0:19

I mean , after that bonkers sensor I

0:21

had that I should have taken off like

0:23

two days before I actually took , I

0:26

think , two days break just because I was so frustrated

0:28

, and one of the

0:30

realizations

0:35

I did have is that , well , I

0:37

don't think about my diabetes

0:39

as much when I'm not wearing a CDM . In

0:46

previous years we have hosted some different

0:48

challenges , which was mainly just

0:50

like information and weeks

0:52

, two weeks , four weeks of information for

0:54

our users .

1:00

Welcome back everyone to the

1:02

healthy diabetic podcast

1:05

. I'm your host , as always , coach Ken Kenes

1:07

. If you're brand new to this

1:09

channel , this podcast , welcome

1:12

. Thank you for taking the time out of

1:14

your day to listen to this episode

1:16

. This is a very long episode

1:18

, a lot longer than usual , so

1:21

, but I promise every second

1:23

, every minute , is worth it . Before

1:26

we get started , let me remind you

1:28

that nothing that you hear on this podcast should

1:30

be considered medical advice or otherwise

1:32

. Please always consult your medical team

1:34

before making any changes to your diabetes

1:37

management . Okay , now that we

1:39

got that out of the way , let's dive into

1:41

today's guest , because I'm

1:43

so pumped about this . I found Christelle

1:45

. Probably I don't know maybe

1:48

10 , 12 years ago if

1:50

you are returning , you know , listener

1:53

, you know I went through a lot of dark

1:55

times at the beginning

1:57

of my diagnosis

1:59

. For the first three years I was in denial

2:01

and part of that

2:03

denial came from not having

2:06

support . When I came out of denial and I really

2:08

got on social media and I started looking for

2:10

answers , I found diabetes

2:12

strong , which is Christelle's

2:15

brand , and we're going to go over diabetes

2:17

strong in this episode . She's gonna talk

2:20

about it . She's gonna talk about the evolution

2:22

of it . It is an incredible free

2:24

I want to say that free resource

2:26

. Say that again it's a free resource

2:28

for all diabetics . She

2:31

has an incredible stuff on

2:33

her website and

2:35

everything about diabetes strong will be in

2:37

the show notes . So Christelle

2:39

is the founder of diabetes

2:42

strong . She has lived

2:44

to type on diabetes since 1997

2:46

and is passionate about helping

2:48

others with diabetes live active

2:50

, healthy lives . Christelle worked

2:52

in the diabetes industry for more than a decade

2:55

and , after leaving the corporate world

2:57

in 2015 , she decided

2:59

to start diabetes strong

3:01

. She's a diabetes advocate , writer

3:03

and public speaker who has worked with

3:06

most major diabetes organizations

3:08

and websites , which is insane

3:11

because there's so many great organizations

3:14

out there that she pretty much has been a part

3:16

of all of them . Christelle is an expert

3:18

in exercise with insulin dependent diabetes

3:21

and creates content on how

3:23

to optimize your diabetes management

3:25

on her website , instagram

3:28

, facebook page and oh yeah , she has

3:30

an incredible YouTube channel

3:32

. So , without further

3:34

ado , let's get with Christelle

3:37

. I

3:46

think for me that I really would love

3:48

to hear your story because a lot

3:50

of people know who you are . You

3:53

don't have to spend tons of time . I don't want to be the dead

3:55

horse with your story . I probably you probably told it

3:57

a thousand times , but

3:59

maybe there's some people that are our listeners

4:01

on my show that might not know who you

4:03

are . So if you

4:05

could kind of just give a synopsis

4:08

about your story , your diagnosis

4:11

, your personal journey with diabetes

4:14

, and then I really want to spend some time

4:16

talking about diabetes

4:18

strong , because I think probably

4:20

a lot of my listeners don't know who you are and

4:22

don't know the amazing you

4:25

know content , resources that you're putting out , so

4:27

I'd love to talk a little bit more in depth

4:29

about that as well absolutely

4:31

sure and I always approach it every

4:33

time I kind of get asked to

4:36

speak .

4:36

I approach it as nobody knows where you are . So

4:39

I'll definitely do that . That's

4:41

kind of like I mean .

4:42

I have no expectations whatsoever .

4:45

But yeah well , my name is Christelle

4:48

, so my personal journey . I was diagnosed

4:50

with high one diabetes in 97 , so

4:54

why is that 26 years coming up

4:56

more ? I can't count anyway

4:58

. A long time ago and

5:01

back then I lived in Denmark . I

5:03

am Danish born and raised . I've

5:06

been in the US since 2009

5:09

, so

5:11

that is coming up on what ? 15

5:13

years ? but yeah born and

5:15

raised in Denmark . I it was a

5:17

diagnosis . I didn't see it coming at

5:19

all . I was 19 at the time

5:22

. So now you all don't know how old I am and

5:24

I was just running around living

5:26

my life in Denmark . You got most people

5:28

graduate high school if they choose to go to high school

5:30

around 19 . So I graduated high school

5:32

. I was saving up money to go travel the world

5:35

and so do a little beer , and

5:37

I was exhausted and

5:40

I had a lot of classic symptoms of diabetes

5:42

. I had to go to the restroom all the time , had to pee a lot

5:45

, I was eating like crazy and not gaining weight

5:47

. So I clearly still had an insulin

5:49

production . But basically I had a

5:51

family member who got concerned because I kept

5:53

napping and I would also

5:55

. I couldn't sit through a movie , like I remember

5:57

going to the movie theater and have to go to the restroom

6:00

. I'm sort of falling asleep as well . I fell asleep at

6:02

work and a lot

6:04

of classic symptoms and this family member

6:06

was like hey , this is not normal , you go see a doctor

6:08

. I went to my PCP . He gave

6:10

me a lecture about living a healthy lifestyle

6:12

and getting enough sleep , and then

6:14

he's like yeah , are you drinking

6:17

a lot of water , so he

6:19

was clearly picking up on it . And

6:21

then he measured my blood sugar right there in his office and he

6:23

diagnosed with me with diabetes and

6:27

that was , I would

6:29

say it was an easy diagnosis , but I

6:31

guess it was also a very traumatic diagnosis

6:33

and since I had no clue , I did

6:35

not know what I meant . I

6:37

thought I'd been handed a death sentence . I he

6:40

probably explained it all to me . I did not hear anything

6:42

. I left that office thinking oh my gosh , I'm gonna

6:44

die and

6:47

by Tom , because Denmark

6:50

we're on a bicycles all the time , so

6:52

by Tom . My mom is a nurse and she could

6:54

explain it to me . So I was very lucky in that sense

6:56

and she and I went and saw a

6:59

pediatric

7:01

nurse or as a pediatric

7:04

unit of Steno

7:06

Diabetes Center , which is one of the best diabetes

7:08

centers in Denmark . So I lucked out that was really close

7:11

to where I lived and I got all the training . But

7:13

basically that was my diagnosis . I

7:15

had an awesome nurse who

7:18

was the first one to tell me because I had that

7:20

trip planned for my leap year and

7:22

she's like , of course she's still going and

7:25

she was . She really had , she really

7:27

put me on the right track . I think I'm

7:30

kind of like that's also where my mind is . But she was

7:32

like you're doing everything you want , you're gonna

7:34

have a great life , don't worry about it

7:36

, you just need to know the ropes

7:38

of this . So

7:40

within that year of my diagnosis , I traveled

7:43

around India . Everything

7:45

went wrong , my insulin got

7:47

trashed and you know

7:49

I everything went wrong

7:51

. But it was a great learning experience

7:53

, also in what not to do . And

7:55

you know , still , even though I

7:58

lost all my insulin twice . I

8:00

still figured it out , even

8:02

though this was back in 98 where

8:04

I did not have a cell phone and

8:07

I sound like I'm ancient , but you know there

8:09

was . I was communicating with my diabetes

8:11

nurse through facts of all things

8:13

. I know . I was also

8:16

in India . I mean it was , I was in

8:18

places where I couldn't , just , you know , pick up

8:20

the phone necessarily , and there was a time , some

8:22

difference , and all that good stuff but anyway . I

8:25

figured everything out and I think one thing is everything

8:27

doesn't go . I think that's

8:29

life right , everything is not necessarily go

8:31

gonna go as planned but if

8:33

you have the right mindset and the view , resourceful

8:36

, for the most part you can figure things

8:38

out . And the same come things comes

8:40

to diabetes . Right , it's not always gonna go

8:43

the way that we plan , but you know , for

8:45

the most part we can figure it out . And

8:49

yeah , so that was a diagnosis

8:51

story . Basically for me

8:53

move

8:56

to the US actually I worked

8:58

in the diabetes industry for quite a while

9:00

, pretty much all my

9:02

professional career . Yeah , and

9:05

then in 2013-14

9:07

, I started doing bodybuilding competitions , so

9:12

I here's a lot of fun , here's

9:14

a lot of fun

9:16

.

9:16

I did not know this about you . This is great

9:18

. No , I did not know this

9:20

about you and I've been following you for

9:22

a long time .

9:23

I don't show as many of my bikini

9:25

photos , just you know , because

9:31

I did the bikini division , so

9:34

it's a lot of sparkly bikinis

9:36

and plastic heels , but that's only

9:38

the stage part , this , of course , the

9:41

training for it and then and

9:43

all of that and I compete for about three years and

9:46

it was a boatload of fun . But what

9:48

I also realized is how complicated

9:51

it can be to exercise , especially at

9:54

that level , with an insulin-dependent

9:57

diabetes . And

9:59

that's what started me on the

10:01

path that I'm on now with diabetes

10:03

strong , because

10:05

I was looking for resources

10:08

. I was looking for resources on how

10:10

do I manage my insulin

10:12

level so don't go low every time I try

10:14

to go on the treadmill or anything

10:16

else . How do I manage my blood sugar so I

10:18

don't go high every time I do a resistance training workout

10:20

, and I had a hard time finding that

10:23

. So I created

10:25

it and it started

10:27

out a small blog I just wrote for me and

10:29

my mom , I guess and then

10:31

it turned into something

10:33

more and it's now

10:35

diabetes strong , which is a website for

10:37

people living with any type of diabetes , not just

10:39

type one , and it's not just about exercise

10:42

anymore . It's about all aspects of

10:44

living with diabetes . And

10:47

the cool thing , I think , is , first , all it's

10:49

been my mission that

10:52

it has to be a completely free resource , and it still

10:54

is . I don't want people

10:56

with diabetes having to pay to get the resources

10:58

they need to be successful

11:00

in their management and

11:03

it is written

11:05

by people who live with diabetes should also

11:07

think it's pretty cool . So what we aim at we

11:09

don't try to be another web MD

11:12

. We try to give the resources , but also

11:14

from somebody living with diabetes perspective yeah

11:17

, I love that diabetes perspective thing

11:19

and not just book learning or not .

11:21

This is what's in the books and this is what the stats

11:23

say .

11:25

We're more than stats absolutely

11:27

, and I don't want a doctor talking at you . I

11:29

don't want you to actually have somebody . I want to

11:31

be I high , right , yeah

11:33

, so that's that's kind of where we're

11:35

a little different and it's been

11:37

my husband , I , we it's not the world we , it's

11:40

my husband , I runs it . We run diabetes

11:42

strong together and we

11:44

left our corporate careers in 2015

11:47

and been working on diabetes strong ever

11:49

since .

11:50

I love it . That's awesome . I

11:53

think , I like

11:55

I want to take a step back in to your story

11:57

because I heard you say something that I

11:59

was very that's very profound

12:01

and I think that a lot of us take for granted

12:04

, especially those of us who were

12:06

diagnosed . You know CGM

12:08

technology post , and

12:11

that was you being in

12:13

India , your insulin failing

12:15

, you , having to try to to manage

12:17

and go through all this with

12:19

hardly no resources

12:22

at your disposal , but you still

12:24

did it . And I think that's a powerful

12:27

message for a lot of people , because

12:29

we get so consumed about insulin

12:31

pumps , cgm's and how powerful those

12:34

technologies can be on

12:36

our diabetes management , but we forget about

12:38

the individuals

12:40

that didn't have that when they first started . And

12:43

I just wanted to bring that back to circle and

12:45

just and like congratulate you and just

12:47

like praise you for being able

12:49

to figure that stuff out , because I know it's so

12:51

hard for people to figure out this disease

12:54

, even with all the

12:56

technology at our disposal .

12:59

I mean I must . So I

13:02

did fairly well , I'd say . But

13:04

there's no question in my mind and

13:06

I can also look at my numbers and see when

13:08

I then did get a CGM . I think my got my

13:11

first one in 2013 . Yeah

13:15

, that sounds about right . 12 , 13

13:17

which one . I start well

13:19

, back then I worked for Mitronic so

13:21

I got a Mitronic CGM

13:24

because that was that

13:26

just made more sense in that context . So

13:29

I started out in the end light and

13:32

had that and I'm not on an insulin pump

13:35

, so I just had the sensor

13:37

and it's

13:39

even that sensor . That wasn't very good

13:42

and you had the hard pooping to insert

13:44

it , kind of like the the

13:46

texcom T5 that I moved over

13:48

to after . It's still

13:50

made a huge difference because

13:53

all of a sudden , you know I love

13:55

that description of CGM is that

13:57

whereas with a finger stick

13:59

you see like individual

14:02

moments in time

14:04

, you don't see where you're going , you don't see where

14:06

you were , you just see blip . This is where I'm at

14:08

right now with a CGM you can see the whole journey

14:10

and that just informs our

14:12

decisions to a degree that's

14:14

just unbelievably

14:16

helpful so that's

14:19

. I'm 100% sure that I couldn't

14:21

achieve the blood sugar levels that I achieve now

14:23

without a CGM . So

14:27

that was my praise to CGM , but

14:29

of course , yes , it can be done

14:31

without . It's just way , much more , way

14:34

, much more work yeah

14:36

, more identification

14:39

, more thinking , more like

14:41

.

14:41

I feel . I feel like now the technology

14:43

whether you're on an insulin pump

14:46

plus a CGM or just on a CGM

14:48

and you're using MDI I

14:50

feel like there's so

14:53

much less of having to like

14:55

worry about necessarily 100% what's

14:57

going on . You can take your hands

14:59

off the reins , sometimes at

15:02

different aspects of that , and

15:04

be able to live your life the way you want to live . And

15:07

I remember when I first started

15:09

and even in it was what 2007

15:12

is when I started at 25 and

15:15

I was in three

15:18

straight years of denial . I was

15:21

a three , four sport athlete

15:23

. Like I played every sport imaginable

15:25

. I was a college athlete

15:27

and going through that

15:29

whole process it I had zero

15:32

support whatsoever not

15:34

necessary for my I have . Course , I had support

15:36

for my family , but they didn't know what the heck was going

15:39

on . My dad it

15:41

was a researcher in

15:43

gynecology . He's like dropped

15:45

everything he was doing . Try to read more about

15:47

type 1 diabetes . He knew about it

15:49

, but not a lot about it . But

15:51

what he was telling me you know it's like your parents

15:54

, like it's going in one ear , not the other . And

15:57

your story

15:59

like touches me because , like

16:02

you , I was diagnosed at my primary

16:05

care physician and

16:07

my sugar levels were in the 450s

16:10

. Didn't feel anything . Only

16:12

symptoms I had was urination

16:14

and thirst . That's it . They

16:18

just gave me an insulin , a 70-30

16:21

split . Actually got a 70-30 split

16:23

insulin pen from them . Okay

16:25

, so basic

16:27

understanding of how to use it . Take

16:30

this much insulin in

16:32

the morning , take this much insulin at night . Here's

16:35

your glucose monitor . This is how you use it . We'll

16:37

see you in a couple of weeks . I wasn't sent to the hospital

16:39

and I didn't get any additional education no

16:41

, nothing . And

16:45

it is my passion to talk about this

16:47

stuff because I've

16:49

talked to so many people on this show . I've talked to so many

16:51

people in our community , people

16:53

that had the same type of diagnosis

16:56

and , unfortunately , the

16:59

more and more people I talk to about that , it's more

17:01

and more adults that were

17:03

diagnosed later on in life that goes through

17:05

that same type of diagnosis . Yep

17:07

, so your story touches

17:09

me because I remember it

17:11

brings up vivid memories of going through that

17:13

.

17:14

Yeah , the interesting part was I was not sent

17:17

home with insulin as . I

17:19

remember it , I was sent home on a Friday . Well , my

17:21

PCP just said hey , you

17:23

have diabetes , you need to see a specialist . And

17:25

I went home and I was home all weekend and then Monday

17:27

my mom and I went to the

17:29

diabetes center Wow . But

17:32

again , I didn't look . I

17:34

was slender , but I didn't look sick . So

17:37

maybe he was just like well , she clearly has an insulin

17:39

production . Still , she'll be fine . I don't know .

17:42

Yeah .

17:42

And also it was a few days ago and kind

17:44

of what I said . Also , he might have explained a

17:46

whole lot of things to me . I just don't remember it and I

17:48

think that's one of the . The

17:51

other things is , when you get diagnosed with

17:53

something like that , I think with diabetes

17:55

or whatever it is , you don't listen

17:57

. You hear maybe . I think there's

17:59

actually statistics on how little you hear you're nothing

18:02

.

18:02

Yeah , yeah .

18:04

So the whole thing about also trying to teach people anything within

18:06

the first day or maybe even the first week

18:09

is , I

18:12

mean , I wonder how much sticks . And

18:15

we need to have continued education

18:17

and we definitely need to have some sort

18:19

of level of education because , as you say , you're not

18:21

the only one who's got sent home told

18:23

good luck , yeah , and that's just yeah

18:25

, good luck .

18:27

I love him . I loved him . He

18:30

was an incredible , incredible

18:33

general practitioner , but that's what I mean . He's a general

18:35

practitioner and even at that time , the

18:37

general practitioners I don't know because

18:41

we're still learning so much about type one

18:43

at that point like I don't know how

18:45

much education they even had about

18:48

type one .

18:49

Very little , yeah , very

18:52

little , it's a very little . Yeah right , it's totally

18:54

statistically sound . No , I know even my

18:57

last primary care

18:59

, who I loved in the US . He

19:01

was amazing , but once you know

19:03

, while he'd say stuff about type one , I was like that's

19:05

not true .

19:07

Yeah .

19:08

And at one point he just stopped because he's like

19:10

this one is not going to back down , I guess . But

19:12

I mean I also , if I know what I'm talking about , I'm

19:14

like that's not true . He talked about how

19:16

to reduce my carbs . At one point I'm like no

19:18

, you know you got . You're

19:21

confusing things here , but

19:24

I think that's kind of deviating from my story

19:26

. But I think that's why we see

19:28

so many people getting misdiagnosed as type two

19:31

is because the doctors

19:33

don't know . And again , I was

19:35

explaining to a friend the other day and she's like well

19:37

, you know , it's mainly kids that

19:39

get diagnosed right , and

19:42

I mean it's called juvenile diabetes , so

19:44

no wonder that people get confused

19:46

.

19:47

Yeah , so Well , but now we've got a lot

19:50

to make the distinction .

19:52

We do , but the question is

19:54

do they know ?

19:55

Yeah right .

19:56

But I mean that's Right .

19:58

Well , I feel like a lot is super new . Though

20:00

that's a new term , I like maybe

20:02

what in the last year or two years that's been a new

20:04

term . A little longer than that A

20:07

little longer than that . I feel

20:09

like I just started hearing it a

20:11

couple of years ago , because even

20:14

before that , though , wasn't it ? It was

20:16

kind of like 1.5 , right

20:18

.

20:19

That's the same , yeah . 1.5 line

20:21

, yeah , yeah . And

20:23

then they changed it to name to LADA . So I mean it's been a I

20:26

don't know how long it's been recognized .

20:27

I know that we've talked about it on Diabetes Strong

20:29

for a while , but You've

20:33

talked about like the actual name of LADA

20:35

for a while . Yeah

20:38

, what is ?

20:39

that type of diabetes . Gotcha

20:41

, okay , yeah , yeah , yeah yeah

20:43

, but I mean that was also . That's

20:46

one of some of the things that we've also tried to do

20:48

on Diabetes . Strong has also been trying to

20:50

bring awareness

20:52

to certain things , so we've , for some , been talking

20:55

. We don't . That's

20:57

not the majority of our content . The majority of our content

20:59

is for the majority of people , right , but

21:01

there's also some parts of

21:04

the content that we really need to get out there

21:06

talking about LADA , talking

21:08

about Dibulinia , talking

21:10

about some of the things that impacts

21:12

people living with diabetes

21:14

but is not necessarily talked about .

21:17

Burnout is another good one , so

21:19

but it does

21:22

require that people go out and look for the information

21:24

.

21:24

They're not going to say anything

21:27

.

21:28

That's an interesting thing , because I

21:30

don't think You're absolutely right . I

21:33

don't think burnout and the stages even

21:35

of burnout are talked about enough

21:37

. I'd love to , if

21:39

you could . Could you just talk to us about

21:43

that , about burnout , what your thoughts are about

21:45

that , what you guys have

21:47

up on the site ? Do you guys have

21:49

a lot of stuff up on the site about burnout ? What's

21:51

your thoughts there ?

21:52

I'll try so . Mental health is

21:54

not my core , but I'll

21:57

try . So it's one of those things

21:59

. So for some we had in previous

22:01

years we have hosted some different challenges

22:03

, which was mainly just like information

22:06

two weeks , four

22:08

weeks of information for our users . So

22:10

we haven't done one in a long time , so I shouldn't advertise that

22:12

as if we are . But anyway , one

22:15

of the themes were mental

22:17

health burnout . Specifically , we

22:19

had a diabetes psychologist on there who

22:23

came and he did like a talk and

22:25

what I heard people say was oh my gosh

22:28

, it is so nice to have words

22:30

for what I'm feeling . Because

22:33

a lot of people just know that they're

22:35

in a rut , they know that they don't necessarily

22:37

want to measure their blood sugar , they know that they don't

22:39

want to take their insulin or they're just very

22:41

fed up , frustrated . All these

22:44

components of diabetes burnout

22:46

, but they haven't had . They

22:48

haven't been able to put words on it or

22:50

know that . Hey , this is actually something

22:52

that other people go through as well . But

22:56

again , it's hard because if you don't know what

22:58

you don't know , then it's

23:00

hard to go look for the resources right , but

23:02

one of the things that we've focused on , tried

23:05

to focus on , is having a mental health

23:07

component on diabetes

23:09

strong as well . When

23:12

we've been able to , we've had mental health professionals

23:15

write those , because I think that's

23:17

needed to

23:19

try and also touch on some of the

23:21

small , not small things , some of the

23:23

subcomponents of diabetes

23:26

burnout , for

23:28

example . Are you yeah

23:31

, are you depressed ? That can also fall

23:33

under it , but it's not just being depressed

23:35

, it's depressed in the diabetes context . See

23:39

, I'm not sure I'm explaining this very well , but

23:42

it's , it's .

23:43

Yeah , I totally understand what you're saying because it's for

23:47

me , going through denial for three years

23:49

. I

23:51

totally get what you're saying because

23:54

it's this thought process of not

23:57

just being depressed , but

23:59

where is the root cause of that depression ? Is

24:01

it because you don't want to wear devices

24:03

anymore , because diabetes

24:05

? You just haven't been able to figure it out Like

24:08

. So there's so many different layers to this and

24:11

I do think that it's such a powerful thing

24:13

and I'm so glad that you guys are speaking to

24:15

it and having these professionals on , because it is

24:17

something that I feel like all of

24:19

us go through at some point and even

24:21

the thought process of going through burnout

24:24

like oh man , like even last

24:26

month I was having such a hard time

24:28

with like sites being bad , you

24:31

know , having like bad sites , like

24:33

the insulin not working the way it's supposed to , my

24:36

DEXCOM being off by almost 60

24:38

milligrams per deciliter sometimes , and going

24:40

to the going through your checklist of

24:42

should I take this off ? Do I give it another

24:45

five hours ? Like , do I calibrate

24:47

it ? Like there's so many things

24:49

and I was just like so frustrated . I was like

24:51

man , I should do what Matt's

24:53

trying to talk about doing , which is go back onto

24:56

NDI for a couple months , like just like I'm

24:58

done Right , so like

25:00

these are like things that we constantly

25:02

think about and I'm so glad and so happy

25:04

that you guys are talking about this stuff on your

25:07

site and having these people that

25:09

are professionals that are way smarter than us talking about

25:11

it . Absolutely

25:13

.

25:13

It's . It's interesting . I

25:18

went to this conference on one point diabetes

25:21

conference and they asked how many

25:23

of you here in the room and I think they've been

25:25

like 40 people there have

25:27

experienced burnout . All but two

25:29

people raised their hands .

25:31

Yeah .

25:32

And , to your point , there's different levels of it , right , but

25:37

diabetes is hard

25:40

, man , it's

25:42

, it's I , I , whatever

25:45

they , and that's kind of back to the point is he's sending you

25:47

home after your diagnosis and like , hey , good luck

25:49

, that's an assumption of hey , it's

25:51

just about taking one shot , or

25:53

, you know , exercising

25:56

or whatever , and then you're fine . But

25:59

it's so much more than that . So that's another

26:01

thing , that's really one of the things that I

26:03

I talk a lot about

26:05

. And that's why I what I do a lot about on

26:07

on YouTube as well is

26:09

kind of like basic . I don't even want

26:11

to call it basic because there's nothing basic about diabetes

26:14

, but it's different components of diabetes

26:16

and how do you tackle it . So

26:19

kind of also back to what we talked about

26:21

. You might have learned all these things when you're just diagnosed

26:23

, but how much of it do you remember ? How

26:26

long ago was it ? You know , were you

26:28

? able to take it in . So

26:30

I think it's really important that we continue

26:32

to educate ourselves and

26:35

that includes me as well . You know

26:37

and go out and find the resources

26:39

that can help us tackle different things . So

26:43

, anything from you know . How

26:45

do I use my technology

26:48

optimally , how do I you know ? When do

26:50

I change my CDM ? I

26:52

just posted about that on Instagram not that long

26:54

ago because I made the mistake of wearing

26:56

it two days too long . Like I want

26:59

to rip out my hair because it was so inaccurate

27:01

and it kept a lot and it wouldn't , let

27:03

me calibrate , and it was

27:05

just not good . When I finally

27:07

called Daxcombe , they were like you should take this off now

27:09

. We'll send you a new one because this is clearly not reliable

27:12

. Like yeah , yeah .

27:15

She probably done that two days ago . Exactly

27:18

that's how I always feel . It's like man

27:20

, there's so many things that go through , there's

27:23

so many stories . I tell myself in my head , oh

27:25

man , this thing is expensive . Yeah

27:27

, Like this is expensive Even

27:29

in . It's such a stupid thing to think about

27:32

because Daxcombe like

27:34

we're both using Daxcombe and Daxcombe

27:36

is such an amazing company that they

27:38

don't question you at all . It's

27:40

like they ask you their standard questions . You

27:43

can call them or even do it from the app

27:45

, and they send you a brand new one . So

27:47

why would you keep wearing ?

27:49

it , I know .

27:50

Like it's not working , just don't wear it . But

27:52

I do the same thing and

27:55

, like last month , when I had the most

27:57

trouble with my blood sugars in terms of the inaccuracy

28:00

of these numbers , I

28:04

wore the damn thing two times

28:06

for 20 days straight with inaccurate

28:08

numbers , when I should have just taken both

28:10

of them off and just started over

28:12

. Yeah , like , so , yeah , 100%

28:15

. It's like these things that we con , these stories that

28:17

we constantly tell ourselves , and it's like it's so

28:19

crazy that we do it , even though it's

28:21

like just practice what you preach , just

28:24

tell you know it's just hate

28:26

other people . You

28:28

know , just do what you'd say every day to

28:30

other people .

28:32

Well , it's always easy . It's like do

28:34

what I say , not what I do yeah

28:37

.

28:37

Easier said than done . Exactly

28:39

, oh , driving crazy . Well

28:42

, I'm glad I'm not alone in these craziness

28:44

. Go through

28:46

every single day when

28:48

we don't do what we say , tell other people

28:51

to do . Yeah .

28:52

I think back to the being expensive . It is expensive

28:54

, right , but to your point , they also replace it . I

28:56

find it harder with , for example , with insulin . I

28:59

don't know if you ever like suspected your insulin

29:01

of having gone bad .

29:03

Yeah , I have a couple of times not very often because

29:06

it's like one of my last steps on my list

29:08

that I look at . But

29:10

yes , 100% I have

29:12

.

29:13

So we need to talk more about that , because that's

29:15

actually something I'm going to interview . Please

29:18

, please , what did you say ?

29:19

It was really really good .

29:21

I love that . I love the list of things that you

29:23

go through . So that means that

29:25

you and I'm going to let you tell

29:27

me what it is , obviously , but you have a list of

29:29

you have some steps you go through whenever

29:31

things are not quite working out right .

29:34

Yeah , yes , I do

29:36

. So the first thing that

29:38

I'm doing is I'm trying

29:41

to reflect on what the numbers

29:43

have been right , because

29:45

for me , most of the time , it's because

29:47

it's usually because of some type of an accuracy

29:49

of the DEXCOM . So I'm usually

29:51

trying to calibrate . So I'm calibrating

29:54

, because I'm on the G6 and I'm on the Omnipod . I'm

29:57

calibrating a couple of times to see

29:59

if I can bring it back to where it's supposed to be . A

30:02

lot of times that'll work . But the funny

30:04

thing is , when you have a bad site , a

30:06

lot of times it'll come back to where it's supposed

30:08

to be . Then three hours later it's going to be off again

30:10

. So I've had that happen before

30:13

. So I had this whole checklist

30:15

of like . I'm looking at the number , I'm looking at the trends

30:17

, I'm going to figure out what's going on based

30:20

off of the trends . Is this number

30:22

not working the way it's supposed to ? Or am

30:24

I getting a low blood sugar or a high blood sugar

30:26

because of something that's happened three

30:29

hours , two hours , an hour before

30:31

, either from food , exercise , whatever it is

30:33

? So I'm looking at those trends

30:35

. Then the next

30:37

thing I'm going to do is go through

30:40

and take off my

30:42

insulin pump , so I

30:44

always change my insulin pump before I change

30:46

my DEXCOM or change the sensor , because

30:49

I'm always under the impression that it's

30:51

the insulin not the sensor . I

30:53

don't know why . That's just part of the process

30:56

of what I go through . So I'm

30:58

always changing the insulin

31:01

first . If

31:03

that still isn't working , then I'm going to

31:05

go back to the DEXCOM and probably go

31:07

back through the same thought process I went

31:10

last time in terms of

31:12

the checklist , and the

31:14

DEXCOM comes last .

31:17

Do you ever do a manual injection ?

31:20

A manual injection . Sometimes

31:22

I do . Sometimes I do yes , 100%

31:25

, I would

31:27

probably say an MDI injection . A manual

31:29

injection is probably third

31:31

on that list before I change out the DEXCOM

31:33

. If , for some reason , I change

31:35

out the insulin pod

31:38

or pump and it's not working the way it's supposed to

31:40

, I'll rip it off and

31:42

try to correct that

31:45

high blood sugar or whatever it is with

31:47

an MDI and see if that works , because

31:50

a lot of times it is that for me it is

31:52

the pump , because I've used my

31:54

stomach way

31:56

too much and I

31:59

have a lot of hard time with sites

32:01

on my stomach , which

32:05

is why I liked going and moving into the omni

32:07

pod , because I use my

32:09

triceps and my arms a lot more

32:11

than I ever did before . Now

32:14

I started using my

32:16

upper glutes and my low

32:19

back , and those work really well too . They're saving

32:21

my stomach , they're

32:23

saving me from using my stomach , but I have a whole system

32:25

for my stomach as well . I

32:28

have 40 different sites on my stomach as

32:30

well .

32:31

Anything below the neck .

32:36

That's kind of my checklist of what I go through

32:38

and it

32:40

doesn't work every single time , but for the

32:42

most part it works . I

32:45

usually get to step three before I

32:47

have to change out the DEXCOM . The

32:52

last couple months when I've had some really

32:54

crazy numbers on the DEXCOM , that

32:57

was probably one of the first times that I

33:00

had to get to that

33:02

step to

33:04

actually correct everything . That's

33:08

my whole process of going

33:10

through and

33:12

trying to figure out why these blood sugars are not

33:14

acting the way they're supposed to be acting . So

33:18

I'm a big person about trends

33:20

and like looking at what's happened

33:23

in the past , what could potentially happen

33:25

in the future , what's

33:27

happened . You know two , three

33:29

, four , you know days before

33:31

, what's happened the last time this

33:33

, this situation actually happened . What ? What

33:36

was the situation ? What actually happened

33:38

last time ? Um yeah

33:40

, so I'm a big trends person .

33:42

It's about to say that . That's how you learn your trends .

33:45

Yeah , so yeah , yeah , yeah , I

33:47

used to have this little like booklet .

33:48

That would do it and have a little pic lit on it , and

33:51

it wasn't larger than like my hand , but

33:53

I would write down . So that was specifically for workouts

33:55

. I'd be like , okay , it's .

33:56

Monday morning .

33:57

This is what I'm eating , this is what my blood sugars

33:59

, this is . Also . I don't think I was wearing

34:02

my CDM like consistently . That was in light

34:04

. Sometimes it was a little funky , but

34:07

I would write down , you know , time of day , type

34:09

of exercise , blood sugar , food , insulin

34:11

on board , and then I would calculate the insulin

34:14

board , which is actually . It's

34:17

not super hard so you can do that , but for

34:20

me that was a kind of the

34:22

key things to take down in

34:24

time of day carbohydrates

34:26

I'll be type of exercise

34:29

. So that

34:31

was and that was super effective . I'm

34:33

a little booklet . Then I could go back say , okay , what did

34:35

I do yesterday , what am I doing

34:37

today ? And then

34:39

you know what works , what doesn't work . And I find

34:41

that my , at least

34:44

in my perspective , is if you

34:46

keep things fairly stable , so if you

34:48

remove as many variables as possible , try

34:50

to do the same things , maybe for a week

34:52

. After three to five days you

34:54

can see patterns , even

34:57

if you don't use the CDM , mm-hmm

34:59

. But it does require

35:02

you know you to be a little .

35:04

Yeah , the CG . Not having the CGM

35:07

is just I , I I

35:10

can't believe I ever Lived

35:13

with this condition without having that

35:15

number in front of me . It

35:17

just , it makes me be able to react

35:19

so much faster or even be

35:21

proactive so much faster . Yeah

35:24

, um , based off of what the number says

35:26

, what the arrows are telling me and

35:28

then what I know what the , what I did , you

35:30

know , hour two , three hours before . It's

35:35

just , it's helped me so much with

35:37

my own personal management style being able to

35:39

have that number and it

35:42

almost to an extent that it makes me I know I can

35:44

do it , just because I know diabetes and I know

35:46

what my system does and I know , I

35:48

know how to do it . If someone

35:51

told me , okay , you can't ever wear a CGM , ever

35:53

again , I'd be really upset , but I'd figure it out

35:55

.

35:56

Absolutely . I mean , after that bonkers

35:58

sensor I had , that I should have taken

36:00

off like two days before . I actually

36:02

took , I think , two days break

36:05

just because I was so frustrated . And One

36:08

of the realizations I did have is

36:10

that , well , I don't Think

36:12

about my diabetes as much when I'm not

36:14

wearing a CDM and

36:16

because I have the knowledge from wearing a CDM

36:19

for so long , I kind of know what to expect

36:21

. So I didn't find

36:23

that my blood sugars were crazy . I Didn't

36:27

find that had a whole lot of low blood . I did

36:29

measure my blood sugar is quite a bit . So

36:31

back to when I before CDM

36:33

, I was measuring 10 12 times a day and I

36:35

did go back to that Frequency because

36:37

I don't think you can , I

36:40

don't think you can manage insulin dependent diabetes

36:43

well without that many checkpoints . But

36:46

it was , it was kind of nice and then I put it on

36:48

and like I'm never taking it off again .

36:53

I , I just okay , like I wanted

36:55

. I wanted to take a step , because you're

36:58

talking about Two separate things

37:00

that I think are really important to talk about , and you

37:02

have a lot of experience with both , and

37:04

that is having a CGM

37:06

, but also being very , very good

37:10

with diabetes , very successful with diabetes

37:13

in your management . Not having a CGM

37:15

and and you said something

37:17

that

37:19

I want the listeners to recognize

37:21

, especially those listeners that are not

37:24

using a CGM , and this even

37:26

goes for our pre-diabetics and

37:28

type 2 diabetics and that is

37:30

being able to test yourself more

37:33

than two or three times a day , being

37:35

able to test yourself and prick your finger and

37:38

being able to figure out what that blood sugar

37:40

actually is , more than just when you're actually Consuming

37:43

food . Because that's in my experience

37:45

, that's what we're being told is I'll

37:47

just check your sugar blood sugars half hour before your

37:49

, before you eat , and

37:51

an hour or so , two hours after you eat , and

37:53

that's it , and so many

37:55

people that I talked to that are not on

37:57

a CGM Prick their finger

38:00

once , twice , maybe three times a day , and

38:02

and what you said is like that's not enough

38:05

is a hundred percent Correct

38:07

, I believe , because you you don't have enough

38:09

data in front of you to be able

38:11

to proactively make decisions Of

38:14

what potentially could happen or what is happening

38:16

.

38:17

Yeah , and then it

38:19

comes down to costs as well . So I do want

38:21

to add actually that I got myself

38:24

a cheap meter from CVS

38:26

pharmacy . This is not a plot for CVS . You

38:29

can get anywhere , I think

38:31

, 50 strips for 10

38:33

or 12 bucks . So it's in a

38:35

more affordable range and it works fine

38:38

. You don't have to go out

38:40

and and get the most expensive

38:43

meter in the market . So I just want to put

38:45

that out there . I mean

38:47

, for if you , if

38:49

you , manage with insulin , you definitely need to

38:51

measure before , after

38:53

meals and in between . I Think

38:56

, if you said , this is just my opinion , I'm not

38:59

a CDC yes , whatever it's called

39:01

now diabetes educator but

39:03

in my opinion , if you , for example , have

39:05

do not manage with with

39:07

insulin , the goal is to figure

39:09

out how your body reacts to

39:11

different foods , different stimuli , to

39:13

you know , exercise . So

39:15

that means you might not have to take as many

39:18

blood sugar tests Consistently

39:21

for the rest of your life , but you have to do it in periods

39:23

of time to figure out what works and what

39:25

doesn't work . So you can implement that on your

39:27

life and then you can take a break and

39:29

just do measurements here and there

39:31

. But yeah

39:33

, I'm definitely with you , if you don't measure

39:35

, you don't know what's going on . I think

39:37

this whole notion that well I'm , that

39:40

you can feel whether or not your blood sugars are high I

39:42

, most people

39:44

can't , I Mean

39:46

most people or if you're consistently

39:49

high , then that's gonna become your new normal . You're

39:51

just gonna run around with a blood sugar or , let's say , 160

39:54

, and feel fine , but

39:56

you're not . So

39:58

I think you can't

40:00

trust you . You can't trust your body . Signal

40:03

signals necessarily , at

40:06

least not with everything so that's my two cents .

40:08

Yeah , yeah , I , I think

40:10

it's . It's an interesting . And I would wonder

40:13

too , because

40:15

this is self diagnosed for me , but

40:17

I , I believe that I'm hyper

40:19

and hypo glycemic , unaware

40:21

. Okay , I Don't

40:24

feel anything if I'm high like

40:26

200 , 300 . I could probably 400

40:29

, 450 . I don't feel anything , yeah

40:31

, but the same goes for

40:33

lows and I like

40:36

find it as like as a blessing and a curse

40:38

. Hmm because I don't feel

40:40

anything hardly ever if I'm under

40:42

60 . I don't really feel anything

40:44

under 65 sometimes , but

40:47

there are sometimes and I feel like a little

40:49

bit low when I'm 70 , but

40:52

I hundred percent will feel something if I'm under 55

40:54

or 50 . My

40:56

example is this

40:59

past two months when I've had issues

41:02

with the CGM , with the dexcom

41:04

. I was wearing it and it said

41:06

I was what it said . I was 119

41:10

. No , I was like I

41:13

think I was like 109

41:15

, which is a small trending arrow down

41:17

. I Was like that doesn't

41:19

sound . I just don't . I feel I

41:21

feel somewhat low . I was 46

41:24

, trending down . Yeah Well

41:27

, it's like you , this is

41:29

like and I just did an episode a Couple

41:32

of weeks ago on should you trust your CGM

41:34

numbers ? It's just because

41:36

I went through that process Well

41:39

and understanding that it's

41:42

still important to look and try

41:44

to understand what your body signals

41:46

are . And For those

41:48

of us who don't feel highs or lows , that becomes

41:50

very difficult unless we're in the severe

41:53

of Both , both

41:55

ends . Absolutely so

41:57

I think that's an important piece

41:59

to bring up too is , like you know , we

42:01

we talk about you can't you can't necessarily always

42:04

, maybe trust your feelings , but

42:06

I think that understanding the feeling

42:08

sometimes is an important

42:10

piece because it can give you insight to what potentially

42:12

could be going on based

42:14

off of what your CGM says

42:17

. And the other thing I like about

42:19

the concept of being

42:21

able to be Intuned and

42:24

insightful in your feelings Is

42:26

now I have a feeling

42:28

, I have a CGM reading

42:30

. Do I trust it ? Because

42:33

at the end of the day , they're not always trustworthy .

42:35

But that's not the full equation , though , right , because

42:37

then you say well , what do you then ? Then

42:40

, I go measure my blood sugar to a finger stick and

42:42

there you have , like the triangle . True

42:45

.

42:47

Yes , I'm so glad that you brought that up , because

42:49

I did not add that in there , that , yes , you

42:52

do . You do you trust the number ? If

42:55

you don't , now you

42:57

go do a finger stick .

42:59

And sometimes you do too , because

43:01

I've done finger six when like I don't trust that either

43:04

, and then I go wash my hands again and

43:06

you know I do another friggin stag and like okay

43:08

, you know where we add in the landscape

43:10

, because I do think , I think it's an

43:12

important input , all three

43:15

of them . You know how do . I feel

43:17

, what does my CGM say ? What does my you

43:19

know my meter say ? 100% and

43:21

then you have to , you

43:24

go from there . Yeah , and I don't .

43:26

I mean they go through a checklist .

43:28

Exactly , I will say with the

43:30

checklist as well . You might want to add one

43:32

thing . I'm just gonna throw that out there back to

43:34

the checklist , so before you take out your

43:36

pump . So actually , what , what , what us I

43:38

was also thinking about is that

43:40

if you do a manual injection and

43:42

you see your blood sugar is

43:44

coming down , then

43:47

it's probably your pump . That's the issue , you

43:49

know assuming that your CGM is right , and

43:51

then you want to take off that pump and get

43:53

on a new one mm-hmm . Just

43:56

because if it's insulin and the pump that's bad

43:58

, then

44:00

yeah continuing to do like

44:03

a bull's-ass where they won't really do

44:05

anything .

44:07

Yeah , how do you ?

44:08

how much do you love your omni pod I ?

44:12

Love it . I never thought I would because

44:14

I was on . I was on tandem for so long

44:17

and I love tandem . I still do that and

44:19

I still have a whole entire box of tandem

44:21

supplies that I need to , I need to give

44:23

to somebody and but

44:26

the omni pod , just I don't know

44:28

what it is , I can't put a

44:30

Feeling on it , it's just I feel

44:33

. I feel like the algorithm is better

44:35

and maybe just because it's newer . But

44:38

I also have done had

44:41

conversations on this show

44:43

that unfortunately weren't able to release with

44:45

. So what one of the technicians

44:48

or one of the individuals that was part of control

44:51

IQ from the very beginning of

44:53

its inception and Understanding

44:55

what the OS of that

44:58

actually is and what it's looking for , I

45:00

understand it and

45:02

I just feel like the Algorithm

45:05

at least for me personally

45:07

, from the out , from the omni pod , works

45:09

a little bit better . It

45:11

seems like it's a little bit easier . But

45:14

again , that's just me , like I'm not even stating

45:16

About

45:19

either of these algorithms whatsoever . So please

45:21

don't think that I do , it's

45:24

just . I like it , I like , I like

45:26

the flexibility of not having the cord

45:28

. I feel like the flexibility

45:31

of not having the cord gives me the Option

45:34

to have more sites

45:37

that I typically wouldn't use if I had the

45:39

cord yeah , because I'm not

45:41

is now . I've been on all three pumps

45:43

. I was on Medtronic first , with their CG . I'm

45:46

at the very inception of when I

45:48

started pump therapy Probably what that was 2012

45:52

, no , 2010

45:54

, yeah , some somewhere around

45:57

there . I started on Medtronic Uh-huh

45:59

, and was not there their pump , their

46:01

CG , and which I didn't like , but I

46:03

know it's . It's the first generation

46:05

of that technology . You

46:09

know , the very first generation of that technology

46:11

. So we can't we can't sit there and say it's terror , it

46:13

was terrible , it was first-generation

46:15

, first generation sucks , let's be

46:18

honest . But then I went on

46:20

tandem and then I got

46:22

on dexcom G5

46:24

and then I went to the juice mix and

46:27

then what I've been on on the pot , I think

46:29

for almost a year and a half , two years , and I

46:32

mean I love it . But there's times

46:34

when I feel like how this omnipot is not working

46:36

. I've done omnipon , omnipod

46:39

breaks and went back to tandem

46:41

because I have just so

46:44

many , so many supplies

46:46

and Remembered like

46:48

, oh man , this is a good algorithm , I really like

46:50

this thing , like I'm gonna just stick

46:52

to this for a couple more weeks , and so I go back

46:54

and forth .

46:57

See , that's what I love . What I love about this

47:00

is that we have options and

47:03

you are hybrid closed loop Option

47:07

and I choose MDI . Right

47:10

, I use multiple daily injections . I use insulin

47:12

pens . I have tried to pump . It was not for me

47:14

, for me .

47:15

It was more work man

47:17

.

47:17

I had a lot of low blood sugars and it couldn't keep up

47:19

. And I don't think it's the pumps , actually

47:21

I was . I was doing dy looping .

47:25

Did I say that right .

47:25

Yeah , did yourself looping and

47:30

it was just . I think the algorithm

47:32

was brilliant , it just I

47:35

don't think the insulin is smart enough just

47:38

yet .

47:38

It's not yeah .

47:39

Yeah , in the sense that it lasts a long time in the

47:41

body and once it's injected , it's injected

47:43

and you can't pull it again . So

47:45

I just found that I was . I had

47:47

to like do manual overrides

47:50

all the time . I had to . You

47:52

know , do tip basal all

47:54

the time or discontinue , and it

47:56

just yeah

47:58

too much work for me .

48:00

It's interesting . It's interesting because

48:02

I go back and forth , because

48:04

people ask me all the time I was like well , do you use ? Do

48:07

you use automated mode ? So are you on

48:09

closed loop or do you use manual ? And

48:11

my answer to them is I use both . Yeah

48:13

, and there's situations where

48:16

I don't want to use automated mode

48:18

. The situation where it's like I'm

48:20

in , I got these sticky blood sugars . I

48:22

feel like it's automated mode . I get myself on off

48:24

automated mode , let my

48:26

let myself deal with the

48:29

, the corrections , let myself like

48:31

, let me deal with the

48:33

corrections of bringing this back down and putting

48:35

myself back in range , and then I feel better

48:37

about it . And then maybe later I'll go on

48:39

automated , automated mode . And

48:42

yes , that's not what automated mode is for

48:44

. It works the best when you stay on it for forever

48:47

and for a long time and let it work , Because

48:49

it's self learning supposedly . But I

48:53

don't , I don't care what the technology is , as long as it works

48:55

for you . That is

48:57

my biggest . That's my biggest thing . Love that If it

48:59

works for you , it doesn't matter . It

49:02

doesn't matter if you're on MDI , it doesn't matter if you're on Omnipod , medtronic , the

49:05

EverSense , dexcom , I don't care

49:08

what it is . What

49:10

works for me is not going to work for everyone else Absolutely . And

49:14

that is my number one

49:16

message , because it doesn't

49:19

matter who we are as individuals male , female , age , it doesn't

49:21

matter the

49:24

. Our only job as a diabetic , our

49:26

only job , is to figure out what works for you . That is your

49:28

only job and however

49:30

that works , yeah , it

49:33

doesn't matter how that works . That's

49:35

my message to every single person . That is the heart of everything

49:37

that . Simplifying

49:40

life with diabetes is what the healthy diabetic podcast is , my

49:44

coaching programs . That is the heart of what I am trying to

49:46

do for every single

49:48

person is all about Is allow them and

49:50

give them tools , just like Diabetes Strong

49:52

is . Give them tools to figure out what works for

49:54

them . Yep , 100% .

49:57

And I love that , I should

49:59

really love that Somebody reached

50:01

out through the website and was a little confused Say you

50:04

don't give definitive guidance

50:07

here , you don't ? You say there's a lot

50:09

of different things . What is best ? And my

50:11

answer was yes . Just see a lot of different options here

50:13

, because we at Diabetes

50:15

Strong don't believe there's one way of

50:18

being successful in managing your blood sugar .

50:20

We believe there's a lot of different ways .

50:22

So what we do is we give you resources to

50:24

explore different ways of

50:26

doing this and then figure out what works best for you

50:28

and what we're also . What works best for you now

50:30

is not necessarily what's going to work best for you later

50:33

in life . So I'm

50:35

not going to say I'm never going to use an insulin pump

50:37

. I'm just saying that as

50:40

it is right now . I'm doing

50:42

really well , you know , with MDI

50:44

. I'm happy , it works for me and my lifestyle

50:47

. You know Endo was like why

50:49

would you want to ? You know , mess

50:52

with it . Like I don't , it's all

50:54

good .

50:57

But that ? But that means you have a good

50:59

endo . Oh yeah , she's awesome

51:01

, yeah , so I think because

51:03

I think that is the other thing that I

51:05

think people miss is that

51:08

our endos tell us one thing and we think we

51:10

have to blindly follow that

51:12

, and that's not the case . What your

51:14

endos job is to do is to give you

51:16

, just like we're doing here in this in this episode

51:19

, is to give you tools to

51:21

figure out what works for you . Ultimately , if you

51:23

really think about what they're trying to do , that's what they're trying

51:25

to do . They're trying to keep you in range with

51:28

what they know best and what their education

51:30

and their experiences . And right now

51:32

, because technology is so incredible

51:35

, everyone we're trying to get everyone on on

51:37

pumps and CGMs , which

51:41

we we know because we have an

51:43

amazing individual right here in front of us

51:45

everybody . That is not the case . We

51:47

don't have to be on a pump . We can

51:49

be on NDI and have

51:51

amazing blood sugars and and

51:53

do amazing things and live the life that we want

51:55

to live . So it's just , I

51:58

think that's amazing .

51:59

Yeah , I mean , it is one of those things . Again

52:02

, I like you . You know , I

52:04

talked to a lot of people in the diabetes community and

52:07

one of the things that

52:09

often here is that people come to

52:11

me . They like wow , you're using MDI and you're

52:13

doing well . My doctor is telling

52:15

me that you can only achieve

52:18

really stable numbers if

52:20

you're on an insulin pump and

52:22

like well , that's not true . I

52:24

will say that if you choose MDI

52:27

, you have to accept and be willing

52:29

to give yourself injections

52:31

whenever needed . So

52:34

if somebody comes to me and say , hey , I don't want to

52:36

give that many injections , I maybe only want

52:38

to . You know , I don't want , I don't want to do

52:40

injections or I'll only do two or three a day , I'm

52:42

like okay , then maybe MDI is not for you . Maybe

52:46

you want to put on an insulin pump and it's going to do that

52:48

A lot of it for you . I

52:50

mean , of course , it's not completely off . Hands , hands

52:52

off . That's the other way around , hands off . But

52:54

it's a different type

52:57

of I guess also person that

53:00

will do well with one type versus the other . For

53:02

me , you know , it means I don't have

53:04

rapid acting insulin going 24 seven as you

53:07

do on an insulin pump , meaning

53:09

I don't go low as much

53:11

as when I was using an insulin pump and

53:15

I don't care how many injections I need

53:17

to take , I really don't . I'll

53:20

microdose whenever I need to if I feel like my blood sugars are trending

53:22

upwards , and

53:26

it's . It works for me .

53:31

I think there there's another question up , because we're getting into

53:33

this MDI thing . I just think this

53:35

is super fascinating because I haven't done it for so long the the

53:37

things that

53:39

I read , the

53:41

things that I hear , even from my own endo or from the

53:47

endos that I've had in the past . Even is the ratio for basal and bolus

53:49

insulin should be higher , or the

53:51

, the bayless , how much basal insulin you take

53:55

per day should be higher than

53:57

the bolus that you take , and

54:02

I've always wondered is that , is that true ? Is

54:04

that is that true

54:06

for MDI ? Because

54:09

you're only taking really one set

54:12

of dosages every single day , whether it's split

54:14

, whether it's , you're taking it all once , one time a day

54:16

for your basal , whatever

54:18

basal that you're on . Do you

54:21

find that to still be the case ?

54:24

Funny to say that because back in the day I was told it had

54:26

to be 50-50 . I

54:29

find that for

54:32

me my basal is way higher than my , my boluses . So

54:35

my rapid act I take way more long-acting

54:38

insulin than I take rapid acting

54:40

insulin . But that's also directly

54:42

correlated with how many carbohydrates you eat . Yeah , so I think

54:44

if you eat a diet that's really , really

54:47

high in carbohydrates and still high in

54:49

fat and proteins , et cetera , then your

54:51

need for rapid acting

54:53

insulin is higher . Yeah , where ? I

54:57

eat I don't follow a specific diet because that doesn't

54:59

work for me . I do like moderate to sometimes high

55:01

carbs sometimes low carb . You know , I

55:05

eat fairly fairly varied diet

55:07

. But

55:10

for the most part I think I

55:12

am . Maybe

55:17

one third is rapid acting Okay . So

55:23

that's around my split , sort of an average

55:25

. I would have to go look at my analytics

55:27

, but I think that's about it .

55:29

Yeah , yeah , yeah , yeah , cause

55:33

I know for me like I take anywhere from . I think the total

55:35

insulin that I'm taking a day with both from

55:37

the pump is just about between 35

55:40

to 40 units per day

55:42

. And I also want to preface this

55:44

because I just actually talked to Matt about this on

55:46

our weekly IG live today

55:48

about the difference between

55:51

the difference

55:53

between how much you're taking and what

55:55

your variations are , and how your management style

55:57

during the week compared to the weekends , is it different

55:59

? Do you take more ? Like because

56:01

I know for me , like I take more insulin on the

56:04

weekends because I'm eating differently

56:06

, my schedule is different , like I'm not

56:08

on the gym for training people

56:10

, I'm not taking training coaching calls

56:12

, I'm not doing the podcast on

56:14

the weekend . So , like the variation

56:17

of what I'm doing , you

56:19

know , weekdays compared to weekends is totally different

56:22

. So I always think

56:24

about that and

56:26

even when I go back and look at trends of my pump

56:28

that there tends to be more

56:30

corrections , more

56:33

. It tends to probably steer

56:35

more to 50% on the weekends between

56:38

basal and bolus than it does during the

56:40

week , where during

56:42

the weekdays it's

56:45

close to like I mean

56:47

again I'd have to go look too but it's

56:49

close to probably a third of

56:54

bolus compared to basal myself

56:56

.

56:56

Yeah , and that's one of the things

56:58

you know . I always say

57:00

I actually I don't think it's super important

57:03

how much insulin you take . I think it's more important

57:05

that you're managing your blood sugars . Yeah

57:08

, yeah , so because , some people are going to be

57:10

like . Well , we also have different

57:12

lifestyles and all of that . But

57:15

it's interesting what you say , because I have that

57:17

curve as well , in the sense

57:19

that I'm a very active woman

57:21

, I mean , I don't think that's

57:23

a secret . So I a

57:26

lot of the bulk of my resistance

57:29

training . So I do resistance training and cardio

57:31

, but the bulk of my resistance training is earlier in the week

57:33

. So that means my insulin sensitivity

57:35

kind of get wrapped up that in the early in

57:38

the start of the week and

57:40

then it goes up and up and up and then

57:42

I do a little bit more cardio activities . Just

57:44

because I take some classes that just happen to

57:46

be end of week , they impact

57:49

my insulin sensitivity differently . So

57:51

basically I end up having a week where

57:53

my insulin sensitivity goes through the roof . So that

57:56

means I need weight , less insulin for everything

57:58

Early on the week and then it kind of like

58:00

slows off and then , as of Sunday

58:03

, it's really sad because

58:05

that's also my rest day , and

58:08

then the week starts over and we kind of wrap it up

58:10

again , and I think that's also actually that's also

58:12

probably why a lot of people get frustrated

58:14

with exercise and one

58:16

of the reasons why I get exes

58:19

frustrated with exercise and diabetes management

58:21

because you have to think about these things , you

58:23

have to think about when I do these different activities

58:25

. Well then , my needs are going to change . I'm

58:28

going to need less insulin

58:31

midweek for me , a little

58:33

bit more end of week , and then we

58:35

start over and then , if I move

58:37

things around yeah

58:39

.

58:40

Then it's interesting because

58:42

you look at your routines too , because

58:44

it's all about what your routines are Absolutely

58:46

. And for me

58:49

, I know I look at my trending

58:51

routines and what's going on . How much insulin

58:53

did I have to take in this specific scenario

58:56

? That doesn't necessarily always happen all the time

58:58

. Yeah , so I can try to replicate

59:00

it . I'm trying to replicate , I'm

59:02

always trying to replicate things as much as possible

59:05

, because that just makes things easier For

59:08

me . I don't know about you , but for

59:11

me , I hate counting carbs . I've

59:13

never wanted to do it . I've never

59:16

been great at it . Of course I know

59:18

how to do it , but

59:20

so I have regimented myself to

59:22

basically eating the same things all

59:25

week long , not because I

59:27

feel like I have to , but

59:29

because I want to , because

59:32

those foods are good , I really like those foods

59:34

. So from experimentation

59:37

and failure , I've figured out okay

59:39

, well , that's what I'm eating , that's going to be

59:41

30 carbs , this is going to be 10 . This is

59:43

going to be 15 . Okay , cool , that's

59:46

how many carbs I'm going to take now and put into my

59:48

pump . And

59:51

that's become really successful with

59:53

doing that . Other people can't do that . They

59:55

have to understand . They got to weigh their food and

59:57

they got to count up every single

59:59

little carb and they got to be right on right to

1:00:02

it those type A people and

1:00:04

that works too that

1:00:06

also works . So it's all

1:00:09

about how you want

1:00:11

to live your life and what you typically want

1:00:13

to do . I

1:00:16

think that those

1:00:18

of you that

1:00:20

are really successful on

1:00:22

MDI I applaud you

1:00:24

so much because it's

1:00:26

one less device you have to worry about

1:00:28

.

1:00:31

True , I will not have a pump failure . I

1:00:35

should add that I use a smart pen . I

1:00:37

use the in pen from Atronic .

1:00:38

Oh yeah , I was going to ask yeah , okay , Absolutely

1:00:42

brilliant .

1:00:42

I mean , I'm not affiliated with them . I would love

1:00:44

for them to pay me every time I advertise

1:00:46

this product because I think it's brilliant .

1:00:50

But they don't , unfortunately .

1:00:52

But it's basically an insulin pompadis

1:00:54

without the tubing . It

1:00:56

has a bolus calculator , keeps track of IOB

1:00:59

, it does the calculations for me . It's

1:01:01

reporting . It's

1:01:04

absolutely

1:01:06

brilliant . Again in pen I-N-P-E-N

1:01:09

. If anyone wants to go look that up and

1:01:11

don't get a heart attack when you see the price online

1:01:13

. If you do not

1:01:15

have insurance , they can

1:01:17

also help you out , because last year my insurance wouldn't cover

1:01:20

it . They helped me out and it was $30 .

1:01:23

Your insurance wouldn't cover it . That's crazy

1:01:25

.

1:01:27

Yeah , well , like you could do , pre-fill

1:01:29

pens . Yeah

1:01:32

, good luck .

1:01:33

Have fun .

1:01:34

So I mean again then Atronic

1:01:36

stepped up and they're like , okay then- .

1:01:40

We'll take care of it .

1:01:41

Yeah , because I think the price online

1:01:43

is listed as $800 or something ridiculous

1:01:45

.

1:01:46

Per pen or per Per pen ? Is that for five

1:01:48

pens ? My God .

1:01:51

Which I guess nobody pays that right

1:01:53

. That's just- .

1:01:55

It's like the old days now . I like to

1:01:57

say the old days because it should have been old days

1:01:59

for like 20 years ago , but the

1:02:01

old days were a vial of insulin at least where

1:02:03

I'm from was like $350

1:02:06

just for one vial of insulin at

1:02:08

the pharmacy . And it's like my

1:02:11

God and those feel Now

1:02:13

that I'm only paying $35 to $40

1:02:15

for a whole pack of

1:02:17

them . It just feels like that was

1:02:20

ancient times or something .

1:02:23

Yeah , I mean , unfortunately we still have some folks who

1:02:25

have to pay an arm and a leg , but

1:02:27

for the most part . But now we're

1:02:29

going into luxury , but for the most part

1:02:31

. You know , I think most states

1:02:33

now has a $35 cut

1:02:36

off , which makes me happy yeah

1:02:38

. And my insurance is like getting around

1:02:40

to not Last

1:02:42

year was a little rough , but they're getting better

1:02:44

this year , yeah .

1:02:46

Do you have private insurance ? Now I

1:02:48

do , because you're self-employed .

1:02:50

Self-employed , yeah , so I used to buy it through the exchange

1:02:52

when I lived in California and that was amazing

1:02:54

. Healthcare in California is just great

1:02:57

. Then I moved to Florida . Healthcare

1:02:59

in California is in Florida . Sorry , it's not

1:03:02

great . That's just in

1:03:04

my experience at least . It's way more expensive

1:03:06

and it's not great yeah

1:03:08

.

1:03:09

Yeah , I'm on the exchange myself and

1:03:12

it's so expensive

1:03:14

it's insane . Thank God that I'm

1:03:16

an entrepreneur and I can

1:03:18

get some really good subsidies and

1:03:21

some really good lots of help with

1:03:23

it . I mean , and

1:03:25

I would say I have a decent plan too . I have

1:03:27

a plan through medical mutual . I mean

1:03:29

, I've had great experience with that company

1:03:32

and haven't had any issues

1:03:34

, but it's still not

1:03:36

cheap insurance . Oh

1:03:38

yeah , in Florida . No , not

1:03:40

at all .

1:03:43

Yeah , what can you do ? Not

1:03:46

much yeah . So

1:03:48

, but that's also one of the things that I've been

1:03:50

focused on the last few years , also for

1:03:52

the YouTube channel is you know I've

1:03:54

done content on how to choose the right insurance

1:03:56

for you . It's the right insurance for

1:03:59

you . It's not necessarily going to be the right for me , but

1:04:01

I feel like I see a lot of people

1:04:03

choosing really high deductible plans , so

1:04:06

meaning that they have to pay six , eight

1:04:08

, nine thousand before the insurance starts

1:04:10

to pay anything . If you have chronic

1:04:12

conditions , for the most part that's

1:04:15

not the best financial choice . So

1:04:18

trying to explain some of those things also talk about

1:04:20

copay cards . Everybody

1:04:22

should be using copay cards . Unless you pay $30

1:04:25

for prescription , then it's probably not going to do a whole lot for

1:04:27

you , but stuff

1:04:30

like that . You know , even Dexcom

1:04:32

has a copay card now . So

1:04:34

if people's insurance won't cover Dexcom . You

1:04:37

can buy it out of pocket . It's a hundred . It's still

1:04:39

expensive , but it's a hundred and eighty bucks

1:04:41

a month .

1:04:43

So with the with Dexcom's card .

1:04:45

Yes , and I don't

1:04:47

work with good Rx either . I should also

1:04:49

be paid by them . I need to reach out to all these companies

1:04:51

.

1:04:51

I can hear that but good , rx is a really good place

1:04:53

to find your cool cards . I've

1:04:56

got . You know when , when my

1:04:58

insurance lapsed

1:05:00

because my my

1:05:02

wife used to be an RN at

1:05:04

at Ohio State

1:05:07

. She was an RN there for 10 years . Then we

1:05:09

had kids and she decided

1:05:11

to stay home , my insurance

1:05:13

lapsed and I

1:05:15

didn't have any other option to get unneeded

1:05:17

insulin . So there I mean thank

1:05:20

God the pharmacies . And I would say this also

1:05:22

is like , if you're in a bind , ask

1:05:24

your pharmacist , your local pharmacist , because

1:05:26

they will help you with in

1:05:29

whatever way they came , with getting good

1:05:31

Rx , with getting these coupons , what

1:05:33

I mean . My pharmacist like

1:05:36

looked at four different types of discounted

1:05:38

companies and good

1:05:41

Rx ended up being the cheapest . It

1:05:43

was still like a hundred and fifty two hundred bucks , but

1:05:45

for my insulin . But still

1:05:48

that would have been better than paying seven

1:05:50

eight hundred dollars , I

1:05:52

was getting 90 days worth of supplies .

1:05:55

I think the other thing that I found really surprising

1:05:57

and this is this

1:06:00

only happens in the U ? S , but if you actually go

1:06:02

into good Rx and you look up whatever thing

1:06:04

that you're looking for let's say Dexcom T seven , t

1:06:06

six and you look up

1:06:09

in your area , you'll see that the price will

1:06:11

differ depending on which pharmacy you choose

1:06:13

. So , that's another thing to

1:06:15

to keep in mind .

1:06:18

So again , trying to provide

1:06:20

as many resources as possible . I

1:06:22

honestly didn't even think of that . That's a perfect one . I

1:06:24

love that you brought that up , so I'm sure

1:06:27

that one little piece of

1:06:29

content will save

1:06:31

so many people , so that's

1:06:33

good . If you guys don't listen

1:06:36

. Hopefully you made it this far into this . If

1:06:39

you , if you just take away that one piece

1:06:42

that she just said , you're

1:06:44

, you're in a good spot , absolutely

1:06:46

yeah

1:06:51

.

1:06:51

But it's it's it's

1:06:53

important . I mean , what did you say ? That you

1:06:55

didn't have insurance ? You didn't have . You

1:06:58

know you didn't have other options

1:07:00

. What do you do ? Well , you , you

1:07:03

need insulin , type one or

1:07:06

, you know , completely insulin

1:07:08

dependent type two , for that matter . You need

1:07:10

insulin . So it's

1:07:13

not , it's not going to cut

1:07:15

it to just say , hey , I'm just going

1:07:17

to see how , how , how

1:07:19

I'll do . You can always go to

1:07:21

the emergency room as well . Believe

1:07:24

that is an option . Oh

1:07:26

yeah , if you completely run out of insulin .

1:07:28

Yeah , I didn't even think about that and

1:07:31

I've been told that before and I didn't even think about it . It's

1:07:33

just it's . It's interesting , the things that we

1:07:35

don't think about . When we

1:07:38

weren't in never put in that situation , If

1:07:41

I've , if I was put in that situation , I had to

1:07:43

go to the ER to

1:07:45

get insulin . Now , Okay , and now I know

1:07:47

that I can , that that is an option for me

1:07:49

. So I just I

1:07:51

think that's an interesting thing , because there's things

1:07:53

that I don't think about . And then I see

1:07:55

people like yourself posting about stuff . I'm

1:07:57

like , oh shit , I didn't even think about that . That's awesome

1:08:00

.

1:08:01

Well , that's the beauty of self media Really

1:08:04

. I love that we connect , because it's

1:08:06

also back to the whole thing about I don't know what

1:08:08

I don't know , so I don't necessarily know to go

1:08:10

look for information . But on

1:08:12

social media it's kind of like thrown at me . If

1:08:15

I'm interested in diabetes , obviously it's going to show me

1:08:17

diabetes content and there's

1:08:20

some really cool tips and tricks out there . And

1:08:24

sometimes it's not just tips and tricks , sometimes

1:08:27

it's like way deeper than that .

1:08:29

Yeah , yeah , 100%

1:08:31

. I

1:08:33

have two more questions for you as we , as

1:08:36

we close up here . Okay , my

1:08:39

first one is because

1:08:41

we're talking about you talked about the N10

1:08:43

, which I think is an

1:08:46

incredible technology that I need to

1:08:48

try at some point .

1:08:49

Yes .

1:08:50

The other one that I'm very fascinated with

1:08:52

and I had . I had Ginger on a while

1:08:55

back , ginger Vieira , and

1:08:57

she is almost 100%

1:09:00

. I don't want to say 100% , but she uses

1:09:02

a Fressa and I'm I

1:09:04

wonder if you've ever tried it . If

1:09:06

you have , what do you think of it ?

1:09:09

I use it . It's part of my diabetes toolbox

1:09:11

.

1:09:11

Oh nice , here we go . I

1:09:14

don't use it for everything . Okay

1:09:16

.

1:09:17

So a Fressa is an inhaled insulin . It just

1:09:19

it works a little differently than

1:09:22

injected rapid acting insulin . It

1:09:24

hits you way faster and it's way it's

1:09:26

out of the system way faster . But it also

1:09:28

means that if I have what I call for

1:09:31

, some sticky high , you know those

1:09:33

blood sugars that just don't come down and

1:09:35

you're like if you end up wanting

1:09:37

to like rage bowl this

1:09:40

.

1:09:40

About your head , yeah .

1:09:42

Exactly . A Fressa will fix that in 10 minutes . It's

1:09:45

amazing . It has

1:09:48

some downsides as well . The

1:09:50

downsides for me is that there's

1:09:53

only set doses and

1:09:56

it's set at a level where I often

1:09:58

need less . So

1:10:00

it's set at a minimum dose of four

1:10:03

of Fressa , which is equivalent

1:10:05

to about 2.6 units of injected

1:10:07

insulin . Often

1:10:11

I need less than 2.6 , often

1:10:13

I need one unit or I need half a unit because

1:10:15

my in-pen can also

1:10:18

do that . So for those situations

1:10:20

a fresco won't work for me . Also

1:10:25

, for example , if I have a higher blood

1:10:27

sugar , if I want to use a combination

1:10:29

of exercise and insulin to get that

1:10:32

blood sugar down , I would not

1:10:34

do necessarily do a fresco because it will

1:10:36

hit me like a hammer . So

1:10:39

again , I can minimum take 2.6 . My

1:10:42

blood sugars are really so high that I need

1:10:44

2.6 plus

1:10:46

exercise to get

1:10:49

my blood sugars down , if that makes sense . But

1:10:52

for higher card things

1:10:54

, I love it . For

1:10:57

immediate corrections , I love

1:10:59

it . I would not be without it

1:11:01

. My insulin , my insurance does not

1:11:03

cover it . So we're

1:11:05

back to that again .

1:11:07

I guess insurance thing , Mike , come on

1:11:10

Florida , what the hell .

1:11:12

But a fresco which is manufactured

1:11:15

by Mankind has a really , really excellent

1:11:17

program back to the copay cards . So

1:11:19

for people whose insurance won't cover it , you

1:11:21

just you call them up , you have to go

1:11:24

run through like two hoops and then

1:11:26

they will sell it to you for $99 a

1:11:28

month or per prescription . So

1:11:32

there are options .

1:11:32

That's amazing , that's amazing .

1:11:35

That's way better than the $1,200 list

1:11:37

price .

1:11:38

Yeah , yeah , and

1:11:40

I think that it's incredible that these companies , too , are trying to help us out

1:11:42

by going

1:11:44

on these subscription models that can keep the

1:11:46

cost down , and that's awesome .

1:11:49

Yeah , it's not even a subscription model . I don't have

1:11:51

to . I don't have to , oh , okay .

1:11:54

Since .

1:11:54

I don't use it every day . I

1:11:57

just I maybe pick up two , three

1:11:59

prescriptions a year .

1:12:01

Okay , okay .

1:12:03

But yeah , I know Ginger loves it for pretty much everything

1:12:06

.

1:12:06

So yeah , I had a long conversation with

1:12:08

her and it was my first real

1:12:11

conversation about it

1:12:13

. Like I had a really

1:12:15

good coffee meeting

1:12:17

with my the Efreza

1:12:19

rep here in my city and

1:12:23

she was telling me about it and that was like really my first

1:12:25

thought of , like my first really you

1:12:27

know connection and meeting and thought

1:12:29

process about it . And then I got to spend some

1:12:31

time to talk to Ginger and she

1:12:33

was just raving about and telling me . I'm like tell

1:12:36

me more , tell me more , tell me more

1:12:38

.

1:12:40

Or I also have quite a few YouTube videos on it . But

1:12:43

anyway , what I want to say is I

1:12:45

think again . I think it's brilliant . I don't think from immediately

1:12:48

, it's not for everything , but there's a lot of people , that's

1:12:50

the only thing that they use .

1:12:52

Yeah .

1:12:52

I do find it kind of funny that they say

1:12:55

it's discreet . Trust

1:12:57

me , sitting on , for example , a completely quiet

1:13:00

flight and then inhaling is

1:13:02

not discreet at all . People think you're vaping

1:13:05

or something like that , but I don't

1:13:07

care . I just want to point

1:13:09

that out .

1:13:11

Yeah Well , I feel like diabetes

1:13:14

is not discreet . You know you

1:13:16

got your , whether you're on MDI or you got

1:13:18

your insulin pot . I mean , I guess , I

1:13:20

guess maybe the omni pods may be

1:13:22

a little bit more discreet , but you're pulling out a wired

1:13:25

thing pushing on some

1:13:27

buttons . That's not discreet .

1:13:30

I think it's all starting at

1:13:32

the wrong idea . I can see that . But

1:13:36

, I think it's a brilliant part to have , as

1:13:38

, again , I call it my diabetes

1:13:40

toolkit . I have my in-pen

1:13:42

, I have my aphrazi

1:13:45

, I have my long-acting insulin

1:13:47

and it's just , it works for me , this

1:13:49

combo .

1:13:49

Yeah , man

1:13:55

, I feel like I could talk to you forever , girl

1:13:57

. Okay , okay , sorry . Two

1:14:00

more questions and I'll let you get out of here

1:14:03

. Everyone loves to hear this

1:14:05

. What do you love to treat

1:14:07

loaves with ?

1:14:10

I am a no candy girl . I

1:14:13

have no self-control around candy , I

1:14:15

know this about myself , so I use

1:14:17

glucose taps . They're very easy

1:14:20

to dose , I don't

1:14:22

overeat on them , it's

1:14:25

portable . I have this

1:14:27

little case . I'm now going to do another product

1:14:29

clock Again somebody I don't work with .

1:14:34

These products that are listening to this right now . You

1:14:36

got to call her and say come on

1:14:38

, this is your blade .

1:14:41

But there's this . It's a

1:14:43

guy who lives with diabetes and he's just . I

1:14:45

think he's making these like small plastic cases

1:14:47

at home in his garage . It's called taps

1:14:49

to go the number two and

1:14:52

it's just a small case . I can hold four taps

1:14:55

. It's flat , I can put it in my back pocket , I

1:14:58

can bring it with me . That means it's small

1:15:00

, it's compact . I never leave my house

1:15:02

without my emergency glucose because it's

1:15:06

not bulky , it doesn't take up a whole

1:15:08

you know suitcase , so

1:15:10

to say it's not a juice box , it doesn't

1:15:12

go bad or end

1:15:14

up in my purse somewhere . It's just

1:15:16

convenient and

1:15:19

I guess , really boring , say

1:15:22

what .

1:15:24

No , I said that , you said the juice box , and I said

1:15:26

or or like you break it and it goes it

1:15:28

, and it gets everywhere .

1:15:29

I like half banana and then you have , like this squish

1:15:32

banana in the bottom of your mouth .

1:15:33

Oh , no , okay , so you like glucose

1:15:36

?

1:15:38

I wouldn't say I like them , but I

1:15:41

find them to be the most practical up

1:15:43

.

1:15:43

That's your preferred method .

1:15:45

Yes , that's a good way to say it , but I do have

1:15:47

extreme dislike

1:15:51

for the yellow ones .

1:15:53

So there's that .

1:15:54

It has to be raspberry , strawberry or

1:15:57

the marshmallow chocolate ones

1:15:59

are good as well .

1:16:01

Hmm , interesting , I

1:16:03

haven't had glucose tabs in so long Like I do I

1:16:07

have . I have two strategies for lows and

1:16:09

a strategy and a B strategy . My

1:16:11

A strategy is is typically fruit

1:16:13

, because I'm I'm a coach

1:16:15

, like I'm a health coach , like I am personal

1:16:18

trainer , strength coach , Like I

1:16:20

love . I want quality out of everything

1:16:22

that it goes to my mouth . So my

1:16:24

first low treatment is

1:16:26

as long as it's not like super severe , and

1:16:28

I need to act right now , I can

1:16:30

give it 10 , 15 , 20 minutes or whatever . To come

1:16:32

back up , I'm trying to do

1:16:34

fruit , I love fruit , I

1:16:37

love doing low treatments with fruit and

1:16:39

I have my B strategy . In

1:16:41

the situation where I was 46 and

1:16:43

I felt like crap and it needs to be taken

1:16:46

care of , right now I don't care what I need

1:16:48

, like if I need a juice box , if I need whatever

1:16:50

, it is like I'm grabbing whatever I can find to

1:16:53

bring this thing up to keep myself safe . So

1:16:55

that that's kind of my thought process in terms

1:16:58

of how I treat my lows and like I

1:17:01

think that the A treatment and low treatment

1:17:03

for me makes a lot of sense because of what

1:17:05

my values are . My food values are like

1:17:07

what , how I want to live my life . But

1:17:10

I love hearing other people's

1:17:13

thought processes because , like when

1:17:15

people talk about glucose tabs because

1:17:17

I haven't done it forever , I think like oh , that's

1:17:19

a glucose tabs , no one does that anymore , like

1:17:21

what ? But

1:17:24

then I hear these amazing stories about how

1:17:26

it works and like how people use them and like

1:17:28

it's so easy and like I'm

1:17:30

just like man , maybe I should just go back to these glucose

1:17:33

tabs again .

1:17:34

Well , I also think there's a difference , though , because what

1:17:36

you're talking about for your two strategies is

1:17:40

so when I talk about treating a low , I talk

1:17:42

about 70 below being

1:17:44

at 70 or below , or ask

1:17:46

if I'm a part of that , then it's not really treating

1:17:48

a low , is catching a potential low , which

1:17:51

, for something like that , I'd probably go for real

1:17:53

food .

1:17:55

Gotcha .

1:17:56

Real food right . So whereas my , my

1:17:58

perspective on it is that if it's below

1:18:00

70 , then it's technically , not

1:18:02

technically reality . It's we

1:18:05

go into emergency medical

1:18:07

, emergency land and that just needs to get

1:18:09

mixed like this . I don't know

1:18:11

I'm never going to take a chocolate or something like

1:18:13

that , because it's fat in it . It's going to take too long

1:18:16

to raise plot triggers and

1:18:19

I think my point about having candies

1:18:22

around is that they will be gone

1:18:24

by the time . I actually have a low blood sugar

1:18:26

, because I'll be slacking on them and I don't want

1:18:28

to do that and you know that's .

1:18:30

You know that's a barrier for you . That's perfect , that's

1:18:32

awesome . So , yeah

1:18:34

, I love that . I think that's great Okay

1:18:37

. Yeah 100%

1:18:43

on board with you with that one . Food is so good . It's

1:18:45

just not cool . And

1:18:48

like I've like really been diving

1:18:50

into like nutrition and I've

1:18:53

talked to so many nutritionists on this show

1:18:55

and like I have a really good friend it's

1:18:59

a type one that's a dietitian here in my

1:19:01

city that I do a lot of stuff with , have a lot of good conversations

1:19:04

with , and I just

1:19:06

get so frustrated with what's in

1:19:08

our food in America and

1:19:10

like how it's being processed and how like

1:19:12

sick it's making us . And it's

1:19:15

just I've created this like

1:19:17

warped I don't want to say warped , but

1:19:19

I created this like persona

1:19:22

in my head that I have to like

1:19:24

be a food detective Every

1:19:26

time I go into the grocery store and buy food and

1:19:28

like look at food because

1:19:31

the quality , because quality is such a

1:19:33

value that I have for myself and

1:19:36

it's it's a . It just makes me really

1:19:38

upset sometimes when I talk

1:19:40

to people and try to educate

1:19:43

people and it's like I

1:19:46

know this is so hard . I just I

1:19:48

saw like three different posts before I got on with

1:19:50

you about like three

1:19:52

different perspectives on the same exact

1:19:54

topic and I'm like what

1:19:56

are we supposed to believe ? Come on , what's

1:19:58

going on here ? Like so

1:20:01

it is . It's food is so

1:20:03

good , but it's also so hard

1:20:05

to understand what's good and what's not good .

1:20:07

I think that's a great point and it's

1:20:09

complex .

1:20:11

It's so complex More complex

1:20:14

than the average person really wants

1:20:17

to admit , cares to admit or really knows

1:20:19

. It's so complex . I

1:20:21

was just having a really good conversation

1:20:23

with my wife , cause we're both healthy , like

1:20:26

we're just , we're both foodie healthy people and

1:20:30

we both have been diving into this food label

1:20:32

thing and we I've

1:20:34

got a really good friend that has a

1:20:36

local supplement company and he just came out

1:20:38

with protein bars and

1:20:42

I asked him about his bars

1:20:44

because it has says it has natural

1:20:46

flavors in it and till

1:20:50

recently I have thought in my head

1:20:52

that like , oh , natural flavors is like a red flag

1:20:54

when that's not really the case . You

1:20:57

know , you have to figure out or try to understand

1:20:59

where natural flavors are actually coming from . And

1:21:01

I asked him about well , what , what is this natural flavor

1:21:03

ingredient ? What is it making

1:21:05

? What's making you have to put natural

1:21:07

flavors in here ? His

1:21:10

response to me is like there are no natural

1:21:12

flavors . It's because it has vanilla

1:21:14

extract and the FDA requires me

1:21:16

to put . But it requires me

1:21:18

to put natural

1:21:20

flavors in here . I'm like wait what ? That doesn't make sense

1:21:22

, like doesn't make sense at all . So

1:21:24

it's like you have to like go through all of these

1:21:26

like hoops , to

1:21:29

like figure out what's actually

1:21:31

. What are you actually eating and is it going

1:21:33

to be good for you ? Is it not going to be good for you ? Is

1:21:35

it going to inflame you ? Is it going to make you sick

1:21:37

, is it ? It's so complex , it's so

1:21:39

crazy , so crazy .

1:21:44

You see fruits .

1:21:45

So just see fruits . There

1:21:48

you go , there you

1:21:50

go , here you go , just see fruits . Okay

1:21:52

, last question what

1:21:58

? What are one to three things that

1:22:02

you think that every

1:22:04

diabetic should know

1:22:07

? What are three things

1:22:09

that you kind of look at with your management style

1:22:11

, with you being a diabetic , things that you talk about

1:22:13

on , on diabetes strong , what are kind

1:22:15

of one to three things that you think that

1:22:18

a person could take away today and like put

1:22:20

them into action now .

1:22:24

When it comes to blood sugar management .

1:22:27

Blood sugar management , anything with diabetes , whatever you

1:22:29

think , it's a lot of things .

1:22:34

I think one of the first things is you

1:22:37

need to learn you . So

1:22:40

you need to learn how different things

1:22:42

impact you and at

1:22:45

different times , and all that and

1:22:47

that's a lot of detective

1:22:49

work . But a notebook you get really

1:22:51

far with a notebook and just like start

1:22:54

writing things down and start looking

1:22:56

for trends . So

1:22:58

to know you , you also have to understand some of the

1:23:00

underlying things that goes

1:23:02

on . You have to understand how does insulin work For

1:23:06

? example you have to understand that the second you inject

1:23:08

insulin is not going to start lowering blood sugars . It

1:23:10

takes time , depending on which type of insulin

1:23:12

you use . So that's

1:23:15

probably going to be some people go like what . So

1:23:17

when you inject it it's not going to hit the bloodstream for

1:23:20

15 , about 15 minutes . Most

1:23:22

of them are the rapid acting insulin peaks in an

1:23:24

hour , an hour and a half . So

1:23:26

when you start to then put

1:23:28

that in to your knowledge about

1:23:30

you , then you can also start to match

1:23:33

your food choices with how insulin

1:23:35

works and start you

1:23:38

know leveling out your blood sugars . And

1:23:41

then there's also other factors . Just

1:23:43

because we are into exercise , let's talk about

1:23:45

that for a second . You know understanding how different types

1:23:47

of exercise impact your blood sugars . Some

1:23:50

might push your blood sugars up , Some might , you

1:23:52

know , make them drop . Some

1:23:54

might make them drop in the morning or

1:23:56

in the evening let's say that but not in the morning . So

1:24:00

again , starting to learn all the nuances

1:24:02

about you and how the different

1:24:04

things that you do impact your blood

1:24:06

sugars , I think there's a lot

1:24:08

of power in that 100%

1:24:11

. And yeah . And

1:24:14

know that it's hard

1:24:16

. You know that , we all know that it's hard

1:24:18

, but know that we the rest of

1:24:20

us know it's hard as well . You're not alone in this .

1:24:23

I love that . I think that last one

1:24:26

is a very powerful thing because I

1:24:28

, coming from someone that felt so isolated

1:24:30

and alone when I first started , knowing

1:24:33

that I that the community now is here

1:24:35

, there's free resources

1:24:38

, there's resources , there's

1:24:41

just there's so many resources out there that

1:24:43

that we have

1:24:45

the ability to get information

1:24:47

. I always say , like , for

1:24:50

me , if I need an answer to something , I'm

1:24:52

not going to my , my

1:24:54

chart , my doctor first , I'm going

1:24:56

to the community first because I know

1:24:58

I can get an answer right now where

1:25:00

my doctor might you know he might take 24

1:25:03

or 48 hours to get back to me , depending on what

1:25:05

his schedule is , what who's reading that message

1:25:07

? Like if he has to actually

1:25:09

give me the answer , if someone else can give me the answer

1:25:12

, like I can

1:25:14

go on social media , facebook group , whatever

1:25:16

it is , make a post

1:25:18

, ask a question and get a response

1:25:20

right now . That's so powerful

1:25:23

. Absolutely , I

1:25:27

can go on Diabetes Strong and get the answer right now

1:25:29

too .

1:25:30

Exactly , or you can go to

1:25:32

our Facebook group . We actually have a pretty big

1:25:34

Facebook group , oh there you go .

1:25:36

See , this is the next part . So if , if

1:25:38

people want to connect with you

1:25:41

, people want to go to Diabetes

1:25:43

Strong , talk about

1:25:45

these resources that you have and where people

1:25:47

can find your , your information .

1:25:49

Sure , yeah , I mean , the main side

1:25:51

is DiabetesStrongcom , which

1:25:54

is the website you can go search . We have

1:25:56

everything , articles , we even have recipes , so

1:26:00

there's a lot of resources there and , again , it's for

1:26:02

all types of diabetes . You

1:26:05

can also find us on Facebook . There's

1:26:07

a Facebook page where I post

1:26:09

daily and then we have a closed Facebook

1:26:12

group . So that means that if you post in that

1:26:14

group , it's not going to be sent

1:26:16

out to your friends and family unless they also in the group

1:26:18

. So that's a closed Facebook

1:26:20

group with 20 something thousand people who

1:26:23

just support each other .

1:26:25

I love that .

1:26:26

And then we of course have Instagram . That's

1:26:29

where we were talking . So Instagram

1:26:31

is DiabetesStrong . Underscore IT

1:26:34

stands for Instagram I

1:26:36

G . Somebody else had taken diabetes

1:26:38

strong before I got there .

1:26:41

And that's funny . That's funny because , like

1:26:43

, I feel like every time

1:26:46

I put a hashtag , like I'm always

1:26:48

trying to do diabetes strong , and

1:26:50

then I like , I like , forget , like , oh yeah

1:26:52

, there , she is right there , the hashtag

1:26:54

. You have a hashtag diabetes strong underscore

1:26:57

IG , like , and it has a crap

1:26:59

load of views like so many

1:27:01

. It's awesome , thank

1:27:05

you , yeah .

1:27:05

Instagram . Oh , and

1:27:08

then , of course , you too . I'm spending a

1:27:10

lot of time , Are

1:27:13

you ?

1:27:13

guys on Tik Tok .

1:27:16

I have opened a Tik Tok account , but have not

1:27:19

posted anything .

1:27:20

Gotcha .

1:27:22

Right now I'm just watching other people stuff . It's

1:27:24

a lot of fun , yeah .

1:27:25

Yeah , talk is a lot of fun and

1:27:27

very addictive .

1:27:30

It's a bit of a time thief , for

1:27:32

sure .

1:27:33

I need to figure out how to take the meta

1:27:35

information that's scheduled for these posts

1:27:38

and like get them over to be scheduled on Tik

1:27:40

Tok too . I haven't figured that out yet .

1:27:42

Yeah , no , I don't know . I'm

1:27:44

part of the meta universe , right ?

1:27:46

Yeah , no , but there has to be like a

1:27:48

schedule or something on Tik Tok

1:27:50

where you can just like make posts

1:27:53

and like schedule them .

1:27:55

Try to check out later . This is

1:27:57

a totally different conversation , but latercom

1:28:01

they might be able to do that .

1:28:03

Oh , interesting See

1:28:06

, I just learned so much new stuff . Well

1:28:14

, this has been an absolute pleasure

1:28:16

. Thank you so much for coming

1:28:18

on . Thank you so much for giving us your

1:28:20

expertise , your knowledge , talking about

1:28:23

your company . If

1:28:26

you are listening to this , if you've made it in it's almost

1:28:28

an hour and 30 and if you've

1:28:30

made it this far , please

1:28:32

, please , please , send her

1:28:35

a message . Please

1:28:38

, please , please , go to the website , go

1:28:40

join the Facebook group . I

1:28:42

have been following her for

1:28:45

years . I don't even know when the heck I started

1:28:47

following her , but she just has so

1:28:49

much information , talks about so many great things

1:28:53

, that you will be remissed if

1:28:55

you do not follow her and

1:28:57

go communicate with her and just even

1:28:59

just watch what she's doing in YouTube

1:29:01

or watch what she's got on YouTube . It's incredible

1:29:03

. So thank you again

1:29:06

for coming on . This has been

1:29:08

fabulous . I'm

1:29:10

so glad I finally got to connect with you

1:29:12

and actually meet

1:29:15

you and have a great

1:29:17

conversation with you . This has

1:29:19

just . This has been great . Thank you so much

1:29:21

for having me .

1:29:21

Yeah , it's been awesome , yeah , 100% .

1:29:27

Thank you everybody for listening

1:29:29

and , yeah

1:29:32

, I will see everyone next time .