emergency insulin act, where if you can't afford insulin, or if you don't have any, like, you can get on a program to get it right. And it was named after a 26 year old little Alec from Minnesota, who died after getting off his parent's insurance. And I was close in that age. And I had been invited on a podcast previously to talk about diabetes. So they found me through the podcast. And as they called me, like a day before this, like, meeting for to pass the bill to like, ask if I would speak at, like just a little tell my story, it didn't seem like a big deal. And so I wrote my note card, I got my note cards out, I wrote in Purple Magic Marker, I get there, the day of the next day, the Capitol, and it's like, all the news outlets are there. We're in like, the room like the, the like golden, you know what I'm talking about, like the whole conference go right under? Yeah, dude, it was crazy. And I also, when I went to tell my story in front of all those people, they like, I couldn't see over the podium, like my chin was cut off. So the photos of me are hilarious. If you want to look them up, I'm just saying. And that really, like, got me into wanting to advocate more for people with type one, whether it's being a support system for people struggling just with the disease itself, or finding the care they need. Because I've made a lot of mistakes or on the on the way and like I've learned from, you know, the hard way a lot with figuring out how to get the care you need. Or also just inspiring people, it's type one to not let it stop you. And although it will look different for you, you can achieve your dreams. And it's going to have an element to it that a lot of other people don't deal with. But it's so worth it. And I just don't want people to think that their life stops when it comes to type one. And I want them to know, too that like, we deserve better than what's going on at the moment. And I'm you know, I just want to be more of an advocate. So I'm trying to reach out to other podcasts and kind of make a name for myself. I was recently included in a children's book of inspiring people for type one diabetes. And I wrote a little story about you know, my life, but it's like in kid form. And that's really great. And I'm just looking to do more projects like that. And hopefully, you know, impact lives. Okay, then let that live on. I
Scott Benner 1:17:28
think that's wonderful. However, I was wondering what your goals were for your diabetes.
Katie Scott 1:17:32
Oh, my own Oh, okay. So that's, you know, I love that I answered that way because I, my mindset is for my diabetes. I like, maybe don't think about my diabetes as much as I should. But that's because I can't. My goal for my diabetes is to keep my blood sugar and range as much as possible. Don't let me figure out ways to help the spikes of my blood sugar when I get really stressed out. And just feel as healthy and happy as I possibly can with it. You know, managing that.
Scott Benner 1:18:06
What are your like, Where does your low alarm set your high alarm set on your CGM?
Katie Scott 1:18:11
My low alarm is set at like 70. And then my high alarm is it's my highlighter was anything over 200
Scott Benner 1:18:21
ad Katie, are you gonna tell me it's over? 200?
Katie Scott 1:18:25
Is that what you're doing? My? No, because? No, I don't want to sleep. I can't sleep at night when it's going off over 150. So I have it at 200. What
Scott Benner 1:18:34
if we get your blood sugar not to go over? 150 That is a wonderful goal. I
Katie Scott 1:18:38
think you're very, you have a lot of good
Scott Benner 1:18:40
ideas. Have you listened to the Pro Tip series in this podcast? No,
Katie Scott 1:18:44
I haven't. And they should. I will. Did your mom tell you about that? Yeah, no, my mom has. So like I have. I'm on your mom's side. Now. Wait a minute, you know, you should be on my mom's side. She's great. Um, I will say my when I listen to your podcast, I go and I look at things that I'm interested in, like the after dark and stuff like that.
Scott Benner 1:19:04
So everything can't be fun. Katie, sometimes we have to take care of ourselves. I do take care of myself, right? There's a great afterdark coming up this weekend. By the way with jewels. I'm putting out an episode on Saturday because I put out a bunch of content this week for management. So there's some extra stories. Don't miss jewels on after dark. But that's not the point. The point is that you should just listen to the Pro Tip series. It's between Episode 1001 1026 Okay, I will. I promise what is your excellency right now? Will you tell me? Um,
Katie Scott 1:19:34
it's like 7.0 Got it? I'd have to look at my chart. A
Scott Benner 1:19:39
little over seven. How would you like it to be in the low sixes?
Katie Scott 1:19:42
I wouldn't be a fan of that. But that's like, you know, no, that's definitely like something that I'm working towards. Um,
Scott Benner 1:19:49
I'm not asking you to do anything but listen to the Pro Tip series. Okay, that's fine. That's a very good trade. Don't promise me anything. Don't even Nothing. Listen to the Pro Tip series. And then and tell me if six months from now your agency is not in the sixes? Okay, that's all you have to do. It's absolutely
Katie Scott 1:20:05
what you know, people use the discount code that I just gave out. And
Scott Benner 1:20:09
tell me about that as well. Also, there's a code in the in the Pro Tip series, there's a code for free meter. If you want a free meter, go ahead and do that, too. Okay,
Katie Scott 1:20:17
I'll look into it. Is it the contour? Next Gen
Scott Benner 1:20:22
contour? Next Gen. That's correct. Yeah. Free meter.
Katie Scott 1:20:24
So I think I have listened to your podcast.
Scott Benner 1:20:27
I don't think you haven't. But but I'm telling you. Listen, Katie, let me tell you this.
Katie Scott 1:20:32
You're just you're just you're wanting to help. You're being a very good dad right now.
Scott Benner 1:20:35
I'm not I'm telling you. I made a pact. This is May I finish? I'm gonna finish. Okay. Okay, you can finish I'm gonna I'm gonna I'm gonna wrap it up. Okay. I don't think it works for everybody. Meaning that there are some people who might listen to not understand and that's fine. But it's a concept, not a plan. And you listen to it. And then the results are the results based on people's responses to me, are unmatched in the diabetes space. I'm not asking you to eat a certain way. I'm not asking you to make a big change. Right.
Katie Scott 1:21:10
I know. Right? I'm excited to listen to it.
Scott Benner 1:21:13
I think to me, Katie, no,
Katie Scott 1:21:15
I'm not lying. Okay, because race just always sounds like this. Because you're, I'm very dry. I'm a very dry person. And there's not a lot of fluctuate, like, it doesn't flux
Scott Benner 1:21:25
fluctuate, is that the word we're looking for? Because You almost said fluctuate. Yeah, you almost said fluctuate. And I was like, That's not a word for sure.
Katie Scott 1:21:32
I that. I definitely, I think to like being type diagnosed at 22 and getting so much bad advice. It's been hard for me to really branch out and focus on my diabetes when it's anything other than when I'm working with my Endo. Because of honestly, it was like a traumatizing experience having to, you know, really figure it out on my own and all the misinformation, but I will listen to that. And I think partially to like, maybe sound hesitant, because it's, as somebody with type one, it's just hard to think about a lot. You know, you have to sit there and process a lot of things, you
Scott Benner 1:22:10
know, yes, listen to the protests. It'll just work for you. All right,
Katie Scott 1:22:13
I will and I am going to alright, I'll get back to you on it.
Scott Benner 1:22:16
I am going to read you a random review of the podcast right now. This podcast is a game changer. 25 years as a type one diabetic, and only now I am learning some of the basics, Scott brings useful information and presents it in a digestible way. Learning that Pre-Bolus thing doesn't just mean Bolus before you but means timing your insulin so that it's active as carbs become active, took my already decent six and a half a one C down to 5.6. Over the last eight months. I've never met Scott. But after listening to hundreds of episodes and joining him in the Facebook group, I consider him a friend listening to this podcast and applying it has been the best thing I have done for my health since I was diagnosed. That's one of 1000 reviews that all say about the same thing.
Katie Scott 1:22:58
That's honestly so incredible, right?
Scott Benner 1:23:00
And I'm not asking you to do anything, you don't have to pay for it. You don't have to do it on a certain time schedule. Just listen and watch your a one C come down.
Katie Scott 1:23:10
I will. And I think that's just such a wonderful thing that you've been able to create and do for people. No, no, you don't don't that's okay. No, I really just think it's just really amazing. What you've been able to do, you
Scott Benner 1:23:23
know, you're very kind and I agree with you on fantastic. That's not what we're talking about, though, what we're talking about.
Katie Scott 1:23:27
I know, I just you know, I just want to give you a little credit where credit's due, what we're
Scott Benner 1:23:31
talking about is you like doing something you're you've only been at this for a couple of years. You're really young, you haven't even started your life yet really I know you think you have but you pretty much haven't yet, like like you're just you're just getting ramped up, you have an opportunity to set your mindset around diabetes in a way that you don't even have to think about it. It'll just happen because you'll know what to do. And you have no idea how that will change the ripples in your life. So if you being nice to a kid in a dance class might help somebody 200 years from now, then you being nice to yourself right now will help you throughout your entire life that is elastic, and impact things that you don't even know yet. Like try to imagine that if today you learned how to keep your blood sugar not under two, like not think of 200 as high but think of like, I don't know, 160s being high. How that may be one day, 20 years from now, when your kid is doing something crazy. And you look over at Spencer, you can sick of him because you've been looking at him forever. Instead of saying something crazy because your blood sugar's really high or it's been bouncing up and down all day. What if you have a better response in that moment?
Katie Scott 1:24:44
That would be Yeah, that's that's the goal. For sure. That's,
Scott Benner 1:24:48
that's all I'm saying. Yeah,
Katie Scott 1:24:50
I'm going to definitely listen I'm excited to and invest a little bit now like a beautiful paradise Honestly, even after having to look at Spencer for three to yours, you know
Scott Benner 1:25:01
what Ben Franklin would say, Katie? What a penny saved is a penny earned.
Katie Scott 1:25:06
Um, okay, that. That is true. He did say that. I just have to ask you one more question. Before we wrap up is Benjamin Franklin, your Roman Empire?
Scott Benner 1:25:17
I don't know what that means. Because I'm not a kid. You know, you haven't seen the whole like, oh, how often do you think about the Romans
Katie Scott 1:25:23
to do is that is that your Roman Empire?
Scott Benner 1:25:25
I don't know. I don't think about Ben Franklin.
Katie Scott 1:25:27
Every day, Franklin is I think you think of him a lot more than other people do, which I think school when
Scott Benner 1:25:32
his wife passed away, he was traveling. He was he was traveling in the 1700s. He was like in Europe like he was also I want to be clear, apparently, Katie was also a womanizer. But like,
Katie Scott 1:25:43
I know, he liked older women from what I remember.
Scott Benner 1:25:46
And let's keep in mind also that he was like poetically thoughtful in a time where maybe a lot of people hadn't had a chance to be yet. Do you know what I mean? So yes, he sometimes is saying simple things, but try to remember he was one of the first people to think that
Katie Scott 1:26:02
simple thing. Yeah, he's he's the OG right.
Scott Benner 1:26:05
So you go be Ben Franklin for yourself. What are we going to call this episode? Tiny Paul hands?
Katie Scott 1:26:11
Yeah, that would be great. I love that. Are we going to call it I'm gonna take I'm gonna steal that sometime. And Name something you said. It's not tiny, tiny, tiny, tiny palm hands. You
Scott Benner 1:26:21
know you said it. Not me. Right.
Katie Scott 1:26:23
I know. Yeah.
Scott Benner 1:26:24
I love that. Yeah, either. either. I call this one tiny Paul hands or poor Richard. And you don't even know why I would call it Poor Richard, but people who know Ben Franklin will
Katie Scott 1:26:33
understand. Okay, well, I need to read one you'll listen to your podcast series and read more about Benjamin Franklin. Seriously
Scott Benner 1:26:42
KB if you do those things get back if they help you at all get back to me. Okay, let me know if I if they don't help you. I don't want to hear from you again.
Katie Scott 1:26:48
Okay, okay. I won't I won't follow you. Oh block you won't even know. You'll forget about me. Exactly.
Scott Benner 1:26:53
Thank you so much.
I want to thank the ever since CGM for sponsoring this episode of The Juicebox Podcast. Learn more about its implantable sensor, smart transmitter and terrific mobile application at ever since cgm.com/juicebox. Get the only implantable sensor for long term wear. Get ever since Arden started using a contour meter because of its accuracy. But she continues to use it because it's adorable and trustworthy. If you have diabetes, you want the contour next gen blood glucose meter. There's already so many decisions. Let me take this one off your plate. Contour next one.com/juice box. A huge thank you to one of today's sponsors, G voc glucagon, find out more about Chivo Capo pen at G Vogue glucagon.com Ford slash juicebox. you spell that GVOKEGLUC AG o n.com Ford slash juice box. A diabetes diagnosis comes with a lot of new terms, and you're not going to understand most of them. That's why we made defining diabetes. Go to juicebox podcast.com up into the menu and click on defining diabetes to find the series that will tell you what all of those words mean. Short, fun and informative. That's the finding diabetes. If you're not already subscribed or following in your favorite audio app, please take the time now to do that. It really helps the show and get those automatic downloads set up so you never miss an episode. Thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast. The episode you just heard was professionally edited by wrong way recording. Wrong way recording.com
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