contact us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right.​

         

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

You can set your address, phone number, email and site description in the settings tab.
Link to read me page with more information.

Screenshot 2023-03-12 at 2.41.02 PM.png

Podcast Episodes

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

#149 Send your love to Izzy

Scott Benner

17 year old Isabelle Meehan suffered a low blood sugar while driving home from school. ...

Send Izzy a message

Contribute to Izzy's Go Fund Me.

You can also listen to the Juicebox Podcast on: Apple Podcasts/iOS - google play/android - iheart radio -  or your favorite podcast app. Now on Spotify.

+ 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.

COMING SOON


Donate

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

148 Choose Your Own Adventure

Scott Benner

Mike Hoskins from Diabetes Mine joins the conversation...

Check out Mike's diabetes writing

Mike Hoskins from Diabetes Mine joins Scott to talk about episode 146 and a host of other type 1 diabetes stuff. 

You can also listen to the Juicebox Podcast on: Apple Podcasts/iOS - google play/android - iheart radio -  or your favorite podcast app. Now on Spotify.

+ Click for EPISODE TRANSCRIPT


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

Scott Benner 0:00
Hello, everyone, this is Episode 148 of the Juicebox Podcast. With this episode, we begin our fourth year of talking about type one diabetes. I'm pretty excited. You can hear my voice Actually, it's late at night. I'm tired. I'm just trying to get this out. But the rest of the shows really good. Just my intro is a little sleepy. I'll tell you what, though, let me try to find a little artificial excitement here at this late hour. Nope, I got nothing. This episode is sponsored tonight. Tonight. Today, this afternoon whenever you're listening, it's sponsored by Dexcom. And on the pod, you can go to dexcom.com Ford slash juice box, or my Omni pod.com forward slash juice box to find out more. They're also very convenient links in the show notes of your podcast player, you can click right there, it'll take you right to the webpage. Technology is absolutely fascinating.

I am 100,000% confident you are going to love this episode. And I'm calling it choose your own adventure. So I sort of broke my own rule here on the podcast. The one rule I've had was, I usually just interview people who don't have another way of talking about diabetes. But today, we're gonna bend that rule just a little bit to talk to one of my absolutely favorite diabetes journalists. Today's episode is with Mike Hoskins, Mike writes for diabetes mind calm, I'll put some links in the show notes where you can find what he writes about type one. I just find Mike's writing to be special. To be perfectly honest, Mike has a way of explaining things that has always spoke to me. And frequently I very much enjoy his points of view. So when we put up the episode a couple weeks ago, Leo's dad is not a doctor Mike found me online. He had this real kind of visceral reaction to the to the episode and I thought Let's have him on the podcast and talk about it. So that's what I did. Please, please, please, please, please, please remember that nothing you hear on the Juicebox Podcast Say it with me should be considered advice, medical or otherwise, always consult a physician before being involved with insulin. Ladies and gentlemen, this is Mike Hoskins.

Mike Hoskins 2:22
So this is Mike and I am in Metro Detroit, Michigan have been type one for most of my life since h5, which was 99 I'm sorry, 1990. I wish it was 1990. It was actually 1984. So majority of my life and had been blogging for a little while and my own personal blog, the diabetics corner booth. And for the past five or six years, I've been writing and doing journalism and advocating over@diabetes.com.

Scott Benner 2:54
And so I'm trying to remember the first time that I met you in person would have been you think it was at Lily in Indianapolis.

Mike Hoskins 3:03
It could have been I I lived in Indianapolis for about 11 years, moved there for a journalism job newspaper job. And that's, you know, clearly in the backyard. You know, worlds collided and eventually ended up there.

Scott Benner 3:18
Okay, so you're in Indianapolis for like a not a diabetes related business. It's just your your newspaper versus your your your writing.

Mike Hoskins 3:27
Yeah, yeah, exactly. I mean, I grew up like my wife and I grew up here in Metro Detroit. And you know, I went to school for new for journalism here and then eventually had to leave the state to get an actual daily newspaper job and fog away south of Indianapolis.

Scott Benner 3:41
And am I right to say it's a little unfair. I know you before we're talking but you love that right? That the idea of being a journalist is is very kind of inherent in who you are.

Mike Hoskins 3:51
I do. I mean, I love writing at the base. I mean, I was diagnosed like I said, when I was five, and I think I started writing in some form or another about that same time, little Batman spoofs and eventually poetry and you know how to get a real job. So I went into newspapering when I was roughly in middle school. And I've been kind of doing it ever since up to some degree.

Scott Benner 4:12
And so I would say, and you don't have to respond, just be humble and be quiet. But I am very much a fan of how you how you write, and just the thorough nature of how you lay things out. And the very understandable way that I can read something that you've written about that I don't understand it. And I feel like I understand that but at the end, and I've just always been very impressed by that since I've met you. So I don't know if I've ever said that to you. But, but I but I like the way your mind works, I guess is what I'm saying.

Mike Hoskins 4:44
Well, you're one of the few you can pass some advice wine other people.

Scott Benner 4:50
Well, it's an Italian. That's how you end up here today a little bit too. So most of the time people hear podcasts. This podcast, I think they know when they're listening. They've been recording Sometimes months, you know, prior, sometimes when I do technology stuff, it's obviously more in the moment. But I don't know that I've ever done something like this where I put a put a show up last week, just a couple days ago, and you responded to me online about it. And I thought, I would love to keep talking about this with Mike. Because I think it's very, I think it's very obvious that there are perspectives in diabetes, and I don't mean in the space or writing about it, but in having it or living with it. And there is one perspective when your child has type one diabetes, and there's one perspective when you have it. You I happen to know grew up with a mother who also had type one. So you, you've been the child of a person with diabetes, and you've, you know, you've kind of had a different experience. But at the same time, when people talk about it, you know, when they sit down on the podcast, they talk about it, they only really are talking about it from their perspective, which is, you know, it may be obvious, but it's still not all the perspectives, I guess. Yeah. And and I think that to go on for just a second longer, I think that if you understand that my goal for this podcast is, it's very simple. I've said it before, but I'll say it real quickly to you, which is just that I don't think that the status quo of how we talk to people about diabetes is necessarily the best way, I don't like that we, that people start out in fear. And that that fear is, it's it's given to them by people who they trust some doctors or other people living with diabetes. And while I do believe there's plenty to be respectful of, and even fearful of, at times, I think that if you really want to, you know, live well, the fears, the first thing that has to go, and then so much good comes after it. But when we start out by telling people to be afraid, then that's a hole they can sometimes not dig themselves out of. And so while I understand that what I'm saying isn't for everybody, and isn't for everyone's specific or current situation. It is my dream of how people should talk about diabetes, I guess. know if that makes sense or not?

Mike Hoskins 7:14
Sure, absolutely. I mean, I share that I'm sure most people do. And, you know, look, I mean, it is, you know that the phrase, you know, put a coin to the hat for your diabetes may vary. I mean, you know, we can only talk from our personal perspective and what we've been through on our own end, and, you know, everybody's experience is different.

Unknown Speaker 7:33
Yeah, yeah. And

Scott Benner 7:34
at the same time, there are similarities, where I find that statement. So I believe what you just said, and I agree with you that everybody's diabetes is different. And at the same time, there are similarities that we all share. And if we allow the idea that if we allow what happens something, here's what I feel like happens, sometimes as people run up against something, a roadblock, they don't have the answer. And instead of imagining that there might be an answer, they just say, Oh, well, that's diabetes. And then they throw their hands up in the air, and they stop. And, and that's where I want people not to think that everyone's diabetes varies, because here's some simple truths. If you take insulin, your blood sugar goes down. If you eat food and don't have insulin, your blood sugar goes up, like like, you know, if you count your carbs and do everything you were told, but your blood sugar still ends up at 350. That's not just diabetes, that's, there's still something left, you don't understand. And I get scared that some people think that okay, 250 is the best I can do. And then they just go Well, that's it and they move on. So I completely agree with the statement. And I also think that sometimes people use it in the way that it's not intended.

Mike Hoskins 8:50
Yeah, totally. I mean, and there's a, there's always a balance in everything you do in life and diabetes, you know, across the board, and you have to be able to realize that, you know, sometimes it is a cop out and you know, things can be figured out, you can look at things you can try a little bit harder. Sometimes that's not always the case. And then sometimes there's a matter of, you know, I think one of the things we were talking back and forth on online was, you know, mental health, sometimes you're just not in the place or your family that helps you is not in the place to mentally go after that, you know, that field goal that that that touchdown, and you have to meet somewhere on the 50 yard line.

Scott Benner 9:31
Yep. And that and that is an incredible, like, it's an incredibly valuable concept. And it's just it's difficult to it's difficult to talk around all sides of it within an hour. You know what I mean? Like if I exploded out every part of what I needed to talk about in every podcast, and every episode would be 12 hours long and no one would listen to it. And so I sort of have to pick a theme like you know, you mean like, like a like, go ahead and go for it or, but I agree with you. I there are people You know, this is not apples for apples. But last week I got sick. I don't know that I had the flu. But I was, you know, woozy, dizzy, laid up feverish, couldn't function in the world like, you know, had to lay there till I felt better sick. And I think I found in a moment of clarity or maybe I had just watched so much television that I needed to think about something for a second, but I found myself relaying relating this to what you were just talking about with people with diabetes, who maybe are up against the wall, and don't know what to do at the moment, because I needed to get up to get the medicine I needed, right? It's so simple, but my head was full. And I knew there was some there is a medication across the room for me that if I took it, the pain in my head would lessen. And I couldn't get myself up to go get it. And in that moment, I thought, Oh, God, is this what it's like to have a high blood sugar and just really need the bolus and just not be able to bring yourself to do it. And and I'm wondering from you like, is that? Do those? Those have a correlation to each other?

Mike Hoskins 11:06
I absolutely think they do. I mean, there's something weird in our bodies that that make that just the way things work. Sometimes, I mean, you're talking about that I'm thinking, you know, low blood sugar, I mean, I can't count the times when I've been low, I know that I've been low, I logged before CGM, I would do a check, I'd be very, very low. I need a juice box, I need something, you know, to bring my sugar up, and I just sit in the chair, or wherever I happen to be. And I just stare at the floor. And I don't move for X amount of time. And I'm like, kind of why that is. But something suddenly just forces you to sit there and overanalyze something. And in the process, you're, you know, you're going even more low, you're slipping.

Scott Benner 11:49
I've said here before, and I say with a little bit of humor, but I I remember being not as amused when it happened is that I remember Arden's blood sugar being very low on time. And I'm just trying to, I'm trying to teach her that she's gonna have to take care of herself. At some point. She's like, could you bring me something? I said, No, aren't you know what, I think you need to get up and go get it. And she just sort of like, well, I guess I'm just gonna sit here and dive in. And I thought she was just being sarcastic and fun, but maybe there was that part of her was just like, Look, buddy, I can't pull my butt up from this. So I guess that's what's gonna happen if it's going to happen. And she seems so at peace with the idea. You know what I mean? Like, it is, it is interesting that you can get into that spot where your body, your brain just tells you Okay, I guess this is it. And, and you get very accepting very quickly.

Mike Hoskins 12:39
Well, I mean, there was a, you know, I, I'm sure other people have had this too. But I mean, I remember growing up where, you know, one of the classic symptoms of being low, you know, I'd be doing whatever I was doing, and somebody, you know, my mom, my dad would recognize, hey, I think you're low. Are you okay? And I'm like, No, I'm fine. You know, you go into that instant rebellion mode and go, you know, I'm fine. I can, nothing, you know, diabetes, not interfering. I can do whatever I want. And nothing is going wrong at the moment, even though everything is going wrong with them all.

Scott Benner 13:06
Yeah, yeah. Yeah. And it's, it's just super interesting. So I think so you're, you're kind of on a response to Episode 146, which is Leo's Leo's dad is not a doctor. And I think I want to make sure I'm right. But in my mind, did you bump on where we were joking about oh, my God, the blood sugar's 140? We've completely failed. Is that was that the thing that got you or what? What? What kind of made this that episode more interesting to you? Okay. Tell me a little bit.

Mike Hoskins 13:37
Well, first of all, you know, listen to us, you talk back and forth is dynamic in itself. That's what got me I loved I love the whole podcast and just listen to that interview. Nice job, both of you figure. But you know, what, I think it was the 140 dealt, but I think overall, just, you know, kind of the, the trends I see in the community sometimes are things such as you know, you have to be perfect you how you, you know, I you start getting a little nervous when numbers go above 141 50, you know, whatever they are. And one of the things I started noticing over time, more so too, is that when these things happen when you know, a pod fails, or when you know, a pump site fails, or you know, whatever the case is, you know, child gets sick sometimes, and certainly you can't make a blanket statement for everybody. But I've seen more and more examples of people just don't know what to do. The child doesn't know what to do as a teenager. I mean, I was involved in diabetes camp for many years in Indianapolis. And I recall seeing teenagers who, you know, their blood sugar would go you know, they would hit 200. And they would be in tears because they didn't understand why that was and they didn't know what to do about it. And their parents were always the one and these are, you know, 14 1516 year old, you know, teenagers Yeah, didn't know how to respond to a 200 blood sugar and Again, I mean, this is, you know, 510 years ago even. But that always made me very nervous. When are we becoming so focused on these numbers, being perfect, so to speak, that we're losing the ability to deal with things, as they naturally develop, and people who are not diabetic people who, you know, anybody who has a bowl of pasta, you know, their blood sugar will, you know, very briefly will rise high, depending on what you're eating. And then, you know, obviously, the body will go back down. But we've somehow got into a point where, if you're done, if you have diabetes, you can never go above a certain amount. And if you ever do for even a moment, something horrible has gone wrong, and it needs to be fixed. And that's certainly again, not meant to mean everybody who, you know, stays in tight control is doing that. But I've seen that example time and time again. And it just excuse,

Scott Benner 15:55
no, no, I hear you, I try so hard. And I don't know if I'm doing it as well as I hope I am. But I'm trying to at the same time, let people know that, you know, bye, bye. Here's an example. Here's a graph of Chinese food never over 110. All that means is I got that. So right that time, like it's almost lucky at that point. Like there's a lot of tools and a lot of ideas and concepts that that put me in that spot, but to not get any spike at all, that really is almost random. And and in a 24 hour period, I'd say Arden's blood sugar goes over 200, probably twice in a 24 hour period. And you know, sometimes it's just you get it wrong, or whatever. Sometimes it's just like you said, like, what are you gonna do? Yeah, you just, she ate a lot of carbs. And I can't, you know, I can't kill her with insulin, because later it will cause a problem, I have to try to keep a balance. And at the same time, how do you how do you give people the feeling that I can do this? If the message is? You can't? and and, and and it's not exactly, but I think that's how they hear it like, Oh, it's, it's because I think what happens is, is that once you accept 250 the first time, well, then it doesn't feel weird the second time, and then all of a sudden, if those 250 was okay, then I mean, how much better is 275 over 250 it's only 25 points, and they lose perspective that 275 is, you know, nearly 200 points higher than they really would hope their blood sugar to be. And that's the conversation that scares me. But yours scares me just as much too. And, and so you try to keep a balance, but at the same time, like that's, that's difficult, like, how do you say to somebody, you can do this, but it might go wrong. When it goes wrong, it's not your fault. But you can't believe that this is completely out of your hands. Because if you do, then you won't believe that you can in any way manage it. And it's, it's for the person, I think, to figure out. And and, and so I don't know, like, I want very much to me, Mike, you and I've spoken numerous times over the years, like, you know, I want very much to help people. And, and I think if you could see an email that I got the other day from a newly diagnosed family, I get them almost every day at this point. And they're going from start to a much better place so much more quickly than you could imagine or that you would even expect. And most of them say the same thing. I didn't know how much I needed to understand the insulin, and I didn't realize how much the fear was holding me back. And that was that sort of it. You know it? I don't want to oversimplify it. But I think when you take those couple things away, you just give people a better chance. And and I hope they understand I hope everybody listening understands this, like I don't mean it better chance for perfection. Because you know, I just got a one c back on Monday. And it was six one. But Arden's but I hope that doesn't make people picture a Dexcom graph in their mind of 115 blood sugar that never moves. You don't I mean, because that's certainly not her life. But that's not what the podcast is about either. So it's hard to I don't know, you understand? I hope.

Mike Hoskins 19:23
Yeah, I do. I mean, you can't like you said early on, I mean, you can hit every single angle, you know, in every moment of a podcast and a blog post, you know, even in online exploration, I mean people people float to what they want they often want to hear what they want to see and you know they follow that rabbit hole down as far as they can. You know, and that's not to say that's a bad thing. It's just that's that's how the human mind work right?

Scott Benner 19:48
I get I get you know what makes me nuts because I haven't I don't believe I've been around this nearly as long as you have but I've been around it for a while and I can't stand when someone writes Something and they're apologizing with one hand and giving you help with the other hand, like, Oh, you should do this, but don't do too much of it, you know, you probably could Bolus for that. But don't forget to test and but like that back and forth, like I get that you have to remind people like, you can't just go willy nilly, like, you know, rage bolusing and then forget about it. But at the same time, I feel like you never get to the real conversation, because you're always busy covering for what you said the sentence before. I don't mean you, but like, but but like, you know, somebody says something, then they cover themselves for it. And they say something and they cover themselves, then they say something that, you know, is not exactly what they think it's a portion of what they think. But they don't have the nerve to say the whole thing. And in my heart, like, I feel like if I was going to do that, I would just stop doing all this, because I don't know that that helps anybody. I you know, and and I just, I don't know, like, I think that the biggest problem we have is that when people share, they don't share what works. They share bits and pieces, or the bigger problems that like you're talking about when people you see people online. And I've said this here before, and I'm not afraid to say it. people end up online looking for help, mainly because they're new, and they're scared, they don't know. Or they're not having the success they were hoping for and they don't know, they're looking for help in some sort of a way you have a bunch of people together who don't know what they're doing. And when you show up on a Tuesday, and that guy over there has been there since last Wednesday, you think he knows something because he's been there longer than you. And then a bunch of people who don't know what they're talking about, end up trying to help each other. And it and that's me, have you? Have you ever seen a blog post where somebody asks a simple question, and we're a Facebook thread, they get 17 answers back, and you go down and you go, oh, there's the right answer right there. How's that person going to choose the right answer from the 17 replies that they got?

Mike Hoskins 21:50
Yeah, oh, these days? It's not only 17? It's 117. And you go down so many different avenues with those comments. But yeah, I mean, you hit the nail on the head. I mean, none of us can proclaim to be experts. I mean, I think I know, maybe one or two experts, and maybe I'll put one of those hats on, you know, my medical team, you know, collectively, right? We're all basically, you know, twisting in the wind, for the most part, try to figure this out the best we can using whatever information we've got at the time. And and that's, that's the bottom line is there are no 100% right or wrong answers. You know, for the most part, you know, no, oh, my god. Yeah,

Scott Benner 22:30
it moment to moment, Mike. Right. The

Mike Hoskins 22:32
moment is off.

Scott Benner 22:33
Yeah, with within the same person moment to moment. It's just, you know, you can't, you can't you can't win, you know, but but you can, but I think you can give people tools that give them a better chance at it. And, and I all I think that I've done is I've broken down what I've seen work into, like, simple concepts to understand, like, that's that, that I think that's what this podcast is. Yeah,

Mike Hoskins 22:59
well, and, and I'm one of the classic examples, too. I mean, I was chuckling a moment ago, and you're talking about, you know, people talking on both sides of their mouth. I mean, I'm sure I do that all the time. I, I start everything off when I'm talking my personal story. I mean, I'm one of the laziest ones out there. I mean, I typically know what I need to do. And know that if I do it may very well work, you know, close to where I needed to. I just don't do it for whatever the reason. I admit that right out the door. I'm just lazy. And that's probably a cause of a lot of my problems.

Scott Benner 23:29
So let me ask you, so let's dig a little deeper, then. What do you think that's about? For those of you who heard that question, then thought, Oh, this is where Scott's gonna put an ad. You were 100%? Correct. congratulate yourself. Okay, you heard me at the beginning of the show. It's late at night. I'm tired. I'm giving it to you straight right here on the pot is a tubeless insulin pump. And I think you can check it out. This is lucky for you because on the pod offers a free, no obligation demo, which means if you go to my Omni pod.com forward slash juicebox, or click on the link in your show notes, you'll be taken to a web page. And you'll fill in the tiniest bit of information, your name and your address. And I think that might be it. Basically, you're telling the pod I'd like to see a demo pod, send it to my house and they do they send a demonstration pod, you can put it on see what you think you can hold it, touch it, feel it, look at it, smell it if you want although it's gonna smell like plastic, probably still, you'll get to see for real, what the footprint looks like and where you could wear it. You can try it on you can put it on, leave it on for a few days and see what you think. That way you can make a really sound decision. So basically, here it is. If you're using injections and you want to try a pump or you think you might want to try a pump, check out the Omni pod demo. And if you're already using a pump, you must be I mean this is just my guess but you must be sick and tired of being tethered to a controller with a long piece of tubing that cannot In my opinion, be fun. So give it a try. Click on the link in your show notes or go to my on the pod.com forward slash juice bye It is free and there is no obligation. I cannot think of one good reason for you not to try. But I can think of about 1000 great reasons you should take my word for it, give it a whirl.

What do you think that's about like, really like, so there are people right now who are listening whose kids have just been diagnosed, and they think, if I can just put them on the right path that they'll stay on that path. And I don't believe that that's true. I don't think for anything in life that you can just set somebody on a course and it's just gonna work. But I do think you can give people tools that hopefully when they hit the bumps, that maybe they can come out of them quicker. So how much of I don't know, like, I don't even know how to ask a person like yourself was had diabetes, would you say? 8494? Yeah, 20 2025 years? Almost. That's amazing, by the way, like, what what was it about how you grew up with it? That you don't think about it the way that people now think about it? Do you think it's just the data? Do you think it's just the knowledge of where your blood sugar is all the time changes people's expectations? Or what do you think?

Mike Hoskins 26:17
I mean, I think it's all of it. I mean, I don't think it's certainly anything unique to me whatsoever, I'm not different in that regard. It's just, I think, you know, it comes down to human behavior. And, you know, what kind of person are you? And, you know, and I'm, I'll preface with, you know, I'm not a parent, you know, my wife, and I don't have kids at this point. But, you know, it's one of those things where, you know, okay, parents, this is how you parent, I mean, it's going to be different for everybody. And, you know, nobody can be the other person's guide on, you know, this is how exactly you should parent, you know, it falls down to, you know, the kind of, you know, home atmosphere, or you know, all these different environmental factors that play into it. And, in the end, a lot of times, if your teen rebels, it's because your teen rebels, and there's not a sole reason for it a lot of the time. That's kind of where I come in. I mean, I, I rebelled. I mean, I just say, I'm the way I am. And that's kind of how I grew up, you know, nothing, nothing to say, my parents didn't, you know, do everything they needed to do and more, it's just, I wasn't interested in hearing it in those teenage years. Right.

Scott Benner 27:23
Right. How, how, how loose? Were you with your diabetes through those years?

Mike Hoskins 27:29
pretty loose. Yeah, I mean, you know, and that's the interesting thing you mentioned, you know, my mom, obviously, you know, she's been type one since she was five. And, you know, so she said, you know, 60 years or so, at this point, I'm at 3033, I think 3334. And so she's, you know, relatively about the same, you know, h5, you know, and, you know, she grew up in a time that was a lot different than, than what I grew up with, and what, you know, people grew up with now. And, you know, her mom was, was very strict, but also at the same time, you know, there was, you know, the, the food exchanges, so, you know, my grandma was ahead of the curve before anybody else was saying, hey, if you don't want, you know, a banana, or you know, a cup of fruit, you know, with your, with your, with your meal, you could have, you know, half a cup of ice cream, and you're not going to kill the kid by giving them a half a cup of ice cream, right. And everybody under the sun in the medical profession was like, screaming from the, you know, the rafters saying, you're going to kill that child. And, you know, grandma knew better. She knew the food exchange, the logic that worked. That's kind of how my mom grew up. But at the same time, grandma was always was also very strict with her and saw my mom rebel when she was a teenager, and you know, in her early 20s, and as the story goes, you know, she she said, you know, she didn't really test her blood sugar. You know, they didn't have that technology way back in the day before. I was diagnosed in 84. But she made the point that before I came along and was diagnosed, she had never checked her blood sugar. She didn't have a glucose monitor as it wasn't at four. And so she got one and we started testing at the same time.

Scott Benner 29:06
Yeah, you know, I just interviewed a guy a couple weeks ago, his interview won't be out for a while, but I'm gonna also interview his mom. And it's a similar situation he got up and he got diagnosed later in life and is in like, literally later in his 20s and 30s. And, and the mom has a similar situation like she fate. Almost like seeing your child habit. Made the mother go, Okay, well, I got to take better care of this, if nothing else is to just understand it for him or to be a role model for him in the situation. Yeah, yeah. Yeah, it's funny like it's like your diagnosis almost. Do you think it do you think your diagnosis changed how your mom even now that you're not with her anymore? Do you think she's a she a different person with diabetes and she would have been?

Mike Hoskins 29:48
Yeah, I definitely think so. I mean, I think you know, that, that does that that diagnosis of your child, you know, does that to to a person I would, I would have to assume, you know, for most people But yeah, I mean AI in these days, it's funny. I mean, you know, back in, in my college days, my last year of college, I went on insulin pump for the first time. And, you know, that was basically like the summer of 2001. And then within three or four months, I had convinced my mom to do the same. So, you know, we both we had night and day experiences on the type of pump that we use over the years by, you know, she's basically been on one the whole time, and I have up until more recently, for personal choices. And yeah, I mean, you know, we influence each other, you know, CGM, and, you know, insulin pump all those things. And these days, I mean, she's doing a lot better than I am. I mean, she's on on a rally link, you know, a hybrid, which you call it, Tom, homemade closed loop. Right. And, you know, you know, has just outstanding control. And yeah, she's doing outstanding, and

Unknown Speaker 30:53
she figured that out by herself.

Mike Hoskins 30:56
She did, yeah, obviously, with, you know, community support, you know, other people not that we're not waiting world helping, but yeah, I mean, you know, we, you know, the two of us kind of got together and, you know, put our clever thinking caps on and, you know, kind of got it done. That's cool. She's been loving it for think a little over a year, I think, you know, Thanksgiving, not this past one, but the one before that.

Scott Benner 31:15
All right. Getting good for her. That's pretty cool. So you see, you mentioned earlier, the idea of, of once something goes wrong, nobody knows how to deal with going wrong. Maybe it's because their parents have had it covered for them for so long. Or maybe it's because the technologies work so well for them. And then you know, what happens? If you don't know your insurance changes? You see it all the time, people are like, I've been I've had Dexcom forever, but my insurance should change? I don't have it anymore. I don't know what to do. But what's the what's the answer? Maybe you don't know. It's probably a bigger question. But I want to talk about it anyway. Like, I don't think I can't come to grips with the idea that the answer is you have to struggle and dig through the mud to understand. But I do think you need to understand. And so what do you see is like the the I don't think you're looking for people to live for years with, you know, unhealthy blood sugars and things like that, just so they understand the nuts and bolts of diabetes in case their pump gets broken, or they lose their insurance or something like that. But But do you think there's a balance? Like how can people understand without having the you know, back in my day, we climb nine miles up a hill for you know, for school like experience? Do you have any thoughts on that? Because you must think about it? Because I

Unknown Speaker 32:29
think about a lot?

Mike Hoskins 32:31
Yeah, I mean, and I think you're right. I mean, I don't think there is any, you know, textbook answer for it. I mean, I think it is varies, you know, for for everybody and what they're going through. And, you know, I certainly don't want to be that, that that curmudgeon of a guy who, you know, does, but you know, back in my day retrenched through feet of snow type person, which is funny because that that is exactly what it is.

Scott Benner 32:53
I bet you did. Yeah.

Mike Hoskins 32:55
Right. Yeah. Back in the 90s. When I was growing up, yeah, that's right. perspective, and I think that's what it comes down to it comes down to that perspective of, you know, being able to take a step back from something in that moment, you know, when whatever that that situation is crisis or not to realize and put it into perspective, is this something I need to, you know, no doubt over? Do I need to put more of a priority, you know, action item on this in my head? Or is this something I can kind of just let it coast for a little bit and watch it resolve itself? Naturally? You know, and I don't know where that line is? I mean, I think it varies per person, I think it depends on the situation. You know, I and I don't know why it is, I don't personally get freaked out when I see a blood sugar of 201 I think because I live in that range a lot more than than I probably should be. But I also just feel that, you know, I, I realized that, you know, in the grand scheme, this is, this isn't going to be contributing to my eight, one c being higher, or my glycemic variability, being you know, up and down across the board all the time. And this isn't going to give me a complication that, you know, even on the worst of days, I probably only have like a 40%, you know, risk long term of having a complication more than I've got these days. Right. You know, and I don't know, I mean, I just I personally, I've never really felt the need to, you know, spend all my mental energy on trying to get something so perfect that I drive myself insane. And then there's no guarantee in the end, I've only spent, you know, half my energy. You know, I've only I basically knocked off 50% of the risk, and there's still a 50% chance that something will happen, no matter what I did.

Scott Benner 34:49
Do you think that that perspective comes from knowing that you live so many years like like, like what if what if you would have started with Dexcom for example, back at five years Like, because you

Unknown Speaker 35:01
because you

Scott Benner 35:02
are in a situation where you don't know. You don't know what you like what your blood sugar was day to day moment to moment, like when you were five and 10 and 15. And like don't even like do you think that? Do you think that your expectation is set already?

Mike Hoskins 35:19
Yeah, sometimes I do. And I think that's dangerous. Yeah, I, I'm glad I grew up when I grew up, and I've gone through what I've gone through. Sometimes I wish I would have had, you know, the technology, whether it's a pump or or CGM, you know, from the moment I was diagnosed, I wish I would have had, you know, analog insulins with the bulb and I was diagnosed and not you know, animal insulin, you know, they had to use for a little while, I mean, all these things, I think it, it just, it depends on, you know, where I'm at in the moment and how I'm feeling about these things. And I think there's goods and Bad's on each side. And again, going back to the premise of, you know, I slack quite often and I'm lazy, and that probably doesn't help overall. I'm just I'm, I happen to be fortunate enough, where, you know, the, you know, the few complications, I've got, you know, neuropathy, retinopathy, about as mild as they could possibly ever be, where, really, I haven't had to do anything differently. You know, for the most part of my life, those have not really had a detrimental effect. And, and that's just, I think that's complete luck. You know, there's maybe something in my genes that has protected me from, you know, ending up on a worst complication scale at this point, based on my level of management when I was a teenager and in my 20s

Scott Benner 36:37
really is, I don't fascinator it just, you know, the, it, you take this, the disease is so multivariable. And then you apply it to people and people are so emotionally vulnerable. And then not all of them at the same insulin, none of them all get the same tools. Like there's just, I mean, it really is a story that can be rewritten a bazillion different ways. You know, and and I don't know, like, it's, I I'm with you sometimes, like I sometimes I see people who are like newly diagnosed that think that like I can, I can hold this down and make this perfect, and it's not going to be a problem. And I'll do these things. I'll take these steps, and it'll be okay. And, and I think that they don't realize that, you know, that might not be the issue, that it's possible, they could do everything right and still have a problem. I don't think that means they shouldn't try. But I think that that means that there's that there's no guarantee is I don't know, if you take that, if you take that hope of a guarantee from them, if then they're worse, nature wouldn't take over, and they just wouldn't do it anyway. It's such a, like, it's such a, I want to curse. Because I don't, I'm not allowed to curse in the

Mike Hoskins 37:51
story. I mean, it's fascinating in so many ways. And I think that, you know, I always come back to, you know, the community and the power of the community. And I think that, wherever you are, at whatever stage of this journey you happen to be at, you can find somebody that that can offer a little bit of balance in whatever way you need. And whatever degree you need that to be at, you know, if you're if you're totally in burnout mode, and you need that inspiration of somebody who is, you know, rah rah, rah, I've never I know, Bob 140, and my a one sees here, and this is how I do things, you need that, you know, more than you've had it, and vice versa, I think you can, if you're starting to feel a little overwhelmed at some of those things, you can look at some of these others and you can say, you know, there is a balance and and I can step back from this a little more than I have been, I'll be okay. Because really, there is no guarantee at the end of the day, I can't, you know, go off on a tangent and you know, do everything under the sun. But I can, I can live a little more than maybe I have been, you know, and that's, I think that's, that's good. That's bad that that's beautiful. that's frustrating.

Scott Benner 38:57
It's interesting that we don't really look for guarantees in the rest of life, but in this thing, it's something you feel like you have to try to like, I don't know conquer, and you know, like I've never once gotten in my car and thought somebody better guarantee me I'm not gonna have an accident right now. You know, I just I think I have to go somewhere and I go and that's the end of it. And and if I should get you know if I'm if I'm the unlucky guy today in New Jersey to get sideswiped by a tractor trailer, and I'm done. I don't think in my last second, I think, um, you know, I didn't get nobody followed through on my promise to live forever, and I get no car accident. It's just, uh, I don't know, Mike, I, I want so badly to say that. Like, as I was doing that episode with with, with Daniel, the one that we're talking about here today. As he and I were talking, I realized I was being a little more boisterous than I usually am. And and maybe that was just because I was talking to a guy and not a not a mom. I don't know, you know, not a woman. I'm not I'm not 100% sure, like maybe I go into more of like a listening mode. With with women than I do with men, like I couldn't tell you, but I could tell that I was more jacked up than I usually am. And that I was matching his enthusiasm for what he was trying to do for his son. Because I believe that I believe that he can, like, I think it's there. But the the linchpin that, that, that we don't we didn't talk about through that was, and that I do bring it up sometimes. But, you know, you asked me to do something for my kids, then I'll do it. And if you ask me to do something for me, then I might lay in my bed and go, Oh, but the pillows all the way over there. And so it is a different world. Like it's just, it's a completely different situation. It's the difference between having a dedicated, loving caregiver who would willingly give up their happiness for yours. And you a person who's living with diabetes, and trying to balance all the things that they want out of life at the same time, in 24 hours a day with eight hours of sleep, if they're lucky, you know, like, so. I guess there are times that I wonder if what I'm doing here, like, I almost wonder what will happen 20 years from now? Like, will there be 24 year old kids whose parents listened to the podcast 20 years ago, who were just like, Oh, yeah, diabetes is no big deal. You know, we set it up this way. And it worked for me, or they're gonna be like, Oh, my mom was so good at it, but I never really did it as well as she did. I you know, I don't know. I don't even know if I'll ever find out for my own kids completely. You know,

Mike Hoskins 41:34
all I know is I hope at that point in time we have we finally have harbor cars.

Scott Benner 41:39
Damn it. So at least you can get to the end to find out very one see without the traffic? No. Because what else is the end of doing Mike really, very little.

Mike Hoskins 41:51
Let's be honest here,

Scott Benner 41:52
the endocrinologist or as I call her, the lady with the a one c test machine. We were there the other day? And, and, and the endos asking me questions. And I'm just like, this is not valuable use of my time. And and she I realized, she goes on. She said something about she brings up the graphs because I feel like she felt like she was supposed to because now you can actually it's pretty cool. I don't know if people know. But if you have Dexcom, you can open your clarity app and it generates a code and you give it to the doctor and the doctor like pulls your graph right up online. It's pretty cool. And she goes up. Well, I see this here. And here she goes, What about these lows? And I'm like lows. I said, What are you calling low? And she goes, Well, it's under 70. Here, I said, well, there's our problem. I'm not calling that low. And so she's like, Oh, okay. And I said, you realize that I set the line on the Dexcom graph. If I would have just moved to the 60. You wouldn't have saw red? Would you have not called it a low then like I couldn't you know what I mean? I was like, Oh my God, is she just saying the stuff? She thinks she's supposed to say? Like, is she really trying to help me at all? Or is she just going hey, there's lows here, like I was, I was a little put off by that for a second. I was like, wow, I set the I set the the lines there. It's not It's not like there's a rule. It's it's I just put the line there. And then she went over that a couple other things. She touched art and sights rubbed her hands back and forth to see if there's any insulin collecting underneath them. And it was sort of over and I was like, why did we come here? I mean, I guess because they got the a one c machine.

Unknown Speaker 43:33
Yeah, well, sometimes he prescriptions do.

Scott Benner 43:36
I mean, I did get prescriptions while I was there to Mike. That was nice. Yeah. So but yeah, but you know, me like that was an interesting to me, that's a deeper look into like, when people are like, Well, my doctor said, My doctor said, I go to a really good Children's Hospital, like one of the one of the ones, you know what I mean? And still, she just was like, Oh, I saw read on a thing. So I pointed at it. And I was like, Oh, God, like this is not really medical advice. This is just, she's going down a checklist in her head. And I was a little disappointed, but but my point was, is that people need to understand that like when doctors say something to you. Your next question should always be Why? Like, you can't have I got a note the other day from somebody I haven't answered yet. My doctor says my kid can't have an insulin pump till they've had diabetes for a year. What do you think? And I'm like, no, that's not the next question. The next question is Why ask them? Why? Because I guarantee you, they don't have a reason. So you know, and if they have a reason, maybe you'll accept that but but ask for a reason. You know, you're low here. No, I'm not. Why do you think that? Well, it's red. Well, then what does that mean? You know, so, I went through and I explained to her, I said, Look, I have to be honest with you. I said if Arden's blood sugar should go to 65 at 11 o'clock at night, and she's got no insulin going and I think that I can get away with cutting her bazel off for a half an hour. are an hour to get the drift back up to 90. I'm not waking my daughter up to give her food if she's actually 65. I said, I'll test to be sure or sleep. But I'm not going to feed her. I mean, Mike the other day, there is a person, I hope no one ever actually hears my examples and thinks, oh god, that was me. But there was a person on line who was like, I don't know what to do. My child is refusing food and their blood sugar's low. I don't know what that means a panic Facebook message. Somebody said, What's their blood sugar? And she was 85. That was like 85. Like I said, off streamers at 85. Like, what are you talking about? 8585. So when that's, you know, I'm not falling. No insulin on boards just got to that number. And as soon as the thing beeped, she panicked. And I thought if it didn't beep would she have panicked? Didn't I mean? Like, like, what if it was 88? And it never woke her up? And the kids slept all night with the blood sugar? 88? Yeah. Yeah. It's just it's, it's you have to whether it's your day to day management, or your doctor talking to you, or whatever, you have to stop and go, Why? What, you know, I'm

Unknown Speaker 46:05
panicking,

Scott Benner 46:06
why am I panicking? Exactly. And kind of give yourself the opportunity to apply common sense and what you've know about diabetes to the situation, instead of just panicking, because a number got to something or whatnot. Yeah, I want you to, if you can, if you can go into a little more detail. I know we're jumping around, but that's what the whole podcast says. But if you can go into a little more detail about listening to Leo's that talk about, you know, these expectations for blood sugars. And, and the, the real, like, you could hear he was joking, a little bit like 140 Oh, my God, like, I know, you could hear it not because I could hear it, but at the same time, you know, you know, you, you know, he means it on some level as well as as, as do I, by the way, like Arden's blood sugar was 169, before lunch today, and I gotta tell you, I was like, ah, I got messed up, you know what I mean? But that's, that's not bad, or anything like that. I just gave her a little extra insulin. So, you know, I don't think it's a panic situation. But when you hear that, do you hear it more as a person who lives in the diabetes community wants to help people? Or do you hear it more as a person who doesn't manage their diabetes that way, like, I want the kind of the rest of the time we're talking, I'm just interested in what it's like, to try to help people to report on something that you're also living with. Okay, you guys, by now have to know what a continuous glucose monitor is, right? It's a small device that when a person with diabetes wears it, you can see their blood sugar, not just what it is. But where it is, is your blood sugar, 159, D is at 300 doesn't matter. If you don't know what direction it's moving, and how fast it's moving in that direction. And this is exactly the genius behind the dexcom continuous glucose monitor the G five oh, you're gonna love it. Listen, there's a share and follow feature, right? So your user, maybe it's your child, maybe it's your spouse, maybe it's you, you have a Dexcom, right. And on your phone, the Dexcom. app, this app shares your blood sugar information with anybody you want it to. This is available for iPhone or Android. You listen like really wrap your head around it. Your kids at school, you can see their blood sugar. Not only is their blood sugar 75 It's so steady. You're just like, I love your blood sugar at 75. Look how steady or maybe it's 83 or 92. Maybe it's 115 it's falling. How fast is it falling is the following three points a minute, five points a minute, the next column is going to tell you that this information is invaluable and it brings a peace of mind. It can't be duplicated. It really Can you hear me talk about how I use the Dexcom. Every week on this podcast, you could do the same thing. Go to dexcom.com Ford slash juicebox. To find out more, I promise, I promise you will be happy that you did.

Mike Hoskins 49:18
Yeah, I mean, you know, like I said early on, I mean, I love the interview. And my first thoughts when hearing that part, as well as pretty much all the rest of it was I wanted to be able to jump through the screen and the podcast screen and just, you know, give him a hug and you know, give Leo a hug because, you know, nine months in I mean, it's it's just one of those things you don't like hearing about and they they are awesome and they sound great. And that was kind of my first instinct. My second one is it's like, wow, they're doing really great and I'm sucking at this moment. And I'm not even wearing my my Dexcom at the moment. So I need to put that back in because I can tell right now my sugar is high. Those are kind of my two immediate thoughts as I'm listening And throughout this, and then I start, I started, you know, my mind sort of wandering a little bit, I'm like, okay, you know, there there is that balance, you know, between the highs and the lows, and, you know, perspective and this and that. And, you know, what series and what's not so serious, you know, and I need a moment. And I started wondering, how, how would the community, you know, a week from now, a month from now, a year or two from now, when when you start seeing all these examples of people and parents saying, My a one sees this, this low number, and this is the only way you can get there, if you go low carb, this is how you do that. If you have to use a particular, you know, method of treatment, whether it's injections or insulin pumping, and you can't do this without CGM. All of these things and then you know, whatever that number threshold may be for a particular person, all these things started coming into my mind of, okay, maybe we can somehow take a step back and say, This isn't a prescription for one. And, you know, this is how you have to live your life, this is the only way to do it. And if you go over 140, then something is wrong. I think you have to be able to understand it's not a prescription for any of that. But I worry that some take it to that level. Some will use this all as as as case examples of why you should only do this, do that, and you should never allow for something else to be, you know, your reality, right. And then again, that's just that's probably my mind being warped and going down the rabbit hole. But that's, that's how I started feeling about it. As I was listening to more and more, I think coupled just with other things I've seen and heard over time.

Scott Benner 51:43
But I think I hope that when people hear me when I talk about like, Arden's high thresholds, 130, I don't mean I,

Unknown Speaker 51:51
I don't want to,

Scott Benner 51:52
I don't mean, I'm never gonna let her blood sugar get over 130 What I mean is that if you want to avoid 200, you have to know at 130. Like, like, that's the that's the idea. You know, last night, you know, Jesus, there's last night, her blood sugar was like 160, for a good part of the time, she was sitting doing her homework. And it was just at a certain time a night where I was like, if I push this too hard, she's just gonna get really low later. So I had to keep just kind of trying to nudge it down a little bit with some more bazel. But I couldn't have just, I couldn't have crushed her with a bolus for the 160 because then she would have been 55 an hour after she went to bed. And I was not sitting in my living room in a panic that Arden's butcher was 160. What you know, what I've learned is that if you, if you don't accept the high blood sugars, if you go after them, and you limit them to a couple of times a day, your agency is going to be around sex. Like that's, you know, as long as the when you when you actually when things are going better, and stabilities easier if you stay at a lower number, you know, as long as you're under 120, most of the time your agency is going to be around sex. Like it's not, you know, but it's when you see a 250 and then you stare at it for an hour and a half, or you don't do anything about it all afternoon, or, you know, if you're 304 times a day, that's when you get seven and eight and nine sometimes but I it's not. I try to say it as much as I remember to that I'm not in the panic constantly. I'm not running around going, oh my god aren't his blood sugar is not perfect. I genuinely don't think about Arden's blood sugar that much. I just, I, you know, I just there's certain, certain barriers that when you cross them, we do something, and I do something, if that thing would beep and Arden's here until until our head blade bled, she wouldn't do anything. You know what I mean? Because she's a kid, she's doing her homework, and she's thinking, Oh, he'll do it. Just like, you know, just like you brought up earlier, it's my biggest concern is that my goal is to transition this off to Arden. But that might not work out. You know, what might happen is she might just go Well, I'm not gonna do it that way. And that'll be the end of it. Like, I don't know, like, what happens when she's old enough to decide, and I'm not in a position to assert myself more yet. You know, it's a, it's a, it's my biggest concern, to be perfectly honest. And then there's part of me that thinks that if she just goes off the rails, at least for this first, you know, however many years, at least we were where we were, you know, and maybe that'll give her a chance to get through whatever rebellion, maybe she'll say and come out the other side. I don't know. It's in the end, the only thing I know for sure, is that she has type one diabetes, it's a lifelong disease, and it sucks.

Mike Hoskins 54:27
Yeah. You know, it's like a Choose Your Own Adventure book. I mean, if you remember the Choose Your Own Adventure books from from back in the day. I mean, it's like that. I mean, any little decision can can, you know, start a whole, you know, line of things that you just can't predict. And the transition period is interesting for everyone. Yeah,

Scott Benner 54:46
I think it is. I know for sure that advice I would give is that if you think that you're going to control this thing, and how it's going to go in your kid's head or all the other that that's a fool's errand. You can't put yourself in a position where you're trying to exert that much control over anything, you know, but you know, and I'm not going to repeat them here. But I do know a couple of things, if you start addressing your blood sugar, when it gets under over a certain number, and you kind of bump a nudge, and you're not like slamming with insulin and things like that, things will go better. You know, if you're aggressive with insulin, and not afraid of it that, you know, usually you use less insulin than you need, that most people just default to that, you know, when you're correcting later, it just means you didn't use enough up front, like those simple basic kinds of concepts. If you, if you if you think about them, while you're doing things, it is going to go better more often than it's not going to go better. And, and, you know, from there, you'll decide how that fits into your life, you know, and how much of it you can, you can bring, I do really need to talk to somebody who's experienced like abject burnout, so that they can be open about what that means, you know, like, what, what does it mean to sit in your house, knowing you're hurting yourself and not be able to do anything about it? You know, that is something that I think people need to hear.

Mike Hoskins 56:11
I mean, that goes, that goes very much back to the line of, you know, if you're hovering in, you know, whatever high number is for you. I mean, if you're, if you're living that way, you know, for an extended period of time. I mean, that's, that's a very clear sign that you're in burnout or, you know, there's there's some other issue going on. And, you know, that's always existed. I mean, I went through it. And that was a big case in my teens and my 20s. And I still go through it, you know, pretty regularly, probably once a year, I actually go through it to some extent,

Scott Benner 56:39
how long does it last when it happens to

Mike Hoskins 56:41
me, honestly, it doesn't, usually it's around the end of the year, beginning of the year with holidays, you know, I just get in that mode, where I've got so much else going on in life where my management is not my top priority at that point. It's like, Oh, you know, once I get into the new year resolution phase, I can do it a little bit better, right, about this time is when I start, you know, doing a little bit better. Yeah. So that's kind of how things have been going for a while on my end.

Scott Benner 57:06
It's funny, it's so similar to just like dieting for someone who struggles with their weight or something like that, you know, like, not giving yourself insulin, when you need it is the equivalent of like picking up a bag of potato chips, when you're not hungry, and sitting and eating the whole thing. And while you're eating it going, I know I shouldn't be doing this. And you know, it's just, it's, it is human nature, it's, uh, you know, it's succeed, it gets attached to a more finite idea of your life, you know, when it's when it's a disease. Because we can all you know, that's the great thing about like, parenting and everything there, you can kick a lot of cans down the road in life, you know, they mean, you like, your kid does something, you think you I should call them on that, but I'm tired. So I'll let it go. They don't end up in rehab that day. You don't I mean, and 20 years from now, when you look up and your kids like some giant disaster, you can make up all the excuses in the world that it wasn't you, you can always be kicking that can diabetes is the thing that stops you from kicking the can like when you're kicking it, you're aware you're kicking it. And and and when you're trying to put something off till tomorrow, it just feels so much more dire. And then if you already feel upset, then the dire nature of how you feel just compounds it it doesn't. It doesn't I hope people understand it doesn't break you out of it, it just makes it worse. You know, like, I hate hearing about endos who try to scare kids with you know, like, you don't want to lose your leg Do you like but you thought that was gonna help? You know, like, that's, that's not what motivates people.

Mike Hoskins 58:35
And even that is such a weird dynamic. I mean, I, I had that when I was when I was in those those later teen years when I was 16 and 17. I had an endo a pediatric endo at the time who did exactly that. And I was starting I had my first actual complication that just started materializing at that point. And I was only like, you know, 1617 years old. And my endo specifically said that, if you keep doing what you're doing, you will be dead by the time you were 21. And there were you know, there were other parts of that conversation too. But that actually motivated me for a time. And the same conversation came up in my early 20s, you know, with another handle as well. And that motivated me, you know, at least for the short term. And it got me back to where I needed to be to start managing more effectively and eventually, you know, get those habits in place I needed. And that doesn't it doesn't work anymore. It hasn't worked in a while. But it did at one point for

Scott Benner 59:33
me. Mike's like I've given up on the lions winning a Super Bowl, I have nothing to live for. It's almost like a slap in the face. Like, like, you know, in a bad movie. Like when you do that you are out of ideas. But you still should try, I guess is the idea, right? Like even if I could just snap this kid out of it for a little bit. It's worthwhile, and at the same time, I don't know I've seen my endo talk about It might nurse practitioner who's not the endo who I saw the other day. But she'll talk about like, there's some kids who are just, you know, you have to sit them down and tell them like, this is where you're headed. She's like, it feels horrible to tell them that. But there's nothing left. Like every other thing you've tried to explain to them just falls on deaf ears. They don't, they don't care. You know, for whatever the reason ends up being. And it's not her job. She's not a psychiatrist. She's just she's the person telling them about their blood sugar. And so, I don't know, Mike, is what we've learned here in this past hours. There is no solid concrete answer to anything diabetes related. Is that what we figured out? Or life in general? I

Unknown Speaker 1:00:37
think it's the fourth.

Scott Benner 1:00:38
I gotcha. Life is just unset concrete. Yeah, yeah.

Mike Hoskins 1:00:45
I currently have have frostkeep in my driveway, which is another whole side topic than I did. But that's the story of my diabetes life. It's like come on a new driveway. This happens. like diabetes.

Scott Benner 1:00:58
I finally So would you guys got something paved? And then some like we got frozen through your brand new paving right up in the air?

Mike Hoskins 1:01:05
Yeah. Two inches high. And then I turn your tripped and kill myself the other day. But but that is that's exactly the idea. I mean, everything you tried to do perfectly you have a perfect TV job. And this is analogy that came out of nowhere, honestly. But and then you just you trip over a two inch even there it is.

Scott Benner 1:01:25
I will tell you that. homeownership to me the worst thing about homeownership I say this all the time, though, there's all kinds of bills. But if you've ever paid to have a tree cut down, there is no indignity like giving someone money and having less when it's over that I that I I bump on it. No horrible. Here's $1,000 cut these two trees there. I now don't have $1,000 anymore. And I don't have to trees and and it but it needs to happen for whatever Oh, my god like I own a home is a is a horror.

Mike Hoskins 1:02:01
It's another one of those wonderful life adventures.

Scott Benner 1:02:04
It's certainly see you're thinking of it a different way. You You're an upbeat person, whereas I am. I'm just going oh, my God, I just drive on the grass. Forget the driveway. You don't need it. Like, I don't know that we've settled anything here.

Unknown Speaker 1:02:19
I don't think we were supposed.

Scott Benner 1:02:21
Good, good. That's perfect, then we've done excellent. I just wanted to tell you again, like it was just it means I don't want to say there's few people because there's a lot of people I respect. But when I hear from you, I always take it seriously. Like, you know, they always think like this is not Mike. Mike didn't just have five extra minutes. And he thought to write something on Facebook. You know what I mean? Like, I know when you're talking about this, especially diabetes in general, that it's coming from a thoughtful place. And so I always appreciate, you know, hearing it and and I appreciate you being the first person on who you broke my rule. I don't know, if I ended up saying that in the point when we were first on, it'll end up making that a podcast or not. But I just always sort of the only rule of the podcast has been that I don't, I don't usually have people on who have a voice somewhere else because they already have an avenue. And I like hearing from people who wouldn't otherwise be able to tell their story, I guess. But I'm making a huge exception for you. Because I'm always just very impressed with how you think about this stuff.

Mike Hoskins 1:03:22
Well, I tend to ramble. But I appreciate the comment. And I definitely appreciate the compensation. No,

Unknown Speaker 1:03:28
me too. I

Scott Benner 1:03:28
really don't. My genuine appreciation to Dexcom and I'm the pod for sponsoring this episode of the Juicebox Podcast and for signing on for the entirety of 2018. Thank you so much. You people are fantastic. And to my friend Mike Hoskins. I genuinely appreciate you coming on the show, sir. I always am just incredibly interested in what you think about living with diabetes and the community surrounding it. Not only that, but I mean, this was just a really great conversation. I love this. This felt very comfortable to me. I hope it did to you too. Mike writes at diabetes mind over on health line, and I put a link to that page right in the show notes. I'm telling you Mike is a thorough, thoughtful and intelligent writer and does a wonderful job reporting on type one diabetes. I will see you next week. Thank you for listening to the Juicebox Podcast Hey, the music stopped but you could you know use this time to reflect on how much you love the podcast and what would you say if you were leaving a review for it somewhere. But amazing things would you say how many stars would you click on if you were say reviewing it and iTunes probably all the stars. Probably all the good words. I'm just saying you know if you're not


Donate

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

#147 Out of the Mouths of Babes

Scott Benner

Emily knows something that you should know...

Sixteen year old Emily has had type 1 diabetes since she was twelve and she knows something that we all should understand. 

You can also listen to the Juicebox Podcast on: Apple Podcasts/iOS - google play/android - iheart radio -  or your favorite podcast app. Now on Spotify.

+ Click for EPISODE TRANSCRIPT


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

Scott Benner 0:00
Thank you for being here on episode 147 of the Juicebox Podcast. The show is brought to you again today by Dexcom and Omni pod on the pod of course the tubeless insulin pump of choice, and Dexcom really the only choice and continuous glucose monitoring. In this episode, I'm going to be speaking with Emily. She's 16 years old and has had Type One Diabetes since she was 12. The conversations fantastic, but at some point, Emily's experience reveals how to avoid the fear of type one diabetes, you have to really just stick with the entire conversation, but she is going to almost by mistake, tell you the secret to not being afraid. There's a lot more that goes into this episode. But that to me was the real central focus of it. It turns out that what's intuitive to a 12 year old is probably the secret to not being afraid. Emily is the master of fear. That could be the title of this episode. Emily is the master of fear, Emily fear master fear Master, Emily,

Unknown Speaker 1:05
dun dun dun,

Scott Benner 1:06
I don't really have an option yet. As for the title, you can see I'm trying but it's not really coming to me. I'll get it. Please don't forget that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before being bold with insulin. You do not have to consult a physician before going to Juicebox podcast.com and buying a boat with its own t shirt. Oh, I should call this episode out of the mouths of babes. Did it I came up with the title.

Emily 1:41
Hi. So I'm a obviously I'm a type one diabetic that lives in Toronto, Canada, and I was diagnosed in 2013. I'm 16 years old. I don't know there's

Unknown Speaker 1:55
it's weird to talk about yourself, isn't it? Yeah,

Unknown Speaker 1:58
so odd.

Scott Benner 2:00
Well, what I was gonna say is that so you're so I'll help you tell you who you are. It'll be fun. Okay, so you're 16 right. And you were diagnosed? How long ago?

Unknown Speaker 2:09

  1. Okay.

Scott Benner 2:12
See, you're taking the math for me. I could have done it, but that's fine. And so 12 years old, so you're four years into it?

Unknown Speaker 2:19
Yeah. Okay.

Scott Benner 2:21
And would you consider yourself like a type one diabetes advocate.

Unknown Speaker 2:27
Um,

Emily 2:27
I try to be I'm not sure I set the best example. But you know,

Scott Benner 2:32
but but by that I don't even mean by being an example. I mean, like, Are you out in the public being open about your diabetes?

Unknown Speaker 2:39
Oh, yeah, totally.

Unknown Speaker 2:39
How do you do that? Um,

Emily 2:42
well, I'm usually like, the type of person that doesn't like, try to hide anything. Like if we're out for dinner or something. I'll just like stab myself. Like, right in the middle of like the dinner table or

Scott Benner 2:53
with a syringe or what do you do?

Unknown Speaker 2:56
Oh, I do. I am on injection. So okay.

Scott Benner 3:00
Yeah, I didn't know. You just had the salad fork in the restaurant.

Unknown Speaker 3:03
Like, yeah, yeah, stabbing away yourself.

Scott Benner 3:07
Do you have a CGM? Ah, yes,

Unknown Speaker 3:10
I do. I do have a.com.

Scott Benner 3:11
Okay, so you do Dexcom with MDI, that's really good. That's fun. That's gonna be fun to talk about. So. But what I'm talking about a little more, is this like, I see you like, if you said to me, Emily's on the pod, yes. I'd be like, Oh, isn't that blah, blah, blah from Instagram. So what's your Instagram handle?

Emily 3:30
Um, and so on to live.

Scott Benner 3:33
And so that to me is, that's really interesting. Because when it occurred to me, at some point to be out in the public and talking about living with diabetes. Uh huh. I didn't know what to do. Like, you know, and so it was so long ago that, you know, as I kind of filtered through the internet, I was like, I could start one of these blog things. And I didn't really even know what I was talking about.

Emily 3:57
Yeah, I like it. Because it's a great way to connect with other people and just kind of help people who don't know anything about it to kind of get familiarized and especially they're just diagnosed and feel like such a great way to I don't know, I just because that's what I I initially just searched like diabetes on Instagram. And it's just so nice. Because there's, you know, so many things you can relate to, and yeah,

Scott Benner 4:19
yeah, so wherever people are on on social media, that's where they look. Right? That's like you were on Instagram. Like you were. I don't know how old were you when you first did that?

Emily 4:31
Um, maybe, I don't know. Actually, I think my accounts pretty old. I think I did started like three years ago or something.

Scott Benner 4:37
Okay, so you're like 13 years old on Instagram? Probably, like a double tap and pictures and, and going crazy. Then one day you're like, Hi. I wonder if there's other people here with diabetes? Exactly what and now you have like, what I would consider to be like a pretty strong presence on Instagram. And it's interesting because I just it's like, I don't think of Instagram. That way. Go, I would like to I wish I was of the I was gonna say generation, but I don't think it's a generational thing. I just have the mindset to, to do that, like, and I it's like I thought to make a blog, you know what I mean? And are some people who thought to make a Tumblr and there are some people who thought too, you know, blah blah blah do this and do that and do other go on Facebook and talk about it in Twitter and, and it's just I think Instagram is just an incredibly I don't know that it's an impactful way, I guess because it's such a it's a quick hit. You don't really have to give too much of yourself to appreciate what the person's put up there. Or do um, to interact either. So do you actually, if you have Instagram friends, like people you would consider like friends that you only know through Instagram?

Emily 5:50
Yeah, totally. I have met a few people on influential is like, and not just people who live in the same country as I, which is really nice. And I have like answered questions like some people just like ask me questions and be like, Hey, I have this like, do you know what caused it? Or like, my doctor told me that I have like some people like for some reason their doctors don't explain like really simple things to them. And I'll be like, obviously, I'm not a doctor or anything. But like, diabetes is not something you caused on yourself. Like, but some people yeah, will will message me with like, the weirdest questions others like I've met and I'm friends with now. And that's really nice. Um, but yeah, I prefer it over I was thinking of doing a Tumblr or something like that. But Instagram is just such an like, it's such a popular thing now. And it's like, I feel like it's the most popular. I don't know,

Unknown Speaker 6:39
no, no, I

Scott Benner 6:40
agree with you. It's I, I am forever. slightly disappointed in myself that I can't do. I can't do better. And I always take it as I go. I'm like, Well, I'm not good at this. Like, you know, I'm, I'm in this situation where like, if I put something up on Instagram, my kid and he does incredibly well. For me. That could mean like, I don't know, 150 likes and my kids are like that. So sad. And I

Emily 7:06
know what save. I've got, like so many followers, and I only get so many likes, and I feel like and it's also the the amount of followers I'm getting, I feel like I've hit a peak amount, because now it's just slowly decreasing. But like, that's not what it's about, obviously.

Scott Benner 7:22
Let me ask you this, when you put something on, and I'm gonna go back to that, but when you put some when you put something up on Instagram that you see somebody finds really helpful. Yeah, and and you think, well, I did something today that actually like impacted people? Uh huh. Do you have the next thought? I wish more people would have seen it.

Emily 7:43
Kind of a lot of it also, like, isn't just to help other people, honestly, like some things are just to help myself like, I'll have a question. And I have, I'll have no idea what to do. And I'll put it on there and people will be totally helpful to me. So that's really nice to

Scott Benner 7:57
see. Now did that. Was that your intention in the beginning? Or was that just like a happy benefit that you found?

Emily 8:03
Um, actually, I think it was also a bit of an intention, because I did have some questions. So like, a, like, just, I don't know, questions that I come up with randomly that you can always necessarily find on Google. But no, I think it I guess it, I guess it is a benefit. Because mainly, I just wanted to connect with people and just help other people who are dealing with the same problems as I. So yes,

Scott Benner 8:23
it's really nice, because you've been doing it for a while now, obviously, and people and that's really cool. And it's helping you, which is pretty fantastic. I find the same thing with the podcast, and I say it a lot. But it's it was my intention to do something that would benefit somebody else. And now I think I might be the person benefiting from it the most. So it's really, I didn't intend that, obviously. But it's really strange that it worked out that way. But it makes sense. When you stop and think about it. It's, you've started a two way dialogue. And, and it's beneficial, like, you know, because you have a question you can ask if you have a statement, you can make it if you're like, Wow, look at this bizarre thing that happened, like people can say it. Tell me a little bit about being diagnosed when you were when you were younger? What because that was sort of if I'm not mistaken, I don't want to pry too much because you are 16 we did have to ask your parents permission for you to be on the podcast. But they were Canadian. So they're very, super, super nice about it. And, and but but So were you Mmm hmm. I never considered how to ask you this. When you were dying. You were diagnosed. Were you a lady already? Or not?

Unknown Speaker 9:38
Ah, not really. No. I,

Emily 9:42
I'm kind of an immature kid. So I was just like, I had no idea what was going on. And I'm one of those people that like if something's wrong, I just go like immediately into denial. Like just No, No, I'm fine. Like I broke I broke my arm at school when I was like in grade five and in the morning, and I was in pain and crying but I just The whole day at school and then went home and like, would stream to the hospital because I just was convinced I was fine. Yeah. So like, that's kind of like what happened, it was the end of my end of the year. Right? And I was just like, obviously, like drinking a lot of water and all that. But I was I didn't really think about it ever. And then it was the summertime and everything was okay. But I was still like, I remember I went to the movies. And I went to the bathroom like three times. But I like didn't think about it like you don't you don't necessarily like, I don't know, when your kid stuff just flies by and you don't pay attention. Um, but then what happened was I went away to stay with my grandparents, like four hours away or so by car. So I wasn't with my like, immediate family and everything was fine there. But my grandpa my grandpa had, like pre diabetes or whatever. And my grandma, like when when it's not your parents, sometimes, like people around you. Like, my grandparents noticed that I was drinking a lot of water. Whereas my parents necessarily didn't because they were just,

Unknown Speaker 11:06
I don't know. Like, for 13 years, Emily, they're sick of you. Yeah.

Emily 11:13
Well, they're not gonna pay attention to like the little things that make sense. And then so my grandma was like, one morning, she's checking your sugar. And she's like, here, Can I check yours? So it's like, Yeah, sure. Like, I don't mind. And so she checked it. And I wasn't even. I think it was like nine or something like it wasn't that bad. And compare this comparison to some. Oh, I say I forget but do you know how like, I don't

Scott Benner 11:38
know the conversion. I'm

Unknown Speaker 11:40
yeah, I'm

Scott Benner 11:41
but nine is around. What What do you think?

Unknown Speaker 11:45
I have no idea. That's your problem. Hold on. We've

Scott Benner 11:49
got the internet. And you know what I was always I always wonder. And Alaska, you said check your sugar. How come? You guys don't say check your maple syrup or something like that. All right, hold on a second. All right. Let's Google conversion.

Emily 12:04
Oh, I think there is probably some sort of tart or something like

Scott Benner 12:06
that. Yes, Lee. Okay. Yeah. I got it here. You guys are mm. Oh, well.

Emily 12:15
Yeah, I think so.

Scott Benner 12:19
Ha, I now hold no, I don't wait. I do. Hold on nine is about 165.

Unknown Speaker 12:31
Yeah.

Scott Benner 12:34
how excited I get a good now that when you blurt out a number, you'll just hear my voice in the background say a different number guide.

Emily 12:42
Okay, perfect. That's that's kind of hard, though. When I listen to like your podcasts when I see people post on Instagram. I never really like understand what they're actually saying. Because I'm like,

Scott Benner 12:51
you don't know if they're, if they're, if they're so yeah, they're like, I don't know how to get my blood sugar. Well, listen, I'm looking at the chart, the lower your number, the lower our number. Okay, so when Pete like this is the fourth edition includes blood glucose levels. So if I said my blood sugar is 90, which one actually ardens is right now. That's 5.0 for you.

Unknown Speaker 13:13
Oh, that's nice. Okay,

Scott Benner 13:14
so I'm gonna send you this. Okay. You can put on your Instagram and tell people look, when you're talking to me, please do the conversions for me. So I don't think so. So your grandmother is a doctor, obviously. Or, obviously, you live in some great named place like Saskatchewan tune or something like that. Or

Unknown Speaker 13:35
Ottawa, the capital.

Scott Benner 13:37
It's not that much fun. Whenever you whenever you come upon fun Canadian words, please use them out loud. But, but so your grandmother checks your blood sugar. it's higher than it should be. And she, Oh, okay. Then she acts. She acts like, I can't believe her parents didn't know. I knew those people didn't know.

Emily 13:57
What happened was, um, I was like, I was like, oh, nine like, it's probably fine. And my grandma was like, I don't know, that seems really high to me. And then I went on Google, like, oh, such like, okay, I went on Google and I was like, what's like a like, blood sugar rage cuz in my head. I was like, maybe there's a different blood sugar range for like, for kids than there are for like, you know, people or something people and kids, right? I got

Scott Benner 14:22
really, really might be the title of this episode. I'm not 100% sure, but old.

Emily 14:28
And so like, obviously, like I would do like diabetes Canada or jdrf or whatever it was that came up first. And it showed like I still remember like, there's that thermometer right? And there was like the red at the top the yellow in the middle and the green at the bottom. And so I saw my like, blood sugar's were like in like the red. But I I was still like in denial. Like, I was like, Yeah, I'm fine. Like, I feel fine. Like, anyways, I'm kind of mad at myself for like, not realizing sooner.

Scott Benner 14:56
You shouldn't be No, I mean, that's, you know, I guess You probably were looking right at it and chose to ignore. But, you know, listen to it three times a week, I'll text art. And I'll say, Hey, we have to test here. I'm not sure if I believe the CGM. And and her immediate responses, I feel fine. Yeah. And then I respond Arden, how you feel is not an indication of your blood sugar. We've talked about this, like a million times, it doesn't still stop her from saying it, you know, and think it's just a natural reaction. You don't? It is not people's inclination to imagine something's wrong. And I want to say this, because I think it'll make you feel better about what you did. Imagine living your entire life, under the assumption that everything was going wrong all the time. Oh, that's not how our brains are wired. If we thought like that, you'd never make it through walking across the room, let alone a day. Yeah, you know, like, you have to believe. Like, it has to be sort of burned in your wiring that things are going okay. Like, it's gonna be worried if I go outside a tree is not gonna fall on me. You know, you can't even wonder that once you start turning into a person who's like, God, if I go outside a trail fall on me, then you have a problem. So you were having a very normal reaction to something, I think, well, like for instance, I'm 46. And I still think one day I'm gonna get in great shape.

Unknown Speaker 16:14
That's never gonna

Scott Benner 16:16
do it never gonna happen. But that's not the point. The point is, is that every day I wake up, and I believe the best for myself, and sometimes that's really important, but go ahead, I'm sorry. So you ignore the numbers. And then,

Emily 16:28
um, so then my grandma called my other Grandma, my, my, my mom's side who had diabetes, and was like, like, hey, like, you know, Emily here has got like a high blood sugar, what should I do? So they actually gave her like a help home line, or something of that sort of, and I remember that my grandma like called the liner, I don't even remember what it what it was. But the person who was on the phone was like asking us all these questions and stuff. And then when we told her like, I was drinking a lot of water and peeing a lot, and like, that was my blood sugar. They were like, cold like immediately to the hospital.

Scott Benner 17:08
So in Canada, they have a phone line, like the butterball hotline, but for diabetes.

Emily 17:13
I don't know. I don't know. I guess that's what Well, I mean, that's what it was. But I don't know what the company was or what

Scott Benner 17:20
the butterball hotline is, by the way. Nope. It's butterball is a company that that produces turkeys. And oh, and around Thanksgiving, they put a hotline up that you can call and ask any question you want about cooking it. And it's a very, it's a free service. And I'm just thinking like, Is there like a diabetes hotline that I didn't know about?

Unknown Speaker 17:38
Did you call them that phone? Like,

Scott Benner 17:39
maybe you were talking to Batman like it's right. It's crazy. That you're 16 and everything I say to you, I think you're not gonna understand. But But you listen to the podcast, right? Yeah, so does my first of all, thank you. And and secondly, but so it's stuff do you constantly find references just like going by you are?

Unknown Speaker 18:02
No, I, I'm okay.

Scott Benner 18:04
As corny as I think I am. That's excellent. Good for me. Now you're on the phone with Batman or the butterball hotline, or wherever you are? And yeah, they're like, Hey, you have diabetes? Yeah. And then you go my arms not broken.

Unknown Speaker 18:18
Yeah, like I'm fine.

Emily 18:21
And then, no, it's actually this is kind of interesting, because then we just went to the hospital. And like, they checked us out and everything. And then I only stayed there for like, a couple hours. Like, my doctor spoke to me. And like, I had some nurses that spoke to me, they gave me insulin, and they were literally, like, just take this much every time you eat. Because what was happening was the next day, I was coming back to Toronto, and I was going to be transferred to that hospital. And so like, I didn't, I wasn't in the hospital for that long. I was in there for like half a day. And then I came out and then I like, had dinner and I took my own shot at my grandma's house. And then the next day, I came back home. And I was like, I remember like I was in the car. And I was like Oh mom look at all of this. And I just like open like my diabetes bag. There's all these like gadgets and stuff that like you know, my parents are like, okay, like, What is all this kind of thing? And then I come home and I like our parents order pizza for dinner and I just like pull up my insulin and like just take pizza for pizza but I didn't know like how much to take really cuz Yeah, well

Scott Benner 19:30
you cuz you were 13 and a doctor who in my mind I imagine is Wayne Gretzky gave you a couple of things and and just was like Yeah, like good luck kid. And and you were like, you really go where the puck is going not where it's been. And then you guys are like yeah, right on and you left and so so sorry. It Canada is like America, slightly colder and I'm acting like it's on the moon but it's still That's no fun to imagine.

Unknown Speaker 20:01
Mmm hmm. So are you saying

Scott Benner 20:03
your parents like flat out didn't know when you got home? They were just like, Hey, what's all that stuff? Or your grandmother must have called and said, Hey, I'm taking your daughter to the hospital, right?

Unknown Speaker 20:14
Oh, sorry. Yeah, that will go. Okay. No, that's okay. I

Scott Benner 20:16
just want to make sure she wasn't just like, look what we did with me while we were in when we went to the water. And we went to the movies, and we got her diabetes.

Emily 20:25
I actually my grandma was kind of like, I she was kind of, like, scared to tell my parents, right? Because it's such like a heavy like, fake. Like, well, obviously, the doctors called my parents and told them, but then my grandma, like, didn't tell him what, like, didn't talk to my parents after that for like a day or two. And I was like, Damn, I should probably tell them what's happening now. Just

Scott Benner 20:46
scared to talk to them. Or do you think that she was told she was like, everything will be fine? And or

Unknown Speaker 20:54
no idea

Scott Benner 20:56
that maybe she just didn't want to be the face of the news. Like the person who walked in the room and said, Hey, everybody whose kid doesn't have diabetes, raise your hand. And when your parents are putting their hand up, she's like, not so quick. And you're like, maybe she just didn't work. That's a hard thing to tell somebody. Yeah. You know, I always felt bad for the doctors in the emergency room. I actually remember feeling bad for the guy that told us like in the middle, in the middle of the night at 330. Actually, yesterday was Arden's 11th anniversary of our diagnosis. And we didn't even realize, Wow, we didn't realize until Facebook put up a memory thing. My wife's like, hey, do you notice that they aren't was diagnosed and like, I didn't even think of that. But back then it was 330 in the morning, we were like, exhausted, sitting in this like cold, unpleasant, like, oddly lit room. And I remember this guy coming in, and he looked like he wished he was anywhere but in that room with us. He didn't want to tell us, you know what I mean? And I always

Emily 21:57
always remember that face like,

Scott Benner 21:59
I could absolutely draw him he looks like the the right wing for the Toronto Maple Leafs. And so yeah. He had dark hair. It was a little curly. He was about six feet tall. You know, like, like, he just I remember exactly what he looks like. And he wasn't even the guy who helped us afterwards. He just walked. He was just like the he was the specter of death doctor, he just walked in and was like, hey, oh, yeah, that's type one diabetes. He said her life's never gonna be the same. She's gonna need insulin to stay alive. And it Don't worry, it's gonna be okay. And I was like, Don't worry, it's gonna be okay. Doesn't sound like it goes with any of the other words you just used. But, okay. And But yeah, I can picture him right now. But but maybe your grandmother was just like, didn't want to be attached to it or didn't know how to say it or didn't want to be the one to say it? I don't. I don't know. It's interesting.

Emily 22:52
Yeah, um, yeah, but I like just so grateful that like, obviously she like realizes, like, of course, you know? Yeah. Yeah. Well,

Scott Benner 23:01
she cares about you not like your parents who didn't notice your opinions. But you know what, though, in your parents defense, it's like when you lose weight, or get your haircut and people you live with don't notice. And then you leave

Unknown Speaker 23:12
back? Exactly. Yeah.

Scott Benner 23:16
So now you're 13 in school? You know, is it hard? Like when you get on the dog sled in the morning to go to the building where they teach you on chalkboards? Is it? Like what's it like going to school with diabetes? When you're at the conclusion of this episode of the Juicebox Podcast, I would like you to go into the show notes, and click on the links for Dexcom and Omni pod and check out what they have to offer. Now, you might say, Scott, Why should I do that? The answer is I'm commanding you with my mind. I'm sending telepathic waves through your podcast that, and I'm imploring you to click on the links. Now. That's not actually why. The reason why is this, do you have the pleasure of owning a tubeless insulin pump, you are not going to completely understand what freedom is with Type One Diabetes. I talked about here all the time. But the ability to bump and nudge your blood sugar is so key. I know that some people want to say oh, I don't want to pay that much attention. I don't want to always be bumping and doing that. But do you know that it is so much simpler to put a tiny bit of insulin or make a change to your basal rate on a blood sugar of I don't know 120 diagonal up than it is to ignore that blood sugar until it gets to 200 and then you're suddenly fighting with it. I want your days to be full of just happiness, not fights. I want you to be able to make a small adjustment to your blood sugar in two seconds. That stops it from going up or from going down and not spend hours and hours embroiled in this battle with your blood sugar. I don't want you constantly worrying about your kids. I want things to be quick and simple in and out. Quick Hits. Oh, there's something to do. I did it. 35 seconds later, it's over and you don't have to think about it again. And two Not be tethered to something. I mean, that's just a bonus, honestly. But if you go to my Omni pod.com Ford slash juice box, you fill out the tiniest bit of information, and on the pod would be thrilled to send you a no obligation, absolutely free demo pod that you can hold field touch try on and see what you think.

Emily 25:19
That's, it was kind of like, like I made sure like all my teachers knew I had diabetes, honestly, now, I'm just, I don't, because they don't understand it. And by the time I explained it all to them, it's like, it's kind of overwhelming for them. Sure. So I just tell them that like sometimes to get low blood sugars, and like the fact that I take insulin for low blood sugar won't even like make, like, they're not gonna understand anything. So I just tell them that sometimes to get low blood sugars night to eat something, but like, if I take insulin during class, they're not really like, wait, what are you doing? Cuz I told them I have diabetes. But yeah.

Scott Benner 25:55
Wow, that's interesting. So you could probably be a well functioning heroin addict. And they wouldn't even ask questions. You're like, that girl just introduced yourself once in a while. She said, yeah. So we're good with it. Yeah, exactly. And that's that again, Canada, people are so nice. And then do you have to, um, like, do you have your parents have to put like, like plans in place or like legal documents about your care? Or do you just basically say, this is what I'm doing? And

Emily 26:19
I have none of that. Yeah. Like I had to take my exams this summer. And I was like, actually kind of concerned that like, I could get a low blood sugar or something. So I went to my guidance. And I was like, hey, like, I just want like an extra 20 minutes or something if my blood sugar's go low. But they can even like, they really understand what I was talking about. They legit gave me like two extra hours. I'm like, Oh, my exam.

Scott Benner 26:42
You're gonna be in the Canadian Harvard, or the real Harvard by law? Or? So that's so it's just not as, huh? It's not is like, fussy.

Emily 26:56
or anything, either? I don't know. I keep hearing about that. So we don't have that you've

Unknown Speaker 27:01
never had a school nurse? No, no, no. And so how

Scott Benner 27:04
do you consider your son? And this is something you don't have to talk about? If you don't I tell everybody. You don't have to feel pressured to like, give away your own secrets. But do you have? Do you feel like you're a one C is where you want it to be? Is your blood sugar's during the day? Are you happy with them? Or is it one of those things where sometimes people are like, well, I'm at school, there's nothing I can do about it. Or you find your days ago,

Emily 27:29
as school is actually like my best time for blood sugars, because it's a routine that set so it's like, I wake up, I pretty much like usually have the same thing for breakfast. So you can really get it down. Yep. But then what happens is over the summer, like it's a completely new routine, like I'm not waking up at 8am and waking up at like 10. And by then, like your hormones have already kicked in, or whatever. So it's like a completely different beginning already. So I've had a bit of I've definitely had some harder time controlling it at home in the summertime. But it's cool. It's really not that bad. Yeah. It's the rich,

Scott Benner 28:03
it was. So this is interesting. I just realized that there's this great advice I give to people I talk to. And by the way, it's not really advice, Emily, why is that? Because nothing you hear on the Juicebox Podcast is advice, medical or otherwise, but but it's this thing I say to people, when I talk to them privately, then I realize I've never said on the podcast, but you just made this great point. And I just said it to somebody a few days ago, I gave them kind of like these sort of new tools to try to try to get things under control a little bit. And I said, it's the weekend coming. That's it's great that it's the weekend. And they said, why I said, well, because I want you to do something that's gonna sound ridiculous, and really boring. But on Saturday and Sunday, I want you to make the same exact thing for breakfast, lunch and dinner on both days. And they're like, why? And I'm like, well, because you can take a shot at it right? You can say, Okay, I think it's gonna be this much and it takes this much pre balls. And then you'll find out what happens, you were still high afterwards or not as high as you usually are low or whatever. And then the next day, without any outside interference from food changes, you can make a different decision based on the information from the day before, and then see where it goes. I said if you if you take out the variability of the different foods, it's one less thing to worry about while you're trying to figure out the insulin timing. And I just think that's like, it's the simplest, like advice in the world. But I then tell them the same thing you just said, which is I love it when schools in session because it's so regimented, she gets up at the same time, eats at times, like you know, as active at the same time. It's so easy when you take away some of the variability. So yeah, so you find the same thing then at school is easier than summertime, or something like that. You know, there's one at 12 months there.

Emily 29:54
It's actually quite nice actually this like we've had quite a warm summer

Scott Benner 29:58
or point seven months. See if you use the conversion chart here from 12. Sorry.

Emily 30:04
Um, but no like in Toronto, it doesn't really snow that like it snows, but it doesn't snow, like five feet or whatever. Like it was in Ottawa or something.

Scott Benner 30:14
But one of the real big cities like in the middle of

Unknown Speaker 30:17
a glacier. Yeah, exactly.

Scott Benner 30:20
Okay, so school is pretty, it's pretty easy. But how was it back then when you were 13? You were just like, what did you do? We just like, Hey, I'll take this needle and give myself about this much insulin or how did it?

Emily 30:32
Well, like obviously, when I came back home that summer, like, we when I got transferred to the new hospital the whole time. They kind of took me into like a step by step process, like taught me everything again, from scratch. And then to I did figure out obviously, my like insulin to carb ratios and stuff like that.

Scott Benner 30:54
Yeah. And would you say it's your experience, and for all the people that you see online, who are sort of parents like wringing their hands, like I can't send that kid to school, unless he hasn't been, let's say, as a tank made out of insulin, and there's 16 nurses one on each corner of the hallway. And, and someone's gonna have to be with them constantly. And like, would you say to them, hey, none of that ever happened for me, and I was fine. There's been some talk recently about a new product, and people are calling it a CGM, a continuous glucose monitor, but it is not. It is not a continuous glucose monitor. It's a glucose monitor that you have to hold something to, for it to show you your blood sugar. That doesn't give you an alarm. That doesn't tell you Oh, my God, my blood sugar's falling. It's rising. It's that's, that's not the same thing as the Dexcom. Oh, I'm upset. But I'm gonna calm down for the next combat. continuous glucose monitoring. You listen to this podcast, you understand what it does, you know how important it is? I really shouldn't have to say anything else, I should stop right now just tell you dexcom.com Ford slash juicebox. Go find out more. But I won't, I'll give you a little more. There is a world where your child can be at school, or on a playground or in a park, or at a friend's house or to sleep over where you can see their blood sugar in real time. Going up going down? How fast is this a crazy spike? Do I need insulin? Can I wait a second, all of this information comes from your dexcom continuous glucose monitor. And with that feedback, you can make decisions that directly affect your health and your happiness and just how good your day goes. You know, if I test my blood sugar with a regular meter, I say Oh, it's 80. I don't know if it's 80. It's falling, or it's 80. And it's stable. There's a huge difference. Dexcom tells you you're at a stable, your 80 is actually drifting up your abs drifting down, your ad is falling fast. These decisions that we talked about here every day, they come from the data that comes from the Dexcom. And you can have one too, just by going to dexcom.com Ford slash juice box and finding out more.

Do you remember at the beginning of the podcast where I was talking about how Emily is sort of gonna just magically tell you how not to be afraid. Just listen to this?

Unknown Speaker 33:14
Ah, yeah, not

Emily 33:15
Yeah, it doesn't. Yeah, it's not that bad. What I did what I did do that, like I really like, like, my mom literally bought me like a box of those mini juice boxes. And I put it at like the top of my locker shelf. And so if I didn't have like, if I didn't bring juice with me to school, or if I didn't have something to eat when I was little, I could just go to my locker and I had this huge box of stock juice boxes,

Scott Benner 33:40
and you ever, ever have a bad low at school? Um,

Emily 33:46
yeah, actually, I had? Well, first I want to say that I had a teacher who was really funny. And he would say that every time I was low to ask him for a Mars bar, he just had like a whole bunch of them in his desk. But all the other students would never understand. Like, why was I asking my teacher for a Mars bar, just like randomly during class. And like he wouldn't give them any other students. It was kind of just a joke between like the students and the teacher and stuff. And so that was really nice until my mom told the teacher like, hey, okay, she has juice you don't have to give her a Mars bar. So

Scott Benner 34:20
this teacher with a Mars bar problem who was using your diabetes as a as an excuse to keep a bunch of Mars bars on his desk is what I'm hearing but it's but how you said you had a bad low How long were you unable to help yourself or not? Okay, well,

Emily 34:35
it wasn't more it wasn't as much of a bad low was it was just a bad timing. I was doing a musical for school. And I was just about to go on stage and I had a horrible like, I was getting really low. And so what happened was I didn't have juice on me because you know, I don't know why, but I know do you saw me so I had to like go back to my locker. But they had to like pause the Musical for me.

Unknown Speaker 35:02
My locker. My

Scott Benner 35:06
Hello, Dolly. Oh, everybody, just one second. Exactly. And so it wasn't bad like you weren't incapacitated, it was just really horribly time. So what I'm assuming is now as you're speaking, once this, you know gets released is just a ton of Facebook support groups or parents are shutting down because they're just like, oh, apparently we're worried about a lot of stuff for nothing. I will tell you that. I never, I never do this because I don't want to make people feel badly. But you know, there's a big you know, when school starts again, you see a lot of moms are like, okay, here's the supplies we're sending. And it looks like, it looks like a military drop. Like, you know, I mean, like, there's like giant skids of things wrapped in like, like Saran that's gonna have to parachuted into the people on the front lines, it gets so much stuff. And when we, when Arden starts school back up in a couple of weeks, we take her nurse, this is so funny, we take her a brick of juice boxes. Yeah, an omni pod, just one. And I give her a ketone meter because that I actually want to be in the building. Right? That's a thing. Yes, I have a meter a blood ketone meter, it's so great. You just you just be I don't know, it's just test your blood sugar accepted. Your ketones is that I'll I'll put a link in the show notes too. And I'll send it to you so you can see what it is. But so it's these three things. And we bring them in. And I'm like, I only do it to make the nurse feel better. And then at the end of the year, I go back, we throw out the juice boxes, and I take the pot back and I give her like give her glucagon too, because that makes her feel good. And I'm like, here's a you know, here's a glucagon and a pump. Now that I put the extra pump there in case Arden ever needs to change, and I bring a pump that somehow fails. And so we have an extra one. But in my heart, I don't really want to give her anything. Oh, as Arden since Arden is going to go into eighth grade this year. She's 13. And she has not been to the nurse for diabetes since second grade. Wow. Yeah. So I don't. So when I see everybody with their stuff.

Unknown Speaker 37:19
Excuse me, I

Scott Benner 37:19
don't want to make them feel badly. So I'm not like, Hey, here's our stuff to go this year. It's a glucose thing. But at the same time, I'm like, Wow, you've sent enough stuff into keep seven kids with diabetes. Like, like if they had a problem every day. And and I do know, but I understand the anxiety. Yeah, because I had it. I had it too. But your parents didn't have it? Did they not know enough about it to be anxious? Or were they just super Zen people? Or?

Emily 37:48
No, no, actually, I think I want to say I think it's kind of bold, like cuz I yeah, I think it's kind of both but um, yeah, I just have juice boxes in my locker. And what's nice is there actually, there's actually like two or three other diabetic students in my school. And one of them was in my grade. So like, obviously, I keep spare needles, test strips meter on my Walker. Yeah. But if I ever needed anything, like there was one time last year, I had, I didn't have enough infant pine needles, because I just want to rush in the morning. And I didn't bring an extra one with me. Um, and I was like, frantically trying to find him before lunch. But I could just like get an extra needle. But that's really nice that there are students in the school who have diabetes, so we just kind of like,

Scott Benner 38:36
do you have your own needle, give your own needle share program? And? Well, I just think if what you're saying is, is wonderful, and it's fascinating at the same time, and I think there are probably and I want to talk to the people right now who are like, God, am I overreacting? Probably not, but probably a little bit and just know that right now in the back of Emily's head. She's thinking to my parents not care about me. And why? Why are they not sending a bunch of stuff to school with me? They're just like, go get them killer. Go where the pucks going, and you're like, right on, and then that's the end of it. But that's really it's really cool, though. So at home, did they not have very much? Like, how much interaction did you do your parents have with your diabetes?

Emily 39:24
Um, well, initially, it was like, my mom was helping me like every dose and stuff like that was like, literally like the first week or like two month I was diagnosed. But then like, after that, I was like, Okay, this isn't that bad. And so I kind of you know, and then when you start have to adjusting insulin doses and stuff, I kind of got it. I think I jumped ahead of her a little bit, and just kind of started doing it on my own and then and I don't know, and there's just a lot to keep up with. If you're not someone who has it. It's a lot. It's hard to understand every little thing about it. And it's like I kind of already did. So I'd have to explain things to her and she it kind of looked like like I was taking care of it myself. So she kind of let off a little bit and

Scott Benner 40:04
so while you were doing this and I do want to if you don't want to tell me you don't have to but while you're doing all this like how was your anyone say?

Emily 40:10
Oh, it was actually really good my a once you right now is seven which is the highest it's ever been. It was like sitting in like the six or something. I think my agency went up this time around because of exams I was just like stressed like crazy this year for like, a couple weeks so

Scott Benner 40:27
and so. Okay, so let's everybody take a deep breath here because well no, no, no I'm, I'm thinking about the people are listening are like how is a 16 year old doing so much better at this than I am? Because I'm starting to hate you a little bit as you're talking. And and

Unknown Speaker 40:43
no, I have no idea what I'm doing. She's just like, and it's working.

Emily 40:51
Well, I think I was honeymooning for such a long time to okay, but I literally like have like a cinnamon bond and like juice and like take like three units of insulin and be fine. Like that's when I was like the first year or two I was diagnosed like, I'm like my I go back to see my doctor and he'd be like, yep, you're still honeymooning. So I that really helped. Like I was planning but now you have

Scott Benner 41:13
you been Dexcom CGM. Now how long have you had one?

Emily 41:16
Ah, actually, like less than six months?

Scott Benner 41:18
I think. Okay. And in Canada, you can't just buy them the way we get them. Like, you have to go to Tim Hortons or something. Right?

Emily 41:25
No, like, no, the only difference is there's just no insurance.

Scott Benner 41:28
Okay, so you have to pay tax. Wow. That's crazy. And yeah. How many loons is that? I'm just kidding.

Emily 41:37
I don't know. I don't know the exact price right now.

Scott Benner 41:41
But it's expensive. Yeah, no. Okay. So you've had it for six months. So let me Let's know, we've got a good feeling for that. You're just like being here. Some insol have a cinnamon bun. No, I don't have a needle. I'll ask a friend at school. It's all good.

Emily 41:54
And and so I'm sorry, sorry. I'll have a nymo bar away. And then nymo bar.

Scott Benner 41:59
Okay, that's not something we know about.

Unknown Speaker 42:02
dessert.

Unknown Speaker 42:02
So there you go.

Scott Benner 42:04
Do you know what a maple long john is? No. interest, I'll

Unknown Speaker 42:08
have a jug of maple

Scott Benner 42:09
syrup. Just a jug of it. Just say I'm low. I'm gonna lick this tree. So. So you now you've had a dexcom for six months. So now you can really see. You can see what's happening. It's not just like, Hey, I ate something. I gave myself insulin. And however many hours later when I tested again, my blood sugar was kind of where I wanted it to be. I'm good. So when you first got it, what's the first thing that struck you about your management that because you must have something must have happened that you thought, wow, I'm doing great or Geez, I have to change this?

Emily 42:40
Um, no, I think my insulin sensitivity was just really good. And like because I was honeymooning, like, initially, it was just super easy. Like, I was like people struggling with diabetes and high blood sugars. What are you talking about?

Scott Benner 42:52
Yeah, you're doing, obviously just

Emily 42:56
do it. And then no, after I kind of got out of the honeymoon period, I was obviously still dealing with it on my like, mostly on my own, which I was like, which is fine. I like I like doing, like being independent with it. And sure. But then it started to get kind of tricky. And then we switched to an insulin pump. And that was really nice. That kind of calmed down a little bit. Because, you know, if you if you didn't take the full amount of insulin for a meal, and you have to like keep correcting or adding or whatever having 10s was really hard for that,

Scott Benner 43:26
right? Because you just have to keep sticking yourself. So So yeah, we have a pump now now.

Emily 43:31
Now I don't have a pump anymore. What happened?

Unknown Speaker 43:34
Well,

Emily 43:36
my reason for that is that I got into running and jogging or whatever, just to kind of pull down those blood sugars. And it's just a really nice, like, stress relieving thing. And I really enjoy it and having an insulin pump on me was really difficult. When you're running. It's like every thought like you feel your insulin pump like on your hip. Right. So

Scott Benner 43:54
what kind of pump are you using?

Emily 43:56
I was using an animus. I honestly don't even remember the name. I haven't looked at my pump in like a year. So

Scott Benner 44:03
this is interesting. So you had a pump that you enjoyed, because it was keeping you from having to give yourself as many injections as you want as you needed to to be kind of aggressive with your blood sugar. But because of running, you stop using it went back to pens.

Emily 44:16
Yeah, okay. And I've, I've actually had, like, I haven't minded using pens at all, it's been pretty, like, it's just like, I think of going back to a pump every once in a while. But then I think about running or exercising with my insulin pump on and I just it's not worth it. In fact, we're kind of out right now.

Scott Benner 44:35
Do you not have do you have on the pod in Canada? You do, right?

Unknown Speaker 44:39
Yeah, we do.

Scott Benner 44:40
And so that not having a controller thing. Feel like something you could want to try it or no?

Emily 44:49
I thought about it, actually. Yeah, it's just what the problem was. I have my old insulin pump sitting sitting in my bedroom right now.

Scott Benner 44:57
So I've got some pumps. You're like, I have I'm on fancy. But so I'm not trying to. I talked around a little bit because I don't I want to make it sound like I'm like, Hey, you know, on the pod sponsors this pocket. Yeah, you should really try. There's like that. But but at the same time, I am interested because there was a benefit there that you had with the ping that I'm assuming he was being hit with the animals. You really like that? I'm assuming you still missed that benefit of being able to kind of not do that. But you made a choice. Obviously, one thing was more important than the other. But what if there wasn't a choice to be made? If would you want it back if that didn't exist?

Emily 45:36
Um, maybe it's just also infusion sets are really uncomfortable more than, like, dexcom sensor things or whatever they're called, aren't that painful at all. Like, when you put them in, it can hurt but other than that, like it doesn't hurt whereas fusion such do hurt. I find you

Scott Benner 45:53
didn't like it. So now, I will tell you that. I think that anybody, people who have been around diabetes longer would probably tell you that every infusion for that feels different. I guess, if the one you got that wasn't comfortable. I would. I'd be thinking about that too. Actually. I was hoping I'd be like, you know what, that hurt? So we're not doing the point. Yeah. Okay. So that is very interesting. So you so you're still being so you listen to the podcast? Like do you employ any of the things we talked about? Do you give yourself insulin before meals or do you?

Unknown Speaker 46:23
Um, yeah, something?

Scott Benner 46:24
How do you manage a meal?

Emily 46:27
Ah, okay. Well, so I am like, I don't eat, eat. So I do eat a lot more carbs. And like, the average person does I think

Unknown Speaker 46:36
don't eat. You're saying, Yeah,

Emily 46:39
I'm vegan. Okay, so, um, so for a meal, for example, I'll have like, around 30 to 60 carbs on average. Um, and I like people to sing like that was something I didn't take seriously until you mentioned it until I heard your podcast and I was like, Yeah, I really should get on board with that. And so people listening really helps. I'm excited to like go back to school. Really try that because that wasn't something I did throughout the school year. Another thing that really So yeah, I usually tell people my meal, and yeah, I usually guess the amount of insulin I take. I honestly don't use insulin to carb ratios because

Scott Benner 47:18
I don't either. I did. I really hit last night I made um, I'm sorry. You're a vegan. So I feel that I feel

Unknown Speaker 47:25
I don't know. I don't.

Scott Benner 47:26
So I made. I made pulled pork yesterday. So it's pork, but then it has barbecue sauce on it. And then it's on a roll and then we had it with chips. And I got hardens, I got Arden's bolus for that. So perfect. I was just like it when it was over. I thought there should be like an award show right now because I get up on stage and receive my award now. It just worked out so well. And then late at night. She's like, I want to get a snack. And I was like, sure. And she wanted popcorn. I made her popcorn. And then I just I over Bolus, the popcorn. And that's how she got the low like later. Oh, I should I just missed on that. Um, anyway. But But the point is the polpark has, I don't know how much barbecue sauces, which obviously has sugar in it. And then bread and then chips on the side like all this stuff. And I just looked at I and she she squirted like some sauce. She was gonna dip something in, I just remember looking at the plate

Emily 48:23
and counting so hard to like have an insulin to carb ratio and like exact and just,

Scott Benner 48:28
it would just I would have banged my head against the wall if I had. There's 18 chips there and each chips a carb and a half and the rolls 20. I just looked at I went 234567 Let's try seven and a half. Yeah. So I got the seven but the seven and a half and went and it was done. Yeah. When when you can get to that point. I just think everything's a lot easier. By the way. I think that most people who have had diabetes for a while just look at a plate and go I think this is about this much insulin, but when you're wrong, then what? Blood Sugar Do you not allow yourself to go pass before you give yourself more?

Unknown Speaker 49:07
I'm 10

Unknown Speaker 49:09
which is 180.

Emily 49:10
Okay, that's like my like once I hit 10 I'm like, Okay, I'm going to take more insulin, somewhere around there. And that's

Scott Benner 49:17
after a meal. So you assume when you get to 180 you assume I've missed on the carbs.

Emily 49:22
Yeah, um, and I did do some The thing is with eating like a lot as much carbs as I do eat, like I actually do the opposite of what a lot of diabetics do which is the high fat low carb I do the high carb low fat but with eating a lot of like potatoes rice beans, stuff like that. Your your sugar, your blood sugars will like go up kind of like no matter what but because I'm not eating fat with my meal, my blood sugar's won't stay up long at all like it'll just go up for like five to 10 minutes. 15 minutes, 20 minutes max and just come right back down. Good. Like if anything, kind of Quickly, so I have to kind of pay attention to what I'm doing and not just. Yeah. Well, like,

Scott Benner 50:07
it sounds like it sounds like to me that if you if you're just getting a 20 minute jump like that, though, a slightly longer Pre-Bolus might take that out. Yeah, I think.

Emily 50:19
Yeah, yeah, exactly. Yeah. and I both think write out a meal. That's kind of what will happen naturally. But yeah,

Scott Benner 50:24
because if you think, you know, it's just this, there's a million different odd ways to explain it. But in the end, it's a tug of war between the carbs and the insulin, right, exactly. And your goal was for the rope to never move. But you need to give, if you're going to use if you're going to stack the carbs side with so many strong guys, then you gotta, you gotta let the insulin guys pull a couple minutes before you let the carb guys pull that, yeah, and it sounds like you're really close to that. I mean, the other thing is to if you had a pump, especially with this higher carb stuff, you could be using temp basals, which I would think would be amazing for you. The one thing that I can think of is you missing more than anything, because if you're not, I don't know what the word is, if you're not concerned with injecting more often, to keep your blood sugar down after a meal, then that's, that's you. That's personal, that's fine. But you're missing out on the being able to like crank your Basal up for something. That's the that's the one aspect you can't you know, you can't reproduce with with injections. I

Emily 51:28
guess. That's true. Yeah. But I do find that eating cuz I'm not eating like a lot of fast with my meal. I do find that my insulin sensitivity is quite good, though. Which is really nice.

Scott Benner 51:39
So it works the way you expect it to.

Emily 51:41
Yeah, for the most part, until I have like a bad like, if I have like for example cake or something then that's like, all hell breaks loose. Like, you know, if I'm having like a bowl of rice then yeah, pretty good.

Scott Benner 51:55
Yeah, yeah, we were at a going away party for my niece leaving for college. And so there was like a dinner. And it was one of those things like you got there. And there were just snacks everywhere. Yeah. And then that was that it was dinner. And then it was like we got a cake and ice cream. And I was just like, I hear you. And so but we really did well with it. It was just there was a lot of it's funny. Because doctors they don't stack and so it was a lot of like, Hey, here's some now do some more do extra here. Got ice cream. Yeah, you think you're gonna eat all that like like there was a lot of those little like sidebar quick conversations. But we did a good job, man. We kept our blood sugar was really good. Actually there. Yeah. But but it was a lot of was a lot of that. It was a lot of here's a little more. Here's a little more. Here's a little more if she was injecting and was a person who didn't enjoy, you know, or was, you know, kind of bristled about the injections. I don't know if she would have skipped food. Like, I don't know what people do in that situation. Oh, yeah. Never do that. Do you ever look at food and go, it's not worth it?

Emily 52:59
Ah, no, actually, I really try not to but sometimes, like, I had that same scenario. We went out for dinner with friends and I got like appetizers, and then the appetizers were like, you know, nachos or whatever. So I took like, a whole bunch of insulin for the nachos already. Because what happens is, for example, like if I have a pizza without cheese, like that's still like 60 carbs or so. But I can take way less insulin for that. Then I'll take with pizza with cheese.

Unknown Speaker 53:26
Okay, because

Scott Benner 53:28
Sorry, just the fact that cheese is gone.

Emily 53:30
Exactly. Yeah. But the second like, for example, so yeah, we were having nachos with cheese and stuff like that. And like, it's hard to be, you know, you can't, for my own mental health. Like, I'm not going to force myself to be vegan 100% of the time. So because I had nachos with cheese and stuff. I was like, trying to just have nachos. But yeah, I did. I still took it take a bit more. And then we had dinner. And that, for me was a veggie burger with fries. So then I had to take a whole bunch more info on top of that. And then we had dessert, which was cake so that I had to see I injected myself like four times and like, you know, Ben, three hours. That's

Scott Benner 54:05
right. So it the injections really don't bother you at all? Hmm.

Unknown Speaker 54:10
Not really. Yeah, that's cool.

Scott Benner 54:11
No, it really is I you know, because that's, we, I think I'm about to put it out. But we did this episode where it was about MDI. And, and you know, somebody's like, Well, how do you do what you do but without the pump? And after the conversation, I said, you can't completely because of the the inability to to adjust the basal rates. But in the end, the answer just is you have to be willing to inject a lot and if you just gotta suck it up. You are it's then it's that it's completely possible. It just you have to be able to you have to be willing to do that. And if you're not, then it's not that it can't be done with MDI and say you don't want to do the things that it's going to take to deal with them di

Emily 54:52
like, Oh, you just got a master like carb counting perfectly and Pre-Bolus and perfectly like all you have to

Scott Benner 54:57
do is figure out how to count carbs completely. Perfect. In pretty great time, and you'll only have to inject one time

Emily 55:04
and predict the future because you know you're eating something else, right?

Scott Benner 55:08
also be clairvoyant, you're 100%. Right? It's pretty simple.

Emily 55:11
Yeah, yeah, it's super simple. Yeah. I've had to like, I've had to, like, explain why I've like gone low, or like why I'm high sometimes to like people. And I'm like, and I'm like, oh, because I did this. And I did that. And I did that. And then I did that. But then this happened. Like, I was talking to my dad one time, and it was like, we were on a walk, and I went low. And it was right after dinner. So he was like, Oh, why are you low? Like, I wouldn't have it. Like, you wouldn't expect that I'd be low after dinner, right? And I was like, No, I took the right amount of insulin. And everything was fine. But then what happened was, I didn't calculate the fact that I just got gone running like, three hours earlier. Like, who would have thought to think about that? You know, like, sometimes there's just little things that you miss, and they make the world over. Yeah. And the result of your blood sugar. So

Scott Benner 56:03
no little things make the world over. That's a, that's a good thing to remember. Because it is seriously because it's these tiny little variables that I mean, you're just a person, right? You can't. Sometimes it's like, oh, look, there's dinner. It's bad enough that I have to go I think it'll take this much insulin, I should probably take attendance before I eat bah, bah, bah, all that stuff. What to do. And and to like, you know, not think, Oh, I went for a run. Three hours. Yeah, I should probably take a little less. That's just Oh, and it's like, oh, you know, I'm

Emily 56:33
feeling kind of stressed. Like, Oh, I should

Scott Benner 56:36
put more insulin because yeah, the day the day that I realized that I had to in to give Arden insulin for adrenaline while she was playing sports. Oh, that was like, I remember thinking, I can't believe I'm about to give her insulin, her blood sugar's 100. Like, her blood sugar is 5.5. And I'm gonna give her insulin with no carbs. And I

Unknown Speaker 57:00
thought crazy. I would never have given myself for that.

Scott Benner 57:03
Exactly. But I knew what was about to happen was she was I, I learned it while she was playing basketball when she was little as if they're going to that game is going to start and her blood sugar is going to jump up 120 points. Her blood sugar would have went from 5.5 to 12.2 without insulin while she was playing. Yeah, but then when the game's over an hour later, all that insulin that held her blood sugar down while the adrenaline was hitting or some of it was still there. But then the adrenaline disappeared. So imagine if all the carbs

Unknown Speaker 57:33
in your adrenalin goes away, just drop. Yeah,

Scott Benner 57:35
that's it. Yeah. Like, like, imagine if you took this big bolus for this giant veggie burger. And then what, like, 10 minutes later, I was able to reach in your stomach and pull out the veggie burger. You'd be like, I need those carbs now. And so that's when the adrenaline just disappears. It's crazy. It really is. So Emily, we're coming up on an hour because you are super chatty, which is fantastic. No, no, no, don't be sorry. It's a podcast. Can you imagine if you didn't talk? I just say something, please. But But you were really great that you said in your email. I'm an extrovert, because I was a little like, you're like, when I hear from kids. Like and I'm sorry. But you know, in my mind, I'm just like, I got I hope they can hold the conversation up because it's an hours a lot more talking than you think it is. And and you were like, No, I'm an extrovert. I can do it. I was like, right on. I was like, well, I want to hear about this Instagram thing. So she's totally coming. Now in the background. Is that a moose? I hear or

Unknown Speaker 58:30
my brother who forgot.

Scott Benner 58:32
No, it's fine. I thought I thought it might be the abominable snowman. I wasn't 100% Sure. No,

Emily 58:38
it's a it's a dever walking through our front yard.

Scott Benner 58:43
It's a beaver walking through my yard. That might be the title of the episode. So it just yeah, I I imagined you live in like in in a city that looks exactly like most of the places in America. Yep. Yes. But in my mind, there's a there's a moose and a beaver out front. And they have this

Unknown Speaker 59:02
igloo somewhere. Probably. Yeah.

Scott Benner 59:08
And that bird that you guys only have that we don't have?

Unknown Speaker 59:11
I don't know. Yeah, I don't either. I'm just simply Jay. I don't know. Everyone has there's me stopping silly plays.

Scott Benner 59:19
So tell me tell me because we do have a couple minutes and I want to get a couple things out of here real quick. But as a 16 year old listening to a podcast First of all, I had fun How'd you find the pie as you just search iTunes or? Yeah,

Emily 59:34
I saw I think I saw your Instagram first or I saw somebody else who's talking about the podcast on Instagram.

Scott Benner 59:40
And what's been your takeaway from it so far? Like if you could say to somebody The one thing I've gotten out of this is

Emily 59:46
this like how like cuz you realize that people are dealing with the same issues but then you don't realize on what level and like it's really relatable all the podcasts obviously because I have the same problem. So Yeah,

Scott Benner 1:00:00
so it's for you. It's mostly community like finding community. Yeah,

it's not as much nuts and bolts about the insulin and stuff like that.

Emily 1:00:07
I've definitely learned stuff like being bold, insulin like doctor. I know, my endo is like really, really nice and informative, but I think he he's more on the safe side with things right? Whereas this is like you're kind of like, no, like if you think you need this much more influence than like, take it like, you know, don't be more or less on the safe side will

Unknown Speaker 1:00:27
say that.

Scott Benner 1:00:28
But isn't it interesting that we call we call like letting your budget or behind the safe side? Yeah, yeah, that's it's it's is that that completely lends to the idea of how dangerous insulin can be if you use it wrong. You know, like that you would consider like, Hey, I'll just leave my blood sugar high my whole life. Sure, maybe when I'm 40 my fingers won't be able to feel like things but you know, at least I'm not. And like, it's it's a weird, it's a weird trade off to make. I get it. Like I understand how the fear hits people. But that is sort of my goal is for to hope people are just like less afraid, but you're not afraid of anything. So you're like, well, you're probably afraid of like, weird stuff. Like boys are. Like that kind of stuff. Right? So that's really interesting due date.

Unknown Speaker 1:01:17
Ah, no, I'm not dating,

Scott Benner 1:01:19
by the way. Good. I appreciate this. Let's spend the last two minutes I'm going to give you some good fatherly advice.

Unknown Speaker 1:01:25
Okay, go

Scott Benner 1:01:26
boys are terrible. And they will only ruin your life. I have destroyed my wife's life. And I loved her. And I didn't even mean to. But I made her. I gave her these kids. And now we have a house. And she seemed I know, I just liked her. And I liked her right into a life she didn't want. She was

Unknown Speaker 1:01:45
hilarious.

Scott Benner 1:01:46
Yes. When boys are being nice to you, I want you to run the other way. Do you understand me? And this is the same information your father would give you just wrong. Yeah, actually, it's

Emily 1:01:55
very similar. Father.

Scott Benner 1:01:57
Yeah. Well, just absolutely. Boys are icky, I think is what you should learn from all this. All right. So what have we learned from talking to you? It's like a wrap up. For me. In my mind, I think we've learned that there's seriously the lack of fear that existed in a 13 year old seriously led to you learning so much about your diabetes, because you were able to just say, Hey, I did this, and this happened, or I did this, I should have done that and pick and figure your way through it. Because you weren't at 13 thinking, if I mess this up, I'm gonna have a seizure and fall on the floor. You weren't, you weren't thinking about that. You were like, 13 you were like, I gotta get through my day, I got to go to my locker and get my stuff I have to do it. I think that there's seriously a huge lesson in the story of how you started taking care of yourself like it there is. People should wonder how much of the impediments they're seeing are self inflicted? Like, because that's what I got out of this. Is that is that a lot of the fear I had at one point I may have put on myself. That's it.

Emily 1:03:07
But the fear is inevitable, right? Like, it's natural. But it's

Scott Benner 1:03:13
I think it's how you respond to it is the question.

Unknown Speaker 1:03:15
Oh, yeah. Yeah. Like,

Scott Benner 1:03:16
do you look at it and just throw your hands up and go, I'm just gonna leave my blood sugar at 11.3.

Unknown Speaker 1:03:23
Because

Scott Benner 1:03:24
I because I don't want to worry about a low blood sugar today. But you didn't think about that. And so you were able to really figure things out because you were. I don't know you had the you just got to do it. Yeah. And you were naive, like a 13 year old. So you just weren't you weren't worried about? myself? Yeah. But yeah, right. You're just like, Here, I'll just jam this thing in here. And it'll be fine. I'll do it again. If I have to do it. No worries. It's all gonna be good. Blah, blah, blah. It seriously that if people didn't take that from this, I don't think they were listening to you. So I think that's what I'm gonna remember from this is the next time I feel scared from something. Maybe the thing to do is just not to, not to overthink it.

Unknown Speaker 1:04:03
Yeah. You really can't. No, no

Scott Benner 1:04:05
kidding me. You're fantastic. I wish you were my daughter. Oh, no. Yeah. All right. Before we go, Why do I not want you to be my daughter? What is what what's your big what do you do that that I would be like, Oh my God, why was this kid mouse?

Emily 1:04:20
No, this was like, I had a job interview. The other day lady was asking me like, what my or my boss I guess was asking me like, what my biggest weaknesses. I was like, I don't know. Like,

Scott Benner 1:04:30
you should have said like, I can't think of my weaknesses. It's my biggest weakness.

Emily 1:04:35
Yeah, actually, I did say that as a joke first and then quickly found something and

Scott Benner 1:04:39
then you were like, I need a job. I better say something. And so you are now assistant to the queen or what? What

Unknown Speaker 1:04:47
is it? You're doing? Um,

Emily 1:04:50
I'm just working at a bakery now. So nice.

Scott Benner 1:04:52
There's a better place for a person with diabetes. I know. So are you like out front, are you making the food I'm now interested in this.

Emily 1:05:03
Um, I just serve customers and like she was she was actually making me go through like my training and she was like, making me memorize all the different names of all the cookies and stuff. So yeah, I just started customers.

Scott Benner 1:05:16
That's cool. And and now it'd be interesting for you to because you're going to be walking around a lot more all of a sudden. And that's true. Yeah, at least if you get low, you'll be good with. Yeah, handled, they're probably powdered sugar in a giant pile somewhere.

Unknown Speaker 1:05:28
So Exactly. I have a handful of cookies.

Scott Benner 1:05:31
I actually worked in a bakery when I was like, 19. But I was making the food. And the job started at 2am. And I did it for a very short amount of time. And I was like, I am not a person who couldn't go to work at two o'clock in the morning. So I stopped. But I wish you a lot of luck with your job. I know you're probably saving up money to travel truck. Really? Where do you wanna go? Ah,

Emily 1:05:54
I don't know. Maybe France or something like that. Yeah,

Scott Benner 1:05:57
by yourself. Do you imagine Are you gonna let some

Emily 1:06:00
I don't know. Just like after high school or whatever. Just saving money

Scott Benner 1:06:04
for the sake of enough money so that you can travel after high school? Mm hmm. I'm back to want you to be my daughter. That was pretty good answer. All right, Emily, I really appreciate you coming on the podcast and being interested in doing this. Thank you so very much for taking the time.

Unknown Speaker 1:06:17
Oh, thank you.

Scott Benner 1:06:19
It was great. I knew when so quickly. I feel bad for ending it because I was like, I feel like we can keep talking. Maybe we'll have to do a part two sometime. Okay, sounds good. The Juicebox Podcast is proudly sponsored by Omnipod and Dexcom. And I want to implore you to click on the link in the show notes and find out more about them. Let's thank Emily for coming on and being so fantastic, honest, open and for just sharing with us her attitude that I think is the basis for like I said earlier for getting rid of your fear. There is something pure and intrinsically important about how she spoke about her diabetes. And really if you take one thing away from this episode, it should be that feeling. I will see you next week with another episode that Juicebox Podcast


Donate

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