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Podcast Episodes

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

Filtering by Category: Thyroid

#425 Wine, Beans, Babies and Q

Scott Benner

Dr. Q to the Rescue!

Jill was diagnosed with type 1 diabetes as an adult. She is delightful and this story is crazy.

You can always listen to the Juicebox Podcast here but the cool kids use: Apple Podcasts/iOS - Spotify - Amazon MusicGoogle Play/Android - iHeart Radio -  Radio PublicAmazon Alexa or 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
Friends Hello, should I welcome you to Episode 425? Should I say this is the beginning of season seven? Or should I wish you a Happy 2021? Yeah, who cares? This episode of The Juicebox Podcast is sponsored by Omni pod Dexcom and touched by type one. Find out more about the sponsors at Juicebox Podcast comm we're right there in the show notes of your podcast player. And of course, you can always type my omnipod.com forward slash juice box dexcom.com forward slash juice box or touched by type one.org in any browser that you have at your fingertips.

I've taken a couple of weeks off to celebrate the holiday with my family. And I'm back at it. You might not have noticed, because you know, I made sure that the podcast kept coming. But I am refreshed. I'm enthusiastic. I am happy to be out of 2020. And I have for you today an absolutely astounding story from a type one named Jill. You're going to love it. It's got intrigue and twists and turns. There's babies and odd diagnoses. There's even wine.

Jill 1:41
I never wear headphones. I feel like I'm yelling right now. Like, am I talking loud? Am I talking quiet?

Scott Benner 1:47
You're perfect. Just do what you're doing? Do you feel like you can hear your own voice? Or no,

Jill 1:53
I'm wearing like noise cancelling headphones. That's all we had. So it just feels like I don't know what my volume is. But if you say it's fine, then I'll just keep on going.

Scott Benner 2:02
We're terrific. Sounds great. Don't think about anything, we're gonna start right away. I'm super excited to talk to you tell people your name.

Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making changes to your health care plan. or becoming bold with insulin. We're gonna do a little thing here in 2021, kind of a book club I'm going to tell you about at the end of the episode, but basically, if you go, I don't want to give it all away here. But we're gonna go over the pro tip episodes and then have live chats about them if you'd like to be involved. There. That was a simple way of saying it. Let's listen to this. And I'll tell you about that.

Jill 2:53
My name is Jill Woodruff.

Scott Benner 2:56
Good, perfect. And Jill has such a great story. Like it's fascinating. This is gonna be early, mid 2019. You and I mean, is that right? Yep. Okay, tell people what happened to you.

Jill 3:12
Um, so I was sick for a little while, but I didn't really know I was sick. And then in January,

Unknown Speaker 3:21
I

Jill 3:22
went to urgent care for a yeast infection. And I was like, why do I have a yeast infection? I haven't had that since I was, you know, very young. And I don't know why I would have that. You know, so I I went to urgent care. And they did a pee test. In the pee test. Of course, the urgent care doctor came back and was like, you have a lot of sugar in your pee. And I was like, Okay, I don't know what that means. You should

Scott Benner 3:45
have said of course I do. I'm baking bread and my vagina.

Jill 3:48
Right. I was like, Okay, well, great. Like I'm it's super uncomfortable. Can we just get this over with?

Unknown Speaker 3:54
Yeah, yeah. The fun conversation, Joe.

Jill 3:58
Yeah, he just wanted to run some tests. I'm like, okay, so he goes, and then he comes back and just was like, you know, dropped. It was just like, yeah, you're, you're diabetic. And that was just like, totally out of left field. Because I just went in for something. I thought was just like, another simp. You know, like a woman thing. Just simple. Give me the antibiotics. So we can be done with this. And ended up being like a whole whole thing. Yeah, no

Scott Benner 4:22
kidding. So then do you go right to your primary care doctor, or what do you do then?

Jill 4:27
So I'm really irresponsible. I'm gonna say it's because I'm a millennial, but maybe that's not it. So at the time, I had just turned 30 like two weeks prior. And I feel like I just didn't have like a primary care doctor. I always had Kaiser Permanente, whatever they were before, I can't remember the name, but I always had that kind of doctor. We just kind of go in if you had something, you would see whoever was available. So I didn't have anyone that I had established care with. So I just had an urgent care doctor, I didn't ever really have a real doctor air quotes, right?

Scott Benner 5:05
Because whoever came out from behind the curtain when you were there,

Jill 5:07
yeah. And I didn't really have any health issues before. So I just went in when I had the flu, or you know, for little things, but I didn't have a regular doctor. So this stranger kind of dropped the ball on me. And I was like, Oh, this is why grown up. Like having like an a primary care physician that they know in case something happens,

Scott Benner 5:28
the tiniest bit of like, I know this person while they're telling you things. Well, you know, last week, I had a pinched nerve in my shoulder. And I didn't go to my doctor, I went to a urgent care too, because all I really wanted was like a muscle relaxer, because I was like, my shoulder was spasming. And I was like, I just need this to stop. Yeah, I would have called my doctor, he would have been like, yeah, we can see you in like, maybe 10 days. And you know, it's like, right,

Jill 5:52
it's a whole thing.

Scott Benner 5:54
I can drive up the street, there's a man with a prescription pad and the whole thing's legal. So yep. Now, so, okay, well, you have what was your understanding of diabetes, leaving urgent care?

Jill 6:07
Oh, no, no understanding. So, um, I do want to be clear, like, I'm not blaming my doctors, because now I do kind of understand. You know, like, not everybody's a specialist in diabetes. When I went in, my understanding was, you're a professional, you went to college, you should be giving me obviously, all the information about what you've just told me. I left in total shock. I was like, Okay, I have no idea what to do. He told me to make an appointment with a primary care physician to follow up, and I'm like, okay, I don't have one of those. So I guess I'll just pick someone on this list at this facility. Here wrote me a prescription for Metformin. They had just, they had diagnosed me as type two because of my age. And wrote me a prescription for the Lancet and like the finger prick or whatever. And that's kind of it. I didn't have any information about what to do with any of it. I remember I went to Target to fill my prescription in a total days, because I was like, What is happening? Like, what am I even going to do with this? And I remember, the pharmacist was asking me like, which, I'm sorry, what's the fingerprick are called,

Scott Benner 7:27
like the lance.

Jill 7:29
The Lance is out, as I call it, a finger picker

Unknown Speaker 7:32
was very sophisticated.

Scott Benner 7:33
You know what it is, when you're reaching for it? I think you're fine.

Jill 7:37
You know, there's different brands. And I remember the pharmacist asked me like, which, which brand was it that the doctor needed you to get? And I was like, I just looked at her. I was like, I don't know, what did what does the prescription? I have no idea. I know as much. I know, way less than you. Right? I was just so frustrated. And I just came home and I was like, What do I even do with any of this? I don't know. I don't even know how to prick my finger like am I supposed to? I had no information at all. So that was really frustrating. I ended up YouTubing. How to do it. Wow. It was just so dramatic. Because also like, I don't like pain. I've never I'm not like a tough cookie about anything. You know, if I am hurting, I'm hurting. And so even just a simple thing, like pricking my finger was just a whole ordeal. I remember hours in the kitchen, pacing back and forth, and now like cracks me up, because it's like nothing, but I remember just like, holding my breath before I would, you know, stick my stick my little finger and get the blood out. And there was just this whole 30 year old woman and I remember just feeling so embarrassed that it was so hard.

Scott Benner 8:51
Oh my god, I so far. All I can think of is that everything I've thought to call this episode is too wordy. But Joe can't pick a prick was one of them. You know, Joe's cookie isn't tough, you know? Or, you know, and you didn't even tell us if he gave you medicine for the yeast infection, which I'm still wondering about I don't even know why. Just like what about the vagina? Is that thing okay to like, What's going on there? Did you Did he at least give you something for that?

Jill 9:20
So apparently, yes. Apparently that was like not a big problem. But apparently he said that. Because of all the sugar. Obviously like that can trigger a yeast infection. I told you like I'm, I was so confused that I even had it in the first place. Like I think I've had one maybe once in my youth. And that's it. I was like, What is happening? Why do I have this and it was an aggressive yeast infection. It was horrible.

Scott Benner 9:45
Joe had an aggressive yeast infection.

Jill 9:48
That'll get everybody to listen. But apparently that's a common thing that happens if you have undiagnosed diabetes, you know, you have a lot of people sugar in your blood. And that's it. I don't know, it's all connected with the yeast nonsense. So it was just not a

Unknown Speaker 10:06
not an ideal situation at all. So you're

Scott Benner 10:09
a person who, you know has been healthy thus far, you're you're probably getting into that like really like space where you're like, I'm 30, nothing's ever gonna go wrong with me, I'll never even need a doctor. And then suddenly, somebody is telling you, and I don't even want to say half of what you need to know. They're, they're basically just yelling words at you. So there's no direction long. Here's Metformin. Here's the thing to test your blood sugar with. You have diabetes. See you later.

Jill 10:35
Yeah, and I mean, I also to give more context, no one in my family has diabetes. I know, nobody who has diabetes. So I my understanding of diabetes at that point was, this is something that you get when you are overweight. And that's it, and I'm not overweight, you know, I was I'm five, two, I was 140. Maybe when I went in, which is, you know, five, like average. It just didn't make sense, you know, a why I had it be what I was even supposed to do going forward. And every single doctor that I met after that, because I met many primary care physicians, quote, unquote, who were all like, Oh, wow. But you're not like overweight? You know? Oh, wow.

Unknown Speaker 11:25
How'd you get?

Jill 11:26
Like, why are you asking me that? You're my doctor, you know, was extremely frustrating.

Scott Benner 11:31
You live in the middle of a desert? Like, or where are you like, near civilization? Where do you know?

Jill 11:37
Yeah, I live 30 minutes from Seattle. In the city. I mean, I guess, maybe a little more country than city, but it's I live by a lot of stuff.

Scott Benner 11:48
The expectation that every doctor you bump into, should have no idea what diabetes is.

Jill 11:54
And I just feel like because they thought I was type two. Maybe they have like a very limited understanding of diabetes, like, Oh, it's this epidemic or not? Yeah, epidemic that we see across the country. It's a big deal. I'm sure everybody gets some kind of type two training. But it was just very general, you know, any information that I got? And everything that I had to learn how to do from finger pricking, to inserting my first freestyle Libra, everything I had to YouTube, everything. Nobody showed me how to.

Unknown Speaker 12:34
That's crazy.

Jill 12:35
Absolutely do anything at all. And so I still am a teeny tiny bit bitter about that.

Scott Benner 12:41
Don't worry, we can get it out here. Well, I, I really have to say like, enough people have said it to me over the years, that I'm not stunned when the doctor doesn't get it. But I still am a little like, I try to think about like, what if you went to urgent care and urgent care said, Hey, you have leukemia, and then you walked into a doctor's office said, Hey, Urgent Care says I have leukemia, and the doctor said, That's weird. You're not a blonde. Like, like, what? Like, is that your assessment pattern? Like? Is this what they taught you in school? Like? Yes. Oh, it's fascinating. It really is. Okay, so you had to go to n number of doctors to find one.

Jill 13:23
Yeah, because everyone was just kind of confused. And I don't really know. It kind of is a blur. It was like all a lot of information. I was told to go to a nutritionist right away. I saw two different doctors like mainly, and they kind of were, I think tag teaming with information. Like, I would see one and she was great. And she was super sweet. She reassured me we're gonna figure this out. But she also was like, I have no idea. Like, where to even start with you. I don't know why you're a type two diabetic. It doesn't make sense. You're taking the Metformin and nothing is happening. You know, I was finger sticking like every What do they tell you like three times a day or something? And every time I did it, it was like 300 300 300. And they were like, yeah, we don't know. But you know, don't worry, just keep like eating you need to eat well, and like go to your nutritionist. And I was just so frustrated. Because when I would go on the internet to Google anything, which you should never do when you're sick with anything. You know, everything on the internet says if your blood sugar is higher than 300, you go to the emergency room, like right away. That's that's a problem. And I didn't understand why every doctor would look at my numbers it would be like well, yeah, like just just go home. Like just see if it gets better. Like you just need to eat better. And I am a pretty healthy eater. Um, so I was also frustrated with that because I thought what else can I cut out of my diet? Okay, sugar. Fine. I guess I Don't eat bread anymore. Fine. I was cracking up. Britt like remembering this with my husband because I told him, you know, we're eating all these Christmas cookies just recently. And he was like you remember when you were afraid to eat anything with sugar because I literally would have like a panic attack. If I was brave enough to have like a teeny tiny piece of sugar at this time, the second it went into my body. I just I got so hot, I got super anxious. I just I was like, Oh my gosh, I cannot ever have sugar because I just felt so scared. I didn't understand why every time I would go to the doctor, they'd send me back with no information, just eat better. Yeah. You know, it was just nothing made sense. And I think that was that was like the biggest frustration.

Scott Benner 15:45
Why have a day where I can that I went through that I think I've grown up on here. So I'll I'll go through it quickly. But one day, I had to go to the dentist. And I showed up at the dentist's office and asked to use the bathroom before we started. Then halfway through the procedure. I was like, Can we stop for a second? I have to go to the bathroom. And then so I peed like three times in the in like 90 minutes at the dentist's office. So the dentist grabs me on the way out and says, Hey, I'm concerned, you might have type two diabetes. Now I'm like, it ended up being if you've been listening to the podcast that my iron was really low, and my body was all out of whack and everything but so. But for a day until I could get a doctor's appointment. I thought I might have type two diabetes because somebody said it to me. And I experienced exactly what you're talking about. I couldn't bring myself to eat food because everything felt super scary. Like I can't eat I just didn't eat anything. I just stood there for a day waiting to go to a doctor's appointment.

Jill 16:42
Yep, so that's it. I mean, it's just like this totally crippling food anxiety, of eating at all. I mean, I ate like a bear. That's what you know, my husband was like, remember, when you wouldn't eat any sugar? Like you were just eating like a bear? I would eat nuts and berries. And that's it. Because that's all the all these things on Pinterest. If you look up type two, you know, diets or whatever, say, Oh, you know, like, why would you have to eat berries, number one, like they have so much sugar, but I just ate nothing. I just ate little things here and there. My nutritionist was fine. But you know, another frustration was doctors and the nutritionist all made comments about my ethnicity. I'm Latina. And everybody was like, trying to figure out an answer. And everybody had to say, Oh, well, you know, some ethnicities are more prone to type two, it's probably in your cultural diet. And I heard that so many times, I was like, so irritated because what is my cultural diet? Number one, you'd have not asked me what I eat. Nobody asked me what I eat. Nobody asked me specifically like what my nationality, you know, that I identified with was so bright. I think what was happening was a lot of people were assuming I was Mexican. And I was eating like beans and like what you would get at the Mexican restaurants, you know, and I can only assume that just because of how many people said it in a row. And I was like, what are what are people thinking? But

Scott Benner 18:11
where? Where are you? Where's your family from?

Jill 18:14
My family's from Peru? Okay. All right. Um, and I don't know, I mean, I grew up here. So I don't know that my cultural diet, you know, was really an impact. Just

Scott Benner 18:24
imagine that the doctors in the other room going, Hey, Charo in there probably eats a lot of beans, don't you?

Jill 18:29
Right? Yeah, that's how I felt. I was just like, hmm, I'm not sure where these assumptions are coming from, but because they are professionals. I never said anything. I never brought anything up. I was just like, okay, I believe you when you say that. Certain ethnicities are probably prone to type two. That makes sense to me, whatever. But it wasn't until after that I had time to kind of mold stuff over that. I was like, Huh, well, there's no way they didn't ask me specifically, like what's in your diet?

Scott Benner 18:55
She probably just eats rice and avocados all day? I don't know. It's what I saw at the Mexican restaurant that one time? No, your story is just the first quarter of it here is fantastic. Because this is what I'm trying to tell people all the time. You can't just sit there and nod at your doctor and go Okay, okay. Okay. Okay, and just do whatever they say. Not that you shouldn't listen to them. I'm not saying that. But you have to make sure you have a good one before you start listening. Right. And that's just such a big part of diabetes. It's, it's not uncommon for people to be in the situation that you talked about, and you were just at a real disadvantage, because in all honesty, if your mom and dad didn't send you on your way already knowing who your doctor was, and you just didn't get sick. You were basically a 15 year old in that office that day. Yeah. Right, because it's the story. It reads just like what if I would have sent a 15 year old into a doctor's office to be told they had something that they didn't know about? And On top of that, your blood sugar is over 300 all the time. So you're probably whacked out of your skull, you know, it's probably you're probably like, did you notice a clearing of your mind when your blood sugar finally came down?

Jill 20:13
I think honestly, and I don't know enough about type one. I haven't listened to enough of the podcasts, especially with Jenny. Because I know she has a lot of, I don't know, just like different medical expertise, right? Every time I listen, I'm always like, wow, I need to write all this down. But I don't know enough about it to know how fast a person can become type one, I think that I was. My, my body was probably like, shutting down for a couple years before is what I'm thinking. Because I had a lot of things slowly kind of going wrong.

Unknown Speaker 20:53
Okay,

Jill 20:54
I peed a lot for a while. Like, it wasn't suddenly it was like, two or three years where I was like, Wow, my kidneys just suck. So I feel like I don't know how long my blood sugar was at 300 for for, you know, maybe years and like, I just got used to it. You know, I didn't notice that my mind was foggy. I didn't. I don't feel I mean, maybe now I would. But I didn't feel gross at 300 I felt gross when I was at 90. You know,

Scott Benner 21:22
you're high for a really long time, then.

Jill 21:24
Yeah. And that's what I think like, I don't even know like when, when it started, you know, I think it was a really long descent for me, like a couple years. And then suddenly it came on quickly, like at the end with that yeast infection. But we really think it was a long time coming.

Scott Benner 21:40
your entire life shifted in the last 18 months, two years in a number of different segments. But yeah, so you beat yourself. Yeah, you became an adult about your health. Right away. You were like, Okay, this is happening. And other things happen to which I can't wait to tell people about, but I like that you're stringing it out like this. I feel like you're a good storyteller. This is excellent. really seriously, like when you didn't say the other thing? I was like Jill's good at this. It's time isn't it? to take care of yourself to do the things you know you need? Absolutely, it is. Why don't you go right now to my Omni pod.com forward slash juice box and have Omni pod send you out a free, no obligation demo of the Omni pod to listen. So on top, it'll take you just a couple of brief moments to fill out what they need to know. And before you know it right there in your mailbox will be an omni pod. It's one it's non functioning right? So it's not dangerous. It's just so that you can wear it and feel it. See what it would be like take a shower, go for a walk. Live your life with an omni pod. To see what life with an omni pod may be like, it's incredibly easy to do. It's free. Again, there's no obligation, you might as well try my Omni pod.com forward slash juice box. There's links right there in the show notes of your podcast player. We're at Juicebox Podcast comm if you can't remember them, but I'll probably say them enough that it will stick in your head. And eventually you'll be sending me an email that sounds like this. Oh my god, Scott fine. I tried the Omni pod demo. And it was terrific. And I use it now I get a lot of those emails, yours can be next. So if you're looking to get away from multiple daily injections, or you don't want a pump with that tubing on it, try it on the pod. This is a perfect way to see what you think my omnipod.com forward slash juice box. There are two ways to have diabetes. One is where you can't see what your blood sugar's doing. And in the other way, you're wearing a Dexcom g six continuous glucose monitor. And you can see everything, speed, direction and number in real time, right on your cell phone, that's Android or iPhone, or there's a little receiver like say you're one of the three people that don't have a cell phone, you just get a little receiver, it's fine. No matter what you need to see your numbers on Dexcom will have you covered and covered in a way that you can imagine opening you up to being able to make decisions about insulin and food that takes away the stress and anxiety that using insulin can bring whether you have type one or type two diabetes, the Dexcom g six is for you, in my opinion, head over now dexcom.com forward slash juicebox start picking through. See if you would like to learn more. There's a forum down there if you would like to just tell them a little bit about yourself what kind of diabetes you have, what kind of insurance and the next thing you know, you're on your way. And if you have Medicaid, or you're a United States veteran using the VA for your insurance, I think you might be very happy. With what you find out, and you can start getting those Dexcom alerts when you want them. What do I mean by that? How would you like to know when your blood sugar dips below? 85? I don't know, how would you like to know when it dips below 70 whatever you prefer, that's where you set the alert. Want to know if your blood sugar is rising, so you can use more insulin? do that to my daughter's high alarm is set at 120 yours could be somewhere else, whatever works for you, is what's right dexcom.com forward slash juice box. My Omni pod comm forward slash juice box and don't forget to check out touched by type one touched by type one.org. Or on their Facebook and Instagram pages. Thank you so much for listening to the ads. When you support the advertisers. You're supporting the podcast keeping the podcast free and plentiful. There's a list of all the advertisers right there in the show notes of your podcast player or at Juicebox Podcast comm I am genuinely proud of the companies who sponsor this show. We got a good group.

When do you finally get a handle on all of this? Like when do you get at least a base understanding?

Jill 26:22
So this all happened in January, my month of January was 100% diabetes, of course, I was continuing. I'm a busy lady. I like to travel a lot. I like to do a lot of things with my friends on weekends. And so I wasn't going to stop even though I was dealing with all of this. I we went to Whistler and I had kind of a diabetic episode and that was kind of hard to deal with went to Leavenworth, which is a small German town here. That's kind of a tourist attraction. also had a tiny diabetic episode. I was like, Okay, I don't I'm not really getting this right. This isn't getting better. I can't eat things and enjoy drinking without it being kind of scary. Yeah, maybe I need to find a specialist. There was no way I was getting into an endocrinologist for like six months, there was a huge wait for this one. And I didn't really understand that you could shop for endocrinologist, I was given a referral to an endocrinologist. In January, one endocrinologist, that one was busy for six months apparently. And then that's it never dawned on me not ever having to deal with doctors. Before that I could just shop for people like I could just get on the internet myself and find someone and I just waited. I didn't know. And so it wasn't getting better. In February, I flew to Sonoma with my best friend for a wine weekend. And, of course, the day before we flew out, she and I both got really sick. We both had the flu. And we were like, well screw this like we are not wasting we can't get our money back. So we're just going to take a ton of day quail responsible 30 year olds. And we'll be fine. We're not wasting our weekend in Sonoma. I was so sick. We came back a day early, just because we were both sick. But I had the flu with diabetes, right? And so I kept checking my blood sugar. And I was like What is happening? It's like 400, should I go to the urgent care here in California, like I had no idea what to do. I came back home. I went to Urgent Care here every single day for a week. And the fifth day. I'm not kidding. I went every day. And every day they sent me home and they're like, just keep checking your blood sugar. And the fifth day I was like bawling. And I was like I can't keep coming here. I have a full time job. Like I can't What is wrong with me. And so this one doctor, obviously took pity on me and was like, Okay, I'm gonna figure this out for you. I don't know how we're gonna do it, but I'm gonna call you tomorrow. And so she calls me and says I have a friend who works at this other clinic who might have a contact for you. So it was like this all you know, convoluted, like call this person call this person call this person. But I ended up getting hooked up with an endocrinologist who could see me a little sooner, so I had a month way instead. So February goes by March goes by. I'm still trying to do my best to keep my blood sugar under control. And then in let's see, end of March again and to see this endocrinologist. She's amazing. She reminds me of my mom. She is like a no nonsense. Indian woman who just is direct. So direct. She took like, one look at me and was like you're not type two. Why did they tell you or type two? I was like, I don't know.

Unknown Speaker 29:46
I just want to go drink wine.

Jill 29:48
I don't know. Just fix it. Like, I have no idea. And so she's like, there's no way you're type two. They should have done a blood test on you and she did this blood test and yeah, she Like, yes, look, look at these numbers Jill, like, like, I'm a doctor, look at these numbers. This doesn't make any sense. You're type one, you've been mis diagnosed, you know, you should have never left that Urgent Care without this simple blood test that any doctor can do. And I was like, okay, that doesn't help me.

Scott Benner 30:16
It was like, Listen, I let's be clear for a second. I drank a quill with diabetes and got on a plane, so I could drink more wine than a person should. I'm not you shouldn't be leaving me in charge of these decisions. Jill, were you a huge party girl through your 20s just asking.

Jill 30:33
I'm not a party girl at all. I just am really into wine. And like, we're we can be very bougie about our wine.

Scott Benner 30:40
I just I thought it was fantastic that in the middle of what seemed like a life or death health crisis, you were like, we're still going.

Jill 30:47
I mean, the wine never stops. It's just you know. We're gonna figure it out around the wine.

Scott Benner 30:54
Doctor, while you're considering my diabetes, remember, there's going to be mirlo Okay, like that. Right here? No, but I mean, it's just I guess it really does go to how little you understood about what was happening. Oh, that's that's the kind of the fascinating part. So

Jill 31:09
yeah. So then at least there was the correct diagnosis. Right, then at least she was like, obviously, you're a type one. Your doctors are all idiots. It was basically.

Scott Benner 31:19
So not not to pick your psyche apart too much. But it's interesting that once you found a doctor that was more like a parent, it worked out for you quickly. Yeah.

Jill 31:27
1,000% 1,000%. And I do like attribute the cultural bit a lot because she just, I just don't want to screw up in front of my endo. Like she is the most cutthroat lady. She might not be where I go for like warm and fuzzy, you know, feelings, but she cares about my health in a way that a parent would, you know, yeah, she tells me absolutely. Like, you cannot do these things, XY and Z. And I think that's not for everyone. But that's for me. You know, it worked out really well. I appreciate that. She's honest. And, you know, just gives me the truth. And so, anyway, she diagnosed me type one. She gave me kind of a little plan, but she was like, you need to come back, like in two weeks, for sure. We're gonna get you set up with everything that you need. So I had a physical scheduled with my primary care physician. I go back to her. Between these two weeks. I told her Oh, yeah, I was diagnosed with type one. She was like, oh, okay, great. She obviously didn't know like, what anything about type one, she was just like, Oh, I'm so glad that you have answers. And in that appointment, I had asked like, so my husband and I are like, trying to have kids, we would like to start trying. I have all this medical stuff happening. Like, is it safe for us to start trying? Or should? Should I wait? And I remember, she's just like, Oh, yeah, you're gonna be fine. Like now that you have an endo and everything like, Yeah, go ahead, like, definitely try

Scott Benner 32:56
it. Can I tell you for a second? Also, you're on the pods on the side of insulin? Oh, yeah, sure is. How in that situation where the doctor who couldn't help you, like figure out you had type one diabetes? Did you like consider to ask her another question and take her serious?

Unknown Speaker 33:17
I don't know, okay.

Jill 33:22
I have no idea. I thought she was in charge of like, my general body and the other lady was in charge of just my diabetes. So I was like, okay, she's gonna know, in my physical, for sure. If like, I can have children. I just wasn't equating all these things as like, together. You know, I was just, diabetes was such a thing outside my body that I just wanted to get rid of. Does that make sense? I just was like, okay, someone's handling that over here. Like, I want to continue with my life and keep, keep doing my things and keep staying with my plans. You know, so

Scott Benner 33:53
you didn't think of you kind of thought about diabetes, like a bankruptcy. You're like, Yes, I spent way too much money and can't pay it back. But let's compartmentalize that. But over here. I'm going to send $700 a month to that bill. And I'm still going to pretend that I'm me. And there's nothing going on. Like you were trying to, to, to split the two apart you in the diabetes, right? You weren't letting it merge together. Okay, you're there now though, right.

Unknown Speaker 34:21
I'm,

Scott Benner 34:22
like, you know, you're a person living with diabetes and all that stuff. And you don't know Yeah, no, I don't want people like to be like, you know, Jesus, Porter. It's not learning anything. We're just telling the story. That's all

Jill 34:32
that's right. Along along learning.

Scott Benner 34:36
Okay. Wow, I am still I'm stunned that you asked that doctor if it was okay. It

Jill 34:43
was all kind of happening so fast too. And like I wasn't used to going to doctors, you know, in general. So I was like, okay, every week I'm seeing a nutritionist and then I'm seeing the regular doctor and then I'm seeing this endo and like, somebody's got to have answers. You know, I just wasn't something I wasn't skeptical of doctors, but I was just so desperate to trust somebody to give me good news. I was like, please somebody,

Scott Benner 35:06
I gotta do what I want you to I gotta be honest with you. This is the second story in 2020. I've heard that makes me not want to go to the Seattle area.

Unknown Speaker 35:13
Oh, no.

Scott Benner 35:17
So, okay. All right. So now you have type one diabetes, you have this lovely Indian doctor who's yelling at you the way you need to be all that. And then there's the other doctor who I'm not sure what she does still. And and are you? on? What part do you and I intersect?

Jill 35:36
When did I win that thing? Probably.

Scott Benner 35:39
August. July. Okay. But you, you and I spoke on the phone once.

Jill 35:45
Right, but it was for the prize. It was. Um, so I think you did that. You had a contest in July or August or something like that. And then when I won, I called you, or you called me? Why was that?

Scott Benner 35:59
Oh, part of it was you? Oh, part of the prize was talking to me, which I now hear when I say out loud. Sounds like I'm an assault, but I get what you're saying.

Unknown Speaker 36:09
But that was

Jill 36:11
your expertise. That's all right. It's a great.

Scott Benner 36:14
Honestly, what I just said out loud. I was like, Oh, that sounds douchey. But, but Okay, well, I'm flush now like you are hilarious. So I got it. So we're on the phone. And at that point, are you? Did you get knocked up yet? When is that Parco? Oh, yeah, I

Jill 36:34
got knocked up immediately, right away when my doctor said, Oh, yeah, go ahead and start trying. I was like, dope. We're doing this ran

Scott Benner 36:40
out the door legs first.

Jill 36:42
And then knocked up the next day. I'm not kidding. Like, right away. And by the time that I saw my endo, for the second time. I was already like, a teeny tiny bit late. And I was like, Oh, my also be pregnant. And the way she looked at me.

Scott Benner 36:59
Oh, my gosh, I thought I thought you're gonna say she punched you like,

Jill 37:04
she looked like she wanted to I'm not kidding. She was like, what I was like, well, like, I was told that it was fine. And like this was already in my plan. I'm a teacher. So I really like to stick to my plans. Like a disgusting amount. It just is one of my things. I have a strict itinerary. And this was part of my plans. I did not want to give it up. And so when she looked at me, I was like, Oh, crap. Maybe it wasn't a good idea. And she said, like, you better hope that you're not pregnant. Your diabetes is completely out of control. You were just diagnosed. Forget everything that you've gone through since January, you were just diagnosed two weeks ago, you know, like with a brand new illness, type two and type one are completely different. So you better hope that you're not and I was like, okay, not great. I totally was, of course, right away. So by the time you and I talked, I think I was probably like four months pregnant. Wow.

Scott Benner 38:09
And, and so my recollection of talking with you back then, excuse me, was Hold on a second.

Hello. That'll get cut out Hold on a second. We're all just get lazy and leave it in, it's hard to know

is that I remember going downstairs after we spoke, and I said to my wife, I just talked to the person who won the giveaway. And apparently she's like, was diagnosed with Type One Diabetes and got pregnant. Like, in the same like couple of weeks or something. Like I said, she basically found out she really had type one diabetes, and she was already pregnant. And I don't think things are going great. And my I remember my wife and I were like, Oh, that's I hope that goes okay. And then I kind of started keeping after you on Instagram a little bit. And like following along, and you're just you know, you're adorable. Like you're just like little and like you have a bright smile and a pretty face it gets You're adorable. And so like you always look okay, is what I'm saying. Like, I'm assuming in some of those pictures. You've just thrown up from wine and you're still look adorable. So I can't I can't tell how you're doing from your Instagram. Actually, I guess nobody can tell how anybody's doing from social media. But that's

Unknown Speaker 39:24
Yeah, right.

Scott Benner 39:26
Yeah, right. But then the baby came out. I was like, hey, right on because I assume you understand now that like there's a high likelihood that you would have ended up having a miscarriage if your blood sugar stayed the way they were.

Jill 39:37
Absolutely Yeah. If I hadn't found that endo. I mean, that really was the game changer. Of course, like I had no idea how, how serious it was. I knew it was serious to have diabetes, of course, but like not having any real context or having anybody at all in my life who has had any serious disease, you know, for a long period of time. I just didn't really get it like internally, right. So once I got this endo, and I got the correct diagnosis, and she just kept hammering into me like how serious it was that my blood sugar stay in control. It really all fell into place. I mean, I met her in a, you know, end of March beginning of April ish. And honestly, by June, I was like 100%, I don't want to say in control all the time, but I had a really good handle on like, how to manage the diabetes, because she and her team were phenomenal. I mean, I went to see them every week for probably like four or five weeks, and worked with these diabetes educators who are like Omnipod reps, and I got the Dexcom. And the Omnipod, immediately because I was pregnant. Like immediately, I mean, I think I waited for like three weeks, maybe where I still was finger sticking. And after that I had everything bells and whistles, ready to go. So I really have never experienced a life of diabetes. difficult, if that makes sense, right? Like the beginning part, obviously was difficult, but I didn't know what I was experiencing. So I don't count that. And when I hear all these other stories on the podcasts of people who like, just maybe don't have all the technology or choose not to have the technology or you know, just there's all these things that we get to make diabetes management easier. I didn't really have to deal with that. Because my endo was just like, you're having this, you're having this, put this on your body, I don't care how you feel about it. You need all these things. I've never had to really struggle in that same way, you know, to figure things out, she made it really, really easy to kind of manage my diabetes, and she was checking on me constantly. So the entire pregnancy. I mean, I probably went there every two or three weeks. Yeah. It was really tight control. And I really think that made all the difference.

Scott Benner 42:04
It sounds like she decided to take personal responsibility for your baby being okay. And you know,

Unknown Speaker 42:10
what a wonderful lady, right?

Scott Benner 42:12
You know, it occurred to me just now, while you were talking, I've recorded I mean, I might have recorded close to 500 of these at this point. And yours was the first 30 minute diagnosis story. No, no. But when you really think about it, it really was like, all of that that happened for those months and months and months. That's all part of you figuring out you have type one diabetes, and how many doctors did you have to run into? Like, that is not, that doesn't warm my heart? How many doctors you had to run into before one of them was like you have type one? Like, what? What's going on here?

Jill 42:47
Yeah, the biggest thing was just that I was older, you know, like the I that's the only thing people were looking at, like, Oh, she's 30. So Oh, well, don't forget possibly have type one. You know,

Scott Benner 42:58
don't forget also that your your people eat beans. So, you know, like, whatever. Right? Yeah. Like, seriously, I hear, you know, black patient advocates talk all the time about, you know, people look at my skin and make assumptions about how I take care of myself immediately. Yeah, and so you know, that this is another example of that really, like they see they see you, you know, as your background, and your heritage and your race and and they're just like, oh, obviously, she doesn't eat well, and this is why she has type two diabetes.

Jill 43:29
Yep. I mean, even though I like I said, I wasn't overweight at the time, you know, there's, I told my doctors, like I run every day and like, I work out, you know, I'm not, I'm not super, like slender all the time. That girl likes to eat. Right. But, I mean, I take care of myself. So it was Yeah, it's just I hope that people don't continue to have this problem, where they're told, like, Oh, it's something that you did to cause this, you know,

Scott Benner 43:54
I listen, I would, I would have no ability to look at you and think that you're an unhealthy person. So you know, it's just, you know, until we talk to you and find out about the wine and everything else. We could start thinking

Jill 44:07
that's my one serious vise.

Scott Benner 44:10
Hey, listen, can you tell people right now? How do you hold a bottle and a baby at the same time? What's the balancing act?

Jill 44:15
bottle and a baby? Oh, no problem. Just got to work out a little bit before and

Scott Benner 44:21
that way you can keep the balance. We should probably tell typhus now that you're you don't drink wine while you're caring for your baby at the same time, right. You know,

Jill 44:32
it's nap time.

Scott Benner 44:35
So, how long have you had type one diabetes?

Jill 44:39
So now it's been since April of 2019. So a

Unknown Speaker 44:48
little over a year.

Scott Benner 44:49
Can you tell me what your current a one C is? Are you willing to do that? Yeah, it's

Jill 44:52
I think it was 6.1. Wow, that's amazing. It was you know, in the fives and then of course, my endo was like, that's too low. You need Have a little bit more.

Unknown Speaker 45:01
Did you think it was too low?

Unknown Speaker 45:02
Huh?

Scott Benner 45:03
Were you having lows when it was in the fives?

Jill 45:06
Um, yeah, because I still, I'm still trying to manage like being active. So like, I do work out, I run, I walk. Now I walk a lot more with the baby. And I hike. And so I do tend to get a lot of lows during that, during any of those activities, no matter what I do to prepare. I'm still trying to get, you know, figure that out. So I think that definitely, like increases my chances of having, you know, a lower frequency. But, you know, I guess I just got to eat more.

Scott Benner 45:36
I like talking to you because you are, you're not the person that I imagined in my mind listening to the podcast, because you listen to it more for like the community stuff and hearing people's stories and not for the management stuff. And you know, in my default in my head, that the podcast is about using insulin, and so but I know there are people like you who don't listen to the, to the management stuff, as much as I tell people all the time in the private Facebook group who are very focused on management, usually, that I was like, you guys are a subs, like you're just one like sub set of the listeners. I was like, there are plenty of listeners who don't care about the stuff you care about. It's really interesting how how it gets split like that. But you should try the pro tip episodes, they might help you not get low when you're active.

Jill 46:24
Yeah, I have listened to a lot of them. It's just I was listening to the podcast, I think more frequently, like when I was pregnant, and I had time. And I was really still like trying to manage a lot of things I need to get back into it. But I did take a kind of a break from anything joyful and listening to my own things for a little while here. Because anytime the baby's asleep, I'm like, Okay, what can I get done?

Scott Benner 46:51
Well, what did you what kind of a baby ended up having to end up having a boy type or girl type?

Jill 46:56
I had a boy he is the cutest child in the world. I'm sure a little chunk. Yeah, everything. Everything turned out wonderfully. I mean, it really. I couldn't have asked for a better pregnant experience. And even being diabetic. Like That was my one. My one like difficulty, but I never got sick. You know, I was able to eat pretty much what I wanted to eat. There was there was really nothing difficult. So I feel like that was a in my mind. That was like the universe's trade off. Here you have diabetes, but you're gonna have a really easy pregnancy and delivery.

Scott Benner 47:35
Especially at five to because you're a smaller person. So how big was the baby when it was born?

Jill 47:41
He was like eight pounds and a half.

Scott Benner 47:44
That's a big baby.

Unknown Speaker 47:45
That's what I hear.

Scott Benner 47:48
Listen, it makes it a

Unknown Speaker 47:50
little to me.

Scott Benner 47:52
I know, right? It's, it's crazy how small they are. I am. I don't know, I just I saw a baby picture of my son the other day, you know how, like, I have a widget on my computer and it pops like a picture up like right now I just clicked on it. It's a picture of Arden when she's like a year old. And so they kind of pop up on my desktop once in a while. And then I get all like, sappy and I sit here for a couple months. And I'm like, Oh, look at how small he was. And now Arden's like in this photo just staring at me in this picture, which I can't share with anybody because Arden does not want to be portrayed as a baby on the internet. So, but she's adorable in this in this photo. So I know how you feel. But the busy so how you managing taking care of yourself with the busy? Have you found the split, like you turn into like a real adult out of nowhere. Like you're managing diabetes and a baby and you still work I imagine.

Jill 48:40
Yeah. I mean, I feel like with my health, I totally was a 15 year old, I still am a little bit like I have to that's something that you take for granted if you've always been healthy. So I definitely in that aspect had to, you know, grow up very quickly in that area. But I think everything else I'm, I'm a pretty organized person. Like I said, I'm a teacher. So like, I'm all about checklists, and lesson plans, itineraries and getting things done. So I think that kind of helped also with like diabetes and balancing everything. And luckily, the only I only had issues with diabetes, when he was really, really little like when I was still trying to breastfeed. That was a challenge with blood sugar. I hemorrhaged when I was giving birth. And so that was a problem because it impacted I don't know, it impacted like the iron in my blood or whatever. So that impacted my blood sugar. And then I had some insulin resistance that I had never dealt with that before. Really. a month three and month six postpartum that was annoying, but they really are like little things. It's not really even mentionable. It's like little things. They all went away. And now it's just fine. I mean, luckily, you know, knock on wood, right?

Scott Benner 50:00
Have a terrific attitude like you really do your you've a really kind of joyous personality and you know, a great attitude. So I'm sure that goes a long way to helping you. I hope you'll find out give it away for a week and see if everything doesn't seem all doom and gloomy. All right, but no, but that really is. I've just been waiting for so long to talk to you. Like I remember when I said like, come on the podcast, but let's push it way out into the future because I want you to have some distance from the story so you can tell it that made me anxious. I was like, I would like to record this one now. But I thought it'll go so much better if I push it off a little bit. And I did I make you like I made you push it off like a year. Basically. I was like, pick something way out in the future. And and we'll do it because it's December now and 2020. So it's been oh my gosh, yeah. It's been over a year since we talked on the phone even. Yeah, how old is your son now?

Jill 50:53
He just turned one just like a couple days ago.

Unknown Speaker 50:56
Congratulations. Thanks. It was exciting.

Scott Benner 50:59
Did you have a big party for him?

Jill 51:02
We had we did some drop bys. So I still did like a little brunch thing with all these like treats to go that people could come take and then people came you know, with their masks and just dropped off their gifts. I wanted my gift Scott came and dropped off their gift. And then had some treats to go.

Scott Benner 51:21
I didn't make this baby not to get free stuff.

Unknown Speaker 51:23
Well, hello, this first birthday.

Scott Benner 51:26
Oh, that's very cool. Oh, that's excellent. Good for you. I'm excited for you. And are you teaching virtually? or How do you do?

Unknown Speaker 51:32
I am?

Scott Benner 51:34
So do you, like just put the kid right on your lap and teach her? How do you I have

Jill 51:38
my mom downstairs who just watches him for, you know, a couple hours while I teach. I mean that that's a another thing I think that helps the diabetes go smoothly is that I'm home and I have a lot of control over what I can eat. And I'm sitting in front of the computer. I've been a kindergarten teacher for nine years. And then this year, I switched to first grade so that I could only work in the morning. Okay. And so I have a partner that teaches in the afternoon. And when I was teaching, like live in person with kindergarteners, I mean, I was always low, like, my blood sugar was so annoying to handle because there's 25 people that need you, they need you to tie their shoes, and they need you to help them use the bathroom. And yeah, you know, they can't do this. And this person hit me and this person, all these things, and my blood sugar would be you know, Beeping Beeping Beeping and I'm like, right, okay, I'm gonna get it one second and eat something Hold on. But I'm like running around. And I just, it was so much harder to to manage while I was working. You rarely sit as a kindergarten teacher. Really any teacher, right? You just are not sitting you're walking around helping the kids and talking and making copies and the list is endless. And so I think being home really has helped it be manageable because I'm just sitting in front of the computer interacting with my kids. And if I need to grab something to eat to correct a blood sugar, you know, low I'll just go get it you know, it's not a big deal versus being at school. I can't always do that I have to sometimes wait until lunch or I have to grab a juice really quick is not the best management.

Scott Benner 53:14
So this setup is eliminated a major variability in your blood sugar, which is activity and and not having time to look at yourself. So when you go back eventually you're going to have to find basil rates that are that are different. I would imagine going back to work it live will make your basil needs go down.

Unknown Speaker 53:34
Yeah, probably

Scott Benner 53:36
ardens went way down leaving school. So when Oh, really? Yeah. So I because like, I don't know why exactly. But my, I've been thinking about it more and more. And I think part of it was you get up in the morning, and it's right away, it's that race in the clock, you know, you're like I got to get up and get a shower and do this and get out the door on time or I'll be late. And that whole thing so you, you get feet on the floor, you know huge where your life is just coming at you. And then you're at school and you know you're interacting with people and all that stuff's going on. You know, I don't know if there's any anxiety or stress being in high school for her. But her basil went down from like 1.2 to point nine an hour. Like just coming home from not being at high school. So she she's gonna have like an opposite of you. But you're gonna go back and be an attract meet with little kids again, although your first grade now might be a little better. Maybe they won't hit each other quite as much.

Jill 54:33
This whole pandemic thing, it's just gonna be a kindergarten, kindergarten minds and in bigger bodies. I think

Scott Benner 54:43
the only the kids learned anything in kindergarten this year.

Jill 54:46
I mean, I'm sure they have learned stuff. But the stuff that I think is like why you go to kindergarten is socially you know how to learn how to line up and how to, you know what I mean? Like all those social skills, how to sit at the carpet for a long time, and all this stuff. You physically have to herd cats for basically, as a teacher, they might all be like, at grade level of hope. But I think it's gonna be just as much being on my feet.

Scott Benner 55:11
So funny you say that I recall the first couple of seasons of Cole playing baseball back when he was like, a co star when he was four. But when he really started being on, like, teams when he was six, I remember thinking back then, so much of this is just getting them to stand in a line. Yeah. And then. And then I remember as that kind of like youth baseball time ended, when he was 12. I remember thinking, wow, look, now they say something and they go run over and getting that line took like five years to teach them how to do. It's fascinating.

Unknown Speaker 55:51
And teaching

Scott Benner 55:54
really was what was what was going on. It's like this. There's this whole, just like, Where do you go? Where do you stand? It's funny, you said something earlier, too. That made me think about something I just said on the podcast recently, which is, when Cole was that age, he was a really good, he always has been, and is today a really great outfielder, but he was when he was younger, too. And he described it to me as that he didn't want to let his coach down. And I feel like that's how you feel with your doctors a little bit too. Like you're kind of like in a teacher student or a coach player. situation with her. Does that ring true for you?

Unknown Speaker 56:30
Yeah, for sure. I

Jill 56:31
mean, I, I feel like this is kind of how my mom raised me. But like, if people are spending their time on you, you know, you show them respect by like hearing about what they're talking about, or trying to do what they're obviously teaching you even if you don't like it. And that's kind of how I feel. I'm like, Well, she's trying so hard to teach me things that are useful, then the least I could do is actually try it and listen to her. And there have been some times where I'm like, she doesn't know what she's talking about. I get irritated with like little things. And then I try what she says And I'm like, Oh, look at that it worked. You know, so it just yeah, it is kind of like coaching.

Scott Benner 57:09
You found a good one. It sounds like should she be on my list on the juicebox Doc's list this year. Oh, good endo.

Jill 57:14
I mean, I think she's amazing, personally.

Scott Benner 57:18
Cool. That's excellent. She saved you. It sounds like honestly. Yep.

Jill 57:22
She's amazing. And I even had two years ago, I had a student in my class. He, you know, came in for open house and his parents were popping in and his dad stopped me and was like, hey, you're diabetic? And I was like, Yeah, like not. I was like, Well, how do you even know that? He's like, Oh, yeah, I see your Dexcom. And I was like, Oh, are you diabetic? And he's like, yeah, and he like, shows me his Dexcom, you know, and come to find out, he goes to the same. And oh, and it was just kind of a funny thing. Every time we would see each other, he'd be like, Oh, I have to go see Dr. Q. Today, I'm going to be in trouble. Because you know, X, Y, and Z. And I'm like, Oh, no, I totally feel your pain, you know, and it's just, even. Even just those little interactions, you know, knowing that, like, you have the same endocrinologist, she's like, one of the best in our area. That is just like such a big community piece, you know, too. So the fact that she can she has that presence to tie people together because of how she is.

Scott Benner 58:15
Excellent. That's really terrific. I yeah, I actually go to that link and send me the information when you get a chance. It's juicebox docs.com. Oh, yeah,

Jill 58:25
definitely. And they're the ones that told me about the podcast, actually.

Unknown Speaker 58:29
Really?

Scott Benner 58:31
Well, thank you, Dr. Q. I like Seattle a little better. Look at that. I'm such a cheap horse, you could just easily swim.

Unknown Speaker 58:43
It's not all terrible. I live outside of Seattle. So it's like, you know, all the

Scott Benner 58:48
while I'm just saying didn't those crazy people take a few blocks of Seattle this year? and demons? Oh, yeah. But I mean, just some hippie stuff. That's

Unknown Speaker 58:57
just good. All the good all the good old crew keeping things interesting.

Scott Benner 59:02
I'll tell you from a distance, it seemed pretty crazy. Just they're gone. Now. They're gone. they disperse back to their lives. That's right. Oh, my God. This, this episode is terrific. First of all, you're great. You you I don't even think you needed me. I think I could have gotten on and been like, hey, Jill, tell people what happened to you. And then I could push the mic away and gone and had a sandwich and come back and you wouldn't be talking still. So I appreciate that very much. I'm glad the baby's healthy. Your husband's okay. Everybody's good with everything. Excellent. So I want to say that you are a great example of a quick transition. And the people who have been struggling for a long time. I think they should see you as a real like, a story of like hopefulness because all you all you really did was bump into the right doctor. Find a little bit of information, listen to a podcast. Get a huge Video, and then you're here you are, you have a 6.1 a one C, and you're living your life again, I think that everyone sometimes can believe that it's just such a long process. But the long part of the process is what you described in the beginning. It's the part where you're so. So my point is the process doesn't have to be long, it has to be focused on the right things. And that becomes difficult when you don't know what the right things are. Right, right. Because had you met Dr. Q, on day one, at that urgent care, you wouldn't have this long story and your process to type one diabetes would have felt very quick and easy. So it's not about diabetes takes a long time to figure out. I think it's more about sometimes it takes a long time to find people that can help you with it.

Jill 1:00:53
Yeah, I agree. And, you know, like all of the all of those little things that you mentioned, and like having Instagram and having the Facebook community and all of those things, like, they just add so much to the experience to make it easier. Because all I mean, I can't imagine being a type one diabetic, even 10 years ago, right? Where social media was like a thing, but not how it is now. I mean, there is so much information on how to do, how to manage your diabetes, and how to live your life and how to eat normally. Just at the tip of your fingers. You know, if I ever have something that pops up, I just get on my Instagram. And I'm like, okay, who has this? Let me make a post about it. Let me see if I can tag some people, right. It's just, you have so much more control. And I think finding, finding those little things just to make your life a little bit easier, even though it might feel frustrating at first. I mean, it just makes all the difference, you know, taking taking more control of your own health rather than waiting for doctors to figure stuff out.

Scott Benner 1:01:54
Yeah, well, because as you prove today, you could wait forever if you don't meet the right person. Yep, that's right. No, seriously, you would, you could be dead now if you didn't meet that woman.

Jill 1:02:04
serious. I think that all the time, Scott. I think that all the time. I have so many from January to April. I had a lot of really scary, scary incidents happen. And every time I took back the incident to a person in charge in my mind, I was just at home, you know, they're just like, yeah, that happens when you're diabetic. Now, you know, it just was so ridiculous.

Scott Benner 1:02:27
And now you know, no, it doesn't like that stuff doesn't actually have to happen. Yeah, I mean, at some point you you mixed air travel wine and DK together basically, you know,

Jill 1:02:39
oh, yeah, snowshoe I went snowshoeing all by myself. Which is intense. I had no control over my diabetes. I was like super shaky. I had a very intense low had no idea like that. That was a thing. Like, you know, I was just like, Oh, my blood sugar's low. I'm holding right now. Like, I had no idea what to do. I had nothing holding you know, laugh

Scott Benner 1:03:03
and wanting to say, What is wrong with you?

Unknown Speaker 1:03:07
I just had no information

Jill 1:03:09
I didn't know like, how to connect the dots. You know, I just was not getting anything. You know, all I knew was being high was scary. Yeah, you know, and that's it because for a type two that's the big Yeah, you're scared a big thing was being being high not being low and so it just is just a child. Pretty much

Scott Benner 1:03:30
this really is fascinating because aside of that time when you didn't understand about diabetes decided that time you're reasonably together person sound like it you don't mean like there's nothing about you that says snowshoeing with undiagnosed Type One Diabetes like it you don't seem like that person now. And and I assume you weren't that person outside of this bubble that existed which was a bubble of having diabetes and not knowing

Jill 1:04:00
and right If I had known you know, if I had truly understood all of the dangers I would have never done all the things that I was doing but I just didn't have the information that's it you know, it's just ridiculous.

Scott Benner 1:04:13
So you would tell people keep moving till you find a good doctor, first of all, right? And what other things have you learned that are valuable?

Jill 1:04:23
Oh, just get a community that was that was a game changer, right. Like, again in April when I met Dr. Q's team, one of the girls Monica, who is a diabetes educator and also an omni pod Rep. She is so kind and compassionate. I was like bawling. They were trying to get a Dexcom on me and I like didn't provide consent. They're just like, we need to put this on you. And I was like, I don't want that. I don't know what that is. And they're like, you need to have this on your body. Right? So they put this Dexcom on me. I feel like I'm a horse being branded like did not want anything on my body. didn't know what it was. And she's so sweet. She takes her hands in mind and she's like, everything's gonna be fine. You're gonna go home, you're gonna download the Juicebox Podcast. Okay, what is that called, like, repeat after me, you're also going to get yourself an Instagram, and you're going to get yourself people that also have diabetes. Okay.

Unknown Speaker 1:05:20
Wow.

Jill 1:05:21
I mean, that was the best advice that she could have given me because I was so emotional. And it had been four months of nonsense, right. And I did exactly what she told me. And those were two really simple things that I could control, you know, everything that the doctors are doing, I couldn't control, I just had to trust that they were giving me good advice. But you got to get yourself a community, that Instagram thing, you have to watch other people struggle and fail and get back up again. So that you can learn how to manage your failures, because that's, that's diabetes, you know, you're gonna screw it up sometimes. And you have to get to know your body. And there's no way to do it without watching other people do it.

Scott Benner 1:06:01
I had a guy reach out to me an adult, male, a week ago or so through Instagram. And it just seemed like he had been watching the account my account for so long. And he just finally had the nerve to say like, hello. And he's like, I don't know what to do, I need help. And I looked at his graph, and I was like, Hey, man, If I was you, I'd look at this, and this and this. And he's starting to, like, get control of it. And he should see how happy he is. Just it but but it was his, um, he got over the hump of like, not of not saying anything to anybody just imagining that his blood sugar had to stay in the two hundreds all the time. And I just had never been happier for a person who I've never seen before. Like, he doesn't put his face in his Academy where I don't know him. But I've never been happier for a person that I don't know, because he made this big. You know, he made a big grand gesture for himself. And for him, it was just reaching out to somebody and saying, I don't know what to do that and

Jill 1:07:04
I have found that so many people in this community, of course, your self included, are just so willing to help, you know, like, it's, it's, it's your health, if you're not willing to ask and say, Hey, I need help with this. I don't know, man, it's gonna be a lot harder, you know, and there's so many people out there with the knowledge who are happy to at least point you in the right direction. You know?

Scott Benner 1:07:25
Yeah, no, I've found that for sure. Well, I think we've learned that in this hour. You've talked about a lot of projects, but you only didn't avoid one of them. So the rest of us are pretty good at running from that's all I heard. Also, I have a image of you in a doctor's office, like a like in a horse bridle having a Dexcom put

Jill 1:07:47
on you for that was traumatic.

Scott Benner 1:07:51
I liked it. You were around people now that are just like, yeah, we'll worry about what Joe wants in a minute. He really well, because here's why. And I'll let you go in a minute. I know we're up on time. But it illustrates for me, like when people say about their kids, like, oh, he doesn't really want that. Or she I don't think she would like that. She said she doesn't want that. I'm like, yeah, no one wants that. No way. No one says to themselves, you know, it'd be cool. I'd like to wear an insulin pump. But then you guys run diabetes. You know what I mean? You go Okay, and then my, my thing to people has always been, what other life and death decisions do you let your eight year old make? Like, they're always like, well, it's their body. And I'm like, I get that. I was like, but try it anyway. Because, you know, in a week, they're not going to notice that I wore a G six last week. And the only problems I had with my G six was forgetting where that I had it on. When I was showering. Like that sounds I kept banging into with my hand and going, Oh, I'm wearing that I forgot. Like, and I've worn it on the pod demo. And the same thing happens. You know, a couple days later, you just you don't know what's there anymore.

Unknown Speaker 1:09:09
All right, you just get used to it.

Scott Benner 1:09:10
Yeah. And it's been and listen, people don't have to pump. They don't have to use the CGM. I'm not saying that. But if you're a parent sitting around thinking, Well, I do think this would be really beneficial. But you know, Billy doesn't want it and Billy six years old, maybe, you know, channel your introductory cue and just be like, shut up, Billy.

Jill 1:09:32
Yeah, sorry. Sometimes we have to do things that are hard. You know. That's just that's just how it is. Diabetes is not something to mess around with. You know, and if you have something that's going to make it that much easier, that you are going to kind of forget about I mean, you don't remember that you're wearing and unless you knock it on something and it comes off. Right yeah, I don't. I don't see what the what the weight is for. Those things are game changers because Am

Scott Benner 1:09:57
I Rachel in fairness, if we left this It's up to you, you wouldn't be wearing those things.

Jill 1:10:02
No. And I think I mean, I don't think I'm alone in that if you're an adult, who has lived your whole life without a device on your body, not looking not, you're not gonna want to wear a device. I mean, shocker. You know, like, it's not comfortable to have something stuck on you. At the beginning, people don't always like change, right? It's a that's a big life thing that you have to get used to. And especially as a woman, I think if you know, society pressures have so much to think about what we look like, it is a big mental step to think, Okay, I have to put this on my arm, or I have to put this on my leg or in a place where people could possibly see and ask questions. If you're not at that mental place to want to ask answer questions of people like what is that? It's a big thing to put on. I think if someone had just handed me the Dexcom, and said, Here you go wear it when you are you ready to wear it? I probably would have continued finger sticking for a while, because it's just a big step. And I'm so glad that I'm not still doing that. You know, there's some times that I run out of Dexcom supplies and I'm like, man, I have to go back to the old way. Like, this sucks.

Scott Benner 1:11:08
I remember interviewing Victor Garber. And he said, I have a I think it was a Dexcom around the pub one. I might have been in the party. So I have that it's in a drawer. I can't bring himself to do it. Now. He wears it. whichever one it was I forget which one it was. Now he now he wears it. And so you know, that's not the he's not the first person has told me I have the device. I put it in a drawer. Yeah, yeah. And so I get it. Like, you know, I listen, I remember taking Arden to the Children's Hospital for her first Dexcom insertion. And she said, going in there. I don't want this. And I was sure yeah, I was like, I know you don't. I said, I think it's going to help you. So let's try. And you know, and it's probably been the best decision we've ever made. Yeah, but and I'm not saying forced by the way. I'm not saying force your kids to do something kicking and screaming. But I'm saying there's a way to continue to the conversation. And you know, talk them into doing it at some point just you know, the trying it at the very least. Yep. Yeah. You Joe. Thank you. For for this thank you for basically creating like a two year relationship with me so I could get a cool podcast episode out of you. Because I just knew if we talked last year, this wouldn't have been how this couldn't have gone better, in my opinion. Just what I'm saying. Right. Thank you so much. I'm so happy. What did we name the baby?

Jill 1:12:32
zombie? His name's zavier. But we call him zombie.

Scott Benner 1:12:35
Not Scott. Okay, I got it. That's all you could have just said not Scott. I don't really care what your baby's name is. You understand?

Jill 1:12:43
My baby is adorable and any kind of attention he gets he's getting. I'm still a new mom. Okay. Oh, no,

Scott Benner 1:12:50
it's got to be the most exciting time. It doesn't end. By the way. If you're using my wife as an example, I still think my wife's ovaries twitch when my son his or daughter, like in trouble or sad or upset or anything. I don't think it goes away. Just so you know. You're gonna be tormented by that kid forever. Your mom is somewhere right now. tormented by the things that bother you. Just Oh,

Jill 1:13:12
she's downstairs? Yes. Our bed watching zombies.

Scott Benner 1:13:17
Is the Is he a handful?

Jill 1:13:20
He's becoming a handful right now because he just took his first couple steps. So yeah, he is becoming a little, a little nugget, that's for sure. But nothing I can't handle.

Scott Benner 1:13:33
You just made me think of the first time Arden ran across the room and almost made me cry. Isn't that sounds good? Ah, and she's 16. So just, you know, it's not gonna stop just so you know.

Unknown Speaker 1:13:42
I believe it.

Scott Benner 1:13:44
Thank you so much for doing this. I hope you have a Merry Christmas. I gotta tell you I really like this one. It's probably gonna go up pretty soon. A huge thanks to Joel for coming on the show and telling what I thought was an incredible story. Thanks also to Omni pod makers of the Omni pod tubeless insulin pump for being longtime sponsors, and another longtime sponsor Dexcom, makers of the Dexcom g six continuous glucose monitor. And never forget about touched by type one.org. Learn more about the sponsors and give them a look. My omnipod.com forward slash juicebox dex comm.com forward slash juicebox touched by telepon.org this was a good first show, isn't it? Right? We're starting off 2021 with a vibe that I liked. Let's keep it going.

Okay, so pretty soon, pretty soon, first couple weeks of January, on my Instagram and Facebook pages. I'll be putting up information and it'll basically say this we're gonna and basically here's what we're gonna do. We're gonna figure it out probably one or two episodes of the pro tip series at a time, you'll listen to it in your own time. And then there'll be a scheduled time with a zoom link that you can come and talk about it with a bunch of people. So, like a book club, we're gonna listen to something, then come together and talk about it. I thought that was a nice idea. I ran a pass and people, they seem to like it too. So we're gonna give it a shot. And if it works, we're going to go through the entire pro tip series. If you don't know what I'm talking about when I say pro tip series, there are episodes within the podcast called diabetes pro tip and then an extension of what that episode is about. It begins at Episode 210. with diabetes pro tip newly diagnosed are starting over. And you can see all of those in one place at diabetes pro tip.com. Or you can just scroll back in your podcast player and listen to them there. So if that sounds good to you keep an eye out for the social media. I'm on the Instagram, and Facebook. Let's see on Instagram at Juicebox Podcast on Facebook, the public group is at bold with insulin. The private group is Juicebox Podcast, type one diabetes, the information will be there very soon. I hope you're having a great start to your new year. I am genuinely jacked up about this next season. I can't wait to bring you all the things I have planned out. Oh, and I probably should say because so many people right now are trying to take advantage of others with their Instagram you know I'm a I'm a what was the one thing I saw that cracked me up I can't say are the personal note I am. Anyway, there's a lot of people charging money to get together and private Facebook groups and talk about things or have access to certain content. I do not do that this book club thing is completely free. So you'll never be asked to spend money to listen to this podcast. Keep that in mind. Anyway, I'll get you more details as soon as I have them. I'm looking forward to doing it. I think the first meeting should definitely be in January. And I can't wait for this next season of the podcast. Thank you so much for listening. Thanks for sharing. Thanks for leaving amazing reviews wherever you listen, subscribe in a podcast app and support the advertisers. If you do those things, you make the inside of my heart happy. I'll talk to you soon.


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#424 Kibitz with Jenny

Scott Benner

Scott and Jenny talk about stuff

End of year conversation

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

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

Scott Benner 0:10
Hello, everyone, and welcome to the last episode of season six, the last episode of 2020. This is Episode 424. And did I don't know if it has a title, I just invited Jenny to come on and chit chat with me. And we just talked for a while. It was nice. 2020 actually began with an interview with Jenny. And I thought it would be nice if we ended with one as well. You know if you want to know how prolific 2020 has been for the podcast, that episode with Jenny, that went up on January 2 2020. That was Episode 293. And this is Episode 424. It's pretty crazy. This year is going to end with almost a million and a half downloads. That's just in 2020. So the podcast is taking off. And it's all because of you and how much you share and how much you listen. And I appreciate that. Give me just one second to shout out the sponsors. Although this episode is not sponsored, I fulfilled all of my sponsorships for 2020. But I still want to thank Dexcom Omni pod, the Contour Next One blood glucose meter, g Volk hypo pen and touched by type one. And I don't want to forget to mention the T one v exchange support from the sponsors is why the podcast is able to exist. It's why it's free. It's why it's plentiful. And I think it's why it's good. Sometimes I get emails from people, and they're like, can you please tell the host? And I laugh because I am the What do they call me the I do it all. This podcast is just me. editing, scheduling, recording technical stuff, making backups of the show. It's all a one man show. And it's supported by the ads and the advertisers. So thank you very much all of the great advertisers of the Juicebox Podcast. And a special thanks to all of you who have clicked on the links and check them out. dexcom.com forward slash juicebox learn more about that Dexcom g six continuous glucose monitor. Don't forget, if you're getting your insurance through the United States Veterans Administration, the VA, go check it out. You might be really happy with the coverage you find the Contour Next One blood glucose meter is my favorite blood glucose meter ever. It's the best one Arden's ever used. It's the most accurate, it's the easiest to use. And you can find out more about it at Contour Next one.com forward slash juice box. And of course my daughter has been using an omni pod tubeless insulin pump since she was four. She is in the other room right now 16 years old and still using Omni pod because it is absolutely terrific. On the pod we'll send you a free no obligation demo. And all you have to do is go to my Omni pod comm forward slash juice box to request it. Touched by type one is a fantastic organization doing great things for people living with Type One Diabetes. They're a sponsor of the show. And you can find out more about them at touched by type one.org. And of course, g vo hypo pet. It's the glucagon my daughter Karis. And you can learn more about it at chivo glucagon.com. forward slash juicebox. And if you'd like to take just a few minutes to add meaningful data to great work that's being done for people to type on diabetes, go to T one d exchange.org. forward slash juicebox. You can help support Type One Diabetes Research. It's super easy to do right there from your home. If nothing else, you don't have to go to a doctor. You can actually be part of something p one d exchange.org. forward slash juicebox links in the show notes, links at Juicebox podcast.com, etc, etc, etc. Thanks for listening. Thanks for supporting the show. Here's my conversation with Jenny.

I thought it might be nice if we just had a relaxed conversation. Not about anything specific.

Jennifer Smith, CDE 4:45
Not about anything fun.

Scott Benner 4:47
Yeah, well no, no, we don't have to do any like hardcore diabetes stuff today. So like I said, I'm recording. So like I said to you when we spoke about recording today the very first episode of the season. Season Six was with you. And I and we basically had like a almost individual a little bit. Right. And, and this is gonna be the last episode of 2021. So I thought it would be nice to do the same thing. See? Yeah, right.

Jennifer Smith, CDE 5:15
I agree.

Scott Benner 5:15
Well, I guess we just have to chill out and relax and do something good. Plus, you don't get to hear about, you know, the people who are asking about you all the time. You know? So? No, yeah. So I get the notes. And it's always like, thank you. And at the end, just like don't thank Jenny to it, or on the Facebook page, where, where people, you know, I saw someone yesterday, say, you know, I went to integrate a diabetes to work with Jenny. She wasn't available. So they put me somewhere else. And I said, I think I answered back. And that might be my fault that Jenny doesn't have any room on her calendar. I told somebody recently, how, when you're telling me about emails you get from the podcast, people are like, Oh, your people? And I was like, Yeah, they're just the people listen to the podcast, that there's much your people as they are my people.

Jennifer Smith, CDE 6:06
Right?

Scott Benner 6:08
I don't know. I just wondered 2021 that needed to be wrapped up somehow. So how was your year?

Jennifer Smith, CDE 6:17
My year was, I mean, all around. It was a fine year. I mean, it really was I, you know, nothing major. Thankfully, in our family, we didn't have any, you know, disruptions in any weirdness. But it is what it is. And we made it through and hopefully next year is better. Other ways. Like I really, I think this this year, like everybody sort of missed travel and that kind of stuff, you know, the conferences and things that I was supposed to speak at, and a couple of them. Usually I bring my husband and my guys along with me, and they kind of go and explore the city while I'm stuck inside a freezing cold conference center. So we didn't do that this year. But, you know, hopefully next year, that'll be back on the agenda. Maybe and

Scott Benner 7:09
so I missed my speed here. Yeah, I missed this stuff. I was supposed to speak out. I wish I could have. It would have been nice. My family never offers to come with me. That's one third just like goodbye. I think they're trying to get away from me. And, hey, we don't even have to run away. He's gonna leave this is perfect. But I do, I did miss like that conversation, meeting people. Right, who found the podcast and came out to say hello are watching the faces of people in the audience. As you say something, it clicks in their head, and you can see them think like, Oh, right, why did I never think of that, you know, at this, at this moment, I'm not 100% sure if you stood me up in front of people, if I'd remember any of the things that I used to say, I might have to go back and study up a little bit because it Yeah, I'm not I'm not certain.

Jennifer Smith, CDE 7:56
In fact, I think the travel I don't know if it was the last travel you had to but was literally like March 1, oh, no, I came home from Atlanta was when we were at the jdrf thing in Atlanta together. And that was the last literal travel that I did.

Scott Benner 8:11
Well, the first thing you and I ever did together was the last thing I've ever done. So right,

Unknown Speaker 8:15
yeah. That's weird. It

Scott Benner 8:18
was really strange. I just, I feel like I feel I felt like back then. There was this talk of like, people are getting this thing and they're calling it comme Coronavirus. And it seems like it's getting serious, like that was the vibe around it. But I'm just gonna go to Georgia, because it's probably nothing and, you know, then by the time I got home, it was just like getting your homes, alarms going off and

Jennifer Smith, CDE 8:44
close the doors

Scott Benner 8:46
through the street with pitchforks, and, you know, lanterns and I was like, Oh, wait a minute, I just made it back.

Jennifer Smith, CDE 8:52
Right. I can remember being at the Atlanta airport, you know, flying home actually is more like where I remember seeing a lot of people already like wearing masks in the airport. And, you know, my silly brain was just like, we know something is going on. Right? And I wasn't like being I mean, I always wash my hands. I was very cognizant of what I taught when I'm in a very public place like that, or even on airplanes. Yeah. And like wiping things down. But like the people with the masks on in the airport, I was sort of like, Hmm, maybe I should be a little more careful. Maybe not. And then of course, like two weeks later, everything got close. So

Scott Benner 9:33
yeah, suddenly you're running around going I need a mask.

Unknown Speaker 9:36
Where's Right, right.

Scott Benner 9:38
And that was a great event. They did a really nice job with that one. Kim ran that I think,

Jennifer Smith, CDE 9:43
yeah, it was a really they did a wonderful, wonderful job. In fact, I met several people actually who came there specifically for your presentation, which was awesome. had literally drove in from like other states to be able to come in Then called to do some work with

Unknown Speaker 10:03
me nice.

Jennifer Smith, CDE 10:04
So it was kind of nice because I'd actually gotten to meet them in person at that conference, and now I've gotten to know them. And they're lovely people. And

Scott Benner 10:14
it's so nice. I just interviewed the husband of one of the adults living with Type One Diabetes, that they'll be met there. And I think it just went up a little while ago. Awesome. Yeah, it just it was a great, it was really interesting, too, I thought. So let me say something nice about you. Oh, so aside of your knowledge of diabetes, and how you think about it, which I think jives very closely with how I think about it. You're really good at being on the podcast, you probably don't even realize that, but you're very comfortable to talk to you wait, and jump in at the right times. I don't think we ever talk over each other while we're talking. Nothing's planned, which makes it even more kind of crazy that it works. But when we got to Georgia, we did like, I think you did a room while I was doing a room. And then you came into my room. And then we did one together. Yep. didn't practice it. I didn't tell you what we were gonna talk about. I just grabbed the microphone, I started talking. And when it felt comfortable, I threw it to you. And when it felt comfortable, you threw it back to me. And I really thought it worked amazingly. Well. You were like the best partner for talking about diabetes was so thank you very much.

Jennifer Smith, CDE 11:25
Oh, thank you. Yeah. And I think actually, we have literally only talked in person, like five minutes prior to me coming in on kind of the second half of your whole presentation and talk and everything. So yeah, you had come in before I was doing sort of a breakout in another room about I can't remember what the topic was. But yeah, it was kind of fun. Because then I just got to chat with you on

Scott Benner 11:50
stage with everybody. We basically just met there. And then it gets crazy. Again, you can't find each other. Like I was like, well, I'll have lunch with Jenny. And then when it happened, I couldn't find you. Yeah, you know, and that was I think we said goodbye, maybe. And then we were back recording again a couple weeks later. But no, it's just you have no idea because there are people I have on throughout the years. And I think this person's very knowledgeable about this. And there's more to say about it. But it was just too hard to talk to them. Not that they did anything wrong. It just there was there's no there was no comfortable back and forth. It didn't work right. And I ended up not doing it again with them. So I'm just think I'm lucky. And everyone listening is lucky. Because you're just very good at this. And have you ever done anything like this prior to being on this podcast? No,

Jennifer Smith, CDE 12:37
not ever I need my other are much more professional, like, prepare it ahead of time put the PowerPoint thing together. You know, I think the the closest to this would be I've done some webinars for some type one adult groups kind of more on like the West Coast that I've done sort of in an evening kind of program for them. But again, it's more of a pick a topic, put some information together and then have some some discussion with the people who were joining in to learn. But it's never been this. I know I never think of like I always think that this is like a little bit of a break from my work day. Whenever I get to like talk and do this with you. It's very enjoyable. I totally I love it.

Scott Benner 13:23
I completely agree. Oh, no, no, I 100% agree. I always leave. I always come in the room smiling and leave the room smiling. And then I say your name a couple of times during the day. And my wife's like, Did you have a good time with anything? I was like we did. And then I start talking about it. And I realize she's making fun of me and then I stop. So

Unknown Speaker 13:39
that's funny. Yeah,

Scott Benner 13:40
it just is a really, it's a stroke of luck. Because, I mean, honestly, the podcast does really well. But it does better because of you. Like there's just no doubt about it. Like I could get on the microphone and talk through those ideas. But it just wouldn't have the same feeling. And I think it wouldn't be as engaging. I think it might taste like medicine a little bit when people are listening. There's something about our conversation that makes it, you know, easy for people to pick up. And because of that, and I'm sure you do too. But I'm up to about 10 to a dozen notes a day about people's lives getting better. And that's just a really big deal. I mean, I used to write about this stuff on my blog, and I would get them I'd get a letter like once a month, you know, a couple times a month, hey, this is really helping me. But the podcast just it's at a different frequency. And I really think it's got a lot to do with the fact that I found you so I'm glad that you think of it as a break. That's really nice. Like you're talking about diabetes all day.

Jennifer Smith, CDE 14:47
I do I think of it it's it's kind of like whenever I see it on my calendar for the weekend, like oh yeah, I get to talk to Scott this week. It's it's always fun to have a conversation even as in depth in some of The topics as we get, I think, the nice thing is that there's a, I know, there's a, there's a comfort level from both sides from your side and my side in terms of the discussion point. And again, like, I usually don't know what you're going to bring up for the day, which is even, I think nicer to keep it more conversational. But it's, we have a very easy like back end flow of information. And I, the big thing is, I never really feel like I'm like educating you. Which I guess is the reason that I like the conversations, because even though you ask some questions for me to elaborate on, right. And I know that it's helping so many other people when they're listening. It's also nice to have your sort of background and whatnot along with it.

Scott Benner 15:53
Well, I see. That's right. I feel like you just referred to me like as almost appear. And that's way too kind. But I very much appreciate it, I have to say that some of the nicest things around this diabetes stuff that's been said to me over the years is by you. When you once told me, if you once said if you had a degree, you could do this, like you could do my job. I was really touched by that. And very similarly, when you said that my tug of war description for Pre-Bolus Singh was like the best way you would ever heard it explained,

Unknown Speaker 16:31
is Oh,

Scott Benner 16:32
no, no, that really makes me that makes me uncomfortable, even now that you just said it again. But it. But that meant a lot to me. Because I don't know, I just I don't know why it's surprising to me, other than to say that if you could get into a time machine and go back 30 years, and find 19 year old Scott, and you could really get to know him. And then I pulled you aside and said that kid, one day will be the person that people listen to about this, this this, you'd go No, No, that can't be right. I just met the guy and I don't think I think you've got the wrong person. There's no way it just, it is to this day. shocks me that I'm the person who runs this podcast. It doesn't Yeah, I don't. It's weird that it's me. And I don't I recognize that. What I'm what I'm good at. And, like, I'm not shocked on that level. Like, it's not false modesty. It's not like, it's not like, Oh, I don't really know that stuff. You shouldn't say that. It's not that I don't feel like an imposter. It's just if you could have seen the trajectory of my life. It just didn't. It wasn't I don't know how it ended up being me other than Arden got diabetes, you know. So, yeah, it's very,

Jennifer Smith, CDE 17:49
I think, I think life experiences

Unknown Speaker 17:53
shift people often.

Jennifer Smith, CDE 17:56
And I, whether people choose to keep moving along with that shift or not, sort of is the difference. I think, you know, I mean, when I, when I was diagnosed with diabetes, I wanted to be a veterinarian. I had wanted to be a veterinarian, since I was like, a very small child. My grandpa had a farm I loved like all the animals, I always ask big questions. We had cats when I was growing up, I always wanted to go to the veterinarian office whenever we did ask lots of questions. And then when I was diagnosed, you know, I had really good educators, thankfully. And in high school, then just sort of like shifted, I realized I was really good at science. And I really also started my mom is an amazing cook. She just, she's awesome. And I kind of realized that because food was such a big part of diabetes management, that maybe I should kind of switch gears and sort of go the route of in a different didn't want to be a nurse. I don't do some of nursing things very well. They bleed all over me. But like the whole, like mucus angle can do that thing. So I was like, Oh, I like do I like nutrition anyway, so let's be a dietitian. And then I knew that I didn't want to do that. Like I don't want to teach people about low cholesterol diets. That's just not for me. Right. But diabetes was the thing. So again, I I kind of think, you know, I don't know, who knows, maybe if something else had happened in your life with kids, maybe you would have had a very different angle. But this was the course that you were supposed to have. And you've done an amazing thing for so many people starting this you have,

Scott Benner 19:39
I just feel like I thank you. I just feel like I saw its value. And so I leaned into it. But I mean, there's a part of me, I won't lie to you. There was a part of me at one point that thought, This is what I'm going to do. Like I'm going to write about and talk about diabetes in my free time. Like I don't even have diabetes. Have you been watching my blood sugar's online? I definitely go. I

Jennifer Smith, CDE 20:03
haven't. Actually I should I definitely

Scott Benner 20:05
about it. I definitely don't have diabetes. So good. Yeah, yeah, you actually, isn't it funny the irony of what I'm doing? I haven't even taken the time to like, celebrate that I don't have it. There's a couple times I'm like, Oh, this isn't not very exciting for the people watching. Instead of just thinking, this is great that I can walk past that candy dish pull, like, three candies out that total like 30 carbs, it's just pure sugar. And Ethan, and my blood sugar doesn't move. And I haven't had I haven't even had time to be like, yeah, that's exciting. But to what I was saying, there was a moment where I was like, This is what I'm gonna do, because my trajectory was, I wanted to be a screenwriter, like I wanted to write movies. That's how I, that's what I thought about when I was growing up. And then I was in a poor family, I didn't get to go to college, I had to go right to work. And I just had terrible jobs. I mean, like, I worked in sheetmetal, shops and paint rooms, and just terrible things. And the entire time I was there, I would just feel like, I'm not supposed to be here. Like, this isn't my I didn't, I didn't I love the guys that I worked with. And that whole part of it was terrific. But I just kept thinking, like, I have these things in my head, I should, okay, and but I'd get home, I'd be so tired, it wouldn't matter. And I was still broke, and just kept going over and over again, like that. And one day, I just thought, I've got to get out of this, like I can't, you know, I can't keep doing this forever. And a friend of mine was collecting debts. And she's like, you can talk, you can, you could do this job easily. So then the next thing I knew, I went from like, a sheet metal shop to sitting in a cubicle with a screen in front of me and somebody whose information would pop up, you'd have 10 seconds to familiarize yourself with this data on the screen. And trust me, it didn't look like computers. Look. Now it was you know, wasn't easy. And then you'd hear a voice and they'd be like, hello. And they were there. Hi, Jenny. My name is Scott. I'm calling from I forgot what it was something bank. You're 28 days late, on your on your payment, you're in jeopardy of going to 60 days late. We really need you to make a payment right now. I was Dunning people. And wow, I didn't know that I was so good at it. I quit the job. Because it made me feel bad how good I was at it. Like it was a job you didn't want to be good at. Right. You know, and, and so I used that experience to move to a credit union doing the same thing. And then the minute I could get out of it, I became their graphic designer, which I had no background in whatsoever. It was it was a little tiny credit union. And the job came up. And I went to the Human Resources person. I said, I can do that. Like I've seen the things that you guys produce here. I can make them all. And they just what would it hurt them? Like I wasn't making very much money. So they took a flyer and I did well at it. And did it for a number of years until Kelly got pregnant was cold. And then I quit my job and I had been a stay at home dad for I quit my job at the end of 1999. Wow, yeah, I haven't had a real job since then. And but I never, I would write things I would try to write things and never had enough time, I was always exhausted. And then Arden got diagnosed. And I was I didn't know what to do. So I wrote a blog about diabetes. You know, I just didn't, I didn't want her to struggle at some point. And I really felt like she was going to and I wasn't understanding it. And I don't have the kind of brain this is gonna sound strange. Maybe I can't I couldn't figure it out. Like I couldn't step back and look at it and figure it out. I had to like live through it, and then go back and write about it. And then like little lights would get turned on as I was going. That's why some people are, you know, I see some people online, they're like, I'm not getting this quickly enough be very upset with themselves then, like your kids had diabetes for six months. Like it two years, I was still crying in the shower, you know, like it's only six months in, and your kids a one c seven, and I can see it coming down consistently like you're, you know, three months from now you have this? Right, you know, it took me a lot longer to figure it out. And it really wasn't until I wrote something on the blog, one day when it really just hit me I was like, there's a system here. I didn't even realize it at first. And, and I didn't even know what it was. I just knew it was there. So I picked through everything that I wrote and it was like that and that plus that and that equals a good outcome. And you know, and then I picked those pieces and I refined them down

Jennifer Smith, CDE 25:00
It's kind of like data analysis, really. But you just did it in a different way.

Scott Benner 25:03
Yeah, trust me, because I can't analyze data. And so and so I kept distilling them down. But I, I understood them already. I didn't need I was distilling them down so I could write about them. Right, because I have a real belief about communication. And I don't think that people like to be talked at. And I don't think people like things that sound like medicine, especially when they're already, you know, upset. And so I just kept going. And I just kept telling myself, like, if you can make these ideas, t shirt, slogans, and people will be able to remember them. And that was it. And, and then I guess it's just lucky that I wrote that book. Because I got to write a book called Life is short laundry is eternal. And it was about being a stay at home dad. That got me. I can remember the exact day that I decided to make a website for myself, like Scott Benner calm, which is don't go look at it. It's, I haven't looked at it in like 10 years. But because I made that around the book. Katie Kirk's producer found me looking for Father's around Father's Day. Wow. Right. And so the next thing I knew, I was on a soundstage in in New York, doing this interview with Katie Couric. And when it was over, she grabbed me and she was like, you're so good at this. And I was like, What is it? I'm good at, like, cuz I didn't even know. I didn't know what she was talking about. She's like, you're just so entertaining. And you speak so freely. This was wonderful, as like, thank you. And then I left. And like two weeks later, a different producer called me and she said, I'm Katie Kirk's producer. And I was like, No, you're not. I already spoke to Katie Kurtz producer. She's a different person. She does know that her web producer, I'm her television producer. And I was like, okay, and she goes on, we have a slot. In a couple of days. We're having some single dads or some stay at home dads, come on. And we'd like you to come. I was like, yeah, I'll do that. You know. So the next thing Oh, awesome. It was so cool. But I got there. And she looked at me and smiled. Like she knew me, like, recognize me, which was nice. And I sat down. And Jenny, it if one of these things is not like the other ever existed, it was me. Right? Like, I was like, much older than these other guys. These guys were all like very kind of like metrosexual guys from like New York and stuff like that, right? Who are just like, you know, taking care of their kids. And, and I'm just answering the questions that come along. And then this one guy starts talking about this whole experience is making my wife and I closer, and he's just it was so pie in the sky and like happy and I just, it wasn't my turn to talk. But I leaned down, I looked down the line. I was like, Hey, I interrupted him. And I was like, how long have you been married? And he goes, Oh, we've been married like a year. And I laughed. And then I could see on the monitor, the cameras swung over to me. And I was like, You don't have any idea what you're talking about. You're not even married yet. Like I said, Come back 15 years from now and tell me that story. And then I'll tell you, you're doing a great job. And then I said something old

Jennifer Smith, CDE 28:15
are your kids at this point?

Scott Benner 28:17
It was eight years ago. So Cole was like,

Jennifer Smith, CDE 28:20
Oh, so it was a long it was Yeah, they were old enough, like well, old enough that you had been married and had life with kids. And I

Scott Benner 28:28
had already been yelled out a couple of 1000 times I knew what like what it was like to be married. And so and, and I don't remember what I said next. But whatever I said next made 500 people who were in the studio audience laugh at the same time. And I have to tell you that that is a feeling that is difficult to duplicate. Because now you feel like you feel like a puppet master. Like I wonder if I can make them do this. And what if I could try and write you know what I mean? And then, and then Katie pulled me aside again afterwards and said, Wow, that was terrific. She's like, you were this whole thing. And I said, Thank you. And she's like you, this was going nowhere, and you absolutely saved it. And it was just such a nice moment. And then she's awesome. And that made me think about making a podcast. So that's it. I never would have leapt from the diabetes blog to a diabetes podcast. It didn't occur to me to do that. So sure it was her so if you're all happy with your agency's thank Katie Clark.

Jennifer Smith, CDE 29:33
Well, I think you know, the big thing too is like I and maybe this is just sort of like reading into but like the feeling you got when the people laughed, and you knew it was an honest laugh. Like it wasn't a generated like, audience please laugh kind of signed up above like, they thought it was hilarious.

Scott Benner 29:52
Yeah.

Jennifer Smith, CDE 29:53
And you kind of took that even if it was on like a subconscious level and said, you know, if I can make people laugh Why can't I take what I know? And like, give that to more people to just be able to feel like they can do better to, like, I don't want to be the only one doing a good job at this. And I mean, that's kind of myself too. Every time somebody sends me a message that, you know, I got my agency down, and now my doctor has given me a go ahead to get pregnant. Or, you know, my child's endo team is astounded at what we're doing together. And they're amazed at his agency being here. And they're usually happy if it's just at seven and a half, you know, I mean, then the notes and things that's my like, audience happy laughing to me, like, I just, that's why I like doing what I do.

Scott Benner 30:48
So I appreciate that. And I feel the exact same way. When the first person told me that their doctor told me to listen to the podcast. I was like, Ooh, I'm doing I'm onto something. You know what I mean? Yeah. And that same kind of interaction where the audience laughed? Is, I tried to, I don't know how to say I don't. I don't. Is it funny? I'm not trying to insult anybody, because I'm definitely not I don't have those feelings. But I know how your blood sugar can be stable and steady. Right? And it's, I see it as my job to get it across to people. Anyway, I can. And I know that the picture you paint for one person that makes them go, Okay, this is it isn't the one that works for someone else. Right. Right. And so while I think most people make podcasts thinking, well, I am tangentially related to this subject. And I'll have conversations with people about it. It'll be interesting. And those people are always wrong, or not always wrong. But podcasts are interesting. There are a lot of podcasts, I believe that at the moment, there are 1.5 million of them. Of those 1.5 million. I forget what it is, maybe only a half a million, put up an episode a month, have only 50% of them get like 140 downloads per episode. So the truth is, it's easy to have a podcast like it used to be easy to have a blog, the large majority of them are either aren't being produced regularly or no one's really listening to them to begin with. Sure, like for perspective, while you and I are recording this, I should have a couple of 100 new downloads. By the time I put this down again, this podcast gets a lot of downloads. So there's this very finite amount of podcasts that anybody's actually listening to. And I realized that not everybody hears the tug of war story and then goes, Oh, Pre-Bolus thing, I got it. And you also have to realize that not everybody's hearing every episode. So right, my job's not just to do it once. It's to do it over and over and over again, in a way that hopefully doesn't take the people who found the show five years ago, and and bore them. Like I want them to stay for the community aspect. And because in truth if they stay, then the podcast gets more downloads of the podcast gets more downloads, then it's easier to sell ads. And if it's easier to sell ads, and I get to keep making the podcast, right like this thing kind of like all ties itself together. But I am working the strings of the puppets a little bit like I do say things to trick the people listening to into understanding diabetes. It's it doesn't it's not that's not the intention, but it is a positive trick. Yes, it's a very positive.

Jennifer Smith, CDE 33:41
It's, it's a positive reasoning trick. There's not like anything, you know, malicious.

Scott Benner 33:48
Right. Now what I've basically done is I've taken my superpower, and I've turned it to good. Like, really, unless you ever seen the boys on Amazon, some of these guys get superpowers and they just do terrible things with it. Not me. I've decided to do something good with it. So yeah, it makes me think of the last day of ninth grade. I have very few memories of school. But I'm going down the hallway. And my guidance counselor comes out of his office and grabs me and it's such an impactful moment that I I remember his name and I remember no one's name, and I'm sure he's got to be long passed, but his name was Mr. Wiley. He pulled me into a like a little nook, which today I think would be assault. And he goes, What are you gonna do in high school? And I was like, What? What do you want to be when you grow up? And I'm like, I, my brain. I'm like, Well, now we're talking about this, oh my god, we're out of here in three hours. I'm never coming back to this building. I said, I don't really know. And he said, You should be an attorney. That's what I think. And I said why? And he goes, you're just very good at talking to people. You should be an attorney. And I remember feeling very filled with like, I came from a divorced family. Nobody ever told me nice things about myself. You know, there was no time for that. And I think Felt good that he thought I could be an attorney. And then I said, I couldn't do that. And he said, Why? I said, Well, then I'd be an attorney. And he laughed, because I think he thought I was making like casting aspersions at the law profession. But what I really meant was that I'd be an attorney every day for the rest of my life. Like, and I don't want to do that. I don't want to do anything every day for the rest of my life. I feel like there's a lot of things I could do. And he laughed, I laughed, we were like, hey, and then I, you know, I walked out. I remember it because it was a positive impact because somebody, an adult, said something to me as a child that was positive. But then I did exactly the opposite of his. Like, I didn't lean into my education at all, like I looked at high school as something I had to get through. Right, which was a huge mistake. But I just negotiated my way through that. Just every I got to high school. They put us in this auditorium, and said there was a technical school that was a few miles away, where you can learn to weld or, you know, do all this stuff. And there was a field trip, you could go look around. And I was like, that sounds like for losers. That's how I write. And then they said, and the way the schedule runs is two weeks a month, you go to tech school full time and two weeks a month, you go to high school full time, and I thought, so I only have to go to high school for a year and a half. If I go to tech school, put me on that bus. So I went over, went through every room. No small engine repair, making the food for the cafeteria, there was hairdressing school. I don't want to do any of

Jennifer Smith, CDE 36:36
that way to come in handy. This past separate. See my

Scott Benner 36:39
hair right now, by the way if I could cut my own hair. So I made the decision to go to baking school. Because that had the most pretty girls. Listen, if I have to come to avoid a year and a half of high school, I'm gonna come I'm doing this. My parents were like, whatever. Like they just nobody cared. And, and I just picked the room with the most pretty girls. And now I can bake like you wouldn't believe.

Jennifer Smith, CDE 37:11
I'm glad you learned something out of it besides just looking at pretty girl. Yes,

Scott Benner 37:15
yes. Where you can make a cinnamon button six at a time. I can make 600 of them at a time. So I'm, that's the kind of baking I learned to bill. But I really I got out of that. I got a job in a bakery. You had to start at 130 in the morning. I did it for a week and I quit. I was like I'm not doing this. Yeah. I

Jennifer Smith, CDE 37:37
was so happy during my my dietetic internship, the food service aspect of it. I mean, I knew that I was never going into food service. I'd never wanted to do that. But we had to do that type of a rotation. And I too had to be in the bakery of the hospital system food service area. I think it was like 230 in the morning. And I was like,

Scott Benner 38:01
I couldn't do

Jennifer Smith, CDE 38:02
glad this four weeks is done. Bye. Bye. I will not be

Scott Benner 38:08
I texted my brother last night around six o'clock to wish him a happy birthday. And he was just waking up and getting ready to go to work because he works a shift and like shift work.

Unknown Speaker 38:17
I'm like, Oh my god, how

Scott Benner 38:18
does he do that? You know? But yeah, I just, there was nothing. And I just jumped my my uncle gave me a job. But did that for a while I did everything else that I told you about it. There's a bunch of others. I've worked in a 711 for like a year. Like, that was it like I just I wanted, I didn't know what I wanted to do. I cut lawns for people. And it's Kelly really, who deserves a lot of credit for seeing who I was through what my life made me look like I was Yeah, I don't know if that makes sense or not. But I didn't like if you looked at what I did and how I did it. I appeared one way but she actually listened to me and you know, kind of heard my thoughts and I just got randomly lucky. I really, I really belong, like in a trailer somewhere. Oh, no, I do. You know, please

Unknown Speaker 39:06
really don't left

Scott Benner 39:08
my own devices. I'm somewhere with a with like a bog. like Shrek basically is what I'm saying. I think that's about all I would have accomplished on my own. Kelly was the one who I think saw like my potential. And not that she was trying to coax it out of me. But she didn't judge me for the other stuff. You know, like that I was working in the 711 which there's nothing wrong with it was a perfectly fine job and, and I did it I worked hard at it. But you know, it's not a career, obviously. And it just was a way to pass time and make some money to pay bills. And one day I just realized I'm like all you're doing is living to pay this bill to live to pay the bill like this. You don't have to do something. But a lot of just lucky. Like I said like how do I talk to a human resources person into letting the credit card collector do the it's so If any, if all this tells you one thing, it's that my, it's talking is what I'm really good at. So I talked my way.

Jennifer Smith, CDE 40:08
And I think you've, you've sort of finessed your talking, though, to a point of really being able to teach. And that's there's a difference. Because, I mean, there are a lot of professionals who have gone to college and spent 1000s of dollars to do what they do, and still do not talk. Well. They just and that's I feel bad saying it, but it's the truth. I mean, and dust is. Dust is I think a lot of the reason, and I certainly wouldn't down any of the diabetes professionals that are out there. But when you're in a, in a when you're managing a condition, like diabetes, talking sometimes needs to go beyond, like, the basic hit points on a list to address. And you have to get to a very personal level of talk in order to meet the need. And everyone's needs are everyone's needs are different.

Scott Benner 41:15
Right? So well. Yeah, that's that's basically what answered the question to me when people like when I talk to somebody privately, that doesn't have diabetes, like they're like, wait, so someone listens to your podcast to learn about diabetes, instead of talking to their doctor. And I was like, Yeah, I was like, the doctors are, generally speaking not great at explaining it to them. And you know, it's hard for like a lay person who doesn't have type one to even understand how that would be. Because most people's experience with doctors, is one of the problems with going to a doctor, is that your support you people think you go in there and you sit quietly, and they tell you something, and then you leave with the answer, right? And it just doesn't work that way, especially with type one. But still even talking. Like if I'm not lying to you, if I tell you that 30 seconds before you popped up, I was thinking maybe we should talk about like some, like, do some defining diabetes stuff. And then when I saw you, I was like, No, let's just talk like, do like an end of year wrap up. So nothing that I've said, while we were talking Have I ever considered before I said it, and I speak pretty quickly. So that I make sense. While I'm talking. That's where I think, again, I think everyone's good at something. But I'm proud of myself, like I can't believe I'm this good at speaking in a coherent way that leads to something I'm not just filling time.

Jennifer Smith, CDE 42:39
Yeah, you should be proud of what you've put out there. I mean, it's, it's, it's been beneficial enough in specially in terms of what you've seen in the listeners that you have and the growth and who it's reaching that more and more and more people keep, like, Hey, you should listen to the juicebox. Hey, you should listen to the juice box. And that outreach is beyond. I mean, I don't know how many other places I know, online, too, that I could send people to listen to, or do a little bit more reading or whatnot. And but many of them, I don't I mean, there are lots of them. Yeah, and I don't direct people to very many other sites, I just don't, because when, when you want somebody to really learn and to continue to learn, especially in the past five years, with all the changes that have come with diabetes management, you have to continue to evolve and move along with that in your discussion. And you also have to be willing to say, Hey, you know, a couple of years ago, I remember we talked about such and such, and with today's technology, we don't need to do that anymore, or we don't need to do it as much, or it's changed now. So you need to continue to sort of move people into learning that things aren't just gonna stay where they are.

Scott Benner 44:07
Well, those. So I think where most people get stuck, and this is where the listeners deserve. A lot of the credit is there, those people get so stuck trying to drive traffic that they take what's what they hear people talking about online, and they turn it into content. And I don't think of it that way. I don't look to the people who need the answers, for the ideas about what to say. And I think those other blogs and probably some of the look, I don't know, I've never listened to another type one podcast, but I can tell you that I can see some metrics online. And as far as Type One Diabetes podcasts go, there's this one, and then the rest don't come anywhere near this one in terms of listenership right and, and I don't mean them, I think it's terrific. Like I really think it's terrific that people do what they do and if they're helping people, I think that's terrific, but If they they'd see more growth, if they were giving people something that made a listener, like get off and think I have to tell somebody about this. Right, right. You know, I, I listened to podcasts, and some of them, I enjoy, but I would never tell anyone else to listen to. And there are some that every time I'm with somebody, I'm like, have you heard this conversation on this thing? Like, it's, it drives you to want to talk to somebody. I just think that, while he, you know, Jenny and I talked maybe a week ago, we set a schedule. So like, she's on the schedule throughout 2021. And I told her what I wanted to do in 2021. And then I was like, hey, in 2022, I also think we should start moving in this direction a little bit. And, and that's what she's talking about, like, I know where diabetes is going. And I need to understand it so that when it's happening to you listening in real time, I'm already, you know, I can I can articulate it in a way that will help you do it. Right. I just see it that way. Like I've never worried about the clicks, I always think about anything that I've ever produced and put online. If it's good people will listen to it, if it's great people will tell people about it. But you can't force people to tell people about things that we're sharing, like, please share, please click please. Like, just if it's good, it's good if it's not stop wasting people's time. And I think the diabetes space where it fails over and over again, is that it just does the same kind of banal over and over again, like, Hey, here's a recipe for a fourth of July. Right, Great, thanks. I don't my kids chart jumps up my graph goes 463 5082. Right, I don't your low carb, you know, hotdog bun recipe is not gonna save my life, I have bigger problems. And, and all of those other places, no matter how friendly, they try to make them, Look, our businesses, and they are not going to go out on a limb and tell you how to Pre-Bolus they just won't. It's the it and it's despicable that it's despicable that some doctors won't even do it. Because they don't want you to get low and come back and say, Look what you did to me. I would rather you drop dead 15 years before you're supposed to and have nobody to sue. And and, you know, I gave them I gave them competent care is what they would think when it was over. And not everyone's like that. But if there wasn't a lot of people like that, then this podcast would have no need and nobody be listening to it. So

Jennifer Smith, CDE 47:33
well. And I think that's, that's kind of you can't really sugarcoat things, right? Because people eventually see that. And you have to give it like it is this is the information. This is how to do it, if you choose to go forward and use it. Great. And if you don't, well, then at least you heard it somewhere, right? I mean, it's kind of like the eons ago. I mean, my nephew, who is now 21, he was diagnosed when he was seven. And at that point, when he was diagnosed, his doctors kept telling his parents, it's okay, if his blood sugar is, you know, 250 he's little. And that's okay, for right now. We're just worried about him being too low. And whenever my husband and I, we didn't have kids at that point, but whenever we'd go and visit them, I'd be like, it is not okay for his blood sugar to be 250. I mean, that was like eons ago, right? Like 15, or whatever years ago. Not quite but and so bringing this up now is really important, because there are a lot of little kids and teens being diagnosed. And for them to know from the beginning that despite their services being much more conservative, and that quote, unquote, like, let's make sure that you're safe. And by no means am I saying Don't be safe. But that down the road, like you said 15 years from now. They're little blood vessels and things are not going to be safe because you were more comfortable with a blood sugar of 200.

Scott Benner 49:17
Yeah, so the the evil person that lives inside of me that, you know, that I got rid of a long time ago who could have become an attorney and become really rich doing it. That person doesn't get the worst thing that I can imagine Jenny is wasted time. Like I have a real trouble with that. I do not like to waste time. I don't like to have conversations that that aren't valuable. I don't like to have friends that I just I hate wasting time right? It feels like the ultimate sin. And if I was the type of person who could put out a podcast about nothing and draw you into it when You could be out there using that time, legitimately learning how to make yourself healthier. I couldn't live with myself and do something like that i and i think that there are too many people who have talked themselves into believing there's no real help for these people with diabetes. So I'll just serve them this bland content. And I'll get them excited every year about a cure coming. And then I'll string them along with some recipes for something. And then once in a while, I'll let somebody tell a story about how scary it was to have diabetes. And that'll keep them locked in with fear. I mean, I want you people to listen, which is why I do the interviews with other people. I think good stuff comes out of the interviews. But I think also that too many of you listening don't know another person with Type One Diabetes. So you get to listen to people who have type one, I try to make it entertaining, so that it's not just like, the same thing over and over,

Jennifer Smith, CDE 50:58
where they could essentially be watching like a presentation on a PowerPoint. Yeah, you don't want that there's no personality.

Scott Benner 51:07
I talked to April Blackwell a couple days ago, and I put it right up. And I think we talked about diabetes for eight seconds. And then she, she flies the International Space Station. So like, this is what we need to be talking about, you know, and she has type one diabetes. Same thing with when Alyssa Wallerstein was on. She said, world class cello player, like I asked her about how she Pre-Bolus is, you know what I mean? Like, like, no, like, like, let's have great conversations. Those conversations to me are really interesting and help you meet people who have type one diabetes who do interesting things. Because if I just came on every time and I was like, Alright, feet on the floor, this is what it is, you know, you'd be out of here, and it wouldn't help you then. And I have to part of my job is to trick you into doing better with your diabetes. Like it really is. Like I said something online the other day, somebody asked a question. And I was like, Jenny said that I can't remember where. And there's this part of me that's like, wait a minute, are you not listening to every episode? I'm doing this very specifically for you. But I understand everyone can't listen to every minute. Or that maybe I don't do a good job sometimes or whatever, or you know, but the idea is that I honestly believe if you went back, I don't know, I haven't heard episode one since I recorded it. I don't know what's in it. But what I can tell you is if you went back, found a way to listen to 420 episodes of this podcast, when you got to the end, you'd be incredibly good at taking care of your diabetes. And you may have heard, you may have heard 50 hours of conversation that later you could write off and say it had nothing to do with it. But I don't know how to point you to the exact episodes you need to hear like I don't know which episode, Jenny said when you fall asleep. your digestion slows down. Like I don't know which one that is. And you know, Jenny, there are, does this happen to you? I'll get a note from somebody. And they're like, Oh, my God, what you said worked. And I'm like, Who are you? And

Jennifer Smith, CDE 53:11
what was it that I said that works? Let me apply

Scott Benner 53:15
it exactly. Like tell me that. And then I have to like I dig backwards. And I'm like, Oh, this is a person, they have a kid and I read it. And then I realized that we had enough meaningful back and forth. I get that she thinks I know who she is. Except I've had them back and forth like that with 100 more people since then. And I don't know who you are anymore. Like, I it's the worst thing to like somebody go I'm so sorry to ask this. Who are you?

Jennifer Smith, CDE 53:37
What was your name again?

Scott Benner 53:38
Don't don't I don't have time to go look, and but that's good. Like, that's good. Because the more people who learn how to handle themselves, well, the more they'll tell somebody else which will lead to other people having healthy results. And I'm telling you, like it's a it's a long shot for me. But I want for this podcast to fundamentally change how doctors talk to people with type one diabetes. Like I want to my whatever my last day is like I want I want one of my last thoughts to be no one's gonna cry in the shower. And I helped, you know, right, right. That's what I'm shooting for. Well, I

Jennifer Smith, CDE 54:16
think what helps to is kind of what you were elaborating on with discussion, just mentioning those two other women, where you might have spent like a minute talking to them in the whole discussion about their diabetes. But that's a that is a piece that's missing in, in diabetes. Education, it's not really the right word for it, because what you're bringing in is a piece of real life. The fact that you could be this person, you could do this, you could do that. And our whole conversation for 45 minutes, was not about a BD. It was about what an awesome cello player you are in. Where you've been and what you've seen and what you've been able to do. Yes, you have diabetes, but you still live. And those are grabbing points for a lot of people, I think, and a big reason. Many people would continue and do continue to listen. I mean, that's a grabbing point for me, in terms of listening. I mean, I don't really go to the episodes that are about education. Other ones are, they're awesome. And I listened to, because they're their people. And one of my favorite things that I ever did in my life with diabetes, is I attended a diabetes training camp for adults with type one who wanted to be better athletes. And while the whole week was all about diabetes management, the in between with all of the other people I was at camp with was life. And that's kind of what your podcasts spring, it's, it's life. And it's also Oh, I want to learn a little bit more of this. Let me click on this one, versus I just want to learn about the cello player.

Scott Benner 56:06
I think it's incredibly important. And I didn't realize so I'm a boy. So when something happens when something happens in front of me, I just think like, we'll blow it up kill it. Or don't worry, it's not a problem. Like you don't mean like I I genuinely, I genuinely don't think women understand how men think any more than men understand how women think, right? But there's nothing you could say to me that I don't think I could do. Like, I'm sitting here right now. I'm almost 50 years old, I'm completely out of shape. And if you brought a 25 year old guy in here and said, Can you kick his ass? I'd be like, god damn right. I can. And by the way, I can't. Okay, like, but but but it makes, I don't ever have that thought. And so when Arden got diabetes, I was just like, well, I'll just do it. Like, I'll figure it out. And I'll do it. So to hear that somebody might not think that they could be an athlete, because they have type one that doesn't like, that doesn't resonate with me at all, I would never think of that. Even when people are saying, like, I'll get notes. Sometimes they're like, you know, how do I keep my kids? Excuse me blood sugar from falling during, like an activity? And I was like, well, you get your settings. So right, that there's no active insulin while you're running around, and it won't fall. But that's not really an answer to that question, is it? You know, so? And the answer to that question is so much bigger, and why it works in audio, and doesn't work as well in writing. And also doesn't work as well in audio, if you're not good at talking about it. Right? Right. It's just, there's, there's a lot there that has to coalesce to make it. I can tell you don't have active insulin while you're being active. And that but people don't, it's just diabetes moves too quickly. Right, just one meal rolls into the next meal rolls into the next day. It's like, it's almost like, they don't recognize that three times a day, they're doing something that's going to screw up six hours from now. Right? That's the biggest caught get caught in this wheel of of doing something, getting fooled into thinking it's okay for a couple of hours, and then having it go wrong. And the insulin that they worked with happened so far in the past, they don't recognize that's what's going on. So they never see the real problem. They're always just they're swinging at ghosts all the time. Right.

Jennifer Smith, CDE 58:20
I think that's a lot of the reason, though, that our conversations together that are about specific, like diabetes, like topics, right? are more, they're conversational in nature. And that helps people to think further than, like you said, a written kind of paragraph about something is just that there's nobody to converse about with it. It is you read it. And you kind of try to apply it. It's sort of like going to a doctor who takes the clinical cotton dry. Well, you should adjust it this way. Because this is what's happening. Yeah. But there's no like back and forth, which is kind of what we have, which is fun.

Scott Benner 59:03
Well, I recorded with Kenny the other day to add another loop episode. And I

Jennifer Smith, CDE 59:07
haven't listened to it yet. He gives I came into my email, and I was all excited.

Scott Benner 59:11
It gives this great explanation about putting in a Bolus, but changing the time to the future. And then when it adds, but then when the loop says okay, we're gonna put in three units now saying no. And so that right, and so it gives us great explanation. But in my mind, I'm like, I don't know if that's clear to people listening. And so I said, So you're telling me that basically, what I'm doing is giving Luke some pocket money, some walking around money that he can spend wherever it wants? And he goes, yes, and then Okay, great. And we kept moving. Five, five notes I've received so far in the last two days. That changed my whole understanding of something. And I didn't know I was gonna say that. I just, it's just how it occurred to me in the moment, you know, so if the weird way that my brain works Somehow was helping people. That's cool. But I can't even take that much credit for it like it just like, basically what happened was I understood what he said, but I could not re articulate it in a technical way. If you asked me to say what he just said, in my own words, I would have been lost this, you know,

Jennifer Smith, CDE 1:00:18
that it like a guy walking down the street who has no knowledge about you're like, this is like this instead. Yeah, it's not just the medical term. So

Scott Benner 1:00:27
what you're saying is this, and that's my whole approach to diabetes. I'm, at this point, I'm sure you feel the same way. But anyone could walk into this room right now. And I could, I could set them right in a couple of hours. It wouldn't be that hard. But

Jennifer Smith, CDE 1:00:45
and give them tools to move forward with as well,

Scott Benner 1:00:48
that would take another day. Yeah,

Jennifer Smith, CDE 1:00:50
a bit. But the right now you could say, this is definitely a big part of the problem. Let's do this. And then we'll work on the rest as we see that this

Scott Benner 1:01:00
work. And so we're gonna keep doing that, we're gonna, you're gonna keep coming back. Jenny's gonna record all through 2021 and 2022, we're going to talk about all kinds of stuff, I would imagine there's going to be more conversations about algorithm pumping, because that is kind of the future. And I want to get people into that way, it'll

Jennifer Smith, CDE 1:01:19
be interesting to have a conversation when some knee pads, yeah, system comes,

Scott Benner 1:01:26
it will be. And so that'll be good. And then we're gonna get people in to talk about, we're going to talk about control IQ, we're going to talk about on the pod five, I'll talk about that Medtronic one when it comes out if we need to. And I'm just kidding, I would be happy to do that. But the podcast is gonna keep moving forward, I have no plans on slowing down. And I want to thank everybody listening 2020 downloads, and I know some people are like, I stream it does that count however you listen counts. But from 2017 to 2020. We have doubled our monthly downloads every year. So 2018 was doubled, over 1719 was doubled, over 1820 was doubled over 19. And if 2021 doubles over this, it's gonna be easier for me to get other guests because it's gonna stick us into a stratosphere where people are actually gonna be like, Yes, I'll come on, because they know that we'll do something for them. So we're kind of making the podcast into a commodity, which then will allow us to, to do a little better. Right now, I still have to fight to get some people on the show a little bit, you know. So it's interesting how the how much the downloads mean, behind the scenes.

Jennifer Smith, CDE 1:02:37
So maybe you'll have to ask only once versus three times.

Scott Benner 1:02:40
Yeah, we'll have to, I'm gonna have to work so hard to get them. So Jenny, I hope you have a Merry Christmas and a Happy New Year. And I want to cut this off now because I want to tell you something privately that these people can't hear. Sorry, guys. That's it for 2020 131 episodes, one pandemic, and a lot of a one sees going down and getting stable. Thanks so much for listening to the Juicebox Podcast. I'll be back in just a few days with the beginning of season seven. I have a great story about someone who is diagnosed with Type One Diabetes as an adult, just as they were finding out they were pregnant. One of my favorite stories in the last couple of years. And I finally got to record with the person that it happened to. I'd like to wish everyone a happy and healthy New Year. I'd like to give you a lot of credit for making it through that last year. And I think we can all agree that if 2021 can just be a little less than a disaster. That would be amazing.


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#421 Rachel Likes Pockets

Scott Benner

Rachel is a T1 and CDE from Australia

Pinto beans…..

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

Scott Benner 0:01
Hello friends and welcome to Episode 421 of the Juicebox Podcast. On today's show, Rachel is here she's a type one who's a CDE. And she's a Australian. Yeah, I mean, right. Okay, well, that was awkward. Let's get to the rest of it.

I don't think I've left this much in a long time while interviewing someone for the podcast, Rachel Baker is fantastic. She brings a perspective, that's a little different, but not as different as you would think. And she has a lot of great insights about a number of the things that we talked about here on the podcast. This episode was both fun and insightful. Thanks to Rachel. Please remember, while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan, or becoming bold with insulin. Before the end of the year gets here, I'd like to remind you that by visiting T one D exchange forward slash juicebox, you'd be supporting the podcast and Type One Diabetes Research. So if you have a cell phone or a computer, and you have a few minutes, and you live in the United States of America, and you have type one diabetes, or love someone who does swing on by and see what you can do, join the registry support the podcast support research.

This episode of The Juicebox Podcast is sponsored by the tubeless insulin pump that my daughter has been wearing. Since she was four years old, Omni pod on the pod, we'd love to send you a free, no obligation demo, all you have to do to get it is go to my Omni pod.com forward slash Juicebox Podcast show up in your mailbox after you go to the website and fill out the stuff. And to learn more about the Dexcom g six continuous glucose monitor dexcom.com forward slash juice box. That's it. Links to all of the advertisers are right there in the show notes of your podcast player. And it Juicebox Podcast calm. Let's get going.

Rachel Baker 2:27
My name is Rachel Baker. I'm a credential diabetes educator that works in Brisbane, in Australia. I myself have type one diabetes and have done so for 13 years. So relatively a baby, I would say I'm just about to study my nurse practitioners in diabetes education and I just love the flexible approach to managing type one.

Scott Benner 2:51
So you got a very, very quick response for me, because you said that in your work, you talk to people in similar ways that we talked on the podcast and I'm very interested in that idea. So I got back to you very quickly. And so I want to pick through that a little bit. But first, let me think 13 years 2005 2000

Rachel Baker 3:13
Oh, hang on. Maybe I've done wrong now. Maybe I'm wrong. He doesn't seven, seven.

Scott Benner 3:23
So we have our new babies. Oh, no. You know what I just did. That was interesting. Sorry. Arden was born in 2004. You said 13 years, which seemed like one year less than Arden has had diabetes. So I said 2005 even though Arden wasn't diagnosed until 2006, which would have made me say 2007. So I sometimes confuse the year she was born with the year she was diagnosed. And I've just done it there.

Unknown Speaker 3:48
Okay, good.

Scott Benner 3:48
So let me just start over again. I was gonna say So Rachel, were you diagnosed in 2007?

Rachel Baker 3:54
Yes, that's great. That's amazing. Yeah.

Scott Benner 3:59
It's interesting. It's in that middle ground. It's a shorter compared to some people but very long time to have type one diabetes.

Rachel Baker 4:08
Yeah, I do feel in that middle ground. I feel like I'm in that middle ground.

Scott Benner 4:12
Yeah, right. Like you're like you're you're ready for your second contract. But you're not gonna make the big money. Not yet. You don't even like it. Yeah. Yeah. Yeah. Like you've proven yourself and you get to stay a little longer. But you're not an all star yet.

Rachel Baker 4:29
Exactly that exactly. That you guys even

Scott Benner 4:31
have sports or you guys just get on this kangaroos and ride them around with a stick.

Unknown Speaker 4:37
Now we've got we've got Australian football.

Scott Benner 4:40
Did those things really fight? Do you ever see them like you're outside? You're like there's a kangaroo beaten up a mailbox or anything like that. Nothing like that ever. Really?

Rachel Baker 4:48
Yeah. I mean, I mean, not a mailbox but yeah, kangaroos to other kangaroos. Yeah, sure. Yeah. If you're out if you're out out rural. Yep.

Scott Benner 4:56
How can that happen? That Instagram is not just filled with that. If I lived in Australia, my Instagram would just be videos of kangaroos get out of each other. We have the UFC down here for marsupial's. Everyone luck, and I have the most popular Instagram ever. I don't know, somebody's got to get on it. Anyway. So 13 years, but Australia and Australia is really interesting. And as I told you right before we started recording, you're the third person from Australia. I've recorded with this in like seven days, your health care system, and what's available there for you has been very kind of stringent. And but it's getting better, but it's getting better for cash patients. Right. Is that the extent so far?

Rachel Baker 5:42
Huh? Yeah, I mean, pretty much. I mean, I mean, I find it very interesting comparing out health care, I guess, accessibility with diabetes compared to overseas. Because I feel like we're always a couple of steps behind. My passion is in technology and all the different types of therapies. So my number one thing that I do is constantly stay up to date with what's being released. But you're right in saying it feels like particularly with CGM. And I think you've mentioned this a lot on your podcast, and I truly believe CGM is the game changer. Whether you've got a pump or not, I think a pump is excellent. But CGM, for me. And in my clinical experience is the game changer. But if you're in Australia, you can only get subsidized CGM. If you're under 21. If you're planning pregnancy when you're pregnant, or you're over 21, and you have a concession card, so you're reaching a sort of a low income, or you're achieving a low income that enables you to access it. But otherwise, I mean, if you want to run the Dexcom system, it is it is about five grand per year.

Scott Benner 6:45
Hmm, that's $5,000 a year. That is just a lot of money for most, most everybody, you know, of course, yeah, yeah, it's, it's, and at the same time, if you really knew, if you really knew, and you had $5,000 that you could shave out of your budget somewhere. You do it, you know, you and I see, I see people do those things all the time. Make make this you know, it's funny, I was gonna say concessions, because you said concession card, and I'm still not sure why it's called a concessions card. But we'll get back to that. What is the concession that you can't afford it?

Rachel Baker 7:20
Yeah, so you can have a healthcare card or a concession card. But basically, the government deems you to be in a certain threshold in terms of the income or if you're a full time student. So if you're in high school,

Scott Benner 7:33
you know, I don't want to fall down a rabbit hole this early in an episode. But concession means the same thing in Australia that it does everywhere else, right. Like, I would think so with your media, a confession, like Like, if you and I started, let's say we're married. And you point out something about me that is wrong. And I disagree with it. And eventually, through just browbeating and constant torture, I make the concession that you're correct. We're understanding the word concession correctly. Right.

Rachel Baker 8:04
You know, it's interesting, because yes, that is that is the meaning of the word, but I'm so used to associating it with a concession and a healthcare card that I've actually forgot that that is the meaning of the word. I associated with a certain a certain income bracket.

Scott Benner 8:18
It's funny, because then there's there's either a definition for it that I don't know, or the idea is that the the government of Australia is conceding that you can't afford your health care. I okay, this doesn't matter. But it really seriously, I'm so sorry. Like, I'm like, let's let's pick this word apart a little longer. It just really doesn't make any sense to me, but I'm gonna get past it. It's a concession card. And, and so but under, isn't it interesting how this works? When they put it into play for you? It's if you're under 21. So my thought there is they're saying a child. So they're saying, look, we don't want kids to suffer low blood sugar incidences, so we'll let them have it. Which is a complete undervaluing of what CGM does. And then they say if you're pregnant, because of course, you have to have a great agency while you're pregnant for the baby. But what about everyone else? Like, like, why is it not important for everyone else to have that level of health and outcome? You know what I mean, I know it's money, but still, it's it's a weird place to draw the line, I think.

Rachel Baker 9:30
Yeah, yeah, I work a lot with adolescents in that teenage years as they trician transition to their adulthood. And you know, 21 is the year that they're finishing uni and moving out of home. They're trying to get their first job, and it's awful when they hit that as soon as they have their 21st birthday, it's taken away, and they lose that subsidy. And they're not in a position, usually, you know, most of the time at that age of 21 to fork out an extra five grand a year on their diabetes. And that's of course, you know, that's on top of all the insulin and I'd count for anything else like that. So yeah, it is it is a huge issue that we're facing. But I mean, in the defense of the government each year, they are providing us with greater subsidies. So the pregnancy aspect is new. But like you mentioned with pregnancy, I have this real. I don't know what a complex with how tight we manage during pregnancy. And of course, I love that, you know, I love I love running tight. But why do we do that? When it's at the cost of another human being, you know, you're growing this fetus, you know, into utero? Why are we so good at managing diabetes so tightly when there's another life on the line? But if it's just your own life and your own diabetes, we seem to be Oh, that's fine. You know, a little bit Lexi Daisy, and we actually completely adjust the targets. So I don't understand why we have that double standard between pregnancy and just everyday management.

Scott Benner 10:53
It's confounding, isn't it? It really is that the same doctor who's telling you, you have to have this, this is what needs to be, this is what health looks like, the baby comes like, you know, slipping sliding out and it's out, then you show back up at your window. And they're like, Alright, well, back to whatever. Good for you.

Unknown Speaker 11:12
Yeah, you're gonna

Scott Benner 11:14
support it with saying things like, you know, there's a lot going on with the baby right now and you're tired and everything you don't want to burn out. Like it's always that you don't want to burn out. And I I really think that you can boil it down to the timing of the insulin right? Like you have to like having to think about Pre-Bolus Singh at a meal is a really strange thing. And if you can't get it into such practice that it just becomes common for you. And you don't think about it and and i don't see it happen for everybody. I don't even see it happening on home. Like I'm the one yelling Pre-Bolus all the time. And, and, you know, any problem that my wife ever has, while she's managing my daughter, it stems from not Pre-Bolus like she does everything else exactly the way she should. But she works from home sometimes. So if she finds herself around Arden she's working. So she's not. And her work is different than mine. Mine's a little more. I don't know, artsy, I guess in a strange way. Like, you don't mean like I'm in and out of my head a lot. But But she's in her head constantly. She's sitting and thinking and writing and, and, or talking to someone she doesn't have time to be considering? Oh, we have to Pre-Bolus. And I forced myself. Yeah. And so I think there's something in there with that. Like, if you didn't have to think about that one aspect. I would think that the burnout rate would change. Because I'm about to head back on. If you did you follow the woman who I had on who I talked to her through every trimester of her pregnancy. Have you heard that?

Rachel Baker 12:55
Yes, yes. So the first few years? Yeah, yeah. Yeah. So

Scott Benner 12:58
she's coming back on soon. Because I said, Let's, let's do one a few months after you've had the baby, and you're out of your mind. Okay, I thought that would be fun. And you're already just like, what did we do? Why? Why did we do this? And I've seen, I haven't spoken to her, but I'm seeing on our social media that she looks a little tired, and that it's making her diabetes more difficult. And I think that's really what we're talking about. I can't wait to speak to her to find out exactly if, if that's how she feels. But that, from my perspective, is the most difficult thing. And then I think the doctors believe that that's true. And don't want to, again, burn you out. So then they start saying, well, let's just be a little more loose with it. But you said you really don't like that. Can you tell me why?

Rachel Baker 13:49
Yeah, I think I personally, I think there is a middle ground. And my goal always in my own personal diabetes, and my patients as well, is to find that middle ground, where you can run that, that sort of tight management, but not always hit that burnout. And I think it comes down to you know, you know, how you mentioned about your timing of the Bolus 100% I think you can have your dose bang on. But if you miss that timing, that's everything. You know, that's everything, all your hard work essentially, is completely thrown off. And I always say, you know, if you can just aim because Pre-Bolus thing is hard in real life. Pre-Bolus thing is hard. So if you can aim for at least 80% of your day, you know, or two out of three of your meals per day, just to reduce that post meal spike, at least, you know, two out of three times a day. I think we can find some sort of, of a happy medium of living a life where your diabetes isn't taking over. But then not having that complete roller coaster on your CGM CGM rod, but I do agree, you know, it sort of sounds like a throwaway comment. Oh, why can't we just aim as tight as we do in pregnancy for the rest of our lives? Yeah, well, of course that's going to be going to be hard work, but I think that I really think There's a way that you can sort of meet in the middle, and not be too stringent with your management to sort of find that happy medium and at the times that you're experiencing burnout, and this is sort of what I do with my patients, you know, at times you're going to be over diabetes. I think it's okay, you know, if you have a week where you just don't Pre-Bolus that, wait, that's okay. As long as you sort of recognize it, sit with it, and then you can sort of rebuild and move on from there.

Scott Benner 15:25
Yeah, I guess the most difficult part as a person is to not get stuck in that new normal that you make for yourself, like, I'm just gonna ease up this week, becomes I'm just gonna ease up this month becomes Well, in the spring, like you don't even like and yeah, and that happens to people all the time. It really is interesting. Because what you're battling against is it's, it's architecture of people, like it's, it's different types of how people's minds work. You know, you, all you do is look online at people who are like, super into fitness. Right? And they're just, you look at them, and you're like, they're chiseled out of stone, these people, you know, like, they, they're talking about micronutrients. And, and, and I don't know, if, if I follow them for a lifetime, if they'd always be doing that, but some people would be some people are just wired, like, that's what they care about first. And so they do it. And so I don't think that a person who doesn't think the Pre-Bolus or really struggles with remembering it is a is a bad person. I'm not saying that I'm saying that they're just, they're wired differently. Maybe they're just a little more, you know, fanciful in their minds, and things just kind of float away on them. And you know, they're more in the moment and not as structured. And then it's easy to just look back and say, well make yourself more structured, it's your health. But, you know, I can agree with academically, but you can't just change how you how you function. The real answer to all of this is insulin that works more quickly. And oh, yeah, that that fixes everybody's problem. If you take away an eating to Pre-Bolus a, I lose my podcast, but, but, but that's okay. I'll be I'll be tired of it by that anyway. But it just changes everything. If you could eat and Bolus at the same time and have the same results you did is Pre-Bolus Singh and eating. It would change diabetes. You know? Yeah. Well, that's I mean, you really need a magic wand or you could just traipse out there into the whatever that is there where you guys live and find some bugs that we haven't discovered yet. And milk it Did you see that? Did you see that thing recently? The venom of something they're looking at for as insulin. What the hell Jenny sent it to me snail venom?

Rachel Baker 17:44
Hey, oh, did you see? Was it as usual? No, I didn't see this thing about the snail sees

Scott Benner 17:51
that I'm used to create a new type of insulin that could provide a safer, more effective treatment for type one diabetes. I don't know maybe, obviously.

Unknown Speaker 17:58
I didn't even click on it. I didn't click on it. I just saw it. I was like, No,

Scott Benner 18:02
because I saw it and thought the same thing. And then Jenny was like, emailing it to me. She's like, wouldn't this be fun? And I was like, Yes, Jenny would be very fun if cone snail spray insulin venom. Oh, here it is cone snails spray insulin venom into the water to lower the blood sugar of fish. Oh, the snail uses the insulin to slow so it makes the blood sugar low of the things around it so that it can either escape or attack it. And it's, it works more quickly. This snail insulin is faster acting than regular human insulin and quote ready to go. So what Wow, so so right now Rachel, quit your job and start raising cone snails. You're gonna be rich.

Rachel Baker 18:45
I'm gonna start putting that on my pump. I'm gonna get some snow you're gonna

Scott Benner 18:48
need you're gonna need a lot of them. And right. You know, a little quick thing. A little question to the Daily Mail. Why are the women on your website naked all the time? Jesus. I'm trying to find out about snails. Adam, there's a girl with a mink coat and it's not dressed. What is that? That's not the news. United Kingdom. That's pornography. My goodness.

Unknown Speaker 19:11
Jesus,

Scott Benner 19:13
that took me by surprise. That curl was like from the 70s Oh my gosh. Anyway, whoo. Sorry. I don't know that snail venom is, is the answer. But I love that people are now looking into it. Anyway. So you're teaching in first time we understand you. You are a CDE. And does that mean the same thing that it does here in America? Like, is there a doctor in the practice but you're doing most of the work?

Rachel Baker 19:45
Exactly. No, we got we got an excellent team of doctors. I work in the public in the private space. So I work in it. You know, sort of a large diabetes Hospital Center and then I also work privately and it's You know, there's a bit of different level of autonomy between the roles. Of course, privately, I'm just consulting the patients, and then just reporting back to me in the chronology. But I guess in the in the public base, it is more of a team team effort. But yeah, my answer to that question is yes.

Scott Benner 20:20
So I come in as a person with diabetes. I have my my visit I see you mostly Is that right? Is the doctor coming to see me at all? Or is it you? During the visit? You

Rachel Baker 20:31
know, interesting. Interestingly, it depends on the age depends on the age. So if you are coming into the adolescent, clinic, you know, the younger adult clinic or even you know, yeah, I mean, pediatrics is a lot more work with the parents. But if you're in the adolescent or the transition clinic, you spend a lot of time with the educator. And then of course, you have the psychologist and the dietitian as well. And then you'll have a little bit of time with a doctor, but more so your time is spent with the educator. But when they hit that adult space, it's quite the opposite. They don't really want to see the educator, they sort of just want to go in, see the doctor, they know what they know, get their scripts, and then go on,

Scott Benner 21:11
you really turn into more of the nice lady with the prescription pad, and then yesterday to get in and out. Now. Yeah. Is that from? What's my question here? Do we just make a concession that some adults have just fallen into a pattern and we can't help them anymore? So we just support them along the way they've decided to manage themselves? Or are you still trying to improve things for them? Because that's an interesting thing. Because adults can be very good at, at coming in. And, you know, what do I want to say, you know, presenting a story that they think you're going to accept, and it'll sound good enough to you that you let it go, but they may still be struggling? Is there less of the, of the picking through the situation and trying to help than there is with kids?

Rachel Baker 22:04
I think so I think because if you haven't got that level of engagement, it's hard. You know, it's hard, they really sometimes are not willing to sit and have a conversation about their diabetes. And it can be on two ends of the spectrum. Either one, they present this beautiful story, yeah, everything's fine. You know, I'm okay. You know, I changed my insulin cartridge. And every seven days, change my cannabis in those, but I'm fine you having fun? Or, you know, they just got to HBO, up in the 10s. Or it's gonna be the other way. And then there and then really want your help, you know, and then really ready to engage. But I would say more. So option A moreso, Option A, as you described, if they're absolutely at breaking point, no, I guess it's when they do that for a couple years. And then eventually, they sort of come back in and they're a breaking point, then they're, then they're ready to have a conversation.

Scott Benner 22:57
So that's what you're finding too is that, so do some people never, quote unquote, break. And by that, I mean, come to the realization that they need to do something more than they're doing just some people just cruise to the end with just whatever is just keeping them alive. But, but some people just have that, like, come to Jesus kind of moment was like, I have to do something about this. Is that basically how it goes?

Rachel Baker 23:23
Yeah. That is, yeah, yeah, that really is it is exactly like that.

Scott Benner 23:28
What do you see a difference? Between I know, this is a huge generalization. But do you see a difference between the person who's just okay with my a one sees nine? I, this is all I'm willing to do? And the people who have that moment? Is that a health scare? Or what? Was there something specific that pushes them? What do you see? I'm sure there's varying.

Rachel Baker 23:53
Yeah, yeah, I think it is either a health scare, or often they sort of present as in, I can't feel like this anymore, in terms of how tired or how exhausted they are. And I think it comes to a point where it all piles up in their body, you know, see running with a glucose, you know, up in a higher range for that period of time. I think eventually, they just sort of think, you know, what, I've had enough of feeling like this. And, and they sort of hit a turning point. You know, sometimes it can be something you know, they've gone through a divorce or something big happens in their life. But often, I think they just come in and they just feel like I've had enough, you know, I'm at breaking point and I've had enough and I need to change. Okay.

Scott Benner 24:36
Yeah. So, I see people doing it for others a lot. It's, it's it. It's always like, You know, I realize it's hurting my relationship or I want to be around for my children, or, like that kind of thing. Like there's always that. And it makes me wonder if there's not a way from the clinical side to create A relationship where they want to do it for you. And I'm gonna say something might be incredibly silly, but this is gonna sound weird, I guess. But my son's an incredible outfielder, you have baseball there, the guy you know, so he can, you know, it's fascinating how how good he is at catching a ball that is whacked around out of nowhere. Like if you and I stood next to him when the baseball was like struck, you know, 400 feet into a gap on a field, you and I would still be standing next to each other while he was handling the ball, catching the ball, we'd be like, I feel like Rachel. Wow, look, he ran all the way over there. That was amazing, wasn't it? You'd be like, did you even see the ball? I'd say No, I didn't. And and like, you know, like, that would be how it would go. But when he was young, and he was learning, he did it for his coach. When he was nine and 10 years old. I'd asked him like, how did you do that? And his his main, like, stressor, I guess was he didn't want to let this man down that he liked, who expected something from him. And it wasn't you know, it wasn't, it wasn't a crazy relationship was like you have to do this or, you know, you're off the team. They were little kids. But they had built a relationship together. And he didn't want to let the guy down. That was sort of it like he had he felt like he was I don't know what the word is responsible to someone other than himself. Or I don't know what that is. But I wonder about that a lot. If, you know, maybe the things that we ask people to do, aren't always reasonable, like, go catch it for yourself, make your make your ANC six, do it for you. A lot of people have self esteem issues and doing things for themselves is difficult. You know what I mean? And like, I don't know, I don't know if there's a way to build a team mentality into it or not. But I sometimes think the podcast does that a little bit? You know, I, I would say that in the beginning of the podcast, it flew in the face of what people thought of is how to share online. You know, there used to be I'm sure there still is. But I don't pay much attention to it. The idea of like, don't tell people your successes that will make them feel bad. And I don't buy into that I think your success should be looked at as possibility not as a winning and losing scenario. It's not like I succeeded, and you didn't, it's I succeeded, and you could look, it's possible that person is doing it. If that person can do it. You could do it. I don't know. I think there's something to that. Yeah, anyway.

Rachel Baker 27:42
Yeah. But listening to your podcast. That's what I, you know, took away from it way right back, like right back at the start. I was new to a CGM. You know, I was totally This is right back when I was starting my diabetes education course. Prior to that, I was I was a nurse and emergency and I never sort of specialized in diabetes. And I started using CGM. And you know, when you start with a CGM, and you see that rollercoaster, and you think there's got to be a way that this can be done differently, you know, and you try to talk to you diabetes team about it, but they get sort of a little bit stuck on insulin to carb ratio, insulin sensitivity factor. But listening to your podcast, gives you that ability to see that as another way, you know, and you're not the only one thinking it because I mean, how many people you don't look at, look at how many followers you've got now on this podcast, or how many listeners? Everyone can sort of, well, not everyone, but I guess it depends on if I've got that motivation. But if you can see that there's another way to manage your diabetes. And if you hear someone else achieve those results, it's it's inspirational, you want to do it, you know, you want to go after it because it feels possible.

Scott Benner 28:58
In the middle of this holiday season, while you're doing things for other people, don't forget to do something good for yourself. The easiest thing that I can think of, is to go to my omnipod.com forward slash juice box, fill out the tiniest bit of information. And to have on the pod send you a free, no obligation demo of the Omni pod to listens on top. That way when you get it, you can try it on or put it on your kid. So you can see what it's like. I just wore a Dexcom CGM for 10 days. forgot it was there and I've worn it on the pod in the past. Same thing happened to me. You just don't notice it after a little while. But that may be hard for you to believe. If you never try. Well, this is your opportunity to try try for free. Try with no obligation and it's a non functioning pod so there's nothing to worry about. You just put it on to get a feel for my omnipod.com forward slash juice box. If you're MDI right now and thinking about getting a pump, I think tubeless is the way Way to go. And if you're using another tube pump and you're thinking, I would like one without tubing? Well, one exists. And this is an easy way for you to see if it's right for you. The Dexcom g six continuous glucose monitor is fantastic for anyone using insulin, because you get to see the impact that food has on your blood sugar. And then you get to see how fast it moves in different directions. Just to make your blood sugar go up, does it go up fast? Is that as fast as eating an orange? Huh? Who would know? Well, I would know. And so Would everyone else who's ever want a Dexcom g six continuous glucose monitor, you owe it to yourself. If you're using insulin without a Dexcom, you're flying blind. Having a Dexcom is like having a co pilot on both sides of you. And one sitting on your head. Three co pilots, which I guess goes against the word co pilots, you'd have to call them try pilots. But now we're really getting off the subject. My point is, is that being able to see the direction and speed of blood sugar is monumental. And being able to get an alert that lets you know if you've left the range that you've set. That is the whole ballgame right there. Dexcom also allows you to share blood sugars with up to 10 followers. So that could be your spouse, your kid, your grandma, whoever you want. There's 10 of them, though. So you're probably give it to your school nurse if you wanted to. Or even if you've got like a well meaning neighbor, I'm kidding about that. But you could if you wanted to say you were the person with this neighbor that was like, Oh my god, this is greatest guy in the world, he could help me with my blood sugar, boom done. Android and iPhone. So that pretty much covers everyone holding the cell phone and everyone holding the cell phone pretty much covers everybody alive. It's worth checking out. And you can@dexcom.com forward slash juice box. If you want to learn more, you just fill out the little form at the bottom. If you currently get your insurance to the US military VA, you might really like what you hear. So go check it out. dexcom.com forward slash juice box, use the same continuous glucose monitor that my daughter does. And please don't forget T one d exchange.org. forward slash juicebox. Add your name to the registry help Type One Diabetes Research while supporting the podcast. Alright, let's get back to Rachel because there's a lot more coming.

I agree. I really do. I think Thank you. I'm glad it I'm glad it ended up being valuable for you. But I just can't I couldn't agree more like I don't hide success and nobody knows what it looks like. You mean like there's nothing to aspire to if there's nothing to aspire to. And so while everyone else is doing everyone who's doing well is just hiding because they don't want to quote unquote make anybody feel bad like well, these people already feel badly. They're a one Cesar eight and a half and they're spiking to 300 after every meal, they feel as badly as they're gonna feel, you know. And yeah, and I don't buy into that argument that, you know, there'll be somebody out there that can't handle seeing it. And and I don't disbelieve that, I do think there'll be somebody you know, that will look and it'll just be too much for them. But you say you're going to overwhelm one out of 10 people or 10 out of 100 people, and those people are going to be really hurt by seeing someone else's success. You can't ignore the 90 out of 100 people who may not be hurt by it, like why do we all? I mean, you don't want to leave anybody behind. And I don't think the podcast does leave people behind. I think even those 10 people who are gonna be like, Oh my gosh, like, this is impossible. And here's even more proof. It's impossible. I'm bad at this, and they're good at it. I think if they try the podcast, they'll find out that it could be them as well. You know,

Rachel Baker 34:14
yeah, yeah. And if I've got, you know, I've got my, I wear Dexcom. And I've got it running to my watch. And often I'll show patience. You know, I look you know, you can have your Dexcom run to your watch. You know, this is people that are considering CGM. And let's say the day that I've got a beautiful, lovely flatlines a dream. It's interesting to see their reactions. It's exactly as you said, they are they sit and they go, Oh, my goodness, you know, how do you keep yourself running steady for that period of time, and they're inspired by it? Or the reaction is, I could never do that. You know, you're a completely different person. To me. You're a diabetes educator. That's why you've got your nice steady flatline. So they create a disconnect between the difference of them to me, you know, and then I try and Sit for the next hour to break down that disparity that No, no, we're both just to, you know, normal people.

Scott Benner 35:08
And you have much as an opportunity to achieve a flatline as I do you know what I mean? And that's self esteem and self confidence. And the goal then is to show them. Look, I don't I'm not special, like, I just know a couple of things you don't know. But here's the good news. I can tell them to you, you know, and they're not Yeah, it's not, it's not gonna be trigonometry. Don't worry, it's, and that's the other problem is that they believe it's so completely, like, numbers oriented, and you're either a numbers person, or you're not. I've heard people talk about diabetes and such basic ways, like, Well, I'm not a numbers person, I can't do it. And I say to them, Look, this podcast exists for a number of reasons. One of them is because I don't like math. And you know, and one of the other reasons is, I don't want to count carbs. And another reason is, you know, like, there's all kinds of reasons why, like, This podcast is a is a, you know, it's the child of my laziness, basically, like, is things that people told me diabetes was, and I was like, I don't want to do that. But I don't want my daughter to be unhealthy. So couldn't there just be another way? And yeah, and those ways are really exciting to me. They're explainable. So are you? I'm not trying to take credit here. I'm really I'm trying to understand, are you? Are you using some of the things? Well, I guess, for the first question has to be how much of the podcast you use in your personal life?

Rachel Baker 36:33
A lot? A lot? A lot? Yeah, yeah, a lot. And I think it's a combination, you know, it is very similar to bumping in nudgee, using that sort of content, and then just personal experience, you know, I'm not afraid of, Okay, last time I was food, I went home. So I'm going to put an extra insurance time in, I'm not going to sit and count the carbohydrates of it. But I'm going to throw in an extra two units, because I know that I need it. And then I think listening to the podcast, gives me that push to do it. And then I think when I entered into being a diabetes educator, it's scary to then relay that to your patients, you know, because it's one thing for me to say, Oh, I'm happy to throw in an extra two units, but then to portray that to your pet or advise your patients. Okay, if you have that food next time, just throw in an extra couple of minutes, you know, see what happens, go with your gut, go with your diabetes, intuition, intuition, and see what happens. So I think I just kept coming back to the podcast is to listen, and to know that there's other diabetes in cars and other patients with type one, that confidently and safely can use those principles.

Scott Benner 37:45
Yeah, it was that part you just spoke about? That's where it happens. Like without that, it's useless to tell somebody because aside from being able to say to somebody just use more insulin, what you're going to tell them is, and you said it earlier? Well, maybe the insulin to carb ratio for that meal is different. And it is, but are you now asking people to on Tuesdays when they make meatloaf believe that they have a different insulin to carb ratio than they do on Wednesday when they have a Caesar salad? And am I really supposed to think about all that for the rest of my life? Wouldn't it just be easier if on meatloaf night, my blood sugar got higher? And you know, like that kind of thing, which is why, which is why the way I try to talk on the podcast is is so fluid, which is you know, I just did it the other day somebody online in the private Facebook group was like, I don't know what the problem is here. I was like, You didn't use enough insulin. And they said, but my, my carb ratio work works great for other meals, I'm like, I don't care for that one, it didn't work. So more, how much more I don't know, more, try more, and see what happens and keep playing with it until you figure it out. And the and the decision to speak that honestly, with people. I think that when this podcast is over, and when I look back, that decision, just to be honest with people might end up being the most important thing that I did here. Because that's the moment where everyone else just says, I don't know, you know, maybe we should look at your ratios or, you know, they get they take it back to technical and technicals not what you need in that situation. Because Because everyone's not living in a petri dish, right? They have a life they're trying to go through. It's not all clinical. It's easy to talk about it clinically. And I want people to understand it clinically. It's why we talked about glycemic load index so much and you know, but that's not, that's not a fun thing to remember, in the middle of, you know, in the middle of a beach vacation where you're like, I'm gonna get french fries at the beach like, you don't want to sit around and go. I wonder what the glycemic load index are of these fries and you know, you just want to you just want your brand to go French fries more longer. Yeah.

Rachel Baker 40:04
Yeah, exactly, exactly, yeah, there's two, there's two things that I often have taken away from your podcast, that I often drill into my console. And the first one is, if you're home, you need more insulin. That's it. If you're low, we need less. So we could sit around here, you know, for half an hour, and try and figure out why you had that particular high. But like you said, at the end of the day, it doesn't matter. We need more insurance. Let's do it and move on. And the second thing that you often talk about is, I think it was in one of your earlier podcast, you said, you know, I'm just, I'm just this guy. And I think, yeah, I look at the numbers, I see a number, and I don't have this big lot of emotion that's attached to it. You know, diabetes is such an emotional condition. Sometimes I just think because you know, the chronic nature of it, and how much it can sometimes wear you down, people can get so exhausted, and so emotionally attached to seeing those numbers each day. But if you can remove the emotion from it, and just look at a number and be like, Okay, I need more insulin here, or I need less, or I'm rising, let's work on this. It's a totally different. It feels like living with a totally different condition, when you can remove that emotional side from it.

Scott Benner 41:18
I'm glad you heard that. And I completely agree. Obviously, I said it. So it'd be weird if I didn't agree with it. I was just saying things in the back of my head going I don't think that at all. No, but I that sounds like something fun to say that the being the being disconnected from it is, is incredibly important. And it and I wasn't always there used to be times where I'd see a number and I was cursing sometimes out loud, sometimes just in my head. And I thought I screwed this up. It's and then it's a cascade, then I screwed this up. It's gonna hurt her she's gonna be Hi, this is you know, I knew it. Like I'm killing her, like, you know, like that whole stuff, just all that you have to stop your brain from doing that to you. You just you. You can't You can't let that happen. Because, listen, yes, the numbers not great. But no, I'm not killing her because her blood sugar went to 160. Right. So you know, I need to, the most important thing to do is to step back, see what happened, figure out how to fix it now. And how to keep it from happening next time, you know, is obviously the next step. But to feel badly about it is it's just madness. And it doesn't it's not going to stop it's going to make you crazier and crazier as it goes until your brain does you the ultimate kindness that a brain can do which is going to it's gonna make you stop worrying about it so that you don't make yourself crazy. And it's just it's a very human idea except, you know, not being upset that your neighbor cuts the lawn at 7am. like finding a way to let that go is different than letting go that your blood sugar's 200, after every meal that has real consequences. Yeah, and my neighbor is a lunatic in case you're wondering. So here's something really sad. I live across the street from people. And it's a weird mix. There's an old, a much older woman and what appears to be her nephew. But he's a grown man. He's older than I am. And they live together, which is already strange. But sometimes in the middle of the night, I am not making this up. You'll hear this metal snapping this just I can't do it. I don't have anything but it's just like, you hear this outside. And if you look, this woman in her 70s is outside on her knees with a pair of kitchen shears, cutting weeds. And that stabbing is the are the blades coming together? I don't want to make fun of people's mental illness. But I think there's something incredibly wrong.

Rachel Baker 44:02
That's the coping mechanism. Something's going on there.

Scott Benner 44:05
I said, Listen, no joking. At some point, her brain said I can't handle what I'm saying. Go take care of the week, didn't mean and I don't want that it's much different than I can't handle seeing these blood sugar's over and over and over again. I'm going to stop worrying about them. I'm going to let them go. Yep. And throw caught you know, you know, whatever people say to themselves, you know, I'll leave it up to you know, I'll leave it up to Jesus. So we'll see what happens, you know, and, you know, all the time I tell people, like, you know, I see people praying online about their budget and like, don't pray, Jesus doesn't have your meter. Just give yourself more insulin. Like, I'll tell you what your prayer you want. But I think if Jesus had EPDM in his hand, he'd be bolusing. So let's get to it. And so I don't know, I think there's something in there where it's simple to say. People need to be empowered, but that doesn't really yeah, that's Kind of a bullish statement like, right? Like it's a nice thing people say, and then some people are really good at it. And some people aren't you say, well, then you then you put it on the people aren't Well, I guess, you know, they didn't try hard enough, but that's not right. It's not about how hard you try. And there's no one with Type One Diabetes that wants to be unhealthy. That person doesn't exist, you know? Yeah. Anyway, so how do you help people, like, make these leaps? Like, I'm interested in some like, like real, like nuts and bolts, things? Like when people tell me they see good CDs, good doctors. I feel like you're one of them. So how do you end up being a a friendly person who gets people to places? What's the process?

Rachel Baker 45:45
I think, I think it comes from being a patient myself first, and having experienced the frustrations as a patient first, you know, some of my best consults and my most powerful or significant changes that come about is just by sitting, and listening, you know, and it sounds so basic. And it's like, you know, of course, right, of course, you just have to sit and listen to the patient and address their needs. But sometimes just sitting and listening to the struggles that they have, and validating them, and I just sit there, and I'm like, you know what, diabetes sucks. It just sucks. It's hard work, and it's annoying, and it sucks, and it's not gonna go away. And we might just sit there and have a conversation about all the things that we hate about diabetes, and how hard Some things are. And then that might be that's the console, you know, that's it, and they will walk away feeling better than they have ever felt walking away from appointment, you know, ever before. Just because they've had that time to sit and confront the feelings, you know, how you mentioned the talking in a way I often say you're putting your diabetes, you know, it's that can that can of beans and you're putting it at the father or father spot in your in your kitchen cupboard, you know, up in your kitchen cupboard, you've put it right at the back. And today, we're going to get up on the stool in your kitchen cupboard, in your pantry and get that can back out. Because it's so easy to just talk back the back of it, you do the bare minimum, keep yourself alive. But at one day, you know, I'm always going to be here. One day, we're going to pull that out and we're just going to open it, you know, and the day that you can open it, you can just sit and read confront it confront the thing that you're feeling, that's the day that you're gonna be able to move forward.

Scott Benner 47:25
I feel like you saw me buy pinto beans three weeks ago.

just soak beans overnight.

Rachel Baker 47:48
On the top shelf,

Scott Benner 47:49
I just I had such good intentions when I bought them. I was like No, I'm not. I'm just like, and I think I could do a really good job with them. Right? Like, I think I can make my own baked beans, basically. And then I looked at a recipe and I was like 12 hours soak them overnight. What are you talking about?

Unknown Speaker 48:07
Yeah, yeah, that's

Rachel Baker 48:08
a diabetes console, often that the diabetes comes up, people walk in, yeah, we change my calibration, I'm gonna do this and they walk away and they feel great. And the moment they walk out of the door, they don't often do any of the things, you know, they don't do any of the things because then they think that the 12 hours, you know, and then and then it sort of hits them in a reality and it's because they've never I think they I think you just need to front it and have have that conversation where you're gonna sit down and face that it's hard and it's not gonna be easy, and there's gonna be bumps in the road. And to that there's no such thing as perfection. I think that's something that keeps people with type one diabetes down is that I've got patients that will make huge progress, and then they'll come to me and they'll show me the report. And they'll be like, Oh, you know, I don't I don't think this is gonna be a good read. I don't think these reports are going to be too good to look at any look at it. And you know, it's good. You know, it's good. I don't know if they're expecting to have 100% time in range, or unicorn stable flatline CGM every day but I think just to be reminded that you're not that there's no such thing is perfect. You're not always going to have the perfect day. They need to be told that

Scott Benner 49:16
hey, Rachel, make the beans Leave me alone. Jesus. Just gonna donate them to a food kitchen or throw them away or something. But I mean, I guess pressure me like this. I'll take care of myself. Fine. Yeah. No, I think that's an it's very, very important that that to realize as a person who's trying to educate somebody about something, that it's not really something they're excited to hear about. And it's not something that sounds simple to them. And the traditional ways that it's been spoken about are confusing. And, and not exactly something that makes you want to go like yeah, I'm gonna do this. I you know, I when I'm speaking in public, and I look out into the audience, there is always a couple of old time diabetics out there, just like people who've been in the fight for a long time, you know, and they were there before glucose monitors, and probably they were there before decent insulin and decent meters and everything else. And every once in a while, I'll speak and I'll have somebody come up to me who's you know, in their 60s, they're like, this is just a revolution. I'm like, okay, you know, I'm, I've been doing it for a while, but I hear what you're saying, you know, and, and they're excited by it, and they hear it. But there are some people who just turn their nose up at it. Like, it's like it's fell. And they do not want to hear that, this thing that they that overwhelm them for so long and been so difficult. And it is as easy as I don't know, I would try more insulin here. If I was you. And they don't. It's, I think it I think it breaks their heart to hear it kind of in their reaction is just one that it's there to protect their psyche. Like the he's wrong. Because,

Rachel Baker 51:12
yeah, yeah, oh, he doesn't understand. He doesn't know this, right? It's more than that. Because if

Scott Benner 51:16
I'm right, then 30 years ago, someone could have just said that to them. There wasn't somebody saying these things 30 years ago, so it's not really possible, but it feels like a lot of wasted time. And I mean, I don't know about the rest of you. But here's a little insight to who I really am. wasted time is about the worst thing I can imagine. It really makes me upset. I don't like when people are. Like, if you ever been together with friends, you remember when people used to get together with friends. And there'd be people in rooms. I like your Australia, you guys probably aren't even afraid to COVID-19 right? Actually, just a bunch of criminals. prison populations are doing great with it. Because these people are probably they're around each other in such close quarters. Probably nothing makes them sick. But But nevertheless, I don't think everyone in Australia is a criminal. And let's move forward.

I think I've lost my train of thought. We can't do these things. So early in the morning for me, right? I was about to make a point of Ah, no, it was good. It was good. I think your brain is trying to save you. Do you know? You mean, because when you hear that your health has been the way it has been for so many decades? And there was an easier answer. I think that reality could break you. Do you know? I mean, like, I just don't i don't think it's good. I've spoken to people where I've watched it happen, where they just they're like, why did no one tell me this? And it's crushing? And I can't say that I blame them. You know, it's um, yeah, it's tough. So I, you know, I, I'll be the bad guy. Sometimes I'll stand up there and just go all right, yeah, you know, I'm wrong, it's fine. But some of those people have sway within the community. And that's when I don't, that's when it becomes dangerous for people moving forward when you're a person who's lived with diabetes for 30 years, either as a caregiver or as a person in in general, and you've got the ear of someone, and you start saying things like, Oh, you know, that's dangerous talk, you know, more insulin. What's that? You know, like, that's measurement, people are going to hurt themselves. People aren't hurting themselves. Now, whether a one sees is nine. Like, what's your point? Like? You really think if you're a one sees nine, that an extra unit somewhere is going to be the ruination of you. Do you know what I mean? Like the beginning of understanding that you need more insulin, and then you can see it happening? and say, oh, wow, I used to go to 180. But now I'm going to 160 I wonder what a little more of a do I wonder what a little more of a do I wonder what a little sooner would do and then you're there one day, it's just? Yeah, I want to say it's easy. But Rachel, isn't it kind of easy? You know what I mean? Once you start doing it, yeah.

Rachel Baker 54:09
Yeah. You know, I'm interested in SCADA. If this was, you know, we were talking back 2030 years ago. And I think what the concepts that you talked about, I think it matches the time that we're in, that's where our technology is at. And that's what we can do. But uh, we had this conversation before we had CGM. I don't think we'd be here. I don't think you'd have your podcast the same way that you have it now because I think this but because we have that CGM. We can be both, you know, so I don't know if people you know, maybe they might look back 30 years ago, they can't think that they've been ripped off because no one told them this. I think back to when I was a teenager and and i resent I resent how much I struggled as a teenager with With my type one, and how much I felt like, my medical team couldn't help me, you know, I felt like every time I went in, and everything's completely up and down and run around around, I felt like I left just feeling even more hopeless. because they'd be like, well, there's no patterns here. So I'm not too sure what what ratio or sensitivity factor I want to change. So let's not make any changes, and you go away and you monitor you five times a day for the next two weeks. And Simba You know, I think that was just something that happened every time. But I wonder if I had CGM back then would would I be doing what I'm doing now?

Scott Benner 55:37
question would be figure it out somehow. You really would. And yeah, and that's, listen, I hear you, you're 100%. Right, that if I, if I was in a time machine, and I started saying these things in the 70s people be like, I don't know what you're talking about. I don't know, I can't even see what my blood sugar is. I can't just give myself too much insulin, you know, that's how they would do it feel to them. But what I'm saying is that in present day, now that we know what we know, and have what we have, for someone to sit in roadblock of other people's happiness, in order to prevent someone else's psyche is a weird decision to make like, I don't want someone who's had diabetes for 40 years to feel badly. I'm not saying that. But that person is still alive now. And they can move forward in a different space. Like why do we keep pretending it's 1980? Is that it so that the person who lived through 1980 doesn't feel bad? What about all the people who are here in 2020? Who don't need to be living? Like it's 1980? Like there's, yeah, if I'm good at being dispassionate about the diabetes and the numbers. I'm also good about being dispassionate about that. Like, and and some people aren't, some people are so worried about protecting feelings, that they don't think about all the new people, they're hurting by talking about this thing. Like it's 30 years ago, that that's all I just yeah, that's how I yeah,

Rachel Baker 56:58
some people definitely stuck. Yeah, I'm 100%. Yeah, I made a lot of different educated endocrinologist. Look at all different disciplines that are just stuck. I agree that they're stuck in 1980. And they're not moving forward with with what we're learning.

Scott Benner 57:15
It's just there's so much good stuff that exists right now. It's, it's fascinating. It's fascinating to me that you'd want to ignore it or not learn it, or, or whatever other reasons happen, like I get for the people who are living with it. But I mean, if you're teaching someone, if you if you're teaching someone how to live with diabetes, and you see that there's a better way, and you don't know that way, I don't know how it's not your full force in life to figure out that new way so that you can help those people. I don't know how in good conscience, you keep telling people. All the information? That seems strange to me.

Rachel Baker 57:50
Yeah. I think I think they're just scared of the hypose. That's one thing that I it's a common thing. People are just scared of their patients having hypose.

Unknown Speaker 57:59
Yeah, I understand. Just,

Unknown Speaker 58:02
yeah, well, I

Scott Benner 58:03
mean, it, why are we not scared of the other part? I guess that doesn't make any sense. Ya know, we've chosen I heard someone say the other day, that they're, you know, obviously, I know, people say this in the community, medical community. But I haven't heard it in so long that it shocked me. My endo told me, it's better to be high than low. And now I'm listening to your podcast, and I don't know what to do. And I said, Well, I'm not your doctor. And I am not. I'm not even a doctor. I have no medical, you know, I'm not giving you any advice I was like, but all I can tell you is that I wake up every day. And the first thing that I think about diabetes is I'd rather stop a lower falling blood sugar than fight with a high one. Like, I have to remember that. Yeah, that's just that's got to be the first thought in your mind with diabetes. I'd rather I want to be down here. I want to be playing down here, not up here. And, you know, if if somebody has to have a juice box, or has to do something to stop a low, it is far better than fighting with highs. And by the way, don't make that your norm for the rest of your life. figure out why you're getting low and stop it at some point. But, you know, in a world where everyone gets low Anyway, why not get low? This is gonna sound weird, because I don't mean this exactly this way. I was gonna say why don't why not get low on purpose? I'm not saying that people are getting low on purpose. I'm saying I'd rather you don't I mean, if you're going to be super high, eventually you're going to over Bolus it and, and crashed down low and have no idea how much insulin is in you and be in a complete just freefall that starts to eat the kitchen situation that throws you onto the roller coaster, you know, so why not just be at and go oh, it's Yeah, it's not working out this one time. I'm 65 before bad I'm gonna have to do something. You know, like, that's, yeah, that just makes that just makes sense to me. You know, I don't know. I'm glad it makes sense to you.

Rachel Baker 1:00:02
Yeah, no. But people when they're on that roller coaster, you're never on the roller coaster and they're up and down. I often just sit there with the report. And I'm like you on the roller coaster, and you've got no idea how hard you're making this for yourself, because you're stuck on that up and that down. And like you said, that is just as dangerous and just as scary to be on that up and down roller coaster. But also, to when you're on that because everything's harder. When you're up, you're up there for hours, it takes so long to get back down, you finally get back down and think, Okay, great. Now I'm going to hide, and then you end up having a hard time and then you're over trading in Europe on the other end. But when you bring it all in, I always said are you gonna think I'm crazy? I think it's absolutely crazy. But the tighter that you manage it, and the more that you sort of bump and nudge your levels, the easier your management actually is. Because if you're fighting just you know, an angled arrow up or a straight up, it's so much easier than fighting. And I know you guys don't use me more but you know, a $15 million with a double our but it actually becomes so much easier when you pull away from that fist up and down. roller coaster.

Scott Benner 1:01:09
Yep, it's pretty easy. Like it's just an it's really, there's not much to it, you know, don't get high, you won't get high. And if you don't get high, you want to crush it with insulin, it's most definitely going to make you low and scare you and rightfully so into eating more food than you need. At some point, you have to say enough's enough. I gotta stop this somewhere. And, and not just keep this going forever. And it doesn't even stop. It goes into overnights like now you're getting super high overnight, or super low overnight. It's at the point now, where if someone shows me a graph, I'm like, I mean, do you not see what's happening here? Yeah. But but they don't they see. They see randomness, it all looks like chaos to them. And I mean, I'm glad to be able to see it. But I think everyone can see it. Eventually, I'm telling you, the longer this podcast goes, and the more people it reaches, the more experiences I get to watch people have. And those experiences prove over and over and over again, how doable This is for large variations of people. It's not just one kind of person who gets it like, you know, with the way diabetes is taught. Traditionally, it is one person it's that person who can put themselves in rock hard shape and stay in it and go to the gym at 5am no matter what, like that that person. Diabetes is easy to them, they just put that kind of focus on to the diabetes. But for everyone else, to make them feel like oh, this isn't for me that good health isn't for me, is just a lie. It's not true. And I think I think that if you, you know, I swear to you, I think those pro tip episodes are it's like a Master's class in 30 hours on diabetes. And it really Oh yeah,

Unknown Speaker 1:03:05
yeah, yeah.

Unknown Speaker 1:03:07
Do you listen, have you I will

Rachel Baker 1:03:08
just I will just tell. Yes. Yeah. And I will just tell my patients, you know, go and listen to, you know, Scott's protests. And Jenny, you know, I think you guys are incredible at summarizing just the real key concepts for optimal diabetes management, and then just portraying in a way that you seem so simple, you know, I would happily just have my patients who sit and listen to a podcast, I mean, out of a job, surely. And the thing is, if it didn't work, your podcast would not be where it is today.

Scott Benner 1:03:41
Oh, no, right. If we were just talking, just trying to podcast, you know, obviously, people would tell away from it at some point. But listen, Jenny, yes. Yeah. Here's the secret about Jenny, is that she's so wrapped in this Midwestern feeling, and she's, you know, she's got that kind of like, it's a little all shaxi. But when you talk to her, like, personally, like, I know, Jenny, Jenny's just me in a nicer wrapping. So like, when it comes to diabetes, like she was, like, I think if you were alone with her, she'd be like, I don't use more insulin there. That just makes sense, doesn't it? And, and so she's, I just very much I love her and so happy. I actually just spoke the other day to ginger Vieira, who is the person who introduced me to Jenny and I thanked her again and it's been years now. It's like, I really have to thank you. Because ginger sent me a note one day and said, You should have Jenny on your podcast, you guys really? You agree about diabetes, you should you know, you should have her on. And, and if it wasn't for that, I never would have met her honestly. So yeah, I just think that it's um, it's very cool that you as a as a person who's educating somebody would say to somebody Hey, listen, have you heard about this podcast? You know, all the pro tips or diabetes pro tips calm once you go check them out like that thing to me is huge. And not just because it helps the podcast, which it really does, and I appreciate but not just because it helps people. But because he it, it moves us closer to my end goal, which is that the way you're talking to people is how educators should be talking to people. And that one day, you know, not just this podcast won't be necessary, but people won't have to struggle and have these horrible decisions to make. Am I gonna trade today for tomorrow? That is not something we should ask people to have to cognitively decide, like, Am I just going to enjoy today but, but give away the last 15 years of my life? You know, is that what this is? That was that that's not the only choice? And it's bizarre That, to me, it's bizarre that a lot of people feel like that is a choice. Like I'm just gonna, you know, live fast and die hard. That's a Did I get that saying wrong? What is that saying? Live fast and die young. That you don't know you're from Australia, you say concession? It doesn't even mean that

all your animals have pockets? And you're trying to tell me you understand?

Unknown Speaker 1:06:27
Do you sit here and think that you're I think good.

Unknown Speaker 1:06:32
Go on? No, you

Scott Benner 1:06:32
were gonna agree with me. I never stopped anybody from agreeing with me. You were

Rachel Baker 1:06:38
gonna say, I agree, I think there is a huge opportunity to change the landscape of diabetes, health care, I think I think it means that's the reason I got into becoming a diabetes educator. Because we need we need to change the health scape, the landscape of diabetes education, I have 100% there's a whole other way that it can be done a completely different way. So I have the same vision, I have the exact same vision. But if

Scott Benner 1:07:06
I have a phone call tomorrow with a large organization that is very much in charge of how health care educators are directed. And I am going to put my full excitement and and thought into that phone call and then they're going to ignore me. But just so you know, I'm not giving

Unknown Speaker 1:07:25
you I do that every day,

Scott Benner 1:07:28
every day. I booked this phone call and I was like, here's an example of me talking for 20 minutes. Everybody going Oh, yeah, that hang up the phone and going. That guy's a lunatic. It's so but I'm not gonna say he's crazy. Oh, please, we can't tell people that that'll kill them. Sure. Yeah, the podcast is, is reaching all the people it's reaching because, you know, it's not like to your point like it. It is what it is it works. If it didn't work, it wouldn't work. By the way. I want you to know that. I have completely decided to find Halina Sophia Hammami, who is part of the snail venom study and I'm going to get her on the damn. I'm gonna kill myself to get this woman on the podcast. Tell me about this. She was she was she got her PhD at the University of Melbourne. But she's on staff of Nova and I just loved the way you set out the way I said again, by the way, all that really thoughtful stuff you just said about the state of health care. I was going to say Do you ever sit in Australia and wonder why our animals don't have pockets?

Unknown Speaker 1:08:40
I've never I've never considered that animal if

Scott Benner 1:08:45
you've never looked at American than like, why did those deer not have pockets on them somewhere? Where's the Tigers pocket? I mean, you're closer to Africa. You ever just be like we're the lions pockets that I don't understand. How does a caribou not have a pocket? See? You gotta flip things around once in a while.

Unknown Speaker 1:09:07
Oh, my life has changed. Yeah. Yeah,

Scott Benner 1:09:09
tell me. Tell me how I just mispronounced that city. What should I have said?

Unknown Speaker 1:09:16
Melbourne.

Scott Benner 1:09:18
You just swallowed like five of the letters. Just so you know. You just you and Nolan. Did I get closer?

Rachel Baker 1:09:24
just just just Melvin. Yeah, that was close. I

Scott Benner 1:09:27
think you fell asleep. Well, where are you from? Melbourne? Yeah, I said it more correctly mumbling it then than I did when I was pronouncing the letters and you're from like, Where are you from Brisbane. Where's that from? Okay. How did this happen to people? Because you're all like surrounded by the water isn't scary being surrounded by water.

Rachel Baker 1:09:53
It's great because we get less Coronavirus. It's excellent isn't the best time to be living on an island when that

Scott Benner 1:09:59
place caught fire. never once thought there's nowhere to run.

Rachel Baker 1:10:04
That's fine. You just go to the water, we got plenty of water. Just run to the edge.

Scott Benner 1:10:10
Run to the sharks. Is that what you just said? Run out to the great white shark week wouldn't exist without and just, yeah, good luck. You better start building the raft. That's all I'm saying. And where are you gonna go? You don't have to go to New Zealand?

Unknown Speaker 1:10:26
Yeah, look, I

Unknown Speaker 1:10:27
hadn't thought that Yeah, well, you better figure it out.

Unknown Speaker 1:10:32
I need a plan,

Scott Benner 1:10:32
we have to save you. You're the only one helping people? Well, that's not true. But you're helping people with diabetes and in Australia that we need to save you. So do you think that the popular I'm gonna let you go in a second? But do you think the popularity of the podcast in Australia can specifically be attributed to the fact that this is not the kind of information you can get there? Or is there a rise in diabetes? They're like, I am starting to look at where diabetes is more prevalent and where the podcast is more popular? And there is I guess, not unsurprisingly, a correlation. It just wasn't something I ever considered before.

Rachel Baker 1:11:11
Yet, I think it was the former of what you said that they can't You can't get this information. This is not like a freely accessible information. You can go to hundreds of different diabetes doctors or diabetes nurses. But the information that you get on this podcast is it's another level you can't you just can't access that.

Scott Benner 1:11:34
I wish you knew me my whole life. So you know how ridiculous that feels. To for me to hear.

Rachel Baker 1:11:41
Unless, of course if they come and see me. But otherwise,

Scott Benner 1:11:44
let me just tell you the opposite of this. If you and I grew up together, and you felt like that now, when you explain to somebody you would say something like this. Can you believe that? That idiot Scott? You remember Scott right from school? Yeah, he's doing it. It's weird. Like people listen, and it's helping them. It doesn't make any How was it? Him? It just it trust me, it doesn't make any sense that it shouldn't be me, which I think is or even a person like me, I don't think but I think that's why it is because I had no preconceived notion of what was right. And when I heard things that are right, just like I had been doing my entire life. I was like, that doesn't make sense. I'm not doing that. Like I can remember being a little kid. And my dad saying, you know, you need to be nice to him. He's your elder. And even at like nine years old, I pulled my father aside and I was like, Listen, I don't know if you realize there's not, that guy's a jackass. And I am not I am not willing to give him any kind of respect or time just because he was born before I was like, those things that don't make sense to me have never made sense to me. And I do not spend any time with both. Really like that just is it's not okay for me. So when I saw things about diabetes, that didn't make sense, I got trapped like everybody else that's like, this is right, this is what I'm being told. But it did not take me long to say I am not going to let this make me crazy. Or make me give up on my daughter's health. So I am going to throw away everything that everyone's saying and think of something else. Because this is just not okay. Yeah. You know, so,

Unknown Speaker 1:13:20
yeah, happy. Yeah. But I

Rachel Baker 1:13:22
think that that's, that's what makes it so relatable. But you know, as an Australian, I would say you're just you're just an honest, genuine bloke, you know, that's how I would describe you. And I think having that having those traits makes it feel all the more achievable. You know, it's just I think that's part of it.

Scott Benner 1:13:44
You're just saying that because I'm wearing pants with pockets and I love the plugins you love the pockets Really? Got me. By the way, Rachel loves the pockets. Pretty close to the title of this episode. Just so you know. Listen, I really appreciate that. And I'm gonna have to start telling my wife listen be nicer to me, because I could just throw myself back on the market to people with diabetes, and I could get a nice line of ladies. So but that you, I'm not saying you I'm just saying in general, there are people who are people who respect me. Just none of them live with me. That's just everybody. I think right? Like I always imagine, like Peyton Manning, or wait, I need to Australian like Do you have any famous people there? I got it. Imagine that Hemsworth guy, right. Is he okay? Yeah. Yeah. By the way, we like it. Which one do you prefer? The Thor the other one.

Rachel Baker 1:14:44
Liam, the other one. The other one.

Scott Benner 1:14:46
Let's imagine Liam has some children. Did he not date the Miley Cyrus? That must have brought you down a little bit? Yeah.

Rachel Baker 1:14:53
Oh, yeah.

Unknown Speaker 1:14:54
Yeah. Although

Scott Benner 1:14:56
I like her. I'm just saying, you know, she seems a little strange.

Rachel Baker 1:14:59
But that's it. wouldn't think it Yeah, yeah, yeah.

Scott Benner 1:15:01
So anyway, he comes in in the morning like a wrecking ball. He's got these children, and he's gonna bring them breakfast. And he does. I don't think the kids sit there and think Liam Hemsworth just brought us breakfast. I think that idiot made my cereal soggy. Like, that's how they you know, like, you don't mean like nobody in your own home sees you. Not that I'm Liam Hemsworth. I'm just saying Trust me. I'm probably the furthest thing from Liam Hemsworth. I don't even know who he is. But all this is making me think of is that inappropriate? joke that I've heard so many women who loved the Marvel movies tell they they talk about Chris Hemsworth? And they say I'd let him make me Thor. Did that even resonate with you did that? Did that get to you? Should I swallow the last few words? You just went for like that? Would

Unknown Speaker 1:15:51
you understood better?

Scott Benner 1:15:54
All right, listen, this is getting off the rails. I've already recorded a weird episode this week. So I can't, I can't do too many more. I think I'm getting too comfortable doing this. By the way, in case you're wondering. I used to feel like there was a need for the podcast episodes to have some sort of, I don't know, like conformity, and now I don't even care. Let's just keep talking. Anyway, did you? Did we not say anything that you meant to say that, that I talked over or made pocket jokes around it? Or we go?

Rachel Baker 1:16:29
No, no, no, I came in with no no intention. So no, no.

Unknown Speaker 1:16:34
There you go.

Rachel Baker 1:16:35
I just got i got i was I'll come in with no idea. No idea we're gonna talk about and see what happens

Scott Benner 1:16:41
when people over prepare for the podcast. It makes me nervous when they start talking. And I think they're more prepared for this than I started feeling inadequate. It's like, Oh, geez, should I have made a list? I didn't think oh, sometimes I'll be talking to somebody. No, I hold on a second. I'll be talking to somebody and I'll hear like, paper rattle in the background. I'm like, use paper. Or like, like what's written on it? And they started telling me like, Oh, my gosh, Wow, thank you. Actually, you're taking this so seriously. I hear I'll give you this. And then I'll let you go. This is Don't let this be crushing. Five seconds. Before I record with people, I do a search in my inbox for their name, look for their email and go, Oh, yeah, Australia CD. I remember this, that I go, hi, Rachel. And then we start talking. And I think that's part of my genius. So whatever. And I don't mean genius. In the standard sense, the word I mean genius in the Australian sense, sort of like concession. So I need you to look into that for me and find out why they're called concession.

Rachel Baker 1:17:49
I'm going to I'm abs, that's my first goal. As soon as I get off it.

Scott Benner 1:17:53
Thank you. I have six you have six months to tell me. But if you could just send me an email and tell me why they're called concession cards. I'm going to like plug it in at the end of the episode. All right, listen, go to bed. It's late there. You have to rest up so you can run away from wild animals and snakes and things like that. You live in a city, right?

Unknown Speaker 1:18:13
Yes, yes. You don't like

Scott Benner 1:18:14
normally see a snake? Is that right?

Rachel Baker 1:18:18
A snake? Oh, yeah. No, there's still snakes in the backyard?

Scott Benner 1:18:22
Are they big and scary? Can they hurt you? Or are they just regular ones?

Rachel Baker 1:18:27
Depends, I mean, most of them that I get most of them like a green train, and I'm not going to hurt you. But definitely, I would say, you know, at least once a year, you'll have a brown snake in the pool or in the back garden or something. And now that we're

Scott Benner 1:18:38
in the pool, sounds like a little kid took a poll. But that's not what you're saying. You're saying? No, no, you're saying you're saying and so when there's a brown snake or a venomous snake in your pool? How do you what do you do? What what's the next step?

Rachel Baker 1:18:56
You get the pool net, you know, the pool cleaner. And try and just sort of flick it away. Get it out, take it away

Unknown Speaker 1:19:05
once it goes in your house.

Rachel Baker 1:19:08
When you close the doors, I feel like people have such an interesting imagination about Australia.

Scott Benner 1:19:15
To me, here's what you just said to me. I live on Mars. That's what you just said to me. Yeah, we can't even breathe. The atmosphere here is not hospitable to life. Like that's what you just said. Like my brain is yelling. Why won't this woman move out of that wasteland? Like Like, like a snake in your butt? I realized there are places in America where like, you know, bears wander into people's yards and there are rattles?

Unknown Speaker 1:19:42
Exactly. I don't understand

Scott Benner 1:19:43
why people don't leave those places, either. Just I gotta be honest with you. If I woke up one day, and there was a bear at my back door. I wouldn't live here three days from now. Just be like, I

Unknown Speaker 1:19:57
gotta go

Scott Benner 1:19:58
gosh, oh, yeah. But I am Maybe a word that I shouldn't say on the puck. I'm gonna stop the recording and tell you that I was gonna say that. That seems unfair, doesn't it? Thanks so much to Rachel for coming on the show and sharing her story. And given the chitchat with me, I had a great time. Thanks also to the Dexcom g six continuous glucose monitor, and the Omni pod tubeless insulin pump, find out more@dexcom.com forward slash juice box, my Omni pod.com forward slash juice box and don't forget the T one D exchange T one d exchange.org. forward slash juice box.

Looking for those diabetes pro tip episodes that you hear everybody talking about? You can find them right there and your podcast player or diabetes pro tip.com. I'll be back very soon with another episode made just for you. How about a little bonus chitchat from right before we started recording this episode to talk when you were speaking prior with the video and it just went on. So I wasn't really hearing you. All my bad jokes about like what part of the Australian jungle you live in, started popping

up somewhere on a koala bear farm the middle of that island.

Unknown Speaker 1:21:35
That's exactly accurate representation.

Scott Benner 1:21:38
Thank you so much. I really I like to show off my geography during the pot. hasn't done it since then. So that's good. Not that it wasn't okay. But it will be more important if people can hear I actually left a little bit in the episode I put up yesterday, which I think I recorded like six months ago. But I left a little bit of an end of us talking in the beginning about that. And the truth is with a podcast if it doesn't sound right, it doesn't matter what you're saying. People will flake out and just leave it they won't listen to you. It doesn't matter what you're talking about. You could be like so this is how you become a billionaire. And people be like not if it's gonna go in and out. It's not I'm not listening. So interesting what people will spend their time with and not. Although I have to agree with them. I don't I don't like it to. to sound poorly either.

Rachel Baker 1:22:38
Yeah, no, I'm great. Thank you

Unknown Speaker 1:22:40
going and

Unknown Speaker 1:22:45
what time is it there?

Unknown Speaker 1:22:48
It's 9pm

Scott Benner 1:22:51
for some reason, it's Australia week here. So you are the third person from Australia I've recorded within less than a week. So you got a lot to go to here because I'm completely out of stupid things to say about Australia. So you and I are gonna have to have a real conversation.


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