#837 Marvelous Marla

January 30, 2023Scott Benner

Mar has LADA, Hashimoto's and a few other issues.

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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 friends, and welcome to episode 837 of the Juicebox Podcast.

On today's episode we'll be speaking with Marla, she has diabetes Hashimotos something going on with her kidneys. And another thing that I can't pronounce, so why don't we wait till we get into the episode for you to find out about that. While you're listening today, 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. And for those of you who are getting ready to skip through the ads, I've got a new advertiser today, and they have a 35% off coupon code for you. So maybe don't touch that button so quick. If you have type one diabetes, or are the caregiver of someone with type one diabetes, and are a US resident, please go to T one D exchange.org. Forward slash juicebox. Join the registry, you complete the survey. And when you finish that survey, you'll be helping diabetes research to move forward. It's super simple, completely safe, and you will really be helping that link again is T one D exchange.org. Forward slash juicebox. It really does just take like 10 minutes. This episode of The Juicebox Podcast is sponsored by cozy earth. Because the Earth has you covered for your bedding bath and sleep wear needs. There has been a cozy Earth product on Oprah's Favorite Things list for five years in a row. I'm going to tell you all about the sheets that I'm sleeping on right now, a little later. But for now, here's what you need cozy earth.com. And when you check out use the code juicebox to save 35% off your order. What'd I just say? 35% 35% of you spent $1 You save 35 cents. I understand $2.70 You understand the math of this. It's a fairly significant amount of money. They have a ton of stuff. It is all incredibly comfortable. I will tell you more about it later, like I said, but for now cozier.com 35% off at checkout with the code juicebox it's all one word ju ice box. The podcast is also sponsored today by touched by type one. This is a wonderful organization that I'm talking about. Just go to their website and check out what they're doing for people touched by type one.org NO BULL you understand I'm saying set a small group of dedicated people helping others with type one diabetes. Check out their initiatives like the D box program and dancing for diabetes. Find them on Facebook and Instagram touched by type one that will warm your heart. Take five minutes today to feel better at touched by type one dotwork.

Mar 3:07
My name is Mark and I am diagnosed with LADA five years ago. How old are you? I will be 56 later this year in October.

Scott Benner 3:20
That's a good that's a good age.

Mar 3:22
Yeah, I guess so. Better than not.

Scott Benner 3:25
You know, you and I have a lot in common Martin. Yeah. Now did you just say your name differently because of an accent or am I saying Marla and I shouldn't be it? No,

Mar 3:33
no, a lot of people call me Mark. My name is Marla. But a lot of people call me bar so either one is fine.

Scott Benner 3:39
Oh Mark your mark. Okay. 56 Lada for five years,

Mar 3:46
five years now. Yeah.

Scott Benner 3:48
Interesting. Tell me how they explained allotted to you?

Mar 3:53
Well, it was kind of a long process because I was told five years prior to the diagnosis date that I had type two. So it started with my primary care doctor saying, you know, your blood sugar's a little elevated, I think you're pre diabetic, start watching your diet, you know, try to get more exercise. And I have two friends that are type two close friends. And so I just started doing what they were doing. And that went on for a while, about a year and then she said, Okay, now you're diabetic. And she added Metformin in over the next probably four years. You know, I really I struggled. I mean, I did everything my friends were doing their numbers were really good. Mine just slowly kept rising. And my doctor kept saying to me, you know, I would tell her, I promise you, I'm doing what I'm supposed to do, and I don't know why it's not working. And she would say, Well, don't worry, I know you're trying. I think yours is autoimmune anyway. But, you know, when she said that to me, I didn't understand what she meant because I I had always thought that only kids were diagnosed with type one. And I didn't make that connection. Oh, autoimmune type one. I thought that she meant because I have so many other autoimmune disorders. It was making the diabetes difficult to manage. Oh, I see. I never, I never asked her like, Well, what do you mean by that? So things got really bad. And my numbers got really high. And that's when I got the lot of diagnosis.

Scott Benner 5:28
How long did really bad last?

Mar 5:31
Um, you know, I, I had a hysterectomy the summer before my diagnosis. And so for several months following that, I really felt horrible. But I attributed that to recovering from the hysterectomy because it's a big surgery. And, you know, I was extremely tired. And I felt nauseous all the time. And my numbers were high, but I knew that they, you know, I had been through a surgery and I was recovering. And so all of these things that were going on, I just thought, well, this is because of the surgery, you know, and so it's probably several months.

Scott Benner 6:08
Wow. Why did you have the hysterectomy?

Mar 6:12
I had endometriosis, which I've read is frequently associated with autoimmune disorders, but I couldn't I can't find anything that says Yes, it definitely is. And so it basically you know, was like a, just a never ending period. And the only way to cure that is to remove the uterus,

Scott Benner 6:31
a medical condition characterized by the growth of cells that build up inside the uterus. That sounds like you. Yep. Okay.

Mar 6:38
Yeah, I was happy to have them take it out. They couldn't do it fast enough.

Scott Benner 6:42
Do you have children? I do not. Was that ever an issue for you?

Mar 6:48
You No, no, I was okay with never having I never really figured if I did, I did if I didn't, I didn't.

Scott Benner 6:54
I sat through a two and a half hour presentation last night of the high school that made me rethink having children. I'm trying to see if I can find a relationship to it. And autoimmune is an add in Wow. How do you say it add an add no

Mar 7:09
meiosis.

Scott Benner 7:11
Is it something in

Mar 7:12
my my gynecologist explained to me as being like she said, it's an endometriosis that's confined to the uterus is basically what you're dealing with. And she said, the uterus just continues to once it starts, you know, getting into this. Oh, my computer's making noise. I'm sorry. There's once it gets start into this, you know, stage where it's just continuing to bleed. It just won't stop. And I had a 60 day period, which made me almost want to lose my mind.

Scott Benner 7:42
Man, period means stop. Yeah.

Mar 7:47
I know. Someone tell my uterus. Yeah. So that's what led to the diagnosis because she, you know, they did a DNC and they said, Oh, it'll, it'll, it'll be okay. Now you're just probably starting menopause. And I was like, Well, okay, I'm a little. Seems like I might be a little young for that. Yeah. And she's like, No, not really. And she said, it takes a long time. I said, Okay. And I remember and I really liked her, but she said to me, I don't know why this happened, but it's not going to happen again. And I thought, okay, that doesn't make sense. But, um, and so the DNC kind of fix things temporarily. And then it came back and she said, Well, we need to do an MRI. And that was how they diagnosed it. And then she said, You need a hysterectomy. That's the one way to fix this. Okay.

Scott Benner 8:31
All right. Yeah. You said you have other autoimmune diseases. What else do you have?

Mar 8:37
I have rheumatoid arthritis. I have IGA nephropathy. I have Hashimotos thyroiditis. And then the latter.

Scott Benner 8:48
What was the one between RA and Hashimotos?

Mar 8:51
It's IGA nephropathy. So it's a condition where basically you build up too much protein, your kidneys, which then makes them stop working.

Scott Benner 9:01
Have you had, are you on dialysis?

Mar 9:05
No. So my kidneys are still functioning. I was diagnosed with that, in 2007. If you were to look at my kidney function, it's slowly decline. Over the last, what, 15 years, but I am right now and probably speak, I wrote they fluctuate between stage. I don't know why they split three into two, they'd have stage three and stage three B, I'm not sure why they do that. But I fluctuate between those two stages, which is somewhere between I think 50 and 60% of my kidney function remains.

Scott Benner 9:41
What came first. Did you get the Hashimotos first, so it

Mar 9:47
was the rheumatoid arthritis first, then the IGA than the Hashimotos? One Well, that's that was the order of the diagnosis. I you know, honestly, I could have had, they told me I couldn't have the IGA for years, but Before it was diagnosed, it was diagnosed by accident.

Scott Benner 10:05
All right, how old were you?

Mar 10:08
So that was in 2001. So I would have to do some math, I think.

Scott Benner 10:14
Hold on 2156. This is my time. 3035.

Mar 10:18
Yeah, somewhere. And then I've heard your comments about math several times.

Scott Benner 10:22
I was like I saw I saw simple low numbers. I was like, I can get this one. So how did ra percent for you?

Mar 10:31
So Ra was just a pain in my hip that was persistent. And I, I had was buying a house and I can remember, it was Thanksgiving. I was buying a house the following spring, I moved in. And I can remember thinking if this pain in my hip doesn't go away, I'm going to have trouble moving. And it took about nine months for them to finally give me a an RA diagnosis, because they said typically, it's symmetric, and mine was asymmetric. And it still is. And they said, well, that's just not, you know, we think it's rheumatoid arthritis. But that's not how it presents. So they looked for everything else. And they it took them a long time, they bounced me back and forth between rheumatology and orthopedics. And they finally I think, just couldn't find anything else. And it presented as RA in every other way. And they they said, Okay, well, alright, your rheumatoid factors are through the roof. We think it's Ra. We don't know why it's asymmetrical. But this is what you have.

Scott Benner 11:30
Just in the one hip.

Mar 11:33
Well, it later got into the other side, but it's never thankfully, I've never had issues on both sides of of any joint at the same time. It's always just one thing.

Scott Benner 11:42
Do you take any medication for it?

Mar 11:44
I did for about five years, but I don't anymore. And I haven't since you know, the early 2006 Or seven, I stopped taking meds?

Scott Benner 11:53
Did the meds work? Or no,

Mar 11:55
you know, they did initially they took they had to go in and do I forget what they call the procedure, but they stick a big needle in there and pull the fluid out of the hip joint. And they did that I was in the hospital overnight, because my leg was actually pulled because there was so much fluid in there. And they pulled the fluid out and put me on meds right away. And I was good. And I stayed on those meds for probably four or five years. And then I just, you know, I didn't want to stay on them if I didn't need to. Because I mean, it sounds probably bad, but you can't drink. And I'm not I don't have issues with alcohol. But I do like to have drank here and there. And I asked my doctor, can I can I come off this medicine? Can we see how it goes? And he's like, Yeah, let's try it. And so it was fine. And so I've stayed off of it.

Scott Benner 12:44
Okay, so you. You got off the medication, so you could drink once in a while?

Mar 12:49
Yeah, I like to have Yeah, I like to have whiskey once in a while. At that time. I didn't drink whiskey. But, you know, I didn't want to break the rules. I don't want to put my liver at risk by drinking alcohol when I'm on this meds on these meds. And, you know, I couldn't couldn't do that. And, you know, I also thought, well, you know, it might be good to just see how things are going without the medication. And it turns out, I mean, I've been off the medication since 2005 2006. And I I've been okay, so I feel like, why take it if I don't need it,

Scott Benner 13:20
okay, means a level of pain and discomfort you're okay with?

Mar 13:24
Yeah, I mean, there are plenty of days that I don't have any pain at all. But then there are days when, you know, just last week, one of my, the joint on my left foot of my big toe was hurting so bad. I couldn't walk for a couple of days. I mean, I didn't walk, but it was very painful. And then I woke up and it was done. It's fine. And that's how it's always been, you know, I'll have a joint that just doesn't want to work, right. And it hurts for you know, X number of days. And then it just goes away, which is, you know,

Scott Benner 13:52
frustrating that and is it? I mean, are you keep talking about a little bit when it was first happening? What's it like to get a diagnosis like that, that doesn't seem very impactful.

Mar 14:04
So I mean, it was, you know, it was a little frustrating. I was in my mid 30s. And my I remember my rheumatologist telling me, oh, you're gonna get other autoimmune disorders? And I said, why? What do you mean? And he said, Because you do if you get one, you get more. And so that was a little frightening because I was, you know, still young at that point and thinking, Well, what else is gonna happen? You know, and then you if you you know, if you look up pictures of people with rheumatoid arthritis, their hands sometimes, well, those are worst case scenarios, you know, but their hands are like, you know, they can't use them. And I was afraid, you know, what am I going to do if that happens to me, and how am I going to, how am I going to be independent and, you know, so it was kind of kind of frustrating, kind of scary, but then I just thought, well, you don't know that that's going to happen, and it may never happen, and it hasn't, I mean, I have some I don't forget what they're called, but like my knuckles have some nodules on them, that you can see they're not Huge I can kill them. They bug me, but they don't really do anything about them. But I don't have. There's no part of my life that's impacted to the point where I can't do something because of the RA. Okay? Which if things stay that way, I'm fine. Okay.

Scott Benner 15:15
Okay, so you're 35? Around 35 When this happens, how long after that? Do you hear about the kidneys?

Mar 15:23
Um, well, it was 2007. And I had the flu. And I mentioned to my doctor, just, you know, off the cuff. I said, Oh, you know, I think I was really dehydrated, because my urine was like coffee color. And she said, What do you mean, it was coffee color? And I said, Yeah, I said, you know, I couldn't keep anything down. And I think I got really dehydrated. And she said, Well, let's check that. And so whatever she saw on the results of the urine tests, she sent me to a nephrologist, who said, well, we need to do a kidney biopsy. And that's how they diagnose that. And so what happens with that disease is it's often not diagnosed until it's in advanced stages, because the symptoms are, you know, I don't know, not there like you don't, you know, I was lucky, I guess that I had that issue with the coffee colored urine, because otherwise they they wouldn't have caught it, you know, anywhere near that early.

Scott Benner 16:24
Okay, so Hashimotos comes when

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Mar 20:33
That came probably around 2010 ish. And that was because I had my bloodwork showed a ton of calcium. Like my calcium levels were too high.

Scott Benner 20:46
Yeah, high calcium. That's one of the indicators. How about Yeah, that's how they caught it. Yeah.

Mar 20:51
And they said, Well, let's take you I was on some medication, I can't remember what it was that they said could elevate your calcium levels. So they, they took me off of that, and put me on something else. And so it didn't didn't, you know, resolve and kept getting worse. And I don't remember all the different tests that they did. But it ended up that I had a large benign tumor on one of my parathyroid glands and I had large tumors on my thyroid, and they said the parathyroid has to come up, you can't leave it. And while we're in there, we're going to take most of your thyroid because it's covered with benign tumors. So they did that. I still have little bits of my thyroid left. But you know, I take Synthroid everyday and I will for the rest of my life.

Scott Benner 21:36
And is that fairly well maintained? Do you see a lot of symptoms from thyroid or no?

Mar 21:42
No, I think it's pretty well maintained. My numbers are usually pretty good.

Scott Benner 21:45
How about how you forgetting the numbers, how you feel like you can get rested, your hair doesn't fall out, etc? Well, I

Mar 21:52
do have what I think is probably more hair loss than I than I should I mean in the drain, but I my hair doesn't look thin. And I am frequently tired. But I don't know if if Teague is from Hashimotos or not. I just don't know

Scott Benner 22:10
when you said your numbers are good. What's your TSH?

Mar 22:14
Ah, you know, I really don't know what I can tell you. Yeah, take a look. Yeah, when you look, let me log in. I just have bloodwork because I just reached out to my doctor. In fact, I see her later today. Perfect. Um, but I did reach out to her because I said, you know, I'm really kind of tired all the time.

Scott Benner 22:31
Scott's gonna help.

Mar 22:36
And I said, you know, I thought maybe my iron was low or something. Let's see test results. 1.440 So

Scott Benner 22:49
it is good. Yeah. All right. So you're gonna check your I do an iron panel. Check your ferritin that kind of stuff.

Mar 22:54
Yeah, she did all that my ferritin was only 18 which is on the low side.

Scott Benner 22:59
Oh, much too low. Yeah, yeah, yes. Yeah. So

Mar 23:03
so I could that could be why I've been tired lately. She told me you know, get a multivitamin and start taking iron.

Scott Benner 23:09
That takes forever, but okay. Yeah. Ask her if she'd like to get you an infusion.

Mar 23:15
I couldn't ask her about that. Actually. i Yeah, I'm gonna see her later today. So I will

Scott Benner 23:18
I had one. Lovely Marlo. Really? Yeah. So it goes in. And then once your body starts making new blood cells, it makes them now with the correct amount of iron in your system, and you just feel better. Oh, really? Okay. Well,

Mar 23:34
definitely ask her. Thank

Scott Benner 23:35
you. But we also want to know why your iron is so low. Well, that's been

Mar 23:39
an issue I've had for as long as I can remember, every time I have bloodwork, they tell me, you know, your iron is low every time it's pretty iliac

Scott Benner 23:47
or a see like even a celiac intolerance.

Mar 23:53
Well, they tested me for celiac and that was negative.

Scott Benner 23:55
Okay. Do you do you think you don't do well with gluten? No, I think I do fine. You're fine. Okay. Yeah. So then it's an absorption thing, I would guess. And I'll tell you what helped for me. Let's everybody remind each other I barely got through high school and I'm not a doctor, but you know, podcasts and all that like sorbic acid, vitamin C, along along with my iron supplements, so I could take iron supplements and it didn't matter. Not they didn't touch anything, that I got the infusions and got to the point where I thought, oh, gosh, I'm a person who's gonna have to get infusions for the rest of my life. This will be fun, because they only lasted for like six months or so. Yeah, but then it turned out I just wasn't absorbing the iron. So now I take a quality iron supplement along with the sorbic acid, same time, two tablets down and my body picks that up. Fine.

Mar 24:50
Okay, I'll definitely try that.

Scott Benner 24:51
Give it a whirl. Well, thank you. I don't want you to be tired. Yeah,

Mar 24:55
I don't want to be tired.

Scott Benner 24:57
Honestly, Marla, you got enough going on. You don't need another thing. I agree. So now after hearing about all of this, yeah, I'm baffled that when you get a diabetes diagnosis that someone doesn't go, well, she has RA and Hashimotos. And this kidney thing, this is clearly type one diabetes.

Mar 25:16
Yeah. Well, I am to now that I know more, but at the time, you know, I knew nothing about this. I mean, I, like many people had always heard that only kids are diagnosed with type one. So all the times that she said to me, and it was many times, you know, don't worry, I know you're trying, I think this is autoimmune. It just never occurred to me to say, What do you mean by that? I think like I said, I had all these autoimmune things happening. And I thought, well, that means that it's these other diseases are making my diabetes difficult to manage. It's just the way it is.

Scott Benner 25:46
Yeah, I understand. Yeah. But you know what I'm saying, though, like Lada or type one, whatever it is that you, you know, have an I don't, I'm gonna dig into it with you. Sometimes. I don't even know if it matters, to be honest, what they call it. But I just don't see how a doctor doesn't see other autoimmune issues and not put you on Metformin. Well, I wasn't meant for I'm saying, I don't know how that happened to you. Yeah, it's just it's, it seems a little obvious to me. Like, you know, when you're watching a movie, you're like, that's the guy that's gonna die first. And everyone knows, like, they could have wrote this a little better. So we all didn't see immediately that the character of Eddie is going to be murdered. And it just seems to me like it. It was kind of set up for them to understand.

Mar 26:32
Yeah, no, I would agree based on what I know now. And I mean, looking back, the Metformin did nothing but make me sick. I couldn't take it half the time.

Scott Benner 26:40
Yeah, I wouldn't imagine did you lose weight on it?

Mar 26:43
I did not. Which was a question my doctor used to ask me all the time. And she also she put me on Giannoulias put me on Victoza. And, you know, I didn't lose any way through any of it. Although, you know, I will say it's, it takes a lot for me to not power through and eat something if I am hungry.

Scott Benner 27:03
There you go. Your head down girl, huh? Yeah. Done.

Mar 27:09
I have to have some extreme nausea. Otherwise, you know, it's time to eat and I'm hungry.

Scott Benner 27:15
Okay, so going back to when you realize Lada? How does How is Lada explained to you? And is this fine endocrinologist or a general practitioner?

Mar 27:27
No, just my internal medicine doctor, she's she, I had been on vacation. This was you know, the December after my, my summer hysterectomy months leading into this was not feeling good thinking it was the surgery. I went on vacation like I always do over the holidays that come back from vacation and I you know, not rested, like you would be after a vacation. You know, my job, my job is stressful. I commute an hour plus one way, you know, I can think of all kinds of reasons why I would be tired at the end of the day. But this was more than that. And so come back and vacation. I'm not any better. You know, and I tested my fasting glucose that morning, and it was 450. And I thought, well, I'll get to work. I'll eat some breakfast. It'll come down. I don't really know why I thought that the breakfast I chose was oatmeal. And tested two hours after and it was 583. And so if a faculty member came by my office, I knew he had diabetes, because he had told me before about his diagnosis story. So he stopped by for something. And I said, you know, Hey, um, my blood sugar is 583 Do you think I should call my doctor? You know, I don't know why I even asked him because I knew the answer. And his eyes, you know, popped out of his head. He's like, yes, you should call her isa while he was I have a meeting that I have to go to. I'm coming back in a half an hour. If you haven't heard from her. You and I are walking over to the endo clinic right now. Because I work in a hospital. And I said no, no, no show. So she'll call me back. So I might chartered her. And she's very good about answering it. She did within like 15 minutes. And she said, come to the clinic. You need insulin. And so the conversation I had with her she said it again. At that point, I think yours is autoimmune. And I finally said What do you mean by that? And she said, Well, I think that yours is type one. And I said I didn't understand the kids that you've had could be diagnosed with that if you weren't a kid only kids get that and she said no adults can get it too. And so I went over got the insulin, you know, did my first insulin shot within two days felt night and day better. And they said you need to make an appointment with an endocrinologist and so all the information that I got from my primary care doctor, was you know, she said my basil I don't really or when she sent it out, I did a shot at night. It was I think it was Lantis or basil blur or something. And she said, if you eat a big meal, take four units, if you eat a small meal, take two units, and you know, get into siendo Well, it was a four month wait to get into see an endocrinologist. So I started researching lotto and reading about, you know, decks, comps and insulin pumps, and, you know, all these terms that were brand new to me. And so I called her back within about a month or six weeks and said, I don't want to stick my fingers because once I knew I had something that I could do something about now I have insulin, like, you know, before, when I thought I had type two, and nothing I was doing was working. You know, you after a while, you just kind of think, well, you know, um, nothing I'm doing is working anyway. So why am I trying? So once I figured out like, okay, now I need to take insulin, and I can manage this number. I'm sticking my fingers like crazy. And I figured out right away that this is not going to work. I don't like this. So I think within a month or six weeks, I said, you know, I read about this Dexcom Can I have this? And she said yeah, absolutely. And it took a while for the you know, paperwork and whatnot. But I was on the Dexcom G five by early April, because this all happened early January. Okay. So three months, and I had a Dex which I love. Um, and then by the time I saw my endocrinologist, probably in May. I had researched pumps. And I said, I don't want to give myself shots anymore. Can I have an insulin pump? And she said, Yeah, which one do you want. And I had researched the T slim and the Omni pod and I was leaning toward the Omni pod because I didn't want the tubes. But I knew that I knew that this decision was going to last me like, you know, for years, and I thought I'd better meet with the reps and talk to people in real life of real people. And so just reading online about these products before I make a decision, but I really kind of knew that I wanted to Omni pod and that's what I chose. And that's what I've been on ever since.

Scott Benner 32:11
And that's been really beneficial for you being on a poll. Yeah,

Mar 32:15
yeah. I mean, my numbers are. They're not where I want them to be, honestly, but they're not horrible. And my endocrinologist is always telling me you're you know, you're too hard on yourself. diabetes is hard. You're doing really well.

Scott Benner 32:29
Well, that's good. Where are you at that you aren't happy with?

Mar 32:32
Well, I my agency is 6.5 Not bad. But I would like it to be lower my time and range is 86%. Also not bad. But I would like it to be above 90.

Scott Benner 32:43
What do you call? What do you call in range? What's your range you're shooting for?

Mar 32:47
Um, well, I have my alarm set, according to what I learned on your podcast now. Um, so my low alarm is 70 my high alarm is 130. But the in range on the decks is just the normal 7180 Yeah.

Scott Benner 33:04
How often do you think you're between 7130? Um, maybe half the time? Yeah, that's probably where you'll make up that other half a point of a one C is losing those. Those 50 points between, you know, I don't know. 3130 and 180. Right in there. Yeah, yeah. And so what do you think? What do you have happened? You have spikes at meals?

Mar 33:32
I have. I have the same exact breakfast every day. And I can't figure it out. And I don't know why. Yep, I eat the same thing every day. I mean, I was doing that before I listened to your podcast of you know, eat the same meal figured out. And so what I started doing is writing down like, Okay, this is what my insulin or my blood sugar was when I Pre-Bolus Here's what it is when I ate. Here's why it was right after I ate. Here's what I did. Sometimes I do a Temp Basal. Sometimes I do an extended Bolus, sometimes I just do a you know, corrective dose before I think I need the corrective dose. Sometimes I just Bolus a lot more upfront. Now this morning, things have been going pretty

Scott Benner 34:14
well. Right. Um, what did you What do you eat every morning?

Mar 34:18
So I have a piece of bread that I make also thank you to your podcast. Yeah, I mean, I like to bake anyway. And I thought, Well, why am I buying bread when I could just make bread? So I have a piece of bread that I make. I had eggs, coffee, and I usually put either some Greek cheese on the bread or some goat cheese just a little bit. So I eat that same breakfast every single day. Do you need I do fine. And sometimes I don't.

Scott Benner 34:43
Do you need insulin for coffee when you're having it by itself? Yes. Okay. What is sometimes you do fine and sometimes you don't let's put numbers on that when you don't. Where's the spike go?

Mar 34:54
So, I think Monday I went up to like 240 Okay,

Scott Benner 35:00
And then but there are times where the exact same Bolus it doesn't happen.

Mar 35:06
Well, that's the thing. I'm not sure I'm boasting the exact same thing every time. How come? Because well, because like, okay, it didn't work Monday. So I thought, Well, that wasn't the right Bolus, because I do agree with what you say like if you're if your number is going up, you either didn't time it or you didn't use enough. I do agree that's true. So I thought, well, I didn't use enough, so then I'll use more, or I'll spread it out. Or like I said, I'll just do a preemptive corrective dose.

Scott Benner 35:34
Do you ever pay attention to where your site is? Or if it's an old or new site on your pump? In relation to what the success or not that you're having in the morning? No, I would think about that. Like, am I like, is today a good day? Is that the second day of the pump? Or the first day of the pump?

Mar 35:56
Should you know today? Let's see I just changed my pump. Last evening when I get home.

Scott Benner 36:03
This is so this is a pump that's 12 hours old. And it's it's doing well for your for your breakfast. I'd be super interested to see what happens. This is Thursday, Saturday morning, when this pump is on its last legs. Is it? Is it different? I would also look where do you where your pod, arms belly thighs.

Mar 36:22
It's on my arm right now. But I typically where I'm on my legs.

Scott Benner 36:25
Okay, our legs? Do legs need more insulin than arms? Or vice versa? Well, that's a good question. I don't know, this is what I would be looking at. Because I mean, if you have if you're doing the same exact meal, and I mean, a couple of eggs, a little bit of goat cheese bread you made yourself which we know. I mean, if you're using my recipe doesn't have very much sugar in it at all, honestly. Right? Yeah. And so I Yeah, and there's no high fructose corn syrup in it, etc. Right? So it shouldn't be hitting you all that hard. And if the Bolus is working sometimes and not others, I'd look outside of the of the carbs and the insulin for something else. The first thing I think of is pump placement or age of the infusion set. Okay, those are my thoughts. Okay. If that works, send me an email. I will. I want to know, okay. Okay. So, so you treat you know, so that they they're still calling you Lada like, is that your diagnosis?

Mar 37:25
Yeah, it says Lata and then parenthetically says type one. Okay. So, you know, I don't know I asked my endocrinologist about that. And she said, you know, Lada, she said, there's people that call it type 1.5. They call it Lada. She said, it's basically type one she said your pancreas just takes longer to shut off she said kids that have this their pancreas is done it you know, just shuts off there. You know, instantly, you know, need insulin. She said you have probably been experiencing this for years. You know, she said it just takes a long, longer time.

Scott Benner 37:58
Also, in fairness, not that you just not that you misspoke, but there are adults who get type one and their pancreas just gives up the way you express. Yeah, yeah. Excuse me. Okay, so are you noticing that like, as time goes on, do things need more insulin very slowly?

Mar 38:18
Oh, yeah. I don't honestly know how to answer that.

Scott Benner 38:24
Okay. That's okay. But it's just yeah.

Mar 38:29
I just don't know I I just don't know the answer is I need more than I did five years ago.

Scott Benner 38:35
Yeah. In your heart, the way you treat every day and what you see other people doing You You You act as if you have type one diabetes, and that there's no real thought about it. Otherwise, I imagine.

Mar 38:45
No, no, I mean, I just Yeah, I yeah, I would agree

Scott Benner 38:52
with that. Okay. All right. Yeah, I mean, if you don't agree with it, then that's just me saying here's what I think Mark Thanks, Scott. I don't think that too bad move on

I'm sorry me myself. What? I just I imagining a scenario where I just tell people what they think and somehow podcast today builds on I'm going to tell him how he feels about Bri. But I'll tell you that would not be a lot of fun to listen to. What made you want to come on the podcast?

Mar 39:28
Well, I just found your podcast and was suddenly like wow, these are you know, real people who are crazy because in the in the like real people who are crazy that have the same thing that I have or similar to what I have, I guess if not is not exactly type one.

Scott Benner 39:47
Before we get into that Marla do you find a lot of real people are crazy.

Mar 39:51
I mean, if you look in the online community, you can find some people that are not helpful. Maybe crazy is the wrong word but not helpful at all. All, or extreme or judgmental or, you know, admonishing. And so when I started listening to the podcast, I don't remember how I found it. But I thought, yeah, okay, you know, I'll see what they have to say. And I just was thinking, wow, this, these things, these, this advice could actually work. And these people are doing this and having success. And because I feel like I am largely reactive, like, I check my I hear you say you don't even check your daughter's number, you just listen for the alarms, and I'm constantly looking at my phone, constantly looking at it to see what the number is. And when it's not what I think it should be, it's because I've done something wrong. Now, I know that that's not true, but that is what I feel and think. So you know, that I'm reacting constantly to this high number. And I feel like I could do better to to put myself in a more proactive, you know, response, instead of just always reacting to things I

Scott Benner 41:05
understand. It's a large part of, I mean, if you, you know, you hear me on the podcast, obviously, I follow the conversations, when I'm talking to people, I don't just break in with thoughts that are, you know, out of left field, but a big part of how I think about diabetes is about acting first. It's about it's about attacking it, and then seeing what happens next. And knowing I made what happened happen. Like, I think once you wait for diabetes to happen, and you're responding, you're always behind, you're always chasing, and therefore, you get up and down numbers, and you never feel confident about anything you're doing. Because then there's always an aspect of what's happening that is unknown to you.

Mar 41:48
That's exactly right. Yeah, that's exactly how I feel like I, I react and try to, you know, I've learned a lot from the pockets, like don't get over 200, because it's much more difficult to come back down to is much more insulin. You know, when I see 160, I start, you know, trying to correct, I try to be very good about Pre-Bolus, seeing, you know, not being afraid to use more insulin and stuff. But I still feel like, I'm not doing something I should be doing to keep my keep my line a little more level and not be so reactive. And I often don't know what's happening.

Scott Benner 42:26
It's interesting that you that you bring this up today, because I just yesterday interviewed a woman who's the mother of a nine year old, actually, your episodes will come out really close together. So anyway, it probably just came out. And she had been on the podcast previously. She came on in 2017 when the podcast was like two years old, and was on an episode called the normal floor. And then she came back just to sort of do an update and talk some more. And she was still talking about some of the struggles she has one of them was that she has trouble Pre-Bolus at school because she's worried the kid's gonna get low. But here's what happens every day. She doesn't Pre-Bolus Enough. The kids blood sugar jumps up, the insulin becomes unbalanced with the foods that the food is the digestive system, and he crashes low. And I said so. You don't Pre-Bolus Because you don't want him to be low. And she said, Yeah. And I said, Well, what happens when you don't Pre-Bolus later and she goes, he gets a low? And I thought do I need to keep talking right now? You know, like, I'll let the silence work for me here. And she goes, Oh, yeah, or something. And I was like it just it doesn't matter. Big picture, you're using insulin, you're probably going to have lows sometimes. I prefer to have a low you caused than a low that happened to me. And I really ironically, as we're talking about it, Arden, you would know this, but in the first 20 minutes of this episode, I helped Arden fix a low that she's having at school. Oh, well. And so she it looks to me like what happened? It's just a crazy little thing. But it looks to me like what happened was she Bolus accurately for for a food that she had. Problem is this is the second day of her placebo of her birth control pill. And she doesn't think about it like that as much but you start getting, you know, there's a shift. So anyway, the Bolus was a little heavy. And she's gets this diagonal down arrow that's just not stopping she sees at around 65 and tries to hit it with some candy. Why candy and not juice. While I find out later. It's because she doesn't have a juice honor. So the candy doesn't work as quickly as she's expecting because she usually treats with juice and she would she expected a quicker response the way she gets from the juice. So she gets low enough to 50 where I text her and go, Hey, you're paying attention to this right? And she goes yay, I know. And I'm like okay, so I said what you do? She told me about the candy. And I said, you know your tests she tested the CGM was accurate. I said, I really think I would drink half a juice here. Five minutes later I get a text it says too late, too late means Arden doesn't like to have a half juice box on her desk. So she banged the hold us down. So I just texted her and said Bolus suggested, which is and by the way your Dexcom warmup period is over. Is that

Mar 45:30
That's my my alarm at 1310.

Scott Benner 45:33
I was that's the noise you used for that alarm? Yeah. Yeah. So you know, anyway, Arden's on loop, I told her to put in carbs for the candy, not for all of the juice, and we let it catch her low. If she was home, I would have just told her to Bolus like I actually would have Bolus did a 50 blood sugar after she drank the juice. But since she wasn't a way, I just told her to hold off. Now the insulin is going in. She shooting up, it'll stop around 150 and come back down again. Okay, if that all makes sense. But anyway, if if we would have Bolus for the candy and maybe a half of the juice, as her blood sugar was 58 She wouldn't be shooting off the way she is right now. You know, so and that's my point of telling the story, which is you have to be ahead of it. Right? You just Oh, and and I'm not disappointed that she had a low because she was appropriately aggressive for what she ate. And I would rather her have a low that she made happen than a low that just happens to her. Right? Is my reason for bringing it up. Yeah, that's all. I mean, is that a mindset thing for you? Why do you not do it? Because it sounds like you know,

Mar 46:53
I think I don't mind. Like during the day, all day long, I'm fine with you know, using much more insulin if I need to. I guess I just with breakfast. I'm struggling with how much and I also I well, I should mention this too. I don't want to have to eat extra calories if I don't need them. Because I'm always watching how much I'm eating. Yeah, I

Scott Benner 47:18
don't want you to do that either. But could we? We now I'm in this with you. Could we start upping your basil early morning before you get up?

Mar 47:30
Yeah, I just made adjustments to my basil because I thought about that yesterday. Because, you know, I knew I was coming on as today. And I thought, you know, what are the reasons that you can't get this breakfast thing figured out? And I thought, well, maybe I need to adjust my Basal which I don't wait for my endo appointment to make changes to my pump settings. And my endo is fine with that she you know, she'll look at them. And only one time did she asked me to change something that she wasn't comfortable with. And it was because I had an overnight target of 90 and she wanted it higher. And I you know, she's she's so good and everything I said, Okay, how about if I make it 100? And she's like, Yeah, that's fine. So I did that. But the rest of my settings, you know, she she's okay with and I just changed it Sunday to increase my basil in the morning, because I did think well, maybe that's the problem. Maybe? Maybe it has nothing to do with what I'm eating. I'm not getting enough insulin, anyway.

Scott Benner 48:25
Yeah, no, I mean, that will be my first consideration. Do you go up in the morning if you don't eat? Well, I always eat. That's right. You said earlier, you're eating right.

Mar 48:36
I always, I always eat breakfast. That's my favorite meal of the day.

Scott Benner 48:40
Would you be willing on Saturday morning to have breakfast for lunch? Just to see what happens to your blood sugar if you don't eat in the morning? Oh, yeah, for sure. Give it a whirl. See what happens? Because maybe you're busy thinking? Well, first of all. First of all, pomp sight thing is worth thinking about. But if you're drifting up anyway, at that time of day, and you're just thinking about it as the food. Well, then that could be part of it, too. Yeah, you know,

Mar 49:10
so it could be because maybe that's not the issue,

Scott Benner 49:12
right? Maybe, well, maybe there's two things going on, and you're only looking at one of them. Yeah, right. So that's a possibility, too. You just need somebody to talk it through with like, that's the problem is that you, you get in your own head and it's hard to it's hard to flush the whole thing out by yourself. Sometimes.

Mar 49:31
It is 100% Yeah, and that's another reason like the podcast was you know, such a great fine because I don't have anyone to flesh it out with like, it's just me and I don't know anyone in real life that has this. And you know, again, the social media thing, you know, you can find good people, I found some really helpful people, but I also found some that were the complete opposite. And so after a while I quit asking questions.

Scott Benner 49:58
Yeah, it's tough because you just don't know What you're gonna get? Have you tried my private Facebook group? No, it's really good. There's like 24,000 people in there. And it's the it's the thing you hope Facebook would be?

Mar 50:10
Oh, I will. Yeah. How do I find that Juicebox Podcast

Scott Benner 50:13
type one diabetes. All right. And it's a private group, you'll have to answer a couple of questions to get in. That's how you'll know you're not just on the public page. Okay. Yeah, it's cool. Yeah. It's, it's just people who won't listen. It's still the internet, right? So it's people who listen to the podcast, mostly. But there are also a fair number of people in there who have just heard that the people in that Facebook group have a lot of success. So they they go there. It's interesting that every once in a while someone will just pop on and go, I feel so silly asking this. What is this podcast everyone's talking about? That made me mental in the beginning more, but I've let go of it. And I just know now that the Facebook page has sort of become its own thing. Yeah. And hopefully some people find their way from it to the podcast. But I mean, honestly, if the Facebook page helps them with their problem, then, you know, I think that's great. My honest opinion is you should listen to the podcast every day. And I know that's me sounding like I want you to listen to the podcast, but it keeps you in it. Yeah, like, think about it, you only really started wondering about why your breakfast isn't going the way you want. Because you were coming on a podcast to talk about diabetes. So you wanted to have some thoughts about it. Right? But why didn't you think about it six months ago? You know what I mean? And the answer is because you're living and you're alive, and it's going okay, enough. And when things start bleeding away from center, it happens so slowly, you don't notice your A once he goes, you know, go 66163 You're like, ah, six, three is fine, six, four, that's only one more than six, three, everything's fine. All of a sudden, it's six, eight, and you're like six, eight, still, in the sixes, you can you don't I mean, like you can rationalize almost anything. And that is a, that is a key building block of how human beings stay alive. By adjusting sub, like unconsciously to things. Just just so happens in this one area, you need to stop and focus sometimes and say to yourself, there's no reason why I'm six, seven now and I used to be six, two, I must be doing something different. And just and just not realizing it. i There's a great episode because way back years and years ago, where a mom has this realization while she's talking, where she's like, Oh, I've just become okay with 200. And she's like, I now think of 200 is not bad. And now I get what I expect. I expect 200 I get 200 I said yeah, move, move the alarms down, like just like you were talking about, expect 180. And then once you start getting 180, then try to expect 160. And then you'll see that most of the time you're under 160. And, you know, it's no big. I mean, it for me, I expect Arden to be between 70 and 120. That's all and most of the times that's what we get.

Mar 53:07
Yeah, see, that's that's where I want to be. I want to be in that range all the time. I mean, I don't want to have these highs when I eat something out. I mean, if I eat something, you know, sugar, then I know. But I hear you even talk about like our needs stuff like that. Yeah, and stays pretty steady.

Scott Benner 53:25
Yeah, she does. Well, yeah, I mean, Bolus for the right one. Yeah.

Mar 53:30
I think the most frustrating thing for me is like I haven't figured out when I'm not eating stuff like that when I'm just eating normal foods, and I still can't manage it. I don't always know why that's

Scott Benner 53:42
happening. Yeah, I I cut my teeth on bolusing for cereal. Like sugary box. Terrible for you not really food cereal. Like when I once I figured out a bowl of cereal. It just opens your eyes. It's like, it's like seeing the other side of the matrix. You're like, Oh, okay. And then you're just Okay, after that thing's news. The reference is so old now. I can't use it anymore. But, but I see diabetes, the way Neo saw everything once the bullet slowed down. Yeah, I just kind of look up and I go, Okay, well, let's move this over here and put this here and that'll do this and done. You know, but it takes it takes time and experience and a desire to. I mean, just a desire to fight through how hard it is to figure it out. Yeah, you don't I mean, it's just and you're we haven't mentioned it yet. But do you live alone? I do. So is that worrisome at night? No, no, you're okay. All right. Yeah, I'm fine. Yeah. You're like, Listen, my kidneys my thyroid, ra, whatever the hell that other thing is that I mentioned, you know, like,

Mar 54:51
No, I'm yeah, I'm never not living. I can tell you right now unless I mentally not, you know able to take care of Myself, I will not let. I'm just so used to living by myself.

Scott Benner 55:04
I was gonna ask if you wanted to be with somebody else and you're like, Nancy, I'm good like this. Thanks. No. Good. I was gonna ask you about like dating. I don't know if you're doing that or not. But now I just don't know how it is to bring another person into into this world and try to explain your health issues to them.

Mar 55:25
Yeah, I don't know. I most of the people that I know in real life don't know I have kidney disease. My brother's the only one who knows and then my best friend, but the rest of my family or they don't know, I couldn't think of a good reason to share that. Because it's only going to cause worry, and there's nothing I can do. I mean, I watch my diet I avoid you know, things that are high in sodium. I don't eat foods that come from cans or boxes or, or frozen, you know, things that have a lot of sodium. You know, but other than that, there's nothing, you know,

Scott Benner 56:02
get a t shirt made that said I had coffee colored P asked. asked me if you'd like to know more. But um, I mean, I would love to see who you'd meet. If that was your people. Like, I want to know about the coffee colored paper?

Mar 56:16
Yeah. coffee colored. Yeah. So weird. But yeah,

Scott Benner 56:19
it is. It's honestly, if it wasn't a morbid thing around like kidney disease. It could honestly be the episode title. I was fascinated by that description. I must. must have scared the hell out of you.

Mar 56:33
I mean, it didn't at the time because I knew I had been sick. And I was like I said, I had the flu. I was vomiting and diarrhea. I thought, Well, I'm just I'm just super dehydrated.

Scott Benner 56:42
Yeah. Does everybody remember the first time their poop came out? Green? You're like a kid. You're like, running through the house? That's like, everyone else.

Mar 56:54
I know. Right? Yeah. And I only mentioned it to her in passing. I did not think it was a big deal. I mean, yeah. So she, you know, thankfully,

Scott Benner 57:04
you've lucked into a couple of diagnosis is actually even with the calcium test for the Hashimotos. You know, when they palpated, your your thyroid back then did you touch it to

Mar 57:17
know I don't think I don't think I did. But they I didn't have visible tumors.

Scott Benner 57:25
like nothing's being out. But yeah, but yeah, when they feel that they can, I mean, they're doctors, they know where it is. I'm poking at my throat now as if I know where my thoughts I don't exactly know. And but it's it's interesting because I, during COVID. I watched somebody do that to my son over zoom. Oh, and like, had him get real close to the camera, like pull on his throat and push in places and swallow and stuff like that was really interesting. Oh, wow, that isn't just not fun. But interesting. Yeah. Anyway. All right. Well, we're coming up on an hour. We're not done yet. But I want to make sure that we're getting to everything that you wanted to talk about, because you wrote a fairly extensive note that I have mostly ignored while we were talking. So I'm wondering, I'm wondering how we're doing.

Mar 58:14
Now we're fine. I tend to be a little too wordy when I when I write or even when I talk. So I reread that last week I was cash. One, I mean, why don't you just sit down and like write a three page letter to this guy. It was so long,

Scott Benner 58:31
I ended up being people's therapist, sometimes.

Mar 58:34
I think, I think when I when I reached out to you, you know, I just was so like, happy to have this resource, honestly, that I just felt, you know, so great about, you know, tapping into this information. And I thought, well, I just have to tell this guy how great this is. And then it made me want to tell you, you know why I was listening and what was going on?

Scott Benner 58:55
I'm glad. Would you consider yourself a person who listens to podcasts outside of diabetes.

Mar 59:01
Only just recently, like maybe a year ago. So what are these podcasts things that people are listening to? And it was not until the pandemic and I started working from home because I work from home four days a week that I started listening to podcasts while I work. Yeah. And prior to that, yeah, I didn't listen to them at all. And now I only listened

Scott Benner 59:26
to a few. Okay, yeah, I gotta talk to my wife about that, because she watches bad television while she's working. And I'm like, You should upgrade what you're she's like, I like how mindless it is. I'm like, I don't I don't know how she cares if a 21 year old kid is on a singing show. But my wife still really cares about it. So at least likes it his background. And so, anyway. Well, yeah, because I mean, 55 is, I mean, you're on the other side of what I you know, people expect for podcast listeners. Yeah. How did you so how did you find Did you Find. I'm trying to figure out how you found this.

Mar 1:00:03
I'm sure it was in one of the social media groups that I just remember thinking that I kept hearing the term that Juicebox Podcast. And I think I probably initially thought that it was for kids. And then I thought, well, I'll listen to it and see what it is. And I realized right away that it's for anybody who's dealing with insulin and diabetes. And I think you're right, I don't fit into that group that usually listens to podcasts. But if I have the TV on while I'm working, I can't pay attention to work. If I have the podcast playing in the background, I can somehow do both depending on the podcast, there are times when I have to rewind because I'm focused on what I'm working on. Or I you know, if I'm working on something, really, that really requires my focus, I'll shut it off. But, um, but yeah, I mean, it's just, you know, I listen all day. I'm home by myself. I listen all day while I'm working.

Scott Benner 1:01:04
That's lovely. Are you going to listen to this episode?

Mar 1:01:08
I don't know. Just because I'm sure that I will not like the way that I sound. And I will think, oh, cocky sounded so don't

Scott Benner 1:01:17
see, I'm always fascinated by that. Because a I don't sound the way I sound. Like when if I took off this head, these headphones. Because right now I'm hearing my voice in my own ears. And I do that so that you and I are the same level in the conversation. Like like his I'm hearing our conversation in my head. Which is, which is good. You kind of have to forget that the microphones here. But without this mic without these earphones. I don't sound the way you're hearing me right now. Exactly. Like I'm not like, I don't have like a squeaky Mouse voice. And I'm like, you know, masking it or something like that. But, you know, I don't like sound exactly like this. And I always think like, what did people like? What's their expectation of how they sound? Yeah, you know what I mean? And yeah, and then the other part is, you like the podcast, right? I do. You okay, do you? Generally speaking? You don't think there's like a like a real clunker in there? Right? Yeah. You don't get to one where you're like, Oh, God, this is terrible. Why am I listening to this? I mean, every once in a while, not your beer, your cup of tea, maybe or something? But you know what I mean?

Mar 1:02:22
Yeah, no, I agree. I listened to I'm trying to see what I was listening to it until our call, can't see what episode I want. Because I went back to the very first 000. And I've been working through them. That is

Scott Benner 1:02:34
what everyone should do, by the way. And, and because that's good for me. Just I mean, it might be it might be good for you. Actually, that's not true. You should because by episode four, I am already hitting my stride talking about diabetes. Like I'm, I'm going over things. And I mean, I think episode four episode 11 are really like pivotal to understanding how I think about all this. But but the My point was, is that I've never recorded an episode and just thought this is terrible. I'm not letting anybody hear it. So your episodes going to do something for someone else. Just like their episodes, or have done for you.

Mar 1:03:13
Yeah, hopefully. Yeah. Because I, I have gotten something out of all of them. I'm just looking at on episode 207. Look at your which is from February 19. So I'm getting caught up. But oh, this

Scott Benner 1:03:25
is super interesting. You know, a 210. The Pro Tip series starts you don't even know about that? Probably?

Mar 1:03:32
No, I've been listening in order. So no, I mean, and I do listen, like I said, if I'm focused on something that I'm working on, I'll back the podcast up because I didn't hear you know, what was actually being said it was just background noise. So I mean, it's taking me a while to get through them. But I do think that there's valuable information in each one, even if it doesn't pertain to me directly. So yeah, I haven't.

Scott Benner 1:03:54
Oh, Marla, you're doing pro tip. You're doing mid sixes. And you haven't been to the pro tips or the or the defining diabetes stuff or anything. Oh, yeah, you're a once he's gonna go into the fives.

Mar 1:04:06
Oh, I hope so. That's really what I want. Because honestly, Scott, I have all these other issues. That I feel like at some point, those things are going to come backing and I don't want to have major diabetes on top of every Sue's complications and then have those things come and have you know, whatever. How many ever years I have on this earth left? Hopefully a lot. I don't want that time to be you know, awful.

Scott Benner 1:04:36
Marla. I'm not even kidding. If you're definitely going to keep listening. When we're done here. We're going to talk about you booking to be back on like a year from now. Okay, because I'm sure I'd be super interested to see what happened to you after you got through that stuff.

Mar 1:04:55
Yeah, no, I definitely will keep listening. I mean, I'm lucky my job lets me work from home. I go to care. post like one day a week, the other four days I'm listening to the podcast. I mean, it's sometimes I'll take a break and listen to Smartlist because there's so funny. But the Jason

Scott Benner 1:05:09
Bateman one. Yes. Yeah, I've never heard it. But it's Bateman. Sudeikis and somebody else when Sean Hayes, I love that seems like something I should be listening to actually,

Mar 1:05:19
they're very funny. Yeah. And they have interesting guests. But most of the time, I'm listening. And then there's another one called spooked that I like because I like scary stories. But those are the three podcasts that I listened to yours. And those two. No,

Scott Benner 1:05:31
that's good company. I'll take it. Yeah. Thank you. Really, really cool. All right. Well, is there anything else that we should be talking about? Are we got?

Mar 1:05:40
Oh, no, I think I think we're good. I really appreciate you taking time to talk with me.

Scott Benner 1:05:45
No, I had a great time. This was was really interesting for me as well. And I appreciate you being comfortable laying out all the things that are happening so people can get a full picture. Sure. Yeah, that's really wonderful. Hold on one second for me. Okay, sounds good.

I want to thank Marla for coming on the show and let you know that I'm gonna have her back. I could wait about a year and then invite her back on I want to hear more from her. Thanks very much Mark. Also want to thank touched by type one, and remind you to go to touched by type one.org and find them on Instagram and Facebook. And of course, our new sponsor cozy Earth cozy earth.com. Then once you get everything in your cart, you know what you want to buy. Don't forget to check out to use my exclusive offer. Put in that juice box code, save 35% off and by the way that 35% off is sitewide when you use juice box, thank you so much for listening. I'll be back very soon with another episode of The Juicebox Podcast.

If you're looking for community, please take a look at the Juicebox Podcast Facebook page. It's an absolutely private group has over 33,000 people in it. If you're using insulin, there's no better place to be Juicebox Podcast type one diabetes on Facebook. If you have type two or a lot or something like that, get in there. Big Family