#471 Bolusing Insulin for Fat

Learning to bolus insulin for the fat in your food with Michelle from Waltzing the Dragon.

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

Waltzing the Dragon < CHECK IT OUT!

+ Click for EPISODE TRANSCRIPT

---

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

Scott Benner 0:00
Hello, everybody and welcome to Episode 471 of the Juicebox Podcast. Today,

we're gonna talk about bolusing for fat in your food, and it might be easier than you think, to figure out. Michelle is here, from the website waltzing the dragon to try to help us understand. If you're thinking right now Wait, that doesn't make any sense. There are no carbs and fat I only Bolus for carbs. Well, you ever eat pizza and in a weird high Three hours later, french fries, milkshake, anything like that, where you think it's gone, you've handled it But suddenly, two and three hours later, this persistent high. If that's happened to you, you're gonna love this episode. And let's be honest, if you're using insulin, this has happened to you.

We're gonna get started in just a moment. But first, I'd like to remind you that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, please always consult a physician before making any changes to your health care plan are becoming bold with insulin. I'd also like to say right up front, that I've put a link in the show notes and a link at Juicebox Podcast comm to Michelle's website. And that link will take you directly to everything that we've spoken about today. And the way Michelle talks about it on her space. But I think this conversation will be enlightening. And I hope you enjoy it. At the very end of this episode, I will actually read from Michelle site in case the conversational nature of today's show. didn't let you take notes or or kind of walk through things incrementally. So after you hear the whole thing at the very end, I'll walk you through it one more time. Alright, little more music and we'll get started.

This show is sponsored today by the glucagon that my daughter carries g vo cuyp open, Find out more at G Vogue glucagon.com forward slash Juicebox Podcast is also sponsored by the Contour Next One blood glucose meter. You can find out if you're eligible for a free meter, check into contours test trip program. Or while there's a lot more you can do so I can't just list it all but all the information you need about the Contour Next One meter. It's a Contour Next One comm forward slash juice box there's links in your show notes. Links at Juicebox Podcast Comm. Let's talk about bolusing for fat now with Michelle.

Michelle 2:57
My name is Michelle and I am the mom of two kids. Gemma who is 12 just turned 12 and Max who is 13. It's max who has type one diabetes. He was diagnosed at just over a year in 2007. Actually 14 months to the day.

Scott Benner 3:15
Well was how old he was. Wow, that's pretty damn young. Jeez, that was Yeah.

Michelle 3:24
It was tough. I think it's tough at any age. You know, I think they're just different challenges.

Scott Benner 3:29
I agree with that. Yeah, I agree that it's that it would it's not like, Oh, I got lucky. I was diagnosed at 46 perfect age to be like, it's that's not how it is. But but that 14 months thing with a low body weight not being able to communicate well, it's just an end back then. I mean, you didn't even have the ability to to break Bolus down into smaller bits. And

Michelle 3:52
now although he got his first pump at three years old. So that's when things really changed in terms of being able to break it down. But before that, for the first two years, we use diluted insulin to try and get smaller boluses. Like really half as much as you could drop in a syringe. Yeah, I don't know if you did that with Arden. I know she was quite young to where she's two years old.

Scott Benner 4:14
She was Yeah, she was just after her second birthday. What I did was I took expired insulin, squirted it into a dish, added food coloring to it, drew it up into a needle and I would practice pushing the plunger slightly to make a drop come out. I just used the food coloring so I could see the liquid and then kind of think about Okay, this much pressure made a drop come out. And that way when I used insulin for real and the needle was in Arden, I could put that same pressure on.

Unknown Speaker 4:46
Interesting. Yeah,

Scott Benner 4:47
yeah. So it was a it was a good motivator to put weight on her. That's for sure.

Michelle 4:54
We're still trying Max's skinny as a rail. And I'm like, Where can we put these infusion sets? We need some fat No

Scott Benner 4:59
kidding. Oh, Yeah. Well, do you know how you ended up on this podcast today? Um, do you listen enough that

Michelle 5:07
you messaged me? And I responded? Okay, so that's I'm guessing Jenny had something to do with it

Scott Benner 5:12
right? So Jenny and I sat down. So I not, I mean, I can pull the curtain back here a little bit like you people listening here, Jenny, like every couple of weeks on the show or something like that. She is awesome. She's my favorite person. But what, but what I do to make that for everybody is Jenny and I carve out some time. And we power through topics. And I do not tell her what we're going to talk about first.

Unknown Speaker 5:41
So did you say that?

Scott Benner 5:43
Yes. So I said, Okay, like we finished a topic. And I said, Hey, Jenny, Next, I want to talk about how to translate fat into carbs for bolusing. And she goes, I don't think I'm the right person for that. And I said, Oh, okay, that's no problem. And I just put it on my list, like, find somebody else. And she says, Do you know that blog, and then she told me about your blog, which of course, I know, because of the the unique name, but tell people your your, your blog title.

Michelle 6:12
So the website is while it's in the dragon. And it was started in 2011, with another diabetes mom, Danielle, and I started it. Because we realized that when we talk to other parents, we just got the most helpful tips. Like other parents knew how to put the theory into practice. Yeah, they knew what kind of infusion sets worked. They knew you know, how to get around things, like you're talking about, you know, food coloring and making some really small boluses. When you're still using syringes, that's the kind of stuff that we learned from other parents. And we just thought, wouldn't it be awesome if we had a place where the theory and those practical tips existed in one place where I could look up? I don't know, illness management strategies at 2am, or my kids throwing up, and they would be there. I wasn't like shuffling through that jumped or looking for that handout that I got. Yeah. So that's, that's where Walton dragon came from.

Scott Benner 7:11
It's interesting. I don't want to go too far into the weeds here. But it's interesting that you can't just devise one repository, and it exists everywhere. Because that's not how people find out about things don't mean like the, the best movie I've ever seen in my life you may never have seen or ever heard of. And so that other places keep popping up is a is a gift to people because the internet is sort of, it's sort of cyclical, and at the same time, it's bubbled like you're in a sphere, you don't realize it, you're not seeing the whole internet, you're seeing the part of it, you see. So if somebody you know, has a blog like yours, that's great. And it can be frustrating for people listening. I imagine Michelle has felt this before too known how valuable the information you have is, and there's just you can't figure out how to get it to more people. Because you're not in charge of that. It's and I figured that out a long time ago, if the if people don't know immediately to go to the ADA to get information about something right, then that means that the ADA is information isn't so amazing that everyone who's ever seen it runs around telling everybody else about it, right, which is not to denigrate their information. It's just that that's not how it works. It's why you see somebody who's incredibly popular on Instagram today, who 11 months from now, you'll never see again, because everything just keeps going. But I always felt badly about like all this great information that just, you know, just kind of its cycles away. And so the podcast for me is, is an idea of like, how do you bring it alive. So that it It keeps existing and it keeps drawing people in and they keep finding it. So as soon as Jenny said the name of your blog, I was like, I've heard that name a million times. Now I don't read diabetes blogs. And I never have. But that was always a creative decision. I didn't want to, I didn't want to read something you wrote and then find myself saying it not realize that I had heard it from somebody else, right? So I always stayed very kind of insulated around it. But immediately is like, because how can you not remember that name like waltzing the dragon is just so you know, unique. So anyway, I go there, don't please. And there's all that information. And I was like, Okay, I'm gonna send someone an email and ask. And I picked around I think I think I figured out how to get you through Facebook. So I really appreciate you doing this. Because I want to take what you know about this one specific subject and kind of blow it up and leave it here inside of the podcast for other people. So awesome. Yeah. So tell me how you first realized that fat made blood sugar go up.

Michelle 9:52
What would happen is we would go somewhere like McDonald's like we had good control. You know, I wouldn't say it was fantastic. But you know, our overnights for good. We knew how to handle this kind of foods that we made at home. Max was pretty little. So we weren't eating a whole lot of high fat food. And then when we started to, like I said, go to McDonald's or have a pizza, we would have these incredibly high persistent highs that I just kept correcting and correcting and correcting and he wasn't coming down. And it was changing. Like, it was frustrating for me. And it was changing our family's lifestyle. Like I felt like diabetes was winning. I felt like okay, we're No, we're not going to go to McDonald's to get fries today, because I don't want to deal with the highlighter. We're not going to have pizza tonight. Because I don't want to deal with being up all night and correcting and correcting and correcting. And that was incredibly frustrating to me. Because we've always lived like diabetes, we have to pay attention to it, but it's not going to control us. And it was definitely controlling our family. So So I went looking for ways that I could cope with that. And within a couple of weeks of each other two different people brought up this idea of bolusing for protein and fat. Shannon, who was one of the CDs, one of the nurses at the Alberta Children's Hospital diabetes clinic, which is where Max is seen. And also Lorraine Anderson, who is a registered dietitian here in Canada, she worked for at the time animus was my son's pump company. And so I had had contact with her over that. They both brought up this idea of both protein and fat, which we had never done. But it seemed perfect. And it seemed almost divine that they were both talking about at a time when I really needed to hear it. Yeah. So we started experimenting, as a family. And just to back up, I guess that's, you know, I remember talking at a conference and people said, Well, wait a sec, you know, I guess I should start bolusing for fat because we've never done that. And you through the conversation, it came to be that they didn't really have post meal highs due to fat or protein. So So I was like, well, then you don't if it ain't broke, don't fix it. I mean, you don't, you don't need to do this unless you're seeing this pattern. That is one aspect of of diabetes management that you would like to address. But many people I mean, if you eat the same amount of protein, and most meals, or the same amount of fat in most meals, then you don't need to do anything different. Your insulin to carb ratios and your Basal rates after that are probably covering it just fine. I think the problem for us as a family was that we tend to eat low fat, but we didn't binge very often on things like pizza or, you know, burgers and fries at McDonald's. And so when we did I could really see the difference. Yeah.

Scott Benner 12:54
Well, almost divinely. Yesterday, Arden had a five guys double cheeseburger with bacon, french fries, and a milkshake. So she took her SAP, and she came out of the SAP and she's like, I want some food. And I was like, okay, actually, she took a sap prep class and the guy said, when she's done, she's gonna want to eat and take a nap. And I was like, Oh, you don't know Arden right? Like she won't boom, she ate this food, walked upstairs and fell asleep.

Unknown Speaker 13:25
seen a few of these kids,

Scott Benner 13:26
he's aware of what was gonna happen, but what I knew for certain was much like you are not gonna have a cheeseburger every day. Right? It's not going to be a meal like that every day. So now we have these fries. That are potatoes, which we know are difficult to Bolus for soaked in peanut oil. There is the protein in the burger plus the fat in the burger. There's cheese, there's bacon, then there's bread. And then she has a it's a milkshake. A real milkshake like real ice cream, you know? No, she actually says

Michelle 13:55
not ice milk. But ice cream.

Scott Benner 13:57
Can I get an ice cream? Can I get a milkshake with Oreo pieces and Oreo cream? So they put the ice cream in and then they scoop in chunks of Oreos and extra cream. Right? So what that tells me in my head, the way I think about it is, is that the the range of time that this meal is going to impact her in my mind goes right up to about five or six hours. Like that's how I first think about it. And then and then I just dump in as much insulin upfront, as I think she can handle. And then any indication that there's going to be arise gets re attacked along the way. The problem is when people are saying, Well how do i Bolus for fat and protein? That's not a real, you know, that's more of a here's what I do. You can try to see if it works for you. Do you have more of a formula for something like that? Absolutely.

Michelle 14:50
It's not my formula. No, but let me back up because you know, I've heard you talk about how you do like a Temp Basal, to deal with those sort of rises that come from food and we tried that. Danielle, the other original co founder of waltzing the dragon. That's what she did with her son, right? If she would set a Temp Basal after the meal for, you know, whatever, and her gut said was the right amount, and she had done all this experimentation. But when I tried it, it was an abysmal failure. Okay, like, I tend to be very systematic Anyway, I'm not a, I'm not a kind of a, you know, let's see what this does. I want I want to have something concrete, you and I are probably the Yin to the other's Yang. But in any case, we tried it a couple of times, and it just didn't work. Either he bottomed out, or he was still super high later. And I thought I do not have the mental energy that it's going to take to experiment with these rates and ratios. And, and, you know, pull numbers out of the air for the next two years until we get it right. I just don't, right. And so what both Shannon and Lorraine had brought to me was what's called the Warsaw school program. in Eastern Europe, they Bolus for carbs just like we do here in North America. But there's also a more of a practice of bolusing for protein and fat. So they've spent some time figuring out Well, what does that look like? Yeah. And so that was the program that I did more research on. And so what they basically say is that protein is kind of complicated, it protein creates in your body create some insulin, but it also stimulates the release of glucagon, which we know rises, raises blood sugar. And so the effect of it is a, like, if you if all you ate was protein, the effect is a longer rise in blood sugar longer after you eat it. So it might be three to five hours, if all you ate was protein without carbs, it might be three to five hours, you'd give a maybe an extended Bolus or a Temp Basal. I don't know, maybe three hours, I think Jenny said something like 50%, I'm trying to remember she had a great way of looking at it. You do that after the meal, and then it covers that slow rise of protein. So that's part of what they talk about. Then they also talk about the effect of fat, which is not at all unpredictable, that raises blood sugar. And the reason is you get insulin resistance, you've got fat in your bloodstream, that makes your insulin less efficient. But you've also got that fat is harder to break down. So it takes longer to digest. So what we found with Max was that when he would eat a high protein slash high fat meal, he would go low first, and then he'd be sorted me high. And the reason was, if we gave all of that Bolus up front, so let's say he had cheeseburger and fries. And that would be think like, maybe at that age, it was like the McDonald's Happy Meal. So it might have been like, I don't know, 3640 grams of carbs for the fries. And then the burger might have been another 20. So we're talking about, let's say 60 grams of carbs. And with that would come maybe 3040 grams of fat, I'll say 30 at that age. So we would give the Bolus for the 60 grams of carbs, which you would think okay, that's great. If he just eaten the bun and potatoes that weren't, as you say, soaked in peanut oil, then that Bolus up front would have covered that. And everything would be great if we do the correct timing to the insulin and all that. But what's happening is because there's such a high fat content, it's digesting more slowly. So that initial Bolus is all getting in before all the food gets in. So he'd go low first, which of course we would correct. And then that correction would add to his high blood sugar later, right. So then we were fighting both

Scott Benner 19:02
because it's so incredibly difficult to say to yourself, oh, I've gotten the meal and so on ahead of the impact of the meal. Now I'm going to correct with food. I actually have to Bolus the correction right now that is the hard right leap to make in your mind. But

Michelle 19:15
I have to Bolus that correction with an extended Bolus. Or perhaps if you're still on injections with like a split Bolus because I need it because if I Bolus it now, he may go lower dam. And we've found that that depends on the amount of fat to like, we don't do this. We won't even consider the amount of fat if it's under about 10 to 15 grams. Okay, so under 10 I don't even think about it. 10 to 15 maybe depends what else has been going on in his day hasn't been you know, fighting some highs has been exercising hard. Whatever that I might consider but over 15 we will almost always Bolus for the fat. Yeah. Because that's where we see the impact. Right. So getting back to This Warsaw schools, what they do is they talk about fat protein units. And there's this process that they go through to calculate fat protein units. And I don't know Do you want me to? It's all on Walton, the dragon. I'm looking at it. Do you want me to go through it? Yeah. Okay, Joe, I'm gonna go through it basically.

Scott Benner 20:16
Yeah. I'll just tell people now Oh, geez. Alright, so it's your Canadian. So it's waltzing the dragon.ca. And I'm actually

Michelle 20:25
ta although the.com will get you there, too.

Scott Benner 20:28
okay.com will get me there too. But on this specific page, it's got kind of a long title. So is there a quick way that you can tell people to get through your website to get to what you're

Michelle 20:38
watching the dragon.ca slash fat,

Scott Benner 20:41
slash fat? Okay. I'm doing it to waltzing the dragon.ca forward slash fat. Okay, how fat and protein affect blood glucose? Okay.

Michelle 20:56
So there's two articles, the first one that how fat and protein affect blood glucose, just sort of the introduction, it just talks about the fact that what we just talked about, right protein will raise blood sugar, slowly, fat will make you insulin resistant and give you a resistant high later, okay. And then the second article is how to reduce those spikes. or avoid them might be a better word like, if you if you use the Warsaw formula, then you can you can have a pretty close to flatline, if you you know, sort of tweak it enough for your own personal needs.

Scott Benner 21:33
Yeah, if you actually go through and figure this out. So this, this episode really is for people who want to look at a nutrition label, and say, I want to apply this to that. And I do want to agree with you, before we start, that I don't Bolus for all the fat or needs. I do think, though, that it's an elusive idea to people because I'll take I'll take a very basic example, every once in a while, like once or twice a year, I make my own potato chips. That's how bored I get. Okay, so you start with an amount of I use peanut oil, because it holds a nice steady temperature, right. And however much peanut oil you start with, you make your potato chips, you put your potato chips aside, each one's thin and crispy and doesn't even have a hint of oil on it. But then you go back and look at how much oil has been absorbed by the potatoes. And it's a fascinating amount of oil, right? So if you eat handfuls of these potato chips, you might as well take a cup, fill it with peanut oil, and drink it because what you're doing eating those potato chips, right as an example, or cheeseburger, or you know, all kinds of things like that, that have grease in them have way more grease in them than you imagine. And so, you know, did I know, fat from ice cream plus fat from cheese and fat from beef and oil from French fries and potatoes and bread was gonna crush Arden. It did. And if I told you that based on the carb count of that meal, even though it was an insane car mount, I mean, gosh, by the time you go through the burger, the roll, the roll is the rolls like 25. And then I just throw in five for the burger, because why not and a couple of more for the cheese. And now I'm at 35 and then the fries are probably 50. And now I'm at 85 and the milkshakes probably like 80. And like, in my mind, I'm like it's like 180 carbs, right? And even though you give that insulin for that, it comes back to haunt you like a bad acts. Absolutely. You know, every couple of hours. It's and you're putting in another, you know, oh, it's gonna happen again, here's two or three more years before you know it. You've used by half more insulin than the actual carb count. Kind of would indeed

Michelle 23:51
Oh, absolutely right. And the amount I've found since we've started bolusing, for fat, I found that the amount of insulin we use up front as an extended Bolus is a fraction of what we will have to use to correct it. Right. It's absolutely insane. Like we might add a I don't know, like a three unit extended Bolus. If we you know, do it at the front, if we forget to or when we were learning this, we might have to use like eight or 10 units to get him back down to range. And so the difference is just striking. Right? There's doing it proactively is is a huge benefit.

Scott Benner 24:28
You will being ahead of it. You're using far less than you will if you chase it, and absolutely when you're ahead of it, you most likely won't cause a low later because it's almost like that food, it almost precludes a low from happening. You know, it's almost the it's sort of the antithesis the idea of when people are newly diagnosed, someone will tell you to like oh, give them like a little protein and a fat at bedtime. If you don't want their blood sugar to fall like that kind of note that'll just not but except you're doing it times. Like 30. So, yes, so you're very aggressive. You know, the way I think about it is balancing the impact of the in some, or the impact of the carbs with the action of the insulin, trying to keep everything working at the same time, so that when the foods finally digested and the insulin is finally gone, you don't crash later. But yeah, once you're chasing fat and protein like this, especially high fat, you're just it takes so much more insulin than you could imagine. And your basil rate is nowhere near up to the challenge that you've that you've given it. Absolutely. I'm sorry. I love our conversation, but I'm not letting you get to what you're trying to say. So,

Michelle 25:38
no, that's okay. I just want to back up for a minute because you mentioned a lot of things like if people are curious what sorts of things that we do this for. You've mentioned a lot of them, like we talked about pizza. We've talked about burgers, cheeseburgers, french fries, funny if we have french fries, if we have homemade frozen french fries made in the oven, they don't have enough fat and we don't need to worry about it. But any restaurant we go to those fries will need a fat Bolus. Mass loves nachos lately. So the tortilla chips have fat, which we don't really notice if he had say, tortilla chips and salsa or hummus. But if he has nachos, so he throws all that cheese on top of it, and sometimes even like ground beef on top of that. Absolutely. He'll need a fat Bolus for that. Yeah. Real ice cream.

Scott Benner 26:26
Yeah, go ahead, jump on your Nacho thing. Arden loves kaiso from Moe's which, which might not be all over the countries and everything but it's a it's a restaurant you go into they fried the you know, the tortilla is right there for you. She buys the case. So we throw the chips away. And she uses like a toast Tito's brand like instead. And it by half makes this an easier project for us.

Unknown Speaker 26:53
Absolutely. I

Scott Benner 26:53
don't know how, let me hear I'll say this and to people who really are probably believe in me listening to the podcast, I I can't figure out how to Bolus for most chips for Arden. Like I haven't had the nerve to put in enough insulin yet to those chips in the heat and pretty aggressive. You know, so I'm sorry. And you were gonna say ice cream in a second real ice cream. And and that that's where people's confusion comes in online. Somebody will say, hey, you have to do this for ice cream. And another person will say oh, no, you don't. We don't have to, except there's no context the one person might be actually eating ice cream. And the other person might be buying something out of the freezer section that's 17 chemicals and might actually have very little bridal ice cream in it to begin with. So

Michelle 27:36
right or what we do we have here in Canada a brand called Chapman's, which their frozen yogurt tastes just like ice cream. It's awesome stuff, but it's got a fraction of the fat. So when we're having it at home, I buy Chapman's frozen yogurt because then we don't have to stress about it. McDonald's for example, there softserve is ice milk. It's not ice cream. So if you had a huge one that maybe we might have to but like if we go to Dairy Queen there softserve is ice cream. Right? So it's got a much higher fat content. What peanuts if he has a great big bowl of peanuts, we might have to Bolus fat for that. compared to any other nut like not almonds, not even walnuts. I mean maybe it doesn't eat enough walnuts. But like eats it down with a bowl of peanuts. You know, like salted roasted peanuts. Those we would have to Bolus for sometimes chocolate bars. Again, it depends on how much fat is in them. Do they have things like cocoa butter or coconut oil in the ingredient list will make them kind of perk up? Um, oh, all the meats. pepperoni sticks. You know, if you have like a footlong pepperoni stick, they could have 1418 grams of fat in a single stick. Bacon. Yeah, big Tam. Like if we have ham for supper, probably that will have to be Bolus for and on the idea of pepperoni sticks to like if you can get turkey pepperoni. It's much lower fat. So sometimes we'll do that instead. sausages. Yep. sausages. Absolutely. Yeah, they have probably like the lighter turkey ones even have like three grams of fat per like regular breakfast sausage.

Scott Benner 29:14
Do you know what I do that? doesn't know. I keep Turkey and regular bacon in the house. And if she has pancakes or French toast, I put the turkey bacon with it. And if she has eggs, I put the regular bacon with it. And I don't I don't know that I tell her that I do that. And they're actually now Well, she she won't listen to us. Don't worry, we're good. Yeah, so there are times when she'll specifically say I want to have french toast with regular bacon and I'll go Okay, then Bolus now. And you know, and I don't she doesn't see the difference. And I'll tell she'll be on the show one day and I'll tell her little stuff like that. So she knows but yeah, that that's just the kind of stuff that I think is intuitive for you a person who paid so much attention to this or to me, somebody who talks about it so much that I hard for me to forget Got it even, you know, but for most people, most people are not going to think, oh, there's a higher carb value here with some more fat. I won't pair it with the same fat as I, you know, I just think that's, it's a bridge too far, especially when you're first diagnosed. And in your mind, you're thinking bacon, no carbs. Good. Right. You know, I'm sorry, I keep cutting you off. But you're doing terrific. No, no, that's, that's great. Good. Good. Yeah.

Unknown Speaker 30:26
So what were we talking about? Well, listen, I want to,

Unknown Speaker 30:29
I want to tell you to do about all that. Right, before we

Scott Benner 30:32
get back to the calculation, you're gonna have to thank Michelle in your own mind here, or at least by visiting your website cuz she's got lists in front of her. And I have never sat down and made this podcast without anything written down in front of me ever. She's trying very hard. And I am just over here going like,

Michelle 30:45
Scott, you got to be systematic. That's why this process works for me,

Scott Benner 30:51
I win. That's why I love you being here. Because there are, listen, I think there are a fair amount of people who pick up what I'm putting down, like they used to say, in the 80s. But I think there are also people who hear it, and whose brains work like yours. And they're like, you got to tell me a number or something, you know, and I just don't, I don't know how to do it. I am literally a person who looked at a plate two nights ago, it had chicken and carrots and rice on it. And I looked at it, and nothing was measured. And I just looked at it. And I was like chicken 10 carrots, I don't know, 10 rice looks like 40 do 65 carbs. I literally counted the 60 and then said 65, which even made me wonder why I counted? Like why did I just like, wasn't it just look at and go

Unknown Speaker 31:41
process to get there? Sure.

Scott Benner 31:42
A weird thing. And, and that that's a you know, I do believe that most people can, with most meals get to it. But there's some of these things that we're talking about today that are just, they're just too much, you know,

Michelle 31:56
and just on that idea of looking at a plate, like I think we've had to teach yourself systematically over the last 12 years how to do what you do intuitively. So what I would do is I would measure that whatever pile of strawberries or that, you know, mashed potatoes, or whatever it was French fries, I would I would guesstimate what I thought how many carbs were in it. And then I would measure it and see how far off I was. And then from there, if you do that enough times, now you can start looking at a handful of cantaloupe. You know, a handful of potato chips, you can start looking at that and going, Oh, this is what I think. But I had to get there through very systematic like teaching myself, this is how far off you are right? Next time, guess a little higher, gets a little lower. So I had to get there very systematically, and you do it very intuitively, which I admire. But I would never be able to do with that kind of pull a number out of your bum approach.

Scott Benner 32:54
I imagine that that's my skill. If I put that on my CV, I'd never get a job.

Unknown Speaker 32:59
skill.

Scott Benner 33:00
You were able to figure it out in a way that's quantifiable Trust me, I don't mean, quantify it is to tell people stories about potato chips. get something out of it. Alright, so this.

Michelle 33:12
So just to point out, I didn't figure out how to make it quantifiable. I took a program that already exists. And I applied it to our family. And it worked. Well

Scott Benner 33:20
see that was a huge, you're very, you're very kind to give attribution where it's deserved. And I didn't mean that you've made it up out of thin air. I know. But you still went and found it and put it into practice. Like you could have showed me that at a certain time and Arden's diabetes, and I would have been like I can't read that. That would have been like the end, I've

Michelle 33:37
been told I can complicate things a little bit. Yes, it's my nature to go into it in deep, deep detail. And this is an aside all of the information on the website. So it's it's less of a blog and more like collecting information repository and only because what you do very easily sharing your personal experience does not come as easily to me, I'm much more comfortable sharing the information than I am sharing my life, which is why I kind of have a love hate relationship with social media. But there's a whole other topic for a whole other day. But what we've done on watching the dragon is set things up as beginner, intermediate and advanced articles. And this one is solidly in the advanced. It's like not for the faint of heart because it does look intimidating. But if you follow it through, follow the example through it makes sense.

Scott Benner 34:29
Well, let me tell you that anybody who's made it 34 minutes into this wants it so go ahead and give it to them.

Michelle 34:36
No Holds Barred. Let me tell you what to do that.

Scott Benner 34:48
g vo hypo pan has no visible needle, and it's the first pre mixed autoinjector of glucagon for very low blood sugar in adults and kids with diabetes ages two and above. Not only is G vo hypo pen simple to administer, but it's simple to learn more about. All you have to do is go to G Vogue glucagon.com forward slash juicebox. g Vogue shouldn't be used in patients with insulin, Noma or pheochromocytoma. Visit g Vogue glucagon.com, slash brisk.

Look, if you're the kind of person that's here learning about how to Bolus for fat in your food, then your data is important to you. And that data begins with your blood glucose meter. Are you using a good one? is it accurate? Is it reliable? How do you know you just take the one the doctor gave you or buy the cheapest one at the pharmacy, maybe you should check into the Contour. Next One blood glucose meter. This is the meter that my daughter Arden uses, it is absolutely the most accurate and fundamentally easy to use blood glucose meter that she has ever had. You can find out more about it at Contour Next One forward slash juice box. The Contour Next One blood glucose meter has Second Chance test strips meaning you can touch some blood not get quite enough, go back and get a little more without changing the accuracy of the test or wasting a test trip might not seem like a big deal. But till I get 3am it will be is the light on your meter nice and bright. The one on the Contour. Next One is now allow you to see in low light situations. And the screen is simple and easy to use. And if you'd like you can connect the meter to your phone, they have an app, it'll Connect by Bluetooth. And you can share your data back to your phone and make better sense of it later if you want. But if you don't want to use that app, you don't have to, you can just use the meter, it's absolutely up to you. Go to Contour Next one.com forward slash juicebox. To learn more about the meter, and all the products that you'll find on the site. You know it's possible you'll even be eligible for a free meter. It's possible that the meter and the test trips will be cheaper cash out of your pocket than through your insurance company for other meters. This stuff is mind boggling. My mind is boggled. Before I get you back to Michelle and she talks in depth about how she Bolus is for fat. I'd like to remind you to support the T one D exchange, please go to T one d exchange.org. forward slash juicebox. Take a few minutes to answer some simple questions and make the lives of people living with Type One Diabetes better. If you are a type one who lives in the United States, or the caregiver of a type one who lives in the United States, this is for you. It is super simple to do, you can do it right there and your phone or your laptop. Again, it only takes a few minutes. It's 100%. HIPAA compliant, is 1,000% anonymous. And the answers you give go a long way towards helping people live better with type one. That's all you need to do. When you do that. You're helping those people. And you're supporting the show. T one d exchange.org. forward slash juicebox. Please take a couple of minutes. Alright, you ready for Michelle, she's got a whole system here. She's gonna tell you all about it.

Michelle 38:20
Basically, you start with figuring out how many grams of fat and how many grams of protein are in whatever you were about to eat. So you know, for your, for your cheeseburger, and fries. example, you could go to the company website and see what do they say is the amount of protein and fat in that meal, you could put something at home on a nutrition scale, you could look at the nutritional panel of the packaged food. You could look in a food database, like calorie King has a book or there are all kinds of apps that do it fig we and calorie King and our ones escaping me track three. Anyway, any of these ways. It will tell you the grams of protein and the grams of fat. You add those together. And then you can convert that into units of energy, which is just kilocalories I don't fully understand this except that I know that they've given me a formula, which is to convert the grams of protein into kilocalories I multiply by four. Why I have no idea. Maybe Jenny, as a dietitian has a better idea. I don't know I just take it on faith. To convert the amount of fat into kilocalories you multiply by nine. So let's say the example that I've given on the website is for an ice cream bar covered in chocolate with nuts, real ice cream, as we talked about, it's a Klondike bar, you know, ice cream chocolate covered. So on the nutritional panel, it says there's three grams of protein and 14 grams of fat. So I multiply the three grams and 14 by four, the 14 grams of fat by nine and I Come up with the total kilocalories, which I've got here is 130 830 for

Scott Benner 40:10
the fat, so that's 14 times no

Michelle 40:12
138, for both. So it is 12 kilocalories of protein, and 126 kilo calories from fat. Again, those are just units of energy. Okay? Just think about how much energy your body can take from that. So then you add those two together, you come up with that 138. From there, you calculate the fat protein units, which is just dividing by 100. Again, why I don't know gotcha, the Warsaw school people, no dieticians? No, I just do what they tell me to do. This gives me fat protein units. The reason that this is relevant or why that number is important is because it tells you how long to extend your Bolus. Okay, so they have a handy little chart, that just tells you, if you come up with one fat team protein unit, you extend your Bolus over three hours. If you have four fat teen protein, you fat protein units, you extend your Bolus over eight hours. So they just got this chart that's got 123 and four fat to protein units. I just looked at the chart. And that's what my extended Bolus is. So then we go, we got fat protein units, but how do we figure out how much extra insulin we need? What is the size of this Bolus that we are going to extend. And what they say to do is to multiply by 10, and divide by your insulin to carb ratio for that time of the day. I often don't remember what it is. So for max, like his insulin carb ratios vary from 5.2 to like, 7.5, I just picked six. Because I mean, it's sort of like I'd like to be very precise, because there's so many variables of diabetes that I like to make as many of them a constant as I can, so that there's less variability overall and less, you know, mass in the system. But by just picking six, I sort of acknowledge that there is variability in this, that even if I'm absolutely precise, there's still a different day, it's a different food, it's a different, you know, he's eating different things with the meal, right? So I just picked six, because it can be complicated, and that works for him. But like, when I look back at this example, I was using 15. So when he was younger, his insulin to carb ratio was one to 50. That's a very different thing when he was six than it is now that he's 13. Sure. So that's where the insulin carb ratio does matter on an individual basis, but whether or not you call it six, or 6.5, or seven, probably doesn't change things,

Scott Benner 42:43
a heck of a lot closer than the way it was going to go down

Michelle 42:47
the gas. Right, right. Absolutely. So if you do that, you come up with a number of units. So in this case, if I took that 138, and I divided it, or multiplied it by 10, and divided it by his IC ratio, which for this example was 15, then I come up with point nine units of insulin. So I would have given him point nine units of insulin extended over three hours, 01 100, nothing up front, everything extended over those three hours for the Klondike candy bar when he was six years old.

Scott Benner 43:22
And that was that the entire Bolus or is the point nine, the extra on top, just the extra for fat, right. So

Michelle 43:30
whatever the carb amount was in the candy bar, I would have Bolus up front and Pre-Bolus. Again, depending on the amount of fat, you may not Pre-Bolus. But this doesn't have a huge amount of fat. This only had 14 grams of fat. Gotcha. So all the carbs up front with a Pre-Bolus as you normally would. And then after he's eaten, and sometimes a couple hours after he's eaten. That's when extendible is comes in. So now when it becomes a couple hours after is if there's a huge amount of fat, then even setting this extendible is right after he eats means he will go first.

Scott Benner 44:07
Yeah. So you have to understand then, when that second wave arrives MB just appropriately ahead of it with a Pre-Bolus. So your Pre-Bolus second wave, but using a number that you can rock solidly believe is going to handle the impact of it. Because you use the formula,

Michelle 44:27
because I use the formula, and I did some experimentation, right? So let me take this one step further and say and maybe I should have said this earlier, for anybody who's not listening to the whole thing. When they use the warsop program, they get a really high incidence of lows. So if you use it as I just described it, your chance of going low is what I think and what many people in Canada think is unacceptably high. This is not best practice according to the clinical practice guidelines. And that's one of the reasons why

Scott Benner 44:56
what's been known as it. Yeah, so I I'm sorry. I find that when I talk to people, one of the most fascinating things is the word low and high is not quantifiable between people. So we if you said, If you said to me, this will make you low.

Michelle 45:12
Yeah, I would be saying under 3.9 millimoles per liter, or I think for you guys, I've got my chart here somewhere. That's 70. Right? So under 3.9, or 70 milligrams per deciliter. Okay.

Scott Benner 45:26
And so for me, if you see if you were talking to me, you said, Oh, no, this is gonna make Arden low. I'd think oh, like under 60. You know, which would

Unknown Speaker 45:35
it could it absolutely can.

Scott Benner 45:36
And it could, it's just, it's, it's tough to just say, it's this, the one thing I've learned from doing the podcast is that people's idea of high and low are different, like when I say absolutely got art and got really high after a meal, I mean, 180 to 200. And when other people say it, they're like, my graph is just flat across the top. I don't know how far over 400 I am. So we can't

Unknown Speaker 45:57
tops out at 22.2. You

Scott Benner 46:00
can't have an equal conversation when you think high means 400. And I think high means 180. Sure, right. So I just always like to make sure that we're talking about that way. So I'm going to go back over this because I am not the target audience for this. And I think I understand what you just told me. So this kind of exciting for me as a person who could not be time. You don't realize how bad I was at school. So

Michelle 46:23
you see you take this hasn't hurt you one little bit. How's it I don't

Scott Benner 46:26
know, my wife mocks me openly about it sometimes. So I read in that, in that vein, perhaps. So you have this example here of a an ice cream bar that has three grams of protein and 14 grams of fat. It also has 27 carbs. So you would have taken this ice cream bar, you would have known from experience. I don't know it needs a 10 minute Pre-Bolus not too much for your son, whatever. 27 carbs was in his insulin to carb ratio, you put that insulin in, he eats the bar. But then you take this information three grams of protein, you multiply the protein by four you come up with 12k cows, which are our total k cow from fat and protein. What is k cow stands for? Why don't I remember?

Michelle 47:13
It's a unit of energy kilocalories kilocalories.

Scott Benner 47:15
Okay. So you come up with 12. Then you take the fat from the bar, which was 14, and you multiply that by nine 126. You combine these together, you get 138. You take that 138? You divide it by 100. Is that right?

Michelle 47:31
Yeah. Okay, that gives you fat protein units.

Scott Benner 47:33
So then you came up with 1.38 fat protein units, is that correct?

Unknown Speaker 47:38
Yep. Totally.

Scott Benner 47:40
You just rounded it to one. Because the chart only really works because

Michelle 47:44
the chart says 123 or four right?

Scott Benner 47:46
And one fatty one fat protein unit indicates a three hour extended Bolus two indicates a four hour three indicates a five hour four indicates an eight hour. Yeah, so So you came up with using his ratio. Now this is the part where I got a little behind. So you took the 1.38 times 10? Because that was his ratio. Is that right?

Michelle 48:09
Nope, because there are 10 fat protein units. So fat, protein, fat and protein get converted to a certain amount like glucose, okay, so one fat protein unit is converted in your body, about the same as 10 grams of carbs would be?

Unknown Speaker 48:30
Okay.

Michelle 48:31
So if you didn't eat any carbs, and you ate one fat protein unit, that would be like eating 10 grams of carbs.

Scott Benner 48:39
Okay? This is the moment where I'm going to say this out loud. And take advantage of the of how popular the podcast is. The person who made the conversion calculator for the website, if you're listening to this, and you think you can program this into an app for online, please comment. Yes, yes, yes. Okay. And that'd be awesome. Then you would you would get that code for your website if you wanted it.

Unknown Speaker 49:03
Oh, thank you.

Scott Benner 49:04
So, okay, so then you you do this, this last bit here. And you can you came up with, it's going to be point nine because you round it again, because you came up with point nine, two, you round it at the point nine because that's how the pump would do it pump

Michelle 49:18
1.929 you

Scott Benner 49:20
extended that over three hours. Now in this specific scenario. How long after the ice creams consumed? Did you end up putting this in

Michelle 49:29
one hour? Okay, we started the extend Bolus at one hour after he started eating.

Scott Benner 49:33
So is that an indication to you that that ice cream cone has about a four hour life in his body?

Unknown Speaker 49:39
Yeah, I guess so. Yeah. All right.

Unknown Speaker 49:41
Well, plus the

Michelle 49:42
longer because at the end of your extended Bolus, that insulin is going to last for another three hours. It's gonna

Scott Benner 49:49
hell as well.

Michelle 49:51
And I've heard Jenny talk about how fat can affect you for you know, she said eight or 10 hours. We have at times of found that Max is still resistant. The next morning, like we're talking 1215, even 18 hours later, they'll be there. Right? It depends on how much right not the content and other things like how activity how insulin sensitive is he right now? Or has he been, you know, as he had a long weekend and sitting around in video games all weekend? Yeah, in which case, all of this compounds,

Scott Benner 50:24
hey, let me tell you a fun story while we let this sink into people's heads before we move forward. All right, two hours ago,

Michelle 50:30
there is an easier way to do this to let me

Unknown Speaker 50:32
say, we're gonna get to that

Unknown Speaker 50:33
I take the whole thing and make it easier we're

Scott Benner 50:35
gonna do with your funny story. Michelle, listen, you get a tease it out. I want people listening through the whole thing. All right, my listen through rate is important to ad sales, just so you all know.

Unknown Speaker 50:46
So listen to the end, I go

Scott Benner 50:48
pick up artists contact lenses today, there they we placed an order and they had to be picked up. And they get there. And I'm in a in an office that. I mean, I've been taking my kids to for so many years. There's a lovely woman at the front, who's been there for forever. And we're standing around talking, and I said to the person that was helping me, Hey, I gotta go, I have to go record a podcast. And he said, What's it about? And I said, oh, we're going to talk about how fat and protein impact blood sugars kind of more long term than people that who use insulin, but you know, probably think they do. And the woman behind the counter goes, I have diabetes. I've literally known her for a decade. I had no idea she was I struggle with this all the time. She goes, What are you doing? And I started explaining to her, she's like, how do I find this podcast? And she's like writing it down and showing me her phone and asking where podcast apps are and stuff like that. And I walked out and I just thought like, how did I not know? But there she was she had a Medtronic pump on her belt. She keeps it covered with their shirts weren't a sensor, nobody can see it. And, and there, she was just like a while she said this topic vexes me. Just it just controls my life. And she's like, even if I just need a piece of chicken, I'm down to just trying to eat a piece of chicken. And two hours later, my blood sugar tries to go up 40 points. And I said, Well, yes, your body can take that protein from that chicken and it converts it and stores it as glucose and then impacts your blood sugar. And she's like, I have no idea. I've had diabetes for decades. And I was like, No, okay,

Unknown Speaker 52:24
I said so. Okay, common. Yeah, just

Scott Benner 52:26
it was crazy. I mean, very, like, if I told you, I just thought to myself, hey, I have a little extra time here. I can make it to the store and back again to pick up Arden's contacts, like I just tried to squeeze and

Michelle 52:36
you were supposed to be there because she's supposed to hear your podcast. So

Scott Benner 52:39
lovely. Like I had a very nice feeling about the whole thing. Okay, so we just went through something, which let's be honest, is not that convoluted. But it's more than it must be out. It's Yeah, yeah. Right. So you're telling me there's a simpler way I could have gone through this. What would that have been?

Michelle 52:55
Well, first of all, as I said, we don't Bolus for protein. And there's a couple of reasons for that. Number one, because we found when we first started using this formula, including protein max always went low. And one of the things about protein is that it really only affects your blood sugar in a significant way. If you're not eating carbs, and we're pretty karbi family, I mean, I don't I think there are very few times when Max, like he wouldn't sit down and have like a steak in a salad. He wouldn't eat a burger without the bun. I would do those things. I have celiac disease. So, you know, I tend to be I would eat more just protein alone, but he wouldn't. So in a way because carbs are the body's preferred fuel source. If he's got carbs in there, then it's just going to use the carbs for fuel, okay, and the protein isn't going to have the same effect as if he had protein without carbs. Okay. So like think, you know, steak and a baked potato. You probably don't have to Bolus for the steak, although it sounds like you do and it works. So maybe there's something I'm just missing there. But salad will be good. Yeah, I

Scott Benner 54:08
don't do a ton, like red meat. I did a little bit you know, and if it's if it's more lean, I do a little less. I just, I just throw five I'm always throwing five like because you know what kids will put like a little dip in a bowl like honey mustard or something like that. People like how much is it? I'm I don't know, five more. Everything's always five more because isn't it interesting? I think for everybody who's listening, think how specific you are with your insulin. Oh, this is 43 carbs. And it's gonna be 14.8 units or something like whatever you end up doing preaching to

Unknown Speaker 54:41
the choir.

Scott Benner 54:46
And you're more frequently never right to weak, then you are too heavy.

Unknown Speaker 54:53
Absolutely. I get

Michelle 54:54
because everybody, you're speaking my language. We laugh because if we go out to a restaurant, and there's No carbon permission, you're like at a mom and pop place. So there's no you know, Boston Pizza website to go to or whatever, you're just, you're there and the food's there and you have no choice but to pull a number out and just go blind, this many carbs. And it's funny when we do that, quite often his blood sugar is much better than when we systematically counted. Now, that being said, we still systematically counted because I think if I did that, all the time, it would miss necessarily work out in our favor. Yeah, there'd be

Scott Benner 55:35
where you'd be in the parking lot going, well, Max can't stand. No, I think I'll tell you a measurement I use very privately in my own head when you're out in a restaurant. If it's a chain, it's more, because I always think there's more just stuff in it. It's not food, and the better it tastes. There's more because the better it tastes always, to me means food and means fat and salt. Absolutely. Right. So the better it tastes, the you know, the more it hits your pleasure center and makes you go I don't care about anything else in the world, the more you feel like that, the more insulin it's gonna take

Michelle 56:13
five units of insulin. Yeah, exactly. So

Scott Benner 56:18
I just it, it became, like, evident as Arden got older. And now I'll tell you, you know, now that she's a full blown lady. That's a whole other aspect of it. There's a you know, there's some foods that hit her differently now that she's mature than they did when she was a kid. And I don't even know if that's if I'm right or wrong about that. It's just, it's what it is. And there's some foods lately, there's a simple one, she likes these little baked Ritz crackers, right, so, so not the regular round Ritz crackers that everybody thinks of in the in the sleeve, those those we Bolus pretty easily carb for carb. But these ones that come in a bag that are like rich chips or something like that, I just take whatever the carbs are and add half if it's 20. It's 30. If it's 30, it's, you know, it's it's 15. More on top of that. And these things, just hitter? I don't know what's in them, but it ain't good. You know, they mean,

Unknown Speaker 57:14
have you looked at the label? Well, no,

Unknown Speaker 57:16
that would take a lot more effort. I just figured out how much insulin

Michelle 57:19
I'm just curious about how much fat and maybe even protein is in there, I'm gonna look but or if it's a glycemic index thing, like if they you know, if they digest super slowly, then something

Scott Benner 57:30
hit her like a truck. And then the truck stays parked on top of her for a while. Yeah, it doesn't pull off and go, I'm sorry, it just stays there. And the reason I don't look too deeply into it. And this might be helpful for people to with younger children, is because she will cycle through these. Like, I don't know if other people's kids do that to

Unknown Speaker 57:49
be gone a month from now. So it would be a moment where she'll sound go, Hey,

Scott Benner 57:53
did you want some of these crackers that you love? And she's like, I hate those. I'm done with those and then she'll never eat them again the rest of her life.

Michelle 57:57
Yeah. And you go donate those six boxes that you just got on sale. Yeah, yeah,

Scott Benner 58:01
like here. So crush your blood sugar. Congratulations. They're free now. But yeah, but no, seriously, it's um, she doesn't do the same thing for like, She's on a grape kick. Right now. I have four pounds of grapes and four pounds of grapes in my refrigerator right now. Cuz she just two weeks ago said, Hey, everybody, I'm doing grapes now. Like, there are things so let's say stock then I was like, okay, so

Unknown Speaker 58:24
no worse things. Yeah.

Scott Benner 58:26
Right. So I'm like, okay, whatever, and then they'll be gone. Like, you know, I'll try to give her grapes three months from now. She's like, Oh, I don't need grapes. What am I gonna do? Anyway, I'm sorry. So, okay. There's an easier way to do this.

Michelle 58:41
Right? Okay. So what we do is we first of all, like I said, we don't include the protein. So what it comes down to for us is that we just take the grams of fat, we multiply at 5.09, which is the time sign and divided by 100, all in one step. And then I might multiply by nine or 10.

Unknown Speaker 59:07
So that's what's the multiplication for?

Michelle 59:09
That's the 110 grams of carbs, for one gram, one fat protein unit. Okay? So we, because he's still sometimes goes low, if we use this with the 10. If he's in a good place, and things are, you know, he's insulin sensitive, and all that's going well, then I will reduce that number. So when he was younger, I might reduce it all the way to eight. And so that's another way to make it more conservative, reduce that risk of bottoming out.

Scott Benner 59:40
Gotcha. Well, I like to ask you to go through it again in a second. But I like the way you just said if he's insulin sensitive, and you didn't mean that in a bad way you meant if the insolence working the way I expect it to work in this moment. So I'm going to get a reaction that I expect and by expect, I mean, ratios. Basal rates are all Doing what we expect them to do.

Michelle 1:00:02
Absolutely. Right. Okay. And as an aside on that, like, I'll notice that they have a long weekend. Like they just had a five day long weekend from schools, teachers convention and things by the fifth day, because he hasn't been walking back and forth to school. He hasn't had gym class. He's been spending more time on the computer or hanging around with us watching movies, that kind of stuff by the fifth day, but probably the third day, really. I know that we need to crank things up a bit. Yeah. And if I forget that, then it comes back to tell me we need to crank things up a bit.

Scott Benner 1:00:33
being sedentary to me hits exactly like an old and full set. You know what I mean? Yeah, you know, when you're the last part of your infusion set, and it's starting to get like, suddenly it's like, this should be a unit but it's two units. And and, you know, it almost feels like it almost can feel like a leaky sight. It's almost like everything I'm putting in there. It's not getting in there is it like but it's it's wrong. Yeah. But instead, it's everything I'm putting in there. It's not having the impact that it should because right sitting around for a week or etc. I right? I'm glad people cuz all of us, this is good.

Michelle 1:01:05
So on those days, I will absolutely lose us 10. So using 10 would be more aggressive because you're multiplying it by more. Okay, so going through eight would be more conservative.

Scott Benner 1:01:16
Do it. Do it with me one more time. So let's just put 10 grams of fat in this imaginary thing we're eating? Yep. How do you do it?

Michelle 1:01:24
10 grams times point oh nine.

Unknown Speaker 1:01:27
Okay. Should I

Michelle 1:01:29
times 10. Okay, divided by the IC ratio, which for him right now is six. We just use six across the board.

Scott Benner 1:01:39
So in 10 times point oh nine times 10 divided by the insulin to carb ratio. Yep, that's it. Okay.

Michelle 1:01:48
So you'd end up coming up with what nine divided by six?

Scott Benner 1:01:52
Did I miss something on the second? Let's just do this the easy way, shall we? 10 divided by 10 times point oh nine.

Unknown Speaker 1:02:02
Oh, hold on. It's zero.

Scott Benner 1:02:07
10 times point oh, nine times 10 divided by four. It's 2.25 2.25. That would be ardens. Because our insulin to carb ratio is like four, four. So if there were 10 grams of fat in this thing that Arden ate, I would take 2.25 units and extended over three hours.

Michelle 1:02:29
Um, what did we come up with the fat protein, we have to pause at the grams of carbs times point oh nine because that tells us our fat protein units.

Scott Benner 1:02:39
My stupid idea. So that's

Michelle 1:02:40
so that's point nine. So just under one. So yes, it would be three hours. Yeah.

Scott Benner 1:02:45
So now

Michelle 1:02:46
and I should point out that we never actually would do this for 10 grams of fat. That wouldn't be enough fat for us to bother. Right. But I think for for example, purposes, screenings, round numbers

Scott Benner 1:02:55
for round numbers and simplicity, which is clear. But so that's a good point, though, because and why is that a good point? Let me Google something for a second. When I say five guys, five guys fries, fat.

Michelle 1:03:12
While you're googling that, I just want to point out that they go to a local mall to do Pokemon GO TO Pokemon 90. And they always stop for lunch. This is my husband and Max. And n W is the usual meal on that day. And it has 64 grams of fat for a cheeseburger, fries, and a pop

Scott Benner 1:03:33
Listen to this. This is from the Food Network. A large french fry has an unbelievable 1300 calories, 57 grams of fat, 1300 milligrams of sodium. So you're gonna get crushed if you eat if you eat this, because not only all of this, but the sodium is going to dehydrate you which also slows the insulin we're

Michelle 1:03:53
never even take that into account. polling numbers that on my phone like she's got

Scott Benner 1:04:01
a taste good more. So so there's a good example 57 grams of fat in just those fries yesterday. So leave the milkshake out of it leave everything else out of it when I'm telling you she used you know, just multiple 10s of units of insulin more it really isn't that crazy because in this scenario here, if we just round this to 60 right, hold on a second. If we just round this to 60 grams of fat for Arden for the french fries yesterday and I do 60 times point oh nine

Unknown Speaker 1:04:36
I get five minutes right?

Scott Benner 1:04:38
times 1054 divided by her insulin to carb ratio is four. She needed 13 and a half units more insulin for the fat in those french fries than the carbs in those french fries indicated and think about how many carbs are in the french fries. So Hold on a second, and five guys, large fries, carbs. Okay, there are 72 carbs. So So we've just decided Arden needed 13 and a half units of insulin for the fat in five guys fries. Now let's look at it as carbs 72 divided by 418. So while everybody's wondering why their blood sugar gets high, and they don't understand why it takes so long to come down, Arden needed 31 and a half units of insulin just for the french fries. But it had to be stretched out over the impact of the carbs because of how the oil is holding it up, which we've talked about a million times this podcast and anybody's listened to the pro tip series knows, the food goes in, it starts digesting, you're leaching out carbs, the more fat is in your stomach, the slower the digestion goes, the longer it takes, the longer you're slowly just basically infiltrating your blood with cart with sugar. So that really is telling honestly.

Michelle 1:06:09
And with that amount of fat, like I said, for the Klondike ice cream bar, we would start the extended bowls one hour after and by the way, we just say, Alexa, she's gonna listen to me. Now, we would just say Alexa set a one hour fat Bolus timer, which usually results in hilarity because she often says by balls timer. But anyway, all that aside, we just set a reminder,

Unknown Speaker 1:06:33
right?

Michelle 1:06:34
So that we actually do that an hour later, if he had this much fat. If I did that, an hour later, he would bottom out first, okay, because the food would take that much longer to reach his bloodstream and the ease in the car beat.

Scott Benner 1:06:50
Yes. And the easiest explanation for that, for most people is pizza, who you know, you look at pizza and you go, this is 30 carbs a slice, you put it all in, and 45 minutes later, your blood sugar's 40. And you're like, I don't know what to do. And you drink a juice, and that doesn't work and you drink another one, and then all of a sudden, the fat and protein hits you and the juice hits your 400. And you don't know what to do.

Michelle 1:07:10
Right? Right. And that wasn't a problem with the amount of insulin you took. It was a timing issue, timing that the insulin got in before the food did.

Scott Benner 1:07:18
I was talking to somebody today. And I said to them, in the end, all the things that we just talked about here, all we really said was right amount of insulin at the right time. It's all timing and amount. It's always it's always timing and amount.

Michelle 1:07:30
And fat messes with that in a big way. Because it's not just that you get that high, it's that it takes so much longer for it to digest that you can go low in the first place. Okay, or like you've said, on other podcasts, you've got this beautiful number and you think I nailed that. And then four hours later, you know, you're through the roof. And that's why, because you might have nailed the first two hours of it, but not the next eight. All right, Michelle, there's one

Scott Benner 1:07:57
thing I was I'm still lightly confused by. So it's the idea of one fpu, two, three, when we did it in the short version, we just said 60 times point or nine times 10 divided by insulin to carb ratio. Yeah, how what what would? How would I know if it should be over four hours or five? What number would change in that

Michelle 1:08:21
we stopped, we stopped at the 60 times point or nine. So that's the fat protein units. And that was 5.4. So for five units. Now here's here's the other thing that we run up against with 60 grams of fat. The chart only goes up to four protein units. Okay. So beyond that, I take the Scott Benner approach, and I just guess more. So for five units, I might say 10 hours because for fat protein units would be eight hours. So for five fat teen protein units, I might go 10 hours or maybe 12.

Scott Benner 1:08:52
Okay. I okay. So my confusion was, is that our original number that we started with? cabasse in the three hour range?

Unknown Speaker 1:09:01
Right, right. Okay, right,

Scott Benner 1:09:02
because we were only at 60. If we would have gotten two. Is there. Is there a cheat in there? Is there a number of FP us that makes it to like in your mind? I know you don't think of it this way, but pretend you were me for a second. And

Unknown Speaker 1:09:15
sometimes I do.

Scott Benner 1:09:16
Yeah. Yeah. So like, How many? How many? How many k Cal's would tell you, okay, this is going to be four hours. Do you have that number in your head? Um,

Michelle 1:09:30
nobody can reverse engineer it, like four hours would be to fat protein units.

Scott Benner 1:09:38
Yep.

Michelle 1:09:40
So then to fat protein units would be 18 grams of fat. Okay. So if you were looking at somewhere around 2020 grams of fat, you might say, yeah, let's extend that four hours. Okay, you can totally just do that shortcut. The other thing is insulin is insulin. So once you know that, you're looking at a four hour x Bolus, you can do a Temp Basal, that will equate to the whole thing,

Unknown Speaker 1:10:04
do the same thing I would normally do that,

Michelle 1:10:06
you know, it's a pump doesn't care if you do an extended Bolus or Temp Basal, it's the same thing. It just draws it out. Yeah, it's whatever makes sense to you in your head and whatever you can,

Scott Benner 1:10:16
you know, work with. So with 64, the French fries, that actually puts us up into the more like the five, six hour range, right?

Michelle 1:10:23
Yeah, when Max has a n w, and he's 64 grams of fat, we extend it over 12

Scott Benner 1:10:29
hours, 12 hours,

Michelle 1:10:30
which I believe is the upper limit of his current.

Scott Benner 1:10:34
And when you're doing that with a small person, what you're really telling the pump is I need extra basil for the next 12 hours because it is a small, it's a smaller amount of insulin once you break it up over 12 hours. Yeah. Okay, well, that's when

Michelle 1:10:48
you could convert that into Temp Basal. I guess my problem with that is like, he's still growing. So when he goes to bed, he's got growth hormone, and his basil rates almost double. So for me to go, Okay, how much of this would it you know, to tell it a Temp Basal, I would have to sort of figure out okay, well, between the hours of 11pm and 2am, his Temp Basal would be double. Yeah, but earlier in the evening, it's not gonna be like, it's a lie. Just go extended Bolus, yeah, just give me give me whatever, an extra five units over 12 hours.

Scott Benner 1:11:20
Yeah, Michel, the way if you if I'm sorry, if you've heard me say this, you have to suffer through it for a second. But I just think of, I've found a number of different ways to think about it over the time, there's an impact range that the food has, you know, from the minute that goes in till it's done, and I try to cover that range. With a heavier blanket of insulin. Sometimes I think of it that way. Sometimes I just think, you know, just basically like, Oh, it's going to be cold overnight, I need an extra quill. And so you know, my blood sugar is going to try to go up between here and here. Because I've eaten something with fat in it, I'll just lay something heavier in the form of basil overtop of it to hold it down. I've described as carpet bombing, before, you know, just picking the picking the range where the food is, and just try to decimate it, you don't I mean, just stay on top of it. There's all different ways to it. I mean, however, people can picture it in their minds. The idea here is that this fat is going to force your blood sugar up over, over hours, and the amount of hours is going to depend on how much fat it is and all kinds of other stuff. And And still, what we're talking about. While this while this method doesn't work for the idea still existed for some of you, protein will cause a rise a number of hours later, too. And if you can learn that you can count on that that a chicken breast with my meal is going to mean the two hours after I eat my blood sugar is going to try to go up 60 points, well, then an hour after you eat the chicken breast, you could do a Temp Basal to stop that or an hour and a half after you eat the chicken breast you could Bolus for it even so

Michelle 1:12:59
my problem was always how heavy of a blanket do I need? And how long am I going to put it on? So do I need that? You know that light summer blanket? Do I need the really thick dubay? What do I need here? And and so for me using this formula told me how heavy should the blanket be? I know you can have it on all night or just through the beginning of the night or what. So for somebody like that, who is eating the chicken breast and a salad and no carbs, and therefore needs to Bolus for it, you can use the same formula. But just the same way that I leave protein out of the formula and only do fat. You can leave fat out of the protein out of the formula and only do protein.

Scott Benner 1:13:37
It's fascinating. And I do mean this in a very kind way. Like I I would imagine you could take this wrong, so don't but the people who I've seen asked me for this information, as near as I can tell through the internet, have a similar personality to yours.

Michelle 1:13:55
What a shocker. Yeah, and it's I don't take that the wrong way. Yeah,

Scott Benner 1:13:58
it's fascinating because we're, those are the people who hear me go, I don't know, put in mourn, just don't let it cause a problem. They're like,

Michelle 1:14:06
No, no, try that, Scott, because my brain doesn't work that way. When I tried that, it just failed. And I was discouraged. And I was like I cannot put in the energy that it's going to take to keep trying and experimenting and figuring it out and trying this in China. I just can't. And the other thing is you have this incredible memory. I have asked to be introduced to people that I have met before people I have had in my home at my dinner table I have asked to be introduced to and so I don't have that memory. So if I don't write it down systematically and come up with a process that works, then I'm starting over every time I sit down with that food. I'm like, I don't know what to say. We're gonna try so I

Scott Benner 1:14:51
can't take credit for memory. It just occurs to me. Like I just look at it and then the answers in my head. I don't have a process to come to it. And I can also Yeah,

Unknown Speaker 1:15:01
that's awesome,

Scott Benner 1:15:02
please, it is an odd gift to have. But I would much rather

Michelle 1:15:07
the kid you've got that's incredibly valuable show.

Scott Benner 1:15:09
What if I ran a sub for 60 and could catch him was six feet five, then I could pay someone to do this, you

Unknown Speaker 1:15:15
have a different gift.

Scott Benner 1:15:18
But but it isn't it this conversation has been in an extended way interesting for me, because I can see now that you don't think in pictures. And I think in pictures No,

Michelle 1:15:30
right? Yeah, numbers in language, right.

Scott Benner 1:15:32
And the people who I hear describe me as Oh, it's this guy. It's just really aggressive with insaan. I was like, Oh, they think in numbers. Not in pictures, right? I sound like a lunatic who's just yelling, like pour it on and see what happens. But I don't

Michelle 1:15:48
you do that based on your sense of what is appropriate? And I'm saying I don't have that sense. Yeah. So I can take this formula. And then once I know, then, I mean, you don't have to go through the formula every time. It's not like I spent all my time, you know, doing Warsaw calculations, right. Once you know, when you have that same food again, you just use the same thing. And, and I literally kept track. I said, So what was the result? Okay, he went low first. Okay, I'm gonna give maybe less upfront and extend it more on, you know, I could tweak from there. But once we've tweaked it, and we get success, well, then when we have McCain's frozen pizza, this is what we do. Yeah. Or when we go out to a and W on Pokemon GO day, this is what we do. And so I think it gets us both to the same place, but just a different path to get there. No, I

Scott Benner 1:16:39
think the last 30% of the process is the same for you. And I, I think it's the how we understood it, how we made the decision. And when we use it, that yours is more calculated. And mine's more like, that feels like five units to me. But you know,

Michelle 1:16:55
and it also puts me in a position then when I get one that I don't know, and I don't know how much fat is in that I don't know how much protein it is. I can look at and go well, it looks like an A NW meal or it looks a little closer to you know, nachos, or it looks like then I can be in the ballpark. I can say well, I have no idea on this one. But I'm gonna compare it to something I do know something we've done before. And I'm going to try this. And that gets me in the ballpark. And it makes Max's blood sugar's post meal. manageable. Yeah. So that now we can do the the bumping and nudging that you talk about rather than this, you know, runaway freight train, but

Scott Benner 1:17:32
everything is held there is nothing maybe more confusing than seeing a blood sugar that's to at putting what you think is a massive amount of insulin on it and watching it go to 260 and then bounce back to to a again. Oh, yeah. Then your brains just like fried, because you're only thinking correction factor, and not considering any of the other things that are happening. And then you're just

Michelle 1:17:54
before we started analyzing this had no idea like I might think oh yeah, it's fat. But then when you think 64 grams of fat. That is that puts my understanding on an entirely different level for me to go, Oh, that's why when one unit would normally work, and I gave him three units thinking, oh, let's watch for the low. That's why it didn't even touch his blood sugar, right? Because we're talking about this astronomical amount of fat,

Scott Benner 1:18:19
right? Because and obviously Arden's insulin, insulin to carb ratio is different than other people's but because a large french fry from five guys for Arden needs 28 or 30, like 32 units of insulin 32 units of insulin, her pump only holds 200 for three days. Right? So I can. And so anyway, this was really great. Did we not say anything that you wanted to say? Did I find a way through it all?

Michelle 1:18:51
Um, I think so. Let me just look and see. Yeah, look at

Scott Benner 1:18:54
your notes, please. Ah, usually people with notes. So check it out. Make sure we're

Michelle 1:18:59
systematic. One other thing to think about is there are times that we would have he'd say, make himself nachos for lunch. And then we have pizza for supper, or, you know, we'd go to McDonald's for separate. If this happens twice in a day. The The effect is compounded. So like if I sort of imagine that, you know, his first is nachos for lunch, there's some fat swimming around in his blood, and that's making things a little bit harder to deal with. But we covered it and things look great, but underneath the surface. Wow, he's still got that extra fat in his blood. Now we go and we pile on more fat that's going to need even more of a hit. So yeah, you're more insulin, more insulin really applies if you're eating fat more than once in a day, which doesn't happen incredibly often for us, but we've seen the effects Yeah, and I think already Oh, sorry, go.

Scott Benner 1:19:53
I was gonna say I see it with Arden during her period like when she gets like cravings, sometimes craving They match each other. So it goes, you know, I've had days that have gone from nachos to Chinese food, you know, and you're just like, well, this is gonna be like, it really does feel like, you know, like, like the greatest football team of all time. So showing up the play you and you're like, Okay, I guess we're gonna lose. Let's try not to lose by too much.

Michelle 1:20:24
And that's where you you know, when you if you'd normally do Chinese food, you go, Well, this is how many units it needs. And we need to extend it over this many hours. The day that you have Chinese food after nachos, you need to ramp that up, it'll change or at least we find that we do because the effect is is cumulative. I definitely see that too. Okay, I'm sorry, cut

Unknown Speaker 1:20:44
you off. You're gonna say something else?

Michelle 1:20:45
No, I think that that might be I think we've I think we've addressed everything that I've got here.

Scott Benner 1:20:51
Well, Jenny was right, you were the right person to talk to about this. So thank you, I have to say this

Unknown Speaker 1:20:56
pleasure. No, I

Scott Benner 1:20:57
had a good time. But let me say this because I want to mention again, it's waltzing the dragon comm or.ca. There'll be links in the show notes for you to go find it. I'm going to try to talk Michelle into the day that this goes up to like popping up in the Facebook group and chatting with people about it if she wants to. I would love to but I want to say this and I mean this genuinely. She would never say this out loud. But there are not that many places where Jenny directs people for diabetes advice.

Unknown Speaker 1:21:24
So you

Michelle 1:21:25
ruin my day because I really admire her she is a smart cookie and has great advice

Scott Benner 1:21:30
is a big deal. She's I've outed her now she's only ever told me that privately but there are very few sources that Jenny will tell somebody about so that she brought was a big deal. So I that's how I knew right away to reach out to you because if she was willing to say it out loud, then I knew it was going to be a good conversation. So thank you very, very much. This was amazing. Thank

Unknown Speaker 1:21:49
you for your time. Scott.

Scott Benner 1:21:51
Are you kidding me? You stop it this is this is all all the things go to you. A huge thank you to one of today's sponsors. Je Vogue glucagon, find out more about chivo hypo pen at G Vogue glucagon.com forward slash juice box, you spell that GVOKEGL Uc ag o n.com. forward slash juice box. The episode was also sponsored by the Contour Next One blood glucose meter. Learn more at Contour Next one.com forward slash juicebox. There's links in the show notes and links at Juicebox Podcast comm for these and all of the sponsors.

You can support Type One Diabetes Research and the Juicebox Podcast. The T one D exchange is looking for type one adults and type one caregivers who are us residents to participate in a quick survey that can be completed in just a few minutes from your phone or your computer. After you're finished with the questions. And they're really simple questions. I did them in maybe seven or eight minutes. You'll be contacted annually just to see if there's any updates to your information and to be asked any further questions if further questions exist. This is 100% anonymous, completely HIPAA compliant and it does not require you to ever see a doctor or go to a remote site. Now every time someone completes the process using my link, T one d exchange.org. forward slash juicebox. You'll not only be benefiting people living with Type One Diabetes, but you'll be helping out the podcast. Just use my link in the bio, then click on join our registry now. And then just simply complete the survey. T one D exchange research has led to increased insurance coverage for blood glucose meter strips, changes in the American Diabetes Association's guidelines for pediatric a one c goals and even helped get Medicare coverage of CGM devices. So if you've ever wanted to help out people living with Type One Diabetes, or the podcast or maybe both, this would be a simple, quick and safe way to do all of that T one d exchange.org. forward slash juice box. Okay, now I'm on Michelle's website, waltzing the dragon, and she has examples here for you. This is very clear and easy to follow. She's got a lot of examples of what foods are high in saturated fat here. She talks specifically about the what the Warsaw approach is. And she walks you through an example number one identify how much fat and protein the food contains. And she has an example here that she used on the podcast. It's an item that has three grams of protein and 14 grams of fat. Number two, you convert into units of energy. It's k Cal from protein equals protein in grams times 4k cow grams. Now when you see that You're just like, Oh, my God, I don't know about you, my brain goes, Oh, I guess everybody's blood sugar is gonna be high because scouting and figuring this out. But if you've got the kind of brain who loves this, go look at it, because it is incredibly well I know, when I look at it, I think if my brain worked this way, I know I would appreciate how this is being shown to me. Number three, calculate the total calories. Number four, calculate the fat protein units. Number five, how long to extend the Bolus, it walks you through it very easily step by step instructions, gives you the amount of extra insulin that you need Step six. And then it talks about the end result. She says here to make a long story short, in this example, to cover fat and protein. Her son had this bar after supper, she would first give the usual Bolus for the carbs before he starts eating. Then later, she would deliver an extra 2.3 units of insulin in this example, in an extended Bolus that covered a duration of three hours. So you've heard her talk about it now for an hour we've been talking about in the podcast. If you want to see her step by step instructions, there's a link in the show notes for this episode. And there's a link at Juicebox Podcast comm for again for this episode 471. Now in the meantime, I'm going to be paying closer and closer attention to how I'm using this idea in our life. And I'm going to come up with a way to say it that doesn't involve adding, subtracting, multiplying or dividing. I'm going to come up with a way to talk to you about this. And I will be sharing it as soon as I absolutely can. You know me I'm just like there's a lot of fat in this and then I you know, I just got a lot more insulin and I stretch it out. You've heard me talk in the diabetes pro tip series. You know how I do it. If you've liked this and never heard of the diabetes pro tip series, I really think you should check it out because if you like this conversation, you'll love those conversations. The diabetes pro tip episodes begin at Episode 210. They're available at Juicebox Podcast comm in your podcast players, or if you just like to see a list of them diabetes pro tip calm. Hope you found this interesting. If you did, please share the show with someone else. And of course check out Michelle's website waltzing the dragon.ca or calm and there's of course links right there in the show notes and Juicebox Podcast comm to this exact article. I'll talk to you soon.

---

Please support the sponsors

The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!

Donate

#468 Two for One

Megan is the mother of two children living with type 1 diabetes.

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

+ Click for EPISODE TRANSCRIPT

---

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

Scott Benner 0:00
Hello, everybody. Hold on. Hello, everybody and welcome to Episode 468 of the Juicebox Podcast. I don't know why my voice got that high. Sorry about that. Today, let me tell you about the show Megan's on. She's the mom of two kids with Type One Diabetes. She's gonna tell you a story. It's going to be delightful. That's how this is gonna go.

This one doesn't need a big preamble. It's a great conversation with Megan. Like I said earlier, she's got a couple of kids with type one. I really enjoyed speaking with her. While you listen to me speak to Megan, I need you to remember that nothing that you hear Megan or I say on the Juicebox Podcast should be considered advice, medical or otherwise. Please always consult a physician before making any changes to your health care plan, or becoming bold with insulin. A

couple of quick things, check out the Facebook group for the podcast. It's Juicebox Podcast type one diabetes, it's a private group just have to prove that you're a real person. And then you can get in and talk about type one with over 10,000 other listeners. If you're looking for the diabetes, pro tip, or defining diabetes episodes there in your podcast player, right, you can find them there or you can find them at Juicebox podcast.com. Or more specifically, at diabetes pro tip.com. There'll be a tiny bit more music. We'll thank the sponsors and get started.

This show is sponsored today by the glucagon that my daughter carries g vo hypo Penn. Find out more at G Vogue glucagon.com forward slash juicebox. This episode is also sponsored by the Contour Next One blood glucose meter. You can find out more at Contour Next one.com forward slash juicebox. Check out the meter art and uses it is the most accurate and easy to use meter that I've ever seen. honest, I'm holding up my hand like you do before a court hearing where you're like I swear to tell the truth, the whole truth and nothing but the truth. That's exactly what I'm doing right now. Because that meter rocks Contour Next One comm forward slash juicebox just introduce yourself.

Unknown Speaker 2:31
Guess as much pressure. Okay, so hold on, hold

Scott Benner 2:34
on. I'm gonna stop you. Does it really feel like pressure because there's this? Everyone like stops for a minute. I'm like, just just introduce yourself and then we'll start talking and they go out and some people get very formal. They're like, Hi, I'm Scott Benner. I've, you know, this, it's like, it's like, it's like their their x, their exit interview with a job. And then there's the HR guy and like, Oh, we've never met before. I'm Scott Benner leaving the company today. And I want to leave you some parting thoughts about, you know, my time here. And some people are just like, Hey, I'm Megan. My kids got diabetes, and they're done. I'm like, I never know what anyone's gonna say. Are you nervous?

Megan 3:13
The small little synopsis? I'm a little nervous.

Scott Benner 3:15
Are you really? It's just a podcast right?

Unknown Speaker 3:18
Now.

Unknown Speaker 3:18
This isn't. I know, I'm

Megan 3:20
gonna hear my voice later and be like, Oh, that sounds horrible.

Scott Benner 3:24
Well, I will tell you the same thing. I tell everyone else that says that no one knows what you sound like. So you sound to them, like however you sound and they'll have no thoughts about it at all.

Unknown Speaker 3:34
All right, well, I'll

Unknown Speaker 3:35
give it a go. So

Megan 3:36
hi, my name is Megan. My husband and I have three boys. And our oldest two both have type one diabetes. They were diagnosed at the same time. And they're diagnosed about 19 months ago. So currently, they are now seven, four. And then our youngest is three, the one without diabetes.

Scott Benner 4:00
So the two that first of all, the youngest one who doesn't have diabetes. I'm sorry for him because this is probably the last time we're gonna mention him. And the other two, when you said they were both diagnosed at the same time it my heart right away goes, Oh, they're twins, but they're not even close in age. Nope. You just Yeah. Are you like sitting on top of a diabetes bomb or something like that? Like me?

Megan 4:24
Yeah. Then we're a first for the doctor and all the nurses in the clinic. Everyone's like we've had siblings, but never two at the same time. And they're always really thrown off by the fact that they're three years apart in age and the and there was no you know, clear onset. They're like, were they both sick at the same time? Nope, not at all. They were very healthy that entire winter. So okay, I have no idea why the timing was like that. I'm sure we you know, we were looking back at it and we're like, I'm sure they didn't start with it at the same time. We just saw the symptoms at the same time. Okay.

Scott Benner 4:57
I want to pick into this for a second because that's what I was gonna May I ask So, okay, so seven and four, is that right? Correct. Okay, and how long ago were they diagnosed?

Megan 5:07
That was February of 2019.

Scott Benner 5:10
That tells me that they were six and three at the time.

Megan 5:13
Yeah, our oldest was just a little bit shy of his sixth birthday. Oh, five.

Scott Benner 5:18
Okay. So which. So first of all, do you have any inclination about what diabetes is? Like? What was your first thing that?

Unknown Speaker 5:24
Yeah, so

Megan 5:25
we we have type one in our family. On my husband's side, he has two half siblings that have type one diabetes, one was diagnosed, I think he was about 11. But then his sister only was diagnosed a couple years ago in her 20s. have siblings on his father's side?

Scott Benner 5:44
Yes. Don't know why characters, just double check. I

Megan 5:46
don't know. Does that matter? Is there research that goes with that? That'd be interesting. Just imagine if I didn't, on his father's side. And then it's very distant in my family. But my mom has two first cousins who are siblings that both have it, but it's pretty distant.

Unknown Speaker 6:03
That third four years look nervous. Is he just walking around going hard? Can I see where this is headed?

Megan 6:11
No, I, you know, honestly, I don't think was ever on our radar that our kids would ever have it. Especially since you know, I think when we had our, actually, when we had all of our children, there was just the one family member, his half brother. And his sister got diagnosed later, just probably about a year before our children really. So it wasn't really something we thought of much. And then actually, by coincidence, I'm not blood related. But my brother's wife is also a type one diabetic. So we're pretty familiar. As much as anyone could be familiar when they're not living with it day to day. I also work in health care. I'm a speech therapist at an acute care hospital. So I am more educated on type two diabetes, because I work a lot with stroke populations. So I know the symptoms, you know, I know that I know what normal blood sugars are. So there's just a day where it suddenly clicked with me. And I just knew it.

Scott Benner 7:05
Which which kids? Did you see it in first? Or did you see it at the same time?

Megan 7:08
So our middle son, he had just turned three. And I think what was hard for us for a while is since both the two oldest, you know, our youngest at the time was only 18 months. So like, you know, he he's still eating and behaving more like a baby. The other ones, they were doing the same thing. So it was easy to just kind of ignore it and be like, Oh, that's normal child behavior. They're always drinking water. They always want more water, they are always saying they're hungry. They want another snack. You know, that's just what our kids are doing. I guess they're growing boys. Right? So we explained it away for quite a while. But then our middle. There was one day in particular, I was at work and my mom had sent me a message saying like, he is like begging for water. I was like, Okay, well, we have the pediatrician. His three year appointment is next week, you know, I'll bring it up and everything. And then that evening, you know, he was still, you know, talking about water all evening and everything. And then all of a sudden, it just clicked with me. I had remembered that a little bit after his birthday party. He came up to me in the morning. And he said Where's pull ups at night. And I remember saying, You smell so sweet. It must be all those brownies you ate at the party or something. And then all of a sudden, it clicked with me that evening. I was like, Oh my gosh, when he smelled sweet to me, that was sweet smelling urine. And I just we were about to put the kids to bed and I told my husband I was like I just I don't feel right. He shouldn't go to bed. I think he has diabetes and bring him to urgent care. So I go to urgent care with my super happy, delightful sweet kid. And they I'm sure rolled their eyes at me when I was like, I think he has type one diabetes like sure lady, whatever.

Unknown Speaker 8:42
Like get some sleep drink.

Scott Benner 8:46
Like they're probably like, get some sleep and stop drinking after dinner. You know, like calm down a little bit.

Unknown Speaker 8:53
I wasn't sure they thought I was

Scott Benner 8:54
nuts. I wonder how often it happens. That there's nothing wrong that it starts to seep into people's minds that people overreact. Does that make sense? Like I wonder how Yeah, how many times they have to look at people and go, Oh my god, there's nothing wrong with you get out of here. And then until they start thinking that that way, by the way, I just want to take a detour for a half a second. Anyone who doesn't have children yet? Who wants a good reason not to have them Megan just told you that she smelled urine and thought Oh, that's nice, my baby. That could be your life too. If you make a baby or could just you know put some effort in yourself and get a condo. So anyway, if you want to think if you think urine is gonna be a big part of your happiness later. It's going to be if if Anyway, I'm sorry, Megan. So there you are. You are rolling to the Roland to Urgent Care lady. What and what what do they do there? They just did they do like a urine dip.

Megan 9:52
Um, they did a finger prick and he was 530 something I think 535 so we instantly knew I guess even at that point, I guess I still thought because I knew he wasn't like acutely sick that he wasn't NDK. Like, there was no signs of that. So I just thought we were would be going home, and we'd be following up with the pediatrician or whatever, you know, get referred on, I guess I didn't really think this was gonna turn into a whole hospitalization and everything. So the next thing I know, we're in an ambulance to my hospital that I work at, which is not a pediatric hospital. So that annoyed me because I knew they were just going to, you know, do stuff there and then send us out to the pediatric hospital. So we took two ambulance rides that night. So by my other son, so I went to school the next day, and when he got home from school, I was talking with my parents were like, you know, saw the same symptoms as a Can you bring him to the pediatrician and have him checked right now. Right? So they went and checked him. And then Luckily, that one was just a direct admit from the pediatrician to the hospital. So he was there. In less than 24 hours from when we were admitted with our middle

Scott Benner 10:57
you remember his blood sugar?

Megan 10:59
His was for something

Scott Benner 11:01
pikeur Okay,

Megan 11:02
I just remember being on the phone when my dad gave me the call and my the nurses standing there, and I just start sobbing. And that nurse was so sweet. She had no idea what was going on. It was like my other sons coming here now.

Unknown Speaker 11:13
Like, what are you talking?

Megan 11:15
She was wonderful. So yeah, we kind of took over the floor for a while.

Scott Benner 11:18
You didn't consider asking your dad, like just put all the kids in the garage in the car, and I'll be home in a second. We're gonna get I mean, that's crazy. Like, no, no kidding. that's legit nuts.

Unknown Speaker 11:29
That just it was very nice.

Unknown Speaker 11:30
Oh my god. It's like getting hit by a car and standing up in a plane crashing and be

Unknown Speaker 11:37
like that analogy. I

Unknown Speaker 11:38
felt.

Scott Benner 11:40
Just like I can't believe I live to this car accident. I feel very dizzy. And I think my arms falling off, but I'm alive. And then. And then as you're dying on the ground, pinned onto the plane, a raccoon starts eating your feet, and you're aware of it. That's all this is picking your toes. At first. It's like, Oh,

Megan 11:58
yeah, I guess that's kind of how we felt we were waiting for the third way we kept on being so worried about our youngest son. So you know, a couple weeks later, is when we start doing the trialnet testing and all that for him. And so far, everything's fine. But like, that's still how we feel. We're like, well, When is that going to happen? Oh, it does. But it's always what we're kind of just waiting for.

Scott Benner 12:16
You must have PTSD. Seriously, right. Like, you just must walk around. Like, I seriously I'm like thinking like if someone breaks into your home that the rest of your life you walk around the house thinking like someone's gonna come through the windows, I'm just gonna come like you just probably can't shake it, you know? Wow, that's and there's no reason like, not that anybody would know. But no one's offered an idea or just, it's just random that they both. Got it. Alright, so hindsight, hold on a

Megan 12:45
second. Yeah, in hindsight, I think our oldest his son, his symptoms were always a lot more mild than our middle so i can i can trace it back over a longer period of time when I saw that. So I'm thinking he probably actually had it a lot longer and it just wasn't as significant. You know, he was honeymooning a lot longer. Because even now I'm like through the whole honeymoon period. He honeymooned way longer than our middle. And even now, he still I'd have to double check it. But I still think he uses less insulin mostly on a daily basis than our middle does. So okay, something I don't know. Somehow it just like attacked our middle a little bit harder, I guess. So I think his symptoms just came on. So suddenly, and were much more significant. So we noticed it. But I don't I highly doubt they got it at the same time.

Scott Benner 13:40
Yeah, I'm not saying that someone threw a switch on the side of your house and gave everybody

Megan 13:45
but it did. I mean, those thoughts went through our head as we start researching where it came from, or like, Is there something environmental in our home or like, you know, all that stuff comes to you like, oh, should we be moving out of our house? And like, you know, some diabetes trigger, but it's I mean, I think it's all just a crazy coincidence.

Scott Benner 13:59
Yeah. Well, yeah, I think you you outlined it pretty pretty well there. Your your middle son symptoms came on more rapidly, you notice them, and then while it was fresh in your head, you were like, Oh, God, the other kids been doing that too, but not exactly drastically. And so it might have taken him. I wonder how long it might have taken him had your middle son not been diagnosed? How long until you would have figured out your your older son had it?

Megan 14:22
Yeah, I think that's what was emotional about it for me, too. Is he at this, you know, and around the same time, he was having more, you know, like, meltdowns, just like, you know, Qmr behavior problems and changes. And so I think so much of like, what was happening, we just kind of attributed to that, like, Oh, that's just him being dramatic or him Do you know, and like, then I felt horrible being like, Oh, my gosh, those are medical symptoms, too. Yeah. For a while, probably,

Scott Benner 14:51
I'll tell you, for people who don't have children, it's maybe difficult to understand, but I can give you an example. That's once You would think we'd be on such a smaller scale, but almost hit me exactly the same way. When my son was just a few years old, we noticed, you know, over months and months and months that he seemed a little hard of hearing, you know, and he was just sort of like, you'd always repeat yourself to Him, and it wasn't ever drastic. And just one day, I said to Kelly, I'm like, I'm gonna take him to the doctor and have his hearing check, because it's kind of crazy, you know, and the doctor looks in his ear. My friend, Adam looks in his ear, and he goes, his ears completely blocked with wax. And I'm like, really? Like, that's a thing. Okay. You know, like, I just had my first kid, I didn't know, you know, we were still like, figuring out how to, like, pay the bills on time. And, you know, stuff like that. And so we were pretty young. And he says, I like to have the nurses do this, because I don't like the kids to hate me. And I'm like, Wait, what? So he leaves the room. And the nurse comes in. And you know, she takes this lavosh it's just this water the Jets through this tiny little nozzle so that it makes like this, you know, like laser thin line of water. And I guess she's basically drilling a hole through this wax to fill his ear behind it to throw the plug of wax out of his ear. Anyway, I didn't need to describe all that. But the, although it is kind of fascinating, isn't it? And into the wax comes flopping out on to like a little towel. And she dabs off his ear. And somebody says, hey, how's that coal? And we start talking, and he stops us and says, Why is everybody shouting? Yeah. And then it made me cry. Because of exactly what you just said. I thought how do I not help him sooner? Yeah, you know,

Megan 16:38
oh, we went through the same thing with my oldest two, he had tubes put in his ear as he's had wax problems for years. So same thing, like we thought we were past it. You know, he had all that when he was really young, kindergarten comes around. And actually, this was a few months after he got diagnosed with Type One Diabetes. The school nurse is like, oh, by the way, he also failed his hearing screening. And I was like, Sure, I was so distracted by all this. I kind of forgot about his ears. Like, we haven't been to the end and a while. And sure enough, I look and he's got like, you know, he's got impacted earwax. Again. I was like, Oh, great. So I let your hearing go. Because we're so distracted by diabetes. You know, I'm gonna feel horrible. Yeah, parenting is just, like a whole big game of guilt.

Scott Benner 17:22
It's terrible. And listen, I'm gonna say something after I say this, but I'm gonna take interviewing credit for bringing up the your thing, because it brought out your story, even though I had no way to know, but I'm still taking credit for it. But you know, it's just listen, the truth is, it feels like a cliche, right. But you know, from the minute you're born, you're dying. You know, like, it's just you're on some sort of a slow path to deterioration, it's hard to think about, but it's, it's true. And when you have something kind of chronic come up or something that's, you know, quote, unquote, outside the norm. It feels so crazy, like, Oh, my gosh, my kid has this and this and this, and I stop and think about the things that are wrong with me and my wife, and then everyone I know. And then you come to realize that this no one escapes this. You don't mean like this, something like this is happening to everyone constantly. You don't know. You know what it is, but it's happening to somebody. And, and it could be something that's real obvious or something that makes your pancreas stop working, or like I have plantar fasciitis, like I walk around, like some days of the month, and it just feels like someone's constantly stabbing me in the heel. You know, I don't tell anybody about it. But it sucks, and my life would definitely be better if it didn't happen. You know, so, but everyone's dealing with something the person who is born and dies 95 warm in their bed without ever being sick probably doesn't exist, you know? But isn't it what you think's gonna happen when you make a baby? Yeah,

Unknown Speaker 18:52
he wish Yeah,

Scott Benner 18:53
right. Everybody thinks that like, Oh, it's gonna be great. isn't gonna be great. It's gonna suck.

Megan 19:00
Especially when you've been home for months on end and doing e learning. Oh, yeah.

Scott Benner 19:04
You're learning English. At the foot of your parents bed on a tiny sofa that we drag into our bedroom so that Arden could do her, you know, be closer to the Wi Fi signal. Like that's what High School is. And my son's getting a degree down the hall in his bedroom. It's all going really great, you know? But But no, seriously, it's just it shouldn't be a bummer. It really should be enlightening. Like, something's going to happen for most people, you know, varying levels. And I think that a lot of people have something go wrong. And then they think oh, luck. See, now life's not perfect the way it's supposed to be. Except I think life's not supposed to be perfect. I think it's supposed to be the other way. Just

Unknown Speaker 19:43
Exactly.

Megan 19:44
Yeah, I think that's one thing that's helped me through all this is my professional experience and helping people overcome stroke and brain injury and various health crisis sees that they don't see coming and it comes out of nowhere and you have to deal with your new life. If you're new normal afterwards, and you don't choose it, but it's choose to make the best of it. And, you know, so I think in running and I used to run support groups for them and everything. So having that experience has helped me get through this. And like, this is just our obstacle, this is what we need to do we have no choice, we can dwell over it and you know, just kind of feel sorry. Or we can just move on and say, Okay, how are we going to get this, you know, life out of this and everything and make it work for everybody. So that's what we do. So

Scott Benner 20:33
best time in the history of mankind to be alive. If this was happening to you, while you're on a wagon, going out west trying to find California, when they went around a little curve on a hill or a mountain or something, they just would have pushed you off the wagon, you know, they mean, that's all they would have been like, hey, grandma doesn't hear well anymore. clunk. She fell. That's the end of it. Like nobody, they leave you in the desert sleeping, and everybody just kind of goes away quietly, and you freeze to death in a coyote. That's that used to be the world.

Unknown Speaker 21:01
That's just so sad.

Megan 21:03
I've been reading the book, I'm totally what's it called breakthrough, or I can't remember, it's called the book about like, the history of insulin, okay. And it's just fascinating. And then you just oh my gosh, your heart just breaks like reading and thinking about how these parents dealt with his with these kids before insulin. It's just, it's just horrific. So Oh, my gosh, I think every day that we have

Scott Benner 21:26
all the tools that we have, it's amazing. I try to remind myself all the time that prior to you know, 1920, or whatever it was, my daughter would have died when she was two. That's all and then she's in the other room. I think learning English. So you know, it's amazing. I it's the same thing that when you hear people like complain about their technology around diabetes, I always think like, really, like, it's not perfect. It's like two years old. Like they just thought it up like five seconds ago. You know, like it's, look what it's doing for you. And I know it Listen, we should always push towards better. But you know, I don't know what is made perfectly the first time and you know, when so? Just take the little. Everything's got pros and cons. You know what I mean? So, you got to take the cons in stride. Because if not, like, what are you doing? You know, you're gonna

Megan 22:17
play I agree to having, you know, I'd rather have the stuff out to me faster and have a few glitches happen, and have to be waiting for it to be perfect.

Scott Benner 22:27
Because by the time they get it, you know, somewhere near perfect, they'll come up with a different idea. And then they'll start trying to get that thing to be perfect. And you'll never see any of this stuff. And again, you could be just shoved off a hill in 1850. Billy looks tired. He's always asking for water. Whoops. You don't like like what do you

Unknown Speaker 22:47
think happened? wanted to go around?

Scott Benner 22:48
Yeah, we let him play with the wolves. That's all fine now. It just like you know, it's things are so great right now. Now listen, not to not to minimize the fact that two of your three children got diabetes on the same day, because that and I've just bleep this out later is terrible. It's really, really, really horrendous. And I'm sorry for you. But how are you guys doing with it all?

De veau hypo pan has no visible needle, and it's the first pre mixed autoinjector of glucagon for very low blood sugar in adults and kids with diabetes ages two and above. Not only is chivo hypo pen simple to administer, but it's simple to learn more about. All you have to do is go to G evoke glucagon.com forward slash juicebox g vo shouldn't be used in patients with insulin, Noma or pheochromocytoma. Visit g Vogue glucagon.com slash brisk.

Unknown Speaker 24:00
You use a blood glucose meter every day, every day, and you count on it.

Scott Benner 24:08
But have you ever wondered if the meter you're counting on is accurate? Two pretty important question, right? Well, I can point you towards an accurate blood glucose meter. And it's not just accurate, it's easy to use and it has some other stuff about it that I love. I'll tell you about it in a second. But for now, let me just tell you the name the Contour Next One blood glucose meter. This thing is accuracy personified. So good. It's in fact the most accurate meter Arden has ever used as we come up on her Oh my gosh. 15th year of diabetes maybe I don't know if she got it when she was two and she's gonna be 17 Yeah, 15 years. Best meter I've ever seen. It's easy to carry, easy to use has a nice bright light, a nice bright screen and it has Second Chance test strips meaning you can go in hit the blood not get enough, go back, get more without changing the accuracy of the test and you don't waste the test trip. Contour Next one.com forward slash juice box head over. It is a website full of information, you know, when you go to a website, like there's nothing here, there's so much at Contour Next one.com forward slash juicebox that if I start listing it all here, it's gonna boggle your mind. So I just have to leave you with this great meter, you can find out more about the website, they also have a test trip program, and you may be eligible for a free Contour Next One blood glucose meter, that should be enough to get you over there to check it out. Please use the links in your podcast player or the links at Juicebox Podcast comm if you can't remember the URL, the URL, the contour next comm forward slash juicebox I'm going to quickly remind you to visit T one d exchange.org. forward slash juice box fill out that survey help other people living with Type One Diabetes. While you benefit the podcast must be a United States citizen who has type one diabetes, or is the caregiver of someone with type one.

Megan 26:21
Oh, I think we're doing pretty good. You know, I literally the very first night in the hospital is when I found your podcasts. I've been a listener for a long time. I'm a big podcast listener to begin with. So one of the first things I did is I'm up all night and can't sleep is what kind of resources can I find online? What Facebook groups can I join I had an I had actually stopped using Facebook for a while because I hate Facebook. But those groups are so helpful. So I I joined again to get back into those groups. I joined some of those I started looking for podcasts about type one diabetes. And so I just started immediately learning as much as I possibly could. And we went home from the hospital already on Dexcom. And we had pumps within a few weeks. And that's where we've been. Yeah, that's cool.

Scott Benner 27:03
So you're proactiveness really got you like leapt you forward quickly.

Megan 27:08
I think I think so yeah, I think we kind of dove right in. And our entire family is incredibly supportive and wants to learn and we had the support of my my sister in law coming and helping us right away coming in organizing the cabinet full of diabetes things and we color coded everything in the beginning just so we wouldn't mix things up. And everyone kind of helped us and we got hit the ground running.

Scott Benner 27:32
I'm gonna ask about that in a second. But I want to just ask like, like, do they both use the same meter or the same glucose monitor that kind of stuff? Yes, currently,

Megan 27:40
we're using everything the same. Currently, they both have Omni pod and Dexcom. And we're looping on auto Bolus. So we're doing all everything's the same. Right now we have had a few times where we've done things differently for a while, like my middle we tried. We used to be on Medtronic, and we tried auto mode for him. And we tried the Medtronic CGM for him do the auto mode. So for a while they run different setups, which wasn't too bad. But we try as best we can to keep it the same. As long as it's working for them. And it's not drastically, you know, obviously, if one child really needed something different we change it. Otherwise, we since get good results. We're trying to keep it easy on all the caregivers

Scott Benner 28:22
read it for like simplicity sake, right?

Unknown Speaker 28:24
Oh, yeah. Yeah, for my

Megan 28:25
own sanity,

Scott Benner 28:27
giant ordering and

Megan 28:28
the organizing and the replacing. And I just it's it's a lot

Scott Benner 28:32
to imagine if Arden supplies came double. I don't even know where I would put them.

Megan 28:36
We have a big cabinet.

Scott Benner 28:39
drawer, but a drawer would not wouldn't do it for two kids. That's great. Oh, that's really interesting. How did they handle it? And are they Is there like a kinship between them over it or not? Really?

Megan 28:51
Yeah. So they're they handled it really well. Our oldest is very mature about it, and he loves, like math and everything. So I think he took to it pretty quickly. He started bolusing for himself. You know, he was diagnosed at the end of kindergarten. So he didn't he didn't it was half day. So he didn't eat at school. So we never had to worry about that in kindergarten. But by first grade he was doing his totally independent at lunchtime, he would Bolus his own meals. He's learned you know a lot about percentages and fractions because of how much food he ate and you know, different percent overrides and all that so he learned a lot that way and he just thought it was interesting. So I think that's how we engaged him in diabetes. And I think he kind of liked showing his brother that it was okay that you know like this is how I stay calm during my pod changes and things like that. So they share kind of little tips on this is you know how I make it better. And like my our middle he already doesn't remember life before diabetes I asked him about and like you really don't remember like even being in the hospital. He doesn't remember any of it anymore, because he had just turned three. So I think this is all he really knows. And because this is so much of our life, like even our youngest, like, he knows everything he knows how to fingerprint he'll set everything up and you know, to fingerprint his brother and he eyes whole asked for, you know, the same like a tape covering, you know, on his arm so you can look like his brothers. And he knows, like, the alarms will be like, oh, sounds I was low, and, you know, so that it's just kind of part of our everyday life. So I don't know. It's just,

Scott Benner 30:35
that's amazing. I mean, it's, it's, it's what you would hope to hear, right? Are they ever? Like, like, is every one of them ever just like competitive with the other one? Like, oh, my number or anything like that? They? Is there any of that going on? Any brotherly jiving? I guess? Little ones? Probably little No,

Megan 30:52
actually, I don't think that really comes up very much. No,

Scott Benner 30:55
that's cool. I want to understand a little more about your older one. And the the math are you? Did he learn these kind of concepts through doing? What did you actually sit down

Megan 31:05
with? I mean, he just he loves, loves, loves math, like he is in second grade. And he asked me for algebra problems. He's got a math brain. But I think just early on, it would be like, Okay, well, you're, you only ate half of the sandwich. And so you know, we talked about the his carb ratio, and how much then he should get. And, you know, we kind of just introduced it that way. So, I don't know, it's just I think it was just a really real life way for him to engage in something he was already interested in. So he just I feel like he just accelerated really fast. That's lucky because of that.

Scott Benner 31:44
That's just incredibly lucky, right? That it's it hit him in his wheelhouse for the lack of exactly.

Megan 31:50
He's always liked being able to control the pump and do things on it. He thinks it's really interesting. And now he's kind of starting to learn about we talk about the different absorption times for different foods. So he's been learning a little bit about that and try some, he memorizes he knows more carb numbers, and I do I'll be like, enter what's the snack again? And he'll be like, Oh, yeah. You know, so we'll bring up certain things that like we already we forget it, like something he hasn't had in three months. And I'll remember how much it was. I'm like, Alright, I'll trust you

Scott Benner 32:22
Arden's more aggressive than I am sometimes. Oh, yeah, I'll be like, how many carbs? You think that is, right? Your how much insulin you want to use here. And she's always a little stronger than I am. And I'm always like, I try that, then. You know, like, I don't know how other people think about it. But I used to take the Omni pod PDM. And, you know, there's, if when you're really trying to, like roll up insulin, like because I wasn't, you know, when I counted carbs, let me think about how to put this. So people who have a pump and you push a button up in the, you know, the numbers going 123, I would just push the button and look at the plate and think five 710 1525 38 and I look over and I stopped at like, you know, 48 and I'm like, that's fine. And just, like, get it going. Because I realized I was every time I tried to be specific about it. I was always too light. So I just thought like, Alright, more, you know, like Moore's fine, more works. And I didn't, I wasn't thinking back then about, you know, the different impacts that food has, I wasn't thinking oh, well, the glycemic load of this food is probably greater than the carb count. Like I think about that now, a little bit, but back then I was just like, stop it. You know, it was like, it was like, literally, like I was on the prices right? And came within $10. I was like, Good enough. I'm gonna stick with that. Bob, let's go with 48. And it's it's really interesting to hear that somebody can think of it so much more specifically, and still have really good luck. Are they both having good success?

Megan 34:01
Yeah, you know, the getting on loop has been a huge learning curve. I think it's gotten much better in the last couple weeks, and we're definitely going to stick with it. But it's been a big learning curve. So we've had a lot more highs recently than normal. But I mean, even even with that a month ago, or maybe five weeks ago, our middle happened to have an A one c done just because he was having other labs done. And he was 6.0. I do think there were probably a few more lows mixed in there too. So I don't know if that was the best indicator because, you know, some of the other stats aren't exactly where we want them to be. But in general, we've always been between probably like 6.0 and 6.7 on a one sees the whole time since diagnosis pretty much Um, so I think our goals are like, our goal is just more stability, like a lower standard deviation. You know, less, less intervention needed from us and the other caregivers. So that's kind of our goal with loop. And we're just still trying to learn exactly how to get there. But we're making strides each time. So yeah, I know, we're still fighting that like, rise, right? When they fall asleep, we're still fighting it like crazy. We do like everything. So that's a big one we're working on?

Scott Benner 35:19
Well, I have to say, I agree with you. And I think of it in a very similar way. I don't think about obtaining an A one C, I think about stability, stability, and a lower number Pre-Bolus, saying, you know, doing the things that I know, lead to success, and then the a one c number just sort of, is a byproduct of that. You know, like, like, if you do these things, you're a one c turns out to be in this spot. If you do the more aggressively it ends up being lower. You know, if you do it too much, you end up with a problem. So you just kind of stay fluid and bring it back again, I think that's an incredibly healthy way of thinking about it. Instead of just thinking about the numbers. Think about doing the thing. Yeah, I don't. Yeah,

Megan 36:04
I don't really yeah, the number of course, we want good numbers, but I really just want them more stable. And I feel like once we see more stability and more predictability, then we can kind of lower our target a little bit from there. Yeah. Right now, it's like, part of our problem is not just learning loop and all that. It's, it's that like, we get these wild card days, I feel like they're thrown in there. And it's like, oh, well, this are the pods, just currently, this one's not working. And we have a lot of those problems with our middle, like, we have to change every two days. And sometimes even that the second day, it's like it's hardly working. You're just like pouring more insulin in and it's like not doing anything. So I feel like there's a lot more variants with him a lot more like, I wonder, Is this a pod? Is it something else? Is he suddenly growing? Like there's, we're constantly trying to figure out? What is the big change because everything will be exactly the same, and love drastically different numbers. So we're trying to figure that out. So sometimes, so

Scott Benner 37:00
does that work better than others?

Unknown Speaker 37:03
Does he have sites? Or sites that

Scott Benner 37:05
work better than Yeah.

Megan 37:08
I wanted to say yes, but I feel like there's still not even really a good pattern to that. Right now we're we seem to be getting the best success on his arms. He is so thin. All my kids are just Third thing. So we don't have a lot of fatty spots to put things.

Scott Benner 37:24
I'm just hard to keep them hydrated with just water.

Megan 37:28
Not really, they drink water throughout the day. And a lot they actually drink a lot when they go to bed for some reason. Everyone likes to drink water while they're listening stories. Yeah, I think everyone stays hydrated pretty well in the family.

Scott Benner 37:41
That's cool. I mean, you know, just trying to think through different reasons why insulin would do what you want it to do or not, is really how I think about it. I just think about, you know, is the water do it. Excuse me, I just got a text from Arden that took my mind off of what I was saying. I asked her to Bolus 10 carbs, and I didn't get a response. So I just put like a little like exclamation on it. You know, you can do that too with accent and then I got oh my god stop in return. And if later I tried to explain to her that if I didn't do that she wouldn't see it. Then she'll just stop listening to me while I'm explaining it to her. So anyway,

Megan 38:15
I did it. We we have the same kind of situation just like you know, if I'm at work, and I'm trying to look and be like, Did somebody do this? Like I want to be like a nag to whoever's with the kids. I'm like, Did you do this or not? So I you know, I just learned how in nightscout you could put different notes and everything. So I'm gonna teach everybody like, here's how you can enter like, extra information so that I can see it and then I won't have to like nag you and be like, was that john? Because I don't want to sound like a nag. I'd rather be able to just look at the info and be like, Oh, great. They just did a finger prick. That's good. Oh, great. They just Bolus extra here. And you know,

Scott Benner 38:44
I don't think I would nag. I don't think of it even as nagging. But I think the thing that bothers me and I think might resonate with people, is that when I text you, Hey, is the house on fire the entire time between after I hit Send and when you respond to me as to whether or not the house is on fire. I'm standing perfectly still, like wasting my life. That's how I feel about it right there. I feel like I'm like I'm standing here waiting for someone to respond to me. I'm not talking to Megan, I'm not doing what I'm supposed to be doing. Sometimes you're in a grocery store, standing perfectly still waiting for someone to respond to you or you're you know, you get in your car and you go to drive away. You're like, hey, real quick, can you Bolus to half the unit, and then they don't respond. Now I'm sitting in a dry like in a parking lot in my car, waiting for someone to respond. I just I've explained to her a million times. I'm like, Look, I'm not bothering you. But try to put yourself in my shoes. You've put my life in status. I just paused. You know, like I'm paused waiting to hear back from you. And I was like and after 30 seconds it starts feeling like what am I doing? With my time you know, like I'm standing here waiting for someone to respond to me. And so I'm not trying to bug her. I just want to make sure she sees it and you know at Anyway, I'm sure every parent in the world had has had that thought at some point. I just that's the part of it that bothers me. It's the, it's the wasted time. I'm just sitting there going. Okay. And then by the way, what if she didn't say it?

Unknown Speaker 40:11
exact so

Scott Benner 40:12
now I'm like, then I text again. Hey, and then she'll say, Oh my god, like, or I didn't see the first one. It's good thing you sent me the next one. Oh my gosh. Yeah, it's a it's a harsh show. But yeah, I don't like standing there. It just makes me it just bothers me. You know, for the the wasted time and just the pausing. It's just

Megan 40:33
like, yeah, I feel bad. So um, my husband sleeps through absolutely every alarm and alarm will never ever wake him up. So you know, I'm the one that wakes up to the alarm. So as a backup just in case, my dad still has like the urgent low alarm on his. So anytime there's like any sort of urgent low or anything at night. My dad is just sends a an email, like, Is he okay? And I have to respond back like, yeah, I'm on am awake, you know, otherwise. So like, the plan is like, if I don't respond within like 30 seconds or a minute he calls me. Today, I think of my poor dad, I guess quickly. Like, I think even before I go do any treatment, I'm just like, yes, I'm up. I'm up. It's okay. Like, I always just try to make sure because I know you must be sitting there in the middle of the night being like terrified. He doesn't know what's going on, you

Scott Benner 41:18
know, that compassion that you have for your father is really all I'm asking for. And by the way, you said he emails you is does he not have his fax machine handy? No, I

Megan 41:31
think they i don't i guess i don't know why we don't text I think originally Well, part of is because like, he doesn't know for sure if I'm, if it's still my husband's duty time, or if it's my duty time, like so a text message wakes me up like it has a, you know, I have an auditory sound, audible sound, where's my email? I don't. So I think he's trying to make sure he doesn't wake me up. If I don't need to be woken up. If my husband's in charge at that time, you know, so it's just don't respond to me, then we get a phone call. So it's more just like to make sure I'm sleeping.

Scott Benner 42:04
It's a very weird bounce. Also not to give your husband life advice, but never let your father in law complete something for you. It's not good. Just makes her feel like our dad is better at this than you are. So just, you know, I know what to do. And that's never like Kelly's father be the knight in shining armor anymore. That's it. I gotta, you gotta fix that.

Megan 42:24
And I think he's happy to take over some of that my dad's a retired engineer. So you know, he has a mind for looking at diabetes graphs and everything too. So I think he's happy to be like, okay, the more good eyes on this, the better.

Scott Benner 42:37
Sounds like you might have given that to your son to

Unknown Speaker 42:40
that. Yeah, that's my math mindset.

Scott Benner 42:43
Yeah, it's very cool. Well, I'm going back to do you want to talk about the loop for a little bit? Or do you have something else you want to talk about? Yeah.

Unknown Speaker 42:52
I'll talk about anything.

Scott Benner 42:53
So what's like, whatever I'm here now. I mean, I stopped my kid from learning for this. So we might as

Megan 43:00
what happened, I don't know. I'm trusting that he's another room learning who knows.

Scott Benner 43:04
He's not

Megan 43:07
Luckily, he goes in person on Monday. So I'm like, we just got to get through a few more days of this.

Scott Benner 43:11
It's interesting to me that they go some days but not other days. I don't mind

Megan 43:15
this is a we've been all virtual. And then we're going all in person starting Monday, so we'll see. Yeah,

Scott Benner 43:21
well, you my brother's kids schools just you know, they were like we're going it's fine. And then yesterday, he texted me He's like, yeah, they're all home now.

Megan 43:30
Oh, yeah, I'm just waiting for that that email on Friday afternoon saying nevermind, but

Scott Benner 43:35
Coronavirus is a little bit like being in a fistfight. And let me explain my thought here. And I'm not saying that everyone should go back to school or shouldn't I'm not a, you know, I'm not a specialist on how germs spread and how disease proliferates. I'm just saying. Don't hit me if you don't want to get your face knocked in. And so like unless you're willing to stand and fight to the death don't start. And so like I don't understand sending a whole group of people back to school and then the minute someone gets Coronavirus, sending them all home again. Meaning Did you not know that wasn't gonna happen? Exactly.

Megan 44:10
Yeah. will be some cases. Yes.

Scott Benner 44:13
And didn't you say like, did you say to yourself, Well, if it happens, we're gonna send everyone home was this just like, Well, I hope it doesn't happen. It was that like, Is that what you were doing? Where you're five years old going? Maybe it won't be us lets everyone cross our fingers. Either. either send them all in there and give everybody Coronavirus because that's what's gonna happen eventually. Or don't go back but like, though, the whole hoping that germs aren't going to spread in a school doesn't seem like a plan to me. Yeah, either do it or don't. But, you know, once you start swinging hands, you can't stop in the middle and go please stop beating me. I want to give up now. That's not how a fight works. So anyway, I don't know it just it seems like a ridiculous notion to me either do it or don't do it but you know, don't do it. imagining that like you know, the laws of Physics and science aren't going to apply to your situation. Very strange. I'm just gonna jump out of this plane without a parachute. If I feel like I'm not stopping, I'll just call do over. I guess it's not gonna. I don't know, I think it's a fascinating way I understand people wanting to go back to school and their lives and everything else. But either, you know, I don't know. It's just it seems like a lack of pre planning domain or common sense. One of the other. So you said some days on loop, there's good days and bad days. So are you is that wrapped around types of food sometimes is it when you don't Pre-Bolus is that we win the loop gets away really

Megan 45:39
tricky. So I even have like one of them an amazing, one of the loop mentors from the group and everything helping me out. And there are days where we are just scratching our heads, I think because I, we can do the exact same food exact same quantity of the food at the exact same time with the exact same level of activity for a couple days in a row and still see big differences, like big differences. So I don't know. No, and at some point, I just have to be like, I can't understand it all. Let's just look at the head. Now. Let's look at the trends as best we can and go from there and just assume that some days are going to be just really confusing. And we have no idea what the differences

Scott Benner 46:22
are put in more. I don't even know.

Megan 46:25
Yeah, I don't know. So sometimes when people talk about all this, like stability, or like, Oh, well, I'm sick, I just do 110% override, and then I'm fine. I'm like, I just like that doesn't make any sense in my world at all. There's no, there's we've never had that much consistency ever. I don't think you ever have one week is totally different from the next week and day to day is totally different. It's like I don't know if it's just the growing children or what and definitely our middle is more variable than our oldest. But

Scott Benner 46:52
yeah, I have to tell you try your best. rides never worked for me. Yeah, like that idea of like, you know, there's, I mean, for people who don't use loop, there's basically a slider that's just like, more, like, turn everything up. 10% 20% 50% like everything down, you know, 30, whatever, you just slide it. And it's, it's in my understanding impacts like basil, and insulin sensitivity. And you know, and all this stuff, and I just don't see it. It doesn't work like a Bolus marks, in my opinion. And I would say that when when loop becomes untenable to me, I just treat it like a tantruming child, and it sits on the sofa for a while. So I just open the loop. And then I act like I normally act and I put it back to where I want it and then close the loop up again. That's it, I have given up on trying to make everything perfect all the time.

Megan 47:45
That's exactly what we've done on the days where we just have like these highs that aren't coming down and loops, not, you know, getting them down.

Scott Benner 47:52
I'm just like, we give up, we are opening the loop, we're bringing it down, and then eventually we'll close it back up. Because it's just it's not worth it. Because in my opinion, if your settings are working for days in a row and then suddenly don't work. I mean, it seems like madness to me to try to pin down why it didn't work on Thursday. And to and even if you could figure it out, how are you going to make a change for that because like you said, there's variability that you you can't figure out, you don't know what the variability is. So when variability hits and causes, you know, the need for more insulin, I always just say just meet the need, just give yourself the insulin your body's asking for I know that becomes difficult for people because they say then how much because they're scared to do too much. But I you know, I'm always just like, I'd rather do too much than too little. So I'm always just sort of on the aggressive side of that. But

Megan 48:41
we try to do to like, especially those early night. Hold on one second. Thanks. Sorry.

Scott Benner 48:52
One of the kids. Yeah,

Megan 48:54
you know, my husband has he's actually still in the house. He hadn't left yet for work. So I was like, Oh, go take care of this. One kids dropping just a little bit. But um, yeah, we definitely are more of the mindset of, I'd rather give a bigger Bolus and catch it on the you know, if we overdid it, catch it as they're falling. Yeah. And then waiting it out.

Scott Benner 49:17
Well, you would definitely think that because you found the podcast on day one. So I must be like, in your ear. When you're thinking about it. It's

Megan 49:24
not totally I know, when people are like, Oh, well, it totally changed my life. I'm like, well, it did change my life. Except this is all I like knew. I never I never had those months of bad advice. You know, I'm very fortunately, we got good advice from day one kind of things. I can like unlearn stuff.

Scott Benner 49:39
Yeah, we can't take the podcast knowledge from your first few months of that you can really appreciate it. Although I really believe that, that finding it early is a big deal because I'm helping. I've helped two different people in the last number of weeks, right. And the one person's kid, excuse me, I got a little dry there. The one person's kid had Diabetes for years, and they get built up fears and misconceptions. And so telling them the right thing to do was hard for them to accept. But then I started with another person who hasn't had diabetes very long at all, and they're just willing to listen. And it's so much easier to get them to a good place than it is to get somebody who's got preconceived notions of things into a good place takes those people longer to break bad habits, I guess, or, or give up on the ideas that they thought were true. And that ended up not being true. You know what I mean? Like I love people are like, my, no, my basil has to be lower right here. Oh, I get low every night at 1130. And I'm like, Yeah, I don't think that's right. You know, I think you're getting low at 1130. Because you're super bad at dinner. And you know, like, like, I, I'm looking at your graph, and you, you screw dinner up every time and then it, then you correct it, and then it makes you low at 1130. And then you've got your Basal super low, and then you correct and there's nothing to stop the correction, you should back up again, like, you know, it's very often has nothing to do with what you're looking at in the moment. And a newly diagnosed person will hear that and go, okay. And somebody who's had diabetes for seven years has been living with for seven years, like, No, no, you're wrong. I get every day at this time. My basil has to be lower right here, like, okay, so it's a hard, it's a hard sell to tell somebody to turn their basil up to stop below. You know what I mean? Which is around about

Megan 51:28
at some point, I mean, you're just so nice to do all that I would be like, then why are you coming to me for help? If you're really frustrated me, I'd be like, well, then just keep doing it your way.

Scott Benner 51:39
I am more direct than that. But especially in person I did. I did say to somebody recently, I was like, Look, you know, do whatever you want, but it's gonna go wrong. And when it goes wrong, I don't have enough time to talk to you about it the rest of the afternoon. And so they did it and it went wrong. And then the next time I spoke to the person I was like, so, you know, like, I can unfollow now if you don't want to do this? And they're like, No, no, I'm sorry. I'm like, Don't be sorry, just you know, and it's fine for them to have to go through their process. I'm not trying to push anybody. You don't I mean, like, the worst thing you could do is? Well, I don't know, I was gonna say the worst thing you could do is make them do something they don't want to do. But I mean, if it works, then you'd think they would accept that, but I've actually seen people watch it work, and still reject it. And that's how bad the fear can be sometimes. You know, they're like, no, that they actually think that when it went right, it went right by mistake. Like, no, we did this. We made this happen. You know, like I had somebody say to me that they're gonna rise now after the meal. I'm like, No, they're not. This is what they always rise after the meal. I'm like, yeah, that was when you were doing it. I'm like, when I'm doing it, they're not going to rise after the meal. And trust that and for the next three hours, they just, they're on pins and needles. You know, and then you'll get a tax like, I can't believe you didn't go up. And I'm like, I haven't thought about it once. Just so you know. I, I saw the Bolus work two hours ago. I haven't thought about it since then. But then they get to it, which is really gratifying and nice. And in honesty, Megan helping other people sharpens my skills for talking about on the podcast, too. So I get something out of it, too. You know, it's good. Yeah. It's not completely altruistic. Oh, my gosh, but yeah, it sounds like you It sounds like you're very fluid. I like I really like that.

Unknown Speaker 53:23
Okay, yeah, I try to be

Scott Benner 53:25
what do you ever? Is it always one or the other? Or do they ever both work? Well, at the same time?

Megan 53:32
Oh, gosh, I don't know, there's a few days where we have like, really good days. They're just like, you're like afraid to even look at the numbers. Like, if I look at them, something's gonna go wrong. But yeah, you know, it's been, like I said, in 19 months, and up until maybe two months ago, I think I had probably had maybe five full nights of sleep. Um, you know, because there's always something with one of them, you know, when you have two of them, you're just up all the time, just even between the blood sugar issues, but then the technology issues like, we went through long periods of times where we just had so many signal losses on Dexcom. And things like that are all the compression loads. Something's always keeping you up. And now I have been getting much better sleep since sleep although again, we're we are higher than where I want to be at night. But I'm right now our goal is again to get a little bit more stable, even if it's a little bit higher, and then bring it back down. So I'll take it for now. And we'll get there. Then I feel really guilty on the days where I'm like, Oh my gosh, I slept all night and then I look I'm like oh it's because they say hi or shoot because I feel kind of bad. But I'm like you know I need that sleep or I can't look at these graphs and make any sense amongst my brain won't work.

Scott Benner 54:50
Yeah, no. Are you so when you're trying to bring this stability to a lower number? Are you doing it with insulin sensitivity? Are you making the insulin sensitivity more powerful?

Megan 55:00
Most of what we've been playing with at night has been Yeah, the sensitivity.

Scott Benner 55:05
Yeah, well, I so Arden, you know, because Arden's older, and she has a period, she's basically three different people every month. And with loop, I've figured out that it's a small increase, or decrease of basil, in conjunction with a small increase or decrease of insulin sensitivity. So whatever way it's moving, if she's needs more insulin, then I make the sensitivity stronger, and turn the basil up a little bit. And that seems to do it. And then you know, when she's super stable, there's that week where she's terrific. And then you just turn it down to the lower edge of, you know, basically this range that I have. And for everybody listening who's like, say, the range, what percent, it doesn't matter what I do for my kid, I'm just, you know, like, you're gonna have to find the range for yourself. But it's just, I found, I basically figured her out three different ways. This is who she is, in week two, this is who she is. And week three, and it's who she is. And week four. And then as we roll through week, the week, as soon as you see the telltale signs of it, you just make the change in the settings and everything's fine again. It's really, it's about stepping back, in my opinion, and not looking too micro at everything. You gotta have to see the bigger picture sometimes, you know,

Megan 56:22
and that's where like, when we see these big differences that will last for a few days at a time, I just can't help but think there has to be something with them being growing children, that is a hormone based change, too. And so that's why I wish that was like a pattern. I wish it was like, oh, for this week, they're like this, and for this week, they're like this, because I feel like we're just guessing every time there's a new change, like oh, okay, well just go with the swing. And yeah, figure out like, why they suddenly swung high, or, you know,

Scott Benner 56:55
I don't care about the y as much like, I would just feel like like, this is my stronger settings. And this is my weaker settings. And yeah, when they start getting higher, I just flipped right into the stronger settings. And then I

Megan 57:05
used to have that when we first switched to Omni pod, I had different basil settings, and they did work pretty well for a while. And it would be like, I had my, they were labeled weak, strong and stronger, or something where my my basil profiles based on like, what they seemed like they needed that day nice. And they actually worked pretty well. But it's kind of funny when like the endosome. She's like, so, which is you like looking at the names of trying to make sense of it. Like, um, she's like, we I look at this now and you're you're stronger is actually weaker than you're, you're weak or something. I was like, Yeah, I know, over time they've morphed. The names don't make any sense anymore. But it makes sense to

Scott Benner 57:46
stop looking for clarity.

Megan 57:48
If I should have named them that way.

Scott Benner 57:51
One, two, and three, guide it. I think that also, as they morph and you start changing, changing, changing, there is a time where you have to just there bastardize too much, you almost have to throw them away and start over again. Now, if that makes sense or not. But that's what we did. That's why we were like, well

Megan 58:11
just go to loop insert.

Scott Benner 58:13
So many dials so many times that you've lost the thread of common sense. And you just have to start over and I do that and then I'll just I pick one basil rate and I start over again. And then I adjust the off of it. And I'm going to tell you that the other day Arden switch to fiasco, we're trying something we really like a Peter, but we're we're just trying to be asked for you know, doesn't matter why right now. But we're trying it. And I have her switched successfully from one insulin to another in six hours. And I hear people are like, Oh my god, it's gonna take forever again, will it? Or will I just turn this a little bit and then this a little bit and then it'll all work again. In the end? I've come to think of these the insulin doing what I mean for it to do, or is it not? Like, I don't think about the rest of it. I'm just like, is it doing what I want? I put the insulin in here. Here's my expectation did that not happen? If it didn't happen? It's not enough, or it's too much, or I didn't do it for long enough for short enough. It's just I wanted to do what I wanted to do. And when it doesn't, I try something different. I just don't stare and I don't you know, I don't whip it around, like you know, 100 100% higher. But I also don't move so incrementally slow that it takes days to get to it. You know what I mean? By then then something changes by that and you're like, then you don't know what happened again. You need to be in that like in that space. Like when I talk about I'd rather see you do something first. So the next thing happens, you know you have made happen so that you can change it, you know, like so you can see Oh, I did this and then that happened. I should have done a little more, a little less, a little sooner, a little later. But once you do something at eight o'clock and then try to figure out the next day at 9am what happened like There's no cause and effect left. You can't make decisions about stuff like that. So it's micro for some things macro for other things. And all I can say is you get good at it at some point. Or at least I did, and a lot of people who follow the show do so I think it's

Unknown Speaker 1:00:16
helping

Megan 1:00:17
me so much. Better. Just not I wouldn't say.

Unknown Speaker 1:00:20
Yeah, I also,

Megan 1:00:22
can I just take a break for like two minutes. The youngest has been running around the house stealing Mommy, mommy.

Scott Benner 1:00:28
No, listen, we can just we're almost at an hour. We can stop here. Like, let's not have the kid out there. Thinking you abandoned him.

Unknown Speaker 1:00:34
I feel like that's gonna be in the background.

Scott Benner 1:00:37
In the background, I let it go because it's fun. Is he younger? Is he the littlest one?

Megan 1:00:41
Yeah, so he's three now he

Scott Benner 1:00:43
can handle himself. Now. Just kidding.

Megan 1:00:46
I thought maybe, you know, it's only been a whole 10 minutes. He's been alone where my husband is left for work, but somehow you still out there be like, oh

Unknown Speaker 1:00:53
my gosh.

Unknown Speaker 1:00:55
They left this. They left us. This is it.

Megan 1:00:59
We had a long talk beforehand. Mommy's gonna be in the office.

Unknown Speaker 1:01:03
A little bit of time.

Scott Benner 1:01:05
Just telling your oldest right now. I hope you know how to use the stove man. Cuz I can't drive. We're dead man. We're dead. They're gone.

Megan 1:01:13
We could do that. Like he comes down. He he's stealing food from like the highest shelf and all time. That's why we're always like, oh, gosh, please don't ever get diabetes. Because if you do, like I don't. Can't stop you from eating this good. Just as is stealing food. This was me. He's here now.

Scott Benner 1:01:27
Yeah. Hey, what's it? We don't wanna say anybody's name. That's all right. But yeah, like that's, it's totally cool. Listen, there's a really nice conversation. I don't know if we talked about anything, but I had a good time. I felt like we did. So that's good enough.

Megan 1:01:38
Thanks for having me. It's really fun.

Scott Benner 1:01:40
I'm glad. That's excellent. I appreciate wanting to do this.

Unknown Speaker 1:01:42
Yeah. Thanks for having me.

Scott Benner 1:01:49
A huge thank you to one of today's sponsors. Je Vogue glucagon. Find out more about chivo Kibo pen at G Vogue glucagon.com Ford slash juice box, you spell that GVOKEGL Uc ag o n.com. forward slash juice box. Thanks also to the Contour Next One blood glucose meter, you can find that meter at Contour Next one.com forward slash juice box. Also look into the test trip saving program and the possibility that you may be eligible for a free meter contour next comm forward slash juice box. I have a couple more seconds for you after this.

I want to thank Megan for coming on and sharing her story. And I want to leave you with the couple of minutes that happened right before we started recording because they made me laugh.

Unknown Speaker 1:02:46
Let's see. I could turn the volume down a little bit to

Scott Benner 1:02:49
sound pretty good like that. All right, actually, there's something in the background of television or something like that. That's coming through loud and clear.

Megan 1:02:57
Hmm. All right. Let me go see that might be my kid on his elearning out in the

Scott Benner 1:03:01
home. There's no school today. Okay, let's

Unknown Speaker 1:03:03
go move them to another.

Unknown Speaker 1:03:06
Alright, hold on one sec.

Scott Benner 1:03:26
people's kids are such a trouble. Children always want things neat things always making noise. need to go to school.

Unknown Speaker 1:03:39
School of all things.

Unknown Speaker 1:03:49
Okay, I'm back. You didn't

Scott Benner 1:03:50
have to hit him. I'm just kidding. If you're still here, I appreciate you listening to the end, please support the sponsors using the links and don't forget the T one D exchange. Super simple to do to help people with type one diabetes. It also supports the show T one d exchange.org. Ford slash juice box fill out the survey. It only takes a few minutes. It's 100% HIPAA compliant. 1,000,000% anonymous, and you're definitely going to help people with type one diabetes. If you take the time to answer the questions. And those questions are not that difficult. They're not hard. They're easy. You know the answers to them already. They're not overtly personal. It's just the kind of data that they use to help people with type one. Thanks so much. I'll talk to you soon.

---

Please support the sponsors

The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!

Donate

#467 Come Together

Nicole, Amaia and Kylah found each other

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

+ Click for EPISODE TRANSCRIPT

---

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

Scott Benner 0:10
Hello, friends, welcome to Episode 467 of the Juicebox Podcast.

Nicole 0:16
Today's show is going to be a little different you'll see how in just a moment. But for those of you who are always asking for kids to beyond so that you know, my kids want to listen to other kids on the show, gotcha covered here. What do you say? As you're listening, please remember that nothing you'll hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan. We're becoming bold with insulin. I'm going to take advantage of this extra music to remind you that the diabetes pro tip episodes are available right here in your podcast player. They begin in Episode 210, as are the defining diabetes episodes, and so much more after dark, and all the other episodes. If you're listening in a podcast player, please hit subscribe. tell a friend about the show. And if you're confused about any of that, you can figure it out at Juicebox podcast.com.

I'm gonna push record to nobody curse. Okay.

Unknown Speaker 1:29
Okay.

Nicole 1:32
One of you was going to curse which was the most likely one day?

Unknown Speaker 1:36
Ah,

Unknown Speaker 1:38
probably a Maya.

Nicole 1:45
That's a fair statement. Okay, so listen, there's going to be one thing here that we're going to have to be careful about while we're doing this. I've never done this with this many people before. But you're young so I can explain it to you. And unlike old people who'd be like, wait, what you'll understand, okay, so I'm recording all three of your voices on one audio track. So that means if you talk over each other, it's just gonna sound like a lot of voices, and I won't be able to fix it later. So that's why I was thinking, let's put the video on so we can see each other so we don't talk over each other. Now, okay. Inevitably, if I say something hilarious, and we all laugh, that's fine. Okay. But just don't talk over each other. If we're gonna be good, unless he gets crazy and you don't I mean, don't stifle yourself, but that's it. Okay, so. Alright, let me try to figure out what the hell's going on here. Which one of you email?

Unknown Speaker 2:36
Me?

Unknown Speaker 2:38
Nicole emailed?

Nicole 2:40
Nicole. Me? Yeah, you're the one that emailed? Yes. All right. And what's that on your arm? Is that an omni pod?

Unknown Speaker 2:48
Yeah, okay,

Unknown Speaker 2:49
we all have Omni pod. So all Yeah, mine's on my leg.

Nicole 2:53
Hang on a second. All three of you have diabetes.

Unknown Speaker 2:57
Yeah. Okay. Yeah.

Nicole 3:01
Let's do this. Okay, jeez. All right. Let's introduce everybody. First, Nicole, you go first because you sent the email. If you're a US resident who has type one diabetes, where us resident who is the caregiver of someone with Type One Diabetes, you can support T one D research and the Juicebox Podcast right there from your phone. The T one D exchange wants you to participate in their quick survey that can be completed in just a few minutes. After you're finished with the questions, and they are really simple. I've done it myself, it probably took like seven or eight minutes. And the information that you provide helps people living with Type One Diabetes. This is 100% anonymous, completely HIPAA compliant and does not require you to ever see a doctor or go to a remote site. Every time someone completes the process using the link in my bio, the podcast benefits as two people living with Type One Diabetes. So if you've been looking for a way to help T one D research, this podcast or both, nothing could be easier or more beneficial. So one last time just go to T one d exchange.org. forward slash juicebox. Click on join our registry now and answer this simple survey questions past participants just like you have helped to increase insurance coverage for blood glucose meter strips impacted changes in the American Diabetes Association's guidelines for pediatric Awan Siegel's helped for the FDA to expand CGM labeling to include finger stick replacements and Medicare coverage of CGM devices T one d exchange.org, Ford slash juicebox.

My name is Nicole aka chelski. And I'm 15. My family's originally from Poland but we moved to the United States and then we moved to the Cayman Islands. And Kyla Anna Maya are in the same high school, but I'm going to be moving to that high school next year as well.

Unknown Speaker 4:58
So we'll all be together.

Unknown Speaker 5:01
And we all love to play instruments. So I play the violin and the piano.

Nicole 5:06
Let's go a Maya next. Tell me about you.

Amaia 5:11
Okay. Um, so I'm the oldest and 17. And I'm the newest to Cayman Islands. I moved here about a year and a half ago. And my parents are teachers. My mom is Ecuadorian, and my dad's on the phone. And I lived in Ecuador before I moved here. And also I also play instruments. I also play the violin and the cats.

Nicole 5:38
Okay. All right. Ready? I'm just trying to keep this on my head. So Kyla, who the heck are you?

Unknown Speaker 5:46
Yeah,

Unknown Speaker 5:47
um,

Unknown Speaker 5:48
well, I'll be I'll be 13 in nine days. So I'm the youngest of the group.

Kylah 5:55
I'm like, I don't know. I'm kind of like their little sister.

Unknown Speaker 6:00
And I was born in California. And my parents are both teachers might well, my dad's a principal. And then my mom is a teacher. And we moved to the Cayman Islands when I was five. And I've been here. So I've been here for, like, eight years. And um, yeah, they moved here because they wanted to teach it at a national and international school. And, yeah, we all met playing. We all met kind of through different ways, but mainly through orchestra. We all are in Cayman Youth Orchestra and I played the flute.

Nicole 6:39
Okay, Nicole, did you say how old you were? I forget.

Unknown Speaker 6:42
Yeah, I'm 15. Right.

Nicole 6:44
So you guys are 1715 and 13? Yeah. Oh, live. You live on the Cayman Islands. Let's start with us. Let's be honest, for a second, your parents are just hippies that want to live on it. Right?

Unknown Speaker 6:56
I mean, I guess

Nicole 7:03
every adult says to themselves, you know what I'm gonna do, I'm just going to move to a really sunny, tropical place, I'm going to live there, I'm going to do a job and I'm gonna live there my whole life. And then we all chickened out, but your parents actually all did it. And

Unknown Speaker 7:18
yeah,

Nicole 7:19
so I'm gonna say you guys probably have the coolest sets of parents around. Here's what I still don't understand. How do you know about the podcast? Cuz you guys know, you mean together? Let's be serious for a second 1715 and 13. I haven't done the math yet. But seven and three is we know is 10. You add five, you've got 15. And you carry the one now we're at 45. I'm 49 years old. So collectively, you guys are still not as old as I am. by four years. How does this happen? Like I was really stunned to get Nicole's note who wants to tell me?

Unknown Speaker 7:55
Well, I, I kind of introduced both of them to the podcast.

Unknown Speaker 8:01
I

Unknown Speaker 8:04
my mom was like, Oh, you should listen to this podcast. And then I was like, Oh, that sounds cool. Because she's part of all these Facebook groups. And you know, your podcast gets shared all over everything ever. And so my mom was like, Oh, you should listen to this. And I was like, I'm like about diabetes. And I don't really want to like, center my life around that more diabetes. And then she was like, it's really good. And then one day, I was at my brother's baseball games, and I was listening to I was like, listening to music. And I was like, I wanna listen to podcasts. So I listened to your podcast, and I loved it. And I listened to the loop episode. And I got my mom. Like, I convinced her to get Lupe and then I told my aunt Nicole, I was like, you have to listen to this podcast. It's so great. It's like it helped me so much. And then yeah,

Nicole 8:52
you're freaking me out. So are you telling me Okay, Kyla, so what you're telling me is, you were so bored at a baseball game, you were willing to listen to a podcast about diabetes?

Unknown Speaker 9:01
I mean,

Unknown Speaker 9:04
I know your son plays baseball, so I'm not like bashing baseball or anything. We're like, but

Nicole 9:10
yeah. Do you want to know what Arden looks like it when it goes baseball games, she looks like she's going to kill herself. Just so you know. She says, Why am I here? I thought it would be nice if you came in. She's like, it's not. So okay. So now, it's interesting, because I guess your your group is so like, smaller because of where you're at, because normally a 17 year old a 13 year old wouldn't know each other. So is that? Yeah. Am I Is that something to do with like, where you live?

Unknown Speaker 9:39
Um, well, sort of, I guess you could say that. I'm kind of the one who brought the group together because I'm the one who put Thailand Nicole in my house. It was like, we're all diabetic. So we should be friends and then I start playing the game and see how it would work out. Okay. Both. Yeah,

Nicole 9:57
so am I You're like a diabetes to work. Then you were Like actually amazed and excited that they had diabetes toe.

nodding like yeah, she's a big dork. Okay. How long have you been there from Poland? You said Poland, right?

Unknown Speaker 10:14
Oh yeah, so I wasn't I'm the only one in my family that wasn't born in Poland. Like we visited every year when there wasn't COVID. But I was born in the States. And then we moved to K Man when I was one. So I would call K Man, my first home. And then America and Poland are like tied as my second. I guess.

Nicole 10:34
You've lived there for 14 of the 15 years you've been alive. The sound Yeah, really, really lovely. Okay, so we're gonna have to do some things we don't normally do. And I'm just going to go by age. So let's start this time at the oldest and then we'll go to the youngest, then we'll jump around a little bit. So Maya, how old were you when you were diagnosed? and What do you remember about it?

Amaia 10:55
Oh, I'm I was seven. When I was diagnosed, I we were all diagnosed in different places. I was diagnosed in Ecuador. And I do remember a lot I remember going to the hospital. I was diagnosed on Mother's Day. And also on the election day for us what are and I remember going to hospital and the doctors were telling me that I was diabetic. And I didn't really understand what's going on. I understood. So I had to have injections, but I didn't really like center on me what was going on. And then I didn't have the best education when I was diagnosed, because people often confuse type one and type two. So I didn't have a problem till like about a year ago, I got the Dexcom like five years after I was diagnosed, I didn't know about carb counting. My ANC was like crazy for the first four years that I had lifelong. And, and then it started like progressing after I went to like this conference, and that's where I got Dexcom. Okay, and then I moved here and then I met these girls, and then yeah, let me let me ask you a question. So when you're diagnosed? Are you diagnosed? I this is gonna sound funny, but I don't mean to be funny. were you diagnosed in English? Or were the doctors?

Nicole 12:16
Were the doctors English speaking?

Unknown Speaker 12:20
No, they were Spanish speaking is there I learned the vocabulary in Spanish first, and then

Nicole 12:27
is it easier in one language than the other easier? For reasons that I

Unknown Speaker 12:32
want? And I know English better.

Nicole 12:35
Okay. So it's easier in English because you know, English better. Okay, all right. Yes, I understand. Nicole, how old were you when you were diagnosed?

Unknown Speaker 12:45
I was diagnosed at 10 years old a month before my birthday.

Nicole 12:50
Okay. So about four years and five years ago. Yeah, okay.

Unknown Speaker 12:57
Yeah, exactly. Five.

Unknown Speaker 13:00
And

Unknown Speaker 13:02
what I remember is that it was actually sports day. And the day was over. And when I got back to school, I couldn't get up the stairs to get to my bag. And I was like, okay, maybe I was just tired from Sports Day. So I went home. And did you know, just everything normally. And through the night, I just kept going to the bathroom eating to drink so much. Like I drank the most I've ever drank in my life. And I was eating a lot. And my parents were like, We need to take you to the clinic, like first thing in the morning. So that's what happened. And they did, like, every test possible on me, except for the blood glucose test. So as you were driving home, we got a call and they're like, you have to come back right now. We need to test your blood glucose. And so when I did, it was 680. And it's actually the same number that a Maya had. Yeah. And they took me to the hospital. And that's where I learned everything. And I was diagnosed and came out here.

Nicole 14:07
Okay. She you guys both had the same exact blood sugar when you were diagnosed. That's crazy. Kyle. What was your blood sugar when you were diagnosed? You know?

Unknown Speaker 14:18
Me? Yeah.

Unknown Speaker 14:19
I was

Unknown Speaker 14:20
like the 400. So it wasn't as bad

Nicole 14:22
like she doesn't know exactly. It's not like you guys. exact number. It's okay. How old were you? When it happened?

Unknown Speaker 14:28
I was seven. So I was diagnosed like five years ago. And I remember, like, I remember so we we went back to California for the summer. Because we go back every summer. Obviously this year, we couldn't go back. But that's like, that's where all of our family all of our friends are. So we went back to California and we've been there for like this all the summer break and then my dad had left like a couple days before because since he's the principal he had to come back or Really, he's a high school principal at our school. And so he had to come back early to start work again. And then my mom and the end, the rest of us could go back like a week or two later. And I might. So when I was diagnosed, my dad wasn't there. And that was kind of like, I don't know, it was just, it was different. And so my grandma went, and I remember for like all of our seminars and stuff, she took all like, a bunch of notes. And my mom and I were just freaking out. And she took a bunch of notes. And then she gave them all to my mom later. And so we were we were educated really well, in California, we were educated at a pretty big hospital. And so we knew all about like carb counting, we need the basic information that they give you. And I thought that was like basic and like stuff that everyone learns. But then, obviously, like listening to your podcast, and even hearing just like a Maya story, like, it's, it's really different where you're diagnosed. And yeah, so it was, it was crazy. And obviously, I was a seven year old, so my brain capacity was not sick.

Nicole 16:07
So let's get this out of the way right now. I don't really know where you are. So my geography is terrible. If I had to guess, and this would be a guess. I think you're closer to the equator, sort of St. JOHN St. Barts, but lower. Am I right? Everyone's nodding. Yes. Oh, it works. Nicole, you got to say a word.

Unknown Speaker 16:30
We're live right next to? Yeah, we're like near Cuba and Jamaica.

Unknown Speaker 16:36
Okay.

Unknown Speaker 16:37
Yeah, we're this cute little tiny island with, like, 29 miles long.

Nicole 16:43
At the coldest part of the year

Unknown Speaker 16:47
of our island.

Unknown Speaker 16:50
78.

Unknown Speaker 16:51
See, that seems

Nicole 16:54
you guys need anybody to come there and give like a diabetes talk or anything like that? Because I could do that. Just just you know, just get me there. Because that sounds right. Seven days the coldest. It gets all your Do you ever have storms that are scary?

Unknown Speaker 17:07
Oh, yeah. We had a very bad hurricane in 2004. I was actually a year before I came. But it was Hurricane Ivan. And the actual reason why my parents found this place was because my dad's boss has a business here. And they were like, Oh, you should come and help with relief and see this island. And so my dad did come here. And we actually have photos of like all the buildings and the rubble. And it's probably the worst natural disaster that we've had recently.

Nicole 17:44
My Did you see it? 1004 were you there on the island when it happened? I

Unknown Speaker 17:53
mean, No, I wasn't. No.

Nicole 17:55
Have you ever seen bad? Well, I

Unknown Speaker 17:56
only came like a year and a half ago. So okay, you

Nicole 17:59
just gotcha. All right. Geez, this is weird, because now I have questions for all of you. And yet I don't know what to do. So first of all, I think it's obvious. Kyle is the chattiest of the three of you, right?

Unknown Speaker 18:12
Yeah. Okay,

Unknown Speaker 18:14
definitely.

Nicole 18:15
I really wish I knew you guys played instruments, because I would have made your brain dumb. I don't know why. But I would have enjoyed that for some reason. Let's, let's ask a couple of questions. So we'll do it by hands and then I'll fill it in. Does everyone have an insulin pump? Yeah, yes, yes. Okay. Everyone's got an insulin pump. Is everyone wearing a CGM?

Unknown Speaker 18:38
Yep, yes,

Unknown Speaker 18:39
yeah. Yep.

Nicole 18:40
Everybody got Dexcom. You have some different

Unknown Speaker 18:42
Dexcom. But I don't. Yeah, I had libri for about two or three years. And then I got Dexcom at the end of last year.

Nicole 18:52
Okay. And do you have a preference?

Unknown Speaker 18:55
Yeah, I would have to say Dexcom. Why would you like the alarms? It's it. Yeah, the alarms are very useful.

Nicole 19:03
Yeah, no kidding. Okay. All right. So that makes sense. A pump. I see one Omni pod to you guys all wearing army pods.

Unknown Speaker 19:09
Yeah, I have mine saw my

Nicole 19:13
pilot show me her. Like I said, Okay. How do you get them there? Are they for sale there or your parents like black market trading them or something like that.

Unknown Speaker 19:22
They, they used to not be and so I would like my grandparents. They bring them every year and then this year, they couldn't bring them so we were like low on stock. And the pharmacy that it's kind of like near our school. I mean, everything's near school because our island so small, but there's this like one pharmacy that started carrying a Dexcom. And then like recently, like, a month or two ago, they started carrying the only pods so

Nicole 19:47
so you see the islands like I'm sorry, am I do you say what you're gonna say?

Unknown Speaker 19:52
No, I was just gonna say that. My dad's part of the reason why they started carrying on the plus here and because they had Dexcom. So my dad's like, if you can CGM He might as well just carry the pump. So you can

Nicole 20:03
bring down the pot here too. And he was from Ecuador. So they were scared of him because they thought it was like, Okay, we'll do it. Is that right? I don't know. Am I just making a joke? Or is it? No? Is it okay? All right. So that's okay. So your dad kind of went to bat and he got them to start carrying the assault pumps for you guys.

Unknown Speaker 20:25
Yeah, because before, we have to get everything shipped from America through like, shipping companies, and they'd have to send them here. And like, if anything got lost, or like anything happened, you'd be like, without an insulin pump. We're kind of glad that the pharmacy sell them here now.

Unknown Speaker 20:44
Also.

Unknown Speaker 20:46
Oh, I was just gonna say like we are, we don't have like a target on this island. We got Starbucks like a year ago. We don't have like the same things that they have in the US. It's, um, we're owned by the UK, like our island is owned by the UK. So we have a lot of like, we don't have the same things that the US has, like on the island,

Nicole 21:07
right? Do you guys have a bigger stock of insulin pumps than we do? Because I guess you're paying cash for them. Right? Are you? or Are you American? Like, don't I mean, I'm confused a little bit. Like, do you have just three months worth at any time? Or do you have like, way more?

Unknown Speaker 21:24
Ah, yeah. Um, I think Kyla has like a year supply. I usually have about six months or something. I don't know. It depends on like, how much your insurance allows you to have at a time. Gotcha. Yeah, you just get it. And

Nicole 21:42
do you think any of your parents are like, secretly spies or anything cool like that?

Unknown Speaker 21:47
I wish. I know, we really love to have like, everything stocked up just in case, you know, a hurricane. Oh, we recently had an earthquake. It was such a surprise because, yeah, everybody here has, like, a lot of people have recently came like our population is only 60,000. And a lot of people have come in like the past 10 years. And there has not been a single earthquake until January of like, 2020. We had a 7.7. And a lot of aftershocks. And it was like the biggest surprise, it was really crazy. Yeah, but thankfully, there was like, no tragedies or anything. Yeah. Did you have like an like, from what I don't? I think it's like July to like November or like early October is our hurricane season. And so we get like a bunch of we get like rain like almost every day it like pours. And we get tropical storms. Like I wouldn't say like it's it's like, not surprising if we get a tropical storm just like happens on a weekend or like, this past year, school was canceled for what we thought was going to be another hurricane. So it was kind of scary. But it happens like hurricane seasons every year so people know how to prepare for it and stuff. So

Nicole 23:11
So when there's hard rains like that you just live your life, right? You're not you don't like I would hide inside. I just came in and it got really nice. I stayed inside. So that wouldn't happen to you though. You just go about your business.

Unknown Speaker 23:23
Yeah, people are used to it like the island is so flat. The biggest mountain is what we locals called mountain trash. It's our landfill. And there's like no natural mountains. And so every time that pours the port and like all of the coast gets like kind of flooded even when there's like a big storm the whole port can be just covered in water and we're just like, no, we're used to it's just another day.

Nicole 23:54
Feeling like there's nowhere to run. Like Like if something like imagine Godzilla came for a second. Okay. You're being aware like you couldn't get in a car and run away. What did you say the whole islands like 29 miles across?

Unknown Speaker 24:05
Yeah, something Yeah, I

Unknown Speaker 24:06
think Yeah.

Nicole 24:08
Did that Yeah, I freaking you out or is that the first time you ever thought about it? But like, you can't really just get away if you want to.

Unknown Speaker 24:15
I guess we do have like, since the last hurricane. A lot of our buildings have been made of concrete. And they're a lot more condos than houses probably. So it would be kind of easy to get up high. Like I remember after the earthquake, there's a tsunami warning and everyone instantly went to the highest place of the schools and everything because we were actually everybody was at school. It was kind of like the middle of the day. So we were like, just find the highest place of the school. It's okay.

Nicole 24:45
That's how you would escape Godzilla. I'm talking about what if you really got to go You don't need to

Unknown Speaker 24:51
get on a boat. I don't you have a

Nicole 24:53
speedboat available that you could just and and how far are you from the next Island

Unknown Speaker 25:00
Well, the next Island is small. So there are three islands that are like in our, in the Cayman Islands. So we have Grand Cayman, which is the one we live on, which is the biggest since like 2927 29 miles long. And then there's Cayman Brac, which I believe is 11 miles long. And then this little came in, which is like four miles long. So I mean, it could go to the next time they do pretty useless. So yeah, I guess

Nicole 25:26
before COVID before COVID what Nicole

Unknown Speaker 25:30
I guess before COVID when we got like, some days, we got like 10 cruise ships at the port, so probably be enough to get people out.

Nicole 25:39
Okay, now I'm gonna ask Maya this question, because she's the oldest okay?

Unknown Speaker 25:44
Do you date?

Nicole 25:48
Who do you date? There's like five people there, right? Seriously, Nicole, have you like i'd up like a 35 year old guy who doesn't look trashy because he's the best you can figure are there boys? Yeah.

Unknown Speaker 26:04
I'd say we're probably focusing on school right? Now when

Nicole 26:09
you get older. Like, you're gonna want to date somebody, boy girl, something like that. Right? So like, where do you find one from like, yeah, cuz

Unknown Speaker 26:18
you don't? Well, I

Unknown Speaker 26:19
probably.

Unknown Speaker 26:22
Yeah.

Unknown Speaker 26:25
Everybody knows each other here. Like, yes, it's a small world is literally used so much here you see, like half of your class at the supermarket every week. It's crazy. Okay, there are kids in my class who they're so they're like a couple names on the island that are like the original people that came to the island. I have kids in my class, whose last name is like, it's like one of those names. And they're places named after. So like, there's like Eden rock, like on the island and a kid. Last name is Eden, right? It's like that small like we have locals just like in

Nicole 27:04
town I grew up in there were these six streets. They're just these small side streets. They all had just very simple like people's names. And then I realized that there's a family that was literally just the names of the kids and the mother and the father was just the first names. You've been here? Oh, yeah. But okay, but this doesn't answer my question. So are you going to go to college somewhere else like, or is there like a Cayman college? Like, how long can you stay there as my point?

Unknown Speaker 27:31
I'm afraid to have a few colleges. Like we have the UCC II, which is the University College of Cayman Islands. And we have a Truman bot in law school that a lot of people go to which is well known for law. But usually lots of people go back to like bigger countries and things where they have a lot more opportunities for like the certain professions that are like more specific than law or engineering and

Unknown Speaker 28:01
broader things.

Nicole 28:02
So do you guys think about that ever? Like, do you ever think like, well, I live here my whole life? Or am I gonna go somewhere else? Do you ever consider that?

Unknown Speaker 28:11
Yeah, well, for me and Kyla, we have lived here a lot longer than a Maya. So it is like a bit of a bigger change for us. But I would say that since we also have family in America, it's not as bad like we could come back and visit if there's no COVID. Next time I

Nicole 28:31
understand. So I mean, you understand most people don't leave their town very often to begin with who just came in to call or you need you need me to call 911 is something going on? Did someone just come in the room? It's okay, fine. I want to describe to people like how much you guys wanted to do this. You're at your school right now. In three different rooms on three different laptops so that we can talk?

Unknown Speaker 28:52
Yeah, I can see Yeah,

Unknown Speaker 28:55
very nice. Yeah, I'm in the chemistry lab.

Nicole 28:58
I know I saw the periodic table behind you. But But I'm going to go around the horn here a little bit. I'm going to start with my like, do you think you're going to stay there forever? Do you think you're going to leave?

Unknown Speaker 29:10
Well, I'm a junior in high school. So I've been thinking about college a while I'm not. I'm very indecisive. So I'm not exactly sure where I'm going to go. But I know that I'll definitely leave the island. Okay. Well, you're

Nicole 29:23
the same age as artists like Arden is going to be 17 in a couple of months. And she's a junior in high school, too. Like she wants to go to college in New York. So she's bugging out of here as soon as she can, I think but but my point is, is that she can do that. Like she can just say I'm going to go to New York and then get on a train or in a car and then eventually be in New York. Whereas I don't know if I make Am I making more of this than it is Do you not think of yourselves as living in a remote place?

Unknown Speaker 29:50
I mean, we do but also it's it's really like common for people to just like hop on a plane and go to like, like some people Like hop on a plane and go to Miami for the weekend if we have like a three day weekend, because it's like, it's it's like an hour flight and it's it's not really a big deal. People don't really like, take a boat off the island because Jason do long but I mean,

Nicole 30:15
I'm looking at a map. Obviously Florida is like you just you're just you're hopping over Cuba and you're in Florida. And that's that. Where do you vacation? Yeah, it's about one hour about one hour, Nicole, okay. Because you understand, like, when I go on vacation, I go to where you live. But what do you do when you live in the place where people vacation? Don't go to

Unknown Speaker 30:40
I guess for my family. For my family, I guess we'd go to

Unknown Speaker 30:49
our other family like my grandparents, my aunt and uncle's because I have family in both the US and in Europe. And then also I've been on like school trips to France and Spain because I have French and Spanish class. And we just like I think Europe is popular. And also America because we do have like quite expensive clothing and things here and people usually save up to go to America just to buy all the clothes and like things that they need instead of in Kamen, because it's usually cheaper to buy as many clothes as you want in America than in Cayman

Nicole 31:35
are more expensive on the island.

Unknown Speaker 31:37
Yeah, prices can be redeemed. Here. It's because everything has to be shipped. We don't really, like it's such a small island. We don't really have like the proper soil to actually grow things here. Or, like we can't really raise livestock so everything gets imported, like all of our stuff. So you can't really like you can kind of stop by farmer's markets, but it's going to be stuff like you're going to get some fresh coconut water instead of like getting some pick strawberries. Okay. Yeah, the Yeah, we do have a few local things, but it's only like mango coconuts. I don't know that's there's only a few

Unknown Speaker 32:19
the mangoes are really good here though. I

Nicole 32:20
would imagine they are. did do you think of my I got bored and left?

Unknown Speaker 32:25
I think I think she's trying to get by she's trying to get back on.

Nicole 32:28
She said she got kicked out. Not by me. She's Hold on. I'm gonna let her back in. Okay, so your island is so small that on the analytics for the podcast, it doesn't even it's not even listed. Like said that you guys are listening. Yeah. isn't even being counted. Like at least it's

Unknown Speaker 32:50
most probably like just

Unknown Speaker 32:54
like us three and then like my mom and my mom and maybe Nicole's parents. Probably it.

Nicole 33:01
I welcome back. Can you hear me? Did you have to go to the bathroom? What happened?

Unknown Speaker 33:08
No, I think it kicked me out. I don't know something have with my internet. Gotcha. No

Nicole 33:13
problem. So do you all three, listen to the podcast now. Yeah, I want to know how I'm gonna kind of go through everybody. But I want to I really do want to start with the Maya because you said that your care wasn't really great for the first four years or so? What did that mean? Like a one see wise?

What did that mean? Like a one c wise.

Unknown Speaker 33:54
And I've got all the education was a very well, I mean, I didn't know about carb counting what the doctor basically told us was clear there and put like 14 units for breakfast, 14 units for lunch, 14 units for dinner. Doesn't matter what you eat. That's just what you do. And my own sees. I don't remember very well that they were that I think they were around like 10 or 11 for most of the time. And I remember my parents like asking me at school, like at the end of the day, they were like, I have blood sugar. That'd be like, they are in the two hundreds and three hundreds and they just be like, Oh, my God.

Nicole 34:32
So you got a Dexcom first. So then what did you make adjustments then? Or were you just looking at it going? Oh my God, my blood sugar sucks. Like, what did the Dexcom do for you? Because you didn't have very much education to go with it.

Unknown Speaker 34:47
Um, well what happened is I was the only diabetic on my school back then. And then a new family came and my best friend her little brother was diabetic and so that family basis Time that changed my life because they showed us lots of things as diabetes that we didn't know. And then thanks to them, I later went to a conference. And that's where I got my Dexcom. That's where I learned about like carb counting and all this other stuff about diabetes. I had no idea about

Scott Benner 35:17
was that conference on Ecuador?

Unknown Speaker 35:20
No, it was in Florida. It was. Oh, my God, I'm blanking on the names for life.

Nicole 35:29
You went to France for life. Okay. And then there you learnt? How old were you when that happened? Do you think

Unknown Speaker 35:36
I was about 11?

Nicole 35:38
Were you old enough to get there and think, Oh, my God, we don't know what we're doing. Like, was it weird? to like, hear everything?

Unknown Speaker 35:48
Yeah, like when my best friend when her mother was like seeing how we were handling. She was like, Oh, my God. And then my parents were like, there's no glueless we don't know what's going on. And then we went to the conference, and I saw so many people. And I was like, wow, look, all this technology. It was one of the first times that I had ever heard of the pump. So I didn't know what that was either. And then we my parents asked a bunch of people, they're like, shall we get the pump or the Dexcom? And then most people say, Get Dexcom first, because that's, like better to have when you're just getting started.

Nicole 36:21
You just see everything. That's really kind of incredible. Did you feel like it I guess how long did it take you to get your blood sugar's kind of stabilized? And did you notice feeling different than?

Unknown Speaker 36:35
Um, I think they do. I think it took a couple years after I got that score for me to learn how to have that over. And then I like switched a bunch of doctors to so that helps, okay.

Nicole 36:49
I just told our to add 10 carbs to her last meal, who's using a loop who understands what I just said,

Unknown Speaker 36:54
I'm using me and Nicole are both looping.

Nicole 36:58
So Arden Arden came from Chinese food in tune into nachos today. She has so so we were doing some like major league bolusing coming through the afternoon and everything.

Unknown Speaker 37:16
That's a lot of calculations.

Nicole 37:21
She's like, 135 now and I'm like, cool. Let's fix that. So okay, so now, uh, Maya, how are things like? Do you know you're a one See, how often do you guys go to clinics or doctors and do follow ups?

Unknown Speaker 37:36
About every three months, and my last agency was 6.7. Wow, that's

Nicole 37:41
really good. Congratulations. Thank you. So what do you think the biggest difference is between a 6.7? I can't say in the 10. Because I think the biggest difference is you used insulin, so but what I'm, what really is, like, if I told you, you only could like do one thing a day, like, what's the biggest secret? Do you think?

Unknown Speaker 38:09
Um, I think the biggest secret. And this is kind of what I struggled with going into like middle school and high school is that I would avoid putting in play when I went I like, I'd hear the beeping. And I just shut off and like, put it aside. Because I, this was back when I was using pins. And I didn't want to give myself injections. So then when I got the pump, and I started listening to your podcast, and I learned about like, Pre-Bolus thing. And so when I was like, Okay, I really have to try hard to get my agency down. So I tried really hard and I would make sure that I was always looking at my numbers and not being afraid of being bold with insulin.

Nicole 38:49
Yeah, that's really cool. Okay, Nicole, you seem like you're gonna be the most honest, there's something about like that European side of you where you're like real matter. Am I famous to you?

Unknown Speaker 39:05
I mean,

Unknown Speaker 39:06
I would say yes. Because a lot of people around the world have been like, really appreciate all of your episodes and how much that you tell them.

Nicole 39:20
To you. Like, are you? Is this weird for you? Like beyond the fact Yeah, like an old man and you're not like, Is it weird?

Unknown Speaker 39:30
In my opinion, I think

Unknown Speaker 39:32
it's very cool to have this opportunity.

Nicole 39:35
So whose mom Have I been? Whose name is Amy? Amy's who's my my mom. Okay. She said like, I think there was a little there wasn't confusion, but I think she had at the time was a little confused and so I messaged with her a little bit this week, and she's like they would be heartbroken if this didn't work out. Would you have been heartbroken if this didn't work out or she just being dry.

Unknown Speaker 39:59
probably would have said she was

Unknown Speaker 40:02
Yeah, I probably would have been.

Nicole 40:05
Nicole would have been fine to call. You've got that whole, like, Eastern Bloc thing going on where you just like, whatever if I come my comment if I don't doesn't really matter to me. Like, I'm just kidding. You're fine.

Unknown Speaker 40:17
me you're kind of famous. Okay.

Unknown Speaker 40:20
Yeah. Kyla has

Unknown Speaker 40:22
the longest the longest. Yeah.

Unknown Speaker 40:23
I told like my friends. I was like, yeah, I'm recording a podcast today. They're like,

Unknown Speaker 40:27
Oh my gosh, that's

Unknown Speaker 40:28
so cool. They're like, make sure you mentioned me.

Nicole 40:32
In fairness to your friend, anything is cool, because you're in a very tidy place. Like what?

Unknown Speaker 40:42
opportunity? It's like, it's like a big thing. Everyone knows.

Nicole 40:46
Like, if you said, If you said you were going to ride a ferris wheel, they'd be like, Oh my god, it's like you're going to Mars. Because

Unknown Speaker 40:53
we don't even have like a theme park here. So one time when there was a theme park that came like, during the summer or spring break or something, the whole island knew about it. And everybody went, it's like, news spreads really fast here. Yeah. Something happens at like, one place, like the rest of the island knows within like, ah, like, I don't know, an hour or two. Everyone knows anything ever.

Nicole 41:19
Right? So if I was like, if I, if I was like, hey, like, in your mind right now. Don't say it out loud. But think of a mom, you know, is cheating. You know who it is?

Unknown Speaker 41:32
I guess so. I mean,

Unknown Speaker 41:36
there's a lot of different schools here. And like, every single school has its own, like gossip. And like, everybody knows everything about each other. But you do also know a bunch of people from different schools and you talk to them too. So like, news can spread around through friends or through parents or like, even on Facebook, like everybody that knows each other on this island has each other on Facebook, I would imagine. Yeah. It's like, like, everyone, like we were, I've been to a lot of like sports tournaments, like for basketball, volleyball, like, whatever. They, like, I I walk in. And I know, like everyone, because it's so close. I either know them from like, I know them from just anything, school doing other activities, or from like, youth group at church or whatever it is, like, I just know, you walk in and you know, everyone,

Nicole 42:30
yeah, I would I would really imagine. Okay, so are there other type ones there? And you guys are just the three coolest ones? Or are you like,

Unknown Speaker 42:40
um, that I remember that when I was diagnosed? My doctor said that there was 24 other diabetics on the like, in the entire entirety of the Cayman Islands. And I would have, I would assume that that's increased since then, because that was like five years ago, five ish, so yeah, but I'm not sure if she meant, like, including type two or just type one. Because to be honest, I'm pretty sure like most of them are actually adults. And, like, if there are diabetics, like around teenage we would all know each other. Right? Yeah. So I know, like the three of us. Sorry, there's the three of us that are diabetics that are like, kind of in the boys. Yeah. And there are a couple other boys that are diabetics. There's one that goes to high school, who's I think in it and Nikolas grade? And yeah, yeah. And so yeah, we've I mean, we don't really know him as well, like the three of us have kind of become just closer because different circumstances and

Nicole 43:53
head nod or anything like when you see him, Nikolas he like you and me we have it. Like when you walk by either you don't know each other is just sort of like a

Unknown Speaker 44:03
well, actually, I don't go to the same school yet. I go to a Catholic school and next year, I'll be transferring to the International School. Gotcha.

Nicole 44:15
Okay. All right. What I want to know, hold on a second. This is harder when it's three people I feel less good at this right. Because there's like little roads to go down with each of you, but I don't want to get too far away from any of you. And does that make sense? And plus, it feels wrong to kind of like she's super chatty, and you know, she'll take over so yeah,

Unknown Speaker 44:46
I mean, it probably would,

Nicole 44:47
but we're gonna go we're gonna go to you anyway though, because I am really interested in how someone your age here's like, what's the first episode you heard that made you think I like this and what about it? Did you like

Unknown Speaker 45:00
Fox in the loop house, I was freshman I heard. And I loved it because it was something I'd never heard of. And I knew, like, I was kind of I was in like fifth grade, I was going into middle school. And that was like, I kind of want to, like, do something different. I don't want to I don't want because before that my mom was a teacher. So she didn't have to, like I could go into her classroom every day before lunch, and get and she would give me insulin. And I was like, kind of at that age, going into middle school. And I was like, I want to do this on my own because I, like I don't want to be in middle school, and then take time to have to go to her room. Like to me, I was like, I was like a younger kid. I was like, that's not cool. That's not something people do. And I didn't want to do that. So I listened to your podcast. And I heard about looping. And that was like seeing something that was like, independent. And that also I was like, then my mom could give me a bit more independence. And she would have to worry about me. And because like, I didn't want her to worry. And she obviously didn't want to worry either. And I was like, this is really cool, because then I can convince her to do something that will help me and help her. And it'd be great. And then And then also, like your podcast was was very, it's just it's like it's funny, but also like real. And it's just a good mixture of both. So it's fun to be able to go to I don't know, it's kind of like talking about diabetes, but not in a way where you're thinking about it all the time. So I like that,

Nicole 46:38
like boring and stuff and like doesn't feel like oh, yeah, telling you stuff about things aren't fun, right? It's like an old person telling you fun things about stuff. That's not fun. Now, Nicole, when she comes to you, are you the next one? Does she come to you and go Hey, I found a podcast.

Unknown Speaker 46:55
I don't really know who she told first I guess I kind of just found out because we do meet like so often despite like, all of us not going to the same school except a Maya and Kyla do, but I don't. So I would have thought that like I only saw them once a month or something. But as time has gone by, we're practically seeing each other like, once a week, sometimes twice a week. And yeah, like even like around just like out in the open. We run into each other and like, even like a few weeks ago, I remember just finding a Maya with her other friends. And I was like, Oh, hey,

Unknown Speaker 47:34
how's it going? Is

Nicole 47:35
it weird when she's with people? who aren't the two of you? Are you like I didn't realize you had other friends?

Unknown Speaker 47:41
No, I

Unknown Speaker 47:42
think everybody knows everybody. Like when I met a Maya's friends. And I actually know Carla's friends. through dance. Yeah, we all are just friends. It's just

Nicole 47:53
yeah, it's very, it's super interesting that you guys are like, farther apart in age. Do you think if it wasn't for the diabetes, you wouldn't know each other?

Unknown Speaker 48:00
Probably not. I think that's kind of, well, Nina Maya. So, um, our parents like work together. But then we also met kind of, through babysitting. So we were both babysitting for our school for other teacher kids. And so we met through that, but we kind of had like, I feel like we had a bond because we were both diabetics. And I remember like, this one kid asked who's like what's on your leg? And we're like, oh, there's stickers. And he was like, that doesn't look like a sticker. And you're like, yeah, it's stickers for really cool people.

Unknown Speaker 48:32
And so

Unknown Speaker 48:34
we made a joke out of it, and we became like, friends.

Nicole 48:37
So you bonded over mocking a child who couldn't understand that your pod was 3d. Is that right? Yep. Yeah, is it creepy or funny when something kind of sexual or weird comes up on the podcast and you can hear me getting uncomfortable? And then I say I know there are children listening. My first creepier funny.

Unknown Speaker 49:04
I usually don't think much of it. I just like wave it off and be like, it's just Hi, Nicola. I'd say the same thing.

Nicole 49:13
Yeah, you just go by it. Alright, so. All right, Kyle, is it creepy or funny?

Unknown Speaker 49:18
I mean, I don't know. It's not like it's not funny, but I'm with them. Like, it's like, Okay, and then I can move on?

Unknown Speaker 49:26
I don't know. I wouldn't. I wouldn't.

Unknown Speaker 49:29
I wouldn't say it's like, I don't know.

Nicole 49:33
Like, here's why I'm saying this afternoon. My son's like, why is there something on your calendar late tonight? And I said, Oh, you know, I just talked about you guys and how we had to do it a different time than I usually do it. And he goes, he talked to a bunch of 15 year old girls and I was like, he goes that's weird, man. It's gonna be fun. And he goes now it's pretty weird and he walked away from me. So I was like, I just want to see what you thought because I it happens. It's a very strange thing for me, you want to hear about me for a second? Sure, why not? Normally people make a thing and it, it kind of gravitates towards a group. Like there are not a lot of podcasts that a 13 year old and a 65 year old listen to. Do you know what I mean? The diabetes is like a weird tie together. And, like, I think most people think that parents have kids listen to the show. But that's not true. Like I can see who listens. Like there's as many adults living with type one as there is. Parents, I would say there's probably pure children. But I interviewed a girl a few days ago, you'll hear it in months from now. But she's like, 14, she lives in Russia. And she just found the podcast and loves it. And I was talking to her and I'm like, it's so strange to me that you listen to this guy, just because of her age more than anything else. But I guess the topic is, is binding enough that it really doesn't matter. So like if there was like a Yeah. Does that make sense? Is that right?

Unknown Speaker 51:04
Yeah, I would say that the one good thing about diabetes is it has brought people together and like, I wouldn't have met a Maya if she wouldn't have seen my Freesat leave right on my arm and she wouldn't have said, Oh, is that what I think it is? Like? Are you diabetic, and then I wouldn't have met Kyla, and all of this wouldn't have happened. Yeah. And like I went to a diabetes camp. And it's like the same thing. Like, there are all these people that like I'm really close friends with now, but I would never have met them otherwise, because we live in different parts of the world. Like I live on this tiny little island and they're like, living up in like, I don't know, different places across the US.

Nicole 51:45
Right now. I mean, like Arden's friends seem to like me, but I can't tell. And she's only got like, she's got like a pretty tight friend group. This is interesting. Are are you guys in other friend groups that don't include the other two?

Unknown Speaker 52:00
Yeah,

Unknown Speaker 52:01
I mean, yeah. Or any especially for me since I'm in a different school. Yeah.

Nicole 52:06
Yeah. Any of you in a friend group with one of the other of the three of you that doesn't include the third one. Now, trying to get you into a fight not know.

Unknown Speaker 52:18
I call him a liar. Or they're closer in age. So they have like, friends that are like, Oh, yeah, in their grade, like, I'm the I'm the youngest one. So all of my friends are like, fellow seventh graders.

Nicole 52:32
Well, you're incredibly mature. Like for me? For being 13? You're You're You don't seem any different than Are you guys like in a? In a text chat? Like just a group chat? just the three of you. Yeah, yeah.

Unknown Speaker 52:48
The dead pancreas?

Unknown Speaker 52:49
Yeah.

Nicole 52:51
You know, some people are gonna hear that and say there, your pancreas has other function. It's not dead. It's just not making I don't care. Like listen to the name of our group.

Unknown Speaker 53:07
We found it on Pinterest, because one of our favorite things to do together is actually paint on the pods because, like, we've actually found that we get these small brushes. And we've gotten so good at painting whatever we want on ami pods. That's the thing about ami pods because they have like such a blank canvas and like they don't have tubes. And we were like, why don't we just paint on them? And so that's what happened. Yeah, and we found dead pancreas gang on Pinterest. We were like, We should make that the name of our whatsapp group.

Nicole 53:36
It's possible that I'm contractually obligated to remind you that it's not okay to paint the arm the pots. But between you and I don't worry about it. I think you're okay. I think the FDA says you're not supposed to or something like that. You ever notice if you can get their suntan lotion kind of cracks the plastic, you have to be careful about that. Oh, so

Unknown Speaker 54:00
what we do is we have this sealant so that it's basically just like another layer of plastic ish. So it's kind of like sealing it with glue that dries out and it's waterproof and everything's fine. Like Kyle has had the insulin pump for the longest and she's also painted it for the longest and like nothing related to the paint has gone wrong. It's always just like, the it running out of insulin or something. Normally, you know,

Nicole 54:24
Nikolas, you notice when you started talking about Pinterest that Kylie laughed like you guys were 45 year old Single Ladies with cat. She was

Unknown Speaker 54:34
just

Nicole 54:36
she laughed really hard. Like Please don't tell people we're on Pinterest. Pretty funny. All right. If I said right now who's the cutest boy in school? The same kid pop into your head? Where's it age thing?

Unknown Speaker 54:51
I think yeah.

Unknown Speaker 54:55
I don't know. Okay.

Nicole 54:57
Is there any good

Unknown Speaker 55:00
Like I have, like, you know, a 13 year old bank do which is different from like, a 17 year olds?

Nicole 55:08
What if I said, Who's the biggest jerk at school? Does that?

Unknown Speaker 55:12
We could think of like, a lot of them.

Nicole 55:14
How can he could there be? I mean, there's like 60,000

Unknown Speaker 55:19
I don't know, we know like

Nicole 55:27
flooding your head with people that are not desirable for your situation. What is it? What's in what's a day like with the doesn't include school? Like you're not at the beach constantly, right? Is that where like, visitors go? Or do you guys go there to

Unknown Speaker 55:46
know people? beaches are public? But yeah, like, on the beach a lot? Yeah. I like if you go to a birthday party, it's like, pretty likely, they're going to say like, oh, we'll just hang out on the beach. Or sometimes they'll go to like a hotel restaurant, because which that sounds kind of weird. But um, although like, the really nice hotels here, they have, they have kind of like a beach like area where they have the of cabanas that you can rent out. So people will rent out a cabana for their birthday party or whatever. And it's like normal. You guys

Scott Benner 56:23
need to drive like another example. God, I'm sorry. I didn't know.

Unknown Speaker 56:29
I was thinking like another example is that everybody knows like the same cinema. We all go to this one cinema and this ceiling. And this Yeah, it's this place called command a bay and they have like stores, their restaurants, like people usually go on Saturday and walk around and then see movies. And yeah, you see all your friends around? Yeah,

Nicole 56:52
there's no COVID on your island, right? No, and there hasn't been

Unknown Speaker 56:58
there. I think we

Unknown Speaker 57:02
I think we had 101 cases, you

Nicole 57:04
guys just put those in total water. It's just like it just shoved them into the ocean.

Unknown Speaker 57:09
We made them if you were

Unknown Speaker 57:13
if you had COVID you tested positive then you had to be in quarantine for 14 days. And if you come into our island, you have to be in quarantine for 14 days before you've tested and you're tested on 15th day. And like there's a pretty big, like, it was all over the news. This one girl broke quarantine. There's all over the US News because that never happened. And she was fined 1000s 10s of 1000s of dollars and put in prison. It was a big deal because we're we're COVID free, right? And if someone gets it, they spread it to everyone else and we kind of broke. So yeah, I was pretty serious. Because the way it came here was an Italian man came on a cruise ship and that's how it all started spreading because he went to the hospital. Unfortunately, he passed away and then all the doctors got it and then it spread to the population. But thankfully, it's like pretty much gone for now.

Nicole 58:07
I wish he didn't tell me that he passed away cuz you ruin my joke that I was gonna say. Anyway, most of your problems girls are gonna start with an Italian guy just so you know. Okay. Like any story that starts with I met an Italian guy or I met a guy, let's be perfectly honest, is gonna end with and I was crying at the end. So just be very careful. Okay. parents tell you not like they turned the lights off on him. I

Unknown Speaker 58:33
know. I know.

Unknown Speaker 58:35
Oh, I think they're like automatic or automatic.

Unknown Speaker 58:38
Yeah, wave your hands.

Unknown Speaker 58:42
Okay, yeah, my dad.

Nicole 58:44
Tyler's moved Kyle show me outside. Oh, is it?

Unknown Speaker 58:48
The sun sets at like six? So it's already dark outside? Yeah, look, this is. That's my legs.

Nicole 58:57
Is everybody hoping she trips like me? Or am I the only one thinking this? running around with their laptop? Even? Yeah, it still looks nicer than where I am. Thank you.

Unknown Speaker 59:08
Yeah.

Nicole 59:11
So is it what I was going to ask her earlier is is, is the lack of places to go? Does it feel limiting living there? Or it probably doesn't, but I'm just asking because like, I'm trying to imagine back to when I was your age. Like before I could drive like, Am I can you drive?

Unknown Speaker 59:31
Um, technically, I could get my learner's permit. And I'm trying to convince my parents to let me get that. Why don't they let you

Unknown Speaker 59:42
learn how to drive so you could

Nicole 59:44
so like, before I could drive, I didn't go very far. I went wherever I could walk to or if like somebody's mom like you guys live in a time where like, parents are nice to kids. But when I was young, it didn't work that way. Like no one I knew his parents ever drove us anywhere. Like that was just like they were ignored. Basically like homeless cat, okay, like they just think we'd go to school come home, fend for ourselves for food, get yelled out a little bit, and then go to bed like that was life basically in the 80s for me and most other people, but like now like I see my, my, my daughter's like, friend's parents will come pick them up and date them. So I'm like, why is everybody so nice, but they're very nice now. So you can get around like that. But other than that you're kind of stuck to to where you can walk to and what you can do. So it doesn't matter. I guess if your worlds 29 miles longer. 4000 miles long, right? There's only so far you can go to begin with. Or am I wrong? Yeah.

Unknown Speaker 1:00:37
Well, I mean, there are there really isn't like a place on this island that I haven't been. I've lived here I think I already mentioned I've lived here for eight years. So I've seen a lot of change. There have been things built, but like we don't really have. There aren't really like things really to do except for like the classic like, you can go to the turtle farm or you can go see the sting rays or play with the dolphins or like go to the beach like those are Island things but we don't really like you can't go to the mall on the weekend that doesn't exist here.

Nicole 1:01:12
We don't have malls if you go to a movie, you're all seeing the same movie. Doesn't matter what you want to see. Yeah, right.

Unknown Speaker 1:01:17
Yeah. And we'll get everything like two weeks later. Oh,

Nicole 1:01:21
like, do you get like the big stuff? Do you get like, end game came there? Stuff like that?

Unknown Speaker 1:01:26
Yeah. Oh, yeah. That was very popular. Yeah, let me just get it late. We get it later than like the US. Okay.

Nicole 1:01:33
Yeah. So by the time you're watching it, you're like Robert Downey is gonna die. And you've heard it.

Unknown Speaker 1:01:39
Yeah, one of my teachers actually saw it in the US before she came here. And she was like, if you guys don't shut up, I'm gonna spoil endgame for you.

Nicole 1:01:49
Arden came like she was like banging through the house of the day. She was so mad. Something in one division, one of her friends put on Instagram. Like before, she's like, I can't watch it this early in the day. She was very, I was like, why are you on the internet? She's like, I

Unknown Speaker 1:02:04
don't know.

Nicole 1:02:09
But she's very upset that somebody ruined it for. So do you guys all use the same kind of insulin are there? What do you use different ones?

Unknown Speaker 1:02:18
No, no. I use homologue that's just what I that's just what they had. I was diagnosed in California and that's just what they have.

Nicole 1:02:28
And Nicole, what about you?

Unknown Speaker 1:02:32
Um, so at the hospital, they had like novolog and Nova rapid so I use those especially after like, because my cousin is also diabetic. Me and my dad were like, I mean, my dad's brother and him. Were on the phone like for probably a whole day right after I got diagnosed, just talking and talking. And he was like, Yeah, my son uses Nova rapid so he's like, okay, we'll try Nova rapid. So that's how it all played out?

Nicole 1:03:03
And am I How about you? What do you use?

Unknown Speaker 1:03:07
Um, well, when I was first diagnosed, they put me with a Piedra and Lance's and then there was a time, I think it was like two years after I was diagnosed or something like that, where we couldn't actually find so then sometimes. So that's the first time that we got Hume along. And then when we came to the island, I don't think they have a Phaedra here. So it just stuck with him alone. Okay,

Nicole 1:03:29
I was wondering if there's like one thing that's more readily available. But anyway, how about other diabetes in your family, other type one or other endocrine issues? Like how about you guys? First? Does anybody have hypothyroidism? No, nothing like that.

Unknown Speaker 1:03:47
I have a little bit you got you have an interesting story to tell.

Nicole 1:03:53
My I want to hear I want to hear any story that starts with I got a little hypothyroid.

Unknown Speaker 1:04:00
We have a lot of crazy stories. I

Nicole 1:04:02
don't think that's how it works. But go ahead. By the way, we're just no way. We're finishing this in an hour. Just so let's just keep talking to my What do you got? What about that?

Unknown Speaker 1:04:10
Oh, so I don't I'm not sure how many years? This was. But my doctor, I guess. Yeah, I don't know. We did love tests or something. And she was like, Oh, you have hyperthyroidism. And I have to take this medication. I was like, okay, so I started doing it. And then we got here and my doctor did more blood tests when we first arrived to the island and then she was like, you don't have it. You were taking that medication when you didn't really need to, because apparently, it's a bit like on the low side, but it's not enough for me to be medicated. So I basically the medication that I had was kind of useless.

Nicole 1:04:50
So my I want you to make sure you hear that episode about thyroid disease. Okay, because they'll talk the doctor that's on it. She's going to talk about how some of the Testing levels, what they call in range. It doesn't matter if you have symptoms. So if you have hypothyroid symptoms, but your tests are technically in range, that doesn't matter, you should still take the medication. So, yeah, here's

Unknown Speaker 1:05:14
why do you have anything I never actually had symptoms. They just like, I don't feel anything. Gotcha. So

Nicole 1:05:21
if you ever do though, if you ever feel tired, or, you know, stuff like that your hair starts falling out, or, you know, start looking in weird directions, which is not a symptom of hypothyroidism. But like, if you ever start getting a thyroid, don't let just the numbers dictated always make sure they treat your symptoms. Okay. How about in the family? Does anybody have type one in their family?

Unknown Speaker 1:05:44
Yeah.

Unknown Speaker 1:05:46
Nicole, so you have a I have?

Unknown Speaker 1:05:48
Yeah, I have an older cousin.

Unknown Speaker 1:05:51
We've actually always just known he's been diabetic, because we lived across the street from him and Pennsylvania, where I'm from. And he was like, very, very close, best friends with my older brother, Patrick. And they always like came across the street to our house to play video games. And as a toddler, I just went in there and like, I got to know him. And he's always been really close to us. And so when I got diabetes, we were like, Oh, my gosh, we should talk to them.

Unknown Speaker 1:06:24
We were all like, just like back and forth texting, like, what should we do? What should we do? She's going

Nicole 1:06:30
there trying to help you. It wasn't any help. Because other people some people manage in such, like, vastly different ways. It's sometimes one person's help, you would just be like, like, imagine if a Maya tried to help you five or six years ago, you'd be like, wait, why'd just just take 14 units and have dinner? That's it. You'd be like, No, I don't think. By the way, we'll bleep all this out in the cold but we're in Pennsylvania. Um,

Unknown Speaker 1:06:56
I was born in hospital. Yeah. Are you laughing? Because no, we had a conversation before. This.

Unknown Speaker 1:07:10
We're talking about like, Where were you from? And we all know, but we're, and then she was like, I was born. And then she like we went in. It was Yeah.

Nicole 1:07:18
Cool. Were you born in a manger? By any chance or anything like that? Or?

Unknown Speaker 1:07:22
No, nobody brought you pletely natural or anything?

Unknown Speaker 1:07:26
Yeah.

Nicole 1:07:28
I lived very close to there most of my life. Because I'm from Pennsylvania to I'm from right outside of Philadelphia.

Unknown Speaker 1:07:37
Oh, cool.

Unknown Speaker 1:07:38
I would go to the mall there.

Nicole 1:07:41
Did you go to Franklin Mills mall? Did you

Unknown Speaker 1:07:45
I mean, I was really little, but I have the photos.

Unknown Speaker 1:07:48
Wait a minute, you took pictures. That's exciting.

Unknown Speaker 1:07:54
Like, you know, when there's like the little things you put pennies in and then you ride them as a little kid. And then your parents take photos and they're like,

Nicole 1:08:03
What are you saying? I'm not supposed to be writing those things anymore.

Unknown Speaker 1:08:10
I mean, it's your choice. It's a free country.

Nicole 1:08:13
Country. We'll say. You say you just said a second ago. We have a ton of stories. So if I said to each of you, tell me your weirdest story. That's slamet that's diabetes related. Like Kylie You go first. But would it be?

Unknown Speaker 1:08:32
Um,

Nicole 1:08:34
Was that good?

Unknown Speaker 1:08:36
No. One time in my text at like 2am and it was complete gibberish it didn't like nothing. And

Unknown Speaker 1:08:48
we were all like, what does this mean? And Nicole texted in the morning? She was like, What are you trying to say? And I was like, I don't remember texting you and she was like,

Unknown Speaker 1:08:57
Oh 2am I

Unknown Speaker 1:08:58
was low.

Unknown Speaker 1:09:01
Without knowing it was like he was like, you know the recommended words at the top? Yeah. Like it was like she had clicks them and it was like this

Unknown Speaker 1:09:12
is great.

Nicole 1:09:13
My Do you remember anything about this except the next day?

Unknown Speaker 1:09:17
Yeah, I remember. I remember picking up my phone. When I was low. I was really well I don't know. I was really I remember picking it up but I don't actually remember texting and I remember waking up for school in the morning Allison I texted I was like, What the heck did I send them and I looked at the time was like two o'clock in the morning and then they're going counter like what and I was like, oh shoot guys. I was low. I'm sorry.

Nicole 1:09:42
told me the other day that she calculated her kids carbs then type them into her microwave.

Unknown Speaker 1:09:49
Great.

Nicole 1:09:51
She's like one Wait a minute. All right. So okay, so Maya has drunk texted although I drink You know, nobody's drinking, right? Like, no, we're all being reasonable people. Okay,

Unknown Speaker 1:10:07
the drinking age is 18. Of course, driving and drinking age is 18. You live on a party.

Unknown Speaker 1:10:17
We live on an island where they have a Tortuga rum like factory. Yeah. rum cake is their specialty and like all the tourists come and get it. Yeah.

Nicole 1:10:27
Do they make the rum right on the island?

Unknown Speaker 1:10:30
I think some of it gets made here and some is imported from Jamaica.

Nicole 1:10:35
Gotcha. You are very close to Jamaica, right? Yeah.

Unknown Speaker 1:10:39
Yeah. Alcohol is like, free of duty on planes like,

Nicole 1:10:48
like it would ruin the economy of Cayman Islands if they tax you for the alcohol, right? Yeah. I say, is anyone looking forward to drinking? Or do you think you won't?

Unknown Speaker 1:11:01
Hmm.

Unknown Speaker 1:11:02
I don't think so. I wouldn't drink responsibly if I ever do decide to because you know, diabetes and drinking don't mix.

Nicole 1:11:13
This even though you guys are all under age, but your mom said it was okay that I talked to you. So this is her fault. Really? Is weed more popular with kids now than drinking?

Unknown Speaker 1:11:25
Yeah, no.

Nicole 1:11:28
copping to anything. I've never even heard of weed. I don't know what you're saying right now?

Unknown Speaker 1:11:33
I think I think, I don't know. Well, again, from my viewpoint, as a 13 year old, yes. Because I think this is gonna sound kind of weird, but I think it's a bit more easily accessible to a younger kid than like alcohol would be, which I don't think that's how it should be. But I like that. I think it's easier for a kid to get.

Nicole 1:12:01
Yeah, like if I gave you $20 right now and I said, Go buy weed or alcohol, you and you'll win money. If you bring back one of them. You'd be like I could get Wheaties here.

Unknown Speaker 1:12:11
Ah,

Unknown Speaker 1:12:12
not necessarily. Okay. Not necessarily me. But some people because our islands so small people have like connections. So it's like, there's a guy. Yeah.

Nicole 1:12:23
Well, I first of all, very smart to say not necessarily me. You don't have to answer every question like that. I'm not assuming that you guys are like, like, bake all the time. You look like very reasonable kids. Okay, but I'm just asking you like from a general perspective, if that's the vibe, like it's, like, do people smoke before they drink? Oh,

Unknown Speaker 1:12:43
I think so. Yeah, I would say vape is like very Yeah, like much more common than like regular cigarettes for the youth here. Because like, a lot of older I mean, young adults do make a business of it here and sell it and they get away with it. So and also like at my own school, there has been instances of my classmates vaping in restaurants and yeah, but they also have like our islands pretty safe in general. So nothing I don't think here is really a big problem and like at schools they have like smoke detectors that can detect vapes and and weed and stuff like that and like like they're definitely people because our island so small you can make connections like go to the same guy if you're like a teenage kid you can have them buy you stuff but it's not it's not like as common because our island is like again because our islands also so small like if you do do any of these things someone's gonna everybody will know that Yeah, everyone will know but yeah, but the thing is like the crime light rate the crime rate is actually pretty low compared to other islands.

Unknown Speaker 1:14:01
Yeah, they're all scared and like

Unknown Speaker 1:14:03
Yeah, yeah, like the biggest problem here is probably the amount of car crashes there are everyday honestly because they're everybody hear drives a car like maybe like two cars per family or something. And like on the way to school, you might see a car crash every day and like people aren't really good drivers here are flowing

Nicole 1:14:27
with with cars not a lot of space. And where do you Yeah, are there any highways on the island? No,

Unknown Speaker 1:14:35
there are like I wouldn't call them highways compared to America but we call them highways. Yeah, but yeah, that's how important lane roads but that's the max for Yeah, like we we they just put in like on some of these like really common streets like when I first got here, they were like, one one road each map like it's just like certain things of like, just been put in because I growing. And yeah,

Nicole 1:15:02
Kyla, when you fly back to California, do you go into LA x? Where do you fly into? Yeah,

Unknown Speaker 1:15:07
so you know what usually find? Pardon?

Nicole 1:15:10
I'm just gonna say, you know what the highways look like around la then.

Unknown Speaker 1:15:14
Okay, I lived probably like an hour away from LA. So it was like, I go to I've definitely used to like the LA area and stuff. Okay.

Unknown Speaker 1:15:26
Yeah, good. Yeah, it's like

Unknown Speaker 1:15:30
there has been like so many changes since like, the last few years like, I know since being here like my whole life and the district called West Bay, there's still some roads that like barely a single car can fit through, like, into neighborhoods. And like, you can only go like one way you got to wait for the other car to get out of your way. Now there's like highways that are pretty big for Caymanians and like, it's getting pretty industrialized here pretty quickly.

Nicole 1:15:59
You know, I was just thinking as I was looking at my wife, while Nicole was talking, that my son said, I, my wife's like, is this gonna work having three voices on I was like, it'll work because one person will talk more, one person will take a while to warm up. And a third person will just sit back and it's so interesting to see. Like, are you comfortable with your level of involvement? Are you just like these girls will not shut up. So I have to be quiet like which is sorry, don't be sorry.

Unknown Speaker 1:16:28
To my

Nicole 1:16:30
toes Really? Come on in the last 10 minutes. Like she's warmed up.

Unknown Speaker 1:16:35
When I get to know people I just do.

Nicole 1:16:37
You're not nervous anymore. Kinda hasn't been nervous since she was six. And I want to make sure that I as much as scared that her zooms gonna kick her off again, if she talks. I'm not sure what she's writing about.

Unknown Speaker 1:16:54
Well, I'm used to be Nicole and Kyler pretty crazy. I'd say so myself. This is gonna be a zoom call. And like technology always doesn't work very well. So I knew that they were going to talk over each other. So I just knew in my head that I could just quiet down and that they'd be fine.

Unknown Speaker 1:17:14
Yeah, good. What else?

Unknown Speaker 1:17:16
We also went over the bag before this that, um, I was introverted. I was extroverted.

Unknown Speaker 1:17:24
I'm like an ambivert.

Nicole 1:17:26
You're like the coals right? Where like people hope their kids are. And

Unknown Speaker 1:17:32
I'm like overinvolved over excited over. Like, in your face.

Nicole 1:17:38
Do you ever notice your parents looking at you thinking like, and they have a look on their face? Like, oh my god, she's not gonna stop. Like, or do you think?

Unknown Speaker 1:17:48
I'm

Unknown Speaker 1:17:50
like my family. We're pretty talkative,

Nicole 1:17:53
like the chatty in general, because I'm super chatty, but, but my wife and my son aren't. And Arden is when she's like feeling it. But Arden's also, like when she's quiet, she's quiet. But I talk constantly.

Unknown Speaker 1:18:06
Yeah, like my mom. I would say she's probably a bit more chatty than like my dad. Like, if she sees someone she knows it's gonna be like a while before you leave. And

Unknown Speaker 1:18:19
that's a very polite way of putting it.

Unknown Speaker 1:18:22
But yeah, my dad is my my dad's like, chatty, but he's not as like. chatty is my mom and my eldest brother. He's a senior. He's the quieter one. And then I have a brother in ninth grade.

Nicole 1:18:40
Maybe your brother doesn't have a chance. Maybe he's like, maybe he's like, my, it's just like, I'm never gonna be able to talk.

Unknown Speaker 1:18:46
When he was like younger. He wasn't like fifth grade. He was like so talkative, like, more talkative than me which is hard to believe but

Nicole 1:18:55
and I know what you like the podcast cuz you were probably like, Oh my God, this guy talks more than I did. That's amazing. Do you guys help each other with your blood sugar's ever? Like, do you ever get stuck on something and ask the other one?

Unknown Speaker 1:19:08
Yeah, all the time.

Unknown Speaker 1:19:12
Yeah, like just recently, I only started loop and Kyla helped me through it all pretty much. And uh, Maya's gonna start pretty soon and yeah, we can both help.

Unknown Speaker 1:19:22
Hopefully, I'm trying to convince my parents to like, buy everything, because they're not very convinced that I'm trying to convince them Well,

Nicole 1:19:30
I think Omnipod five is going to be out pretty soon. So you'll be able to get an algorithm right from Omni pod pretty soon. Yeah, so I think there's that if you if your parents are scared of the whole Do It Yourself thing, which I would understand. But if they were then I think you're gonna be able to get one from Omni pod pretty soon. I mean, it's March now. I don't know anything. Officially. I really don't like no one's told me a real date. Although if I'm being honest, I know a lot more than I'm allowed to say. Like, I've signed a lot of non disclosure agreements with a lot of different companies, but but but, but I would say on the part five is gonna be out pretty soon. So maybe you can, you know, but but like, I mean, is it that easy? Like when you guys are together? Do you ever like hold up food and go? Like, how many cars is this?

Unknown Speaker 1:20:20
Sometimes, like one or two each other's houses which it like, as Nicole said, it's like, almost every week, we hang out every weekend, and then you see each other orchestra but will like, one of the moms will say like, Oh, you know, it's 50 carbs or whatever. And then she'll tell us to Pre-Bolus and they all do together, which is kind of fun. But our carb ratios are so different. That it's like

Nicole 1:20:45
they are okay, so Hold on. Let me see if I can figure these out. Alright, so Maya 17. How tall are you?

Unknown Speaker 1:20:53
I am like five, four. I'm actually shorter than Nicole. Nicole. Yeah, I'm the tallest. Right? It's kind of

Nicole 1:21:02
your five four. Nicole. You're like, I mean, are you like?

Unknown Speaker 1:21:07
Like, no, I'm

Unknown Speaker 1:21:08
not really tall. But I mean, I'm 5758 I don't really know. Exactly.

Nicole 1:21:16
Okay. And you're like 5253? Like 533. Okay, so Nicole, I'm gonna start with you. What's your basil rate? Like? 1.1? Point two an hour ish. Right in there. One 1.2?

Unknown Speaker 1:21:29
No, actually, my highest is like 0.95.

Nicole 1:21:33
You're like point nine five. Okay. Gotcha. And how about my, what's your highest Basal rate?

Unknown Speaker 1:21:40
I think it's 0.9. Right now.

Nicole 1:21:43
Do you guys, are you ready to talk about this? You're gonna be able to do this. Did they fluctuate around your periods and stuff like that?

Unknown Speaker 1:21:50
Yeah, I'd say I need more in my period.

Scott Benner 1:21:53
Yeah. Okay. Is it

Unknown Speaker 1:21:55
started my period?

Nicole 1:21:59
bragging, right. She's like, I don't have to be bothered with that.

Unknown Speaker 1:22:05
You're so lucky. You don't?

Unknown Speaker 1:22:08
I'm like a holding out as long as I can. I feel like I'm on borrowed time.

Nicole 1:22:12
Yeah, I don't feel like it's up to you. Exactly. But I hear what you're saying. Like you're holding out as long as you can. Say No, when you notice it? Like, what is the?

Unknown Speaker 1:22:23
No, I'm just like crossing my fingers.

Nicole 1:22:26
Do you see what they're going through with the other two are going through and you're like, Oh, that's gonna happen.

Unknown Speaker 1:22:31
Yeah, and I also know, like, just from, like, relatives and like, I know, I'm gonna, like, I know what I'm gonna get probably like headaches, and I won't so much get the nauseous thing. But like, and so I have a feeling one. Okay, I also wear like, I'm wearing a contact now. And that gives me a headache. And then when I get a headache, it messes with my blood sugar. And so I get it's kind of wack. So I'm nervous for that.

Nicole 1:23:02
You know? Yeah. Today, Arden asked me, she put my hand on her stomach. And she's like, now push. A little more, hold it right there. And I went okay, and she's like, so it doesn't look fun to be a girl is what I'm saying. From the caller, when you look at the other two, and you see that they have other challenges with their insulin around that. Do you could you see patterns? Like are you around them enough to notice or?

Unknown Speaker 1:23:33
Kind of night? Yeah, I mean, not anything really like them? Like they don't really like change? But I'm not.

Nicole 1:23:42
I know, like that, huh? Not to you know, they're very mean, they're very mean to their parents, probably right

Unknown Speaker 1:23:49
away to our parents.

Unknown Speaker 1:23:54
But I noticed like, I noticed, like, both of their blood sugar's I mean, correct me if I'm wrong, but I think they go both kind of higher, and you need different base rates and stuff. So

Nicole 1:24:05
she just had to be more aggressive girls then at that time with boluses and stuff.

Unknown Speaker 1:24:10
Yeah, and I find that like Pre-Bolus saying, like, need more time sometimes depending on the food. Yeah. My

Unknown Speaker 1:24:21
Oh, yeah, I pretty much agree. Like, my whole like, my Basal schedule changes completely. Well, all my periods.

Nicole 1:24:30
And that's it's really crazy that it's, but it's you have to get you have to just make yourself okay with it and just go with I see too many people who are just, they're bothered by it all the time, instead of just saying like, this is how it works. And like, why don't we just be okay with it? Do you think that you guys have a different view of diabetes because you were born in a time with technology? And like, Oh, yeah, how do you think that'll be different for you as you're getting older?

Unknown Speaker 1:25:00
I know like when I was diagnosed, I got to CGM, like three months after I was diagnosed. So that was like, that's really different from like a lot of people. That's not necessarily normal. I was diagnosed in the summer. And then by October break, I had a CGM. And I had a pump by z next summer. So that is like, I know that that isn't necessarily normal. And so I'm always kind of like up on that. Like, I want to be up on the new technology and stuff. So I got four Omnipod, when Omnipod loop came out. I got it really soon afterwards, because I have listened to your podcast, and I really wanted to, like I really wanted to do it, because yeah, it helps a lot. I

Nicole 1:25:49
just want to be clear to people, you're using the Do It Yourself loop algorithm, right? Yes. I my favorite part of this hour, there's a lot of things I'm enjoying. And it's like an hour and a half now. But my favorite thing is that when a question gets asked, um, I get to look at her face like, I'm not gonna get to answer this. But she has an answer.

Unknown Speaker 1:26:10
I'm not looping. So I don't know why.

Nicole 1:26:13
And Nicole has like a bit of a governor on her like she stops for a second. But I think there's nothing that you couldn't pose as a question that Kyla would not have an answer for like a split second. Like really quick, like, what's the best backstreet boy like she has an answer already. Who is it? No. Okay. That's because I picked older but

Unknown Speaker 1:26:33
she's more into the Beatles. Yeah.

Unknown Speaker 1:26:36
diehard Beatles fan?

Scott Benner 1:26:39
Are you really?

Unknown Speaker 1:26:40
Yeah,

Nicole 1:26:40
I am, too. How did that happen? What happens to your parents get you into it?

Unknown Speaker 1:26:44
No, my, my brother, my eldest brother, Jake. He went through a phase of like rock so well, he plays like war instruments or something. And he's really musical and he played he he went through this like rock phase. And then

Unknown Speaker 1:27:00
he introduced me to

Unknown Speaker 1:27:04
the Beatles, and then I became obsessed actually.

Nicole 1:27:07
What does that oh you have the Beatles Beatles? Do you like them more poppy Beatles stuff or the more rock and roll stuff?

Unknown Speaker 1:27:17
Like all of it for

Scott Benner 1:27:20
me love pardon see on a hill or Can't Buy Me Love.

Unknown Speaker 1:27:27
It's hard

Nicole 1:27:28
went really old kind of feeling with filling a hole to see what you would say. Oh,

Unknown Speaker 1:27:32
that's hard.

Unknown Speaker 1:27:33
I don't know. Like for that specific song I would say can't find the love but like, I'm also a big fan of like, some of their older songs like Twist and Shout is one of their older songs as well. And I love that song.

Nicole 1:27:48
That's excellent. Nicole What kind of music do you like?

Unknown Speaker 1:27:52
I also do like but I also recently got into BTS it's a Korean pop band in a minor obsessed with it.

Nicole 1:28:03
Am I is like not just obsessed she's giggling

Unknown Speaker 1:28:07
Yeah, she's known them for way longer

Nicole 1:28:10
Yeah, music that exists what is that the best that exists? BTS

Unknown Speaker 1:28:18
Oh, according to me probably listening to them for a long time and I'm very into this and then Nicole the sudden got into it. So I'm like yeah, now we can obsess about it together.

Nicole 1:28:31
Or no I'm I'm figuring in Maya for no for not liking the Beatles. I'm right, right.

Unknown Speaker 1:28:44
Oh my god.

Unknown Speaker 1:28:47
Well, I do like the Beatles, but I don't like know all their songs. The way Kyla does.

Nicole 1:28:52
Let me make I'm going to make a bet with you guys right now. I won't be alive to collect on the bat. But when you're all 50 you'll still know Beatles music. It'll still be life but you won't remember what BTS was. That's my that's my thought. Or your parents like giving you like Hey, what's going on situation now? They wanted to they Well, it was the

Unknown Speaker 1:29:13
lysiak

Unknown Speaker 1:29:15
they're not turning on I understand. Okay, they're on the coals wandering around.

Nicole 1:29:19
I have the same feeling I had when Khalid walked around. I was like, Oh, I wonder if she'll fall I imagine you guys would just like Kylie would laugh even if she fell but I think if

Unknown Speaker 1:29:31
I would

Scott Benner 1:29:33
if Nicole fell she'd probably die and fall right off

Unknown Speaker 1:29:38
like right over the edge. Oh, the rooms are like right here is this a doorway? I feel like even if

Nicole 1:29:42
she fell on my I would still feel like oh my god. I'm never gonna get to talk while we're doing

Unknown Speaker 1:29:46
Yeah. Like, right Oh

Nicole 1:29:52
yeah, right now like did you break into do this or?

Unknown Speaker 1:29:57
No, um, so since my day As the principal he like has a key. And he has an office there. So it's kind of like, and this is like my second home. So

Unknown Speaker 1:30:07
yeah, I don't really feel here.

Nicole 1:30:11
I gotcha. So you've Alright, so your mom was like the girls need to place with Wi Fi to do this thing you did. I was like, whatever, okay, like something like that.

Unknown Speaker 1:30:19
She was kind of like they're doing it in high school.

Unknown Speaker 1:30:22
And he was like, that's fine.

Nicole 1:30:24
I don't want to hear it. So I'm just gonna say yes to this. Okay. I'm gonna go to my advisor. If there's one thing that you wanted to definitely talk about while you were on today, but we haven't talked about it yet. What would it be?

Unknown Speaker 1:30:43
I think mostly talks about everything that I had in mind. And I didn't really have anything planned out. But I think we've talked about everything.

Nicole 1:30:51
I didn't plan anything, either. Like there was a part of me. I wonder how this is gonna go. Like, I was like, could you imagine if you guys were just like giggling and I was just sitting here going, Oh, my God. I don't know why I did this. But you were really? You guys were terrific. I

Unknown Speaker 1:31:06
know how you feel?

Nicole 1:31:07
No, I feel good about this. Are you kidding me? I'm almost 16 in my head. So this is perfect for me. I would just, I would have abandoned the diabetes stuff a long time ago. And we'd be talking about whether or not it's appropriate to watch the Marvel movies in chronological order in movie order by now. So,

Unknown Speaker 1:31:26
Nicole, Nicole can answer that way.

Unknown Speaker 1:31:29
Oh, yeah.

Unknown Speaker 1:31:31
We've watched all of the movies.

Scott Benner 1:31:33
Do you guys love the Tom Holland boy like my daughter does?

Unknown Speaker 1:31:37
Yeah.

Unknown Speaker 1:31:40
We think he's the best Spider Man.

Nicole 1:31:43
Still one time. That's the one time I didn't wait to be polite to talk. She was like, Yes. 100% It's the Tom Holland. But his other movies. Let's be honest. They suck. Right? He's just Spider Man. Like you didn't watch cherry or anything like that. Right?

Unknown Speaker 1:31:57
I don't know. I don't think of watched his other way.

Nicole 1:32:01
I see what you're saying. I see what you're saying. Nicole, is there anything we didn't talk about that you hoped we would talk about?

Unknown Speaker 1:32:10
Ah, no, we covered a lot. Yeah, anything is? Yeah.

Nicole 1:32:18
Kylie, if I said you and I were going to talk for two more hours, would that be okay?

Unknown Speaker 1:32:23
I can probably do it.

Nicole 1:32:28
I think you absolutely could do. Like, like, Am I it's like, I can go now. This was fun. And then Nicole's, like, you know, she's like, I got excited. And I talked for a while it's pretty much over. But right now, like, I could get like a topic list from Kyle. And I think she would talk forever. Which by the way, I'm not making fun of you because I could do it. So I'm just sitting here the whole time. Arden made sugar cookies. And I am just waiting to get on to eat sugar cookie. Like I'm like, Oh, she's really good at making them. They're like, fluffy, crunchy on the outside and soft on the inside.

Unknown Speaker 1:33:00
We love to bake together. Yeah, some make sugar

Unknown Speaker 1:33:02
cookies and things. Okay. Oh my god. Yes.

Unknown Speaker 1:33:08
Right.

Unknown Speaker 1:33:10
No, one time we tried to make these cookies and I didn't put in enough flour. And they were like, weird.

Unknown Speaker 1:33:21
And it was. It was like grossest thing. It was like it hasn't happened since then.

Nicole 1:33:27
figured it out.

Unknown Speaker 1:33:29
I like it. Yeah.

Nicole 1:33:30
When I make them they end up Really? Like flat. I'm not good at making them. But Arden just makes them. They're amazing. I don't know how she does it. I told her to tell me but she said she wasn't going to. Do you guys hear that? She might on the podcast at some point. Like, is that something as listeners that you're like, Oh, I hope she does this.

Unknown Speaker 1:33:47
Yeah, yeah. Yeah. Okay.

Nicole 1:33:51
I told her earlier, I was like, you know, I bet you if you just popped on and said, my dad can't do this tonight. I'm gonna do it. instead. I was like, I bet you they would like that. And she can't imagine that. Like she doesn't understand. Like, you know what I mean? Like the you know, who she is, is a weird thing for her probably. So. So that's a good question. I guess if, if, if, if I was your father, would you be bothered that there was a podcast about you?

Unknown Speaker 1:34:20
I mean,

Nicole 1:34:23
I think Maya cares, but I want to hear what Nicole says first.

Unknown Speaker 1:34:29
If If I were to listen to it a lot and like, hear the stories from other diabetics and people like you've talked to as well I would kind of want in on it. Like, I want to talk to people like that too. I

Nicole 1:34:41
guess I don't think Arden beyond the fact that she knows I do this. I don't believe she's ever heard it before. It's a weird thing when you're in the middle of it. Like, like, I'm excited that she's gonna come on because I don't even know how it's gonna go.

Unknown Speaker 1:34:56
She should listen to this one as you think

Unknown Speaker 1:34:58
Yeah.

Nicole 1:35:02
She'll be like, leave me alone. And that'll be the end. I think. I think if it if it was the same, it would be the same. Like, I'm not listening to my dad's podcast. Like, it would seem weird. Because I mean, honestly, I'm like, I'm almost like a, like a senior citizen. I'm very close to like collecting like that, like, started getting a check from the government every month. And so, you know, thinking about it this way. Do you listen to other podcasts? Or when it's the thing that mixes people your age? Really? Right? Like you watch a ton of like YouTube videos, right? Not even

Unknown Speaker 1:35:39
Yeah.

Unknown Speaker 1:35:41
Yeah, it's like, well, maybe

Unknown Speaker 1:35:42
like Netflix more Netflix? You guys?

Unknown Speaker 1:35:48
No, no,

Unknown Speaker 1:35:50
not really. You kind of see them like on other social media gets kind of annoying. Yeah. Yeah,

Unknown Speaker 1:35:57
I'm not a bit like, I'm not really big on like social media or anything to begin with. That sounds super geeky, but I'd rather like read Harry Potter.

Nicole 1:36:08
It doesn't sound good here. That sounds great. I'm happy that you would rather do something like that. It is very interesting. The three of you met each other because you seem very close. And your interests are aligned up I think, well beyond diabetes, it seems like it's just very, it's very neat that you guys found each other like this. If another person with diabetes popped up? What would they have to be to be allowed in the group?

Unknown Speaker 1:36:34
I don't know. Just be themselves, you know, get to know us say

Nicole 1:36:38
the right thing to call like, just tell me like, Is there a kind of lead in where you'd be like, I don't know. would have to be a girl.

Unknown Speaker 1:36:49
I get like, I

Unknown Speaker 1:36:53
don't know. I think it would be weird if it was a guy because we're like, That's weird.

Nicole 1:36:59
That was the first time your ages that was the first time your ages popped up. Because Kylie was like, No, no boys. And um, I was like, I don't know, maybe a boy.

Unknown Speaker 1:37:09
I feel like,

Unknown Speaker 1:37:10
I feel like our like, ages would play a factor in that, because we're so different in age that like, who would take it different ways

Nicole 1:37:19
right now, I think. I was just wondering, but so it's possible that another cool kid could come along with diabetes and be allowed into the gang?

Unknown Speaker 1:37:28
I mean, sure.

Nicole 1:37:30
As long as they can

Unknown Speaker 1:37:31
be very picky about it. Yeah, like, as long as they're nice, like, want to be your friends then we can be there.

Nicole 1:37:41
Yeah. Nicole's very nice. Like, I don't know, there's rules.

Unknown Speaker 1:37:47
I feel like we're

Unknown Speaker 1:37:47
already super close that for someone to like kind of jump in. It would feel like almost like,

Unknown Speaker 1:37:53
yeah, there'd be like a

Unknown Speaker 1:37:55
movie. It's different.

Nicole 1:37:57
I watched Yeah, I watched artists type friend group, bring in an X a new person. It took a long time to like, integrate her in to where it felt very, very, very normal. But she but you still, you still know that she's the kid that came into the group last you can see it somehow when they're together. It's very interesting. I think you guys should keep it to three. I like this the way it is. Seriously.

Unknown Speaker 1:38:22
I mean, it's so small. I don't think

Nicole 1:38:26
it'd be great if I got a vote. Like if you met another girl with diabetes, you're like we have to. Scott gets to break the tie here. Like if Nicole's a yes. Amazing. Oh, Kelsey. Yes. Now. Let's see what Scott says first, that'd be amazing. If you get that kind of thing. I don't think you're gonna let me have any real control over your life. Okay, so do I want to come there to vacation?

Unknown Speaker 1:38:46
Yes.

Unknown Speaker 1:38:47
Is it incredible when you can

Nicole 1:38:50
get expensive? Yeah. Like I say last one coin. Pardon? I gotta save some real money up to get there.

Unknown Speaker 1:39:02
Um, I wouldn't necessarily say like, you're gonna have to save up a ton of money but like our island just for like some

Unknown Speaker 1:39:10
perspective. I

Unknown Speaker 1:39:11
guess. It's ranked always next to like Switzerland. Oh, really? Like just above Switzerland. So yeah.

Nicole 1:39:18
Are you girls like rich and I don't realize that what's going on here?

Unknown Speaker 1:39:23
I mean, really,

Unknown Speaker 1:39:25
I would say like, sorry, you go, No, no, go ahead.

Unknown Speaker 1:39:32
I guess the wages here probably also different because like, depending on how much you get paid is probably how expensive things are and like it differs and

Unknown Speaker 1:39:41
also like people

Unknown Speaker 1:39:42
don't really like immediately go to buy clothes here. It's usually like Oh, you want to go to get like lobster at this restaurant instead of just go to get past or something because like, food is a lot more like I want to spend money on food instead of like clothing or You could just go to America or something. Yeah. What's also good? Oh, well, I was just gonna say our islands also a tax haven. We don't have taxes here. So that kind of contributes to the the richer, I guess, a general population.

Nicole 1:40:19
Yeah, I mean, I knew that which is why I tease the Maya about her dad being a gun runner. I mean, earlier, that is what I was saying is that, and she hasn't been. Have you noticed? You guys worry? Is it really funny? Because dad like this very nice, man. And you're just like, this is got nothing to do with who he is. Or

Unknown Speaker 1:40:37
he's super nice. Nice. Yeah, he's

Unknown Speaker 1:40:39
cute. Yeah.

Nicole 1:40:42
That's all I would. I'm just I only know what I know from 1980s action films, so you can't really hold me accountable for anything that I say. That's how I say this. Alright, so what would be? We're gonna say goodbye, but you guys are happy with us?

Unknown Speaker 1:41:00
Yeah,

Unknown Speaker 1:41:02
you think so?

Unknown Speaker 1:41:03
definite? Yes. Good.

Nicole 1:41:05
So everything like I don't I feel like I don't want to let you down now because I knew you would be excited. Like, I feel like I let you down. No,

Unknown Speaker 1:41:15
I'm really nervous for it. I was kind of nervous to

Nicole 1:41:19
wait. Kylie, you were nervous. When Nicole, Kyle was I Was she a she talking more or less Nicole than she usually does right now. We're the same

Unknown Speaker 1:41:32
honestly.

Unknown Speaker 1:41:39
He does so many plays. Right? She knows how to handle her nerves. And she does it. Like, slightly less like this is her normal level. This is her like,

Unknown Speaker 1:41:48
I'm on recording and stage level. You know,

Nicole 1:41:52
we've learned that you were dialing it back today. Just slightly. Behind you got a that's not probably good. Okay. And then, um, I like you. Have you been nervous the whole time.

Unknown Speaker 1:42:05
I get nervous pretty easily. I'm not really good at like talking on the camera. But talking about like diabetes in our life is making me pretty comfortable. pretty comfortable. And

Nicole 1:42:15
for the record, your father is not a gun runner. Is that right?

Unknown Speaker 1:42:20
He's a Spanish teacher.

Nicole 1:42:21
But let's be honest, if he was do you think he would tell you? Where do you think he'll be a Spanish teacher?

Unknown Speaker 1:42:31
I said I'm saying

Unknown Speaker 1:42:34
my brother's teachers. Okay, what are

Nicole 1:42:37
your brother's teachers? Hey, you can know Spanish and break a law by the way. And Nicole's? Nicole, you were you were nervous. But you weren't into it. Right? You were okay now?

Unknown Speaker 1:42:48
Yeah, I'd say so. Yeah.

Nicole 1:42:50
It's gonna be possible that like five years from now, I might keep the podcast going forever. Just so five years from now the three of you can do this again. Because I think that probably interest Yeah.

Unknown Speaker 1:43:03
Like, I'm gonna be like this quiet low.

Unknown Speaker 1:43:08
That'd be hilarious.

Nicole 1:43:09
No, you won't. Like what? I've learned one thing tonight for sure. I know. You're not going to be a quiet little thing five years from now that I figured out Okay. Anything we didn't say? Are we good?

Unknown Speaker 1:43:22
We're good.

Nicole 1:43:23
Excellent. This is very cool. It's your mom

Unknown Speaker 1:43:25
that we love your podcast?

Nicole 1:43:26
Pardon? Wait, am I was saying something nice about me. Quiet down. Say it again.

Unknown Speaker 1:43:34
We really love your podcast.

Nicole 1:43:36
Thank you. Yeah, I am to be super sincere. I'm incredibly touched that you guys listen to it, and that it's helpful to you at all. It really is very strange for me to sit here and think that they're three of you even met each other but that you met each other and listen to this thing that I do so far away from where you are, and then it's helpful to you is it's kind of overwhelming if I talked about it for real, I'd get really sappy. So I don't want to do that. But it's really very gratifying that you like it and that it's valuable. So thank you very much for saying that. And Maya for being the only one to think to say you're now my favorite just so you know that over the other two heads. Do you want me to rank you in the in the the way I like you or? No, that was?

Unknown Speaker 1:44:29
I think it would be a Maya Nicole me.

Scott Benner 1:44:31
Why do you think

Unknown Speaker 1:44:34
too much?

Unknown Speaker 1:44:36
I know about myself like if

Unknown Speaker 1:44:40
I pretend that it's not like I know I talked to you.

Nicole 1:44:43
Don't talk too much. This is a podcast if nobody talked it would be horrible. And I and I don't have an order that I like you. And I think the three of you were actually really delightful and together you're you're kind of amazing. So I'm super happy that you met each other Hold on tight to each other. Don't want to Let like dating get in between you. Okay? And look out. Seriously, can you look out for each other?

Unknown Speaker 1:45:09
Yeah, yeah.

Nicole 1:45:11
Nicole is the tallest so we'll make her the muscle like Nicola some shit down. Could you take care of it? Or what do you think? Can you throw some hands or

Unknown Speaker 1:45:25
they both play basketball. And I'm more like,

Unknown Speaker 1:45:30
volleyball and i don't i don't have really good.

Nicole 1:45:34
You play basketball. Do they bring the neck down for you?

Unknown Speaker 1:45:38
Well, I play basketball and volleyball and like, we use the same net

Nicole 1:45:46
that I am just using you because I'm short. In volleyball. You have to play the back line though. Right? You're in the back line.

Unknown Speaker 1:45:55
Actually. Yeah,

Unknown Speaker 1:45:59
like an inch taller than me. So,

Nicole 1:46:02
ball in volleyball, right? They let you play. You get to use your hands and everything, right?

Unknown Speaker 1:46:07
Yeah.

Nicole 1:46:09
I love Kylie. The one thing that's interesting about you is you're a little too young for my sarcasm. It misses you a little bit. It's interesting. I enjoy it. Maya gets it but she can't bring herself to say anything. And Nicole says having way too good of a time. I don't know what's happening. I'm having a hard time saying goodbye to you, girl. Alright. Thank you very much. Hey, girl, thank you so much for coming on the show and sharing your experiences with everyone. If you guys want to see a photo that the girls took together, after they were done recording, it's at Juicebox Podcast calm on the page. For this specific episode. They sent me a group photo and their blood sugars, which I found heartwarming. And you'll see why when you see the picture. I reminded you at the beginning about the T one D exchange. I'm going to do it again here. T one d exchange.org. forward slash juicebox. type one adults type one caregivers who are us residents head over take the survey. It does not take long. It is not incredibly personal. The information is not like it's like oh that was Billy like it's not like that. It's there just general questions that go a long way towards helping people with type one and it benefits the podcast T one d exchange.org. forward slash juicebox. And even though there were no sponsors on today's show, why not just say this, I love the sponsors the Dexcom g sex the Contour Next One blood glucose meter, the Omni pod tubeless insulin pump, g voeg hypo pen and touched by type one. There are links to all the sponsors right on the front page of Juicebox Podcast comm if you ever need the world's greatest CGM, the best blood sugar meter I've ever used the bomb diggity in insulin pumps, the glucagon that my daughter carries or support for people with type one diabetes, you go to Juicebox Podcast comm scroll down to sponsors and click there. I'm not saying you have to go check out meters but if you're going to support the podcast, that's all understand and Omni pod is doing like a free 30 day trial of the anomaly pod dash. You have to find out if you're eligible but it's worth checking out at Omni pod comm forward slash juicebox contours got a test trip saving program and I think some people are eligible for free meters that's Contour Next One comm Ford slash juice box you can get started with the Dexcom G six@dexcom.com Ford slash Juicebox Podcast check out the glucagon that my daughter carries g Vogue glucagon comm forward slash juice box and of course touched by type one is out there helping people with type one diabetes, and they're touched by type one.org. And on Facebook, and Instagram. The diabetes pro tip episodes are right there in your podcast player or at diabetes pro tip comm links to everything are in the show notes of your podcast player. Thanks so much for leaving amazing reviews for the show where you listen, thank you for rating the show, given it the five stars and then leaving some amazing words. That's huge. Of course, the thing that helps the show the most is when you share it with other people. So anytime you've told another person Hey, check out the Juicebox Podcast. That goes a long way. And I really appreciate it. For those of you who are looking for more in person, community you can check out the Facebook page for the show. It's private, and you can feel comfortable talking in there. Juicebox Podcast Type One Diabetes on Facebook. There's a bold with insulin page. That's the public page but the private page is called Juicebox Podcast Alright, that's it. It's Friday I'm going outside. I have a bush to replace bought a bush last year and it died. Just like turn brown and it's gone. So I'm replacing it. Now you know my excitement. I hope you have a good weekend as well.

---

Please support the sponsors

The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here. Recent donations were used to pay for podcast hosting fees. Thank you to all who have sent 5, 10 and 20 dollars!

Donate