#485 Altered Minds

May 28, 2021Scott Benner

Scott and Jenny Smith, CDE share insights on type 1 diabetes care.

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

Scott Benner 0:00
Hello, and welcome to Episode 485 of the Juicebox Podcast. Guess who's on the show today.

Today on the podcast, I'm joined by Jenny Smith. Jenny, of course, is from all the defining diabetes episodes, and the pro tip series. And today she's here to talk about how people can be altered in their, in their minds when their blood sugars are high or low. Right. So if you're looking for an understanding of what high and low might make someone feel like or could make you feel like this is the episode for you. During this conversation, please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any changes to your health care plan, or becoming bold with insulin.

Jenny holds a bachelor's degree in human nutrition and biology from the University of Wisconsin. She's a registered and licensed dietitian, a certified diabetes educator and a certified trainer on most makes and models of insulin pumps and continuous glucose monitors. One day when I grow up, I hope to be just like Jenny.

The T one D exchange needs 6000 people to join the registry. And I have to keep saying this to you until you do it. So the D one D exchange is looking for T one D adults and T one D caregivers who are us residents. They want you to participate in a quick survey that can be completed in just a few minutes from your phone or computer after you finish the questions. And they are very simple. I completed the survey in about seven minutes. You may be contacted annually to update your information. And they may even ask you a couple more questions. But this is 100% anonymous, it is completely HIPAA compliant. And it does not require you to ever visit a doctor or go to a remote site. See, this is interesting. This is a way for you in just a few minutes to help other people living with Type One Diabetes. Past participants have helped bring increased coverage for test trips, Medicare coverage for CGM, and changes in the ADA guideline for pediatric a one c goals. These are important behind the scenes things that people with type one diabetes need, and you have a unique opportunity to help them. These are not deep probing personal questions. They're pretty simple basic surface diabetes stuff, but they just need the data. Help them at T one d exchange.org. forward slash juicebox. And at the very least, if 6000 of you go right now, but I don't have to say this again. Do it for me.

Unknown Speaker 3:06
I'm kidding. Do it for the other people living with Type One Diabetes. But I mean, if you want to think of me while you're doing it, it's fine. This one's weird. But I will say

Unknown Speaker 3:18
it means it came from

Unknown Speaker 3:19
somebody came from somebody, but it's not

Unknown Speaker 3:21
from somebody.

Scott Benner 3:23
But it but it made a lot of sense to me when they said it. And then I left it on my list for a long time. And every time I look at the list, I'm like, yeah, we're gonna have to talk about that. I think so. Hopefully, I

Unknown Speaker 3:34
have something.

Scott Benner 3:37
So I'm posing this next question to you, Jenny. Because you have diabetes, and you would have you would have a real feeling for what this is? Maybe? We'll see. We'll see. Hopefully, I think you will. So I hear this from either parents or spouses usually. And it's something we make light of in communities and joke about, like I've said before, to my daughter, you know, when she was little, I'm gonna test your blood sugar. And if it's not high or low, you're in trouble. Right? You know, like, because you kind of can't, you can't tell, like, Is somebody acting a certain way because they're altered? Or are they acting a certain way? Because they're, you know, right a pain in the ass. So like, you know, which isn't, but that always makes me feel like what is the person with diabetes hearing when they're altered? And so that's what I want to understand. And when I'm we're gonna do both, but let's start with higher blood sugar. So I know there's no Mendoza line that you can point to perfectly, but I will. I've always said in the past that as ardent as active if her blood sugar starts to creep above 161 80. I could see her slow down, her reactions get slower, things like that. We know that people get cloudier. We've talked about on the podcast a million times as you get higher and higher, but what's it like to be in your head when your blood sugar's higher. Like, like, what if your kids are acting up? Or your husband's being unreasonable? Or you have to make dinner? Like and like, what does that feel like to you?

Jennifer Smith, CDE 5:14
Yeah, I think it to me, it feels one I'm just annoyed. Right? And it's not annoyance with them, it's annoyance for the number for why ever it is where it is, right? And it could be even worse, if it was like a bad site. Right that now, you know, like, fiddling with for a while actually get it. And I think then it the mental piece of that then comes when you're trying to manage this number that you're not happy with. And somebody interrupts that train of thought in that interrupt by, they're not like doing it intentionally to ask you, you know, can we have applesauce for dinner Mom, you know, like, it's just a piece in the mix. So I think mine is more like, it's just a mental struggle at that point. And I do also tend to, I get kind of headachy not so much when I have lows, but more so when I am higher, it's that like, mental that foggy kind of piece. And it makes me feel headachy I'm not the kind that's like a throbbing, but it's like that cloudy kind of headache that you get. Um, and again, that's just an irritating factor in and of itself, too.

Scott Benner 6:36
So there's a mechanical portion of it where it is, you know, for whatever reason, either you may be missed on a Bolus, or like you said, your site went wrong or something. So there's, there's a mechanical thing, I need to fix this thing, which becomes irritating as it would to any person, like, like, if I walked into a doorframe, I'd be like, I cannot believe I just walked into a doorframe like that. So you've got that going on. And then you have the actual act of having to fix it. And then you're focused on that someone else comes in. So this is still all mechanical, like, but then the headache happens. And that's not something like a like a, like a warning light on your palm doesn't go off and say Jenny's got a headache now, right? So when a five year old comes at you, you you can't say to yourself, I'm, I feel a pain in my head that I'm not even aware of yet. I'm going to react it you don't have like, that's not how thinking works. So then you're just level of irritation is, does it? Here's how I just went, here's how my wife puts it. around her period, she'll tell me, I'm not being unreasonable, I just have less space for bullshit is how she puts it.

Unknown Speaker 7:48
That's really great.

Scott Benner 7:52
I don't I think she's covering for herself, but I understand the intent of what she's saying. So there's a there's a ceiling in people before they get upset. Right. And there's all kinds of, of outside irritants that can limit that ceiling. But just your blood sugar being higher physically, can take away from your ability to, to abide both, basically, I guess, correct.

Jennifer Smith, CDE 8:16
And, you know, from my standpoint, too, you know, with the work that I do, and all of the data management that I do and interpreting things for people. I mean, the majority of my management is just because I want to be healthy, right? But the other piece of it is it also leads into my work. Can I get worked on really well, if I'm sitting really high, or if I'm sitting really low? My brain isn't functioning well on either level. So that management piece is always also there to benefit people.

Unknown Speaker 8:51
So I'm not typing out a message that's like, you know, I don't know why your blood sugar.

Scott Benner 8:58
Mary, why don't you just figure it out yourself? I paid this lady to help me with my blood sugar. And she yelled at me. Yeah, that wouldn't be great. No, but but I want people to understand that whether and I think they do. But if I do, I think they do understand that a higher blood sugar could be an issue. But the problem is, again, that you don't walk around as a person with diabetes with your blood sugar across your forehead. So what I come up to you, you're just Jenny to me. I don't know if your blood sugar's to Swanee, and you have a headache. And so how, what I guess what should those people be looking for so that they can back up and go, Oh, you know what, this could be that because even if I understand that your budget, say I come up to you, you react oddly. And I immediately understand it's your blood sugar that's high. If I say to you, oh, your blood sugar is high. I'm sorry. That's just gonna make it worse. Right? That's the, that's the diabetes equivalent of me saying, Oh, you have your period. I won't bring up the car payment right now. Right. Okay. Okay.

Jennifer Smith, CDE 9:58
Yeah, yeah, kind of and I think it does bring up a good. A good point, though, especially for I think this is goes more for adults who have a spouse or a significant other or partner or whatever. Because like Nathan, he follows he's got Dexcom follow, you know if it's got my stuff, but I mean, he doesn't keep it open and follow me all day, he's got the alarm set, and all of that for like, high and low. But other than that, I mean, he just, he lets me alone, honestly, which I'm very thankful for outside of counting carbs for me if he's like done dinner or something, you know, which is awesome. But in that regard, I think it also means that as the person with diabetes, you kind of also have to share more at times. Because as I do more often with my kids, I share with them, you know, this is what I feel like right now and go color in your color book for like 10 minutes while mommy changes her bad pod, or whatever it is, no, but I think it means that you have to express a little bit in order to decrease the chance that somebody is going to interpret your reaction to something in the wrong way. Because certainly, I mean, that's happened if the married a long time. And there's definitely been like blood sugar reasons for reactions that didn't really come out as response that I meant it to come out kind of sounding like. So I think sometimes you have to be open enough to be able to say, Hey, you know, I need this, like 15 minutes to manage around this, come back and like, ask me in a bit, but that's

Scott Benner 11:38
gonna come out as I wish I would have dated your brother and said, there you go. So I have a little context around this, which I've mentioned off and on in the podcast over like, the last year or so. And it's just that my, my iron level got really low. And I completely understand what you're saying, like saying words, not having the intention behind them that the words have, and also not being able to see that it's happening. Like, that's the interesting thing, like when you're saying something to somebody, even if it's a tone, you know, just the wrong tone. And you don't know what's the wrong tone, while you're saying it. Like when you're being sarcastic with somebody when you're, you know, when you're in an argument, you're like, I'm gonna ramp this up, right now, you're aware, you're going to do like, I'm going to say something now that's going to make you upset, but it's happening. And not only do you not know what's happening, but you don't think it's happening. And that's the that's the real fascinating part like is that you're doing this, it feels like it's you're doing it but it's just that there's a level of a trace element or something in your body. For me, it was iron, you know, for you, it's gonna be not enough insulin, and you're just you're not yourself. And it's, um, it's tough, because you're asking, you're getting you're an adult who's ultra where their blood sugar's, like really like your, you know, you do an amazing job for yourself. So maybe you can see it. We're all trying, right, one way or the other. But, but my point is that maybe you've been able to teach yourself over time to go my numbers up, like I won't get involved in an important conversation right now. Or I'll send my kids off the color for a second so that I don't tell them I wish I didn't have children. But But you know, when your kids 16, or you're 24, and you've had diabetes for a year and a half, and you're at work, you don't you're not gonna see that comment like that.

Jennifer Smith, CDE 13:38
No. And mine's more so in terms of like, like, spit out of things that I don't even know that I've like said the way that I've said is more so even when I'm low,

Unknown Speaker 13:50
honestly, yeah,

Scott Benner 13:51
let's switch to that idea. Now.

Jennifer Smith, CDE 13:52
It's, there's much more like the it's like a fragment of like thought in your brain. You're trying to manage how you're feeling with this low while you're probably waiting for the low to not be low anymore. And in that come the things of life. I mean, unless you're a single person and not interacting with kids or adults or other people around you. There's always someone you're interacting with. And that interaction, then in that time period where your brain isn't really firing off, right away. It doesn't you don't interpret it coming out in sort of the jagad way that it does. And then Aftermath is often Well, I'm really sorry, or, you know, I didn't mean that or I've Whoa, I felt like crap. And does it bother me?

Scott Benner 14:45
Does it feel like that afterwards, like after it's over and you're okay. Do you have the guilt that you did something wrong? Because it's not true. Right, you know,

Jennifer Smith, CDE 14:57
right. I mean, I'm only in the scenario that You know, we may have been potentially discussing something or whatnot. And that was the case during that discussion. Yeah, I mean that obviously every time by any means do I feel bad about, you know? Yeah. But yeah, it's a hard, it's a hard thing. And sometimes even with Lowe's, I think that I will have responded to something. And it's been in my head that I've actually and my husband will be like, Did you hear what I asked you? And I'll be like, I told you, whatever. And he's like, No, really,

Unknown Speaker 15:34
he didn't say it out loud.

Jennifer Smith, CDE 15:39
It's just like that muddiness that I think commented about before when I feel like I'm like, sort of like,

Scott Benner 15:45
that's the real low. There's a slide in there. There in the beginning, right. And numbers wise, doesn't really matter. But you know, if you're, the way I think of it with Arden is maybe between, I would say at 65, Arden maintains herself. Hey, Dad, I feel dizzy. You know, like, she's just like that. She's a little kind of jokey about it right there. It's almost like you could be like, hey, let's not do anything and see if you die. And she'd be like, Okay. Yeah. Yeah, right. She's elated for some reason, right there. Okay. And then it goes down and her energy drops away. But if you were to catch her there, somehow she got past the elated part into that part. And that's where you first intersected her. She'd be snappy, like L'Oreal short and nasty, right? And then I think after the nasty is what you were just talking about where the last, the last fragments or thoughts are, right? Yeah. Okay. It's almost like a and then there's, you know, falling over and not being able to help yourself. But as it's happening, are you able to consciously think, hey, my brain is trying to shut off and I'm the only one who's going to stop it. Right? Or does it turn into just a physical like, eat something feeling?

Jennifer Smith, CDE 17:02
I think it's probably a little bit of both. I mean, in my I can remember a specific time. Soon after my first was born, we had gone. I think it was to Kohl's, actually. And I was standing in, and I was nursing obvious at that point. So all the fluxes that can kind of come with blood sugar, and whatnot, mostly like lows, and my husband had gone off looking for something in like the men's department and I was standing like, in the toy department, we are looking for something specific for our little guy. And I can remember feeling low. And like, you can determine like those dropping lows. I was dropping. And so I sat down with my baby on the floor,

Unknown Speaker 17:48
the baby.

Jennifer Smith, CDE 17:50
And I get out, you know, my glucose tablets, and I'm eating my glucose tablets. And I, I had my husband found me, I mean, I was fine. But I was sitting there just like waiting for the load to fix itself, because I knew that I had taken care of it. But in that I had also gotten my phone out. And I was texting him to come to the kids department. Because I was low. Only I never hit send. Okay, I was just like, that's kind of that like, broken, like thought kind of that can happen. Well, do

Scott Benner 18:25
you ever get in a moment like that? is are you Cognizant enough to think don't fall forward on the baby? Like, do you? Like do you have those feelings? Like all the reason

Jennifer Smith, CDE 18:33
that I sat down? I mean, from my back thought to what I was doing, I would have thought, you know, I need to sit down. I've got a baby who clearly can't stand on his own yet, you know, I mean, it was I think he was probably like six months old or something. Yeah. And it's a sit down, treat your low blood sugar. I mean, I've always been able to treat so I've never had an issue with not being able to help myself. Outside of like, when I was a teen with my parents. So yeah, but it's, it is I mean, in those instances, sometimes there's not enough to like even like, be angry, you just can't even communicate

Scott Benner 19:10
quite right. It's interesting. It's super interesting to me the way that first of all, the way your body handles falling blood sugar, it's, it's when you start losing faculties, your it's your body shutting down, it's basically services. It's like, Oh, we don't need that one, like and it just, it just it has this finite amount of sugar in your blood. And its goal is to keep your brain running. Correct, right. And so it starts shutting. Right, stop sending sugar to this idea and this idea and so you're like, going down and it's your body going like, it really is it's like let's try to see how long we can stay alive until something intervenes. But you describe the, the actual actions you take very similarly. Like are like okay, I'm not okay, I'll sit down. I'll start taking these things down. It's more important than telling someone right now it's important to tell like you're doing the same thing. You're making these like,

Jennifer Smith, CDE 20:06
it's just that you're not like consciously. It's almost like your brain like those, like files in the back that were like, do this now, right? They take over, even though you're not really like, consciously aware that you're like sitting down and like drinking your juice box or whatever it is you do it because it's a habit. And you know what, that that's what you need to do with with the symptom?

Scott Benner 20:31
would, would you looking back on it a scenario like that, if that if the Jeeva hypo pan existed, then would you being with your baby, would that have been enough for you to be like, I'm not going to take tablets, I'm going to hit myself with glucagon. Or no, you still would have handled it that way.

Jennifer Smith, CDE 20:50
You know, possibly, with, with what I remember about that being such a quick drop in my blood sugar, I mean, it's not like we're running around the story. It's just like, I'd probably nurse before we went in the store to keep him happy. And like, there was enough to feed into the store. But,

Unknown Speaker 21:11
I mean, maybe,

Jennifer Smith, CDE 21:12
I mean, I certainly I've got like an extra bag Sydney, that I typically take out, especially when we're like traipsing around the neighborhood to the parks, and whatever. I mean, my eight year old knows about it. So I possibly I might have done that.

Scott Benner 21:29
Just because me with the back semi and like fit g vote now being like ready to go. But prior to that I only ever thought of glucagon is like, You passed out and somebody came upon you and gave it to you. Like that's how it felt. But now all of a sudden, like it's there, and it's easy to use. And like, I wondered about that, like how you would think about it?

Jennifer Smith, CDE 21:49
Yeah, yeah, you could, I mean, it's certainly not a bad thought by any means. Especially I've worked with a couple of women post well through pregnancy, and then postpartum who have had spouses who've been military. And so they have after a certain amount of time, postpartum, you know, their spouse goes back, you know, might be deployed again, someplace completely away from where they are, they're pretty much on their own. With a baby, they might have the support of friends or family coming in once in a while, but that's not at two o'clock in the morning. So you know, in a case like that, where you're dropping a really low and you're really worried about it not sure. That's what a product like that is therefore it's also the benefit potentially, of, you know, like mini dosing that age old red Lily glucagon.

Scott Benner 22:38
So, here's the question then, because I came at this from the idea of the people who are going to interact with a person who's either too high or too low. I have to be honest, when Arden in the past has been too low, where she's refusing I just go with like, a forceful because I think like, I've tried talking or like, you know, I've gone with the Come on Sweetie, drink it. It's really important. Like that stuff. That doesn't go it's almost like you're not talking to the complete her. Now, you know, and so you just you make these declarative, forceful statement, drink the juice, drink it, drink the juice, drink the juice drink, and I'm talking I remember I know, people say to me all the time, you know, you must know what it's like to raise a little kid with diabetes back before all the technology and I don't talk about it very much, but it's really bad. And so you know, like back before CGM and all that. There's, it's three o'clock in the morning. You're there with a six year old and you're like art and drink the juice, like drink the goddamn juice right now, you know, and because there also was no CGM, like at some point. So what's happening? Yeah, I'm like, you know, and you don't, you're not yelling, you're gonna die. But you're, it's how it feels in your head when you're talking to them. And I think that's much easier to figure out with a low blood sugar, right? Like, that's obvious to people, but it's the, it's always the high ones that make me I feel badly, like, I feel badly when I hear I've used this example over and over again, but it sticks with me, like right in the center of my heart so much that a woman found the podcast, it helped her daughter. And when she sent me a note, months later to thank me, she said, I really just thought my daughter was a bitch her words, and that we weren't going to get along for our whole life. And it turns out, my daughter's a lovely person. And I didn't know because her blood sugar was always high. And that makes me want to cry. And, you know, and and the, the idea that that could happen. Either at the beginning, right, you'll hear people say, Oh, I didn't realize you know, that that stuff happened, or I helped somebody recently with a baby, a young kid who has autism. And he end up talking, I said, Hey, you might see a difference in you know, just how reality personally and stuff. And that person was so sure that that wasn't going to happen. And then three days later said to me, you know, he is happier. And I said, Yeah, like you don't, you don't know. And then that's a sadder situation, because then the poor kid couldn't tell, you know, isn't right verbal to begin with very much. And but I just think about that for everybody else. Like, if you're running around with blood sugars that are 170, all the time your body gets used to it. So physically, you think you're okay, but you're not like you're not the person, you were going to be. Right without diabetes, you know. And so, there's just

Jennifer Smith, CDE 25:35
not even from a mental standpoint to even from performance, right? You may not be, you may not be putting out everything you possibly could putting things together, whether it's in school, or college, or job or whatever. Because your brain is really not working at the level of glucose that is healthy for it to work at

Scott Benner 26:02
this conversation is at the core, why I initially years ago, brusque, so hard at the idea of better high than low. I was like, I don't think that's right. Yeah. You know, like, I think that that that does not seem right to me, I've known people who through a lifetime, we're not who they were supposed to be, I just know it and it, you lose your you know, it's it every day you lose, it's gone, every hour you lose is gone. And then days turn into months to turn into yours. And before you know what people just think you're a prick. And you know, and that's just not,

Jennifer Smith, CDE 26:35
and you may not be at all.

Scott Benner 26:38
Yeah, maybe with another two units of basil all day long, you would have been an absolutely delightful person. And that, and, and then I think about the people on the other side who have to deal with you who love you. And then think, Oh, I love a guy who's just a jerk, but maybe isn't, or you know, vice versa, or your kids or I don't know, I just I want people to be very aware that outside of a normal range, that the lack of or addition of sugar in your blood is having a real big impact on your personality and your ability to live and make decisions and everything right?

Jennifer Smith, CDE 27:11
I mean, I've even had parents who have asked me, you know, how do you? How do you discipline your child with diabetes? When you're like, Do you always refer back to the blood sugar to begin with? Or, you know, do you just discipline them as if they don't have diabetes? And quite honestly, think if they require discipline, because they threw the stone through the front window? Because they were aiming and wanted to do it? I mean, really, unless their blood sugar's like 12 really loud are really high. Obviously, that was a that was like a decision on their part. They deserve to be punished right? away that your, if your blood

Scott Benner 27:52
sugar is 150, and you're breaking windows, you're just get Yeah, but but but I mean, but if you're a bunch of just been to 20 for your whole life, and you can't do well in math. It might not be because you're not good at math. Right. And you got to make that decision. Yeah, I mean, listen, I there are times there's been one or two times that Arden's been so low, that she has said horrible things to me. And I just I bear down and I think that's the blood sugar, and I just let it go. But you really have to be ready for it like because it's hard not to react. You know, I mean, Jenny, I'll bleep this out later. But when an eight year old calls your mother, you're, you know, you're like, whoa, hold on. Please drink the juice. I wasn't looking for this. I did. And, you know, I've heard adults talk about it too, in a married situation where one person is physically stronger than the other person. And you know, can get low and then get, you know, right, violent, like, not on purpose, right. And now you're, you know, a much different situation. Yeah,

Jennifer Smith, CDE 29:05
I actually had that when I was working in DC, a couple, an older couple had actually come into our diabetes clinic. And the man was complaining, he's like, sometimes I'm scared. I think she had gone to the bathroom or something. And they were just chatting. And I think it was on the topic of like, hypose. And he brought up he's like, sometimes I'm kind of scared of her. He's like, one day she threw a coffee cup and Okay, well, that wasn't really your wife. That was a low blood sugar.

Scott Benner 29:38
So I will tell you for blood sugars every 95 and she throws something at you. I don't think she likes you.

Jennifer Smith, CDE 29:44
Then there was something you did really nasty wrong

Scott Benner 29:46
to her so well. That's okay. I appreciate you talking about me. That was really good.

Could you just not talk to Jenny every day? I know I could. I wish I could actually just doesn't work out like that. Anyway, Jenny does this for a living it integrated diabetes comm and you can check her out there, there's a link in the show notes. What comes next is about the T one D exchange. If you heard it in the last episode with Johnny, and you haven't done it, let's get to it. But if you haven't, the T one D exchange needs your help. And the help they need is super simple to give. You just go to T one d exchange.org. forward slash juicebox. That's my link, use that link. And then when you get there, click on join our registering now. And after that you complete this simple, quick survey. It's for us residents only. But it's so easy. Like right now, if you did it right now look at your watch. Or you probably want to watch to pick up your phone, touch the face of it. If you did it right now, you'd be done in less than 10 minutes. It took me three hours to bring you this episode. And this is all I'm asking in return. One day exchange.org forward slash juice box. I mean, seriously, I the book Jenny, record the thing, edited it. I mean, you notice how there's no like pops and clicks and noises and nothing distracting while you're listening. You're welcome. That was me. Scott, click click click with the mouse. I fixed the whole thing for you. hours it took like you're just like, Oh, it was a quick 25 minute episode. It was nice. God said insulins important, blah, blah, no, no, there's more than that. It's deep. It's deep. It's building a narrative in your life about type one diabetes, giving you the tools and the access to information for the free. And all I ask is that you go to T one d exchange.org. forward slash juicebox. I only need 6000 of you to do it. I mean, there were hundreds of 1000s of downloads last month, I just need six of you. And I'm saying of the hundreds of 1000s of downloads. I need 6000 I'm tired of saying it too. I know you're tired of hearing it. I'm tired of saying it. But I mean, at some point one of us has got to pick up the manual and do their part. I can only do this I filled out the survey is easy. Alright, I'm gonna stop. I apologize. That was I that was too much, too much. I should just say T one d exchange.org. forward slash juicebox. You need to be a US resident who has type one or is the caregiver of someone with type one. Please go fill it out if you have the chance. I mean, that's that's how I should say it. But I mean, come on this podcast is amazing. And it's free. Free. And what do I say to you? You know, if you want to try out an omni pod, go to Omni pod comm forward slash juice box I say if you want to check out a Dexcom go to dexcom.com forward slash juice box I say want to get a great meter Contour. Next One comm forward slash juice box I say hey, my daughter's got this G Volk. hypo pen, you should check it out. That's it. I mean, you don't have to check it out. I'm not telling you to buy an ami. But it's not like if you don't buy an ami pad and I love to listen anymore. I'm just saying if you're going to go check it out. But this T one D exchange thing. I mean, you're on the internet constantly. I see the people in my life. I know you don't put the phone down. And I'm not judging you. I'm just saying while you're doing it. You don't I mean, p one d exchange.org. forward slash juicebox. Help a guy out a little bit. Make me beg you. It's embarrassing. I'll tell you what, if the T one D exchange contacts me at the end of the month, next month, the end of June and says we've added 1000 new people to the registry. Thanks to you. If they say that. What will I do? I will do an online talk about using insulin. Once a week, in July, once a week. Okay, I'll come on. I'll do it on zoom. It'll be free, obviously, because you helped me out with the D one D exchange thing. And I will answer everyone's questions as long as I can. If we reach 1000. Now if we reach 1500 I'll get Jenny on one of those calls. If you do 2000 I'll do the call. Right? Every day every what I say every week in July, Jenny wants and what else will I do? I'll do something else. That's cool. I don't know what yet, but trust me, I'll come through T one d exchange.org. forward slash juicebox. Use the link. complete the survey. That's it.