#398 Arden tried Fiasp

Fiasp

Scott shares his and Arden's experience trying Fiasp insulin when she switched from Apidra. He discusses things to consider when deciding which insulin is right for you and explains how the insulin performed, as well as side effects Arden experienced and how those factors influenced the decision whether or not to continue using it.

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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 0:16
Please remember as you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise please always consult a physician before making changes to your health care plan or becoming bold with insulin. If you have a great doctor that you use for your type one diabetes care or you're looking for one, check out my site juicebox Doc's calm. It is a ever growing list of doctors and practitioners sent to me by listeners like you. If you love the diabetes pro tip episodes and you want to share them with a friend or revisit the measly you can check them out at diabetes pro tip.com. All right. Arden tried fast. And this is what happened.

Hey, everybody, it's Scott. This is episode. I don't know what episode this is Give me a second 398 of the Juicebox Podcast It's Friday night. This will likely be the shortest episode of the podcast ever. which ironically, is happening right before Episode 399, which I believe will be the longest episode of the podcast ever. I also think this is the first time I've ever used the podcast like a blog. And this is definitely the first time I've ever recorded something and then put it right out. So we tried fiasco. Now Arden uses Apidra as her insulin. And we wanted to try fast. Because we heard that for some people, it worked quicker and had a shorter tail or lasted longer in the system. Online. Anecdotally, it has about three different basic stories, right. So first, I guess what is fast fast is I'm gonna go right to the website fiasco is designed to increase the speed of initial insulin absorption. fiasco is the formulation of insulin as part with two excipients added to the solution. acceptance, I think I said that right. The act of molecule and fast is identical to novolog. The Fast formulation contains the addition of vitamin v3 and amino acid to stabilize the formulation. Now, I know about the zero but what that means, okay. But what I've heard from other people who have tried the insulin varies, the general stories are either I use fast, it works much faster, and I love it. I use fast, I didn't notice any difference. I use fast, it works much faster. But it burns. Now some people that say they experienced injection site like burning or stinging, said that after a number of you know uses it passed and it didn't burn anymore. Some people also report that the speed that fiasco works stopped being as impressive over time. Now, again, these are all anecdotal things that I've heard on the internet. But we wanted to give it a try. Why? Because we didn't like Apidra. No, actually, we love Apidra harden switch from Nova log to Apidra so many years ago, and I find Apidra to work very smoothly. It's consistent is the best way I can put it. I know what it's going to do. It does what I expect. peaks kind of gradually doesn't have a big tail. You know, we like it a lot actually love Apidra. So why did we try fiasco? Well, because people said it worked faster. So we asked our doctor if she didn't could have a little bit to give it a try. And she said sure. So here's the great news about it. It worked really great. Quick onset really quelled art in spikes, nice flat graphs, a significant decrease in a tail of the insulin, fewer lows later, even fewer than we're having with a pager, which is to say none and I overall found that it worked better. Meaning I think Arden's graph was flatter and more stable. fast. So that's all great news. We didn't have any trouble using it for the full 80 hours and an omni pod. There weren't any inclusions or anything like that. And Arden used it for two full vials. Ah, two vials, you're thinking, Well, why not three or four or five? Scott? Good question. Here's the answer to that. Immediately after the bazel insulin began running after Arden zombie pod was on with the fiasco in it, she said it burned. It stung or burned during, you know, a bolus pretty consistently. As a matter of fact, she said she was constantly aware of it. After she would take a pot off. She said the site where the the candle was felt bruised, and remained that way for hours if not a full day, a sore spot. So obviously we're like, well, this isn't gonna work. Now, the shame boat was I immediately saw a flattening of our graph, which you know if you can imagine Arden's graph is pretty flat to begin with. But fiasco made the times away from food even more steady. And remember Arden's using the Do It Yourself loop system.

And spikes were easier to control highs were easier to bring down. And I didn't find us having to Pre-Bolus so far out. So everything's great except for the burning. Which by the way, I think is in I'll find the packaging, sir, I think it is one of the things they say could happen. Now, in any normal situation, stinging or burning, I said to Arden, look, it works great. But you know, I don't want you to keep doing this if it hurts. She says, Well, what do you want me to do is like, I don't want you to do anything. But I did hear online, that it's possible that this thing could go away, after a little bit, said, how much of this would you you know, be willing to go through to find out if it's going to just go away? Now I have no idea why it would go away for some people and not for other people. That could be you know, Bs, as far as I know, but it's something I heard online. So I was like, Alright, we could you know, what do you think she was? I'll try another one. So we did twofold full vials, you know, she worked for a while, every time the same thing, always stung. uncomfortable and left bruising behind. Now when I say bruising, I don't mean like brown bruising. She said it felt bruised, the site felt bruised, it didn't look bruised. But man, it worked great. But by the end of the second vile, this thinking did not change. It wasn't lessening. And in all honesty, I just, you know, we couldn't keep doing it. Arden was not for keeping going and I couldn't, you know, in good conscience do it. the shame of it is, is that it worked astonishingly well. It worked better than any insulin she's ever used. It worked better than a Piedra, it was certainly better than novolog. For Arden. And it's one of those things I guess if you can get some to try, it's worth it. Now, she didn't have it on long enough to find out if it was going to stop working more quickly, which some people say again, anecdotally online. After three months or so some people see the speedy effect of it kind of lesson. Again. I don't understand how that could possibly be definitely not a scientist. But this is just you know, the quick story of how it worked for Arden. So I'm happy we tried. Arden was not disappointed that we tried. I think that a lot about Type One Diabetes is staying fluid and understanding how new things come into the world the next faster insulin that pops up is already out. I think Lilly put one out. I don't think we're going to try that one. But I am crossing my fingers that you know scientifi tries to speed up the way a pager works, because maybe that would jive better with Arden's physiology. Overall, what I can tell you is that a faster acting insulin that does not stay in the system for as long a time is definitely beneficial. Not that that's any great secret, but I definitely saw the benefit in it. I do think if we could have kept Arden on fiasco I think we could have more consistently kept her a one C in the lower fives rather than mid two. You know, right now I think she's like 555657 for like the last year so I have no trouble believing based on how I saw the fiasco. come online and handle initial spike, I would have no trouble believing that she could be more like five to if we were able to keep using it, but didn't work out. For Arden. It's not the biggest deal in the world for certain. And it was definitely worth a try. So you know what I always say, don't look up 10 years from now and say, oh, gosh, does nobody do it this way anymore? Am I like the last person using this thing? You know, try the new stuff out when it makes sense. We didn't just switch to switch. And it didn't work out. And to be perfectly honest, I've got a couple vials of fiasco, if you live near me, drop me a line to prove our point out. A few days after Arne was back on a Piedra, she had a high blood sugar. And I said, hey, let's try to fix it with fast and see what happens like just with a needle. And we did. And it worked just as I expected it to. But she said almost immediately, even with the little needle the injection site burned and stung, and persisted for for a while. And then she showed me the next day it was red. So I don't know what it is about vitamin B. Or, you know, those other acceptance excipients but it didn't jive well with Arden.

Unknown Speaker 11:15
Anyway,

Scott Benner 11:16
I hope you have a much different experience with it. I hope it works great for you if you try it. And you know, no shade too fast. But it really did work. Right. It just it wasn't perfect with Arden's body. And so it goes things you know, not the biggest deal. The Internet says that common side effects FPS include, you know, there's some stuff they have to list with the insulin, low blood sugars, allergic reactions, hypersensitivity injection site reactions. You know, blah, blah, blah, but really the injection site reactions and I think allergic reactions are the things that Arden was having. So your mileage may vary, of course, check with your doctor, etc. But it was an interesting little test. And this was kind of the post mortem of our experience. And this was sort of the end this is the post mortem of ardens experience. Not even a review. I think that's kind of weird to say because you may use this in something that may work terrific for you. You may use it and it might not even work as it might not work at all for you but not burn like I don't know, but you could always try, you know. Alright, that's it. I'll talk to you guys soon. I appreciate you checking out this episode.

Arden got fast through her doctor with a prescription and we of course paid for it. Nothing you heard here today was in any way related to the company that manufactures the insulin. Don't forget juice box docs.com diabetes pro tip calm if you're looking to find out more about the podcast that Juicebox Podcast can be found at Juicebox podcast.com work any podcast that check it out.

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#397 The Lost Julia Tapes

Dr. Julia Blanchette, PhD

Scott interviews Julia, a CDCES who has been living with Type 1 diabetic for over 20 years and whose education has been focused on psychological factors of self-managing T1D. They discuss how COVID-19 has brought changes that have shifted lifestyles and diet and increased stress and anxiety—and how that can and does affect mindsets and especially approaches to glucose management.

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

+ Click for EPISODE TRANSCRIPT

---

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

Scott Benner 0:09
Hey, everybody, welcome to Episode 397 of the Juicebox Podcast. Today we're gonna get to see what a difference six months can make. And I have a short story here before we get going about the difference 24 hours can make. Before I get to all that, I want you to remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, please always consult a physician before making changes to your health care plan. We're becoming bold with insulin. Today's guest is a return guest it's Julia. And Julia is a I would tell you she's a CD but just call herself something different now. There's been a change, you know, I don't understand the whole thing. But there's some group of people who tells people what things are. CD E's are now googling it. Certified diabetes educators credentials are changing to the certified Diabetes Care and Education Specialist, the CDC s credential, right check this out.

This episode of The Juicebox Podcast is sponsored by the Dexcom g six continuous glucose monitor. The show is also sponsored today, by the Omni pod tubeless insulin pump, you can find out more about that g six@dexcom.com. forward slash juice box. And they get a free no obligation demo of the Omni pod sent directly to you. All you have to do is go to my Omni pod.com forward slash juice box now short story about 24 hours ago, the computer that I use to make this show just crashed. I mean, it took a you know what I mean? It was gone. At the time it crashed there were 63 unproduced already recorded episodes of this podcast living on it. But don't worry, they were also living on multiple backups online and physically here in my home. Anyway, it's been a stressful day, everything's working again, we're back up and running. But I almost threw up when I had to erase the computer to reinstall the backup because I knew I was functionally erasing 63 episodes of the show when I did it. And I was insanely scared that my backups weren't going to work. But gratefully they did. And here we are. Now. That's the difference 24 hours can make. Julia came on the show to talk about stress and anxiety, things like that, around COVID back in April, and I never got the episode out. So this is going to be interesting for you, especially in the very beginning, it's very heavy with conversation about living with COVID-19, just as it began to happen. So you're really getting an insight into how I felt about it and how Julia felt about it, how it was impacting people. It's a little time capsule episode that I think might be timely, because

Unknown Speaker 3:34
well, you know, I mean,

Scott Benner 3:36
hopefully things are getting better, but seeing a rise in infection a lot in a lot of the country. And so I thought maybe now's a good time to run this one as a reminder about how things seem in the moment, but maybe really aren't. Anyways, a little perspective here plus Julia and I talk a ton about living with Type One Diabetes, so really great conversation, but it's a little front loaded with COVID stuff. That's a real look into how people's minds worked in the first few weeks. It was even very eye opening for me when I edited to this when I edited this Why can't I say edited when I edited this. And I heard myself talking about certain ideas. You know, we back then we were very worried about transferring virus by touching things. And not so much about breathing at that point. Although masks were sort of a thing, but they they weren't really at the time. We were in that kind of flux moment. I want to be clear because I don't want to trigger anybody. I wear a mask in public all of the time now and I have since actually just you know not too long after a story you're going to hear me tell in the beginning. Anyway, I don't usually end up explaining myself in this podcast, but this is a very specific and touchy situation. So anyway, wants you to listen to it and you'll hear it for yourself.

Unknown Speaker 4:55
Alright, so I am Juliet. I've been on this podcast Previously, I think a few episodes ago or maybe longer based on when Scott decides to put this out, but I am a Diabetes Care and Education Specialist. I live in Ohio, and I have my PhD in nursing. And my PhD work is pretty focused on the psychological factors related to diabetes, self management.

Unknown Speaker 5:24
And I Oh, sorry.

Unknown Speaker 5:27
I was gonna say, and I've lived with type one for over 20 years,

Scott Benner 5:30
people say I've lived with type one for 20 years and my my first like, subconscious thought is always I wonder where they met, like, in high school or at a dance.

Unknown Speaker 5:40
You know, we met before a dance class in elementary school.

Scott Benner 5:46
Just out there in the parking lot hanging out. Yeah, see, that's exactly

Unknown Speaker 5:49
that's your story. I was on my way to dance class. And well, I thought and my mom brought me to the pediatrician said,

Scott Benner 5:57
was that that was at a smoke and mirrors, ducking cover situation. Was she telling you it was dance class? She did she make a in game decision, and change.

Unknown Speaker 6:06
She got me in the car. And then like, typically, we would have gone to dance class from the bus stop. And she was like, Hey, we're going to the pediatrician. And I flipped out. I was like, but dance class, but my friends. And she was like, we can go to dance class after but that never happened. Yeah.

Scott Benner 6:23
Your dance partner? Isn't dancing anymore. your pancreas? No, no,

Unknown Speaker 6:27
no.

Scott Benner 6:28
Well, okay, so Julia, I thought after interviewing you last time, there are forever questions rolling into the podcast about like psychological ramifications around diabetes. And I sometimes bring it up to Jenny privately. And I was like, you want to talk about this? I'm like, here's a question about you know, and I read the question, she goes, we can talk about it. She's like, but it's just gonna be my opinion. And I was like, right. She's like, I don't have any, like, you know, learning behind it. And I was like, gotcha. So one day when we were talking, I thought Julius, maybe we should try this with Julia. So you're, you're totally getting the gig here.

Unknown Speaker 7:06
All right. So we'll see how it goes.

Scott Benner 7:08
But if you're bad, you'll know you'll never be back on the podcast again. Don't take it personally. I Oh, hey, I can't feed these peoples rebel, they've come to expect something. Okay. But you know, where it's weird. I never timestamp the episodes. But for the for this. It's April 21 2020. And I don't know about you. But I have been pretty much in my home since March 13. So 2345 weeks. Yeah. So that's a while. And I've noticed a couple of things about the world. And I've noticed a couple of things about our life. And I've noticed some things about diabetes. So before we get into the diabetes thing, would you like to hear a story from me picking up takeout food?

Unknown Speaker 7:59
I'd love to

Scott Benner 8:00
it's a Corona Bay story. So first, I want to be clear, I've only been out of my house and gone somewhere public four times since this has happened. And each time has been to bring food back, usually from a grocery store. But this last weekend, we were like, Should we order something like we can order out. And that worked out really well. You know, like the pizza guy came and just abandoned the food on the, you know, on the front step. We sent out a strike team with Lysol, hit the boxes. The strike team then backed off, and then the movement team brought in the boxes, set it on a predetermined area, remove the food from the boxes, dispose of the boxes, wash their hands, cleanse the area presented the food. By the by the time you're all done, the food's cold. But hey, we shouldn't have to cook. Right? So so that went really well. And we're like, Huh, we could probably do that a little more frequently. So then another opportunity came up. And my son's like, hey, let's get that seafood from there's a seafood place in town that people it's funny we like but don't love. It's like one of those things where you're like, Who wants deep fried seafood that's going to take six months off our life. And when we all agree, like once every two years, we go to this place, no lie. So it's a little it's not shady. I don't want to say it's a shady place. But it's a place it's been there for a long time. Like you can see how it would have been quaint in the 60s. Okay,

Unknown Speaker 9:31
like a hole in the wall place

Scott Benner 9:32
a little bit. And you go up these steps and through these doors and you know, there's a little you know, you go through another door and now you're standing in a place a space that I'm going to call probably 20 feet wide but only about six feet deep. And and that's you know, we're in front of the counter.

Unknown Speaker 9:51
But no,

Scott Benner 9:52
no matter though, Julia because on the website, there's clear instructions about how to pick up the food. You call you pay in advance, you show up you tell them you know, when you pay what kind of car you have, and they, you know, bring it out to you. So it's like Oh, hell, all right. Like, you know, I'm gonna flip open the back of my car somebody's gonna set it in I'll push another button it'll go down. I won't even have to touch the food like we'll be able to eliminate an entire strike team from this you know, scenario. Well, I call an order the food and I said, you know, I'll pay you now and my car she was gonna just come in. And I said, What and she was Yeah, you can just come in. So my like before Coronavirus brain just thought, yeah, I mean, cuz nobody's ordering greasy. Seafood takeout I'm going to be the only one we're not going to go through this whole song and dance. I'm just going to show up and get my credit card. And I'll you know, I'll put the the schmutz on my credit card. When I'm done. It'll be nice and clean. And I'll be all set. So I roll in. And the important part of this is that Arden bolus, some insulin. So I roll in not a lot, just enough to get her moving. We've changed a pod recently. So I roll in and there are I don't want to over exaggerate. 123456 710 there are around 11 cars in the parking lot. So I'm just like, obviously, 11 people work here. Well, no. All right. So now I'm looking around better there are people sitting in cars that have just picked up food, there are people sitting in cars that that are like, you know, going through the whole thing you have you had this experience where you pull up somewhere and it's like you're gonna rob a bank in a Navy movie, you're like, you know, pulling on gloves and putting on a mask and everything. This is all you know, so everyone's doing that in the car. Yeah, well, Julia, here I am. I didn't bring a mask on. Because just the entire lead up to this whole thing was, you know, I'm just gonna, they're gonna bring it out to my car. So my whole planning was off. And then she kind of caught me by surprise. And the last thing that caught me by surprise is when I hung up the phone, she said, it'll be ready in 15 minutes. Well, it's a 10 minute ride. So I rushed out of the house. I didn't take this mask. So I get there. And my common sense tells me screw this food, go home, forget this. But my diabetes brain tells me Arden gave herself some insulin, you need this food. Alright, and so now Mike. Alright. So I removed my credit card from my wallet so that I'm only carrying my credit card. And I put my phone somewhere where I won't touch it. You know, while I'm in there. Like I've thought this through. And I've got my little I really should think of the right word for it. It's the aloe stuff with the alcohol and hand sanitizer. So I've got my got my hands on I've been calling it schmutz for so long that I don't really know what it is. So I got my hand sanitizer and I go in. Well, there are five other people in there. Now they are

Unknown Speaker 12:51
course

Scott Benner 12:52
they are as far away from each other as they could be in like, you know, corners of this space. But I opened the door. Julia, I have to believe this. I opened the door and people look at me, like my kids hanging out. That's just my you're not wearing them because I'm not wearing a mask. Right? They looked at me like, Oh my god, what is this insane person doing? And I had to fight off that feeling too. Because I was like, Yeah, like, be cool brother. You know, like, so I walked in and the guy looks at me goes yeah, what's your name? I go, Scott. And he goes, Oh, yeah, not done yet. So now I'm like, Oh, good thing I rushed, like, you know, right away. So now I find a place to stand. Now I want to be clear next. I don't touch a damn thing. Okay, I don't lean on a wall. I don't lean on a table. There are chairs to sit on. I don't sit on a chair. I am an island unto itself, not touching anything. Right. Now the four people that are in there, two of them are seated on chairs with armrests and their hands are on the armrest. They've got their masks on, but they're holding the sides of the chair. The third guy's leaning on the door. The thing, everyone who's been in there touches. And now I'm in this interesting social situation. And I think psychological experiment. These people have no trouble pulling a credit card from their wallet, handing it to a man who's wearing gloves and a mask. But he's not washing or cleansing his hands in between transactions, hands it back to them. They finger the card up, jam it back in their wallet, jam it back in their pants. They're touching their shirts again, all this is going on that I start really paying attention. They get their food. One guy goes out to his car. I swear to god reaches up with his hand, takes his mask off, runs his hand through his hair and begins to eat out of the package. He hasn't put anything on his hands he isn't cleaned himself off. Still the woman on the chair now people are coming in and out. They're all acting like if they don't get near each other. They're fine because they're Superman. They have this mask on Right. Meanwhile, most of them are just paper masks. There's nothing medical about them. I still am standing like the Statue of Liberty. Well, this goes on for quite some time. And eventually he, the gentleman at the counter turns to the woman off in the corner sitting in the chair who's you know, just just molesting this chair with her hands, probably, you know, out of anxiety. I'm really watching her. And she says, ma'am, let's have you pay now. And then you'll be ready when the food comes out. And she looks at me and she goes, I'm not coming over there until he leaves. He's not wearing a mask. And I was like, Oh, no. Okay, how do I handle this? So I turned to her and gave her a little wry smile, and a thumbs up.

Unknown Speaker 15:46
Kind of like going

Scott Benner 15:48
like, Hey, yo, you know, you're right, baby. Stay over there. Yeah, if your scalps get cold, it's on me. I don't know what to say. I'm apologize, right. So anyway, no lie. Four or five were five people come in and out. They do the same, the same rigmarole they leave, they touch their door handle, and they open their car door that now here's me. I hand the guy my credit card, he hands it back to me, the credit card goes right in the front pocket of my sweatshirt, right. And I take the food I go out to the car, the food goes on the floor of the car on a rubber mat where it is not going to touch anything else in the back. Now, I haven't touched the car yet. I've only touched the fob, right? Because I've opened it with a button. Now. I got the hand sanitizer, hand sanitizer myself a hand sanitizer my credit card, I hand sanitize the fopp. I'm now clean, as clean as I can be in the situation I get in my car, I drive home. I go through the process, I talked about the thing. It is my contention that I was the only safe person in that space. Privately safe. Now people will say Oh, yeah, but you're not protecting other people. And right on I hope you heard the lead up to the story. Like I was bamboozled into being there without a mask on. But I have worn a mask everywhere else I've gone. And I plan to as long as that's the law of the land. I'm happy to do it. But what really struck me was just how all of these other people were ignoring every bit of common sense that went around transmission. And I felt like and maybe I'm wrong, but I felt like it was because they were wearing a mask and they felt safe.

Unknown Speaker 17:24
Say that was a really interesting observation or insight that you have. And I'll tell you why when you're done.

Scott Benner 17:31
Oh, no, I'm done,

Unknown Speaker 17:32
please. It's really interesting. So I think these masks are giving people this like false sense of being invincible. So they think I'm wearing a mask, I'm safe. And then you still have to stand six feet apart, you still have to be cautious of surfaces. And I think I got I think we just think of it a different way. Because you know, I'm living with diabetes, and you have a kid who's living with diabetes. And I think our brains are kind of just wired differently when we're thinking about transmission. I don't think the general person understands everything that you went through in your head, like, and it's really interesting, because I've kind of had to get myself out of how you were thinking, because it was making me too anxious going to work every day.

Scott Benner 18:19
So and that's the next step is that it didn't bother me so much, because I did it one time. But I did begin to wonder, right? What if I was out every day, because you know, even little things like that prior to talking to you a package arrived, you know. And so with package, it gets Lysol, which is not something we would normally do, you know, pick it up, bring it in the house, and then I go to wash my hands. So I'm in a hurry to talk to you. So I soaked my hands, I'm washing my hands here I go and wash and Wash, wash, Wash, wash and I get done water all over my hands. common thing to do I flick my fingers towards the sink. Right? And I happen to notice when I did that, yeah, just where and everywhere What are ended up in my kitchen, it was eight feet to my left on the countertop. Now it was over here. And so if if I have something I forget anything, if I have something on my hands, the flu, the common cold, the blah, blah, blah, I don't wash my hands properly. I do this now eight feet to my left on the countertop. People are like, Oh, your kitchens eight feet wide fancy. And I'm just kidding, it was far away on the left is what I'm saying that water hits there. If someone else comes along and lays their cup on it and five minutes laters you know, resting their cup in their palm. That's it, whatever was on my hand is on their hand now too. And you can't think like that, because it would be debilitating. It really would like you know, we talked about it around diabetes too, right? That whole idea of like, if you really thought about what insulin was, if you really thought about it, it'd be hard to give it to yourself, you know, again, and some people really fall into that scenario. So anyway, this whole process and situation just opened me up to thinking about what's going to happen to people's anxiety, people who were paying attention to it, because I'll be able to ignore it again, I don't get sick that often, like, at some point, it's gonna roll out of my head. I'm, I'm too, you know, I'm too empty headed not to not to hold on to it forever. But in that moment, what does that anxiety do? And then how does that anxiety affect people's blood sugar's? And then we see that cascading effect where you know the norm whatever their norm used to be 100 150 whatever people are keeping their blood sugars that suddenly creeps up 20 and 30 points, they don't notice it because so much else is going on. And before you know it, it's gotten away from them. And for people who it's already away from Yeah, I imagine it becomes a hailstorm. So what have you been doing to sort of pay attention to your diabetes while you're in this new situation?

Unknown Speaker 20:58
Yeah, so I think what happened to me personally, I'll share my personal story, because I think it'll help others. Yeah. So you know, I'm an essential worker, so I have to go into work every day. And I would say for the first week, where, you know, the Coronavirus cases were really exploding here in the United States, I was so tense going into work like I, I wouldn't get in the elevator, I was taking the stairs, which when you park on, like the fifth floor of the parking garage, that's not my norm, like I will take the elevator typically, um, I am supposed to be advocating for using stairs, but whatever. So, so that was a thing. And then I was scared to touch everything. So I was trying to let other people go in front of me and like, open the door. Um, I was putting my hands or washing my hands. But every single time I even slightly touched a surface. So going into work, I have to open a door. First, I have to slide my ID badge, open a door, then I was sanitizing my ID badge. And then I was washing my hands. And then I was going to the clock to clock in. And then I was swiping my badge again, and putting my finger on the finger it to clock myself in. And then I was sanitizing my ID badge and sanitizing my hands. And then I was touching a doorknob, and then I was sanitizing my hands again. And then I was walking down the hallway. And if I touch anything in the hallway, I was sanitizing whatever part of me touched it. And then I was going up a staircase and through a door and then I was sanitizing again. And then Monday I dropped my iced coffee while I was doing all this. And I was like, wait, I was like, This is too much. It's like I

Unknown Speaker 22:45
I found myself drop my coffee

Unknown Speaker 22:47
sassing recently.

Unknown Speaker 22:51
I need to sanitize everything when I'm done with everything. Right? Right. Like when I get into my office, that's when I need to sanitize my badge, wash my hands. So I think all of the hype was getting to me like I do have generalized anxiety. But it's like I don't get panic attacks. I don't have OCD. So typically I'm pretty stable. Like I I'll get more about certain things, but this like exploded it for me. Yeah. Well, so yeah, I think I kind of just had to take a step back and look at everything I was doing and think about it, realistically. Um, so for essential workers, it's a much more difficult situation. But I kind of got to the point where I'm like, it is what it is. And I can only I know I'm following the guidelines and I can do my best. But if I, if I get it, it's kind of out of my control at this point. So I kind of had to get to a place where I accepted I can only do what I can do. And that took a few weeks like I was not in a good place a couple weeks ago.

Scott Benner 23:51
Okay. Um, all right. I want to talk about that first though. Are you in a room with the door closed? I think your Wi Fi is a little weak. It my doors open the doors open. No, no, I just I was I you're you're kind of fading a little bit and I don't think you're moving away from the microphone. And I think it's, it sounds like it. How does the signal look strong on your Wi Fi meter?

Unknown Speaker 24:20
Um

Scott Benner 24:23
Do you not know where that is? Julia?

Unknown Speaker 24:25
Let me know. Can we can we pause for a second?

Unknown Speaker 24:27
Yeah, hundred percent. I'll connect to my

Unknown Speaker 24:29
I'll connect to a hotspot back here because I think I'm too far away from the router.

Scott Benner 24:32
Alright, cool to get to the surface. So hold on. If I lose you, that's fine. All right, well, Julia is moving to a better location closer to her router. I'll tell you about the Dexcom g six continuous glucose monitor. The dexcom g six is going to allow you to see your blood sugar in real time or a loved one's blood sugar in real time. Here's how it will do that. This little sensor with a little transmitter in it, and the transmitter sends a signal to a receiver or to your Android or iPhone. Mm hmm. That's right. You can see your blood sugar on an app. Not just your blood sugar, not just my blood sugar is 146. Not like that. It's 146. And what direction it's moving, if it's moving in a direction. And if it's moving in a direction, how fast is it moving in that direction? I know what you're thinking, holy, Anna. That's some good stuff, Scott. And you're 100%. Right? All of you who struggled to get your basal insulin set correctly. Imagine if you could see your blood sugar completely overnight, to try to imagine a eight hour period of seeing exactly what your blood sugar's doing. You'd be able to say to yourself, I think I need more bazel at 2am. I see myself getting high around six. Oh, look at this. It's my daughter's blood sugar right now. That's how it works. You get a little beep on yourself. But her blood sugar's just gone over the alarm that we've set of 120. Did you know you can set alarms to tell you when your blood sugar leaves the range that you desire? Well, now you know, Arden has just gotten an alarm on her phone at beep beep. She knows now she probably needs some insulin. So she's going to look into it. And if she forgets or doesn't or, you know, get stuck, you know, in English class, I can send her a little text and a reminder, hey, probably half the bolus here is the tiniest little bit of what the Dexcom g six says you should definitely find out more about it. dexcom.com forward slash juice box the links in your show notes. Were the ones that are available at Juicebox podcast.com. You know, when you're looking for those links for Dexcom, you might also see a link for the Omni pod tubeless insulin pump. This is clicky clicky time for you if you're on MDI and you've thought about pumping, or if you're already pumping, and you wish your pump didn't have any tubing all over it because the Omni pod is tube less. That is less the tube, meaning a new tubing. The greatest thing that Omni pod does, perhaps perhaps although making a tubeless insulin pump pretty great. One of the great things I guess I should say is that they will send you a free and no obligation pump for you to wear and try. It's a non functioning pump. Don't get me wrong, but it's still the entire of device. You can put it on and wear it. You can go for a walk, you can go for a run, you can go for a swim, because yeah, on the pod. You can take that thing in the pool, you could take it in your shower, you could take it in your bathtub, you could take it on a trip to Illinois if you wanted to. And every place you take it, it won't have any tubing to get stuck in your bra or down your pants. And when you don't have tubing, it can't get caught on a doorknob and rip out your infusion set. You're gonna love it. And my daughter has been using the Omni pod since she was four years old. It's over 12 years now. Everyday she's had an omni pod on and it's always been a friend in this journey. My Omni pod.com forward slash juicebox decks Podcast comm.com forward slash juicebox. Links in your show notes. Links at Juicebox podcast.com. Click on the links support the sponsors support the show. Back to Julia. Let's see if she got any closer to that router.

Unknown Speaker 28:47
whacked my glasses with my headphones. Okay.

Scott Benner 28:50
Let me just trying to hold what you said my head because I have I want to say afterwards.

Unknown Speaker 28:57
Did you hear me well enough?

Scott Benner 28:58
Yeah, yeah. No, it was fine. I just wanted to I don't want it to happen again. Moreover, they'll be able to hear it. Okay. It'll be better this way. But it distracts me. I start I stopped listening to you and I start thinking about how it sounds not. Is this better? Because I'm connecting to my hotspot now so I shouldn't have loss of snap. Hmm, that was worse. You went out. That was worse. You try again say the rain in Spain falls mainly on the point. Okay, the rain in Spain falls mainly on the plains got

Unknown Speaker 29:29
the rain in Spain falls mainly on the plains

Scott Benner 29:31
if you've never heard that before.

Unknown Speaker 29:34
Now, oh my god,

Scott Benner 29:36
like four years old. Okay. Well, that either is no break in that so good. So okay, so you just explained you just explained walking into a building. And I want to play devil's advocate on both sides of this. I could easily say you don't need to do all that. And I can make a real real argument for what you just said. So here it is. As your card that you're swiping to get into a building, and a doorknob or a door handle or about the dirtiest places on the planet, right? And so it doesn't not make sense. You can clean your card before you leave the house. It doesn't mean I clean mine. Right? And you really start thinking about the history of my card, right? Like I took my card home Monday night, and I laid it on a table where everyone else in my house lays their keys. Now everyone in my house and everything they've touched is in a central location near my card, and I pick it back up, and I do what I do. I put it back in my wallet, I stick it in my pocket. I put it next to my phone, my phone, which they say is filthy, filthy dirty, right? And so dirty, dirty, dirty, dirty. So, you know, now I've done that dirty thing, right? I stopped I've stopped it at the drive thru at you know, I don't know Dunkin Donuts, they get a coffee on the way I handed them my dirty, filthy credit card. they hand it back to me that guy's touch 90,000 people's credit cards this morning for coffee. He's not washing his hands, blah, blah, blah. Yeah, that's the truth, then you get to the door. Now you've touched the door. Isn't it great? When you can push a door, you're like, ooh, a push door. I don't have to put my thumb on it excitement. But you know, when you turn a knob or grab a handle, I find myself reaching inside of my sweatshirt and grabbing with my sweatshirt. And then I think well, now it's just on my sweatshirt.

Unknown Speaker 31:35
Right? At least your sweater you can take off when you get home.

Unknown Speaker 31:38
But you don't have to

Unknown Speaker 31:40
keep wearing it. I know there's so many thoughts that go through my head with with that. And I think it did make me really start thinking like I was walking six feet away from everyone going into work. But not everyone was staying six feet away from me. Right. And that was one of the big moments where I realized Wait, so not everyone's thinking like I am right now. But I mean, so Moral of the story, though, is that it is still important to make sure that you're following the guidelines. But if you're not getting from one place to another, as long as you're not touching your face in between everything, or dirtying another surface that will stay with you, right? Don't sanitize between every single action or try to wash between every single action because it'll make you go crazy. And it made me it I was like not in a good place for a couple weeks because I was so hyper focused on not getting it but all these small actions. Yeah, the truth.

Scott Benner 32:37
The truth is in that scenario, what you really need to be focused on was not touching your face, and keeping track of things that you had touched until you had an ability to watch. That really is the game. It's alright, I like my keys, my my faab you know this that like, these are the things I've handled since I've been here. I get here, I'll do my hands. But at the same time, it's hard to just remember common courtesy, like I spoke to someone yesterday who was at a job interview. And they got there just thinking it was going to be a distance to interview with and they're like, no, come on into this room. Now she's in a room and talking to a person, right. And she's, you know, trying to be cool about it. But then a second person came in the room and just out of, you know, sheer repetition. And you know, geniality being a human being the person walked in and offered their handout. Oh, no. Right. And so now, now this person did a job interview and they're like, wow, do I shake their head in a split second, I don't want to offend them out of love. She just said maybe we shouldn't shake hands. And then the the person who tried to shake him was like, Oh my gosh, I'm so sorry. Like, clearly just forgotten, you know, in the course of whatever they were doing. I just think that we're gonna be we're all going to be in a different situation. No, listen, here's the other side of it. Right? There are I forget what the number is. But there are like a bazillion viruses in the world. And you know, it, you have not thought like this prior to six weeks ago. And if you had, maybe you wouldn't get one or two colds that you get a year. But it's still not going to avoid everything. And and so the answer has to be how do you keep your your sanity? Right? And, and take care of yourself and do the best you can, you know, it really is going to be what's gonna be and then hopefully from there, you know, inoculations may be our thing. You know, obviously, that's going to be some time from now. But I just think the most important thing is that the hospitals aren't overwhelmed so that if you do get sick, and it progresses to a serious place that somebody can, you know, thoughtfully take care of you.

Unknown Speaker 34:44
That's so important right now. And that's why social distancing so important.

Scott Benner 34:48
Hundred percent. I know it's weird because they always make up a marketing term like, you know, like flatten the curve. Like we're gonna flatten the curve, you know, because saying to people, look, we can't overwhelm the healthcare system, but and get that long. explanation doesn't fit, you know, in a tweet, so we're gonna flatten the curve. And it's important, like, it's, it's the, it's the crux of the entire thing. It really is why less people have suffered than the projections thought, and you know, so that's amazing. But we're gonna get out into that scenario later, everybody needs to be ready for it where the one I mean, that woman had no trouble looking me in the face and saying, I'm not walking over there across the room with people in it. He is not wearing a mask, and she was just a kind looking woman in her 60s, I don't feel like that's who she is at her core. Did you know they mean? Like I bet two months ago, she would have just walked over there and done it not fun, I think about it, but her brains in a different place now.

Unknown Speaker 35:47
I mean, everyone I'm noticing even with some of my patients, and then even some of my friends and family members, people are just in a much different place. And it about COVID. And I think people from what I've observed are adjusting to it. Since this has been going on for like five plus weeks now. But the first few weeks, I think were extremely rough for a lot of people. And I'm sure there's still some people that are still in a rough place. And I do think this whole situation with the masks like the master giving people a sense of power over COVID. But when you take everything else into account, like that woman touching all those surfaces, they're not really giving you power, unless you're unless you're actually following the rest of the guidelines

Scott Benner 36:33
as well. So now let's devil's advocate the other side of it. Okay. Everyone coming into that place is ultra paranoid. Right? The woman is touching the chair. But I don't know how many other people touch the chair. And if maybe it was just a bunch of other really like, you know, you know, prepper hand sanitizers who got there in their car, put their mask on sanitize their hands and went in that chair might be the cleanest thing on the planet right now. I don't I don't know. But if the mask is helping her not to have the anxiety about the virus, that's great, except her anxiety just shifted from thinking about the virus, to thinking about other people who aren't thinking about the virus like there's no way for people who are anxious to be free of it, because it's just going to shift perspective. Does that bring true with you

Unknown Speaker 37:24
know, that's really that's really insightful. And I agree with that. I think what I'm also hearing is a lot of people are being almost like bullied or judge for how they are responding to Coronavirus. And in a situation situation like yours, okay, you weren't wearing a mask, but you were in your head, you're following all the other guidelines, you're not doing anything. To put yourself at higher risk of it. Like you're not having people over, you're not having parties, right? Nothing so and you're being really cautious of everything. So I think you just don't know what someone else is doing. So I think just trying to focus on your what you can control in your own situation. Yeah, um, what you can't control what you can't control.

Scott Benner 38:08
We, you know, if if 25 year old me was in that scenario, I probably would have spoken back to her, I probably would have said, Hey, listen, I showed up here because these people said they were going to bring the food out of the car, and I didn't think I would need a mask. I just need you to know I haven't been out of the house more than four times in the last you know, five weeks. I'm probably the cleanest person in here. I'm not sick. I know you can't trust that blah, blah, blah. But all those that thought went through my head and I just thought How is she gonna believe that and I'm gonna sound like a lunatic explaining it to her. So I just smiled and gave her the thumbs up, like, you keep doing you, lady, keep on truckin. You know, you're doing great. But But imagine, imagine if I was like, you know, a hothead kid or I was, you know, somebody whose anxiety had boiled over around this, made an honest mistake not brought their mask, and now felt attacked. Like there was a real opportunity for that to go wrong there. And it didn't, obviously, but

Unknown Speaker 39:02
yeah, I mean, I have a colleague who she went to the grocery store yesterday, and she was texting me or maybe it was a couple days ago. And she was like, This is great. They're distancing everyone. But people are glaring at me and looking at me like I'm a criminal, because I don't have a mask on. But

Scott Benner 39:18
yeah, now it's gonna be a

Unknown Speaker 39:19
minus. For now. No swear mustard.

Scott Benner 39:24
You broke up. I'm sorry. You're what?

Unknown Speaker 39:26
Oh. So we're not in a state where they're mandating that we wear masks and is recommending it. Gotcha. Gotcha. Oh,

Scott Benner 39:33
no, I it's going to be a whole. Arden said they were talking about sending them back to school and having them wear masks. And she goes, those kids can't remember their lanyard. They're gonna remember their mask.

Unknown Speaker 39:44
Like, surgically I

Scott Benner 39:45
know. Right. And, you know, what about is that anybody been out in public and seeing somebody wearing their mask, but not over their nose? And

Unknown Speaker 39:53
I've seen that I mean, I've seen that in that in the hospital setting. And that's, to me as a health care provider. I'm like, oh, You're not really doing anything, you're not protecting anything,

Scott Benner 40:03
right? No 1,000,000% here's the other side of it. I've, I just posted on Facebook to share with the world so that I would probably shame myself into eating less. I'm now I now know that bank robber is not a reasonable job for me. Because I can't push a cart in Costco with my face covered without thinking like, Oh my God, is this the end? It's just there's something about breathing through the fabric. And like, I was like, I gotta I gotta go for a run or something.

Unknown Speaker 40:32
Yeah, it's not very pleasant to wear the mask the right way.

Scott Benner 40:35
No, it is what it is. There's no way I'm gonna have a bag of money in one hand, and I got in the other hand to be able to run away from the cops. It just isn't gonna happen with my face covered. So

Unknown Speaker 40:44
to focus on how your face feels.

Scott Benner 40:47
not breathing is what I'll be focused on.

Unknown Speaker 40:49
Yeah. Yeah.

Scott Benner 40:53
Just start dropping the money. You'll be like, Why even bother doing this? I knew I couldn't do it because of my experience at Costco. And yet, I didn't listen. So I just figured learn the lesson ahead of time, Julia, don't rob a bank until I'm at least in better shape? Because Oh, man, you know, it's so if anyone sees me, like when a real regimen of, you know, like cardio, I'm thinking Robin back.

Unknown Speaker 41:17
Because there's no other reason I can think of to run anyway.

Scott Benner 41:23
Well, so here's what I've been seeing with people that I interact with, virtually, I guess I got to make sure I say that. And with my daughter around diabetes. So I do think that all the extra things to think about for some people, give them an excuse. And I don't mean excuse, like, they were looking for an excuse. But I mean, there's now a reason why they're letting their blood sugars get away from them, and not being kind of as vigilant. And there's a lot of there. A lot of they're impacting stressors around diabetes are changing. And I don't think they realize it, I think it looks like I think it looks like I'm sitting in my house, or, you know, my very active job became a desk job, or whatever it ends up being. So there's a lot there. And I and I want to, I really do want to talk about that I am having fun and talking about other stuff. But I really do want to talk about that. And, and I think the first thing is that we talked about all the time on the podcast, but I don't think people who don't listen, no. And maybe even some people who do listen to miss the idea. stress and anxiety can and will raise your blood sugar. Yes. And and how do you handle that have you had to change anything about your management during this time.

Unknown Speaker 42:43
So I think for me, it was just finding ways to cope with the anxiety I was facing. So I do a lot of mindfulness, there's a lot of mindfulness apps that I um, that you can get for low cost or for free, and kind of just refocusing. But for others, it could be, you know, upping therapy sessions, which are available, virtually and online, a lot of therapists are offering that service. There's even like I have a service at work I can use which is like therapy sessions that are free for the employers. So like I've been doing that as well. So I think just figuring out ways to cope with my anxiety and stress so that it didn't impact my blood sugar any of my patients as well. So like, hearing out, first identifying that stress or anxiety that you're facing and recognizing it, and then figuring out how to kind of tackle it so that it doesn't continue impacting your blood sugars.

Scott Benner 43:40
So it's interesting, right? I thought immediately of your blood sugar goes up, how do you address it with insulin and you thought your blood sugar goes up, figure out why your blood sugar is going up and stop that from happening. Both very valid, I guess. Yeah. So I like that idea. Now, how do you how do you know you're stressed when you're a person who feels like so I don't know if this is, you know, overwhelmingly, abundantly. I don't know what the word is I'm looking for. I don't know how many people understand this. But truth is, the better you think you handle stress. Probably the worse you are at it. So those people who were like I'm unflappable, I those people just internalize their stress. Do you know what I mean? For the most part you were and the people who kind of freak out or are letting you out? So

Unknown Speaker 44:31
yeah, yeah. And I think everyone has different coping mechanisms up. I get worried Personally, I always ask my patients when I'm meeting with them, we have a question or we have to fill out when we're going through our Diabetes Education meetings. And one of the questions is, what are your stressors and then what do you do to handle stress? And whenever I have a patient that tells me I don't have stress, but like, based on the answers to the rest of their psychosocial questions, And I can tell they probably do have stress, right? That's like a, that's a red flag to me that, you know, they're not recognizing it. And, you know, everyone's at a different place. Um, if you're not recognizing it, it's going to be a lot harder to address it. Right? Yeah. So that's definitely the first step. If your coping mechanism, I also get concerned when

Scott Benner 45:23
I'm sorry, I was just gonna say if your coping mechanism is saying there's no stress when there's definitely stress,

Unknown Speaker 45:29
big, big red flag,

Unknown Speaker 45:31
huge red flag. And I mean, I used to have people, I think this is an answer, I get a lot, oh, I just don't get stressed. And I think, Wow, tell me your magic trick. Because I'd like to share them with everyone. Um, but yeah, and I think maybe some people do get stressed that they just don't even recognize it. So I think that's a big barrier there. But another thing that's concerning is when people do tell me all of the stressors they have, and then I asked them, How they cope with it. And they say, I just don't, like that's also concerning. Um, so I think figuring out ways, especially right now, with the current situation, you know, we're kind of limited, like, you can't go to the gym, necessarily, or you can't sign up for a yoga class in a yoga studio, right. Um, or you might be more prone to kind of binge eating when you're stuck in the house right now. And that can be something that's common for a lot of people with diabetes. Um, so I think just kind of figuring out what you can do is really important. So I've been a huge proponent of recommending going on walks, I think getting outside, and, you know, getting fresh air and then getting a little bit of exercise is a great thing that we can do right now. And then another thing I've been recommending is using the mindfulness apps that you can get on your phone, or your mobile device. And then I've also been recommending doing exercise classes online, because a lot of them are free now.

Scott Benner 47:03
Yeah, I think the, the, I'm gonna say the problem, but from the from the everyday man position, I think the problem is, is that I didn't get more time suddenly, because I'm working from home. And there are plenty of people who aren't working from home too. But also the little things that we think of is bad. That may be bad, macro, but we're good for the person. Like, what about the road rage people, like it sucks that they have road rage, but that's how they were letting out their stress. They were screaming and yelling and being angry at everybody on the road for you know, driving wrong. And and that was a way for them, it was an outlet for them. Now they're not now they're not in their cars, right? Like, now that whole outlet is gone. And it's super, it seems to me. I don't know how to say this, it seems to me, like something. I can't say what I want to say. But it seems to me like something that you a well educated, thoughtful person who has a reasonably nice life. And me a person who, you know, records podcasts for, you know, a living and then goes off is a stay at home dad the rest of the time. For people with lives like ours, it's easy to say, you know what I ought to do I would probably just pop onto YouTube and do like one of those 20 minute fitness challenges, except cracked. That's not everyone's life. And and, and so like, what, what do average people do, you know, average people. By that I mean, get up in the morning, go to a job, it's probably not a job that they just love the hell out of you. You know, they mean, and, and they've still got the anxiety that they've got money, and they've got all the other problems. And on top of that their kids are at home. You know, they're like that kids smoking weed. He's not going to science class on zoom. Like they're worried about things. You know, and then the and then all the other things like, Oh, I hear people all the time talking about like, my kid didn't get to go to prom. They're not getting to go on there. This like there's their little but they're not like I have an incredible amount of stress. Over my and off its stress. But it's I don't know what to call it, but that my son's baseball season got canceled. Like it and that seems to anyone else that would seem like, Dude, it's just baseball. But it's not like, you know, when he was nine, he started telling me he wanted to play baseball in college. Do you know what I mean? And yeah, it's now it's gone.

Unknown Speaker 49:31
There's another side of that too. I think so you're upset because you're thinking this. This was his dream. This was his aspiration. I was so proud of him for achieving this and for being able to do it. But I think something that I'm hearing a lot about too is, you know, getting rid of, or inability to do these sports and extracurriculars that really kept kids engaged and focused and in a good place and not having them anymore is also a problem. Um, And then from, you know, from my standpoint, like I don't get to walk in my doctoral magalia. Like my PhD graduation was completely canceled, and I'm bummed about it. But I think my parents are more bummed than me, right? Because I'm like, Well, I already achieved everything. It is what it is. But I think there's other people that were looking forward to kind of seeing that moment. So I think sometimes parents, you know, feel even more upset because they're proud of their kids.

Scott Benner 50:29
Oh, Julia. Julia, not sometimes. All the time. Yeah. It's, it's all I was leaning on the counter last night. And Kelly was leaning on the other side of it. And I said to her, Hey, this having kids thing was a huge mistake. Hmm. She, oh, and she goes, Yeah, no kidding. Right. And but not for the reasons you think, you know, right? Like that. People might joke about something like that. It's because you can't stop being concerned. For every aspect of what it is is happening to them. Your does, my wife will say to me, does this call seem okay to you? And I'm like, you know, yeah, but he's not. He's as upset about what happened to him and losing his he lost half of his sophomore year of college. You know, during the season, we went out and hit the other day, we found a nice open field where nobody was. And I'm not the greatest soft tosser, which might be a word you don't know, but I'm not great at it. I'm inconsistent, at best. Yeah. And normally, he just looks at me, he's like, Dude, what are you doing, but it frustrated them. And I realized he was as frustrated as me as he was the fact that we were out there soft pissing in a field, you know, in his hometown. When that weekend he was supposed to be in Baltimore playing baseball. And so you know, it there's a lot going on for everybody. Yeah, Arden stress is definitely up. Even though, even though she appears to be just banging through it, like she gets up, you know, gets herself together. She goes down, does her work. She's diligent about her schoolwork, getting it all done. She told me yesterday, she had a 94 and a French test and 97 and a math algebra test. I think it was, I tried to congratulate her said, Ah, algebra is easy. And I was like, Oh, okay. Okay. I was like, whatever she goes, why do you see my geometry test scores? That isn't gonna be as good. And I was like, all right. And she's double like, she's taking a double math. Yeah. And, you know, and but that there's tension, she gets her shoulders when she's, like, stressed out. that hadn't been there for months. And now it's back. Yeah. And, and so that's how it hits her, she just hurt her shoulders get really tight.

Unknown Speaker 52:42
And that's actually a big sign of stress for me too.

Scott Benner 52:45
And so massaging and it doesn't matter, you massage it out, it comes right back again, you know, get a massage your brain, not your shoulder,

Unknown Speaker 52:53
because you're just in a tense state with everything going on, it's hard to release it.

Scott Benner 52:57
So what's the what's the. So it's nice to say? All the things that you said, they're all reasonable things, you know, you can work out online for free, you can you know, blah, blah, blah. But the real things that people get their stress out with are not, you know, are not available to them right now, you starting to hear a little more about, you know, casual drinking is picking up, because there's just nothing to do you know, the time, the time feels endless. Have you lost track of what day it is like I have

Unknown Speaker 53:28
all your work because I have a work schedule. But otherwise, I definitely would have by now

Scott Benner 53:33
I don't even the weekends meaningless at this point.

Unknown Speaker 53:36
Yeah. And I can, I can totally see that. So I do have some tips. Um, I think one thing I've been telling a lot of my patients, I actually learned this from my boyfriend, he is really good. Because he's working from home right now. And he's working kind of on his own schedule. He sets himself on a schedule every day. And he follows that schedule. So he's in a routine. And I've seen how well he's done with it. And so I've actually used that as a suggestion to give my patients I'm like, you know, you have to adjust to your new normal, but part of that I think, is trying to set a routine and figuring out what your new routine is. And following it because I think that in itself help.

Scott Benner 54:18
I'm sorry, that in itself, what

Unknown Speaker 54:20
helps a lot of people having that routine to kind of keep you organized.

Scott Benner 54:24
Do you think that a pitfall that people fall into is the idea that this isn't going to be forever? And and and so I'll just ride this out like a long summer vacation and then I'll bounce back to it. I actually it's one of the reasons that that that feeling is one of the reasons that you don't hear me talk about cure cure science around type one diabetes, because I don't I don't think it's valuable for people to sit around thinking Oh, it's almost over. You know, because then there are things you're supposed to be doing in the moment for your health. That you start slacking on, because you think, please, you know, an algorithm will run my insulin pump in a year. So I don't have to worry about these next couple months, or they're gonna cure it in five years. So I mean, it's not gonna kill me just have high blood sugar for five years. Some people feel that way. And I wonder that around this too, if like, somebody's like, Look, this isn't gonna last forever, they're gonna let us go back to work. Everything's gonna go back to normal. So if I gain What are people calling it the COVID-19? Have you heard that?

Unknown Speaker 55:28
Yeah,

Unknown Speaker 55:29
so awful. Yeah,

Scott Benner 55:30
how'd it go? I gained the COVID-19. I mean, really, not even funny. People are dying. And at the same time, people are so creative online, is

Unknown Speaker 55:41
so creative with these new terms.

Scott Benner 55:44
But I don't want that, like I'm 50. If I gain 19 pounds, I'm getting rid of it. You know,

Unknown Speaker 55:51
right. Well, I think so. You know, I've had a lot of family members and friends asked me like, when do you think this is gonna end? And I just keep saying, like, you, you know, we don't know, like, and that's the truth, you don't really know how long this is going to go on. And the other part of the truth is that, even if this ends, what if we have another pandemic in the future? So I think, you know, kind of letting yourself go like, that definitely isn't a healthy coping mechanism, or one that'll help you long term. And I think it's helping a lot of my patients that I've been meeting with on the telephone or virtually to actually check in with me, and review all of their data, or their blood glucose readings, if they don't have a CGM, okay, and kind of just check back in with their new schedule. And think about different things that are now influencing their blood sugar's that might have been different before isolating, so I think I'm even meeting with your health care provider. Like we're all here, we're all doing virtual visits, like it is still so important to meet with us and to check in and to not just say, Well, I'm not doing right now, because of COVID. Like being honest with yourself and kind of reflecting on what is happening is such an important self management tool,

Scott Benner 57:10
how much of our checks, right, our quarterly no checks, or however we do it? How much of it is just about accountability? Do you think?

Unknown Speaker 57:21
From my standpoint, it's all about accountability, because you can show up right? and get your a one c checked. But what's happening in between? Okay,

Scott Benner 57:32
yeah, yeah, but I'm, what I'm saying too, is like, like, I don't know how I mean this for the patient coming in, like, I know that it's there, you're going to always hear from people who are pressured by it. And that seems like oh, my visits are so much pressure, I feel so much anxiety. But what about those people who just need to have to report to somebody to keep them honest, I guess is the is the is the phrase I'm looking for. And then if you start skipping that appointment, all those people get lost. See, I think the interesting, the interesting thing about having a conversation around this is it's easy to say, you know, everyone's different. But we all fall into reasonable buckets, right? Like, there are people who feel anxiety. And they, you know, they don't want to go to this appointment, they dread going to their endocrinologist plan, because they don't want to get that report back. But, you know, they still do it over and over and over again, it's somehow it's part of their, their thing now that their their pattern, you're hoping at some point, they figure some stuff out about management, and then those visits don't seem like that anymore, which I think does happen for a lot of people, eventually they get things figured out. And I heard somebody the other day, tell me that, um, they're missing their annual appointment, because they did a lot of good work to get their agency and their variability down. And they wanted to go tell something like they wanted a pat on the back. You know what I mean? They're like, I want my pat on the back. I worked hard for this.

Unknown Speaker 58:57
Yeah, so I think something that, um, that I didn't hear you bring up in that not everyone realizes if you do have a diabetes educator, or sorry, Diabetes Care and Education specialists available to you, we can meet with you in between your endo visits, and like I have patients who I'm meeting with every other week. And, like, I'll share a story about one in particular who I met with recently, and this patient told me, I like meeting with you because things are different right now. And it's helping me kind of keep myself in check. So that is part of what I do as a Diabetes Care and Education Specialist is I'm here to support you and help you reflect on your goals and if you're meeting them or not, and then kind of give you that support you need so that when you do go to your endo appointment, you don't feel guilty if you weren't able to meet your goals. Yeah.

Scott Benner 59:50
Hey, you you've heard Jenny on the podcast say look, I'm a CD. I'm calling myself a CD. I'm not changing but I know you're right. What do you call it? What it What did they change? too, is it CES?

Unknown Speaker 1:00:02
No, it's even more complicated. CDC, so certified Diabetes Care and Education specialists. So I am changing on. And part of that is because I have not been in this field for so long. So I became a certified diabetes educator in 2017. So I'm kind of new, right, so I'm not so established and calling myself a certified diabetes educator, I hear you. Um, I also believe that the name was chosen based, like the certified diabetes, current education specialist name was chosen based on what our profession has, um, does in real life. So we don't just provide education, but we also are specialists in diabetes care. So I think that name was chosen based on feedback from our profession. And I respect that.

Scott Benner 1:00:55
That was very nice of you to say my wife has, my wife has had titles in the past that are completely made up words. So

Unknown Speaker 1:01:02
I know it sounds like a made up word is it so long now. But if there was a lot of thought put into it, you know, I'm involved with I'm a DC s, which used to be a D. So the Association of Diabetes Care and Education specialists, which is formerly the American Association of diabetes educators, and I really saw what they put into, I'm deciding to change the name and why. So I thought I found meaning.

Scott Benner 1:01:30
I'm not taking it from me. I'm just saying I hope everyone's ready to be called my diabetes person, because the CDC s does not roll off the tee. You

Unknown Speaker 1:01:39
UMG or something? Right? Yeah. How do you spell tongue is what I'm getting? Yeah.

Scott Benner 1:01:44
It's just a, it's a little bit of a twister. But never. Listen, not in my lifetime. But

Unknown Speaker 1:01:50
yeah. And it's okay, that Jenny still wants to be called CDE. So like, that's the other thing. They're not forcing us to change our names yet. Um, and I think, if that's how Jenny identifies, and that's who she's been for her career, like, I have nothing against that. I wasn't trying to say no,

Scott Benner 1:02:06
no, apologize.

Unknown Speaker 1:02:10
I'm just sharing my reactions on why I choose to identify as CDC, Yes,

Scott Benner 1:02:15
I heard you don't back up, use this stand on your principal. Listen, I know a lot of doctors, I've never once looked at them and thought, there's my friend, Adam Edelman, MD. So you know, doesn't really, it doesn't really matter. But I was just as you were saying it, it struck me. So we have people who have different levels of anxiety, they're going to handle it in different ways. Some of them are going to yoga, on YouTube, some of them are going to go for walks, some of them are going to yell at their dog, I don't think you should do that. I'm just saying somebody's going to, you know, like, everyone's going to try to get their anxiety and their stress out there are people who are going to drink too much, they're going to be plenty, I'm assuming there are a lot of you out there smoking a massive amount of weed. You know, I think there's a lot of stuff going on. But you have to use, in my opinion, the information that's coming in. So if you're seeing your blood sugar, doing things that it doesn't normally do, you have to save yourself, whether it feels like it or not, my situation has changed my day to day has changed how my body you know, Acts, you know, I'm not walking around as much at work, or I'm working, I'm walking around more, or whatever it ends up being, and you need to adjust. And when that moment comes. Just remember that everything that we talked about in the diabetes protip episodes, it all just holds true still, like diabetes, diabetes hasn't gotten weird on you, just the little the influencers have changed. So go back to basics, look at your basal insulin, make sure it's right. You know, look at how long your Pre-Bolus saying how much insulin you're using? Are you eating the same amount of foods? Maybe you're like you said, maybe you're eating different foods all of a sudden.

Unknown Speaker 1:03:57
Yeah, and that's happening, I think, to a lot of people who are trying to eat foods that last longer to kind of, you know, they might be eating less vegetables or more of these, like processed foods. I've having a lot of patients tell me that. So that's just

Unknown Speaker 1:04:15
I'm sorry to say that, but I thought it wasn't no joy.

Scott Benner 1:04:17
You're 100% right. We're buying things now. You know, even you know, in bags, stuff that doesn't go bad. Yeah,

Unknown Speaker 1:04:24
you know, less fresh fruits and vegetables. That's what you ate before.

Scott Benner 1:04:27
Yeah, I mean, cuz how because how long can you really keep, you know, a head of lettuce? I had a romaine lettuce like fresh in your refrigerator. I mean, what's it right four days, and then it gets a little weird. And then you're just like, now you're down to like, well cut some of the green stuff off and you know, so you can't go out and buy three packs of lettuce and make it last three weeks. That's not going to happen. And right. There's a real there's a real blockade, both physically and mentally about running out to the store like nobody's

Unknown Speaker 1:04:56
running out really is Yeah. And even people who are trying to Use the like the delivery services, a lot of them are really delayed. Mm hmm.

Scott Benner 1:05:04
My mother used this one. My mom is an old old woman, she lived with Dinosaurs A long time ago. I say that just in case she ever hears this. But anyway, she uses one of those services. And she just told me, it's funny, you brought that up. She just told me two days ago, hey, Scott, I made my order, but only about half of it came. Yeah, Mom, essentially what they had, you know,

Unknown Speaker 1:05:26
yeah, that's a problem, too. So I think that's a huge factor. That's, um, you know, we A lot of us eat a lot of the same things over and over again. And so when you have to change up what you're eating based on the situation, that can be a huge factor. But everything you said about going back to the basics is so important right now, because you know, what things are going to change, our schedules are changing, the factors are all changing. And that means our blood sugars are going to be influenced a lot differently. So it's normal. And it is a really good time to reflect and take a look at everything, your patterns, again, many people may be finding out right now that they're not as good at bolusing for a meal as they thought they were, they've just gotten good at bolusing for the meals they eat all the time.

Scott Benner 1:06:13
Right, right. And that's an interesting thing. And that doesn't mean suddenly, like, you don't know what you're doing. It just means it just means you kind of you got into, you know, you were sort of on autopilot a little but you don't realize it, you know, it was meatloaf night, ate carbs is that 12 that 15 here, that's 11 units here I go. Like, you know, you just knew that and you did it, you probably don't even realize it, which is great. Until all the sudden, you're working from home and you stay on the call a little longer. So now instead of having lunch at noon, you're having it at two, but your basal rate changes at one and you didn't think about that. And you know, and then you get up and decide that a handful of potato chips is really how you're going to roll you're not having whatever you would have done, you know, at the cafeteria at work or what you might have packed for yourself, because you don't even listen. How many times have you packed a meal for yourself at home taking it, opened it up at lunch and thought to yourself? Oh my god, I don't want this. But you eat it? Because you bought it. Yeah, pack that you brought it, you do it right. But now now you're at home. And your brain goes hell, I'll get an apple and I'll have a lovely ham sandwich on some nice rye toast. And about No, you know what, I'm not gonna do that. I'm gonna have a rating.

Unknown Speaker 1:07:24
So like, for fun. I can be like, Oh, let me have some breakfast for lunch, like only make some eggs and something else for lunch that I usually wouldn't eat. Right, Joey, I

Scott Benner 1:07:32
appreciate you bringing that up because you got a kid who's now sleeping in, right and getting up at 11. And having french toast? Well, you know how to bolus french toast until 830. And I know that's different, right? But you don't think of it in the moment like, obviously, maybe more insulin resistance in the morning because of coming from a lower basal rate overnight or something like that, or whatever your situation is, four or five hours later, your insulin is different. And right. My point is always, you know, I receive a lot of notes that asked me about in this situation, how would you do this in this, you know, during a soccer game, at a recital when my kids dancing at school, my answers are always the same. The tools work everywhere. Great, you know it and so they work in lockdown, too. They work in quarantine. And and you just have to step back a little bit and see that you've been probably in a little bit like I said in like, you know, auto mode for a while. And you you might have to stand back and get a little manual for a little bit and really think about things again.

Unknown Speaker 1:08:38
Yeah, and it's pretty crazy. I mean, it's frustrating, right? For a lot of people on top of all of the other stress and frustration that's going on right now about being stuck in the house. So it's not fun. But if you kind of reflect and look at everything and break it down, things will get better.

Scott Benner 1:08:57
The other side of it that we're not talking about is that this Listen, I know this is you know firstworldproblems and everything. But yeah, it's starting to feel a little hopeless once in a while. Like not every day like I'm not telling you. I'm not sad. But if you stop and look back and you purge you project out from what you've seen so far, which I think is dangerous, because none of us know Listen, I've said it a million times here worry is a waste of imagination. Anything that I can imagine about the future and worry about very well may not come true. But it's difficult sometimes not the thing. I said this to my neighbor yesterday, just out of like we're yelling across our yards at each other two grown men, you know, like idiots and and I said to him I mean is it really worth living like this? Is this is this it? like am I gonna get up in the morning, hang out in sweat pants. do my work, get cover myself up, run to the store to get food. Bring it back. back. And then what I just sit here until I run out of chicken like is that and then I go back out and I feel like I'm risking my life again for a chicken breast is like like, that can't be it like, I'm a really social person. I love talking to people. I love talking to strangers. I'll talk to anybody. Yeah, and I have none of that now, I'm sure you know, I'm sure the introverts are probably thrilled.

Unknown Speaker 1:10:22
Well, I can tell you I live with an introvert I don't understand them so much, because I'm definitely extroverted like you. But I mean, it's not easy for introverts either, right? Because even though he doesn't get energized from talking to people, like we do see that he likes, it's, he's still stuck in the house, right? And he can't go to the gym anymore, and he can't, you know, he had his routine. And he now had to change everything. And he now has to find new outlets for, um, managing his stress. And I do have to give a PSA about introverts here, just because they're introverted. It doesn't mean they like hiding in holes I've learned, um, he does, like, you know, he doesn't like being stuck in the house all day,

Scott Benner 1:11:03
my what my wife is explained it to me because she's, my wife's introverted, too. And if you know her personally, you wouldn't think that because she seemed really gregarious, but it takes every ounce of energy that she has to be like that around other people. And so the way she describes it is that and you said it a second ago, is that she doesn't get anything back from it. She likes people. She likes talking to them. She likes all that. But she does. She's not charged up by it. Which is 100% true when I start talking to people, like I've never thought of it consciously, but you know, I'm sure there's a little stage with a spotlight on it. And I'm like, Oh, I'm performing people like this dinner to me, like, you say something to someone that they find interesting or amusing. And you get a facial response back from them. And yeah, it's valuable to me, like it charges my battery, even when they disagree with me, I'm like, Oh, they disagree. And then I get to go back into myself and wonder about like, I wonder what I mean, I may I like that person, that's a bright person over there. If they disagree with me, maybe I should be rethinking it all those like little interpersonal mechanisms are gone. You know, and you can say all you want, you can zoom with somebody or FaceTime that is not the same as talking to somebody face to face.

Unknown Speaker 1:12:15
It's not, and I think it, it gives you something right, but it's not the same. Um, and I think, yeah, it's really difficult. Like, I'm thinking about it, I haven't seen a friend outside of zoom for like five or six weeks, which is nuts. It's not really, um, and I honestly think part of the reason why I'm still as energized as I am, is because I am going into work. And I do see my colleagues. So I think that helps.

Scott Benner 1:12:47
Yeah, and I get to record the podcast, which is, is helpful for me, I get to still great people, and edit them and listen to other conversations and, you know, stuff like that. But there, there are moments where, you know, I just am in my house, like, I don't know what to do. Like, I know, I've edited the podcast weeks ahead. I've cleaned everything to within an inch of its life. I you know, I went out my brave the the Costco, I came back with the, you know, I killed the bison, I drove it home. My wife is working, my kids are doing their schoolwork, and I'm just standing there like, it's, it's really, I know, it's gonna sound goofy to a lot of people. But being a stay at home parent, if you really love it. It's a large portion of who you are, is in service to other people. And suddenly when those people don't need you, it's weird. It's very strange. It's like it's, you know, I don't know, it's like, I have no purpose in some moments. And you know, you can listen to that and go oh, Scott, you know, you have interest. Yeah, that's nice. I'm not talking about I don't feel like that for 24 hours. I'm telling you that for 20 minutes or half an hour. I'm standing there, like, Oh my gosh, I have nothing to do like I feel like an outdated tool. Like I just

Unknown Speaker 1:14:04
and I don't mean to like it's like part of your daily challenges aren't there anymore?

Scott Benner 1:14:09
Yeah. And I like that stuff. Like I'm not still a stay at home dad after 20 years, because I hate it. Like I like what it does for my kids and and how it shapes my family and those sorts of things. And obviously, I've supplemented a lot of my time with the podcast, too. It's not just, you know, I'm not doing it. 24 seven the way I used to being a being a stay at home dad, but there's still, there's still plenty of things to do. Even when your kids are in college. You don't realize there's still a lot to do. And just I don't know, like I don't know, what else do I refinanced our house because I was bored and the the rates went down. I was like, you know what I'll do I'll refinance the house.

Unknown Speaker 1:14:46
That's like, well, you were refinancing a house. I bought it. I bought a house. So there's that.

Scott Benner 1:14:51
Hey, by the way, everybody if you have the means good time right now money's cheap. You know what I mean? At the moment? Yeah.

Unknown Speaker 1:14:57
Well, and I mean, I think though, this room Me, um, one of the things that I've done to help myself too is I've kind of done some new hobbies. So for me, it's kind of taking on some, like DIY home projects and doing some home renovation, but I have friends that are doing like more art, like painting and that kind of stuff. Whereas they weren't doing that before as an outlet. So I think just thinking about what you can do, um, like, even trying something new from home, could be helpful, too.

Scott Benner 1:15:27
I almost bought a drone the other day

Unknown Speaker 1:15:29
challenge,

Scott Benner 1:15:30
and let me tell you, I would crash it in eight seconds, if I had a drone, I actually had to sit in front of the screen and say to myself, if you buy this, you're going to bring it home, watch a video about how to fly, it's going to go up into the air slam into the tree, and the money's going to be gone. Don't do this. Don't Don't do this. But that's how bored I was. I sent the Arden the other day. Have you ever wanted the chameleon as a pet? And she's like, what? I was like, I saw YouTube video, I'm sorry.

Unknown Speaker 1:15:58
You need to find a new hobby, too.

Scott Benner 1:16:00
I, I do I need to do something or, you know, it's funny, I there was part of me that thought maybe I'll just sit down and record the podcast every day and put it up daily for a while, like, you know, people who wanted to enjoy it and people who don't can, you know, skip it, except a large portion of the way people listen to podcast is during commuting. And I know now there's a portion of the community that's you know, of the people who just aren't commuting anymore. And I have to say for people listening, you guys are still you're still listening. It's very, it's uplifting, because I I've said this before, but I know other people with podcasts who are their way down, like nobody's listening to them all of a sudden, but you guys still are. But what I'm noticing is I'm missing is the second episode, like, you know, though, there's the one you'll listen to on the way to work and the one you'll listen to on the way home. And now that turns more into one. And you know, it's it's interesting how, how it goes. And there's not as much going back and listening to back catalogue episodes as there normally is. And it's just because and it's because people's lives are changed. So in that moment, you know, it's not gonna last for everybody's gonna get back in their car. I'm not worried about it. But what I'm saying is, in that moment, that's not the right time to start doing like a half an hour like Morning Show, you know, when people already don't have time for the other stuff that they're looking for. Right? You know, it's just very, I don't know, if there's a lot of like this happen. And then that happened. And these two things don't allow each other to work. stuff going on right now. So what do you think? Have you thought about I guess, is my question. Are you going to see problems with patients coming back after this layoff? Do you think do you think you're going to see a one cs go up? Or do you think people are going to take this time to really focus and you're gonna see them go down? Like, overall, generally speaking? And maybe you don't have a guess? But I'd be interested to know, after it's over what ended up happening?

Unknown Speaker 1:18:00
Well, I know I do. If I guess my guess is that we're going to see increase in a one C, just because when you think about the amount of stress everyone's experiencing as a whole, you know, stress increases your blood sugar. And yeah, I have these handful of patients I'm seeing that are kind of like reflecting and taking some time to review everything with me and to kind of reset their goals and refocus, but not everyone's doing that, um, because to begin with, you know, as a Diabetes Care and Education Specialist, I don't see every person with diabetes. So I think that's a huge problem. And then I also think that as a whole, there's a lot of primary care providers that see people with diabetes that I think are not seeing them as frequently right now due to the situation with COVID. So I am worried that um, in general, some patients will get lost to follow up during this time, but I'm also more worried that in general, people are just stressed and not checking in. Yeah, well, they're flat.

Scott Benner 1:19:12
Well, this is gonna it you know, listen, it's not promotion, because it's the people who listen already know about the podcast, but I just looked while you were talking, Arden's 90 day average is what it always is, for her agency, time and range. You know, average blood glucose, it's always the same. And I really do attribute that I know it sounds like, but again, you guys all know about it. So I'm not. I'm not trying to get it out there. That those protip episodes if you follow along with those if you live like that with your diabetes, I'm telling you right now, you could be running from a lion in the Serengeti up the side of a volcano while COVID-19 is around your blood sugar is going to stay where it's going to stay. Arden's a one C is estimated at 5.6, or average blood glucose is 115. And it's that's What it always is, like, yeah, I mean, but it's partly because of you guys aren't ignoring no blood sugars in her pattern 100%. But and that's and that's, I mean, listen, that's what it's going to be right? Like, there's the reality that some people are going to, and they're gonna see arise, and then there are going to be plenty of people who don't, you know, who hyper focus on it because they have the time what I'm trying to say is that we're in a rhythm. And that rhythm produces those results. Yeah, like, I'm not running around here wringing my hands thinking about like, Oh, God, everything's stressful Arden sitting more than she used to, what do I do? All those things happened to her. And then we just kind of gracefully adjusted to it as it happened. And there were a couple of days that were wonky. But I moved some settings around and boom, like, right back to it again. And that comes with time, obviously. Yeah.

Unknown Speaker 1:20:56
And I have to say, I mean, I'm kind of it comes with time. But I mean, that's kind of how I manage my own diabetes as well. And so for me, I noticed the anxiety. And that's kind of why before I focused more on the anxiety, the beginning of the episode, when you asked how I focused on making sure that my blood sugar's didn't go all out of whack from this, because for me, it was really more hunkering down on the anxiety because I knew that would impact them, and then just kind of going with the flow and making my adjustments as I typically do on a weekly or as needed basis, huh.

Scott Benner 1:21:31
Yeah. And it's funny because the reason I answered the way I answered was was like, hey, something's happening, use more insulin if you need it. It's because I, for the most part, ignore what the outside stressors are. And I just react to the graph. And and I'm so in the moment, it doesn't matter if it's soccer or stress or what it is. I just know what to do as it's happening. And then when I see that it's happening,

Unknown Speaker 1:21:58
plastic,

Scott Benner 1:21:58
yeah, well, but it's hard for some people don't have CGM, first of all, which makes it very grateful. But it's just I don't know that maybe Arden say once he wouldn't be five, six right now if she didn't have a CGM, but I still think at this point, I be able to see the I don't know what I want to call it, I'd be able to see the pattern behind what's happening. Right, just, you know, from being involved in it for so long.

Unknown Speaker 1:22:30
Right? Or what I might see on my end, too, is like, hold on one second. I need

Scott Benner 1:22:34
God I'm sorry, with you guys. Oh, no, I just I had a problem. on my end, I couldn't hear you. But it was me. I, you, you, whatever you were saying was being recorded, you're fine.

Unknown Speaker 1:22:43
I would say on my end. So if you came to me, and you were like just going with the flow and making the adjustments as needed, I'd be able to see the increase in insulin need. If Arden was feeling a lot of stress and anxiety. Yeah, I would say hey, look at this, you're using more insulin. Which is fine. But I'd say Hey, are you stressed? Hey, it's something going on?

Scott Benner 1:23:04
Yeah. It's a very strange thing. anxiety, stress, depression, that stuff is its own very specific monster that? I don't know. I don't know that there's an answer to it. Like, if you really stop and think about and I'll let you go in a second. But if you really stop and think about it, you know, if if that stuff was as easy as Have you tried yoga, then there'd be no depression? people be like, I'm depressed. And I'd say have you seen how much free yoga there is on YouTube? You know, like, it's their ways of coping. Now, right. And so I think a lot of people are now are seeing with this added anxiety, what other people who have anxiety and stress and, and depression every day, what they live with constantly, and probably a lot of the times at a much higher level than what you're experiencing by, you know, being locked in your house, which let's be honest, if you're lucky enough to have a house, it's not the worst thing that's ever happened to you, you know?

Unknown Speaker 1:24:01
Right. But I mean, being just being refined or restricted and itself is the perfect, you know, it's a perfect setting to be. So it's very anti people struggling right now.

Scott Benner 1:24:17
Yeah, I mean, people are very social, obviously, animals. And this is very anti how everything about you works, whether you're an introvert or an extrovert, or, you know, someone who's living at home or, you know, has to go into work or not. Otherwise, it's just a complete throw off. Like I'm not saying 100 years from now, like as a species, we couldn't adjust to it. I'm just saying that at the moment, the way we've progressed through, you know, evolution. This is not right for us. And it's Yeah, that's how it feels. You know,

Unknown Speaker 1:24:45
it's a really rough time.

Scott Benner 1:24:46
It is. Alright, Julia, I think we've done well here today. I appreciate you being here. Next time. So next time for people. Julia and I are going to get back together and talk about very specific questions that you've sent in. Some people send it asks Scott and Jenni questions that I've earmarked for Julia. So if you're still listening, we're going to hit this question. How about mental health for children diagnosed with chronic conditions when they face denial, depression, anxiety? How do I manage a kid with type one, so they don't also suffer from depression, anxiety, eating disorders specifically? And what else how to handle older kids who sneak food and then lie about it, how to build trust and compliance when kids are really, you know, just tired of being diabetic. Those are a couple of the things that Julie and I are going to talk about the next time we record. So I hope everybody comes back the next time they see Julia's name in the title. Yay. Yeah, cool. All right. You go do your thing. You young energetic CDC s. CDC.

Unknown Speaker 1:25:51
Good job. You got it. You got it done. It'll roll off your tongue eventually. Right,

Scott Benner 1:25:56
Julie? I wrote it down. There's no way I was gonna remember. Plus, by the way, you fooled me. So CDC is Center for Disease Control. So that's what I'm thinking by the time I get to ETS, which I believe was like a Nintendo at some point. So what I see is Center for Disease Control Nintendo. Yes. Which I'm sure was the Yes. What am I gonna do?

Unknown Speaker 1:26:20
I think it was DS not Yes.

Scott Benner 1:26:23
I think you're right. But again, I don't know. So it doesn't matter. CDE I know certified diabetes educator. Anyway, nobody asked me. Um, all right, live your life. Julie's gonna be back pretty soon, answering a bunch of questions from listeners about more kind of psychological things about type one diabetes. Imagine ask Scott. Imagine ask Scott and Jenny. If Jenny was Julia, that's what it'll be like. Thanks so much to Dexcom and Omni pod for sponsoring this episode of the Juicebox Podcast please again, consider getting a free, no obligation demo of the Omni pod tubeless insulin pump by going to my omnipod.com forward slash juice box. And I cannot stress enough the goodness that will come into your life. If you check out the Dexcom g six continuous glucose monitor dexcom.com forward slash juice box.

Let me remind you that if you're enjoying the Juicebox Podcast, the best way to say thank you is to share the show with someone who you think might enjoy it. The biggest thing you can do. How do you do that? That's up to you. But find some people who you think would love the podcast and tell them about it. And they might not know how to use a podcast app so you can show them. You can show them how to open up the app. Search for the podcast and hit subscribe. And my goodness, if you have an app and you are not subscribed, I'm gonna make me cry. Hit that subscribe button people's clicky clicky on this subscription. My son is texting me he's very upset that he is very upset. He's like, why would the Tampa Bay Rays run? They're on that ball? Is this guy stupid? My son does not like base running mistakes. All right. that's neither here nor there. I hope you're enjoying the show. I'll be back soon. If all goes well, meaning if my computer doesn't blow off. I'll have a small episode for you this weekend about how fiasco went for Arden. And then next week, how we eat addition, carnivore diet, and I think I might do an after dark about heroin addiction. I might do that. Might be how I set up next week. Alright, if I do everything I mean to do the next episode will be about it'll be a short episode explaining how fast point followed by how we eat episode on I just let the genie out of the bag here for a second. Wait, the genie is not in a bag right? The genies in a bottle. Well, how can I just let the genie out of the bottle here for the bag? I mean, it's bad enough they're in a bottle, right? But a bag. That didn't make any sense. I feel a little dumb about that right now. Anyway, tomorrow I'm getting up. I feel like I'm rambling like a lunatic. I'm not editing any of this out and I said editing correctly, so definitely not editing it out. Oh dammit. I screwed it up.

From the fundamental health podcast with Paul Saladino, MD. Paul Saladino will be here to talk about eating carnivore. And then I am going to do an after dark. Then I'm going to get you with the after dark episode that I just recorded with a lovely woman In her mid to late 20s, who has been addicted to opiates for a decade and is a has a hell of a story. So yeah, if you're not subscribed, subscribe because if you are subscribed, it'll pop right up on the screen your phone and be like, hey, the podcast just came out then you'll know what's there.

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#396 Arbor Day

David has a blended family

David is a divorced father of a child with type 1 diabetes. 

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

Scott Benner 0:00
Hello, everybody, and welcome to Episode 396 of the Juicebox Podcast. Today's show is with David. And David is the father of a little girl who has type one diabetes. His mom also has type one, and he's divorced from his daughter's mother. So this is a little bit about a blended family. It's a little bit about finding your way. And we tried to figure out how David could take the care that he's able to provide for his daughter and transfer to some of our caregivers. I'm going to tell you a little bit more about this episode in just a moment. But first, I'm genuinely excited to tell you that

this show is sponsored today by the glucagon that my daughter carries g Vogue hypo men Find out more at G Vogue glucagon.com forward slash juice box. The Juicebox Podcast is also sponsored by the Contour Next One blood glucose meter and touched by type one, you can find out more about touched by type one touched by type one.org, or on their Facebook and Instagram pages. And of course, to learn more about Arden's blood glucose meter Contour Next one.com forward slash juicebox.

I know I already explained most of this episode to you at the very beginning, but I want to make sure that you understand that David's daughter has one of the more interesting diagnosis stories I've ever heard. involves an airplane and intrigue, it's good. Please remember, while you're listening that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, please always consult a physician before making changes to your health care plan for becoming bold with insulin.

We referenced COVID-19 in this a little bit and the reason is, we recorded this in very early April 2020. So it was all very fresh. I didn't even have a mask at that point. So just to give you a little context.

Unknown Speaker 2:54
My name is David. I've got three kids, and my oldest is diabetic.

Scott Benner 3:00
Are we gonna say your oldest name? handle? Okay, how old is Hannah? She's eight, eight. What? How old was she when she was diagnosed? She was 770. So this has been very new then.

Unknown Speaker 3:16
Yeah, we're, we just hit our year. It was December of last year.

Unknown Speaker 3:21
Not recently last year, but the year before that. I think

Scott Benner 3:24
so she's she's Well, she's indoor second year by a few months, then. Yeah, she's got. Okay. How is she making out?

Unknown Speaker 3:31
She's done. All right. She's fine.

Scott Benner 3:34
Was it an emotional shift for that you could see or?

Unknown Speaker 3:38
Yes, there the first. There are a lot of things going on. Not just the diabetes. We had a we had a new baby. And we just switched custody from her mom to me, literally, within days of the diagnosis. So there was a lot of change for everyone. Yeah. So right at that same time,

Scott Benner 4:02
so let's get there. Oh, wait, wait, hold on. So we're around Christmas. First of all, she's changing custody. Her and her siblings are coming from living with your mom full time and to living with you full time. Yeah, gotcha. And you're remarried.

Unknown Speaker 4:20
Yes, I'm already married and have another daughter, a one year old.

Scott Benner 4:25
And when was that daughter born?

Unknown Speaker 4:30
About a week after

Unknown Speaker 4:33
December 27. Peace cific but about a week after Hannah's diagnosis.

Scott Benner 4:40
So Christmas, the birth of your daughter changing custody of your two other children. all in the same frame of time.

Unknown Speaker 4:50
Yes,

Scott Benner 4:51
yeah. So there were emotional things.

Unknown Speaker 4:54
Yeah. Yeah, it was a it was a tough ride

Unknown Speaker 4:58
everything smoothed out and Worked out just fine.

Unknown Speaker 5:02
And they they're used to being with me there are. I mean, they're here before the custody a lot,

Scott Benner 5:09
right? It's not like you were an absentee father and then all of a sudden, like in a bad movie, they'd somebody dropped them on your doorstep. It wasn't like that.

Unknown Speaker 5:16
Not right. Not Not at all. Gotcha.

Scott Benner 5:19
happen. How about for you? Do you remember how you felt in the moment?

Unknown Speaker 5:26
The moment I

Scott Benner 5:27
found out, I mean, yeah, I just yeah, finding out about a diabetes diagnosis for your daughter. At the same time, you're having more children, all this stuff is going on? Did you pick something to focus on? Or like, how did you handle that? Well, I,

Unknown Speaker 5:43
at the moment, I was scared, because I thought that my mom's my mom's also a diabetic. And I thought that it would be the same kind of journey that my mom has had, which has been really rough for her. So, you know, even before I got to the urgent care, you know, talk to my dad told him the symptoms, like what told him what's going on with Hannah? And he's like, oh, oh, crap. She's got she's got diabetes.

Unknown Speaker 6:16
I just, I was in shock. Yeah.

Scott Benner 6:19
Your mom has type one.

Unknown Speaker 6:21
Yes, she does.

Unknown Speaker 6:24
How long?

Scott Benner 6:25
Not that I want to dig farther into your mom's business because she's not here. But how long has she had type one?

Unknown Speaker 6:31
Since she was 15.

Scott Benner 6:33
Okay. And so she's Wow. So I'm gonna random guess at your mom's age and say your mom's had diabetes since the 50s. Or 60s instead about fair? Correct? Yeah. Okay. So management a little different than back then. But that's the world you got to grow up seeing diabetes. So what do you remember seeing in your house as a child?

Unknown Speaker 6:56
So and that's that, I guess that goes into my emotional journey and baggage with what I used to think diabetes? was back then I remember, you know, helping her she couldn't see colors very well. her eyesight was not the best. So I had to help her color match. Now, I don't know what timeframe this was, we had to figure out help her with her blood sugar. And when she put a little drop of blood on the test strip, it would change colors and color match it to something. That's probably my earliest, earliest memories.

Scott Benner 7:31
Yeah. So your mom basically come up to you saying go, but colors this and based on that answer, decides her treatment? Yes. Does that feel pressuring? Do you remember that as a kid, or was it just part of life?

Unknown Speaker 7:44
That was just part of life now?

Unknown Speaker 7:48
Oh, I'll share this. About my mom, she she would over manage her diabetes and and overdo the insulin quite often. And so it was, it was not uncommon to get off the school bus and see your past out on the floor. Wow.

Scott Benner 8:06
Would you have any idea how long she'd been there?

Unknown Speaker 8:09
No, no, I'd see her on the floor. Come on, come off the bus here on the floor and either call 911 when I was younger, and then later in elementary school, I had to learn how to give her shots.

Scott Benner 8:24
So is it fair to say that as your daughter's diagnosed, this is what you are thinking diabetes is?

Unknown Speaker 8:30
Yes. Do you got

Scott Benner 8:32
an extra unfair diagnosis story?

Unknown Speaker 8:36
At times, I wish I knew nothing about it.

Scott Benner 8:38
I'm thinking because what you knew is is so antiquated. It really didn't. didn't apply specifically. Wow. I'm sorry. I really am sorry. That's a that's that does not sound fun. Like I just didn't know anything. You know, you start piecing it together as they're talking. But the stuff that's scary. doesn't have a face in the moment. You don't I mean, it certainly doesn't have a child's memory of their of their mother on the floor. So you got stuck there, man. Jeez.

Unknown Speaker 9:07
Oh, by the way, my mom's doing great. Now she's, she's alive and well. And she figured

Scott Benner 9:14
so has there before we move on to Hana? Has there been any reciprocal goodness for your mom, like from the things you've learned over the last year? Okay, does it translate back there she ever like wow, you seem to be handling this Really? Well. Please tell me what you're doing David? Or does she just have it?

Unknown Speaker 9:33
I can't say there. There was no she my mom will go through years. Like cycles. I guess. She does better than better some monster years at a time and then she'll go through a rough patch.

Scott Benner 9:49
What does that look like a rough patch just like would you call that burnout what people call burnout or

Unknown Speaker 9:55
I would say be the opposite.

Scott Benner 9:58
Oh, she she's super great. She gets low.

Unknown Speaker 10:01
Yeah, she's hypo lysine, that kind of where she'll just get low pass out or argue with you and tell you I'm not alone.

Scott Benner 10:12
Well, it's not funny, but you know, I hear what you're saying. I guess I've, I've had arguments with people before when they're, you know, they're smaller than me. And they're telling me, I'm fine.

Unknown Speaker 10:22
Yeah, let's drink the juice. And we'll talk.

Scott Benner 10:25
You just just please just drink that. Oh, my gosh. So all right. Did Hannah have any preconceived notions? through your mother that you know of?

Unknown Speaker 10:37
You know, I don't? I don't think so. She's pretty honest. Yeah, she's pretty young. So it? Probably not. I guess they connect at some level, like, Hannah was like, Hey, I got diabetes, like you. And sometimes they're over there now actually get schools out.

Unknown Speaker 10:58
Sometimes they'll check their blood sugar together or whatever.

Scott Benner 11:01
What What is your daughter using to manage? As far as like technology goes?

Unknown Speaker 11:07
She's got the dexcom and Omni pod. Does your mom have any gear? She's got the new Medtronic. 670. Okay. She's wishing she had the ducks golf. I bet your shoes.

Scott Benner 11:21
Jenny and I are gonna record later this week about how to manage with that 670. And I'm interested to see how that goes. Because most of the information is going to come from Jenny, obviously. And, and I don't think Anyway, we'll find out how it goes. But I hope your mom gets what she wants eventually. So I just wanted to see the you know, I just wanted to be able to set the picture in my mind for what's going on and how everything is. So you reached out to be on the show. And David, I'm sorry. We met in in Atlanta.

Unknown Speaker 11:52
Very briefly, I didn't come up and say hi, because you had like two or three people around you. But you came to a jdrf. weekend in Atlanta, but about a month or two ago?

Scott Benner 12:04
Yeah. It's a good event. I just couldn't remember if we said hello directly or not, there was a few whirlwind moments where I was just making eye contact and chatting. And, you know, it's, it's sometimes it's difficult when they're when people are coming at you all at once.

Unknown Speaker 12:20
I didn't come up to you because you had other people around.

Scott Benner 12:24
Well, David, you're you're the first person I think that I've ever interviewed who's in their vehicle with a reflective vest on. So you're a real man, you weren't gonna bother me in this situation. I see that. Thank you. So you contacted me by email. And you were kind of responding to something I say on the podcast a lot, which is, I think if people get to this kind of information early enough in their diagnosis, they don't need to struggle as much for as long. And that ends up being your situation. So can you tell me how you how you found the podcast after Hannah's diagnosis.

Unknown Speaker 13:08
So yeah, I was determined.

Unknown Speaker 13:11
Pretty shortly after diagnosis, maybe a few weeks a month, I started reading anything I can get my hands on, read it listening to other podcasts and YouTube videos.

Unknown Speaker 13:22
About I stumbled across yours

Unknown Speaker 13:26
and started listening to it not a little opinionated. But you've got you got some good ideas and concepts here. And you just grew up in,

Scott Benner 13:39
like mold. You're saying sort of like mold or? I've grown on you? Yeah, excellent. I'll listen, I'll take that. You know, I don't want to give the secret away to the other podcasts that are all trying to make everyone happy. But an opinion is sort of important. If you're going to broadcast your voice or ideas towards people, you know that you can, yeah, people can agree or disagree or like you or not like you. That's all well and good.

Unknown Speaker 14:06
I appreciate the authenticity there. Thank you. Are there other podcasts that are some sunshine and rainbows? And I just I didn't really connect.

Scott Benner 14:18
I just listened I have a very specific idea of what it is to communicate with people. And I think that if I spend my entire time trying to make everyone who could possibly be listening, happy, keep them on offended or whatever I that's a fool's errand. It really is. I only I know what I know. I know how I feel. And if you connect with it, like right on and if not, I mean, you know, move, go somewhere else that's cool with me, you know, I'm not trying to keep you here. You know, against your will. So that's, that's excellent. So it was management ideas. I'm assuming management ideas allows you to stay long enough to be let's say wooed by my lovely and sparkling personal And then, because you weren't you were you weren't hanging for Scott. In the beginning, you were like, hey, he said something interesting about using insulin.

Unknown Speaker 15:07
Yeah. So you had a lot of concepts. I knew the basics even before this, because I've seen my mom do it. Count carbs give insulin. But there's a lot of concepts, you go over that

Unknown Speaker 15:20
in, like, in a in depth detail that

Unknown Speaker 15:24
they do teach at our children's hospital. But it's just hard for somebody brand new to absorb it all. Yeah, in a week. And you need

Scott Benner 15:32
what so what what's valuable there is that the repetition is it being able to go to it in your own time, what makes this format better?

Unknown Speaker 15:42
There's that where, you know, having a little bit of time from that initial shock is helpful. I've noticed with me, I can only digest a little bit of new information at a time apply it, try it out. And quite frankly, I think it's the entertainment. I mean, you had me laughing,

Unknown Speaker 16:03
countless pod podcast,

Unknown Speaker 16:06
I love that

Scott Benner 16:07
I will listen, you know, very privately, I said to my wife in the beginning, if this is going to work, it just can't be dry and medicine, right? You can't be on your reading lists and saying stuff like that to people, or, you know, this is this, this episode's gonna end up being a roadmap for other people trying to do this, which maybe is okay. And maybe I would like you guys to stay here and listen to me. But I've, I grew up and came through the blogging world around diabetes. And I have always thought that the biggest mistake people make with blogs is that they start out in a personal voice. The blog is very clearly made in someone's living room or bedroom, or, you know, they definitely did it in their underwear at two o'clock in the morning, when they had the time. And then the blog finds a little bit of success in you know, in the in the way of clicks. And then once they have somebody listening, they change the blog, they shine it up and make it look professional, which just then looks like you know, a PR company for a pharmaceutical firm, put it together. And now all of a sudden, you're everybody else. And so they abandon what got them there. And what people liked about it in some weird, I don't know, idea that they should now become a business. They're a real thing. I think it's money. I think they're like, well, I'm gonna make money with this. So I have to make it nicer. And then they drive away the people who were there to listen, it just be yourself. That's why they're there. You know. And I think the same thing about this, I put out a podcast that I can listen to. And that that's important to me. I've you know, there are other ones, I very, I'm being 100% honest, I don't listen to any of them. But at a time or two through the years, someone's come to me, sometimes it's business people or that I do business with or other people are like, Hey, did you hear someone say this and you know, I'll listen to a minute or two. And even as a minute or two is running, and I'm a little bit of a snob about you know, radio entertainment. So you know, somebody that you can hear that you can't see. And if I start getting bored, my I check out like there's a voice in my head Yellin, shut this off, you know, get get rid of this. And I hear that a lot. When people bring me those clips, I'm just like, oh, they're droning or they, you know, they're trying to sound like, you know, I don't know, like, you know, they're talking like a news anchor. It's like, Hi, how are you? And I'm like, Oh, my God, no one talks like that stop, you know? Yeah. So Well, I appreciate that it found you and and that you connected with it. Man is

Unknown Speaker 18:50
good. The reason I was reaching out reached out to you is also the is I don't hear a lot of blended families with diabetes, or single dads are not single anymore. But dads are who are their primary caretaker. So I thought I'd reach out and just share my experience. Well,

Scott Benner 19:10
how did you brought that up? Because that's exactly where I was going next. Because you have no idea how many people want a story to they want to hear a story about either a blended family or you know, somebody who's You know, there's a divorce situation where the child goes back and forth, and it's being done successfully. So let's ask first, do you share custody does Hannah go back to our mom, sometimes. g Volk, hypo Penn has no visible needle, and it's the first premixed auto injector of glucagon for very low blood sugar in adults and kids with diabetes ages two and above. Not only is Jeeva hypo pens simple to administer, but it's simple to learn more about. All you have to do is go to G Vogue glucagon.com forward slash juicebox g Vogue shouldn't be used inpatients with insulinoma or pheochromocytoma. Visit Jiva. glucagon comm slash risk. Now, let me tell you about touched by type one. There are an organization out of Florida that helps people living with Type One Diabetes. That's it. And they'd like for you to know more about them. So they're asking you, if you wouldn't mind, why don't you visit touched by type one.org. Take a look around. You can also see what they're doing on Instagram, or Facebook. So if you're more of a website, person, touch by type one.org, if you're more of an Instagram person, you know, search for that on there, and Facebook etc, you know how to handle it. After you filled yourself with the goodness that is touched by type one, do something nice for yourself. Get yourself one of the most accurate blood glucose meters available. meters are not that expensive at this point. In fact, the Contour Next One may cost you less if you paid cash than if you went through your insurance. That may or may not be true for you. But you know how you could find that out. You'd go to Contour Next one.com Ford slash juice box there you're going to see Arden's blood glucose meter, the Contour Next One, and you're going to see how absolutely small and manageable It is easy to read numbers, super bright light, and a test strip that allows you to go back for a second chance if you should miss her mess up getting the blood the first time like you know you don't quite get enough, you can go back with this meter. And it doesn't affect the efficacy of the test. You're gonna love this meter. absolutely the best one Arden has ever used. Contour Next one.com forward slash juice box and touch by type one.org get going.

Do you share custody? Does Hannah go back to her mom sometimes?

Unknown Speaker 22:00
legally. Yeah, they're shared custody, but her mom's has not picked them up since gotcha.

Unknown Speaker 22:06
Okay, well,

Scott Benner 22:08
then tell me how. How so I guess we'll stick with blended as far as like you've been remarried? And how do you guys talk about that? Is she? I don't understand the whole step. parent. vernacular, like how you talk about that is? Did you like Hannah, call your wife her step mom? How does she refer to her?

Unknown Speaker 22:28
Oh, they just? You mean? How do my kids refer to her? Yeah. Oh, Charlotte. Ah, they just call her by her name.

Scott Benner 22:35
It's kind of chill. I would like that.

Unknown Speaker 22:38
They love her. She's, she's, she's a better parent than I am.

Scott Benner 22:43
Yeah, well, you know, let's not tell my wife. But yeah, she's pretty much holding the whole thing together. I'm just doing my best over here. So is that difficult for Charlotte to be involved in? How involved is she in the manager of the diabetes?

Unknown Speaker 23:03
Not as much as I would like.

Unknown Speaker 23:06
From the start, I just jumped in immediately and started

Unknown Speaker 23:13
managing everything.

Unknown Speaker 23:16
And I would kind of dictate, you know, what, how much insulin when when I wasn't there, I'd call Charlotte and tell her she just has no background on it or just not as on top of it as I would be. Yeah. And then there's, she does fine. And she takes care of Hannah. But there's there's some differences there. For sure.

Scott Benner 23:38
I would wonder if it was me. How comfortable i'd feel being aggressive with insulin towards a person, like in your situation in a family situation. If it wasn't, I don't mean it this way. But like, not, like not my daughter by blood, like, you know, like that feeling of, you know, if I'm gonna like if someone's gonna hurt her, it's gonna be you. Not me like that. That kind of a feeling. I don't know if that has anything to do with it. Or maybe she just doesn't have the vibe for it. Does she not listen to the show? I would imagine. Yeah, yeah. So she lacks and she didn't have your mom to grow up, but there's a lot she doesn't have that you have. What do you um, what do you have for management goals? With Hana? What are you shooting for during the day? As far as like high and low numbers and how do you how do you make out with it?

Unknown Speaker 24:29
So we've got up to think 80 to 150. And recently, not recently, the last, I don't know six months have haven't only been diagnosed a year, last couple months, I guess. I've slacked off. I guess I had a little bit of burnout.

Scott Benner 24:49
So we're just that's our goal. That's your goal. Do you How, how well do you stay there away from food first, like not around meals.

Unknown Speaker 25:00
Pretty good. Yeah. The challenge is when I'm not taking care of her, the other caregivers aren't aren't as aggressive.

Unknown Speaker 25:10
Okay.

Scott Benner 25:12
And that and so do you think has she put on weight or gotten bigger since she's been diagnosed? Maybe Is it a bazel? issue?

Unknown Speaker 25:23
You're not sure about that. It's I don't think it's a bazel issue. It's a just other caregivers. That won't Pre-Bolus just don't have that. I guess intuitive. How much insulin does she need? Yeah. They'll wait until it's three or 400. You know, Ty,

Unknown Speaker 25:44
like, call me What do I do? I'm like, Well, she's 400.

Scott Benner 25:48
What do you do? Get the time machine and go back two hours and call me?

Unknown Speaker 25:53
Yeah, you could have prevented that, you know, you should have squashed it with a unit and a half. And been done with it. Now, we got to get three, maybe even four units. And it's dinnertime. You know what,

Unknown Speaker 26:04
so late now.

Scott Benner 26:07
You know, it's funny, I'm, um, I'm not gonna say anybody's name here. But uh, looking at another person's CGM at the moment for a child. And then a very similar situation where the father's more aggressive than the mother is. And I started looking at the graph over the weekend. And I was like, Oh, this is great. You know, like, it's really going well, and then Monday came, and then the kids blood sugar started going up and staying higher, longer. And at first I thought, like, what's happening? You know, but it is exactly what you're describing, the father went off to work. And, you know, now the kids behind with people who are just in their situation, it may be it's not as aggressive as maybe they're a little more scared, I guess, you know, to use too much insulin. And they're trying their Pre-Bolus thing, and they're doing the things, you know, the mother is doing all the things, the outcomes are just not as even, I think is the right word. So there's more rises, more rises that stay up longer. And then I was, you know, I watched it through the week, and I sent a text a couple of times, and was like, hey, let me see if I can help here. But I stayed out of it. Mostly, it was just sort of looking. And then Saturday came back around, and boom, the kids blood sugar was back down. I was like, Wow, it's fascinating. Because the same kid, the same food, the same house, it's, it's a different style. And it really did lead into AI for the very first time a couple weeks ago, I, I came to realize by watching like this, you know, these people, stacks coms, I have my daughter, my daughter's friend, and this, this other person. So three people at the same time. When, when the bull when the when the father is, is on the first kid that I was just talking about. These three people's blood sugar's almost look exactly the same. Their numbers are always similar. Their spikes are always similar, the times that their spikes Say hi are always similar. And I have to tell you, a huge moment of pride. Because what I realized is what you're seeing in these three different people's blood sugars, is my style. It's my style of management, it's it's the rules. But it's not just the rules. It's the rules with the I don't know, whatever that is, whatever I talk about on the podcast, however I feel about the Pre-Bolus saying and how to manage highs, like when you when somebody does that when somebody gets it and puts it together, it looks the same from person to person. And I'd be super interested to, I'm assuming you're seeing the same thing when you're managing less spikes, like that kind of stuff. And then when you hand it off to a different person, so it's not the rules as much as it is. Well, it is the rules. You have to have the you have to have the tenants down, right, but after you have them, it's more about when to use them. You know how hard it's, I don't know like a passer in football. You know, like what's the difference between a six six guy that can throw a ball 100 yards and Tom Brady who's 40 years old and broken down and why is Brady a better passer than the 25 year old kid who's clearly a you know a better athlete than he is. And I think it's the intangible stuff you can't measure right?

Unknown Speaker 29:41
And there's, there's a lot to it. That's I guess intuitive. Now. When I first started out, I was measuring everything and I had the measuring cup and we would count cards perfectly and still get it off because it doesn't hold that doesn't Monitor right now I just look at it. I just glanced at her plate. Yeah, two, three. I'm gonna try three. We mustn't we have ice cream.

Scott Benner 30:10
And if you miss the other way, you readdress. With more insulin.

Unknown Speaker 30:13
Oh, yeah.

Scott Benner 30:14
Yeah. It really is it man. It just, it's about like, just stay in, like, easy, right? Like, I don't know, keep your hips loose and move with it, you know? Which is funny, because I can't dance even a little bit. But this I can dance with. And it's cool that it hit you too. Is there any possibility that it was palatable to you because I'm a man? Was it easy? Or about this from a guy? Or do you not think it matters to

Unknown Speaker 30:47
I don't think it matters. I I've listened to tons of stuff. Before I've got this, I just I have a new job. I've been about six months before that I have my own business. And I would just listen to books, books, podcast.

Scott Benner 31:03
Doesn't matter where the information comes from. Okay. Yeah. It's interesting.

Unknown Speaker 31:08
Before before we get too far into the podcast, I did want to tell you that, I guess share my diagnosis story, because that was interesting way to to figure it out. I want to hear. So in the whole custody thing, I sent the kids back and it was supposed to be for a Thanksgiving break. But we still we were still waiting to get the final parenting plan from the courts are waiting to go to court. So it was just a verbal written, written agreement, but it wasn't legally bound. So I sent the kids they were living here already. And so I sent him to go see their mom. In St. Then it was St. Louis. supposed to be for just a week. Of course, her mom got her got both the kids and said, Oh, no, I decided to keep them here. And so I went back, went back to my lawyer and I had had them try to get an emergency hearing. And technically it didn't qualify but they were able to get a hearing very soon. within three weeks of that happening.

Unknown Speaker 32:25
So go to court on December

Unknown Speaker 32:28
21.

Unknown Speaker 32:31
Judges there and the lawyer and their mom is not this point we'd nobody knew Hannah was diabetic. Or how sick she was at that moment. Her mom had texted me a week earlier and asked me if I got their their eyes checked when they're here. And I was like now, but I didn't think anything of it. So anyway, we're, I'm in court and judge like okay, I'm on branch Cassidy. How do you plan to get the kids and say, Well, I looked at the judge. I said, I have plane tickets tomorrow morning. Pick them up.

Unknown Speaker 33:08
And that you know, I was ready.

Unknown Speaker 33:14
So that's the plan. I fly out there.

Unknown Speaker 33:18
St. Louis.

Unknown Speaker 33:21
Their mom brings me brings me the kids and first thing she said says Hannah's not feeling well, you might have to pick her up out of the car. And then understand I was like, okay, so I picked her up out of the car. And I look at her and she's obviously sick and doesn't feel well. buckler and to my car and we start driving back to the airport. And I look back in the in the backseat and I noticed just hurt her eyelids were starting to bottom of their eyes were sunken down away from our eyeballs.

Scott Benner 34:00
Oh, I understand you're saying like the bottoms of her eyes were like separating from it. They looked like they were there was like a gap between her and her eyes. Oh, geez. Okay. Yeah.

Unknown Speaker 34:12
And then I looked at her cheekbones are protruding.

Unknown Speaker 34:17
It was just, I mean, you've seen it before. I've heard you explain it. Yeah. And

Unknown Speaker 34:23
with Arden.

Unknown Speaker 34:25
That level of sickness just you look like death. And I was I didn't know what to do. And I've been hindsight I should have took it straight to the hospital there. But I didn't realize how how sick until we finally got to Atlanta I was drove home and she tried to put her pajamas on that she wore literally a month before and they literally just fell right off

Unknown Speaker 34:58
that point

Unknown Speaker 35:01
I was scared. Yeah, genuinely scared.

Unknown Speaker 35:06
The next morning, I'd take her straight to the urgent care and

Unknown Speaker 35:11
the next morning was even worse, she couldn't walk couldn't, couldn't really have no energy whatsoever.

Unknown Speaker 35:19
I took it to the Children's Healthcare of Atlanta,

Unknown Speaker 35:23
a satellite location there and powder in my arms and the whole office literally stopped what they're doing. pulled her back into the back. We I mean, within a minute, we had a doctor there.

Scott Benner 35:38
Well, they've seen something that horrible before they know what it looks like, you're you're still doing the that thing that everybody does, right? Like, it can't be that bad. Like my eight year olds not dying, you know, they need like, you just don't think it's, am I am I right? Where you just you knew it was bad. But you didn't think it was life and death? Or were you starting to believe that it might be?

Unknown Speaker 36:01
Well, that morning, I knew it was. I knew it could be life or death. That's why I went straight to the urgent care the Children's Healthcare of Atlanta, urgent care, not not just a hospital or

Scott Benner 36:12
guy on the corner. Yeah.

Unknown Speaker 36:17
And before I hit, I went there, I told my dad, what she looked like, and he immediately said, but she's diabetic. So we ran in there, and I told him me, you know,

Unknown Speaker 36:30
glucose test this

Scott Benner 36:35
is diabetes. You remember what it was? When they were?

Unknown Speaker 36:40
like four or 500.

Scott Benner 36:43
But it had been probably been going on for a while.

Unknown Speaker 36:46
Yeah, she lost significant weight.

Unknown Speaker 36:49
That's, I imagine shoes and DK for

Scott Benner 36:54
some time. How was she being? Did you ever go back to your accent and ask like how like, like, what that time was like, was she like that the entire time? Or did it degrade? Or are you not able to get that information?

Unknown Speaker 37:08
I never got a straight answer. I did ask them like, hey, how can you miss this? Right? This wasn't, this wasn't a stomach bug. Not even close.

Scott Benner 37:18
It occurs to me too, that if you weren't in the middle of trying to extract them and having to put them on a plane I because um, I you know, I'm thinking about myself in that situation. You're a couple of different issues here. Like you're not just picking them up at the mall, like you had to go to a judge to go get them back. So there's this feeling of like, I need to take them away. And then you've got to get them onto a plane and there's two kids, and you're probably focused on the things you were doing. And then the minute you got home and could really look at her. I'm assuming it would strike you so it does. I don't want to cast aspersions. But it does. It does make you wonder why a person who was with them, and not going through all that stuff wouldn't be able to look and think something's really wrong here. But you know, I stared at my daughter for a week, not knowing what the hell was wrong either. So I don't know. It's tough. You know?

Unknown Speaker 38:04
I don't know, either. It could be a rabbit hole to go down and say why didn't you take her to the doctor? Maybe she did. And the doctor didn't recognize the science hundred

Scott Benner 38:12
percent could be that right? Yeah. Well, so she's in there and diagnosed. I'm assuming in the they take her to ICU. Do you get to stay with her? Or how do they handle that? We never really talked about this.

Unknown Speaker 38:26
Yeah, I so they transferred her they called up a certain IV right there in the office with fluids. And then did ambulance ride to the ICU and at the Scottish Rite location. I ran home grab my cell phone charger, bag of clothes, ran straight to the hospital and four days straight that the only time I left her side was going to get some food or using the restaurant.

Scott Benner 38:55
Yeah. How involved were you in parenting? Prior to that? Were you like what was the division in your home? Are you just like you know what I'm saying like did you do go out and do the work and bring the money back and the kids were you know your ex or did you guys have a reasonable like co parents situation I'm trying to decide how much of a culture shock to your parenting it is to not only have the kids full time but then have this drop on top of it.

Unknown Speaker 39:25
Well, they the kids, my two kids would be here all summer long. And then during each school break, they're here at that point they were here since late May of that that summer, all the way up until Thanksgiving when I flew them back to go see their their mom. And then when I picked him up again

Scott Benner 39:50
to your full time father before this happened, it wasn't like a it didn't all get dropped on you at one time. Now cool. Okay.

Unknown Speaker 40:01
All right.

Scott Benner 40:03
Did she leave the hospital with a pump and a CGM? or How did they start off originally? Did they do that? Sometimes if you push hard, like and so I didn't know, I'm trying to figure out the timeline of when you decided what you want to do.

Unknown Speaker 40:17
Now that we did, did some education, which

Unknown Speaker 40:24
was probably a little basic.

Unknown Speaker 40:29
That makes sense, which is good. Yeah. Which is good.

Unknown Speaker 40:32
But they're trying to teach us about low blood sugars, high blood sugar.

Unknown Speaker 40:37
I know more than I ever wanted to know.

Scott Benner 40:41
I've got this throw on the floor maker unconscious. I know what to do.

Unknown Speaker 40:45
Yeah. Like I've given too many shots. Anyway, we left with just MBI and finger sticks. And then within a couple weeks we got on the Dexcom. It's quick.

Unknown Speaker 41:00
Yeah, yeah. That's

Scott Benner 41:02
that. Did somebody show it to you? or How did you know to ask for it? Or where do they offer?

Unknown Speaker 41:09
I think I heard it in your podcast. That's pretty nice. Oh, so

Scott Benner 41:14
you did find the podcast in like the first week?

Unknown Speaker 41:18
Was it wasn't the first week? I think it might have been, it might have been four weeks where I got the Dexcom. Okay.

Scott Benner 41:24
It was still very real pretty soon. Yeah, no, that's very fast. I've heard from people who are listening to the podcast in the hospital, while the kids are sleeping in the bed and getting well. Not always like that's usually comes through another person. Usually, that's a person who, you know, is reaches out to friends and says, you know, my God, my kids has been diagnosed, and that person has type one or something. They say, oh, listen, this podcast right now like that, to me is fascinating. But even inside of a month is I think that's very quick. It just really is. So Has she ever, like, hover? Wherever anyone sees been? Do you mind share? If you mind sharing? Don't tell me but

Unknown Speaker 42:07
Oh, sure. It's just, it's just a number. I think diagnosis, she was 13. And she went down to eight, a month or two later. And then I think that summer in July, I got her down to in the sixes, mid six 6.5 or something that's gone up a little bit. I think it's last on 7.2.

Scott Benner 42:33
But you guys are happy with it. You're good with where she is.

Unknown Speaker 42:37
There's room for improvement. I'd like to keep it under seven and the mid sixes. Okay. 6.5 to seven rounds.

Scott Benner 42:45
And we and your and your sticking point is the time that you're not with her to kind of add the whatever the magic is to the management. Yeah, yeah. So what's the plan for teaching that to somebody else?

Unknown Speaker 43:02
I can't say I have a plan.

Scott Benner 43:05
It was like, Listen, man, we're in the middle of a pandemic. My plan is not to touch anything and then forget to watch my. No, I asked because I didn't think there was an answer. Because I don't know. I'm still at a loss for how you transfer the see the pitch of the line right there. That's how I knew to give more insulin after the meal. But and I'm assuming that's the kind of stuff you're seeing. Like it's just, it's not. It's not seeing numbers and knowing math. It's being in a situation and just just intrinsically knowing, like what to do next. If you don't think about it, right? It just happens. Is that true for you?

Unknown Speaker 43:46
Yeah, and it's, I see it going up but with a straight one straight up arrow. I can't even say I think too much about it. Yeah. All right. I didn't give enough to originally so another half unit or one unit whatever.

Scott Benner 44:02
Right. Just more. I listen, I did it last night Arden was I mean, I don't know how your kids are but in this whole not going to school situation. My children have adjusted their, their 24 hour schedule to fit their needs and desires. So they're basically up really late, sleeping in on the morning getting up doing their schoolwork, you know, through the afternoon into the evening. like they've just, I don't know they've adjusted the clock around the fit to where they want to be. And so last night, I was working on a podcast that's going to go up tonight. And Arden was just cruising along in the 80s with her blood sugar. And she asked me for popcorn. And it was weird because it was too late for her to be hungry. So I thought as soon as she asked for popcorn, I thought Ooh, she's gonna get low. And because, you know she's still confused as hunger with low or the feeling that lows coming. I don't know if it's confused as much as it's, you know, right before an 85 turns into a 60. She feels hungry, which I'm sure everybody who has type one was like, yeah, that's how it feels. So it was the time of day that made me think it. So I hustled the popcorn tour, I didn't get it to work as quickly as I hope to. And she's like, 75, diagonal down. So I held on bolusing because I knew what was happening. And I knew she was going to try to keep getting low, and the popcorn doesn't hit her very quickly. So I'm trying to make that timing right. And right, as I'm like, Oh, this worked, here's how much insulin we're gonna put in, put the insulin in. She's like, Can I get an ice cream cone too. And I thought, Oh, if I knew the ice cream was coming after the popcorn, I would have bought sooner for the popcorn. And yeah, like the whole kind of, like the math of it hit me. And then she kind of rises up to 170 and gets really sticky there for a while. And I was just like, I'm not putting up with us, you know. So we jacked her bazel up and drove it back down again. But I wasn't going to sit and stare at a 170. So, you know, and I don't know that it was there, there would it would have been easy for me to over treat that 170 caused another low and then put her into a situation where she's got to find food again. I didn't want to do that. Yeah.

Unknown Speaker 46:23
You're, you're on the roller coaster. From there. Right. And it takes it takes something else to jump off that roller coaster and smooth it out.

Scott Benner 46:31
Yes. Yes. It really does is that to come in for that real? That that real fine landing and just, you know, pull up at the right exact second is, uh, it takes time. But we did it. You know, I woke up this morning, and her blood sugar was like, 87 when I woke up, and she's still sleeping now. And it's 78. So, you know, it's a, it's all good. But yeah, there's so many opportunities within that moment, those moments going all the way back to what is now 12 hours ago, there's so many opportunities to I don't react wrong, you know what I mean? And, and just to send you in a different area, it's that whole, it's the larger idea around bumping and nudging that is hard to put into words, like you're not just bumping the insulin, you're not just pumping the food. It's it's the entirety of the diabetes, you're trying to keep inside of that. That space between, you know, for us for 70 and 120. I'm just, you know, it's a it's a it's a bit of a balancing act when you're first starting, but it sounds like you do a really good job of it.

Unknown Speaker 47:39
Some days, some days,

Scott Benner 47:41
you know, some days I don't do a very good job. But then the real question for you really does seem like how like, what's the first step? Like, what could you pick one thing that would help the people she's with when she's not with you? Like, what if? What one thing do you think you should reinforce more?

Unknown Speaker 48:00
I'm not sure. I'm just, I call my dad when? When she's there and like, Hey, Dad, what are you doing? Give her more insulin than just manage micromanaging the phone?

Scott Benner 48:11
Yeah, I would say Pre-Bolus thing. That should be the first step. You have to make a few made Pre-Bolus thing a law of the land. I think a lot of what's happening would change for you. It seems to me through our conversation, which I've never seen a graph or I'm not there. But I bet you that's the first step because that's a hard thing for people to want to wrap their heads around. Plus, I'm assuming your mom probably doesn't for herself. I'm guessing she does. But she she does.

Unknown Speaker 48:44
It's just it's harder to Pre-Bolus for for a kid I mean, in some people's minds it's not hard because at our house I just give up two units and I have no idea what she's going to eat but after experience I know she's gonna hurt carb ratios of 2020 to one so I know she's gonna at least eat 40 carbs two units will get her started through two thirds of the meal for coverage but

Scott Benner 49:17
but yeah, by the way, David You have no idea how just cool it feels to hear somebody like mimic your words back to you in a in a way that's helping them like that idea of like just put some in get it moving. We know she's going to eat at least this much always eat this much so we can get this much for Pre-Bolus and then address the rest later. That's like I felt like I was listening. When you were talking. I felt like I was listening to myself. And yeah, that's very

Unknown Speaker 49:46
well i i used to make the meal count the carbs measured and then sit there and look at it for 20 minutes.

Unknown Speaker 49:55
I got tired of that. We all did

Scott Benner 49:57
staring at it as thinking like you got it wrong. or waiting for the Pre-Bolus Pre-Bolus.

Unknown Speaker 50:02
Yeah, cuz we didn't know how much to Pre-Bolus do we measure the food? That I hear you?

Scott Benner 50:07
Yeah, that's maddening. So everybody was like, looking at dinner like, waiting on when we can all started. Did you make the family wait for?

Unknown Speaker 50:17
Yes, yeah.

Scott Benner 50:20
Listen, wait the beginning man when you're scared, you do what you got to do?

Unknown Speaker 50:25
Yeah. Well that smoothed out we just

Unknown Speaker 50:29
20 minutes for him.

Scott Benner 50:31
Throw in some two units, just Bolus I have I have uttered the words across my house Bolus. How much? I don't know. Just get some going three. Let's call it three. Let's do this much. Let's you know, I hope my daughter's picking up on that. You know, that idea of how we do it. Like I my goal is to sit her down and really explain everything to her in more detail, and I'm trying to get her to do that on the podcast. We'll see if we can make that happen. Hopefully this this Coronavirus thing will go on long enough that she'll get so bored that she'll be like, Alright, fine. Let's do that thing we were talking about. Because that's what's left for her is the conversation. You know, she does it. I think she knows what happens. She's a kid. She's not great at paying attention to it that sometimes, you know, I'm sure your daughter's the same way.

Unknown Speaker 51:31
No, no, she doesn't get

Scott Benner 51:34
right. They're just like, wow, I'm rolling. They weren't paying it. It's funny. I hear people say I'm not see your daughter's not paying attention because you're managing it for. Okay. Well, 20 years ago, were those kids paying attention when they're a onesies were eight and a half. And you know, they didn't have any of this technology. Yeah, they were paying attention to their kids back then we call it let them be kids. I'm letting my daughter be a kid. And everybody's like butts because you're doing it for him like, well, at least someone's doing it. You know, I'll find a way to get it to her the information. But I I like how some people think of Jenny and I just talked about this the other day, which is what's got it in my head. I don't know why some people think of healthy as extreme. It's not extreme management to want to have healthy outcomes. Do you know what I mean? No, yes. So that's very cool. any concern about your other daughter? Does that worry you? Do you find yourself thinking about it?

Unknown Speaker 52:35
Yeah, I've worried about it. And she's too young for the child. Matt, I think you gotta be two years old or something. Okay. Cuz when you have it run on the family, I think statistically, the odds are higher.

Scott Benner 52:51
By a little bit not not enough to buy a lottery ticket, but by a little bit. I think it might be 10%. I'm not certain anymore. But you do you think you'll do trial on that when the time comes? or How are you leaning?

Unknown Speaker 53:04
Oh, if I start seeing some signs, but I you know, I don't? I don't know how good would that? How effective that'll be. I could just check your blood sugar.

Scott Benner 53:17
Yeah, I was gonna say we'll see. It's interesting. Isn't it once it's happened to you once? The idea of it happening again? It's, it's not as scary. It's not something you want. But it's not as, like, overly frightening, I would imagine. Yeah. Cuz you're like, Oh, we do it. Now. We could just do it again.

Unknown Speaker 53:34
Yeah, I just don't wanna mess up. Right? Yeah, I'm not gonna miss it again. Because I didn't have opportunity to Miss Hannah, because I wasn't

Scott Benner 53:41
with her. Yeah, I don't think I don't, dude, I don't think you'll miss that again. I think you could probably spot a kid from across the mall. I mean, if malls are still a thing we do in the future. At this point, that's probably seared into your memory, you know?

Unknown Speaker 53:55
Yeah, it is. Yeah.

Scott Benner 53:57
Okay. How old are you? 32 Do you ever think about for yourself?

Unknown Speaker 54:04
trauma? Yeah, I've already done it. No.

Unknown Speaker 54:08
No songs. No.

Scott Benner 54:11
You don't have a marker. So no kidding. Yeah, I would. I'd be interested in your dad. I'll tell your father. How old's your father?

Unknown Speaker 54:17
65.

Scott Benner 54:18
Yeah, he sounds like he he's been through it a couple of times with this. He might be interesting to talk to. He's sounds like he's been through a couple of diabetes wars. And still talking about it.

Unknown Speaker 54:31
Yeah. our whole lives have been my whole life has been with a diabetic at one point or another.

Scott Benner 54:38
Yeah, no kidding. give any siblings?

Unknown Speaker 54:40
I had a brother he passed away years and years ago. I'm sorry. 2004.

Scott Benner 54:46
I gotcha. Oh, my gosh. Well, cheese. David, I I have a question that's completely unrelated to to all of this. I'm just going to ask it on the recording because I think Solid, your signature line that you're an arborist. So why is it so expensive is just because you guys know how to do it nobody else does. So Nana that's how much it cost. Where's the interest? Or the machinery? Is the work actually? Don't I mean?

Unknown Speaker 55:17
So yes, there's it's high risk work, it's very dangerous. So everything associated with it is more expensive. The workers comp insurance, the equipment to do Tree Removal or Tree Service, whatever you're doing, it's expensive.

Scott Benner 55:34
It's the worst adult thing I've ever done in my life, is to pay someone to make a tree disappear. Because prior to it happening, you have money and a tree. And when it's over you neither have money nor a tree. And it's just like, I don't know, it's the least satisfying thing I've ever done as a as an adult.

Unknown Speaker 55:56
Yeah, money's got

Scott Benner 55:57
money's gone, trees gone. Three years from now the roots of that tree are going to rot and my, my, my, my lawns gonna collapse on itself, but that fill it up with dirt and replant grass. No, seriously, it's but it's amazing work if no one's ever watched somebody up in a tree with just roping and you know, a small, you know, chainsaw, it's fascinating to see somebody either just just to clean a tree for health, or to or to to actually take one down how they drop it and bring the branches out of it. It feels like there's an art How do you learn something like that?

Unknown Speaker 56:33
through a lot of years, I don't do any of the climbing. Okay. I got into it. Through through the landscaping side. I owned a business and decided to sell that this company recruited me in as one of their sales guys. Okay.

Scott Benner 56:50
That sounds like better tree.

Unknown Speaker 56:53
Yeah. The climates not actually climbing is dangerous. But statistically the ground people are more danger

Scott Benner 57:01
from falling. branches and things like that

Unknown Speaker 57:04
falling branches, and the chipper.

Scott Benner 57:07
Oh, I never thought of that. Do people really get caught in the chipper? Yes. Oh my god. All right.

Unknown Speaker 57:14
Hold on. Not often, but if you got some time YouTube the video, they have a test dummy where they the rope gets is hung on a log and the log gets fed into the chipper. Right. And that test dummy goes from like, like creeping a couple feet along and then just shoots right into the chipper. It's

Scott Benner 57:37
the Amy a chill up my spine. That's terrible. Terrible. I had a guy one time tell me we can drill holes into the tree and put medication in it and save it. I was like You better stop man. Like just just cut the tree down. All right.

Unknown Speaker 57:54
The best time to cut down the tree is core Falls is a year before false is better than one day. After.

Scott Benner 58:04
There's, we have a huge oak tree on the corner of our house. And I mean it really is probably like 20 feet in diameter. And it's art inside and in a windstorm. She'll be like that trees. Okay, right. I'm like I yeah. My son's like, isn't I'm like, I don't know. That's like what he want me to tell her. Don't sleep in your room as like, she'll be in the hallway every time the wind blows?

Unknown Speaker 58:27
Yes. Like,

Scott Benner 58:28
it's like that tree has been there for 50 years. So it's like it'll be there after we're dead. Don't you worry. And I do have to because of the positioning I do have someone come out periodically and clean it and take out any you know, branches that are you know, making their way over the house or looking kind of rickety. And people don't realize when you clean your trees out your grass grows better underneath of them. So yeah, that's it. I it's an it's an absolutely fascinating job. So when we bought our property, I have an acre, which I don't think in most of the country is a lot of land. And in some places, it probably seems like a farm. But it's you know, when we bought it, it was lined in the back with these very thin pencil like pine trees. And they would like, drop all these horrible, you know, needles and they'd fall over and they were just rickety trees, there must have been 30 of them. And I hired a small company to remove them. And it was so much work that we we scheduled it for vacation. So we left our house and two sides of our property were lined with these pine trees. And when we came back, they were gone. And the work was done. And it was in your money. And my boy my money was gone before I left for vacation. But when I got back, the trees were gone. And it was it was bizarre. Like it felt like we came back to a different place. It was it was really interesting. I think it's amazing work like and there. I've hired people who are good at it and I've hired people who aren't and it's an obvious difference. So Yep. Really interesting. Is there anything we didn't talk about that you were hoping to talk about?

Unknown Speaker 1:00:06
Now just sharing my experience. I appreciate your doing the podcast, it's helped me a lot. No, it's my pleasure. I'm sure it helps. Sure, it helps other people as well.

Scott Benner 1:00:16
Thank you. Now, I really do enjoy it. I enjoy very much talking to people and the podcast, in general. It just, uh, I didn't imagine it was gonna be. I don't know, I've said this before. But if you, you know, if you jump back 20 years ago, and tell me, you know, 28 year old Scott is gonna have a podcast one day about diabetes that helps people. I think you probably have the wrong guy. That doesn't seem like something I would do. But I just, I get so much back from it. That, that you, you'd have no way of knowing how much you're helping me by listening to it. So I appreciate that very much. XRP So listen, wash your hands. Don't touch anybody house the house. How, um, this will be interesting, because this isn't going to go up for a while and it's April now. How are you handling? I'll let you go after this. How are you? How are you handling this? Coronavirus thing? Are you? Are you locked down when you're not working? Or are you how do you how do you manage the whole thing? What are your kids doing? How's your family handling this? Uh, pretty much.

Unknown Speaker 1:01:26
Obviously, I work every day, well, five days a week, kids got to go to my parents. I pick them up or they drop them off. Outside of work, there's nothing, nothing's open hearts, or you can go to the park trail with all the playgrounds are closed.

Scott Benner 1:01:46
A lot to do. So your parents are living their lives you and you're still using them as daycare for the lack of a better term here. And and so are you going to the store like less frequently? Are you trying to limit that? Or how do you handle the shopping and stuff?

Unknown Speaker 1:02:02
shopping? Yeah, I mean, I got to get food got to eat? Yeah. Store. Is it weird or people masked up and everything or? It's weird. It's I you know, I guess it's the CDC says that's the guidelines. Now, everybody wears masks, but it looks ridiculous.

Scott Benner 1:02:20
It does make you feel weird. That's for certain. I don't have a mask. So I went out the other day, I had to grab food. And I'm leaving the house. I look at Kelly and I'm like, What do I do here? Like we don't have masks. And she's like, we have that. There's that scarf, that neck scarf. And I was like what? So it's just this scarf that you know, it's one piece. It's elastic. And it's it's like a it's like a tire tube that goes around your neck, and you pull it up over your nose and your mouth and you're like, Alright, so now I'm in the store and I go to walk in I'm like, okay, like, is this even gonna do anything? And I pull it up, dude. 45 minutes later, as I'm checking out, I'm on fire. Just as odd as I've ever been in my life. I was like, I'm gonna die from from the scarf covering my face before I get this damn Coronavirus. I think. But, and I felt odd the whole time. So, you know,

Unknown Speaker 1:03:13
I will say the grossest, the grossest part of my day that I've tried to change is what's going on the gas stations. I'm on the road all day. Yeah.

Scott Benner 1:03:23
And thinking about it a little more. Right. Like, you know, it's interesting. I used to have a job where I was 30 all the time, I worked in a sheetmetal shop. And so when you're filthy, you don't think about anything else. Like you're just like, I'm dirty. Doesn't matter if something else is dirty. But now you're like, looking for the invisible dirt. Right? You're like well, what can I not see here? Oh, he has. Those are kind of your those your office's places to stop to get coffees bathroom stuff like that, right? Yeah,

Unknown Speaker 1:03:53
I watched this one guy. He literally cough sneeze picked his buggers wipe the snot and went straight into the gas station.

Unknown Speaker 1:04:03
Just like I would have right, that would have made my brain scream at me I would have.

Scott Benner 1:04:09
Because he started thinking everyone does that when no one's looking at I thought, don't they? Oh my god.

Unknown Speaker 1:04:13
Yeah, how many people do that more than I want to know. Yeah.

Scott Benner 1:04:17
And that's not something you would have paid attention to before this.

Unknown Speaker 1:04:21
Gotcha.

Scott Benner 1:04:22
All right. David, thank you very much. I I wish you a lot of luck. It sounds like you're on a great path. And it seems like you've done a lot of hard work to build your family and keep it safe and together which is a is very laudable, it really is. It's um, I come from a family of divorce and I know what it was like to watch one of my parents not really seem to care so much about being a parent. And, and what it was like to watch the other one has to work about five times as hard to keep everything together. So I I'm a big fan of what you're doing. And I don't think a lot of people know how hard it is so good for you really is cool. You know, hundred percent man you should be, should be applauded. It's a not not everybody knows how to bet everybody knows how to see the responsibility in front of them and even though it looks heavy picking up and run with it, so and then you got diabetes on top of that with Hannah. So a lot of work man, I, you know, we're we're not in a position where I can be proud of you but if I was I would be so it's really it's really something there's too many people that shirk their responsibilities and, and we don't talk enough about the people who don't. So I appreciate you coming on and sharing the story.

Unknown Speaker 1:05:36
All right, thanks for having me.

Scott Benner 1:05:37
Yep, have a great day.

Unknown Speaker 1:05:38
See ya picker.

Scott Benner 1:05:41
A huge thank you to one of today's sponsors, g Vogue, glucagon, find out more about chivo chi Bo pen at G Vogue glucagon.com forward slash juice box, you spell that g v o ke GLUC AG o n.com. forward slash juice box. Thanks also to the Contour Next One blood glucose meter, please check it out at Contour Next one.com, forward slash juicebox. And of course, you're going to want to find out more about touched by type one, you can do that by going to touched by type one dot board or finding them on Instagram, and Facebook.

Add your data to the other wonderful people who have already done so at T one d exchange.org. forward slash juicebox. We're trying to get 6000 participants. And so far about 400 of you listeners have gone gone over and filled out the information. I want to thank all of you who have done so already. And I want to ask the rest of you to please consider joining in. They're very excited over T one D exchange. But they'd like to hear from many, many more of you T one d exchange.org Ford slash juice box. The information they're looking for is some very basic stuff about living with Type One Diabetes, it is not in any way personal. I filled it out for Arden and did not have any trouble with what was being asked. And you also have the complete ability to just at any time contact them and say you know I don't want to be involved in this, they'll just take your answers out. But like I said it's 100% anonymous 100% HIPAA compliant, and it's 1,000,000% a nice thing to do. If you want to know more, let your podcast player run for about another minute. And if you don't, now be a good time to hit stop. When you add your voice to the T one D exchange, they use your data to make good decisions. In the world of type one diabetes, you may have heard in past episodes, that things like Medicare for CGM users came from their data, lower a one c goals from the ADA came from the T one D exchanges data. But they need

Unknown Speaker 1:08:13
data to come

Scott Benner 1:08:15
to conclusions to help move life forward for people to type on. And the truth is the way science works. The more data they have, the more conclusive they can be. They're looking for up to 6000 participants, and it only took me about seven minutes to fill it out. This is a super easy way for you to support type one, diabetes research and advancements, T one d exchange.org. forward slash juicebox. There are links in the show notes and links at Juicebox podcast.com. I really hope you throw in with these people. And they're a good group. Alright, that's it. We welcome the new sponsor had a really interesting conversation. Talked about the T one D exchange. And now I'm just going to remind you that if you've enjoyed the Juicebox Podcast, please leave a beautiful five star rating and review on Apple podcasts or wherever you listen. And of course, if you're listening in an app right now, please hit subscribe. tell a friend about the show. And if you're listening online, it might be time, you know, to catch up with the rest of the world. Get yourself a podcast app. They're free. They're easy. And they're handy as heck. If you don't know how to do that, right there at the top of Juicebox podcast.com. You just kind of look like oh, I use Spotify. I'll click on this. I have an Apple iPhone. I'll click on this. I have an Android. You know, I'm saying there are links to help you get going. podcast apps should always be free. Please don't pay for one unless you have like some super special one that you love and all that but for most of you, there's no reason to pay for a podcast app. Thanks very much for listening. I'll see you soon.

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