#1691 Autumn Needs an Answer - Part 2

Summary

Juicebox Podcast: Type 1 Diabetes

Episode #1691 – Autumn Needs an Answer: Part 2
Date: November 26, 2025
Host: Scott Benner
Guest: Autumn

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Episode Overview

In this heartfelt and candid episode, Scott Benner continues his conversation with Autumn, a 44-year-old woman with an evolving diabetes diagnosis journey. Having been diagnosed with type 1 diabetes at age 13, Autumn recently discovered she actually has MODY 4—a rare genetic form of diabetes. The discussion focuses on the impacts of misdiagnosis, the emotional and physical transformations from using new medications (notably GLP-1 agonists), and the importance of self-advocacy in navigating the healthcare landscape. The episode is rich with personal insights, humor, and reflections on both the struggles and triumphs of living boldly with diabetes.

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Key Discussion Points & Insights

1. Identity Crisis and Medical Journey (02:31–06:10)

• Autumn shares the "total identity crisis" she experienced during her reevaluation, struggling to reconcile decades of living as a type 1 diabetic with the new reality of another diagnosis.
  • "If I'm not type 1, what am I? What do you mean?" (02:32 – Autumn)
• She withheld the unfolding events from most of her family, confiding only in her husband and a close friend due to societal criticisms, especially around the use of GLP-1 medications.
• The fear of changing treatment—like removing her insulin pump after decades—was substantial, but ultimately, she chose to try, emphasizing the mindset: “no regrets.”
  • "If you don't try, how will you know?... I don't ever want to live my life thinking I should have, could have, would have. Like, no regrets." (02:55 – Autumn)

2. Struggles with the Healthcare System and Advocacy (04:49–06:57)

• Autumn recounts dismissive doctors who ignored her symptoms of insulin resistance, urging others to advocate for themselves if their healthcare doesn't feel personalized.
  • "No. Healthcare has to be personalized to the individual's needs. And I don't give a rat's ass what your book says or how many years you went to school. I know how I feel right now, and I've never felt this good in my entire life." (05:10 – Autumn)
• Resentment and anger followed the realization that she could have lived differently for years if properly diagnosed, affecting her family, health, and life choices (like having more children).

3. Impact of Medications and Life Transformation (05:29–12:00)

• Autumn details her dramatic weight loss—from 238 lbs to 160—much of which occurred after stopping insulin pump therapy and starting GLP-1 medication.
  • "Seriously, the last 40 pounds, as soon as I took that insulin pump off, it just came off like water." (05:44 – Autumn)
• Both Autumn and Scott share how GLP-1 medications improved their quality of life far beyond weight; they gained energy, better digestion, and a renewed ability to enjoy everyday activities.
  • "Without that, whatever the hell is in that stuff... it has fundamentally changed how my body works." (10:01 – Scott)
• Autumn describes losing “food noise”—constant preoccupation with food—which GLP-1 therapy resolved.
  • "The food noise, completely gone after starting that medication was a complete game changer in my life." (14:41 – Autumn)

4. Societal Judgment and Moving the Goalposts (15:07–18:09)

• Scott and Autumn commiserate about public backlash against new medical solutions, especially the idea that using medication (like GLP-1s) is “cheating.”
  • "It took some dork in a lab 30 years to figure this out and he figured it out, and your hot take on it was, ‘oh, you're going to cheat like that?’" (15:39 – Scott)
• They push back on goalpost-moving, judgmental attitudes, and advocate for kindness and understanding.
  • "If you think yelling at poor Autumn here for cheating is a good use of your time, go for it. But she's off living a better life while you're busy telling her what she's doing wrong." (17:19 – Scott)
  • "And you know what that person do? They can right off." (17:29 – Autumn)

5. Body Image, Visibility, and Social Treatment (21:44–24:12)

• Autumn discusses how weight impacted her visibility in family photos, her willingness to participate in life, and even how strangers interact with her.
  • "There are so few photos of me with my family[...] Of course, the ones that we do have, I had to make sure that they were okay. I don't look like a complete cow in that picture. We can share that one kind of thing." (21:44 – Autumn)
  • "People are nicer to you when you’re not overweight... I’ve had more people offer to help me... That would have never happened, you know, 80 pounds ago." (23:36 – Autumn)
• The need for acceptance, both self and societal, and the healing power of sharing stories are emphasized.

6. Growth, Learning, and Letting People Be (24:43–28:34)

• Scott reflects on the value in changing one’s mind as you learn, and the futility of trying to correct others harshly.
  • "You have to trust the process of being alive and learning and growing and not want to hold people accountable for things that they thought or did in the past that they understand are different now." (24:52 – Scott)
• A plea for kindness and perspective sharing, not judgment—a major recurring theme.
  • "Telling people they're wrong is not a good way to get them to know they're wrong. That's not how you do it." (26:42 – Scott)

7. Healthcare, Modern Technology, and AI in Medicine (31:38–46:35)

• Autumn looks to the future, participating in further genetic testing and clinical management for her MODY 4 diagnosis, with hopes of “paying it forward” through research.
  • "If that means you throw me in a lab and do all the tests and sign me up, because, again, I have nothing to lose and helping somebody else is really my goal at the end of the day..." (31:54 – Autumn)
• Scott speculates on the promise of AI to streamline diagnosis and personalize care, especially for rare cases like Autumn’s.
  • "Wouldn't it be awesome if you just sat down with your phone and told it all of your little problems and then at the end had it say to you, ‘this is crazy, but sound like you're MODY 4.’" (45:04 – Scott)
• Frustration with hospital care is highlighted through a story about Autumn’s father's poor diabetes management during a hospital stay.
  • "They're giving this man insulin, crashing him, bringing him all the way up to 500, crashing him again... Just stop." (34:29 – Autumn)
• Both agree that clinicians are limited by training, system constraints, and risk aversion.

8. Lost Time and the Value of Shared Knowledge (40:36–44:31)

• A poignant segment details the grief of realizing how much life was lost to misdiagnosis, a sentiment Scott shares from earlier conversations with listeners.
  • "All she could say was, why did no one tell me this? I’ve been living this way for decades." (40:36 – Scott)
• Autumn credits the podcast with giving her tools to manage her diabetes and push for the “answer.”
  • "I learned more from listening to your podcast about bumping and nudging, things I could do, about being bold with insulin… why isn't this information more readily available?" (41:38 – Autumn)

9. Humor and Episode Title Banter (33:58–48:12)

• The hosts riff on mispronouncing “sulfonylurea” (an oral diabetes medication), joking about titling the episode “Sulfur Uranus” or “Unicorn Anus” to much laughter and levity.
  • "Can we call this episode Sulfur Uranus?" (33:58 – Scott)
  • "Go for it." (34:04 – Autumn)

10. Epilogue: The Blessing of Good Doctors and Looking Forward (47:06–End)

• Autumn notes her gratitude for finally connecting with skilled clinicians and being rare enough to contribute to future case studies.
  • "You're the 21st case that we have in our registry. And I'm like, holy shit. 21st." (47:33 – Autumn)
• Final, warm encouragement from Scott to focus on future gains, not past losses, and the importance of sharing personal health journeys.

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Memorable Quotes by Timestamp

• Identity & Self-Advocacy:
  "No. Healthcare has to be personalized to the individual's needs. And I don't give a rat's ass what your book says or how many years you went to school. I know how I feel right now, and I've never felt this good in my entire life."
  — Autumn (05:10)

• Transformation & Medication:
  "The food noise, completely gone after starting that medication was a complete game changer in my life."
  — Autumn (14:41)

• Societal Judgment:
  "It took some dork in a lab 30 years to figure this out and he figured it out, and your hot take on it was, ‘oh, you're going to cheat like that?’"
  — Scott (15:39)

• On Judging and Growth:
  "You have to trust the process of being alive and learning and growing and not want to hold people accountable for things that they thought or did in the past that they understand are different now."
  — Scott (24:52)

• On Loss and Moving Forward:
  "All she could say was, why did no one tell me this? I’ve been living this way for decades."
  — Scott (40:36)
  "Don’t think about what was lost. You know, think about what you’ve got left and how much better."
  — Scott (43:17)

• Humor:
  "Can we call this episode Sulfur Uranus?"
  — Scott (33:58)

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Notable Moments and Tone

• Humor & Humanity: The episode is laced with raw humor (naming the episode after medication mispronunciations), helping offset the gravity of chronic illness.
• Vulnerability: Autumn is deeply open about her regrets, anger, and relief at finding answers.
• Empowerment: Both voices emphasize the importance of persistence, advocacy, and self-education in the diabetes journey.
• Honesty: The conversation includes candid admissions about mental health, fears, relationships, and medical frustrations.

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Key Timestamps

• Identity crisis and secrecy: 02:31–02:54
• Struggles with misdiagnosis: 05:10–06:08
• Weight loss after medication change: 05:33–05:44
• Societal criticism of GLP-1 use: 14:26–15:07
• Social treatment after weight loss: 23:19–23:51
• Healthcare system critique & advocacy: 34:26–38:39
• AI and technology in diagnosis: 31:38–46:35
• Lost years and gratitude for progress: 40:36–43:17
• “Sulfur Uranus” banter: 33:58–34:19

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Conclusion

This episode is a resonant exploration of chronic illness, the shifting nature of diagnosis, the power of advocacy, and the liberating effects of effective modern medications. By sharing her vulnerable and unique MODY 4 story with Scott, Autumn gives hope and camaraderie to listeners grappling with their own health journeys—and reminds everyone to approach each other (and themselves) with kindness, persistence, and a willingness to learn.

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For more resources and support, visit:
JuiceboxPodcast.com
Or join the private Facebook group: Juicebox Podcast – Type 1 Diabetes

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Transcript

[A]

Welcome back friends, to another episode of the Juice Box Podcast.

[B]

Hi, good morning. My name is Autumn. I am a 44 year old female who was diagnosed with type 1 diabetes in 1994 at the age of 13.

[A]

This is part two of a two part episode. Go look at the title. If you don't recognize it, you haven't heard part one yet. It's probably the episode right before this in your podcast player. When I created the Defining Diabetes series, I pictured a dictionary in my mind to help you understand key terms that shape type 1 diabetes management. Along with Jenny Smith, who of course is an experienced diabetes educator, we break down concepts like basal time and range, insulin on board, and much more. This series must have 70 short episodes in it. We have to take the jargon out of the jargon so that you can focus on what really matters, living confidently and staying healthy. You can't do these things if you don't know what they mean. Go get your diabetes defined juiceboxpodcast.com, go up in the menu and click on Series. Please don't forget that nothing you hear on the Juice Box Podcast should be considered advice, medical or otherwise. Always consult a physician before making any changes to your healthcare plan or becoming bold with insulin. Just in time for the holidays, Cozy Earth is back with a great offer for Juicebox Podcast listeners. That's right, Black Friday has come [e-mail] and right now you can stack my code Juicebox on top of their site Wide sale, giving you up to 40% off in savings. These deals will not last, so start your holiday shopping today by going to cozyearth.com and using the offer code Juicebox at checkout. This episode of the Juice Box Podcast is sponsored by usmed usmed.com juicebox or call 888-721-1514. Get your supplies the same way we do from US Medicine. The episode you're about to listen to is sponsored by Tandem Moby, the impressively small insulin pump. Tandem Mobi features Tandem's newest algorithm, Control IQ plus technology. It's designed for greater discretion, more freedom, and improved time and range. Learn more and get started [e-mail] Juicebox.

[B]

I went through a total identity crisis when all of this was happening to me because I'm like, well, if I'm not type one, what am I like? What do you mean? I have all of this medical history and it just fits right here. And you know, he was with me through all of it. I honestly didn't start to share My story until this year, until I got the answer, nobody in my family knew this was happening other than my husband and a very, very close friend.

[A]

No kidding.

[B]

Yeah. And part of it was, you know, candidly, the societal criticisms of, oh, you're using a glp. Well, no wonder that's why you lost weight. Or, no wonder that's why you feel better. And it's like I struggled with my identity and then also with the fear that you mentioned for people where it's like, you want me to take my insulin pump off? But what do you mean? How. But then it was like I had to listen to that little inner voice that you have that's like, what do you have to lose? You take the insulin pump off, you get sick, okay, put the damn thing back on. But if you don't try, how will you know? And I don't ever want to live my life thinking I should have, could have, would have type thing like, no regret. So here we are.

[A]

Well, I mean, the doctor tells you to do it, you easily could have just put it back on again. Like, it's not sure. Yeah. I mean, you didn't have to sit there and just slowly die over the next couple of days.

[B]

Right?

[A]

Right. Like, yeah, you could pay attention to what was going on. I mean, you were doing it with the doctors overseeing it. Sounds like you did it the right way. And.

[B]

Yeah, for sure.

[A]

And I think that, moreover, don't be just happy sitting there and withering or being sick all the time. Like, try something. The examples are endless. I interviewed a woman yesterday who clearly has thyroid issues, and her TSH in my mind is elevated and her doctor's mind isn't. And she's 10 years at it. 10 years just suffering along. And when I said to her, why don't you try the medication? She goes, well, the number's right. I'm like, yeah, but that shouldn't make any sense. And meanwhile, she's telling a story about how she's advocating for her kid but not for herself. And, like, you know, and I'm just like, this happens constantly with people forever. And, you know, at some point, you either get to a doctor who understands the bigger picture, or you get to a doctor who says, hey, I'm sorry, but the thing in the box says no. So you don't get it.

[B]

Right, Right. Well. And like, how I mentioned earlier, thankfully, my mom taught me a long time ago to advocate for myself, because I can remember going to endocrinologists, that they would just dismiss me or, well, this is what it was I'm like, you know what? You're fired. I'm going to go find an endocrinologist that works for me. I'm going to find somebody that listens to what's going on and they're not just looking at what the. Again, their checklist says, okay, this is how we treat this symptom. This is how we take care of that ailment. No. Healthcare has to be personalized to the individual's needs. And I don't give a rat's ass what your book says or how many years you went to school. I know how I feel right now, and I've never felt this good in my entire life.

[A]

Tell people what your weight was when you started, what it is now.

[B]

Gosh, it was 2:38 at that initial appointment back in November of 2022. And right now I weigh 160.

[A]

Wow, good for you.

[B]

And seriously, the last 40 pounds, as soon as I took that insulin pump off, it just came off like water. And I can't even tell you how mind blowing that was for me. You know, like I had said that identity crisis. I. I also spent a little bit of time, like, angry, like mad. Like, how could I have been? I just felt like it was a disservice by the healthcare system to tell me more. Gone that long?

[A]

Yeah. Tell me more about that, please.

[B]

Yeah, I just. Because, you know, I think back to the endocrinologist and I'm like, hey, something doesn't seem right. I'm using all this insulin, and it's like, you're type one. It's in your head. You need to get over it. Like, really? How is that? Or I had even gone to her before. How do you even know I'm a type 1 diabetic? And it always went back to, well, it's in your head. Or it's just because you've been diabetic so long and all of these things. I feel like I got robbed of the prime of my life. Times when I wouldn't want to play with my son because I didn't feel good or because I was just tired, exhausted, fatigued, because I just wasn't healthy. And, you know, now I look back and, like, I could have had more kids.

[A]

Yeah.

[B]

And I didn't because of, you know, the doctor. Oh, you're diabetes.

[A]

And it's like, okay, then I guess that's not. Not what's supposed to happen for me. And now it's. And now it's gone. Like, I'm not trying to make you upset, but that it's over. Like, that part passed. Yeah. Yep. My wife and I went out the other day. It was Friday night, so we worked all day. And I mean, this is kind of boring, but, like, she. She travels for work a lot, and so she wanted to get global entry on her passport so she wouldn't have to stand in line coming back from other countries. But she had to make an appointment at the airport at 8pm on a Friday night to finish the process. And we drove about an hour, and we decided to do some shopping at this place that's near the airport that we don't get to very often. Let me just say what it is, because I think it adds levity. I really love Ikea's dish brushes for this, for the kitchen. They're $2, 1.99. They're awesome. Okay. It's black. It has a suction cup on the end. Buy them. They're absolutely awesome. Okay. And I've been using mine way too long because I don't want to drive an hour towards the airport to buy a brush. And. But as soon as she said, I have to go to the airport, I was like, oh, my God, can we go to Ikea?

[B]

Right. Right.

[A]

Goes for what? I'm like, I need a dish brush. And so, so we. We left early. Now this is the end of a day. Do you understand what I'm saying? Like, I, like, I've been. I've been. I'm old. I've been up, I've been working, I've been thinking, I've been talking. I've been sitting in this room. I've been typing. I've been letting people online yell at me. I've been helping. Like, you know, I've been. I'm. I had a full day already. I drove an hour in traffic on the New Jersey Turnpike. If you've never been here, you don't know what I'm talking about. It ain't great. Okay, we walked around IKEA for a while because you're there. What are you going to do? You go look at the Herenberger and stuff like that. You see what else they got. And, like, we did the whole walk. I. I bought seven dish brushes.

[B]

Looks like you're not going back to that airport for a while, huh?

[A]

Well, I was trying to minimize my travel. And so I spent the 14, and then we went over to the Newark airport, if you've ever been there. Also not awesome. At 8 o', clock, she has her meeting, she does her thing. We get done. She's like, are you hungry? I said, man, I am a little hungry. I don't think I've eaten much today. I think I should eat. We drove all the way home, another hour through traffic, went to a restaurant, sat and ate, did all this stuff. And, and it's like 10:30 at night now. And we're sitting there and we're talking and I said to her, I don't think we could have done this before the GLP medication. And she's like, what? I'm like, you really think we could have worked a whole week and then a whole Friday and then gone out and walked around for an hour and a half and then run across and then still gone to dinner and been sitting here and talking to each other as bright eyed as we are right now? And I know people will be like, well, yeah, you lost weight. Okay, I'm not gonna argue with that at all. But I'm telling you that without that whatever the hell is in that stuff, and that really is whatever GLP is, whatever the. I don't even know and I don't care. And like, but whatever it is, I think it has fundamentally changed how my body works.

[B]

Absolutely.

[A]

Yeah.

[B]

Yes.

[A]

I don't know how to quantify it really, but. But I can tell you for sure that I wouldn't have done any of the things on Friday that I did. And then I started thinking about all the times that we'd walk around somewhere because Kelly'd be like, hey, you know, we need a chair or we need. Then she'd take me out and I'd walk around thinking the whole time like, I hate this. I can't wait to get home, I'm so tired. And I don't realize I never gonna be able to honestly quantify how much I was probably lying to myself about what my appearance meant to me in public. Sure. Because you're going to hear me on this recording. And in my personal life, I don't care what people think of me. I'm not my body, I'm my thoughts. And I really do believe all that. But I still believe the farther I go forward, the glp, that. That's not completely accurate because I saw a photo of myself the other day that somebody took candidly and I thought, I'm okay if people see that. And before I would have been like, hey, can you delete that please? Like, do you know what I mean? Like, it was just at a weird angle and everything and I didn't even care. And then I started doing the rest of the math, like, I wonder what I didn't do with my kids or my wife or with my life because I was felt held back by the amount of energy I had. Or you talked about your elimination. I had that problem too, right? Like I didn't eliminate well, my iron was low all the time. My iron's not low anymore. That had its own impacts, blah blah, blah blah blah. And I'm gonna go back to what I said earlier. I don't think we know where we're at with this medication yet or what it's doing for people. And I'm happy to say, cause you brought it up. The pressure of knowing that if you tell somebody you're doing this, that some person who doesn't have the benefit of all this information and all this perspective and all these experiences is just going to go like, oh yeah, you cheated and took that medicine. This episode is sponsored by Tandem Diabetes Care and today I'm going to tell you about Tandem's newest pump and algorithm. The Tandem mobi system with control IQ/ technology features Auto Bolus, which can cover missed meal boluses and help prevent hyperglycemia. It has a dedicated sleep activity setting and is controlled from your personal iPhone. Tandem will help you to check your benefits today through my link tandemdiabetes.com juicebox this is going to help you to get started with Tandem's smallest pump yet that's powered by its best algorithm ever. Control IQ technology helps to keep blood sugars in range by predicting glucose levels 30 minutes ahead and it adjusts insulin accordingly. You can wear the tandemoby in a number of ways. Wear it on body with a patch like adhesive sleeve that is sold separately. Clip it discreetly to your clothing or slip it into your pocket. Head now to my link tandomdiabetes.com juicebox to check out your benefits and get started today. Perhaps the best gift that you can give to yourself or to a loved one is that of comfort. And this holiday season, if you use the offer code Juicebox at [e-mail], you won't just be getting something that's comfortable, you'll also be doing it at quite a discount. We can talk about that in just a moment. Right now I want to tell you that I use Cozy Earth towels every day when I get out of the shower. I sleep on Cozy Earth sheets every night when I get into bed. I'm recording right now in a pair of Cozy Earth sweatpants. I love their joggers, their hoodies, their shirts, my wife has their pajamas and I know you're thinking, oh, yeah, Scott. Well, because they sent you a bunch of it for free. They did send me some for free, but I've also bought a lot on my own. So like I said earlier, Black Friday has come early at Cozy Earth. And right now you can stack my code Juicebox on top of their site wide sale, giving you up to 40% off in savings. These deals are definitely not going to last. Get your shopping done now or get yourself something [e-mail] do not forget to use that offer code Juicebox at checkout. You will not be sorry.

[B]

Yeah, yeah. And little do they know how much fricking work it is actually to take that medication, especially as you're titrating the dose up and you don't always feel the greatest when that happens. But then you have to change so many things about your life. The way that you eat, your relationship with food, I mean, the food noise, completely gone after starting that medication was a complete game changer in my life. On top of all of the wins and the discoveries with my diabetes that going away, holy smokes. Anybody that wants this medicine, that their body can tolerate it, in my opinion, should be given to them freely. Just like you could get birth control for free at a health department.

[A]

Isn't it funny how we've sat around, see, older people are going to know this. Younger people aren't going to know it as well. But I grew up through a time where people just sat back and they ruminated. They're like, one day science is going to find a way to stop this epidemic that we have of people's weight. I grew up through a media that talked about that. It's going to happen. We're going to figure it out. And then, by the way, this all connects, whether it's the vaccine story I told about the online thing or the person telling me not to do the thing, this all connects. If you're not paying, you got to pay attention, okay? But back there, it's going to happen. We're going to fix it. We're going to move forward. We're going to find better ways. And then we did that as a society. And then everyone just moved the goalposts. When you're a cheater, like, oh, my God, you motherfuckers. Like, like, it took some dork in a lab 30 years to figure this out. And he figured it out. And your hot take on it was, oh, you're going to cheat like that? For the last 30 years, you've been saying, no matter how much I diet and Exercise. Nothing's working for me. The food's not right. Monsanto sprayed something on my corn. You guys have a thousand different reasons why you're being held down by something, and someone figures out your way it, and then you become the thing holding the person down. Oh, my God, you're all stupid sometimes. Me too, by the way. We're all stupid sometimes. But, like, it's crazy how it. Like, it's that goalpost moving. Yeah, it's, like, not good enough. You didn't do it good enough. But I tell you about before we started recording here, I got two people ranting and rave at me on Instagram. I can't believe you're using Instagram images. Do you know how much electricity that uses? Well, guess what? I didn't know how much electricity it used to, so I looked it up. And then you know what else? I looked up how much electricity Instagram uses. Turns out the person who used Instagram to yell at me used way more electricity than I did to make the picture. And I was just like, none of us are perfect. That's all I came down to. Like, there is no perfect way to get through life. Like, so if you think railing about me using an AI image is a good use of your time, and God bless you, like, go for it.

[B]

Right?

[A]

And if you think yelling at poor Autumn here for cheating is a good use of your time, go for it. But she's off living a better life while you're busy telling her what she's doing wrong.

[B]

Right? And you know what that person do? They can right off, yeah, come.

[A]

I don't like. But at the same time, like, that's, you know, in my personal life, like I explained to you earlier, like, you know, the way I responded to the person on Instagram, I was like, well, listen, I'm doing my best here, and I'm trying to. I really do mean all that. And it's all. It's all sincere. But if it was just me in a room with them, I would 100% say, oh, you should go yourself. And, like, because I am. Like, I've said this before on the podcast, so I don't want to belabor it, but, like. Because it's not an apples to apples comparison. But every time something like this happens, I think of the. The line from. And I can never remember the name of the movie, and you reminded me of it. The name of the movie is, oh.

[B]

A Few Good Men.

[A]

Few Good Men, where at the end, the bad. I mean, he's a bad guy. Like, I'M not the. I'm not the bad guy in this. But the way he feels. I understand where he just says at one point, like, I appreciate it if you would just say thank you and move on. And it's the feeling that he has that, like, I am out here putting my whole effort into something. I'm doing it for you, and you're over here telling me how I'm doing it wrong. And, you know, in that scenario in the movie, again, my analogy doesn't hold up because he's actually doing something wrong. But, like. But the way he felt. I can seriously dig into this deeper. The way he felt from his perspective, he doesn't see it that way. And, like. And that's the thing that you all need to understand about this, is that let's just, for a second, just put ourselves in an alternate universe where Autumn's use of a GLP is wrong. She doesn't feel that way. She's having a different experience than you're having. So yelling at her that she's doing it wrong, even if she is doing it wrong, is not an answer to the bigger issue. Right. And. And I'm here to tell you, I don't think you did anything wrong. I don't think I did anything wrong. I'm telling you that modern medicine came up with a way for me not to have low iron, not go to the bathroom on any particular schedule, be carrying fat in places that I don't understand, being tired all the time, you know, not being able to be myself in my own mind because I'm cloudy and all the other things, we all run around all the time. Inflammation. We got to get rid of it. We got to get rid of it. Somebody came up a way to get rid of it, and they went, oh, you can't do that, God damn it. And then, oh, my God, Autumn, you know what just happened there? I said, God damn it. Now some people are going to send me an email and say, oh, I love this podcast, but then use the Lord's name in vain, and I can't listen anymore. You all got to stop setting up guardrails and rules about how we can all talk to each other where no one's going to say anything. And Autumn's not going to find out that she could have been healthier. I've made my point. Now, Autumn, tell the rest of your story. Thank you. Diabetes comes with a lot of things to remember, so it's nice when someone takes something off of your plate. Usmed has done that for us. When it's time for Arden's supplies to be refreshed. We get an email, rolls up, and in your inbox says, hi, Arden, this is your friendly reorder email from usmed. You open up the email, there's a big button that says, click here to reorder and you're done. Finally, somebody taking away a responsibility instead of adding one. Usmed has done that for us. An email arrives, we click on a link, and the next thing you know, your products are at the front door. That simple usmed.com juicebox or call 888-721-1514. I never have to wonder if Arden has enough supplies. I click on one link, I open up a box, I put the stuff in the drawer, and we're done. UsMed carries everything from insulin pumps and diabetes testing supplies to the latest CGMs like the Libre 3 and the Dexcom G7. They accept Medicare nationwide, over 800 private insurers. And all you have to do to get started is call 888-721-1514 or go to my link usmed.com/juicebox. Using that number or my link helps to support the production of the Juice Box podcast.

[B]

I just, you know, I really, really enjoy you. You're a great, great, great, great guy. There's no doubt about that, Autumn.

[A]

I'm awesome. But that's not why we're here.

[B]

No. You did say something there, though, about that. That experience with your wife at the airport and like, the medication, you know, giving you the energy to be able to do that. But it just made me think, especially about the photo piece with. I think about from the time I started on my insulin pump, because that's the other thing I didn't mention. Before I started on the insulin pump, I never had a weight problem. I mean, I'm five nine. I've always weighed between like 160, 170. And it was like, I put that insulin pump on, and damn, did that weight come. And it came for me. And it was like £30 within a matter of, I don't know, two, three months. And I'm like, what in the hell is going on? I eat healthy. I barely eat carbs. Why am I using all of this insulin? There are so few photos of me with my family, with my son, with my husband. And of course, the ones that we do have, I had to make sure that they were okay. Okay. I don't look like a complete cow in that picture. We can share that one kind of thing. And now I'm over here where people will, oh, my God, you look really great. And I'm almost like, I don't want to talk about it Because I want to skirt over the fact that, how did I get here? Because I don't want to deal with their judgments or their bullshit when it comes to what they think I should have done with my life. But I do know that that medication led me to one, removing the pump. Two, finding out that I'm a type 2 diabetic, that it's actually Modi. Four, the 1% of the 1%. I told my husband when he met me, I'm a special unicorn. Not sure if you're aware of that, but this test actually proved it for me.

[A]

Yeah. You didn't realize how right you were. Right.

[B]

I know, right, right. But it's just, like, people are nicer to you when you don't weigh. When you're not overweight. I didn't realize that before because I just try to be nice to everybody. I'm a big advocate of human kindness. Regardless of what's going on, just be kind to people. I've had more people offer to help me. I'm at the gas station with a flat tire. Just a random guy like, hey, do you need any help? And I'm like, are you talking to me? Why are you trying to help me? That would have never happened, you know, £80 ago. I'm sorry. It just would not have happened.

[A]

That's crazy. Yeah. I don't. This. I don't. I don't imagine you're wrong. I just. It's. It really is insane. I do feel the same. Like, I don't. I wouldn't understand treating somebody differently for how they appear. But also, maybe I have a perspective of a person who appeared that way. So at some point, yeah, I wouldn't have judged myself for it. So maybe I wouldn't have judged other people for it.

[B]

It's like, that's the thing. Like, I guess I just. I don't know. But let people be who they are. Let them do what they do. And, you know, sharing stories helps. I mean, that's part of how we get through society, is by sharing our stories and by learning from each other. And when you want to shut it down because you don't agree with me, you don't have to agree with me. That's fine. But it's still my reality. I'm still going to share the fact that this is how I got here, to this new diagnosis and this new life where I feel great and I have energy and I want to do things. And I'm not trying to nap constantly because I'm exhausted all the time.

[A]

Yeah, I also think it's important to. Another thing that people used to talk about when I was younger, before the world got so complicated, is that people learn as they go and you don't judge them on what they thought before you praise them for what they figured out. And so because there's a certain, I can hear people in my mind, there's a certain. By the way, that's not because I'm schizophrenic, I know what's going to happen. I can hear people saying, oh, sure. Well, he used to think this, but now he says this. He's a hypocrite. I'm not a hypocrite. I'm a human being who learns something. And now I'm continuing to share. And by the way, if you would have gone back 10 years ago and heard me say something, I probably say it more clearly now. But if I hadn't said it then, I wouldn't know how to say it more clearly now. You have to let the process. You have to trust the process of being alive and learning and growing and not want to hold people accountable for things that they thought or did in the past that they understand are different now. This happens to everybody. And yeah, it's not. It's not a thing that happens to just bad people or people were dumb and then they weren't, or like it's. It's happening. If you think that it's happening to you right now and you don't know it because 10 years from now, you'll look back on this moment ago. I shouldn't have judged those people that way. And by then it's too late because you already ran around telling people they cheated or they're bad or, you know, blah, blah, blah, blah, blah, like whatever it is that you thought you were fixing the world with today. That's not how I'm going to say this over and over again. I say it in the Facebook group all the time. Telling people they're wrong is not a good way to get them to know they're wrong. That's not how you do it. They say something and maybe you have a different perspective. Maybe you're a little older, a little wiser. Maybe you've been through another thing that they haven't been through yet. Maybe you've just seen a part of the path they haven't seen yet. You just share your perspective with them and one day they'll See, it. It's not going to be that day. It's not going to be that moment in my life. I have never disagreed with somebody and talked them out of it, but you could give them ideas and walk away and let them go live their life and see if it doesn't come back around for them in a way that makes them figure it out.

[B]

Right? Exactly.

[A]

Yeah. I told Autumn before we started today, I think I told you about, like, the emails. I get emails sometimes from people and they tell me how awful I am, and then. And then a lot of them will write back six months, a year later. Some of them don't go to the trouble of telling me how awful I am. Some. Some of them just write the second email. And I got one of those the other day, and I mentioned it the other day. I won't say the person's name again, but I thanked the person because they started listening and really didn't like me for a number of different reasons. They hated me, but persevered, kept listening, and now are doing really well. And they took the time to write an email to apologize for a thing that I didn't even know they were doing, which I found to be incredibly kind. Yeah, And I'm not saying that I'm always right and you'll figure it out one day. I'm saying that some of the things you hear, you don't intersect with. Well, at some points, and. And then maybe later when you have more information, you'll intersect with it differently. And that isn't to say that some of you just don't hate me and. And have really great reasons for it. I'm sure you do. Right on. Like, you know what I mean? Like, I. There are people I don't like to. I don't know what to tell you, and I don't have the time or the inclination to figure out why, but in the light of what's going on in the world right now, as a person who makes content, I'd like to point out to you that it's incredibly unhealthy. If you keep listening to me and you don't like me, you should really stop. Yes.

[B]

Yeah, but scroll past. Keep moving.

[A]

Right. Think of me as something you can scroll past and head off. Although, let me say this again, as a timestamp, I am not an avatar. I'm a real person. Okay? Like you ranting and raving about me, or, you know, showing up somewhere where I am, which hasn't happened to me gleefully, but it's happening to other people. And like, you're not downvoting me on Reddit, right? I'm not a thing you disagree with that you get to put a check mark on or a thumbs up or a thumbs down or a sad face on. I'm an actual person. And if you don't know that, I mean, I'm not a person who just randomly says, go touch grass, but you probably should put your device down for five seconds because. Yeah, because I am not a pretend thing on the other side of your screen. And you're not either, by the way. And if we intersect in the real world one day, you're misunderstanding of what it is when you think of somebody digitally but then meet them personally. Most people just, you know, say, hey, what's up? But every once in a while, a person who's too far down a path does something crazy and it's not, man, it's not cool. And all that's gonna lead to is people not sharing their perspectives and stories not being told and, and people not taking a lifetime to learn and move forward and coming to a better decision. And we're not going to move forward if you stop people from talking.

[B]

Absolutely.

[A]

And I think that a part of that is to see that I'm not, I'm not an avatar, I'm an actual person. I'm not always right, I'm not always wrong. You're not always going to agree with me. Sometimes I'm going to be doing things you don't understand and sometimes I'm going to be doing things I don't understand. So, yeah, I don't know what the answer is other than be nice and keep your hands to yourself.

[B]

Yeah, yeah, yeah, exactly. Just be kind. Keep your hands to yourself and be kind. That's all we got.

[A]

You know, all the stuff you tell a five year old like, just do that. Jesus, mother of God. Anyway, what have you not talked about that you wanted to. Although this episode, I love this episode.

[B]

Oh, I'm glad. I'm glad. I am so thankful to be able to share this story, you know, for me personally. Next steps, like I mentioned, I'm going to meet with my endocrinologist from the University of Michigan Atypical Diabetes Program this coming Monday. And we're going to hash out that sulfur. Ariana, probably not saying that 100% correctly, but it's close enough. And essentially the medication, it allows your pancreas to secrete more insulin. The mixed message kind of from the two doctors in the same department, one saying you make enough insulin, your body doesn't secrete. The other one's saying, hey, I'm concerned if we put you on this medication, it's going to push all the B cells that you do have left that are healthy, and you might end up back on insulin. And for me, I'm not scared of that, Scott, because I took insulin for 31 years. You're still taking insulin and you're willing to try.

[A]

Occurs to me while you're talking that you're not likely to find one doctor that has all the answers. You're likely to find a few people that understand certain parts of this, and then you're going to conduct a science experiment on yourself and try to figure it out. You're telling me that that's better than living the way you did before?

[B]

Absolutely. Yeah, absolutely. There's no doubt. And the other piece that I'm really excited about is both my parents are still living, and they are going to have their genetic testing done so that hopefully we can help more people with MODI and figuring out early diagnosis so that there are children in the world that don't spend the 31 years on an insulin pump when they never really even needed the medication in the first place. So I'm excited. It's kind of like my pay it forward, I guess. Like, I want to give back in a way. And if that means you throw me in a lab and do all the tests and sign me up, because, again, I have nothing to lose and helping somebody else is really my goal at the end of the day, that's lovely.

[A]

That really is great. I will tell you this. I used to make ads for Jibo Kypopen, and I might again in the future, but I don't at the moment. But when I started making them, I had to say sulfano urea. And I don't know what I was saying, but they would send back the audio and go, you're not saying that correctly. And so I wish I would have recorded it because I basically sat here. They sent me a clip of it being said correctly, and I would, like, sit here with my eyes closed, hit play. The clip would say, sulfonal Yuria. I'd go, sulfonal Yuria. And then it was just. It was just me going, so final uria. So final uria. So until it felt like it flowed because I had to say it in a sentence, and I couldn't stop to think about it while I was saying it because it needed to flow out and sound. Sound like it's not the first time I had heard the word right And I got it all done. I was super excited. I sent it back to him. They're like, you're not saying it right.

[B]

Oh, my God. Okay.

[A]

But anyway, I don't know if I'm saying it right now or not, but definitely don't judge yourself on it, because Scott spent two hours on it, and he's not sure he knows how to say it.

[B]

Well, listen, I'll be candid. When the doctor first said it to me, I'm like, sulfur Uranus. What do you. What? I have no idea what you're talking about. And then I couldn't pronounce it, so that's what I would refer to it to my husband. I'm like, you know the sulfur Uranus medication they want you to me to try? And he's like, is that really what it's called? I'm like, no, but I'll butcher the way that it said. And this helps me remember. So I'm. Whatever you got to do.

[A]

Beating my hand on my thigh now, wondering, can we call this episode Sulfur Uranus?

[B]

I'm totally fine with that. Go for it. You know, that's.

[A]

Sorry.

[B]

That was the piece. Sulfur Uranus. Here we go. Let's see if that's the next thing to change my life other than everything I've gotten to this far.

[A]

So I just imagine people listening, hearing your whole story, hearing me rant and rave and thinking, like, when does the part where you put the sulfur on your anus come in?

[B]

And, yes, that. That will be. It'll be interesting to see how Monday goes. And then, you know, I'll shoot you an email to let you know the piece of that. There is one other thing I wanted to. And it's. It's not about me. It's actually about my father. I had mentioned to you about him having that heart attack back in May, and he spent 18 days in the hospital, and he's a type 2 diabetic. Can I tell you how disturbing it is the medical professionals in this hospital that have no clue how to treat diabetes, whether it's type one, type two. They're giving this man insulin, crashing him, bringing him all the way up to 500, crashing him again. I'm like, can you stop it? Got to the point where I just simply was like, we refuse the treatment. Well, you can't do that. I'm like, actually, I can. It's my right. We're refusing the treatment because you keep bringing him up, crashing him down. Just stop. We're telling you what he needs, and you don't want to listen because it's not what your fricking book says. Take your book, throw it out the window and listen to what I'm telling you. It's a shock to me how uneducated they are and how unwilling they are to listen.

[A]

Yeah. I mean, I'm shocked by that pretty regularly. And at the same time, I've had enough conversations with people that I don't blame them the same way that I used to.

[B]

Yeah, yeah.

[A]

There's something about the process that. Of leading people to. Into that. Into that life. It doesn't allow them to, like, fully understand everything that they need to understand and the limits of humans in general. Like, you know, you can't just.

[B]

Yeah, yeah.

[A]

You're not. You're not a limitless, like, you know, thought machine. And then the pressure that goes with it and, you know, the long shifts and so many people and, you know, I'm sure the hospital's telling you to go faster and do this and blah, blah, blah, and, you know, like, there's just. I think it's like everything else. I think there's just too much to tackle. And may I also say, Autumn, that I know that it's probably attractive to just blame something and say, well, it's the reason of this, but I don't think that's the case anymore. I think it's possible that we've just been here so long and society just has so many nooks and crannies. Right. That this is what it looks like at this point. Like, it's. We can't. I don't know, it's like a bunch of extension cords wrapped around each other. Like, we're not going to be able to, like, untwist them all.

[B]

Sure.

[A]

This is just how it works now. And would it be great if you could go back to simple and start over? Sounds simple, but it would eventually get convoluted again. And I don't know what the answer is going to be. I'll tell you, there's part of me that thinks that the answer is going to be, I know people will hate this, but the computers being able to just sort through things and to take away the stuff that you can't possibly know and make it readily available so that you don't need to be able to access it through your, you know, the meat thing inside of your skull. Like, it'll actually. Somebody can just say to you, like, look, this is the real answer. Because then your dad. Blood sugar doesn't get jerked around while he's in the hospital, Right.

[B]

Yeah. And I. I would agree with that piece. And I feel like, you know, there's just so many. If I. If I put myself in a medical professional shoes and I went to school, I read this book, it tells me this is what I'm supposed to do. It goes back to that point of healthcare not being personalized. But also they're just doing what they were taught and what they think is right. And I don't think they're willing to take the risk just for the random guy laying in the hospital bed. You know what I mean? Like, they might be more willing to take the risk if it was their loved one. Like, I was willing to take the risk and advocate for my dad or advocate for myself. They have too much to lose. It's their livelihood, it's their license. I get those things. But it's so freaking frustrating. Of course. Yes.

[A]

Terrible. Yes. You're just Autumn, you know, like. Like, they might be like, look, I went to nursing school. I've been doing this for six years. I report to three doctors. This is a hospital I'm in. Like, you know what I mean? And you're telling me I got to listen to Autumn.

[B]

Right?

[A]

You know, I don't know you. And so I take. I mean, I take their perspective, I understand where they're at, but it doesn't stop that thing is happening to your father.

[B]

Exactly.

[A]

And it doesn't stop you. By the way, you now have a new perspective. Like, you've leveled up your perspective because you talked about wasted time. And I have that perspective from years ago, not through my own life, but through a conversation I've had that I've commented on here a number of times. Somebody online just needed help. Like, back before I had this kind of whole ecosystem really set up where, you know, you could go to the Facebook group, somebody might help you. You can go find an episode that'll help you. Like, it'll lead you to other ideas. You can kind of get through it on your own. Like, it's a little more self service now than it used to be.

[B]

Sure.

[A]

And. Right. So people used to say, like, oh, that guy Scott could probably help you. And then somebody would message me and then I'd get on the phone with them, which I. I know I've said in the past is probably like the part of how the podcast got started, because I was like, oh, I talked to this person for an hour and now they're okay. Like, what if more people heard that? And so have this experience with a woman in her 40s if I'm remembering correctly. She had a lot of kids, if I'm remembering correctly. But you guys have all heard me on here. I think more than two is a lot. So I don't remember exactly how many she had, but she had a lot of kids and diabetes for a very long time. And I basically just chatted her up for 45 minutes or an hour and didn't do anything different than I'm gonna do at the Touch by Type one event on Saturday. Like, I'm just gonna stand up on a stage for an hour and be like, hey, listen, D. Diabetes. Here's how I think about it. Go off, see if it helps you. And, you know, and I, I did that with her and then she contacted me back a day or so later and was thanking me. And this was all private. It wasn't on the podcast. And then she starts crying and really crying, and all she could say was, why did no one tell me this? I've been living this way for decades.

[B]

Oh, yes, yes.

[A]

And that, that loss, that feeling of lost time stuck with me so deeply when she was talking about it and she was talking about it's possible that my health has progressed to a place that I can't get it back again, and I have small children and I lost all this time, and it was so overwhelming to her. She couldn't almost, in the moment, enjoy the fact that she'd figured out the answer. And so I said to her, I'm like, look, I don't know what to tell you here other than to say, you know now. So just move forward, cross your fingers and try to enjoy your life, you know, like. Cause I don't know what else am I going to say, really, but the conversation. I never forget her. I don't know her name, I don't know all of her details. I know the agony in her voice when she realized that there was an actual answer, she didn't have it, and that days and hours and weeks and months and years of her life had passed by that she won't get back again. That part really hit me. And it hit me just as hard when you said it, too.

[B]

And that's the thing, Scott, again. January 2022 is when I started listening to your podcast. And I had been diabetic for many, many years at that point. I learned more from listening to your podcast about bumping and nudging, things I could do, about being bold with insulin, all of the tips and tricks that you put out there. And it was mind blowing to me to think why isn't this information more readily available? Why isn't there you get your little kit to go home with when you leave the hospital? Because you're diabetic now, but where is the link to the podcast to say, hey, this can help you. It doesn't mean that it's correct or it's going to work for you, but just listen, because there's things that you can apply to your specific situation, and I use those all along. Until, of course, I got to the point where I'm like, hey, let me try this for my insulin resistance. Let me keep pushing. Let me keep advocating. Like I said, I feel like I was done a disservice from the healthcare system because I had a problem with insulin resistance. And instead of the doctor saying, hey, there's something that we could try, they said, nope, you still fit over here in that box. And I'll always go back to that. The healthcare needing to be personalized and for people to advocate for what they need because the time is lost and I can't get it back. But I am trying to, like I said, pay it forward. How can I take what I've been through to help somebody else that maybe gets diagnosed?

[A]

Oh, I'm glad that you're, you know. You know, I'm so. I'm so happy for you. You know, I'm just thrilled that you found this place. And I hope that you can, you know, I hope that in some time you can, you know, do what I said and to that other person, which is just, you know, kind of draw a line and start over again.

[B]

Yep.

[A]

Don't think about what was lost. You know, think about what you've got left and. And how much better. Absolutely. Yeah. I really do. I hope that for you, and I agree with you about the personalization of healthcare. I also think that as you were explaining that it made me think of my stupid analogy about the electrical cords, and maybe the podcast is just the outlet extender at the end of that whole thing. You know what I mean? Like, maybe it's just. It fits in that. In that whole mess, because that's what the mess is, and this is what it needs. Like, I've said this on the podcast a number of times, and I genuinely, at this moment, believe this. And I don't know where I'll be five years from now on. Okay. Or what the implications are that I don't understand. But I think someone should develop an app that you just tell your medical problems to, and I think it should be run by an AI that can collate everything you've said and give you back suggestions about what you should look into. Because I can't figure out as we're talking exactly what it is about you. Like, what is the stew of you that allowed you to make your way through this? And what do other people not have in their stew that won't let them get through your same problem? Because there are plenty of people we could have dropped in your same situation that would not have come out the other side of this.

[B]

Oh, for sure, right? I could not agree more with that. Yep.

[A]

And that's random and lucky for you.

[B]

Yeah.

[A]

Right. And so we can't go finding other people and telling them, like, go do the right thing. You'll get an answer. Like, they. They might not have that ability or time or resource, whatever. Like, they just might not be able to get to it. But wouldn't it be awesome? Everyone's got a phone at this point. Like, wouldn't it be awesome if you just sat down with your phone and told it all of your little problems and then at the end had it say to you, like, you know, this is crazy, but sound like you're Modi 4.

[B]

Right.

[A]

You know what I mean? And that's a real, like, unicorn thing. But, like, I'd go say this, Go show this to, like, let's print out a one page here. Take that to the Doctor, see if they maybe wouldn't see our sense on this and look into it for you.

[B]

Right.

[A]

I don't think that's crazy at all, by the way. And I. And in my mind, it's the only way you're going to accomplish it for the largest group of people. Because otherwise you're counting on the Doctor knowing you, seeing you being able to communicate it correctly, them being able to hear it correctly, them having the knowledge and the perspective and having heard enough stories where they'll be able to, like, you know, two plus two is four at the whole thing. And I just think that's not going to work. It hasn't worked so far. You know what I mean? Like, so anyway, that's my hope. My hope is that. Because I've done it here. Have you ever heard me do it on the podcast with somebody?

[B]

Yeah, I actually have. Where they've explained to you what they're thinking and you say, oh, I think it could be this.

[A]

Yeah, but.

[B]

Or have you checked into that?

[A]

Well, there's also. Well, yeah, you've heard me do it, but that's just me working off my database of what I've heard Not, you know, I didn't go to college and listen or anything like that. I'm talking about there's a couple of episodes where somebody had, like, all these things wrong, and we just sat together and put it into, like, chatgpt. And at the end, it was like, I think this. And I'm like, huh, that sounds right. And then they took it to a doctor, and they're doing better now.

[B]

Like, that's amazing.

[A]

Yeah. Actually did that with somebody very recently. So anyway. But then, yeah, again, you'll say that, and then everybody's gonna be like, it's using a lot of electricity. You're killing everybody.

[B]

Come on. Can we let the AI Go? We got to get back into reality. Over.

[A]

It's ruining the world. And, like, you know, again, I'm okay. All right. Anyway, you're awesome, Autumn.

[B]

Thank you. I appreciate that. And like I said, I am a special unicorn. I just didn't really realize that I was the 1% of the 1% out here. And I will say I feel like my doctors at the University of Michigan and the geneticists and everybody, I feel like they're always really happy when they see me because I get to just add more to their case studies.

[A]

I did hear you a number of times say things that made me think, oh, she did eventually run into some really good doctors.

[B]

I did. I am so blessed to have found them. There's no doubt about that. And the genetic specialist, when we were going through the Modi testing, they actually thought I was going to be Modi 3 because I do have some renal cysts on my kidneys. And they're like, oh, yeah, this is you. And they told me it would take probably four or six weeks for those results to come back, and it was within maybe five days. And I'm like, why are they calling me? They were so excited. They were like, you're really special. You have modi four. And I'm like, what does that mean? Like, this is just really rare, and you're the 21st case that we have in our registry. And I'm like, holy shit. 21st.

[A]

Yeah. All right, dorks. How does this work for me? Can I get this fixed? I see you're excited, and that's awesome, but, like, yeah, Autumn needs an answer.

[B]

Yeah. And when do I start taking the sulfur Uranus?

[A]

Because I have to tell you, just so you all know how my mind really works, I'm down to wanting to call the episode Unicorn Zanus, but it's probably going to be Autumn needs an answer.

[B]

That is true.

[A]

Yeah, I mean, but if I had my druthers, just know, Unicorn Anus would definitely be the episode title.

[B]

You know, Autumn needs an answer. Unicorn Anus.

[A]

That's it.

[B]

That's the answer right there.

[A]

You mean to put a colon in it?

[B]

Yeah.

[A]

No pun intended. On the colon thing. I meant. I meant. I meant semicolon. Did I mean semicolon? I meant colon. Autumn needs colon. Autumn needs an answer. Colon. Yeah, yeah, yeah, yeah. Anyway, sorry, I don't know my punctuation.

[B]

That's okay. You'll figure it out. And if not, you have AI. They'll help you.

[A]

Not in this lifetime. Not if you. Not if you saw my English scores when I was in school, you wouldn't say, you'll figure it out. You'd say, how come that guy doesn't know where a comma goes?

[B]

Well, you know, you are from New Jersey, so we have to forgive you.

[A]

Look at you coming around on me making fun of Michigan an hour and a half ago. Very nice. O, you're awesome. All right, Autumn, hold on one second for me, okay? US Med sponsored this episode of the Juice Box podcast. Check them [e-mail] juicebox or by calling 888-721-1514, get your free benefits check and get started today with US Medicine. The podcast you just enjoyed was sponsored by Tandem Diabetes Care. Learn more about Tandem's newest automated insulin delivery system, Tandem mobi with control IQ [e-mail] Juicebox There are links in the show notes and [e-mail] a huge thanks to Cozy Earth for sponsoring this episode. Don't forget Black Friday has come early. Early. @cozyearth.com Right now you can stack my code juicebox on top of their site wide sale. This is going to give you up to 40% off in savings and these deals are definitely not going to last. I'm talking about sheets, towels, clothing, everything they have. Get that holiday shopping going right now, today. Do it, do it, do it. Cozyearth.com use the offer code juicebox. Thank you so much for listening. I'll be back very soon with another episode episode of the Juice Box podcast. If you're not already subscribed or following the podcast in your favorite audio app like Spotify or Apple Podcasts. Please do that now. Seriously, just to hit, follow or subscribe will really help the show. If you go a little further in Apple Podcasts and set it up so that it downloads all new episodes, I'll be your best friend. And if you leave a five star review. Oh, I'll probably send you a Christmas card. Would you like a Christmas card? Check out my Algorithm Pumping series to help you make sense of automated insulin delivery systems like Omnipod, Five Loop, Medtronic 780G Twist, Tandem Control IQ and much more. Each episode will dive into the setup, features and real world usage tips that can transform your daily type 1 diabetes management. We cut through the jargon, share personal experiences and show you how these algorithms can simplify and streamline your care. If you're curious about automated insulin pumping, go find the Algorithm Pumping series in the Juice Box podcast easiest way juiceboxpodcast.com and go up into the menu. Click on series and it'll be right there. If you're looking for community around type 1 diabetes, check out the Juice Box Podcast. Private Facebook Group juice box podcast type 1 diabetes but everybody is welcome. Type 1 type 2 gestational loved ones it doesn't matter to me. If you're impacted by diabetes and you're looking for support, comfort or community, check out Juice Box podcast type 1 diabetes on Facebook. The episode you just heard was professionally edited by wrong way recording wrongwayrecording.com.